About Sarah Swenson LMHC

I am a licensed psychotherapist and coach specializing in supporting neurodiverse couples, including relationships in which one partner is or may be autistic. I also specialize in working with high intelligence, particularly when cognitive intensity or differences in thinking style contribute to relational strain.

I hold a Master’s degree in Counseling from Seattle University and completed my clinical training at the University of Washington and Harborview Mental Health Services in Seattle.

Clinical and Professional Focus

The focus of my clinical practice is working with neurodiverse couples whose challenges do not respond to ordinary relationship advice. Many of the individuals and couples who seek my work are thoughtful, committed, and deeply invested in understanding their relationships, yet remain confused by patterns that persist despite effort and care.

Because I write and teach frequently about neurodiverse relationships, I receive inquiries from across the United States and internationally. In response, I developed a structured coaching practice that is distinct from psychotherapy.

Coaching begins with your current reality and focuses on education, clarity, and practical communication strategies. It is designed to help couples and individuals understand what is happening in their relationship and why, so that decisions and changes are informed rather than reactive.

Credentials and Professional Involvement

I am a member of Mensa and several professional associations related to my psychotherapy practice. I offer continuing education courses for therapists and provide professional trainings for clinicians, legal professionals, and organizations seeking to better understand neurodiversity in relational and professional contexts.

I also present at professional conferences on topics related to neurodiversity, relationships, and communication.

Writing and Teaching

In addition to my clinical work, I write regularly on neurodiversity and relationships for both professional and public audiences. My writing reflects my clinical orientation: careful language, respect for difference, and an emphasis on clarity rather than reassurance.

Language and Accessibility

I work primarily in English, and I also speak Italian and German. If one of these languages is your native language and your English is conversational, we can use your language at times for clarification when helpful.

A Brief Personal Note

Earlier in my career, I served for eleven years as a docent at the Seattle Art Museum, worked as a dean of students, and had a novel published. These experiences continue to inform how I think about meaning, creativity, and human complexity.

I divide my time between the United States and northern Italy, where I spend time with family and enjoy photography and the outdoors.

Regardless of where I am physically located, my virtual office is accessible worldwide.