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When Your Instruments Lie: Understanding Alexithymia and Interoceptionin Neurodivergent Adults
David Smith David Smith

When Your Instruments Lie: Understanding Alexithymia and Interoceptionin Neurodivergent Adults

I am a licensed clinical therapist. I specialize in neurodivergence and complex trauma. I help people understand their nervous systems for a living. And I spent an extremely expensive evening at an NFL game completely unable to access or regulate my own.

That's not irony. That's alexithymia and interoceptive differences, doing exactly what they do.

If you've ever been asked "how does that make you feel?" and found yourself genuinely unable to answer — not deflecting, not avoiding, actually not knowing — this is for you.

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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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