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.