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Raven LeFebvre, LCSW, LCSW-C, LICSW, MAC
Certified Clinical Trauma Professional Level 2 (CCTP-II)
PDA North America Level 1 Certified Clinician
Owner and Founder, Silhouette Psychotherapy PLLC
In clinical practice for 22 years
Serving NC, MD, VT, MA, MN, PA, VA, FL, SC, DE, ID and UT
© 2024–2026 Raven LeFebvre. All rights reserved.
All Posts
October is ADHD Awareness Month: What Is ADHD Masking? What is Internalized Hyperactivity? How Hyperactivity and Inattention Obscure Each Other, How Autism and ADHD Obscure Each Other
October is ADHD Awareness Month - ADHD can Obscure Autism and Autism can Obscure ADHD, Inattention can Obscure Hyperactivity and Hyperactivity can Obscure Inattention, What is Internalized Hyperactivity
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Oct 1119 min read
HOW AUTISM AND ADHD CONCEAL ONE ANOTHER IN LATE-IDENTIFIED, HIGHLY MASKED ADULTS
© 2024-2026 Raven LeFebvre. All rights reserved.
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Aug 817 min read
Neurodivergent Assessment for High-Masking ADHD, Autistic, and AuDHD Adults
© 2024-2026 Raven LeFebvre.
All rights reserved.
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Jun 2024 min read
What Is Internalized Hyperactivity? Understanding the Hidden Side of ADHD in High-Achieving Women And ADHD Hyperactivity in Adults
© 2024-2026 Raven LeFebvre.
All rights reserved.
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Jun 1910 min read
Understanding Neurodivergent Identity: A Journey from Fragmentation to Integration and Self-Sovereignty
© 2024-2026 Raven LeFebvre.
All rights reserved.
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Jun 413 min read
The Epistemic Erasure™ Embedded In Our Word Choices: Stop Calling It Justice Sensitivity ('you're too sensitive' is increasingly discernible but all of the places it's embedded don't seem to be yet)
Justice Orientation, Neurodivergence, and Systemic Pathologization Written by: Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II Owner and Founder, Silhouette Psychotherapy PLLC Certified Clinical Trauma Professional Level 2 (CCTP-II) PDA North America Level 1 Certified Clinician ©2024-2026 Raven LeFebvre. All rights reserved. Educational Disclaimer This publication is intended for educational and informational purposes only. It is not a substitute for professional assessment, p
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
2 days ago15 min read
October 2026 Practice Updates
The Silhouette Psychotherapy Newsletter Clinical Perspectives, New Resources & Practice Updates At Silhouette Psychotherapy, our work is grounded in a systems-informed, structurally informed, trauma-informed, anti-oppressive, and neurodivergence-affirming approach to care. We remain committed to developing thoughtful, individualized clinical services and original educational resources that deepen our understanding of neurodivergent experience. This season brings several updat
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
5 days ago8 min read
Intergenerational Transmission Patterns of Autonomy Trauma in Neurodivergent Lineages: When Unrecognized PDA Parents Raise Unrecognized PDA Children
Written by: Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II Owner and Founder, Silhouette Psychotherapy PLLC Certified Clinical Trauma Professional Level 2 (CCTP-II) PDA North America Level 1 Certified Clinician ©2024-2026 Raven LeFebvre. All rights reserved. Educational Disclaimer This publication is intended for educational and informational purposes only. It is not a substitute for professional assessment, psychotherapy, clinical intervention, diagnosis, or mental health or
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Oct 820 min read
Internalized Autonomy Drive (Internalized Demand Avoidance): On Autonomy, Demands, and the Architecture of Invisible Accommodation: A Reflection for the Highly-Masked and Highly-Driven ND Adult
Written by: Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II Owner and Founder, Silhouette Psychotherapy PLLC Certified Clinical Trauma Professional Level 2 (CCTP-II) PDA North America Level 1 Certified Clinician ©2024-2026 Raven LeFebvre. All rights reserved. Educational Disclaimer This publication is intended for educational and informational purposes only. It is not a substitute for professional assessment, psychotherapy, clinical intervention, diagnosis, or mental health or
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Oct 822 min read
Interoceptive Dissociation, Monotropism, and Alexithymia in Late-Identified ADHD, Autistic, AuDHD and 2E Adults: A Neurodevelopmental and Trauma-Informed Diagnostic Framework
The Imperative of Nuance: Diagnostic Complexity in High-Masking Adults Written by: Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II Owner and Founder, Silhouette Psychotherapy PLLC Certified Clinical Trauma Professional Level 2 (CCTP-II) PDA North America Level 1 Certified Clinician ©2024-2026 Raven LeFebvre. All rights reserved. Educational Disclaimer This publication is intended for educational and informational purposes only. It is not a substitute for professional assessmen
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Oct 413 min read
Neurodivergence-Uninformed: Iatrogenic Risk in Misidentifying Autistic Coping as OCD: The Grave Risk of Targeting Adaptive Autistic Regulation as Pathology
Written by: Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II Owner and Founder, Silhouette Psychotherapy PLLC Certified Clinical Trauma Professional Level 2 (CCTP-II) PDA North America Level 1 Certified Clinician ©2024-2026 Raven LeFebvre. All rights reserved. Educational Disclaimer This publication is intended for educational and informational purposes only. It is not a substitute for professional assessment, psychotherapy, clinical intervention, diagnosis, or mental health or
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Sep 2838 min read
Object Relations, When Masking Become a Default Attachment Strategy: The Response to Plausibly Deniable Emotional Coercion: When Relating Means Becoming the Emotional Scaffolding While Being Consumed
Object Relations, Neurodivergent Masking as an Default Attachment Strategy: The Neurodivergent Response to Soft and Deniable Emotional Coercion and the Experience of Relating Through Becoming the Emotional Scaffolding While Being Consumed © 2024–2026 Raven LeFebvre. All rights reserved. Written by: Raven LeFebvre, LCSW, LCSW-C, LICSW, MAC, CCTP-II Owner and Founder, Silhouette Psychotherapy PLLC Certified Clinical Trauma Professional Level 2 (CCTP-II) PDA North America Level
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Sep 2717 min read
Perceptual Assistance is a Cult Tactic™ --- Unsolicited Perceptual Assistance as Enmeshment Technology Which Serves to Elicit Compliance™: A Violation of Neurodivergent Perceptual Sovereignty™
Raven LeFebvre, LCSW, LCSW-C, LICSW, MAC Certified Clinical Trauma Professional Level 2 (CCTP-II) PDA North America Level 1 Certified Clinician Owner and Founder, Silhouette Psychotherapy PLLC In clinical practice for 22 years under independent licensure Serving NC, MD, VT, MA, MN, PA, VA, FL, SC, DE, ID and UT ©2024-2026 Raven LeFebvre. All rights reserved. Educational Disclaimer This publication is intended for educational and informational purposes only. It is not a
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Sep 1817 min read
Neurodivergent Sovereignty™: Collapsing and Dismantling Internalized Hierarchical and Extractive Shapes, Structures, Containers, and Dynamics, Encounter by Encounter™ — Permission Claimed, Not Sought™
— Using Outer-World Encounters as Inoculation to Optimize the Internal Collapsing and Dismantling of Hierarchical and Extractive Frames As One Climbs Up and Out: An Intrapsychic Homeopathy of Sorts™ Written by: Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II Owner and Founder, Silhouette Psychotherapy PLLC Certified Clinical Trauma Professional Level 2 (CCTP-II) PDA North America Level 1 Certified Clinician ©2024-2026 Raven LeFebvre. All rights reserved. Educational Disclaimer
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Sep 1624 min read
Becoming Epistemically Inviolable™ Across Systems, Untying Guilt-Binding and Loyalty Binding in Pursuit of Neurodivergent Sovereignty™
Written by: Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II Owner and Founder, Silhouette Psychotherapy PLLC Certified Clinical Trauma Professional Level 2 (CCTP-II) PDA North America Level 1 Certified Clinician ©2024-2026 Raven LeFebvre. All rights reserved. Educational Disclaimer This publication is intended for educational and informational purposes only. It is not a substitute for professional assessment, psychotherapy, clinical intervention, diagnosis, or mental health or
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Sep 1328 min read
A Closed Sea: The Self, Incrementally Obliterated for Safekeeping: Me Ipsum Occīdī: Mare Clausum
When Belonging Requires Disappearing: Neurodivergence, Family Roles, Masking, and The Transmission of Lineage Trauma and Internalized Ableism as a Singular Package Written by: Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II Owner and Founder, Silhouette Psychotherapy PLLC Certified Clinical Trauma Professional Level 2 (CCTP-II) PDA North America Level 1 Certified Clinician ©2024-2026 Raven LeFebvre. All rights reserved. Educational Disclaimer This publication is intended for e
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Sep 1136 min read
Autism, ADHD, and AuDHD Assessment for High-Masking Adults and Late Diagnosis
© 2024–2026 Raven LeFebvre. All rights reserved.
Written by: Raven LeFebvre, LCSW, LCSW-C, LICSW, MAC, CCTP-II
Owner and Founder, Silhouette Psychotherapy PLLC
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Sep 914 min read
A Scratch On The Surface: Diagnostic Overshadowing: The Nuance At the Intersectionality of Autism, ADHD, OCD-Spectrum Features, Complex Trauma and Neurodivergent Burnout and AuDHD in Adult Women
© 2024–2026 Raven LeFebvre. All rights reserved. Written by: Raven LeFebvre, LCSW, LCSW-C, LICSW, MAC, CCTP-II Owner and Founder, Silhouette Psychotherapy PLLC Certified Clinical Trauma Professional Level 2 (CCTP-II) PDA North America Level 1 Certified Clinician Copyright & Attribution Notice: All rights reserved. The ideas, concepts, perspectives, and original material presented in this publication are protected by applicable copyright and intellectual property laws. Should
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Sep 928 min read
When the Fight for Selfhood Is Deemed a Symptom: Actual Autonomy Trauma™ in High-Masking 2E, Autistic, ADHD & AuDHD Adults™
Written by: Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II Owner and Founder, Silhouette Psychotherapy PLLC Certified Clinical Trauma Professional Level 2 (CCTP-II) PDA North America Level 1 Certified Clinician ©2024-2026 Raven LeFebvre. All rights reserved. Educational Disclaimer This publication is intended for educational and informational purposes only. It is not a substitute for professional assessment, psychotherapy, clinical intervention, diagnosis, or mental health or
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Sep 621 min read
What About Actual Autonomy Trauma™ : When the Pervasive Autonomy Drive (PDA) vs. Pathological Demand Avoidance (PDA) debate is Overshadowing The Core of the Matter: Actual Autonomy Trauma™
© 2024–2026 Raven LeFebvre. All rights reserved.
Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
Sep 523 min read
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