neurodiversity-affirming therapy for neurodivergent adults

What is Neurodiversity Awareness?

What Is Neurodiversity Awareness?

The term neurodiversity awareness is appearing more frequently in discussions about counselling, education, employment, accessibility, and organizational culture. It is my opinion that neurodiversity awareness should mean more than knowing that autism, ADHD, dyslexia, and other forms of neurodivergence exist. It should describe a paradigm shift in how people understand human difference.

Neurodiversity awareness should include the capacity to respond in ways that protect dignity, which implicitly includes autonomy and accessibility. It includes the ability to empathize with neurodivergent people in ways that humanize them, rather than turning them into stereotypes and diagnostic categories. It requires introspective lived experience or thoughtful study and research - or both - to build this kind of awareness.

Neurodiversity describes natural human variation

A good place to start in building this kind of awareness is understanding what neurodiversity means. Neurodiversity refers to the natural variation that exists among human minds and nervous systems. The word natural is important here. Every population is neurodiverse, just as a population can be culturally, linguistically, or physically diverse. The word neurodivergent is generally used for people whose ways of thinking, perceiving, learning, communicating, regulating, or processing information differ significantly from what their society considers typical.

Neurodiversity awareness does not require us to pretend that every neurological difference is easy or advantageous. Neurodivergent people may experience substantial disability, distress, or support needs. What the paradigm questions is the assumption that these experiences can be understood entirely as defects contained within an individual. A person’s ability to function also depends on their social contexts.

A sensory sensitivity, for example, may be relatively manageable in one environment and disabling in another. Direct communication may be valued as honesty in one community but interpreted as rudeness in another. A person who has difficulty completing vaguely defined tasks may work exceptionally well when expectations are explicit. Neurodiversity awareness therefore asks not only, “What difficulty does this person have?” but also, “What is happening between this person and the environment in which they are expected to function?”

Awareness Changes Our Interpretations of Variation

Many of the difficulties neurodivergent people encounter are related to interpretations based on stereotypes. A person who cannot speak during a period of overload may be perceived as uncooperative. Someone who needs detailed information before agreeing to a plan may be called inflexible. A person who misses indirect social cues may be judged as uncaring.

Neurodiversity awareness creates room for other explanations. It does not mean assuming that every action is caused by neurodivergence. It means becoming aware that conventional interpretations are also assumptions, often based on stereotypes developed in contrast to neurotypical ways of communicating and functioning.

Academic literature provides some insights into how misunderstandings between people of different neurotypes may arise. For example, Damian Milton’s double-empathy theory challenges the idea that communication problems between autistic and non-autistic people can be located entirely within the autistic person. He showed that neurodivergent and neurotypical people may have difficulty understanding one another in both directions, sort of like two people who speak the same language, but with strong and distinctively different accents. Now imagine that one of these people was uniquely targeted as the source of the communication difficulty. That's what it's like being neurodivergent.

Neurodiversity awareness therefore includes awareness of one’s own perspective. It requires teachers, employers, counsellors, family members, and other professionals to examine how their expectations influence what they perceive. It involves stepping outside of one's biases to embrace new understandings.

Awareness is not the same as familiarity

A person can know a great deal about autism or ADHD without developing neurodiversity awareness. Clinical knowledge may help someone recognize patterns, identify support needs, or understand common experiences. However, knowledge becomes dangerous when it gives a professional unwarranted confidence that they understand another person better than that person understands themselves.

Neurodiversity awareness requires interpretive humility. This means treating professional knowledge as useful but incomplete, remaining curious about the individual’s experience, and recognizing neurodivergent people as important sources of knowledge about neurodivergence.

This is why lived experience is so important to neurodiversity awareness. For much of their history, autism and other forms of neurodivergence were primarily described from the outside. Researchers and clinicians observed behaviour and developed explanations without consistently asking neurodivergent people what those behaviours meant or how interventions affected them. Contemporary neurodiversity-aligned frameworks increasingly emphasize neurodivergent participation and autonomy.

Awareness must include disability

Neurodiversity awareness should not replace one simplification with another. The deficit model can reduce neurodivergent people to impairments that need to be corrected. An equally incomplete strengths-only model can romanticize neurodivergence and make it difficult for people to speak honestly about disability, dependence, pain, or the need for substantial support.

Neurodiversity awareness can recognize neurological differences as natural forms of human variation while also recognizing that some differences are disabling. It can value a person’s identity without requiring them to describe every aspect of their neurodivergence positively. It can challenge social barriers while acknowledging that changing the environment will not eliminate every difficulty. The purpose is not to decide whether neurodivergence is inherently good or bad. It is to understand the person’s actual experience without forcing it into a predetermined narrative.

Awareness must lead to responsiveness

Awareness is sometimes criticized as a passive goal. People may become “aware” of neurodivergence without changing how they treat neurodivergent people. An organization might provide an awareness presentation while retaining inaccessible hiring practices. A professional may adopt affirming language while continuing to interpret neurotypical behaviour as the standard against which clients should be measured.

Meaningful neurodiversity awareness is active. It affects how people respond when someone’s needs differ from convention. Awareness, however, does not automatically produce a single correct response. Neurodivergent people are not interchangeable, and practices that help one person may obstruct another. Awareness instead changes the process through which a response is developed. It makes curiosity, collaboration, flexibility, and attention to context more important than enforcing a standardized idea of appropriate functioning.

How Neurodiversity Aware Therapy fits

Neurodiversity Aware Therapy®, or NAT, is a specific application of neurodiversity awareness within counselling and psychotherapy. Neurodiversity awareness is the broader capacity to recognize and respond appropriately to neurological difference. NAT asks what that capacity requires of a therapist and how it should influence the therapeutic relationship.

Therapy does not include neurodiversity awareness simply because it adds information about autism and ADHD to an otherwise unchanged model. The therapist must also examine the assumptions built into therapeutic concepts, techniques, goals, and interpretations. For example, a therapist may need to reconsider whether eye contact demonstrates engagement, or whether emotional insight must be expressed verbally.

NAT treats these questions as clinically important rather than incidental. A neurodiversity-aware therapist works to understand what an experience means within the client’s particular context, with concern for the interplay between social and psychological systems. The therapist does not begin from the assumption that appearing more neurotypical is an appropriate therapeutic goal.

This does not mean that the therapist passively validates every interpretation or avoids difficult therapeutic work. This distinction can be impossible to maintain without a meaningful combination of neurodiversity awareness and clinical understanding.

Awareness is an ongoing practice

No training can make someone permanently or completely aware of every neurodivergent experience. Neurodiversity awareness is better understood as an ongoing practice than as a credential someone acquires. It should involve continuing education and exposure to neurodivergent perspectives. The resulting knowledge must impact how carefully we listen, how readily we question conventional assumptions, and how effectively we create conditions in which different kinds of minds can participate.

References

Dwyer, P. (2022). The neurodiversity approach(es): What are they and what do they mean for researchers? Human Development, 66(2), 73–92.

Lerner, M. D., Gurba, A. N., & Gassner, D. L. (2023). A framework for neurodiversity-affirming interventions for autistic individuals. Journal of Consulting and Clinical Psychology, 91(9), 503–504.

Milton, D. E. M. (2012). On the ontological status of autism: The “double empathy problem.” Disability & Society, 27(6), 883–887.

Walker, N. (n.d.). Neurodiversity: Some basic terms and definitions. Neuroqueer.

July 23 - Written By Dan Spring
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