Well it's really easy to tell someone to snap out of it. Sounds like common OT depression to me and you are far from alone. I have beeen in the profession for 8 years--five in school based. I left because I couldn't please the teachers who wanted one thing and I couldn't please the parents. They were either in denial (the lower incomes ones) since I was working with preschoolers and I was the first one to tell them their kids weren't perfect. The middle class parents always wanted endless therapy and nothing satisfied them. I had a great time with the kids who always enjoyedworking with me. Now I have been in long term care at a number of facilites and done a great deal of PRN as well and once again I found myself discouraged. I too have seen 99% exercise based therapy. I have done some activities when I was in a small facility and the only OT. But when I work with other OTs they don't want to do anything but exercise and minimum adls. I want to go to a facility that uses occupation to see what they do, I am sick and tired of AOTA people and educators saying basically just do occupation without telling us what to do specifically. I just started doing homehealth and find once again. Everyone wants a HH aide to bath them or they are very happy with sponge bathing. Most are elderly and unmotivated. Most days I wish I had the money to go back to school to become a PT. OT looks great on paper just like you said. Funny I just came to the same realization a few weeks ago and was talking about the same thing to a friend who works at a SNF with lots of modalities. She said if it wasn;tfor using all these treatments she would feel like a fraud, too.Gee, I guess I didn't provide much encouragement either. I think therapists need to get together and brain storm. What's going on with the part B caps?Chris OTR/'L
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