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Our Services

Therapy

At Affirm, we provide evidence-based, neurodiversity-affirming therapy for children, adolescents, and adults, offered virtually in Maryland, Virginia, and participating PSYPACT® states. Therapy is designed to support emotional regulation, identity development, and day-to-day functioning within a respectful, strengths-based framework.

Hand holding butterfly illustration representing growth in therapy
smiling woman speaking to therapist on couch with loop illustration

Who We Serve

Our therapy services are available for:​​

  • Children

  • Adolescents

  • Adults​​

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Many adults seek therapy while navigating burnout, anxiety, identity, or a deeper understanding of themselves.

 

Parents may be looking for guidance and support for their child or adolescent.

Areas of Focus

Neurodiversity-affirming therapy means honoring you or your child’s neurodivergent identity, while offering practical strategies to manage day-to-day challenges and promote well-being.


Dr. Sadikova brings extensive expertise in specialized areas, including:​

  • Anxiety, Depression, and/or Obsessive Compulsive Disorder co-occurring with Autism

  • Autistic Burnout, Autistic Intertia

  • Persistent Demand for Autonomy (also known as Pathological Demand Avoidance)

  • Parent Coaching 

  • Social Skills (including authentically making social connections, rather than simply “trying to fit in”)

  • Early Intervention​

Our Approach

Grounded in respect for neurodiversity, therapy is designed to support clients in building emotional regulation, navigating life, and exploring identity development.
 
We also address co-occurring mental health concerns such as anxiety, depression, trauma, and obsessive-compulsive disorder, recognizing the unique ways these can intersect with autism and other neurodivergent experiences.

Session Format

Therapy services are offered through secure telehealth.

 

Virtual therapy is available to clients located in Maryland, Virginia, and participating PSYPACT® states. This format allows for consistent, high-quality care while offering flexibility and accessibility for families.


Therapy sessions are about 50 minutes per session.

What to Expect

Clients typically begin with an initial consultation to discuss goals, determine fit, and identify appropriate therapeutic supports. The number of sessions is individualized. 


Therapy is collaborative and tailored to each individual’s needs, with ongoing adjustments as goals evolve.

Looking for More Insight?

Our FAQ page offers detailed, in-depth answers to help you understand how therapy is guided and how care is adapted for each person. 

Person holding clipboard across from a client on a couch during therapy session with Affirm PLLC.

Ready to take the next step?

Schedule a free 15-minute consultation with Dr. Sadikova to explore your needs and our approach.

 

© 2026 Affirm PLLC. All Rights Reserved.

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