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Spheres of Influence

November 11, 2009 by Lydia Kolman

I get so frustrated by Amy’s treatment sometimes. Why is it so hard to get a mental health professional to provide advice? After all, isn’t that why we take her there? During the early months of her treatment, we had so many questions and ideas but could not get advice.

After about a year, we discovered that we had to take control of the situation. We had to act as “case managers” for her treatment. I’m a manager by profession and I finally figured out that we had compartmentalized systems all affecting her. I called them the Spheres of Influence.
Amy’s Spheres were 1) her psychiatrist, 2) her therapist, 3) her school and 4) her family. All four had influence over her and her perception of reality. (If Amy weren’t depressed, there probably would have been another, 5) friends).

As Amy’s case managers, we had to make sure each Sphere was contributing to her improvement. Because I’m such a management geek, my husband and I had a brain storming session in front of an old blackboard at home to do this. We wrote each Sphere on the board and listed our thoughts on it.

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