Thriving Family Therapy

Thriving Family Therapy K. David Smith, LCSW. Neurodiversity-affirming therapist specializing in autism, ADHD, PDA, and trauma. Late-diagnosed autistic.

Clinical and Family Trauma Professional, Brainspotting Practitioner, & Autism Specialist. Online therapy in OR, CA, ID, FL, VT I’m a Licensed Clinical Social Worker who provides online teletherapy services to individuals and families throughout Oregon, Idaho, and Florida. I can serve clients in areas of the country or outside the US depending on local laws and regulations regarding telehealth. I am also a Certified Clinical Trauma Professional, Certified Family Trauma Professional, and Certified Autism Spectrum Disorder Clinical Specialist. I am passionate about working with people and families who have experienced trauma, abuse, divorce, and other difficult life challenges. I have worked extensively with individuals and families who experience Autism, ADHD, and other aspects of neurodiversity. Much of my professional experience has been as a school-based therapist in elementary schools. I come from a family of healers and helpers – doctors, nurses, chiropractors, therapists, pastors – so service to others is more or less in my blood. When I'm not seeing clients, you can find me hanging out with my family watching movies, traveling the world, or playing games. My three teenage boys and I are pretty much addicted to The Mandalorian and anything Star Wars-related and have watched almost every Marvel movie ever made. We also love to make music whenever we can. Between us, one or more members of my family play piano, guitar, saxophone, trumpet, drums, flute, and a little violin. Not much of that repertoire is me, but music is a big part of our lives. We also go on a lot of adventures together, and enjoy scuba diving, hiking, and exploring the world. On my own, I'm passionate about spending time in nature, especially sailing, scuba diving, and outdoor photography. I’ve traveled to 47 of the 50 US states and 17 other countries on 4 continents. These days I spend a lot of time in Mexico and other parts of Latin America with my wife, who is also a psychotherapist, born and licensed in Peru. I love to write and have several books in progress – a guide for parents and teachers of children with trauma, another to help healers and caregivers deal with burnout, and just for fun, a historical novel set in 8th-century Constantinople. I’m constantly learning and am usually in the middle of some new training program on an aspect of therapy and healing that I find interesting.

New video uploaded today: a guide for late-diagnosed autistic adults, with things I wish I had known when I was diagnose...
01/07/2026

New video uploaded today: a guide for late-diagnosed autistic adults, with things I wish I had known when I was diagnosed myself. If you find it helpful, please comment, subscribe, and share!

Just discovered you're autistic as an adult? You're not alone — and you're not broken.In this video, I walk you through everything I wish I'd known when I wa...

Just published: an article explaining the difference between "regular" burnout and autistic/ADHD burnout, why the holida...
12/27/2025

Just published: an article explaining the difference between "regular" burnout and autistic/ADHD burnout, why the holiday season is a perfect storm for neurodivergent nervous systems, and evidence-informed strategies that actually help (hint: it's not "think positive").

Understanding Autistic Burnout During the “Most Wonderful Time of the Year”

Why "Just Be Firmer" Doesn't Work: Understanding PDAClick on the link below to read the full article.
12/12/2025

Why "Just Be Firmer" Doesn't Work: Understanding PDA

Click on the link below to read the full article.



When anxiety drives avoidance, traditional parenting backfires

YouTube video drop! In this segment, I discuss the importance of neurodiversity affirming therapy as well as my personal...
12/04/2025

YouTube video drop! In this segment, I discuss the importance of neurodiversity affirming therapy as well as my personal journey. I emphasize accepting neurological differences and advocate for therapy that honors neurodivergent identities.

You'll also find a link to a free resource, 5 Stress Regulation Strategies for Neurodivergent Adults. Check it out!

What kind of experiences have you had, if any, with neurodivergent-affirming therapy? If you are neurodivergent yourself, what has your therapeutic journey been like? Drop your comments below or on YouTube!

FREE GUIDE: Get my Stress Regulation Strategies for Neurodivergent Adults Download here: https://mailchi.mp/thrivingfamilytherapy/stress-guideK. David Smith,...

An introduction to my practice - and my YouTube channel, which I'm planning to make more active. Comments would be much ...
11/19/2025

An introduction to my practice - and my YouTube channel, which I'm planning to make more active. Comments would be much appreciated!

KeywordsAutism, ADHD, Neurodiversity-Affirming Care, Neurodivergence, Autistic Therapist, Trauma, Complex Trauma, Mental Health, TherapySummaryIn this conver...

Neurodiversity-affirming care doesn't see autism, ADHD, or other forms of neurodivergence as disorders that need to be c...
11/07/2025

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 the article for more.



Neurodiversity-affirming care sees autistic and ADHD not as “disorders” to be cured, but as different ways of experiencing the world.

Last month's interview with Morgan Piercy on the Becoming a Therapist podcast is now live on YouTube. Together, we explo...
11/04/2025

Last month's interview with Morgan Piercy on the Becoming a Therapist podcast is now live on YouTube.

Together, we explore what it means to offer truly neurodiversity-affirming mental health care, how to support autistic adults in therapy, and how clinicians can challenge outdated stereotypes about autism. Morgan and I discussed sensory needs, burnout, masking, and identity development, as well as how to offer compassionate and practical tools for both therapists and clients.



🎙️ Podcast Episode: Supporting Autistic Clients with David Smith, LCSWIn this episode, I sit down with David Smith, LCSW, a licensed clinical social worker ...

Why do neurodivergent people seem to struggle when the seasons change? It turns out that there are scientific explanatio...
11/03/2025

Why do neurodivergent people seem to struggle when the seasons change? It turns out that there are scientific explanations - and things we can do.

Note: these findings also apply to seasonal changes from travel, especially between continents and hemispheres.

Why Those of Us With ADHD and/or Autism Struggle When the Leaves Change

Why do neurodivergent people seem to struggle when the seasons change? It turns out that there are scientific explanatio...
11/03/2025

Why do neurodivergent people seem to struggle when the seasons change? It turns out that there are scientific explanations - and things we can do.

Why Those of Us With ADHD and/or Autism Struggle When the Leaves Change

In the neurodivergent community, Dr. Mel Houser (the author of this article) has a well-deserved reputation as someone w...
10/16/2025

In the neurodivergent community, Dr. Mel Houser (the author of this article) has a well-deserved reputation as someone who "gets it" and, more importantly, has reimagined her practice and healthcare in general to address problems that are almost universal among neurodivergent people but widely dismissed or unaddressed in traditional medicine. To the point where I've heard neurodivergent people half-joke about moving to Vermont, where Dr. Houser practices, just to be able to get the care they need for complicated stuff.

As someone who's gone through this myself, with chronic conditions all my life that leave most medical people scratching their heads (and sometimes relieved when I do show up with a lab result or virus that they can finally treat), I get it. And as a neurodivergent therapist working primarily with neurodivergent people, the issues Dr. Houser writes about in this article come up a lot. I'm grateful that I've found a few other medical people outside Vermont (some even right here in Grants Pass) who "get it" and are willing and able to take ND people seriously.

Not enough. Which is why Dr. Houser's work is still so important, and such a great resource.

I offer a new service as part of my own therapy practice trying to do something similar to Dr. Houser's efforts - make the world a safer and healthier place for ND people - in which I offer consultation and in-person or virtual trainings to medical professionals, other therapists, employers, schools, or pretty much anyone who is interacting with a neurodivergent person or people and wants to be more neurodiversity-affirming.

No, you don't have to get special certifications, or transfer your client/patient to an autism or ADHD specialist like me (we're all full, anyway, and sadly all too rare). You can just get on the phone or Zoom and I can give you a crash course in what to look for, and look out for, in working with ND people. You can keep your client/patient/employee/student AND greatly improve their experience with you. It's really not hard, you just have to know what to look for and understand that there really is science (and a LOT of lived experience) to back up what ND people are saying, that we experience the world differently and are not getting the support we need, whether it's simple stuff like turning down the way-too-bright lighting in your exam rooms and classrooms, just for a minute, or complicated stuff like what Dr. Houser describes here, using a whole-system approach to humans instead of looking at things in isolation.

There's a growing community of us who are working on addressing this need. You can find out more about my services coming at it from a different angle than Dr. Houser's on my website, www.thrivingfamilytherapy.com. And whether you're a ND person desperate to find someone who believes you (much less can help you) or a medical professional trying to gain better awareness of how to improve care and results for ND people, Dr. Houser's resources at her website (link in the article) really are very useful.

Of course, you still have to find a medical person (or therapist, or employer, friend, teacher, even partner) who will take the time to listen and at least try to believe you instead of telling you you're just "oversensitive" or "anxious." It's a challenge, I know, and often it feels scary and unsafe even to admit what we're dealing with. But this is how we change the world - by showing up, just a little bit more authentically a little more often, and daring to ask for what we need. And believing in ourselves enough to keep asking, and that needing something doesn't make us needy.

There's support out there, if you know where to look. You're more than welcome to reach out to me, whether you're a ND person looking for better help, or a neurotypical person who is seeking better understanding and how to be a better ally. That's what my practice - and, increasingly, my life purpose, as an autistic therapist and writer and speaker working primarily with ND people - is all about.

https://researchautism.org/oaracle-newsletter/reimagining-healthcare-for-autistic-adults/

A new patient walks into my office, looking like a lot of my patients do: exhausted, overwhelmed, and unsure whether I’m going to be just another doctor who doesn’t believe them. They’ve already seen a dozen specialists. Some have said “it’s just anxiety.” Others didn’t even say that m...

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Grants Pass, OR
97526

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