Actually, it got resolved today - apparently the story made it's way up the ranks, and it came down from On High that she would no longer be seeing this client.

In some ways y'all are right - she is going to have to deal with people like this from time to time. What's different right now is we have too much stuff going on for her to be able to deal with this.

I'm going to school full time, and working full time. She takes care of everything else. We're both really frazzled, and don't have time (even on the weekends) to really catch up with things. That's why I was trying to help her get out from underneath having to deal with this additional stress.

As far as the current state of community-based mental healthcare, it really has taken a dramatic turn for the worse in Washington - all the clinicians she works with are really unhappy with the way things have gone since the new HMOs started running things. While money always has been tight, the new rules seem designed to drive any mental health agency out of business, and the workers are being pushed to even more insane extremes with every passing year. She is seriously considering a career change, but isn't quite sure what to do yet. It's sad - she got her Masters degree two years ago, and she already wants out.