What is a day in Your Life as a Psychologist or other Provider like?

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PsychMajorUndergrad18

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Hello Everyone!!!

Sorry that I haven't been on alot for a couple weeks but I have been busy with finals (with today being my last one!!). I was wondering if you all would be willing to share what your day to day duties is like as a Psychologist, LCSW, LPC or LMFT? I'd love to hear from all of you guys and gals!

PsychMajorUndergrad18

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My day today (neuropsychologist at an R1 AMC):
1. Reviewed hospital consults in the AM. 1 Capacity evaluation, 1 question about cog abilities (pt. is cognitively compromised, but also has beh. and psych history, so trying to figure out what is what), and 1 behaviorally challenging case (low functioning, needs a behavioral plan that the staff can implement).
2. Reviewed a manuscript.
3. Looked up a handful of articles about a funky neurologic condition.
(lunch)
4. Return a couple of VMs about patients I previously eval'd. Mostly coordination of care.
5. Curbside consult w. a colleague.
6. Return e-mails for committee meetings and various administrative things.
7. Meet w. fellow for supervision.
8. Report writing.
9. Talk w. one of our psychometricians about a case.
10. More report writing.

Some days are just 1, 5, 7, 8…this day happened to have a few other things added.
 
8-11 see a patient each hour. 1-4 see another patient each hour. On call one week a month so I get to squeeze in a few extra patients at odd hours. Some days I will schedule patients for lunch hour. When I first started at this job, there was a backlog of testing so I did a boatload of assessments. Now I am too booked up with psychotherapy cases to do very much testing. It is a pretty hectic pace, but I get breaks when people don't show. My pay is productivity based, so I like to keep my productivity high 😎. I see a mix of kids, teens, and adults. Also, do a little bit of marital therapy. A smidge of forensic work. I am also on hospital's pain committee and the addiction program committee. I was going to provide clinical supervision for an aspiring LPC on the side but that is on hold for now. Also, consult a bit with colleagues during the few minutes between patients.

To tell the truth, I am not going to keep doing this long term and plan on going back into a more administrative role in a few years. I love providing psychotherapy, just not all the time and I also would prefer to be able to be more selective about cases that I take on personally. Each therapist has their own unique personality style and strengths and weaknesses and fitting patients to therapist is important and something that I was able to do effectively with my previous employer. We don't even try to do that here because it is more of an independent practice model for each of the psychologists so referrals are just assigned to whoever has an opening or per patient's request.
 
Let's see, on Saturdays
- Sleep in til 7, wake up, get some coffee
- try to ignore the cats
- read the paper, do the crossword
- Play some Fallout 4
- errands with the fiancee
- rock climbing
- some random activity out on the town or with some friends

Pretty typical day on the weekend
 
Let's see, on Saturdays
- Sleep in til 7, wake up, get some coffee
- try to ignore the cats
- read the paper, do the crossword
- Play some Fallout 4
- errands with the fiancee
- rock climbing
- some random activity out on the town or with some friends

Pretty typical day on the weekend
sleep IN until 7?
 
sleep IN until 7?

Sleeping till 7 would also be considered "sleeping in" for me. I feel so much more productive throughout the day during the week when I'm able to knock out at least a few things before going in to work.

Typical day: See one assessment patient (~4 hours), prior to and after which I'll spend time reviewing their chart. After finishing the eval, I'll score the materials and try to at least start on the report. Another hour or so is spent on administrative-type tasks (e.g., brief meetings, completing chart notes, following-up on emails).

One day per week, I only conduct feedback sessions (1 hour per), and spend the rest of my time finishing scoring/report writing, reviewing charts for upcoming patients, and more email checking.

Also throw in a few hours' worth of training each month, and another few hours' worth of meetings related to externship/internship.

Have toyed with the idea of starting a weekly group or seeing 1-2 therapy patients, but haven't done so yet.
 
Postdoc at a UCC working 4-10 hr days with 30 min lunch.

Most days include -- individual therapy with 4-6 students, 1 hr supervision/case conference/professional development seminar, 1 hr intake, 1 hr paperwork.

One day per week add -- 2 hours research time, 90 min group therapy, ~4 hour crisis walk in shift.

Twice a month -- 2 hour campus outreach.
 
Have toyed with the idea of starting a weekly group or seeing 1-2 therapy patients, but haven't done so yet.

Don't do it! We left that world behind when we embarked down the Dark path of Neuropsychology.
 
+1 for waking up at about 7 on a Saturday or maybe 8 when I was up late playing a new game the night before. It's not like I am out drinking on a Friday night and I am usually pretty tired by 11:00 pm so 7 am is a solid 8 hours when I actually only need about 7 these days. By 8:00 my wife usually has all of the things I don't want to do that day lined up for me to do and I am still sipping my second cup of coffee and thinking "maybe I can do all that stuff tomorrow".
 
Only one thing will get me out of bed consistently on a sat/sun morning...a prime tee time at a nice golf course.

I work probably 1 saturday per month, but that is mostly by my choosing. I gave up working 12+ hours in a day, so that is my compromise. If I truly get slammed and fall behind on my report writing, I'll go work out, have brunch, and then head into the office for the late morning/early afternoon. I can stream college football, so it isn't much different than what I'd be doing at home on non-travel weekends.
 
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