--The way that they present the pay in the interview is completely misleading. There are many factors that impact pay including length of sessions, and I was never told that we only get about 1/3 of the late cancel or no show fee that patients pay. I am making less at this job than I was at my community mental health job and many more therapy sessions per week.
--Complete lack of clinical support. Part of this is by design of the fee-for-service model. We can't get paid for any consultations or attending consultation groups, but this is detrimental to clinical care as there are very few opportunities to talk with other clinicians and there is no practice of consultation between medication providers and therapists, which is poor clinical care and is harmful to clinician mental health and to patient care.
--This may be a quirk of our office--but we cannot personalize our space in any way or leave anything in there. I end up carrying therapy materials and handouts back and forth every day.
--Our admin staff is amazing. Great at their jobs and good at handling challenging interactions with patients, but they are severely overworked, which is difficult to see and sometimes impacts the speed at which they can offer support.
--The caseload needed to maintain full-time status and earn a decent amount of money is burnout level. Combined with lack of interaction between clinical teammates has me approaching burnout in less than a year.
--There doesn't seem to be any opportunity for growth that I am aware of. I was told there are no opportunities to supervise when I asked, and no other growth opportunities have been advertised.
