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
Updated: Oct 18
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.
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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 medical advice. If you are interested in individualized support, please feel free to reach out to learn more about our clinical services.
Originality and Professional Authorship
All ideas, concepts, perspectives, and creative direction presented in this publication are my own. The concepts explored throughout this work reflect years of clinical experience and ongoing engagement with clients in the confidential setting of psychotherapy sessions. They are grounded in the work I have developed, refined, and applied in clinical practice over time.
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Professional Bio
Raven LeFebvre is a clinician in practice 22-years who specializes in late-identified autism, ADHD, and AuDHD in high-masking and often 2E Twice Exceptional-Twice Invisible™ high-achieving adults. She works with clients at the intersection of neurodivergence and complex trauma—addressing identity fragmentation, neurodivergent burnout, medical gaslighting, and internalized ableism. Her depth-oriented, systems-informed approach integrates Jungian theory, family systems, and narrative coherence, grounded in a commitment to Becoming Epistemically Inviolable™ and Declining Unsolicited Perceptual Assistance™ by treating clients' own perceptions as valid evidence. As the originator of Actual Autonomy Trauma™, helping neurodivergent adults excavate the places in their inner and outer worlds where they've become folded and subsumed.
Raven's clinical practice is grounded in an anti-oppression and liberation-oriented therapeutic frame, recognizing that emotional, cognitive, and nervous system wellbeing cannot be understood apart from the social, relational, cultural, and systemic environments in which people live. This orientation emphasizes autonomy, self-determination, critical consciousness, and the right of clients to understand their experiences within the broader contexts of power, marginalization, identity, and relational conditioning. Her work considers how oppressive systems, interpersonal dynamics, internalized beliefs, and histories of adaptation can shape the ways people understand themselves and navigate relationships. She is collaborative, with intent to support greater agency, self-trust, authenticity, and freedom from patterns that require self-erasure in order to belong.
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Table of Contents
A Scratch on the Surface: Why Reductive Approaches are Harmful and Unethical
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