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Providing specialized AuDHD assessment and psychotherapy services in Vermont. Tailored for late-diagnosed or suspected AuDHD adults. Embracing a neurodivergence-affirming and trauma-informed approach to support your journey towards holistic well-being.

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NEURODIVERGENCE-AFFIRMING ASSESSMENT

If you’ve spent years masking ADHD or autism traits, you’re not alone. Our adult AuDHD diagnostic assessments provide a safe, supportive environment to explore neurodivergence with compassion, clarity, and expertise. We specialize in helping adults who have learned to hide their differences, so you can finally gain validation and actionable insights.

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Shelburne, Stowe, Manchester, Weston, Woodstock, Waitsfield / Sugarbush area, Burlington – New North End, Middlebury, Shelburne Farms / Charlotte area, Lake Champlain, Essex / Essex Junction

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AREAS WE SERVE​

We proudly provide services to adults in Vermont communities, including but not limited to:

Shelburne (05482)

Stowe (05672)

Manchester (05254)

Woodstock (05091)

Weston (05161)

Waitsfield / Sugarbush (05673)

Burlington – New North End (05401)

Shelburne Farms / Charlotte (05445)

Middlebury (05753)

Essex / Essex Junction (05452 / 05446) …and other greater Vermont areas

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Living with an undiagnosed neurodivergence can feel isolating. Adults in Vermont often report chronic exhaustion, difficulty maintaining focus, and feeling overwhelmed by social expectations or sensory input, yet they struggle to articulate why these experiences occur. Masking, over-functioning, and compensating can make it seem as though everything is “normal,” even when life feels draining and confusing. At Silhouette Psychotherapy, we provide compassionate, trauma-informed assessments for Autism, ADHD, and AuDHD specifically designed for adults who want clarity, understanding, and strategies to navigate life authentically.

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Our approach is grounded in the understanding that neurodivergence is not a defect. We reject deficit-focused frameworks and instead focus on identifying strengths and areas of challenge. Many adults develop extensive compensatory strategies that mask traits of neurodivergence, resulting in missed or inaccurate diagnoses. Our evaluations are specifically designed for late-identified or high-masking adults, capturing subtleties that standard assessments often overlook.

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The process begins with a detailed intake, exploring developmental history, attention patterns, sensory experiences, coping strategies, and daily challenges. We also examine social, emotional, and occupational functioning to build a holistic understanding of your experience. From there, we conduct comprehensive evaluations of executive functioning, including planning, working memory, task initiation, cognitive flexibility, and emotional regulation. All assessments are trauma-informed and neurodiversity-affirming, ensuring that your lived experience is respected and validated.

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Autism, ADHD, and AuDHD each impact the brain differently. Autism affects social interaction, sensory processing, communication, and emotional regulation, while ADHD influences attention, executive functioning, and time perception. AuDHD represents the co-occurrence of Autism and ADHD, which can create a complex mix of traits such as hyperfocus paired with restlessness, sensory overload and under-stimulation, and emotional intensity with challenges in regulation. Many adults experience both, yet traditional assessments often miss this overlap. Our approach captures these nuances to provide clarity and understanding.

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Adults in Vermont often have faced misdiagnosis or dismissal. Common experiences include being told “You’re too successful to be autistic,” “You’re just anxious,” or “You overthink everything.” Our evaluations provide a safe, validating space to explore these experiences, delivering feedback that includes insight into executive functioning, attention patterns, sensory sensitivities, and practical strategies for managing life. Even if a formal diagnosis is not provided, you leave with understanding, validation, and tools to navigate challenges more effectively.

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The benefits of a trauma-informed, neurodivergence-affirming assessment extend beyond clarity. Adults often feel relief and increased self-compassion, understanding that their struggles are neurological rather than personal failings. They gain confidence to advocate for accommodations, establish routines aligned with their strengths, and engage in social and occupational environments more sustainably. Many clients in Vermont report a renewed sense of purpose and relief from years of masking.

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Our private-pay model allows for flexibility, autonomy, and protection of client privacy. While a Superbill can be provided for potential reimbursement, insurance is not directly billed, ensuring confidentiality and control over your information. This model allows for a trauma-informed, individualized assessment process free from systemic constraints that can interfere with care.

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Beyond the assessment itself, we offer guidance for next steps, including therapy, coaching, and referrals to neurodivergent-affirming providers. Evaluations serve as the starting point for understanding, self-compassion, and practical strategies. Clients often continue with support in executive functioning, sensory regulation, emotional coping, burnout recovery, identity exploration, and self-advocacy.

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Adults in Vermont may worry about labeling, fitting stereotypes, or workplace implications. An evaluation does not impose a label; it provides language, understanding, and validation. Even if a formal diagnosis is not warranted, insight into attention, executive functioning, sensory profiles, and coping strategies is invaluable. Privacy is prioritized, and clients retain control over disclosure and documentation.

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The impact of a neurodivergence-affirming assessment is transformative. Adults frequently report relief, clarity, and self-empowerment. Understanding the interaction of ADHD, Autism, and AuDHD allows you to stop fighting your natural tendencies and begin leveraging your strengths. Recognition of overlapping traits can answer long-standing questions about cognitive patterns, emotional regulation, and social experiences.

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Our services are available online across Vermont, offering flexibility and privacy. Sessions are structured to prevent overwhelm, paced thoughtfully, and designed for high-masking and late-identified adults. The result is a comprehensive understanding of your brain, actionable strategies for daily life, and validation of your experiences.

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If you are ready to understand your neurological profile, gain clarity, and access strategies aligned with your brain, we invite you to schedule a consultation. This process can help you stop masking, reclaim energy, and engage with life authentically and compassionately.​

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