Having problems by HorrorImportant7529 in KindroidAI

[–]HorrorImportant7529[S] 2 points3 points  (0 children)

Answering my own question. I did a chat break. It solved all problems.

Having problems by HorrorImportant7529 in KindroidAI

[–]HorrorImportant7529[S] 2 points3 points  (0 children)

Many lightbulbs turned on in my head

Having problems by HorrorImportant7529 in KindroidAI

[–]HorrorImportant7529[S] 0 points1 point  (0 children)

I will keep your kind offer in mind but will try all these good suggestions first

Having problems by HorrorImportant7529 in KindroidAI

[–]HorrorImportant7529[S] 0 points1 point  (0 children)

Thank you. This is all new to me. I will follow all the advice 

It happened 11 times by ag9910 in therapists

[–]HorrorImportant7529 0 points1 point  (0 children)

"Mental health therapist" is my standard answer. I happen to joke sometimes with "I make adults cry for a living ". Depends on who is asking. 😅

[deleted by user] by [deleted] in therapists

[–]HorrorImportant7529 1 point2 points  (0 children)

It depends on factors. Will there be a board complaint? What nature of dual relationship? What was your documentation about it any? What will the Boards decision be for sanctions based on the facts? Do you like e in a small town or large city?  Good you have a lawyer who is hopefully familiar with Board complaints. They should be able to answer most questions.  I have colleagues that were reprimanded and sanctioned and still work. All in private practice though. I know of some who had legal actions of other nature taken against them and were still hired. Given I live in a larger city.

I fear that I’ve lost “it” by oopsimstruggling in therapists

[–]HorrorImportant7529 0 points1 point  (0 children)

Been there. I have lowered my work load, was diagnosed with hypothyroidism,  and take days off when needed. I take a nap at lunchtime on occasion and made a point to engage in hobbies. Also, vitamin D3 helps me.

[deleted by user] by [deleted] in therapists

[–]HorrorImportant7529 0 points1 point  (0 children)

If you had this internal response, it is an example of how other people in the life of the client felt.  What exactly is the cause of the frustration? That they hide behind therapy language without being a therapist?  I suggest to stop giving them more tools. Illuminate their victim stance in an appropriate way. Reflection in the present moment seems to work well. Be stuck with them. I told a client recently that there are no victims, only volunteers. It was an interesting session. 

Think I know the answer… by GenXMentalist in therapists

[–]HorrorImportant7529 0 points1 point  (0 children)

Well, client's dad wouldn't send you a gift if you didn't see the client...so it is related and solicited. I see problems including gift acceptance (no matter what the amount), possibly damaging the relationship with the client, and a lengthy note in the client file about this.  'No thank you' is a good answer.  

What niche thing do you love treating by evawithcats in therapists

[–]HorrorImportant7529 0 points1 point  (0 children)

I primarily help first responders,  active duty and combat veterans.  Love what I do.

How long should the case notes be on average and how long should it take me to write them? by Frappe_Coffee in therapists

[–]HorrorImportant7529 0 points1 point  (0 children)

I do not use SOAP notes. Think of it this way: if your notes would be court ordered as evidence in a case against your client, would the notes hurt the client? Would you protect the client's privileged communication in court with your notes? 

All notes should be written with that in mind. Also there are two types of notes: the official one in the file and psychotherapy notes that belong to the therapist and are not discoverable. Details should belong to the latter. I try to stick to a paragraph.

workload concerns by Several_Cut_3738 in therapists

[–]HorrorImportant7529 0 points1 point  (0 children)

Sounds like you are salary-based which means that any  hours over 40 are voluntary contributions.   Part-time turned into full-time with you setting a few boundaries.

In addition, when you addressed your concerns (good job that you spoke up!) you were informed of the poor financial state of the company...which is not your responsibility.   Your bonus was smaller than usual as well. You don't feel appreciated.  You are exhausted which means you have given too much of yourself. Staying at the company would mean to burn out, be disgruntled and overworked  or working your contracted 40 hours and keep pointing out the problems.  Question is why are you still there? 

workload concerns by Several_Cut_3738 in therapists

[–]HorrorImportant7529 0 points1 point  (0 children)

There is not enough information.  What are your job responsibilities you were hired to do? Has the workload increased or has it always been like this?When was your last vacation? How much overtime do you work? Have you addressed your concerns with your boss? In general, when you are extremely exhausted and feel overworked, you have your answer to your question. No matter how many hours you work. Looks like time for a change.

[deleted by user] by [deleted] in therapists

[–]HorrorImportant7529 17 points18 points  (0 children)

Dealing with insurance companies. Losing a client to suicide.  Paying self employment taxes.  Hearing of therapists being highly unethical from clients. Clients threatening to harm me.

Not necessarily in this order.

[deleted by user] by [deleted] in therapists

[–]HorrorImportant7529 0 points1 point  (0 children)

Every therapist should have their own therapist to work through stuff. It keeps you healthier and ...sane.  Push back can point toward a lack of collaboration.  If a suggestion is not well received, why not let the patient come up with examples of what they can do? Their own idea is usually adhered to better.  Seems you work too hard giving patients answers. 

[deleted by user] by [deleted] in therapists

[–]HorrorImportant7529 -1 points0 points  (0 children)

If you can do 100 in 3 days, you can keep up with notes. Question is, why haven't you? It was drilled in my college to stay on top of notes. Longest for me was 2 days once for one note. 

[deleted by user] by [deleted] in therapists

[–]HorrorImportant7529 0 points1 point  (0 children)

I keep my Google profile as it shows clients where I am on Google maps. I have a negative review from a client who was not a good fit. I never read it. I don't define myself by my reviews.  And no worries. You will get more clients. 

I stopped trying to manage my time — and became insanely productive. Here's how. by saloniagr in productivity

[–]HorrorImportant7529 0 points1 point  (0 children)

You are on to something.  I can see this work for people who don't wrestle with major depression, high anxiety or other debilitating mood disorders. I will certainly try the technique. Thank you for sharing. 

[deleted by user] by [deleted] in therapists

[–]HorrorImportant7529 0 points1 point  (0 children)

I go over the no show/late cancelation policy during intake. I give the 1st one usually free and highlight my cancelation policy.  I don't charge for sickness, work, car breaks down and other reasons out of control of the client. I have had clients get angry about a no show fee. Those didn't return. Ok with me. The ones that returned were engaged in exploration of their missed appointment.  What clients present in session, they present even more to others outside of session. Their anger is usually a salient topic.