Connect Counseling and Consulting

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Empowering & with growth-focused coaching & courses. 🌿 We champion authentic journeys, offering support for every unique family story. πŸ³οΈβ€πŸŒˆ

Juneteenth.As a white therapist I want to name that I'm not a neutral observer here and careful that this post doesn't c...
06/19/2026

Juneteenth.

As a white therapist I want to name that I'm not a neutral observer here and careful that this post doesn't center my own reflection over the day itself.

The mental health field has a history of causing measurable harm to Black communities. Pathologizing adaptive responses to racism. Diagnosing Black children with conduct disorders at higher rates and mood disorders at lower rates than their white peers. A workforce that remains overwhelmingly white while claiming to serve everyone. Frameworks built on whiteness and called universal.

Affirming practice and complicity in that system are not mutually exclusive. I hold both.

Antioppressive practice on Juneteenth means examining who benefits from the "traditional" frameworks we use, who wrote them, and who they were designed to help. It means whether the language we use in documentation tells the right story about what our clients are actually navigating.

What's one thing you've changed in your clinical practice as you've started decolonizing your therapy?

06/18/2026

PDA gets named like it's a problem to manage.

It's better understood as a nervous system that learned control isn't safe.
Pathological Demand Avoidance. Each word locates the problem in the person rather than in what the person has been through.

When control has been used to harm β€” in school, in social systems, in the therapy room β€” avoiding demands isn't pathological. It's adaptive. The label pathologizes the learning.

Affirming practice with PDA profiles asks what compliance has cost this person before asking how to get more of it.

Save this for a supervision session when talking about PDA clients.

Follow for more antioppressive content.

Five things I stopped writing in clinical notes (and what I write instead).Resistant β†’ protectiveUnmotivated β†’ depletedL...
06/16/2026

Five things I stopped writing in clinical notes (and what I write instead).

Resistant β†’ protective

Unmotivated β†’ depleted

Limited insight β†’ externally attributed

Noncompliant β†’ autonomy-protective

Treatment resistant β†’ unmatched to treatment

Alexythymic β†’ interoceptive difference

None of the original labels describe the client. They describe a system that didn't fit. And they travel β€” into the next provider's assumptions, into the next intake, into the next room before the client ever opens their mouth.
Language in a chart follows a client. Make sure it tells the right story.

CAQH rebranded to DataSpring in January 2026 and in the process converted from nonprofit to for-profit with twelve major...
06/16/2026

CAQH rebranded to DataSpring in January 2026 and in the process converted from nonprofit to for-profit with twelve major health plan shareholders now owning the platform that controls your credentialing data, directory listing, and claims flow.

The CEO says nothing changes operationally. That may be true. But structural conflicts of interest don't have to be malicious to cause harm; they just have to exist.

I wrote a full breakdown on the blog: what changed, what it means practically, and what WA clinicians should do right now.

connect-counseling.co/blog

06/11/2026

CAQH rebranded to DataSpring this week and this is about more than a name change.

In January, CAQH converted from a nonprofit to a for-profit company owned by twelve major health plans. That means the organizations that pay to access your credentialing data now own the platform that collects it.

The CEO says nothing is changing operationally. Possibly true. But structural conflicts of interest don't require bad intent, they just require misaligned incentives. And in a system where your credentialing status directly affects your income, that matters.

Practical step right now: make sure your profile is current and your attestation isn't expired. Full breakdown on the blog up now.

Connect-counseling.co/blog

Responsive Boundaries has been live for a few days now and I want to say something about why I built it.Every ethics tra...
06/11/2026

Responsive Boundaries has been live for a few days now and I want to say something about why I built it.

Every ethics training I sat through was structured around one question: what can I do without getting in trouble? That's a liability question. It makes sense. But it's different from a clinical question: what does this client actually need from me?

Those questions have different answers more often than we're trained to notice. When we train clinicians primarily in the liability question, the client pays the cost.

The framework in this course is built around the clinical question. That's the difference.

connectlab.learnworlds.com/courses/responsive-boundaries

"Treatment resistant" appears in charts as a description of the client. It is more accurately a description of a mismatc...
06/09/2026

"Treatment resistant" appears in charts as a description of the client. It is more accurately a description of a mismatch between the client and the treatment they received.

When a treatment doesn't work, the label locates the problem in the person. What it actually documents is that the assumptions built into the treatment didn't match the reality of that client's neurology, trauma history, cultural context, or previous care experiences.

The question that opens clinical thinking back up: what did this treatment assume about this client, and were those assumptions accurate?

That's a different question than what is wrong with this person. It leads somewhere more useful.

connect-counseling.co/blog

06/05/2026

WA license renewal is getting more difficult. I don't know about you, but the DOH keeps complicating the requirements and I was feeling more and more confused. We're up to three separate renewal dates?!

Sign up for my newsletter to get the free WA State CEU tracker; it maps every mandatory category so you always know exactly where you stand. Unsubscribe any time.

connect-counseling-and-consulting.kit.com/fd1d68a528

06/04/2026

BrenΓ© Brown's work on shame and vulnerability has helped a lot of people. And there's a gap in how it tends to be applied clinically that's worth naming directly.

Shame resilience frameworks focus primarily on individual emotional experience. What they don't center is structural power, race, and systemic oppression.

When we apply this with a client experiencing race-based trauma or who is neurodivergent in a world that pathologizes their brain, and we frame their healing primarily as internal emotional work, we risk asking them to metabolize systems-level harm as a personal failing.

That's not what the framework intends. It's what happens when it gets extracted from context.

Save this for your next supervision conversation.

Most clinical documentation treats emotional regulation like a dial with a right setting. It's not; and for neurodiverge...
06/03/2026

Most clinical documentation treats emotional regulation like a dial with a right setting. It's not; and for neurodivergent clients especially, what we call dysregulation is often a contextual response to an environment that was never designed for them.

New on the blog: what emotionally dysregulated actually means, what it costs clients when we get it wrong, and what affirming documentation looks like instead.

connect-counseling.co/blog

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