I fired my counselor and my psychiatrist. About two or three weeks ago, I found another and made the arrangements for my GP/CRNP to take over the supervision of my medications. This is one of the major things going on in my life.
See, the most effective counselor I ever had was promoted to a
different program in December 04. So in January 05, I began to
see a new counselor at the same center. About a month ago, I
realized that she was not very effective at all. I couldn't say
that we worked through ANY issues at all in the year that I saw her.
I do feel that I've grown, but I don't feel that she had much to do
with that. I know that I need to work through all sorts of crap
and I didn't think she was the one to help with that process. I
did, however, notify her that I did need to work on some things.
She said that we would see each other every week. That didn't
happen. Three weeks after she said that, I finally went to see
the director of the center.
I expressed my needs and how they weren't being met. I know that
the center is the ONLY "option" available for many on Medicare and/or
Medicaid. There are only three counselors available to the adults
who need care. Then my counselor, a week after I left the
center's "care" ended up in the hospital (and has not been able to work
the last few weeks due to illness).
Although I regret that she is ill, I sure am glad that I found an
alternative situation. See the problem mostly is that licensed
professional counselors are not reimbursed by Medicare/Medicaid, unless
they work within a clinic setting. If the LPCs are in private
practice, they won't get reimbursed, so they can't accept that sort of
insurance (because it won't pay). There has been pending
legislature being kicked around for quite some time.
Fortunately, I found a counselor who accepted me as a client, self-pay,
on a reduced rate. She is very professional, maintains her
boundaries, while still being reasonably accessible to her
clients. She cares about the well-being of her clients and
doesn't regard this merely as a job, but as a true calling and blessing.
We went over the goals and expectations I have and the rights and
responsibilities that we each have. She uses the Internal Family
Systems Model, developed by Dick Schwartz. We had one full
session, but I had spoken with her extensively before that to cover all
I visited the IFS web-site. Reading and reviewing the model
helped me to understand how the model works and how she will be using
the model. That way, we were able to begin work right away.
It's hard. It's good. It exhausts me. It makes
me nervous, because it's scary stuff that I am dealing with. But
I am confident in this counselor's abilities and motivations.
Since she does check in with me, and encourage me to let her know what
is going on, how I feel, are we going at a good pace or too fast, do I
need to take a break, can I keep going, etc.; I feel that this is a
good fit, all the way around.
So, that's the deal. The big thing that is the main focus of my life at the moment. Cuz, I gotta get through this.