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When You're Wired Differently, Nobody Hands You the Manual for Love
David Smith David Smith

When You're Wired Differently, Nobody Hands You the Manual for Love

Most of us grew up certain we're bad at love. Certain the problem is us. What nobody told us: we were handed the wrong manual for a vehicle almost nobody around us knew how to drive. This is the manual section for love — written by a late-identified autistic therapist who's also been that person, undiagnosed and drowning, absolutely sure the fault was his own.

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Why Friendship Has Always Felt So Hard — And What Actually Helps
David Smith David Smith

Why Friendship Has Always Felt So Hard — And What Actually Helps

A few months ago, I reconnected with a college roommate I hadn't spoken to in 35 years. When my roommate told his husband about the call and the 35-year gap, his husband said, dry as a martini: "Sounds like a really good friend."

Ouch. Touché.

And also — that friendship is real. It's always been real. It just doesn't run on the neurotypical maintenance schedule, and it never did. Neurodivergent people are not bad at friendship in some general, character-flaw kind of way. We're often very good at specific kinds of connection, and genuinely struggle with others — and we don't often talk about which is which, or why.

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The Wrong Planet Goes to Work: Neurodivergence, employment, and why the system isn’t built for us
David Smith David Smith

The Wrong Planet Goes to Work: Neurodivergence, employment, and why the system isn’t built for us

In middle school, a career aptitude test told me I should go into sales or retail management. I'm now a therapist who sees 45-55 neurodivergent clients a week from a home office, with my old dog snoring in the corner. It took forty years and several collapsed careers to get here.

This piece is about the wrong planet and its job market — why work is so hard for so many of us, what the data says, what happens when you can't get past the interview, and what might actually help. Real talk. Some hope. A hobbit hole at the end.

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When Different Brains Fall in Love: An Honest Guide to Cross-Neurotype Relationships
David Smith David Smith

When Different Brains Fall in Love: An Honest Guide to Cross-Neurotype Relationships

My wife and I have a recurring conversational style that goes something like this: I'm in the middle of explaining something that matters to me, and before I finish the first 15 seconds, she's already somewhere else. From her perspective, she was connected, building on what I said. From mine, I've been talking to the ceiling.

We've gone through this cycle more times than I can count. Both of us are certain the other doesn't listen. Both of us, I've come to believe, are partly right.

I'm a late-diagnosed autistic adult. My wife is, as far as we know, neurotypical. We're both therapists. We both have a history of trauma. We're both, it turns out, surprisingly bad at applying our training to each other.

This is what I've learned.

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When Neurodivergence and Trauma Meet - and why the distinction may matter less than you think
David Smith David Smith

When Neurodivergence and Trauma Meet - and why the distinction may matter less than you think

I've spent thirty-nine years in therapy. Through all of it, I got better and better at one thing: understanding, in exquisite detail, exactly why I felt so messed up. What I couldn't do — for most of those thirty-nine years — was change any of it.

I was diagnosed as autistic at 56. I also have complex PTSD. And once both pieces were on the table, I started to understand something I now consider one of the most important questions in my clinical work: when neurodivergence and trauma grow up together in the same nervous system, trying to separate them is often the wrong problem to solve.

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Understanding Neurodiversity-Affirming and Trauma-Informed Care: A Different Path to Healing

Understanding Neurodiversity-Affirming and Trauma-Informed Care: A Different Path to Healing

Neurodiversity-affirming care doesn't see autism, ADHD, or other forms of neurodivergence as disorders that need to be cured. Instead, it recognizes that different brains have different needs, different strengths, and different ways of navigating the world. The focus shifts from trying to make someone “normal” to helping them thrive as their authentic selves.

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Seasonal Transitions and Neurodivergence
ND Adults, Parents and Families David Smith ND Adults, Parents and Families David Smith

Seasonal Transitions and Neurodivergence

Over the past 8 years of work with neurodivergent children and adults, I’ve noticed an intriguing phenomenon. Every spring and fall, as well as at other times of the year where there are major changes in weather patterns, the neurodivergent people with whom I’m involved seem to experience a significant increase in dysregulation. When I was still a school-based therapist, this would show up as meltdowns, shut-downs, school avoidance, anxiety, and difficulty focusing and maintaining behavioral expectations in class.

Now that I work primarily with adults, I see more issues with increased difficulty in basic functioning, volatile moods, depression, anxiety, and sensory overload. It has seemed to me, the more I’ve thought about this and observed this phenomenon, that neurodivergent people of all ages experience major changes in weather patterns and circadian rhythms as stress, with all the impacts that stress has on vulnerable nervous systems…

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