The Hidden 20%

Top Couples Therapist: The Number One Reason ND Relationships Fail

May 21, 2025
Karen Doherty, a psychosexual therapist and ND Relationship Coach, shares her expertise on the intricacies of neurodivergent relationships. She discusses the impact of late diagnoses and emotional dysregulation, revealing why many ND couples struggle. Karen introduces useful strategies like the 'code word' method and tips to break the trigger cycle, emphasizing the importance of effective communication. She also tackles the unique challenges faced by ND couples in dating, including the dangers of intense connections and the critical need for mutual understanding in relationships.
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INSIGHT

Communication Challenges in ND Couples

  • Communication is the biggest challenge in neurodivergent (ND) relationships.
  • Emotional dysregulation and rejection sensitivity make conversations harder and often lead to disjointed talks.
ADVICE

Use Code Words to De-escalate

  • Use code words to signal when conversations are escalating and need pausing.
  • Physically separate, process emotions, then return to talk calmly and constructively.
INSIGHT

Work Hyperfocus Feels Like Rejection

  • Work hyperfocus and unavailability can feel like rejection to partners.
  • ND partners often use work as a way to provide but neglect family connection needs.
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