Autism, ADHD and AuDHD counselling for adults and teenagers (15+) in Frome, Wiltshire and online across the UK

Neurodiversity-affirming counselling for autistic, ADHD and AuDHD adults and young people experiencing anxiety, burnout, shutdown or overwhelm.

I offer neurodivergent-affirming counselling from my private counselling room in Chapmanslade, around 3 miles from Frome, and online across the UK. I support adults and teenagers (15+) who feel overwhelmed, burnt out, anxious or shut down.

I also support people who identify as AuDHD, meaning they experience traits of both autism and ADHD. You do not need a formal diagnosis to begin counselling.

Who this page is for:

You’re autistic, AuDHD, have ADHD, or think you might be neurodivergent.
You’ve tried talking counselling but still feel stuck, overwhelmed, or shut down.
You mask a lot to get through the day and feel exhausted by it.
You experience anxiety, panic, sensory overwhelm, shutdowns, or cycles of pushing through then crashing.
You want therapy that respects how you process, sense, and communicate, not therapy that asks you to change who you are.

Many autistic, ADHD and AuDHD people come to counselling believing there is something wrong with them because they've spent years trying to fit into environments that weren't designed with their needs in mind. Therapy isn't about changing who you are. It's about understanding how your brain and nervous system work, reducing shame, building self-compassion, and finding ways of living that feel more sustainable and authentic.

What people commonly come to me with

Chronic burnout, exhaustion, or masking-related collapse
Shutdowns, freeze responses, or difficulty functioning under stress
Panic, racing thoughts, or constant low-level anxiety
Sensory overwhelm and difficulty tolerating everyday environments
Trouble identifying or naming emotions (alexithymia)
Repeated attempts at “fixing” things that don’t shift long-term

A different, body-informed approach

Standard talking counselling can feel too fast, too verbal, or insufficiently attuned to sensory and processing differences. My work is different in three practical ways:

We work with your nervous system, not just your thoughts.
Sessions are paced and adapted to your communication and sensory profile.
The focus is on understanding and supporting your system, not fixing or forcing it.

What that looks like in a session

Brief grounding and regulation practices tailored to you (small, simple, repeatable).
Gentle tracking of what your body notices when we talk (tension, breath, posture, temperature).
Checking in on sensory needs and adjusting session format (camera off, movement breaks, creative counselling).
Exploring patterns, masking, shutdown, overwhelm, without pressure to perform or narrate perfectly.
Practical tools you can use between sessions to reduce overwhelm and recover from crashes.

How this helps

Spot early signs of overwhelm and intervene before collapse.
Build regulation skills that fit your nervous system and lifestyle.
Reduce the cost of masking and improve day-to-day functioning.
Learn ways to safely approach difficult memories or triggers when your system is ready.
Understand how trauma and neurodivergence interact in your life, and work with both.

Trauma and Neurodivergence - How they connect.

Neurodivergent people are more likely to experience sensory overwhelm, persistent misunderstanding, and prolonged masking, all of which can lead to trauma. In sessions, I hold both the neurodivergent experience and any trauma responses together, so you’re not forced to choose between them.

Autism and ADHD together: AuDHD

Being both autistic and ADHD can sometimes create conflicting needs. You might need routine and predictability while also becoming restless or struggling to maintain routines. You may seek stimulation but become overwhelmed by too much sensory input, or push yourself through periods of high energy and productivity before needing significant time to recover.

For some AuDHD people, years of masking, feeling misunderstood or trying to meet expectations that don't fit can contribute to anxiety, burnout and a sense of constantly getting things wrong.

Counselling can provide a space to understand these patterns without treating your neurodivergence as something that needs to be fixed. We can explore what helps you regulate, recognise your needs and find ways of working with your nervous system rather than continually pushing against it.

Practical accessibility and session flexibility

Online sessions across the UK (Zoom, Google Meet, Microsoft Teams, Phone, WhatsApp), ideal if you live outside Wiltshire or prefer remote support.
In-person sessions from Chapmanslade, Wiltshire (near Frome, Westbury, Warminster) if that suits you.
Sessions can be adapted where appropriate, with additional breaks or adjustments to the pace and format.
No requirement for eye contact, long monologues, or immediate verbal processing.

Do I need an autism or ADHD diagnosis to have counselling?

No. You don't need a formal autism or ADHD diagnosis to work with me. I offer neurodivergent-affirming counselling whether you're formally diagnosed, self-identifying, waiting for an assessment or exploring whether you may be autistic, ADHD or AuDHD.

What to expect when we start

First step: a free 15-minute call to ask questions and see if we’re a good fit. No pressure, no commitment.
Sessions are collaborative and pace-led; we set goals together and review how things are going.
You don’t need to explain everything perfectly. We work with what you can manage in the moment.

Common questions.

Q: Why doesn’t talking counselling always help?
A: Talking counselling can be really helpful, but sometimes understanding something intellectually doesn’t change how our body and nervous system respond. This can be particularly relevant when trauma, chronic stress, masking or repeated overwhelm are part of your experience. You can read more about how I work with these experiences on my Trauma Counselling page.

Q: What if I shut down during a session?
A: That’s okay and expected. We treat shutdowns as information and use gentle, practical ways to help your system settle.

Q: Is this approach safe for teens?
A: Yes, I work with teens 15+ and adapt everything to developmental and sensory needs.

Q: Can counselling help if I'm waiting for an autism or ADHD assessment?

A: Yes. You don't need a diagnosis. Many people come to counselling while exploring whether they may be autistic or have ADHD. Counselling can support overwhelm, burnout, anxiety and self-understanding regardless of where you are in that process.

Q: Can counselling help with autistic burnout?

A: Yes. Autistic burnout can affect energy, emotions, sensory processing and everyday functioning. Counselling can help you understand what is contributing to burnout, work with your nervous system rather than against it, and develop sustainable ways of recovering and protecting your wellbeing.

Whether you're newly exploring your neurodivergence or have known for many years, counselling can offer a space where you don't have to explain or hide who you are. My aim is to provide a calm, supportive environment where you feel understood, accepted and able to work at a pace that feels right for you.

Counselling shouldn't expect you to fit into a particular way of working. My aim is to understand how your nervous system, sensory needs and communication style work, so sessions can be adapted to you rather than expecting you to adapt to therapy.

Session details

£75 per 50-minute session for adults,
£95 per 50-minute session for teenagers aged 15+
Online sessions available across the UK; face-to-face counselling in Chapmanslade,

around 3 miles from Frome, Wiltshire.

Autism & ADHD Resources

I've created a growing library of articles exploring autism, ADHD, AuDHD, trauma and the nervous system. They cover experiences such as masking, burnout, shutdown, anxiety and overwhelm, and are written to help you better understand your experiences, whether you're diagnosed, self-identifying, exploring the possibility of being neurodivergent, or simply looking for information that makes sense of how you're feeling.

Each article explores a different aspect of living with autism, ADHD or trauma, and offers practical insights grounded in neurodivergent-affirming and trauma-informed practice.

Want to connect?

If this feels like it could help, book a free 15-minute call via the link below. If you’d prefer, you can email emma.ramarge.counselling@gmail.com or call 07788 562891 or use the contact page

I see clients face-to-face from my counselling room in Chapmanslade, around 3 miles from Frome, and work online with clients across the UK.

Book your free 15-minute intro call

Autism, ADHD and AuDHD counselling for adults and teenagers (15+) in Frome, Wiltshire and online across the UK​​​

Who this page is for:​