Unfortunately, only 2 of my 8 scheduled clients showed up. One of those I had to reschedule for a 1-1½ psych eval, as she was inappropriately scheduled for a 1/2 hr med review. There was some mistake that left her waiting in the front lobby for 40 minutes—she stayed there until a couple of paranoid schizophrenics nearly got into a fight in the lobby. The client, whose diagnosis seems to be depression tinged with anxiety, could not deal with it, and came back to the clinic. (Should they make different waiting rooms for different diagnoses? It doesn’t make sense to have somebody with PTSD sharing space with a loud, agitated, disorganized schizophrenic, for instance.)
By the time she sat down in my office, we didn’t have time to do what needed to be done before my next appointment (with a client who did not show up, of course). I talked with her long enough to establish that (1) she had not seen anyone in the medical-somatic department before, (2) she had neither an established diagnosis nor an established medication regimen here, (3) she had only ever been on one medication, which was not entirely effective, (4) she was not suicidal or homicidal or experiencing psychotic symptoms or other symptoms that acutely interfered with her life in important ways; and (5) she was amenable to being rescheduled for a psych eval. Better in this case if we take the time to make an informed decision as to the medication most likely to help. So, made an executive decision and rescheduled.
Anyway, I picked up 3 walk-ins and got some homework done. My supervisor says that should improve as I build my clientele and establish good therapeutic relationships—clients are more likely to show up if there’s a relationship. But in order to do that, I need to cut way back on the unplanned absences, of which I’ve had too many, what with migraines and exhaustion from school. And this is what I want. I love me clients and I love this job. All I have to do is take care of myself and stay motivated.
Would it be way too cheesy to end with something about If I want the clients to show up, I can’t be a no show myself? Yes. It would.