You're Not Bad at This; You Were Never Taught the Systems

When the back end of your practice is not working well, it creates a low-level sense of being behind that is very hard to shake. You may be great with clients and doing some of your best work, but still feel behind at the end of the week. That feeling is not clinical feedback. It is not telling you anything true about your skill as a therapist. It is simply the natural result of carrying an administrative load that has never been organized into something manageable.