-Pay is low.
-There is heavy pressure to keep clients in treatment and ask for “five-star reviews,” which can make clinicians feel more like salespeople than therapists.
-Management is very top-down. Expectations are often decided internally and then pushed onto staff without clear communication.
-Staff are frequently micromanaged and questioned, which can make you feel more like a liability than a trusted professional.
-Workload is high, and while support is promised, supervisors are often too overextended to provide it consistently.
-The culture can feel performative and “us vs. them,” leading to low morale.
-Clinicians must track their caseload across multiple platforms and are closely monitored for updates.
-Staff are sometimes expected to complete tasks for other departments without adequate training (like billing).
-Those pursuing licensure should know there is an expectation to remain with the company for 18 additional months after obtaining it, without a pay increase.
-The therapy itself (sessions, documentation, coordination of care) is manageable, but the number of extra administrative tasks can quickly become overwhelming.