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 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 has many neurodivergent friends and family members, and 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

Understanding Autism and Seizures: A Guide for Autistic Adults
Autism spectrum disorder (ASD) and seizures are two conditions that often overlap. Current research estimates that 26% of autistic individuals over the age of 13 also have epilepsy, compared to 1% of the non-autistic population. Understanding this link is crucial for improved diagnosis, care and quality of life.
While we know that there is a link between autism and seizures, particularly epileptic seizures, the reason for the link is still unclear. Since studies show that the siblings of autistic individuals are also more likely to have epilepsy, it’s hypothesized that epilepsy and ASD may share some of the same genetic markers. Further, up to 80% of autistic individuals, when given an EEG (a test that measures electrical activity in the brain), had abnormal results, even if they’d had no observable seizures. This means that both epilepsy and autism can cause abnormal electrical activity in the brain.
That said, while autistic people are more likely than neurotypical people to have epilepsy, and people with epilepsy are more likely to be autistic than someone without epilepsy, there is no research to suggest that one condition causes the other.
Recognizing and addressing seizures in autistic individuals can have a major impact on daily functioning, development and well-being. Awareness empowers families and professionals to seek appropriate interventions and advocate for supportive care strategies tailored to each person's needs. If you think you may have had a seizure, seek emergency medical care immediately and speak with your medical doctor, or physician about your concerns. The information provided below regarding seizures has not been reviewed for accuracy by a physician or medical provider and is not intended to serve as medical advice.

Mastering Executive Functioning in Autism: Strategies for Success
Executive functioning refers to a set of cognitive skills that enable us to manage everyday life effectively. This includes planning, organizing, starting tasks, staying focused and regulating emotions. Think of executive functioning as the brain’s management system. For autistic adults, executive functioning can be both a major challenge and an area of opportunity for growth and support. Research suggests that up to 70% of autistic people struggle with executive functioning. However, some autistic people may also have particular strengths in certain areas of executive functioning.
Executive functioning impacts things like paying bills on time, remembering appointments, shifting between tasks and coping with stress. Autism often brings unique patterns of executive function differences—not deficits in intelligence or motivation. Understanding these patterns can help autistic adults and those who support them develop more effective strategies and create environments that align with how their brains function most effectively.
While not every autistic person struggles with executive functioning, many do experience difficulties in areas like cognitive flexibility, working memory and self-regulation. These challenges can be supported with the right tools, techniques and understanding.

Mastering Autism Job Interviews: Strategies for Success
Job interviews can be especially challenging for autistic adults. Many formats rely on small talk, rapid responses, and interpreting subtle social cues—skills that may not come naturally to everyone. But that doesn’t mean autistic candidates aren’t qualified. It means the hiring process wasn’t built with neurodivergent minds in mind.
Understanding how autism can influence communication, sensory needs and stress responses helps autistic job seekers prepare with greater clarity and confidence. Accommodations can make the interviewing process easier.
By recognizing what works best for them, autistic individuals can approach interviews with greater confidence. With preparation and self-advocacy, the process becomes not only manageable but empowering.