Posted by gardenergirl on November 8, 2004, at 15:38:45
In reply to Hey, gardenergirl...., posted by littleone on November 8, 2004, at 15:10:56
Hi littleone,
I didn't mean to sound so negative. The room I set up is the office I use at the clinic where I am training. It's a health clinic, and we receive referrals from the physicians. My supervisor is a very problem-focused, CBT-oriented kind of therapist. He has tons of experience, so I am actually in a good place to learn to use CBT techniques. It's just not my favorite thing. I prefer long-term clients like I saw at a different training site last year. My supervisor has no patience for, and perhaps even disdains (I infer) self-psychology and dynamic therapies. That hurts, as it is how I think, and it is also the therapy that is working for me.Part of it that makes me a bit jaded is that I am dealing with insurance for the first time, and co-pays on the part of the clients. So, there is more than just the clinic's model which leads to shorter-term treatment. There is expense involved. And it's not really a "patch em up" mentality in the extreme, but wellness is not a focus for treatment. Insurance won't pay for that. Of course they also won't pay for "pre-existing" conditions for a period of one year. Just how is someone with a chronic and more severe disorder requring fairly consistent treatment supposed to get survive for a year without treatment or pay out of pocket somewhere? UGH. That aspect of the law needs to be changed. Mental Health Parity NOW! (okay, off of soapbox).
Sigh, I hate living in the real world sometimes. In my ideal fantasy therapy situation, everyone who wants it can have therapy for free for as long as they want/need it. All of the T's would be excellent. They would all be good fits between the client and the T. And the T's would be adequately paid by, er, somebody.
I also know that in the real world, long term therapy exists. I just feel like I went from one extreme to the other this year, and it's taking some adjustment for me to wrap my brain and my heart around this approach.
I realize I'm rambling, but am I making any sense?
Thanks for your concern and kind words. You are very sweet.
gg
poster:gardenergirl
thread:413367
URL: http://www.dr-bob.org/babble/psycho/20041104/msgs/413384.html