PhD/PsyD Tips for Surviving Internship

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dogsandcookies

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Hi all! Perhaps this is just a bias I have but it seems like most people LOVE their internship year. However, I find myself really having quite a miserable time and wondering how I'm going to survive the last 6 months of it. Anyone have any tips for surviving the rest of internship without sacrificing my sanity in its entirety? Thanks 🙂
 
I'm not on internship yet but I felt a bit like this during one of my practicums. I focused on the friendships and co-workers and seeing the positives in that. I'm not sure if you are miserable because you don't like the clinical work or your co-workers/supervisor, so if it's one, I would try to focus more on the other 🙂
 
Hi all! Perhaps this is just a bias I have but it seems like most people LOVE their internship year. However, I find myself really having quite a miserable time and wondering how I'm going to survive the last 6 months of it. Anyone have any tips for surviving the rest of internship without sacrificing my sanity in its entirety? Thanks 🙂

I'm sorry you are miserable on internship. Do you enjoy the city you are in? I encourage you to engage in self-care outside of internship. You should be having the full weekend to unwind. Trust me, six months will fly by in the blink of an eye!!

Go to the gym, talk to friends, read, go for a walk, explore your city! When I was on internship, I used to go to the beautiful college campus by in the state I interned at and used to walk and call friends and listen to audio books for hours. Fast forward to now, years later, when I am extremely busy with work and young children and life is so busy, I sometimes dream of those days!
 
Hi all! Perhaps this is just a bias I have but it seems like most people LOVE their internship year. However, I find myself really having quite a miserable time and wondering how I'm going to survive the last 6 months of it. Anyone have any tips for surviving the rest of internship without sacrificing my sanity in its entirety? Thanks 🙂

Focus on what’s in front of you in the moment. Don’t think far ahead in terms of how much longer it will last. If you take it day by day, it will go quicker than ruminating on the time left...
 
You will soon (hopefully) know what you are doing next year. Once that becomes real, the rest of the year is likely to fly by. Enjoy the things you can on internship and spend time doing things you enjoy outside of it. If you are moving to a new place, get lost in planning for that, researching things to do there, etc.
 
I also disliked my pre-doctoral internship and it's location. Searching and applying for post-doc sites helped me look forward to life post-internship. I also echo what others have mentioned here on this thread. Also, towards the end of internship, I made a deliberate effort to explore nearby state parks/attractions in the area where internship was at. Looking back, I wished I did this earlier in the internship year. Lastly, don't neglect personal therapy if needed. I found this very beneficial in coping with work stress, post-doc uncertainties, along with venting about being matched to my second to last site 🙂
 
You will soon (hopefully) know what you are doing next year. Once that becomes real, the rest of the year is likely to fly by. Enjoy the things you can on internship and spend time doing things you enjoy outside of it. If you are moving to a new place, get lost in planning for that, researching things to do there, etc.

In all seriousness (for once), I'm actually having the opposite problem here. I have my postdoc for next year and I'm super jazzed about it. Rather than making me more motivated, my brain keeps going "goddamnit, seven more months of this **** before I get to the good thing!" The number of ****s I have to give at internship has dropped precipitously.

Edit: I had no idea that studentdoctor auto-censored profanity : (
 
God help you if I'm giving coping information.

I used the time to consider the big picture. I envisioned my ideal practice, as a lifestyle (i.e., What do I want to be doing from 9-5pm?). Then I started collecting data about all that. Fee schedules for each thing. Did basic multiplication, to see what I could earn. Joined every listserv I could. Read the archives. Collected report formats, de-ID'ed them, and made a file. Created templates ad nauseum. Damn near cyber stalked people whose practices I was interested in. Networked in both national and local professional groups. Emailed everyone who would respond from those. Some of those relationships really paid off, and some I maintain to date.
 
God help you if I'm giving coping information.

I used the time to consider the big picture. I envisioned my ideal practice, as a lifestyle (i.e., What do I want to be doing from 9-5pm?). Then I started collecting data about all that. Fee schedules for each thing. Did basic multiplication, to see what I could earn. Joined every listserv I could. Read the archives. Collected report formats, de-ID'ed them, and made a file. Created templates ad nauseum. Damn near cyber stalked people whose practices I was interested in. Networked in both national and local professional groups. Emailed everyone who would respond from those. Some of those relationships really paid off, and some I maintain to date.

That’s great advice. Thanks!


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I'm curious why everyone internships are really so bad? See patients, get supervision feedback, go home. 12 months later get doctorate.

Unless a supervisor is harassing you, beating your, or committing high crimes and misdemeanors....what could really make things so bad?
 
I'm curious why everyone internships are really so bad? See patients, get supervision feedback, go home. 12 months later get doctorate.

Unless a supervisor is harassing you, beating your, or committing high crimes and misdemeanors....what could really make things so bad?

Well, I can only speak for myself. I’m at a UCC, which isn’t a good fit for me. While true that I’m not crying in my office everyday for hours, I’m also not receiving great training. The seminar presenters are often unprepared, and when they are, the training is very basic stuff that I learned in my Ph.D program. I don’t blame them. UCC life is very busy and the staff are overwhelmed. My supervisors don’t have a ton of time to invest in doing things like watch more than half of one of my tapes per week. I’m also into using CBT for my clients, which garners a lot of funny looks from people on the floor. I think an AMC would’ve been a better fit for me. I applied to a mix (which was consistent with my prac experiences) and ended up here.

There are good things about it. I have a lot of freedom to design my own training experience. I like my office and my intern cohort, so it could be worse. Yes, I can endure and will get my Ph.D. at the end of this three ring circus, but I’m not having a nice time.
 
In all seriousness (for once), I'm actually having the opposite problem here. I have my postdoc for next year and I'm super jazzed about it. Rather than making me more motivated, my brain keeps going "goddamnit, seven more months of this **** before I get to the good thing!" The number of ****s I have to give at internship has dropped precipitously.

Edit: I had no idea that studentdoctor auto-censored profanity : (
Me after I applied for APPIC and met max hours for practicum needed to graduate
 
Well, I can only speak for myself. I’m at a UCC, which isn’t a good fit for me. While true that I’m not crying in my office everyday for hours, I’m also not receiving great training. The seminar presenters are often unprepared, and when they are, the training is very basic stuff that I learned in my Ph.D program. I don’t blame them. UCC life is very busy and the staff are overwhelmed. My supervisors don’t have a ton of time to invest in doing things like watch more than half of one of my tapes per week. I’m also into using CBT for my clients, which garners a lot of funny looks from people on the floor. I think an AMC would’ve been a better fit for me. I applied to a mix (which was consistent with my prac experiences) and ended up here.

There are good things about it. I have a lot of freedom to design my own training experience. I like my office and my intern cohort, so it could be worse. Yes, I can endure and will get my Ph.D. at the end of this three ring circus, but I’m not having a nice time.
I’m really sorry, that sounds terrible 🙁 especially since internship is full time.
Out of curiosity, I was surprised to hear using CBT got you funny looks! I thought that was the de facto evidence based therapy method...what could possibly someone have against it?
 
Well, there’s a lot of IP and integrative approaches that are emphasized at my site. CBT is seen for some weird reason as old school despite the piles of studies demonstrating its efficacy. I hear (post hoc, of course) that this is pretty common in counseling centers. I’m not trying to start a theoretical orientation debate, but I’ve been frustrated by it.


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I’m really sorry, that sounds terrible 🙁 especially since internship is full time.
Out of curiosity, I was surprised to hear using CBT got you funny looks! I thought that was the de facto evidence based therapy method...what could possibly someone have against it?

And thanks. I’ll get through it.


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Hi all! Perhaps this is just a bias I have but it seems like most people LOVE their internship year. However, I find myself really having quite a miserable time and wondering how I'm going to survive the last 6 months of it. Anyone have any tips for surviving the rest of internship without sacrificing my sanity in its entirety? Thanks 🙂

I know quite a few people who weren’t happy on internship. I think it’s such a uniquely stressful time, as most people are basically adjusting to a brand new job while already applying for the next thing, all while trying to finish their dissertation! I was fortunate to enjoy the work I was doing on internship and have good support through my cohort, but without those things I can’t even imagine how tough it would have been. All that is to say you’re not alone! As for coping, I know you’ve heard this before, but the year really does go quickly. In the meantime, try to disengage from work as much as possible when you’re not at work—get involved in community activities and set good boundaries. For example, I had a friend on my internship year who went to a gym class at 5:30 a couple days a week, so she made sure to leave at 5 on those days. If that’s not possible, maybe plan some fun weekend or day trips to explore the area you’re living in and give you something to look forward to. Good luck, and remember at the end of this you’ll be a doctor!!!
 
I'm curious why everyone internships are really so bad? See patients, get supervision feedback, go home. 12 months later get doctorate.

Unless a supervisor is harassing you, beating your, or committing high crimes and misdemeanors....what could really make things so bad?

I agree with you. I am wondering if the idea of internship gets so hyped up for applicants during interview season, that internship itself doesn’t pan out all that it was hyped to be and that leads interns to feel negative emotions during the year, such as disappointment or like they missed out on some great opportunity elsewhere even if in reality “elsewhere” had comparable training quality.
 
RE: UCCs

I knew someone whose internship was at a UCC in 2007-ish, and she basically worked 12-16 hour days every day. It sucked the life out of her, but she weirdly continued at that site as a "post-doc" (but not really. as she had yet to defend her dissertation). She eventually defended her dissertation after leaving her "post-doc" but has never used her degree since AFAIK (works with her husband in a completely and totally unrelated job and field).

Of the people I've known who have done UCC internships, the majority seem to say that they are very intense and draining environments. Same thing with long-term in-patient psych hospitals, especially forensic ones.
 
Hi all! Perhaps this is just a bias I have but it seems like most people LOVE their internship year. However, I find myself really having quite a miserable time and wondering how I'm going to survive the last 6 months of it. Anyone have any tips for surviving the rest of internship without sacrificing my sanity in its entirety? Thanks 🙂

Well, as a clinician, if a client were to approach you with this problem, how would you handle it? It may be time to see if you can walk the walk.
 
RE: UCCs

I knew someone whose internship was at a UCC in 2007-ish, and she basically worked 12-16 hour days every day. It sucked the life out of her, but she weirdly continued at that site as a "post-doc" (but not really. as she had yet to defend her dissertation). She eventually defended her dissertation after leaving her "post-doc" but has never used her degree since AFAIK (works with her husband in a completely and totally unrelated job and field).

Of the people I've known who have done UCC internships, the majority seem to say that they are very intense and draining environments. Same thing with long-term in-patient psych hospitals, especially forensic ones.

I concur. My internship was at a UCC and we sometimes had crisis clients just thrown into our (supposedly protected) paperwork hours, even in addition to our set crisis walk-in hour every week in the second semester of internship (we also had an on-call week on top of all of our other many duties, which required work outside of the 43 standard hours). It definitely felt like the extra three hours crossed that threshold of being too much, because sometimes our required duties necessitated time beyond the 43 hours (ie outreach, test battery/write up, case presentations, etc.). One UCC staff psychologist kept saying things like “I miss the days when we had time to chat with each other here and there between clients” and it was clear to me that staff were burned out. They passed that burnout along to us with their ridiculous expectations, which included expecting us to share our insecurities during supervision and picking us apart—not our clinical work, which was fine and we took in that feedback readily, but our personalities, which they didn’t seem to like because we weren’t sharing the deepest parts of ourselves in supervision at the beginning of internship (that means you’re “guarded,” “defended,” and “playing it safe”). A former intern there said, point blank, “they’ll like you better if you cry a lot in supervision.” Our TD openly acknowledged that they’d been given feedback from interns that they focused too much on areas of growth and ignored strengths, but they didn’t see a need to change that. The experience was instrumental in deterring me from a career with a UCC and a career involving seeing clients full-time after my level of burnout that year. It was also instrumental in shaping my supervisory perspective, particularly of what NOT to do.

Coping-wise, significant others/friends, getting together with fellow interns to unwind and enjoy nature and/or a glass of wine, and doing anything not work-related for fun (hobbies like music, writing, painting, exercise, etc.) can be helpful and remind you that there is a world outside of your job. Lots of gallows humor with my fellow interns seemed to help as well, since we were all in the same boat. I can’t say enough how helpful it was to have social supports.

As a side note, CBT was respected in multiple college counseling sites I worked at in my experience, so I don’t think @R. Matey ‘s experience is necessarily generalizable. I think it will vary by site.
 
They passed that burnout along to us with their ridiculous expectations, which included expecting us to share our insecurities during supervision and picking us apart—not our clinical work, which was fine and we took in that feedback readily, but our personalities, which they didn’t seem to like because we weren’t sharing the deepest parts of ourselves in supervision at the beginning of internship (that means you’re “guarded,” “defended,” and “playing it safe”). A former intern there said, point blank, “they’ll like you better if you cry a lot in supervision.” Our TD openly acknowledged that they’d been given feedback from interns that they focused too much on areas of growth and ignored strengths, but they didn’t see a need to change that.


I could not even imagine having to deal with this level of characterologically [sic] enmeshed supervisory deficit on a day-to-day basis. Let alone trying to grow as a clinician from it. I take back what I said in that other post about some people feeling like they can't make it through the internship year. If I had to deal with this, I would legit also consider bouncing. It also makes me really thankful for my internship/fellowship years, which essentially shaped much, if not all, of my practice, and which were some of the best years of my life.
 
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I had a pretty rough internship year. I don't want to give specifics as the combination of things that happened would likely be extremely identifying.
 
I loved my internship. Great site. Great reputation. Great training. The other interns were all really nice and supportive of each other (except one who had no qualms with throwing fellow interns under the bus if it benefitted her). Work hours were reasonable and rarely required staying late. You really felt that the program director and site cared about intern well-being and weren’t using interns for slave labor.

The location wasn’t the greatest (high crime and poverty), but surrounding areas were bucolic and enjoyable.
 
I loved my internship. Great site. Great reputation. Great training. The other interns were all really nice and supportive of each other (except one who had no qualms with throwing fellow interns under the bus if it benefitted her). Work hours were reasonable and rarely required staying late. You really felt that the program director and site cared about intern well-being and weren’t using interns for slave labor.

The location wasn’t the greatest (high crime and poverty), but surrounding areas were bucolic and enjoyable.

Mine was a similar experience (although I don't think it would've been considered a high crime area). But I certainly know of folks whose years were less enjoyable.

Also, 3 points for your use of "bucolic." Well-played.
 
I'm curious why everyone internships are really so bad? See patients, get supervision feedback, go home. 12 months later get doctorate.

Unless a supervisor is harassing you, beating your, or committing high crimes and misdemeanors....what could really make things so bad?
Underfunded, isolated, state owned, unionized, highly siloed, inpatient psychiatric hospital of last resort. Burned out, often under qualified or totally unqualified staff (e.g. high school educated psychiatric aids). Some of the most bitter, unwelcoming nurses one can imagine. Frequent staff nastiness and brusqueness towards severely mentally ill patients, who they often escalated due to a complete lack of understanding about their Dx/Bx (no nurse, he isn’t back talking you, he’s floridly psychotic, ID, and antisocial...No psychiatric aid, don’t argue with the kid about whether or not Biggie smalls impregnated his mother who is also Biggie’s sister resulting in his birth and subsequent second coming through him... so on and so forth, every day). Poor, run down, crowded conditions for patients, some hadn’t been allowed to be outdoors in years. I caught some out right patient abuses... humiliations, mocking, a likely sexual assault of a physically and mentally incapacitated person by a staffer. An inability to discharge patients to less restrictive settings because no one was willing to take them, sometimes for decades, A ward that had an influenza outbreak that was buried by the nurses because the quarantine procedure meant more work for them and full day contact with the patients. Snowing patients with drugs when they were unruly to the point some barely got out of bed for more than an hour a day for weeks. A patient dying of cancer on a mattress on a floor because no hospice would take her with her psychosis. Being mocked and disdained by some staffers for being kind to patients. Being bullied by the security staff (wouldn’t make my badge/key for weeks and then finally made it with a wrong first name, which I taped over and used the entire year). Having a psychiatrist ask me to Dx a twenty year PD/SO patient with something that’d qualify him for disability in an open inter-team meeting (I declined to evaluate him)... I could go on. Luckily my supervisor was awesome... A real crusader, and she took on all this and more with me...

I was able to help a lot of utterly marginalized folks have a better existence during my time there, and I got to have experience with truly severe MI that few do. I heard my supervisor was sent packing shortly after my stint there, no surprise to me, she battled with admin on the daily and made reports to the state on the regular. What a shame.

So yeah, it really could be so bad... and my super wasn’t doing any of those things you suggested could make it bad, she was my refuge and ally, so quite the opposite.

I’d suggest trying not to reduce others’ experiences into your own so often. You don’t know, it’s totally unhelpful, and it’s unnecessarily dismissive and arrogant.
 
I made an effort to make friends outside of the hospital and that really helped. I joined a rec kickball league, went to the farmers market a few days per week, and forced myself to prioritize sleep. I had about an hour commute each way, which I thought I'd use to study for the EPPP, but it ended up being my time to decompress.

Thankfully our DCT was big into self-care and mentorship, so she basically forced us to have a better work/life balance. :laugh: It was a VA w a senior staff that was like family, which really helped.

Once I stopped focusing/worrying about my future so much, I developed a much healthier daily routine, and the time was more enjoyable. I also crammed my "therapy" rotations in the first 4-6 month, so I was happy to get through those rotations so I could focus on my assessment stuff. Once I matched, 90% of my stress left and I enjoyed the calm before getting thrown into the deep end of the pool for fellowship.
 
Underfunded, isolated, state owned, unionized, highly siloed, inpatient psychiatric hospital of last resort. Burned out, often under qualified or totally unqualified staff (e.g. high school educated psychiatric aids). Some of the most bitter, unwelcoming nurses one can imagine. Frequent staff nastiness and brusqueness towards severely mentally ill patients, who they often escalated due to a complete lack of understanding about their Dx/Bx (no nurse, he isn’t back talking you, he’s floridly psychotic, ID, and antisocial...No psychiatric aid, don’t argue with the kid about whether or not Biggie smalls impregnated his mother who is also Biggie’s sister resulting in his birth and subsequent second coming through him... so on and so forth, every day). Poor, run down, crowded conditions for patients, some hadn’t been allowed to be outdoors in years. I caught some out right patient abuses... humiliations, mocking, a likely sexual assault of a physically and mentally incapacitated person by a staffer. An inability to discharge patients to less restrictive settings because no one was willing to take them, sometimes for decades, A ward that had an influenza outbreak that was buried by the nurses because the quarantine procedure meant more work for them and full day contact with the patients. Snowing patients with drugs when they were unruly to the point some barely got out of bed for more than an hour a day for weeks. A patient dying of cancer on a mattress on a floor because no hospice would take her with her psychosis. Being mocked and disdained by some staffers for being kind to patients. Being bullied by the security staff (wouldn’t make my badge/key for weeks and then finally made it with a wrong first name, which I taped over and used the entire year). Having a psychiatrist ask me to Dx a twenty year PD/SO patient with something that’d qualify him for disability in an open inter-team meeting (I declined to evaluate him)... I could go on. Luckily my supervisor was awesome... A real crusader, and she took on all this and more with me...

I was able to help a lot of utterly marginalized folks have a better existence during my time there, and I got to have experience with truly severe MI that few do. I heard my supervisor was sent packing shortly after my stint there, no surprise to me, she battled with admin on the daily and made reports to the state on the regular. What a shame.

So yeah, it really could be so bad... and my super wasn’t doing any of those things you suggested could make it bad, she was my refuge and ally, so quite the opposite.

I’d suggest trying not to reduce others’ experiences into your own so often. You don’t know, it’s totally unhelpful, and it’s unnecessarily dismissive and arrogant.


Is it bad that I have just gotten used to this stuff? Not justifying/minimizing your experience at all, I had similar back in 2012 when I first started working in public inpatient, but I legit have become very desensitized to certain things in my time working in state psychiatric hospitals.
 
Is it bad that I have just gotten used to this stuff? Not justifying/minimizing your experience at all, I had similar back in 2012 when I first started working in public inpatient, but I legit have become very desensitized to certain things in my time working in state psychiatric hospitals.

I mean, I did too, to a point. Doesn’t mean it didn’t suck or wasn’t/isn’t ridiculous.

Seems like it's more a problem of the healthcare system, rather than the internship process, though. If these are the settings you want to work in, better get used to it.

Well, it was part of my internship process. Actually, if the overall process was more flexible it wouldn’t have been... I did it because I have little ones and wanted to be near them, and found a way to make it happen. My eyes were wide open going in, I’d worked there prior, but I could never “get used to it” it was grotesque. No one should have to work under those conditions (Let alone, “get used” to them”), and more importantly, people shouldn’t be kept in them. Ultimately, I did secure what I needed to move on to providing treatment/assessment to both forensic and non-forensic populations.

To be clear, it wasn’t the patients that made my internship feel like spending 8 to 5, 5 days a week incarcerated in a minimal security prison. I currently routinely/primarily work with extremely stigmatized/marginalized (often criminal/SO, nearly always extremely low SES) people. I do so by choice in private practice. The hospital I interned in was simply a horror show of an institution. It sucked. I shared because sometimes internships really can be excruciating experiences for a variety of reasons, why is it so hard to be empathetic to that?
 
Not hard to empathetic about it at all, it's the reality of healthcare at many places. Something we've all dealt with to an extent. So, we deal with it when we have to, and work to change it in the ways that we can.
Agreed, mostly. I’d only argue that plenty of us have never really experienced it.
 
With my whopping 6 months of experience post-internship, I offer this opinion: internship simply does not matter that much in the long run. I got so wrapped up in internship site prestige, rotation offerings, etc. that I really put the whole internship "thing" on a pedestal and it made the whole application process and actual training year a real bummer. Now armed with hindsight, I see that postdoc matters a great deal more (in neuropsych at least). As long as the internship site is 1) APA approved and 2) offers enough opportunities to prepare you for the next, more important step, it doesn't matter.

All of this is to suggest that a good tip to surviving internship is to keep it in proper perspective. Don't worry so much about every little thing that you do or don't do there. Be conscientiousness and competent and a team player and then move on.
 
With my whopping 6 months of experience post-internship, I offer this opinion: internship simply does not matter that much in the long run. I got so wrapped up in internship site prestige, rotation offerings, etc. that I really put the whole internship "thing" on a pedestal and it made the whole application process and actual training year a real bummer. Now armed with hindsight, I see that postdoc matters a great deal more (in neuropsych at least). As long as the internship site is 1) APA approved and 2) offers enough opportunities to prepare you for the next, more important step, it doesn't matter.

All of this is to suggest that a good tip to surviving internship is to keep it in proper perspective. Don't worry so much about every little thing that you do or don't do there. Be conscientiousness and competent and a team player and then move on.

I would agree, to an extent. I'm closer to a decade post-internship than I'd probably like to admit, but it still does come up here and there. Occasionally in the sense of "name brand" recognition, such as when a new co-worker wonders where I've trained, but more so in terms of reaching out to former supervisors and my intern cohort for professional reasons (e.g., to put in a good word for a trainee, find out about resources for patients in that area, hear about career opportunities, etc.).

But like you've essentially said, at the end of the day, it's just a year. If you don't end up at your #1 choice or are bummed it's not a "top tier" site, don't sweat it, life most certainly goes on. And yes, I do speak with former postdoc supervisors and co-trainees much more frequently.
 
With my whopping 6 months of experience post-internship, I offer this opinion: internship simply does not matter that much in the long run. I got so wrapped up in internship site prestige, rotation offerings, etc. that I really put the whole internship "thing" on a pedestal and it made the whole application process and actual training year a real bummer. Now armed with hindsight, I see that postdoc matters a great deal more (in neuropsych at least). As long as the internship site is 1) APA approved and 2) offers enough opportunities to prepare you for the next, more important step, it doesn't matter.

All of this is to suggest that a good tip to surviving internship is to keep it in proper perspective. Don't worry so much about every little thing that you do or don't do there. Be conscientiousness and competent and a team player and then move on.

Thanks for sharing this perspective. I haven't started my internship yet, but this perspective is refreshing and rings true to me. Some, particularly straightforward, current interns that I talked to while interviewing shared similar views.

I suspect that part of the internship "over-hyping" is due to how long it takes to complete the application process and how much work, money, and travel is required. In my view, it is an absurdly disproportionate process for the actual position--6 months of intensive work and thousands of dollars for a 12-month, low-paying training position. This 1:2 application-to-position ratio seems like an assault on common sense. When the internship year finally begins, other people are applying for your position. Furthermore, now you are applying for post-doc positions (which as you mentioned will be twice as long in neuro).

Don't get me wrong, I am looking forward to certain aspects of the internship year (I feel obligated to say this). But if I "zoom out" and take a meta-perspective on it, in this objective sense I do recognize the outlines of a one-year, low-paying, stepping-stone training position. I appreciate and am grateful that the process is significantly better now than it used to be (e.g., dealing with calls on match day), and I am super grateful that the internship crisis was largely resolved, but I still believe that the application process should be significantly streamlined. I'm not sure but maybe streamlining the application process may help applicants achieve a less romanticized and more realistic appraisal of the position itself, as well as where it is likely to fit within one's professional-development trajectory.
 
I was lucky enough to match in a location with a lot of natural beauty and when looking for a rental for that year, I intentionally chose a spot that made the drive to the site a bit longer (but still very manageable) so that I could easily access the outdoors outside of work hours. I took a morning walk every day and would just enjoy the beautiful scenery. Having this built into a daily routine worked very well.

I also had a great intern cohort and we made an effort to get out and do things on the weekends together. Having a strong bond also made working together much more fun during the work week and enhanced our teamwork as coworkers.

My site was great but could be very hectic and the nature of the work required a high degree of flexibility, problem-solving and acceptance of non-ideal situations. When faced with challenges I really focused on thinking about what important clinical skill(s) I was developing by facing these difficulties and it enhanced my sense of purpose and self-efficacy.

All this boils down to finding people you like to spend time with (either at your site or outside of it) and making it as easy as possible for yourself to establish a routine that includes non-work related self care. Also to reframe the more negative aspects of your site as enhancing development of skills as a psychologist.
 
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