The therapist's heart

Had a bit of a sleepless night. And that was only partly due to my almost three-year-old who awakened twice and attempted to refuse to go back to bed. It's not often that my work interrupts my sleep, but when it does, my brain just won't be quiet.

The kids and families I work with are a part of my heart. I dedicate a lot of thought to how to help them achieve their goals, whatever those may be. Sometimes even at 3am. And when they aren't getting better, or when things have been better, and they slide backwards, it's really tough. Especially when there is real risk to the kids, or families, of bigger consequences. And sometimes I have to make judgments about what to do next that weigh on me.

It's not that I feel guilt, or blame myself for the suffering, the struggling. It is that I want so badly to help. Because I don't want the Mom who lost one son to lose another. I don't want to send a girl into harm's way. I don't want the boy whose heart is good to get swallowed up in his pain and anger.

So that's why I'm up thinking. What interventions should come next? What haven't we tried? What are we missing?

This is a beautiful job, in so many ways. And the rewards are amazing, when real progress is made, when a mother hugs me and thanks me for all your help. But the reality is that, at least in my practice, that those moments have to feed me through a lot.

And in the meantime, these kids become "my" kids. Because I choose to let them in, and choose to be one more person to try to help them on their path. I have hope for every single one.