I feel I need to say something here. people are starting to get all worked up over how I do my job and the fact that there are types of clients that I dont like to work with and the fact that I am saying so.

The thread is about if there are clients that therapists dont like to work with so there is going to be posts in this thread that are going to be about therapists not liking to work with some of their clients. its what the thread is about. If it upsets you to read there are therapists that don't like to work with some clients I wonder if this thread is for you. Maybe a moderator could add a trigger warning on this thread so that people know some posts in this thread can be triggering for those who don't want to think about therapists not liking every person that comes into their lives?

Second theres a difference between working in a crisis center vs working in a county mental health agency and other private and public mental health places.

I work in a crisis center as an intern who has a CSW not a LCSW. and I work on rotations at a local mental health unit at the city hospital. what we do in these places are not like what is done in other private and public mental health agencies.

on the mental health unit we have 72 hours to access a person's problem and whether they need inpatient care, if not set them up with an out patient plan. If they need inpatient care we have only 2 weeks to work with these folks, to get them stabilized and on a treatment plan and develop an out patient plan with them or start transferring them to the state mental hospital for long term inpatient care.

Crisis centers are for immediate help and stabilization for immediate problems. its not for long term therapy. We don't get the luxury of working with someone for years and years. we have to assess the problem, stabilize, work up a plan and get to work. if the person needs more time we have to transfer them to another therapist either in the agency or in the community. Thats the way crisis centers work.

I know its upsetting to know there are such places that require you to get down to business but thats what crisis centers are for. Emergency help right now on this crisis problem

And I know its upsetting to find out that therapists are human too, that therapists have likes and dislikes of people just like non professional people do. Its a therapists likes and dislikes that is the deciding factor of what specialized field they want to work in. My therapist hates working with drug addicts but she loves working with dissociative s so she became a therapist for dissociative disorders instead of working with Narcotics anon.

When you are an intern you don't get the choice of what clients you get and part of internship is to see what kinds of clients you prefer to work with and those you know you cant work with or dont like to work with.

I know I don';t like to work the court mandated cases so when its time for me to branch out past internship I will be making sure that I don't have to work court mandated cases. I may not have a choice in some cases but given a choice I prefer not to.

Being an intern working at a crisis center I also don't have the choice of taking time with those longer term cases. someday when its time for my internship to be over and I have a choice then it will be up to me to decide. Right now at internship level I don't like working with those that don't put pout forth the effort. I cant find out if I like working with longer term or not because longer term isn't what this crisis center where I am working does.