Vacation! Almost.

I am on vacation. Technically. Doesn't quite feel like it yet. Just spent 4+ hours catching up on paperwork because my supervisor wants me to practice getting it done in 48 hours as is apparently expected for medicare/medicaid progress notes. (I think this might be a bit more stringent than many people, but it's nice I'm learning best practices. Even if I can't quite achieve them yet because my notes take too long)

Also spent any time I could while traveling yesterday, doing notes.

Spend a little time I couldn't, reading up on Gottman's training, since I might be seeing a couple soon. Or maybe I won't. There is a high attrition rate with clients. Quite a few leave after the first session or two. Once could blame that on the client, but I do wonder what I could do to reduce those early terminations. I think it's lazy to blame that on the client and not look at what I could potentially be doing differently. Even if some of the time, the answer is nothing. Some of the time, the answer will be something.

I do love being able to study exactly what I think is most useful for me as a therapist, rather than what CACREP says are the baseline standards that I need to have looked at to be certified as a therapist. Not to say having that baseline knowledge is bad, I do think its a good basic fluency step, but it's neither sufficient, or, I think, properly proportioned. Looking at the research, there are specific areas of focus that are going to make a bigger difference to my clients, and they lean more towards the practical and the applied, it seems, and to universal principals, rather than specific systems. Though I likely do need a bit more of a theory to hold and help my conceptualizations and frame my approach in a way that makes sense to people and has a good structure and sequence to start from. But at least for me that's definitely going to be an integrated approach.

OK, time to go. I am doing some fun vacation things, such as: sleeping in, eating good food, and soon: an escape room! Yay! Probably! (it will definitely be fun. but we are only probably going to do it.)

I -Out