Dealing with this is frustrating me so I need advice! I have a patient who is consistently either late to every appointment or completely forgets to show up. Often times she'll call hours later apologizing and trying to reschedule. My job doesn't have a policy about missing appointments so this has happened probably 5+ times. What should I do?

like
Posting as :
works at
You are currently posting as works at

It’s becoming a treatment interfering behavior. I would just ask her if she is sure that she is ready to be in therapy and if she has the time to commit as it should be a priority. Basically tell her if she’s a no show again you will take her off the schedule until she is ready to commit. It feels harsh, but your time is valuable and she is not going to get what she needs out of therapy by not going.

like

I had to do this at one point - it's not pleasant but you realize that ultimately, it's an issue that cannot be fixed if they do not give you the opportunity to fix it

Set the example by modeling expectations and boundaries. Ask her what she thinks is fair? Put the responsibility and consequences on her - negotiate the limits together and follow through.

like

Putting the ball in her court is a great idea thank you. Potentially she's only doing this because her previous therapists haven't called her on it.

I would also explore lateness and what they think about it. Pt might be apologizing but do they have insight into it? I would explore this

like

I feel so stupid for not digging into this deeper with her sooner. I think my annoyance put a tint over the interaction for me. Thank you for this reminder.

I second what everyone says about boundaries and exploring the pattern more with her.

Set boundaries. She has to know that her actions, no matter how small, have consequences. This includes her willingness to continue your sessions and her attitude towards it.

My college professor once said "all behavior is data". Ask her why she's always late, maybe she's juts avoiding facing the hard things that therapy often involves, or maybe she has problems with planning and executive functioning that could point to an ADHD diagnosis. Either way I think you should dig deeper into the causes and work on them.

Related Posts

Anyone else get awful anxiety while hungover? My chest is always super tight the next day after drinking

like

I’ve had a bad case of work anxiety ever since I started a new job ~7 months ago. The adjustment was ROUGH. I was making mistake after mistake. I powered through and somehow got glowing reviews at year end, with people saying I’ve moved past that point.

I’m convinced I’ve only tricked people and sooner or later they’re gonna catch on. I have extremely bad Sunday scaries, I’m always fighting down my anxiety whenever a new ask comes through. I don’t know what to do.

like

I see a lot of people who have crippling anxiety here work out to feel better. My crippling anxiety kind of paralysis my legs (or at least feels like it to the point that I can’t even walk). Does anyone have similar symptoms and solution for it?
I am in therapy right now but just wanted to hear from someone who is also going through it

What is the best health insurance for parents visiting USA? They are visiting for the first time. Appreciate any helpful insights. Thanks in advance!

If you’ve had issues with BED, please share how you recovered, what has helped, etc. thank you.

like

My mom is convinced that I'm eligible for the vaccine in NY because I work there, even though I live in NJ. Having trouble finding information to confirm this, aside from the CVS website where as part of the eligibility check, it asks "do you live or work in NY"?Can anyone confirm if this is true?

like

Deloitte peeps.. Can someone give me the detailed run down on how to most cheaply access PrEP? Starting with which health plan option, etc. Thanks in advance!

like

I have one month left to finish my thesis. I know, I’ve screwed up. Anxiety got the best of me. Is there still hope?

like

Is anyone aware of studies on how safe tented outdoor dining is? Here in LA I’ve been seeing very elaborate renting that basically looks like indoor dining and feel like that defeats the purpose of eating outdoors to reduce transmission.

like

Has anyone been successful in negotiating the schedule on a global pregnancy bill? My provider won't bill by visit and split the global cost into four payments all due by the 28th week. I don't understand how that's legal since it is so off the calendar of services and crosses calendar years (and insurance coverage), where most costs are incurred at the end of pregnancy with increased visit frequency and delivery.

So I've been noticing that when I get moving in my body, my mood changes almost instantly to a better one and my sleep at night is so much better. Would you all be interested in a 5 day challenge this

likehelpful

obligatory post: how will COVID impact human capital? The types of work we do, factors in making a healthy organization, etc.

like

Have had a couple of patients that have positive covid antibodies but their spouses don't. Please explain

like

As the Friday progresses to its end my dopamine level starts increasing.....😂😀😀

likefunny

Can you use FSA to pay membership fee for one medical?

like

Does anyone else feel depressed because they feel too stupid for this job?

likefunnysmart

If anyone in DC area is looking for a great therapist.... i cannot recommend mine enough! I have seen several and she’s been detrimental in my getting better: Janet Wilson in Arlington.

like

Does anyone use peptides as part of their skincare routine? Yay or nay?

like

Hi Friends,
Has anyone encountered direct racism as a result of Trump’s rhetoric and the usage of the “Chinese virus” despite warnings from the WHO/CDC to not do that?

like

More Posts

I’m looking into cyro banks to bank my eggs for long term storage. Has anyone had any experience with California Cyrobank, Reprotech, or Fairfax Cyrobank?

like

This guy Elon is hilarious. Trolls everyone, sleeps with people's wives.
When I grow up I wanna be just like him.
Even roasting other billionaires like Bezos and Gates.
I always thought to reach to the top you'd have to act a certain way, but this guy simply does what he wants and does not care.

likefunny

If job posting pay was $36.66 hourly (no range) what would be an acceptable offer and counter offer?

like

If you left public accounting and are now in industry, are you still forbidden to do accounting services outside of your job?

likesmart

What is the scope of Salesforce jobs in the market?

like

Just found out I am going to be on a coupa P2P implementation for the next 6 months. Not a fan of coupa or procurement so any advice to maximise my learnings and make this as valuable as possible

like

I’m shooting for the moon and applying to jobs I am mentally ready for and can qualify for but my resume is very short sweet and to the point because I’ve worked at the same place for 6 year and climbed the ladder & wanting something new. How do I explain that to my future employer?

like

Recommendation for good housekeeping services? Standard cleanings for one bedroom apartment

like

How do you all handle the boring but standard recruiter phone question “so tell me about yourself”? In the past I always do straight and honest answer. Thinking if I should try to be witty this time?

I want to become an art director with zero design skills. I’m going to have someone else comp everything up for me. The ideas might be solid. Who wants to hire me?

like

At a bar in NYC with friends from all the big 4 firms. These assholes are comparing hours/week as if it's a competition

like

Can you mention the client you worked for during job interview? Not on resume but during actual interview?

like

EY future colleagues, what’s the range for an experienced SM hire (I assume it’s the same as Senior Director at EY)? SM4 at Deloitte so not sure what SM level I will be getting an offer for next week. How much sign on bonus to expect and annual bonus range?

like

What salary + bonus + RSUs should I expect for Microsoft Supply Chain Manager role with 5 yoe?

like

can someone share a screenshot of CTC breakup from wipro.

like

Is Wipro firing employees? Came across a few posts in LinkedIn

like

How is Novartis account in Accenture?

like

Anyone from CN - T&O? I wanted to connect to understand work culture, projects etc.

like
like

Additional Posts in Social Workers & Therapists

I'm currently making 45k with 10 yoe in a MCOL city. I took this job just to tide me over during the pandemic. I really need to change my situation, but I'm wondering what a reasonable salary to look for is?

like

What do you guys think about apps like BetterHelp and Talkspace? I understand they might have real therapists working on their content, but a lot of the marketing I see is so vague and broad that it feels like a lie. Seems like "This app got rid of my anxiety with a 30-minute automated text questionnaire" is the new "This tea made me lose 20 pounds in two weeks!" Just seems a little fad-like and money grabby to me. Thoughts?

like

Anyone here ever struggled working at a private practice during your first year as a licensed counselor? I work well with the clients but I find it difficult to accept the pay I receive for the amount of work I do and is required. Lately, I realize I haven’t been putting in much effort towards paperwork because of the pay I receive.

like

How many therapists (and social workers too!) see a therapist themselves? Do you find it helpful?
I think there's this myth that therapists have all their own sh*t figured out, and for me at least I know that's far from true (hopefully it isn't just me). On the contrary, I think we should be leading by example!

like

I am sick and tired of mental health professionals getting overworked and underpaid. No other profession I am sure is this horrible!!!

like

Hello, I’m an LMSW in Michigan. I have 15 years of experience in the field as a clinician, supervisor, and an administrator. I am feeling burnt out and unsure of my future. I have worked mainly in the Community Mental Health and the VA Health systems, hence my fatigue. I’ve flirted with private practice work in the past, but my spouse has been worried about not having affordable healthcare and benefits that each system provides. Is it worth the jump? Am I overthinking things?

like
like

Any MSWs successfully broken into the employee wellness/ DEI space at a tech company. Any advice?

like

How many of you have left or are planning to leave therapy, and what did you transition into?

like

Recently received my CSW license and have started working as a therapist at an outpatient clinic. Is a starting salary of $64,500 fair? I am supposed to aim for 28 billing hours (get paid if clients show or not) a week with 12 hours of admin time for other tasks. Thanks for any input.

like

Is anyone in any outreach coordinator positions? What is the pay like? I’m seeing $40,000 mark?

like

I accepted a job at a oncology outpatient clinic last week! What can I expect?

like

Hey there! really need a change in pace from being in higher levels of care, and am wanting to go part-time with my company and private practice, but I want to buy a house in the next year and am worried about finances. Can anyone speak to the hardships or successes or a counseling of practice and/or buying a home shortly after starting one? I feel trapped in my current job because I’m worried the timing isn’t right.

like

Hello Everyone!

I very recently accepted the position of Sourcing Specialist at TidalHealth - a large Heathcare group in my area. A few of my target positions include Social Workers and Therapists. If those in this group can provide me knowledge on what you are looking for in employment offers, salary expectations, the ideal work environment, and any/all factors that would help me in my quest to improve my work ability.

I appreciate any and all responses!

Kind regards,

like

What do you think a social worker with 8 years of experience should be making in Santa Barbara, CA? I make like 50k a year and I feel like I could potentially be making more if I leave my current job. Just want to know for sure before I start looking since it's a risky time to be leaving work. TIA.

like

What is a good hourly amount to ask for as a PRN social worker/therapist in the DC area?

like

Hi everyone HELP! I was lucky enough to receive two job offers, one in SNF/LTC one in oncology outpatient setting. Looking for any tips from people that have worked in either setting or both??
Some background I am coming from a inpatient hospital setting. Thank you!

like

Any recommendations on a good side hustle or part time job? Trying to buy a house (yes I know the economy sucks right now) and it’s been tough saving with a SW salary.

like

New to Fishbowl?

Download the Fishbowl app to
unlock all discussions on Fishbowl.
That was just a preview…
Sign Up to see all discussions
  • Discover what it’s like to work at companies from real professionals
  • Get candid advice from people in your field in a safe space
  • Chat and network with other professionals in your field
Sign up in seconds to unlock all discussions on Fishbowl.

Already a user?
Login here

Share

Embed this post

Copy and paste embed code on your site

Preview

Download the
Fishbowl app

See what’s happening in your industry
from the palm of your hand.

A phone with Fishbowl app

Scan your QR code to download
Fishbowl app on your mobile

Download app

Sign up for free to view this conversation on Fishbowl

By continuing you agree to Terms of Use and Privacy Policy

Already have an account? Log in

Sign up for free to continue using Fishbowl

By continuing you agree to Terms of Use(New) and Privacy Policy(New)
Messaging rates may apply

Already have an account? Log in

For account settings, visit Fishbowl on Desktop Browser or

General

Legal