Therapy for Autistic and ADHD Adults & Couples
Many neurodivergent adults come to therapy after years of being misunderstood. They often have been told they are “too sensitive,” “too intense,” “too much,” or simply “not trying hard enough.”
Neurodivergent-affirming therapy is different.
It does not try to “fix” your brain.
It does not pathologize your differences.
It does not assume neurotypical functioning is the goal.
Instead, we work from the understanding that autism and ADHD are forms of neurodiversity — valid, complex ways of experiencing the world — and that much of the distress neurodivergent adults experience comes from chronic misunderstanding, masking, relational strain, and nervous system overwhelm.
What Is Neurodivergent-Affirming Therapy?
Neurodivergent-affirming therapy:
Recognizes autism and ADHD as neurotypes, not deficits
Understands masking and burnout
Validates sensory sensitivity and processing differences
Supports emotional regulation without shaming intensity
Addresses relationship strain rooted in neurotype differences
This approach is especially important for adults who were:
Diagnosed late
Self-identified as autistic or ADHD
Misdiagnosed with anxiety or personality disorders
Labeled “high functioning” while internally overwhelmed
Therapy for Adults with ADHD
ADHD in adulthood often shows up as:
Emotional reactivity
Rejection sensitivity
Executive functioning struggles
Chronic shame
Relationship conflict
Difficulty with follow-through
ADHD is not just about attention. It is deeply tied to emotion, attachment, and self-concept.
In our work together, we may focus on:
Emotional regulation tools that are realistic for ADHD brains
Shame reduction
Communication patterns in relationships
Nervous system awareness
Adapted mindfulness practices that actually work
Traditional mindfulness can feel inaccessible for ADHD. We adjust it so it fits how your brain operates.
Therapy for Autistic Adults
Autistic adults often carry years of:
Masking
Social exhaustion
Sensory overwhelm
Confusion about relationship dynamics
Burnout
Neurodivergent-affirming therapy creates space to:
Explore unmasking safely
Understand sensory needs
Reduce internalized stigma
Navigate intimacy and attachment
Clarify identity
Autism is not a disorder of empathy. Often it is a difference in communication style and sensory processing.
Therapy becomes a place to understand your nervous system rather than override it.
Neurodivergence & Relationships
When one or both partners are neurodivergent, couples may struggle with:
Misreading tone or intention
Emotional intensity mismatches
Different needs for structure or spontaneity
Sensory sensitivity affecting intimacy
Conflict escalation cycles
This is not a character flaw.
It is often a difference in wiring.
Couples therapy can help partners:
Translate each other’s communication styles
Slow reactive cycles
Understand rejection sensitivity
Support executive functioning differences
Build intimacy that honors sensory realities
Masking, Burnout, and Nervous System Overload
Many neurodivergent adults have become experts at masking, performing neurotypical behaviors to survive socially or professionally.
Masking is exhausting.
Over time, it can lead to:
Burnout
Depression
Identity confusion
Emotional shutdown
Relationship withdrawal
Part of therapy may involve gently exploring:
Where masking feels necessary and/or helpful to navigate a neurotypical world.
Where it is harming you
What authenticity looks like in safe environments
Trauma & Neurodivergence
Neurodivergent adults are statistically more likely to experience:
Bullying
Social exclusion
Misattunement
Chronic invalidation
What looks like anxiety or “overreacting” is often a nervous system shaped by repeated overwhelm.
Because my work is trauma-informed, we move carefully, respectfully, and at your pace.
My Approach
My work integrates:
Emotion-focused couples therapy
ADHD-adapted mindfulness
Internal Family Systems (IFS)
Trauma-informed care
Sex and intimacy therapy
Neurodivergent clients often benefit from understanding the emotional “parts” that developed to protect them — especially shame, masking, or hypervigilance.
Therapy is collaborative.
We identify what helps.
We discard what doesn’t.
Who This May Be For
You might benefit from neurodivergent-affirming therapy if:
You were diagnosed with autism or ADHD as an adult
You suspect you are neurodivergent
You feel chronically misunderstood in relationships
You experience intense emotional reactions
You feel exhausted from masking
Traditional therapy has felt invalidating
Neurodivergent-Affirming Therapy in Massachusetts, New Hampshire, Maine and Rhode Island.
I provide therapy for neurodivergent adults and couples in MA, NH, ME and RI through secure telehealth.
If you are looking for:
ADHD therapy for adults
Autism-affirming therapy
Neurodivergent couples therapy
Support navigating masking and burnout
We can explore whether working together feels like a fit.
Next Steps
If this resonates, you can:
Review my Services and Specialties pages
Learn more about my approach
Schedule a consultation
Neurodivergence is not something to fix.
It is something to understand.