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37 contributions to Therapists of Skool
Clinician Capacity
Personally experiencing grief recently reminded me how quickly clinician capacity can shift. It reinforced the importance of ethical pacing, boundaries, and transparency when needed. How do you assess readiness to return to full caseload after personal loss?
1 like • 7d
Oh my gosh. The struggle is real. When I'm down down I pare my caseload down. When my mom had a stroke a year ago I didn't work very much for a few weeks. Kept high acuity but let a lot of the rest just hold. I usually check in with my body to assess readiness. My mind is always ready to go - lol - but my body will drag or my vitality will be good. If my body says NO I try to listen.
0 likes • 2d
@Lilyan Fowler prioritize rest. lots of energy in motion can be draining for sure. Are you back to capacity with clients or is your caseload allowing you to take space?
Control vs. Steadiness
This month I’ve been reflecting on how grief disrupts a client’s sense of control — not just emotionally, but cognitively and behaviorally. Shifting from “regaining control” to “finding steadiness” feels like a subtle but powerful reframe in session. Would love to hear how you conceptualize this shift in your own work. 📎 My March newsletter explores grief + locus of control, along with grounding reflections that may support your clinical approach. Subscribe here:Subscribe & Fly | Therapist in Dallas-Fort Worth, TX | Fowler Counselinghttps://share.google/6l9w59RBQ3ogVufxX ℹ️ Educational purposes only. Not a substitute for therapy or professional mental health care.
1 like • 2d
For me it's a moment-to-moment noticing. When I'm über busy it's more difficult to notice, so prioritizing stillness and opportunities for reflection help a lot. I love that you're putting an educational disclaimer on your posts. We can never be too careful, right?
Executive Functioning
Grief often impacts executive functioning before clients even recognize what’s happening. Brain fog. Fatigue. Irritability. Reduced productivity. Normalizing this as a nervous system response — not a personal failure — can reduce shame quickly in session. 📎 My March newsletter expands on grief + spheres of control and includes grounding reflections that may support this work. Subscribe & Fly: https://share.google/6l9w59RBQ3ogVufxX⁠� 💻 I’ve also opened limited Friday virtual sessions in the Dallas–Fort Worth area to increase accessibility: • 1 free • 2 mini ($25) • 1 full tiered-rate session Curious — how are you addressing executive functioning shifts in early grief when working with neurodiverse populations? ℹ️ Educational purposes only. Not a substitute for therapy or professional mental health care.
Executive Functioning
1 like • 2d
Yes. Slow and steady wins the race. Most emotions affect executive function without people recognizing it until it's affecting their activities of daily living. Normalizing feelings is one of my favorite things to help clients with. I love that you have a newsletter! I will check it out. I'm glad you have sessions available for people who are struggling. Thanks for posting, Lilyan!
When Control Slips
Locus of control conversations shift in grief work. We’re no longer helping clients expand influence — we’re helping them tolerate what cannot be influenced. That requires a different kind of containment. What language do you use to normalize that shift?
0 likes • 7d
Interesting! I think something can always be influenced, even grief. I say when we are allowing our grief we are influencing it in that we're present with it. I notice with clients many will talk surfacey to try to avoid grief, but usually when they are able to track sensation, they can build new perspective of grief's role in emotional intelligence. Riding the waves of grief is not necessarily enjoyable but necessary in the healing process.
Diminished Capacity
Grief narrows executive functioning capacity. Clients may present with reduced focus, lower frustration tolerance, and cognitive fog — even when insight remains intact. How do you differentiate between depressive symptoms and normative grief-related regulation shifts in early sessions?
1 like • 8d
Oh. I know this post comes from your recent experience and my heart just swells knowing you are still so clinically and educationally focussed. I usually just go with what people report. I do a lot of short-term, brief, EAP counseling and it requires a speeding up of the process. People report a specific issue like the sudden loss of someone, I help with grief first, and if other stuff comes up, like issues they've left dormant for a while, then we cross that bridge when we come to it, as they say. I would probably rely on the DSM if I was uncertain.
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Alistair Hawkes
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@alistair-m-hawkes
LPC. Advanced stress management, neurosomatic, and energy skills. Beat burnout. Love your work. Scale your practice. 🏞️ Skool IRL: Denver Mayor

Active 4h ago
Joined Dec 5, 2025
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