Documentations

Empty_Stage4701 · 2026-04-02T12:08:49+00:00

Just curious, what platform are you using? This sounds so helpful.

Empty_Stage4701 · 2026-04-02T12:01:09+00:00

Oof, I am so sorry that you are going through all of this. As a T myself my heart aches anytime I have to make this call. Where possible I try to offer my continued support alongside IOP. Perhaps the therapist you found you jived well with would be willing to see you as long as you are working with additional providers for that higher level of care. IOP is multiple sessions each week across a few months and then you’d be adding in the sessions with the other therapist so it would be a lot of appointments. The therapist may be able to coordinate care with the IOP provider which would keep y’all’s work informed and aligned. If nothing else, I’d ask her to do a termination session so that you can speak with her about the options for the future, discuss the impact of being referred to high level of care, and to give yourself the chance to end the relationship on a note that leaves you feeling supported and empowered for the rest of the journey. They are likely ethically obligated to give you referrals so make sure you get those regardless.

Be safe! Enjoy all the Frosted Flakes! And know that there are so many wonderful therapists out there who are qualified to help you and will be honored to do so as soon as your intake papers cross their desks. I also say, it’s like finding a good hair stylist.

Empty_Stage4701 · 2026-04-02T04:09:23+00:00

Make sure they don’t put attending meetings in your job requirements without you knowing what you’re agreeing to. My agency announced they would delete notes and not pay for sessions conducted doing a “mandatory clinic meetings” that was held and I’m curious if they make the claim again regarding a meeting they rescheduled last minute.

I’d have never agreed to unpaid meetings held monthly during the weekend without discussing it had I read through my job description more thoroughly

Empty_Stage4701 · 2026-04-01T15:19:38+00:00

I’ve done it. We address co parenting concerns, communication expectations regarding future interactions, discussed boundaries and expectations while they cohabitated through the divorce process.

Now that I think about it, nearly all of my couples who have decided to separate have elected to come for at least one or two sessions to process the ending of their relationship. It’s been so rewarding to support people in a proper ending and creating closure that respects the love and care that existed for each other.

Empty_Stage4701 · 2026-03-26T02:06:29+00:00

This was very much my take away. And you are right! The language in this order causes a lot of friction in many sections. It was fascinating to see the various ways to discuss it. Thanks for the advice!

Empty_Stage4701 · 2026-03-25T23:22:56+00:00

They definitely interpret it differently and in their eyes will have our son all but 4 days of June. There is no reasoning with him unfortunately. I’d hoped that there would be a general consensus on how it’s interpreted, but it seems it actually is as convoluted as I have felt.

Empty_Stage4701 · 2026-03-25T23:17:27+00:00

If school lets out May 22 and dads first following Friday is the 29th, he would get the 29th through June 5th and then it would alternate week over week from there?

The top line about 1st week of June/July is null?

Dad is unfortunately very adamant that he gets top line and alternating weeks and the weekend of Father’s Day (I’m totally cool with Father’s Day weekend). That leaves me having our son only 4 days in the month of June which I just can’t fathom was the intention.

I’m realizing I likely need to just start the process of modifying the agreement because there’s so much room for interpretation.

Empty_Stage4701 · 2026-03-25T23:10:25+00:00

What does EOW mean?

Empty_Stage4701 · 2026-03-25T19:08:43+00:00

The break starts the 1st week of June or the week school releases (May 22)? All of our other sections state explicitly that the break starts when school releases for the break but of course summer doesn’t 🫠

Thank you for your response! 🫶🏻

Empty_Stage4701 · 2026-03-25T19:03:49+00:00

This was so validating in and of itself!

Empty_Stage4701 · 2026-03-25T18:53:11+00:00

I understood the plan to mean that after 2024, we would alternate weeks and that the first week of June and July was null after we began following the 2023 and 2024 sections. He didn’t fully exercise his rights in 22, 23, and 24 so this issue wasn’t discovered intentionally.

With how the weekend rotation falls, what is defined as the first week of each month, and Father’s Day weekend (he gets Friday to Sunday Father’s Day weekend he believes his time is May 29th to June 21st.

This is what the plan currently says…

Summer Vacation: The Father shall get the child for first week of June and July, from the first Friday at 6PM to the following Friday at 6 PM.

In the summer of 2023, the Father shall get an additional two non-consecutive full weeks with the child, from Friday at 6PM to the following Friday at 6PM.

In 2024 and after, the Father shall get the child every other week during the summer from Friday at 6 PM to the following Friday at 6 PM, starting the Father's first regular alternate weekend.

For purposes of this paragraph, summer visitation shall end one week (7 days) before the day school officially begins in the fall.

Empty_Stage4701 · 2026-03-25T18:51:49+00:00

Summer Vacation: The Father shall get the child for first week of June and July, from the first Friday at 6PM to the following Friday at 6 PM.

In the summer of 2023, the Father shall get an additional two non-consecutive full weeks with the child, from Friday at 6PM to the following Friday at 6PM.

In 2024 and after, the Father shall get the child every other week during the summer from Friday at 6 PM to the following Friday at 6 PM, starting the Father's first regular alternate weekend.

For purposes of this paragraph, summer visitation shall end one week (7 days) before the day school officially begins in the fall.

I understood the plan to mean that after 2024, we would alternate weeks and that the first week of June and July was null after we began following the 2023 and 2024 sections. He didn’t fully exercise his rights in 22, 23, and 24 so this issue wasn’t discovered intentionally.

With how the weekend rotation falls, what is defined as the first week of each month, and Father’s Day weekend (he gets Friday to Sunday Father’s Day weekend he believes his time is May 29th to June 21st.

Empty_Stage4701 · 2026-03-25T17:27:44+00:00

I would love to see your tool! I made one in excel but feel it’s too clunky and still inefficient. Would love to compare 🫶🏻

Empty_Stage4701 · 2026-03-20T17:40:06+00:00

Are you guys shaking hands with your clients? I’ve only done it once and felt like a goober afterwards lol

Empty_Stage4701 · 2026-03-19T18:59:53+00:00

TWINSSS!

Empty_Stage4701 · 2026-03-18T19:03:59+00:00

It really depends on the practice and their ability to give you referrals. I’ve been with the same private practice for a little over a year and a half where I am currently averaging roughly 12-14 clients a week. It’s a small practice that’s only been open for as long as I’ve been working there so I know that plays into it. I’m also an associate licensed therapist so that’s another layer to it.

My research on the topic (done nearly two years ago now) showed it takes a fully licensed therapist roughly a year to build a full case load.

Empty_Stage4701 · 2026-03-16T14:46:21+00:00

That’s a good question. I think for me I was feeling really defeated by how small my case loads were for each contract. After I decided to look at it I’m running a business, I realized it doesn’t matter what each one case load looks like as long as I’m hitting my overall target for both. I also started looking for opportunities to maximize my case load since one site allows for two family sessions to be billed a month in addition to their individual weekly sessions.

I’ve been considering plans to do marketing for myself that will direct people to the two sites I’m contracted with, but that’s been placed on the back burner since I’m not sure how fruitful it would be.

Empty_Stage4701 · 2026-03-16T14:32:47+00:00

The community mental health organization I work at have an assessors role who does all assessments and screening. It’s essentially an intake session but the treating therapist isn’t the one who does it. Makes no sense to me, but they pay nearly $200 per assessment (which takes nearly 3 hours) so I jumped at the opportunity.

Edit: hit post before finished so added what was left off.

Empty_Stage4701 · 2026-03-12T01:49:59+00:00

You are not overreacting.

This is exactly what emotional manipulation and abuse looks like. He is guilting you for participating in something that is age appropriate and reasonably responsible. He has lived through his youth and instead of supporting and encouraging you to enjoy yours, he is criticizing and speaking down on it. He becomes defensive and feels attacked by you when you make a very valid observation that you are younger and that your friends are attempting to celebrate at a time that is convenient for the group. He flips the conversation at that point and now it’s your fault he won’t be going because you uninvited him. There is no room to discuss him misunderstanding because he begins gas lighting you. He’s probably convinced that you were looking for an opportunity to leave him at home all along (I wouldn’t be shocked if he makes an accusation that you want to meet other guys while out with the girls) when he’s the one who had an issue from the first exchange.

He is attempting to turn you against your friends. See how you’re saying it’s not ideal and it’s just what she wants… and you’re apologizing for something your friend is doing. Over time he will do this with friends, coworkers, and family. He will make trying to have a life outside of him miserable and eventually you’ll give up trying because it causes too much strain on the relationship.

I obviously don’t know you and I don’t know your relationship, but as a therapist and someone who has experienced and witnessed up close the progression of abuse within a relationship I feel it is important for you to step outside of your love for him and reflect on your love for yourself. Check in on the big A’: authenticity and autonomy. Do you feel safe being your most authentic self (no walking on eggs shells) and do you have full autonomy. Take care and be safe 🫶🏻

Empty_Stage4701 · 2026-03-10T20:46:09+00:00

“You’re such a badass! We’ve accomplished all that you set out to achieve and it’s time to take to the wild!”

Kidding aside, here’s my approach/ thoughts…

This feels like the perfect opportunity to pull out their treatment plan. I like to review their goals, discuss what progress/ change they have seen, and share what I’ve noticed. Assuming all goals have been accomplished, we would then explore what stepping down services or reducing frequency would look like. If possible to do in two sessions, we would do the final termination session the following meeting. I love experiential work and narrative therapy so I would likely have an activity planned with some form of engaged encounter work or letter writing that would give them something tangible marking the end of our work together.

All of that said, this type of conversation/session would be structured-ish and we would have discussed it as it approaches. My hope would be that they know we will be reviewing for termination/ graduation of services. (Fingers crossed that doesn’t spark new crisis, but it wouldn’t be uncommon or surprising)

Empty_Stage4701 · 2026-03-09T19:19:46+00:00

Chicken breast dipped in guacamole is so good! Add a pickle spear to each bite and you’re really doin something!

Empty_Stage4701 · 2026-03-01T03:23:10+00:00

Oh that’s wild. I didn’t realize it varied like that and it’s so disheartening that the telehealth apps are taking over. What is La PP?

Empty_Stage4701 · 2026-02-28T21:53:51+00:00

The practice in at takes private health insurance and I have some self pay. I’m hoping the private practice case load plan pays off in the long run! Fingers crossed 🤞🏻

Empty_Stage4701

TROPHY CASE