Occupational therapy services for neurodivergent adults

Autistic and ADHD burnout isn't the kind of exhaustion a weekend fixes. It's what happens after years, often a lifetime, of forcing yourself through days that ask more than you have: masking, managing sensory input, compensating for executive dysfunction, until your ability to cope quietly runs out. How it shows up depends on your unique neurotype, but this type of burnout usually appears as pervasive fatigue that feels debilitating, a decline in executive function, loss of previously held skills, a drop in motivation, and reduced tolerance for sensory stimuli. Together, we figure out what's driving your burnout, understand your brain to rebuild routines and develop energy management skills that actually hold, and work toward a life that fits how your brain works instead of one you have to fight to keep up with.

Learn more about neurodivergent burnout here

Executive dysfunction shows up as knowing exactly what you need to do and still not being able to start, plan, or follow through, even on things that matter to you. It's not a motivation issue; it's a difference in how your brain manages planning, time, task initiation, decision-making, prioritization, etc.

OT is here to help you build systems that work with that difference instead of relying on willpower.

Sensory processing looks different for everyone. Everyone's nervous system responds to sound, light, texture, movement, smells, and other input in its own way - some seeking more input, some needing reduced input, and others needing to find just the right balance of both.

Having routines, environments, and tools adapted to your specific sensory profile directly shapes your daily functioning.

In our work together, we start by mapping your specific sensory profile, then build practical adaptations, tools, and routines that meet your sensory needs, so daily life stops feeling like a constant negotiation with your environment and starts feeling manageable.

Big emotions aren't a flaw in your wiring… they're a sign of a nervous system that feels things fully and fast, which comes with real strengths alongside real challenges.

For many neurodivergent adults and teens, that intensity can get in the way of your ability to function and move through your routines.

In our work together, we build awareness of your specific patterns and triggers and develop concrete, realistic tools for moving through emotions and dysregulation with more flexibility and self-compassion, replacing the shame that often follows a hard moment with real understanding of how your brain works.

Interoception is your brain's ability to notice internal signals: hunger, thirst, exhaustion approaching, stress building up, and more. Interoceptive awareness can often be impacted in neurodivergent teens and adults, so instead of a gradual warning, the signal often arrives late and all at once. Occupational therapy can support you in tuning in to what your body is telling you (its signals, needs, and limits) and meeting them before you hit a wall, while also building routines to make sure your basic needs are met.

Everyday responsibilities such as laundry, dishes, hygiene, cooking, managing school or work, and getting out into the community can be genuinely taxing when executive dysfunction is present.

We build real, individualized systems and strategies for the specific tasks that are hardest for you, focused on what actually works for your brain rather than generic advice that assumes everyone's daily life runs the same way.

Many neurodivergent adults and teens run on a smaller, less predictable energy budget than the world expects them to have - leading to constant fatigue that doesn't go away with rest or sleep, no matter how much you get.

We’ll work together to learn how to work with the energy you actually have, recognize your limits before you hit them, and build routines you can realistically keep up long-term.

Anxiety and low mood commonly co-occur alongside autism, ADHD, and AuDHD, often because of the challenges that come with navigating a world that wasn't built with your neurotype in mind.

In OT, the goal is to reduce the pull of anxiety and low mood when they get in the way of the things that matter to you most, while also looking at the underlying neurodivergent-specific stressors (masking, sensory load, executive dysfunction) that are often quietly driving them.

When your capacity is different from what the world assumes, ordinary life demands (work, relationships, household responsibilities, social obligations) can add up faster than they seem to for other people, tipping into overwhelm before you realize it's happening.

In our work, we’ll look at where the mismatch between your real capacity and outside demands is coming from, and build realistic, sustainable ways to navigate demands, ease that overwhelm, and create more balance day to day.

Our work together is here to support you in creating anchors for rest, nourishment, movement, and downtime that support how you think, feel, and function.

Many neurodivergent teens & adults carry shame around productivity, either pushing far past what's sustainable to prove their worth, or blaming themselves when unable to initiate tasks that seem like they should be simple.

OT is here to support you in building a healthier relationship with productivity, rest, and play, centered on what actually gives your life meaning.