4.6 • 1.2K Ratings
🗓️ 18 September 2025
⏱️ 63 minutes
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| 0:00.0 | When I first started as a therapist 20 years ago, I would frequently find myself confused regarding the boundary of what my job was. |
| 0:08.1 | As a novice therapist 20 years ago, I often worked with client populations who were suffering from multiple issues, |
| 0:15.9 | like mental illness, health problems, financial problems, racism problems, school problems, neighborhood |
| 0:23.4 | problems, legal problems, and so on. And as a therapist, I, you know, naturally felt tremendous |
| 0:31.5 | compassion for these people, and I really wanted to help them. So I would try to give advice, or I would ask around to see if anyone knew a solution, |
| 0:42.3 | or I would try to find resources for my clients, but I never really felt at ease with that sort of work. |
| 0:50.8 | However, I was 100% comfortable with providing therapy, you know, therapy therapy stuff, |
| 0:57.3 | like listening or helping people feel empowered or helping people recover from trauma or |
| 1:03.4 | helping couples and families get along better, that sort of thing. But I was not comfortable |
| 1:08.5 | with helping people get set up with Medicaid or helping people |
| 1:13.3 | find the right school for their kids or helping people figure out how to pay their bills or |
| 1:18.5 | other things like that. But often, those are the issues that people were most desperate about. |
| 1:25.0 | You know, it's hard to work on improving your self-esteem when you can't |
| 1:29.9 | find food for your children. Well, this sort of work is often referred to as case management |
| 1:36.3 | in our field. You have therapy or counseling, and then you also have what we call case |
| 1:42.2 | management. Case management often refers to the sort of work |
| 1:45.5 | that I've been talking about, you know, helping people with Medicaid or helping people get set up |
| 1:50.0 | with doctor appointments. So as my career progressed, I began to have a lot of opinions about |
| 1:57.5 | this sort of work and in terms of my own life, my own career. |
| 2:03.5 | And as a supervisor, supervisees would frequently ask me about it. |
| 2:08.8 | You know, they'd ask me, how do I get someone set up with Medicaid? |
| 2:13.0 | Or how do I get someone toys for their kids? |
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