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To Hold Space in Therapy

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By Cho Chua

Introduction

“How do you hold space for the lyrics of Defying Gravity?” was a famous meme going around on the internet for the latter end of 2024. Admittedly, I was one of the many people who laughed at the interview between Ariana Grande and Cynthia Ervivo, especially as the queer theatre kid I was (or am). However, I quickly learned that the term “holding space” actually comes from therapy terminology. This surprised me as I’ve never heard the term before. This post is to talk about what it means to hold space in therapy, and why clients benefit from the power of holding space, whether for the lyrics of a song or the emotions someone feels. 

Holding Space? 

Holding space is defined as a practice of making space for someone to fully express themselves and their experiences without judgement. It was founded by Canadian writer Heather Plett, who wrote in a blog post roughly ten years ago, about holding space being a way to walk alongside someone else in their unique journey. To hold space for someone, you need to be fully present without distractions, empathize, listen attentively, and be accepting and non-judging towards the other person. It’s important for the listener to not try to talk over or even to fix the other person’s problems here, but to be with them in the moment. 

Sound familiar? If you’re thinking, gosh this kinda sounds like therapy- it is!  For folks who haven’t experienced therapy like this, this is what therapy can look like. The idea of holding space is rooted in a type of humanistic-experiential therapy approach called Person-Centered Therapy by Carl Rogers. In Person-Centered Therapy, the client is the expert, not the therapist, and the role of the therapist is more like a guide and companion for the client as they explore their unfiltered thoughts in session. It’s a different approach to a lot of popular, structured types of therapy, such as Cognitive-Behavioral Therapy, where there’s a certain task provided by the therapist and homework to practice the techniques used. However, other forms of therapy to an extent also allow the therapist to hold space. Therapy, at its core, is about affirming a person’s experience, beliefs, thoughts, and feelings, and helping them move toward their own goals.

So what does holding space look like in a therapy session, then? Well, imagine you’re in a session with a therapist and you just let yourself talk. No policing of your words, no thinking “I’m gonna be mean when I say this but..”- just pure, uncensored talk about what you’re feeling and thinking. A therapist that effectively holds space for you explores how you feel about the topic, how it feels in your body. The therapist won’t be completely silent, after all it is a dialogue between two people, but they won’t try to act as someone who knows better than you. They’re not a specialist in the room, just another person sitting there and being with you as you explore your insights and journey. You can share laughter, pain, anger, and all the emotions out there, but you get to feel it without criticism. I’m a huge fan of holding space, simply because where else can a person sit there and just be? 

Conclusion

So I’m going to grab your pointer finger, literally and metaphorically, when I tell you this, but you can hold space for yourself and for others. I’ve learned from my journey that sometimes, even in pain, people simply just want others to be there and acknowledge their pain without jumping to find the cure. It’s a powerful experience to be with someone, or even look in a mirror, and accept, just as they (or you) are, messiness, tears, joy and all.  

So, dear reader, how would you like to hold space today?

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To Hold Space in Therapy

To Hold Space in 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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