Neurodiversity - affirming Couple Therapy
When one or both partners are Autistic, ADHD, or otherwise neurodivergent, couple therapy is most effective with a therapist who values neurodivergent strengths and understands how brain-based differences shape relationship dynamics.
Who can benefit from neurodiversity-affirming couple therapy?
Neurodiversity-affirming couple therapy is helpful for committed couples where one or both partners are neurodivergent (e.g., Autistic, ADHD, dyslexic, gifted), and where relationship distress is shaped by differences in nervous system regulation, communication styles, executive functioning, and sensory needs.
Many couples I work with are thoughtful, capable, and deeply invested in their relationship, yet feel worn down by:
Chronic misunderstandings that escalate quickly
Unequal distribution of household, emotional, or caregiving labor
Burnout, shutdown, or resentment that builds over time
Repeated attempts to “communicate better” that don’t stick
This work is especially helpful when both partners want to remain together and are willing to look at patterns, not just individual behavior.
Tell me more…
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Neurodiversity-affirming therapy recognizes that ADHD, Autism, and other neurotype variations are differences in how brains process information, regulate emotion, and interact with the world, not defects to be fixed.
At the same time, affirming neurodivergence does not mean:
Avoiding accountability
Excusing harm
Expecting one partner to endlessly adapt
Instead, therapy focuses on understanding how neurodivergent traits interact with relationship dynamics and supporting both partners in taking responsibility for their impact on one another.
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Couples often come to therapy feeling stuck in cycles such as:
One partner overfunctioning while the other underfunctions, leading to exhaustion and resentment
Conflict escalating due to sensory overload, emotional flooding, or shutdown
Mismatched needs around structure, flexibility, closeness, or autonomy
Difficulty repairing after conflict, resulting in emotional distance
Therapy helps slow these patterns down so they can be understood and shifted, rather than repeated.
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Sessions are collaborative and structured to support emotional safety, mutual understanding, and practical change.
We often focus on:
Identifying nervous system responses that drive conflict
Understanding differences in processing speed, attention, and emotional regulation
Examining role expectations around work, home, and caregiving
Practicing new ways of responding to real moments of tension
The goal is not to make partners more alike, but to help them relate to one another with greater understanding and fairness, and in a way that is sustainable over time.
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This work is not a good fit if:
You are seeking therapy to support a planned separation or divorce
There is ongoing intimate partner violence or coercive control
One partner is unwilling to participate
You are looking for crisis services for active suicidality, court-mandated treatment, or insurance-based care
Neurodiversity-affirming couple therapy works best when both partners are engaged and safety is present.
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This work may be a good fit if:
You both want to work on the relationship, even if things feel strained
You’re open to examining patterns rather than assigning blame
You want support that respects neurodivergence and the relationship
You’re feeling burned out but not ready to give up
Having doubts about whether or not your relationship can improve is not uncommon at the start of couple therapy, but the work does require at least a willingness to fully engage in couple therapy for a period of time in order to learn what is truly possible. If you’re feeling too uncertain to make that commitment, consider an alternative option, such as discernment counseling or individual therapy, as a next step.