Psychological care shaped by experience
D r downes & associates - neurodiversity
Psychological work that adapts to the individual
At D R Downes & Associates, our work is neurodiversity-aware by design. We recognise that differences in attention, processing, regulation, and sensory experience shape how people think, feel, and relate particularly under pressure.
Rather than asking people to fit a predefined therapeutic structure, we adapt how we work to the individual, their context, and what they are carrying.
At D R Downes & Associates, our work is neurodiversity-aware by design. We recognise that differences in attention, processing, regulation, and sensory experience shape how people think, feel, and relate particularly under pressure.
Rather than asking people to fit a predefined therapeutic structure, we adapt how we work to the individual, their context, and what they are carrying.
Get in touch today!
If you would like to explore whether neurodiversity-aware psychotherapy with us feels right, you are welcome to contact us.
Enquiries are handled directly by the practitioners, ensuring clarity, discretion, and a human response from the outset.
Neurodiversity-Aware Psychotherapy
Lived experience, held carefully
Alongside professional training and experience, our work is informed by lived experience of neurodivergence and long-term health conditions.
This does not replace clinical training, nor does it define the work. It simply adds depth of understanding particularly around fatigue, fluctuation, and the invisible effort involved in everyday functioning.
,For some clients this matters a great deal; for others it sits quietly in the background. Many neurodivergent adults come to therapy not because of difference itself, but because of sustained pressure, work demands, caregiving, responsibility, or environments that require constant adaptation.
You do not need a diagnosis to work with us.
Intersection with complexity and pressure
Our experience working within complex organisational and social systems informs how we understand:
- Burnout and cumulative stress
- Performance under pressure
- Responsibility, expectations, and overload
- The emotional cost of coping over time
This perspective allows us to work with both internal experience and external context, without oversimplifying either.
Who this often suits
Neurodiversity-aware psychotherapy may be helpful if you are:
- Exploring ADHD or autistic identity, including later identification
- Experiencing burnout, overwhelm, or exhaustion
- Feeling “out of step” with expectations at work or in relationships
- Carrying long-standing self-criticism or confusion
- Seeking therapy that adapts to how you think and process
neurodivserity for adults & couples
How the work is delivered
We work primarily remotely, supporting clients across the UK and Europe. Remote work can be particularly helpful for neurodivergent clients, offering flexibility, reduced sensory demand, and continuity.
A very limited number of in-person sessions are available in London and Chester, by arrangement, where clinically appropriate and availability allows.
Is this the right fit?
If you are looking for experienced psychological care that can hold difference and complexity with care, you are welcome to get in touch.
Our neurodiversity-aware approach tends to suit people who:
- Value experience, steadiness, and thoughtful adaptation
- Prefer non-formulaic psychological work
- Are seeking understanding rather than label
- Want care that recognises difference without making assumptions
If you are looking for rigid programmes, skills-only coaching, or highly standardised interventions, this may not be the right setting.
Independent Practitioners Working to Professional Standards
Therapy is provided by individual practitioners, each working independently and in accordance with their own professional accreditation, insurance, and ethical obligations.