Bespoke Care for Adults & Children with Autism

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Two nervous systems, sometimes pulling in opposite directions

What makes AuDHD distinctive is that the two profiles can quietly mask each other or actively pull against each other. The autistic nervous system often craves routine, predictability, and deep, sustained focus on meaningful interests. The ADHD nervous system seeks novelty, movement, and variety. Living with both can feel like being at war with yourself: longing for structure and chafing against it in the same breath, capable of extraordinary hyperfocus yet unable to start the task that matters most.

Why AuDHD is so often missed, especially in girls and those who mask

AuDHD is frequently identified late. People often arrive at a clinician's office for anxiety, depression, or burnout long before autism or ADHD is ever considered. This is especially true for girls, women, and anyone who masks, the exhausting, often unconscious work of suppressing natural traits and imitating others to fit in. Research suggests autistic women and girls mask at higher rates, that masking is linked to delayed diagnosis, and that many women are not identified until their 30s or 40s, frequently after years of being told they had anxiety, depression, or a personality disorder.

The cost of carrying all of this unrecognized is steep. Higher levels of masking are associated with higher levels of burnout. Autistic burnout, a genuine and distinct experience of long-term exhaustion, loss of skills (including executive function), and heightened sensory sensitivity, can overwhelm coping strategies that held for years, often at a major life transition.

How a physician evaluates both, together

AuDHD deserves to be assessed as a whole, not as two separate checklists handed off between providers. In an unhurried evaluation, Dr. Fu takes the time to understand the full picture: developmental history, the sensory world, executive-function patterns, where masking is happening and at what cost, and how anxiety, mood, and sleep are woven through it all. Because anxiety and sensory overload can look like inattention, and inattention can look like anxiety, untangling them takes time and clinical judgment, exactly what a rushed appointment cannot provide.

Treatment with nuance, not formulas

Medication can genuinely help, but in autistic people the evidence differs from ADHD alone. Stimulants tend to work somewhat less reliably and cause side effects more often, which is why a slower, more individualized, low-and-slow approach matters. Non-stimulant options such as guanfacine and atomoxetine are evidence-supported and may be better tolerated for some, though they work gradually over several weeks. Throughout, Dr. Fu follows a minimum-effective philosophy: clear targets, careful titration, honest conversation about benefits and side effects, and close monitoring.

And medication is only ever one tool. Equally central are executive-function supports, sensory accommodations, thoughtful environmental design, and genuine respect for a person's own rhythms, along with treating the anxiety that so often overlaps. There is no medication that treats autism itself, and that is not the goal. The goal is to reduce real distress, ease the internal tension, and help an AuDHD child or adult thrive as themselves.

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Working with a physician offers unique advantages, including the ability to diagnose and treat underlying conditions that may be affecting you or your loved one.

My practice is designed for those who value expertise and personalized attention.

Many of the families who find us are navigating autism alongside other questions, and they share a wish for care that is unhurried, deeply personal, and coordinated across every part of their child's life.

Dual-career families. When both parents are stretched thin, the last thing you need is a fragmented system that asks you to chase referrals and repeat your child's story. We offer direct access to the physician, streamlined coordination, and a single point of contact who holds the whole picture.

Executive and entrepreneurial families. You are used to working with the best in every field and expect the same in your child's care. We provide that level of attention, alongside complete privacy and discretion for families who value it.

Complex or multiple-diagnosis presentations. Research suggests most autistic young people also experience at least one co-occurring condition, and that anxiety, ADHD, OCD, depression, and sleep difficulties are common. When several things are happening at once, a careful, physician-led evaluation helps distinguish what is what, so support can be precise rather than scattered.

International and relocating families. Moving to Boston with a child who is already navigating a lot is a significant transition. We help you establish thoughtful, continuous care, gather and make sense of prior evaluations and records, and connect with the right local supports.

Families seeking a second opinion. If a previous evaluation never quite fit, if autism was overlooked, or if you simply want a fresh, autism-informed perspective, we welcome the chance to look again with fresh eyes and ample time. A clear understanding is often a relief, and it is the foundation for everything that follows.

Taking the first step toward treatment and therapy is often the hardest part. Many wait years—until they're in crisis—before seeking help. The earlier you begin, the more options you have.

If you're wondering whether you or your loved one could benefit from professional support, we invite you to schedule a confidential consultation.

This initial conversation allows us to understand your situation, answer your questions about the process, and determine whether our practice is the right fit for your needs.