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Creative Therapy for Neurodivergent Teens and Adults: Why Unconventional Interventions Work
Traditional talk therapy can be powerful, but it is not always the best starting point for every brain and body. For many neurodivergent teens and adults, sitting still, making steady eye contact, and explaining feelings on demand can feel more like a test than support. Creative and unconventional therapeutic interventions offer another way in. They make room for movement, sensory needs, humor, imagination, special interests, visual thinking, and different communication style
Carly Poloskey
Aug 254 min read


Recommended Reading List for Recovering Perfectionists: 4 Books to Help You Let Go
If your brain treats every email, text, project, workout, meal, and life choice like it’s being graded, you’re not alone. That kind of pressure can look “high functioning” from the outside, but inside it’s exhausting. The tricky thing about perfectionism is that it often starts as a way to feel safe, loved, prepared, or in control. Then, slowly, it becomes a cage. You can’t rest unless everything is done. You can’t try unless you know you’ll be good. You can’t enjoy the win b
Carly Poloskey
Aug 215 min read


Treating OCD with ERP and I-CBT
OCD can feel convincing even when the feared outcome has no real evidence behind it. A person may know, on one level, that the door is locked, the stove is off, or the thought does not match their values. Still, the mind keeps asking, “What if?” That gap between what is real and what feels possible is where effective OCD treatment begins. My treatment philosophy draws from both Exposure and Response Prevention and Inference-Based Cognitive Behavioral Therapy, often called I-C
Carly Poloskey
Aug 215 min read


Fawning: The "Nice" Trauma Response
Sometimes people pleasing is not really about being “nice.” Sometimes it is a survival strategy. A teen says yes when they want to say no because disappointing someone feels unbearable. A young adult apologizes over and over after a small misunderstanding because silence feels dangerous. Someone becomes an expert at reading facial expressions, shifts in tone, delayed texts, and tiny changes in mood because they learned, somewhere along the way, that staying safe meant staying
Carly Poloskey
Aug 119 min read


Borderline Personality Disorder Treatment: Finding Functional Balance Without Pathologizing Relational Sensitivity
Borderline personality disorder treatment works best when it starts from a humane premise: intense relational sensitivity is not a character flaw. It is a real way of experiencing attachment, threat, closeness, loss, and uncertainty. The clinical task is not to erase that sensitivity. The task is to help a person live with it in a more stable, effective, and self-respecting way. This treatment philosophy is aligned with Gunderson’s General Psychiatric Management, also called
Carly Poloskey
Aug 53 min read


Why Clients Seek Out a Queer Identified Therapist and How It Can Help
Finding the right therapist can feel personal before the first session even begins. A client may look at a therapist’s bio and wonder, “Will I have to explain myself here?” For many LGBTQIA+ clients, that question carries real weight. Some people seek therapy because they are dealing with anxiety, grief, trauma, relationship stress, family conflict, or life transitions. Others want support around identity, coming out, gender, sexuality, discrimination, or belonging. In all of
Carly Poloskey
Aug 55 min read


Understanding Eating Disorder Care Levels and How to Choose the Right Support
When someone you love is struggling with an eating disorder, the question is rarely simple. They may be eating “enough” one day and barely eating the next. They may insist everything is fine, while their body, mood, or daily life tells a different story. Loved ones often find themselves asking the same painful question: What kind of help is enough right now? Eating disorder care is organized into different levels of support. These levels range from weekly outpatient therapy t
Carly Poloskey
Aug 59 min read


When should you consider seeing a therapist?
Life can bring challenges that feel overwhelming. Sometimes, these difficulties affect your mood, relationships, or daily functioning in ways that are hard to manage alone. Knowing when to seek support from a therapist can make a big difference in your well-being. This post explores clear signs that it might be time to reach out for professional help and what you can expect from therapy. Recognizing when support is needed Many people hesitate to see a therapist because they a
Carly Poloskey
Jul 313 min read


Acceptance and Commitment Therapy Explained
Trying to get rid of painful thoughts can sometimes make them louder. Avoiding anxiety can shrink a person’s life. Fighting sadness can turn into a full-time job. Acceptance and Commitment Therapy, often called ACT, starts with a different question: What if the goal is not to eliminate every painful feeling, but to build a meaningful life while making room for discomfort? ACT is a modern behavioral therapy that focuses on psychological flexibility. That means the ability to s
Carly Poloskey
Jul 2710 min read


PDA and Eating Disorders: When Hunger Becomes a Trigger
Mind-blown moment of this week: Listening to this episode of I Hate You. What's for Dinner? The way Casey Erlich broke down PDA (Persistent Drive for Autonomy or Pathological Demand Avoidance) entirely shifted my perspective on how this concept intersects with my work in the eating disorder field. As a neurodivergent-affirming clinician, I was familiar with the idea of PDA. However, I had always considered triggers for this pattern of response as external (e.g., requests to d
Carly Poloskey
Jul 2110 min read


Creative Arts for Teen Therapy: Unlocking Healing Through Expression
When I think about the challenges teens face today, I feel a deep sense of empathy. The pressures of school, social life, and personal growth can feel overwhelming, exacerbated by the ever-growing social media landscape. It’s in these moments that creative arts for teen therapy can offer a gentle, yet powerful path toward healing and self-discovery. This approach invites teens to express feelings they might not yet have words for, helping them navigate their inner world with
Carly Poloskey
Jul 185 min read


Stop Intellectualizing Your Problems: Creativity in Counseling
Introduction Our brains are wired to keep us alive, not to keep us happy. We naturally want to avoid pain and move towards comfort, and in this endeavor we develop ways of protecting ourselves from emotional wounding. Intellectualizing is a defense mechanism utilized to attempt to circumvent overwhelming emotions. This often unconscious strategy involves analyzing, rationalizing, and dissecting the problem as a means to distance oneself from the discomfort of sitting with the
Carly Poloskey
Jul 84 min read


Debunking Common Misconceptions About Music Therapy
Music therapy often sparks curiosity, but it also faces many misconceptions. These misunderstandings can prevent people from exploring its benefits or appreciating its true value. Clearing up these myths helps reveal how music therapy supports mental, emotional, and physical health in meaningful ways. Music Therapy Is Just Listening to Music One common misconception is that music therapy means simply listening to music for relaxation. While music can be calming, music therapy
Carly Poloskey
Jul 72 min read
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