Headshot of Michelle Gaines

Michelle Gaines

Prosper Health Medical Reviewer

Biography

Dr. Gaines is a counseling psychologist with over a decade of experience in clinical practice, specializing in assessment, as well as college-level psychology instruction. She is herself a late-identified autistic adult and has neurodivergent immediate family members. She is passionate about ensuring that accurate and neurodiversity-affirming information about autism is available and accessible for autistic individuals and others in their lives, as well as to broader society.  She loves to focus on the many and varied strengths that autistic individuals have to offer to the world.

Education

PhD in Counseling Psychology from Texas Tech University

Master of Arts in Counseling Psychology from Texas Tech University

Bachelor of Arts in Psychology from The University of the South

Certifications

I am a licensed psychologist in the states of Alabama and Texas. I also have Authority to Practice Interjurisdictional Telepsychology, which allows me to practice telepsychology in all PSYPACT states.

Area of Expertise

Psychological Assessment

Adult Autism Assessment

Psychotherapy

Psychological Education

Modalities

Client-Centered

Mindfulness-Based

Cognitive-Behavioral

Neurodiversity-Affirming

Affiliations

Research and Publications

Gaines, M.V., Giles, C.L., & Morgan, R.D. (2013). The detection of feigning using multiple PAI scale elevations: A new index. Assessment, 20(4), 437-447. https://doi.org/10.1177/1073191112458146

Gaines, M.V., Frederick, R.I., & Giles, C.L. (2009, March). Validating the SIRS using Mixed Groups Validation using the M-FAST as an estimator of base rate. In R.I. Frederick (Chair), Validating Tests without Criterion Groups [Symposium]. The American Psychology-Law Society, San Antonio, TX.

Gaines, M.V., Giles, C.L., Morgan, R.D., & Steffan, J. (2007, August). The combined use of the M-FAST and PAI in the detection of malingering among inmates [Poster presentation]. American Psychological Association, San Francisco, California

Recent Articles Reviewed by

Michelle Gaines

Autistic male outcast sitting alone in a cafe
Relationships

Understanding Rejection Sensitive Dysphoria in Autism: A Guide for Autistic Adults

Do you ever feel intense emotional pain when faced with the slightest bit of criticism? Or, does rejection send you into a spiral of shame and avoidance? For some people, these are signs of rejection sensitive dysphoria (RSD).

Rejection sensitive dysphoria is an intense emotional response to perceived rejection, criticism, or failing to meet expectations. In both autistic and allistic (non-autistic) people, it manifests as an acute sensitivity to rejection, often leading to feelings of deep emotional pain, anxiety or depression when an individual believes they’ve been dismissed or judged negatively. 

For autistic individuals, RSD may manifest differently than typical rejection sensitivity. Emotion regulation challenges may mean that their emotional response to perceived rejection can be more intense and long-lasting, often leading to avoidance of social situations or heightened anxiety about relationships and social interactions. This can create a cycle where fear of rejection limits opportunities for connection and support. Differences in social communication, such as struggling to interpret nonverbal and other social cues, could also exacerbate RSD for autistic adults. 

Read on to learn more about RSD, its psychological impacts and how to cope. 

Grayson Schultz
Feb 17, 2025
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Exhausted woman sitting in bed dealing with sleep issues
Related Conditions

Understanding Autism and Sleep: Navigating Sleep Patterns in Autistic Adults

Restorative sleep is essential for maintaining overall good health, influencing both mental and physical well-being. However, for many autistic adults, quality sleep feels out of reach.

Sleep challenges, such as trouble falling asleep or staying asleep, are some of the most common complaints among adults with autism spectrum disorder (ASD). Some autistic people may sleep too much or too little, have irregular sleep patterns or struggle with other diagnosable sleep disorders.

Read on to learn about sleep challenges associated with autism spectrum disorder, factors contributing to sleep struggles and how to get better sleep.

Kaitlin Schifano
Feb 12, 2025
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Woman with social anxiety sitting alone while coworkers all sit and talk together
Related Conditions

Social Anxiety vs Autism: Understanding the Differences and Overlaps

The major difference between social anxiety and autism is how they are classified; autism is considered a neurodevelopmental condition, while social anxiety is a mental health condition. Despite this, the two diagnoses share a number of similarities. Autistic individuals and people with social anxiety communicate and experience social situations differently than others. While they have many overlapping traits, social anxiety and autism are ultimately very different. Individuals with either diagnosis can benefit greatly from supports like psychotherapy and, for some, medication. A mental health professional must determine whether an individual is autistic, has social anxiety or both to provide truly tailored and holistic support. 

Helena Keown
Jan 14, 2025
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