Memoirs of A Healer/Clinical Social Worker: Autobiography of Bruce Whealton

Chapter 33: Graduation And Being A Therapist

Over the next four years of our life together, I was becoming successful in my field. I had gained a great deal of experience as a social work volunteer, followed by my jobs in the mental health field before I got my degree. These jobs were as a paraprofessional.

Lynn had been so supportive along the way and nothing would have been possible for me without her support. So, all the hundreds of people who were helped by me owe Lynn a debt of gratitude as well. I definitely needed support.

I graduated from the University of South Carolina with a Master's in Social Work in May of 1996, but the education of a therapist/psychotherapist never ends.

By the time I graduated of my graduation with a Master's in Social Worker (MSW), I had a job to start in an inpatient psychiatric hospital named Brynn Marr Psychiatric Hospital in Jacksonville, North Carolina.

This seemed like a perfect opportunity because I had worked at "The Oaks" - a psychiatric hospital - as an intern which I mentioned previously in earlier chapters. The Oaks like Brynn Marr were somewhat similar.

I was hired with the title of "Therapist" on the adult unit. I was one of two therapists on the unit. Half the patients were assigned to me and the other half were assigned to the other therapist on the unit.

What I mean by saying that I was assigned half the patients, was that I was responsible for all aspects of their care while they were in the hospital, and I was responsible for discharge planning, also known as case management. That doesn't mean that I did the kinds of things that nurses and psychiatrists do. I just meant that I was the primary point of contact.

The other therapist on the unit, Leslie, had a master's in social work (MSW) like me and she was a Licensed Clinical Social Worker (LCSW).

I had taken the clinical exam right away after graduation and applied for the certification/credentials/license of Licensed Clinical Social Worker – Provisional (LCSW-P). I did this at about the same time I was starting work at Brynn Marr as I had to first graduate from college with my master's degree before I could take the clinical exam or seek that provisional licensure.

There was a substance abuse counselor as well, but he only offered group therapy sessions. It's interesting how lived experience as an addict allows people to work as a counselor without the same educational requirements, i.e., a master's degree.

Our supervisor was more of an administrator than a therapist or counselor.

There were several group therapy sessions every week that had to be run by either myself or the other therapist. We could provide individual therapy as well for each of the patients according to their needs, problems, interests, and diagnosis. I like the idea of a psychotherapist doing most of the therapy groups.

I found that the patients loved to have the opportunity to receive individual therapy sessions with me. This was incredibly good for my self-esteem and my sense of competency. You know that you are doing something right if you are finding that patients want to spend time with you for therapy sessions.

I did have a great deal of flexibility and freedom in offering or being available for therapy with patients.

In terms of group therapy, I had learned techniques in my second year of graduate school. I had observed the skills and talents of Chris Hauge at The Oaks who was a mentor of mine and who supervised me during my second-year internship.

I had picked up a workbook that had a number of ideas and techniques for running therapy groups – some ice breakers – to supplement what I had already learned.

The only problem that I noticed was that the hospital wasn't able to provide therapy services to those who didn't have good insurance. This was a for-profit hospital, and I didn't like the profit motive.