Neuro-affirming Care: What It Is, What It Isn’t—and Why Ottawa’s Families Can’t Wait

by Anastasia Machan, R.E.C.E., B.A., M.A., Registered Psychotherapist (Qualifying)

Ottawa, it’s time we talked.

If you’re a parent of a neurodivergent child—whether they’re autistic, ADHD, gifted, have sensory differences, or all of the above—you already know this city is behind. You’ve felt it in your bones while sitting on waitlists for assessments that take 12–24 months. You’ve felt it in your chest when your child gets kicked out of daycare or struggles in a classroom not built for their mind. You’ve felt it in your soul when professionals talk about your child as a problem to be fixed, rather than a person to be understood.

This isn’t just a service gap. It’s a crisis of care.

And it’s time for Ottawa to catch up.

What Is Neuro-affirming Care?

Neuro-affirming care starts with one radical, world-changing belief: neurodivergent people are not broken.

This isn’t just about kindness or acceptance—it’s about respecting the neurological differences that shape how someone experiences the world. It’s about making space for sensory needs, communication differences, emotional regulation, and social wiring that doesn’t fit the mold.

Neuro-affirming care:

• Prioritizes connection over compliance

• Builds on a child’s strengths, not their “deficits”

• Includes the whole family, because parenting neurodivergent kids in an ableist world is hard

• Avoids shame-based strategies like token economies, ABA-style behaviour charts, or forced eye contact

• Supports autonomy and consent, even in small children

• Helps kids feel safe in their own bodies, not like they need to mask or perform to earn love, inclusion, or success

  
  

It is relational. It is respectful. It is rooted in nervous system science, trauma-informed practice, and deep human compassion.

What Isn’t Neuro-affirming Care?

Let’s be clear: neuro-affirming care is not just traditional therapy with a new label.

It’s not:

• Forcing kids to “fit in” by punishing stims, scripting social interactions, or enforcing quiet hands

• Measuring success by how “normal” someone looks or acts

• Assuming “independence” is the goal for every child at every stage

• Treating parents like they’re the problem, or shaming them for not doing “enough”

• Centering the comfort of schools, workplaces, or systems at the expense of the neurodivergent person’s well-being

Neuro-affirming care doesn’t ask kids to change who they are. It asks us—adults, caregivers, professionals, communities—to change how we see, support, and stand beside them.

Why Ottawa Is Behind

Ottawa is filled with brilliant families, caring professionals, and passionate educators. But when it comes to neurodiversity-affirming care? We are decades behind.

Parents are cobbling together support systems from scratch. Children are being labeled as “difficult” instead of dysregulated. Therapies still rely heavily on compliance-based methods that increase masking and burnout. And far too often, schools are ill-equipped to create truly inclusive environments.

We can’t keep telling families to “hang in there.” We can’t keep waiting for new policies, more funding, or another election cycle. Kids are growing up now. Parents are burning out now. Relationships are breaking now.

What Ottawa Needs Now

We need more neuro-affirming therapists, social workers, educators, and doctors who are trained in current, compassionate, evidence-informed care. We need accessible, low-barrier services for families, especially for those in crisis or just starting their journey. We need fewer gatekeepers and more bridge-builders. We need to center lived experience—not just research, but real humans. Autistic adults. ADHD adults. Parents and siblings.

We need a culture shift. One that says: “You belong, just as you are. And we will build systems that see you, support you, and let you thrive.”

If You’re a Parent Reading This

You are not alone. You are not imagining the gaps. You are not failing your child.

Your exhaustion is valid. Your advocacy is brave. Your love is powerful.

Keep going—but know that you shouldn’t have to do it alone.

Let’s build a neuro-affirming Ottawa together.

If you’re looking for support or want to join a community of like-minded families, reach out. Let’s start where we are, and create something better—together. 💛