#Skilled Therapists

[zonaphysicaltherapy]

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[ameristarstaffinginc]

Does your clinic provide therapy services? You must know that your facility’s staffing quality can significantly impact the care delivered to your patients. You can improve the standards of your service with some effective staffing strategies. Here are essential tips.

[infinityphysio]

Physiotherapy offers a non-medication approach to enhance your health and well-being by emphasizing exercise, hands-on techniques, and education. Physiotherapists empower you to take control of your healing process, whether you're recovering from an injury, managing a chronic condition, or aiming to improve your physical performance.

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[chamelispaajman123]

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[gallusrostromegalus]

Hello this is just to say that I am very interested in that post you mentioned maybe making about indirect communication!

So to define Direct and Indirect communication with a pair of examples real fast:

Direct communication: "Hey, can you do the dishes?" Indirect communication: "There's dishes in the sink." (Please wash them.)

Indirect communication tends to trip a lot of ND, but especially Autistic people up because the implied request in the parentheses... doesn't always come through. So you don't do the dishes, and the Indirect communicator gets frustrated because they thought they had made that request perfectly clearly.

Which, in their defense, they did! ...in their micro-cultural language.

See, the actual purpose of Indirect Communication is to provide some extra verbal personal space and non-aggression measures in micro-cultures where people's personal autonomy has been compromised but there is also a high degree of understood social context.

Hm. That's a weird sentence. Let's try some more examples.

Indirect communication is most common in places or situations where people's ability to stay in their own lane is compromised, but everyone also shares the same base knowledge of what's going on. One example is in large cities, where people are PHYSICALLY up in each other's personal space because they're physically crowded. So cities have etiquette like "Don't make eye contact on public transit unless you actually need to address someone", so that, if people can't stop violating your personal space, they can at least signal non-aggression and give you some privacy. People raised in large cities, or who have lived there for a while all learn these unspoken rules by trial and error, some of us with more errors and trials than others.

Thus, in physically compact situations, "There's dishes in the sink" means "There's dishes in the sink." (I trust that you are already familiar with the social rules that dictate that dishes need to be done, and assume the reason you haven't done them is because you haven't seen the sink yet. I won't insult your intelligence by elaborating on the Do The Dishes Rule, because I know you are smart <3)

Speaking of Privacy, the other place indirect communication is common is in situations where people have Limited Privacy and thus everyone knows what's going on with them, and they know what's going on with everyone else, whether they want to or not. Close-knit families and religious communities often have this shared no-privacy pool, but it can also happen with you and two roommates in a 100sq ft apartment, or on a research vessel in the middle of the Atlantic Ocean. Since y'all are up in each other's business, indirect communication is there to prevent hostility in close quarters.

This, in a low-privacy situation, "There's dishes in the sink." means "There's dishes in the sink." (I know you are a good and responsible roommate who is maybe a little forgetful, and I trust you to have enough context from living in the live feed of everyone's life to know that I need them done. I won't insult you by suggesting your motivation was malicious in any way, and i trust you to do them <3)

So, to an indirect communicator, that was a perfectly clear request to do the dishes because OF COURSE you'd know what they meant- literally everyone else they deal with is in on this shared knowledge of social rules and daily updates. And not elaborating on that request is an affectionate sign of trust in your competence.

Except, you know. You're not.

So, you try to explain to your indie friend that "There's dishes in the sink." only sounds like an observation, and your brain will not auto-fill in the request like theirs does, so if you want me to do the dishes, just ask with words, okay?

And your indie friend understands this! but then instead of going "Hey, can you do the dishes?" they instead don't say ANYTHING until they're really frustrated with the state of the kitchen, and communicate VERY directly at you, and with great anger.

What happened?

So remember how indirect communication exists to prevent hostility and violence? That's because the threat of hostility and violence is VERY, VERY REAL.

Like you, your indirect communication friend made some mistakes while learning The Unsaid Rules and How To Use The Shared Information Pool, and the social hammer came down on them HARD. Ostracization, ridicule, maybe even actual, psychical harm. So they grew very, very afraid of violating those secret rules, and doubly so with people they like, so your indirect communication friend is facing this HUGE EMOTIONAL BLOCK when it comes to directly communicating with you, because to someone who grew up with their boundaries compromised and the threat of hostility if they violate the communication rules, communicating directly with someone they love feels really, really, really mean and they don't want to hurt or lose you.

For real, "Hey, please do the dishes" sounds like "Hey, please do the dishes." (You fucking moron who doesn't give a shit about our home and probably hates me) to them, and they don't want to talk like that to you. It's like how we never like picking the mean dialogue option in video games.

So instead they... just don't say anything at all, rather than risk a potential confrontation, and then the dishes don't get done and it turns into a REAL confrontation.

What a headache.

So what are we gonna do?

Well, you can't control your friend's actions, emotional reactions or interpersonal skills, but you can manage yours, and you're gonna have to meet them halfway, and it's gonna feel like training a skittish cat that coming out from under the couch is safe. Several-pronged approach:

DO NOT PUNISH BEHAVIOR YOU WANT TO SEE. When your friend does manage to say "Hey, please do the dishes?" don't go "UUUUGH IN A MINUTE." even if you are in the middle of something else and their timing sucks, which is probably does. Stick to either neutral responses ("Cool, let me finish this paragraph and I'll get on that") to positive responses ("Oh, sure! Thanks for letting me know!")

REWARD THE BEHAVIOR YOU WANT TO SEE. -and then actually go do the dishes to demonstrate that this approach not only is safe, it's effective. Also, praise your friend when they do a good job communicating with you. "Hey, thanks for actually asking me to do the dishes, that was really helpful." or "You're doing a great job navigating and giving me directions, this is much less stressful than the GPS" or "Thanks for being honest about how I was annoying you and bringing it up before it became a huge issue." This will kind of feel like you're an actor on sesame street teaching big bird how to say please and thank you, but honestly? that was the age most of us learned our communication skills, and we return to that teaching method because BY GOD IT WORKS.

MODEL THE BEHAVIORS YOU WANT TO SEE. Humans learn by copying, so lead by example with the kind of communication that helps you, and explain why it helps. "Hey friend, a question so I can schedule some stuff- Do you have any plans this weekend I should know about, or am I clear to paint the bathroom?"

This is the one that sucks but YOU GOTTA MEET THEM HALFWAY AND LEARN ABOUT THE CONTEXT POOL. Can't make everyone learn, and Indirect communication has it's uses (especially in modern jobs and social media), so you gotta learn their style too. I literally have a discord server that's just me where I keep notes on the life events and conditions of my friends, coworkers, neighbors and loved ones because I know I won't remember that shit, but they will kind of expect me to, and it's been a lifesaver in both not blundering into social faux pas, and actually getting around my crap memory to know them better. You can also model hybrid communication and practice your indirect skills by using an indirect request opener, but then saying the rest of the implied context aloud: "Hey, there's dishes in the sink. I know you'll do that ASAP because you're cool, I just wanted to make sure you knew they were there and needed to be washed, thanks <3"

Accept that some people aren't gonna change for reasons that are beyond their control and probably have nothing to do with you, and decide what you're willing to invest in learning to deal with them. I still have to play 5D words chess with my mother-in-law, who was raised in a close-physical-space-AND-no-privacy culture and is an excruciatingly anxious indirect communicator as a result. I can't make her go to therapy for the anxiety, and until she does, her ability to communicate effectively probably won't improve. It's got nothing to do with me, even if I'm the person she's most frequently at odds with. As a result, I have extremely limited contact with her. I don't see her for more than a few hours at a time, when we have an activity to do together, and only a handful of times a year. More than that, and I get brainworms by proxy, so for my sanity, I've limited what I am willing to do with her. Maybe your indirect communicator is someone worth effectively learning a second language for, like a lover. Maybe they're someone you can cut out of your life entirely without issue, like a manger at a retail job you can quit. You'll have to decide.

Anyway, that's my raised-bilingual ADHD/Autism Direct/indirect communicator ramble, hope it helps.

[apluscarelaus]

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[gerbymoo]

The fact that Araki opted out of not making Fugo backstab his team because he couldn’t bear how much it would hurt Bucciarati always fucks me up. Imagine how much more tensions would rise with the gang and all of this would put Bucciarati at such a disarray?

Like, I’ve always seen the theme of family with Bucciarati and how there is unconditional loyalty through those ties, seen with what he experienced with his childhood and with his new found family. Even when he tells Trish, “a father wouldn’t worry about those things,” is just so telling of how important those ties are to him (albeit a bit naive).

So imagine, Fugo, the first member of his gang that he recruited out of unfortunate circumstances, who grew close to him and looked up to Bruno as this older brother/father figure, to just have betrayed him like that? OOF.

Legit I feel there would be a good episode dedicated to how much that would depress Bruno, that his perceived world of his newfound family and their loyalty to one another is just shot for, and again, questioning how much he just has to keep going on autopilot cus fucking mafia taking away his normal life.

Idk, create your own heartbreaking scenarios if you will LOL

[poppy5991]

Therapist: I asked you list some reasons that you are good at your job as a hero.

Hawks: Yes.

Therapist: And under that you just wrote “If I do not perform well, I cannot function as a human being.”

Hawks: Yes.

Therapist: Let’s…table that for next session and come back to it.

——

Enji: What’s wrong?

Hawks: I think I flummoxed my therapist. She said we would reconvene next week and looked over at her bookshelf like she needed to consult the manuals.

Hawks: She had to hit the books, Enji! What does that say about me?! Did I fail my therapy homework?

[sumiipie]

ok. hear me out.

i'm obsessed with the idea of akechi often having nightmares about his mother, and struggling with it for years after her death. i'm picturing him waking up crying and not being able to sleep for the rest of the night, even if he was exhausted.

but then, the first time he sleeps next to akira he stops having those nightares. he starts to get the best sleep being next to the person who taught him that love still exists.

and if he ever did have a nightmare, akira would be there to hug him and remind him how loved he is until he feels ok again. akira wouldn't go back to sleep until akechi was in a deep sleep next to him, only then feeling satisfied.

[searching4sarahtonin]

Broke: Aziraphale is trying to recreate Pride and Prejudice

Woke: Aziraphale is really recreating Emma

Bespoke: Aziraphale is actually living in Persuasion

[sepulchritude]

Wow people really are such monstrous cunts about BPD huh? Like I knew that but holy shit

[griffle-musings]

The Drake Charm

Duke: *looking over at a portrait of Jack and Tim that Babs has for some reason*

Duke: you know.

Babs: hm.

Duke: I know I'm not the only one who thinks this, but are we really sure Tim and Bruce aren't related, I mean-

Babs: No, Duke, Tim just takes after his mother.

Babs: Also we've done too many DNA tests, with and without their knowledge. No relation.

Duke: huh. It's just, weird, isn't it? I mean, they really don't look that alike.

Babs: Genetics can be weird, Duke. Plus, Tim takes after Jack in different ways.

Duke: How so?

*flashback- Police Charity Ball*

Jim Gordon: *rumpled and missing his bow tie* Barbara there you are- listen, Officer Michael is going to take you home, as Daddy has to go take care of some...paperwork.

Younger Barbara: Dad I'm twelve not two- Wait, where have you been, and why's your tie missing-?

Jack Drake: *enters, messy and wearing Jim's tie and with Officer Michaels* Jim, shall we go?

Jim:

Younger Barbara:

Jim: Be good, I love you sweetie *leaves with Jack*

Officer Michaels:

Barbara:

Officer Michaels: You know it's not paperwork your dad is doing, right-

Barbara: Officer Michaels, kindly shut your mouth up.

*End of Flashback*

Babs: Too much charisma and not enough sense, for starters.

Duke: ?

[weedplantar]

Hey friendly reminder that even if Sasha doesn't specialize in just children, SHE CANNOT BE ANNE OR MARCY'S THERAPIST!!!! ESPECIALLY IF THEY'RE IN A RELATIONSHIP!!! IT WOULDN'T BE BENEFICIAL OR THERAPEUTIC FOR ANYONE, ISN'T EVEN TECHNICALLY ALLOWED, AND ANY DECENT THERAPIST WOULDN'T EVEN CONSIDER IT!!! PLEASE STOP WRITING IT IN FANFICS!!

[chryblossomjjk]

...

[gaypleasantview]

i guess its the autism but it gets tiring being shamed for what i like, my parents always complained i spent too much time texting my friends in my room and now i can barely talk to anyone at all because i started shutting off, and im completely ashamed of what i like doing which made me realize just now that i dont have a single person i could talk to about my interests without constantly watching myself bc i used to be a really bad infodumper and bc it didnt feel like anybody cared i stopped talking about my most important special interests so now i barely think about them and its sucking so much hypothetical joy out of my life

[aj-thegreatest]

Nobody:

Me: I could technically rewrite the LO therapy episodes, since I’m actively learning counseling skills in my masters program