Thriving Family Therapy

Thriving Family Therapy K. David Smith, LCSW. Neurodiversity-affirming therapist specializing in autism, ADHD, PDA, and trauma. Late-diagnosed autistic.

Clinical and Family Trauma Professional, Brainspotting Practitioner, & Autism Specialist. Online therapy in OR, CA, ID, FL, VT I’m a Licensed Clinical Social Worker who provides online teletherapy services to individuals and families throughout Oregon, Idaho, and Florida. I can serve clients in areas of the country or outside the US depending on local laws and regulations regarding telehealth. I a

m also a Certified Clinical Trauma Professional, Certified Family Trauma Professional, and Certified Autism Spectrum Disorder Clinical Specialist. I am passionate about working with people and families who have experienced trauma, abuse, divorce, and other difficult life challenges. I have worked extensively with individuals and families who experience Autism, ADHD, and other aspects of neurodiversity. Much of my professional experience has been as a school-based therapist in elementary schools. I come from a family of healers and helpers – doctors, nurses, chiropractors, therapists, pastors – so service to others is more or less in my blood. When I'm not seeing clients, you can find me hanging out with my family watching movies, traveling the world, or playing games. My three teenage boys and I are pretty much addicted to The Mandalorian and anything Star Wars-related and have watched almost every Marvel movie ever made. We also love to make music whenever we can. Between us, one or more members of my family play piano, guitar, saxophone, trumpet, drums, flute, and a little violin. Not much of that repertoire is me, but music is a big part of our lives. We also go on a lot of adventures together, and enjoy scuba diving, hiking, and exploring the world. On my own, I'm passionate about spending time in nature, especially sailing, scuba diving, and outdoor photography. I’ve traveled to 47 of the 50 US states and 17 other countries on 4 continents. These days I spend a lot of time in Mexico and other parts of Latin America with my wife, who is also a psychotherapist, born and licensed in Peru. I love to write and have several books in progress – a guide for parents and teachers of children with trauma, another to help healers and caregivers deal with burnout, and just for fun, a historical novel set in 8th-century Constantinople. I’m constantly learning and am usually in the middle of some new training program on an aspect of therapy and healing that I find interesting.

Work on the book, "A Field Guide to the Wrong Planet," continues. This week, I produced 70 pages of new material on frie...
06/12/2026

Work on the book, "A Field Guide to the Wrong Planet," continues. This week, I produced 70 pages of new material on friendships and community, and why these are so hard for neurodivergent people.

This article is an overview, and also includes an invitation to read the full section. As well as information about how to contribute to the project directly - I've created a questionnaire that allows ND people and our loved ones to share your experiences, in as much or as little detail as you want. I see the Field Guide as a community project, and welcome your input.

A direct request: much of my best material is now transitioning to Substack. (FB has too many trolls, too much noise, too much marketing.) If this book is going to succeed, I'll need to build up a much bigger platform. And Substack is much friendlier than most platforms for the kind of writing I do. Long-form. Deep. Honest. The very opposite of soundbite click-bait culture.

So, my request: follow me on Substack. And share, if you find what I'm putting out there to be valuable, on whatever platforms you have.

For those who don't know Substack, when you click to subscribe, you will be given an option to make it a paid subscription. You don't have to do this - there's an option at the bottom that says "no pledge." I'm perfectly fine with free subscriptions, and all my work is accessible to anyone, whether you want to sign up for a paid subscription or not. I don't discriminate. So please don't be put off by that.

I printed out the current draft of the Field Guide yesterday, so I can touch it, feel it, break it up into sections on a fold-out table in my house so I can actually see where the gaps are.

348 manuscript pages. And I'd say it's only about half-done. I feel excited, terrified, proud, overwhelmed, focused, imposter-ish, and utterly determined, all at once. This thing will get done. It's going to be... well, I guess we'll see what it will be.

Please join me in this effort. The best way you can do so is to follow me on Substack (https://substack.com/) and, if you have some connection with neurodivergent life and people, fill out the survey. You don't have to dump your life story. Even if you answer just one question, it will help. The link is at the end of this article.

Oh. And also, I've opened up the Members section of my website to early adopters. There are hundreds of pages of materials there, on many, many topics related to the work I do as a therapist - complex trauma, relationships, autism, ADHD, stress, nutrition and diet, a whole wide range of things. (That's what I do. I take the things that come up with my clients, and in my life, and I research and write about it.) I'm sharing the secret password and handshake for getting into that page - it's at the end of this article. I consider this an expression of gratitude to people who are paying attention and who really care.
It's a lifetime access code - there will eventually be a paywall, because this is proprietary stuff that has cost me blood, sweat, and tears to create. I do eventually want to get a tangible financial reward for all this time and effort. But I also don't want it to be exploitive.

Info on how to get access is at the end of this article.

As I create new material, it's showing up on Substack first, as well as Medium and the blog on my site. I'll probably put less and less effort into FB. I'd encourage you to shift platforms also. This place is, well, pretty icky.

See you on the flip side.

https://substack.com/home/post/p-201748427

A Guide to Connection, Belonging, and Building a Social Life That Fits for Neurodivergent People

Something a little different today.I’m writing a book — A Field Guide to the Wrong Planet: From Surviving to Thriving as...
06/11/2026

Something a little different today.

I’m writing a book — A Field Guide to the Wrong Planet: From Surviving to Thriving as a Neurodivergent Adult — and I’m asking for your help with it.

Not to fill out a survey. To contribute to it.

Your experience of being neurodivergent. What’s helped. What hasn’t. Questions you wish someone would answer honestly.

Topics you’ve never seen addressed. The thing you’d tell your younger self if you could.

I’ve built a contribution portal where you can share as much or as little as you want, on the topics that matter most to you. Every question is optional. You choose how — or whether — you’re credited. Everything is confidential.

https://tally.so/r/7RE8ga

And if you know someone who would want to contribute — please share this with them. This book is trying to represent experiences I don’t have, and I need your help finding those voices.

Made with Tally, the simplest way to create forms.

If it feels like things just fall apart in your life around this time of year, and your kids are going nuts, and instead...
05/16/2026

If it feels like things just fall apart in your life around this time of year, and your kids are going nuts, and instead of feeling more alive as the flowers bloom and days get longer you just want to crawl into a hole and hide… it’s not just you. There’s actual science to explain the springtime collapse.

A Neurodivergent Therapist Who Works With Neurodivergent People on the Science Behind April/May "Bounciness"

As part of my new routine of healthy habits, I'm trying to start my day by learning something. This morning, I decided t...
05/11/2026

As part of my new routine of healthy habits, I'm trying to start my day by learning something. This morning, I decided to actually read a resource that I've shared with neurodivergent clients many times, from Dr. Mel Houser of All Brains Belong - a neurodiversity-focused medical practice in Vermont - about the many complicated medical issues that ND people often face. You can find it here:https://allbrainsbelong.org/wp-content/uploads/2026/02/Everything-is-Connected-to-Everything-Autistic-ADHD-Health-CLINICIAN-GUIDE-v3-All-Brains-Belong-VT-8.15.23.pdf

I then followed one of the links - just one, in this rich resource guide - to this study: https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2019.00366/full?ref=suntautist.ro

Now, I'm not normally a psychology nerd. Well... hm, I guess I kind of am. But I don't normally sit around and read peer-reviewed scientific journals first thing in the morning, over my coffee. But this one rocked my world.

If you ask anyone who knows me what my first response is likely to be when they inquire about how I'm feeling, they're likely to bet that I'll say "tired." I've been tired all my life. It doesn't matter how much I sleep, or what I take to help me sleep. I can get 9 or 10 hours of sleep and still feel absolutely exhausted the next day. I've tried CPAP machines, even though my sleep study results were inconclusive - getting a good fit on that thing was a challenge, and having that mask on my face all night was more of a distraction than the snoring (which apparently is a real thing, based on what my wife tells me) and actually made it worse. I've tried every sleep medication there is, with mixed results.

I guess, based on this meta-analysis, there's a reason why I'm always tired, and it's related to my neurodivergence, not just poor habits or some kind of moral failure, like watching Instagram reels before bed or blue light exposure. (Guilty as charged. Sometimes.)

For what it's worth, I've found some benefit in working with an integrative medicine doctor. Like Dr. Houser, my doctor (Melinda Costa of New Medicine Collaborative in Grants Pass) understands "all the things" and is willing and able to look at complicated interrelated issues that a typical physician, trained in the Western medical model, would stovepipe and not necessarily connect.

Dr. Houser has a lot of resources on their website for ND people and is heavily involved in trying to educate other medical professionals about how to look beyond the standard lab panel and gross organ function, and to understand how to work with people whose bodies and nervous systems are more complicated than average. They're something of a celebrity in the ND community, to the point where I've heard people express a wish to move to Vermont to be able to get care from Dr. Houser. (Their practice is not taking new patients, and Vermont is the darkest place in the US in terms of average daylight hours, so... don't.) But I applaud their efforts, and continue to learn.

Background: A compelling number of studies, conducted in both children and adults, have reported an association between sleep disturbances/circadian sleep al...

Please take 15 minutes to hear about my experience with social media yesterday, as an autistic therapist attempting to a...
05/06/2026

Please take 15 minutes to hear about my experience with social media yesterday, as an autistic therapist attempting to advocate for neurodivergent people and other vulnerable populations. Kindness matters, in this space and every space, when we interact with others. I've attempted to share my own experience to explain why, in personal terms, with as much authenticity and transparency as I can manage.

A neurodivergent, neurodiversity-affirming therapist shares an unscripted account of how a Facebook post led to trolling and personal attacks, dysregulating ...

I had the great privilege and pleasure of being a guest on the Modern Therapist Survival Guide podcast recently, hosted ...
05/06/2026

I had the great privilege and pleasure of being a guest on the Modern Therapist Survival Guide podcast recently, hosted by Curt Widhalm and Katie Vernoy. We discussed how therapists and other helpers can better support neurodivergent people and families. Please give it a listen, and if you find it helpful, please feel free to share it with others you think might benefit.

Curt and Katie talk with David Smith about neurodiversity-affirming therapy, autism, ADHD, PDA, family systems, and burnout for neurodivergent therapists. David shares both his clinical perspective and lived experience as an autistic therapist, with a strong focus on what helps therapists better sup...

New video uploaded today: a guide for late-diagnosed autistic adults, with things I wish I had known when I was diagnose...
01/07/2026

New video uploaded today: a guide for late-diagnosed autistic adults, with things I wish I had known when I was diagnosed myself. If you find it helpful, please comment, subscribe, and share!

Just discovered you're autistic as an adult? You're not alone — and you're not broken.In this video, I walk you through everything I wish I'd known when I wa...

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