Working with Neurodivergent People
A thoughtful, thorough understanding of neurodivergence and mental health. ​I have led a Neurodevelopmental Pathway and been a lead Neurodevelopmental Psychologist in the NHS, worked with neurodivergent young people and adults in prison and forensic services - focusing on the ways that people may hurt or have been hurt by others, and set up a therapy service in an Autism specialist school to meet students' Education Health and Care Plan needs. I have worked with late diagnosed adults in private practice and have written a book chapter on working with girls and women. Neurodivergent people are more likely to identify with a range of genders, sexualities and relationship styles and my practice is open to people of all backgrounds. ​ Diagnoses and awareness of Autism and ADHD have increased. Conversations about the reasons for this amongst both professionals and the public have, at times, been simplistic or divisive. Over time, diagnostic criteria have broadened to include more people. Professionals can make quite different decisions about who meets the criteria for diagnosis. There are concerns that ordinary experiences and other mental health difficulties are being framed as Autism and ADHD. I agree that this needs careful consideration. However, there is a need to recognise that education, workplace and social systems have been built around the idea of a 'typical' mind, which many people diverge from. Not recognising these differences has caused harm to neurodivergent people in their relationships, achievements, physical and mental health. We need humility to listen to the voices and research of Autistic and ADHD people, which suggests that we have more to learn about their experience. My approach is to think with you about these tensions and debates, as we explore an understanding that best fits you.
Parenting Autistic Children Group
This group offers the opportunity to be part of a thinking space with other parents and a specialist clinician. You will pick topics to explore as a group, drawing from academic and neurodivergent research. Whilst some information will be shared, the group focuses on building an understanding of your child and your relationship.​​ Families are often thrust into 'action mode' as they advocate for their child's needs to be met. This can sometimes mean that there is less space to reflect on what Autism means in your family, your hopes and expectations, or how a child's profile might change over time. ​The group pays attention to the 'adaptation dilemma' - how families balance the need to make Reasonable Adjustments for a child whilst setting boundaries that all children need. ​Example topics include; How children hide their Autistic traits (Masking), Stimming, Strong Interests, Attention and ADHD, Siblings, Friendships, Demand Avoidance, Education & EHCPs, Gender Differences, Adolescence, Promoting Independence, Transitions, Sex and Sexuality, Behaviours that Challenge, Vulnerability and Risks, Autistic Wellbeing.
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Neurodivergence Informed Therapy
Adapted therapy and space to make sense of neurodivergence for children, adolescents and adults. There has been a stereotype that neurodivergent people can only make use of practical, skills focused therapies such as Cognitive Behaviour Therapy. Yet, in a National specialist Autism team in the NHS, we found that when offered choice, Autistic adults chose a range of therapies, including those that focused on their inner life and relationships. ​ I offer a range of therapies to neurodivergent people and we would work together to choose an approach following assessment. What we know about neurodivergence is rapidly changing and we have increasing research from neurodivergent communities on their experience of wellbeing. My approach adapts to these ideas, but it is also to share them with you, so that you can build you confidence understanding your unique cognitive and emotional profile.
Child and Adolescent ADHD Assessments
NICE Guideline compliant diagnostic assessments. Families come to me for assessments to gain a broad understanding of their child's needs. This includes assessment of other mental health needs, family, school, social, and cultural experiences. This approach takes time but offers confidence that you have taken a considered, balanced approach. Â Three post diagnostic sessions, which might include you, your child, their school or other important people in their life are included as part of the assessment.
Care Coordination
Practical support to coordinate mental health care and professional relationships Care Coordination is an alternative, or compliment to therapy. It involves regular consultations with you, services, educators or workplaces as required, following up emails and making referrals. Care Coordinators take a lead in bringing professionals together. Many, support for health, education, social care, benefits and workplace systems to work together is a priority. Â This flexible intervention can take place during particular transitions, or on a regular basis, giving you the security that you can put some tasks down and that you will only have to tell your story once.