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Tania Marshall 🇨🇦Clinical Psychotherapist Author

@TaniaAMarshall

Aug 21

If gender clinicians were trained in #autism #adhd #aspergers they might understand the multitude of factors to be considered in gender Dysphoria: PCOS, emotional immaturity (3 or more years behind peers), fear of change and uncertainly, theory of mind issues, slower processing

Working memory, a spikey cognitive profile, a late diagnosis or no diagnosis, social naivety & gullibility, interoceptive, Alexythymia, sensory processing issues, proprioception issues, social & communication issues, literal concrete black & white thinking, executive function

Issues, fixations & obsessions, OCD, eating disorders, body dysmorphia, anxiety, depression, taking things literally, high likelihood of sexual abuse or sexual violence, trauma or PTSD, higher chance of psychosis, Synaesthesia, a sense of feeling different & not fitting in

Read 6 tweets

Tania Marshall 🇨🇦Clinical Psychotherapist Author

@TaniaAMarshall

Aug 5

Therapist Tip: 1 in 44 children are now born with #autism A core theme in many #autistic #aspergers #adhd individuals is self hatred or self-loathing, in both the diagnosed & undiagnosed. Many are unaware they are #neurodivergent Many are misdiagnosed or have missed diagnoses

Those who were late diagnosed (after kindergarten) are included. A common theme is growing up feeling 'different', 'not fitting in', being bullied, not being accepted, 'feeling like an alien', not understanding oneself, confusion, negative self-esteem, #adhd #selfesteem

a lack of friends, family of origin issues, difficulties communicating, being misunderstood & #trauma They may have ptsd from childhood, developmental trauma, have been bullied and/or abused. They often feel as though something is inherently wrong with them (shame & guilt) #PTSD

Read 16 tweets

Tania Marshall 🇨🇦Clinical Psychotherapist Author

@TaniaAMarshall

Aug 4

Therapist 🧵: #Narcissistic Fixated Stalking. #Stalking is illegal in almost every country in the world, but that doesn't mean those who are stalked get the help they need. Stalking is on the Increase due to social media, lack of knowledge by law enforcement as to what #illegal

To do with them, their high levels of manipulation & the law not keeping up with current times. Clusters B's are well known for stalking & taking revenge when they don't get what they want from you. Narcissists & psychopaths are even known to kill your pets.

They may contact your employee With outright lies, stalk you both online & offline & accuse you of stalking them. Stalking is something narcissists (and other cluster B's) love to engage in. It gives them power, control & yes, entertainment #dysfunctional

Read 26 tweets

Tania Marshall 🇨🇦Clinical Psychotherapist Author

@TaniaAMarshall

Jul 22

Therapist Thread on #Narcissistic Injury & Narcissistic Rage 🧵: the reactions are disproportionate the the perceived 'slight', which is the injury. They are 'over the top'. For e.g. they want you to lose your entire career because you disagree with them on something.

Narcissistic injury is caused by: 1.challenged confidence. When there excessive needs for admiration your attention, time, energy are not met, they will #rage to protect their ego. 2. Injury to the narcissists #selfesteem often occurs because they don't have a stable sense of

Self. When this happens & the smallest failure is pointed out, they will #RAGE This may look like swearing, snorting, spitting, violence, screaming & melting down or covert and is always directed back at the person or projected back on the 'perceived' accuser.

Read 23 tweets

Tania Marshall 🇨🇦Clinical Psychotherapist Author

@TaniaAMarshall

Jul 20

From my upcoming book 'Fixated': Analyzing the language of the dark triad': This is an example of common psychopathology in 'language' responses, with consent from a client. These are common responses. What happens when we set boundaries with ASPD, NPD, BPD, etc.? #Mentalhealth

Setting #boundaries with people is healthy. It's what keeps us safe. Trouble is PD's or other socially unskilled people don't like or respect them. Example #1 Q: Please stop following me online, leave my social media alone & stop leaving unwanted comments. A: What do you mean?

Do you want me to ignore you when I'm on the Internet? Pretend you are not there? Or set my settings to screen you out? Or do you want me to have a special software program created specifically that filters your name out every time I'm on the Internet? #toxic #manipulation

Read 5 tweets

Tania Marshall 🇨🇦Clinical Psychotherapist Author

@TaniaAMarshall

Jul 11

Therapist Thread 🧵 The difficulty in treating 'self-hatred'. BPD, other PD's, autism, aspergers, gender dysphoric clients who often present with extreme self-hatred. They have a great need to avoid their subjective internal experience or deflect it with external anger of hatred

They may be there in therapy but emotionally avoid, highly dissociate &/ or use drugs & alcohol, are hostile ("I hate all people", "no-one can help me", Shame- prone, isn't regular with appointments, never had a role model that cared for them in their life #therapy #hatredofself

Patients who attack themselves verbally or other is distressing for the #therapist The client has often hidden the level of self hatred they have. They have adapted in ways to hide this from themselves & others. Some feel they are punished by fate or karma. Some can't show how

Read 22 tweets

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Tania Marshall 🇨🇦Clinical Psychotherapist Author

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More from @TaniaAMarshall

Tania Marshall 🇨🇦Clinical Psychotherapist Author

Tania Marshall 🇨🇦Clinical Psychotherapist Author

Tania Marshall 🇨🇦Clinical Psychotherapist Author

Tania Marshall 🇨🇦Clinical Psychotherapist Author

Tania Marshall 🇨🇦Clinical Psychotherapist Author

Tania Marshall 🇨🇦Clinical Psychotherapist Author

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