Explore The Blog

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.

Read More
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.

Read More
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.

Read More
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…

Read More
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?

Read More

Subscribe to the newsletter!

* indicates required