Neurodiversity-affirming therapy

Neurodiversity-affirming therapy that starts from how your mind actually works.

Neurodiversity-affirming therapy at this practice starts from how your mind actually works, including how ADHD, autism, and executive functioning are missed or misread in BIPOC communities. In a national study of more than 10,000 elementary students, Black children had 40% lower odds of an ADHD diagnosis than observationally similar White children; for Black boys the gap was almost 60% (Morgan et al., Psychiatry Research, 2023). We treat that as a clinical fact, not a footnote.

Clinically reviewed September 16, 2026 · Untangled Threads Psychology

Key takeaways

  • Black children had 40% lower odds of an ADHD diagnosis than similar White children; Black boys, almost 60% lower (Morgan et al., 2023, n > 10,000).
  • Hispanic/Latino children were 29% less likely than U.S. children overall to have an ADHD diagnosis in 2024 (HHS OMH / CDC).
  • This page is affirming adult telehealth in California and New York, not a diagnostic clinic or a child-assessment center.
  • Christian Homniyom has a background in developmental disability services; Dr. Angela Horng holds neurodiversity alongside anxiety, trauma, and identity.

Neurodiversity-affirming therapy

Therapy that treats ADHD, autism, and other neurodivergent profiles as differences in how a nervous system works, not as character flaws to extinguish. At this practice it also means asking how race and culture change whether those differences get named as ADHD, as laziness, or as defiance.

Sound familiar?

You might be in the right place if…

  • You suspect, or know, you are neurodivergent, and want support that treats that as difference rather than deficit.

  • Executive functioning struggles keep getting labeled as laziness by others, or by you.

  • You were missed or misdiagnosed earlier in life, and you are still sorting out what that means.

  • Masking gets you through the day and leaves you exhausted.

Your clinicians

Who you would work with

Not sure who fits? Leave the choice to us: send us a message and we will match you.

How we can help

What this work looks like here

Neurodiversity and relational functioning is a core service area of the practice, not an afterthought. The work is affirming by design: understanding your particular profile, building supports for executive functioning, and untangling the self-criticism and relationship patterns that can grow up around an unrecognized neurodivergent mind.

Because culture shapes how neurodivergence is seen and named, we hold that lens throughout, particularly for clients from communities where it is most often missed. Christian Homniyom’s clinical background includes developmental disability services. Dr. Angela Horng holds this work alongside anxiety, trauma, and identity.

The diagnosis gap is not only ADHD. CDC data summarized by HHS OMH show Hispanic/Latino children under 18 were 29% less likely than U.S. children overall to have an ADHD diagnosis in 2024 (8.5% versus 12.0%). Black children with ADHD symptoms are also more likely to be read as willful or defiant and funneled toward conduct-disorder labels rather than support.

Curious about the methods? See our glossary of specialties and approaches.

Evidence

What the published data actually say

In their words

“We’ve known for a long time that ADHD diagnoses are not made in a vacuum. They’re made in a geographic context, cultural context, racial context.”

“ADHD is an accelerant to my Black experience. I can’t separate my experiences as a Black boy and Black man from my experiences of understanding my neurodivergent identity.”

Questions

Before you book

Do you diagnose ADHD or autism?
This practice provides psychotherapy, not a standalone neuropsychological testing clinic. If a formal evaluation is the right next step, we will say so and help you think through referrals. Many adults arrive already diagnosed, self-identified, or still sorting it out. All three are welcome.
Is this only for BIPOC clients?
Neurodiversity-affirming care is available to any client we are licensed to see in California or New York. The page names BIPOC misdiagnosis because that is where the published gap is largest, and because it is a core focus of the practice.
Can I book if I am masking or not sure I am neurodivergent?
Yes. A free consultation is the place to talk through that without committing to a course of treatment.

Start with a free consultation

A free, no-obligation consultation call is the easiest way to find out whether we are the right fit. Telehealth across California & New York, with in-person sessions available in Rochester, NY.