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Questions, answered.

If your question is not answered here, you are welcome to email selfworththerapist@gmail.com for more information.

About Therapy

Neurodiversity-affirming therapy treats neurological differences — autism, ADHD, and related neurotypes — as natural human variation rather than disorders to be corrected. It works from the neurodiversity paradigm, not the medical deficit model.

In practice, this means I am not trying to make you more neurotypical. I am working to understand your actual experience, reduce internalized shame, build on existing strengths, and develop strategies that work with your neurology rather than against it.

No. You do not need a formal diagnosis to be welcome here. Many people choose not to pursue one for a variety of reasons, and that is completely valid. We can do meaningful work together regardless of whether you have a formal diagnosis.

You also do not need to be neurodivergent to work with me. All are welcome here. Neurodivergent is a term that includes a wide range of neurotypes, and self-worth, trauma, chronic illness, and identity work are not exclusive to any one community.

Yes. This is one of my primary specialties. I work with late-diagnosed and high-masking autistic individuals, including those who received a diagnosis as a teenager or as an adult.

Getting a diagnosis later in life is a complicated experience. There is often relief and grief together. Relief that your life finally makes sense. Grief for the years you spent not knowing. Most therapists are not well equipped to support this. I am, both clinically and personally. I am AuDHD myself.

AuDHD refers to the co-occurrence of autism spectrum disorder and ADHD.

AuDHD is not simply autism plus ADHD. It is the specific interaction of the two neurotypes, sometimes amplifying each other, sometimes appearing to cancel out, sometimes creating entirely new patterns. I am AuDHD myself and work with AuDHD individuals regularly.

Autism with a PDA Profile refers to Persistent Drive for Autonomy (also known as Pathological Demand Avoidance), a profile within the autism spectrum characterized by an intense, pervasive drive for autonomy, a strong sense of fairness and justice, and heightened sensitivity to demands.

PDA is not a standalone diagnosis and is not included in the DSM. It is frequently missed in children, teenagers, and adults, and is often misdiagnosed as Oppositional Defiant Disorder or other behavioral conditions. Standard behavioral approaches, rewards and consequences systems, and compliance-based models are not effective for PDA profiles.

I work with PDA individuals using low-demand, collaborative frameworks that respect autonomy and fairness.

All sessions are 50 minutes via secure telehealth video. You will need to be in a private space or in a place where others are not listening. This protects your privacy and helps you feel free to speak openly. This could be your home, a parked car, any private room, or even a walk in nature.

We will go at your own pace. You are always welcome to use fidgets, turn off your camera, dim the lights, or use any other accommodations that help you feel comfortable. This space is made to support you, and your needs matter here.

Therapy here is not about making you fit into a neurotypical mold. It is about understanding yourself, healing what has been hurt, and building a life that is fulfilling where you are free to grow and flourish.

A brief call to meet before committing to anything. You can ask questions, get a sense of my communication style, and tell me a little about what you are looking for. I will be honest about whether I think I am a good fit. No pressure, no intake forms required beforehand. Self-schedule online through my client portal.

I truly enjoy working with children and adolescents! I have a strong background in working with children and adolescents, and it's something I plan to return to as soon as I have a physical office again. At this time, my practice is fully virtual, and I've found that younger clients and families are often best supported in an in-person setting. I'm in the process of deciding where to establish a physical office, and once that's in place, I'll be able to offer in-person services for children and families again. Stay tuned, because I cannot wait to get back to seeing children, adolescents, and families!

Fees and Private Pay

No. I am a private pay practice.

When therapy is billed through insurance, your diagnosis and session notes are submitted to a third party. You are required to receive a diagnosis in your first session, before we have had time to understand what is actually going on for you.

The history of the DSM does not align with my efforts to decolonize my practice. The diagnostic criteria has been heavily influenced by insurance companies and pharmaceutical lobbying, and the foundational research has significant gaps, particularly around women, BIPOC (Black, Indigenous, and People of Color) individuals, and anyone who does not present in the ways the criteria was written for.

Private pay means your records stay between us and I can practice in a way that is genuinely in your best interest. I provide superbills for potential out-of-network reimbursement.

A superbill is an itemized receipt that includes the session date, service codes, diagnosis codes, and my license information. You submit it to your insurance company to request out-of-network reimbursement. Whether and how much you receive depends on your specific plan's out-of-network mental health benefits.

I recommend calling your insurance before your first session and asking about your out-of-network mental health benefits. I provide the superbill. You submit it. I do not communicate with insurance companies.

Sessions are $175 for 50 minutes. Payment is due at the time of service. The free 15-minute consultation is always at no cost.

Logistics

I am licensed in Colorado (LCSW, CSW.09932249) and Oregon (LCSW, L17285). I provide therapy to residents of those two states via telehealth only. I cannot provide therapy to residents of other states.

I offer late-afternoon, evening, and weekend availability. Many therapists are only available during standard business hours. This is intentional. You can view my real-time availability and self-schedule through my online booking portal.

Yes. I am currently accepting new clients in Colorado and Oregon. Book a free 15-minute consultation through my online portal and see my current availability.

No. All sessions are 100% virtual via secure telehealth video. This is intentional. Virtual therapy removes many of the sensory and logistical barriers that make in-person therapy harder for many people.

Workshops

No. The workshops are educational content. They do not constitute therapy, do not create a therapeutic relationship, and are not mental health treatment. They exist so that high-quality clinical knowledge is accessible to anyone who needs it, at an affordable price, whenever they are ready for it.

The workshops are designed for late-diagnosed autistic and ADHD adults and teenagers, including people who suspect they might be autistic but have not received a formal diagnosis.

The workshops are not restricted by state. Anyone can access them, wherever they are.

Still have questions?

Email me or book a free consult.

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