There is a particular kind of tired that comes from moving at a pace set by external circumstances and structures.
You know the one. The day chopped into fifty minute blocks. The note that has to be done before the next person walks in. The quiet arithmetic running underneath everything, how many...
I don't look at them. I never have.
When someone leaves this list, that's a boundary, and I trust it completely. I don't treat it as a verdict or go hunting for the sentence that lost them. They made a choice about where their attention goes, and that's theirs to make.
But I can definitely feel ...
On care work, fee-for-service, and the often unspoken costs of clinical work
This is not a guide for fixing your practice. It's not a productivity framework. And it's not an argument for coping better inside conditions that may be doing you harm.
This is an inquiry.
It asks a different question...
In the early days of Center for Body Trust, before I had the structural language for any of it, Dana and I used to teach a version of this to anyone who'd sit still long enough to hear it.
We'd watch people — smart, careful, deeply good clinicians — stand at the edge of something they wanted to ...
