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  #1  
Old Sep 24, 2026, 09:40 AM
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LadyShadow LadyShadow is offline
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Location: North Carolina, USA. Originally New York
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I am beyond upset, I can't believe how broken our Health Care system is. I have been struggling for YEARS since I moved to North Carolina to find a therapist, and what happens when I FINALLY found one?

He is going to be out-of-network as of 2027 -

Maybe the government thinks I have money for that?

OR maybe they are full of damn crap.

I am angry, pissed, scared, upset, EVERYTHING. I have made SUCH progress with him this year.

Now, I have to say goodbye.

EFF you damn insurance.
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To find each other and to feel.
~That is the purpose of life.”
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  #2  
Old Sep 24, 2026, 10:39 AM
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Victoria'smom Victoria'smom is online now
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I'm sorry, it sucks so bad. Finding a therapist is so hard especially when symptoms are on the more difficult side.
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  #3  
Old Sep 24, 2026, 04:12 PM
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Nammu Nammu is offline
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I posted a long response too you shadow but lost it.

I commiserate with you.

Not sure if this will post or not
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…Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. …...
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  #4  
Old Sep 24, 2026, 04:19 PM
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Crazy Hitch Crazy Hitch is offline
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Oh man that’s awful I’m so sorry!
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  #5  
Old Sep 25, 2026, 08:00 AM
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LadyShadow LadyShadow is offline
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Member Since: May 2012
Location: North Carolina, USA. Originally New York
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Thank you for your posts, guys. I am mourning over my therapist, but it's almost at the stages of grief period at this point, and I am nearing acceptance. I hate it with everything in me, and we didn't have enough time to work together at all, but he DID provide with lots of tools to work with, including implementing my daily practice that has SAVED MY LIFE honestly.

I would love to write these big fascist insurance companies and say - why would you stop service to a provider that saved someone's life???
__________________
“To see the world, things dangerous to come to,
To see behind walls, to draw closer,
To find each other and to feel.
~That is the purpose of life.”
Hugs from:
BeyondtheRainbow, Discombobulated, Nammu, Ruftin, Shadesofdark, Tart Cherry Jam
  #6  
Old Sep 25, 2026, 08:38 AM
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Blueberrybook Blueberrybook is offline
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Oh @LadyShadow, I'm so sorry. It is so hard to find a good therapist; I went through dozens of them before finding my therapist offering remote therapy as she's out of state. Insurance companies SUCK!!!
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  #7  
Old Sep 25, 2026, 10:44 AM
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Nammu Nammu is offline
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We so need national health care. The exact health care congress gets for all citizens!
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Nammu
…Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. …...
Desiderata Max Ehrmann



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  #8  
Old Sep 25, 2026, 11:44 AM
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BeyondtheRainbow BeyondtheRainbow is offline
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@LadyShadow I'm sorry this is happening to you. Is he able to refer you to someone with similar practice strategies? From what you were describing the other day it sounded like he's done a lot of CBT with you. Could he help you find someone else who does this?
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  #9  
Old Sep 25, 2026, 11:20 PM
Tart Cherry Jam Tart Cherry Jam is offline
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Lady Shadow, you need to make the most of the remaining quarter in 2026. Referrals to similarly minded therapists, as BeyondtheRainbow mentioned; a list of things that have worked so well for you; a recap, in his words, of the whole therapy experience with you and how you two have arrived at what ultimately changed your entire life.
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Last inpatient stay in 2018

Zyprexa 3.75 mg
Naltrexone 25 mg
Zepbound 10 mg

Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism for life
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  #10  
Old Sep 26, 2026, 10:19 AM
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Moose72 Moose72 is offline
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I echo Tart Cherry Jam. I’m sorry you have to lose your therapist.
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  #11  
Old Sep 27, 2026, 11:00 AM
Shadesofdark Shadesofdark is offline
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My therapist and p-doc retired at the same time (husband and wife), still trying to find a new therapist and I found a p-doc who only does med management. I had the old ones for years, they left me in a tough place, I feel your pain. As far as insurance goes, I wish our politicians had to go one year on ours, and add social security for good measure! They would stay sick and in the poor house. Good luck!
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  #12  
Old Sep 28, 2026, 06:06 PM
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SquarePegGuy SquarePegGuy is offline
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@LadyShadow, is there any chance your T would charge much less for a cash arrangement, or maybe he or she does group therapy that might be lower cost? Not sure about this, but is there a supplemental plan that can help with payments? Either way, please write to your Congress People and describe your issue. And also your State's departments of health / insurance.

I start new insurance on Oct 1, and my T is out-of-network. It's actually the same insurance company, but now it will be under ACA instead of COBRA. The administrator of the COBRA insurance would process the out-of-network claims, and the deductible had been met. But now my OON deductible will be $10000, and cash is the only option to keep him.
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  #13  
Old Sep 30, 2026, 10:23 AM
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LadyShadow LadyShadow is offline
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Thanks for all those suggestions so much!!! Omg, @Moose72 - I am so sorry you lost your therapist too!

So, the ongoing thing is I really don't know yet, I have to wait till tomorrow, October 1st to see if he is still in network. I actually had a session with him yesterday, and we tried to see if I was eligible under "Headway" another telehealth mental health service he works with, but he is currently under review with my insurance with that company. He is listed with BrightSide Health which I use now, so I am just hoping they stay on board with my insurance for the upcoming year.

I love your suggestion @Tart Cherry Jam - I went all in with this one and came up with a whole 11-session plan of how I will MAXIMIZE and learn all I can from him between now and December. It is excellent material for my next therapist, but I have also decided it will be a while before I get a therapist again, if in fact, I end up losing the therapist I have now,

Buy you guys, @Victoria'smom @SquarePegGuy @Blueberrybook @Moose72 @Tart Cherry Jam @BeyondtheRainbow @Nammu @Shadesofdark @Crazy Hitch omg, you all made me feel so loved and valued with all your input. Hopefully, I hear some good news tomorrow!!
__________________
“To see the world, things dangerous to come to,
To see behind walls, to draw closer,
To find each other and to feel.
~That is the purpose of life.”
Hugs from:
Nammu, Shadesofdark, SquarePegGuy, Tart Cherry Jam
Thanks for this!
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  #14  
Old Sep 30, 2026, 03:12 PM
Shadesofdark Shadesofdark is offline
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@LadyShadow , If it winds up and you are searching, I do telemed out of Raleigh. I only use them for a pdoc but they have therapists, not sure if they are taking new people but if you do get to the point where you are looking and are having trouble let me know, I have only had dealings with one therapist, it was a man but he was really nice. I am sure they have some females too.. I use medicare for my pdoc, let me know if you want me to ask my pdoc if you want. Hopefully you wont lose your present person but just in case...
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  #15  
Old Sep 30, 2026, 09:02 PM
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LadyShadow LadyShadow is offline
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Thank you so much for that @Shadesofdark - I will definitely let you know - I can't travel to Raleigh as much aa I used to because of my car issues, so it would have to be telehealth - But thank you so much for giving me that option if I do end up losing my therapist.
__________________
“To see the world, things dangerous to come to,
To see behind walls, to draw closer,
To find each other and to feel.
~That is the purpose of life.”
Thanks for this!
Shadesofdark
  #16  
Old Nov 02, 2026, 08:50 PM
Tart Cherry Jam Tart Cherry Jam is offline
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Quote:
Originally Posted by LadyShadow View Post

So, the ongoing thing is I really don't know yet, I have to wait till tomorrow, October 1st to see if he is still in network. I actually had a session with him yesterday, and we tried to see if I was eligible under "Headway" another telehealth mental health service he works with, but he is currently under review with my insurance with that company. He is listed with BrightSide Health which I use now, so I am just hoping they stay on board with my insurance for the upcoming year.d and valued with all your input. Hopefully, I hear some good news tomorrow!!
What did you find out, @LadyShadow?
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Zyprexa 3.75 mg
Naltrexone 25 mg
Zepbound 10 mg

Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism for life
- Obesity, but we are working on making it less so
  #17  
Old Yesterday, 07:39 PM
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LadyShadow LadyShadow is offline
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Location: North Carolina, USA. Originally New York
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Quote:
Originally Posted by Tart Cherry Jam View Post
What did you find out, @LadyShadow?
Hey there @Tart Cherry Jam - I am so sorry it has taken so long for me to get back to you, and this thread. GOOD NEWS! My therapist WILL be covered for 2027. I had to wait till AFTER open enrollment period.

As a matter of fact, I had promising news when I was assigned a case worker at United Health Care who went over everything with me and double checked whether my therapist and psychiatrist were covered and they BOTH were.

It has been a nice reprieve especially since I have been working so hard with my therapist.

But thanks so much for checking in and asking what happened. I appreciate that so much!!
__________________
“To see the world, things dangerous to come to,
To see behind walls, to draw closer,
To find each other and to feel.
~That is the purpose of life.”
  #18  
Old Yesterday, 09:56 PM
Tart Cherry Jam Tart Cherry Jam is offline
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Oh that is wonderful news! Imagine how much more progress you will make in 2027!
__________________
Bipolar I w/psychotic features
Last inpatient stay in 2018

Zyprexa 3.75 mg
Naltrexone 25 mg
Zepbound 10 mg

Vitamin B-complex (against extrapyramidal side effects)

Long-term side effects from medications, some of them discontinued:
- Hypothyroidism for life
- Obesity, but we are working on making it less so
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