I going back to practicing and I'm scared

[Jules]

Hi, I am a social worker and had to stop my clinical practice a couple of months ago because of the pain medication I am taking. Ethically I felt that I shouldn't practice when I am taking mood altering medication, especially while I am adjusting to it. I am now well adjusted to the oxycontin I am on and am going to see my first patient on Wednesday. I am scared though that I am not doing the right thing or that ethically I shouldn't be doing it. I had a long talk with the woman I do supervision with and she said that she supports my decision and that I will really only know if I am ready when I try but I am scared and apprehensive. I am not ready to give up what I love to do, but maybe I should. I have been focusing on indirect practice pieces and am really enjoying this, but I love to do therapy. So here I go. Any thoughts would be helpful. Jules

[Dianne]

I think you'll know if you can do this or not after you try. I guess I'd keep asking myself if I would want me as a therapist. Many people function just fine on meds. If you can answer that you are still able to be the kind of therapist you'd want, go for it!

[Hope]

Jules-
You are obviously ethical because as we both know, too many therapists wouldn't even struggle with this issue. Personally, (i am a clinical psychologist) I cannot see the ethical dilemma. As long as you are able to focus, think clearly, and can be clear on what is your stuff and what is the client's, then I think it will be ok. Especially since you have your supervisor's endorsement and support. More than ok, even. Just think of the level of empathy you can have for your clients. A deeper understanding of loss, change, pain; the struggle for a normal life; understanding about what it is like to take and adjust to medication; and so on. Although some days are very hard, pain and frequency and even mood wise, I think I am a much better therapist since going through this ic hell. I do have to be very alert to countertransference issues of all types. The ones you might expect, as well as feelings of envy --- as in, oh you think YOU have problems -- for example. Congratulations on finding a medication that will help you return to work that you love. Keep us posted. And...thank goodness for 50 minute hours...

Hope