Neuro-Affirming Care for Neurodivergent Adults

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.

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What Is Neuro-Affirming Care?

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. 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. 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. 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.

Individual person illustration

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.

One Approach, Across Our Services

Neuro-affirming care is an approach, not a separate treatment, and it shapes all of the therapy we offer. Many neurodivergent adults seek therapy for anxiety and panic, therapy for depression and burnout, OCD and phobia treatment, or art therapy, and your therapist brings this approach to that work. In addition to individual therapy, we hear from many adults whose child's diagnosis led them to recognize the same patterns in themselves. For parents, we also offer parent-focused therapy and our ADHD parent support group. For children, we offer child and adolescent therapy and our ADHD art therapy groups. With your consent, your therapist can coordinate with a colleague, your physician, or a prescriber.

Your team

Meet our specialists in this area

Emily Mudge, LCSW

Emily Mudge, LCSW

Licensed Clinical Social Worker

Emily is a licensed clinical social worker and parent coach who works with children, adolescents, adults and families on anxiety, depression, and emotional dysregulation. She helps parents turn what happens in therapy into everyday strategies at home.

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Lorens Hidalgo, LCSW

Lorens Hidalgo, LCSW

Licensed Clinical Social Worker

Lorens is a bilingual therapist who offers care in English and Spanish to adults, adolescents, couples and families dealing with trauma, anxiety, depression, and relationship conflict. Her approach is attachment-focused and psychodynamic.

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Marissa Caldarola, LCSW

Marissa Caldarola, LCSW

Licensed Clinical Social Worker

Marissa is an EMDR-trained therapist with more than seven years of experience treating trauma, substance use, anxiety, and depression in children, adolescents, adults and couples.

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Megan Sedita, PsyD

Megan Sedita, PsyD

Licensed Clinical Psychologist

Dr. Sedita is a licensed clinical psychologist who works with adults, adolescents, and couples on trauma, anxiety, mood, and relationship difficulties. She trained at the VA Hudson Valley Health Care System, working with Veterans.

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Lily Brown, PhD

Lily Brown, PhD

Clinical Psychologist, Postdoctoral Resident

Dr. Brown is a postdoctoral resident in clinical psychology who works with adolescents and adults on trauma, anxiety, depression, and life transitions. Her approach is collaborative, integrative and grounded in CBT and other evidence-based models.

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Jessica Duffy, LCSW

Jessica Duffy, LCSW

Licensed Clinical Social Worker

Jessica is a licensed clinical social worker with twelve years of experience supporting adolescents, adults, couples, and families through anxiety, ADHD, trauma, and family or relationship conflict.

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Melissa Klay, PhD, LCAT, ATR-BC

Melissa Klay, PhD, LCAT, ATR-BC

Licensed Clinical Psychologist, Director of Art Therapy Program

Dr. Klay is a licensed psychologist and board-certified art therapist with more than 25 years of experience treating complex trauma, eating disorders, anxiety, and emotional dysregulation in children, adolescents, and adults. She directs PPG’s art therapy program.

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Gerard Micera, PsyD

Gerard Micera, PsyD

Licensed Clinical Psychologist

Dr. Micera is a licensed clinical psychologist and performing arts educator who works with children, adolescents, adults, couples, and families on anxiety, depression, and life transitions. His style is warm, humorous, and engaging.

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Kate Testa, MA

Kate Testa, MA

Art Therapist in Residence

Kate is an art therapist who works with children and adolescents in grades preK–12, with a focus on neurodiverse young people, including autistic children, English language learners, and students with learning or physical disabilities. She also offers individual art therapy for adults, on its own or alongside traditional psychotherapy.

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Emily Bly, PhD

Emily Bly, PhD

CEO, Clinical Director, Licensed Clinical Psychologist

Dr. Bly founded Psychology Partners Group on the idea that people do best when they're matched with the right expertise and feel at ease with their clinician. She works with adults, adolescents, and couples on anxiety, depression, ADHD challenges, relationship strain, and major life transitions, including infertility, adoption, and divorce.

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Eva Leighton, PhD

Eva Leighton, PhD

CFO, Training Director

Dr. Leighton is a licensed clinical psychologist who works with adults, couples, children, and families on trauma recovery, substance use, parenting and behavioral concerns, and relationship difficulties. Her style is warm and supportive, with a natural sense of humor.

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Kaitlin Carson, PhD

Kaitlin Carson, PhD

Licensed Clinical Neuropsychologist

Dr. Carson is a licensed clinical psychologist who conducts neuropsychological, psychoeducational, and psychological evaluations for children, adolescents, and adults.

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Valerie Scelsa, PhD

Valerie Scelsa, PhD

Licensed Clinical Psychologist

Dr. Scelsa specializes in anxiety, OCD, ADHD, ARFID and related behavioral challenges in children, adolescents, and young adults, and coaches parents to support their child’s progress.

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FAQ

Common questions

What is neuro-affirming care?

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.