Merrimack River Wellness

Merrimack River Wellness Therapy practice focused on providing inclusive, ND/gender affirming and supportive MH

New on the blog: Understanding Autistic Burnout with insights from Dr. Megan Anna Neff. This short, compassionate piece ...
05/29/2026

New on the blog: Understanding Autistic Burnout with insights from Dr. Megan Anna Neff. This short, compassionate piece explains what autistic burnout really is, why it happens, and how to better support autistic people through recovery. Read now: https://wix.to/Gjr3XXE

Autistic burnout is a complex and often misunderstood experience that affects many autistic individuals. It goes beyond typical exhaustion, impacting mental, emotional, and physical health in profound ways. Researchers and advocates like Dr. Megan Anna Neff and Dora Raymaker have contributed valuabl...

PDA vs Demand Avoidance
05/28/2026

PDA vs Demand Avoidance

Whenever I post about PDA, a lot of people identify with the experience of demand avoidance.

I want to be cautious that you do not misunderstand PDA as simply a tendency to avoid demands.

Demand avoidance is something everyone experiences. PDA is SO MUCH MORE than that.

My PDA neurotype is not a behavior - it's a type of genetic brain wiring like Autism or ADHD. It's been with me my whole life, it's part of my DNA. While it's frequently extremely frustrating to have to sort out what my body really needs to feel autonomous, I wouldn't change my PDA neurotype for anything because that would fundamentally change who I am.

PDA is not a behavior, and beyond that it's also not a medical condition. PDA is a neurotype or neurological identity.

Noteably, PDAers experience all sorts of stress response to demands, not just avoidance. Sometimes PDAers avoid demands, but other times we have aggressive fight responses to demands. Some PDAers fawn and compulsively comply which feels like being hijacked by your own body.

In addition to autonomy-based stress responses to demands, PDAers have other traits too: more tendency towards fantasy and make-believe than other Autistics, creative thinking, resistance to hierarchy, sense of humor, highly social (possibly masking), uses social strategies as part of avoidance (distraction, pretend, role-play).

I made this chart last year to help explain the differences between PDA and non-PDA demand avoidance.

For PDAers this is not an either/or, we experience both sides. These two columns co-exist for PDAers. A person with the PDA neurotype can experience many different kinds of demand avoidance.

But not everyone who is demand avoidant is PDA. People can be severely demand avoidant and not be PDA! The difference is the reason for the avoidance.

Loss of capacity due to burnout, depression, shutdown, or chronic illness are the most common reasons for non-PDA demand avoidance, both internal and external.

Most common question: Can you have both? Yes. I am genetically PDA, and I also experience regular demand avoidance from fight/flight/freeze states, moral OCD, dopamine depletion, exhaustion, & burnout.
🧠 More blog content at TraumaGeek.com/blog

🦎I'm hosting a set of workshops on Sensory Trauma June 4 & 5 at 4pm EST. We’ll be learning about what sensory trauma is, how it works, how to prevent sensory trauma, and how to support recovery. This is for both ND people and professionals. My classes are a unique space where we get to interact as peers without hierarchy. Recordings are shared the next day.
Details here: https://traumageek.thinkific.com/courses/workshop-series-sensory-trauma

✏️ My year long-course, 50 Vagus Exercises in a Year, is still open for enrollment. We're exploring natural vagus nerve stimulation while honoring individual pacing and considering neurodivergent differences. The exercises are taught through short videos, with a monthly Q&A session on zoom, and several more ways to learn with me. We started last month and there’s currently 5 short videos and 1 Q+A session if you want to catch up with us.
Details here: https://traumageek.thinkific.com/courses/50-vagus-exercises-in-a-year-two

🧠 This work is supported by patreon members at patreon.com/TraumaGeek. Patreon helps me continue to be able to offer free public nervous system education in the form of blogs, infographics, in-person trainings, and occasional free workshops.

On June 11th, PDANA will have Linda K. Murphy, who authored one of the top books recommended - The Declarative Language ...
05/28/2026

On June 11th, PDANA will have Linda K. Murphy, who authored one of the top books recommended - The Declarative Language Handbook. She will join PDANA for a talk about the ideals of consent and communication with PDAers, and how they come together.

It is such a small thing, but gaining consent from a communication partner that “now” is a good time to share uncomfortable news, or even just nuggets of new information that require some processing, can make all the difference in the world in terms of communication being successful, and fosteri...

05/01/2026

🧘🏻‍♀️🌈💛

Alternative Text:  image is on a pink/yellow background with a tulip border, Merrimack River Wellness logo, image of QR ...
04/07/2026

Alternative Text: image is on a pink/yellow background with a tulip border, Merrimack River Wellness logo, image of QR code and rainbow infinity symbol.
Text reads:
2026 Virtual Groups for Autistic Adults,
Navigating Your Autistic
(Exploring, Diagnosed and Self-Determined Individuals Welcome)
Navigating your Autistic Neurodivergent identity
8 weeks, Wednesdays 12:00-1:15pm
Open to MA, CT, VT, ME & NH residents
MORE INFO:
WWW.MERRIMACKRIVERWELLNESS.COM
LDUBE@MERRIMACKRIVERWELLNESS.
$50 per group, insurance accepted

03/29/2026

Embrace Autism is THE place to find research & experience-based autism content for personal elucidation & empowerment. By autistic people, for autistic people.

03/05/2026
02/28/2026

Our March Young Adult Peer Support meeting is this coming Tuesday, March 3rd, from 5:00-6:30 pm. This meeting will be at Community Campus in Portsmouth, and is open to LGBTQ+ folks and allies ages 18-24. Come by and make some new connections!

Address

51 Pleasant Street
Newburyport, MA
01950

Opening Hours

Monday 12pm - 7pm
Tuesday 12pm - 8pm
Wednesday 12pm - 6pm
Thursday 12pm - 5pm

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