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The blog: notes from the threshold.

Longer pieces on therapy, neurodivergence, trauma, gender and identity. Written to be useful, not to rank. Search, filter by topic, and choose how you see the list.

All posts.

Gender-affirming care
Best practice in mental health care for trans, gender diverse and non-binary people in Australia
The standards, guidelines and laws that shape good psychological care for trans, gender diverse and non-binary people in Australia, and what they mean in practice.
25 September 2026 · 7 min read
Gender-affirming care
Supporting someone through gender affirmation: a guide for family, friends and partners
You do not need to have all the answers. Here is what actually helps.
25 September 2026 · 5 min read
Gender-affirming care
Minority stress: what it is, and what helps
Being misgendered, questioned or unsafe, over years, has real effects. It is a reasonable response to an unfair load, not a personal weakness.
25 September 2026 · 4 min read
Gender-affirming care
Preparing for gender-affirming surgery: a practical checklist
Time off, money, help at home, fertility, and the feelings that can turn up afterwards. What to sort out before surgery.
25 September 2026 · 4 min read
Gender-affirming care
Gender incongruence or gender dysphoria? Why the words matter
Two diagnostic terms, two different manuals, and a big shift in how health systems understand trans people.
25 September 2026 · 3 min read
Gender-affirming care
Do you need a psychologist’s letter to start hormones in Australia?
Many adults in Australia can start gender-affirming hormones through a GP without a letter. Here is how the informed consent model works.
25 September 2026 · 3 min read
Gender-affirming care
What a surgery readiness assessment is, and what it isn’t
A WPATH-aligned assessment is not a test of your gender. Here is what actually happens, how long it takes, and what the letter says.
25 September 2026 · 5 min read
ADHD and neurodivergence
What an adult ADHD assessment actually involves (and what it doesn’t)
No, it’s not a brain scan, and it shouldn’t be a 20-minute quiz either. Here is what thorough adult ADHD assessment looks like, and how to…
25 September 2026 · 5 min read
ADHD and neurodivergence
ADHD or anxiety, or both? Why they get so tangled
Poor concentration, restlessness, a mind that won’t stop: anxiety and ADHD can look nearly identical from the inside. Here is how assessment tells them apart.
25 September 2026 · 5 min read
ADHD and neurodivergence
Late-diagnosed ADHD: what the relief-and-grief mix is about
Getting an ADHD diagnosis at 38 can feel like winning an argument you didn’t know you were having with yourself, and losing two decades in the…
25 September 2026 · 5 min read
Trauma and EMDR
EMDR for complex trauma: why we don’t rush
When trauma was repeated or relational, going slower isn’t caution for its own sake. It is what makes the deeper work possible.
25 September 2026 · 5 min read
Trauma and EMDR
Do the eye movements matter? The honest state of the EMDR evidence
EMDR is guideline-endorsed for PTSD, and its signature ingredient is still scientifically debated. Both things are true, and here is how.
25 September 2026 · 4 min read
Trauma and EMDR
What EMDR actually feels like, phase by phase
A walk through the eight phases of EMDR from the inside: what happens, what it feels like, and how much control you keep (all of it).
25 September 2026 · 5 min read
Trauma and EMDR
Imagery Rescripting: What It Is and What It Isn’t
One of the most-researched techniques in schema therapy, and one of the most misunderstood. A plain-language guide to how imagery rescripting works.
25 September 2026 · 5 min read
Therapy approaches
Schema Modes, Explained Like a Human
Ever flip from fine to furious to numb in one afternoon? Schema modes explain the flipping, and why none of those states is the whole of…
25 September 2026 · 5 min read
Therapy approaches
What Are Schemas, and Why Do the Same Patterns Keep Happening?
You can understand a pattern perfectly and still watch it repeat. Here is what schema therapy says about why, and what actually shifts it.
25 September 2026 · 5 min read
Therapy approaches
CBT vs ACT: how do you actually choose?
One examines your thoughts, the other changes your relationship with them. An honest guide to two of the best-known therapies, and how fit gets decided.
25 September 2026 · 5 min read
ADHD and neurodivergence
CBT when you’re neurodivergent: what good adaptation actually looks like
CBT can work well for ADHDers and Autistic adults, but only when it’s adapted properly. Here is the difference between CBT that fits and CBT that…
25 September 2026 · 5 min read
Therapy approaches
What actually happens in a CBT session? A walk-through for the curious and the wary
No couch, no ink blots, no forced positivity. Here is what a real CBT session looks like, minute by minute, and why the structure is the…
25 September 2026 · 5 min read