

Level 1 autistic adults and their families and partners come to you stuck—struggling with communication, intimacy, and patterns they can't name. Traditional approaches weren't designed for the unique dynamics of neurodiverse relationships.
The 10-Step R.E.A.L. Approach — A Structured Yet Flexible Pathway From Education, to Assessment to Integration
Divergent Development Pathways — Distinct support tracks for autistics and non-autistics across all steps
Seven Integration Modalities — Multiple ways to apply insight, tailored to diverse processing styles
Framework Papers & Research Foundations — Theory-grounded, trauma-informed, and developmentally sequenced materials supporting each component of the R.E.A.L. model
Psychoeducational Video Series — Accessible, structured learning modules for clients and family members
Structured Reflection & Journaling Tools — Step-aligned exercises to support internal processing
Structured Discussion Tools — Guided materials for couples and families navigating Neurodiverse Relationship Dynamics™ (NRD™)
Quantitative Empathy Spectrum Assessments — Formal tools to measure interoception, embodied simulation, theory of mind, and more
Session-by-Session Insight & Integration Materials — Support for providers to facilitate structured meaning-making throughout the program
Step-by-Step Implementation Guides — Clear instructions for applying each phase of the framework in real-world practice
Tiered Credentialing Pathway — Progressive credentials (NFS-E, NFS-S, NFS-P) reflecting increasing scope, access, and responsibility
Ongoing Program Updates — Access to new content, tools, and assessment expansions as the framework evolves




Become a certified Neurodiverse Family Systems provider. Three tiers (NFS-E, NFS-S, NFS-P) reflecting increasing competence and access to advanced tools.

Once one provider is credentialed at the NFS-E level, your practice gains access to all NFS-E-level provider and client-facing materials through UnitusTI. Solo and group pricing available.
Not a helping professional? Anne works directly with Level 1 autistic adults, their partners, and families using the same 10-Step R.E.A.L. Approach. If you're navigating a neurodiverse relationship and want compassionate and structured yet flexible guidance—there's a path for you too.
When you work with Anne, you're not just getting sessions. You get access to the full R.E.A.L. Neurodiverse™ toolkit:
• Psychoeducational videos you can revisit between sessions
• Quantitative assessments that finally put words to what you're experiencing
• Structured reflection tools to deepen your insight over time
• A clear, step-by-step pathway—not open-ended talk with no direction
This is support that meets you where you are. Where you go from there? That's yours to decide.


• Level 1 autistic adults (diagnosed or self-identified)
• Partners and spouses in neurodiverse relationships
• Families navigating late-in-life autism discovery
• Individuals seeking to understand their relational patterns

MacMillan is the creator of the R.E.A.L. Neurodiverse™ Family Systems Approach — the first comprehensive, educational 10-step model designed to help autistics, non-autistics, and professionals understand the neurological foundations of relational conflict and connection. Her work integrates developmental psychology, systems theory, and over five decades of lived experience inside profoundly neurodiverse family systems.
MacMillan originally developed the Neurodiverse Family Systems Theory based on her education, personal history, and the insights she gained in the private neurodiverse services practice she founded in 2017. Since then, the work has evolved into a clear, scalable framework that professionals can use to guide their clients through complex neurodiverse dynamics with structure, clarity, and compassion.
MacMillan holds a research-based master’s degree in psychology from Harvard University, where she received the Director’s Thesis Award for one of the world’s first quantitative studies on Level 1 autism in intimate life partnerships. Her graduate and undergraduate studies focused on developmental psychology — work that continues to inform every aspect of the R.E.A.L. approach.
She has an entire lifetime of personal experience with neurodiverse family systems.


© 2026 R.E.A.L. Neurodiverse™
All Rights Reserved
anne@REALneurodiverse.com
Text: (617) 489-2913 (United States)