Dr. Zonya Mitchell Neuropsychologist

Dr. Zonya Mitchell Neuropsychologist She is also provides weekly strategies for thriving with Autism over on Substack.
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Dr. Mitchell is a clinical lifespan neuropsychologist and specializing in Autism & neuropsychological evaluations for high masking children & adults in New York! Dr. Mitchell is a clinical lifespan neuropsychologist specializing in neuropsychology and neurorehabilitation psychology. She evaluates individuals to determine functioning and treatment needs after the brain has been compromised and for children suspected of developmental disabilities. She is currently employed at an affiliate clinic of the North Shore-Long Island Jewish Hospital System, in NY. She is also a consultant neuropsychologist at Doctors Hospital and director of the Mind Institute in Nassau, Bahamas. She previously worked as a neuropsychologist at The Albert Einstein College of Medicine of Yeshiva University and received clinical training at Columbia-New York Presbyterian Hospital, Kingsbrook Jewish Medical Center & Miami Children’s Hospital among others. Before becoming a neuropsychologist Dr. Mitchell was a board certified associate behavior analyst and owned centers providing treatment to children with autism spectrum disorders.

If you’ve ever been told you’re lazy when you’re actually exhausted, stuck, or overwhelmed—this is for you.For autistic ...
01/12/2026

If you’ve ever been told you’re lazy when you’re actually exhausted, stuck, or overwhelmed—this is for you.

For autistic or AuDHD adults, executive functioning isn’t about trying harder. It’s about whether your brain can access skills in that moment. This isn’t a motivation problem. It’s executive access variability.

I developed the Autistic Executive Function Access Matrix™ (AEFAM) and accompanying quiz to explain where executive access breaks down, without blaming autistic or AuDHD individuals for it.

If this resonates, I created a short quiz that helps you identify your executive access pattern and what actually helps. The strategies provided in the AEFAM model were only available after an evaluation with me before now.

The Substack link to the AEFAM model and quiz is in the about section.

Tip it’s free to subscribe and both are free for first time subscribers if you take the quiz at the bottom of the AEFAM article and not separately!

Although this quiz is not a diagnostic instrument, it is an explanatory model! It explains where you likely fall on the ...
01/09/2026

Although this quiz is not a diagnostic instrument, it is an explanatory model! It explains where you likely fall on the Autism burnout spectrum and along with the connected articles, guide support strategies. The Substack link is in my about section. It’s free to subscribe and the quiz is free for first time subscribers.

01/08/2026

Autism moral injury isn’t just burnout or trauma, it’s the injury that happens when an autistic person is repeatedly forced to betray their needs, values, and nervous system just to fit in!

Here are 6 ways to tell if this may be affecting you:

1️⃣ You over-explain your intentions because you expect to be misunderstood.

2️⃣ You override your body (sensory, rest, honesty) to keep the peace.

3️⃣ You’re exhausted not from doing too much but from self-betrayal.

4️⃣ You feel guilt when you choose accommodations, even when you need them

5️⃣ You feel relief at the idea of disappearing or going quiet for a while

6️⃣ You mourn the person you might have been if you were allowed to be real.

This isn’t a mindset problem, it’s a survival cost!
Autism Moral Injury is the residue of long-term self-betrayal for survival. Naming it is the first act of preventing or healing burnout!

If this resonates, drop a ❤️ and share to help others! If you want practical and specified strategies for optimal mental health on the spectrum, join over 3000 Autistic adults in my Substack community! It’s free to subscribe! The Link is in the about section!

Can spirituality be the missing link in preventing and healing burnout in Autistic adults? I’m talking about both relig...
01/07/2026

Can spirituality be the missing link in preventing and healing burnout in Autistic adults? I’m talking about both religious and non religious spirituality!

As a neuropsychologist, I see many autistic adults quietly searching for something deeper than coping skills. This led to me writing about strategies for an Autistic spiritual awakening and finding your inner light on Substack.

We are spiritual beings, not just cognitive or physical, so it’s time to consider spirituality as part of an overall wellness plan! 🔗 Link in about section! It’s free to subscribe and read many articles! This article is free for new subscribers! Also let us know about your spiritual journey in the comments!

The community on Substack has reached over 3000 now! Join us! I’ll see you over there!

01/07/2026

Testing is structured, collaborative, and tailored to your needs. I start with a clinical interview and gather relevant history, before moving on to cognitive, social, and executive function assessments. This includes physical tests and self-report measures. By the end, you’ll have a detailed report, not just a diagnosis.

The written report explains the findings. You’ll leave with clarity, actionable recommendations, and a roadmap tailored to your needs.

Understanding your neurodevelopmental profile allows you to access accommodations, support, and strategies that truly work. Clarity changes everything, from work or school performance to emotional well-being.”

If you live in or near NYC Book your in person evaluation. If you live in New York State but a distance from the city book a virtual evaluation today. Link in bio! I am only licensed to practice in NY!

Let me know in the comments if you have any questions about my process or assessments in general and share with others, who are in search of an Autism neuropsychological assessment by an expert in adult, high masking, Autism.

01/06/2026

5 signs of as*xuality in Autism (that rarely get talked about): I’ll be demi-s*xuality later this week!

1️⃣ Little or no s*xual attraction—even in emotionally close relationships.
�2️⃣ Confusing desire for connection with pressure to want s*x.
�3️⃣ Enjoying romance, intimacy, or partnership without s*xual interest
�4️⃣ Viewing s*x as a task, obligation, or social script rather than a desire
�5️⃣ Feeling neutral or indifferent about s*x (not repulsed, not craving it)

Many autistic adults who are not interested in s*x aren’t “repressed,” “traumatized,” or “avoidant.”They’re as*xual!
Autistic people are more likely to question s*xual norms because they’re less driven by social expectation and more by internal truth.

Understanding this can be life-changing, especially for late-diagnosed adults who spent years trying to “fix” something that was never broken.

Save this. Share it. Tell us about your experience And let’s normalize the full spectrum of autistic s*xuality. I’ll be writing an in-depth piece on this and how to navigate this in relationships over on Substack this week! Subscribe now and catch my article on hyper and hypo s*xuality in Autism! the link is in my bio.

*xuality

Doing a deep dive on this taboo subject that is very rarely talked about! S*x in Autism can be complicated due to many f...
01/05/2026

Doing a deep dive on this taboo subject that is very rarely talked about! S*x in Autism can be complicated due to many factors and my free Substack article not only explains this but provides practical strategies to manage emotions around s*x! The link is in my about section!

Autistic s*xuality

01/05/2026

Hypers*xuality in autism is real and deeply misunderstood.
It’s not about being “promiscuous,” “addicted,” or lacking morals. It’s often about sensory seeking, nervous system regulation, and poor interoceptive signaling. Hop on over to my Substack for a deep dive on hyper and hypo s*xuality and practical tips on how to manage it. The link is in my about section!

Here are 5 signs of hypers*xuality in autistic adults 👇🏽

1️⃣ S*x as regulation
You use s*xual thoughts, p**n, or s*xual activity to calm anxiety, shutdown, boredom, or emotional overwhelm.

2️⃣ Intense fixation on s*xual content
S*x becomes a hyperfocus—hours lost scrolling, fantasizing, or replaying scenarios in your mind.

3️⃣ Difficulty noticing s*xual saturation
You don’t feel when you’ve had “enough.” Desire doesn’t taper the way it does for others.

4️⃣ High arousal paired with low satisfaction
Frequent desire, but afterward you feel empty, dysregulated, or even ashamed.

5️⃣ All-or-nothing patterns
Periods of very high s*xual drive followed by total shutdown, avoidance, or sensory aversion.

This is about neurology, not character.
For many late-diagnosed autistic adults, understanding this brings relief and safer, more intentional ways to meet nervous system needs. If this resonates, you’re not alone.

Save & share with someone who needs this explained without shame and head over to Substack for a deep dive on hypo and hyper s*xuality and practical tips on how to manage it! The link is in my about section! It’s free to read!

*xuality

We are getting rid of Autism Imposter Syndrome in 2026! But if you are looking to see if your experiences align with dia...
01/04/2026

We are getting rid of Autism Imposter Syndrome in 2026! But if you are looking to see if your experiences align with diagnosed Autistic adults, take the Autism quiz over on my Substack! It’s free to subscribe and take the quiz! There are so many other resources over there that typically cost thousands of dollars in therapy, that are either free or cost less than a fancy cup of coffee a month! The link is in my about section! If you’re looking for a comprehensive evaluation and you live in or near New York, the link to book is also in my about section!

Hop on over to Substack to get my 7 crucial “rests” framework (TM) needed to heal or prevent Autism burnout! Also take m...
01/03/2026

Hop on over to Substack to get my 7 crucial “rests” framework (TM) needed to heal or prevent Autism burnout! Also take my quiz at the end of the article to see where you fall on the Autism burnout spectrum and use your answers to determine what “rests” are important specifically for you! It’s free to subscribe and read the article! The quiz is also free if you’re subscribing for the first time! There are so many resources on preventing and healing burnout, anxiety, depression, rejection sensitivity and so much more on my Substack! Over the years people have paid thousands of dollars in therapy to access these tools that I am making available to everyone, many for free, or all for less than a cup of fancy coffee every month! Find the link in my bio!

Disclaimer: No medical advice is given on my socials and information is for educational purposes only!

Address

1430 Broadway Ste 608
New York, NY
10018

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+12128408410

Website

http://theautismdoctor.substack.com/

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Dr. Mitchell is a clinical lifespan neuropsychologist specializing in neuropsychology and neurorehabilitation psychology. She evaluates individuals to determine functioning and treatment needs after the brain has been compromised and for children suspected of developmental disabilities. She is currently employed at an affiliate clinic of the North Shore-Long Island Jewish Hospital System, in NY. She is also a consultant neuropsychologist at Doctors Hospital and director of the Mind Institute in Nassau, Bahamas. She previously worked as a neuropsychologist at The Albert Einstein College of Medicine of Yeshiva University and received clinical training at Columbia-New York Presbyterian Hospital, Kingsbrook Jewish Medical Center & Miami Children’s Hospital among others. Before becoming a neuropsychologist Dr. Mitchell was a board certified associate behavior analyst and owned centers providing treatment to children with autism spectrum disorders.