Micromanagement nightmare - Therapist Two Chairs Employee Review

1.0
Apr 4, 2025
Recommend
CEO approval
Business Outlook

Pros

You get to Work from home

Cons

Be prepared for Two Chairs to micromanage everything you do as a therapist via “performance metrics.” No shows, cancellations (out of counselor’s control) is a performance metric. The length of your sessions is a performance metric. Must graduate everyone in 12-20 sessions. Will give you clients with lifetime of trauma and then do a deep dive into why you haven’t made them better in 20 sessions months. Although clients have 15 minutes to show up for session, you are told to instruct them to show up on time and use up the whole hour. Otherwise, you get a talking to for not billing the whole hour. In most recent news, 500 clinicians were “taught” that trauma clients experiencing distress apparently don’t meet medical necessity. Imagine the harm.

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Two Chairs Response
1y
Thank you for raising these concerns. Our mission is to provide ethical, client-centered care, and we never take that responsibility lightly. We understand that working with clients experiencing significant trauma can require more flexibility than standard care models allow. We also understand how metrics can feel constraining. Feedback like yours helps inform how we support clinicians while upholding clinical best practices and improving outcomes. We will share your comments with our clinical leadership and compliance teams.

Explore other reviews about Two Chairs

3.0
Jul 2, 2026
Recommend
CEO approval
Business Outlook

Pros

Responsive, supportive managers/direct report; intentional training; Flexible scheduling

Cons

Pay structure change plus very slow client referrals the past 6+ months have resulted in significant negative financial impact. Emphasis on positives is disproportionate and doesn't accurately reflect reality. (See advice for management). Currently gearing up for new workflows, and there added responsibility: It appears that clinicians will be doing some work that 2 teams (one clinical, one administrative) have previously managed.

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