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Intrusive Thoughts in OCD
Why they happen, why they stick Image by freepik Most people who live with persistent intrusive thoughts arrive in therapy after years of private distress. The thoughts come without warning. They can be violent, sexual, blasphemous, or morally transgressive. What makes them unbearable is not usually the content, disturbing as it often is. It is the conviction that the thought reveals something real and shameful about the person having it. Four decades of research into obsessi

Sarah Fischer
1 day ago7 min read


Therapy on Social Media and the Limits of Simplification
Image by freepik Why accessible psychoeducation is valuable, where it falls short, and how to read therapy content online Scroll through Instagram or TikTok on any given evening and you will find a range of individuals posting about therapy on social media, explaining attachment styles, naming the nervous system responses behind a panic attack, or offering a script for setting a boundary with a parent. Some of this content is excellent. Some of it is misleading. Most sits som

Sarah Fischer
1 day ago6 min read


ADHD Diagnosis in Australian Adults: What Criteria Are Needed, and What Does a Prescribing Doctor Require?
An adult ADHD diagnosis in Australia requires a comprehensive clinical assessment, not a single test or questionnaire. Under the DSM-5 criteria, a clinician must establish at least five symptoms of inattention and/or hyperactivity-impulsivity that have persisted for at least six months, evidence that some of those symptoms were present before the age of 12, functional impairment across at least two life domains (such as work, relationships, and daily functioning), and a thoro

Sarah Fischer
Apr 313 min read


How Is Autism Assessed and Diagnosed in Adults and Why Do Hormones Change Everything?
If you are someone who has started to wonder whether you might be autistic, you are far from alone. Increasing numbers of adults are being assessed for autism across all age groups and genders. For some, the prompt is a child or family member's diagnosis that sparks recognition of similar patterns in themselves. For others, it is a life transition, a workplace crisis, the end of a relationship, or the accumulation of decades of social exhaustion and burnout that brings them t

Sarah Fischer
Apr 310 min read


Self-Belief, Talent, and Performance: What the Research Actually Shows
Two equally capable students sit the same exam. One bombs it and doubles down on study. The other bombs it and stops trying. A year later, their results have diverged dramatically. The difference between them is not intelligence, not preparation time, and not the quality of their teaching. It is what they believe about themselves. This pattern plays out across every performance domain, from sport to music to professional work. And it is not a coincidence. The relationship bet

Sarah Fischer
Apr 29 min read


You Didn’t Get the Manual. You’re Writing It.
What it means to be the generation that breaks the cycle of intergenerational parenting harm Image by freepik There is a particular kind of exhaustion that belongs to the parent who is trying to do it differently. You know the one. You grew up in a house where feelings were a problem to be solved, or silenced, or punished. Maybe anger meant you were sent to your room. Maybe crying was met with “stop that” or “you’re fine.” Maybe the emotional temperature at home was set to

Sarah Fischer
Apr 110 min read


When Achievement Comes from Survival: Why Trauma and High Performance So Often Go Together
What is this article about: Research spanning more than four decades shows a consistent pattern. A significant proportion of trauma survivors go on to build impressive careers and achieve high professional standing. The Kauai Longitudinal Study found that roughly one-third of high-risk children became competent, confident adults. The Goertzel biographical study found that approximately 75% of more than 400 eminent twentieth-century figures experienced significant childhood di

Sarah Fischer
Apr 18 min read


It's Not You. It's the Housing Market. Why Dating Feels So Hard in Your 20s and 30s.
It is not a personal failing. The research points to something much bigger, and there are practical ways through it. What this post covers: Why Australian marriage and partnership timelines have shifted significantly since the 1970s. How rising loneliness among young adults is affecting the conditions for connection. Why most dating apps are structurally designed against genuine compatibility. The role of the housing crisis in relationship formation. Evidence-based strateg

Sarah Fischer
Mar 2715 min read


WorkCover Psychology in Victoria: What Changed in 2024 and What It Means for Your Psychological Injury Claim
On 31 March 2024, Victoria's workers' compensation laws changed significantly for anyone making a psychological injury claim. The Workplace Injury Rehabilitation and Compensation Amendment (WorkCover Scheme Modernisation) Act 2024 introduced a new, narrower definition of what counts as a compensable mental injury, raised the threshold for proving that work caused the injury, and added a whole person impairment requirement for anyone receiving weekly payments beyond 130 weeks

Sarah Fischer
Mar 257 min read


Why Organisational Psychologists Make Great Therapists (and What That Means for You)
There are excellent therapists working across every area of psychology in Australia, and the best therapy outcomes come from the right match between client and clinician. What I want to share here is something specific about the way organisational psychologists are trained, and why that training produces a particular strength in the therapy room. Especially for clients whose distress is tangled up with their work. Most adults who walk through my door are employed. Their sympt

Sarah Fischer
Mar 255 min read


I'm Good, Thanks (and Other White Lies Men Tell their Psychologist)
What men are carrying, and how a woman psychologist is learning to meet them where they are I am a woman in my mid-forties. I have two daughters, a partner, and a private practice in Melbourne. When a man walks into my consulting room, he does not see someone who looks like him. He sees a woman, often of a different generation, in a profession that was not designed with him in mind. And increasingly, he comes anyway. In 2023, there were 29,896 registered female general psycho

Sarah Fischer
Mar 2410 min read


Is it a Same Old Story, Time Again, or is it a Femininomenon?
What Young Women Are Telling Me About Dating Right Now There is a song I keep hearing about in my therapy rooms. Not on the speakers. In the stories. Chappell Roan’s Femininomenon opens with a scenario most of the young women I work with could have written themselves: the promising online connection, the exchanged playlists and late-night messages, the whole thing evaporating the moment somebody suggests meeting for an actual coffee. Roan has said the song is about the confu

Sarah Fischer
Mar 2411 min read


When the Diagnosis Does Not Fit: Workplace Trauma, PTSD, and the Overuse of Adjustment Disorder
Workers’ compensation systems across Australia are seeing a dramatic increase in psychological injury claims. Safe Work Australia’s 2025 Key Work Health and Safety Statistics report revealed that serious mental health claims rose to 17,600 in 2023–24, representing 12% of all serious workers’ compensation claims and a 161% increase over the preceding decade (Safe Work Australia, 2025). Workers with psychological injuries spend a median of 35.7 weeks off work, nearly five times

Sarah Fischer
Mar 1814 min read


The Body Keeps the Score. But Not the Way You Think.
A Critical Look at One of Trauma Therapy’s Most Popular Claims Image by freepik If you have spent any time exploring trauma therapy, you have almost certainly encountered the phrase the body keeps the score . Popularised by Bessel van der Kolk’s influential 2014 book of the same name, this idea has become something of a mantra in trauma-informed circles. It captures something many trauma survivors recognise intuitively: that their distress lives not just in their thoughts, bu

Sarah Fischer
Feb 177 min read


‘I Think I Have Anxiety’: Why People Are Misidentifying Depression
As a psychologist working with adults of all ages, I have noticed a consistent pattern in my practice: many clients arrive convinced they are struggling with anxiety, but when I explore their symptoms more deeply and use validated psychometric assessments, the picture that emerges is actually more aligned with depression than classic anxiety. This is not a matter of clients being ‘wrong’ about their experiences, they are experiencing genuine distress and doing their best to m

Sarah Fischer
Feb 95 min read


Psychosocial Safety in Australian Workplaces: An Individual and Systems Perspective
What Is Psychosocial Safety? Psychosocial safety refers to the organisational conditions that protect workers' psychological health and prevent mental harm arising from work design, management practices, workplace relationships, and organisational factors. In my practice at Behavioural Edge Psychology, I use the definition of psychosocial safety as the systematic identification, assessment, and control of psychosocial hazards that create risk to worker mental health. Under A

Sarah Fischer
Feb 421 min read


Understanding ADHD and Autistic Burnout vs. Standard Work Stress
What Is Neurodivergent Burnout? Neurodivergent burnout (specifically ADHD burnout and autistic burnout) represents a state of chronic exhaustion that occurs when the demands of navigating a neurotypical world consistently exceed an individual's adaptive capacity. Unlike standard work stress, neurodivergent burnout is a systemic response to prolonged masking, sensory overload, and executive function demands that fundamentally differs from typical occupational stress. ADHD burn

Sarah Fischer
Feb 47 min read


Understanding Your Workplace Rights as a Neurodivergent Employee
Navigating the workplace can be challenging for neurodivergent individuals. It is essential to understand your rights and the protections available to you under Australian law. This knowledge empowers you to advocate for yourself effectively. Your Legal Protections as a Neurodivergent Employee Neurodivergent conditions fall under the definition of disability in Australian law, which means you are protected by several important pieces of legislation: Key Legislation Protecting

Sarah Fischer
Jan 2211 min read


Meeting Dr Sarah Fischer: The Person Behind Behavioural Edge Psychology
If you are reading this, you might be considering therapy for the first time, searching for a psychologist who truly understands contemporary life stress, or perhaps you are an existing client curious to know more about the person sitting across from you in sessions. Either way, I am glad you are here. My name is Sarah Fischer, and I am the Principal Psychologist at Behavioural Edge Psychology. I wanted to take a moment to introduce myself properly, not just with credentials

Sarah Fischer
Jan 135 min read


Behavioural Coaching Benefits: Unlocking Potential with Behavioural Edge Psychology in St Kilda
When life feels overwhelming or progress seems stalled, finding the right support can make all the difference. I’ve seen firsthand how behavioural coaching can transform challenges into opportunities for growth. In St Kilda, a unique approach to coaching is gaining attention for its practical, empathetic, and results-driven methods. This is where Behavioural Edge Psychology steps in, offering tailored strategies that help individuals and organisations thrive. Behavioural coa

Sarah Fischer
Jan 134 min read
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