Neurodivergent Couples and Innovative Therapeutic Interventions: Integrating the Neurodiversity Approach with the Double Empathy Model

Authors

  • Afsaneh Ghanbari Panah Department of Counseling, CT.C., Islamic Azad University, Tehran, Iran
  • Mohamed Sharif Mustaffa Faculty of Cognitive Science and Human Development. Universiti Malaysia Sarawak (UNIMAS)

DOI:

https://doi.org/10.55672/hpss2026pp5-15

Keywords:

neurodivergent couples, neurodiversity, double empathy model, couples therapy, autism, ADHD, innovative therapeutic interventions

Abstract

This article presents a conceptual framework for innovative therapeutic interventions for neurodivergent couples through the integration of the neurodiversity approach and the double empathy model. Utilizing an analytical-review methodology, this article systematically examines and synthesizes contemporary interdisciplinary literature on neurodiversity, intimate relationships, autism, ADHD, and couples therapy. The analysis indicates that many relational difficulties in neurodivergent partnerships arise not from unilateral empathic deficits but from reciprocal differences in cognitive processing, communication styles, and sensory experiences. The proposed framework emphasizes four interrelated clinical domains: psychoeducation grounded in neurodiversity principles, explicit communication structuring, sensory environment modulation, and conflict reframing through the lens of the double empathy model. Integrating these perspectives shifts therapeutic focus from correcting individual “deficits” to fostering mutual understanding between differing perceptual and social systems. By promoting reciprocal empathy, relational adaptation, and acceptance of neurological differences, this integrative model offers a transformative direction for couples therapy. The article concludes by outlining implications for therapist training and future empirical research aimed at developing evidence-based protocols tailored to neurodivergent couples.

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References

Armstrong, T. (2010). Neurodiversity: Discovering the extraordinary gifts of autism, ADHD, dyslexia, and other brain differences. Da Capo Lifelong Books.

Attwood, T. (2006). The complete guide to Asperger's syndrome. Jessica Kingsley Publishers.

Bagatell, N. (2010). From cure to community: Transforming notions of autism. Disability & Society. Retrieved from https://www.jstor.org/stable/40603399

Baron-Cohen, S., Wheelwright, S., & Bullmore, E. (2001). The autism spectrum quotient (AQ): Evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31(1), 5–17.

Botha, M., Dibb, B., & Frost, D. M. (2022). "Autism is me": An investigation of how autistic individuals make sense of autism and stigma. Disability & Society, 37(3), 427–453. https://doi.org/10.1080/09687599.2020.1822782

Chapman, R. (2021). Neurodiversity and the social ecology of mental health. Health, 27(6), 906–923. https://doi.org/10.1177/13634593211039463

Chapman, R., & Botha, M. (2022). Neurodivergence-informed therapy. Developmental Medicine & Child Neurology, 65(3), 310–317. https://doi.org/10.1111/dmcn.15384

Crompton, C. J., Sharp, M., Axbey, H., Fletcher-Watson, S., & Flynn, E. G. (2025). Neurotype-matching, but not being autistic, influences self and observer ratings of interpersonal rapport. Frontiers in Psychology.

De Laet, H., Wiersema, J. R., & Nijhof, A. D. (2022). Adults with autism prefer to communicate with others who also have autism: A mixed-methods study. Autism Research.

den Houting, J. (2019). Neurodiversity: An insider's perspective. Autism, 23(2), 271–273. https://doi.org/10.1177/1362361318820762

DeThorne, L. S. (2020). Revealing the Double Empathy Problem: It's not that autistic people lack empathy. The ASHA Leader.

Efthimiou, T. N., Wilks, C. E., Foster, S., Dodd, M., Sasson, N. J., Ropar, D., Lages, M., Fletcher-Watson, S., & Crompton, C. J. (2025). Social motor synchrony and interactive rapport in autistic, non-autistic, and mixed-neurotype dyads. Autism. https://doi.org/10.1177/13623613251319585

Ekdahl, D. (2024). The double empathy problem and the problem of empathy: Neurodiversifying phenomenology. Disability & Society, 39(10), 2588–2610. https://doi.org/10.1080/09687599.2023.2220180

Foster, S. J., Ackerman, R. A., Wilks, C. E., Dodd, M., Calderon, R., Ropar, D., Fletcher-Watson, S., Crompton, C. J., & Sasson, N. J. (2025). Autism, 29(7), 1700–1710. https://doi.org/10.1177/13623613251320444

Heasman, B., & Gillespie, A. (2018). Neurodivergent intersubjectivity: Distinctive features of how autistic people create shared understanding. Frontiers in Psychology.

Hull, L., Petrides, K. V., Allison, C., Smith, P., Baron-Cohen, S., Lai, M. C., & Mandy, W. (2017). "Putting on my best normal": Social camouflaging in adults with autism spectrum conditions. Journal of Autism and Developmental Disorders, 47(8), 2519–2534. https://doi.org/10.1007/s10803-017-3166-5

HPSS, Vol 2, No 1, pp05_15, Mar 2026

https://doi.org/10.55672/hpss2026pp05_15

A Ghanbari Panah

ISSN: 3115-8625/©2026 Published by Hypersci. Psychol. Soc. Sci

Johnson, S. M. (2019). Attachment theory in practice: Emotionally focused therapy (EFT) with individuals, couples, and families. Guilford Publications.

Kapp, S. K., Gillespie-Lynch, K., Sherman, L. E., & Hutman, T. (2013). Deficit, difference, or both? Autism and neurodiversity. Developmental Psychology, 49(1), 59–71. https://doi.org/10.1037/a0028353

Khalifa, N., Talbot, E. V., & Barber, M. (2022). ADHD in adults and its impact on romantic relationships: A systematic review. Journal of Attention Disorders, 26(8), 1071–1085. https://doi.org/10.1177/10870547211063644

Marsh, L., McGee, E., & Williams, T. (2020). "It's not all bad": The experiences of partners of autistic adults. Autism, 24(7), 1791–1800. https://doi.org/10.1177/1362361320926205

Meyerding, L. (2014). Neurodiverse relationships: Autistic and non-autistic partners share their experiences. CreateSpace Independent Publishing Platform.

Milton, D. E. M. (2012). On the ontological status of autism: The 'double empathy problem'. Disability & Society, 27(6), 883–887. https://doi.org/10.1080/09687599.2012.710008

Milton, D. E. M., Gurbuz, E., & López, B. (2022). The double empathy problem: Ten years on. Autism, 26(8), 1901–1903.

Nimmo-Smith, V., Merwood, A., Hank, D., Brandling, J., Greenwood, R., Skinner, L., Law, S., Patel, V., & Rai, D. (2020). Non-pharmacological interventions for adult ADHD: A systematic review. Psychological Medicine, 50(4), 529–541. https://doi.org/10.1017/S0033291720000069

Robertson, A. E., & Simmons, D. R. (2015). The sensory experiences of adults with autism spectrum disorder: A qualitative analysis. Perception, 44(5), 569–586. https://doi.org/10.1068/p7833

Sasson, N. J., Faso, D. J., Nugent, J., Lovell, S., & Kennedy, D. P. (2017). Neurotypical peers are less willing to interact with those with autism based on thin slice judgments. Scientific Reports, 7(1), 40700. https://doi.org/10.1038/srep40700

Singer, J. (1999). 'Why can't you be normal for once in your life?': From a 'problem with no name' to the emergence of a new category of difference. In M. Corker & S. French (Eds.), Disability Discourse (pp. 59–67). Open University Press.

Walker, N. (2021). Neuroqueer Heresies: Notes on the neurodiversity paradigm, autistic empowerment, and postnormal possibilities. Autonomous Press.

Watts, G., Crompton, C., Grainger, C., Long, J., & Botha, M. (2025). "A certain magic": Autistic adults' experiences of interacting with other autistic people and its relation to quality of life: A systematic review and thematic meta-synthesis. Autism.

Published

2026-02-21

How to Cite

Ghanbari Panah, A., & Sharif Mustaffa, M. (2026). Neurodivergent Couples and Innovative Therapeutic Interventions: Integrating the Neurodiversity Approach with the Double Empathy Model. Hyperscience in Psychology &Amp; Social Science (HPSS), 2(1), 5–15. https://doi.org/10.55672/hpss2026pp5-15

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