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PDF Editor FAQ

My psychologist died and her husband shredded my records without contacting me, was this legal?

And this is why we have professional wills.If I unexpectedly die or become permanently incapacitated, my husband will call my designated colleague, who already knows my computer and phone passwords, file cabinet lock combinations, and where to find my professional will.The document details my current clients’ contact information - including their emergency contacts and names of other involved clinicians (if any).I’ve spelled out where to find files, who should inform clients and how, what each client is likely to need, who might require hospitalization upon hearing the news, which colleagues agreed to take on which clients. And more.Did your late therapists’ husband commit a crime? Probably not. Were he a professional, I’d say he acted unethically. In the US, most mental health professionals must maintain client records for at least seven years after discharge.But really, your records should not have been accessible to him in the first place. You have a right to privacy and confidentiality. We don’t discuss clients with our partners. We certainly don’t share identifying client information or provide access to (locked) files.I’m really sorry your psychologist died. I’m sorry your privacy was breached and your records wrongly destroyed.I hope you’ll process this complicated and important loss with a new clinician.I wish you peace and healing.Dr. Kenneth Pope’s comprehensive site has information about professional wills for therapists (and most anything related to mental health):Guide to Making a Therapist's Professional Will

Why does the US Gov't charge interest on student loans? Why is the US Gov't effectively engaging in usury with such a fundamental, public good?

Feel free to obliterate me with downvotes but I disagree with the answers here. The government's student loan program guarantees below market interest rates, which is already a form of subsidy.If the debt were made completely free, demand for loans would skyrocket even beyond where they are today:The automatic access to cheap student loan money has led to a mass enrollment of students into colleges. Tuition rates have ballooned as a result, which in turn have spurred the issuance of yet more student loan debt to pay for the higher tuition. Lowering rates further would worsen this spiral.It is not a slam-dunk that student loans are the best use of capital-- not all college education is created equal. Millions of new anthropology majors are not necessarily going to make better Starbucks baristas.Who's to say that programs with better post-grad job prospects like math/science/engineering or education focused on building specific employable skills wouldn't be a better use of money? Market rates reflect post-graduate job prospects whereas Federal loans do not. For that matter, why not allocate cheaper money to the businesses that ultimately hire the grads?The problem is that once government steps in and cuts out the supply/demand dynamic of the loan market, the ability to effectively manage the allocation of resources evaporates completely. We end up with too few students being guided toward engineering degrees and too many sad baristas.P.S. One thing I wholeheartedly agree on: your point about the inability of students to discharge student loan debt in bankruptcy is spot on -- it's quite unconscionable that students are arbitrarily forced to be indebted to the government, often for many decades into their lives.

Every time I try to talk about my feelings in therapy I zone out and go blank. I feel really tired and foggy. Why does this happen and how do I stop it?

When you mention that this is happening when you are talking about your feelings, it says that the feelings you are talking about are “too much” for your system, and your brain assumes you need some protection for you not to suffer.It also means, as Jonathan already mentioned, that you are probably dissociating, or to be more specific, that your parasympathetic nervous system gets activating trying to bring your system into a rest-and-digest state to avoid pain.Because you mentioned the word ‘foggy,’ it could also reflect a deactivation of your prefrontal cortex due to the use of your brainpower to go into an extreme defense. This may be a habitual response that feels stronger as you keep repeating the story and becoming emotional.Strong emotions trigger some mechanisms in your brain that will try to compensate for the “threat” that is perceiving. The brain can’t recognize whether you are only talking about something that happened to you in the past; it may believe it’s happening in real-time and will try to protect you. That’s because when you are recounting your story, your emotions become as vivid as when the event happened.To avoid that from happening try to be more “matter of fact” when you are telling your story, and of course, tell your therapist that you are disconnecting (becoming numb, foggy, etc). You need to learn some regulation skills before you can recount your stories with all the emotions involved. The only time it’s ok to bring up all the emotions is when your therapist is ready to guide you out of the memory; but if you dissociate, you won’t be able to discharge the emotions, and then they will grow and will be worse next time.This is a similar question with a more extensive answer:Why does my mind go blank when my therapist asks if anything positive has happened in the past few days? Why can’t I think of any actual examples to share even if I know there were some?

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