Tuesday, July 21, 2009

Concerts in the park (and my typical rambling)




So I finally got around to editing some pics and putting together some digital scrapbooking pages this past weekend. hence the Concerts in the Park pages above.

It's only Tuesday night, and it has already been a crazy week! Yesterday was the first day I've had at County where every single minute of my day (and I actually worked over) was billable. Yay for my productivity! It also made the day go by lightning fast. I got to work at 7:30 (shocking!) to prep for my first session with a new client. I'd met him and done his plan development on Thursday, so I kind of knew what I was getting into, or so I thought. He came in at 8 and visibly seemed to be a different person. To make a long story short(er), he had cooked up a hairbrained scheme in his mind about something I could make happen for him and the confrontation with reality was a bit jolting for him. I was briefly concerned for my own safety (okay, that's putting it mildly - I actually hit the panic button to call security) and moved the session to one of our other offices near the front. By that time, he was freaked that he was going to get "in trouble" and started cowering and covering his face with his hands, apparently being flooded with evoked memories of past trauma. From that point on, the session turned into a crisis intervention and I called in reinforcements to get the guy calmed down and put back together. This ended up being a two and a half hour process. Needless to say, he was not an appropriate candidate for doing actual therapy and I won't be seeing him again...at least until he's stabilized on his meds and has gotten through enough of a trauma training group that teaches self-regulation to be able to handle some sort of introspection.

By this time, the intake scheduled for me had been waiting on me for an hour and a half. (It's a community mental health clinic - there's a big sign that says, essentially, if you're a walk-in, we don't know how long you'll have to wait, so take a seat and chill). Fortunately, although this client had a string of involuntary hospitalizations and drug charges, his mental health issues were fairly straightforward. Even so, because he was scheduled to see the psychiatrist at noon, I did the fastest intake paperwork in the history of the clinic. Then I had to hit the road, because I had to drive to San Bernardino to do psych testing on a client at another clinic. Much to my delight, my client was a very hyperactive kid who crawled on the floor, tried to climb out the window, and generally whined about having to do his testing. Somehow I got us more than halfway done with his eval and we all survived. Then I got a bit lost in a less than stellar area of San Bernardino (not a place to put on your list of top places to visit, I assure you). I had a splitting headache when I got home, but then Rebecca was "hiding" (she announced this to me) and was grinning from ear to ear when I came in and "found" her. So that, along with the long snuggle time I had with her, salvaged my day.

Today I had another intake and got caught up on charting from yesterday morning's adventure, and I had supervision. It was a quick day too. Tomorrow, I've got to go to our main office in Rialto before heading back to San Bernardino to finish up my testing case. With all this driving, I'm pretty excited to get my travel reimbursement! It's going to be a nice supplement to my actual pay!

When I came in, Rebecca announced to me that she was hiding, and then I found her, so there was more hilarity. Rebecca had told me yesterday, "I need a haircut. My hair is messy." As she told me this, she was attempting to smooth her hair back and looking woe-begone. So tonight after dinner, she got a haircut. She's so perfectly good for it and likes to look at herself in the mirror. She proclaimed at the end, "I look pitty!" She is also looking forward to another movie tomorrow. I think it will be a hit, unlike last week's! Rebecca seems to have noticed that I'm gone more than usual. She's been a little more clingy and has said, "Don't go!" very sadly when I get ready to leave in the morning. However, she's easily distracted and goes back to her breakfast as soon as I walk away (before I'm even out the door). So hopefully that will be short-lived. Tomorrow evening, my mom will be arriving for a visit with us, so we're looking forward to that.

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