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 or you need a sounding board with expertise. When OCD, autism, and ADHD co-occur, clarity can be difficult to come by.

Consultation can help!

I offer 1:1 clinical consultation for therapists who want to think through complex cases, sharpen their neurodivergent-affirming approach, or get unstuck when progress has stalled. My approach is practical and direct; I offer concrete stratagies, tools, and resources you can start using right away. I bring deep experience in combining neurodivergent-affirming care with evidence-based practice for OCD and anxiety to help you better support your autistic and ADHD clients.


Fee: $170 for 55 mins

Sliding scale available

Schedule a Consult

  • I met with Aiden for a consultation call and found him to be so warm, knowledgeable, and helpful. We covered so much ground and I walked away with many new ideas for understanding and helping my client. I'll definitely utilize his services and expertise for future clients and highly recommend him for anyone needing a consultation!

    —Shlomit Kirsch

  • Aiden is a joy to consult with. Not only is he a lovely human being to connect with when you are looking for help and support, he is truly an amazingly knowledgeable, skilled and compassionate clinician. I can’t recommend his consultation and training services enough!

    —Mordecai Browning

  • My consult with Aiden was far more helpful than I'd hoped. I received clear and detailed feedback, was given the time and patience to process my own thoughts and feelings about my client's struggles and how to support her, and then Aiden shared specific trainings, resources and referrals for me to explore after my consult. I'm deeply grateful and my client has already made significant shifts in her life with the professional confidence I developed from my consult.

    -Anne Roma

  • Aiden’s knowledge about OCD, autism, and ERP is invaluable for clients and other professionals

    —Jessie Read

Who this is for:

Consultation is a good fit if you're:

  • An experienced OCD or anxiety clinician who wants support adapting your approach for autistic or AuDHD clients

  • Familiar with the neurodiversity paradigm but newer to OCD treatment and want to build your footing

  • Looking for concrete strategies to make exposure work more accessible, collaborative, and genuinely affirming

  • Trying to figure out whether what you're seeing is OCD, autism, a sensory difficulty, 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

  • 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. I’m used to"I'm not sure what's happening here" being the starting point; we can jump right in from there.

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.

  • 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.

Get Started

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. They 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 hold it all alone. That's what consultation is for.

If you're sitting with a case that feels complicated or stuck, I would be glad to think it through with you and offer practical guidance.

Contact Aiden