I'm with you, but I can see why people would do it, especially if they're single or their spouse is also in a high-paying position with no kids. There's a big appeal to having total financial independence by 40-45 and never having to work again if one doesn't want to. Plus some people just legitimately enjoy the work and don't mind putting in 10-12 hour days or working in longer stretches (14/14 setups).
Kids change everything though, and I've met plenty of docs and other professionals who worked long hours and regretted doing that later because of the toll it took on their family life.
True, but the flip side of this can happen too. Sure, there are extreme arguments like dropping dead at 40 or having a kid die. But much more likely is significant marital strain d/t the job leading to divorce and/or resentment from one's children. Not only does it screw up family relationships, but one can kiss half of that hard-earned money goodbye in the settlement or through child support. So 3-5 years of busting your butt gone up in smoke and now you have to keep working for that FI. Sure, maybe things change down the road, but plenty of other things can happen irl outside of job market/pay shifting that could ruin those retirement plans. To each their own, but if there's one thing I learned from my PM&R rotation in med school it's that I would be hesitant to fall into a false sense of security because one reaches "financial independence".
Uh, wut? Idk if the job OP described even exists (24 patients with only 1-2 new intakes per day...) outside of rehab programs. If it does I'd be genuinely interested to see it. Realistically carrying 24 patients (aka 4-5 new per day) is more like 28-30 encounters per day when including intakes and discharge. There's no way someone is providing decent care to those patients working 50 hours a week, and their documentation is most likely going to be garbage too.
The only ways to make bank with clinical work in psych is through high volume, which will undoubtedly sacrifice the quality of care, or being niche enough that you can charge a high premium for your services. At 50 hours per week, one would have to charge $400/hr to make $1mil in a year and work 50 weeks. That's also only if all 50 hours are spent seeing patients meaning either you're going to be spending significantly more time when you account for admin work or you'll need to charge a much higher rate (at least $500/hr) if you want total work hours per week to be 50.
I'm surprised at how people are coming to the conclusion that OP's first post is actually feasible as laid out and absolutely baffled that people are suggesting he could do it in even less time. And now I'm sad that the 'mind blown' emoji is gone.