r/psychotherapists

I got off a colleague zoom and it left me thinking about a clinical population I used to be so focused on that it was probably more than half the reason I became a therapist. I wanted to change things for them--to revise whole narratives and make people care and shine a gigantig search light on what the field was missing about this population.

And I struggled and wasn't effective and got utterly exhausted because I cared too much and people were way too invested in their extant ideas and way too insulted that someone so "new to the field" would have the audacity of speaking up about it.

So I shelved it, whole cloth. I focused on other things that I experienced success with: regulatory advocacy and board complaint support (client and therapist side), coalition building, practice mentoring and business/marketing support, helping grad students stay resilient and make strong choices, etc.

But then I look at the population on the shelf and the soft layer of dust sitting on top and I grieve: the changes I couldn't make, the relief I could usher in, the resonance I failed to find.

I don't know what to do with any of it, but I wonder if anyone else can relate. I'm a better clinician now, and have a depth of appreciation now whose absence probably *was* a sign of arrogance before. But still, the population I wanted to help change things for a decade ago still needs support, and I don't find myself taking it off the shelf and carefully blowing the dust away.

We don't need a specifier for PTSD. And I know, "Van der Kolk says blah, blah, blah..."

What else bugs the crap out of you?

"Trauma-informed care", "ADHD-Informed care", "X-Informed care" screams "I took a class about ADHD, and Trauma, and other things in grad school so yeah... I've been informed."

AUDHD - is a bunch of b.s. You have ADHD because you have grown up with your damned phone glued to the end of your nose. Now you feel different - almost like you can't pick up on social cues. At least not on the social cues that haven't been performed for you by your favorite influencer for the past 20 something years.

You're not autistic because you feel a little different that other people, Becky! You probably feel different because people don't want to spend time with a borderline who constantly brings drama to every single human interaction. People keep rejecting you, you can't figure out why, so rather than introspect (which is a legitimate feature of BPD) you blame your issues on some obscure disorder that takes a thorough and exhaustive exam to properly diagnose. And no - the online, quickie and/or free assessment you found on instagram/tik tok/facebook/etc. doesn't count.

Coaches - the worst. They are unregulated, unsupervised and usually untrained. There needs to be legislation to regulate people who attempt to enter into a "coaching" racket.

4 years in grad school. 4 tears of supervision, thousands of hours with patients, thousands of dollars in tuition, books, supervision, insurance and so on. And some asshat can just hang a shingle and pretend to know better than my colleagues and I? And get away with charging people for it? In the words of Joe De Rossa, "Have some dignity and do what every other human failure has done and become a realtor."

[https://therapistrates.org\](https://therapistrates.org) tracks what insurers and platforms (Headway, Alma, Rula, Grow Therapy, etc.) actually reimburse for psychotherapy sessions. These rates are contractually confidential, so the data is crowd-sourced from therapist reports, with every row linked back to its primary source.

Raw JSON: https://therapistrates.org/data/rates.json (77 rows: platform, payer, state, license level, CPT code, rate, effective date, source link, verified flag). Companion ownership registry of who owns each platform: https://therapistrates.org/data/owners.json

The same 53-minute session (CPT 90837) pays anywhere from $39 to $220 depending on payer and state, and when rates are that low and that opaque, therapists quietly leave insurance networks. Patients inherit the fallout: "ghost network" directories full of therapists who no longer take their plan, months-long waits, sessions quietly shortened from 60 minutes to 45, and full out-of-pocket bills for care their insurance nominally covers. In one sourced case an insurer paid a middleman platform $213.07 for a session while the treating clinician received $101.20 — a spread the patient never sees. There's no official public source for any of these numbers; price transparency rules don't reach behavioral health middleman arrangements.

Hello

I have been doing some research and have been interested in clinical hypnotherapy. I understand ICBCH has global accreditation to begin business and work. I am already a registered psychotherapist but not currently seeing clients.

I see some 12 month programs costing 2000 to 4000.

My concern is if it will be worth it. What are other hypnotherapist finding in regards to business, services and demand for hypnotherapy ?

Can anyone provide me pointers advice thought and what to be mindful for?

I'm in the process of opening my own private practice (in the early stages), and I'm wanting to do some training to feel fully competent in the areas I want to specialize in. I don't care for "certifications" and I don't want to spends hundredsss on a course.

I would love to know what websites/programs you guys use or heard highly about.

I googled and came across The Behavioral Health (BH) Workforce Training Clearinghouse, has anyone been tried that?

anyway, any thoughts and advice would be appreciated :)

Hey everyone! I’ve been thinking about genograms and family/system maps. I’m a family therapist in training in Greece, and genogram is taught as an essential tool here. In theory they seem incredibly useful, but in practice I often find that they become hard to maintain once cases get complex.

For those who use them regularly in your work:

• What makes them worth the effort?
• What makes them burdensome?
• Do you make them using paper/whiteboard, digital tools, or something else?
• Are there privacy or documentation issues that make digital versions difficult?
• What would an ideal workflow look like?

What is the average salary for a mental health counselor with a masters degree? Pre and post full licensure. Also what options are there beyond working in a private practice and what does income look like in those sectors.

I was looking into expanding my learning around somatic-based approaches, and am absolutely gobsmacked by the price tags I'm seeing. Training for Somatic Experiencing is upwards of 10k. Other ones I came across (Sensorimotor Psychotherapy, BodyDreaming) seem in the same ballpark as SE's pricing. Havening training is not as expensive but requires you to pay an annual membership fee indefinitely, otherwise you are not allowed to continue advertising it as a modality you trained in (wtf??).

I thought when I trained in EMDR that the price was steep, but now it feels like it might be one of the most reasonably priced structured trainings I've seen out there that incorporates a somatic lens. Either that or I'm missing something?

Are there any somatic modality trainings that you would recommend that don't have a ridiculous pricing structure? I am so disappointed in what I'm seeing... this is so inaccessible, gatekeepy and gross.

I am planning to study to become a therapist (MHC) and was wondering what the job market is like in NJ. What are some things I should know in terms of the job market and job prospects in NJ?

i transitioned to full time solo practice recently and my caseload is finally full, but handling my appointment calendar is taking up way too much admin time between sessions. i am currently juggling scheduling, intake paperwork, and portal links through separate apps, which frequently leads to double bookings or late reschedules. i already tried setting clear booking boundaries and sending manual reminder emails, but managing recurring weekly slots alongside sliding scale clients is still an administrative nightmare.

i am looking to move everything into a single HIPAA compliant platform so i can automate self scheduling and client intake workflows. for those in private practice, what practice management software actually cleared up your calendar chaos, and how easily do your clients handle self rescheduling through the portal? i would also love to know if automated sms reminders noticeably cut down on your no shows, or if there were any frustrating setup limitations you hit during data migration.