Therapy for Autistic and AuDHD Women
who are burnt out from holding it together
It’s okay to stop disappearing inside survival.
I help you slow down, untangle masking, trauma, and self-doubt, and reclaim the parts of yourself you had to abandon to survive.
therapy for Autistic and AuDHD women
Sarayu Meraki, MS, LPC
LICENSED COUNSELOR
Autistic and AuDHD TRAUMA THERAPIST
Madison, Cedarburg, and Milwaukee WI
“By the time I realized I was on the spectrum, I had spent over three decades of my life in treatment, addiction recovery, and therapy.
I couldn’t understand why I had struggled so much for so long. I always felt like I was on the outside looking in, life goal posts seemed to move like a frustrating carrot dangling in front of me, and no matter how much therapy I did, I felt I was never enough.
After watching the second episode of Patience (a TV series about an autistic woman who works in a criminal records department), I was like, ‘Holy fuck. I know what it’s like to feel what she feels,’ — the emotional and physical overwhelm I hid that didn’t seem to match how other people reacted, the safety I found in structure and control. Now I finally have an umbrella reason that’s helping things make sense.
~ Sarayu
Why do I feel
like I’m constantly overwhelmed and exhausted?
You probably have spent years being the capable one. The thoughtful one. The self-aware one. The one who keeps going, reads the room, adapts quickly, and tries very hard not to be too much.
And now that you’re realizing you’re autistic, everything is starting to make more sense — and feel more complicated and confusing.
Maybe you’re replaying your whole life through a different lens. Maybe you’re grieving how isolating things have been without anyone (especially your therapists) naming why. Maybe you’re noticing how much energy it has taken to seem “fine,” “easy,” “competent,” or “normal.” As a therapist for Autistic and AuDHD women, my work is focused on helping you understand that what looked
looked like anxiety, perfectionism, overthinking, people-pleasing, burnout, shutdown, eating issues, or relationship struggles was never just a personal failure.
High masking can look like functioning well on the outside while privately paying for it with exhaustion, self-doubt, resentment, sensory overwhelm, and a nervous system that never fully recovers.
You may be asking yourself:
Why is everything so hard for me?
Why do I fall apart after holding it together for so long?
Why do relationships leave me so confused, drained, or ashamed?
Why do I keep losing myself trying to make things work?
Why is sexual intimacy an issue in my relationship?
If this is where you are, you are likely seeing, maybe for the first time, the real cost of surviving by adapting to everyone else — and leaving yourself behind in the process.
Your whole life has been a cycle of trying harder, but decades of pressure, overfunctioning, and self-doubt are taking a toll.
Part of you may feel relieved to have language now. And part of you may feel completely overwhelmed.
Because once you see it, you can’t unsee it.
Now you’re trying to figure out what to do with the realization. What it means. What is autism, what is trauma, what is masking, what is burnout, and what is actually you. You may be searching for answers, routines, accommodations, scripts, boundaries, nervous system tools, communication strategies, and ways to make life feel less like you’re failing.
Those things can help. But often, they don’t touch the deeper ache.
Because the pressure is not just coming from your schedule. It’s coming from a lifetime of self-monitoring. From trying to get relationships right. From learning to override confusion, discomfort, sensory strain, and unmet needs so you could stay connected, stay employed, run a business, create safety, and perform to feel valued.
You may worry:
If I stop masking, will my relationships struggle even more?
If I honor my limits, will I still be able to survive?
If I let myself need what I need, will I constantly be reinforcing my boundaries?
This is why therapy for Autistic and AuDHD Women matters so much: the issue is not simply stress. It is the long-term cost of surviving through adaptation.
Even now, you may still be trying to do autism “correctly.” Figure it out perfectly. Heal efficiently. Be self-aware in the right way. Explain yourself well enough that your pain finally makes sense to someone.
No wonder you’re exhausted.
It’s not about fixing you
THERAPY FOR AUTISTIC AND AuDHD WOMEN
What often gets missed for late-identified autistic women is this:
The suffering is not just coming from autism. It’s coming from the chronic strain of not understanding yourself, mistrusting yourself, and adapting around yourself — for years. That’s why insight or building skills often doesn’t bring relief. Because this isn’t just an information problem. It’s a relationship-to-self problem.
You may know, intellectually, that you’re allowed to have needs. You may know you’re burned out. You may know masking has cost you. But actually living from that truth can feel disorienting, vulnerable, and even dangerous.
As a trauma therapist for Autistic and AuDHD Women, I help clients understand the patterns that formed around survival.
That’s where the work begins. Therapy with me is not about pathologizing you or handing you another mask. It’s about helping you understand the patterns that formed around survival — the pressure, the performing, the self-doubt, and the hypervigilance, the self-erasure in relationships — so you can begin to relate to yourself with more clarity, compassion, and trust. Not just: “How do I cope better?” But:
“What would it mean to build a life around who I am, instead of who I had to become? What might it look like to authentically say, ‘This is me.’”
How therapy for Autistic and AuDHD can help
You do not need to have this all figured out before coming to therapy. You do not need a perfectly clear autistic identity. You do not need to know which parts are trauma and which parts are neurodivergence. You do not need to be in total collapse to deserve support.
You just need a place to begin.
I offer therapy for Autistic and AuDHD Women who are trying to make sense of themselves with more honesty and less shame. You are grieving. You are burned out. You may be angry, relieved, confused, tender, and deeply tired of trying to force yourself into a life and relationships that don’t fit.
Together, we can slow things down. We’ll start to get curious about the patterns beneath the symptoms. We’ll explore the cost of high masking and the role trauma may have played in shaping how you relate to yourself and others. We’ll untangle the bind between belonging and self-abandonment. And we build the kind of self-trust that makes real change possible.
My approach is relational, trauma-informed, and depth-oriented. If you’re looking for a Trauma Therapist for Autistic and AuDHD Women, I offer therapy grounded in What is NARM®?, polyvagal theory, and psychodynamic depth therapy.
What I want for you is not just more coping.
I want you to have a life with more room in it.
More truth.
More choice.
More permission to be real.
More trust in your own inner experience.
More energy for the life that is actually yours.
Ready to start your journey?
Reach out today for a free 15-minute consultation, contact me directly at sarayu.meraki@merakicounseling.org, or call (920) 285-4900.
Serving Southeast Wisconsin and Beyond
Meraki Counseling is based in Cedarburg, WI. I offer in-person therapy for autistic and AuDHD women in Cedarburg, Grafton, Mequon, Port Washington, as well as online therapy for Milwaukee and Madison and throughout Wisconsin.
Ready to start your journey?
Contact me today for your free connection call.
Take this quick quiz
Not sure if we’re the right fit?
“What kind of therapy is right for me?”
Therapy for Autistic and AuDHD Women near Madison, Cedarburg, and Milwaukee
Sub-Specialities
Ready to start your journey?
Contact me today for your free connection call.






