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Structure Is Care: Using Art Responsibly in Therapy
Creative work in therapy can stabilize or overwhelm depending on how it’s used. This article distinguishes therapeutic art from art therapy, emphasizing clinical containment, scope, and ethical responsibility. It explores how material choice, structure, and pacing shape activation, and frames containment as a practice of care that protects client autonomy, supports regulation, and resists extraction-based models of healing.
8 min read
Autism and the Cultural Construction of Disorder and Disability
Autism is often framed as a social deficit, but many autistic communication differences reflect cultural mismatch rather than impairment. Drawing on Erin Meyer’s cultural frameworks and the double empathy problem, this article explores how dominant social norms define competence, shape diagnosis, and create barriers to work and care — and why inclusion requires mutual adaptation, not correction.
7 min read


How Long Do We Keep Trying?
In Home Therapy requires providers to navigate a core ethical tension: when does persistence support care, and when does it become pressure? This article explores engagement as a clinical and relational process shaped by power, choice, and context, offering a framework for balancing continued outreach with genuine consent and recognizing when closure may be the most ethical form of care.
5 min read
Documentation Isn’t About Discipline — It’s About Dysregulation
Clinical documentation struggles are often framed as a discipline problem — but for many clinicians, they reflect nervous system dysregulation, executive overload, and systemic design barriers. This article reframes documentation avoidance as a threat response, reduces shame, and offers practical, neuro-affirming strategies that improve access, support regulation, and make documentation more sustainable.
7 min read


Self-Care Won’t Save Us: Social Work, Sacrificial Professionalism, and the Culture That Consumes Its Own
Social work promotes self-care while operating within systems that reward self-sacrifice and chronic overextension. This article examines how professional culture, training, and structural expectations normalize depletion, particularly through gendered and classed dynamics. It argues that burnout is not an individual failure but a systemic issue, and calls for collective action to challenge the norms that consume helping professionals.
9 min read
Professional Martyrdom: When Care Becomes Self-Sacrifice
Professional martyrdom describes a pattern in which workers organize their professional identity around sacrificing personal resources—time, money, or wellbeing—to meet unmet needs. Often framed as compassion or commitment, these everyday acts shift responsibility from institutions to individuals, distort care relationships, and sustain under-resourced systems. Naming the pattern reveals how sacrifice becomes normalized and why sustainable care requires shared responsibility
5 min read
What Is Sacrificial Professionalism? A Working Definition
Sacrificial professionalism describes a professional culture in which workers are expected to incur ongoing personal cost—time, money, health, or well-being—so others benefit. Common in helping professions, this norm reframes sacrifice as commitment, shifts responsibility for systemic gaps onto individuals, and enables the commodification of care. Naming the phenomenon reveals its structural origins and opens possibilities for more sustainable professional practice.
7 min read


What Makes IHT Work: Understanding the Team Model
In Home Therapy works because of its team model — a coordinated partnership between the IHT clinician and TT&S provider that integrates insight with skills practice. This article explains how distinct roles, shared formulation, and clear coordination allow families to receive the full level of care IHT is designed to provide, and why protecting the integrity of the model is essential for meaningful, sustainable change.
7 min read


Meeting Families in the Messy Moments: Rethinking Cancellations in IHT
When families ask to cancel IHT sessions, they are communicating important clinical information about stress, capacity, and need. This article reframes cancellation as an opportunity for intervention, showing how providers can adapt sessions to real-life circumstances, maintain continuity of care, and strengthen engagement through flexibility, presence, and team-based responsiveness.
5 min read


Stop Using Games in Therapy (and Start Using Game Mechanics)
Therapeutic use of games becomes more effective when clinicians focus on game mechanics—the rule structures that shape emotional, cognitive, and relational experiences—rather than using games simply as engaging activities.
3 min read
ARC-Informed Supervision Skills
ARC is designed as both an individual-level clinical intervention for work with youth and families and as an organizational framework that supports trauma-informed service systems. When applied to supervision, ARC offers a developmentally aligned approach that recognizes how safety, regulation, and skill-building are shaped at every level of a system. Supporting clinicians through ARC-informed supervision not only strengthens capacity and sustainability, but also promotes dee
4 min read


What Anti-Oppressive, Deliberately Developmental Supervision Actually Requires
Deliberately developmental supervision frames the supervisory relationship not just as oversight, but as the primary site of personal and professional evolution. Anti-oppressive supervision centers power, equity, and the structural forces that shape safety and risk. Both approaches are gaining traction, and for good reason. Clinicians are burned out. Workforces are strained. Agencies are navigating staffing shortages and administrative overload. In this context, models promis
3 min read
Structure Without Hierarchy: Using Family Therapy Models with Polycules
Polyamorous relationships are often described as intentionally non-hierarchical, values-driven, and grounded in consent. Many polycules explicitly reject rigid rules in favor of co-created agreements that prioritize autonomy, transparency, and relational agency. Yet even the most intentional systems are shaped by structure, whether that structure is named and negotiated or left implicit and unexamined. Structural Family Therapy (SFT) offers a useful lens here, not because pol
6 min read


Decolonizing Autism: Why Everything We Know About This “Disorder” Is Shaped by Western Culture
Explore how the Industrial Revolution pathologized human difference. Learn to decolonize autism by centering Indigenous frameworks like takiwātanga and pîtoteyihtam.
7 min read


Two-Minute Tune-Ups for Stressed-Out Students (and Their Teachers)
Originally posted on Medium on 11/22/2025 https://medium.com/@morgannecrouser/two-minute-tune-ups-for-stressed-out-students-and-their-teachers-b17af77551c8?postPublishedType=repub As a trauma-informed LICSW who spends a lot of time sitting with teachers, clinicians, and stressed-out humans of all ages, I know this part of the term gets rough. You don’t need me to tell you that students are carrying more than what shows up on a syllabus. You see it every day—faces a little tig
9 min read


Masking: The Neurodivergent Extreme Sport
This was originally posted to Medium on 6/23/2025 https://medium.com/@morgannecrouser/masking-the-neurodivergent-extreme-sport-f360bbe5b086 Masking is one of those words that carries a lot of weight, especially for neurodivergent people. At its core, masking means changing one’s natural or instinctive behavior — intentionally or unconsciously — to better fit the expectations of the neurotypical world. It can show up in subtle ways, like softening a vocal inflection, scripting
6 min read
Stimming, Liberation, and the Refusal to Behave: A Somatic and Anti-Oppressive Case for Letting Bodies Move
In trauma theory, anti-oppressive practice, and disability justice, one truth keeps resurfacing: the body already knows what it needs, but culture keeps getting in the way. Stimming—rocking, flapping, tapping, humming, pacing, chewing, spinning, fidgeting—is one of the clearest examples. It is an act of self-regulation, expression, and sensory equilibrium, and yet it is one of the most policed behaviors in neurodivergent bodies. To understand why stimming is pathologized inst
3 min read
Why It Matters to Have a Supervisor Who Gets You
Research shows that neurodivergent folks are significantly more likely to identify as LGBTQIA+. These identities don’t exist in isolation. They shape how we experience supervision, how we show up with clients, and what we need to feel supported.
3 min read


Reimagining Supervision through the ARC Lens
In my clinical work, the Attachment, Self-Regulation, and Competency (ARC) model has long shaped how I think about healing and resilience, particularly in the context of trauma and complex developmental histories. But what’s been just as impactful is how seamlessly ARC translates into the supervisory space. Supervision is, at its core, a relational process. It’s not just about checking boxes for licensure or troubleshooting clinical stuck points (though yes, we do that too).
2 min read
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