Neurodivergent Relationships
The Complexities of Neurodivergent Relationships
Relationships involving neurodivergence offer unique opportunities as well as their own quirky challenges. This is true for relationships in which partners have similar neurodivergent experiences as well as mixed-neurotype relationships.
Focusing on these aspects can be helpful for couples or polycules seeking to learn healthy ways of communicating their unique needs.
We will work toward goals specific to your relational needs, which may include strategies promoting healthy communication, rebuilding trust, establishing healthy boundaries, and successful conflict management.
Benefits of Neurodivergent Relationship Therapy
Developing relationships that meet the mutual needs of all partners
Improved acceptance of personal differences while also making positive changes to better accommodate the needs of each partner
Addressing patterns that are no longer working in the relationship
Interrupting patterns of frequent or intense conflict
Exploring rejection sensitivity and how it shows up in the relationship
Exploring methods to establish healthy autonomy
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Rejection Sensitive Dysphoria is an intense emotional response to perceived rejection, criticism, or failure—real or imagined. For many neurodivergent people, especially those with ADHD or autism, RSD can feel overwhelming and deeply painful. It’s not about being “too sensitive”—it’s about having a nervous system that feels rejection as a full-body experience.
If you or your child feel crushed by criticism, avoid situations where you might be judged, or seem to take things “too personally,” this may be part of what’s going on.
RSD often comes from a history of being misunderstood or feeling like you have to work extra hard just to belong. In therapy, we create space to untangle those experiences, strengthen self-worth, and build resilience—without asking you to shut down your feelings.
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Some autistic individuals—both kids and adults—have what’s known as a Persistent Drive for Autonomy (sometimes called the PDA profile). This isn’t about being defiant or oppositional—it’s a deep, nervous-system-level need to feel safe, in control, and not pressured. Even everyday requests (like “put on your shoes” or “answer this email”) can feel threatening if they’re experienced as a loss of agency.
Underneath the surface is often anxiety, sensitivity, and a creative, adaptive mind trying to find freedom in a world that feels unpredictable or overwhelming.
We approach PDA with compassion, flexibility, and a deep respect for autonomy. That means working collaboratively, reducing pressure, and finding ways to honor needs without triggering overwhelm. When safety and trust are present, connection and growth naturally follow.