10 articles in this category.
The same handful of questions come back after almost every report, and answering them is unpaid, unscheduled work that lands weeks after the file is closed. Here are the questions clinicians told me they get, what the recurring ones reveal about the document, and what some of them changed to stop the loop.
School psychologists work to two clocks at once — the school calendar and a queue of families waiting — with a write-up backlog sitting between them. Here is how the people doing the job described the shape of it, and why the bottleneck isn't where an outsider would look.
Neuropsychological reports are the longest write-up in the field, and practitioners were specific about why: more sources to reconcile, more domains to report, more readers to serve, and an integration section that can't be shortened. Here is where the time actually concentrates.
A published fee schedule splits an assessment into four tidy blocks. The week clinicians described to me doesn't look like that at all: testing is the only part that behaves, and everything else fragments around it. Here is the week as practitioners mapped it out for me, and why the shape of it — not the total — is what makes the job hard.
The cost to produce an assessment report is mostly clinician hours, and the write-up is the largest compressible chunk of them. Using published Alberta fee schedules and what psychologists have told me directly, here is how the arithmetic works — and why the number practices quote and the number they experience are so far apart.
Psychologists spend weekends on assessment reports because report writing is unbilled, cognitively heavy work that rarely fits inside a workday already full of testing and sessions. Here is why report writing follows clinicians home, what the research says about the after-hours load, and how to stop giving up your weekends to it.
After dozens of conversations with psychologists and counsellors about AI, the honest pattern is this — they aren't anti-AI, they're protective. Protective of their clinical judgment, of their clients' trust, and of where data lives. The clinicians I talk to want it done responsibly, with them in control.
Clinicians write reports after hours because the workday has no room left for them — so the assembly happens at night, off the clock, and unbilled. It quietly taxes the practice and the person. The fix is getting those evening hours back.
A survey of 93 health-service psychologists in the United States found most were working at or beyond capacity, and named non-billable clinical activities — phone calls, chart updates, progress notes — among their most common sources of work-related stress.
Clinicians, including therapists and counsellors, often face a unique set of challenges that can lead to emotional depletion... Research has shown that approximately 40% experience signs and symptoms of burnout, which can have serious consequences for both the individual and the quality of work they provide.