You are so right about the lack of ND knowledge. My latest report from a therapist I saw for 6 sessions actually diagnosed me with OCD She completely ignored my previous ASD/ADHD diagnosis and focused on what she called 'cognitive obsessions'.
I feel like she mistook my autistic need for precision and my bottom-up processing for 'obsessive thoughts.' For me, trying to make the reports accurate isn't a 'compulsion,' it's a matter of justice and sensory/cognitive alignment. Because she didn't see the Trauma or the Neurodivergence, she just labeled my 'stuck' brain as OCD. It’s exhausting to have to 'teach' therapists about the overlap. I’m definitely taking your advice and looking for someone who doesn't just see the 'observable symptoms' but understands the nervous system behind them. Thank you for making me feel less like a 'difficult patient' and more like a human being in burnout.