Psychotherapist https://nitter.gq/t.co/iPd5T9mEIX
Joined March 2026
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Cory Grad retweeted
Hey all. We had a spooktacular chat on today’s podcast.
Grateful to everyone in the chat: @angpeacock1111 @CoryGrad_LCSW @DFMagee @sfowler and others!
A bit of a rant on EHRs and EMRs.
(Full episode w/context ⬇️)
Cory Grad retweeted
Couples who protect their date nights like they would an important business meeting, and their sex life like a treasured thing, give their marriage a much better chance of staying warm, connected, and worth protecting.
Cory Grad retweeted
Every morning, before the first patient, consider that this may be your last session with each of them. This helps to stay present. Patients leave without warning. They may move, lose their insurance, get better, give up, die. Say what needs saying in a form they can use that day.
Cory Grad retweeted
A therapist should know where the work came from. Every rule taught in this field was paid for by a clinician who went too far or not far enough. Be careful not to worship old masters, but do study them to learn what their mastery cost.
Cory Grad retweeted
Howdy all.
Today’s UnShrink Me Halloween special will be streaming on EwwwTube at 12:30pm PST.
Spooktacular topics include:
1. The terror of EHRs.
2. Spooky therapists: fragilizing, objectifying patients.
3. Frightening future challenges for the field.
Hope to see yall there: @SystemicTexism @RyanMalphrus @PrimalHex @CoryGrad_LCSW @angpeacock1111 @sfowler
Cory Grad retweeted
Mental Health Is More Than Symptom Reduction
Good therapy does more than reduce anxiety, lift depression, or quiet painful thoughts. It helps people reclaim agency, deepen relationships, and rediscover purpose. Consider someone whose anxiety has improved but who still avoids meaningful conversations, struggles to make decisions, or feels disconnected from daily life. True therapeutic progress is not simply feeling less anxious; it is finding the confidence to speak honestly with a partner, make an important choice, or reconnect with something that matters. The challenge for mental health care is clear: Are we merely helping people suffer less, or are we helping them live more fully?
Cory Grad retweeted
Imagine paying $2000 a month for a grocery membership.
Then imagine going to the supermarket, filling your cart, and discovering at checkout that you still owe $300.
Three months later, another bill arrives. Apparently, the person who stocked the produce wasn’t part of your grocery network.
And the milk? Your membership covers milk, but only if you buy it at a different store.
You call to ask why. After 45 minutes on hold, someone explains that you should have obtained prior authorization before buying the groceries.
And next year, your membership goes up to $2500 a month.
Nobody would tolerate this way of buying groceries.
But somehow, we’ve come to accept it as a reasonable way to pay for healthcare.
Cory Grad retweeted
Warnings re psych diagnosis:
1)Describe/dont explain
2)Usually impossible to make accurately in 1 visit
3)are fallible/often wrong- leading to wrong treatment
4)blend into normality/require significant distress or impairment
6)self-diagnosis is usually wrong
7)Can haunt for life
Diagnoses are tools, not destinies.
Psychology needs reliable diagnoses. Before we can determine whether a diagnosis is valid—whether it captures something meaningful—we need reasonable agreement about what we’re identifying. Reliability must come before validity, though it doesn’t guarantee it.
But what we do with a diagnosis is another matter entirely.
A diagnosis can guide treatment, advance research, help people understand themselves, and give language to experiences that have long confused them.
Or it can become a label that narrows expectations, excuses behavior, invites stigma, or convinces someone that their future has already been written.
A diagnosis should help us understand a person, not become our understanding of that person.
Cory Grad retweeted
"People plant their flags, and the flags are where they make their money, too."
- Dallas Taylor
Cory Grad retweeted
Most leadership teams do not need more trust exercises.
They need to identify which truths are expensive to say, who pays the price for saying them, and what the organization therefore remains unable to know.
Cory Grad retweeted
The disappearance of “third spaces” that are neither home nor work, coupled with stigma against married couples with kids spending evenings or weekends outside the home, has created a society of “family pods” that don’t intermingle nearly enough. Children benefit from their parents’ wide friend network. They have more possible godparents or future mentors/connections to jobs, people to take them to school when parents are sick, or many many other advantages. people in the early to mid 1900s simply had better social sense and civic/community mindedness than people now. Not everything translates to an internet analogue, including but not limited to socialization and community for your family.
I'm sorry but this is so fucking lame. Your grandparents partied. Your grandparents hosted, they went to bars, they did shit. They didnt sit around and pride themselves for spending all of their free time staring at their children and mowing the lawn. Get the fuck out of your house. Take your wife out for a drink and listen to some live music. Have a conversation with someone at the bar. Go to a hockey game with your college buddies. Youre not somehow more mature for being homebound. Get a life.
Cory Grad retweeted
“Most [therapists] could benefit by looking harder at why they became therapists and what types of affirmation and gratification they are seeking. From my experience, many suffer from being too passive, masochistic, and conflict-avoidant.”
—Karen Maroda
Cory Grad retweeted
No one is an expert in their life. We all have an unconscious. We all have hard to see (but can be accessed) motives and wishes. We dip in and out of awareness of our various motives, it would be absurdly costly (calories) to be perfectly consciously aware of all things (e.g., blood pressure) that motivate us
Cory Grad retweeted
DSM-6 is a grift/mistake whose only real purpose is publishing profits for Am Psychiatric Assoc.
Changing its name from 'Diagnostic & Statistical Manual' to 'Diagnostic & Scientific Manual' is putting lipstick on a pig.
Giant leaps in neuroscience during past 50 yrs have had absolutely no impact on diagnosis.
