posted by jmog

True question here.

So I know a psychiatrist can prescribe medicine while a psychologist can not.

So with that being said what’s the difference between a psychologist and a therapist? One has a PhD and one has a MS?

Just never understood why some are therapists and some are psychologists.

It’s basically the meds thing. I would say 75% of the new patients we get know if they want med management for their issues or therapy. Often times patients do both. If I have a new patient who has never done either I like recommend they start with therapy and then of the therapist thinks they can benefit from medication they refer them to someone in our office or system. 

Obviously the psychs have Dr degrees and the therapists have a range of degrees from MS to LCSW. So they have different backgrounds and often your insurance dictates what kind of therapist you can see. 

Also I’ll Throw out a few things I’ve learned doing this:

1) Therapy or Med Management can be cheap. Don’t let the price scare you from trying it out. Call an office and see what it will cost under your insurance. I would say 90% of the patients that come into our office pay between $0-35 a session after insurance. 

2) People often come to late to get real help. Once you are suicidal that’s a hard place to come back from. Get help as early as possible.

3) All kinds of people and people of all ages/races are embracing therapy. Don’t be afraid to give it a try even if something seems minor that is bothering you. I have seen it help so many people now. 

4) The people who manage the office care. I will do everything in my power to help you even if you can’t afford your $10 co pay. We want you to get the help you need and $20 a month shouldn’t stand between someone getting what they need. 

5) Shop around. Just because one therapist didn’t work for you doesn’t mean none will.

6) Also if something is wrong with your meds 95% of the time it’s the pharmacy. I don’t know what it is but it seems like 20% of pharmacies are incompetent at best. 

7) also if the office you go to has a shitty manager inform the staff, inform corporate. I got this job because I started as a front desk person. My manager never showed up. I took over the office after 45 days and took us from 11/12 for our company in the DFW area to 2nd in number  of patients seen and % of patients up to date on their billing. It’s a fucking easy ass job there’s no excuse for them not to answer calls, return emails, and help you find the care you need. I can’t tell you how many times I had people switch to my office just because I answered the phone when their office didn’t. 

posted by sportchampps

It’s basically the meds thing. I would say 75% of the new patients we get know if they want med management for their issues or therapy. Often times patients do both. If I have a new patient who has never done either I like recommend they start with therapy and then of the therapist thinks they can benefit from medication they refer them to someone in our office or system. 

Obviously the psychs have Dr degrees and the therapists have a range of degrees from MS to LCSW. So they have different backgrounds and often your insurance dictates what kind of therapist you can see. 

Also I’ll Throw out a few things I’ve learned doing this:

1) Therapy or Med Management can be cheap. Don’t let the price scare you from trying it out. Call an office and see what it will cost under your insurance. I would say 90% of the patients that come into our office pay between $0-35 a session after insurance. 

2) People often come to late to get real help. Once you are suicidal that’s a hard place to come back from. Get help as early as possible.

3) All kinds of people and people of all ages/races are embracing therapy. Don’t be afraid to give it a try even if something seems minor that is bothering you. I have seen it help so many people now. 

4) The people who manage the office care. I will do everything in my power to help you even if you can’t afford your $10 co pay. We want you to get the help you need and $20 a month shouldn’t stand between someone getting what they need. 

5) Shop around. Just because one therapist didn’t work for you doesn’t mean none will.

6) Also if something is wrong with your meds 95% of the time it’s the pharmacy. I don’t know what it is but it seems like 20% of pharmacies are incompetent at best. 

7) also if the office you go to has a shitty manager inform the staff, inform corporate. I got this job because I started as a front desk person. My manager never showed up. I took over the office after 45 days and took us from 11/12 for our company in the DFW area to 2nd in number  of patients seen and % of patients up to date on their billing. It’s a fucking easy ass job there’s no excuse for them not to answer calls, return emails, and help you find the care you need. I can’t tell you how many times I had people switch to my office just because I answered the phone when their office didn’t. 

Very difficult to get into a therapist these days. Therapists are needed more than ever.

posted by Ironman92

Very difficult to get into a therapist these days. Therapists are needed more than ever.

If you were in Texas and willing to do virtual I could get you in within 3 days biggest delay would be verifying your insurance

Also if you need someone try psychology today. They can match you and help you find someone with availability. It is more difficult for children and autism patients bc less people wanna work with those patients 

My title is Lead Applications Analyst which is just fancy corporate speak for app developer. I'm happy where I'm at right now, even though it was rocky waters getting to this point. I'll hopefully be up for an architect position later this year. I'm almost fully remote, I've only been going in every other Tuesday for a department meeting and I usually leave at lunch to go back home. Once my wife is ready to leave her job we'll be moving and I'll go fully remote.

posted by BR1986FB

I'm listening....

PM Sent

posted by sportchampps

It’s basically the meds thing. I would say 75% of the new patients we get know if they want med management for their issues or therapy. Often times patients do both. If I have a new patient who has never done either I like recommend they start with therapy and then of the therapist thinks they can benefit from medication they refer them to someone in our office or system. 

Obviously the psychs have Dr degrees and the therapists have a range of degrees from MS to LCSW. So they have different backgrounds and often your insurance dictates what kind of therapist you can see. 

Also I’ll Throw out a few things I’ve learned doing this:

1) Therapy or Med Management can be cheap. Don’t let the price scare you from trying it out. Call an office and see what it will cost under your insurance. I would say 90% of the patients that come into our office pay between $0-35 a session after insurance. 

2) People often come to late to get real help. Once you are suicidal that’s a hard place to come back from. Get help as early as possible.

3) All kinds of people and people of all ages/races are embracing therapy. Don’t be afraid to give it a try even if something seems minor that is bothering you. I have seen it help so many people now. 

4) The people who manage the office care. I will do everything in my power to help you even if you can’t afford your $10 co pay. We want you to get the help you need and $20 a month shouldn’t stand between someone getting what they need. 

5) Shop around. Just because one therapist didn’t work for you doesn’t mean none will.

6) Also if something is wrong with your meds 95% of the time it’s the pharmacy. I don’t know what it is but it seems like 20% of pharmacies are incompetent at best. 

7) also if the office you go to has a shitty manager inform the staff, inform corporate. I got this job because I started as a front desk person. My manager never showed up. I took over the office after 45 days and took us from 11/12 for our company in the DFW area to 2nd in number  of patients seen and % of patients up to date on their billing. It’s a fucking easy ass job there’s no excuse for them not to answer calls, return emails, and help you find the care you need. I can’t tell you how many times I had people switch to my office just because I answered the phone when their office didn’t. 

So psychiatrist is the only one that can prescribe medicine.

The only real difference between a psychologist and therapist is the level of their degree then?

posted by sportchampps

If you were in Texas and willing to do virtual I could get you in within 3 days biggest delay would be verifying your insurance

Also if you need someone try psychology today. They can match you and help you find someone with availability. It is more difficult for children and autism patients bc less people wanna work with those patients 

I’m good. I’ve had family members and kids at school in need and it’s been harder than ever getting them in to be seen. Virtual a good option but have never had such issues in actually getting someone in to be seen.

posted by jmog

So psychiatrist is the only one that can prescribe medicine.

The only real difference between a psychologist and therapist is the level of their degree then?

Pretty much. So for Example the psychologists I work with have an initial appointments of 45 mins. They then prescribe what meds they think will help but don’t really discuss what causes this or could trigger it. Follow ups are 15 mins where they see how the meds are working and making dosage adjustments or send you more refills. 

The therapists all appointments are an hour and they help but talking to you. They help identify your triggers and what may have caused the issue. They also give you tools and tech you how to use them to combat your problems. 

Basically Psychologists treat you with medication while therapists help you deal with the problem by talking it out. 

Some people only need meds, some people only need help by talking it out and can make changes. Some need both. I would guess 20% do both. 

It’s much harder in Texas to get a psychologist then a therapist. There are obviously less and then some do not like to prescribe the medication you may need. I have one right now who doesn’t prescribe  barbiturates even to patients who have been on them for 20 years. Also Psychologists can’t legally prescribe medication in most states so are company have drs who then prescribe their recommendations. 

posted by Ironman92

I’m good. I’ve had family members and kids at school in need and it’s been harder than ever getting them in to be seen. Virtual a good option but have never had such issues in actually getting someone in to be seen.

Kids can be tough for sure because most don’t like to treat children. I’m lucky to have a therapist who is amazing with children and will see patients as young as six I work with. The place I work for and most offices from what I understand hire therapists and psychologists as independent contractors and their pay kinda sucks for what they do. Also if a client doesn’t show up they don’t get paid and as you can imagine mental health patients are not the most reliable. I want the people in my office to make as much so I try to keep them scheduled pretty full for the week with a few spots for emergencies and  new patients. 

I should throw out what my wife does because she makes the big bucks. 

She is VP of inventory and planning management. She helped build a womens plus size brand that got sold to Walmart for 100 million a few years ago. 

She now works for a private family owned company that makes and sales rugs. She is basically an excel genius. She has been in the retail industry since 2007. Started at a salary of 35k in Kansas for Payless and now makes almost 300k and works remotely now. If I remember right this is currently the 5th retailer she has worked for. She was lucky and made a great connection who has been her mentor and helped her rise thru the ranks. Her mentor is a retail superstar who helped found various companies like Abercrombie, Ruhle, and Eloquii. 

The place she works now dominates the rug market and the family who owns the business treat their employees amazingly. They have tapped my wife and the owners two sons as the next generation of leadership for the company. 

Project Manager for a company that designs and builds heat treating equipment (basically furnaces for steel mills). Been there 11 years, PM for 5-6 years now.

posted by ts1227

Project Manager for a company that designs and builds heat treating equipment (basically furnaces for steel mills). Been there 11 years, PM for 5-6 years now.

What heat treat furnace company? I used to design heat treat furnaces for CMI EFCO, formerly just Electric Furnace Co in Salem OH.

Well the combustion, atmosphere, and emission abatement systems anyway. 

posted by sportchampps

I should throw out what my wife does because she makes the big bucks. 

She is VP of inventory and planning management. She helped build a womens plus size brand that got sold to Walmart for 100 million a few years ago. 

She now works for a private family owned company that makes and sales rugs. She is basically an excel genius. She has been in the retail industry since 2007. Started at a salary of 35k in Kansas for Payless and now makes almost 300k and works remotely now. If I remember right this is currently the 5th retailer she has worked for. She was lucky and made a great connection who has been her mentor and helped her rise thru the ranks. Her mentor is a retail superstar who helped found various companies like Abercrombie, Ruhle, and Eloquii. 

The place she works now dominates the rug market and the family who owns the business treat their employees amazingly. They have tapped my wife and the owners two sons as the next generation of leadership for the company. 

Our Daughter-In-Law is a therapist out in Los Angeles. Her degree is a Master of Arts in Counseling Psychology with Emphasis in Marriage and Family Therapy, and Clinical Counseling.

Her clients include adults and children. Appointments are 50 minutes.

Even though LA County has dropped its covid protocols, most of her sessions are still remote. The clients got used to it and most prefer it that way, particularly for convenience. There are in-person appointments for the others.

Shortage of therapists out there too.

Back to topic, I retired 3 1/2 years ago at age 59 from Post Secondary Education (Admissions Director). My goal was to retire by 60, so I made it by a couple of months. My wife retired from YSU this past Christmas. Six months later, she still loves me most of the time. We're celebrating our 40 year anniversary next month!

Go Tribe!

My dad retired 2 years ago at 60. My mom hasn't had a "normal" job since I was like 10. She's blind in one eye so she's been the "landlady/slumlord" for their rental properties.

He’s a former workaholic and its hilarious to see him scrambling now to take up his time. He's doing all kinds of random shit....Door Dash driver, delivering for other local places in Denver, small reno jobs at my sister's house. He also got VERY addicted to fly fishing and everything that goes along with it. He and my BIL are constantly trying to get me involved...don't want to spend the money or effort. It's fucking complex.

posted by jmog

What heat treat furnace company? I used to design heat treat furnaces for CMI EFCO, formerly just Electric Furnace Co in Salem OH.

Well the combustion, atmosphere, and emission abatement systems anyway. 

That would be the place, just 2 more name changes since then 

posted by ts1227

That would be the place, just 2 more name changes since then 

I worked there from 2008 until 2013. Wasn’t the best workplace environment back then and the travel to commission furnaces was only once or twice a year but tended to last 6-16 weeks at a time.

I had to leave, had young kids and being gone for 4 months in Alabama or 6 weeks in Italy just didn’t work for me with young kids.

Most of the people were great, but a few bad apples all happened to be in management at that time.

posted by jmog

I worked there from 2008 until 2013. Wasn’t the best workplace environment back then and the travel to commission furnaces was only once or twice a year but tended to last 6-16 weeks at a time.

I had to leave, had young kids and being gone for 4 months in Alabama or 6 weeks in Italy just didn’t work for me with young kids.

Most of the people were great, but a few bad apples all happened to be in management at that time.

It’s still a bit to be desired, but we’re busy right now. Luckily for them I’ve proven to be a shitty interviewer apparently, nothing has gone anywhere for years for me…

I would have been the guy scanning the prints in 2011, was in the shop office in 2012, and depending on when you left in 2013 I may have just moved into spare parts

posted by ts1227

It’s still a bit to be desired, but we’re busy right now. Luckily for them I’ve proven to be a shitty interviewer apparently, nothing has gone anywhere for years for me…

I would have been the guy scanning the prints in 2011, was in the shop office in 2012, and depending on when you left in 2013 I may have just moved into spare parts

Nick Touelevski, and myself, were the two combustion engineers from 2008-2013, he was there a few more years after I was.

posted by ts1227

It’s still a bit to be desired, but we’re busy right now. Luckily for them I’ve proven to be a shitty interviewer apparently, nothing has gone anywhere for years for me…

I would have been the guy scanning the prints in 2011, was in the shop office in 2012, and depending on when you left in 2013 I may have just moved into spare parts

I private messaged you.

I was a PC/LAN Technician for a very large Pharmaceutical Benefits Manager. After our company was bought out, twice, and the restructuring to the Data Center Model our PC's went away. That and all of our Servers too. Since COVID all of our associates are work at home for the future. It's now been relabled as Deskside Support. I've been the only one in my department that goes into the office everyday. So now I mostly FedEx replacement equipment out to employees when it breaks...pays the same though.