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Hope, Purpose, Meaning, Belonging: An Indigenous Framework to Therapy 

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Introduction 

Often, the field of Psychotherapy encourages clinicians to be culturally-informed, especially towards indigenous and First Nations perspectives. I found, though, that unless I took up specific training courses, my understanding is limited only to acceptance and nonjudgment towards indigenous practices. I did have an understanding of connection to the land, but was unsure of how to connect this to therapy unless the client themselves brought up their own experiences to nature. Through my supervisor, however, I was introduced to an amazing indigenous framework called Hope, Purpose, Meaning, and Belonging. This post will explain my understanding of the framework, and how it can be so helpful to bring into therapy. I’d like to think this is a way for you to understand parts of indigenous culture, especially through their meaning of mental wellness. 

The Indigenous Definition 

Firstly, what do indigenous and First Nations cultures mean by hope, purpose, meaning, and belonging in relation to mental wellness? Let’s start first with hope – wellness can come from having hope for the future. It’s a general optimism for tomorrow, whether for oneself or for their loved ones. Then, a sense of belonging, or connection to community and to the land. Finally, people find wellness in finding meaning and purpose in life, through being and doing. Purpose, to me, was the most interesting concept. I initially thought purpose would mean something like “grand purpose”, similar to existential questions such as “what is my purpose of being here on earth”. However, purpose here means what really drives you in your day to day, such as work, education, or even caregiving and cultural practices. So, for example, a person’s daily purpose could be waking up to go to work and then going home to their kids to be a parent.  

According to the Thunderbird Foundation, indigenous Elders and Knowledgekeepers from different groups generally understand and agree on hope, meaning, purpose, and belonging being essential to human mental well-being. A whole and healthy person is expressed through spiritual, mental, emotional, and bodily balance. However, it’s also necessary for the person not to be focused on themselves, but also connected to other people and to nature. 

Applying this in Therapy 

I enjoy using this framework to not only understand clients, but also help them understand their own distress and eventual goals towards mental wellness. I find it especially helps with folks struggling with despair or anxiety in life. For example, I have clients describe to me they feel constantly depressed in life, and have nothing to look forward to. That already tells me there’s a lack of hope in the client’s life. From there, I explore other aspects of the client- does the client have social support? Does the client have things to do in their day or week that they feel compelled to do? Does the client’s actions align with their values? From there, I explore where the client is lacking in meaning, purpose, or belonging. 

I find this framework also can go in hand with other approaches, such as Emotion-Focused Therapy (EFT) or Internal Family Systems (IFS), where there is in-depth exploration of the client’s emotions and past experience. This is because often clients tend to struggle with tools to deal with their distress, which leads to other issues in life, such as relationships, education, work, etc. Through therapy, I can use specific techniques, such as parts work or emotion coaching, to help the client cope with their problems. Then, with the indigenous wellness framework, help the client understand that wellness can be achieved in a more holistic manner, not just coping. 

Conclusion 

Indigenous frameworks are truly underrated! I think human wellness really is centered on these four core aspects, and healing can come through centering back on this. It’s even an amazing way to reflect on our lives, whether as therapists, clients, or just as regular people. Even when life is overwhelming, we can always go back to the things that bring us hope, meaning, purpose, and belonging.

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Hope, Purpose, Meaning, Belonging: An Indigenous Framework to Therapy 

Hope, Purpose, Meaning, Belonging: An Indigenous Framework to Therapy 

If you have both Autism and ADHD (also known as AuDHD), you might have noticed that navigating your gender identity comes with unique challenges and insights. Maybe you feel conflicted about your relationship with gender, or maybe you’ve been exploring what gender means to you for a while. Wherever you are in your journey, your experience is valid.

In this post, I’ll explore how living with both Autism and ADHD might impact your relationship with gender and how therapy can support you in connecting more deeply with your body and identity.

The Unique Experience of Navigating Gender Expansiveness with AuDHD

Having both Autism and ADHD can create a unique lens through which you experience the world, including your understanding of gender. On one hand, you may feel disconnected from or question societal norms and expectations around the gender binary. This can be freeing and open up possibilities for gender expansiveness. On the other hand you may experience impulsivity, hyperfocus, or difficulty in managing the nuances of gender exploration.

For example, you might spend hours researching gender identity, reading everything you can find, and thinking about how you want to present yourself. But when it comes to taking the next steps—whether that’s experimenting with clothing or even accessing gender-affirming care—challenges with executive functioning might make those tasks feel overwhelming or hard to start.

This combination of deep introspection from Autism and the impulsivity or difficulty with follow-through from ADHD creates a unique path to gender exploration. It’s okay to feel both empowered and overwhelmed at times. Therapy can help you unpack these feelings and offer strategies for moving forward in a way that feels manageable.

Executive Functioning & Gender Exploration
Executive functioning—skills like organizing, planning, and managing time—might be a struggle for you if you have ADHD, Autism, or both. If you find it difficult to plan out your steps toward gender exploration or taking action on gender-affirming care, that’s totally okay. These steps are often overwhelming and can come with a lot of mental load.

Your journey doesn’t need to be linear or follow any particular timeline. It’s perfectly fine if you’re unsure of your next step or if things feel messy right now. A therapist can help you break things down into more manageable steps, and together, you can figure out what feels most important to you in your exploration.

Emotional Regulation & Gender Dysphoria
Emotional regulation might be another challenge if you have AuDHD. If you experience gender dysphoria (feeling discomfort or distress related to your gender), it can bring up intense feelings like anxiety, frustration, or sadness. These emotions may be harder to manage if emotional regulation is already tricky for you. On the flip side, gender euphoria—the joy of feeling aligned with your gender—can feel even more powerful and affirming.

Learning to manage the highs and lows is important, and working with a therapist can help you develop tools to feel grounded and present during those emotional waves. This can give you more room to experience your gender in ways that feel affirming, while also holding space for the emotional complexities that come with it.

How Therapy Can Help You Tune Into Your Body
If you’ve ever found it hard to connect with your body or understand what it’s telling you, you’re not alone. Many people with Autism and ADHD experience challenges with interoception—the ability to understand and feel what’s going on inside their body. This can make it difficult to tune into things like hunger, thirst, or even feelings of gender dysphoria or euphoria.

Therapy can help you improve interoception by teaching you how to reconnect with your body. This might mean learning to notice the subtle ways your body responds to different experiences, such as moments of gender euphoria or discomfort. Over time, this awareness can help you feel more in tune with your gender and how it shows up in your body.

Your Journey is Yours
If you’re feeling conflicted about your gender identity and how your AuDHD might be impacting this journey, remember that there’s no “right” way to explore your gender. Your path is unique, and there’s no set timeline for figuring things out. AuDHD might bring its own set of challenges, but it also brings strengths—like creativity, deep introspection, and hyperfocus—that can support you on your path.

At Rainbow Counselling, we’re here to support you as you navigate these intersections in a way that feels true to who you are. If you’re ready to explore how therapy can help you on this journey, we invite you to book a consultation with one of our team members, or submit our online form to be matched with a therapist on our team!

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