Sure let me call you back at 4.30

Hello this is Avery, the counselor, can you talk?

Could you call me back please?

Thank you for calling. I am either away or with a client right now. Please leave me a message with your name and number. Thank you!

Sure

Let me call you back

Hello there

I'm sorry to get back to you now.

Can we schedule an appointment for next week then? I think there was a misunderstanding last time

Next week I'm super full but I can do 1 h to start and take it from there would that work?

Not exhausted, just all over the place with the kids etc. But we are getting there. 7 th grader and 4 th grader. I can actually do a 3.00 to 5.00 on Thursday, I saw the space now. Would that work?

❤️ to "Thursday, August 28 from 3 to 5 PM works perfect. I've added it to my calendar thank you. I hope you have a good evening."

You too!!!

Thank you for calling. I am either away or with a client right now. Please leave me a message with your name and number. Thank you!

Hello

Thank you for calling. I am either away or with a client right now. Please leave me a message with your name and number. Thank you!

Online yes

I will send now the link

https://video.simplepractice.com/appt-bdd1effac6d3ed674799504f273082ad

Hello there

For a weird reason I had the wrong number in my system. Thank you!

I am here

https://video.simplepractice.com/appt-58ab04dee5ddf1710fa34670d4d28486

Hey sorry I'm so confused, did I put your name in my system as Callahan? Did you have this name before?

Oh so I did put the right name but I will change it into Swofford

❤️ to "Thank you so much!"

Thank you for calling. I am either away or with a client right now. Please leave me a message with your name and number. Thank you!

Yes

https://video.simplepractice.com/appt-02627d06dac4db25ee2bd20d7ec2c923

Can you do 12.20?

Noting later

Oh I'm still not ready

I guess 12.30 pm

12.30 is ok

1. AEDP or IFS work: build internal safety, self-compassion, and understanding of emotional parts. 2. Somatic grounding and nervous-system regulation: learning to track sensations, breathe, and orient to safety in the present. 3. Attachment repair work: exploring how the husband’s behavior triggers earlier wounds of rejection or abandonment. 4. Boundary and empowerment work: learning to act from agency rather than waiting to be chosen. 5. Imaginal or guided imagery work: creating an inner sense of protection (a safe place, a nurturing inner figure). 6. Psychoeducation on trauma bonding and relational trauma: so she can see the pattern instead of living inside it.

Brainspotting

https://video.simplepractice.com/appt-02627d06dac4db25ee2bd20d7ec2c923

Hey man are you here

That's ok 5.00 pm today?

Or 4.30 pm if you need 1 h and 30 min

❤️ to "Sure let's do 4:30"

Hey can we actually keep it at 5.00 pm, would that work?

❤️ to "Sure"

If you are here earlier I am here, I managed to sort out my kid stuff

No worries

Sure

Let me see

4.30 today?

❤️ to "That's perfect thank you"

No worries

Hey man in person or online

Perfect yesss

https://video.simplepractice.com/appt-12459cc06aa0a06fa9f1bae911b79f6b

Yes now

In 20

No driving fast lol

Perfect

That’s ok I am here

Ok

Let me know when you are here

Coming

I don’t think so lmc

This week you mean?

Omg we r scheduled at 11.00 am lol

My bad sorry Hahha

Tomorrow

See you man!

👻

Thank you!

Ohhhhh

Me too

😹

Hey man 8.00 am yes?

I will bill for last week and hold off the payment for this week as I really want to see you in therapy

Hey Donald have you been ok? I am just checking in

Great, are you on with the work, do you feel a bit more in control?

Right, it sounds like a lot and now they keep moving you from side to side with no exact direction, very frustrating!

I only have a Thursday at 2.00 pm

Cool

Hey man we are meeting at 8.30 am and happy new year hope u r ok!!!

Yuhuuu

In will be a bit late cuz I couldn’t find my dog

So sorry

Yuhuuu

That’s a big deal

Good job!!!

“I am an old man and have known a great many troubles, but most of them never happened.” It’s one of the clearest, simplest expressions of how anxiety works: the mind rehearses suffering far more than life actually delivers it.

Worry doesn’t protect you from the future—it robs you of the resources you’ll need to meet it

1.    Worry doesn’t prevent pain When you worry about tomorrow, you’re not reducing what might happen. Tomorrow will unfold exactly as it will—with or without your worrying.     2.    But worry does drain you now Anxiety steals your: • energy • clarity • emotional capacity • ability to respond wisely So when tomorrow does come, you arrive weaker—not stronger.     3.    You pay twice Worry makes you suffer now And if something difficult happens later, you suffer again Meanwhile, if nothing bad happens, you suffered for nothing.

from John Stuart Mill (chatgpt://generic-entity?number=0), from Utilitarianism: “It is better to be a human being dissatisfied than a pig satisfied; better to be Socrates dissatisfied than a fool satisfied.”

from John Stuart Mill from Utilitarianism: “It is better to be a human being dissatisfied than a pig satisfied; better to be Socrates dissatisfied than a fool satisfied.”

Hey Donald 8.30 am yes?

Me too all sorted

I am also available later if you are around

Sure

A W9? Can you explain?

So we don’t give that as therapists only a superbill

Sure

Superbill means a document where it shows your diagnosis, a diagnosis code and the session by session break down of the amount spent.

I can meet tomorrow at 11.00 am

Awesome

Hey man are you on the way

I can stay over u r good

Until 12.00 pm

🤓

Perfecto

https://joshthomasmd.com/?gad_source=1&gad_campaignid=10299792703&gbraid=0AAAAADP3hmEXoV4-t7TTddljuaORpfGmF

https://maps.app.goo.gl/dyFLAkhXiwrYahWY8?g_st=i&utm_campaign=ac-im

Can you be more specific? What age and therapist or psychiatrist?

I will look into it now

Omg are you ok?

Oh no poor thing! We have an 8.30 am tomorrow. If you want to do online I am here.

How did that happen?

Shame

So do you think tomorrow online would work or not really?

Ok, let me know if you want to keep the hour or you need to change it.

I hope you feel better

Totally

Perfect

Oh ok

What It Means to Be an Adult (Emotionally & Relationally)     1.    I am equal to other people. I am not better than others. I am not worse than others. My needs matter. Their needs matter. Both can exist at the same time.     2.    I am responsible for my feelings. Other people can influence me, but they do not cause my emotions. It is my job to regulate myself, not demand that others fix how I feel.     3.    I am responsible for my behavior. My reactions, tone, words, and choices belong to me. I do not blame others for how I act.     4.    I can say no without guilt. Setting a boundary does not make me bad. Hearing no does not mean I am rejected or unloved.     5.    I can tolerate discomfort. Not getting what I want is painful, but it is survivable. I do not collapse, attack, or withdraw to avoid discomfort.     6.    My worth is not based on performance. I do not have to be exceptional to deserve love. I do not become worthless when I make mistakes.     7.    I separate behavior from identity. Doing something wrong does not mean I am wrong. Success does not make me superior.     8.    I take care of myself. I rest. I ask for help appropriately. I manage my health, finances, and responsibilities. I do not expect others to parent me.     9.    I accept reality. Life is not always fair. People disappoint. I can feel sadness or anger without needing to control everything.     10.    I choose connection, I do not demand it. I want relationships. I do not need them to survive.

Ok let me see

https://www.psychologytoday.com/us/therapists/cynthia-pratt-pena-friendswood-tx/474694

Cynthia

Hold on one moment

This is an amazing book for both of you

Yes and she takes new clients if you tell her Stephanie has referred you. Let me give you others one moment

Yes

I got you. This therapist knows Stephanie and she takes couples.

I guess let me give you other names

This lady can take new clients if you tell her Stephanie send you. There is no conflict. You are allowed to go to any therapist.

Unwritten Chapters Counselling Crystal Lucas

Sure, what specifically and I’m sorry.

https://www.thebraveline.com/

Reagan McCawley

Hey man are you on the way?

Oh it’s 4.30

Oh ok, does 2.00 pm work?

Let’s see if it works if it doesn’t don’t worry

Hey man I did try to call you earlier from this number. What did you decide? To stay at home?

Ok it’s good you reached a decision. Did you find your pills?

Oh noooo

Dang it

Hey man, we r meeting tomorrow at 8.30 am

🤩

https://maps.app.goo.gl/XWcrULrGs8qZRyn69?g_st=ic

Jay

https://changingtidescc.com/about/

Sure, we can talk about it!

Hey man we are meeting at 8.30 am

Ok let’s talk when we meet

I am on my way

How does ADHD impact every day functioning at work Makes transitioning hard, I need longer blocks to work on Development and coding takes me 1 h to transition to meetings takes another h for my brain I am more productive if I have blocks of time like 5 hrs as opposed to meetings in between The tasks are almost always unclear, that makes it very difficult to know what the priorities are for ex if project has 5 parts I don’t know which part to work on next. The projects get changed in the middle of my work-scope creep-which is a distraction for me, it undoes my planning and created structure The protect will be agreed between management and internal stakeholders without my input which affects my ability to meet expectations. The expectations do not seem realistic to me in my experience and my time line, it makes it hard for me to realistically estimate how long it will take and the effort involved I dot do well when I’m on the same project on a long term 3 to 6 months. What that does to me makes it hard to focus because it’s boring tedious exhausting I need little wins, I don’t feel a sense of accomplishment I get bored as I need stimulation or variety I need a sense of agency They will have me works on multiple projects on the same time I don’t know which one to prioritises because I can’t work on both at the same time so I feel like I have to prioritise lack of structure direction and they switch daily between which one to prioritise which in turn makes me more cha

Write down all the doctors/therapy appointments

Therapy weekly Once per month psychiatrist PT I need to do it 3 times per week

https://youtu.be/kRMcimuuk0Q

https://youtu.be/tWDcqt-Xj2w

Sure let me see what is the bests

Best

We are meeting at 8.30 am

https://laurawiginton.com/

Ketamine

https://maps.app.goo.gl/KLpVSrmuUwpEVAZc9?g_st=ic

We are meeting today at 8.30 am🤓

That’s ok, I am free today until 2.00 pm if that works

Hey man are you ok? How are you doing?

Ohhhhhh so sorry

Sure!

https://youtube.com/shorts/Qip1trjMbK8?si=EgjCpWDeVl16F12F

I have a past session 2 weeks ago that I tried to charge but the cc worn work

So not for last week I let that go

No worries

I hope you get to recover

I think you have major depressive disorder Donald

That’s why it is so hard

Think also about your choices and what do you want your priorities to be -survival -pleasure -relationships -looking for a new job -just taking a break and just resting for a while until you figure life out

No worries

How are you coping? Where do you live?

Hey I forgot to ask what’s your zip code in Clear Lake, it’s to put down the cc details. Thank you. Have you been ok?

Ah I tried the Nasa one and it worked, hehehe!

Oh that sounds so sad! Poor guy! Is Erin ok?

Sure can you come this Friday for now? 10.30 am?

We are meeting at 12.30 pm

🤞😺

Don I have been thinking deeply about our session. I would love for you to contemplate these questions: When you are with your wife, what kind of man do you feel like? When you are with your current partner, what part of you comes alive? What disappears emotionally when you enter the kink world? What does responsibility feel like in your body? What did 17-year-old you never get to become? What happens inside you when someone tries to help organize your life? What feeling usually comes right before you escape into porn, fantasy, weed, kink, or avoidance? What would happen if your identity could not revolve around sexuality anymore? Do you experience stability as safety or as death? What kind of father do you believe your daughters experience you as? What part of you is terrified to fully grow up? What do you unconsciously believe women expect from you? If nobody judged your sexuality, what problems would still remain in your life? What does your current lifestyle protect you from confronting? Who are you when nobody is desiring you sexually? What feels more painful to you: feeling controlled or feeling abandoned? When do you feel most ashamed of yourself? What emotions feel almost impossible for you to stay with without escaping? What did you need emotionally at 17 that nobody gave you? What does freedom mean to you emotionally and psychologically? What does commitment mean to you emotionally and psychologically? What part of adult life feels deadening or unbearable to you?

Also I have been analysing and thinking about masculinity with the many men I work with and just like you they haven’t had the right guidance when they needed it the most and these are my general notes: Healthy masculinity is not domination, rebellion, emotional shutdown, or escape from responsibility. It is not about proving power through sex, control, avoidance, fantasy, or intensity. Healthy masculinity is the ability to remain connected to yourself, your body, your emotions, your responsibilities, and the people you love without collapsing, disappearing, or needing to escape. A healthy man can: • tolerate discomfort without running away • regulate himself emotionally • stay present during stress • take accountability • repair after mistakes • create structure and stability • protect and care for himself and others • experience sexuality without losing himself inside it • remain connected to reality while still feeling alive, playful, sexual, and free • feel emotions without becoming emotionally flooded or emotionally absent • integrate strength with tenderness • integrate freedom with responsibility • integrate sexuality with intimacy • integrate individuality with commitment Healthy masculinity is not perfection. It is emotional and psychological integration. A 17-year-old boy still deeply needs guidance, structure, protection, emotional presence, and containment from both parents, even if he acts independent or rebellious. From a father or father figure,

We are getting somewhere

Some other thoughts: I honestly think this goes much deeper than kink, sexuality, or choosing between two women. I think this is about identity, emotional development, feeling alive, masculinity, structure, and the split between freedom and adulthood. When we spoke about you at 17, it really hit me how much instability, loneliness, lack of guidance, loss, and emotional abandonment there was at such an important age. That’s still a very young age psychologically. Boys still need direction, support, grounding, emotional presence, structure, and help becoming men. I think different relationships activate different parts of you. Your marriage probably represented: structure adulthood stability routines functioning grounding health responsibility At the same time, I completely understand how part of you may have experienced that as emotionally heavy, disconnected, pressured, sexless, restrictive, or dead over time. Then this other relationship may represent: freedom sexuality rebellion intensity feeling desired emotional escape feeling alive less pressure less expectations less judgment What concerns me is not your sexuality. What concerns me is the decline in overall functioning: sleep work motivation routines structure finances health emotional regulation consistency fatherhood That tells me this is much bigger than sex. What really stood out to me in session is how much you shifted when you connected to the stronger adult self. Your whole energy changed. You looked m

Lamictal is also given for seizures and bipolar. When you have a mental illness ketamine it might exacerbate your symptoms so it’s contraindicated. It has nothing to do with you as a client. They are concerned about the interaction with Lamictal. How many g are you taking? I know my own psychiatrist told me I’m not allowed to do ketamine.

I only have you at 11.30 am

Interesting it shows both, crazy system, I’m sorry for that, it looks confusing.

Continue using the A/B/C task system, but focus especially on completing one important “A” task per day instead of overwhelming yourself.

Does that sound manageable?

And I truly believe that, at this moment, one session per week for an hour and a half is more than enough. Real change does not only happen inside the therapy room, it happens in daily life, through consistency, structure, accountability, and small repeated actions over time.

Sure

I wil

You too

Oh noooo

I’m so sorry man that sucks

Let’s meet tomorow if you get better

Hey Don, let’s meet next week if that’s ok. I don’t have any availability today but I’m pretty relaxed next week. What would work?

+KAh I didn’t put that in. Can we change it just for next week, is that ok?

'()*Z$classnameX$classesWNSValue)+XNSObject_

Hello we are meeting at 9.00 am

I still have time time later

Hey Donald are you around?

++Would you like to come tomorrow at 1.30 pm?

Ah ok

+"What’s the earliest you can do?

'()*Z$classnameX$classesWNSValue)+XNSObjectX12.00 pmTTime/

'()*Z$classnameX$classesWNSValue)+XNSObject_

Hey Donald, can we move it to 1.40 pm just to make sure I will make it exactly on time?

Thank you!

Let’s do that

Let me get back to you with my schedule

Hope you get to rest ❤️

No worries!

Ok I will delete it now

Sorry for that

Have you been ok?

I am going to see my mama in Romania but I am back the last week of July. What would work then?

I will thank you 🙏

Hey man

I’m truly sorry to hear that you’ve run out of money. I did receive your message—I was just extremely busy, but I finally have a little time to reply. Is it okay if I ask how you’ve been doing? Are you still living with your girlfriend? How are things with your wife? Did you end up getting divorced? Do you have a plan, or do you have a clearer idea of what you want to do moving forward? Also, were you able to get unemployment benefits? I’d really like to hear what’s been happening with you. This keeps your voice while making the message flow a bit more naturally.