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Would a client becoming attached to me cause me to end therapy? God, no! What a very, very concerning question!I’ve read through some of the answers here and I am learning that, apparently, there are some types of therapy or therapists that would find a client becoming attached to them a problem. I am sorry if this comes across as somewhat categorical, but such views are absolute nonsense — and harmful one at that!Becoming attached to a therapist, as well as to form an attachment to anybody else, is a sign of psychological health!There is no concern or difficulty behind it whatsoever, apart from the fact that a vast number of ‘therapies’ keep springing up and a vast number of people train to become therapists — without the basic ability to deal with human emotions.I would also like to avoid talking about ‘transference’ in relation to a client’s getting attached to me. A degree of positive transference is necessary for all of us to to be able to form an attachment, while the attachment itself is a perfectly normal positive expression of being human!This question flags up the awareness of a pseudo-therapeutic trend existing out there, by which rules some perfectly healthy emotions, such as an ability to form an attachment, or an affectionate bond, get pathologized. This is very worrying!

I get lot of queries and questions on being a CLINICAL data analyst, hence today I will explain my job profile in detail. This will be a long answer as I will try to cover various aspects of the work I do.Data analyst is of various kinds-Business Data Analyst, Clinical Data Analyst, Market Analyst, etc. Depending on the field of data, the name differs. Also, the methods, tools, software used vary so it is a vast field.I am an experienced Clinical data analyst. I have 5 years plus experience in Clinical Data Management. I have switched two companies till date. My employers, feature in the world top 10 best companies. I also have 3 Barnett certifications.I had joined my previous company as a fresher and was trained for 2 months by the client, post that I had On Job Training and that is how I became a CDA. I did not study Clinical Research, I was trained by the company.Clinical Research is a vast domain where research for new drugs is carried out by the big pharma companies. It is outsourced to Clinical Research Organizations mostly. So, our clients or sponsors would be any company whose medicines are sold in the chemist shop.I have worked for several clients, been a part of successful drugs that have released in the market. So, yes we help bring out cure to diseases and that is based on the quality we deliver. We handle patient data, we are into human data science.There are many departments in Clinical Research- Medical writing, Pharmacovigilance, Data Management, Regulatory affairs, SAS programmers, Data base programmers, Data scientists, etc. I will only focus on Data Management as it is very vast.Data analysis involves the following:1. Data collection2. Data cleaning3. Data representation4. Data analysisSo, we get projects from sponsor for a particular therapeutic area- Cardiovascular, pediatrics, oncology, auto immune etc.Based on the protocol, the data base is designed by data base programmers. We have SAS programmers to help us catch discrepancies in data based on Data Management Plan which has all details of data restrictions to be applied. Data after cleaning is represented as required by the Biostasticians, mainly as TFLs (Tables, Flow chart, Listing) and is submitted to FDA for analysis. Finally, the drug gets rejected or is approved.Data collection is carried out by medical centers worldwide. Data cleaning is done by us, Data Analysts, represented by the Bios team and analysed finally by Scientists ,etc for quality and reliability.There are many other teams working closely in this big process.As a data analyst, one should be through with the ICH guidelines, GCP and SOPs. Data is collected via EDC (Electronic Data Capture) so we need to be familiar with databases. There are many- Oracle Clinical, Inform , Rave, in-house data base etc which one must be through with.Firstly, during the set up the database, testing and QC is performed by the CDA, it is the setup phase. Below will be performed by the CDA:1. Test case writing2. TestingOnce, set up phase is over, the trial starts and data is collected which requires daily and monthly cleaning via various activities, namely:1. Query management(system and manual checks firing in data base)2. Vendor data Reconciliation3. SAE Reconciliation4. SAS Listing Output5. PD Reconciliation6. Trend analysis, if any7. Data Set review, etcEach activity is different and cleans data from various aspects.Lastly, when a projects ends, a CDA is suppose to perform data base lock activities (review activities). Finally, data base is manually locked each form wise by CDA or script run locked by database programmers.A CDA is expected to be highly skilled in Excel as data analysis can be faster. Understanding of protocol, its deviations and study design, understanding the restriction criteria is also very important. Softwares are used, for certain output. Applications are used for report pulling etc.Also, a CDA should know metrics and reporting for knowing the status of the study. Interim analysis, futility analysis, data base lock are milestones which demands clean data so quality should be always maintained.Quality cannot be compromised as its live data so expectations are quite high. With proper training and mentoring one can be a good data analyst. As time passes, speed of analysing data also increases so it gets better with time.It’s a very comfortable job, can be done from home too so may become home-based later and shift to any desired place where net connectivity is good.P.S-I hope the information is helpful. Please do not ask me about Market and Business Data Analysis. I also cannot suggest you any institutions for Clinical Research, as my Master is on Microbiology.

Some of the worst clients are -People who don’t pay the legal fees. Since we cannot sue our own clients, bad debts for lawyers end up actually becoming bad debts with no legal remedy. The only solution left then is to get the clients to pay before significant work is done in their cases.People who do not listen and think they know better. These people usually either waste crucial time, or take actions that hampers their own case thinking they are making it. By the time they see they are wrong, it is usually too late.People who sleep over their rights for years and then come to the lawyer by which time it is very late to make a good case. What people don’t understand is, when they cross limitation period, you have to sort of justify and explain each day that you did not take a legal action on. And that, isn’t easy.People who have extremely unrealistic expectations.People with half baked internet knowledge. I usually like it when my clients care about their cases and read things online. I encourage it sometimes too. However, I prefer it if they use the internet knowledge as a sort of a foundation that can be checked with a professional rather than using it to as gospel truths to discredit professionals. There is a reason law is a professional course.People who go to 10 different lawyers and get confused.People who don’t value the lawyer’s time and think that they shouldn’t be charged for reading documents when the documents run into 1000’s of pages.