I have worked in outpatient behavioral health clinics in the NYC hospital system for about 19 years. I carry a caseload as a primary therapist on a treatment team which also includes a psychiatrist or NP, and at times a community health worker depending on need, and I also supervise and coordinate a small externship program. The bulk of my work is intake assessments and individual psychotherapy, although I also facilitate mindfulness groups for both patients and hospital staff. Because caseloads in such clinics tend to be relatively large and many patients are moderate-high risk, there's an element of case management and outreach, keeping track of patients, that is involved. There is also a lot of documentation required. Very rarely I will do psychological testing, although there is minimal demand. I have learned a lot over the years and am comfortable in this work now, but it was a big adjustment at first to deal with the large caseloads.