Abby Dougherty
2 min readSep 7, 2023

Neuroaffirmative Counseling: A Nexus of Brain Plasticity and Technology

By Dr. Abby Dougherty

The field of counseling is perpetually evolving, and a newer approach that has emerged is neuroaffirmative counseling. This approach is deeply rooted in the understanding of neuroplasticity, the brain’s awe-inspiring ability to adaptively change and reconfigure its structures and functions in response to diverse stimuli (Siegel, 2012). As the name suggests, neuroplasticity highlights the brain’s pliability — like plastic molding under the sculptor’s hands, our brain molds and reshapes based on experiences, learning, and even adversities.

Building on this paradigm of brain adaptability, neuroaffirmative counseling meticulously crafts interventions to align seamlessly with the intricate architecture of the brain. The result is a therapeutic method that not only promotes growth and resilience but also fosters deep, transformative changes that resonate with an individual’s innate neurological patterns. What truly sets neuroaffirmative counseling apart is its compassionate and empathetic recognition of the vast neural diversity that exists within the tapestry of humanity.

This approach does not merely accept or tolerate differences; it celebrates them. Rather than pathologizing or trying to fit diverse expressions and experiences of reality into restrictive molds, neuroaffirmative counseling embraces these nuances. It acknowledges that every individual’s perception and interaction with reality are uniquely their own, influenced by a myriad of factors including their neural makeup, cultural background, and subjective experiences.

Neuroaffirmative counselors understand that communication is multifaceted. While traditional verbal exchanges hold their value, it is crucial to recognize the varied communication needs that different individuals might have been quite normal and there is no need to pathologize the neurodivergent experience within the confines of the counseling relationship. In a world where misunderstandings and conflicts are rife, the advantage of technologically based communication becomes even more pronounced. For relationships or situations where face-to-face communication is fraught with challenges or impediments, technology can act as a mediator.

It offers alternative pathways, whether through texting, video calls, or specialized apps, to ensure that communication still is unbroken, clear, and effective. For a variety of reasons, the client may prefer the use of technology to communicate with their counselor, whether through a text-based app or the use of assistive AI (Artificial Intelligence) for teaching and learning prosocial communication within relationships. Counselors need to do their homework on communication tools and actively invite clients to design communication space with their counselors.

In conclusion, neuroaffirmative counseling is bridging the gap between traditional therapeutic methods and modern technological advances. By using the powerful blend of understanding brain plasticity and using technology, it paves the way for a more inclusive, effective, and holistic counseling experience.

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Abby Dougherty
Abby Dougherty

Written by Abby Dougherty

Abby Dougherty, PhD, loves to learn, and produce scholarship on relational-cultural theory, virtual reality, AI, and using mindfulness in counselor education.

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