NOT LIKE THE OTHER FAQs 

Frequently Asked Questions for clients and would-be clients

How can I pay for my appointment?

I require payment in advance of the session. Payment via Bank Transfer (BACS), PayPal or cash. Payment details will be sent to you on reserving your first session.

For large amounts and special circumstances I would be happy to invoice you.

How can I work with you?

I can work with you online, on the phone or in-person at my office in St Neots. For online clients I use Zoom. You will be sent the link in advance and all you need to do is click on it, from most devices. As long as they are secure and the client is happy, I am flexible.

Sessions for individuals are usually weekly and 50 minutes long. Weekly sessions are the most effective way to work (see below for details). Clients typically work with me from 6 weeks to years, depending on their needs and budget.

When clients are on a budget, but require long-term counselling, I have found it most effective to do a 6-weeks-on, 6+ weeks off pattern. It overcomes the disadvantages of fortnightly or monthly sessions (see later in FAQ) whilst making counselling affordable.

Sessions for couples are also weekly and are 90 minutes long.

What is your cancellation policy?

My standard cancellation policy is that I require 24 hours notice, otherwise you will still be required to pay. However, if an emergency arises, please at least contact me before the session so that I do not waste time waiting for you. In unavoidable situations, such as life-threatening emergency, I may exercise my discretion.

What is counselling with you like?

My counselling training was largely Person-Centred Counselling - a Humanistic school of therapy which regards the client as the expert of their own mind. However, my experience of working with neurodivergent people has taught me that I need to adapt my methods to suit different clients. So, for example, I may talk more than many counsellors, and often we will be discussing or problem-solving issues together. And I may introduce concepts from different forms of therapy, life coaching and even neuroscience!

Sessions are typically relaxed, unless the client has a strong need for structure, and I will encourage you to talk about whatever comes to your mind. My job is to provide an empathic, genuine, accepting and non-judgemental space for you to work things out. I try to avoid giving overt advice, but with almost 30 years lived experience of neurodivergence, I am always happy to mine my experiences for useful ideas and stories.

What sort of issues can I bring to counselling?

Counselling is a kind of talking therapy which helps you talk through your emotional issues. As your counsellor, I am trained to listen and help you figure out what you're going through. In relationship work, I can act as the neutral third party to hear what is going on in your relationship and maybe unpick the issues.

Although I have particular focuses on neurodivergent people (eg. autistic and ADHD) and the LGBTQ+ community, I am trained to work with all kinds of clients, with all kinds of issues. For example, bereavement, work stress, exam stress, childhood trauma, anxiety & panic, depression and low self-esteem. I also work with couples.

I work with teenagers from 16+. If you are looking for counselling for a child I can recommend colleagues who specialise in younger people.

In my couples work, it is not uncommon for both partners to be neurodivergent, but in different ways, even if both the couple are autistic or both the couple are ADHD. So building understanding and acceptance in the relationship is often key.

In the LGBTQ+ community I can work with issues around sexual orientation, coming out, relationship issues etc. I have lived experience, additional training and experience in working affirmatively with people experiencing gender dysphoria and/or gender differences. I have worked with trans-identifying, non-binary and gender fluid individuals.

How do I know if counseling will help?

Counselling works best when there is a relationship of trust between client and counsellor. This is not something you can guarantee, which is why I only require clients to book one session ahead - sometimes we're just not a good fit, and that's OK.

If I'm not a good fit for you, please don't feel bad - it is a normal part of a counsellors job. I am always happy to recommend alternatives.

To get the most out of counselling, you (the client) need to be ready to make changes. This can involve facing your demons and taking a huge step of courage. Sometimes clients think they are ready, but after a couple of sessions, realise they are not. That's fine too. We can't rush these things - emotional healing takes time, sometimes years, before we can begin the process. Counselling helps you sort through stuff in your mind, find connections, understand yourself etc. It can be really hard work and in the early stages, can bring up a lot of stuff that part of you might have prefered to stay buried! But my training, experience and personal life history tells me that when you are ready, counselling can change your life.

What is your approach to transgender and non-binary clients?

Writing as at May 2025, my approach to gender variant and transgender clients has not changed. It is not my job to tell another person who they are and that is particularly true in the case of gender identity and/or sexuality.

In line with current science, I affirm that gender and sex are not binary and that many people fall outside the binary. Someone's gender might differ from their sex assigned at birth: they may be transgender and/or nonbinary or use any one of a thousand different monikers for their identity. All of which is fine and good and deserves respect.

I have personal experience with trans and non-binary loved ones and have done extra training in working alongside gender diverse people. I have supported trans and NB clients through medical & social transition.

I am aware the recent political events have made trans and NB people feel unsafe and frightened for the future. I wish to assure clients that we are not going anywhere - trans, NB, allies, you are accepted and you are welcome.

Do you work with couples and people in relationships

Yes, I do work with couples and people in relationships.

Typically I work with couples where one or both are neurodivergent but my training was general relationship counselling, so I am able to work with all kinds of issues.

Couples counselling differs a little from my individual work: The sessions are typically longer at 90 minutes and the work is usually over a shorter period (typically 6-10 weeks). There is a great coaching emphasis in relationship counselling, although like my individual work, I vary it a lot depending on the needs of the couple.

Please see my fees page on my main website (www.notliketheothers.co.uk) for current prices.

I'm not autistic or ADHD. Can you help me?

Although I have particular focuses on neurodivergent (autistic and ADHD people) and the LGBTQ+ community, I am trained to work with all kinds of clients, with all kinds of issues. For example, bereavement, work stress, exam stress, childhood trauma, anxiety & panic, depression and low self-esteem.

Apart from neurodivergent people themselves, I often work with parents of ND children and partners to ND partners. For neurotypical (ie non-autistic, non-ADHD) clients, the most common presenting issue is anxiety.

I have experience in working with clients with mild-moderate OCD, mild-moderate Borderline Personality Disorder, mild-moderate Body Dysmorphia and clients in recovery from eating disorders (although I am not qualified to work with people still in the middle of the battle). If you are uncertain, please contact me and I'll let you know if I have sufficient experience or not, for your issues.

Do you ever work fortnightly or monthly?

Short answer: Not usually

Although some counsellors will offer fortnightly sessions, it is not a way of working I am comfortable with, if I intend to give you my best.

It is also about value for money: If you are putting the investment into change - which is what counselling is about, it is important the counselling is effective and that you get the most out of it possible. Don't forget that while you are going through the counselling process, you only spend 50 minutes a week with me. Most of the work you will do on your own, in between sessions. A good part of every session is reflecting on that work, before you can move forward. It can be hard enough reviewing all the learning you have made in one week, let alone two!

If money is an issue, I do offer discounts, but also I would recommend working weekly for fewer weeks, rather than fortnightly for longer.

And if time is an issue, I would recommend putting counselling on hold until you can clear the decks to concentrate on it. After all, counselling is a big commitment and hard work, so you want to be able to make the most of it.

Can counselling be harmful?

Sadly, the answer is yes, it can be.

For clients with severe mental health problems, such as severe OCD and/or psychosis, counselling could potentially exacerbate disordered thinking. For example, if someone had a severe OCD about germs, talking about germs could actually trigger them more than help.

However, as a qualified counsellor, my training helps me identify if a client's distress is outside my ability to help. In such situations, I will support the client in finding the help they need. For example, referring them on to the appropriate psychiatrist or clinic.

Counselling can be harmful if it is coerced. Examples of this would be clients with intellectual disabilities and or other neurodivergences who have been badgered into counselling because their carers don't like their behaviour; and young people who's parents don't like how they're developing. In such cases, I do what I can to explain the need for informed consent to the carers or parents.

And finally, counselling with the aim of changing a person's gender identity or sexual orientation, is unethical, harmful and immoral. Conversion Therapy (with or without 'consent') is completely against the constitution of the National Counselling & Psychotherapy Society, of which I am a member.

What is different about autistic/ADHD clients?

That would be a very long blog all on it's own, but in short, neurodivergent people such as autistics and people with ADHD actually think and perceive the world differently to others. Our sensory systems are different, our ability to organise information, focus on detail and/or hyperfocus are unusual. And of course every major counselling methodology, since Freud, has been developed with most neurotypical people in mind. 

Even with adaptations some methodologies aren't as helpful to many neurodivergent people as we'd hope. For example, many of my clients have had past negative experiences with CBT and there is a lot of research work going on to find out why that is, and how things can be improved for those clients.

One common issue I find is that our ability to identify and describe our emotions is inhibited - known as 'alexithymia', it is not so much a problem as a typical day in my practice. So it is essential that your counsellor understands these differences and knows how to help you.

There are some very talented neurotypical counsellors out there able to work effectively with neurodivergents (although given that so many neurodivergents aren't diagnosed, perhaps they aren't so neurotypical after all). But I do believe neurodivergent counsellors like myself can give that little bit extra something to the process. Call it lived experience, call it empathy, but I believe it helps.  

I'm self-diagnosed autistic and/or ADHD. Can you help?

As a Humanistic counsellor, I believe the real expert on a person is themselves. A fundamentally important feature of my work is that:

I believe you!

I believe that self-diagnosis/self-recognition as an autistic and/or ADHD person is valid. Especially if you have researched the subject for yourself and recognise yourself in the diagnostic criteria. I cannot officially diagnose you but if that is the route you wish to take, I can support you in finding a clinician who can.

I've just been diagnosed autistic and/or ADHD. Can you help?

I was diagnosed myself in 2000, after which I had no counselling help at all, so I understand the importance of support to wrap your head around these things.

With the NHS, therapy is sometimes available but waiting lists are long. Many private diagnostic clinics do not offer counselling. I have considerable experience in supporting people in that post-diagnosis phase, helping them come to terms with their diagnosis and what it means for them.

Tales of Neurodivergent Christmas - horror stories avoided

 When I was young I used to get so excited for Christmas, my parents despaired! As an undiagnosed autistic, ADHD kid, my excitement and stress were so great that I was on the go the whole time, and not sleeping. By Christmas morning, my parents would be exhausted. 

And they didn't get much of a lie-in - I've never been a morning person, but at Christmas, by 6am I was up and at 'em, ready to open my presents so I could play with my new toys and eat a chocolate Santa for breakfast. 

It took me many years before realising that the emotions I felt at that time weren't so much excitement and anticipation, but overload and anxiety. Paired with the social expectations that Christmas was 'the Most Wonderful Time of Year'. 

True, I did love getting presents (what kid didn't), and although my parents struggled for money, they invariably tried to get me something I really wanted. I still remember the awe and wonder for the year I received an electronic calculator! (I was 10).

It was years later, and a parent myself, that I started to question whether I even liked Christmas for year, or had I just been brain-washed by Slade and the Kings College Chapel Choir to think I liked it?

So, here's a pros and cons chart for me and Christmas, aged 10 (1976):

PROS 

1. New stuff
2. Yummy food
3. Chocolate for breakfast
4. 2 desserts after dinner
5. No school
6. 'A Christmas Carol' on TV

CONS

1. Strange routine (didn't know if I was coming or going)
2. Having to be grateful for stuff I didn't like (a hideous pinafore dress from a grandmother who showed little interest in me the rest of the year)
3. Having to not only be grateful, but to perform gratitude in a way that was deemed acceptable (the rules were fuzzy at best and seemed to vary on context, but grinning like a loon and saying 'This is just what I wanted' was deemed inadequate due to its inauthenticity). 
4. Awful music everywhere - on the TV, on the radio, in shops (although its even worse now), and most awful of all, carol singers. You had to hold the door open, letting all the heating out and look overjoyed that your neighbours (who didn't even seem to like you) sang vaguely out of tune for your pleasure and demanded money to go away. And you had to look happy about it, whilst not knowing where to look!  Now that's a 1970s tradition I would glad not to see revived. 
5. Mum getting stressed about cooking Christmas dinner which she appeared to hate every second of, but insisted on doing every year, none the less. I would have just as happily had scampi and chips (my then favourite), but apparently that's just weird on Christmas Day.
6. Buying presents for people without a clue what they liked. My dad was the easiest, as he gratefully accepted anything, and also the hardest once I realised that a bottle of fountain pen ink and a tiny tin of model paint weren't conventional presents. 

Perhaps because my family were actually pretty relaxed about our holiday traditions, and we usually didn't see relatives on Christmas Day, I didn't suffer too badly from the lack of routine, sensory overload, unhealthy breakfast and need to perform socially when I didn't like 'people-ing'. When my children came along, however, it was a different story.

Having been raised by a family with an easy-going attitude to Christmas, even my expectations proved too much for our son, who suffered severe sensory issues, hearing issues and ADHD symptoms, leading to challenging behaviour. We had to adjust our routine just to get through in one piece

1. No secret presents - the contents of every gift must be known in advance, otherwise the anxiety of 'what's in the box' would cause a severe meltdown.
2. Stick to the normal daily routine as much as possible e.g. dinner in the evening at 7pm, as usual and not in the middle of the day (that's just weird!)
3. No visits during Christmas Day, Boxing Day or New Year. 
4. No visitors
5. No asking 'What do you want for Christmas?' (the slightest decision would cause major meltdowns, so this wasn't ever going to produce anything good)
6. No background music. It was several years before either of his parents were able to listen to music openly, without him protesting. 
7. No physical affection - this was a child who used to try to breastfeed without touching me, so all that forced bonhomie, hand shaking, hugging and kissing was a nightmare for our son. 
8. Keep down the volume of the Christmas decorations. He did like them, strangely, but we had to avoid a lot of lights and candles. Scented candles were iffy - some smells were OK, but if you got it wrong... oh boy. 

So now we're all adults, including my kids, what suggestions can I pass on for a tolerable Christmas and a calm New Year? The issues are sensory overload, forced proximity to people you may not have a high tolerance for (loved ones are irritating!), out of your usual routine, eating strange things at strange times, high demands for 'masking' (performative gratitude, enforced jollity etc), unpredictability (wrapped gifts) and not allowed to take off on your own for being thought 'antisocial'. So my solutions to these problems are:

1. Have a routine, or even a schedule and make sure everyone knows it
2. Build-in some alone time, a nap, a walk etc. if you get overloaded
3. Agree on gift-lists beforehand and keep 'surprises' to a minimum (if they distress you). 
4. Don't drink too much
5. Consider sensory needs when putting up decorations, especially lights, smelly candles and anything that makes a noise. 

I hope you all have a Happy Christmas (or Hanukkah or Solstice etc) and don't forget to look after your mental health.


Samaritans are there 27/7 even on Christmas Day. 

New Premises for St Neots Clients!

 Announcing the opening of my new counselling premises in Eaton Socon, providing a local, in-person service for people in St Neots, Cambridgeshire and the surrounding towns and villages. 

My office can be found within the Realfit Centre gym, next door to Bill's Boxing Gym and Peppercorns Academy of Music & Theatre. We have ample, free parking and sessions can be booked most Mondays to Thursdays, days and evenings. 

To book your counselling session (including an initial free, 20-minute phone call), please contact:

Anna Hayward

Not Like the Others Counselling & Training,

c/o Realfit Centre

Unit 2, 19 Little End Road,

Eaton Socon,

St Neots, Cambs.
PE19 8JH

Text: 07535 211066

Email: aeh323@gmail.com

Or find me on my website at: https://www.notliketheothers.co.uk

Creating my counselling space

I am a member of Realfit gym myself, and for the last few months, have regularly walked past the little used office that is now my counselling room. Having worked mostly online now for almost 3 years, I decided now was the time to take the plunge and find a physical premises. Online is OK, but many of my clients, especially locally, would like to see their counsellor face-to-face.

Every time I saw that room, I'd say, 'What a shame. It would be a perfect counselling room'. I even joked about moving in there and setting up shop, when they weren't looking!

In the end, I thought I should stop joking and just go for what I wanted, so I arranged a meeting with the proprietor, K... only to go down with Covid for two weeks!

So it was, that a couple of weeks later, and still coughing from the after-effects of Covid (but blissfully negative), I finally had the meeting we'd planned, and K gave me his blessing to go ahead. 

I've had a lot of fun in these last few weeks getting furnishings, pictures and creating a welcoming environment for my clients, and a comfortable place for me to work. B&M just over the road proved a useful resource, as did the wonders of my own over-cluttered house.  Gradually, things came together and now all the room needs is a sign on the door! 

I am really proud to work in the Realfit Centre. Regards physical health, they have that 'can do' attitude that everyone (even someone as unfit as myself) can improve their fitness. For a person who loathed PE lessons as a child, I have found myself remarkably comfortable and at-ease with their personal trainers and coaches.  Despite the recent bout of Covid, I am much fitter and healthier than I was. They do not judge, they just encourage. 

And that's what I hope to do in my counselling work - help people feel at ease with themselves, not judged, just encouraged, however they present themselves. 

If you want to know more about Realfit Centre itself (as opposed to my little corner of it), please follow this link. Realfit offer a week's free trial which is a brilliant deal. 

Realfit St Neots (realfitcentre.co.uk)

Why Is it Good To Know How You Feel? Alexithymia Pt.2

 

Knowing your emotions helps you know yourself. Understanding that I sometimes had emotions that were too subtle to register, or that I had a swirl of emotions all at once, helped me see that just because I couldn't describe them, didn't mean the emotions weren't there.

A lot of autistic people I've known have a fear that they are psychopathic - that they really don't care and don't have feelings. But that is invariably far from the case. From their words and actions, it is clear that these people care deeply for others around them. I can include carers, nurses, aid workers and human rights activists in this group. And this is where 'cognitive processing' (as I call it) comes into its own: by examining their thought processes, often people uncover the subtle emotions they couldn't articulate. For example, I once asked an autistic human rights activist, who risked his life to help people, why he did it and he said, 'I can't see people suffer and do nothing about it'.

BBC mental health expert, Shahana Knight listed 5 reasons why recognising our emotions is helpful. Although addressing children, her 5 reasons work for everyone. They are:

1. Understanding the reason behind your emotion
2. Help you feel more in control
3. Negative emotions can lead to negative thoughts
4. It means you can ask for help
5. It makes you a better friend

Adapting this for adult Neurodivergents, I'd say we do things the other way around sometimes:

1. We tend to use reason to correctly identify the emotion, just as I did with my anxiety feeling. I knew that my body behaved a certain way when anxious, I then considered what I was anxious about (accidentally offending someone) and consequently was able to reduce the anxiety (by apologising next time I saw them).
2. Feeling in control (of our emotions) is something that helps everyone, especially Neurodivergents who are overloaded or have a lot of impulsivity.
3. Negative thoughts in neurodivergent people can often lead to negative emotions, as well as the other way around, so nipping catastrophising or self-deprecation in the bud is often helpful.
4. Not only can you ask for help more easily (because you are communicating to other people what the problem actually is), you are more likely to get the appropriate help. For example, if my anxiety is misread as anger, people will likely try to pacify me rather than actually deal with my anxiety triggers. For example, at the dentist, where what I really needed was to sit alone in a quiet room, but what I got was a nervous dentist trying to ask me what was wrong!
5. And lastly, understanding your own emotions (by whatever means) helps you understand the emotions of others, and maybe predict their behaviours a little more. As an autistic person, I am much more comfortable with people whose actions I can predict. It might improve your social skills, or at least help you avoid social 'danger' situations.

But the major reason why understanding your emotions is important is because your emotions are a big part of who you are and understanding ourselves is a vital element of wellbeing. To accept yourself without judgement, it is useful to understand yourself.

A note on emotional masking

Emotional masking, as I have discussed, is the habit of covering up how you really feel (or don't feel) by putting on a persona that seems more socially 'acceptable' than your real self. It's a way of keeping safe in a world which is not always as understanding as we'd hope. Neurodivergent people often mask for years without even realising we're doing it, but it can lead to confusion about what we really feel, and what we are just 'putting on' to fit in.

With the death of Queen Elizabeth II, a lot of Neurodivergent people may be in the situation of not feeling anything (that they can detect), having feelings they don't feel comfortable in disclosing, or having feelings which are in contradiction to those around them. They might be very sad - or not at all; They might have no idea how they feel or be overwhelmed with a mess of feelings. Sometimes the 'mask' is necessary to be safe or comfortable in social situations. I'm not saying just drop the mask and blurt out something that will get you into trouble. But if you can at least acknowledge, to yourself, what you feel - or possibly just what you think - that can help.

How Does It Make You Feel? Alexithymia Pt.1

 

One of the most irritating questions I find myself asking clients is that old standby: 'And how does that make you feel?'

The reason I hate it is I never know how to answer it myself!

Firstly, I have to work out what the question means in terms of physical sensation or emotional 'feeling'. Like many autistic people, it sometimes seems my senses and feelings aren't wired up right. My instant reaction is to tell the person how I feel physically - so I'll say, 'I'm cold' or 'I have hayfever'. But I quickly remind myself that that is probably not what they're asking (unless they're my doctor) so I scrabble about to think of plausible feelings to mention.

Again, like many autistic and neurodivergent people, a feeling of anxiety is my constant companion, so I may mention that. Or if I'm trying to impress, I will guess what answer the person is expecting (an aspect of 'masking' ie autistic or ADHD people covering up their natural traits to be more acceptable to their audience). 

As I read on LinkedIn today, 'Neurodivergent people don't mask because they don't accept themselves, they mask because others don't accept them'

We Really DO think differently!

An autistic friend of mine volunteered for an experiment, a few years ago, where they put him in an fMRI machine to see what his brain did with various questions. As they were settling him in, they asked for his name (he answered, his brain was quiet) and his date of birth (easy answer; a little bit of brain activity around number processing), and then the nurse asked him how he was? Well, his brain lit up like a Christmas tree! This simple, socially polite question seemed to him to be like quantum physics, and his brain struggled to interpret it and work out the appropriate answer. He did eventually come out with a weak 'Fine', but only by looking at the fMRI could they tell how difficult that question had been for him.

So, what makes that question, 'How do you feel?' so difficult for many autistic people to answer? Partly the problem is that the answer is different in every context. If you are admitted to hospital with a heart attack, and the doctor asks how you feel, he's expecting an answer like 'I have an awful pain on the left side of my chest', not 'Fine' (which is ironically the answer many older people, as well as autistic people, tend to give).

Having disentangled the physical sensations from the emotional ones (not an easy task when you suffer sensory hypersensitivity, like myself) you are then left with a bundle of emotions, trying to decide which ones are expected in this context. To put it bluntly, and not very politically correct, I'm trying not to come across as nutcase. The last thing that occurs to me is just to say how I actually feel (emotionally) but even if it does, I can rarely verbalise what that feeling actually is.

Alexithymia

Psychologists call this emotion-identification problem 'Alexithymia' (literally 'unable to put feelings into words'). And if you're someone who gets your emotions muddled up, that's 'Dysthymia'. Neither of these terms denote a medical condition - they're more symptoms, or I'd say traits, that some people have.

As soon as I came across the term 'Alexithymia' I knew that described a problem I, and other Neurodivergent people, had. It is commonly found with autism, ADHD and dyslexia, but is extremely common with autistic people. My next question was, 'What causes it?'.

If you've met me, you know I have a problem with people blaming everything on neurology. A lot of research papers I've seen seemed to assume that alexithymia is caused by our unique, neurodivergent brain structures or brain chemistry. And they may be right. But I also notice that many Neurodivergent people had great difficulty learning anything as small kids, due to being permanently stressed-out.

Learning social-emotional skills as a Neurodivergent kid, especially if you are undiagnosed, like myself, was like trying to learn your Green Cross Code in Picadilly circus, in rush hour, while the Salvation Army band rehearses Christmas carols. And with people shouting contradictory instructions at you! I challenge anybody to learn anything with sensory and cognitive overload - the sort many autistic and ADHD kids experience every day in school. It isn't surprising, considering, that the basics of so-called 'Emotional intelligence' might have passed us by.

Overcoming Alexithymia

So, what did I fail to learn that could have helped? Firstly, I was well into my counselling training before I learned that human beings often have more than one emotion at one time. Maybe it's obvious to other people, but when I discovered that - a person who was angry, sad, resentful and optimistic all at the same time, for example, it blew my mind! So that sensation of a swirl of emotions - all mixing and colliding in a random pattern - is possibly 'normal'? (As in, found in both neurotypicals and neurodivergents).

This was my first lightbulb moment: Asking 'How does it make you feel?' is an extremely complex question, which confuses us because used socially, it is nothing more than a ritual that says, 'I care about you', and that is all. When a doctor uses the term, they are probably talking about your physicality (unless they're a psychiatrist). And when a counsellor or therapist uses it, maybe they are trying to look deeper... maybe my counsellor actually wanted me to explore the swirling mess of contradictory emotions? Or maybe, sometimes, just like myself when working with a client, it's the 'counsellory' thing to say?

[Note: You can see from this how being autistic equates to chronic over-thinking about everything in my world!]

The second thing that helped me was recognising that I can overcome this 'deficit' in emotion-recognition by using reason and observation. For example, I don't know how I feel, but I have noticed my heart racing, my breathing has speeded up and I feel cold and clammy. This is a sensation I often associate with anxiety. Could I be anxious? If so, what is likely to have triggered the anxiety? Perhaps I've unintentionally upset a colleague?

Intellectualising?

When I was training as a counsellor, I sensed negativity around the idea that clients were 'intellectualising' their problems. I knew I did this, but since this was my major coping strategy, I kept quiet about it. When I started to work with neurodivergent clients, I found that most of them did the same as me - and many had been told by previous counsellors that it was unhealthy, and they were 'disconnected' from their emotions.

Through my own therapy (as a client) and my work with Neurodivergent people, I realised that this 'cognitive processing' did actually work pretty well. Just like my colleagues' Neurotypical clients, my clients made discoveries about the sources of their pain and learned to understand their emotions. I started to feel that just as people who've had a stroke have to learn to use a different part of the brain to walk, neurodivergent people had found a way round this 'alexithymia'.

As autistic people we are often incredibly observant about the people around us. It might not seem it - autistic special interests and ADHD hyperfocus don't seem to be all that suited to noticing those around you, but we're sneaky. I can be in full throttle, talking about my favourite subject (Neurodiversity usually) when someone walks past looking irritated. I notice. I probably don't know what to do about it, but I notice. Once a Neurodivergent person begins paying attention to emotions - their own and others, we often learn fast. It's a different way of learning, but it works.

So, if you were a fly on the wall for one of my sessions with my personal counsellor, or as I work with neurodivergent clients, it might seem that we are doing nothing more than having a philosophical debate about which emotion we are feeling at this moment, and if there are other emotions round it, and if we are repressing or denying some emotions because of masking and feeling they are 'inappropriate'... But you see, this is us using our brains to get round the alexithymic roadblock.

Thirdly, by dropping the 'mask', sometimes it's OK to say, 'I don't know how I feel', or 'I don't feel anything, but I have a lot of thoughts about this'. It doesn't make you callous, or a monster just because your emotions are not clear - 'Still waters run deep,' I like to say (meaning that for a thoughtful person, sometimes it isn't easy just to give a feeling a quick label and leave it at that). If you don't feel anything, allow yourself to be. As my supervisor always says, if we pay attention 'something will emerge'. Don't prejudge what your own mind will come up with - sometimes it will surprise you!

How Neurodiversity-Informed Counselling Can Help

 

My style of counselling draws mostly from the Person-Centred Approach, a way of counselling first invented by psychologist Carl Rogers in the 1960s. This is an approach which assumes you, the client, are the expert on your own life, and that inside you, you already have everything you need to be a fulfilled, self-accepting person. Underneath all of your difficulties and struggles, your true, authentic self and all of your potential is still there, waiting to be discovered. You just need the right environment for it to show itself.

• Difficulty identifying emotions (sometimes called Alexithymia)
• Disliking eye-contact
• Lack of facial expression (sometimes called 'blunt affect')
• Atypical body language e.g. looking angry when stressed, looking bored when concentrating, fidgeting even when not anxious etc
• Need for very detailed, precise instructions
• Very literal way of communicating
• Sensory overload and sensory distractions
• Cognitive 'inertia' - difficulty starting, stopping or changing direction on a task
• Low self-esteem (from having differences seen as faults)
• Social anxiety (making getting to know a counsellor quite scary)

So as your counsellor, I'm not going to tell you what to do. I'm sure you've already had plenty of advice: If it worked, you wouldn't feel the need to consider counselling. What I can do is listen - without judgement and work with you to figure out your thoughts and feelings and separate the 'shoulds' from the 'what is'.

Well so far, I've described Person-Centred counselling. How does that differ when you're an autistic person, Aspergers, ADHD or other Neurodivergences (ND)?

In a way, it doesn't. Every neurodivergent person is an individual, and we are all unique. But there are particular difficulties autistic and other ND people commonly experience. The most common of which is that we are different to most of the people around us. Yes, we are all different, but some of us are more different than others. And being different often means we are frequently misunderstood and may have a lot of negative experiences, leading to us trying to 'mask' or cover up our ND traits to better fit in. After many years, that masking becomes more and more automatic, and we can lose our sense of who we really are, underneath the mask.

In the old days of the Neurodiversity movement (as it's now called), autistic people used to gather on the internet (Usenet Newsgroups). We used to refer to one another as 'ACs', meaning 'Autistics and cousins'. The 'cousins' sometimes referred to other neurodivergent individuals (those with ADHD, Tourettes, dyslexia etc), but generally we referred to each other as 'cousins'. There was a kind of invisible bond between us. Not that we were the same, but like distant cousins in a real family, we had enough in common to recognise one another's struggles.

I still sense that bond to this day. It can be a joy when talking to a stranger at a conference or whatever, and you are both struggling with a similar problem e.g. the lack of literal language in the conference leaflet, sensory overload in the conference hall, embarrassment about fidgeting ('stimming' we call it in the ND world) or tics. Having a counsellor who is neurodivergent can be a great relief when you don't have to explain or justify why you find certain things hard. And even if I don't have that problem personally, you can bet your bottom dollar that I know someone who does, a friend or a relative!

So, here's a list of some of the common issues we have to adapt to, when counselling a neurodivergent person:

Some of this is because of autism and/or ADHD - but a lot of this is because people have a lot of trauma from how they've been treated, because of being ND and different. Sometimes that trauma is from people with the best of intentions - teachers, parents, previous therapists etc. So as your counsellor, I try to take all of this on board: not making assumptions but bearing in mind what sorts of things I might learn about you and being prepared to adapt my approach to meet your needs.

For example, a client might have a lot of difficulty knowing what sort of things to talk about in a counselling session. That's OK - my former tutor used to say, 'Something will emerge'. 

She's right - it usually does. And the thing you first think of is often a good place to begin. But it's hard when you're an ND person who is always careful to try to say the 'right' things and you are afraid of judgement. But I will occasionally adapt my approach by suggesting a place to start. Once we're off, we're off!

Another example is a very socially anxious client who may be scared to meet the counsellor (even over Zoom). So, adapting my practice to allow a trusted friend or relative to be there for the introduction can help.

As for things like facial expression and atypical body language - the key here is knowing that each individual may have different expressions and body language, but I just have to get to know you, and learn how you show your feelings, and we're fine.

Mostly, counselling ND individuals is about accepting difference and believing in my clients. Which, ironically, is how I work with everybody - ND or Neurotypical (ie Muggle). 

Not Like the Others - Origin Story

Not Like the Others started off life as a blog, as a place to vent about my experiences (good and bad) as an autistic student counsellor. I received a lot of feedback along the lines of 'Me too!' and 'That's my experience too!', so I knew I was on the right track.

About 6 years ago, I was at a National Autistic Society conference, when someone asked me what I did for a living. I explained that I had ambitions to 'Get a job that doesn't exist'. When asked what that job was, I answered 'A specialist counsellor to neurodivergent people, especially fellow autistics'.

Well since then, there have been many changes, not least of the fact that there are many 'neurodivergent counsellors' groups, and a ton of CPD courses and talks to help counsellors be more autism-aware. In fact I run such courses myself! (on the grounds that if you want a job doing, do it yourself).

I qualified as a counsellor, despite my many struggles. Along the way, I read a lot of books, went to a lot of courses, and best of all, worked with many autistic clients. In fact, my training placement was with a small autism charity called Autism Hub, part of A.L.A.G (the All London Asperger Group).

So now I am excited to be going into Private Practice, and of course, I had to call it Not Like the Others Counselling & Training, because I'm... well, not like the others. Or as a great autistic friend likes to say, 'Unique, like everyone else'.

And that is the philosophy of my practice: that you, whether you are autistic, ADHD or even 'neurotypical', you are a unique person, and you deserve counselling that celebrates that fact.