![\"GoodTherapy](\"https:\/\/www.goodtherapy.org\/blog\/blog\/wp-content\/uploads\/2021\/09\/GettyImages-1075609004-1-800x534.jpg\" "\\"GoodTherapy")
<\/p>\n<\/p>\n
by Sarah Swenson<\/a>, Licensed Clinical Mental Health Counselor in Seattle, WA<\/p>\n In my work with neurodiverse couples<\/a> around the world, the most common and the saddest comments I hear relate to their previous attempts to seek counseling. Instead of providing support and insight into their experience, counseling seemed at best ineffective or at worst (and not infrequently) downright harmful. Naturally, these negative encounters create a strong disinclination toward further attempts to seek help. If this describes your views of\u00a0couples\u00a0counseling, and if you fear it would be hopeless for you and your partner, please mull over these comments and consider giving it another\u00a0try.<\/span>\u00a0<\/span><\/p>\n First, let\u2019s make sure we\u2019re talking about the same thing when we speak of\u00a0<\/span>neurodiversity<\/a>.<\/span><\/i>\u00a0It\u2019s a term that has only been around since a graduate student coined it in her\u00a0master\u2019s thesis in 1997 to describe individuals who felt they didn\u2019t fit comfortably into the larger social patterns of expectations. She included those with ADHD, dyslexia, and autism under this umbrella.\u00a0<\/span>\u00a0<\/span><\/p>\n Her efforts were based\u00a0in\u00a0her concept that these are variations, not deficits, in the normal spectrum of human brain development. When I say\u00a0<\/span>neurodiverse couple<\/span><\/i>, therefore, I am specifically referring to a couple in which one partner is what we call\u00a0<\/span>neurotypical<\/span><\/i>\u00a0(that describes roughly 97% of the global human population) and the other is\u00a0<\/span>neurodivergent<\/span><\/i>\u00a0with the traits of autism, whether diagnosed or undiagnosed. I often see ADHD accompanying autism as well, since it is frequently a diagnosis given to individuals whose autism was not diagnosed at the time of evaluation.<\/span>\u00a0<\/span><\/p>\n Remember that autism is a result of differences in the structure of the brain, when compared to what we call the neurotypical brain, and these differences affect an individual\u2019s perception of the world as well as\u00a0their\u00a0responses to it and, therefore, social interactions. The key word is\u00a0<\/span>difference<\/span><\/i>s. These differences need to be identified, accommodated, and supported within the counseling framework\u00a0in order for\u00a0both partners to feel heard and understood by themselves, by their partners, and by their therapists.<\/span>\u00a0<\/span><\/p>\n Besides the normal range of relationship complications faced by all couples, neurodiverse couples experience unique challenges that set them apart from the neurotypical couples that licensed therapists are trained to treat. Traditional couples\u00a0therapy<\/a> modalities are generally emotion-focused and insight-based,\u00a0often embedded in a cognitive-behavioral frame, and they can offer profound help to struggling neurotypical couples. However, these treatment modalities present two great challenges for an autistic individual.\u00a0For various reasons, the autistic partner is\u00a0likely to shut down completely in the counseling environment, where presumptions are based in the neurotypical experience and where departures from those expectations are misconstrued to be resistance, reluctance, or manipulation.\u00a0<\/span>\u00a0<\/span><\/p>\n This likelihood needs to be identified and embraced with compassion toward both partners, but what often happens instead is that the autistic partner is pushed in ways that don\u2019t make sense to them, while the neurotypical partner may feel slightly vindicated in the moment but ultimately frustrated when they sense that \u201cthere is no follow-through by my partner after counseling sessions,\u201d as it is often described to me.<\/span>\u00a0<\/span><\/p>\n A key point is this: graduate counseling education and post-graduate internships across the country lack deep emphasis and training in the concept of neurodiversity as it applies to couples. The best and most competent therapists, therefore, often miss signs of autism and proceed as if a couple were neurotypical and\u00a0<\/span>difficult<\/span><\/i>\u00a0or\u00a0<\/span>intransigent<\/span><\/i>.\u00a0<\/span>\u00a0<\/span><\/p>\n Sometimes, therapists do consider autism, and suggest to a couple that they work with a neurodiversity specialist or consider pursuing an evaluation to rule out autism or to diagnose it. This suggestion can be met with resistance by an undiagnosed autistic partner, who feels blindsided and\u00a0<\/span>labeled\u00a0<\/span><\/i>abruptly. The couple leaves in tatters and often never returns to a counseling room because the therapist did not adequately explain their reasons for making the suggestion nor describe the benefits to the individual and to the couple seeking an evaluation.<\/span>\u00a0<\/span><\/p>\n The more common reason couples leave counseling and don\u2019t return is that they feel they are getting nowhere. The therapist\u2019s ideas may sound good, but the couple\u00a0senses\u00a0they don\u2019t address the root of their challenges, which they often struggle to express in a way that the therapist understands. They leave in great frustration, and often aggravation, especially if one partner inadvertently feels blamed for the other\u2019s distress or feels identified as responsible for\u00a0the\u00a0dysfunction in their relationship. An autistic partner, for example, is often primed by life experience to feel blame where there is no intention to blame. This fact also needs to be understood and normalized for a couple, both to help them understand where they\u2019ve been and preventively for the future.<\/span>\u00a0<\/span><\/p>\n In my years of work with neurodiverse couples, I have heard absolute horror stories. Not a small number of women, for example, have been misdiagnosed with\u00a0Borderline Personality Disorder<\/a>\u00a0by therapists who interpreted their frustration inaccurately. I often hear about vague mentions of dependent personality or co-dependency on the part of the neurotypical partner whose legitimate struggles are misinterpreted. It is often suggested to the neurotypical partner that they stop viewing\u00a0themselves\u00a0as a\u00a0<\/span>victim<\/span><\/i>\u00a0in the relationship when they try to describe\u00a0their\u00a0inability to communicate clearly to their partner, no matter how they try.<\/span>\u00a0<\/span><\/p>\n The autistic partner, on the other hand, is seen as aloof, disinterested, even intentionally cruel. A common misconception<\/a>, and one that makes me seethe inside, is that autistic person<\/span>s\u00a0lack\u00a0empathy. Pushing an autistic partner to express their thoughts or feelings in session can intensify the baseline anxiety already present in most autistic individuals. The experience is overwhelmingly unpleasant.<\/span>\u00a0<\/span><\/p>\n A couple\u2019s challenges in their sexual relationship are also frequently misunderstood. If the suggested antidotes to their problems don\u2019t make sense to the autistic partner for reasons that make perfectly good sense to someone who understands autism, there is no follow-through. Use of porn, affairs, flirtation, alcohol use, struggles related to holding a job, and legal problems are all misattributed, and therefore suggested solutions by a well-meaning therapist most often do not align with the root issues.<\/span>\u00a0<\/span><\/p>\n The miracle is that so many couples do take a deep breath and are still willing to give counseling another\u00a0chance.\u00a0<\/span>\u00a0<\/span><\/p>\n If you believe that either you or your partner might be autistic, and you are struggling to feel understood and supported by your therapist, please don\u2019t give up. Instead, seek a specialist who understands the neurodiverse relationship and the implications for both partners. It truly is possible to feel embraced in a therapeutic relationship.<\/span>\u00a0<\/span><\/p>\nDon\u2019t Give Up on Couples Counseling! Find a Therapist Who Understands Neurodiversity Instead\u00a0<\/span>\u00a0<\/span><\/h1>\n
Understanding Neurodiversity<\/span>\u00a0<\/span><\/h2>\n
Treating Neurodiverse Couples<\/span>\u00a0<\/span><\/h3>\n
Faulty Assumptions Lead to Frustrating Sessions<\/span>\u00a0<\/span><\/h2>\n
Ignorance Leads to Misunderstanding<\/span>\u00a0<\/span><\/h3>\n
Seeking Help, Finding Frustration<\/span>\u00a0<\/span><\/h2>\n
Getting What Neurodiverse Couples Experience<\/span>\u00a0<\/span><\/h2>\n
Getting\u00a0Neurotypical Partners<\/span>\u00a0<\/span><\/h3>\n
Getting Autistic Partners<\/span>\u00a0<\/span><\/h3>\n
Getting\u00a0the Neurodiverse Couple\u2019s Sexual Relationship<\/span>\u00a0<\/span><\/h3>\n
Finding Couples Therapy That Can Help<\/span>\u00a0<\/span><\/h2>\n
\n
The therapist directory here at GoodTherapy.org<\/a> is a good place to start. You can search by location and clinical specialty. Many therapists work online now; thus, your choices regarding therapists are not so location-dependent.<\/span>\u00a0<\/span><\/h3>\n<\/blockquote>\n