Clinical Consultation for Therapists: Neurodivergent-Affirming OCD & Anxiety Support
You're already doing meaningful work with your clients. But sometimes a case gets complicated in ways that your training didn't quite prepare you for — especially when OCD, autism, and ADHD are all showing up in the same room at the same time.
That's where consultation comes in.
Aiden offers 1:1 clinical consultation for therapists who want to think more clearly about complex cases, sharpen their neurodivergent-affirming approach, or get unstuck when progress has stalled. He's practical, direct, and brings deep experience in exactly the kind of clinical overlap that's hardest to navigate alone.
Fee: $170 for 55 mins
Sliding scale available
Who this is for:
Consultation is a good fit if you're:
Familiar with the neurodiversity paradigm but newer to OCD treatment and want to build your footing
An experienced OCD or anxiety clinician who wants support adapting your approach for autistic or AuDHD clients
Trying to figure out whether what you're seeing is OCD, autistic overwhelm, a sensory response, a medical factor, or some combination — and you need a thought partner to help you untangle it
Working with a client where progress has stalled and you're not sure why
Looking for concrete strategies to make exposure work more accessible, collaborative, and genuinely affirming
Supporting a client with a PDA profile and not sure how to navigate the demand-avoidance piece without abandoning the clinical work
Wanting to use the SPACE model with a neurodivergent family and needing help balancing anxiety accommodation reduction with appropriate neurotype accommodations
Navigating a case where significant trauma history, a co-occurring medical condition, or a previous bad experience with ERP is making the work more complicated
You don't have to have it all figured out before you reach out. Aiden is used to "I'm not sure what's happening here" being the starting point — that's often exactly where the most useful consultation begins.
We Can Work Together On…
-
Sorting out what's OCD, what's autism, what's sensory, what's demand avoidance, what's burnout — and how to hold all of it in a coherent treatment picture.
-
Making exposure genuinely accessible without watering it down. Aiden's framework draws from ERP, ACT, and neurodivergent-affirming practice, and he can help you think through how to apply that to your specific client.
-
What began as a passion project has evolved into something more. We’re proud of where we’ve been and even more excited for what’s ahead. What sets us apart isn’t just our process—it’s the intention behind it. We take time to understand, explore, and create with purpose at every turn.
-
If your client's compulsions are primarily happening internally and progress feels slow, Aiden has specific tools and frameworks for this.
-
Aiden consults on skin picking, hair pulling, fear-based food avoidance, hoarding, phobias, and related presentations — especially in clients where autism, ADHD, or sensory processing differences are also part of the picture.
-
If a client is disengaged or struggling to identify their treatment goals, Aiden has concrete strategies for shifting that dynamic — including tools for developing meaningful goals consistent with your client’s interests and values, reducing shame and building self-compassion in clients who are hard on themselves.
-
Whether you want to bring a client's support system into the work more effectively or you're using or considering the SPACE model, Aiden can help you think through how to do that in a way that's neurodivergent-affirming.
-
Beyond clinical case support, Aiden is happy to offer practical input on making your intake documents, office policies, and session structure more accessible to neurodivergent clients.
Recent consultation topics:
Here's a sample of what therapists have brought to consultation recently — in their own words:
"I'm looking for a refined case conceptualization for this client and his family, new strategies, and resources."
"I have two cases with co-occurring OCD, GAD, and autism. I'm primarily looking for support managing distressing rumination and tailoring my ERP, ICBT, and ACT strategies to be more neuroaffirming."
"I'm not sure if what I'm seeing is OCD, a medical condition, or autistic overwhelm — the pieces aren't adding up and I want help thinking through differentials and a path forward."
"I have a client I highly suspect is AuDHD with ARFID and skin picking. She came in presenting with depression and anxiety, but I think what I'm actually seeing is burnout and high masking."
If any of those sound familiar, you're in the right place.
Frequently Asked Questions
-
Therapists at any experience level who are working with autistic, AuDHD, or otherwise neurodivergent clients presenting with OCD, anxiety, BFRBs, ARFID, hoarding, or phobias. Aiden also consults on cases involving clients who have had negative prior experiences with ERP, clients with significant trauma histories, clients with intellectual disabilities or limited verbal communication, and clients with co-occurring medical conditions that complicate exposure work.
-
No. Aiden works with therapists across the experience spectrum — from those who are brand new to OCD treatment to experienced ERP practitioners who want a neurodivergent-affirming perspective on a complex case.
-
Practical and concrete. You won't leave a session with vague encouragement — Aiden comes prepared to problem-solve and give you actual strategies you can bring back to your work the following week. His clinical framework draws from ERP, ACT, neurodiversity-affirming practice, and LGBTQ+/gender-affirming care.
-
Yes. While Aiden's specialty is the intersection of OCD and autism, he's happy to consult on complex OCD, anxiety, phobia, and BFRB cases regardless of the client's neurotype.
-
$170 for a 55-minute session. Sliding scale is available — reach out to discuss.
-
Email Aiden directly at Aiden@DivergeCounseling.com to inquire about availability. Or, fill out the contact form on my Contact page.
You're not supposed to have all the answers. That's what consultation is for.
If you're sitting with a case that feels more complicated than you can work through alone, Aiden would be glad to think it through with you.