Atrophy of thyroid mayo clinic

Should I change my therapist? I’ve been with her for a month now; everything seems great, and I enjoy the sessions, except I didn't check her certification before booking. I was in a bad mental space and booked whoever was available and can communicate with both languages.( Arabic+English) On her page on the therapy website, she describes herself as a breathwork practitioner and counselor and has the two following degrees that are related to psychotherapy *Diploma in Clinical Hypnotherapy and Psychotherapy from Royal Berkshire College of clinical hypnosis *Certificate in CBT fundamentals for depression & anxiety
Plus other degrees in yoga and breath work and access bar etc...
“I don’t suffer from any of depression and anxiety”
But did I miss up? I feel comfortable with her, but I fear that I might pick the wrong therapist. What to do?

I have clinical depression, I am dead tired and weak every day. My doctor tried to put me on modafinil and although it kept me awake, I started bleeding from my ulcerative colitis and had to stop. My life has been pretty much just going to bed at 8 to 9pm, and waking up to do work. I have no energy after I complete my work and just sit around napping and getting ready for bed. Is this how some of you live your lives?

My dog is diabetic
He’s not eating and not drinking
He won’t pee and when we stand him up outside he stumbles
We gave him a little bit of sugar and he’s still stumbling.
He’s sleeping peacefully on the couch right now. Not twitching or anything, but he just keeps stumbling if we get him up.
There’s no emergency vet clinics near me and I’m desperate because I’ve had him since I was 8. I just want him to be okay.

I'm just in the process of applying to grad schools. Any feedback on the MS Clinical Psychology program would be greatly appreciated. I will be working 20 hours a week while I do grad school. Have people liked the program? Where are the internships and practicum completed?

I've seen a lot of people point to this as proof you don't really believe abortion is murder. I figured I'd ask about it before assuming you're all lying.
EDIT: By extreme I mean physically, potentially violently preventing abortions from happening. Sabotaging clinics, abducting doctors, threatening politicians, etc. Like what you'd expect if it was legal for parents to execute their 3-year-olds on a whim.

Maybe we should stop giving these tele docs the benefit of the doubt on pathology? They’re complicit in the cheapening of our profession. There is absolutely no way they are catching the pathology an actual in person OD is. If they feel so safe in their clinical acumen, we need to hold them accountable when they miss things. They and their employers are doing this for the profit. Patient care and eye health is not the priority. I know we all likely give the benefit of the doubt to maybe that old doctor in town that misses things or over diagnoses, but this is different. These ODs are choosing to diminish the profession for all of us.
I doubt malpractice lawyers follow this sub, but this could be lucrative of them to hold these sell outs accountable.

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Sooo....sorry this is going to be a long one .i've been with my boyfriend for 6 months and I've loved absolutely every second of it. We met because he was a security gaurd and to be honest he's the only person I've ever felt safe and calm with . I struggle with borderline personality disorder and clinical depression and anxiety and a sprinkle of ADHD ✨
I've never broke up with someone but tonight I did with him and to be honest I feel absolutely broken. Our relationship was going well but in the past few weeks there's just been a wedge between us and I know it's my own doing because I've been stressed and it's made me really distant , which has ultimately made me split on him . The main reason I broke up with him was because in the next few months I just know my mental health is going to plummet and maybe some people would say it's self sabotage ,but tbh I left before he ended up getting hurt/ before he could leave me . I'm about to start a job in a hospital that is going to require me to do 12 hour shifts , I'm currently about to be homeless if I can't find somewhere quick and I've lost my way in general .
I was doing so well tryint to cope ,but unfortunately I've just snapped and i couldn't sit there and watch him question wether I still love or watch him become more and more unhappy. we havnt been spending much time together due to various reasons , and because of that I feel like I've been suffering allot with emotional perminance. It's breaking my heart because if this stress wasn't going on, I'm positive we'd have a amazing relationship, he really is my best friend , he allows me to be myself and he loved me more than anyone else ever has done . I just need some advice on what to do , I'm really regretting my decision. I keep messaging him and I just want to see him and speak it out . I really didn't want to do it on the phone but with our work schedules that's all I could do . I've only been thinking about breaking up with him maybe the past week off and on , but tonight I just snapped and felt like it urgently needed to be said even though I could've done with more time to think . I'm frustrated at myself because I could see a long future with him, I could see him having my kids. Please help me I feel like I'm at abit of a dead end and tbh it's really putting me in a low place:/

Sooo....sorry this is going to be a long one .i've been with my boyfriend for 6 months and I've loved absolutely every second of it. We met because he was a security gaurd and to be honest he's the only person I've ever felt safe and calm with . I struggle with borderline personality disorder and clinical depression and anxiety and a sprinkle of ADHD ✨
I've never broke up with someone but tonight I did with him and to be honest I feel absolutely broken. Our relationship was going well but in the past few weeks there's just been a wedge between us and I know it's my own doing because I've been stressed and it's made me really distant , which has ultimately made me split on him . The main reason I broke up with him was because in the next few months I just know my mental health is going to plummet and maybe some people would say it's self sabotage ,but tbh I left before he ended up getting hurt/ before he could leave me . I'm about to start a job in a hospital that is going to require me to do 12 hour shifts , I'm currently about to be homeless if I can't find somewhere quick and I've lost my way in general .
I was doing so well tryint to cope ,but unfortunately I've just snapped and i couldn't sit there and watch him question wether I still love or watch him become more and more unhappy. we havnt been spending much time together due to various reasons , and because of that I feel like I've been suffering allot with emotional perminance. It's breaking my heart because if this stress wasn't going on, I'm positive we'd have a amazing relationship, he really is my best friend , he allows me to be myself and he loved me more than anyone else ever has done . I just need some advice on what to do , I'm really regretting my decision. I keep messaging him and I just want to see him and speak it out . I really didn't want to do it on the phone but with our work schedules that's all I could do . I've only been thinking about breaking up with him maybe the past week off and on , but tonight I just snapped and felt like it urgently needed to be said even though I could've done with more time to think . I'm frustrated at myself because I could see a long future with him, I could see him having my kids. Please help me I feel like I'm at abit of a dead end and tbh it's really putting me in a low place:/

I have an 18 yo kitty who was diagnosed about four months ago with beginning kidney disease. Her sister passed away from renal failure two years ago so I’m pretty familiar with the disease but yesterday my kitty, Sele, started losing her appetite and was very apathetic. I called her vet who couldn’t get her in for two more weeks so I called five more local vet clinics and they also couldn’t see her.
Desperate, I took her into a 24 hour emergency vet clinic. They did x-rays, bloodwork, urinalysis etc. They said that her kidney levels were elevated and she had a slight rise with her white blood cell count but believed it was more due to stress rather than an infection. Nothing too alarming was found with her urinalysis either.
The vet send me home with Maropitant and Mirataz. I gave her both last night and she ate a bowl of food.
But, today she refuses to eat anything, even her beloved Churu’s. She won’t drink any water and I haven’t seen her use the cat litter box at all. She’s also very apathetic and acting depressed.
Her regular vet looked at the paperwork from the emergency vet and said her kidney levels are slightly higher than the last time she was in and so started her on Azodyl. She also once gave me a bottle of Elura but didn’t need it as she started eating right away. Is one appetite stimulant better than the other? The emergency vet said that Mirataz was better and her regular vet said that Elura was better.
Sele has been on a special renal diet for about a year and a half. She first was on Royal Canin D, then got tired of that, so we switched her (per vet recommendation) a purina canned food for kidney disease which she liked. I thought she was getting tired of that this week so offered her the Royal Canin again and that’s the food she ate for the last couple of days.
And then today.. doesn’t want to eat anything or drink water or eat a treat.
I am besides myself with worry and am crying a lot.
Is there anything anyone can suggest?
Thank you!

Lately, when I've been just casually talking to people, I've gotten a handful of obnoxiously out of line responses to what I do for a living. I keep it vague such as I monitor clinical trials or I work in drug development.
I've gotten some responses of full on rants about how big pharma hides the cure for cancer (offensive because I did work in oncology in the start of my career), or how the drug industry only makes money on keeping us sick. I get the opioid epidemic sucks, but I work in pediatric trials. 🙃
My usual response is to say something like, alright, that's one perspective, and then I just retreat away.
Sometimes these are people that I don't necessarily need to keep niceties with. I wouldn't mind having a witter reply in my arsenal.
Do you experience this? What are your typical responses? My backyard is public health, so I sometimes get where they are coming from if they want to bash access issues, but lately it's been just unhinged comments that leave me wishing I thought of something less diplomatic to say back. 🤣

Species:
Age: 15
Sex/Neuter status: neutered male
Breed: domestic shorthair
Body weight: 11.56 pounds
History:
My cat started treatment for liver issues after his blood work showed elevated liver levels along with an ultrasound showing some grey.
He was put on Denamarin for 3 weeks and the follow-up bloodwork showed similar and some even worse liver levels.
Now he is taking Prednisolone for 4 weeks. Does this seem like a good treatment plan? The vet doesn't seem to have any idea what is the cause or any way to determine that. And when we asked about what all the treatment options were she said "give him the medicine or don't, i don't care." So I just kind of want to make sure this plan does seem to be the standard procedure so far
Also, we were told to come back after 4 weeks of prednisolone to check bloodwork again. But we have not been happy with the current vet and would like to switch, but the new vet would not be able to see him until about 5 weeks and 3 days of prednisolone treatment.
Do you think it's ok to continue prednisolone up to that point until he can see the new vet? Or would it be better to still see the current week at the 4 week mark to assess whether to continue or stop prednisolone?
The liver levels were only discovered during routine blood work. He is showing no signs of issues, energy is good, he plays more now than he ever did, good spirits etc. Eating and bathroom usage all good. I'm attaching the bloodwork and ultrasound report.
Clinical signs: None shown. Bloodwork shows elevated liver levels and ultrasound shows some gray
Duration: Liver issues were recently detected but he is showing no signs of issues. Energy, eating, bathroom all good. His activity and spirits are better than ever.
Your general location: North Carolina
Links to test results, X-rays, vet reports etc:
The bloodwork shows the initial liver levels on the right and the levels on the left column are after 3 weeks of denamarin.
Bloodwork:
https://imgur.com/6UmJVJo
Ultrasound report:
https://imgur.com/k467BDN
Main questions: My main questions are just if this seems to be the correct treatment plan and whether or not it would be reasonable to continue him on prednisolone for 5 weeks and 3 days until he can see the new vet or if it would be more reasonable to have him see the current vet at the 4 week mark and then go to the new vet for the next stage of treatment.
Thanks

https://www.ahajournals.org/doi/abs/10.1161/circ.144.suppl_1.10712

I’m a 32 year old PTA with just under 1 year of experience (got licensed in July of ‘22). I work for one of the bigger outpatient PT franchises in the country and was recently offered a promotion to Clinical Director. I start on Monday…
I’m confident in my ability to meet the goals required of me in this position. That being said, I would love some input on how to effectively go about managing mostly DPTs/PTs who are older and/or more experienced then myself. My clinics staff consists of 4 PT’s and only 1 other PTA besides myself.
Any other general tips/suggestions are welcome as well.

Hello. Finishing my undergrad next semester and my father is literally berating me on the fact I want to obtain a clinical psychology PhD or PsyD instead of going to medical school for psychiatry. He says the pay gap is insanely different and I won’t be able to break 6 figures with a clinical psych PhD or PsyD. The paycheck of psychiatry does sound great. But it’s not what I want to do. I wanna be involved in my own research studies. I wanna see my own clients and clinical practice. I wanna be part time at a uni to give undergrads research opportunities. I don’t wanna prescribe medications and not be that hands on and go to medical school where I only focus on psychological aspects in my residency. If I put my main focus in a private practice do you think it’s doable to see 40 patients a week for 100-250 a session + notes and still have a life and make 6 figures? Maybe work long shifts 8-10 (assuming I get patients for those times) and take a day off? I’m just so lost as I do wanna make a lot of money but I don’t wanna go into psychiatry as it doesn’t peek as much as my interest. But I don’t wanna let me dad down. He’s been letting me live rent free my entire undergrad. Thanks in advance.

Hi, I hope everyone is doing well and hanging in there.
So, title - yeah my previous PCP, who was super, has left to go pursue functional medicine which sounds cool but is not covered by insurance, and I can't swing any more out of pocket costs.
I am looking to get established with someone knowledgeable about EDS and who can help coordinate care from the various specialists (but who do not communicate with each other) I see periodically.
So, I'm wondering if anyone has or knows of a doctor in or around Spring Tx, The Woodlands, etc?
I've tried using the EDS Society HCP Finder website, but not finding anyone local.
I know there is a clinic at Baylor, but I'm very much trying to avoid going into Houston bc I can't make the drive and wait times have been unreasonably long. Plus, my experience with them as a researcher in a related clinic really gave me "ick" vibes.
Thank you very much for reading and for any help/advice.

I'm done with feeling like this. The withdrawal gets harder and harder. Last time I got clean was in 2013 after a few years of prescription pain meds for chronic pain. 6 years later in 2019 I decided I needed to get back on oxys to be able to work. As the time passed, quickly I ended up buying extra pills, spending thousands of dollars my family could have used.
The last 4 months I have been off work. I have been using presses and my legal oxys since. I feel I overdosed a few times but just forced my way through the nod. But with those presses, I feel your memory takes a pause.
I snorted a press a couple weeks ago that was cut with some kind of detergent, because I was desperate and in withdrawal. And I still smell the floral scent in my nose. It's nauseating but getting better.
I went on one last week and a half long presse bindge recently and found myself again in withdrawal.
Along the way in the last month I had to find a new doctor that could fill my triplicates. He 'fooled' me into getting off oxys. He put me on a buprenorphine patch and I was using presses at the same time. I ended up taking the patch off and just using presses. Then I ran out of presses and put on a new patch but still went into withdrawal.
I showed up at the clinic after being told several times I wouldn't get to see the doctor for a couple weeks. This wasn't an option for me. So they said I could come in as a walk in, but it would be a long wait.
I was so messed up. In that waiting room. I waited an hour and stood up feeling like I was going to pass out. Weird sensations along the sides of my skull. Bubbling hot and cold. Hard to describe. Like maybe a mild seizure?
I went to ask the lady at the desk if it was okay that I wait in my car as i felt i was going to collapse. She just kept saying over and over to 'sit down'..'SIT DOWN'. 'SIT DOWN!'. She said the doctor will see me soon. I felt like a kid in school again...
The doctor looked at me and asked me when I used oxys last. I told him 10 days. But truthfully, I used my last press about 2 days before seeing him. Anyways, he told me to go to the pharmacy in the building, they would have some meds for me to take. Gave me instructions and I took them and waited in agony until the withdrawal calmed. He gave me 2 x 8mg suboxone, 300 mg gabapentin and klonopin.
He said after I found my composure they would evaluate me and set up a plan.
I begged him to please give me one last refill of oxys not knowing what suboxone meant. He informed me and I felt stabbed. Tricked. Duped. He gave me 12×2mg suboxone tablets and said see you in a week. Try to use the tablets as needed and sparingly.
I am coming up over 50 hours after taking that big dose of subs. I have mild withdrawal symptoms. I just took a heaping spoon of kratom, been smoking and eating THC and using high doses of CBD.
I read that suboxone can calm your withdrawals from 24 to 60 hours.
Does that apply to quick release tablets as well ?
The way I feel now makes me believe I can do this.
But if I start to slip back into that heavy withdrawal I'm afraid I will take some of those tablets he gave me. Which was the plan.
But I just want off this shit all together. I have serious chronic pain but still don't want to have my life ruled by meds. I feel the world is so fucked rn too that if it all falls apart, I want to be able to function.
P.s. my doctor called to check on me yesterday.

I have had many therapists over the years, many of them meh, some of them pretty bad, but this is the first one that I can see is helpful for me, and she is the first human being I think I've actually started to trust. She is steady and consistent, I've never seen her react or show anything but a warm smile for the many months we've been working together.
Yesterday I was sharing something I don't even think I perceived as that bad compared to other things I've shared. She was getting over a cold so I thought she was just blowing her nose, but when I looked up at her she had tears streaming down her face. I didn't know how to react so I just pretended not to notice, but it's been on my mind all day. I've had trouble connecting to the trauma and the idea that it really was that bad. Sometimes I'd even have moments where I'd share some story from my past with others I thought was funny, only to be met with horrified looks. I've had people work so hard to get me to open up, and then get upset at me for sharing what other people did to me. I've had therapists just sit there and stare at me while I ramble frantically and fall into PTSD flashbacks without them ever uttering a word, or responding to anything. I learned after a while that talking about trauma actually wasn't that good for me, and I refused to share it with anyone after a certain point in therapy unless they were able to meet my needs for trust and safety in a way that I can experience. This therapist is the one that finally helped me feel some of that.
Family, partners, friends, teachers, co-workers, all of these people in my 40 years of life that I have shared all kinds of hard moments with, not one of them ever seemed to care or react to my hardships in a supportive or empathetic way. Not a single person I know of has ever cried for me. People in my life have only shown me tears when I end relationships, but I'm like what relationship? Even past abusers would do this. They were never tears for me. There was never a single concern shown for me until I left, "them". Even my sister who called me up one day just to cuss me out and tell me how much she hated me because I set a boundary and didn't want to be around my parents for the holidays. She was upset because she took it personally, and decided that I didn't see her as safe, and so said some pretty terrible and demeaning things to me. I told her I didn't want to talk to her anymore either, and she cried. The first time I ever heard her cry. I even had a therapist cry when I terminated the relationship, it was like it caught them off guard that just sitting there like a brick in a chair while my life was falling apart and I'm begging for help maybe wasn't working well for me.
But yesterday I was not ending a relationship. I was being vulnerable. I had made a deliberate decision to share this past experience prior to the session. It was as if this person actually cared about what I went through, and it's been on my mind all day. I thought I'd feel bad for, "making" her cry. I know I didn't make her do anything. Those were her genuine feelings. She's the first person I've ever been able to cry in front of. Everything usually shuts off for me in front of people. It's been a couple months now of just stuff pouring out of me in our sessions.
I definitely respect the therapist / client boundaries, and I know she has to keep a professional distance, but it does feel like she cares in a way that I can experience. I'm actually going to be sad when our time is up. Their clinic has a time limit for clients, so I'm gonna have to stop seeing her in the fall.
I'm not even sure what the point of this post is. I'm just like not sure how to process this. It's been on my mind all day.