Teen and Adult Autism/AuDHD Therapy

Online Autism and AuDHD Therapy for Teens and Adults

Online Neurodivergent Therapy in South Carolina and Colorado
Online Neurodivergent Therapy in South Carolina and Colorado

Maybe you have always felt like you experience the world differently, even if you could not explain exactly how.

You may notice details and patterns that others miss, feel emotions or sensory input deeply, need time to prepare for changes, or spend more energy navigating conversations and expectations than anyone realizes. You may appear capable on the outside while privately feeling exhausted, overwhelmed, or unsure why everyday life takes so much effort.

For people with AuDHD, the combination of autism and ADHD can bring needs that sometimes seem to compete with each other. You may crave routine but struggle to maintain it. You may need predictability while also becoming restless without novelty. You may focus deeply on what matters to you but feel completely stuck trying to begin something that does not hold your interest.

These experiences are not character flaws. They are patterns worth understanding.

I provide neurodiversity-affirming online autism and AuDHD therapy for teens and adults throughout South Carolina and Colorado. Parent support is also available for families raising autistic and AuDHD teens.

Therapy can help you look back at those experiences with more understanding and less shame. We can explore how autism and ADHD may have shaped your identity, relationships, work, parenting, nervous system, and the ways you learned to survive.

Support may include:

  • Understanding your autistic or AuDHD identity

  • Recognizing masking and its impact on your well-being

  • Recovering from or reducing neurodivergent burnout

  • Understanding sensory needs and personal capacity

  • Navigating executive functioning challenges

  • Strengthening communication in relationships

  • Setting boundaries without overexplaining

  • Advocating for your needs at work or school

  • Exploring the overlap between neurodivergence, anxiety, and trauma

  • Rebuilding self-trust after years of feeling misunderstood

  • Creating routines and systems that work with your brain

Parent Support for Raising an Autistic or AuDHD Teen

Parenting an autistic or AuDHD teen can feel confusing, especially when your teen seems capable in one moment and completely overwhelmed in another.

You may be trying to balance boundaries, school expectations, sensory needs, emotional regulation, independence, and your relationship with your teen. Advice that works for other families may not fit your child or your home.

Parent support helps you understand what may be happening underneath the behavior.

We focus on recognizing overload, setting expectations that match your teen’s current capacity, supporting independence without removing needed support, reducing shame-based cycles, and repairing connection after difficult moments.

The goal is not perfect parenting. It is greater understanding, realistic support, and a stronger relationship with your teen.

Autism and AuDHD Support May Include

  • Sensory awareness and support
    Identifying sensory needs, triggers, preferences, and accommodations that can reduce unnecessary overwhelm.

  • Recognizing overload and burnout
    Learning to notice early signs of dysregulation before your brain and body reach complete exhaustion.

  • Executive functioning support
    Building realistic strategies for task initiation, planning, working memory, time awareness, organization, routines, and transitions.

  • Emotional regulation and recovery
    Understanding big emotions, shutdowns, meltdowns, impulsive reactions, and what helps your nervous system recover.

  • Communication and relationships
    Exploring communication differences, misunderstandings, conflict, boundaries, intimacy, and authentic connection.

  • Masking and self-acceptance
    Recognizing when masking has become exhausting and exploring safer ways to be more fully yourself.

  • Self-advocacy and accommodations
    Learning how to communicate what you need at school, work, home, and within relationships.

  • Managing conflicting AuDHD needs
    Finding flexible ways to honor the need for routine and predictability while also making room for novelty, movement, and changing attention.

  • Identity and personal strengths
    Making space for your interests, values, creativity, insight, honesty, loyalty, pattern recognition, and unique ways of experiencing the world.

Making Room for Strengths and Challenges

Autism and AuDHD can bring real challenges, especially when you are living within environments that do not understand or support the way your brain works.

They can also be connected to deep curiosity, creativity, honesty, passion, pattern recognition, loyalty, attention to detail, strong values, and meaningful ways of understanding people, ideas, and systems.

Therapy makes room for both.

We do not ignore what is hard or turn every struggle into a hidden strength. We also do not overlook the abilities, interests, values, and ways of connecting that are already part of who you are.

Online Neurodivergent Therapy in South Carolina and Colorado

Serving neurodivergent teens, adults, and parents online and In South Carolina and Colorado

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Why My Approach Works

Autism and AuDHD support are not one size fits all. My neurodiversity-affirming and nervous system-informed approach combines mindfulness, Acceptance and Commitment Therapy, DBT skills, trauma-informed care, Polyvagal Theory, EMDR principles, and practical support for everyday life.

We Begin With Understanding Instead of Judgment

We begin by getting curious about what is happening underneath. We look at sensory needs, executive functioning, emotions, communication, nervous system responses, masking, burnout, relationships, current capacity, and the environments you are trying to function within. Once we understand the patterns, we can begin finding support that actually fits.

Mindfulness That Fits Your Brain

Mindfulness does not have to mean sitting completely still or forcing your mind to become quiet. It may involve movement, sensory tools, grounding, noticing body cues, or taking a short pause before overwhelm becomes too big. We find realistic ways to help you check in with yourself without judgment.

Acceptance and Commitment Therapy

ACT helps us explore what matters to you and how you want to live without demanding that difficult thoughts or emotions disappear first. We focus on your values and the small, realistic steps that can move you toward a life that feels more authentic and meaningful.

DBT Skills for Everyday Life

DBT skills can support emotional regulation, distress tolerance, communication, and boundaries. These tools are adapted to your needs instead of being presented as another assignment you must complete perfectly.

Practical Autism and AuDHD Support

Practical strategies may focus on sensory needs, executive functioning, transitions, routines, recovery time, relationships, school, work, or the task that currently feels impossible to begin. We create flexible support that works with your brain and your real life.

Understanding Neurodivergence From a Personal and Clinical Perspective

Being diagnosed with AuDHD in my 40s gave me language for many of my own experiences and encouraged me to dive more deeply into the many ways autism, ADHD, and AuDHD can present.

My lived experience does not mean I assume your experience will look like mine. Neurodivergence is not one shared experience. Each person brings their own strengths, challenges, sensory needs, identities, communication styles, relationships, and life history.

My role as your therapist is to understand your experience. I want to learn how your brain works, what your nervous system needs, what leaves you overwhelmed, what helps you feel grounded, and what kind of support can realistically fit into your life.

Change That Can Fit Into Your Real Life

Therapy is not about handing you a list of skills and expecting you to use them perfectly. We practice, adjust, simplify, and learn what works for you. If a strategy does not fit, that does not mean you failed. It means we learned something and can try a different way.

This is where we lean into the uncomfortably comfy places. We make room for understanding, self-compassion, practical support, and meaningful change without asking you to become someone you are not.

You are welcome here exactly as you are.

Frequently Asked Questions About Autism and AuDHD Therapy

Autism and AuDHD can shape sensory experiences, communication, executive functioning, relationships, emotions, and everyday capacity. These answers explain how affirming online therapy works at Uncomfortably Comfy Couch and what teens, adults, and parents can expect.

What is autism and AuDHD therapy?

Autism and AuDHD therapy is a space to better understand your brain, nervous system, identity, strengths, needs, and patterns. We may work on sensory overload, masking, burnout, executive functioning, communication, relationships, anxiety, emotional regulation, boundaries, or daily life.

The goal is not to cure autism or make you appear less autistic or less ADHD. It is to reduce distress, strengthen self-understanding, and develop support that fits your actual life.

What does AuDHD mean?

AuDHD is a community term commonly used to describe someone who is both autistic and has ADHD. It is not a separate clinical diagnosis, but it can be a helpful way to name the experience of having both neurotypes.

AuDHD may involve needs that seem to compete with each other, such as wanting predictability while also needing novelty, craving deep focus while struggling to begin, or seeking sensory input while becoming overwhelmed by it. Therapy can help you recognize your particular patterns without forcing them into a one-size-fits-all explanation.

Is autism therapy meant to change autistic traits?

No. My approach is neurodiversity affirming. Therapy is not used to train you to look more typical, suppress harmless traits, make eye contact, or communicate in a way that feels unnatural simply to make others more comfortable.

We can still work on experiences that are painful or make life harder. The difference is that we begin with respect for who you are and look for ways to support access, safety, communication, connection, and quality of life.

Who do you work with for autism and AuDHD therapy?

I provide neurodiversity-affirming online therapy for autistic and AuDHD teens and adults located in South Carolina and Colorado. I also provide parent support for families who want to better understand and support their neurodivergent teen.

Do I need a formal autism or AuDHD diagnosis to begin therapy?

No. You do not need a formal diagnosis to explore autistic or ADHD traits, sensory needs, masking, burnout, executive functioning, relationships, or the possibility that you are neurodivergent. Self-recognition is often an important part of a person's journey, especially when access to assessment has been limited.

Do you provide formal autism or ADHD testing?

Therapy is different from a comprehensive psychological or neuropsychological evaluation. If you need formal diagnostic testing or documentation for school, work, disability services, or another setting, we can discuss what you are looking for and whether a referral to an appropriate evaluator may be helpful.

Can therapy help adults who recognize autism or AuDHD later in life?

Yes. Late recognition can bring relief, grief, anger, clarity, and many questions at the same time. You may be reexamining childhood, relationships, work, parenting, trauma, burnout, or the years you spent believing you were simply too sensitive, too much, not enough, or somehow doing life wrong.

Therapy can help you make sense of the past with more compassion while exploring identity, accommodations, boundaries, relationships, and what you want life to look like now.

How can autism and AuDHD therapy help teens?

Therapy can help teens understand their identity, recognize sensory and emotional overload, communicate needs, navigate friendships, prepare for transitions, recover after difficult days, and build self-advocacy and independence without being asked to hide who they are.

Sessions are adapted to the teen's communication style and capacity. They do not have to perform, make eye contact, sit completely still, or always know how to explain what they are feeling.

Do you provide support for parents of autistic or AuDHD teens?

Yes. Parent support can help you understand what may be happening underneath behavior, recognize overload and reduced capacity, create supportive routines, communicate more clearly, hold boundaries with less shame, and support independence without removing needed help.

The goal is not perfect parenting. It is greater understanding, realistic expectations, repair after hard moments, and a stronger connection with your teen.

What is masking, and can therapy help with it?

Masking can include suppressing natural responses, rehearsing conversations, copying other people, hiding sensory distress, forcing eye contact, or using significant energy to appear as though everything is fine.

Therapy can help you notice when you mask, understand what it has protected you from, and recognize its emotional and physical cost. We can explore safer, more authentic choices without pressuring you to unmask in environments where doing so may not feel safe or possible.

What is autistic burnout?

Autistic burnout is a commonly used term for intense exhaustion and reduced capacity that may follow long periods of sensory, social, emotional, or executive functioning demands without enough support or recovery. It may affect communication, daily tasks, tolerance for input, and access to skills that were previously easier to use.

Therapy can help you recognize earlier warning signs, understand the demands contributing to burnout, protect recovery time, communicate limits, and build a more sustainable rhythm. Burnout can overlap with depression or other health concerns, so additional medical or mental health support may sometimes be needed.

What is the difference between a shutdown and a meltdown?

Both can be responses to overload. A meltdown may look more outward, such as crying, movement, anger, panic, or an urgent need to escape. A shutdown may look more inward, such as becoming quiet, withdrawing, losing access to speech, feeling frozen, or needing to sleep. Every person's experience is different, and these responses are not manipulation or a character flaw.

We look for the patterns, body cues, demands, and sensory or emotional load surrounding these moments so you can build support before, during, and after overwhelm.

Can therapy help with sensory needs?

Yes. We can identify sensory patterns, notice early signs of overload, plan for difficult environments, communicate needs, and explore accommodations or recovery strategies. The goal is not to make sensory differences disappear. It is to understand them and create more access, choice, and support.

When more specialized sensory assessment or treatment would be helpful, we can also discuss collaborating with or referring to an occupational therapist or another appropriate provider.

Can therapy help with communication and relationships without teaching masking?

Yes. Relationship work can focus on mutual understanding, direct communication, boundaries, consent, conflict, repair, identifying needs, and making room for different processing styles. The purpose is not to memorize neurotypical social rules or perform connection in one acceptable way.

We look at what helps you feel understood and what can make communication clearer for everyone involved while respecting your authentic way of relating.

Can therapy help with executive functioning and competing AuDHD needs?

Yes. We can work on task initiation, time awareness, working memory, transitions, routines, planning, energy, and follow-through. For AuDHD clients, this may also mean making room for needs that seem to pull in opposite directions, such as predictability and novelty or deep focus and difficulty shifting attention.

We build flexible systems around your real patterns instead of expecting you to maintain an ideal routine through willpower alone.

What if anxiety, OCD, trauma, or depression are also present?

Autism and AuDHD can exist alongside anxiety, OCD, trauma, depression, and other concerns. Similar-looking experiences can also have different causes. For example, a routine may support autistic predictability, feel driven by an OCD fear, or do both. Sensory overload is not automatically anxiety, and a trauma response is not simply an autistic trait.

We slow down, remain curious, and look at the function, history, and context of a pattern so support can be more accurate and individualized.

How does your lived experience influence your work?

Being diagnosed with AuDHD in my 40s gave me language for many of my own experiences and encouraged me to dive more deeply into the many ways autism, ADHD, and AuDHD can present.

My lived experience does not mean I assume your experience will look like mine. Neurodivergence is not one shared experience. My role as your therapist is to remain curious about your strengths, challenges, identities, sensory needs, communication style, relationships, nervous system, and life history.

What therapy approaches do you use?

My approach may draw from mindfulness, Acceptance and Commitment Therapy, DBT skills, trauma-informed and attachment-based care, Polyvagal Theory, nervous system regulation, EMDR principles, and practical strategies for everyday life. I also bring a couples and family systems perspective when relationships are part of the work.

These approaches are adapted to your communication style, sensory needs, goals, and current capacity. Therapy should meet you where you are instead of becoming another place where you are expected to perform perfectly.

Where is online autism and AuDHD therapy available, and do you accept insurance?

I provide fully virtual therapy to clients who are physically located in South Carolina or Colorado at the time of each session. I accept select insurance plans, and self-pay options are available. Because coverage can vary by plan and service, visit the rates and insurance page or contact the practice to confirm current details before beginning.

How do I get started with autism or AuDHD therapy?

You can request an appointment through the secure client portal or use the contact page to ask a question. We can talk about what you are looking for, whether online therapy feels like a good fit, and the next step that makes the most sense.

You do not need to have everything figured out before reaching out. We can begin with what you know, what feels difficult, and what kind of support you hope to find. You are welcome here exactly as you are.