Many adults learn that they have ADHD or are autistic well into adulthood, sometimes after a child's evaluation or after years of burnout. A late diagnosis often brings relief and grief together: relief at finally having an explanation, and grief for the years spent working harder than others just to keep up. Neuro-affirming care is not a separate kind of therapy. It is an approach that our clinicians bring to whatever therapy a neurodivergent person comes for, whether that is anxiety, depression, OCD, or something else. It regards ADHD, autism, and other neurodivergent profiles as natural variations in how people think and function, not as defects to correct, and it shapes how we understand your difficulties and what we suggest. Sessions are available in person and online.
Neuro-affirming care is an approach, not a treatment in itself. It describes how a therapist understands and works with neurodivergent people, and it applies to whatever therapy someone seeks. It shapes how your therapist understands your difficulties, which goals make sense, and which strategies are likely to fit.
At its core is respect for neurodivergent ways of thinking, sensing, and communicating. The goal is not to make you appear neurotypical. It is to help you understand how your mind works, reduce distress, and build supports that suit you.
In practice, this often includes work on masking: hiding or suppressing natural traits to fit in, which takes constant effort and can contribute to exhaustion, anxiety, and low mood. It also means taking real difficulties seriously, such as organization, time management, sensory overload, and executive functioning, and working on practical ways to manage them. You do not need a formal diagnosis to begin.
All of our therapists who work with adults take this approach, whatever your age, from young adults through older adults.
Who It Can Help
An Adult Diagnosis
You recently learned you have ADHD or are autistic and want to make sense of your history and what comes next.
Wondering Whether It Fits
You suspect ADHD or autism but have not been evaluated, and want support while you find out.
Masking and Burnout
You spend so much energy fitting in that you are exhausted, anxious, or losing track of who you are.
Executive Function Difficulties
Starting tasks, organizing, managing time, and following through take far more effort than they seem to for others.
Sensory and Emotional Overwhelm
Noise, crowds, change, or strong emotions can overwhelm you and take a long time to recover from.
Recognizing Yourself in Your Child
Your child's evaluation made you recognize the same patterns in yourself.
How Our Approach Works
Understanding Your Neurotype
We help you understand how your mind works, including attention, sensory processing, and emotional intensity, so you can stop judging yourself by standards that were not built for you.
Working Through Shame and Self-Criticism
Many neurodivergent adults carry years of messages that they are lazy, careless, or too much. We work on the beliefs that grew out of those experiences and on how you treat yourself now.
Building Supports That Fit
Instead of generic advice, we build personalized systems for time, tasks, and energy that account for how you actually function, and we adjust them as you learn what works.
Advocating for Your Needs
We practice asking for accommodations and explaining your needs at work, in relationships, and in healthcare settings, in a way that feels authentic to you.
Core Components of Care
Executive Function Strategies
Practical support for the management side of daily life: prioritizing, starting tasks, organizing, and keeping track of time and commitments.
CBT Adapted for ADHD
CBT approaches adapted for ADHD help you recognize and change unhelpful beliefs, such as “I’m just lazy,” that often follow years of unrecognized difficulties, and build habits that work for you.
Sensory and Emotional Regulation
Tools for managing overwhelm and for recovering after sensory or emotional overload, including recognizing early signs of burnout.
What to Expect
You don’t need to have it all figured out before you reach out.
1
A Free Consultation
A brief call to learn what you are looking for, answer your questions, and match you with a clinician whose training and style fit your needs.
2
Getting to Know Your Mind
You and your therapist explore your history, your strengths and difficulties, and what you want to change, and agree on goals.
3
Strategies and Support
Sessions combine understanding with practical strategies that you try between sessions. Your therapist reviews progress with you regularly, and the plan changes as you do.
Therapy and Assessment Together
For many adults, a formal evaluation brings clarity about ADHD, autism, or a learning profile that was never identified. We offer psychoeducational and neuropsychological testing and autism spectrum testing. Evaluation is a separate process from therapy, and you can begin with either. If you complete testing, your therapist can use the results to shape your care plan.
Neuro-affirming care is an approach, not a separate treatment. It treats ADHD, autism, and other neurodivergent profiles as natural variations in how people think and function, not as defects to correct, and it shapes how a therapist understands your difficulties and chooses strategies, whatever kind of therapy you seek.
Do I need a diagnosis to start therapy?
No. You can begin therapy whether you have a diagnosis, suspect ADHD or autism, or are simply struggling with patterns you do not understand. If a formal evaluation would help, we can talk about testing.
What is masking?
Masking is hiding or suppressing natural traits, such as stimming, direct communication, or difficulty with eye contact, to fit in or avoid judgment. It is common among autistic people and people with ADHD, particularly those diagnosed later in life, and it can contribute to exhaustion, anxiety, and loss of a sense of self.
How is neuro-affirming care different from traditional approaches?
Traditional approaches sometimes aim to reduce traits or help a person appear neurotypical. Neuro-affirming care aims instead to understand your neurotype, address the stress and shame that often come with being misunderstood, and build supports that fit how your mind works. It uses evidence-based tools, adapted for you.
Can therapy help with executive function difficulties?
Yes. Therapy can help with prioritizing, starting tasks, organizing, and managing time by building practical, personalized systems and by addressing the self-criticism that often accompanies these difficulties. Strategies are adjusted over time to fit your life.
Do you offer testing for ADHD and autism?
Yes. We offer psychoeducational and neuropsychological testing and autism spectrum testing. Evaluation is a separate process from therapy, and you can start with either.
Is medication part of treatment?
Our clinicians provide therapy and do not prescribe medication. For ADHD in particular, medication is often used alongside therapy. If medication might help, we can coordinate with your primary care doctor or a psychiatric prescriber, with your consent.
Can I do therapy online?
Yes. Sessions are available in person at our Chappaqua and Hartsdale offices and by secure video.
What should I do if I am in crisis?
PPG provides outpatient care and is not an emergency service. If you are having thoughts of harming yourself, call or text 988. If you are in immediate danger, call 911.
How do I get started?
Schedule a free consultation. We will talk briefly about what you are looking for and match you with a clinician whose training and style fit your needs.