08/31/2022
**Tips for the Neurodivergent/Autistic person looking for a therapist**
Things to know-
Most people, typical people, do not spend every waking moment thinking about what they are doing, why they are doing it, what is influencing their behavior, how their behavior affects other people, how their past actions have led them to their current circumstances, playing out multiple contingency plans, and/or pondering on the vast alternate realities that could result from every possible action they could take.
Most people, typical people, presenting for therapy services need help learning to be more introspective, more insightful, to question their thoughts, ideas, opinions, outlooks, and need extensive help learning to challenge their own perspective.
This is not the ND/Autistic experience. If the answer were in our own minds we would have found it already. By the time a ND/Autistic person seeks therapy they have likely spent hours, weeks, years even… examining the issues, deep diving into research, and turning it over internally until their brain feels like mush and nothing seems real… except the continued problems of burn out, melt downs, shut downs, social isolation, and overall bewilderment at trying to figure out how to stay alive and why they just aren’t very good at being a human.
Tip 1. Ask potential therapists if they have experience working with ND/Autistic folx. If a therapist approaches you the same way they would a typical
person- then they will start the painful process of trying to teach you introspection. You probably don’t need this. This will likely be a waste of your time and leave you more confused than when you started. You may feel good having someone who will listen… but progress will be slow and painful and you’ll likely spent the 1-2 weeks between therapy sessions trying to figure out why you aren’t ‘good’ at therapy and wondering why you didn’t talk about what you actually meant to talk about and making notes about what to do differently. Or if you’re lucky you’ll feel so disconnected that therapy seems like a waste of time and you’ll quickly stop going.
Tip 2. You probably need someone who is willing to give you their clinically informed expert advise and opinions. As ND/Autistic folx we need someone who is comfortable giving us new information. Bc if the answer were in our own minds or experience… we would have already found it and we wouldn’t be paying for expert advice.
Tip 3. Find someone who knows how to engage in PRAGMATIC conversation style. Typical people speak in a linear fashion. ND/Autistic people have pragmatic language and communication skills. We speak in stories, examples, and shared experiences. If the flow of the conversation feels odd or off, or you feel like you are needing to translate during the conversation then progress will be slow bc you will be using significant energy to establish basic understanding rather than actually address the issues that brought you to therapy.
Tip 4. Find someone who is comfortable establishing a treatment plan and can jump right in when the session starts. If a therapist starts by saying- so what’s been going on since we spoke last? There is a good chance you will spend the hour giving them a chronological timeline of events and reach the end of the session never having talked about the actual reasons you are there. We are literal and we almost can’t not answer a question we’ve been asked, and we may not realize until two days after the session that we didn’t actually make any progress. It can feel nice to unload the timeline and it’s nice to be heard… but when it comes to therapy it makes for very slow progress.
Tip 5. Make sure that treatment plan includes PRACTICAL interventions. Most ND/Autistic people do not have ‘thinking’ problems… it isn’t that we suffer from say- ‘black and white thinking’- it’s that during neurological crisis we lose the ability to connect to safety and that can cause a person to make BIG RULES or behave in ways they wouldn’t during times of non crisis. Find a therapist that knows how to help you make lists, safety plans, etc. Personally I keep lots of safety lists in my phone- safe people, safe places, safe foods, healthy coping skills, etc. When I am in crisis I lose connection to what I know and so future me needs current me to lay out easy to access safety plans for times of crisis.
Tip 6. Ask them what they know about ABA… if they say ANYTHING positive about ABA- run away, hang up the phone, lose their email… ABA IS ABUSE