Dr. Karen McKibbin

Dr. Karen McKibbin I am a licensed psychologist who has specialized in the evaluation and treatment of individual across the autism spectrum and life span for over 25 years.

I believe that every individual has the ability to learn, grow, and have the ability, skills and tools to live their best life. Treatment services are delivered within the framework of research supported Behavioral and Cognitive Behavioral Therapies and emphasize building a collaborative environment among family members, and other community members significant to an individual’s life.

07/27/2026
07/24/2026

Autism isn’t a behaviour problem. It’s a different way of experiencing the world.

A child covering their ears may be overwhelmed, not “overreacting.”
A teen needing routine may be seeking safety, not being difficult.
Someone needing extra time to answer may be processing, not ignoring.
A meltdown may be communication, not bad behaviour.

Autistic brains don’t work wrongly — they work differently.

And with that difference can come deep focus, honesty, loyalty, creativity, attention to detail, strong passions and incredible determination.

What autistic children, teens and adults need most is not pressure to “act normal.” They need understanding, patience, clear communication, respect, and safe spaces where they can be themselves.

Progress does not have to be fast to be real.
Communication does not have to look typical to matter.
Different does not mean less.

Autism acceptance starts when we stop asking, “How do we make them fit in?” and start asking, “How can we make the world easier to belong in?”

FREE I HAVE AUTISM, PLEASE KNOW THIS POSTER

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07/23/2026

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The Quiet Mismatch Between What She Feels and What Her Face Shows

A woman once told me something that completely reframed how I think about social misunderstanding. She said, "People keep telling me I look upset or bored, but inside I might actually be the happiest I have been all week." That single sentence describes one of the most exhausting parts of being autistic, the constant gap between internal experience and outward expression, a gap most people never realize exists because they assume a face always tells the truth about what is happening underneath it.

When a Calm Face Is Actually a Storm Underneath

Facial expressions are often treated as a reliable window into someone's emotional state, but for many autistic individuals, that window simply does not work the same way. A calm expression can be sitting directly on top of real stress. A neutral face can be masking genuine excitement about something she cares deeply about. This mismatch is not intentional, and it is certainly not dishonesty. It is a difference in how emotion translates into visible expression, and once you understand that, so many past misunderstandings suddenly make more sense.

Why Her Voice Sounds Different From How She Feels

The same disconnect shows up in tone of voice. A flat or monotone delivery can easily be misread as disinterest, irritation, or even hostility, when in reality it may simply be how her voice naturally carries regardless of the emotion behind the words. People fill in the blanks based on how a neurotypical voice usually signals feeling, and when those signals do not match expectations, they often assume the worst instead of asking a simple question.

The Words She Says Are Usually the Only Words She Means

Language adds another layer entirely. Many autistic people process communication literally, meaning idioms, sarcasm, or implied messages often get taken at exact face value rather than interpreted as hidden meaning. When she says something directly, she usually means precisely that, nothing layered underneath, nothing left unsaid. This directness gets mistaken for bluntness or even rudeness, when it is actually one of the most honest ways a person can communicate.

Stepping Away Is Regulation, Not Rejection

When overwhelm builds from noise, crowds, or too much happening at once, stepping away becomes a necessary form of self care rather than a sign of disinterest in the people around her. Walking away from a loud room does not mean she has stopped caring about the conversation. It means her nervous system reached its limit and needed space to reset before it could function well again.

A Pause Before Answering Is Thoughtfulness, Not Distance

Needing extra time to respond follows the same pattern. That pause is not confusion or disengagement, it is the process of gathering thoughts, finding the right words, and forming an answer that actually reflects what she means. Rushing that process does not make communication faster, it only makes it less accurate.

Which of these have you experienced, either as someone autistic yourself or someone who loves an autistic person?

07/23/2026

🧑‍🍳 Backed by heavy hitters like Daniel Boulud and Andrew Zimmern, the new workforce initiative addresses both chronic staffing shortages and inclusivity.

Learn all about 'Chefs on the Spectrum' by Autism Speaks & Franklin Becker : https://secretnyc.co/autism-speaks-chefs-spectrum-nyc/

06/29/2026

You need to call the doctor.
Urgent.
Medication refill.
You pick up the phone.

Heart racing.
Finger hovering.
Can’t press it.
“I’ll do it in 5 minutes.”

Two hours later, still haven’t called.
No medication.
But you still can’t do it.

Everyone says: “It’s just a phone call.”

But here’s what researchers discovered:
ADHD brains process phone calls as threats.
Not because you’re socially anxious.

Because phone calls require four executive functions simultaneously:
Working memory to track conversation without visual cues.
Real-time processing with no pause button.
Managing unpredictability you can’t prepare for.
Performance pressure with no edit or delete.
Neurotypical brains handle this automatically.

ADHD brains get overwhelmed before the call starts.
Your nervous system treats the phone as danger.
And triggers the same freeze response.

This is why you can text easily but can’t call.
Talk in person but phone feels impossible.
Avoid urgent calls even with severe consequences.

It’s not laziness.
It’s executive function overload triggering threat response.

What helps:
Script it first. Body double on silent call. Set exact timer. Do it while scared.

If phone call paralysis is costing you medical care and job opportunities, check my profile bio for systems that work with your ADHD brain.

phoneanxiety, ADHDparalysis, executivedysfunction, neurodivergent, adhdwomen

06/26/2026

Alienated by Secretary Robert F. Kennedy Jr.’s claims about autism, advocates for disabled students are sounding the alarm about the Trump administration's shifting special education programs to his department.

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