Episode 3: Clocking in at the Abyss

What actually happens after we clock in? In this episode, we pull back the curtain on what a real day in psychiatry looks like — beyond the therapy couch and prescription pad. We talk about the chaos behind the scenes: charting at midnight, prior authorizations, crisis calls between patients, billing codes that decide reimbursement, and the messages that never stop coming. We break down: What a “full schedule” really means The emotional whiplash of back-to-back trauma The business side of running a psych practice Where the money actually goes (and why it’s not what people think) The quiet weight providers carry home This isn’t the polished Instagram version of mental health care. It’s the paperwork. It’s the liability. It’s the moral injury. It’s the inbox at 9:47 PM. This is what it means to clock in at the abyss — and why we still show up anyway.