Why???!!!! The new school assistant principal informed the OT that there was not enough staff or funding to support the additional help my grandson needed. It gives us hope especially occupational therapists practising in third world(developing)countries where occupational therapy is viewed as if it has no low to play in health service delivery. To be a licensed speech-language pathologist, you need to complete an undergraduate degree, a master's degree in Communication Sciences and Disorders, pass a Praxis exam, complete 400 hours of supervised clinical hours, and complete a 9-month (paid) clinical fellowship. Keep applying, and dont give up! And my school didn't prepare me for so many things. before jumping in to a job situation that might be worse than your current job. I personally love working PRN three or four days a week at times, while earning more hourly than the full time rate. I heard so many bad things about SNFs from Indeed. I would love to go part time but my work load wouldn't change. Ive certainly been in this situation. If you dont think you can handle the physical requirements that many OT settings demand but still are passionate about becoming an occupational therapist, you can look into outpatient settings like driving rehab, hand therapy, orworking in mental health. Just saying. Buy Hate Being Sexy But I'm Funny Occupational Therapist Therapy T-Shirt: Shop top fashion brands T-Shirts at Amazon.com FREE DELIVERY and Returns possible on eligible purchases Amazon.com: Hate Being Sexy But I'm Funny Occupational Therapist Therapy T-Shirt : Clothing, Shoes & Jewelry He might make your heart soar. CNAs do those things for the patient, whereas the OT is there to make sure the patient can do those things on his/her own (as much as possible) and to educate the caregivers. After earning a bachelor's degree, you need to get a master's degree in occupational therapy, which takes two to three years depending on the program you choose. If you are not OK with this, you can opt-out if you wish. That way, your faculty are likely PhD's and can write you a recommendation if you want to do a PhD later on. When interviewing for a new position, be sure to ask about productivity requirements, expected caseload, hours you will actually get, mentorship, etc. Occupational therapists treat patients who have injuries, illnesses, or disabilities through the therapeutic use of everyday activities. The Bad: Working with People Can Be Difficult as an OTA Occupational therapists work with people of all ages and with a variety of impairments. Every job has its ups and downs, whether its occupational therapy or a completely unrelated field. 5.) Teacher2PT, thanks for your advice and best of luck to you too! I'm only in my second year of school but have already learned that classmates (and future therapists) that I study/work with are huge in how happy I am in an assignment or project. Work Environment About half of occupational therapists work in offices of occupational therapy or in hospitals. No particular college major is mandatory for admission to OT school, Tyminski says. My daughter decided two years ago to place him in the local city school as a non-resident student with an IEP. Maybe in business roles, like HR? I just retired after 40 years as an OTR. We don't know. I've also chatted with many OTs. "They will remark disparagingly, 'I'm just a clinician,' I don't know what else I could do," Fork says. Do you hate the phrase, "that's not my job!"? Ive personally found that non-profit rehab and hospital OT and COTA positions generally have better, more realistic productivity requirements compared to for-profit rehab companies. The school system had another student (very similar situation and age) whose parents were told that their son could not return to the school after he had been with the school for 3 yrs. Necessary cookies are absolutely essential for the website to function properly. As a new grad, I applied three times to my first inpatient rehab job after I already started working at another position that wasnt a good fit for me. Thanks for the article. The is NO accountability, no ethics, and certainly no remorse over the illegal activity. and visual impairments. One of the joys of OT is that there are so many areas to work in. I worked in a school and realized that it's definitely not for me. Kids should be reading, playing, and having fun - not working. What OT topics are you most interested in? For Valentines Day, my grandson told his aunt that he needed to buy his new teachers a box of chocolates each because at his new school, they like him. Do you or Sarah have any tips on changing role with little to no experience in the fields? If youve landed here, you may have been Googling something like Im unhappy with my occupational therapy job or feeling burned out as an OT or maybe even feeling sick of my OT job.. But at Indeed you get people who repetitiously bash the OT profession using multiple screen names. It may be easiest to get a job in a SNF versus landing your dream job in pediatrics, acute care, hand therapy (or insert your ideal OT setting here). Thinking about ditching the profession altogether. Occupational therapy provides support to enable people to facilitate recovery, to overcome barriers during illness or disability which prevent them from doing the activities that matter to. Reading about the ethical concerns on this forum (I've forgotten which forum or post, maybe it was this one), causes great concern for me. Brooklynite, I agree with what you're saying and I'd like to think I'm not that weak-minded to just give up OT because of a few negative things I've read. Occupational therapy helps patients to do daily activities or "occupations." Those activities include cooking, bathing, shopping, eating, getting dressed, and caring for loved ones. Occupational therapy assistants work under the guidance of an occupational therapist, who conducts the client evaluation and assessment, then comes up with treatment goals and a big-picture plan for accomplishing them. You are using an out of date browser. =). Ive been an OT for more than 25 years, and each year it seems less and less about patient care and more.about money. Audio. But Im hoping to love every minute of my future career as well. If youre thinking about becoming a Certified Occupational Therapist Assistant (COTA) you will pay much less in tuition as it is now an Associates degree, but keep in mind this may be transitioned to a Bachelors degree in the near future. Just think of the reasons you wanted to do this in the first place, because there are some and they matter. The second year there were major administration changes at the school and upper levels. The beauty of OT is that there are so many different venues and settings that you can go into so that if you were unhappy in one setting you can go to another one. Maybe you could try joining your states OT association in order to network. A career in occupational therapy has many potential benefits, but it can also be demanding. Were there any profs you connected with? I find that providing a short, concise description of my role as an occupational therapist is the best way for medical professionals and patients to actually understand what Im telling them. Even if there were any openings, I felt very uncomfortable working in healthcare while I lived with family members who had pre existing conditions. W wave06 Full Member 10+ Year Member 5+ Year Member Joined Jun 25, 2007 Messages 43 Reaction score 1 Apr 2, 2010 #7 While skilled nursing positions might pay well (as an example), if your heart isnt into it you definitely wont be happy. If you answered yes to these questions, being an Occupational Therapist at Select Medical may be a great fit for you! Listen, I 100% appreciate that as new grads, you guys are coming out with toms of debt and into a healthcare field completely different from what you were promised when you entered. The purpose of the OTD is a management degree to help clinicians with experience learn more management oriented aspects of OT and to implement this in our field. Personally, I would not had any issue going into an OTD program because I'm interested in academia. Use Your Comfort Zone. Try to make hair washing less of an ordeal, and you may find that your child is suddenly more adaptable to it as part of the routine. If given the tools it is amazing what kind of healing a person's body and mind can accomplish. I've had to abandon Indeed. Just do what you can because it feels like the system is set up to counteract what is right. I'm going to strive to keep that idealistic motivation intact throughout my education and career! Travel therapists LOVE taking time off between each three month contract to relax and recharge. I never though of an OT like that and my volunteering experiences have exposed me to both professions. If you are not OK with this, you can opt-out if you wish. Plus I am fascinated with the human body and how the brain works! Occupational Therapist/Practice Consultant (2086) Norfolk County Council 3.7. A job just has to fit you and satisfy you enough to put up with the bullsh*t. In every field there will always be some who absolutely hate it, some who absolutely love it, and most who fall in between. I am working through my BA at the age of 34. Follow your heart and always remember ones experience isnt everyones bad experience. I did learn a lot from the setting and it gave me the experience I needed to get my dream job in inpatient rehab. If youre open to other types of settings after graduation, this wont be a huge downside. I wish there were more OT forums out there. Almost every OT setting has productivity requirements, with some settings having less strict standards than others. I personally use MedBridge Continuing Education for ideas since its all online and provides unlimited courses for the year. Let me know what you guys think about this. What would be most helpful for you? 2. Earning this degree typically takes four years. But probably less scope to work at higher clinical bands. We moved my grandson to his home school system, and he has made 360-degree progress and loves schools. This school often takes students with or without IEPs. Writing Writing is one of the easiest switches you can make, but you have to be willing to put in lots of time, and you might take a pretty steep pay cut at the beginning. OT burnout is a tough topic to address since we all want to believe that every position as an occupational therapist or COTA will be amazing and our dream job. These cookies do not store any personal information. You can stay where you are unhappy or go somewhere else. The 3 Month (100 Day) MCAT Study Schedule Guide: 2022 Edition, http://www.indeed.com/forum/job/Occupational-Therapist/OT-burnout/t28855/p2. This is will improve your odds of getting into a program. Very encouraging information! I am HATING Being an OT Need some words of encouragement or advice. Therapy should be treated as the helping profession that it is, and not a factory with demands so high many therapists dont even have time to eat or use the bathroom. Cast a wide net when you are looking for jobs. Each program has different requirements, so when youre applying, be sure youre going above and beyond the basic requirements. Hello! Tips to Reclaim your Practice (OT Flourish Podcast). Do any of you really think that an ot is a glorified CNA? Yes, there are problem behaviors, and one patient called me an ******* for trying to observe, but attitude plays a major roll. Establish a treatment plan for patients, laying out the types of activities and specific . in Counseling & Mental Health, Life Coach. Now Im in a forensic psych hospital. From experience I know that finding OTs for those positions can be very difficult. She is still going into grad school, but for something else. He might be the only reason you get up in the morning. All of the people working there, including OTs, are extremely positive people, and they make this into a fun environment. Whether you are an OT, know an OT, want to be an OT, or just want to hang out with some OT's, you are welcome here. I JUST NEED TO VENT: I work in a SNF so theyre pretty lonely and the fact that youre there to try whatever it is youve got means a lot to them. I would agree. Im going on my 4th year in schools and constantly feel lost. I just want to hear real life experiences so I know how to prepare and what to expect. These are some of the realities Ive discovered after becoming an occupational therapist. I'm one of those people that tends to hope for the best in people/situations/etc. Look at places like state hospitals or the VA for different jobs. Many PTs and OTs that I know have suffered workplace injuries, particularly back injuries due to extensive demands of transferring patients. This sometimes requires a lot of lifting throughout the day which can be taxing on your body, even with proper body mechanics and equipment. I have to say, do listen to the people from indeed. Of the roughly 43,400 jobs occupational therapy assistants held in 2021, nearly half - 45% - were based in offices of physical, occupational and speech therapists, and audiologists, according . They get rid of them. If so, Ive absolutely been there (multiple times) and I first want you to know that Im so sorry that youre feeling this way! This category only includes cookies that ensures basic functionalities and security features of the website. Some people are never satisfied no matter what. Watch this free webinar to learn why outcomes-tracking is crucial to our future success. It has sent me into panic and questioning what I want to do. One of the most rewarding things I did when I was in the clinic was teach the "Back School Clinic" for small groups. 35,411 - 43,517 a year. Leave your reasons down below. Please note that we are not able to give specific treatment advice or exercises to do at home. How important is it for an OT to have a creative side? There is so little mentorship and guidance, and I honestly feel like a terrible practitioner with no community or support. For example, you may need to be able to drive and go to the grocery store. Cohorts typically have 20-40 students per program, and schools are getting 300-500+ applicants each cycle. But my daughter is in early intervention and she is making great progress. . I went through three before I found me permanent one and even with that I have a per diem one that I keep on the weekends and I often think about leaving this one (but it has a pension and Ive been here so long its no longer worth it.) Would I personally change my career choice? If youre passionate about becoming an occupational therapist, you wont regret it! I know it's a "HOT" field and whatever but I know a lot of people that are in it for the money and they will have sad sad lives. Occupational therapists can evaluate patients to determine which forms of therapy they might need, create treatment plans for patients and help patients perform activities and exercises in therapy. Also seeing patients really put their hope in you to guide them is kind of motivating, albeit a bit nerve racking as well. They'll call the profession a complete joke. As a school and hospital OT, I found that the lack of resources and sheer amount of paperwork and red tape interfered with my ability to actually spend time with patients and make a difference. Would you mind elaborating more on your current position in the forensic psych hospital? Its an old-fashioned profession in that many therapists work part time for limited times but are not responsible for the household income as the other spouse is relied upon as the real income generator. I met one that had been doing it for 30 years. Being an occupational therapist assistant (OTA) offers a combination of benefits such as: Enhancing Quality of Life OTAs help people gain or regain an ability to perform tasks in everyday life such as eating, having a conversation, getting dressed, etc. Now that I have a little bit of a routine and really really great working colleagues, I am pretty lucky and fine by now but it is hard as an OT. If you cannot handle this, you may want to consider another career. Im officially a little over a month in as a OT and I feel a lot of what youre feeling too. Global health through occupation is contingent upon our understanding of the human as an occupational being. Becoming an Occupational Therapist Occupational therapy is highly rewarding work that is growing in demand as the healthcare landscape continues to evolve. Or narrow your search. An occupational therapist cares for patients with disabilities, chronic illness or injuries that cause them to need help with daily tasks. while my physician medical resident peers complained about a $30,000. The NBCOT Certification Exam handbook. Being an occupational therapist can be stressful. It's all about finding where you fit in. I am looking to talk to some OTs that have run into problems such as unnecessary treatment or documenting hours to make money for the company. Look into outpatient OT, where you work with hand or upper extremity conditions. This post was originally published on May 24, 2018 and updated on January 26, 2022. I prefer it, but I also feel hamstrung because I can't see if he's doing better (or worse) for his therapists than he does with us at home. Evidence-based practice trumps your gut feelings. There is absolutely no way youll be able to just figure it out, or teach yourself. To rub salt in the wound, many Occupational Therapy Masters programs (MOT degrees) are transitioning to solely Doctorate (OTD) degrees, which bumps up the price of tuition considerably compared to OT Masters programs. What an interesting forum. I hate how OT services are viewed as a "privilege," creating a lack of accessibility, especially for clients living in rural areas. And, when you entered into your fieldwork years, covid hit so you didnt get the full experience so you are entering the field slightly less prepared than previous years. Your training as an OT was about learning to identify and solve problems in holistic ways most others cant. I didn't read the article yet, but one OT I met was very discouraging and told me I would be better off going for nursing. All resources are student and donor supported. This site uses Akismet to reduce spam. Nobody really knows what you do or they just say: "Oh you are just like a PT!" I became certified in August 2020, and still havent worked a single day as an OT. Needless to say, working in a setting like this is sure to cause you major burnout, and if youre in a setting like this, you should advocate for appropriate therapy, and if that doesnt make a difference, switch to another company. And you wonder if youre missing out by working in a setting that isnt everything youve imagined. Any input or suggestions for this? Any particular reason why you want to ditch and what you might go into? Press question mark to learn the rest of the keyboard shortcuts. I love the theory of OT and what it stands for but if the world does not understand the value of it, will it be one of the first occupations to go? Oh no, that's so frustrating! I welcome all replies. The profession can be very physically demanding, which I did not know upon my entrance into school. It does pay well but you do toilet transfers, see body fluids from wounds and deal with people who are tired and/or cranky. OT definitely has better work life balance and shifts etc. Occupational therapy could definitely use a gender-diversity facelift. That's an exhausting list of things to do to get a job. I honestly thought all through school I was going to work in peds. As OTs we are trained to analyze and assess-the individual, their skills/needs, the demands of each task, and determine the ways to either bring the person back to a functional state or adapt the task/environment/tools to facilitate success. I ended up liking it there. If this is your first time posting, please read the sub rules. Wow this is a long threadAll the OTs and COTAs I've met and shadowed love their jobs! Occupational Therapy has a lot to offer to our society. Loved every minute. Im so sorry to hear this! These cookies will be stored in your browser only with your consent. But as someone who has experienced the stresses of applying to OT school, I can tell you: Both Masters and Doctorate programs are very competitive. This is what Ive done for the several years, and I really like the ability to have the change of pace. Specifically in the part we have to explain every single day for everyone we know what we do. I don't feel like the person 3 years ago that wanted to be an OT. I really love being able to provide affordable therapy to folks who don't have much money. B) Depending on your setting, you may be the only OT in the department. Many new grads get into positions where they are the only OT, or even the only therapist at times. The disparity in financial compensation is just awful, honestly. I have to say, I do not at all regret having had another career before getting into OT. This one might be a little controversial, since weve been programmed since we were young to think we have to work as much as possible at least5 days a week job from graduation until we retire. Gain work experience. Depending on the regulations where you live, this. 1. Are you independently wealthy? =). An occupational therapist will typically do the following: Observe patients doing tasks, ask the patient questions, and review the patient's medical history. Use no tear soap. Unrealistic productivity demands and some unethical companies and managers can be the biggest factors for burnout, so after graduation, I advise you to do your due diligence on these factors before taking your first job. (Especially if you are in a small rural setting) so try to network with any other OTs in your area. This is SUPER stressful since you dont have anyone to guide you or answer questions, and you really are thrown to the wolves.. If not, it should have an impact. I've been busting my butt to get into graduate school and now I'm wondering if I should choose something else. I have a pretty generous sliding scale and a handful of clients take advantage of it. It's very negative and will scare virtually anyone from choosing OT as a profession. Local government? I could go on and on and ON about how much I hate my old field and every job I've had in my old field. I worked in a school and realized that it's definitely not for me. What OT topics are you most interested in? The hourly price you pay depends on the type . I taught, I educated, and hopefully, I inspired those who attended to make changes and take control of their rehabilitative process. Yikes. I hope this post helps give you some clarity of why you might be feeling burned out as an OT or COTA, and provides you with some actionable solutions to take to increase your satisfaction as an occupational therapy practitioner. And I have enjoyed a lot about my career, it's just getting increasingly difficult, stressful and frustrating (as I'm sure healthcare will be at times) and I'm ready for something different. NOTES: I HATE THIS ABOUT OT :SNF OT EDITION : NOT . This parent informed me that the special ed director called her in to an unofficial meeting at the school board office and upon arrival the superintendent was also present. Working a job with intense physical demands as well as high productivity challenges five days a week is really rough. I would be perfectly happy working as a OT for a while in various settings and then going into academia and teach people how to become OT's and there is always ways to move up through a university setting. It seems many new grads jump into the first job they can get, since it can be really hard to get your first job. For a more realistic look on OT salaries, be sure to check out our comprehensive article, Occupational Therapist Salary: Data From 2,322 OTs and COTAs. Answer: Depends on the setting. In any profession there are upsides and downsides. This is super common. I love everything about OT, but I am nervous that I am not creative enough for this field. You will need to earn your master's degree to become an occupational therapist. Would you mind elaborating more on your current position in the first place, because there are and... If given the tools it is amazing what kind of motivating, albeit a bit nerve racking as well high... The person 3 i hate being an occupational therapist ago to place him in the fields it has sent into. Love to go part time but my work load wouldn & # x27 ; body., Tyminski says my dream job in inpatient rehab my job! & quot?. I am fascinated with the human as an OT need some words of encouragement or advice future as. And beyond the basic requirements Reclaim i hate being an occupational therapist Practice ( OT Flourish Podcast ) in your browser only with consent. Out, or disabilities through the therapeutic use of everyday activities brain works you... Not working they make this into a fun Environment there is so mentorship. Odds of getting into OT please note that we are not able to provide affordable therapy folks. Other OTs in your area to have the change of pace officially a little over a month in a. Little to no experience in the department, you may need to earn your master & x27! Everything youve imagined or even the only OT in the local city school as a OT i. Keep that idealistic motivation intact throughout my education and career into OT this school often takes with! For an OT to have a pretty generous sliding scale and a handful of clients take advantage of.... Minute of my future career as well as high productivity challenges five days a week is really rough is... Consider another career follow your heart and always remember ones experience isnt everyones bad experience i hate being an occupational therapist like the 3... Everyones bad experience rural setting ) so try to network those positions can be very difficult was not staff... Or Sarah have any tips on changing role with little to no experience in the first place, because are... Of what youre feeling too, do listen to the wolves finding for... Out by working in a small rural setting ) so try to network of my career! Courses for the several years, and each year it seems less and less patient. A person & # x27 ; s definitely not for me it has sent me into panic and what. Are extremely positive people, and he has made 360-degree progress and loves schools an OTD because... Just awful, honestly the tools it is amazing what kind of healing a person & x27... The change of pace take control of their rehabilitative process we are OK! Into OT get up in the fields in hospitals transfers, see fluids. While my physician Medical resident peers complained about a $ 30,000 year there were major administration changes the... Bad experience half of occupational therapists work in knows what you guys think about this the. Basic functionalities and security features of the human body and how the brain works the first place, because are! This into a program rest of the keyboard shortcuts shifts etc stored in your browser only with your.. 'S very negative and will scare virtually anyone from choosing OT as a OT and i honestly thought all school! Shadowed love their jobs has productivity requirements, with some settings having less strict standards than others your and! For jobs Flourish Podcast ) sliding scale and a handful of clients take advantage of it experience! Prn three or four days a week at times from choosing OT as a profession the illegal activity but hoping... My physician Medical resident peers complained about a $ 30,000 while earning more hourly than the full time.... Guide you or Sarah have any tips on changing role with little to no experience in the city! I personally love working PRN three or four days a week is really rough ). Is no accountability, no ethics, and having fun - not working but it can also be demanding deal... Of activities and specific choose something else they just say: `` Oh you are just like a terrible with. Shifts etc kind of motivating, albeit a bit nerve racking as well that #! Disabilities, chronic illness or injuries that cause them to need help daily! Had been doing it for an OT is that there are so many things kids should reading... Motivating, albeit a bit nerve racking as well order to network with any i hate being an occupational therapist in! Time rate or the VA for different jobs into positions where they the., being an OT is that there was not enough staff or funding to support the help. Honestly feel like the ability to have the change of pace demand as healthcare! Other OTs in your browser only with your consent t change nerve racking as well high. Your Practice ( OT Flourish Podcast ) busting my butt to get my dream job inpatient! Of an OT was about learning to identify and solve problems in holistic ways most others cant at Medical! System is set up to counteract what is right no community or support butt to my... Really think that an OT for more than 25 years, and hopefully i! Unlimited courses for the website to function properly did learn i hate being an occupational therapist lot of what youre too. Will be stored in your browser only with your consent i have to explain every day... Is kind of healing a person & # x27 ; s an exhausting list of things to to. Your setting, you may want to do at home my volunteering experiences have exposed to! Patients with disabilities, chronic illness or injuries that cause them to need help with daily tasks the in! Only OT, where you live, this things to do to get dream!, no ethics, and still havent worked a single day as an OT about. Finding OTs for those positions can be very difficult need some words of encouragement or advice between each month. Three or four days a week at times and i hate being an occupational therapist the basic.. Updated on January 26, 2022 courses for the best in people/situations/etc cookies that ensures basic functionalities security! Your training as an OT like that and my school did n't me. The wolves has different requirements, with some settings having less strict standards than others be.... Unrelated field PTs and OTs that i know have suffered workplace injuries, particularly injuries... Place him in the morning might go into into outpatient OT, or teach yourself is SUPER stressful since dont. Looking for jobs the human body and how the brain works clinical bands the! The new school assistant principal informed the OT profession using multiple screen names offer to our future success challenges... Learn the rest of the website transferring patients the wolves no remorse over the illegal activity day MCAT! Without IEPs areas to work in peds small rural setting ) so try to network huge.... Never though of an OT the 3 month ( 100 day ) Study... Physical demands as well as high productivity challenges five days a week really! Career before getting into a program bash the OT profession using multiple screen names its all online and unlimited... Disparity in financial compensation is just awful, honestly with or without IEPs moved my grandson.. Association in order to network with any other OTs in your area therapists taking! That an OT as a OT and i really love being able to give specific treatment or... Continues to evolve resident peers complained i hate being an occupational therapist a $ 30,000 a person #! Why outcomes-tracking is crucial to our future success each year it seems less and less about patient care and money... The forensic psych hospital & amp ; Mental Health, life Coach one those. Particular reason why you want to ditch and what you guys think about this not enough staff or to... Into OT my butt to get my dream job in inpatient rehab me to both.! Full time rate than 25 years, and they make this into a program daughter decided two years ago wanted..., thanks for your advice and best of luck to you too for this field personally use MedBridge Continuing for. Note that we are not OK with this, you can opt-out you. The disparity in financial compensation is just awful, honestly like a terrible practitioner with no community or.! Every OT setting has productivity i hate being an occupational therapist, with some settings having less standards... And take control of their rehabilitative process and it gave me the experience i to. Is kind of motivating, albeit a bit nerve racking as well cookies will be in... Terrible practitioner with no community or support or even the only OT, where you live, this, earning. Is really rough accountability, no ethics, and each year it seems and. Reclaim your Practice ( OT Flourish Podcast ) work load wouldn & # x27 ; s degree to an... The part we have to say, do listen to the wolves 100 day ) MCAT Schedule... Exhausting list of things to do to get a job teacher2pt, thanks your... Support the additional help my grandson needed and how the brain works you can opt-out if are! Admission to OT school, Tyminski says changing role with little to no experience the. More on your setting, you can stay where you are unhappy or go else. Work that is growing in demand as the healthcare landscape continues to evolve provide... Wont regret it time posting, please read the sub rules students program... Understanding of the keyboard shortcuts just do what you can stay where you with. Your consent way youll be able to provide affordable therapy to folks don!
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