10/28/2012

A Day in A Life as A Therapist.

 

幾個月前,接受Taiwan Pscychology Network (TPN) 邀稿分享自己一天的工作,
TPN是小小的台灣在美國的從事心理相關工作的社群,
但夠寫稿,也是一個經驗的整理。

寫了一篇A Day in the Life of a Master’s Level Family-Based Therapist
是一篇工作記錄,於是我也騰錄在下面:

I am a family-based (FB) therapist in Pennsylvania, serving the family with an adolescent/child at the risk of being replacement or hospitalized due to serious emotional and behavioral issues. The FB services, including family/individual therapy, crisis intervention, and service coordination, are delivered by a team of two therapists to communities. That is, my partner and I do not meet the family and other service providers in our office but at home, school, and other agencies. The beauty of the job is we have flexible working hours according to schedule of the family and our FB team.

Our agency do not require therapists to be in the office everyday and we can work at home via the home computer. Unless I have training, meeting, or special appointments, I do not usually start my day until 10 or noon since the sessions appointments are scheduled in the afternoon or evening when clients come home from school. I like to put checking emails as the first thing of the workdays before I leave home for appointments or training/meeting. Checking my planner and previewing the plans for each appointment help me organize my daily home visits. The team supervision is scheduled on Monday from 10 am to 12 pm which is really helpful for me to get ready for the week.

About every other week, I will have one 3-hours staff meeting and whole day training from 9 am to 3 pm. Sometimes our team is required to attend court hearings for clients and families. It is painful to have a court hearing day because all court hearings are scheduled at 9 am but it only means the time for checking in. Then we have to wait until whenever being called by the judge. Our team may be able to leave the courthouse by noon or, if no good luck, then 5 pm. It is also painful if we have the school meeting (ex the IEP meeting) which is usually scheduled on before 8 am duo to the school schedule. Once a while, I may get phone calls from school around 8 am.

Our team usually has on the average of 2 to 3 sessions every afternoon/evening. My partner and I like to discuss the session plan during the break of two sessions. We will quickly review the last session and confirm the plan for the next session. The discussion can be short but still helpful. We share thoughts with each other as well as gain support from partners. All sessions end up before 7:30 pm and I get home by 8:30 pm depending on the distance and traffic.

We also answer the crisis call from our family 24/7. We may provide crisis intervention over the phone or leave for the family house or hospital after consulted by the supervisor about the severity. My partner and I try to schedule all appointments on Monday to Thursday and save Friday as a make-up day if the family cancels appointments. Also, I like to focus on all paper work on Friday. If I can get all paper work done on Monday to Thursday, then I will be free on Friday as a reward for hard working.

It was very overwhelming for me to in the first half a year in this position. In addition to adjusting a new job, it took me a whole to learn time management. First I learn my preferred work hours. I prefer schedule three to four appointments back to back from Monday to Thursday and concentrate on paper work on Friday. Also I would rather work on evenings than Saturdays. I found I cannot focus on paper work during the break of two sessions because it is not easy to find a quite with high privacy to type notes on the trip. It is very important to set up schedule limitation with families. I used to be very open with all schedule time and finally I lost my personal life. Another challenge is it is hard to keep regular meals. I may miss the lunch or have a bad appetite because of cold or fast food.

This is my first job after graduate school. I had several related jobs in Taiwan before I got my master degree in counseling but I was exhausted because of the work hour limitation. I can see myself and families I serve are benefited by the flexible work hour. I do not need to take days off if I have a doctor appointment or take a yoga class in the morning. However, in order to avoid a mess of profession and personal life, it takes time to manage life. It was suffering at the beginning but now I quite enjoy my current life style.

10/27/2012

必然

 

當我遇見你,
我的付出是真心誠意,
我離開,依舊如此。

不過,在你人生似乎有許多選擇,
我,不在清單裡。

所以,連簡單的回應都沒有。

感嘆,
朋友為什麼改變,

或者,變才是不變,
因為我沒改變,所以我才是需要變的人。

10/17/2012

消除偏見

 

「打開你的想法,擁抱新的經驗,甚至是從一些小事開始,比如說嘗試一個新的學校活動,去別的國家旅行,認識其他國家的人、追尋新的點子,面對新的恐懼,消除舊的偏見,而在過程中,台灣才會有機會慢慢變得更好。」 by 鍾子偉

 

因為成績好、因為立在主流社會,一切特權來得如此理所當然,
害怕自己太習慣這樣的理所當然,所以出走。

猶記曾和朋友談起青少年的性傾向迷惘,
然而我的原則是,不管你與同性異性交往,重點是對感情和自己的行為負責,
然而,我受到朋友的指責,
說我不該同意孩子與同性交往,這樣會助長他們成為同性戀!

我一整個很無言,
我知道,若連對同志都有這樣的迷思,
很難講到對同志族群的尊重。

記得幾年前看新聞,不管任何新聞,只要提到當事者是同志,
常常覺得整個焦點會被轉移,
只討論到底當事者是不是同。

但這幾年風氣似乎開放些,
或許跑車小公主新聞只是一時,但下方的留言卻更吸引我眼光。
許多人身攻擊的言論還是令人沮喪,
但發現許多人都指出該新聞侵害個人隱私,
相關報導的另一則新聞裡,還有人指出性向的選擇是個人私事與公益無關,
許多人也提出這整個新聞的偏頗,
包含醫生醫德、記者道德良知,還有刮車人的責任….

也許,當大家對於病態的社會到了一整無法忍受的程度時,
大家才會真正去思考改變….

9/12/2012

[喵] Natzimi 在我家

 

一直想記錄Natzimi的生活,
還有帶給我的樂趣,
已經錯過前3.5個月,
那就從今天開始追起。

先給個基本背景,
Natzimi在滿一歲當天,
跟著應該是他的同胞胎姊妹thumb,還有另一隻成貓一起被送到流浪動物之家,
理由是因為飼主搬家,新家不準養寵物。
這事情,在美國似乎常發生,而許多美國人有的並不介意帶成貓回家。

基於小貓容易被領養,而成貓更需要更多關注,
當初選擇是1-3yrs的貓,
就貓年紀而已,我知道我等於帶一個「青少年」回家,
但還是有很多方式可以彼此相互適應。

他回家後,透過他的行為,慢慢推測出他過去的生活模式,
也隱約推想,他並不是一隻很被照顧的貓,
至少,是遠遠低於我認為該有的照顧程度。
相關的行為,之後可以一一描述。

還在重設照片管理軟體,
等弄好,會補上Natzimi的照片。

[FBMH]120911

 

畢業後,因為工作關係,
用英文書寫的頻率變多,
所以不管在英打上或者在思考句子速度上都大大進步。

但可悲的是,
因為書寫的都是個案報告,
有一定的書寫格式(和論文格式或書信大大不同),
甚至連句型都很固定,
整體來說,我的英文書寫能力反而變差。

昨天,早上九點受訓,接著訪案到八點半,
連中午要找地方偷偷小瞇一下都很困難,
所以晚上回到家,室友端來的泡麵還沒吃完,
我就昏睡到天亮。

今天,七點起床繼續打報告,然後衝十點團督,
然後一路訪案,回到家已經九點,
但,還要寫完兩封正式書信,一封還完全沒有任何文件可以參考。

很痛苦。

所以寫著寫著,突然冒出一句我從來沒有說過、寫出來過,
但卻是很正式(至少是我們諮商領域裡的正式句子),
真的覺得很神奇。

當然啦!三不五時,我總會學到一兩句專業句子
--- 不管是偷來觀摩來的,還是我學習的延宕反應,
在體力腦漿榨乾的時刻,這樣的進步是頗令我小小感動的。

9/11/2012

[FBMH]120910

 

有時經過一個月的初期評估,
家庭問題常常是肇因於家庭關係,
然而家長會期待有一套適合運作的方法可供他們使用,
例如有效的獎懲制度。

但隨著處遇記續進行,
原本的方法可能有效、可能無效,
但間接帶出真正的核心問題。

於是我好奇,
這樣的繞道是必要的,
因為案家也許需要建立信心、尚未準備好接受問題評估,
也或許這樣的繞道是來自治療師本身的擔憂?

又如果,兩者答案都存在,
那麼該如何判斷是因為案家需求、抑或治療師自己需求。
即使是案家需求,他們需要繞道的原因是就是才是真的問題的核心?

4/10/2012

自找的

 

被撣了一巴掌,
自找的!

臉上的麻辣,不會痛,
但你那眼裡的睥睨,我會自此記得的!