u/Delicious-Minimum199

Hi everyone! I’m an MSW/LSW with experience in behavioral health, therapy, case management, and utilization management, and I’m looking to transition into a fully remote role with limited direct client interaction.

I’m especially interested in positions involving:
Utilization Management / Utilization Review
Behavioral Health UM/UR
Medical necessity or authorization review
Chart and clinical documentation review
Quality assurance / chart auditing
Insurance claims or appeals review
Denials and grievances
Compliance/documentation auditing
Care coordination that is primarily administrative/review-based
Other behind-the-scenes roles where an MSW/social work background is valuable

Ideally, I’d like a position where most of my day is spent independently reviewing records, documentation, authorizations, claims, or clinical information rather than providing therapy or being on the phone with clients all day.

I’m open to health insurance companies, managed care organizations, hospitals/health systems, behavioral health companies, third-party administrators, or similar organizations.

For anyone who has transitioned from social work/behavioral health into this type of work: What job titles should I be searching for? Are there companies that regularly hire MSWs for these roles?
I’d also really appreciate any current remote job leads or recommendations. Thank you!

I’m trying to understand whether my anxiety has a biological component that could be improved rather than just managed.
For context, I’ve been on antidepressants for about 12 years (currently tapering off an SNRI after many years), and I’m interested in looking upstream at \*why\* my nervous system seems to react the way it does.

I’m curious about things like:
MTHFR, COMT, MAOA, GAD1, DAO, CBS, PEMT, or other variants that may influence anxiety, stress response, neurotransmitters, methylation, histamine, etc.
Nutrient deficiencies or imbalances that may interact with those genes (B vitamins, magnesium, zinc, copper, omega-3s, amino acids, etc.).
Whether anyone found meaningful improvements after working with a practitioner who interpreted whole genome or raw DNA data instead of just using a generic report.

A few questions:
Which genetic variants ended up being the most important for your anxiety?
What supplements or dietary changes actually made a noticeable difference?
Were there any supplements that unexpectedly made your anxiety worse?
Did anyone have success using whole-genome sequencing or raw DNA analysis rather than something like GeneSight?
If you worked with a practitioner, what type of practitioner were they (functional medicine, nutrigenomics, genetics, etc.)?

I’m not looking for medical advice or miracle cures—I know anxiety is multifactorial. I’m just interested in hearing real experiences from people who found biological factors that were worth addressing.
I’d especially appreciate hearing from anyone who has dealt with chronic anxiety, panic attacks, an overactive stress response, or SNRI/SSRI withdrawal.

I’m trying to understand whether my anxiety has a biological component that could be improved rather than just managed.
For context, I’ve been on antidepressants for about 12 years (currently tapering off an SNRI after many years), and I’m interested in looking upstream at *why* my nervous system seems to react the way it does.

I’m curious about things like:
MTHFR, COMT, MAOA, GAD1, DAO, CBS, PEMT, or other variants that may influence anxiety, stress response, neurotransmitters, methylation, histamine, etc.
Nutrient deficiencies or imbalances that may interact with those genes (B vitamins, magnesium, zinc, copper, omega-3s, amino acids, etc.).
Whether anyone found meaningful improvements after working with a practitioner who interpreted whole genome or raw DNA data instead of just using a generic report.

A few questions:
Which genetic variants ended up being the most important for your anxiety?
What supplements or dietary changes actually made a noticeable difference?
Were there any supplements that unexpectedly made your anxiety worse?
Did anyone have success using whole-genome sequencing or raw DNA analysis rather than something like GeneSight?
If you worked with a practitioner, what type of practitioner were they (functional medicine, nutrigenomics, genetics, etc.)?

I’m not looking for medical advice or miracle cures—I know anxiety is multifactorial. I’m just interested in hearing real experiences from people who found biological factors that were worth addressing.
I’d especially appreciate hearing from anyone who has dealt with chronic anxiety, panic attacks, an overactive stress response, or SNRI/SSRI withdrawal.

I’m trying to understand whether my anxiety has a biological component that could be improved rather than just managed.
For context, I’ve been on antidepressants for about 12 years (currently tapering off an SNRI after many years), and I’m interested in looking upstream at why my nervous system seems to react the way it does.

I’m curious about things like:
MTHFR, COMT, MAOA, GAD1, DAO, CBS, PEMT, or other variants that may influence anxiety, stress response, neurotransmitters, methylation, histamine, etc.
Nutrient deficiencies or imbalances that may interact with those genes (B vitamins, magnesium, zinc, copper, omega-3s, amino acids, etc.).
Whether anyone found meaningful improvements after working with a practitioner who interpreted whole genome or raw DNA data instead of just using a generic report.

A few questions:
Which genetic variants ended up being the most important for your anxiety?
What supplements or dietary changes actually made a noticeable difference?
Were there any supplements that unexpectedly made your anxiety worse?
Did anyone have success using whole-genome sequencing or raw DNA analysis rather than something like GeneSight?
If you worked with a practitioner, what type of practitioner were they (functional medicine, nutrigenomics, genetics, etc.)?

I’m not looking for medical advice or miracle cures—I know anxiety is multifactorial. I’m just interested in hearing real experiences from people who found biological factors that were worth addressing.
I’d especially appreciate hearing from anyone who has dealt with chronic anxiety, panic attacks, an overactive stress response, or SNRI/SSRI withdrawal.

I’m trying to understand whether my anxiety has a biological component that could be improved rather than just managed.
For context, I’ve been on antidepressants for about 12 years (currently tapering off an SNRI after many years), and I’m interested in looking upstream at why my nervous system seems to react the way it does.

I’m curious about things like:
MTHFR, COMT, MAOA, GAD1, DAO, CBS, PEMT, or other variants that may influence anxiety, stress response, neurotransmitters, methylation, histamine, etc.
Nutrient deficiencies or imbalances that may interact with those genes (B vitamins, magnesium, zinc, copper, omega-3s, amino acids, etc.).
Whether anyone found meaningful improvements after working with a practitioner who interpreted whole genome or raw DNA data instead of just using a generic report.

A few questions:
Which genetic variants ended up being the most important for your anxiety?
What supplements or dietary changes actually made a noticeable difference?
Were there any supplements that unexpectedly made your anxiety worse?
Did anyone have success using whole-genome sequencing or raw DNA analysis rather than something like GeneSight?
If you worked with a practitioner, what type of practitioner were they (functional medicine, nutrigenomics, genetics, etc.)?

I’m not looking for medical advice or miracle cures—I know anxiety is multifactorial. I’m just interested in hearing real experiences from people who found biological factors that were worth addressing.
I’d especially appreciate hearing from anyone who has dealt with chronic anxiety, panic attacks, an overactive stress response, or SNRI/SSRI withdrawal.

Hello, I have started my taper down from Pristiq. I was taking 75 mg and have been on this medication for about seven years. In January I taper down to 50 mg and have been on that since, then last Saturday I tapered down to 25 mg. I had a little bit of brain fog and irritability but nothing intense.

Well today, a week after going down to 25 mg, I started experiencing the most intense dread/ panic/ doom feeling in my body. It also feels like there’s pressure in the front and top of my head, and my thoughts feel very sticky and I’m very anxious about my thoughts. Is this withdrawal or do I need to go back up to 50 mg?

I am 26 years old and was placed on Pristiq at age 19. Prior to that I was placed on an antidepressant and medication for ADD which started at age 10. I took myself off those medications cold turkey at 18 years old. I experienced the worst anxiety of my life and obsessive symptoms and was put on Pristiq. Was it withdrawal symptoms or general anxiety? I will never know.

I started noticing that I was experiencing more panic attacks on the Pristiq about a year ago at 75Mg and realized it was probably because I was having flooding of norepinephrine. I went down to 50mg and for a couple weeks it was a little difficult but sucked. I stopped experiencing the panic attacks. Then recently I started having the symptoms again a realized it was time to make another drop (my psychiatrist is aware). I started taking 25mg three days ago. I feel light sensitivity and brain fog.

I’m wondering if it will even be possible for me to go off antidepressants after living my whole life and growing through puberty on them.

I am 26 years old and was placed on Pristiq at age 19. Prior to that I was placed on an antidepressant and medication for ADD which started at age 10. I took myself off those medications cold turkey at 18 years old. I experienced the worst anxiety of my life and obsessive symptoms and was put on Pristiq. Was it withdrawal symptoms or general anxiety? I will never know.

I started noticing that I was experiencing more panic attacks on the Pristiq about a year ago at 75Mg and realized it was probably because I was having flooding of norepinephrine. I went down to 50mg and for a couple weeks it was a little difficult but sucked. I stopped experiencing the panic attacks. Then recently I started having the symptoms again a realized it was time to make another drop (my psychiatrist is aware). I started taking 25mg three days ago. I feel light sensitivity and brain fog.

I’m wondering if it will even be possible for me to go off antidepressants after living my whole life and growing through puberty on them.

I am 26 years old and was placed on Pristiq at age 19. Prior to that I was placed on an antidepressant and medication for ADD which started at age 10. I took myself off those medications cold turkey at 18 years old. I experienced the worst anxiety of my life and obsessive symptoms and was put on Pristiq. Was it withdrawal symptoms or general anxiety? I will never know.

I started noticing that I was experiencing more panic attacks on the Pristiq about a year ago at 75Mg and realized it was probably because I was having flooding of norepinephrine. I went down to 50mg and for a couple weeks it was a little difficult but sucked. I stopped experiencing the panic attacks. Then recently I started having the symptoms again a realized it was time to make another drop (my psychiatrist is aware). I started taking 25mg three days ago. I feel light sensitivity and brain fog.

I’m wondering if it will even be possible for me to go off antidepressants after living my whole life and growing through puberty on them.