
Cristina Collins
Registered Associate Marriage and Family Therapist, CA
Adult Autism Assessment Specialist
At a Glance
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Exploring my own neurotype — learning to sit with the questions rather than rushing toward an answer.
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Diagnosed with ADHD in high school after years of struggling academically and wondering why trying harder never seemed to be enough.
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Highly sensitive to my sensory environment, especially sound — something I accommodated intuitively for years before understanding why.
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Knows firsthand the vulnerability of seeking answers about your own mind and wondering what you might discover.
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Mother of an 18-year-old son and fifteen years alongside a combat veteran partner.
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Air Force veteran — Command and Control Operations, stationed in Germany.
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Lifelong learner — degrees in psychology, industrial-organizational psychology, and clinical psychology, with a doctorate now in progress
I've Asked This Question About Myself
Most therapists who talk about the discovery process are describing something they've watched from the outside.
I'm experiencing parts of that process from the inside.
If you're wondering whether you're autistic, you probably already know that it isn't a neutral question.
You're not simply gathering information. You're asking a question that may change the way you understand pieces of your life—your childhood, relationships, struggles, strengths, and perhaps even the person you've always believed yourself to be.
I know some of the nervousness that can come with wondering what you might discover. And I've learned that sometimes the most meaningful part isn't immediately finding a label. It's finally becoming curious about yourself without judgment.
The Kid Who Was Failing
I have ADHD, but nobody knew it until I was in high school.
As a kid, I spent a lot of time in a dreamworld inside my own head. It was vast, imaginative, and endlessly entertaining. School was different. If something didn't capture my interest, getting myself to do it felt nearly impossible. I procrastinated, lost things, forgot things, and was constantly disorganized.
But when something fascinated me? I was all in.
By my sophomore year, I was failing most of my classes and facing being held back, hearing the same sentence over and over:
"You're smart. If you would just apply yourself..."
I wanted to. I just didn't know how.
Over time, words like careless, lazy, forgetful, and aloof became the way I saw myself. That summer, my mom sent me to a military academy hoping it would "fix" me.
Instead, something life-changing happened:
Someone finally became curious about me.
Counselors and teachers recognized that something else might be going on and helped me understand how my brain actually worked. It felt like I'd discovered the cheat code to my own brain.
The girl who was nearly held back went on to earn a bachelor's degree, two master's degrees, and is now pursuing a doctorate.
I didn't suddenly become smarter.
I stopped fighting my brain and started learning how to work with it.
That's what understanding myself gave me. Nothing about my brain suddenly changed; I finally had language for why certain things had always been so difficult — and could begin building a life that worked with me instead of against me.
Asking a Second Question
For most of my life, I thought ADHD explained everything. And in many ways, it explained a lot.
But as I've learned more about neurodivergence, I've become curious about other parts of myself too: the sensory overwhelm, the intensity of my interests, the way I can disappear into something that fascinates me for hours, and how exhausting environments that seem completely ordinary to other people can sometimes feel to me.
Eventually, I found myself asking another question:
Could autism be part of my story too?
I don't have a definitive answer to that question, and I've become surprisingly comfortable saying so.
I've completed a number of screening and self-report measures out of curiosity. Some pointed toward autistic traits, while others painted a more nuanced picture. What emerged most consistently wasn't a label — it was a much clearer understanding of how I experience the world.
Sensory processing, in particular, finally gave language to something I've accommodated for most of my life without realizing that's what I was doing.
I need quiet to think. Background sounds don't always stay in the background. Crowds and highly stimulating environments can drain me. I've naturally created quiet spaces for myself and learned when I need time alone to recharge, long before anyone gave me terminology for why.
I've also recognized how deeply my attention can settle into something that fascinates me. When I'm interested, I don't simply want to learn about something — I want to understand everything about it.
None of those discoveries changed who I am.
They've helped me understand the person I've been all along.
What I Learned From Asking
Here is what I didn't expect: even exploring the question made me nervous.
I caught myself wondering what I might discover and what it could mean for how I understood myself. There's a particular vulnerability in answering honest questions about your inner world and knowing that something is going to come back.
Experiencing that uncertainty gave me a deeper appreciation for what it takes to seek clarity about your own mind, and how emotional that process can be.
A few things I've learned along the way:
You can want clarity and feel afraid of what that clarity might mean at the same time. Curiosity, relief, fear, hope, uncertainty — even conflicting feelings — can all exist together.
Results are information, not a verdict. They can help describe patterns and give language to experiences, but they don't tell you who you are or outrank your own knowledge of your life.
There can be grief in understanding yourself differently. Sometimes new understanding means looking back at earlier versions of yourself with entirely different eyes and wondering what might have been different if you'd known then what you know now.
A label isn't the only valuable outcome. Some people want a formal answer. Others want language for their experiences, greater self-understanding, or practical ways to make life work better.
Not every exploration ends with a perfectly tidy answer. Sometimes greater self-understanding comes before certainty about a label or without a label at all. That doesn't make what you've learned about yourself any less valuable.
How I Work
My approach is relational, neurodiversity-affirming, trauma-informed, culturally responsive, and deeply strengths-based.
I don't approach neurodivergence as something that needs to be corrected. I'm interested in understanding how your particular mind and nervous system work — where you struggle, where you thrive, what you've learned to accommodate without even realizing it, and what you may have spent years believing was "wrong" with you.
I lean most heavily on Emotionally Focused Therapy and Family Systems Theory, drawing from other approaches when they're useful.
The therapy should fit the person, not the other way around.
What Comes After the Question
The part I care most about is what happens after we understand something new about ourselves, because that's where any of this begins to make a difference in everyday life.
Understanding my sensory needs has changed practical things about how I move through the world: how I set up my workspace, how I protect quiet, when I take on demanding work, and how I think about recovery after a high-stimulation day.
Not indulgence. Maintenance.
Understanding that my attention tends to go deep rather than wide has also helped me reframe something I spent years apologizing for into something I can understand, accommodate, and even appreciate as a strength.
That's the work I care most about: not simply finding the right word, but understanding what that knowledge allows you to do differently; how you can advocate for yourself, accommodate your needs, recognize your strengths, and build a life that fits you better.
Who I Work With
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Adults seeking clarity about whether they're autistic
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Late-identified autistic adults making sense of a whole life in retrospect
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Adults who've completed screeners and don't know what to do with the results
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Adults who don't fit neatly inside or outside the category
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ADHDers wondering whether there's a second piece to the picture
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AuDHD adults
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Women whose neurodivergence was missed because it didn't look like the textbook version
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Adults navigating sensory overwhelm, burnout, and the cost of years of adapting
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Self-identified neurodivergent adults who don't want or need formal diagnosis
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Partners and families trying to understand what a new identification means for them
What to Expect in Session
I'm warm, curious, and direct. I'll ask a lot of questions, and if I notice a pattern, I'll name it.
You don't have to perform therapy "correctly" with me. Move around. Fidget. Look away. Take a minute to find your words. Ask me to explain something differently. If your brain works better when you can see something written down, we can do that too.
Silence doesn't make me nervous.
And you don't have to walk in already knowing exactly who you are. You don't have to know which label fits or whether you're "autistic enough."
Sometimes the first step is simply becoming curious about yourself.
Understanding your own wiring isn't about becoming someone new. It's about finally having language for the person you've been all along.
Personal Background
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Registered Associate Marriage and Family Therapist, AMFT #156870
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All sessions are virtual. I work with therapy and assessment clients in California, and coach clients worldwide.
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Supervised by Dr. Harry Motro, #53452
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Employed by New Path Family of Therapy Centers
Education:
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Doctor of Education (Ed.D.) in International and Multicultural Education, Racial Equity and Justice concentration — University of San Francisco (in progress)
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M.A. in Clinical Psychology, Marriage and Family Therapy — University of San Francisco
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M.S. in Industrial-Organizational Psychology — Carlos Albizu University, Miami
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A.A. in Emergency Management — Community College of the Air Force
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B.A. in Psychology — San Francisco State University
Clinical Training & Modalities:
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Associate Marriage and Family Therapist, USF Center for Community Counseling and Wellness. Earlier work as a Behavioral Intervention Specialist with Seneca Family of Agencies and a Family Advocate with the Family Mosaic Project.
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Emotionally Focused Therapy (EFT), Family Systems Theory, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and neurodiversity-affirming psychoeducation