u/Lanky_Classic_3008

I had frozen shoulder in my right shoulder last year and ultimately had surgery for it. Now I’m starting to have very similar pain in my opposite shoulder, and I’m honestly a little nervous that I’m headed down the same road.

I’ve been doing the PT stretches I was given previously every day, hoping that keeping the shoulder moving will prevent it from getting worse. I’m not sure yet whether this is actually frozen shoulder again or something else, but the pain feels very familiar.

For those of you who have had frozen shoulder before:

• Did you develop it in the opposite shoulder later?
• Did you recognize the symptoms early?
• Were you able to prevent it from becoming a full frozen shoulder?
• Did PT, stretching, injections, or anything else actually make a difference?

I’d especially love to hear from anyone who caught it early and was able to avoid surgery. I’m really hoping I can get ahead of this one!

I’m curious whether others have noticed a difference in client behavior between Headway and other practice settings.
At my previous group practice, clients generally scheduled their next appointment before leaving the session. If they didn’t, I usually had a pretty good sense during the session that we weren’t the right fit.
Since starting with Headway, I’ve had a different experience. I’ve had a few clients who seemed engaged, the session felt like it went well, and there were no obvious signs that the connection wasn’t there. One client decided to return to another therapist they had already seen. Another couple said they wanted to talk it over before scheduling. Another client scheduled a follow-up and then canceled a few hours later.
I’m trying not to overinterpret a small sample, but I’m wondering if this is just the nature of Headway, where clients may be comparing multiple therapists, or if others have noticed lower first-session retention compared with other settings.
For those in private practice using Headway (or similar platforms), has your experience been similar? Or do you find your second-session retention is about the same as other referral sources?

I'm considering training in hypnotherapy and would love to hear from therapists who have actually incorporated it into their practice.

• What training program did you complete?
• What populations or presenting concerns do you use it for?
• Has it been worth the investment in terms of client outcomes or practice growth?
• Looking back, would you choose the same training again?

I realize hypnotherapy can be a polarizing topic, and I'm aware there are differing opinions about the evidence base. I'm not looking to debate whether it "works" or not. I'm specifically hoping to hear from clinicians with firsthand training and experience using it in practice—both the positives and the limitations.

Thanks in advance!

I recently worked with a high-conflict couple with longstanding communication difficulties and limited progress in couples therapy despite ongoing intervention work focused on communication skills and conflict patterns.

At a certain point in treatment, I recommended that each individual also engage in their own therapy in addition to couples work due to ongoing relational instability and limited carryover of skills outside of sessions. Eventually, couples work was paused due to lack of progress and the need for additional individual-level support.

More recently, I received outreach from one partner expressing distress about how they interpreted my clinical recommendations within the relationship, including feeling that responsibility for the relationship issues was being attributed to them. This has prompted me to reflect on documentation practices, how recommendations are communicated in couples work, and how easily clinical intent can be reframed within high-conflict dynamics after therapy ends.

For those who do couples work:

• How do you document recommendations for adjunctive individual therapy in a way that minimizes later alliance distortions?
• How do you handle situations where one partner later reinterprets the therapeutic process after termination/pausing?
• Any strategies for managing the self-doubt that can come up after these kinds of cases?

Appreciate any clinical perspective from those with experience in this area.

I’m in the early stages of building a solo private practice and I’m running into a practical issue: office space.

I only need in-person space a few hours per week, and I’m struggling to find flexible options in my area (Phoenix). Most listings I’m finding are full-time leases or spaces that don’t really make sense financially for a light in-person caseload.

For those of you who started solo or part-time:

• How did you find your first office space?
• Did you use coworking therapy suites, hourly rentals, shared offices, or something else?
• Any specific platforms, groups, or strategies that actually worked (LoopNet, Facebook groups, contacting group practices, etc.)?
• At what point did it make sense to move into a more permanent lease?

I’m trying to avoid overcommitting too early, but I also want something consistent and professional for clients.

Appreciate any real-world experiences or lessons learned.