What to say

Thursdays are my busiest days. It doesn’t change whether it was 7 years ago working in senior day facilities, running substance abuse groups for teens, or the past 6 years in school based services. Now, working in an office with scheduled clients, a hair-breadth away from private practice, it’s the same deal.

Clients cancel 1-24 hours in advance, don’t show up at all, or reschedule early in the week. Mondays are notorious for being empty. In the therapeutic line of work, empty is boring. I plan sessions for my clients, questions to push them towards progress. I create home practice to be completed between sessions and built upon the following session.

On the internet you can go to any search engine of choice an type in “therapy client no show” and get advice. Many of the results present advice for ffs clients (fee for service). What about medi-medi clients who have no co-pay?

I make a phone call about 15 minutes into the missed session. I offer them an opportunity to reschedule the following week. I ask about problems arranging transportation and make recommendations. If I end up leaving a message, it’s “Hi XYZ, it’s Megan from [insert employer here]. You missed your scheduled session with me today at 9 A.M.. You can call me back at 123-456-7890 to schedule a different time.”

At my previous employer we worked with Medi-Cal clients alone. This enabled us to discuss the 3 consecutive no-show policy held by Medi-Cal which resulted in termination of services if they did not respond to a mailed letter reviewing the policy and their endangered client status. At my current employer I review the policy at the initial session, and the policies are posted at the receptionist.

What about Medi-Medi clients who do not have a co-pay?

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I’ve been back for a while from my monastic visit which occurred August 7th through the 10th; I only took two days off from work. While I had a nice time with the sisters and doing some of their work with them, I made the personal decision not to openly discuss things with the vast majority of my friends until I spoke with my spiritual director. Unfortunately, he cancelled last minute at 10pm on the Feast of the Assumption of the BVM. I view him as having made immature comments about the review of my vocational questionnaire prior to when I sent it to the sisters: he said that he put it off because it contains “personal” information and “you know us Mexicans, ‘manana'”. I may have to find a new spiritual director, which is unfortunate for me. If you have any suggestions for the Beach cities, Torrance, San Pedro area, &c please let me know.

I’m also thinking of posting my journal from the monastic visit here. These are just thoughts, nothing is decided just yet.

Birth Control Pill

The World Health Organization has been labelled oral birth contraceptives a Level I Carcinogen, as in it is in the top tier of causes for Cancer, thereby breast cancer. Furthermore, they (the WHO) have not retracted this statement.

Yet did your OB/GYN or GP/PCP tell you of this?

To clarify, you not only increase your chances of cancer, but breast cancer, and infertility via usage of birth control. That’s a nice price to pay for sexual freedom: unable to conceive children when you want them, and you can increase your chances of any form of cancer, but especially breast cancer.

Source: http://www.who.int/reproductivehealth/topics/ageing/cocs_hrt_statement.pdf

Let prayer be very short

When we wish to suggest our wants to persons of high station, 
we do not presume to do so 
except with humility and reverence. 
How much the more, then, 
are complete humility and pure devotion necessary 
in supplication of the Lord who is God of the universe! 
And let us be assured 
that it is not in saying a great deal that we shall be heard (Matt 6:7),
but in purity of heart and in tears of compunction. 
Our prayer, therefore, ought to be short and pure, 
unless it happens to be prolonged 
by an inspiration of divine grace. 
In community, however, let prayer be very short, 
and when the Superior gives the signal let all rise together.


– from the Rule of St Benedict