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Virtual/Video/Telehealth Sessions

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@whiteraven have you mentioned how this sits with you to your T? Specifically this:

would be easier to quit
really only support person I have - that I can actually talk to - that I see in person

You get along with him and have built a solid rapport I gather, cuz otherwise you wouldn't continue....
If he's worth his weight as a professional, he's gonna understand that a substantial proportion of his work will be ineffective via video/telephone. He could do some of it that way, but it won't work for all his clients.

So, I'd be wondering......is he looking to retire soon? Scale back?
If not then is it possible you're prepping for the worst case?
 
So, I'd be wondering......is he looking to retire soon? Scale back?

Neither.

If he's worth his weight as a professional, he's gonna understand that a substantial proportion of his work will be ineffective via video/telephone. He could do some of it that way, but it won't work for all his clients.

Yeah, you'd think. But I don't think it is realistic to expect a professional of any sort would put some of his clients' needs above changes he wants to make in how they run their business.

If not then is it possible you're prepping for the worst case?

Absolutely. Anticipation for what might happen is what I do. That way, I won't be surprised and I will likely have another plan in place just in case. I actually don't think that's unreasonable in this case.
 
Anticipation for what might happen is what I do. That way, I won't be surprised and I will likely have another plan in place just in case. I actually don't think that's unreasonable in this case.
I agree with you and I do the same thing. Not too long ago my T said he's scaling back but will still see his 'Vets', he took on other responsibilities and priorities that are way bigger than just a few clients.....so, I'm constantly planning and prepared for when he says 'that's it, no more'.
It sucks, and that's what I wanted to emphasize for you.....it really doesn't feel good when you've found someone you can actually talk to. I'm sorry you're experiencing that too.

I do often tell myself to keep going and working on things until I know for sure that my T is done. If I get to a point where I'm done with my T first? Yay! But, still got a ways to go and always ready that the support will end. I think that's a difficult thing for me not to prepare for though cuz it's related to some of my trauma. Is that true for you as well?
 
I do often tell myself to keep going and working on things until I know for sure that my T is done. If I get to a point where I'm done with my T first? Yay! But, still got a ways to go and always ready that the support will end. I think that's a difficult thing for me not to prepare for though cuz it's related to some of my trauma. Is that true for you as well?

Oh, yeah. And I've had them say to me at the beginning of therapy that they would be there until I didn't need them anymore, which I think is irresponsible. My last did that and I really, really liked her. She closed her practice after a year to go somewhere else.

This one said the same thing and I told him it just really wasn't a wise thing to leave a client with.

He said that no matter what, online would always be available. Even if that's true, I'm not sure I want to do it.

Thanks for hearing me, @Warrior Chicken.
 
I wish we didn't have to be wearing masks. Is it safe not wearing them?
It’s guaranteed exposure, either way, in a typically sized therapists office, for a typical length session. Cov19 is like TB, it can exist outside of a host for a very long time. So all it takes is 1 person who’s positive breathing hundreds of billions of microdroplets into the air over the course of an hour, to infect everyone who comes into that room for the next 5 days or so.

To conceptualize airborn transmission? How long do you have to be in the same space with someone to smell the perfume they’re wearing under their clothes? Because if you can smell their perfume under their clothes; You’re breathing the air they’ve exhaled, under their mask. The smaller the space, the more concentrated the exposure, the faster it happens.

- In an elevator, that’s seconds.
- In a small room, minutes.
- In a large room, tens of minutes.
- In a huge & well ventilated or open aired space, atrium/warehouse/box store/outside you’ll never smell it, unless you get very close to them (within about 3 feet... social distancing? Isn’t designed for prolonged exposure in confined spaces. It’s designed for minimal contact in large spaces).

Unlike perfume, whose volatile oils dissipate quite quickly? So only people who come into that small space over the next few hours can smell it? Cov19 keeps going strong for up to 5 days. Most microdroplets are going to settle in 2 days or so, but they’re settling on floors, furnishings, and... the people in the room.

So if even one client is shedding virus in a typically sized therapist’s office? The therapist and everyone they see after that client, for the next week, is going to be exposed. The people immediately after that client are going to get the heaviest viral load, of course, and the people at the end of the week the least. By then though, the therapist themselves will be shedding virus.... keeping the viral load in the air at its heaviest for at least a solid week, and possibly two, before they show their first symptom.

Cov19 isn’t just airborn, it also clings to surfaces, via fomites. Easy to envision that one, just imagine a person sprays themselves down with a hose right outside the building, then sloshes in and sits down, soaking the furniture for the next hour. Everyone who follow is going to be sitting in a “puddle” of virus.

But not any more of an issue than with MDs.
Except that

- Medical offices are both designed to be sanitized between each patient; with non-porous surfaces / furnishings, and a massive positive flow venting systems that makes most of them the next best thing to being outside, or in a lab... even during normal times. And during epidemics, their level of “universal precautions” are significantly upped from universal to specific precautions directly targeting that infection in play.

- Medical personel are trained & experienced with limiting exposure and transmission via both universal precautions, and dozens of different kinds of specific precautions (the rules aren’t confusing, they’re just what one does, as a matter of course)

- Medical appointments are comparatively SHORT. Whilst thay means a whole helluva lot more people are in that room, compared to a therapist’s office? 25-50 over the course of a day... Instead of 5-10? The room is also being cleaned 25-50 times a day. Before/After every patient. Specific Precautions, with Cov19 also mean the air is being completely cycled during that process.

LOL... Instead of “A Tale of Two Cities”? It’s more like “A Tale of Two Small Rooms“! :roflmao:It was soaked in virus, it was sterilized... it was designed for feeling safe, it was designed to be safe...
 
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I'm so scared going in person, but also sort of desperate to. Too scared to ask my T about it and she hasn't mentioned it so I'm assuming she is no where near going to back in person.

Those of you who are doing it, will you let us know how it goes?
And how the mask thing works. I know you can get those clear masks that help people who need to lip read. So maybe those masks might help in therapy? But I also worry about this anyway. Having something on my face and my T's face makes me uncomfortable.
 
It’s guaranteed exposure, either way, in a typically sized therapists office, for a typical length session. Cov19 is like TB, it can exist outside of a host for a very long time. So all it takes is 1 person who’s positive breathing hundreds of billions of microdroplets into the air over the course of an hour, to infect everyone who comes into that room for the next 5 days or so.

To conceptualize airborn transmission? How long do you have to be in the same space with someone to smell the perfume they’re wearing under their clothes? Because if you can smell their perfume under their clothes; You’re breathing the air they’ve exhaled, under their mask. The smaller the space, the more concentrated the exposure, the faster it happens.

- In an elevator, that’s seconds.
- In a small room, minutes.
- In a large room, tens of minutes.
- In a huge & well ventilated or open aired space, atrium/warehouse/box store/outside you’ll never smell it, unless you get very close to them (within about 3 feet... social distancing? Isn’t designed for prolonged exposure in confined spaces. It’s designed for minimal contact in large spaces).

Unlike perfume, whose volatile oils dissipate quite quickly? So only people who come into that small space over the next few hours can smell it? Cov19 keeps going strong for up to 5 days. Most microdroplets are going to settle in 2 days or so, but they’re settling on floors, furnishings, and... the people in the room.

So if even one client is shedding virus in a typically sized therapist’s office? The therapist and everyone they see after that client, for the next week, is going to be exposed. The people immediately after that client are going to get the heaviest viral load, of course, and the people at the end of the week the least. By then though, the therapist themselves will be shedding virus.... keeping the viral load in the air at its heaviest for at least a solid week, and possibly two, before they show their first symptom.

Cov19 isn’t just airborn, it also clings to surfaces, via fomites. Easy to envision that one, just imagine a person sprays themselves down with a hose right outside the building, then sloshes in and sits down, soaking the furniture for the next hour. Everyone who follow is going to be sitting in a “puddle” of virus.


Except that

- Medical offices are both designed to be sanitized between each patient; with non-porous surfaces / furnishings, and a massive positive flow venting systems that makes most of them the next best thing to being outside, or in a lab... even during normal times. And during epidemics, their level of “universal precautions” are significantly upped from universal to specific precautions directly targeting that infection in play.

- Medical personel are trained & experienced with limiting exposure and transmission via both universal precautions, and dozens of different kinds of specific precautions (the rules aren’t confusing, they’re just what one does, as a matter of course)

- Medical appointments are comparatively SHORT. Whilst thay means a whole helluva lot more people are in that room, compared to a therapist’s office? 25-50 over the course of a day... Instead of 5-10? The room is also being cleaned 25-50 times a day. Before/After every patient. Specific Precautions, with Cov19 also mean the air is being completely cycled during that process.

LOL... Instead of “A Tale of Two Cities”? It’s more like “A Tale of Two Small Rooms“! :roflmao:It was soaked in virus, it was sterilized... it was designed for feeling safe, it was designed to be safe...
I will be the only client physically in her office for a while. I hope that helps. I can ask about windows staying open? Would that help? Argh.

It's a new space for me as it is a new office and we'll be wearing masks. She will open all doors for me and we will get hand sanitizer upon entrance. I never cry in session and I only touch my phone and fidget toy, which I can desinfect upon entrance as well. I just hope it will be OK.
What do people do then if they're highly dissociative? How can therapy be helpful then? I don't feel contained at a park, grounding is extremely difficult doing teletherapy, and it seems in person therapy might not be the best either?
 
I went in person last week. The whole procedure is so different. She waved me in from the parking lot, she wore a glove to open the doors. We went straight in to her office where we sat in opposite corners of the room. She had two air filtering machines running. We didn’t wear masks, I had to sign a new procedures form. We talked briefly about masks and she witnessed what that does to me. I was really thankful to see her again in person, however, I’m going back to online. I prefer Mondays which is currently an online day for her. She thinks that will change in July. In the meantime we may schedule an “in person” visit in a couple of weeks. Some things are easier in person and some are better online. I think she was much more attuned to my physical reactions in person, but in some ways I feel safer holding my bed pillow in my house.
 
I went to my therapy session in person today for the 1st time since early March. It went better than I expected.

It was her new office that she just moved to. Very spare in furniture still. She opened all doors for me. We wore masks. It was not that bad. I think wearing them out of my house has helped me feel a bit less uncomfortable with them.

We purposefully kept the content lighter for today's session and I'm glad we did. It was a lot to take in. It will be in person every other week for now.

Just wanted to update you all.
 
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