When Autistic Burnout Meets Ho-Ho-Ho: Understanding Autistic Burnout During the “Most Wonderful Time of the Year”
David Smith David Smith

When Autistic Burnout Meets Ho-Ho-Ho: Understanding Autistic Burnout During the “Most Wonderful Time of the Year”

If you arrived at this holiday season already running on empty, you’re not alone. Between economic uncertainty, political turmoil, increasing workplace demands, and the accumulated weight of the past few years post-Covid, many of us showed up for the holidays in a state of profound exhaustion. Even many people for whom this is their favorite time of year are feeling drained and anxious as 2025 draws (staggers? sputters?) to a close.

And if you’re neurodivergent – autistic, ADHD, AuDHD, PDA, and so on – the holidays can hit especially hard. When complex trauma enters the mix, especially relational trauma connected to the very people we’re expected to spend time with over the holidays, this time of year can be anything but jolly.

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Why “Just Be Firmer” Doesn't Work:Understanding PDA
David Smith David Smith

Why “Just Be Firmer” Doesn't Work:Understanding PDA

Pathological Demand Avoidance (PDA) is a neurodevelopmental profile most commonly associated with autism. Many professionals and advocates now prefer to call it a
“Pervasive Drive for Autonomy,” which better captures what's actually happening: a deep, often involuntary need to maintain control in order to feel safe. In the world at large, it’s just called PDA, including by PDAers themselves. Like me.

People with PDA experience an intense need to avoid everyday demands and expectations. This isn't laziness or willfulness. It's because those demands trigger anxiety that feels overwhelming or even threatening.

Here's what makes PDA particularly confusing: the avoidance can apply not just to unwanted tasks, but even to things the person enjoys or has chosen themselves. The moment something becomes a “demand” – an expectation with a time or a structure attached – it can become impossible to follow through on.

At its core, PDA is anxiety-driven. The key word is anxiety. This is about a nervous system that perceives demands, even small ones, even enjoyable ones, as threats.

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

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
David Smith 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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The complicated question of diagnosis and disclosure
David Smith David Smith

The complicated question of diagnosis and disclosure

Within my home, there has been frequent debate about whether or not the whole concept of autism – and diagnosis of any kind, whether it be autism, depression, anxiety, or whatever – is relevant or helpful.

My wife, who is a psychotherapist herself with 20 years of experience, was the one who first started calling attention to the possibility that I might be autistic. At the time, I dismissed the idea. I’d been working with autistic children and their families for years and thought I knew what autism looks like. (I did – in children who are heavily impacted, non-verbal or only marginally verbal, mostly boys and mostly under 10 years old.) I was not yet educated on the full range of neurodivergence, like most therapists – indeed, like most people, including all too many professionals who specialize in autism. I wrote off my autistic features as the legacy of complex trauma and chronic toxic stress.

It was only when I went into private practice and started working with a broader range of autistic adults that I started taking the idea more seriously. Especially when my clients started calling me out (gently, and with great kindness and humor) on my “tisms.”

Eventually, as my practice became increasingly focused on neurodivergence-affirming therapy, it started to feel increasingly inauthentic to answer the most common question potential clients would ask – “Are you autistic yourself?” – by saying “I don’t know, my wife thinks so.” How could I truly support people who were newly diagnosed, on the path of discovery, or wrestling with the complex questions around autistic identity when I had avoided walking this path myself?

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