Exploring Neurodiversity in Therapy: Insights from Therapists

Annabelle Denmark MA LPCC • April 22, 2024

Insights from therapists on the counseling relationship with Neurodivergent Clients

Neurodiver


In my ongoing exploration of therapy that embraces neurodiversity, I had the privilege of speaking with three therapists who specialize in working with neurodivergent clients. Their perspectives shed light on how therapy can be more effective and supportive for individuals whose minds diverge from the norm. Our conversation revolved around the counseling relationship, the setting and interventions. This blog is focusing on the first part : the relationship.  The counselors impressed the importance of having a neurodiverse affirming mindset, while meeting the client with openmindeness. The major difference with counseling for neurotypical people is the added layer of internalized ableism, a sense the client experiences of being "less than" due to a departure from what society expects.  A big part of the relationship is built on the therapist


  1. Be Curious: Being neurodivergent or highly trained doesn’t mean that we know what is going on for a person. Oftentimes clients are trying to understand themselves through a diagnosis or a self diagnosis. The important part is not the word (ADHD, AuDHD for example) but the lived experience of the client. It is crucial for the therapist to let go of any judgement and focus instead on the process of discovery.
  2. Address Internalized Ableism: Neurodivergent individuals often internalize negative beliefs about themselves due to societal norms and expectations. These therapists highlighted the need for creating a safe space where clients feel empowered to challenge and dismantle these harmful beliefs, promoting self-acceptance and compassion.
  3. Avoid Assumptions: One of the dangers in therapy is assuming that everyone experiences emotions and processes information in the same way. Therapists should recognize and validate the diverse emotional experiences of neurodivergent individuals, steering clear of neuronormative assumptions, and truly meeting the clients where they are. For example some clients may use colors or metaphors for feelings that they are not quite able to identify.  The therapist in turn may use the client's language to even the relationship.
  4. Embrace Accountability: Mistakes and miscommunication can happen in counseling, and therapists often times need to repair with clients. When it comes to neurodivergent clients,  these therapists emphasized the importance of owning up to errors and misunderstandings. The therapists needs to slow down and take time to check in with the client, giving the client time to process any break in the relationship, and giving the therapeutic relationship an opportunity for confrontation and repair.  By fostering a culture of accountability, therapists can build trust and authenticity within the therapeutic relationship.
  5. Validate and Explore Traumatic experiences: Many neurodivergent individuals have endured traumatic experiences as a result of their differences, such as bullying or social exclusion. Therapists should acknowledge and validate these experiences, providing a supportive space for processing and healing.
  6. Celebrate Differences: Instead of pathologizing quirks and idiosyncrasies, therapists should normalize them as part of what makes each individual unique. By celebrating diversity, therapists can foster a sense of belonging and acceptance in their clients.
  7. Encourage Authenticity by Modeling Authentic Behaviors (for neurodivergent therapists): Many neurodivergent individuals engage in masking behaviors to fit in with neurotypical expectations. Therapists can help clients navigate this delicate balance, encouraging them to embrace their true selves and express themselves authentically. This behavior can start in the therapy room where the therapist can notice masking in themselves and mention it to the client. The therapist may also use items in session that helps them focus or stay engaged such as fidget toys, doodling etc, encouraging the client to find comfort and authenticity in the room.


In conclusion, these insights from neurodivergent therapists highlight the importance of adopting a nuanced and affirming approach to therapy. By embracing curiosity, challenging assumptions, and fostering authenticity, therapists can create a supportive environment where neurodivergent individuals feel seen, heard, and valued. As the field of neurodiversity-affirming therapy continues to evolve, these principles will serve as guiding beacons, leading toward greater understanding and inclusivity in mental health care.


For more information on how to build a safe and trusting relationship with your neurodivergent clients, please reach out to annabelle@renegadecounseling.com


The 3 therapists interviewed for this blog are

Elena Schmeising MA, LPCC

Elena is a queer, sex-positive therapist specializing in working with LGBTQIA+ and non-monogamous clients.

They see clients in person in Denver and remotely

For more info checkout https://www.arcanacounseling.co/ and email Elena at elena@arcanacounseling.com


Felicia Libo, LPC

Felicia is a neurodivergent writer, counselor and coach. She works with clients seeking support and clarity for neurodivergence, life transitions, health, relationships, work, and navigating life in general.
For more info checkout https://www.felicialibo.com or email Felicia at Felicialibo@gmail.com


Zoë Hays, MS, GmBPss

Zoë has background in Integrative and Functional Nutrition, Classical Five Element Acupuncture, and in Psychotherapy/Psychology

They work with neurospicy/neurosparkly people, queer people, chronically ill people.

For more info checkout https://www.mountainmeadowllc.me/ or email Zoe at mountainmeadowwellnessllc@gmail.com

 


See part one of the blog to learn more about neurodiversity and the challenges of a neurodiverse affirming therapy.






June 20, 2026
As a therapist, I have heard some version of this question more times than I can : " Why do I always attract the wrong type of people? People who take and take and never give back. People who ignore me. People who treat me badly." And here is the honest answer: you don't know any better yet. Not because you're broken or oblivious — but because your nervous system is doing exactly what nervous systems do. It's keeping you in familiar territory. Familiarity Beats Safety. Every Time. This is the piece most people miss. Your nervous system isn't wired to seek out what's good for you. It's wired to seek out what's known to you. So if all you've ever known are relationships where love was conditional, where you had to earn your place, where being neglected or disrespected was just... Tuesday — then that's what your system registers as "normal." And normal feels safe, even when it isn't. Here's where it gets interesting. A lot of people who grew up in those environments discovered a workaround: give more . Give enough, and people like you. Give enough, and you stay in control. The more you do for people, the more you're needed — and being needed feels like belonging. The problem? That vibe attracts people who need to receive but can't reciprocate. And being given to ? Being truly cared for? That feels downright threatening, because it's unfamiliar. Familiarity beats safety. Every time. So How Do You Change the Template? You don't change your relationship patterns by finding better people. You change them by changing what feels normal to you. Here's how: 1. Notice what happens when you receive. Pay attention to how you feel when someone gives you a compliment, does something kind for you, or offers help. Really notice it. Most people who grew up giving first, last, and always feel deeply uncomfortable in that moment — fidgety, dismissive, quick to deflect. That discomfort is data. It's telling you that your nervous system has spent decades turning away from receiving and toward giving. 2. Start asking for things. Ask for help. Ask for support. Ask for care. And then sit with how hard that is. This isn't about becoming needy — it's about practicing something your system has been avoiding for a long time. 3. Build your tolerance for receiving, slowly. When the discomfort shows up (and it will), don't run from it. Notice it. Sit with it. Send it a little curiosity instead of judgment. If you do parts work, this is a great place to get curious about the part that goes stiff when someone is kind to you — where do you feel it in your body? Does it have an age? What does it need? Give it some compassion. It's been working very hard to keep you "safe." 4. Orient toward the people who actually show up for you. This one's simple but not easy. Start paying attention to people who offer care without expecting anything in return. Notice how it feels to be around them. Watch how they treat others. And here's the key shift: focus on who you are when you're with them — not what you can do for them. Follow the discomfort. The people who make you feel slightly squirmy because they're just... genuinely kind? Those are the people worth your attention. 5. Let it become your new normal. The more you orient your energy toward people who care for you without keeping score, the more familiar that starts to feel. Slowly, effortlessly, your template shifts. You stop scanning for ways to be useful and start noticing how you feel . That's when you know something real has changed. The Bottom Line You're not cursed. You're not a magnet for bad people. You're just running an old operating system that was built to keep you safe in an environment that wasn't. And like any operating system, it can be updated. It takes time. It takes discomfort. And it takes being willing to let people actually care for you — even when that's the scariest thing of all. That's the work. And it's worth it. Annabelle is a Licensed Professional Counselor and the owner of Renegade Counseling, a telehealth practice specializing in complex trauma, dissociation, and neurodivergent-affirming care. She works with adults across Colorado and Washington.
a small wooden mannequin
By looka_production_137487489 February 25, 2026
A look at how Christina Applegate’s approach to naming her body parts mirrors parts work and Pain Reprocessing Therapy—helping people with chronic illness reduce fear, reframe pain, and rebuild a compassionate relationship with their bodies.