Does anyone have a good resource (ideally 1-2 page PDF) for an intro to the Karpman Drama Triangle for the family dynamic context? I suspect it’s gone out of fashion but I find it useful in certain contexts.
Mods, remove if it’s not allowed. I am a therapist curious about client perspectives.
1- Do you have a sense of what your treatment plan is?
This could either mean you’ve actually reviewed the written document and have a meaningful shared understanding of it with your therapist, or you can somewhat confidently say “I am in therapy working towards X, Y and Z goals by doing A, B, and C things with my therapist” and you’ve talked about that pretty explicitly with your therapist.
2- Whether your answer is yes or no, how do you feel about that? Is it very helpful to know? Is it difficult or frustrating not to? Do you prefer for that to be something the therapist worries about and you just get to have your sessions? Would it feel awkward to initiate that conversation? Did your therapist make it comfortable?
I’m just curious.
my understanding is that any of us in solo practice are responsible for a professional will, so that if we die or become incapacitated unexpectedly someone becomes responsible for our clients and records. On a practical level, how have people handling this? Talk with a respected friend and tell them where you’re keeping an up-to-date written-down password for your EHR? Expect them to call the up to 50 or 60 current clients you have and manage anyone in crisis as well as settle your affairs if needed? Those are big asks. Does anyone have a good model for how to handle it?
That’s the whole post.
I often see therapists refer to charging the card on file at the time of service, which makes perfect sense for cash clients. For folks who take insurance, though, what are you actually doing?
I’m separating my practice from a partner and likely moving to simple practice, and not sure if I’m up for taking on my own billing.
For those of you doing and measuring effective PTSD treatment for clients who experience a dramatic improvement in Sx, how long do you all keep PTSD on the Dx list and keep billing it? I have no intention of discharging clients whose PCL-5 improves to subclinical levels (~<28) who are still dealing with significant stressors, identity disturbance, relational patterns associated with trauma etc, and I could probably justify an adjustment DO, but it also feels weird to just wipe PTSD off the Dx list super quickly.