The R.E.A.L. Neurodiverse™ Framework for Providers

Structured, neurodiversity-affirming tools for helping professionals who support Level 1 autistic adults and their families.

Your Clients Need More Than Awareness

Illustration of Husband and Wife Having Difficulties Communicating and Sensing There is Nowhere to Turn

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 R.E.A.L. Neurodiverse™ Framework gives you a complete theoretical foundation and practical tools to help these families move from confusion to clarity.

A Complete System, Not Just Tips

R.E.A.L. Stands for Resources & Education Across the Lifespan.

Framework Foundations

  • 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

Client-Facing Tools

  • 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™)

Assessment and Insight

  • 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

Provider Support

  • 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

The R.EA.L. Neurodiverse™ Family Systems Framework
The R.E.A.L. Neurodiverse™ 10-Step Approach

Everything in the R.E.A.L. Framework is designed to support provider confidence, client clarity, and ethical application across neurodiverse systems.

Two Ways to Bring R.E.A.L. to Your Work

Credentialing

Neurodiversity Credentialing: NFS-E, NFS-S, NFS-P
Neurodiverse Family Systems - Educator: NFS-E Credential and NFS-E Exam

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

Practice Access

R.E.A.L. Neurodiverse™ Divergent Client Resources for Autistics and Non-Autistics

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.

Looking For Personal Support?

You Don't Have To Figure This Out Alone

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.

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Built For Helping Professionals

The R.E.A.L. Neurodiverse™ Provider Program Hub: Program Guide, Orientation Videos, Overview of Program Components for Autistics and Non-Autistics

The R.E.A.L. framework is designed for therapists, counselors, coaches, social workers, clergy, and domestic violence advocates who work with:

• 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

Developed by Anne MacMillan

Photo of Anne MacMillan, MLA in Front of Cello, Fireplace and Painting

Anne MacMillan, MLA

Founder of the R.E.A.L. Neurodiverse™ 10-Step Family Systems Approach, Speaker, Researcher, Consultant, Coach, and Educator

About Anne MacMillan

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.

Free Resources:

The Neurodiverse Lens™

Explore 16 Reading Pathways Covering Everything From Empathy And Interoception To Neurodiverse Relationship Dynamics™ And AI Perspectives On Neurodiversity.

Artistic Rendering of Many Pathways Surrounding a Single Lens in the Form of an Eye
Image of MacMillan's Book — Neurodiverse Family Systems: Theory and Practice

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Neurodiverse Family Systems: Theory and Practice

By Anne MacMillan, MLA

© 2026 R.E.A.L. Neurodiverse™
All Rights Reserved

anne@REALneurodiverse.com

Text: (617) 489-2913 (United States)