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Merrimack River Wellness
Lisa Dube, LICSW (she/her) IFS L3
Licensed in MA, ME, CT, VT & NH

All Posts


Is CBT an Affirming Support for Neurodivergent Individuals?
Cognitive Behavioral Therapy (CBT) and Neurodivergent Individuals Cognitive Behavioral Therapy (CBT) is not an inherently affirming support for neurodivergent individuals. Its traditional goal of correcting "irrational" thoughts can invalidate neurodivergent experiences, such as logical, detail-oriented, or sensory-driven processing. However, when heavily adapted—using visuals, focusing on skill-building rather than "fixing" thoughts, and respecting neurodistinct perspectiv

Lisa Dube, MSW, LICSW
Feb 191 min read


Navigating Alexithymia and Interoception Challenges in Autistic Adults
Understanding emotions and bodily sensations can be difficult for many autistic adults. Two key factors often play a role in these challenges: alexithymia and interoception difficulties. These conditions affect how people recognize and respond to their feelings and internal bodily signals. This post explores what alexithymia and interoception mean, how they impact autistic adults, and practical ways to manage these challenges. What Is Alexithymia? Alexithymia is a condition w

Lisa Dube, MSW, LICSW
Feb 153 min read


Finding LGBTQ Affirming Therapists Near You: Your Guide to an Inclusive Therapist Locator
Finding the right therapist can feel overwhelming, especially when you want someone who truly understands and supports your identity. For LGBTQ+, transgender, neurodivergent individuals, and their families, it’s essential to connect with professionals who offer affirming, compassionate care. That’s why using an inclusive therapist locator can be a game-changer. It helps you find mental health providers who respect and celebrate your unique experiences. In this post, I’ll walk

Lisa Dube, MSW, LICSW
Feb 124 min read


Connecting Through LGBTQ Affirming Support Groups Online: Building an Online Community Support Network
Finding a safe and understanding space can be life-changing. For many, connecting with others who share similar experiences offers comfort, validation, and strength. In today’s digital world, online community support has become a vital resource, especially for LGBTQ+, transgender, and neurodivergent individuals and their families. These groups provide a welcoming environment where people can share stories, seek advice, and find solidarity without geographical limits. The Imp

Lisa Dube, MSW, LICSW
Jan 273 min read


Understanding the Importance of a Neuro-Affirming Online Group Space
Creating spaces where everyone feels accepted and understood is essential, especially for neurodivergent people. A neuro-affirming group space goes beyond simple inclusion. It actively supports and respects the unique ways individuals think, communicate, and interact with the world. This blog post explores what it means to provide such a space, why it matters, and how to build one effectively. What Does Neuro-Affirming Mean? Neuro-affirming refers to recognizing and valuing n

Lisa Dube, MSW, LICSW
Jan 253 min read
Healing Beyond Words: Combining Brainspotting and IFS for the Neurodivergent Brain
In 2026, many clinicians are turning to the powerful integration of Internal Family Systems (IFS) and Brainspotting to offer a more effective, neurodiversity-affirming path to healing. I recently had the opportunity to complete the Brainspotting Phase I training and am excited to add it to my toolbox, especially with clients who may have challenges with verbal processing. What is the IFS & Brainspotting Connection? Internal Family Systems (IFS): This model views the mind a

Lisa Dube, MSW, LICSW
Jan 182 min read


The Role of LGBTQ Affirming Therapists in Specialized Mental Health Care
Navigating mental health can be challenging for anyone, but for LGBTQ+, transgender, and neurodivergent individuals, the journey often involves unique hurdles. Finding support that truly understands and respects these experiences is essential. This is where specialized mental health care comes into play, offering a safe space for healing and growth. In my experience, affirming therapists play a vital role in fostering well-being and resilience within these communities. Unders

Lisa Dube, MSW, LICSW
Jan 123 min read


Harnessing the Healing Power of Community and Group Support
Healing is often seen as a personal journey, but many people, particularly members of marginalized groups, find that the path to recovery becomes clearer and stronger when shared with others with a similar experience. The power of healing in community or group settings offers unique benefits that individual efforts alone cannot provide. This post explores how connecting with others can accelerate healing, provide emotional strength, and create lasting support networks. In a

Lisa Dube, MSW, LICSW
Jan 54 min read


Unlocking Your Neurotype: A Guide to Self-Assessment Tools and Therapeutic Insights
Many of us are curious about our neurotype . How do we see and experience the world? What role does our neurotype play in our everyday interactions and relationships? How is our brain wired? There are many tools available to help you get to know your neurotype, particularly if you are exploring the possibility of an autistic neurotype. Some of my go-to free self-assessment tools are readily available in the public domain. Although there is not one assessment that can prov

Lisa Dube, MSW, LICSW
Jan 22 min read
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