Amy Mansfield, LMSW, Licensed Clinical Therapist

Amy Mansfield, LMSW, Licensed Clinical Therapist I am so happy you are here! I am a licensed clinical telehealth therapist meeting children and adult mental health needs.

I have over 16 years of experience in clinical mental health treatment and healing.

02/06/2026

Do you get a "boundary hangover"?

You know the feeling, that wave of guilt, anxiety, or second-guessing that hits right after you finally say "no" or stand up for yourself.

For highly sensitive people, setting boundaries can feel like a social emergency. That’s why we created the "No Script Pack." It gives you gentle, clear ways to set limits without the drama or the hangover.

Download it for free here: https://mailchi.mp/emotionallysensitive/scriptpack

02/05/2026
Reaching out for mental health support can feel overwhelming. Amanda is here to help make getting started clear, support...
02/02/2026

Reaching out for mental health support can feel overwhelming. Amanda is here to help make getting started clear, supportive, and stress-free. When you’re ready, you can request an appointment at TelebehavioralHealth.US.

02/02/2026

ADHD vs Autism vs AuDHD — Understanding the Real Differences Beneath the Labels
In conversations about neurodiversity, ADHD and Autism are often mentioned together — sometimes even confused for each other. And then there’s AuDHD, a term many people are just beginning to understand. While these conditions can overlap, they are not the same. Each comes with its own neurological wiring, needs, challenges, and strengths. And understanding these differences isn’t just helpful — it’s essential for compassion, proper support, and self-awareness.
This comparison chart highlights something crucial:
each neurotype experiences the world differently — from attention and social cues to emotional regulation and sensory input. But the chart is only a starting point. The real depth lies in understanding how and why these differences show up.
Let’s break it down in a way that is human, relatable, and actually useful.
1. Attention: The Core Difference in How the Brain Engages
ADHD — Easily Distracted
An ADHD brain struggles with attention regulation, not attention itself. That means:
You can’t force focus when it doesn’t activate your brain.
You hyperfocus on things that ignite your interest.
You drift off even when you want to pay attention.
The issue isn’t effort — it’s dopamine.
Autism — Hyperfocus on Interests
Autistic focus isn’t about impulsive interest; it’s about deep, sustained immersion:
Long, intense focus on specific topics
Difficulty shifting attention away
Passion-driven learning and exploration
It’s not that autistic individuals don’t get distracted — it’s that their attention anchors strongly.
AuDHD — Inconsistent Attention
AuDHD combines both traits:
periods of intense focus
sudden distraction
difficulty shifting tasks
difficulty starting tasks
It’s a rollercoaster of “too much focus” or “not enough,” often without warning.
2. Social Skills: The Unseen Differences in Communication
ADHD — Impulsive Social Behavior
People with ADHD often:
interrupt without meaning to
overshare
talk rapidly when excited
struggle with timing or waiting
misinterpret subtle social boundaries
It’s not intentional — the brain is simply moving faster than the social filter.
Autism — Difficulty With Social Cues
Autistic individuals may:
struggle to read facial expressions
miss sarcasm or indirect language
feel confused by unspoken social rules
prefer predictable, structured interactions
Their social discomfort isn’t disinterest — it’s mismatch in communication styles.
AuDHD — Socially Inconsistent
AuDHDers often describe themselves as:
extremely social one day
completely withdrawn the next
over-expressive at times
awkward or shutdown at others
They may understand some cues and miss others, creating unpredictable patterns.
3. Sensory Sensitivity: How the Brain Interprets the World
ADHD — May Seek or Avoid Input
ADHDers can be sensory seekers:
touching objects
fidgeting
preferring movement
Or sensory avoiders:
overwhelmed by loud noise
bothered by certain textures
easily overstimulated in chaotic environments
The response is inconsistent — it depends on mood, energy levels, and circumstance.
Autism — Sensory Overload
Autistic sensory differences are more intense and structured:
noise, light, textures, crowds can overwhelm quickly
sensory input may cause pain, shutdowns, or meltdowns
routines help manage unpredictability
The sensory system is highly tuned and deeply reactive.
AuDHD — Strong Reactions to Input
People with AuDHD often have:
ADHD’s sensory seeking
AND autism’s sensory overwhelm
This combination can feel like:
needing stimulation
BUT being overstimulated by the wrong kind
A confusing and exhausting internal tug-of-war.
4. Emotional Regulation: The Heart of the Internal Struggle
ADHD — Impulsive Emotions
ADHD emotions come fast, intense, and unfiltered:
frustration hits instantly
excitement feels explosive
hurt feels overwhelming
emotional memory resets quickly
It’s like emotional “hyperactivity.”
Autism — Prefers Clear, Direct Communication
Autistic emotional responses are often:
logical
straightforward
deeply felt but not always expressed conventionally
Indirect communication leads to confusion and anxiety.
AuDHD — Struggles With Flexibility
Here, the combination becomes even more complex:
the ADHD impulsive emotional reactions
the autistic need for clarity and stability
difficulty shifting between emotional states
Emotions can feel unpredictable, intense, and difficult to manage.
5. Communication Style: How Each Neurotype Expresses Themselves
ADHD — Talks Excessively
ADHD communication often includes:
rapid speech
story jumping
tangents
humor
enthusiasm
It’s expressive, energetic, and sometimes overwhelming.
Autism — Prefers Structure
Autistic communication is often:
honest
direct
thoughtful
structured
literal
They value clarity and consistency.
AuDHD — Needs Support With Both
AuDHD communication shifts depending on:
sensory load
emotional state
familiarity with the person
context
They may:
talk rapidly (ADHD)
shut down or go quiet (Autism)
There is no predictable pattern — just a spectrum of communication styles.
6. Strengths: The Power of Each Neurotype
ADHD — Hands-On and Movement-Oriented
ADHDers excel at:
creativity
spontaneity
problem-solving
innovation
high-energy tasks
thinking outside the box
They are doers, makers, and idea-generators.
Autism — Structure and Detail
Autistic individuals shine through:
deep knowledge
precision
pattern following
consistency
reliability
analytical thinking
They bring depth, clarity, and stability.
AuDHD — Pattern Recognition + Creativity
AuDHDers often have:
autistic depth
ADHD creativity
intense curiosity
strong pattern recognition
problem-solving hybrid skills
They can connect ideas others overlook.
Final Thought
ADHD, Autism, and AuDHD are not flaws — they are different ways of experiencing the world. Not better, not worse — just different. Understanding these differences helps us approach ourselves and others with compassion, curiosity, and respect.
Each neurotype deserves support.
Each neurotype deserves understanding.
And each neurotype brings something valuable to the world.

01/22/2026

📚 It's no secret that I love using books in counseling lessons. They are so helpful for explaining difficult concepts and fostering great conversation.

These books are no different! Anxiety can feel so overwhelming, and I've found picture books can make it easier for kids to see that they aren't alone in their experiences and that there are things they can do to help them feel more calm.

The 6 books in the picture of are some of my favorite, but to see my more complete list of worry & anxiety books for kids, check out this blog post: https://www.counselorchelsey.com/blog/worryandanxietybooks

01/22/2026

Ready to talk about your mental health?

You don’t have to carry everything alone. Whether you’re feeling overwhelmed, stressed, anxious, or just need someone to listen, our therapists are here to support you,right where you are.

Same therapy. Different couch.
Care that meets you with understanding, privacy, and compassion.

Take the first step today.
Schedule a virtual session with TelebehavioralHealth.US. https://www.telebehavioralhealth.us/request-appointment

01/21/2026

Tim specializes in working with veterans and their families Life can feel heavy at times, but you don’t have to navigate it alone.

Tim VanAntwerp, LLMSW, offers a strengths-based, solution-focused, and collaborative approach to therapy, helping clients build confidence, develop new skills, and move through life’s challenges with resilience.

If you’re ready to “level up” your mental health and work toward meaningful change, support is available, right from the comfort of your own space through telehealth. Request an appointment today! https://www.telebehavioralhealth.us/request-appointment

Address

Online Telehealth Therapy
Adrian, MI
49221

Telephone

+15174030757

Website

https://www.bestfitcounseling.org/

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Welcome To My Page

Through professional and personal experience, I believe together we can accomplish amazing things. I have a diverse background of trauma training, grief and loss, and working with individuals who are terminally ill. Throughout my 12 years of being a clinical social worker and a therapist I have a tremendous amount of experience with children, families, teenagers, and adults. By building a relationship on trust and confidence I look forward to serving clients through telehealth to meet their individual needs. I truly believe in the power of therapy and what it can achieve to find inner calm and happiness. The first step is reaching out and believing change is possible. I am beyond excited to start this journey with you.