How do you deal with her psychotic episodes?
DIV
I want to fire her. Unfortunately I cant.
I'm really, really struggling with it to be honest. If I was the practice owner where I worked, she would have been put on probation and probably fired already due to lost revenue. I don't' work in private practice, so she's safe so far. One day she's fine, then the next she's flat out a bitch looking for a fight, then she's all quiet and meek and then she falls apart and cries like an infant for a day or 2 and then she calls in sick. After a 3 day weekend she's usually better.... to a point. But this has been going on for the last 5 months and I'm flat out tired of it. Shes' managed to miss over a month of work so far and she's running out of time to take off.
I'll be the first to say I don't deal well with depression. In my mind its a disease of the rich in that if you have enough time to worry about useless shit, then you obviously aren't working hard enough. I dont' see what she's got to be depressed about or i don't understand it. Shit, she's got food, she's got a cute dog and cats, shes got a reasonable job, she's got freedom.... if thats depressing, she needs to move to a 3rd world country in my mind. I know thats heartless and I know there are people out there with legitimate medical problems, but thats really how I see it. If your life is that fucked up, get to work. if you work long enough and hard enough, you'll be too tired to be depressed. if you don't' have enough work to do, go to the gym. Beat the shit out of yourself with a heavy barbell so you are thankful you can walk the next day.
That approach actually worked, to a point. I ran her into the ground for a month last summer. The problem is she physically can't do it and she started making some really bad mistakes. I'm at the point where i"m going to say fuck it. We hit the ground running at 9 Am and we stop when I say we stop at 6 or 7. Lunch and cigarette breaks will be optional based on my mood. She'll either get better or she'll break and I won't have to deal with her shit anymore. She won't eat right (actually she's lost over 20 lbs, to the point of being physically frail), she smokes like a chimney. She's got every excuse in the book not to exercise---primarily "fibromyalgia" but there are others. She's fucking herself up that way alone.
Like I said, I'm not the person to be dealing with someone with severe depression issues. Combine those with drugs that mess you up even further and its really not a good thing at all.