how to reduce case load responsibly?
I have a part-time Private practice where I see 17 people. 15 people weekly and two by weekly. Most I've seen for 1 to 2 years and two of them are a bit newer 6 to 8 months. I also work and in person job at a clinic Monday through Friday. Financially I need to do both to a degree to make it in the city I live in.
I really love my private practice work. I mostly work with undergraduate students and really enjoy the work I get to do with them. Especially the ones that I first started seeing at the beginning of covid and have sort of been through life transitions pandemic transitions this whole time.
But it is become really clear to me that I can't sustain this case load as well as my in person job. A job which I also adore. I work with people in a community center with chronic health issues and it's work that truly has my heart.
But I'm at a loss to know how one ethically and responsibly shrinks a caseload in a private practice. So I'm looking for advice and guidance. I'm feeling a lot of those predictable conflicting feelings of not being good enough, that I have to be responsible for all these people, that I'm abandoning people. Weightless are long people are struggling to find therapists so I have this just sinking feeling of shame maybe? But my work is suffering all around.
Any guidance we much appreciated.