u/harmless_poop_truffl

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.