2026_04_14_18-32-09 Tuesday Mentee CTM Session

0:09 Introductions and audio troubleshooting
0:44 Personal and professional check-ins
1:35 Nikki’s case introduction and context
2:41 Clinical and logistical challenges of Loki’s case
7:34 Client complaint and professional boundaries
11:17 Recommendations: referral process and future-proofing
15:07 Case delay and client complaint
17:32 Interim client engagement strategies
18:58 Client non-response and mutual frustration
20:40 Professional framing and legal requirements
22:19 Terms, referrals, and charging
25:09 Medication logistics and role limits
31:33 Interim modification plans and medication limits
33:53 Practical interim exercises and client engagement
35:34 Tension between medical prioritisation and early behavioural work
38:30 Package structure and management flexibility
40:19 Caseload tracking tools and spreadsheets
48:11 Using recordings and AI to refresh case memory
49:25 Peer support, free work, and preparing starter resources
54:34 Case introduction and medication context
57:18 Trazodone’s suitability and clinical perspective
1:01:19 Regression after medication changes and contextual factors
1:01:41 Second case — appetite linked to trazodone dosing
1:04:22 Diagnostic suggestions — routines and tableting trial
1:07:44 Owner perception, placebo, and external factors
1:11:15 Pharmacology — metabolism and withdrawal considerations
1:12:34 Street-dog breakthrough and owner reaction
1:13:10 Hands-off engagement techniques for nervous dogs
1:14:21 Gradual contact and building duration
1:15:53 Medication concerns for a small dog on Reconcile
1:18:44 Dudley overview — bowel issues and humping behaviour
1:24:05 Arousal regulation strategies and decompression activities for Dudley
1:28:52 Decompression principles and sensory options
1:30:42 Identifying Dudley’s frustration threshold and toy preferences
1:30:53 Toy and play recommendations
1:35:11 Catching, training notes, and owner experiments
1:38:27 Shaping play mechanics: tug, retrieve, and bridging techniques
1:40:03 Gastrointestinal timeline, FMT, and diagnostic options
1:42:23 Practical cleanup solution and case update
1:47:23 Video access and front-door sensitivity
1:48:35 Proposed training approach and context control
1:51:53 Live demo, tech issues, and video sharing
1:53:50 Gait and lameness concerns from video review
1:54:57 Separation behaviour, frustration, and household constraints
1:56:29 Assessments, sound sensitivity, and vehicle issues
2:01:11 Timeline uncertainty, crate history, and next synthesis steps
2:03:32 Lead skills and immediate walk interventions
2:05:38 Video observation and gait concerns
2:07:54 No-attention cue and in-home settling
2:09:29 Rest, daycare context, and reducing problematic door routines
2:11:12 Introducing free work as a coping-alone strategy
2:18:23 Practical setup and gradual departure testing
2:20:30 External resources and perspectives on training trends
2:24:29 Medication options and immediate treatment ideas
2:25:09 Availability and sourcing of clonidine
2:25:26 Efficacy and side effects of fluoxetine and alternative SSRIs
2:26:28 Pharmacology discussion and neuropathic pain approaches
2:28:01 Case-study materials and missing records
2:29:03 Scheduling and closing remarks