So you want to be an Autistic Therapist?

I’ve recently encountered several Autistic individuals considering therapy careers, some who have started programs, and others who dropped out thinking it wasn’t for them. I feel it’s time to share my thoughts on this topic, hoping to support anyone in those situations.

First, I didn’t know I was Autistic while completing my psychology degree and my master's in social work. I was determined to take the most efficient path to becoming a therapist. While I sometimes regret not getting my BSW (Bachelor of Social Work) to shorten my master's program, I remind myself that it’s not a race, and that decision likely wouldn’t have changed my life significantly.

Autistic people are often misunderstood. Our social challenges can lead to the assumption that we dislike people, but nothing could be further from the truth. I actually love people—they’re my special interest, and my greatest joy is raising two of them. Many of us pursue psychology to better understand humans or ourselves, or because we have a deep desire to help others.

This leads many of us to consider counseling as a career. However, counseling is an allistic (non-Autistic) dominated field and often ableist, presenting numerous challenges for Autistic individuals. I’m part of Facebook groups with aspiring and seasoned Autistic counselors, and we all grapple with similar issues: whether to disclose our diagnosis and how to balance accommodations with allistic norms.

Many Autistic folks face these challenges and ultimately decide counseling isn’t for them. Can you blame them? The education, internships, and supervision are all designed for allistics, making it hard for us to find our place. Generally, Autistic counselors who succeed either got lucky, had significant support, or were heavily dissociated (like me). I’ve yet to hear of an Autistic counselor who found the process of becoming a counselor affirming, but I hope that changes.

Now, sitting here as someone who has reached many of my goals (private practice, private pay, “successful,” and openly Autistic), I feel a duty to help fellow aspiring Autistic counselors. I want to be an open book, sharing what I’ve learned and offering support to those who come after me. I’m here for you.

Regarding disclosure, I can’t advise whether to share your diagnosis with your program or workplace. I only disclosed it at my last job, and I know there are pros and cons to consider.

Once you reach your goals and gain independence, you’ll have more privilege and power. As an intern or student, you’re more vulnerable to bias and gatekeeping.

Ultimately, take everything you read with a grain of salt; it likely wasn’t created with Autistic individuals in mind. You’re part of a new wave of Autistic therapists. There aren’t many role models, but know you’re needed. Join Autistic therapist groups, seek support, and lean on those of us who’ve walked this path. It won’t be easy, but you don’t have to do it alone.