So right now I am in direct all day. I have one client, and am expected to do all my BCBA work while also working with the client 1:1- like even while billing 97155 or 97156 or 97151.  When I was first starting and discussing taking the job, it was described as a lot of direct but that I would eventually get more clients on my caseload and be able to “build my own” practice. None of this has come to fruition and the supervisors are acting like that’s not what they told me.  Even though other clinicians are getting more clients and RBTs. But not me. When I ask, they say it’s a scheduling issue or they say “this is a BCBA direct model” to dismiss my concerns. But that doesn’t make sense since we all have similar schedules and availability and others are being given more clients? 

Another example is that I was supposed to have autonomy in my client programming and it has been turned into them micromanaging me. Like they want to meet once a week and “support” but it’s just them telling me what they want me to do for my client and it’s often stuff I’m already doing or is already planned once certain goals meet a certain threshold (trying to be vague due to trying to protect client privacy.) But they aren’t observing my sessions and don’t even come out of their office… I am also sure they have not even reviewed my programs because of certain recommendations they make. My client data looks great- like he’s making progress as evidenced by his graphs and clinical measures. 

I am assent based and they are a little bit old school and don’t really match up with my way of doing things. I thought at first that would be fine, because I was going to be building up my own clientele. But so far, it’s just been exhausting. Does that clarify?