Two Chairs reviews

The rapid pace of change of the start up environment can be challenging - especially in juxtaposition to the thoughtful 'slow' pacing of being a therapist. Although I get a sense that management is mindful of that contrast when they roll out new, improved systems and technologies for clinicians, it still means that we need to change and adapt which over time can get tiring. On the plus side, all of the rollouts have ultimately made it easier for me to book/change appointments, track my client's attendance and chart my sessions.

Micromanagement from upper management and leaders. Toxic positivity from upper management and leaders during company meetings and their weekly mass emails. Never ending changes; each month a new training or new change to what you’re used to. Having no say whatsoever. Weekly information overload via email and meetings. Forced to see and treat clients outside of your scope of competence. Constant risk screenings and assessments each week. They enforce a 6 month treatment plan for all of your clients and micromanage you if you go over 6 months. Fiercely obeying whatever Kaiser tells them to do, then forcing that onto clinicians. Extreme documentation requirements. No time for breaks for clinicians. Toxic positivity and gaslighting through the introduction of AI. Clinicians treated poorly in regard to choice and having a say. Changing clinician’s jobs and forcing them to do Intake; removing Consult Clinicians from the company and making clinicians do it all. Making clinicians handle care coordination, when there’s an official care coord team that’s supposed to handle care coordination. Extreme KPIs/metrics that must be followed each week. No time for employee resource groups or breaks because your schedule is loaded with clients. Frequent additions to your caseload; mandated. Blaming clinicians when clients don’t show up to a session, and then harping on your “attended weekly sessions” metric. Micromanaging clinician’s time between sessions, leaving no time to use the restroom or take care of your own personal needs. Forcing clinicians to hold 53+ minute sessions with back to back clients, then gaslighting clinicians that “it’s just a metric”, but still force it on you. Your clinical preferences as a therapist rarely being honored. No niche-therapy, they force you to be a generalist. Tech engineers and upper management being paid way more than therapists who are doing the clinical hard work daily. Seldom opportunities for promotion. Very slow HR responses; sometimes cold attitudes. Favoritism among higher-up clinicians and staff.