Dr. Carolynn Gray
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drcarolynn.bsky.social
Dr. Carolynn Gray
@drcarolynn.bsky.social
Clinical Psychologist - Gradient Psychology: Restructuring the Work, Putting People First and Making Systems that Support Them
🗃️ Some clients need more than the standard amount of structure in their sessions in order for the time together to be effective.
I often find myself recommending opening or closing rituals as one option.

#TherapistTips #practicumstudent #clinicalsupervision #therapistintraining
December 26, 2025 at 5:57 PM
🎥 Motivational Interviewing and Prochaska & DiClemente's Transtheoretical Model of Change are essential tools for understanding and supporting clients. Recognizing the stage a client is in is crucial for effective intervention.

#MotivationalInterviewing #PreparationStage #TherapistTraining
December 25, 2025 at 5:57 PM
🎥 Motivational Interviewing and Prochaska & DiClemente's Transtheoretical Model of Change go hand in hand. Knowing what stage a client is in makes a critical difference in guiding our interventions.

#MotivationalInterviewing #PrecontemplationPhase #TherapistTraining #BehaviorChange
December 24, 2025 at 5:56 PM
🎥 Motivational Interviewing (MI) is one of my favorite things to teach new therapists because it's flexible, doesn't rely on preexisting skills or knowledge, useful at the start of treatment, and fairly universal.🌟

Key components of the MI spirit: Partnership, Acceptance, Compassion, and Evocation.
December 23, 2025 at 5:56 PM
🌟 While being likable can feel important, it should never overshadow the development of a strong therapeutic alliance.

#TherapeuticAlliance #TherapyTips #MentalHealthMatters #TherapistLife #NewTherapists #EmpathyInTherapy #AuthenticityInPractice #DrGrayInsights
December 22, 2025 at 5:56 PM
👩‍⚕️ Guilt and shame: these terms often get used interchangeably, but they're quite different, and understanding this can significantly impact our approach with clients. 🧠

#TherapyTalk #MentalHealthAwareness #GuiltVsShame #TherapistLife #MentalHealthMatters
December 19, 2025 at 5:56 PM
The leader is responsible because they're the leader.
All adult professionals are responsible for themselves, of course. Leaders are responsible for not just themselves, but for their teams.

#clinicalsupervisor #psychologistintraining #clinicalleadership #nonprofitmanagement
December 18, 2025 at 5:57 PM
💬Some new therapists shy away from CBT, DBT, or similar modalities, citing the misconception that behavior-based therapies overlook emotional content. In reality, these therapies frequently cultivate the distress tolerance necessary for engaging in deeper emotional work. 🧠

#BehaviorTherapy
December 17, 2025 at 5:56 PM
🧘‍♀️ Most of us have been trained to use silence as a powerful tool in therapy. However, it's important to remember that therapeutic silence isn't universally beneficial. Some clients may feel uncomfortable or misunderstood when met with silence, to a degree that is counterproductive.
December 16, 2025 at 5:56 PM
😊 Something that's often misunderstood: su1c1dal ideation isn't always a crisis. This might sound controversial, but it's important to remember this.

#MentalHealthAwareness #TherapistTips #MentalHealthMatters #TherapyCommunity
December 15, 2025 at 5:56 PM
🌟 Trauma isn't linear, and rushing into narrative work can sometimes do more harm than good. It's about creating a safe space, building trust, and ensuring that the foundation is solid before diving deeper. 🛡️

#TraumaTherapy #TherapistLife #NarrativeProcessing #MentalHealthAwareness #TherapistTips
December 12, 2025 at 5:56 PM
🌱 Having supervised 75+ therapists, I've seen firsthand the transformative power of clinical supervision in a therapist's development journey. Clinical supervision not only enhances your skills but also builds confidence as you navigate your therapeutic path.

#ClinicalSupervision
December 11, 2025 at 5:56 PM
🌿 As a therapist, understanding and maintaining therapeutic boundaries is crucial. Let's explore the complexity of boundaries and how we interact with them:

#TherapeuticBoundaries #TherapistTips #MentalHealthMatters #TherapyLife #BoundariesInTherapy #TherapistJourney #MentalHealthAwareness
December 10, 2025 at 5:56 PM
🌟 I want to spotlight the imbalanced relationship between therapists and clients. As someone who’s been in the field for a while, I’ve seen how easy it is for the therapeutic frame to become distorted and the sessions to lose focus on the needs of the client.🤝✨

#TherapistLife #TherapyBalance
December 9, 2025 at 5:56 PM
💭Understanding client resistance is crucial: sometimes, what we perceive as resistance could be our client's way of expressing fear, mistrust, or simply a need for more time to process their thoughts and emotions.

#TherapistLife #UnderstandingResistance #TherapyInsights #MentalHealthMatters
December 8, 2025 at 5:56 PM
🧠✨ The art of diagnosing is a significant part of our work, but it's crucial to approach it with a balanced mindset. Diagnoses can guide treatment, but they don't define the entirety of a client's experience.

#TherapyTalk #MindfulDiagnosing #MentalHealthMatters #TherapistLife
December 5, 2025 at 5:56 PM
Embracing Unconditional Positive Regard (UPR) is crucial in our work, whether you're a new therapist or an organization integrating it into your programs. 🌟 It's extended not just to clients, but also to trainees and teams, fostering a nurturing environment where everyone feels valued. 🧠💬
December 4, 2025 at 5:56 PM
🌟 As therapists, we don't just bring people into the room to talk and send them on their way. We must see our clients holistically. This aligns with both our professional values and the needs of the community we serve. 👐
#HolisticTherapy #CommunityWellness #VisionDevelopment #GraduateTraining
December 3, 2025 at 5:56 PM
🌟 Considering cultural factors in diagnostic processes is VITAL, even within multicultural settings. Each case is unique, and it's essential to approach them with an open mind and sensitivity to cultural congruence.

#CulturalSensitivity #Therapy #MentalHealth #CulturalHumility #MentalHealth
December 2, 2025 at 8:03 PM
🌿 As a therapist, maintaining therapeutic boundaries is vital for creating a safe, professional space, ensuring ethical and effective relationships. 🤝

#TherapeuticBoundaries #MentalHealthMatters #TherapistTips #TherapistLife #Boundaries #Therapy101 #EthicsInTherapy
December 2, 2025 at 5:56 PM
Think you might be autistic? Some steps to consider...
April 18, 2025 at 8:32 PM
Progress notes and clinical charting is the least favorite part of the job for many therapists who take insurance. 😵‍💫 The standards change often and are typically different from one site or job to another. Even in private practice, the fear of claw backs is enormous.
April 17, 2025 at 4:26 PM
Case example of possible autism consult in clinical supervision
April 16, 2025 at 8:21 PM
Way to make therapy more autism friendly ♾️
April 16, 2025 at 8:21 PM
The myth of autistic people lacking empathy 😵‍💫
April 16, 2025 at 5:01 PM