I did realize if a patient is complaining of feeling bloated and having abominable pains and a rumble belly, you can't tell them to fart if there is nothing about the belly in the treatment plan, BUT by having a client deal directly with a major life obstacle by having it removed to reduce stress and anxiety in the client's life while improving tranquility and peace at home while coaching and assisting the client in accomplishing these goals, make it as vaguely detailed as possible, and insurance will approve killing the client's unruly neighbor.
And I suspect your numbers are probably right. I liked my clients, and I enjoyed working with many of them. But the office environment was toxic, highly stigmatizing towards mental health, very judgemental, official paperwork on the weekend when we have no more hours left to work in the week, the paperwork was endless, the rules set in regards to what you can do with whatever degrees and whatever with insurance is infuriating. I made a note of a child services child once who I was sure under the influence of heroine (her drug of choice and what got her in that situation), I made a note of it, didn't even say it was heroine, didn't even say it was a drug, but I am supposed to make note of suspected intoxicated and I noted the client appeared to be under the influence of a central nervous system depressant and gave my reasons. I got a slap on the wrist and a lecture about how "I'm not at an appropriate level" to make that call. Never mind the fact I knew more enough about drugs to piece together stuff with another client who had a meth problem and why this one drug test with a super high number was very unlikely a false result but more suggestive of using a large dose a few hours before the visitation. That got doing recovery coaching with drugs. But I "wasn't at that level" to make the vaguest and most generalized statement about a client possibly being on a drug.