AuDHD Couples Therapy | Autism and ADHD Comorbidity

Understand Each Other. Grow Together.

When autism and ADHD intersect in a relationship, communication can misfire, emotions can escalate, and connection can feel just out of reach. We specialize in therapy for AuDHD couples and individuals who want clarity, connection, and real-life tools to thrive—in relationships, at work, and in daily life. Together, we’ll help you better understand each other and build a relationship that works for your unique brains.

What Is AuDHD?

Autism Spectrum Condition and ADHD - “AuDHD” is a term used to describe people who experience both autism and ADHD. This dual neurotype creates a unique set of challenges—and strengths—in how people connect, regulate emotions, manage daily life, and relate to others.

At our practice, we specialize in working with AuDHD individuals and couples navigating love, parenting, friendship, and work while feeling misunderstood by traditional therapy approaches.

Experience both sensory sensitivities and a craving for stimulation

Struggle with emotional regulation, often swinging between shutdowns & outbursts

Feel misunderstood, even in close relationships, despite strong intentions to connect

Navigate conflicting needs for routine, spontaneity, alone time, or closeness

Mask or overcompensate in social settings, leading to burnout & miscommunication

Excel in creative, analytical, or passionate pursuits—yet struggle with follow-through

Face parenting challenges while also reparenting their own nervous systems

Want to feel seen, accepted, and supported without being pathologized

We Help Couples Who…

Our therapy is designed for couples navigating the complexities of life with both autism and ADHD. Whether one or both partners are AuDHD, we offer a safe, affirming space to explore communication breakdowns, emotional intensity, and conflicting needs—while building tools for connection, regulation, and real-world partnership.

Constantly misunderstand each other, despite deep care and effort

Have mismatched needs for routine, novelty, or personal space

Experience sensory overload, shutdowns, or meltdowns that impact connection

Struggle with emotional regulation, reactivity, or feeling “too much” for each other

Are navigating parenting while managing their own neurodivergent needs

Are unsure if one or both partners are autistic or have ADHD and want clarity

Have tried other therapies that didn’t quite “get it” or missed the neurodivergent context

70%

Of individuals with autism spectrum disorder (ASD) also present with comorbid attention deficit hyperactivity disorder (ADHD)

How AuDHD Therapy Is Different

This isn’t one-size-fits-all therapy. We integrate neurodiversity-affirming practices with trauma-informed care, attachment theory, and practical communication tools tailored for AuDHD relationships. We help you identify patterns, decode triggers, and develop realistic tools you can actually use—without pathologizing who you are.

We focus on progress, not perfection—because healing in a neurodiverse relationship means learning to navigate differences, not erase them. Together, we’ll build a framework that respects both partners' needs, boundaries, and sensory realities.

Learn to self-regulate and co-regulate during conflict

Reduce sensory and emotional overload between you

Build shared language for your neurodivergent experiences

Understand each other's needs for autonomy, structure, or novelty

Develop boundaries and connection at the same time

Work through missed cues and emotional misattunements without blame

Create rituals that nurture closeness without overwhelming the nervous system

Understand each other's needs for autonomy, structure, or novelty

Our AuDHD therapy is tailored to fit your unique wiring, needs, and goals.
Therapy designed for complexity, built for brilliance.

Hi, I'm Leila Pirnia.
I Specialize in AuDHD Relationships.

As a neurodiversity-affirming therapist, I’ve spent years working with individuals and couples who are wired differently—many of whom have been misdiagnosed, misunderstood, or overwhelmed by traditional therapy models.

My approach is collaborative, strengths-based, and grounded in real life. I help couples decode their patterns, name their needs, and grow toward the kind of connection they’ve always wanted—but didn’t know how to build.

Whether you’ve been diagnosed or just suspect you’re neurodivergent, you're welcome here.