thanks for the discussion

Hey, that was good!

I am gratified to find so many comments on my client's deteriorating marriage.

They are all pretty accurate and I have confidence that he will, with some painstaking hesitancy, move in some direction. He is really just in the early stages of his treatment. I have been seeing him since September.

And now that it's a new year his ever-caring "health-plan" has automatically authorized another twelve sessions. Of course, as you all seem to appreciate, working though a change in your life is very difficult. You all noticed how many aspects are involved: money, children, friends, houses, extended family, routines, and even just thought patterns need to change. This guy will be with me for another forty to sixty meetings, over the next one to two years. But I am confident he will make some decisions and some changes.

In order to keep seeing him I will have to fill out forms, use key words, check boxes, and fill his medical record with information that may be used against him at some time.

The irony is that I am saving them money. By coming to treatment he will do something about his life, although what it is has not yet evolved, but he will avoid sinking into a deeper depression that would probably create some chronic, expensive medical problem such as alcoholism, obesity, irritable bowel syndrome, TMJ, back pain, headaches, or just non-localized aches and pains.

For this I will have my compensation decreased because of the rising cost of health care.

If the head of the insurance company would take a pay cut I might be willing to consider one. But since I have not heard that he is, I will begin to find ways to work to make his company obsolete.