What neurodivergent practice looks like

Neurodivergent-Affirming Practice Checklist (Simplified)

  1. Foster Neurodivergent-Affirming Beliefs

Recognize Diversity: View neurodivergence as a natural part of human diversity, not a deficit.

Understand Stress: Acknowledge the unique stress neurodivergent individuals face in neurotypical environments.

Respect Self-Diagnosis: Accept self-identification due to barriers to official diagnosis.

Challenge Bias: Actively address ableism and internal biases.

  1. Create a Sensory-Friendly and Accessible Space

Provide Sensory Tools: Offer items like weighted blankets or fidgets for self-regulation.

Adapt Environment: Adjust lighting, noise, and other factors to meet sensory needs.

Accessible Scheduling: Use online scheduling, reminders, and flexible formats (video, phone).

Inclusive Forms: Design intake forms to be dyslexia-friendly or allow verbal alternatives.

  1. Align Therapeutic Approaches

Incorporate Interests: Use clients’ passions to build connection and relevance.

Celebrate Identity: Help clients embrace their neurodivergence as part of their identity.

Challenge Ableism: Reframe negative beliefs tied to societal ableism.

Adapt Communication: Support preferred modes like writing, art, or music.

  1. Be Flexible in Therapy

Use Flexible Modalities: Tailor methods (e.g., ACT, DBT) instead of rigidly sticking to CBT.

Set Clear Expectations: Be transparent about therapy goals and processes.

Client-Centered Planning: Focus on client goals rather than neurotypical benchmarks.

  1. Promote Authenticity

Encourage Unmasking: Reassure clients they can express themselves naturally.

Support Identity Exploration: Help clients safely unmask and rediscover their true selves.

  1. Support Regulation

Teach Sensory Awareness: Help clients identify sensory triggers and preferences.

Nervous System Tools: Use strategies like grounding or movement for regulation.

Address Alexithymia: Help clients understand and process emotions and body signals.

  1. Affirm in Social Interactions

Teach Advocacy: Guide clients in setting boundaries and advocating for themselves.

Navigate Relationships: Address healthy vs. unhealthy dynamics and embrace unique social styles.

  1. Avoid Harmful Symbols

Reject Puzzle Piece: Avoid symbols that suggest neurodivergence is a problem to be fixed.

Use Affirming Symbols: Choose inclusive symbols like the infinity sign with genuine intent.

  1. Key Therapy Tasks

Reduce Shame: Reframe neurodivergent traits as strengths.

Integrate Identity: Help clients explore and affirm their neurodivergent identity.

Teach Self-Advocacy: Build skills for advocating needs in various settings.

Address Trauma: Focus on trauma from invalidation in a neurotypical world.

Prevent Burnout: Prioritize rest and strategies to avoid burnout.

  1. Treatment Planning

Executive Functioning Support: Offer strategies or referrals for ADHD and executive challenges.

Address Co-Morbidities: Treat common conditions like anxiety, depression, or PTSD.

Substance Abuse Awareness: Be mindful of risks and provide support if needed.

Suicide Prevention: Proactively address higher risks of suicidal ideation.

  1. Take an Intersectional Approach

Acknowledge Overlaps: Recognize how neurodivergence intersects with race, gender, and other identities.

Inclusive Practices: Create space for clients to discuss how these intersections shape their experiences.

  1. Commit to Growth

Keep Learning: Pursue education on neurodivergent issues and therapies.

Consult Experts: Learn from neurodivergent-led trainings and lived experiences.

Reflect Regularly: Evaluate and improve your practices to stay accountable.