03/20/2026
**Therapy isn’t neutral—it’s shaped by who it was built for.**
Most approaches assume you can:
Visualize
Think abstractly
Interpret social nuance intuitively
Adapt quickly
But for many neurodivergent clients, that’s not the reality.
Autistic individuals may communicate in direct, pattern-based ways that are often misunderstood (Milton, 2012).
Clients with aphantasia don’t lack imagination—they process without mental imagery (Zeman et al., 2015).
So when therapy doesn’t “work,” the question isn’t always:
What’s wrong with the client?
It’s:
What assumptions is therapy making?
From a feminist perspective, this matters.
Because the same systems that define “appropriate” emotional expression also:
Pathologize difference
Reward compliance
And marginalize those who don’t fit
Women and marginalized populations are already more likely to be misdiagnosed or overlooked in autism research (Lai et al., 2015), while masking increases psychological strain (Hull et al., 2017).
So when a client is labeled “resistant,” it’s worth asking:
Is this resistance?
Or is it misalignment?
Neurodivergence doesn’t need to be corrected.
Therapy needs to evolve.
The issue isn’t the client. It’s the fit.
**REFERENCES**
Brown, L. S. (1994). Subversive Dialogues: Theory in Feminist Therapy. Basic Books.
Comas-DĂaz, L. (2016). Cultural humility: Engaging diverse identities in therapy. American Psychologist, 71(2), 117–129.
Hull, L., Petrides, K. V., Allison, C., et al. (2017). “Putting on My Best Normal”: Social camouflaging in autism. Journal of Autism and Developmental Disorders, 47, 2519–2534.
Kapp, S. K., Gillespie-Lynch, K., Sherman, L. E., & Hutman, T. (2019). Deficit vs. difference models of autism. Autism, 23(1), 59–73.
Lai, M.-C., Lombardo, M. V., & Baron-Cohen, S. (2015). S*x/gender differences in autism. Journal of the American Academy of Child & Adolescent Psychiatry, 54(1), 11–24.
Milton, D. E. M. (2012). On the ontological status of autism: The “double empathy problem.” Disability & Society, 27(6), 883–887.
Stenhouse, L., Milner, R., & Bateman, A. (2016). CBT with autistic adults: Adaptations and challenges. Advances in Autism, 2(3), 138–148.
Walker, N. (2021). Neuroqueer Heresies. Autonomous Press.
Zeman, A., Dewar, M., & Della Sala, S. (2015). Lives without imagery: Congenital aphantasia. Cortex, 73, 378–380.