Neurodiverse Couples Therapy
At Accord Psychology, we offer couples therapy specifically adapted to the experiences of couples where one or both partners identify as ADHD, autistic, AuDHD, gifted, or otherwise neurodivergent.
The following clinicians offer couples therapy: Mariana Profka, Dr. Mélodie Lemay-Gaulin
Availability: Availability changes often. Our Online Booking Page shows current availability for new therapy clients.
Rates: $210-$325 per clinical hour (each clinician’s current rate is listed on our Team page)
Format: In-Person in Toronto (Bathurst subway) and virtually across Ontario.
Reasons You Might Seek Couples Therapy
Couples often seek therapy because the ways they try to connect have become painful, confusing, or ineffective. You may find yourselves having the same argument repeatedly, withdrawing from one another, misunderstanding each other’s intentions, or struggling to talk about emotionally charged subjects without becoming overwhelmed. Differences in communication, neurotype, sensory needs, sexuality, attachment, or emotional processing may also make it harder to feel understood.
Couples therapy provides a structured space to slow these patterns down and understand what is happening between you. We regularly support couples with concerns such as:
Recurring conflict or communication breakdowns
Emotional distance or loss of connection
Different needs for closeness, space, routine, or spontaneity
ADHD, autism, AuDHD, or mixed-neurotype relationship dynamics
Differences in emotional expression or processing
Sex, desire, intimacy, and sexual communication
Trust, jealousy, insecurity, or the impact of past ruptures
Major transitions, including marriage, relocation, or separation
Division of labour and unequal mental load
Consensual non-monogamy and relationship agreements
Questions about whether or how to remain together
Couples therapy is not limited to relationships that are in crisis. Some partners seek support because they want to understand one another better, prepare for an upcoming transition, or address a pattern before it becomes more entrenched.
What To Expect From Couples Therapy
The therapist’s role is not to decide who is right or to serve as a judge between partners. We specifically focus on supporting neurodivergent and mixed-neurotype couples from a neuro-affirming lens, meaning that we avoid neuro-normative assumptions about partners “right” or “wrong” in their way of being, thinking, feeling or doing.
Instead, the therapist helps identify the interactional patterns that are keeping you stuck and supports each person in communicating more clearly and responding differently. They may act as a ‘translator’ between partners and help structure conversations to avoid escalation toward unproductive interactions. Sessions may involve:
Slowing down recurring conflicts
Clarifying what each person is trying to express or protect
Translating partners’ communication styles in ways the other person can understand
Exploring how past experiences affect current reactions
Identifying recurring patterns in how partners relate to each other
Developing more effective ways to communicate needs and boundaries
Creating practical agreements around recurring areas of tension
Developing collaborative approaches to rebuilding emotional or physical intimacy
Session Length: A typical therapy session lasts between 50-60 minutes. However, some people benefit from a longer session time, for example 80 or 90 minutes. Longer sessions can be especially helpful for those who need a little bit of extra time to organize thoughts or process emotions. Ask your therapist if you are interested in longer therapy sessions!
Frequency: The recommended session frequency is once per week or every other week, especially towards the beginning of therapy. Some people prefer to move to less frequent sessions as they move closer to their goals and enter a maintenance phase. Occasionally, people prefer more frequent sessions in order to accelerate their progress in therapy. Session frequency is decided collaboratively between you and your therapist based on your needs and goals.
Finding The Right Therapist
The quality of the relationship between you and your therapist matters. In couples therapy, both partners should feel safe with the therapist, and like the therapist is making space for their own individual experience. A clinician can have appropriate credentials and experience while still not feeling like the right person for you. During your consultation, you can ask questions about a clinician’s approach, communication style, experience, and what sessions with them tend to feel like.
You are always welcome to reach out to our clinic coordination team for support. A member of our team will be happy to take the time to understand your needs and preferences, and to guide you toward the therapist or therapists who are most likely to be a good fit.
Questions & Next Steps
Questions about billing or anything else? Head to our FAQ page or contact our team for support.
Ready To Get Started? Book your free introduction call directly via our Online Booking Page, or reach out to our team help.