Hello everyone, I am a new psychologist who has not yet started practicing (I am waiting for the license to practice legally). I am interested in the clinic and would like to ask you how many patients you feel you can handle at the same time, how many in one day and how many in total.

I thought that 20 in total is a more or less manageable number and that it would give me a decent income.

Hi everyone,

I’ve scoured the internet to no avail, it’s especially hard with this subject as qualifications and opportunities differ so much between countries.

So, what are some alternative, unique, and unexpected ways psychologists can work in Australia? Are there any companies/fields that are utilising psychologists but not advertising so? If anyone out there in Australia has had experience working as a psychologist but not in the standard setting (eg, private practice, public health, teaching/supervising) please chime in!

Thank you 😊

Hi! Looking at joining a group practice as an out of network provider doing comprehensive testing.

They will provide all the testing materials and admin help, but I am responsible for my own software if desired (transcription, etc), marketing, malpractice insurance, and CEs. I’ve been offered a 50/50 split, but wanted to hear if you think I can negotiate for 60/40 or 55/45 especially given I will not be using their support for billing as an OON provider. Average testing battery fee is 1800-2500

Hi,

I'm a newly licensed psych. From my clinical work, I've been noticing that most people have experienced trauma at some point of their lives, at various degrees of severity. Sometimes I'm scared that going through the traumatic event will retraumatize them and not sure how much it is benefitting them

According to Bessel Van Der Kolk, somatic experiencing and emdr are some of the best tools for trauma due to its impact on our physiology. I wanted to ask which approached you use and what do you think of somatic experiencing?

Hello,

I'm a U.S. licensed psychologist looking to practice psychology in South Korea. I was wondering if anyone has some insights as to how this all works. My main question is regarding legal/ethical issues and boundaries. It seems tricky and somewhat confusing since I am located in Korea, yet I am licensed in the U.S. So I am trying to figure out to what extent I need to comply with APA and U.S. state law that I am licensed in when practicing psychology outside of U.S. Oh also, I will be providing services mostly to U.S. citizens.

Would appreciate any insights!!

There was a question recently about patients talking nonstop during sessions and it made me wonder about truly NONSTOP talking. I had a patient years ago who would walk into therapy talking and walk out talking and my (perhaps faulty) memory is that I never said a thing because I never had a chance. I have a friend who I call a couple of times a year who is delighted to hear from me and literally monologues for 90 minutes or so until we say our goodbyes. Because I’m prepared for it and because of our history, that’s ok with me, but it is really odd behavior. I had another friend I stopped seeing because she would monologue - as in, if I wanted to say something I had to talk over her, and sometimes she acknowledged it and sometimes did not. I have had hard of hearing older (mostly male) patients monologue, even try to monologue through an assessment, in a behavior that I think may be their way of coping with not being able to hear (not listening, so, “problem solved”). My partner (a nurse practitioner) told me about a mother and daughter who, in a meeting with my partner and a social worker, simultaneously monologued over each other for the 30 minute meeting. When I say “monologue” I am talking about people who don’t acknowledge any signs that you would like to break in, or even that you have begun to talk over them. SO, thinking about this behavior, I’d love to hear insight from other psychologists about this behavior. What does it signal to you? Have you experienced it? Do you conceive of it as a cognitive issue, a personality issue, what? I believe i understand it in the hard of hearing older folks, but even then, the doggedness to continue speaking uninterrupted is impressive. (This is not pressured manic speech - it is qualitatively distinct from that)

Reflecting on a decade of working with grad students in psychology in various roles, and I'm curious who've done the same have noticed any clear patterns/flags for folks who've been unable/unwilling to hold up the standards of the profession (ethics, competence, passing classes - even with remediation/support). For example struggling academically across multiple semesters + insisting they "deserve" to be the psychologist because they really want it (as a justification for being evaluated on a different standard); Folks who were unable/could not recognize major ethical issues (e.g., client abandonment, repeatedly violating specific, explicitly stated standards for client care); Personal attacks on supervisors/profs as being incompetent/bad at their jobs because trainee (and only this trainee) failed a competence area (with zero personal accountability). .. What else have you seen that makes you cautious?

I just learned that the Vineland survey forms online administration automatically calculates basal and ceiling rules, where a basal is established after 5 consecutive perfect scores, and all of the previous items are scored a perfect score (but not administered). It makes sense from the point of view that there's no need to administer items considered less developmentally advanced (i.e., no need to ask someone if they can clothe themselves independently if they are able to take transportation to and from school/work). But at the same time, it seems like it might overestimate functioning in some cases...? Especially in kids that might have things like ADHD, where some of their adaptive behaviours/skills might not necessarily follow a linear developmental trajectory? Like kids with ADHD might be perfectly able to do things like avoid risky situations or being manipulated but struggle with emotion regulation?

Sort of just rambling about thoughts, but curious what people thought? Any notable patterns or trends in adaptive functioning when assessing kids with ADHD? There is some limited sources/research on this, but curious what many have found from clinical experience?

Has any clinical psychologist switched over to Hr? How did you get started? Did you take more schooling or get a certificate? Do you like it? What are your duties? Thanks in advance!

Can anyone provide an example of the screening questions or a screener you ask you clients before deciding whether to take them on? Does anyone provide clients with, or have, a list on hand of what you don't see (Some offices do think - I think?) As I'm considering going solo in private practice, I will see adults only. Also, I want to stay away from domestic violence or any patients in any sort of legal situations, severe mental illness, high acuity, excessive substance use, autism &adhd rule outs/assesssment. If this is my preference from strictly the perspective of what I'm comfortable with rather than what I'm competent with, is it ethical and okay for me to refer out for pt's seeking these types of services? How best to conduct these screenings? What do you do/say if it's a case you really don't feel comfortable to handle and the client feels like they really need help?

What do you do with you patient notes/data if you are employed as a 1099 for multiple organizations? Doesn't make sense to keep memberships going with all different EHRs. Any tips for what to do if I'm taking short terms contract after short term contract? Do I want to make it a practice to download and save ea client note (and I guess treatment plan too?) as I'm doing them and figure out my own security storage? Also, if I'm a W2 employee then the storage of client data is on the company?

I took the EPPP 4 times before today. Every single time, I received two papers when it was done. The first page always tells the score, and the second page is only to communicate what you should know so as to study harder for the next time.

I cannot tell your how soul crushing it has been to leave the room, be handed two papers, and know before even seeing the scores that you’ve failed at something so important.

I know the test doesn’t define us, or our abilities. I’m thankful for it forcing an opportunity to learn more and grow in this field; however, there must be a better way. So many professionals have their careers ended and their confidence ruined by this exam that only seems to care about maintaining an endless, unfocused body of knowledge that may or may not apply to our licensing and profession.

The above considered, today was my 5th attempt at the EPPP. I woke up, cleaned my home, drank plenty of water, drove to the test center, and told myself that this would be the last time. I finished the exam with 80 minutes to spare, exited the testing room, and I was handed two papers yet again. There was something very unrealistic about the experience that I can’t describe, and I followed the instructions to not look at the results while in the testing facility.

After leaving Pearson I took a sip of water and did my obligatory glance at the second page of my score report, skipping the first page entirely. To my surprise, the second page was blank. I guess the printer had done the thing that printers do of giving out a second page when only one was needed.

What if we end our membership w the EHR that we have? Do we get copies or need go make copies of all notes etc or do we still have access?

Does anyone have a copy of the complicated grief treatment manual? It’s the perfect intervention for my client.

Hi all, clinical and forensic psychologist here.

Wanted to check and see what dx screeners folks use when they initially start treatment with a patient. I’m familiar with the SCID5 but it seems like a heavy lift every single new patient.

What are your go-to screeners and initial diagnostic tools?

Thanks!

Hello, when writing in a diagnosis, can we include "per history" next to the diagnosis name? If it a diagnosis the patient stated they have been diagnosed with before, but I still need to do my own eval (e.g., PTSD). Also does anyone ever write in the word "provisional" either? Wondering if you've added in these words at the end of your diagnoses, and examples of when to use. Thanks so much.

Looking to diversity my practice and the work that I do. A mate of mine is looking into becoming an ASSIST trainer and diversifying in that way. Another others ideas/recommendations?

Can’t seem to find a straight answer anywhere.

I am a psychologist, licensed in KY, visiting family in CA. My understanding has always been that I can see clients in KY via telehealth, regardless of where I am, as long as the client is physically in KY.

I know some states have stipulations that you have to be physically located there to see folks there. KY does not seem to have this outlined either way, anywhere in legislation that I can find.

CA is pretty clear that it’s up to the state the client is in/the provider is licensed. So they don’t care that I’m a KY licensed psychologist seeing KY clients. As long as I’m not seeing CA clients, they dgaf.

The board of psychology in KY directs you to speak with a lawyer because this is a “legal issue.” I have a consultation with my malpractice insurance on Wednesday to see if they have any insight but wanted to check good ol Reddit to see if anyone happened to know Kentucky’s telehealth stances.

Thanks!

Does anyone have wisdom to share on using the CYBOCS-II? Tips for administering, how do you feel like it aligns for patients symptoms and your final diagnosis? Do you bill a psych testing code for administering it?

Hi there! I have masters in clinical psychology and PhD in Positive Psychology from India. I have been practicing for the past 4.5 years and have conducted almost 4000 sessions. I do t want to move forward with professor-ship and continue practicing. Any suggestions if any country provides a licence for PhDs? Or any companies that hire a psychologist?

Interested in focussing on OCD treatment and looking for some good resources

Hi,

I am curious to know what the average salary is for a fully registered psychologist for 1.5 years experience in a clinic. As well as several years of being a school counsellor after studies.

Would love to hear from other psychologists!

Hi everyone. I am a psychologist in private practice in NY (psychologist for about 15 years - in PP about 1.5 years). I am looking to start testing in my practice (primarily focusing on diagnostic assessment for ASD).

Has anyone encountered a good informed consent for assessment sample that they have modified for their practice? APA hasn't been too helpful, unfortunately. I've tried modifying my informed consent for psychotherapy but the work/risks/etc. of assessment diverge quite a bit at times.

Also, any pointer or words of wisdom for someone starting on this new venture in their practice?

Thanks!

Hello, is it common in virtual sessions for patients to bring their family members? It was unavoidable today, but I was surprised to see my patient's spouse in session with her (she didn't care whatever he heard). Do we need a heads up or an ROI for this, or can we just turn it into a collateral session? Also, is this appropriate? for a spouse/parent to just come to session with the patient...and not be part of the session at all?

Hi :) I was wondering if anybody could recommend books or research articles about group identity in school? In Denmark you are in the same class with the same other kids from kindergarten til 9th grade. I am interested in learning more about how to help the kids as a group with healthy structures, healthy unwritten rules etc. Thank you :)

I'm trying to start my own private practice after having only worked at hospitals before. I am based in CA and plan to do a telehealth practice only. I believe that therapists must obtain a business license (I'm not talking about the psychology license to practice, but a business license(s)) to operate a private practice, but I don't know much more beyond that. If you operate a private practice, especially if you're based in CA, what sort of business licenses did you have to obtain (state, county, city and/or other business licenses?) before you were able to ethically and legally set up a private practice and how did you go about obtaining them?

Has anyone competed C&P evaluations through LHI specifically as an independent contractor (not working through a third party company)? How much does LHI pay per evaluation?

Hi!

I graduated as a neuropsychologist 5 months ago and I have been working at a geriatric rehabilitation centre and nursing home setting since then. I don't get any supervision or time to settle in. My caseload is more than 32 hrs a week can handle and I am partaking in different committees since I am the only neuropsych working there and it's mandatory to be present. The psychologists there are severely understaffed by at least 3-4 psychologists.

Long story short: I had three mental breakdowns in the past two weeks and a panic attack at work. Ever since handling a crisis situation (suicide attempt) on my own since I was the only psychologist working that day I haven't been able to relax properly. Even when I am relaxing on my free days, I feel like the stress isn't leaving my body. In addition to having a new relationship of two months (long distance) which is really nice but also kind of stressful and trying to upkeep my friendships and sports goals (karate)... I am exhausted. I have been seeing a psychologist for a few years now because of persistent depressive disorder and ADHD. I was doing really well with my meds and my therapy the past years. But right now I can barely think straight, like all of my knowledge is just poof gone and I feel like an imposter, how can I take care of other's mental health if I can even do that myself?

All advice and tips are welcome!

Hello I'm looking for approved CEUs for autism and chronic health problems including long covid and POTS. It's hard to find there, and resources that are free/not so expensive. Any tips? Thanks! P.S. Any clue how to link the courses take to our state's psych association?