Advice to establish a career in assessment

I’m looking if anyone has any professional advice for my position as my supervisors weren’t all too helpful/nor was I comfortable being this honest with many. TLDR I’m a masters level psychologist in my 4th year of my clinical psych PhD preparing to apply for internship this year. Both of my external practicum were in neuropsych assessment & outpatient therapy. Put simply, psychological assessment is my dream career. I love the workflow that much. A thorough clinical interview, a tailored feedback session, fascination with tests and growing more comfortable with more nuanced interpretation, report writing as an OCPD outlet. I feel very grateful. I felt genuinely depressed when I conceptualized my primary professional role to be a therapist, I just believe that is not the role I’m meant to play in this world. Essentially my question is:

I just want to ensure to the maximum degree I have the highest oppertunity to make a career than is at least like 75% assessment. I love neuropsych the most, but it doesn’t have to be that (I have experience in personality/psychoed/adhd/academic evals from internal prac and moonlighting), I just don’t want to have to be a therapist out of financial necessity. What steps would you consider if you were me, especially if I don’t match neuro internship/post doc? ADOS training? Is it possible to get involved in forensic assessment if needed while still an early career psychologist? I genuinely lose sleep every night worrying I won’t be able to find enough work in assessment or it won’t pay enough (therapy seems to be more lucrative than assessment work generally in my area via insurance. I’m sure forensic private pay is a different game but that’s just not what my sites have ever been doing). I’d be really grateful if anyone familar with the current landscape of our field has advice for how to set myself up for maximized opportunities outside of a continued straight focus on neuropsych.

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u/SkarKuso — 10 hours ago

Any PS5 physical collectors now switching to digital

I know this is a switch sub but I’ve had many great convos with ppl here who just collect their games physically regardless of system. I’ve gotten physical forever but should I just go ahead and switch to digital now? I care more about consistency than anything else. My fear is a PS6, backwards compatible to the 5, wouldn’t have a disc drive and I wouldn’t be able to play all my PS5 games. I am depressed about this but my OCD is more running rampant trying to decide if I should just give it up now or not. I wish we’d know if we’re just shit out of luck with a PS6

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u/SkarKuso — 4 days ago
▲ 48 r/umineko

*vague spoilers* How is this true

Rewatching Joseph Anderson run of the game I read the manga myself. But how is this true in Red ? It does seem they are talking about the “truth” not just game 4 considering the weight this convo is given and reference to events before the game. But this doesn’t make sense considering the ultimate fate of a certain ushiromiya mother who lives into the 90s

u/SkarKuso — 5 days ago

What umineko stream featured Joe and jelly theorizing?

I saw this referenced in a reddit thread and at the start of his episode 4 video. Is this stream uploaded? Where they theorized and apparently hit on a lot during the question arcs

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u/SkarKuso — 5 days ago

Anime/manga recs for an Aot/Umineko fan

I have barely watched or read any manga/anime at all, just followed attack on titan for a decade and recently read Umineko manga after a YouTuber recommendation. Loved it. Suspenseful serious story with strong emotions. I want to experience more stories like this but have no idea where to start. Any reccomendations? I’ve only read AoT/umineko/Punpun/death note to get an idea of the kind of stuff I’ve enjoyed

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u/SkarKuso — 14 days ago
▲ 130 r/umineko

*SPOILERS* Manga artwork elevated this story to another level

There are obviously trade offs with manga vs VN. I missed out on music and VA. But so much of the manga artwork is what is sticking in my mind. It’s a tough trade off but I’m so happy I experienced this through the manga. The panel below broke me in a way just the dialogue couldn’t have

u/SkarKuso — 21 days ago

Is the mild chest tightness and increased heat rate dangerous or just uncomfortable

On day 6, 10 mg, but today I notice a tightness on the right side of my chest. My resting heart rate is about 90 BPM which i imagine as more than usual. I take it for headaches. I actually havent had a bad one since starting. I can’t try calling my neurologist until the week begins but I was curious on what people think. Is this tightness dangerous/putting me at risk of a cardiac event. It’s uncomfortable but certainly not as much as the headaches and if I am not in danger I can see myself wanting to keep trying a few more weeks and see if the impact is for real. I’m supposed to double the dosage in a week which is a little scary now though. Obviously will discuss with my doctor. But just for my anxiety today (plus I don’t always trust docs as a healthcare professional myself) how concerned should I be over this mild tightness feeling? If I’m not in danger I feel great compared to when I have headaches

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u/SkarKuso — 22 days ago

SPOILERS: Questions after finishing the manga

Beautiful ending. Just had a few questions I feel I’m maybe not fully grasping

  1. The final scene of “Beatrice” and battler on the boat escaping, that is real correct? I know it was made to show battler drowning too but are we supposed to read this as he tried diving in but just ended up surviving and then getting the injuries etc? What were battlers true feelings to sayo at this point? He clearly was embracing the feeling sayo had for him but where is this coming from? I guess I felt dissatisfied that all the battler/beatrice build up in the meta world was technically completely disconnected from their kiss on the boat. Unless I’m reading it wrong.
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u/SkarKuso — 22 days ago

Help with norms for Boston Naming/TrailsA&B/Animal Fluency

I’ve have been using norms for these measures I have from a prior job. My computer has unfortunately crashed and I’ve lost so much valuable stuff. I’ve been able to recover a lot of it through various means in a very stressful process but I still cannot find these out there. Would anyone be able to help and send me for these measures if they have the documents

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u/SkarKuso — 24 days ago

Using WAIS tasks substituting for NAB tasks (dementia evals)

I am working at a new group practice where they do not have the NAB, I am coming from a practice where NAB is central to every battery. I will be quite independent in constructing my own battery based on what’s available. I’d like to try and fill in the blanks where I can: digit span, wais spatial reasoning stuff rather than the NABs, coding rather than SDMT which I’m used to. But I wanted to check in that I am thinking about the use of norms correctly. With a typical older individual coming in concerned of having cognitive impairment, is there a different way to consider the norms of these tasks bc they are apart of an IQ battery? Obviously everything is taken in context etc but I wanted to ensure I was not mistakenly going to interpret test results to mean MCI etc. when that can’t be said from something like a WAIS. Or all these just normed off a standard generalizable sample

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u/SkarKuso — 27 days ago

Normal to pay for supervision working for a group practice?

I’m working for the first time at a group practice with my limited license before I apply for internship in the Fall. I’m primarily doing cognitive assessment. The deal seems to be I get 55% of whatever is billed for all the steps of the eval but I also have to pay for my supervisor who works within the practice, $130 for an hour. They seemed very flexible on how much this needed to occur, we landed on probably one hour per 2 evals. Is this a relatively standard situation or am I being taken advantage of? I’d appreciate any insight first time working in this field and my folks don’t have much of a clue as they are more blue collar. EHR/office space/billing staff provided. It’s just a far cry from my practicums

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u/SkarKuso — 27 days ago
▲ 12 r/HYSA

My partner asked for a HYSA equivalent from our bank, are these trash

My partner is starting to work and beyond what’s needed in checking acc is trying to start a emergency fund. I have an AMEX HYSA with 3.1% but I also keep some money with fidelity in SPAXX which I think is a little more than 3.1%. This is what Comerica offered her and I’m a little confused. Which of these resembles a HYSA? It doesn’t say any % growth anywhere. And $~12 a month maintenance fee? Isnt that awful until a very large sum of money is invested? Any advice on what would be a good move is appreciated

u/SkarKuso — 30 days ago

If I open a ROTH IRA account is it a seperate SPAXX from my brokerage?

I have one fidelity account I use for taxeable investing but this is the first year I have earned income and want to start putting into Roth IRA. I have 30k deposited in my SPAXX due to a recent scholarship I want to invest partly in Roth to the limit for the year. If I open a seperate Roth IRA account through fidelity will SPAXX carry over or is it a blank one and I transfer between accounts internally in fidelity?

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u/SkarKuso — 30 days ago

New reader thoughts mid chapter 3

I am reading the manga never read a VN before and barely have read any manga either. But while I’ve enjoyed so far, I was getting confused at what I was supposed to be interpreting as literal vs not. Some questions I had were, in episode 2, we are literally seeing characters like Kanon and Shannon talking to Beatrice the witch. Is this not at least proof of a 19th person. I guess I’m still a little unclear of this, and this peaked at the magical battle in the garden in book 3. I then appreciated that this was the moment they became a bit more explicit that these events are an interpretation of what happened Beatrice is telling battler. I’m still unclear how literal this space is between battler and Beatrice is, versus these repeated time loop type events of the 3 nights. I hope all becomes clear as i keep reading but I also don’t know if this is a skill issue being unfamiliar with the medium. But ultimately this story really really has picked up for me so far in chapter 3. Seeing Rosa’s memory of finding a Beatrice and the forest mansion, which I think I’m supposed to interpret as something that literally happened, to be so inticing. I also feel like now I have an idea of how I’m supposed to read into this, it’s not about what literally happenes, but what is possible vs impossible logically in the chess battle between battler/beato.

PS: this chapter randomly reminded me hard of of to of my favorite pieces of fiction, both completely different: succession and blue prince. Eva feels like unreleased manga style Shiv Roy content and that scene of wandering into the forest and finding an entire second mansion under your nose with secrets and hidden implications brought me right back to the wonder of blue prince

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u/SkarKuso — 30 days ago

Would UCIS consider a 3rd party statement for a marriage-based immigration application

I’m an American recently married a Canadian on an F1 student visa as we met in grad school which is still ongoing. Everything going on of course has me extra stressed on what we can do to better our chances. We have lots of proof our relationship is real, but does anyone know if immigration would want something like a statement from our program director confirming we are both enrolled in our PhD and have had a genuine relationship through it? We are both pretty close with our director and think they would write something for us if it would be helpful

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u/SkarKuso — 1 month ago

What are the actual denial rates for AOS

Obviously stressful day I just married my wife who is Canadian we met in grad school in the US. I’m hearing applying for AOS isn’t worth it bc it’s almost certain denial rn. But is this even true? I was hoping it being Canada, her having a PhD, us having extensive proof of the relationship being real might help. And from my understanding she wouldn’t have to leave waiting for green card cuz her F1 is still active and our PhDs are only halfway done. But is it truly not worth spending the money

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u/SkarKuso — 1 month ago

Any American trained psychologists immigrate to Canada from US?

I’m an American who graduated from a US PhD early career. If new immigration memo gets passed could uproot my family potentially. Thinking worst case scenarios. Anyone ever essentially moved to Canada as a psychologist? How much more difficult was it compared to like moving states? I’ve heard APA/CPA co-affirm each other but never heard any specific cases

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u/SkarKuso — 1 month ago
▲ 1 r/Saros

Final boss ost?

Can’t seem to find the track that plays but it really turns up especially phase 3

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u/SkarKuso — 2 months ago

Are tonsills concerningly enlarged?

25 Male 200 pounds, my tonsils are pretty generally this big but I’m starting to be considered that I have a chronic issue. I get frequent sore throats (5ish a year mostly between Nov-May) and have had increasing difficulties with sleep feeling tired and snoring. I breathe through my mouth when I sleep as my nose is too plugged for at least half the year. But I’m learning this could be more of a tonsil issue. Does this level of size/inflammation suggest that? I don’t get frequent tonsills stone chunks but peering in there, there is lines of white dots in the back I can’t reach. I have lymph nodes I can touch on my neck and in my jaw all the time as well

u/SkarKuso — 2 months ago

Is dealership best to get used cars?

Hey yall. I’ve driven leased Jeep compasses all my life and I’m now 28 planning to start a family soon and paying for shit myself. My understanding is buying used is definitely more cost efficient compared to buying new and especially leasing. I really do not care about having a “nice” brand or how I look with my car, I just want something safe and reliable while not spending too much. I’ve heard Japanese brands like Honda or Toyota are the way to go with something like a Honda CRV. I have a few questions if y’all don’t mind

  1. Is asking our dedicated dealerships a relatively reliable way to go about this process or am I gonna get gouged compared to looking for dedicated used car salesmen?

  2. My understanding is a SUV is reccomended when you have a family/young kids. What is a reasonable budget to have? Is 20k too low/would that mean I need to look for other brands?

  3. Anything else I really need to know price wise (I of course know there will be maintence costs etc. I guess I’m less clear on how long I can really expect these cars to last. Is the typical end goal selling such a car again or driving it until it just cannot go anymore)?

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u/SkarKuso — 2 months ago