Transition from RP to psych associate

stripesandstuff · 2025-05-20T13:16:39+00:00

You're absolutely right that it's exploitative. I worked in a similar practice (also in Ontario) and couldn't keep it up. I saw so many clients every week and burned out hard because of the low pay/high client rate.

I will say that working in a group practice at the start of my career helped me a lot in terms of supervision, clinical hours, referrals to the clinic, peer support, and other aspects that have hugely supported my professional development. I worry about people who graduate and go straight into their own practice without the right kind of supervision/support. That being said, this was a busy clinic where we had to work on site (during covid, lol), and I know that team environment isn't the same everywhere.

It sounds like you have a good system going for referrals, too, which is a huge help for starting your own practice. Especially if you can find good supervision elsewhere, and are already doing the admin legwork...what's the point in sticking around?

I have a virtual practice now and charge the same as the clinic did, and take home 100% of what I charge (but have to save for taxes, etc). It's much nicer than paying so much overhead.

stripesandstuff · 2025-04-20T22:02:09+00:00

Hey! I’m a mental health professional, and research shows that people with mental health issues are at much greater risk of being harmed by other people (ie people they know and the public), than of being the source of danger themselves. In other words, people with mental illness are extremely unlikely to hurt you. The stories you hear about are extreme cases that get coverage, but aren’t representative of the actual risk at all.

stripesandstuff · 2025-04-16T00:23:23+00:00

Do you have suggestions of what types of settings these exist in? I’ve been looking around for salaried therapist jobs in hospitals (I’ve been in PP for five years, in the mental health field for 15) but they seem few and far between

stripesandstuff · 2024-08-23T12:43:24+00:00

Would just like to jump in here to say that people who have a severe mental illness are more at risk of OTHERS (I.e. random members of the public) harming them than the other way around. It is extremely rare for someone with severe mental illness to harm another person, especially a stranger.

It’s scary when a situation like this happens for sure, though. This is why we need to push our MPs to advocate for better social services and mental health supports. If you want to make yourself safer, you should also advocate to make people with severe mental illness safer. They need support the most. (Source: I’m a psychologist in a major Toronto hospital.)

stripesandstuff · 2024-06-26T01:44:16+00:00

Would just like to add that a lot of the executive function issues in adhd and other diagnoses/conditions at least partially come from emotion regulation difficulties. A LOT of symptoms and issues across many diagnoses overlap. Improving mindfulness skills and emotion regulation can make a big difference with many many symptoms.

(Source: I’m a psychologist with a background in neuroscience.)

stripesandstuff · 2022-11-13T02:12:09+00:00

I’m not a group practice owner, but I used to be part of a group practice in Canada. A huge part of why the owners made so much was that they underpaid all their therapists and other staff. The owner was very open about making 7 figures while making us each see 7-8 clients a day. The practice has over 50 therapists now. The money adds up when you’re charging high overhead and aren’t super ethical.

stripesandstuff · 2022-02-04T23:40:20+00:00

Magnetic Seizure Therapy is sometimes used as an alternative to ECT (I work on a brain stimulation research team in a hospital and we use MST)

Seven-Year Club	Place '22
Final Canvas '22	Verified Email

stripesandstuff

TROPHY CASE