Cory Grad (@CoryGrad_LCSW) header
Cory Grad (@CoryGrad_LCSW) profile picture

Psychotherapist https://teapaw.org/t.co/iPd5T9mEIX

Joined March 2026
Discussing narcissism on social media be like:
🤖 Made with AI
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So the therapist version of this:
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Replying to @DoctorPerin
I have a few predictions
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This pictures comes to mind:
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Replying to @AlobhaPatrick
The overview shows: speed, efficacy, and no psychotherapy required. A few promising studies will be used as justification to hyper accelerate marketing, just like Zoloft and the chemical balance theory or CBT becoming the 'gold standard' of therapy.
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This is the experience of many early- to mid-career clinicians. An administrator without a clinical background is tasked with Running The Numbers. If you ask the clinician to articulate their case formulation for a client, they will seem baffled and gesture back to the measures. One of the things left off that list in the screenshot is that it provides legitimacy for billing. The development of the PHQ-9 and GAD-7 was funded by Pfizer and led by teams of researchers that included Robert Spitzer, the man behind bringing the medical model to the DSM. They were initially intended to be used in primary care settings, since that’s where antidepressants are prescribed the most. It got rolled into therapy since it provided a nice concrete number that could be auto populated into the EHR. It was far too naked to say that aloud, so the term “best clinical practice” gets thrown around. What it means is never defined. Edit: I realize a certain irony in that the application of the measurement based care is actually being measured itself.
In grad school, therapists in training are told about the healing power of the therapy relationships, the importance of rapport and empathy. Their first job is at a large organization that reduces treatment a to a series of metrics. PHQ9, GAD7, MH-QoL, along with a series of scoring systems populate a various dashboards that need to be checked regularly. Clinician success is tracked with intake to follow up conversation rate, documentation completion rate, and amount of monthly completed visits. Emails regarding progress get sent out saying things like, "Case 244011 has had persistent PHQ9 for last several months. May be beneficial to explore distressing thoughts and strengthen coping, self-soothing, and hopefulness." Further clinical development comes in the form of self taught training modules online. Client, clinician, and treatment have all been reduced to abstracts.
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Replying to @AlobhaPatrick
Color me surprised when this turned out to be documentary
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Replying to @AlobhaPatrick
This is permitted
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