Helping couples thrive and feel connected when one or both partners have ADHD ADHD COUPLES THERAPY < Back THE IMPACT OF ADHD ON MARRIAGE & RELATIONSHIPS DO YOU AND/OR YOUR PARTNER EXPERIENCE SYMPTOMS RELATED TO ADHD? If so, you can expect very predictable (and painful) patterns to emerge in your relationship. If the underlying issues are not addressed, it is likely that both of you will end up angry, dissatisfied, lonely, frustrated, and exhausted. These feelings typically arise from a pattern of mismatched or unrealistic expectations, lack of follow-through, nagging, constant conflict, and occasionally loud blow-out fights. If this dynamic continues long enough, one partner emotionally and physically pulls away, making the connection in the relationship even more tenuous. Fortunately, with awareness and knowledgeable help, these patterns… Show More

You know that catchy song, “ Don’t Worry, Be Happy” ? It’s an anthem of carefree joy, but when you’re in a neurodiverse relationship, it’s not always that simple. What happens when worry isn’t something you can just shake off with a smile? What if your worry feels completely different from your partner’s, and you’re not sure how to sync up? In neurodiverse couples, worry is a tricky beast —it can look completely different depending on who’s feeling it. So, let’s take a closer look at why your worry—and your partner’s—might not match up and how you can turn that tension into deeper connection. 🔄 Worry Shows Up Differently for Each of You 🔄 For the neurodivergent partner , worry often stems from an intense focus on details or potential problems . It could be a change in routine, an unclear conversation, or sensory overload. Things that seem insignificant to you might trigger worry for them—because their brain is looking for structure, certainty, and predictability. On the flip side, the neurotypical partner’s worry is often rooted in emotional concerns : "Do they love me enough?" "Am I being understood?" These emotional fears don’t always make sense to the neurodivergent partner, who might respond logically with: “Everything’s fine. Why worry?” But that dismissive response can feel like a brush-off, heightening the emotional anxiety for the neurotypical partner. 💡 Transforming Worry from Tension to Connection The trick is understanding the root of each other’s worry—and using that knowledge to support each other. For the Neurotypical Partner: How to Express Your Worry Without Misunderstanding Pause before assuming your neurodivergent partner doesn’t care or isn’t worried. They may simply be processing things differently. Express your concerns calmly, without judgment. Share why this worries you emotionally, so your partner can understand your experience. For the Neurodivergent Partner: How to Acknowledge and Respond to Your Partner’s Worry Acknowledge the worry your partner might be feeling—even if it doesn’t make sense to you. A simple, “I see that you’re worried and how hard that is for you,” can go a long way. You don’t have to feel the same worry to understand the discomfort it causes your partner. 🧠 Why Worry Can Actually Be a Strength 🧠 Worry isn’t inherently negative—it’s a signal from your brain. For the neurodivergent partner, it’s often a cue that something is off, and their worry helps them stay in control. For the neurotypical partner, worry can reveal emotional needs that need attention and validation. Both types of worry are valid. By listening to each other’s concerns and respecting those differences, you can turn worry from a source of tension into a tool for growth. 🛠️ How We Can Help 🛠️ At the Neurodiverse Couples Counseling Center , we know that worry doesn’t have to be a dealbreaker—it can be a doorway to deeper understanding. Our neuro-informed specialists work with couples like you to: Navigate communication gaps around worry and anxiety, helping both partners feel heard and understood. Reframe worry as a tool for growth, so it becomes an opportunity to explore each other’s inner worlds. Develop coping strategies tailored to the unique needs of neurodiverse couples, allowing both partners to coexist in a space where they feel supported and emotionally safe. Let’s Talk About It 💬 Does this resonate with you? Have you noticed the differences in how you and your partner experience worry? Reply to this email and share your thoughts—we’d love to hear from you! Warmly, Harry Motro Clinical Director, Neurodiverse Couples Counseling Center 🔦 Spotlight on Daniel Chung If worry is a constant struggle for you, or if navigating relationships feels overwhelming, Daniel Chung offers a compassionate and practical approach to healing and growth. With over 20 years of experience, Daniel works with individuals, couples, and families to address challenges like anxiety, grief, and complex relational dynamics, including those in neurodiverse partnerships. His focus is on creating a safe, judgment-free space where clients feel seen and supported as they develop tools for emotional, spiritual, and relational wellness. Daniel’s approach blends empathy and expertise, drawing from his rich professional background and personal experience as a devoted husband and father. His specialties include affair recovery, parenting, and Christian couples counseling, with tailored support for neurodiverse couples to foster deeper understanding and connection. Specialties: Neurodiverse Couples Therapy : Helping partners bridge communication gaps and build lasting trust. Restoration Therapy & Emotion-Focused Therapy : Transforming destructive cycles into healthy relational patterns. Trauma-Informed, CBT, & Experiential Techniques : Practical strategies for healing tailored to each client’s unique needs. Daniel’s holistic, client-centered care empowers clients to overcome struggles, embrace their strengths, and thrive in life and relationships. Contact Dan Today! Did you miss the last Blog? Click Here to Read Now! Want to Meet with Our Client Care Coordinator? Hi, I'm Cassie Clayton, Client Care Coordinator. Let's talk so I can match you with the neurodiverse specialist that's right for you. Schedule with Cassie Think You May be Masking Your Autistic Traits? The Camouflaging Autistic Traits Questionnaire (CAT-Q) may be used to identify autistic individuals who do not currently meet diagnostic criteria due to their ability to mask. Take the CAT-Q Test Use our Trait Wheels to better understand your strengths and challenges: Autism Trait Wheel ADHD Trait Wheel AuDHD Trait Wheel

OCD & Autism EXPLORING THE OVERLAP OF NEURODIVERGENT EXPERIENCES Obsessive-Compulsive Disorder (OCD) often intersects with neurodivergent conditions such as Autism and ADHD, creating a complex web of intertwined experiences. Recognizing and understanding these intersections is crucial for providing tailored support that meets your needs. Research indicates that a significant number of Autistic individuals, up to 37%, also grapple with OCD . The manifestation of OCD in Autistic individuals varies widely, necessitating a nuanced approach to diagnosis and treatment. The intersection of OCD and Autism presents challenges affecting daily life, impacting sensory experiences, routines, and social interactions. WHAT IS OBSESSIVE-COMPULSIVE DISORDER? OCD is characterized by persistent, distressing thoughts (obsessions) and repetitive actions (compulsions) aimed at alleviating the anxiety associated with these thoughts. Compulsions, ranging from visible rituals to internal mental processes, serve as temporary solutions but can intensify anxiety in the long run. Treatment typically involves therapy, such as exposure and response prevention (ERP), and, in some cases, medication. OCD & ADHD: The co-occurrence of OCD and Attention-Deficit/Hyperactivity Disorder (ADHD) is not uncommon, with research suggesting prevalence rates from 8% to 30% . Shared genetic and neurobiological factors , coupled with challenges in executive functioning, contribute to the complex interaction between OCD and ADHD. Navigating life with both conditions presents a unique puzzle, where ADHD can influence how OCD manifests, and OCD can exacerbate ADHD-related cognitive control difficulties. IMPORTANT DIFFERENCES Distinguishing between ADHD, Autism, and OCD is crucial for providing accurate support. Compulsions vs. Autistic Rituals vs. ADHD Compensation. Understanding compulsions, a core aspect of OCD, is key. Compulsions i n OCD are anxiety-driven actions aimed at mitigating obsessive fears and/or unwanted thoughts. Help strategy: Exposure and Response Prevention (ERP), is often considered the most effective psychological treatment for OCD. ERP involves exposing individuals to situations that trigger their obsessions while preventing the accompanying compulsive response. Over time, this helps to break the cycle of anxiety and compulsive behaviors. Autistic rituals arise from a desire for predictability, sensory sensitivities and self-soothing. These behaviors usually help autistics self-regulate and are NOT related to unwanted thoughts. Disruption of the ritual causes anxiety but the ritual was created as a result of anxiety. Help strategy: The goal when working with autistic rituals is to explore ways of building the rituals into one's life in the best way possible. Our therapists can help you walk through your daily schedule to consider which rituals are functioning and which are not. We will also help you clearly communicate your needs relating to rituals to others. ADHD compensation strategies are used to address difficulties in executive functioning. This could include struggles with recall, focus or organization. For example, repetitive checking that the garbage was taken out is a learned behavior tied to the many times the garbage was not taken out. Help strategy: Our approach to help focuses on establishing effective systems or routines to navigate the challenges posed by ADHD. BONUS QUESTION: IS OCD CONSIDERED NEURODIVERGENCE? Obsessive-Compulsive Disorder (OCD) is often considered a form of neurodivergence, falling within the umbrella of conditions that deviate from the perceived norm in terms of cognitive, emotional, and behavioral functioning. Alongside conditions such as Autism, ADHD, and Dyslexia, OCD represents a unique facet of neurodiversity. THE PERMANENT VS. SITUATIONAL DEBATE The ongoing debate regarding whether OCD is a permanent aspect of one's neurology or a situational form of neurodivergence adds complexity to our understanding. Unlike some neurodivergent conditions perceived as lifelong traits, OCD exhibits a distinct characteristic – its responsiveness to treatment. Approximately 50% of individuals diagnosed with OCD may experience persistent symptoms, but these symptoms can fluctuate, intensifying during periods of increased anxiety. THE RESPONSIVE NATURE OF OCD The responsive nature of OCD to treatment challenges a rigid classification. This observation raises the question of whether OCD is an inherent neurotype or a condition that one might have at certain times and not at others. The answer varies among individuals, with some perceiving OCD as a lifelong aspect of their neurology, while others view it as a condition that can be managed or altered over time. NAVIGATING THE NUANCES: The nuanced nature of this debate highlights the importance of considering individual experiences within the broader framework of neurodiversity. While some aspects of neurodivergence are often considered inherent and enduring, the responsive nature of OCD to treatment suggests that, for some, OCD may be more situational, influenced by environmental factors and stressors. PERSONAL PERSPECTIVES ON OCD How individuals define their relationship with OCD is deeply personal. Some describe their experience as "having OCD," viewing it as a condition they manage and treat. Others see it as an integral part of their neurotype, shaping their identity and interactions with the world. Embracing this diversity in perspectives allows for a more comprehensive and empathetic understanding of how individuals navigate their unique journeys with conditions like OCD. EMPOWERING APPROACHES TO CHALLENGES The key lies in finding a way to frame the experience with authenticity, empowering individuals to approach challenges with understanding, gentleness, and hope. Embracing the diversity of perspectives underscores the multifaceted nature of OCD and the broader spectrum of neurodivergence. This approach fosters a deeper appreciation for the unique journeys individuals undertake in navigating conditions like OCD. NEXT STEPS Our first step in helping you is to clearly understanding what is driving your behavior. We will take an individualized approach to understand whether OCD, autism or ADHD (or a combination) are at play, and then work with you to develop a treatment plan. To take the next step, please fill out our contact form. Meet with our Client Care Coordinator Use our Trait Wheels to better understand your strengths and challenges: Autism Trait Wheel ADHD Trait Wheel AuDHD Trait Wheel

Compassionate guidance and support for Twice Exceptional Children. TWICE EXCEPTIONAL CHILDREN < Back UNDERSTANDING THE MISUNDERSTOOD: SUPPORTING TWICE EXCEPTIONAL CHILDREN At our neurodiverse therapy center, we know how deeply our couples care about their twice exceptional (2e) children. These kids possess both exceptional abilities and learning differences, often leading to misunderstandings and mislabeling within society. As it is our desire to support the whole family, we want to help the children too. Thus, some of our team members have specialized in caring for twice exceptional children. These therapists work hard to comprehend the unique challenges faced by 2e children and to provide effective support they need to empower them to thrive. On this page , we explore various aspects of twice exceptionality, shedding light on emotional intensity,… Show More

"Cassandra Syndrome" is a term that Dr. Tony Attwood first coined in his book, The Complete Guide to Asperger's Syndrome . It describes a situation where an individual with Asperger's Syndrome (a form of autism spectrum disorder) is in a relationship with a neurotypical partner. The neurotypical partner often feels dismissed and unheard, leading to feelings of frustration, resentment, and even anger. Defining Neurodiversity and Neurotypical: Judy Singer, an Australian sociologist with autism, first coined the term "neurodiversity" in the late 1990s. The term is now used to describe the range of neurological differences within the population, including conditions like attention deficit hyperactivity disorder (ADHD), dyslexia, obsessive-compulsive disorder (OCD), autism spectrum disorder, and even some traumatic brain injuries (TBI). While there is no one-size-fits-all definition of "neurotypical," the term is generally used to describe individuals with no neurological disorders or differences. In other words, neurotypical people are considered "neurologically average." What is Autism Spectrum Disorder? Autism spectrum disorder (ASD) is a complex neurobehavioral condition that affects a person's ability to communicate, interact with others, and have typical motor and sensory behaviors. ASD is characterized by impaired social interaction, verbal and nonverbal communication issues, and unusual or repetitive behaviors. The medical community now recognizes that there is not one "type" of autism but rather a spectrum of symptoms and behaviors that differ significantly from person to person. Current research shares that men are four times more likely to be diagnosed with ASD than women. However, this number is changing as we become more aware of the prevalence of ASD in women and girls. Differences in Brain Wiring: What is fascinating is the brain differences between those on the autism spectrum and neurotypical individuals. The autistic brain is wired differently than the neurotypical, and this difference in wiring can account for many of the challenges and strengths that people with ASD face. For example, people with ASD tend to be very literal thinkers and may have difficulty understanding sarcasm, metaphors, or jokes. This literal thinking can also lead to strengths in attention to detail and pattern recognition. People with ASD may also have Sensory Processing Disorder (SPD), which means that their brain has difficulty processing sensory filtering information. This condition can lead to Sensory Overload, where an individual is bombarded with too much sensory input and becomes overwhelmed. While everyone's brain is wired differently, those with ASD tend to have more extreme differences in brain wiring than neurotypical individuals. These differences can account for many of the challenges and strengths that people with ASD face. What is Cassandra Syndrome? Cassandra syndrome is named after the Greek mythological figure cursed by Apollo. Apollo blessed her with the gift of foreseeing the future, but when she rejected his advances, he cursed her so that no one would believe her predictions. In other words, she had knowledge others didn't have, but she could not share it effectively. In neurodiverse relationships, one partner has a different way of processing information and communicating than the other, leading to misunderstandings and frustrating communication breakdowns. However, there are ways to decode Cassandra syndrome and improve communication in neurodiverse relationships. What Causes Cassandra Syndrome? There are a few different things that can cause Cassandra syndrome in neurodiverse relationships. Poor Understanding: One is simply a lack of understanding about how the other person processes information. Communicating can be challenging when we don't understand how someone else perceives the world effectively. Psychoeducation for both the neurodiverse partner and neurotypical is key in overcoming this challenge. Lack of Empathy: If we cannot see things from another person's perspective, it's easy to become wrapped up in our point of view and ignore their needs altogether. This concept is known as the empathy gap and significantly contributes to Cassandra syndrome. Different Communication Styles: Another reason Cassandra syndrome occurs is that people with ASD tend to communicate differently than neurotypical individuals. Those on the autism spectrum may not pick up on nonverbal cues, such as body language and tone of voice. They may also prefer to communicate in more literal, concrete terms, leading to miscommunication and frustration on both sides. Different Priorities: Another cause of Cassandra syndrome is that people with ASD often have different priorities than neurotypical individuals. This can lead to disagreements about what is important in a relationship and how to spend time together; it is vital to be understanding and patient as you learn about your partner's priorities. Differences in Social Skills: People with ASD often have challenges with social skills; this can make communicating difficult, leading to frustration and misunderstanding. However, there are many resources available to help improve social skills. With practice and patience, communication will improve over time. Diverse Learning Styles: We all have different ways that we learn and process information. Some are visual learners, while others are more auditory or kinesthetic. Communicating can be challenging when we don't understand someone else's learning style. Power Differential: Another cause of Cassandra syndrome is an imbalance of power in the relationship; this can result when one person feels like they are the only "normal" or the only one who understands what's happening. It's important to remember that both partners are equal and that each person's experience is valid. Cognitive Abilities: Lastly, Cassandra syndrome can be caused by a difference in cognitive abilities. People with ASD often have higher-than-average IQs, while neurotypical individuals may have average or lower-than-average IQs. This difference in cognitive abilities can lead to tension and conflict, as the neurodiverse individual may How to decode Cassandra Syndrome: If you think you might be experiencing Cassandra syndrome in your relationship, you can do a few things to help decode it. First, try to educate yourself about how your partner perceives the world and what their needs are. Reading books and articles and talking to professionals specializing in autism spectrum disorders is essential. Second, be understanding and patient as you communicate with your partner. They may not pick up on nonverbal cues or understand sarcasm, and it's important to be clear and direct. Self-esteem and patience are essential in decoding Cassandra syndrome. Third, learn about your partner's priorities and how they like to spend their time; this will help you understand their perspective and make communication easier. It's also important to be flexible and willing to compromise. Fourth, try to find ways to improve your social skills. There are many resources available online that can help with this. With practice, you'll be able to communicate better with your partner. Fifth, make an effort to connect with your partner on their level; perhaps you can become more involved in finding common interests or learning about things that are important to them. With time and patience, you can build a strong, supportive relationship. Sixth, manage your anxiety and stress levels, especially working some physical movement into your daily routine. When we're feeling overwhelmed, it can be challenging to communicate effectively. Try to take some time for yourself every day to relax and de-stress; this will help you be more patient and understanding with your partner. Lastly, remember that both partners are equal and that each person's experience is valid. Everyone has different needs and perspectives, so respecting each other's differences is essential. If you can do these things, you'll be on your way to decoding Cassandra syndrome in your relationship. Want to learn more about Cassandra Syndrome? We invite you to visit Believing Cassandra, our partner site dedicated to providing women with the support they need to heal and flourish in their relationships with neurodiverse partners. Believing Cassandra Conclusion: Cassandra syndrome can be frustrating and challenging, but there are ways to decode it and improve communication in your relationship. By educating yourself about how your partner perceives the world, being more empathetic towards their perspective, and managing any anxiety you may have, you can start rebuilding trust and communication in your relationship. There's no one-size-fits-all solution to decoding Cassandra Syndrome. It's essential to be flexible and adaptable as you navigate your relationship. You can build a strong bond with your partner. And if you think you or your partner may be experiencing Cassandra Syndrome, please reach out for help. We at the Neurodiverse Couples Counseling Center can provide you with the support and resources you need to decode this syndrome and improve communication in your relationship. Click Here To Match With An Expert All the best, Barbara (Blaze) Lazarony , MA is a Registered Associate Marriage and Family Therapist #127882 , Registered Associate Professional Clinical Counselor #10253 , Transpersonal Coach, Author & Speaker. Click here to learn more about Barbara Lazarony. Want to Meet with Our Client Care Coordinator? Hi, I'm Whitney Pressley, Client Care Coordinator. Let's talk so I can match you with the neurodiverse specialist that's right for you. Schedule With Whitney Take an ASD/ADHD Screener Are you curious about whether or not you have autism/ADHD? Want to learn more about yourself and take the first step towards deeper self-understanding? We invite you to visit the Adult Autism Assessment Site and Take An ASD/ADHD Screener Use our Trait Wheels to better understand your strengths and challenges: Autism Trait Wheel ADHD Trait Wheel AuDHD Trait Wheel

🔑 The Key to Unlocking Meaningful Conversations in Your Neurodiverse Relationship Hi There, You know that moment when you ask your partner, “How was your day?” and you’re met with...silence? Or maybe a one-word answer? It feels like you're talking AT each other instead of WITH each other. This is a common challenge in neurodiverse relationships—especially when communication styles differ dramatically. The good news? There's a way to bridge the gap by understanding the difference between object-based and social-based conversations . Let’s unpack this and look at real strategies you can use right now to change the dynamic. 💬 What’s the Difference Between Social-Based and Object-Based Conversations? It’s all about how the conversation starts. Understanding the difference can make a huge impact in neurodiverse relationships. Social-Based Conversations are the typical, emotionally driven questions like, “How are you? ” or “ How was your day? ” They focus on emotions and relationships, and for many, they help build closeness. But for some neurodiverse people, these questions feel vague or overwhelming. Object-Based Conversations focus on ideas, facts, or events, like “What did you think of that article?” or “What was your favorite part of the movie?” These questions provide structure and take the pressure off emotionally-driven sharing, making it easier to engage. Why does it matter? For neurodivergent partners, especially those on the autism spectrum, social-based questions can feel too broad or demanding. The pressure to give an emotional answer can lead to shutdowns, withdrawal, or frustration. But with object-based conversations, the focus is external, providing a comfortable, structured way to connect. 🔑 Why It’s Crucial for Neurodiverse Couples Let’s face it—communication in any relationship can be tough, but neurodiverse couples face unique challenges. For example, a question like “How are you feeling?” might feel intrusive or confusing to your neurodiverse partner. However, a question like “What’s your take on that new book?” can spark a meaningful conversation. By recognizing these differences, you’re not just improving conversations—you’re laying the foundation for deeper connection and mutual understanding. 🛠️ What Can You Do About It? Now that you understand the difference between social-based and object-based conversations, let’s dive into real, actionable steps you can take today to improve communication in your relationship. 1. Recognize Communication Patterns 🔍 The first step is awareness. Take a moment to reflect on your recent conversations. Do you lean toward asking broad, emotionally-driven questions? Does your partner often give short or vague answers? Start paying attention to these patterns. Recognizing when conversations stall is the first step to figuring out why. Try this: Keep a mental note of which questions seem to flow easily and which ones create tension or disconnection. 2. Shift to Object-Based Questions 💡 If social-based questions seem to hit a wall, try switching to object-based questions. These focus on facts, ideas, or specific events instead of emotions, making the conversation more structured and easier to engage with. Let’s look at a few sample dialogues : Example 1: The “How Was Your Day?” Trap Social-Based Approach: You: “How was your day?” Partner: “Fine.” (Conversation fizzles.) Object-Based Approach: You: “You had a meeting with the new client today, right? How did that go?” Partner: “Yeah, it was interesting. They had a lot of questions about the project.” (The conversation opens up.) Example 2: Emotional Overload Social-Based Approach: You: “How are you feeling about everything lately?” Partner: “I don’t know… it’s a lot.” (Partner seems overwhelmed, conversation ends.) Object-Based Approach: You: “You’ve been working on that new project—how’s it coming along? Is it what you expected?” Partner: “It’s been challenging but I’m learning a lot. The new software is tough to get used to, though.” (Conversation naturally evolves without pressure.) Example 3: A Specific Movie Social-Based Approach: You: “Did you like the movie?” Partner: “It was okay.” (End of conversation.) Object-Based Approach: You: “That twist at the end of the movie was wild! What did you think of how they pulled it off? ” Partner: “Yeah, I wasn’t expecting that at all! It changed how I saw the whole plot.” (Engagement deepens.) 3. Keep BOTH Styles in Your Toolbox ⚖️ You don’t have to abandon social-based conversations altogether—just learn when and how to use them. The trick is to balance both styles to create opportunities for meaningful connection. If emotions are running high or your partner seems stressed, consider starting with an object-based question to get the conversation rolling before diving into emotional territory. Try this: Start by asking, “What did you think of that meeting?” instead of, “How did the meeting make you feel?” Once the conversation is flowing, your partner may naturally start to share more personal thoughts or feelings. 4. Let Conversations Evolve Naturally 🌱 Object-based conversations can act as stepping stones to deeper emotional sharing. By starting with a neutral topic, you create space for your partner to open up in their own time and comfort zone. For example, you might start with a question about their current project: “How’s the new software coming along at work?” Your partner might respond with a detailed answer, and eventually, they may begin sharing how they feel about their workload or stress levels. Allowing conversations to evolve organically rather than forcing emotional disclosure creates a safer, more relaxed environment for your partner. 5. Set Boundaries Around Emotional Conversations 🚦 Let’s face it—sometimes emotions are just too much. Both you and your partner might need boundaries around when and how emotional conversations take place. It’s perfectly fine to say, “I need a break from this topic, can we revisit it later?” This shows respect for both your emotional needs and your partner’s. Try this: When a social-based conversation feels overwhelming, pivot back to object-based questions or simply agree to pause the conversation and pick it up later. 🤝 How Our Neuro-Informed Specialists Can Help At the Neurodiverse Couples Counseling Center , we get it—communication is one of the trickiest parts of any relationship, especially when you add in neurodiversity. Our neuro-informed specialists are here to help you: Identify the communication blocks : We’ll work with you to understand why certain conversations lead to withdrawal or frustration. Build tailored conversation strategies : We teach you how to shift your conversation style to meet your partner where they’re most comfortable. Create emotional safety : Our therapists help you establish safe zones for emotional conversations while using object-based questions to build trust. Promote long-term communication success : We focus on helping you and your partner learn communication techniques that strengthen your bond over time. We’ll show you how to move from frustration to flow by harnessing the power of conversation strategies that work for your unique relationship. 🔍 Quick Tip: Ask Better Questions Want an easy way to start improving your conversations right now? Swap out broad, emotional questions with object-based ones: Instead of “How was your day? Try “Did anything interesting happen at work today?” Instead of “How are you feeling? Try “What’s been on your mind lately?” These small shifts can make a meaningful difference. ✨ Take the Next Step Feeling stuck in your conversations doesn’t mean your relationship is stuck. Let our specialists guide you toward a better way of connecting, starting today. Whether you’re navigating neurodiversity or simply looking to improve your communication skills, we’re here to help. Until next time, Harry Dr. Harry Motro, LMFT, Clinical Director Founder Neurodiverse Couples Counseling Center Want to Meet with Our Client Care Coordinator? Hi, I'm Whitney Pressley, Client Care Coordinator. Let's talk so I can match you with the neurodiverse specialist that's right for you. Schedule with Whitney Think You Might Be on the Autism Spectrum? The Autism Spectrum Quotient (AQ) can give you valuable insight about whether or not you meet the criteria for autism. Take the AQ Test Use our Trait Wheels to better understand your strengths and challenges: Autism Trait Wheel ADHD Trait Wheel AuDHD Trait Wheel

Autism & Eating CHALLENGES, STRATEGIES, AND UNDERSTANDING THE CONNECTION. We are here to provide affirming and effective support for neurodivergent people around food and eating. Whether you are autistic, ADHD, highly sensitive, sensory processing differences, seizure disorders, OCD or otherwise identify as neurodivergent, you are in the right place. STRUGGLING WITH EATING We are here to help you/your loved one with food struggles like: Skipping meals Forgetting to eat Overwhelm/avoidance with grocery shopping General anxiety around eating Shame or guilt around eating Negative thought patterns around eating Negative thought patterns around body size/shape Feeling gross in your body during/after eating GI problems causing fear with eating Pain with eating or after eating Underfueling in athletics Binge eating Throwing up after eating Using exercise to compensate for eating Unable to eat enough due to fear of weight gain Unable to eat enough due to fear of vomiting or choking Poor appetite Lack of motivation to prepare food or eat food Obsessive thoughts or behaviors around food Anxiety around going out to restaurants Anxiety around family or social gatherings that involve eating Hiding food/hiding eating VULNERABLE, NOT BROKEN We are here to remind you/your loved one that… You are not broken. It’s common for neurodivergent people to get out of balance with eating. It doesn’t mean anything negative about you as a person. Neuro-different people are vulnerable to developing persistent problematic patterns with eating because of: differences in the nervous system, brain and body, and the impact of being a neuro-different person in a neurotypical world. These vulnerabilities include: Challenges with the practical aspects of eating due to: differences in executive functioning like time management and planning, differences in focus (like getting stuck in project mode and forgetting to eat), differences in motivation and reward pathways and differences in sleep/wake cycles. Challenges with identifying hunger cues due to differences in interoceptive awareness, body awareness and body attunement. Needs for specific foods and eating environments due to sensory differences, social differences and physical sensitivities. Overall higher anxiety and fear around food due to nervous system tendencies toward hypoarousal or hyperarousal, pain or GI distress with eating or after eating, and/or eating needs being unmet, invalidated, mocked or pathologized. Vulnerability to be influenced by parents, social media, athletic coaches or culture at large to follow restrictive diets due to pressure to ‘perform normalcy’ to be safe and accepted and the high drive to be good, excel at sports and/or optimize health. Vulnerability to become stuck in persistent problematic patterns with food due to the safety, familiarity and coping mechanisms these patterns can provide for a neurodivergent person dealing with loneliness, overwhelm, overload, rejection sensitivity, alexithymia, emotional processing differences, and feelings of inadequacy. Likelihood of failure or harm in traditional one-size-fits-all eating disorder treatment approaches that are not designed for neurodivergent people and lead to worsening issues with food and increased shame and hopelessness. HERE TO HELP Eating issues are rough. You deserve individualized support that actually helps you. We are here to support you/your loved one… CLIENT FOCUS Individuals (16+) in one-on-one therapy Couples where food/eating/body image is impacting the relationship Parent(s) seeking support to help their child (tween, teen or young adult) with food and eating. ABOUT US We are a team of clinicians dedicated to helping neurodivergent people struggling with food and eating. While there are common themes that we see with neurodivergent folks and eating, each of our clients is unique . We are eager to learn about your individual story and experiences with food. We draw upon a range of approaches including CBT/DBT, relational therapy, narrative therapy, somatic therapy, internal family systems, social justice focused therapy and family based treatment. We figure out together what works for you. Further Help If you’re seeking additional resources and specialized support for autism & eating, we invite you to visit our sister site, Eat Autism Therapy . At Eat Autism Therapy, our therapists focus on listening to your story & your journey with eating. Together we build an individualized plan for Eating Recovery as a neurodiverse person. We use your autistic strengths and traits to your advantage on your path to eating freedom. Visit the site to learn more about our services and how Eat Autism Therapy can make a difference in your life. Eat Autism Therapy Site! Meet with our Client Care Coordinator Use our Trait Wheels to better understand your strengths and challenges: Autism Trait Wheel ADHD Trait Wheel AuDHD Trait Wheel

Monotropism theory suggests that autistic individuals possess a focused attention system and may have specific interests, thoughts, or activities that consume their attention. Our therapists do not see monotropism as a deficit and are here to offer a supportive environment where your individuality is honored. MONOTROPISM < Back IS MONOTROPISM A THEORY? Yes. Coined by autistic scholars Dinah Murray and Wenn Lawson, Monotropism Theory challenges traditional views of autism by reframing autistic behaviors as adaptive responses and assets rather than deficits. Unlike traditional views that pathologize autism as a disorder, monotropism theory suggests that autistic individuals possess a focused attention system, giving them the ability to concentrate intensely on a limited number of interests, thoughts, or activities at any given time. KEY FEATURES OF MONOTROPISM THEORY Recognition of Strengths: Monotropism highlights the strengths associated with intense focus and specialized knowledge in autistic individuals. Rather than viewing their focused interests as restrictive or problematic, monotropism acknowledges these as valuable assets that can be… Show More

When Debates Turn Brutal 💣 Watching the recent political debate between Trump and Kamala felt like witnessing a car crash in slow motion—painful, chaotic, and impossible to look away from. This wasn’t just a discussion; it was a win-lose collision of words, leaving a trail of wreckage behind. Does this sadly remind you of your attempts to talk? 💔 Do conversations turn into a brutal back-and-forth where nobody truly listens? 🎤 Or have you stopped trying to talk altogether, certain that any attempt to connect will end in the same debate battle? 🥀 And how do you feel about yourself after being in debate mode? 😔 I’m guessing, not very good! The Path to Connection: Shifting from Debate 🛠️ Breaking out of this destructive cycle starts with a fundamental shift in how we approach each other. Awareness of Debate Mode The first step is recognizing when you’re slipping into debate mode. Notice when you start feeling defensive or when the conversation shifts to proving who’s right. Awareness is the key to stopping the cycle before it spirals out of control. Manage Meltdowns or Shutdowns Understand that an autistic partner may experience meltdowns or shutdowns during intense discussions. In these moments, it's crucial to recognize that pushing through isn't an option. Instead, agree to pause or stop the conversation entirely and reschedule it for a time when both partners are in a calmer state of mind. Address Flooding and Cassandra Syndrome The allistic partner may experience emotional flooding, especially if they feel unseen or unheard over time, a condition often referred to as Cassandra Syndrome . Acknowledge this overwhelming feeling and provide opportunities to step back and process emotions before continuing the conversation. Express Vulnerability Instead of launching into defense mode, share how you feel. Saying, " I feel overwhelmed, " opens the door to understanding much more than, "You never help." Seek to Understand Focus on understanding rather than winning. Ask questions like, "Can you help me understand where you’re coming from? " This reframes the conversation from a battle to a shared journey. Reframe the Debate Ask, "How can we support each other through this?" Instead of focusing on who's right or wrong, the goal becomes finding what both need. Go Deep Often, surface-level arguments are driven by deeper wounds and insecurities. Reflect on what's really hurting beneath the debate. Is it a fear of rejection, feeling inadequate, or something else? Exploring these deeper wounds can reveal what's truly fueling the conflict and open the door for deeper healing. . How Our Neuro-Informed Specialists Can Help 🧑⚕️ At the Neurodiverse Couples Counseling Center , we understand how easy it is to get trapped in a cycle of destructive debates. Breaking free from this cycle can feel nearly impossible, especially when both partners are feeling hurt and misunderstood. That’s where our neuro-informed specialists come in. In our sessions: we do not allow couples to fall back into debating mode. we actively reshape how you communicate in real-time. we give you concrete new ways to to interact we provide the "hand-holding" needed to break old patterns. Ready to Break the Cycle? 🌱 You can't change what you see in those TV debates, but you CAN change how things play out in your own relationship. If you’re ready to stop the endless cycle of debates in your relationship, reach out today. Our specialists are here to help you find a path forward, together. Warmly, Harry Motro Clinical Director, Neurodiverse Couples Counseling Center Quick Tip: Sensory Check-In 🧠 Quick Tip: Sensory Check-In 🧠 In neurodiverse relationships, sensory overload can be a hidden trigger for debates. Before diving into a heavy conversation, do a quick sensory check-in with your partner. Ask questions like, "Are the lights too bright?" or "Is there too much noise?" Sometimes, the environment is adding stress to the situation. Want to Meet with Our Client Care Coordinator? Hi, I'm Whitney Pressley, Client Care Coordinator. Let's talk so I can match you with the neurodiverse specialist that's right for you. Schedule with Whitney Use our Trait Wheels to better understand your strengths and challenges: Autism Trait Wheel ADHD Trait Wheel AuDHD Trait Wheel

OCD vs Autism Is it OCD or autism? On the surface, they can look the same. Repeating routines. Fixating on details. Needing things a certain way. But the “why” behind those behaviors is totally different. With OCD, the ritual is about shutting down scary, intrusive thoughts. With autism, the ritual is about creating comfort, predictability, and balance. Miss that difference, and the relationship takes a hit. Because what looks like “helping” can actually backfire. When partners accommodate OCD compulsions, symptoms often get worse. But when partners support autistic routines, it often lowers stress and builds connection. See the difference? One needs gentle challenge. The other needs respectful support. That’s why it’s so important to sort out what’s what. Studies show OCD shows up in autistic people anywhere from 10% to over 30%, depending on how you measure it. So don’t assume—it’s more common than you think. Here are your next steps: Read our full article about how OCD and autism intersect. Screen for OCD traits with the OCI-R (Obsessional Compulsive Inventory—Revised) . And if you’re wondering about autism itself, check out our Autism & Related Screeners . Bring your results into therapy, and we’ll untangle what’s OCD, what’s autism, and how to handle both without getting stuck in the cycle. Less confusion. More clarity. Better connection. [Click here to schedule a session today] Harry Motro Clinical Director, Neurodiverse Couples Counseling Center © 2025 New Path Family of Therapy Centers Inc. All rights reserved. No portion of these statements may be reproduced, redistributed, or used in any form without explicit written permission from the New Path Family of Therapy Centers. 🔦 Spotlight on Malori Evans Specialties Neurodiverse Couples OCD and Autism LGBTQIA+ Addiction Parenting (Neurotypical & Neurodiverse) Sex/Physical Intimacy Emotional Intimacy ADHD, Autism Trauma-Informed Internal Family Systems Life Experience Living with autism and ADHD, raising two kids, and married to a neurodiverse partner — I understand firsthand the beauty and challenges that come with neurodiverse relationships. As a queer woman in recovery, I bring compassion and authenticity to my work, creating a safe space for clients to explore their own stories of healing and connection. I combine evidence-based approaches with lived experience, helping couples and families turn differences into deeper understanding, resilience, and love. Registered Associate Marriage and Family Therapist, AMFT # 153124, Supervised by Dr. Harry Motro, LMFT #53452 Get Booked with Malori Want to learn more about yourself? Explore our sister site, Adult Autism Assessment , and take a deeper dive into your journey of self-discovery. Click the links below to get started! Autism Screeners ADHD Screeners Tests Related to Autism & ADHD General Screeners References Aymerich, C. (2024). Prevalence and Correlates of the Concurrence of Autism and Other Disorders. PMC. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC11048346/ Dell’Osso, L. (2025). Autism spectrum disorder, social anxiety and obsessive-compulsive symptoms: Prevalence in children. BMC Psychiatry. BioMed Central Lamothe, H. (2022). Clinical characteristics of adults suffering from high-functioning ASD with OCD. Journal of Affective Disorders. ScienceDirect Meta-analysis: prevalence of OCD in ASD youth: 11.6% (CI 6.9%–18.8%). PubMed Conditions comorbid to autism – OCD comorbidity up to ~30%. Wikipedia. Wikipedia Use our Trait Wheels to better understand your strengths and challenges: Autism Trait Wheel ADHD Trait Wheel AuDHD Trait Wheel

When Criticism Feels Crushing: Understanding Rejection Sensitivity Dysphoria Does a small comment leave you reeling? Do you worry you've upset someone—even when they say everything’s fine? Do you pull away from people before they can push you away? You might be experiencing Rejection Sensitive Dysphoria (RSD) —an intense, fast, and often invisible emotional response to real or perceived rejection. You're not too sensitive. You're not imagining things. Your brain is doing exactly what it was wired to do—and you deserve support that honors that reality. Start Here: Take the RSD-24 Self-Assessment The RSD-24 is a fast, research-informed screener designed for adults who want to understand how rejection sensitivity shows up in their lives. It goes beyond a single score. You’ll get a personal breakdown across four key dimensions: Anticipatory Anxiety – Do you brace for rejection before anything even happens? Criticism Distress – How deeply do critiques or corrections affect you? Emotional Regulation – How long does it take you to recover from rejection? Social Withdrawal – Do you avoid situations where rejection might occur? Knowing which areas are most reactive can help you (and your therapist) tailor your growth and healing. ➤ Takes about 5–7 minutes ➤ Insightful, strengths-based results ➤ Designed with neurodiverse adults in mind Take the RSD-24 Now What Is Rejection Sensitive Dysphoria? Rejection Sensitive Dysphoria (RSD) is not a mental health diagnosis—it’s a lived experience. Often seen in individuals with ADHD or autism, RSD involves: Deep emotional pain in response to perceived rejection Intense shame, anger, or shutdown after criticism A tendency to overthink, withdraw, or lash out—even with people you love It’s not about weakness. It’s about how your nervous system interprets social threat. And once you understand it, you can learn how to respond differently. How RSD Affects Neurodiverse Couples In a relationship, RSD can be a silent disruptor. When one partner has RSD, even neutral comments can feel loaded. A sigh sounds like disappointment. A pause feels like rejection. A suggestion hits like an accusation. And when both partners are neurodivergent, these misfires can multiply. You both end up hurt, confused, and further apart—without ever intending it. That’s the painful loop. But it’s not permanent. What We Can Work on Together At the Neurodiverse Couples Counseling Center , our team of neuro-informed therapists works with individuals and couples navigating the emotional impact of RSD. Together, we can help you: Understand your RSD profile and where it's most active Practice self-regulation tools that actually fit your nervous system Learn how to give and receive feedback safely Rebuild safety, trust, and connection—without walking on eggshells Whether you’re the one living with RSD or the partner trying to understand it, you don’t have to go through it alone. Ready to Learn More About Yourself? It starts with one small, self-compassionate step. ➤ Take the RSD-24 Assessment ➤ Book a Consultation with a Neuro-Informed Specialist You're not too much. You're not broken. You're just wired differently—and we get it. Ready to Get Started? Click Here! Meet with our Client Care Coordinator Use our Trait Wheels to better understand your strengths and challenges: Autism Trait Wheel ADHD Trait Wheel AuDHD Trait Wheel

< Back Quick Guide - HSP for Couples Tip: Want more resources? 📖 Check out our FAQs section if you have a specific question about our services you'd like an answer to. Reach out now to get matched with an expert and schedule a free consultation. KEY FACTS HSP isn’t a disorder—it’s a trait that develops when the nervous system processes sensory and emotional input more deeply (called Sensory Processing Sensitivity ). This deeper wiring affects how someone experiences connection, conflict, and everyday life in relationships. HSPs commonly share four traits that strongly influence relationships: depth of processing, sensitivity to subtleties, emotional intensity, and a tendency toward overstimulation in high-stress environments. In relationships, these traits can lead to both strengths (empathy, intuition, attunement) and challenges (emotional flooding, conflict avoidance, sensory overwhelm). Misunderstandings often arise when partners interpret sensitivity as withdrawal, overreaction, or disinterest. When couples understand HSP wiring, they can develop strategies to help slow conflict, improve communication, and create environments that feel safer and more supportive for both partners. Consulting an expert or completing a structured sensitivity assessment can clarify whether HSP traits are contributing to communication patterns, conflict, or overwhelm—helping couples gain insight and learn tailored strategies for connection and regulation. FREQUENTLY ASKED QUESTIONS (FAQS) What does it mean to be a Highly Sensitive Person (HSP)? Answer: It’s not a disorder, but a naturally occurring temperamental trait rooted in a nervous system that processes sensory and emotional input more deeply—often referred to as Sensory Processing Sensitivity. This deeper wiring shapes how partners experience communication, conflict, and connection in meaningful ways. Why do HSPs react more strongly during conflict? Answer: Because HSPs feel emotions intensely and pick up on subtle cues, disagreements can trigger emotional flooding more quickly. This can look like withdrawal, overwhelm, or shutting down —not avoidance, but a nervous system protecting itself. Supportive communication can help both partners navigate conflict more calmly. How does HSP show up differently in neurodiverse relationships? Answer: In mixed-neurotype couples, an HSP partner may respond to emotional nuance, tone shifts, or subtle expressions that a neurodivergent partner might not automatically notice. Therapy helps couples build shared emotional communication strategies that honor both direct and intuitive communication styles. What strengths can HSP traits bring to a relationship? Answer: HSPs often bring empathy, intuition, and strong attunement to their partner’s needs. These qualities can create deeper connection and emotional responsiveness, supported by research on heightened social-emotional processing in sensitive individuals. How can therapy or assessment help? Answer: Working with a clinician familiar with HSP traits can help partners pinpoint whether sensitivity, overwhelm, or sensory triggers are driving misunderstandings. Tools like structured sensitivity assessments support accurate identification of sensory-emotional patterns , allowing couples to develop tailored strategies that strengthen communication and regulation. Last reviewed: Dec 15, 2025 • Authors: Dr. Harry Motro, LMFT (Clinical Director) and Jasmyne Mena (Director of Clinical Research & Scientific Communications, Senior Medical Writer, Neurodiversity) REFERENCES Acevedo, B. P., Aron, E. N., Aron, A., Sangster, M. D., Collins, N., & Brown, L. L. (2014). The highly sensitive brain: an fMRI study of sensory processing sensitivity and response to others' emotions. Brain and behavior, 4(4), 580–594. https://doi.org/10.1002/brb3.242 Acevedo, B. P., Aron, E. N., Aron, A., Cooper, T., & Marhenke, R. (2023). Sensory processing sensitivity and its relation to sensation seeking. Current Research in Behavioral Sciences, 4, Article 100100. https://doi.org/10.1016/j.crbeha.2023.100100 Bröhl, A. S., Van Leeuwen, K., Pluess, M., De Fruyt, F., Van Hoof, E., Weyn, S., & Bijttebier, P. (2022). Personality profile of the self-identified highly sensitive person: A lay theory approach. Journal of Individual Differences , 43 (2), 95–104. https://doi-org.libproxy.csudh.edu/10.1027/1614-0001/a000363 Golonka, K., & Gulla, B. (2021). Individual Differences and Susceptibility to Burnout Syndrome: Sensory Processing Sensitivity and Its Relation to Exhaustion and Disengagement. Frontiers in Psychology, 12, Article 751350. https://doi.org/10.3389/fpsyg.2021.751350 Liu, J., & Fukushima, H. (2025). Beyond emotional distress: Exploring the positive link between highly sensitive person trait and aesthetic sensitivity. Personality and Individual Differences, 245, Article 113285. https://doi.org/10.1016/j.paid.2025.113285 McDowell, C. N., Bryant, M. E., & Parker, M. L. (2023). Decoding Neurodiverse Couples Therapy: A Solution-Focused Approach. Sexuality & Disability, 41(2), 255–273. https://doi-org.libproxy.csudh.edu/10.1007/s11195-022-09765-9 Meredith, P. J., Bailey, K. J., Strong, J., & Rappel, G. (2016). Adult Attachment, Sensory Processing, and Distress in Healthy Adults. The American Journal of Occupational Therapy, 70(1), Article 7001250010. https://doi.org/10.5014/ajot.2016.017376 Morellini, L., Izzo, A., Celeghin, A., Palermo, S., & Morese, R. (2023). Sensory processing sensitivity and social pain: a hypothesis and theory. Frontiers in human neuroscience, 17, 1135440. https://doi.org/10.3389/fnhum.2023.1135440 WHY CHOOSE US? DEPTH OF TEAM — 30+ neuro-informed therapists and coaches. 16,000+ sessions each year. The world’s largest practice dedicated to neurodiverse couples and individuals—so you benefit from deep, proven experience. WE ARE NEURODIVERSE: More than 90% of our clinicians are neurodiverse themselves, bringing a firsthand understanding of autism, ADHD, and related experiences. This lived perspective, combined with professional training, allows us to provide both expertise and genuine compassion to help you thrive. OUR MODEL: We use a neurodiverse counseling model —practical, skills- based, and tailored to each couple. We don’t pathologize difference; we name neurodiverse traits as natural human variations in communication style, sensory needs, social energy, and executive functioning. Together, we map those patterns so both partners can see what’s really happening (not what they’re blaming each other for). From there, we translate insight into action: shared language for signals and needs, simple agreements for sensory fit, clear routines for planning and follow-through, and repair tools that reduce defensiveness. The goal isn’t to make anyone “more normal.” It’s to help you work with your differences—so empathy grows, teamwork strengthens, and your bond gets measurably closer. STRENGTH-BASED: Our neurodiverse counseling model is strengths-based and neuro-affirming because that’s what works—well-supported in couples therapy and even more effective with neurodiverse couples. Instead of fixing “deficits,” we identify and deploy real assets—precision, honesty, loyalty, pattern recognition, creativity, deep focus—so they actively solve problems. This lowers shame, builds safety fast, and turns differences into shared tools: clearer signals and agreements, sensory fit instead of overload, and routines that reduce friction. The payoff is practical—fewer blowups, better follow-through, and a bond that strengthens because you’re using what you already do well, together. OUR TEAM: Our experts are deeply compassionate and dedicated to helping neurodiverse couples thrive. Three things set our team apart: Ongoing Specialized Training – All team members receive weekly training on neurodiversity-focused content, ensuring our approaches stay current and effective. Collaborative Case Support – We hold weekly supervision sessions, including case consultations, so that no couple’s challenges are handled in isolation—your therapist has a full team behind them. Continuous Professional Growth – Every therapist pursues ongoing continuing education in neurodiverse relationships, keeping us at the forefront of best practices. ASSESSMENTS: In addition to providing therapy, many of our clinicians are specially trained in conducting in-depth adult autism and ADHD assessments . If you’re seeking greater clarity or considering an in-depth evaluation, our team can guide you through the process with professionalism and care. INSURANCE — We are insurance-friendly. As an out-of-network provider, we will send you a Superbill for therapy services that you can submit to your insurance company for potential reimbursement. Please know that we do NOT bill insurance directly or participate as an in-network provider. For more information, please visit the "Insurance/Fee" section on our FAQ page. DIAGNOSIS OPTIONAL — You don’t need a diagnosis to get help with us. We can start with what’s happening now—communication loops, sensory needs, executive-function friction, meltdowns/shutdowns—and turn those patterns into clear agreements, better repairs, and real relief. If you’re in California and want a formal autism or ADHD evaluation , our licensed clinicians can provide it—but it’s not required to benefit. Either way, the goal is the same: less blame, more understanding, a stronger bond, and real individual healing. NOT A CRISIS SERVICE — We’re not a crisis service. If you’re ever in immediate danger, call 911. For urgent mental health support, call or text 988 or go to https://988lifeline.org Neurodiverse Couples Counseling Center is part of New Path Family of Therapy Centers Inc. WHO WE HELP We support neurodiverse couples and individuals nationwide through online therapy or coaching. Some common issues we help clients tackle include: Autism/ADHD differences Cassandra Syndrome Support Alexithymia Pathological Demand Avoidance (PDA) Highly Sensitive People Parenting and co-parenting challenges Intimacy (both physical and emotional) Autism and ADHD assessments and self-screeners Obsessive Compulsive Disorder (OCD) Recurring discussions about “tone,” initiative, alexithymia , or intimacy Rejection Sensitive Dysphoria (RSD) Discernment Counseling LEARN MORE 📖 Check out our FAQs section if you have a specific question about our services you'd like an answer to. Reach out now to get matched with an expert and schedule a free consultation.

We are always looking for therapists passionate about working closely with the neurodiverse community. We would love to meet you! CAREERS FOR THERAPISTS < Back POSITIONS OPEN: Click the link below to apply on Indeed.com: Associate Marriage & Family Therapist for Neurodiverse (Autistic + Allistic) Couples Associate Marriage & Family Therapist - Sex Addiction and Support of Betrayed Partners At the Neurodiverse Couples Counseling Center (NCCC), we train the next generation of world-class therapists specializing in neurodiversity. Find Your Career Path Are you intrigued by the idea of counseling couples, particularly neurodiverse couples, but feel unsure where to begin? Do you want to build your skills and gain hands-on experience in a supportive environment that values the unique challenges and strengths of neurodiverse relationships? Working with neurodiverse couples can be a deeply fulfilling way to help partners… Show More

It's hard to watch your child throw a fit. It can make you feel helpless. And leave you wondering what's really happening. Your child isn’t being bad. They’re overwhelmed. With a hijacked nervous system. This has a name. It ’s called PDA. This is P athological D emand A voidance. Another (better) name is P ersistent D rive for A utonomy. Here ’s the formula: Anxiety + Loss of Control = Avoidance. This is often confused for oppositional personality . But it is very different. Rather than trying to oppose something external, It’s a stress response to something inside. It’s a body trying to protect itself. Here’s what that looks like: Some kids don’t just resist. They panic. The ask feels like a trap, not a task. Their body goes into fight, flight, or freeze. They want to comply—but can’t. You say, “Put on your shoes.” They scream. They cry. They run. They collapse. It's not defiance. Not manipulation. Not a discipline problem. It ’s a nervous system in lockdown. The demand flips the switch. Even when they want to say yes. Adults do it too . They smile. They joke. They stall. They vanish. They say, “I’ll do it later.” Then avoid for days. Inside? Panic and pressure. A body trying to escape. They want to help. They want to connect. But the pressure flips a switch. Self-control becomes oxygen. Demands feel like suffocation. That’s why rewards don’t work. Consequences don’t either. They increase panic. They fuel power struggles. What works for kids? Options. Play . Low-pressure tone. Lots of choice. Say, “Want to race to the car?” Say, “What’s your plan for teeth?” Invite, don’t insist. Partner, don’t push. Same goes for couples. One partner asks. The other shuts down. Again. Not because they don’t care— but because the ask triggers panic. It lands as control, not connection. “I need you” can feel like “You must.” That’s why the "how" matters. Start with emotional safety. Use a low-stakes tone. Offer options, not ultimatums. Say, “Would now or later work better?” Say, “How can I support you on this?” Agree on code words. Pause when panic shows up. Make room for repair— not reaction. When couples shift the way they ask, they shift the entire dynamic. Wondering If This Fits You? PDA in adults can be hard to see from the inside. It often gets mislabeled as depression, avoidance, ADHD, even personality flaws. But there’s a screener built just for this. 👉 Take the Extreme Demand Avoidance Questionnaire for Adults (EDA-QA) It’s free, quick, and gives real insight into whether this profile might be part of your story. If the results hit home, you can talk to our PDA guru, Rachel Wheeler. With Rachel, there’s no shame. Just tools. Just safety. Just support that actually works. If meltdowns are daily… If shutdowns keep happening… If “lazy” doesn’t sit right… It’s not defiance. It ’s P ersistent D rive for A utonomy (PDA)! Reach out today and request Rachel. Harry Motro Clinical Director, Neurodiverse Couples Counseling Center © 2025 New Path Family of Therapy Centers Inc. All rights reserved. No portion of these statements may be reproduced, redistributed, or used in any form without explicit written permission from the New Path Family of Therapy Centers. 🔦 Spotlight on Rachel Wheeler Specialties PDA AuDHD, ADHD, Autism, Parenting (Neurotypical & Neurodiverse), Neurodiverse Couples, Life Experience Parents a highly sensitive, neurodivergent child while unmasking her own PDA and AuDHD identity. She brings real-world empathy to families navigating both self-discovery and support. Navigates a neurodiverse marriage built on friendship, transformed by diagnosis and mutual understanding. Sixteen years in, Rachel and her partner have reshaped their relationship through clarity, accommodation, and compassion. Lived the cost of camouflaging—now helps others unlearn it safely. Rachel guides clients toward authenticity without sacrificing safety or identity. Grounds her therapy work in lived neurodivergence, not just education.Her insight comes from walking the same path as the people she supports. Registered Associate Marriage and Family Therapist, AMFT #126649, Supervised by Dr. Harry Motro, LMFT #53452 Get Booked with Rebecca Want to learn more about yourself? Explore our sister site, Adult Autism Assessment , and take a deeper dive into your journey of self-discovery. Click the links below to get started! Autism Screeners ADHD Screeners Tests Related to Autism & ADHD General Screeners Use our Trait Wheels to better understand your strengths and challenges: Autism Trait Wheel ADHD Trait Wheel AuDHD Trait Wheel