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​Online Autism, ADHD & Neurodivergence Support Across Multiple States

As a PSYPACT-credentialed therapist specializing in neurodivergent support, I provide online therapy to adults throughout Arizona, Connecticut, New Jersey, Rhode Island, Maryland, Washington DC, Virginia, Colorado, Florida and Illinois. Your brain works differently—and that's not something that needs fixing. Instead, my approach focuses on helping you understand your unique wiring, develop strategies that work with your natural tendencies, and build a life that feels authentic and sustainable, all from the comfort and safety of your own space.

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Understanding Neurodivergence Through a Compassionate Lens

Neurodivergence encompasses various ways that brains can function differently from what's considered typical, including autism, ADHD, and other neurological variations. In my online practice, I view these differences through a neurodiversity-affirming lens, recognizing that these are natural variations in human neurology rather than deficits to overcome.


Many high-functioning adults across the states I serve—from busy professionals in Washington DC and Northern Virginia to creatives in Colorado and executives in Connecticut—come to me feeling successful on paper but struggling internally with burnout, anxiety, or a sense of disconnection. You might excel in your career while privately managing overwhelming sensory experiences, executive function challenges, or the exhaustion that comes from constantly adapting to neurotypical expectations. Through our online sessions, I help you understand these experiences and develop sustainable ways of navigating the world that honor how your brain actually works.

My Approach to Supporting Neurodivergent Adults Online

Working through a trauma-informed and neurodivergent lens means I tailor every aspect of our virtual work together to meet you where you are. I recognize that traditional therapy approaches don't always translate well for neurodivergent individuals, so I adapt my methods to align with how your brain and nervous system function best—and online therapy often provides the ideal environment for this personalized approach.


My training spans multiple evidence-based modalities, which allows me to create a truly personalized approach for each client, whether you're joining me from your home office in New Jersey, your apartment in Chicago, or anywhere else within my practice states. Whether we're using Cognitive Behavioral Therapy (CBT) to reframe thought patterns, Dialectical Behavior Therapy (DBT) for emotional regulation skills, or somatic approaches to address how neurodivergence affects your body, I select and adapt techniques based on what resonates with you.


It's important to note that neurodivergence can look very different in women than in men. Many women grow up learning to "mask" their struggles — working hard to appear organized, agreeable, or high-achieving while privately feeling exhausted, overwhelmed, or misunderstood. Because traditional diagnostic criteria were developed around how ADHD and autism present in boys, countless women are overlooked or misdiagnosed. This can leave them questioning themselves or pushing through without the support they deserve. In our online therapy sessions, I help women better understand their neurodivergent traits, reduce the pressure of masking, and explore new ways of living that honor both their strengths and their challenges.

Integration of Therapeutic Modalities in Virtual Sessions

The beauty of having extensive training in various approaches means I can seamlessly integrate different techniques to support your specific needs through our online platform:

Acceptance and Commitment Therapy (ACT) helps many of my neurodivergent clients across all nine states develop psychological flexibility and work with, rather than against, their neurological differences. We explore values-based living that doesn't require you to change who you are fundamentally.

Internal Family Systems (IFS) can be particularly helpful for understanding the different parts of yourself—including the parts that mask, the parts that feel overwhelmed, and the authentic self underneath it all.

Somatic Therapy and Polyvagal Theory inform how I help you understand and regulate your nervous system, even through virtual sessions. Many neurodivergent individuals experience heightened sensitivity to sensory input and emotional dysregulation, and body-based approaches can provide powerful tools for finding balance.

Mindfulness-Based Cognitive Therapy (MBCT) and Mindful Self-Compassion (MSC) practices are adapted to work with neurodivergent brains and the online format, recognizing that traditional mindfulness might need modification to be accessible and helpful.

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Supporting Autism in Adults Through Online Therapy

For adults on the autism spectrum—whether you're in metropolitan areas like DC and Northern Virginia or anywhere else I practice—I provide a virtual space where masking isn't necessary. Many of my autistic clients describe feeling exhausted from years of trying to appear neurotypical, leading to burnout, anxiety, and depression. Through our online sessions, we work on:

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  • Understanding your sensory profile and developing personalized sensory strategies for your home and work environments

  • Identifying and reducing masking behaviors that drain your energy

  • Building self-advocacy skills for work and relationships

  • Processing past experiences through a neurodivergent-affirming lens

  • Developing sustainable routines that work with your need for structure and predictability

 

I understand that autism presents differently in everyone, and I'm skilled at recognizing how it might show up in adults who've developed sophisticated coping strategies over the years. The online format often provides additional comfort for autistic clients, allowing you to control your sensory environment during sessions.

ADHD Support and Strategies Via Teletherapy

ADHD in adults often goes beyond the stereotypical presentations we hear about. In my online practice serving Arizona, Connecticut, and seven other states, I see brilliant, creative individuals who struggle with executive function, time management, and emotional regulation while excelling in areas that capture their interest. My ADHD support focuses on:

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  • Understanding your unique ADHD presentation and how it impacts different life areas

  • Developing executive function strategies that actually stick in your real environment

  • Working with rejection sensitive dysphoria and emotional intensity

  • Creating systems for consistency without rigidity

  • Addressing the shame and self-criticism that often accompany late diagnosis or years of feeling "different"

 

I also offer comprehensive ADHD testing and evaluations online for adults who suspect they might have ADHD but haven't received a formal diagnosis. This evaluation process is thorough and neurodivergent-affirming, recognizing how ADHD can present differently in adults, particularly those who've developed compensatory strategies.

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The Intersection of Neurodivergence and Mental Health

Many of my neurodivergent clients also experience anxiety, depression, trauma, or burnout—often as a direct result of living in a world not designed for their neurotype. I approach these co-occurring challenges with an understanding of how they interconnect with neurodivergence.


For instance, what might appear as social anxiety could actually be the exhaustion from social masking. Depression might stem from years of feeling misunderstood or forcing yourself into neurotypical molds. Trauma can result from repeated experiences of rejection or punishment for neurodivergent traits. My trauma-informed approach recognizes these connections and addresses them holistically through our online work together.

Supporting Relationships and Families Virtually

Neurodivergence affects relationships, and I offer specialized online support for couples where one or both partners are neurodivergent. Using Emotionally Focused Couples Therapy adapted for neurodivergent relationships and the virtual format, we work on understanding each other's neurological differences, improving communication, and building connection that honors both partners' needs.


I also provide online family therapy and parenting support for neurodivergent adults navigating parenthood. Whether you're parenting neurotypical or neurodivergent children, we can work on strategies that align with your neurotype while meeting your family's needs—all through convenient virtual sessions.

Creating Your Personalized Online Treatment Plan

When you begin working with me, our process starts with a free 15-minute virtual consultation where you can ask questions and I can ensure I'm the right fit for your needs. If we decide to move forward, our initial 90-minute online intake session (charged at my standard 50-minute rate) allows us to dive deep into your experiences and goals.


What sets my approach apart is my ability to truly "see" my clients—even through a screen—noticing subtle changes in non-verbals and emotions while keeping your bigger goals in focus. I present information and strategies at times and in ways you can absorb them, recognizing that neurodivergent brains often process information differently.


Your treatment plan will be completely tailored to your needs. Whether you're seeking brief, focused work on specific challenges or more in-depth, longer-term therapy, I adapt to what works for you. Some clients benefit from homework and exercises between sessions, while others need to focus their energy elsewhere—I meet you where you are without judgment.

Why Choose My Online Practice

I've established a history of connecting deeply with neurodivergent clients across all the states where I practice—from Arizona to Illinois, Maryland to Colorado. Online therapy removes geographical barriers while providing the comfort and control many neurodivergent individuals prefer. My extensive training allows me to draw from multiple modalities, selecting and adapting techniques that resonate with how your particular brain works.


Most importantly, I create a virtual space where you don't have to perform or mask. You can show up as your authentic self, with all your strengths and challenges, knowing you'll be met with understanding and practical support.

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Begin Your Online Journey Today

If you're ready to work with a therapist who understands and affirms neurodivergence, I invite you to reach out. Whether you're in Arizona, Connecticut, New Jersey, Rhode Island, Maryland, Washington DC, Virginia, Colorado, Florida or Illinois, my online sessions are designed to accommodate your sensory and processing needs from the comfort of your own space.


Contact me today for your free virtual consultation, and let's discuss how I can support you in building a life that works with, not against, your beautiful neurodivergent brain.

phone: 203-212-8824

Dr. Katie Carhart is a licensed clinical psychologist providing online therapy for adults and couples under PSYPACT. She offers secure, HIPAA-compliant telehealth sessions for anxiety, depression, trauma, ADHD, neurodivergence, relationship stress, couple conflict, co-parenting, and burnout.

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Through PSYPACT authorization, I am licensed to provide telehealth evaluations in multiple states. Some of the key areas I serve include:

  • Arizona (Tucson, Phoenix, Scottsdale)

  • Connecticut (Greenwich, Stamford, New Haven, Hartford)

  • Washington, D.C.

  • Virginia (Arlington, Alexandria, Fairfax)

  • Maryland (Bethesda, Baltimore)

  • New Jersey (Princeton, Newark)

  • Rhode Island (Providence)

  • Colorado (Denver, Boulder)

  • Illinois (Chicago, Naperville)

  • Florida (Tampa, Miami, Boca Raton)

  • Instagram
  • TikTok
  • Spotify
Notebook and tea for journaling session

 

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