• TʜᴇʀᴀᴘʏGⒶʀʏ⁽ᵗʰᵉʸ‘ᵗʰᵉᵐ⁾@lemmy.blahaj.zone
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        3 days ago

        It’s all so second nature to me at this point that I had to spend a good bit of time thinking about all the ways I incorporate my anarchist values in my practice. I’m sure there are more, but these are the most significant ones I could think of

        • No insurance, so I’m not forced to pathologize my clients and I’m not beholden to a third-party constraining what we’re allowed to work on, etc

        • Extremely low cost, with no means testing, and I even accept bartering

        • Full therapeutic self-disclosure to help dissolve the power dynamic

        • Conduct sessions in neutral or client-centered environments (I have no public office- I meet clients virtually, outdoors, or in their home)

        • Peer accountability with a fellow anarchist in the medical field

        • Consent and boundaries are iterative and explicit

        • Session structure, modalities, etc, are collaboratively negotiated

        Edit: I realize this list probably sounds normal and benign to leftists, but libs react very strongly to these things

        • ThotDragon@lemmy.blahaj.zone
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          3 days ago

          That stuff does seem like table stakes to me. I’ve only done telehealth with people who were pretty chill. Sounds like there’s some real bad practices if this is abnormal.

          • I feel like bad practices are the norm, but maybe my experience is skewed due to living in Florida lol (a blue part, but still)

            Most therapists I’ve encountered/been familiar with obv have new clients sign consent forms, but never actually review it with them; they create a treatment plan for them and say ‘here, sign this’; they tell me it’s inappropriate to list my own diagnoses and politics on my PsychologyToday page; they argue that bartering is less ethical than charging $150; and I’ve yet to meet someone IRL (therapist or otherwise) who wasn’t surprised (and often lowkey sketched out) when I say I do sessions at parks & in homes.

            Also I forgot to add this one- other therapists are always absolutely floored when I tell them I don’t do involuntary commitals