Lizzie Horvath on Being a Neurodivergent Therapist

Neurodiversity in the Person-Centred Therapy Room: What Happens When Your Therapist Is Neurodivergent Too?

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Therapy is about being understood. For many neurodivergent people, that’s something that hasn’t happened often enough.

Whether you’re autistic, ADHD, dyslexic, dyspraxic, or identify with another form of neurodivergence, you’ve probably spent a fair amount of your life adapting to a world that wasn’t designed with your brain in mind. Sometimes that’s called masking. Sometimes it’s simply called getting through the day.

So what happens when your therapist is neurodivergent too?

The answer isn’t that they’ll automatically understand you. Every neurodivergent person is different. But it can create a therapy space where difference doesn’t need explaining before it can be accepted.

A Different Way of Looking at Neurodiversity

The idea of neurodiversity asks us to see neurological differences as natural variations of the human experience rather than problems that need fixing.

That fits beautifully with the person-centred approach developed by Carl Rogers. Instead of asking, “What’s wrong with you?” person-centred therapy asks, “What’s it like to be you?”

You’re the expert on your own life. My role isn’t to interpret your experiences through a diagnostic label or tell you who you are. It’s to understand your world as you experience it.

When Lived Experience Meets Professional Practice

Being a neurodivergent therapist shapes how I experience the therapy room, just as it shapes every other part of my life.

It influences how I communicate, how I process information, how I notice patterns, and sometimes how I experience sensory environments. Those aren’t things I try to hide or “correct.” They’re simply part of who I am.

In person-centred therapy, authenticity matters. Rogers called this congruence: being genuine rather than performing a professional role.

That doesn’t mean therapy becomes about me. It doesn’t. My responsibility is always to create a space where your experience remains at the centre. But I also don’t believe therapists have to pretend to be perfectly neutral, emotionless people. Authenticity, when held alongside clear professional boundaries, helps build trust.

Shared Experience Doesn’t Mean Shared Understanding

One of the biggest misconceptions is that two neurodivergent people will automatically understand each other.

Sometimes there are moments of instant recognition. We may both know what sensory overload feels like, or the exhaustion that comes from masking, or the frustration of being misunderstood.

But your experience will never be exactly the same as mine.

That’s why curiosity matters more than assumption.

Rather than thinking, “I know exactly how you feel,” my aim is always to ask, “Help me understand what this is like for you.”

Person-centred therapy is built on listening carefully rather than filling in the gaps ourselves.

Creating a Therapy Space That Works With You

Being neurodiversity-affirming isn’t just about attitudes. It’s also about practical things.

That might mean thinking about pacing, communication style, sensory comfort, structure, or allowing sessions to unfold in ways that suit how you naturally process information.

Some clients like clear frameworks. Others think out loud and jump between ideas. Some need extra processing time. Some communicate more comfortably in direct language than through social convention.

There isn’t one “right” way to do therapy.

Instead of expecting you to fit into a particular model, we’ll work together to create a way of working that feels accessible and supportive for you.

Therapy Isn’t About Making You More Neurotypical

Many neurodivergent people come to therapy carrying years of burnout, anxiety, trauma, rejection, or the belief that they’re somehow “too much” or “not enough.”

Those experiences deserve attention.

But that doesn’t mean your neurodivergence is the problem.

Person-centred therapy doesn’t aim to make people appear more neurotypical. Instead, it offers a space to understand yourself more fully, make sense of your experiences, and develop a life that feels authentic rather than performative.

My Approach

As a neurodivergent, person-centred therapist, I’m aware that my own way of experiencing the world influences how I work. I see that as something to stay curious about rather than something to ignore.

My lived experience may help me recognise experiences like masking, feeling different, or navigating environments that don’t quite fit. But I never assume your story matches mine.

I aim to offer warmth, honesty, and acceptance while maintaining the professional boundaries that make therapy a safe and reliable relationship. I also pay close attention to communication, pacing, and accessibility so that therapy can adapt to you, not the other way around.

Finding a Therapist Who Understands You

Good therapy isn’t about finding someone exactly like you.

It’s about finding someone who is genuinely interested in understanding you.

For some neurodivergent clients, working with a neurodivergent therapist can make that process feel a little easier. There may be fewer assumptions, less pressure to mask, and more space to simply be yourself.

At the heart of person-centred therapy is a simple but powerful belief: you don’t need to become someone else to be worthy of understanding. You already are.

If something in this article resonates with you, you can find out more about me, my experience and how I work on my profile Lizzie Horvath. If you’re considering therapy and feel we might be a good fit, please get in touch. I’d be happy to hear from you and answer any questions you may have.

Contact Lizzie Horvath

Ready to start your journey to wellness? Whether you have questions or you’re ready to book your first session, I’m here to support you. Feel free to reach out* and we can take that first step together.
About the author
Picture of Lizzie Horvath
Lizzie Horvath is an integrative psychotherapist with a mainly person-centred approach. After an 18-year career in teaching, she trained as a therapist, driven by a belief in the importance of empathy, understanding and genuine human connection. As someone with ADHD herself, Lizzie has a particular interest in working with neurodivergent people and understands some of the challenges that can come with navigating a world that doesn’t always accommodate different ways of thinking and experiencing life.
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