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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.


Autism, ADHD, AuDHD Diagnosis
Information about neurodevelopmental assessments and our comprehensive approach at Silhouette Psychotherapy PLLC to assessing Autism, ADHD in late-identified adults from 18 to 79, many of whom are high-masking and 2E Twice Exceptional.


The Trifecta: Ehlers Danlos (hEDS/HSD), POTS, MCAS, and Autism or ADHD: Can They Show Up Together? Why the Trauma of Being Dismissed Belongs in the Assessment
The Trifecta: Ehlers Danlos (hEDS/HSD), POTS, MCAS, and Autism or ADHD: Why They Show Up Together, and Why the Trauma of Being Dismissed Belongs in the Assessment

Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
16 hours ago8 min read


Autism, ADHD, or Both? What a Thorough Differential Covers: A Guide for Understanding Neurodevelopmental Assessment
© 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 Original Publication Date 10/23/2026 Copyright & Attribution Notice: © 2024–2026 Raven LeFebvre. All rights reserved. This publication, including its original text, selection, arrangement, and other original expressiv

Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
1 day ago9 min read


I Scored High on the RAADS-R: What Happens Next: A Client-Facing Guide to Understanding Your Assessment Results
© 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 Original Publication Date 10/23/2026 Copyright & Attribution Notice: © 2024–2026 Raven LeFebvre. All rights reserved. This publication, including its original text, selection, arrangement, and other original expressiv

Raven LeFebvre, LCSW, LCSW-C, LICSW, CCTP-II
1 day ago16 min read


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


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


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


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
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