Support Network for Neurodivergent and Queer Adults in Portland: 5 Practical, Affirming Steps

Table of Contents

Adults connecting at a café, symbolizing support and community for queer and neurodivergent people

Why Support Networks Matter for Neurodivergent and Queer Adults?

Building a support network for neurodivergent and queer adults in Portland isn’t just about making friends—it’s about survival, healing, and thriving in a world that doesn’t always feel made for you. For neurodivergent adults (like those navigating ADHD, autism, or brain injuries) and queer folks, finding affirming spaces and relationships can be life-changing—and life-saving.

Feeling connected to others isn’t just a “nice to have”—it’s essential for mental health and daily well-being. For neurodivergent adults (such as those living with ADHD, autism, or brain injuries) and queer adults in Portland—where rain, transit delays, and social burnout are real—building a strong support network can be both life-changing and life-saving. A network of affirming friends, chosen family, and professionals helps reduce isolation, boost confidence, and create spaces where you can thrive authentically.

At Holistic Community Therapy (HCT), we know that connection is a cornerstone of healing. Our function-focused therapy approach supports clients in not just talking about connection but building habits and practicing the everyday skills needed to form and maintain meaningful relationships.

The Unique Challenges of Building Connections

While everyone needs support, neurodivergent and queer adults in Portland often face invisible barriers—like social burnout, unspoken norms, or inaccessible spaces—when it comes to building and sustaining relationships.

Social Stigma and Exclusion

Too often, LGBTQIA2S+ and neurodiverse adults experience rejection or misunderstanding from family, workplaces, or healthcare systems. In a progressive city like Portland, this often shows up as performative inclusion without true accessibility. This can make reaching out feel unsafe or discouraging.

Barriers from Neurodivergence (ADHD, Autism, Brain Injury)

  • Executive function challenges can make it hard to keep plans or follow through—especially when the day’s already packed with insulin reminders, Slack messages, and trying to make it to the grocery store before your energy runs out.
  • Sensory overload may lead to withdrawing from social situations.
  • Differences in communication styles can sometimes create misunderstandings—even in groups that say they’re “neurodivergent-friendly.”

Challenges Within LGBTQIA2S+ and Poly/ENM Communities

Even within affirming spaces, finding groups that respect neurodivergent needs—or navigating complex dynamics in polyamorous or kink-friendly spaces—can feel overwhelming without support. You may find yourself asking: “Is it safe to unmask here? Will anyone notice if I cancel again?”

What Makes a Healthy Support Network?

A support network isn’t about quantity; it’s about quality and fit. Here are three pillars of a healthy network:

Emotional Support and Affirming Relationships

You deserve relationships where your identity, brain, and lived experience are respected and celebrated.

Practical Support for Daily Living

Trusted people can provide reminders, share resources, or step in when executive function challenges arise.

Community Belonging and Shared Values

Being surrounded by people who “get it” reduces loneliness and builds resilience against stress.

How Occupational Therapy Helps Build a Support Network for Neurodivergent and Queer Adults

Occupational therapy (OT) offers a unique, action-focused approach to building social skills and connection.

Action-Based Strategies for Building Relationships

Instead of only discussing challenges, OT helps clients practice real-world strategies—like role-playing introductions, practicing text responses, or setting up structured social routines.

Practicing Communication and Social Skills in Real-Life Settings

At HCT, we meet clients in the community—a cozy corner at Bipartisan Café, a quiet walk at Mt. Tabor, or chatting through scripts over tea at Nossa Familia—to practice connecting with others in natural settings.

Using Sensory and Executive Function Tools to Reduce Overwhelm

From sensory-friendly strategies at social events to reminders for social check-ins, OT provides tools to stay regulated and engaged.

Strategies for Building Your Own Support Network in Portland

Here are some practical steps you can take:

Finding Affirming Spaces

Seek out groups designed for LGBTQIA2S+, kink, poly, or neurodivergent adults.Portland has an array of queer-affirming spaces and community meetups—from Queer Hikes PDX to trans-friendly game nights at Guardian Games.

Combining Online Communities with In-Person Connections

Virtual groups can be a lifeline when energy is low, while in-person connections deepen bonds. Both are valid and valuable.

Creating Safe Boundaries While Connecting

Boundaries are essential. If you’ve ever ghosted a group because it felt too much too fast, you’re not alone. Therapy can help you set limits while still staying open to authentic relationships.

Portland & Oregon Resources for Connection

Local LGBTQIA2S+ Centers and Community Hubs

  • Q Center Portland
  • Portland Pride Foundation

Neurodivergent and Brain Injury Support Groups

  • Brain Injury Alliance of Oregon
  • ADHD and Autism meetups

Virtual Therapy and Online Support Communities

For those outside Portland or preferring at-home sessions, HCT offers virtual occupational therapy across Oregon.

FAQs About Building Support Networks as a Queer or Neurodivergent Adult

  1. Can occupational therapy really help me build social connections?
    Yes. Unlike traditional talk therapy, OT uses real-world practice and tools to help you engage more confidently in social settings.
  2. What if I’ve been rejected before and find it hard to trust?
    Building trust takes time. Therapy provides a safe space to rebuild confidence while slowly connecting with affirming people.
  3. Do I need a big friend group to feel supported?
    Not at all. Even one or two affirming relationships can make a huge difference. Quality matters more than quantity.
  4. How can I balance online and in-person connections?
    Use both—online spaces for flexibility and accessibility, and in-person moments for deeper bonds.
  5. What if socializing overwhelms me as a neurodivergent adult?
    Therapists can help create strategies to manage sensory input, set boundaries, and take breaks without losing connection.
  6. Can therapy help me maintain relationships, not just build them?
    Absolutely. OT supports organization, communication, and follow-through skills to keep relationships strong over time.

Building a Life Where You Belong

As a neurodivergent or queer adult, building a strong support network may feel daunting—but it’s entirely possible. With the right tools, affirming spaces, and professional guidance, you can create relationships that uplift, affirm, and sustain you.

At Holistic Community Therapy in Portland, we walk alongside you with action-focused, affirming care—supporting your routines, honoring your identity, and helping you build real connection at your own pace. You don’t have to do this alone.

Ready to start building your support network? Call or text (503) 882-0988 to schedule a consult today.

About the Author

Elizabeth photo

Dr. Elizabeth Martin, OTD, MHA, OTR/L, QMHP-C, CCTP-II, SEP™

Dr. Elizabeth Martin is the founder and clinical director of Holistic Community Therapy, a mental health occupational therapy practice serving Portland, Oregon.

With advanced training in trauma, somatic experiencing, and public health, Dr. Martin bridges the gap between mental health care and daily function—helping clients translate insight into action. Her work centers on accessibility, equity, and the belief that healing is most powerful when it empowers people to participate fully in their communities.

As a licensed occupational therapist and qualified mental health professional, Dr. Martin has spent over a decade supporting BIPOC, LGBTQIA2S+, and neurodivergent adults in creating sustainable, meaningful change in their lives. Through HCT, she continues to redefine what holistic, functional mental health care can look like.

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ABOUT HOLISTIC COMMUNITY THERAPY

We believe healing happens through action, connection, and care that meets you where you are—literally and emotionally. Our team blends mental health and occupational therapy to help you move beyond talking about change to actually living it.

Whether you’re rebuilding routines, finding balance, or learning to prioritize yourself, we walk beside you every step of the way. Together, we’ll create practical, sustainable shifts that make daily life feel more grounded, confident, and whole.

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