Neurodivergent-Affirming Therapy

You don’t need therapy that teaches you how to become better at overriding yourself.

Maybe you know you’re neurodivergent. Maybe you’re beginning to wonder. Or maybe you’ve always experienced the world differently and are tired of working so hard to make that difference invisible.

In-person therapy in Ketchum, Idaho
Online throughout Idaho, California, + South Carolina

Maybe you’ve spent years adapting to a world that doesn’t always fit the way you experience it.

You may have learned to watch other people closely, rehearse what you’re going to say, push through sensory discomfort, or work twice as hard to meet expectations that seem to come more naturally to others.

Over time, constantly adapting can become exhausting. You might appear capable on the outside while privately feeling overwhelmed, disconnected from your needs, or unsure where the expectations of others end and you begin.

You might recognize:

  • Masking or constantly monitoring yourself • Sensory overwhelm

  • Chronic overthinking • Difficulty with transitions or unexpected change

  • Emotional intensity or rejection sensitivity • Executive functioning challenges

  • Scripting social interactions and replaying them afterward • People-pleasing or perfectionism

  • Burnout after periods of “functioning well” • Difficulty identifying or communicating your needs

  • Feeling misunderstood or different from others • Anxiety or depression alongside neurodivergence

These experiences may reflect how much effort you’ve spent adapting to environments and expectations that haven't always supported your needs.

Karen Bommentre, LMFT, seated outdoors with eyes closed at Wild Gem Therapy in Ketchum, Idaho

What if the question isn’t “How do I become better at functioning like everyone else?”

Neurodivergent-affirming therapy begins with curiosity about how your mind, body, and nervous system experience the world.

Together, we can explore masking, sensory needs, emotional intensity, executive functioning, and the ways you’ve learned to adapt to environments that haven’t always supported you.

There may also be space for the grief, frustration, or exhaustion that comes from years of feeling misunderstood or believing you should be able to cope differently.

Depending on your needs, our work may incorporate somatic awareness, IFS-informed parts work, EMDR, and practical strategies that respect your preferences, boundaries, and ways of processing.

The goal isn’t to make you less neurodivergent. It’s to help you understand yourself and create a life that fits you more comfortably.

You don’t need to have everything figured out before you come to therapy.

Some people arrive knowing they are autistic, ADHD, AuDHD, or otherwise neurodivergent. Others are beginning to wonder whether neurodivergence might help explain experiences they've had throughout their lives.

And some don't identify with a particular diagnosis at all. They simply know they are deeply feeling, highly sensitive, easily overwhelmed, or that familiar approaches to coping haven't worked particularly well for them.

You don't need the right label for us to begin exploring what you need.

We can make room for uncertainty, curiosity, and a changing understanding of yourself.

While I don't provide formal autism or ADHD assessments, a formal diagnosis is not required to explore your experiences through a neurodivergent-affirming lens in therapy.

Sometimes the way we understand ourselves changes.

For some women, perimenopause and menopause bring changes in attention, emotional regulation, sensory experiences, energy, or the capacity to manage everyday demands.

Patterns that were once manageable may become more noticeable. Masking may feel harder to sustain. Experiences that have been present for years may begin to make sense through a new understanding of ADHD, autism, or neurodivergence.

For others, these transitions bring new challenges to an already familiar neurodivergent experience.

Therapy can offer space to understand what's changing, recognize what you need now, and explore ways of supporting yourself through this stage of life.

My work with women with ADHD is also informed by my certification in the Women-Centered ADHD Treatment (W-CAT) model, which considers ADHD within the broader context of women's lived experiences and changing needs across the lifespan.

Coral dahlias blooming in a garden.

Neurodivergent-affirming doesn’t mean ignoring what’s hard.

Being neurodivergent-affirming doesn’t mean pretending that neurodivergence is always easy.

You may experience real challenges with overwhelm, executive functioning, relationships, sensory needs, emotional regulation, anxiety, burnout, or the demands of everyday life.

The difference is where we begin.

Rather than assuming you are the problem, we explore how your nervous system, environment, experiences, and expectations interact—and what kinds of support might genuinely help.

Our work makes room for both acceptance and change, without treating who you are as something that needs to be corrected.

Understand your patterns
Explore masking, sensory needs, emotional responses, and the adaptations you’ve developed over time.

Build self-trust
Learn to recognize your own needs, preferences, and internal cues rather than relying only on outside expectations.

Work with your nervous system
Understand what contributes to overwhelm, shutdown, activation, connection, and a sense of safety.

Create a life that fits
Explore boundaries, relationships, routines, and environments that feel more supportive and sustainable.

Hands holding a colorful bouquet of wildflowers outdoors.

Your experience doesn’t only live in your thoughts.

Neurodivergence can shape how you experience sensation, emotion, attention, energy, connection, and the world around you.

That’s one reason my approach includes attention to the body and nervous system, alongside the stories we tell about ourselves.

Somatic therapy offers another way to explore what happens when you feel overwhelmed, disconnected, guarded, or at ease. We can become curious about your responses without immediately trying to change them.

This doesn’t mean forcing you to focus on your body or use any particular technique. We work at a pace that respects your boundaries, sensory experiences, and preferences.

Sometimes insight matters. Sometimes the body is telling us something insight alone cannot. We can listen to both.

Therapy where you don't have to perform.

My style is warm, curious, collaborative, and attuned.

You don’t have to know the right thing to say, make eye contact, sit still, explain yourself perfectly, or arrive with a neatly organized version of your story.

Together, we can explore what helps you feel comfortable enough to be present. Our work might involve talking and reflecting, noticing patterns, exploring experiences in the body, or developing practical supports that fit your life.

There is room for humor, complexity, uncertainty, emotion, quiet, and the parts of you that don’t fit neatly into a category.

You don’t have to become easier to understand before you deserve to be understood.

I offer neurodivergent-affirming psychotherapy in person in Ketchum, Idaho, and online throughout Idaho, California, and South Carolina. You’re welcome to reach out whether you’re formally diagnosed, self-identified, or still figuring things out.

Karen Bommentre, LMFT, smiling outdoors in a coral dress at Wild Gem Therapy.