Posts Tagged ‘telehealth’

It’s Been A Minute

May 15, 2020

And I almost, but I didn’t, didn’t write.

I was all like.

Ooh, Hulu, get me some Hand Maid’s Tale.

Then I thought, really, when was the last time you blogged lady?

It’s been a minute.

There’s been a pandemic.

The thing is still happening.

And life for me did not slow down.

Pro tip: next pandemic, be enrolled in a PhD program.

I was so, so, so busy with this semester.

And it was hard, like hella hard, ridiculously hard, over the top.

Add one pandemic and make your academic career triple fold with stress and anxiety.

There were a few weeks when I couldn’t get it together.

I cried.

A lot.

I pushed back on my studies.

A LOT.

I did want to do it, I thought about dropping out, I didn’t.

I wouldn’t.

But I did think about it.

However, in the end I am so grateful I pushed through.

I wrote some tremendously good papers.

I scored a perfect 50/50 on my Method’s Comp Exam.

I had a professor tell me she cried while reading my work.

That was nice to hear.

I’m still waiting for my Lit Review to get returned to me, but the draft that I turned in before the final draft, well, the opening comment from the professor was “Excellent! Excellent! Excellent!” So I feel pretty confident that the final paper was well received.

It was a push though.

I was so grateful I rallied and got through.

I have one last goodbye Zoom class call on Saturday, but pretty much it’s done.

All done.

I have officially finished the three year course work in two years.

Now I head into the proposal phase of my PhD program.

Which I hope to get done over the summer.

There will be plenty to do and I gave myself this last week “off” sort of, to chill, although in reality I did no such thing as chill, I was just not doing homework.

I was instead training.

Yeah.

So many trainings, so many screens, so many videos.

I felt so burned out from it yesterday.

Over it.

OVER IT.

However, also ridiculously grateful.

I was hired to be an interim therapist for the Jefferson Union High School in Daily City.

Technically I was hired through Daily City Partnership, which is a non-profit that supports the high school.

I will start next Wednesday.

I will be seeing 10-15 teenagers a week, doing an hour of supervision, and and estimated four hours of paperwork.

20 hours total.

So pretty much right back to being busy.

And like I said, stupid grateful.

First, busy will help to deal with the shelter in place deal.

Second, those oh so elusive child and family hours.

I need them to get fully licensed as an MFT.

I am 261 hours away from the required 3,000 hours the state of California requires one to have to get the MFT license.

A part of that requirement is 500 child and family hours.

I have been acquiring them by working with couples, which count as “family” hours, but I don’t have enough couples in my current practice to get all the hours in an expedient way.

So when I was approached about being a therapist over the summer to support the high school kids I was thrilled.

Due to the situation with shelter in place and COVID-19 the school board allocated extra funds to bring in a therapist over the summer to support the kids.  Typically they don’t have a summer therapist, they get therapy during the school year.

But.

There’s been such a demand for it they decided to help the kids over the summer and I was approached and applied for it and last week Wednesday I was interviewed and hired on the spot.

That felt pretty damn good.

The pay is shit.

But.

It’s pay.

And really I need the hours so even if I didn’t get paid I would have probably taken the job.  In fact, dirty little secret, most therapist don’t get paid when they go after their child hours.  It’s pretty rare.  Most of the schools rely on unpaid interns.

I could rant about that quite a bit, but I don’t have the energy.

I am just super happy I get to help out some teenagers and get my child hours and get paid and get through the summer by staying busy.

I have 22 clients in my own private practice, which is pretty damn good, all things considered.

A lot of folks in my agency have lost clients.

And I did too, but I have also maintained clients, worked with them, drop my fees when and where I could, implemented a lower sliding scale, and I picked up a couple of clients too.

So I’m holding steady.

And God damn am I grateful I can work from home.

I feel so lucky about that.

I am still paying rent on my office, but so it goes.

I did let go of one of my offices, but I’m holding onto the other for a bit yet, I don’t know how long shelter in place will go and I don’t know how many of my clients will feel comfortable coming back into my office when it does, but I don’t want to give it up yet.

I know a lot of therapist have.

Many are going over completely to the idea of telehealth–video and/or phone sessions.

I will be doing a mix of it when things all settle out, whenever that is.

I now have clients in and outside of San Francisco because of being able to offer telehealth and I will keep these clients when I go back to my office.

Things are good.

Weird.

Don’t get me wrong.

Fuck.

I miss people.

I miss people something bad.

But I’m busy and grateful to have things to do and that I live by Ocean Beach and can take long walks, and I’m fed and housed and safe.  I’m very fortunate and I know it.

I hope you are well and taking gentle care.

Biggest hugs!

Dance Party

March 20, 2020

Because ain’t nobody watching and I need to move my body.

And why the hell not?

I’m officially on day, what, three of shelter in place, and it’s getting goofy in here.

I live in a one room studio.

Thank God I have a deck.

My own deck, not my landlords, no access to anyone else, a good distance away from the neighbors, on the second floor, above the backyard that is never used (it’s a tangled jungle of over grown weeds and bushes), my deck floats, a little tiny haven.

A tiny piece of heaven.

With two white Adirondack chairs and flowers in pots from Sloat Garden Center that I bought a few months ago when only the faintest of faint whispers of the corona virus where in the air.

I do have to say, though, it felt like something was coming.

I didn’t think it was a virus.

I thought maybe the tech bubble was going to burst in San Francisco again.

I moved to SF a little while after the bubble burst and I was also here during the crash, it had the same feeling, something was looming.

But this?

I had not predicted this.

Shut in, shut down, shut away.

So yeah, I got my dance party on for a little while tonight, I still have the music going nice and loud.

I am alive.

I am in good health.

I am sheltered.

I am really grateful.

I am extraordinarily grateful.

I can still work.

I am still “seeing” clients.

Not in person anymore, I was the last woman standing in the building where my office is on Monday, I had thought I was going to have a full week of connecting one last time with my clients and I had just literally sent out emails to all my clients saying I could meet until March 23rd.

I was actually upset the first time I got that date from my agency, I was petulant, don’t tell me when I have to stop seeing clients in person, but I also recognized that this was not about me and that I needed to follow along, especially since I work for an agency and they are the ones signing my paycheck.

The money from my clients does not go into my pocket.

It goes into my bank account that my agency controls–I can put money in, but I can’t take money out.

So.

Yeah.

Need to comply, even if I felt really secure in my health and the protocols I was taking at my office to make sure that it was clean and sanitary and safe.

Sigh.

Therefor I was a bit bereft to get the email saying wrap it up and switch over to telehealth by the 23rd.

I stomped my foot a little, but I did draft all the emails and I did comply.

And then.

Ha.

Shelter in place was announced.

Literally twenty minutes after sending out the last client email saying, hey (much more formal, thank you, I’m not a complete heathen) there, happy to continue seeing you at my office, unless you don’t feel comfortable, then we can do video or telehealth, but yeah, I’m here all week.

Nope.

I am not in fact.

I get the email from my agency saying shelter in place is going into affect and I have to the end of day to see clients.

Well.

Fuck.

I craft a new email and start sending them out, while also fielding emails from clients who were coming in that day who didn’t want to anymore because, mother fuck, got to run to the grocery store and secure more toilet paper and beans and rice.

More sighs.

Of the five client sessions I had scheduled, one showed up in person, two did a video session, one rescheduled for later in the week and the other said, hey, we’ll get back to you once we figure out our lives.

More sighs.

I didn’t charge any cancellations fees, I sent out copious telehealth consent forms, I got myself together and I went into my office to see my last face to face client for who knows how long.

The shelter in place is at least until April 7th.

I have to say, I think it may go longer than that.

So I also did some pro-active things on my end.

Because even though I can work from home, I knew I was going to lose clients.

Lost one today.

And client sessions, either due to cancellations, clients running out of money who aren’t working, parents homeschooling kids, panic, fear of financial insecurity, etc.

That I knew I had to take care of myself.

I paid April rent early.

I reworked my spending plan and I cut out $700.

I might even be able to trim a little more.

I’m obviously not going anywhere.

I canceled, ugh, my trip to San Luis Obispo and my weekend at the Madonna Inn.

Bless their hearts, they gave me a full refund on my room.

Which I promptly spent stocking up on food and toiletries at Rainbow Co-op.

I have actually never spent as much as I did on one grocery shopping trip.

Mostly because I bought coffee in bulk (y’all worried about toilet paper, I’m making sure I can sustain my caffeine needs) and toiletries in triplicate.

I did buy plenty of food too.

My fridge has more in it than I think I ever have seen.

I shop two to three times a week since I don’t eat sugar and flour, I cook a lot and I eat fresh foods.

I managed to secure a lot o fresh stuff, but I also did get food to prepare and freeze and can.

And back up of my favorite breakfast foods and some nice sugar free chocolate, because I’m going to need a damn treat once in a while.

And though I cannot see where this all leads, I can see that I am really lucky that I live in my own beautiful space.

It may be a studio, but I don’t have room mates.

And.

Oh thank God.

I live two blocks from the beach.

So every day I have gone outside and walked to the ocean and watched the surfers still paddling out and felt the wind on my face and walk through Golden Gate Park and breathed in deeply the fresh air.

There are people out, but we give each other wide berth and there is much kindness when doing so.

There may come a time when I can’t go out and walk, but fingers crossed that won’t happen.

I do know, though, I cannot peer into the future and I can’t live in the anxiety of not knowing.

I have to stay present and presented minded and strong.

I have therapy clients to help.

I have service to do.

I need to stay focused and clear.

Which is why dance party.

I had to shake the ya ya’s out.

Big love to you and yours.

Be gentle and stay in good health.

And.

When the mood strikes.

Dance.

Really.

No one is looking.


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