VA Mental Health Provider Venting / Problem-solving / Peer Support Thread

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Even 8 months sounds more generous than I expected.
Yeah, I mean if we could trust that it would be paid...hell...8 months is a pretty decent span of time to spin up a private practice in this environment (high demand for psychologist services). Tempting.

The email subject line was, apparently, 'A Fork in the Road.'

Well...at least they got two out of four letters correct.

Fork it.
 
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My colleague got the email and it was not super detailed. Very ominous
It was pretty much the exact email he sent to Twitter employees, fwiw. It doesn’t seem to actually offer severence, just WFH until you get fired in September (or earlier). We got a message from VISN leadership saying that they have no idea WTF is going on but that we should just focus on taking care of Veterans.
 
It was pretty much the exact email he sent to Twitter employees, fwiw. It doesn’t seem to actually offer severence, just WFH until you get fired in September (or earlier). We got a message from VISN leadership saying that they have no idea WTF is going on but that we should just focus on taking care of Veterans.
It's comforting to know that in a time of maximum chaos and the world turning upside down...some things never change.
 
Do you expect that to actually get paid out? Don't trust it

Yeah, I mean if we could trust that it would be paid...hell...8 months is a pretty decent span of time to spin up a private practice in this environment (high demand for psychologist services). Tempting.

The email subject line was, apparently, 'A Fork in the Road.'

Well...at least they got two out of four letters correct.

Fork it.

Nope, I don't trust it at all. Especially since $25k is the highest authorized amount for voluntary buyouts among civilian employees and $40k for DoD civilian employees.
 
It's comforting to know that in a time of maximum chaos and the world turning upside down...some things never change.
Honestly I’d rather them be honest than make stuff up, ngl.
 
Honestly I’d rather them be honest than make stuff up, ngl.
"We have no idea what's going on."

{translation}:

"We know exactly what's going on and that's exactly why we ain't tellin' you peons 5h1t."

"kissykissykissykissy!!!!"
 
It was pretty much the exact email he sent to Twitter employees, fwiw. It doesn’t seem to actually offer severence, just WFH until you get fired in September (or earlier). We got a message from VISN leadership saying that they have no idea WTF is going on but that we should just focus on taking care of Veterans.

"We have no idea what's going on."

{translation}:

"We know exactly what's going on and that's exactly why we ain't tellin' you peons 5h1t."

"kissykissykissykissy!!!!"

In all fairness, both things are likely true. Psychology chiefs are just middle managers. Having been one of those, the job is largely breaking bad news to people with a smile on your face. No one informs you of the long term plan. That said, folks higher up the totem pole do know and will not give anyone a heads up. Hell, reddit has been a more accurate source of info than my chief and it tells me months earlier what to expect.
 
Uhhhh

So,here it is folks. Funny thing about this "buyout" is that it is not a buyout. It is just an offer to allow you to do your job without being harassed with RTO mandates if you leave at the end of the fiscal year. I don't see anything saying you don't have to show up to work as usual and complete your duties for those 8 months.

Fork in the Road
 
So,here it is folks. Funny thing about this "buyout" is that it is not a buyout. It is just an offer to allow you to do your job without being harassed with RTO mandates if you leave at the end of the fiscal year. I don't see anything saying you don't have to show up to work as usual and complete your duties for those 8 months.

Fork in the Road
Why does NBC News and the mainstream media continue to report it as a buyout when as you said it's clearly not?
 
I was feeling very demoralized, however, now I feel even more fueled by spite since their little stunt with the latest OPM emails (that we know aren’t really coming from OPM…)

Quick side questions for those with a PP—do you have a lawyer (specializing in healthcare) on retainer? Did they review your patient-facing forms for compliance (e.g., consent, financial)? What $$$ can I generally expect? I had a good call with a CPA and a now wondering about lawyers. Since my PP will be telehealth from home, I’m looking into having a lawyer as registered agent so my address isn’t blasted everywhere. Getting my ducks in a row is the only thing keeping me sane now.
 
I could never imagine DEI would fold so fast in private and public sectors alike
 
I was feeling very demoralized, however, now I feel even more fueled by spite since their little stunt with the latest OPM emails (that we know aren’t really coming from OPM…)

Quick side questions for those with a PP—do you have a lawyer (specializing in healthcare) on retainer? Did they review your patient-facing forms for compliance (e.g., consent, financial)? What $$$ can I generally expect? I had a good call with a CPA and a now wondering about lawyers. Since my PP will be telehealth from home, I’m looking into having a lawyer as registered agent so my address isn’t blasted everywhere. Getting my ducks in a row is the only thing keeping me sane now.
Don't want to derail the thread, but many/most people I know in PP had their forms reviewed by attorneys. Your state psych association may offer a free annual consultation with an attorney that could be useful for this. I'm not sure if most individual/smaller practices have a healthcare attorney on retainer, but they probably at least have a relationship with one should one be needed. The money you can expect can vary greatly; not sure there's a good default number. Depends on all manner of things, such as what services you're providing and to whom, whether you're accepting insurance for clinical work, what you want your hours to be, how much vacation you want to take per year, etc. As for the address, I should know, but I'm not sure if the registered agent address can be listed in all areas as the address for your business. I imagine it depends on the state. When registering your LLC/PLLC, they may require that you give a physical address at which business is conducted. If you take Medicare, I believe they also require a physical address.
 
I could never imagine DEI would fold so fast in private and public sectors alike
I mean, in retrospect it makes sense. People who easily, quickly, and completely fold in one direction will also easily, quickly, and completely fold in the opposite direction when the winds of power/influence/coercion/authority/punishment reverse direction.
 
Don't want to derail the thread, but many/most people I know in PP had their forms reviewed by attorneys. Your state psych association may offer a free annual consultation with an attorney that could be useful for this. I'm not sure if most individual/smaller practices have a healthcare attorney on retainer, but they probably at least have a relationship with one should one be needed. The money you can expect can vary greatly; not sure there's a good default number. Depends on all manner of things, such as what services you're providing and to whom, whether you're accepting insurance for clinical work, what you want your hours to be, how much vacation you want to take per year, etc. As for the address, I should know, but I'm not sure if the registered agent address can be listed in all areas as the address for your business. I imagine it depends on the state. When registering your LLC/PLLC, they may require that you give a physical address at which business is conducted. If you take Medicare, I believe they also require a physical address.
Thanks! As far as $$ I meant a general idea of lawyer consultation fees in your area. That’s a good idea about reaching out to the state psych association. I live in an area where there’s not much of anything, and there’s not even a lawyer who specializes in healthcare here. I’d have to go at least 2 hours away to find one. And in my state, when filing LLC only the registered agent’s address is public facing, but I do report the actual physical location too. Not planning on Medicare/Medicaid or any insurances for now. Thanks again!

I mean, in retrospect it makes sense. People who easily, quickly, and completely fold in one direction will also easily, quickly, and completely fold in the opposite direction when the winds of power/influence/coercion/authority/punishment reverse direction.
I haven’t been an adult through very many presidencies. The anti-DEI stuff doesn’t surprise me just from my on life experiences. But this hostile takeover and shutdown of everything, day one, with EOs is blowing my mind. Maybe it’s happened before and I just was an oblivious* (not obvious—typo) kid, but I’m not sure it’s ever looked like this in recent times (90s and later).
 
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We often talk about keeping your head down, trudging forward, and staying focused on what's right in front of you when in government jobs. Given all the legal issues that are sure to shake out, that seems like one of the more effective strategies at the moment. At least until someone comes into your office and says stop.
 
We often talk about keeping your head down, trudging forward, and staying focused on what's right in front of you when in government jobs. Given all the legal issues that are sure to shake out, that seems like one of the more effective strategies at the moment. At least until someone comes into your office and says stop.

Yes, I am trying to stop doomscrolling. It's hard to do therapy, though, when your mental health isn't so great yourself.
 
Yes, I am trying to stop doomscrolling. It's hard to do therapy, though, when your mental health isn't so great yourself.
Yeah. At this stage I am following the advice I freqently offer to patients for their consideration..."You know, you always have the option of doing nothing."

With respect to certain emails, this is often a good choice.

What is that, the "grey rock" theory of coping with psychopaths? I'm shaky on my pop psych / Twitterisms...but I think that's what they mean.
 
I was also given the advice to watch the news and give it 48 hours before taking it seriously.

Agreed about this. That said, we are all healthcare providers. I don't believe for second that my duties (patients) will be reassigned if "resign" in 8 months. There is no one to see them. We even work when furloughed. So, I imagine I will be working for the next 8 months regardless of the choice.
 
Why does NBC News and the mainstream media continue to report it as a buyout when as you said it's clearly not?
Like almost everything in the news today…follow the money. Major media outlets are owned by billionaires who have already demonstrated their willingness to put their thumbs on the scale to profit over people.
 
Now would be a good time for a large group of VA providers to start an LLC that basically does the same thing as the VA. Wait for the layoffs and privatization, become the largest panel to bid on the contract, make more money than you'd think possible.
I've had very similar thoughts and I'd be surprised if some venture capital-type people haven't started that ball rolling (if they hadn't already planned pivoting into that area). But the advantage to the VA providers would be their experience with the system and patient population. And as a provider, you could actually fire patients, and not have to call them 3x for a no-show.
 
I’m so happy my time in the VA (during training) was before all of that “call 3 times” BS. I regularly fired patients who couldn’t follow some basic expectations (read: boundaries). I worked almost exclusively w Veterans diagnosed w TBI, mTBI, &/or axis-II disorders for my out-pt rotation, and more than half made (some) behavioral changes, but some actually made significant improvements.

My caseload was frustrating at times, but I had a great mentor who allowed me to use behavioral contracts and “fire” Veterans when they were non-compliant. I would discharge them back to “groups only” and bc of backlogs/limited out-pt slots they’d get waitlisted for individual treatment. Back then the VA was getting torched publicly about wait times to see ANYONE, so there was a big push to get Veterans into groups.

I don’t think I would have lasted as staff currently bc it seems like policies continue to erode Veteran accountability, and require more admin time. I disliked CPRS, but that was mostly bc I hadn’t been exposed to EPIC yet. :laugh:
 
Based on all the things I've seen labeled "DEI," it makes sense that some people would be confused. It's interesting that so much effort was made to demonize the concept in such vague ways that almost anything could get caught up in the DEI fray. It reminds me of all that communist talk back in the day.
Aren’t a lot of veterans DEI hires as well, simply by virtue of their veteran status? Even their disability status also places them in the DEI category. How is this all going to play out? I know “everyone“ thinks DEI means black or maybe even gay, but the implications go so much further.
 
Sipping Tea Time GIF
 
Here’s something that I recently found out which sounds like something literally out of Joseph Heller’s book Catch-22:

Government entities are indeed preparing to apply for RTO exemptions that the various memos have alluded to.

But currently, there is no mechanism in place to submit/receive/review said exemptions.
 
Apparently, as we suspected, this is Elon trying to treat us like we're Twitter employees https://www.washingtonpost.com/business/2025/01/29/elon-musk-opm-federal-workers-buyout-trump/

Seems incredibly illegal but, who's gonna stop him?
The incredibly principled and ferociously brave leadership at all levels of the Federal government who never flinch at the opportunity to put their time, efforts, and reputation on the line in defense of the rights of their subordinates and who place the well-being and fair treatment of those subordinates above self-interest, reputation, or career consequences.
 
The incredibly principled and ferociously brave leadership at all levels of the Federal government who never flinch at the opportunity to put their time, efforts, and reputation on the line in defense of the rights of their subordinates and who place the well-being and fair treatment of those subordinates above self-interest, reputation, or career consequences.

Where are those people?
 
Just got a neuropsych eval request for capacity. MoCA is listed as below 10.

God, I wish we had a mechanism to just do these in primary care.

You can. You don't need a neuropsych depending on the state laws. You just need a physician to sign. A MOCA below 10 is pretty clear. That said, it is not ever going to happen at VA.
 
You can. You don't need a neuropsych depending on the state laws. You just need a physician to sign. A MOCA below 10 is pretty clear. That said, it is not ever going to happen at VA.

The problem is we don't have a lot of actual physicians in our local PACT anymore. That's been the biggest barrier.
 
The problem is we don't have a lot of actual physicians in our local PACT anymore. That's been the biggest barrier.

I figured. Same problem I have too. Why pay a physician, right? Going to be even more fun when when are replaced by midlevels and there is no neuropsych either.
 
Now would be a good time for a large group of VA providers to start an LLC that basically does the same thing as the VA. Wait for the layoffs and privatization, become the largest panel to bid on the contract, make more money than you'd think possible.
My colleagues and I have been talking about quitting together and opening a group practice for over a year now. It’s looking more appealing.

Aren’t a lot of veterans DEI hires as well, simply by virtue of their veteran status? Even their disability status also places them in the DEI category. How is this all going to play out? I know “everyone“ thinks DEI means black or maybe even gay, but the implications go so much further.

I’ve got some friends at other VAs where they’ve shut down all “DEI” seminars and Veteran groups. Somehow it has only affected LGBTQ and racial/ethnic minority resources. Women’s resources have gone untouched. Almost like saying the quiet part out loud.
 
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