Therapy for Neurodivergent Adults
Most therapy was not designed with neurodivergent people in mind. The frameworks, the expectations, and the definitions of what is and is not a problem all tend to assume a neurotypical baseline. This kind of therapy starts from a different premise.
Join from anywhere in Texas, New Hampshire, Maine, or Montana through a secure telehealth platform.
A recent or late diagnosis that is rewriting how you understand your history. Burnout that does not respond to the usual advice. Relationships that feel harder to navigate than they should. A sense that you have been trying to function inside a system that was not built for how you operate.
Therapy for neurodivergent adults is individual work that takes your neurodivergence seriously as part of who you are, not a set of deficits to work around.
Therapy That Understands Neurodivergence
Therapy for neurodivergent adults is individual therapy that works from an understanding of how ADHD, autism, and related profiles shape a person's experience, not just their behavior. That distinction matters. Most neurodivergent adults have had plenty of feedback about what they do. Therapy is about understanding why, and what to do with that understanding.
This is not skills training. It is not behavior modification. It is a space to understand your experience more fully, process what your neurodivergence has meant across your life, and figure out what you want to do differently going forward.
Therapy for neurodivergent adults connects naturally with more specialized services including ADHD therapy and adult autism therapy for those whose primary focus is one specific diagnosis, and neurodiverse couples therapy for those who want to bring their partner into the work.
You Might Be in the Right Place If...
You have a recent or late diagnosis
ADHD, autism, or both. A late diagnosis can clarify a lifetime of experiences and raise as many questions as it answers. Therapy gives you a space to make sense of both. Read more about what it means to be neurodivergent.
You are burned out from masking
Years of suppressing your natural responses to fit in accumulate in ways that are hard to see until you hit a wall. Understanding what masking is and what it has cost you is often the first step. Read more about what masking is in ADHD.
Your neurodivergence is affecting your relationship
ADHD and autism shape how people connect, communicate, and repair in relationships in specific ways that are hard to navigate without understanding what is happening. Individual therapy can help clarify your own part in the dynamic before bringing a partner into the work.
You have ADHD and autism together
ADHD and autism co-occur frequently and the combination shapes how both present. Therapy works better when it accounts for both rather than treating each in isolation. This is some of the most nuanced work in neurodivergent therapy.
You are carrying trauma alongside your neurodivergence
Trauma and neurodivergence interact in complex ways. Years of misattunement, being misunderstood, or forced masking often leave a significant trauma history sitting alongside the neurodivergence itself. Therapy needs to hold both.
Standard therapy has not worked for you before
Many neurodivergent adults have had therapy experiences that did not account for how they process. If previous therapy felt like it was built for someone else, that is a meaningful piece of information. Therapy that understands neurodivergence is different.
What to Expect
Therapy for neurodivergent adults at Sagebrush is individual, online, and paced by you. Sessions are 50 minutes and available via telehealth across Texas, New Hampshire, Maine, and Montana.
A Complimentary 15-Min Consultation
A brief call to make sure this is the right fit. You can ask questions, share what is bringing you in, and get a sense of whether working together feels right before committing to anything.
Understanding Your Experience
The early sessions are about understanding your specific version of neurodivergence, what it has meant across your life, what you are carrying from it, and what you want from therapy. There is no standard template.
The Work Itself
We work from a relational foundation and adapt to what you need. Some people want practical tools and a solutions-focused approach. Others need to explore identity, shame, burnout, or relationships more deeply. We follow your lead and adjust as we go.
Neurodivergence Touches More Than Behavior
This practice covers the full landscape of what neurodivergence affects across a person's life.
Late diagnosis and identity
A late ADHD or autism diagnosis means reframing a significant portion of your history. Therapy gives you space to process the grief, the relief, the anger, and the questions about what comes next. This is some of the most important early work for adults who were diagnosed later in life.
Masking and neurodivergent burnout
The cost of masking accumulates over years and often results in burnout that does not respond to standard recovery advice because it is not standard burnout. Understanding what is happening and how to recover differently is central to therapy for many neurodivergent adults.
Neurodivergence and relationships
ADHD and autism shape how you connect, communicate, and navigate conflict in relationships. Individual therapy can help you understand your own patterns more clearly. If you want to bring your partner in, neurodiverse couples therapy is available.
Shame and self-esteem
Years of not measuring up to neurotypical standards leave a mark. Untangling the shame that has built up around being different is some of the most important and most freeing work in neurodivergent therapy.
Trauma alongside neurodivergence
Neurodivergent adults frequently carry trauma from misattunement, bullying, or forced masking that sits alongside the neurodivergence itself. Therapy that understands both is different from therapy that treats them separately.
ADHD and autism together
When ADHD and autism co-occur the combination shapes how each presents and what therapy needs to address. More specialized individual work is available through ADHD therapy and adult autism therapy for those whose focus is one diagnosis specifically.
Questions Worth Answering First
You can find a full list of answers on the FAQs page. The questions below come up most often before starting therapy for neurodivergent adults specifically.
Am I neurodivergent?
Neurodivergent typically refers to people whose neurological development differs from what is considered typical, most commonly ADHD and autism but also including other profiles. You do not need a formal diagnosis to start counseling. Read more about what being neurodivergent means and what it can look like in adults.
Do I need a formal diagnosis to start?
No. Many people come in suspecting neurodivergence without a formal evaluation, or having a diagnosis they received from a provider they did not fully trust. Therapy is helpful regardless of where you are in the diagnostic process.
How is this different from ADHD therapy or autism therapy specifically?
This service is a broader starting point that works well when someone has both ADHD and autism, is still figuring out their diagnosis, or wants individual work that covers the full neurodivergent picture. More focused work is available through the ADHD therapist and adult autism therapist pages linked below.
Is online therapy a good fit for neurodivergent adults?
For many neurodivergent adults, yes. Being able to attend sessions from your own environment removes a significant source of sensory and social demand. You join through a secure telehealth platform from wherever you are most comfortable.
Can I do individual therapy alongside couples therapy?
Yes. Many neurodivergent adults find it helpful to have their own space alongside couples work. Individual therapy can run alongside couples work or serve as a starting point before both partners are ready to come in together.
What does therapy for neurodivergent adults cost?
Sessions are $200 per 50-minute session. I do not work with insurance directly, but I can provide a superbill for potential out-of-network reimbursement. For full pricing details visit the services page. Your complimentary 15-min consultation is always free.
What is your approach?
I work from a relational foundation and adapt to what you need. The pace, format, and focus of sessions adjust to how you process rather than expecting you to fit a standard template. Learn more on the services page.
I have had therapy before and it did not help. Why would this be different?
Many neurodivergent adults have had therapy experiences that did not account for how they process. Therapy that understands neurodivergence adjusts its approach rather than asking you to adapt to a neurotypical framework. That difference is often what makes it work.
Online Therapy for Neurodivergent Adults Across Four States
If you are in Texas, New Hampshire, Maine, or Montana, you can start therapy for neurodivergent adults from wherever you are. No office visit required. You join virtually through a secure telehealth platform from wherever you feel most comfortable.
In Texas this includes adults in Houston, Austin, Dallas, The Woodlands, McKinney, Katy, and Midland, as well as throughout the state via telehealth. In New Hampshire this includes adults in Bedford and Manchester.
Therapy That Starts From Who You Are
If you are in Texas, New Hampshire, Maine, or Montana, you can start therapy for neurodivergent adults from wherever you are via telehealth. Evening and weekend appointments available.