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Ms. Respex

@respexy.bsky.social

630 followers 630 following 1K posts

Early 30s, she/her, therapist, Unitarian Universalist. Officially too much of a bitch for Twitter.

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Reposted by Ms. Respex

Karin Wulf @kawulf.bsky.social · 7h

I would love for more people to know and really process that "colleges and universities" are not a thing-- it is a complex, diverse, differentiated industry in which institutions have vastly different audiences, funding, even missions.

Reposted by Ms. Respex

Kasey Gifford @kaseygifford.bsky.social · 1d

We should be asking this
c o n s t a n t l y.

Reposted by Ms. Respex

Kendra "Gloom is My Beat" Pierre-Louis @kendrawrites.com · 6d

She's not anonymous (can't speak to her salary).

Her name is Camille Zapata

Reposted by Ms. Respex

Chris Miller @iamcurious.bsky.social · 8d

WOW....👀👀👀

Reposted by Ms. Respex

Maladroithe @maladroithe.bsky.social · 7d

Bindi Irwin: here’s a beautiful baby tapir, these animals are endangered due to habitat loss

The public: you DEAD DAD would be proud of you. Do you wish your DEAD DAD were here to see this? Your DEAD DAD is looking down on you now. 💗

Reposted by Ms. Respex

🎃scarecrowcialism👻 @swolecialism.bsky.social · 7d

Lot of dumb discourse is downstream of the marketing decision to label a couple of hundred different computer things as "AI" so that your average goober thinks theyre all one thing

Ms. Respex @respexy.bsky.social · 10d

Started to argue with someone in the replies of one of my posts and then remembered my resolution on Tumblr to block literally everyone who annoys me in the notes of my posts, and how much more manageable that has made Tumblr even though I have an actual following there.

Ms. Respex @respexy.bsky.social · 10d

I was tapping my foot to the first song even though I was admittedly still cringing at the lyrics. It did go downhill from there. I enjoyed Father Figure but in the way where it was like "well this sounds way too much like Lorde, but I like Lorde, so..."

Ms. Respex @respexy.bsky.social · 10d

I truly hate to say it because I have many good friends who are Swifties, but every song on the new album reminded me of that Donald Trump tweet that's like "happy Memorial Day even to the haters and losers." Even the horny ones are like that somehow.

Ms. Respex @respexy.bsky.social · 10d

Yes and no. Can a therapist over-validate you, sure. However, there could be real licensing board type consequences for a therapist telling a person with psychosis "yes, your mom is totally poisoning you" or a suicidal person "here's how to do it" as LLMs have recently done.

Ms. Respex @respexy.bsky.social · 10d

There are a number of reasons someone might choose to pay out of pocket for a therapist, chief among them being, frankly, that they can afford it. A lot of specialized care is much more accessible if you can afford to pay out of pocket.

Ms. Respex @respexy.bsky.social · 10d

(Which, again, very often includes National Health Systems, not just evil profit-maxing insurance companies.)

Ms. Respex @respexy.bsky.social · 10d

None of this is a commentary or statement on the way things should be. It is just an explanation of the way things ARE, and will likely continue to be as long as our healthcare continues to be mediated by large agencies that would prefer not to spend money treating people who don't "need" it.

Ms. Respex @respexy.bsky.social · 10d

If your therapist is being primarily paid by someone other than you, they are, at least officially, in the business of Treating Mental Illness and they are required to document and prove that that is what they are doing.

Ms. Respex @respexy.bsky.social · 10d

The most prominent therapists of the groovy "mental illness is just ~labels~ man, my job as your therapist is to ~walk beside you on this journey called life~" variety are generally able to be this way in their practice because they are paid directly by their patients.

Ms. Respex @respexy.bsky.social · 10d

It's because, if grief-related conditions are NOT in these manuals, then if your dad dies and your mom would like to talk to someone about her Normal Grief, she has to pay out of pocket. Her grief is Normal and there is nothing wrong with her worth treating.

Ms. Respex @respexy.bsky.social · 10d

So when we talk about, say, grief-related conditions being added to these manuals, that usually isn't because we are jonesing to pathologize grief and promote the view that nobody should be upset after being bereaved.

Ms. Respex @respexy.bsky.social · 10d

That means that generally speaking, if you're not paying out of pocket, your therapist HAS to diagnose you with something in order to justify spending Kaiser's/the taxpayer's/whoever's money on treating you.

Ms. Respex @respexy.bsky.social · 10d

Neither insurance companies nor most government-run healthcare systems are interested in paying for mental health care for people who are already mentally healthy. That is, from the perspective of a large bureaucracy trying to use its money efficiently, a huge waste of resources.

Ms. Respex @respexy.bsky.social · 10d

This is a great jumping-off point for something that I think a lot of people don't understand when we talk about adding certain things to the DSM or ICD.

A post from Ashley Annestedt, LCSW reading "Therapists, help me out. What's the ICD code for: Nothing is clinically 'wrong,' patient is experiencing basic human emotions due to racism, sexism, homophobia, removal of rights, and a pandemic?"

Ms. Respex @respexy.bsky.social · 10d

Let's see how this shows up.

Ms. Respex @respexy.bsky.social · 10d

I have not been on here in ages but am wanting to post a thread. Do we have threads now?

Ms. Respex @respexy.bsky.social · 10d

One person going "I feel like shit" and the other Running Through The List is also a service my husband and I provide for each other sometimes. Does your boyfriend also provide this service for you?

Ms. Respex @respexy.bsky.social · 10d

I'm actually, shockingly happily employed at an FQHC where getting my license means an instant like, nearly 25% raise. I am making my work bestie throw me a party at work when I get it because I will not ever be having a baby shower lmao

Ms. Respex @respexy.bsky.social · 10d

I submitted my application to the Board of Behavioral Sciences and I don't even post about therapy that much #onhere but I am still 100% going to put "LCSW" in my header for at least a month after I finally get it.