u/AnalystImpossible960

I’m still new to the field and when I saw my first employment contract it boggled my mind. The non-solicitation is silly, the non-compete feels like a flagrant labor law violation, and the idea of tying benefits to client quotas seems unethical.

But my “favorite” part was that the contract stated I would receive 40% of the split, so I asked the practice owner about it. He said he pays 50%. So, after an extended pause I asked “could we…make the contract say 50% then?” And he said no. I went elsewhere.

I can’t help but imagine there’s all sorts of crazy bs in some of these contracts. What’s the clause that made your eyes roll into the back of your head?

I know this is a common requirement in therapist contracts, but I find it ethically questionable (to put it mildly). It seems guaranteed to add stress to the therapist’s life, and create a desperation that cannot be healthy for the client relationship.

I understand it’s expensive for practice owners to insure employees, but this just seems like the wrong answer. If you hire someone to work full-time, you should be prepared to offer them full-time benefits and assume you can help them build and maintain a full caseload. If that doesn’t happen and you feel like it’s the therapist’s fault, you can terminate the contract.

But dangling a person’s (and their family’s) healthcare over their head constantly just seems messed up.

Curious if I’m on an island on this one. Or if there are practice owners who can credibly defend the practice.

(If it’s not obvious, I live in the U.S. and agree the real answer is nationalized healthcare).

I’m just running out of things to write here. Some sessions offer obvious thoughts on responses to intervention, client feedback, etc. But mostly I feel like I’m just farting out generic bullshit, and worried an insurance company would push back if they ever looked at the note.

Does anyone feel like they have genuinely new and relevant information to put in the Assessment part of the note after every client session?