What does neurodiversity affirming therapy even mean???

Creating a neurodiversity affirming speech, language and occupational therapy practice means embracing the idea that neurological differences are natural variations of the human experience. not deficits to be “fixed”. Here are some key guidelines to ensure therapy aligns with a neurodiversity affirming approach:

  1. Respect Autonomy and Collaboration: involve clients and their families in goal setting to ensure therapy aligns with their values, needs and priorities.

  2. Respect communication preferences: whether that means verbal speech, , alternative and augmentative communication (AAC), gestures, or other forms of expression.

  3. Shift the focus from “fixing” to empowering: support the development of functional communication skills that empower the client in their daily life, rather forcing neurotypical norms.

  4. Honor sensory and regulation needs: create a sensory friendly environment, offering options like fidget tools, quiet spaces, or movement breaks

  5. Embrace strength based approaches: identify and build upon the clients strengths and interests to make therapy meaningful and engaging

  6. Respect natural communication styles": recognize that traits like scripting, echolalia or monotone speech can serve valid communication purposes. Avoid forcing eye contact or other non verbal behaviors that may be uncomfortable or unnatural fort he client.

  7. Use inclusive language: avoid deficit based language like “disorder” or “impairment”. Instead, use affirming terms like “communication differences” or “unique communication styles”. Model acceptance and understanding of diverse communication methods.

  8. Promote self advocacy: empower clients and families to understand their communication needs and advocate for accommodations in different settings.

  9. Continuous learning: Seek input from neurodivergent individuals and the broader neurodiversity community. Stay informed about current research and perspectives on neurodiversity affirming practices.

Lia Douglas

Lia Douglas is a dedicated speech-language pathologist with 29 years of experience, specializing in neurodivergent-affirming speech therapy practices. Over five years ago, she founded Beach Speech Pediatric Therapy in Gulf Shores, AL, where she provides compassionate, individualized care to children and their families. Lia is deeply passionate about fostering inclusivity and equipping families with positive, affirming strategies to support their children’s unique strengths and communication needs. Her commitment to creating supportive environments where every child can thrive has made her a trusted advocate and resource in the community.

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Should I say: “Non-verbal” or “Non-speaking”???