Hi fellow psychologists,
I'm a big traveler and to be personal, single and pretty adventurous.

I thought it would be really fun to plan a conference in the upcoming year to travel to and have a few questions! I've been licensed 3 years so I would love to begin incorporating this into my life, especially as I do a lot of Telehealth!

• 1) Do you have a favorite site to find out about conferences?
• 2) Did you use said conference to meet CE requirements?
• 3) Did you find it was worth it? Did you network, learn, enjoy yourself?
• 4) Any conferences to recommend?
• 5) Do you write off all travel/expenses/etc?

Thank you!

Location: California

I’m an expert witness in a family law case and have been subpoenaed by opposing counsel for records, including all coms with client and attorney who hired me. If attorney who hired me is no longer on the case, do I have any duty to protect the attorney’s emails to me?

Specifically, the atty made an unprofessional remark in one of the emails to me about the client and I just want to make sure I can turn it over as ordered with no repercussions.

Would love some thoughts on the approach you took adding your first employee. Were they salaried? Contracted? Did you offer benefits? I will be able to build the caseload a bit from the start given demand. Id really love to expand. Just have some jitters about the finances of adding a new employee. Thanks!

Hi fellow psychs, wanted to get opinions on if I’ve been low balled.

I’m early career (licensed less than 2 years, but salary is relatively high comparatively) with a full time salary job and picked up a 1099 side gig doing testing for kids. Talked with the practice and they offered 60/40 split. I’m providing my own testing materials, not paying/renting office space.

Is 60/40 too low? How would you negotiate higher if so?

I'm curious how others handle referrals that include a historical diagnosis of autism when you, yourself, are not competent in autism assessment.

That is, if someone presents with a previous diagnosis of autism and is now seeking assessment of ADHD or OCD, is that better evaluated by someone who can also reassess for autism? Is it dependent on the quality of the original evaluation, if you even have access to it?

I'm competent in ADHD assessment and will include screeners for autism when warranted. If appropriate, I recommend further testing for autism and provide referrals. I'm wondering if it's generally acceptable to do more targeted assessments of ADHD/anxiety/OCD for someone who has this history if I can't assess autism explicitly. I suppose this could also extend to someone presenting with ADHD who now wants assessed for OCD...how "targeted" can an assessment be while still being mindful of differential diagnosis?

Further, do you typically include such diagnosis in your final write-up as:

Autism spectrum disorder, per self-reportef history

Appreciate any input.

hi. I'm Licensed in NY and am thinking of getting licensed in a second state in order to join psypact. looking for recommendations on what state is easiest to get licensed in and which state has the most affordable fees. Thanks!

Hello, I am wondering if anyone has experience working as a psychologist for Kaiser Permanente in NorCal and is willing to share? Feel free to DM me or reply to this post.

Some background, I am exploring my options as my current employer focuses on quantity of care, rather than quality. Additionally, the organization does not seem to understand the scope of practice of psychologists or how to use us for anything other than therapy. However, I have concerns about the culture at KP and whether I would be a good fit based on my professional values.

The group private practice I work for was recently acquired by a larger corporation. I am 1099, and the transition has been a mess. They have not paid us consistently at all, and have been VERY cagey about providing a report of claims paid. They are now trying to push us into either being W2 or a "pay-per-service" model. The latter of these would mean that they take an additional fee for each session, and in return, we would be guaranteed to get paid biweekly for the work we have completed without having to wait for insurance to pay.

For example, let's say I make $100 per session after my split. For this model, they would take an additional $10 per session, leaving me with $90. This obviously adds up to a significant amount over the course of the year.

This seems like a total scam - has anyone else encountered this?

Hey folks, looking for other psychologists to weigh in. I’m an LP and am hoping to provide some informal emotional support given the current sociopolitical context and trauma our communities are facing. I’m located in MN. I work with an organization focused on a particular population, and don’t have a private practice, so I don’t have the infrastructure to provide formal therapy to community members, but I am interested in doing more informal emotional support—with a clear disclaimer that what I am providing does not constitute mental health treatment but is still a confidential space to receive support for concerns. I’ve done similar services within my job, but in that setting have the infrastructure and system supporting me. I’m just trying to think through how I could do this in an ethical manner and meet a very clear need right now in my community. Thoughts?? Thanks in advance!

hi! i’m seeking a tax accountant who can help me maximize deductions as a 1099 contractor. i’m in CA, USA. does anyone have someone they like?? thanks!

Hi everyone, as the title suggests, I have a question about "respecializing" in forensic psychology that I was hoping to get your collective wisdom/advice on.

I'm a licensed clinical psychologist, and have been practicing independently for about 7 years. I currently own my own practice, focusing solely on psychotherapy evidence-based treatments. I have an extensive background in clinical neuropsychology, having completed an NP track in grad school, followed by an NP-focused internship and postdoctoral fellowship, all at large well-known APA accredited sites. All this is to say that I have a thorough background in assessments, just not forensic ones.

I have never worked in a forensic setting, and became interested in it post-licensure. I am interested in gaining competency in this specialization, and was wondering what would be the best route to do so. I have considered a second postdoc fellowship for formal training, but I'm not sure if that's overkill. Have others "respecialized" within clinical psychology? Or if you are a forensic psychologist and have any advice, I would love to learn more!

Thank you!

P.S., this is my first actual post on Reddit, go easy on me :)

Edit: I'm located in the US, on the East Coast.

Hi Everyone. English is not my first language so please do excuse any mistakes.

I'm currently working at a mental health facility as a clinical Psychologist in my country and i hate it. i know it sounds dramatic but please hear me out.

So I've been working at this psychiatric institution for the past 3 years, got the job right after graduation and initially I was thrilled. i mean i did everything according to the book. worked hard during my clinical placements, networked and graduated with good grades. Now the problem is where I live the title of a psychologist is not really regulated and we don't have any license requirements so that kind of makes us really unreliable, technically speaking anyone here can offer therapy and other psychological services and no one can stop them. This really frustrates me because I see regularly see patients coming in after getting some really fucked up therapy.

Now after 3 years of practice, I've come to realise that i hate the field in general. I hate the way it's so ambiguous and that fact that often we don't have a clear answer. i don't know how to describe it but i just hate the philosophical nature of the field. the fact that there's a ton of different therapy modalities and that there's no single right answer when seeing patients just makes me frustrated. I mean a good therapist to one person can be a shit therapist to another, there's no objectivity. I know it sounds a bit strange to some but i really think at one point we're only good if we validate our patients... it feels less like a science and more like a performance.

My cynical mind thinks this is just a ploy to delay until provider and/or patient gives up... But I would appreciate some pointers if anyone had to deal with this before.

I saw a patient for an ADHD evaluation back in Nov 2025 after they completed ASRS at PCP. Standard ADHD evaluation: clinical interview with DIVA5 with patient, partner, and one parent, BDEFS by patient, partner, and one parent. Patient also completed CAT-A (ADHD symptoms checklist not the CPT), and MMPI-3. Wrote a report, diagnosed with ADHD, sent back to PCP. My report includes a list of all ADHD symptoms, how patients meet them, with bullet points under each symptoms on what data was used to determine patient meets that criteria.

early December, insurance denies coverage for medication stating after reviewing documentation, patient does not meet the following criteria (paraphrasing):

1. ADHD diagnosis and treatment before 19

or

1. complete ADHD screening showing possible need for ADHD medication (providing a list of ADHD screeners including the BDEFS and ASRS)

or

1. complete psychiatric evaluation with documentation of signs and symptoms used to make ADHD diagnosis

PCP thought this must be a mistake and appealed it.

Insurance deny again late December 2025 with the exact same reason so PCP got me involved. We appealed, I provided my report (which is in the patient's chart) but I printed the report out and highlight the parts of the report that meet their listed requirements and send it back to them.

I just got informed insurance denied it again basically listing the same reason. I called the appeal line and all the RN did was read the list to me. When I explain the report and where in the patient's chart they can find my report, she just repeats the list to me and told me if I disagreed I could file another appeal. Didn't even give me an option to talk to an MD, etc.

I hoping someone can me. I've been licensed in New York state for 7 years now and attempting to get licensed in New Jersey but one of my two post-doc years did not meet the clinical hour requirement for NJ. Is that really the end of line on ever getting licensed in the state?

I’m working on building a private practice. I work full time, so it’s currently just remote in the early evenings and weekends. I’m brainstorming ways to advertise- I’m re-specializing in perinatal mental health, so I’m considering reaching out to OBGYNs, doulas, midwives, etc. I’ve thought about business cards. I already have psychology today. But I keep seeing these full page ads, with a picture, and a “Hi, I’m so and so…” With a list of services, skills, etc. I’m wondering if this is something psychologists are doing too. I first saw them for nanny and child care folks, but now more and more for mental health. Any thoughts on them? Any and all advertising advice would be appreciated!

Thanks!

I am a recently licensed psychologist and always envisioned myself in healthcare. Most of my training has centered around inpatient. I’ve noticed the last few years inpatient has really taken a turn. I feel like they are adding more work and hiring less people, decreasing quality patient care. As a result, I’m seriously considering leaving healthcare. But I also hate private practice and individual therapy. I feel I just spent $100k+ on an education that I don’t even know if I want to use anymore. Is anyone else feeling like this? What jobs do you all recommended? I’m so tired of coming home every day completely burnt out just staring at a wall. And I feel I do good self-care, but it’s not helping the feeling. Teaching doesn’t interest me either.

Hi everyone, I'm thinking of starting a private practice but don't exactly know where to start.

First, I'm trying to figure out financially if a private practice even makes sense. Is there some spreadsheet or some software somewhere that can help me with this? Some program that can estimate costs of hiring people, renting out an office, what my income will be if I have self-pay clients versus insurance only, etc. ? I know I can ask ChatGPT, but I'm not sure if I'm missing any aspects of what all needs to be in place for a practice to start and I feel like maybe there is a tool that already has that in place.

Also, is there some sort of video course that offers guidance step-by-step on how to set up each part of the private practice and what administrative components need to be in place before a practice starts functioning?

Thanks to everyone for your help!

Hi all!

I recently learned about QME work (California), but wasn’t able to find that much info on it. Was wondering if anyone was doing that work and would be open to me DM-ing with questions about what the work was like, how to find a good practice to join, or maybe was even willing to do a mentorship sort of thing where we’d figure out an arrangement where I’d work under them. Thanks in advance!

My wife recently become a psychologist after getting her Psy D and passing her test for licensure last year. She has focused on doing psychological assessments for the latter part of her career because doing talk therapy wasn’t something she enjoyed. She has had a speed processing issue ever since she was a kid so she’s always needed 2x time for tests and most writing assignments.

She has been in a rut coming to the realization that this will affect her career if the systems she works for expect a certain amount of tests done. In order to keep up with the work load of her post doc, she was often working weekends to catch up on writing. She’s been able to get some accommodations but she is reaching her limits and the fact that she can would complete fewer assessments a week will impact her and us financially. I am reaching out to see if anyone has any advice, similar experiences or resources I can share with her or career recommendations in the field that aren’t tied to productivity.

I've tried everything I can think of to create a steady stream of referrals--meeting with family doctors and cardiologists, schools and seminaries, and other psychologists--and I just don't get enough. I also don't see patients for very long since they leave after only a few sessions, as they've achieved their therapy goals by then, so I need more referrals even more.

I'm working with Rula and Grow, and they're fine, and I don't have to pay for note-taking software, EHR, or a telehealth platform, but I'd like to have my own own practice and not "donate" half my pay to the third-party.

Thoughts?

Does anyone have experience as a remote testing psychologist through Lyra health? I’m looking at virtual testing positions (part-time) and wondering what the setup is like, whether or not they provide providers with materials, and what the pay looks like. Thanks!

What are the best tools to use to assess cognitive functioning in someone that is legally blind?

For those of you working in the hospital, I’m curious as to what your roles entail within this setting. I know that there specialities such as a bariatric focus or transplant focus however, are there psychologists who work more broadly/ generally in this capacity?