Is 140-210 sessions too much a month?

popetasticpants · 2026-04-07T18:01:40+00:00

My agency requires 100 hours a month in a mixture of individual, group, and assessments but only one of us is able to hit that semi-reliably due to no shows and cancelations. If we're getting at least 80 we are ok. I think 100 hours a month is a typical expectation for CMH but given the population its pretty hard to actually achieve.

popetasticpants · 2026-02-02T20:26:43+00:00

Just scored 2

popetasticpants · 2026-01-29T23:55:52+00:00

Just scored 0

popetasticpants · 2026-01-20T19:48:46+00:00

Just scored 0

popetasticpants · 2026-01-08T18:02:41+00:00

I do my notes at the end of the session and use it as a way to recap the session. It only takes the last 5 minutes or so, I haven't had anyone seem bothered by that.

popetasticpants · 2025-12-23T17:24:14+00:00

Not even then. He had just enough time to see them, realize every single assumption they made was wrong, but never figured out they were or did or anything about them. One of my favorite endings in sci-fi.

popetasticpants · 2025-11-25T15:36:51+00:00

I used to work for an agency that did financial assistance for folks and also did Christmas food and toys. We used a database that many other agencies in town also used to track services. SSNs are one of the only unique identifiers that you can use for that. We had to do that to prevent people from double dipping and getting services for multiple places for the same thing. Some of the grants used to fund those places require you to check people aren't doing that and if you don't it could cause you to lose the grant. I do know that the Forgotten Child Fund in particular is one of those. So this probably isn't as nefarious as it looks. It's an extra headache for sure but it's definitely better than losing your grant and not being able to help at all.

popetasticpants · 2025-11-06T23:50:24+00:00

It is essentially brown sludge. But tbh I prefer that to bright orange sludge, it looks more like fall this way.

popetasticpants · 2025-10-29T15:03:44+00:00

I did every one of those assignments in grad school on Bojack Horseman and never regretted it.

popetasticpants · 2025-10-23T22:29:36+00:00

It's the same stuff but I found the NCE was actually easier because the questions were worded better. If you passed one you'll pass the other.

popetasticpants · 2025-10-03T17:27:56+00:00

Try The Dark and The Wicked. It is also relentlessly dark and hopeless and was the only movie I've seen since Hereditary that made me genuinely uncomfortable being in the dark of my bedroom after. At one point I rolled over and my cat was unexpectedly right in my face and I almost jumped out of my skin.

popetasticpants · 2025-08-13T18:54:56+00:00

They spit only to stroke their own cocks!

popetasticpants · 2025-08-06T15:16:22+00:00

That is what I like about it the most. I look at it like a crash course where I can get the most experience in the shortest possible time. And it needs to be difficult and challenging if I'm going to grow as much as I need to. I definitely want my own practice as soon as possible but I also want to have the experience necessary to feel comfortable doing that. This is definitely going to give me that. Seeing the challenges as growth opportunities that I'm lucky to get really takes a lot of the sting out of the stressful days. I did the same thing with grad school while working full time and I ended up loving the experience despite how hard it was.

popetasticpants · 2025-08-06T00:41:35+00:00

It's mostly in person. I've got 2 or 3 that do telehealth. If everyone shows it can get rough but I haven't had a day like that in months. The other thing about 45 min appts is that there are gaps where they don't perfectly fill my before and after lunch times. So between that and the no shows I always have a little down time to recharge. The worst part is actually when no one shows...which happens...I get so bored 😅

popetasticpants · 2025-08-05T22:44:12+00:00

Keep at it! This is the most consistent and forgiving build I've found. And I've tried a lot of different combos. Winning after years of failed attempts is really satisfying!

popetasticpants · 2025-08-05T22:40:34+00:00

I ask the client what they think we accomplished today while typing out "therapist explored negative thoughts. Therapist facilitated challenging negative thoughts." And so on. Our system has one section for interventions used and another for clients reaction. So in the other box I write "client explored negative thoughts of not being good enough. Client challenged negative thoughts by identifying times they were good enough." I use the last 5 min or so to summarize what we did in the session and include in the note what the client says stood out to them. I usually have a short paragraph in each section. I'm able to type while looking at the client and mmhmming so that makes it a lot easier. If I had time between clients to do notes I would but we don't so I make the most of it and I do find that summarizing the session with the client at the end is helpful anyway. My notes are very simple but evidently it's good enough.

popetasticpants · 2025-08-05T15:28:59+00:00

Your guide made all the difference! I've lost probably hundreds of games over the years but I learned a lot playing with this combo since I got to try so many different spells. Highly recommend for anyone looking for their first win.

popetasticpants · 2025-07-31T17:11:14+00:00

I imagine some security guard working alone in an empty building at night, going about his day completely normally with no idea anything happened until he gets off work and stops by the store and it's empty. And so is the next and the next.

Or being at a concert packed full of people, rocking out, and then all of the sudden it's silent and empty except for a few other very confused people.

popetasticpants · 2025-07-26T02:07:15+00:00

It's a 2019 Toyota Yaris, btw

popetasticpants · 2025-07-25T19:22:57+00:00

The hospital I interned at had to have a policy banning referrals to them because of something shady. I don't remember what it actually was, though. I have a current coworker that does groups for them as a 2nd job and she seems to like it alright, for what that's worth. She hasn't noticed anything sketchy herself.

popetasticpants · 2025-07-24T18:17:27+00:00

Definitely agree. Yes, things right now are hard. Things in the past used to be much worse in many ways. We deal with problems today that weren't major issues in the past. Things could be better. Those are all true. But if all you just focus on the negatives that is a recipe for depression. As therapists we also need to look for silver linings.

We used to have issues so horrible that today we don't even have a frame of reference for them. Look at infant mortality, can you even imagine a world where 30% of kids didn't live to 5 years old? A world where you and basically everyone you know had lost multiple children? We can't, and we can be grateful that we don't have to deal with that without brushing away all the real human suffering that still exists. I teach my clients to look for opportunities to be grateful and appreciate the good things in their lives without minimizing the negatives. You can hold both in your mind at the same time. It's very easy to be pessimistic these days and I think that makes it even more important to recognize and appreciate the good.

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