
Sunrise over the Grand Canyon
Work went okay today, although my supervisor came in and questioned me about the intake I did yesterday. Now... to clarify... I work in a COUNSELING agency... we do counseling & therapy... we DON'T prescribe medication in our clinic. SO... the intake I had yesterday came in, with a sole complaint that she is restless & has difficulty sleeping. So, after getting the necessary information for the intake (lots of questions), we talked about sleep hygiene issues. She *just* got married 8 months ago, she's *just* been with her husband for about a month and a half, after being a single parent for quite a long time. My best educated guess is that #1, she's not *used* to sleeping with anyone, and #2, she is adjusting to living in a new place (new island, new home, new situation). All of that takes time to adjust to. I won't go into all the other details that came out in the interview... but I don't think she knew the full situation of what she was getting into when she decided to get married... but that's another story. Anyway... as I said... we talked about sleep hygiene issues, I gave her a hand-out about it and set up an appt to see her again next week. (When she was first coming in and just by what she listed on the intake forms, I initially assumed that she would only need the 1 appt... but as more came out, it became evident that she would benefit from at least a few more sessions). SO... back to my supervisor. Apparently the woman's (new) husband called and was upset because we didn't prescribe her some medication. SO... my supervisor came in to find out about the intake. I feel very justified for the way that intake went, I did everything expected/asked of that situation. I think anyone else doing the intake would have handled it similarly. And truthfully... I would question any medical doctor that would prescribe medication for sleep without first trying behavioral modification (sleep hygiene) first. I guess the final outcome is that the guy is trying to get his wife into see a psychiatrist at the main hospital in an effort to get her on some medication. (Whatever...). It will be interesting to see if she comes back in next week... I hope she comes in... and I'm hoping that her husband will come in for some marital therapy. They are just starting off this marriage and there are already a LOT of issues going on.
The rest of the day went okay, although I had an intense intake this morning. The young woman is in an abusive work situation, but feels like if she leaves that position, she is a "quitter." She's gone to her supervisor, and was basically told, "this is Hawaii... get used to it." (WRONG!). Meanwhile she is going to need medication to cope with the situation (most likely) and THAT is sad!
I think I've had three intakes this week (so... I have three new clients). I'm gradually building my caseload. Looking to next week, unless I get an intake on Monday... I don't have any appointments scheduled for that day. Then the rest of the week I have 3-4 appointments each day. I'd almost be tempted to take Monday off... but I start my "on-call" Monday at 4:30, so I need to pick up the "on-call" materials (notebook, phone, pager, etc). And they *have* declared the Friday before Memorial Day weekend as a training holiday, so our clinic *will* be closed. (So... there will be two days in that pay period that I don't get paid for, but at least by being "on-call" I'll earn *something*).
I *did* go to the gym after work and did about 50 minutes on the Elliptic Machine. I don't to the gym very often on Fridays, just 1-2x a month. After the gym though (and after talking to my oldest & youngest daughters a couple times), I decided to stay on post and go to a movie again. I went and saw "Step Up 2." It's a hip-hop movie about street dancing. I'm just amazed at the "moves" they do! Whew! And they are in awesome physical shape! It was good... and not too expensive.
Now I'm home... and think I'll head to bed... I stayed up later last night fighting with my computer, so I'm tired tonight.
Aloha!
- Kris