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Biography
Dr. Jackie Shinall is a clinical psychologist with over 14 years of experience working with the autism population, and over eight years of experience conducting diagnostic assessments and completing reports. She supervised doctoral students through diagnostic assessments and reviewed reports. At Prosper Health, Dr. Shinall focuses on ensuring clients feel heard and understood, and she aims to provide thorough and accurate diagnostic clarity for adults seeking an autism diagnosis.
Education
Doctorate of Clinical Psychology (Psy.D.) Rutgers University Graduate School of Applied and Professional Psychology
Masters of Clinical Psychology (Psy.M.) Rutgers University Graduate School of Applied and Professional Psychology
Masters of Science (M.S.) in Neuroscience and Education – Columbia University’s Teacher’s College
Bachelor’s degree (BA) in Psychology
Certifications
She is a licensed clinical psychologist in Florida.
Area of Expertise
- Autism in adults - particularly diagnosis and assessing - I have used a wide range of tools and techniques to best understand the adults presenting for a diagnostic assessment.
- Differential diagnoses and co-occurring diagnoses with ASD. Many adults and adolescents with ASD have prior or co-occurring diagnoses, and I help clients to understand the different symptoms to help them best learn to manage those symptoms.
- Psychoeducation – Helping clients learn about the different mental health conditions, traits/symptoms, and how those have impacted them across their lifespan.
Modalities
Affiliations
Research and Publications
Bal, V. H., Mournet, A. M., Glascock, T., Shinall, J., Gunin, G., Jadav, N., ... & Kleiman, E. M. (2024). The emotional support plan: Feasibility trials of a brief, telehealth-based mobile intervention to support coping for autistic adults. Autism, 28(4), 932-944.
Mournet, A. M., Gunin, G., Shinall, J., Brennan, E., Jadav, N., Istvan, E., ... & Bal, V. H. (2024). The impact of measurement on clinical trials: Comparison of preliminary outcomes of a brief mobile intervention for autistic adults using multiple measurement approaches. Autism Research, 17(2), 432-442.
Albright, J., Shinall, J. A., Tomczuk, L., Stewart, R. E., Mandell, D. S., Stahmer, A. C., ... & Pellecchia, M. (2024). A multi-constituent qualitative examination of facilitators and barriers to caregiver coaching for autistic children in publicly funded early intervention. Autism, 13623613241272993.
Bal, V. H., Mournet, A., Gunin, G., Shinall, J., Glascock, V., Zhang, D., ... & Chu, B. (2023). Transdiagnostic Approaches to Supporting Mental Health of Autistic Adults. INSAR 2023.
Mournet, AM, Shinall, J, Gravino A, etal. Mental health guide for autistic college students. Organization for Autism Research. 2022. https://researchautism.org/resources/mentalhealth-guide/
Ferretti, C.J., Taylor, B.P., Shinall, J., & Hollander, E. Psychiatric Assessment and Pharmacological Treatment. In Hollander, E., Hagerman, R., & Fein, D., (2018), Autism Spectrum Disorders.
Luo, S. X., Shinall, J. A., Peterson, B. S., & Gerber, A. J. (2016). Semantic mapping reveals distinct patterns in descriptions of social relations in adults with autism spectrum disorder. Autism Research, 9(8), 846-853.
Therapy for Autistic Adults: What to Expect in Your First Session
Autism spectrum disorder (ASD) is a neurodevelopmental disorder that affects the development of a person’s brain and nervous system. ASD is part of the natural diversity in human brains, traits and behaviors, also called neurodiversity. Autism occurs along a spectrum, and each autistic person may have a very different combination and intensity of autistic characteristics and support needs. In general, when compared to neurotypical peers, autistic individuals typically experience differences in sensory and cognitive processing, social approaches, communication and their relationship to routine and repetition.
ASD has long been stigmatized and misunderstood, even within the medical community. Often, autism is associated with early childhood, but in reality, it’s a lifelong diagnosis. The CDC estimates that nearly five and a half million US adults are autistic, yet the scarcity of resources for autistic adults is staggering. A 2019 study found that 84% of US counties have no diagnostic resources for autistic individuals of any age, and accessing high-quality mental health services as an autistic adult is notoriously difficult.
For many autistic adults, this gap in resources can make getting help daunting—but all the more important. Autistic adults are more likely to be diagnosed with a mental illness––between 40 and 50% of autistic individuals have or have had anxiety, and as many as 40% have or have had depression, compared to 18.2% and 21.4% of all US adults, respectively. Even more worrying, 66% of late-diagnosed autistic adults reported experiencing suicidal ideation at some point in their lives. Stigma and a broad social failure to accommodate autistic needs are likely drivers of poorer mental health outcomes among autistic adults.
Autistic adults can thrive despite adversity, but many of us confront similar challenges and could benefit from support. These can include, but are certainly not limited to:
- Masking and unmasking
- Autistic burnout
- Sensory sensitivity and sensory overload
- Disclosure and accessing support
- For late-diagnosed autistic adults, processing a new diagnosis
Navigating Autism: How to Identify and Cope with Personal Triggers
Autism spectrum disorder is a neurodevelopmental disorder that impacts how an individual communicates and experiences the world. Autistic behaviors may include intense and limited interests, repetitive behaviors, sensory sensitives and difficulty recognizing and expressing emotions.
Autistic individuals may experience meltdowns. A meltdown is an intense and involuntary reaction to the challenges that autism presents, like intense sensory experiences, navigating tricky social situations and emotional dysregulation.
In mental health circles, a trigger refers to an event or feeling that causes a strong emotional response. Neurotypical and neurodiverse individuals alike have triggers, and everyone’s triggers are different. A neurotypical person may feel sadness or nervousness when being confronted with one of their triggers. For autistic individuals, however, being exposed to a trigger can lead to a meltdown.
Meltdowns are stressful and incredibly unpleasant to experience. For autistic adults, meltdowns will happen occasionally, but having a better understanding of individual triggers may help them prevent meltdowns when possible.
Navigating Neurodivergence: Tips for Managing Asperger's Brain Fog
Our understanding of autism spectrum disorder (ASD) has grown significantly over the years, leading to important changes in how we diagnose and describe its various presentations. One of the most significant changes to the ASD diagnosis is the inclusion of Asperger’s syndrome as part of the autism spectrum.
Asperger's syndrome was added to the DSM-IV in 1994 but was moved underneath the diagnostic umbrella of “Autism Spectrum Disorder” in the DSM-V in 2013. Though Asperger’s syndrome is considered to be part of the autism spectrum, it presents symptoms that are similar to ASD but may be less severe or pervasive. Asperger’s is typically marked by:
- Impaired social interaction and nonverbal communication
- Restricted interests
- Repetitive behaviors
- Lack of awareness about how their actions may impact others
The main difference between Asperger’s and autism is that people who were formerly diagnosed with Asperger’s may have less severe symptoms and no speech delay. In fact, those who have been diagnosed with Asperger’s may have advanced speech and language skills.
So, while Asperger’s used to be its own diagnosis, the current diagnostic standards for autism spectrum disorder include Asperger’s. Those who may have, in the past, been diagnosed with Asperger’s syndrome are now likely to be diagnosed with level one autism or to be classified as having low support needs.
While it’s true that diagnostic standards have been updated due to the fact that Asperger’s and autism have a large overlap of symptoms, Asperger’s is no longer used also due in part to its controversial namesake. Asperger’s syndrome was first formally named by Hans Asperger after he conducted a comprehensive study on a group of children with autistic traits in 1944. Though Asperger was never an official member of the Nazi Party, he worked closely with them and cooperated with their policies, which targeted neurodivergent individuals. Asperger’s ties to nazi policies, and the harsh language he used to describe his patients is among the reasons that the term “Asperger’s” is no longer widely used.
However, even though the term is largely outdated, many neurodivergent people were originally diagnosed with Asperger’s syndrome and still resonate with it. Therefore, it’s important to approach the controversy surrounding the name with nuance.