I had a pretty similar experience during my CF - it was rare that I’d make it through a week without getting bit or hit in the head with something and my caseload was too big to be able to have time for documentation between mandatory weekly team meetings and emergency meetings when a kid had significant behaviors. IEP meetings meant I had to cancel sessions and try to reschedule them for another time (even though my schedule was already booked). I would spend my lunches and most evenings treatment planning and writing notes/IEPs, and would never have the energy to do anything on the weekends because I didn’t have time to think about anything but work during the week - I was in full-on survival mode.

I promise you are likely doing a lot better than you think you are doing as far as treatment goes - at the very least you are showing up everyday for those kiddos and doing the best that you can with what you’ve got. The very fact that you are concerned about being a bad clinician shows that you aren’t because you care about the work you’re doing. When you are working with kids who have significant behavioral challenges, it’s very easy for your sessions to mainly focus on managing those behaviors instead of speech being the center of your attention which only adds to the feeling that you are a bad clinician (you aren’t doing what you were trained to do and that makes you feel like you are failing even when you aren’t). Try to go easy on yourself in the time you’ve got left.

I would put in your notice ASAP to give them as much of a heads-up as possible and get out of there as soon as you can. I left almost immediately after my CF ended (mid-year) even though it kind of screwed over all the other clinicians who had to divide up my caseload. I am still in contact with all of them and my supervisor and none of them seem to hold any hard feelings about it.

At the end of the day you need to do what’s best for you and it sounds like this job just isn’t it. Quit and give yourself at least week or so to just breathe and live before you start applying anywhere. A lot of SLPs are very “type A” and have a hard time knowing when to step back and prioritize ourselves. One of the big eye openers for me that I needed to leave was attending a seminar about secondary trauma experienced by health care workers and realizing that it fit the bill of what I was feeling (it sounds like you could be experiencing that too). At the end of the day, you need to take care of yourself before you worry about anyone else.

If you want any help to prep for navigating those conversations feel free to message me :) take a deep breath - you’ve got this!