u/Choice_Sherbert_2625

I’m not going to lie, I dislike it. My own friends and family don’t even call me that, I have a nickname. Always introduce myself as Dr. so-and-so.

In residency I was taught to correct them for “boundaries” all the while, half the program on the therapy side went by their first name.

I just think it would be a rapport killer to correct most of my patients. I’ll do it for someone pushing boundaries but that’s about it. Not sure if I should correct people more often..:

A) Drug testing, must be negative unless there is a medical card.

B) As long as not reaching cannabis use disorder criteria, and is social/not heavy.

C) No issues.

I honestly want to lean toward B but the hospital/ clinic and my boss I work for presses for A. Thoughts? I don’t actually think there is a law, just different opinions (correct me if wrong).

Anybody else struggle with this?

I just personally think that the world is getting so much worse, the climate, both politically and environmentally, and with adoption, the kids are already here anyway so you’re just helping what is already here. But I always thought since I was young that if I ended up with a woman I want a kid and if I ended up with a man, surrogacy was the option. Have had baby fever for years, saving slowly for surrogacy. I want to be a dad so bad it hurts. None of my straight siblings or cousins are having kids so still a net decrease in population.

And I have this compromise in my head. One by surrogacy and one by adoption. All I want is one. My partner doesn’t care either way, I’m the breadwinner and the one saving to pay. I literally don’t think I can change my mind on wanting to have a surrogate but wondered if I was alone in this struggle.

I live in a gated community and so does one of my patients. I feel I sometimes skip neighborhood gatherings because of this. Should I just show up for these and ignore my patient if I see them there, or ask them to transfer to a colleague?

Update: I’m not at all afraid of this patient or for my safety. Just never had this happen. I think I’ll just ignore for now, and ask their opinion next session.