does residential addiction care specialist count? I use a lot of post its (phone calls, prescription pick ups, food requests, med counts, who needs to be drug tested today, etc). I also just straight up tell people things I struggle with (hearing through windows, assertiveness in stressful situations) and frame it as a place for either growth or accommodation (wait to talk until I open the window, next time a stressful situation happens, I'll say... (script))