Discover and read the best of Twitter Threads about #TherapistTwitter

Most recents (23)

Are you a helping professional who knows how important it is to label feelings? Have you, like me, been dissatisfied with the feeling wheels out there?

Look no further 🤩

🧵 ImageImage
Each download comes with the full color and low-color version. There are 2 formats available - one for individual use (only $5!) And one for group practices or organizations ($25)

Read on to learn how my feelings wheel is different.
All the feelings wheels I saw were a mess. Categories like "bad" (um, bad is not a feeling!), feelings incorrectly labeled, common feelings completely missing

I got sick of pulling up a feelings wheel with a client and giving extra instructions("ignore the "bad" category"😵‍💫)
Read 5 tweets
If I was living in 1930's Germany, I would have helped the Jewish community and risked my ass. If I was alive during the 1960's I would have risked my ass to protect people of color and fight for their rights. I now live in 2020's Florida and I refuse to 🧵?
be part of the racists and homophobic doctrine that flooding Florida. I refuse to stop treating Trans kids appropriately and I will NEVER participate in the anti woke policies that #TropicalHitler has initiated. I am willing to risk my license and my life to 🧵/
protect those who are currently in a place where they being prevented from fighting for themselves. I will not "follow orders" from a sociopathic dictator who cares nothing for anyone but himself. 🧵/
Read 31 tweets
🚀New Publication📚We examined the effect of telehealth expansion on counseling service-seeking intention via DiD analysis, providing support for #telehealth. We also highlighted worsened racial disparities in mental health. #TherapistTwitter…
thread (1/8) Image
Results from DiD show the shift to telehealth wasn't associated with a change in counseling service-seeking intentions among clients, both for racial/ethnic minorities and White individuals. (2/8) #MentalHealthServices #Access Image
Implication 1: no evidence suggests declines in counseling service-seeking intentions after the universal shift to telehealth around March 15, 2020. Current policies tied to telehealth should continue beyond the pandemic. @CounselingViews @ACA_CTOnline #TelehealthPolicy (3/8)
Read 8 tweets
Tips for dealing with the narcissist in your life:

A 🧵:
First, not everyone is clinically a narcissist. It’s a very small number of people who meet the criteria.

Human behavior is on a scale—so imagine the opposite of narcissist on the left and clinical narcissism on the right.

We all fall somewhere on that scale.
Someone can have narcissistic traits without being a narcissist.

When dealing with someone with narcissistic traits, it’s tempting to get caught up with their dynamic.

The trick to dealing with them?

Read 7 tweets
"High Functioning" just means "capable of hiding our internal experience".
High Functioning Anxiety, Depression, Autism - so on.
The label is not helpful to the person capable of hiding their difficulties and struggles other than to maintain privacy /autonomy.
"High Functioning" means you do what's expected of you.
Maybe it's work. Take care of your kids or friends or family. The ability to convince other people you're doing okay, that you don't need help or accommodation.
"High Functioning" convinces us we "shouldn't" need help.
"High Functioning" convinces us our distress is just us being dramatic. That we are
"making a big deal out of nothing". That we need to put more energy into cleaning, working, cooking - whatever it is we're
struggling to do day to day.
"High Functioning" is a liar.
Read 5 tweets
Hey Therapists, Stop telling clients you
"don't understand why they want to know if they're autistic because it wouldn't make a difference, anyway".
#TherapistTwitter #AutisticTwitter
Hey Therapists, Telling your clients "it wouldn't matter if they were Autistic or not" is - at best, dismissive and at worst, medical gaslighting and/or medical trauma - both common experiences in the Autism Community.
#LateDiagnosedAutistic #MentalHealthMatters
Hey Therapists, Stop telling clients they
"couldn't possibly be Autistic because (insert harmful stereotype here)."
It's inaccurate and causes harm to your clients and the Autistic community.
#AutismCommunity #AutismAssessment #AutismEvaluation #Therapy
Read 14 tweets
Hey #therapisttwitter: Are you troubled by the new EPPP-2 licensing exam? If so, here’s a 🧵 on what you can do. If not, here’s a thread on why you definitely should be: (1/10)
2/ASPPB is attempting to force states to adopt a 2nd multiple choice exam for licensure, at high costs to applicants, and despite evidence that it will disproportionately impact psychology candidates of color. This is the wrong move for our field and the people we serve. Why?
3/ EPPP-2 will create new barriers to practice amidst a national mental health crisis. Escalating rates of mental health concerns nationwide have intensified pre-existing provider shortages. EPPP-2 will slow progress toward licensure when more psychologists are urgently needed.
Read 10 tweets
“Treatment goals include areas that are influenceable by work on the self; life goals depend heavily on factors outside one’s control. 🧵
Therapy goals thus might include reducing perfectionism, increasing realistic self-esteem, resolving an internal conflict, making a difficult choice, mourning a painful loss, and so on.
Life goals include, for example, finding a partner or spouse, getting a good job, or becoming a parent. They may be attained more easily when therapy goals have been met, but they are not themselves treatment goals.
Read 6 tweets
In 2010, @JonathanShedler published an article in the flagship journal of the American Psychological Association, The American Psychologist. 🧵
At the time, it was controversial because his article argued that psychodynamic psychotherapy, long derided as irrelevant and ineffective, is empirically supported as effective.
One of my favorite parts of the article was his reference to the work of Blagys and Hilsenroth (2000) who identified by empirical means 7 techniques used by psychodynamic therapists that are different than those of other therapies. They are:
Read 10 tweets
I find Alonso’s conceptualization of the foundations of psychoanalytic thinking very helpful. But, a lot has changed since she wrote her chapter on the basics of psychodynamic theory in 1989. 🧵
Since she wrote there have been significant shifts in thinking about the structures of the mind, what is motivating people, developmental theory, what constitutes problems in living (pathology),
what might be the source of change in people, how the therapy relationship works and the role of the therapist in the treatment, and the importance of and conceptualization of relationships among other things.
Read 7 tweets
The last of Alonso’s foundations of psychodynamic theory is the idea that there is an assumption that our mind is in conflict. While we may not be aware of this conflict, parts of our minds are working against each other. 🧵
For instance, we may have needs for closeness while also having needs for separation. These conflicts are often not in our awareness and sometimes experienced as ambivalence or anxiety.
To resolve these conflicts, sometimes we use a defense mechanism (I posted definitions for about 30 of them back in May/June). And, sometimes the cost, in the form of symptoms, make the defenses used less than pleasant.
Read 4 tweets
Last weekend I asked #TherapistTwitter for their best podcast recommendations to grow as a therapist

Here are the Top 15 (in no particular order) and where to find them:

1. Where Should We Begin - @EstherPerel

2. Attachment Theory in Action - Karen Doyle Buckwalter

3. The Homecoming Podcast - @drthema

4. Psychologists Off The Clock - @OTC_Psych

5. Therapy For Black Girls - @therapy4bgirls
@EstherPerel @drthema @OTC_Psych @therapy4bgirls 6. The Hip Hop Social Worker - @hhsocialwork

7. Doin' The Work: Frontline Stories - @DoinTheWorkPod

8. Very Bad Therapy - Ben Fineman & Caroline Wiita

9. The Black Psychologist Podcast - @BlackPsychpod

10. This Jungian Life - @ThisJungianLife
Read 6 tweets
Hey #TherapistTwitter,

what 1-3 books would you suggest a new therapist read their first year?
If you're finding this helpful at all, I have a free newsletter I send out 2x monthly about growing as a therapist.

Sign up below ↓
Thank you everyone for your wonderful and helpful suggestions!
Read 3 tweets
I usually ask my clients how they are going to take care of themselves after a therapy session. This week, my client asked me. I shared a few of my spiritual hygiene/cleansing practices with her, so thought I'd talk about them a bit.

#wellness #TherapistTwitter #spirituality
These aren't in any order. 🌱going outside. I go outside after sessions to ground and cleanse. Sometimes I do a few breath exercises 🌬 take my shoes off and plant my feet in the grass🦶🏾I'm an air sign, so I love a warm or cool breeze.

#wellness #TherapistTwitter #spirituality
Rose water spray⚘️ I have a few different sprays but loveee rose water. I spray this around my body, focusing on my crown, heart, and hands area. Sometimes I spray and sweep it up and around, or just spray up and walk through

#wellness #TherapistTwitter #spirituality
Read 8 tweets
Dissociation is of special importance in the 2nd psychological vital sign of self and object constancy. Dissociation serves to protect one’s self from the pain (physical and/or emotional) one is experiencing now. 1/6
2/6 To do that, a person unconsciously and automatically shifts their attention somewhere else. We’ve all driven from A to B, arrived at our destination, and wondered why we can’t remember the path we took. Our thoughts were somewhere else.
3/6 When this happens as a response to severe pain that occurs repeatedly, it sometimes becomes difficult to be aware of or control the shift in state of mind. In severe instances, the states of mind can become segregated so they don’t seem to drift from one to another.
Read 6 tweets
In the avoidant type of attachment insecurity, the child ignores the caregiver who inconsistently shows attunement. They literally avoid their caregiver. But, this does not mean they lack feelings. In some instances, children with this 1/5
2/5 style appear to approach their caregiver when they’ve been separated and then sometimes, at the last moment, attempt to ignore them. Adults with this type of insecurity often experience themselves and are experienced by others as independent.
3/5 They can appear confident and accomplished. When in relationships though, they sometimes struggle to find closeness and can get to a point in the connection where they feel compelled to distance themselves or break up.
Read 5 tweets
There are 3 types of insecure attachment: ambivalent, avoidant, and disorganized. In the ambivalent type, the child feels conflicted about being in the presence of the caregiver. It is relatively common to see a child in this situation become angry when a 1/5
2/5 caregiver has left and then returns. It is also common to see that they may be passive or helpless. Adults often experience this insecurity as a sense of low self-worth. When a partner is not attuned to them, even if just occasionally, they can feel as
3/5 if they are not worthy of love and be self-blaming. They sometimes need persistent reassurance that they are loved and lovable. Fear of abandonment can sometimes be overwhelming and sometimes they will cling to the relationship to try to solve their fear.
Read 5 tweets
Inspired by the insight and knowledge of @Imani_Barbarin's thread (retweeted on my page before this). Specially the tweets on hysteria & disability community & ableism as connected to overturning Roe v Wade.
This is where the mental health industrial complex meets other issues. This is an intersection. Therapists, psychologists, & psychiatrists DIAGNOSED people with hysteria. Drop your moral judgement on that MHPs & look at the implication of our history of harm. #TherapistTwitter
Consider how therapists, social workers, counselors, all versions of US MHPs will be used, as they were then for hysteria, as cops to funnel people into the prison system for criminalized abortion. Hysteria dx put folks in psychiatric hospitals, abortion will put folks in jail.
Read 8 tweets
Sometimes therapists, especially those new to the field, have a powerful wish to be good at their job. And, sometimes this wish clouds their view of their flaws and mistakes. The shame that comes from recognizing one has made a mistake that hurt a patient can be 1/3
2/3 overwhelming. And, it’s common to try to avoid that shame. But, it is important to stay open to the aspects of ourselves that we don’t like. Being aware of the kinds of mistakes and flaws we may have allows us to avoid defensiveness and validate the experience people
3/3 may have of us when we are not at our best. Patient’s often find it a relief when we acknowledge our mistakes and painful when we don’t. #psychoanalysis #psychotherapy #psychology #psychstudent #psychtwitter #therapistsconnect #TherapistTwitter
Read 3 tweets
Stop saying something is wrong with your “picker” because you keep ending up with the wrong person. Focus on your “Thrower”!
Don’t ever let your ability to pick the wrong person be stronger then your ability to throw them back 💪🏾!
I don’t care how discerning you are, how much therapy you attend or how self-aware you are, you can still end up aligning yourself with the wrong individual. But once you are aware…let that “thrower” kick in. #TherapistTwitter
Read 4 tweets
Making friends as an adult is hard. Keeping friends as an adult is even harder. The @amersurveyctr report on friendships shows that Americans report having fewer close friendships than before. My thoughts on why 🧵
Early to mid adulthood sees a lot of life transitions: moving to different cities to pursue education, jobs, or going with romantic partners. Choosing to become a digital nomad vs staying in your hometown can impact your friendship.
Difference in income. This is the one no one talks about. Some friends might hit the 100K jobs while others are struggling to make 70K. This income disparity creates a disconnect in lifestyle and can result in you growing apart.
Read 9 tweets
I feel a need to apologize on behalf of #psychology
The organisations & #psychologists have burned their profession down. Many still champion this dying spiralling wokeism, in spite of contrary evidence, for their own selfish need for relevance. This damage is likely irreparable
This toxic wokeism has infected all #Psychology Organizations. The Australian #Psychological @AustPsych Society’s ex president Bob Montgomery is a convicted sex offender in jail & the APS couldn’t even genuinely apologize 👉🏻…
Then we have the Australian Psychological Society’s one way affirmation medicalisation approach of transgendering children/teens and denial of social contagion as one factor in the 4000% increase & the silencing/harassment of psychologists who disagree 👉🏻…
Read 6 tweets
#Narcissism thread 🧵 15 (more) questions to ask yourself if you are questioning whether someone is a #narcissist
1. Do they devalue, diminish, demonise or harshly judge you or act as the righteous ‘authority’ figure with you regardless of their age, status or employment? 🚩
Are they #superior? For e.g. A non lawyer preaching to a lawyer about law. 2. Are they #defensive? Do they seem only interested in trying to prove that they are right & you are wrong, in a defensive mode? 🚩They are #competitive not co-operative. Co-operation is a must #healthy
3. Do they demand #attention from you? For e.g., insisting on having the conversation when it’s convenient for them only &/or use emotional #manipulation to ensure conversation happens on ‘their’ terms? They may not answer the question, go off topic, deflect, defensive, accuse 🚩
Read 23 tweets

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