Holly Altson, Psy.D.

Clinical Psychologist, Licensed in Oregon and Washington

Neurodivergent-Friendly Therapy

If you're neurodivergent, you've probably spent a lot of time trying to fit into a world designed for someone else's brain. Let's work with yours instead.

Working with Neurodivergence

Approach & Methods

Your neurodivergence isn't something to "fix" — it's foundational to who you are. But I'm not going to tell you that everything is fine as-is. If you're here, you're probably facing real challenges: difficulty with executive function, sensory overwhelm, emotion regulation in situations where others seem to manage just fine, the constant mental effort of trying to read social cues or keep up with an unforgiving pace. Some of these challenges come from how your brain is wired. Some come from living in a world with rigid expectations about how people "should" be.

We start with acceptance: your brain is yours, and we can't actually control our thoughts anyway. What we can do is learn to notice the chatter without getting hooked by it—to create some distance between you and the intrusive or racing thoughts that show up. Instead of trying to feel your way through every decision, we talk about your values and what matters to you, then use that to guide your choices. This approach—what we call Acceptance and Commitment Therapy—tends to land differently for neurodivergent people than traditional talk therapy might.

I also pay close attention to how we work together. People with ADHD might be tangential or go on interesting detours in conversation—I'm here to follow that thread with you, not redirect you back to some rigid agenda. Humor matters. Pacing matters. And I genuinely empathize with what it's like to experience the world the way your nervous system experiences it: the sensory sensitivities, the way certain interactions can feel jarring or overwhelming, the experience of being misunderstood or impatient with.

I also see how often neurodivergence overlaps with other parts of identity — being queer, being non-monogamous or kinky, or some combination of all of it. That overlap isn't a coincidence, and you won't need to untangle or justify it before we get to work.

My Philosophy

Here's what I believe: neurodivergence — ADHD, autism, and a not-infrequent counterpart, OCD — emerges from how your brain is fundamentally wired. That's not changeable, and it shouldn't be pathologized. But early experiences shape how and when those differences show up in your life, and they absolutely shape how you've come to understand yourself.

You've probably encountered people — teachers, family, partners, friends — who didn't have patience for how you work. You might have internalized the message that you're "too much," not focused enough, too sensitive, too literal, or just fundamentally broken. That kind of repeated experience leaves a mark. It can deepen the shame around being neurodivergent and make the genuine challenges feel even more isolating.

I also know that many neurodivergent people carry diagnoses like depression and anxiety, in part because of the real struggles that come with your neurodivergence, and in part because of the relational impact of being chronically misunderstood or mistreated. We can work with all of it together.

You deserve support that meets you where you are—that understands your strengths, acknowledges your real challenges, and works with your brain instead of against it.

Other Areas I Work With

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