u/harmless_poop_truffl

Hello everyone, I have been a licensed clinical social worker for 5 years now. I am going through a severe depression right now where I dread waking up in the morning. I think the bulk of my anxiety and depression is rooted in the lack of job security in this field as well as the cost of living.

It recently hit me that most of my clients have been with me for 3 years and some even more. These clients are younger and have had severe trauma in their early development. The bulk of the work is play therapy and community based like going for walks on the session on local trails etc.

Im freaking out because I feel like worlds are converging especially with Republicans in charge. My clients are all medicare clients and republicans clearly hate medicare.

Im afraid of some sort of pushback from them for my having clients for so long yet the clinical need is still there and none of the clients want to discharge I even talked to them about how long its been etc.

But if the clinical need is still there after 3 years what was the point of the therapy?

The other fold is if I discharge ten clients Im screwed because of the money and how long itll take to replace them with new clients.

I hate how unfair this job is. You can’t make any money without devoting your entire life to it and its not even worth it. It would be such a great job if it wasnt attacked and under constant threat

Hi i made coffee 👋

Been too long, what can I do?

Hello all

So the gist of it is I have been working at 2 agencies. 1 for a very long time. It pays poorly and the paperwork is unnecessarily complicated. I despise working here. The other agency pays a respectable rate and electronic records saves much time and stress.

Heres the problem. The clients at the agency I want to leave are all under age 15, all have abandonment and attachment wounds, and most Ive had very very strong therapeutic relationships with for years. They use state insurance due to poverty. I told 2 today my plans to leave the agency both kids were crushed crying shut down and everything it kills me.

I read that the client has the RIGHT to follow the therapist if they want to on their own accord, and I did not sign a no-compete.

That means if the ones who really are dependent want to transfer to the other agency to continue meeting with me they can? But is it ethical? Given that it is sort of fostering reliance or emotional dependency on the therapist?

Im a NYC native and local and Ive got about 30k in McDonalds points at (8%APR since 1992) should I leave it and forget it til its closer to the expiration date, or cash in now? 80 y.o male

I have been practicing outpatient therapy for 5 years and have only saw medicaid patients who do not have a co-pay. I am NOT a polished therapist and I have gotten a lot of positive feedback from my client base for my warm personality and ability to meet them where theyre at. These folks are typically struggling significantly and are appreciative of any therapy. Problem is the agency pay is low. I finally got credentialed with 6 private insurances and set up my infrastructure for telehealth and use psychology today to advertise. My issue is I am afraid that private insured clients wont like me because Im too laid back and not super charismatic with a DBT book. Im more into philosophy and jungian type conceptual therapy while also incorporating CBT DBT MI etc. Does anyone get the discomfort im trying to describe? I so badly want to have a case load with a bunch of private insured clients because of the money it would change my work life balance an I might even come out of burn out and feel human again but idk if im good enough for clients that have to pay a co pay.