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Dr. Zonya Mitchell Neuropsychologist

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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.

04/18/2026

Another Saturday, another funny Autistic comedian 😅! But seriously have you been told you’re gullible or do you feel like you believe anything you’re told? Let us know in the comments!

04/16/2026

Most autistic adults don’t “fail” therapy, therapy fails them. This is because autistic anxiety isn’t just anxiety. It’s sensory, cognitive, relational, and nervous-system deep.

Here’s what has been shown to work and what can may make things worse:

3 that actually help:
1. Neuroaffirming CBT (adapted, not standard)�Not “change your thoughts.”�More like: understand your thinking style, reduce overload, and build systems that fit your brain.�
2. Somatic / nervous system regulation�Because autistic anxiety often lives in the body first, not the mind.�
3. Autism-informed skills work (not social masking training)�This is where real change happens:�
2 that can make it worse (when not adapted):

4. Exposure therapy (standard form)�If you’re repeatedly pushed into overwhelming situations without accommodations.�❌ can increase shutdowns, burnout, and trauma

5. Traditional CBT & Insight-only talk therapy�Endless “why do you feel this way?” without tools = more rumination. Especially when alexithymia is in the mix.�❌ can leave you feeling stuck, misunderstood, or “too complex”

The #1 thing that matters:
If your therapist isn’t neuroaffirming and trained in autistic anxiety, even the “right” therapy can go wrong.

If therapy has felt exhausting, confusing, or ineffective, there’s a reason.

I break it down in my free article:�“Why autistic adults fail to reduce anxiety—even after years of therapy.” It’s not what you think.

I also created a how to reduce Autistic anxiety protocol and cheat sheet to take to your current therapist, for my paid subscribers. That’s anxiety relief, and a whole lot more tools geared to reduce sensory overwhelm, heal burnout, and increase joy for less than one McDonald’s happy meal every month.

Find the Substack link in my about section! See you over there!

04/15/2026

Most therapy targets thoughts but autistic anxiety is often neurological, sensory, and processing-based.

So you don’t need more mindset work. What you need is a different framework.

→ I just dropped a new article:�“Why autistic adults fail to reduce anxiety, even after years of therapy.”

If this felt uncomfortably accurate, read it for free.

It comes with a companion on how to reduce anxiety, that can also be used as a cheat sheet to take to your therapist.

The companion is available to paid subscribers but for less than an ice cream cone at a parlor (which isn’t not even good for you), you can access all the tools I provide over on Substack, needed to reduce anxiety, heal burnout, and reclaim joy.

Click the Substack link in my about section to check them out.

04/14/2026

Autistic anxiety often starts before anything actually happens.

Anticipatory anxiety in autistic adults is predictive, it’s pattern recognition on overdrive.�
Your brain is scanning for what could go wrong based on what has gone wrong. So you rehearse, pre-feel, and try to solve it early.�
And somehow your body still pays the price.

This is why traditional therapy often misses it.�You’re not thinking “too much.” You’re preparing for a world that has been inconsistent with you.

My latest article just dropped on why autistic anxiety isn’t helped by therapy the way people think, along with the companion article on how to reduce it on your own or working along with your therapist.

If you’ve ever felt anxious days before the thing even happens, dread about being misinterpreted, or fears around the sensory overwhelm of an event/place, you need to read it.

Click the Substack link in my about section. The article is free!

The companion is available to paid subscribers but for the price of a fancy cookie (which isn’t even good for you) you can get all of the tools designed specifically for Autistic and AuDHD brains to reduce anxiety, prevent burnout, and increase your experience of joy!

04/12/2026

All of the therapeutic tools, guides, and information related to Autism, that were previously only available to my in office patients, I’m now putting over on my Substack!

5/6 of the articles listed on this post are free but better than that, access to any quiz, tool, guide, or blueprint, that isn’t free, costs less than one dessert 🧁 a month (something you don’t need but buy anyway). Throw in the Autistic Insiders Self-Healers monthly Bookclub, to me through my upcoming monthly live Q&A’s, and that’s a 99% savings!

I’m on a mission to reach as many Autistic adults as I can, no matter location, access, or limited funds.

Substack lets me go in depth and create community, while still being able to answer questions and charge only enough to keep the engine going!

If you haven’t already, come join the over 13,000 subscribers that are healing and preventing Autistic burnout, reducing anxiety and sensory overwhelm, while reclaiming joy!

Find the Substack link in my about section!

Also share with others to spread the word about this resource!

04/09/2026

Autism and ADHD don’t suddenly appear in perimenopause. But Perimenopause makes autistic and ADHD traits impossible to hide.

The version of you that “kept it together”?�That was supported by chemistry, structure, and sheer output.

Now the buffer is lower.
Executive function drops.�Sensory input hits harder.�Masking costs more than you can pay.

So what looks like “losing yourself” is often this:�You’re finally seeing your autistic and/or ADHD brain without compensation.

This is why so many late diagnoses happen here. Not new, just the internal becoming external.

And no, pushing harder won’t fix it. That’s the strategy that leads to burnout.

You need a model built for an autistic + ADHD nervous system in perimenopause.

I just dropped an article, that breaks down what’s happening “Perimenopause Unmasks Autism and ADHD” & “Perimenopause Hacks That Actually Work” for how to adjust your life to match your capacity:

Click the Substack link in my about section!

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

https://www.nycneuropsycheval.com/, http://theautismdoctor.substack.com/, http://buymeacoffee.com/theautismdoctor

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Our Story

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.