Karine Spiess LMHC

Karine Spiess, LMHC, is a Licensed Mental Health Counselor and the creator of the Spiess Unified Loop Framework (SULF) — a nine-step model describing how the brain turns needs into behavior: Need, Prediction, Perception, Story, Emotion, Relief, Thought, Behavior, Reinforcement. Grounded in predictive processing neuroscience, SULF is published as an open-access preprint on OSF. She brings a dual perspective few sources offer: the clinical training of a licensed therapist and the lived experience of an adult who spent decades reverse-engineering social and emotional rules no one ever explained. Her specialties include adult autism and ADHD, late diagnosis, anxiety and rumination, relationship patterns, and why intelligent, self-aware people stay stuck in loops they can already name. She...