Dr. Bo Tyler

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Dr. Bo Tyler Neurodivergent therapist, coach, & bestselling author on Substack. LPCC-S, PhD, on FB, TT, IG & YT. All content is for educational purposes only.

New Substack Drop. Link in Bio. This is by no means a call to not diagnose and medicate children with ADHD. As a person ...
10/18/2026

New Substack Drop. Link in Bio. This is by no means a call to not diagnose and medicate children with ADHD. As a person who is late diagnosed AuDHD who also provides therapy and coaching to fellow late diagnosed adults, I am very much pro medication. It has done wonders to help improve my executive functioning and calm down the storm of internal anxieties caused by ADHD and trauma. Check out the full article on my Substack as I describe the increasing states of dysregulation being partially medicated and unmedicated for ADHD and the strategies I employ to help regulate myself, my emotions, and my relationships. Free Subscribers can use a onetime paywall unlock to read the full article. ADHD is a complex diagnosis made even more complex when a person also has C+PTSD and is Autistic. This article addresses the complexity of these intersections and provides therapeutically tested interventions for managing ADHD symptoms. Head over and check it out.

https://drbotyler.substack.com/p/into-the-eye-of-the-storm-strategies?r=5tjjxk&utm_campaign=post-expanded-share&utm_medium=web

10/16/2026

I am drawing from my own dating experience but I also see this in how many of my Autistic and AuDHD clients show up in relationships. We are intense, because we can’t handle the BS. This is part of the reason so many of us hate small talk. The Autistic people I know and work with don’t want to waste time and that is not a bad thing, but it is a different game. When you don’t want to stay in limerance, when you want to know and be known, fewer people are going to want to be around you because they want to keep things surface and casual and comfortable and you don’t. Don’t stop being who you are because people don’t want to bring their real selves to your relationship or get to know the real you. Celebrating our 10 year wedding anniversary and almost 14 years together this November!

10/16/2026

This video was prompted when some asked me, “Why does my OCD get worse when I am traveling for work?”

OCD is often a misdirected reaction to pressures and demands that you have no control over that make you anxious. Work trips often give you very little autonomy in terms of where you have to be, who you are meeting with, where you eat, and where you sleep. When OCD is left to its own devices, it becomes the daily, hourly, secondly touch stone that provides consistency and the illusion of control when you feel you have none. Shifting those feelings of ambiguity onto daily rituals and intentional goals gives your anxiety and need for control another place to go.

I Can’t Because My ADHD Won’t Let Me🧠 💡⚡️New Substack article. C-PTSD isn’t the sole cause of ADHD but it is a significa...
10/11/2026

I Can’t Because My ADHD Won’t Let Me

🧠 💡⚡️New Substack article. C-PTSD isn’t the sole cause of ADHD but it is a significant one. Check out the full essay for citations and links to source content on my Substack. Ever wonder why CBT, SFBT and other psychotherapies are terrible for C-PTSD survivors and neurodivergents? I cover these topics in this article too. Free subscribers can use your onetime paywall unlock to read the full piece.

https://drbotyler.substack.com/p/i-cant-because-my-adhd-wont-let-me?r=5tjjxk&utm_medium=ios

10/06/2026

Part of effective ADHD theraputic treatment is understanding how ADHD meds work so you can make the most informed choice on how you want to treat your ADHD. These are the types of conversations I regularly have with my clients and I wanted to have this with you too. Please note, I am not a prescriber and this is for educatuonal purposes.

Schein, J., Cloutier, M., Gauthier-Loiselle, M., Catillon, M., Xu, C., Qu, A., & Childress, A. (2024). Assessment of centanafadine in adults with ADHD: a matching adjusted indirect comparison versus methylphenidate hydrochloride extended release (Concerta). Current Medical Research and Opinion, 40(8), 1397–1406.

Ward CL, Childress AC, Jin N, Turkoglu O, Skubiak T, Wilens TE. Centanafadine for Attention-Deficit/Hyperactivity Disorder in Adolescents: A Randomized Clinical Trial. J Am Acad Child Adolesc Psychiatry. 2026 Jun;65(6):805-817. doi: 10.1016/j.jaac.2025.06.023. Epub 2025 Jul 4. Erratum in: J Am Acad Child Adolesc Psychiatry. 2026 Jul 8:S0890-8567(26)00276-5. doi: 10.1016/j.jaac.2026.06.011.

National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Sciences Policy; Forum on Neuroscience and Nervous System Disorders; Forum on Drug Discovery, Development, and Translation; Shore C, Posey Norris SM, Berkower C, et al., editors. Adult Attention-Deficit/Hyperactivity Disorder: Diagnosis, Treatment, and Implications for Drug Development: Proceedings of a Workshop. Washington (DC): National Academies Press (US); 2024 Aug 14. 5, Balancing Risks and Benefits of ADHD Treatment for Adults.

10/03/2026

I had to hop on here and add onto my last two videos and mention that OCD at first can feel like it’s in alignment with who you are. It can also start from a completely reasonable place. It typically does. I had a number of clients with contamination OCD after COVID because COVID is contagious and there are actual protocols that we needed to take to stay safe but for my clients with OCD - staying safe became washing their hands 20 times until their skin was cracked and bleeding everytime they touched a package from the outside world or having to decontaminate by bathing in bleach 5 times a day. These are two examples of how OCD lands and spreads. If you or a loved one are struggling with OCD, I hope this video helps you identify it.

10/03/2026

If we’re talking about differential diagnosis between OCD and Autism, we also have to talk about obsessive compulsive personality disorder (OCPD) because so many people mistake that for OCD.

van Steensel FJ, Bögels SM, Perrin S. Anxiety disorders in children and adolescents with autistic spectrum disorders: a meta-analysis. Clin Child Fam Psychol Rev. 2011 Sep;14(3):302-17. doi: 10.1007/s10567-011-0097-0. PMID: 21735077; PMCID: PMC3162631.

10/03/2026

Because they involve shared neural pathways and similar behaviors this can be a tough distinction to make; but OCD and Autism are different. Here’s the guiding framework I use as a therapist to help people understand OCD thoughts and actions vs Autistic thoughts and actions. Check out part 2 for the contrasting role of OCPD in all of this.

The Rules of Narcissistic GravitationAn Analysis of Narcissistic Power Dynamics in Families and Healing Intergenerationa...
10/01/2026

The Rules of Narcissistic Gravitation

An Analysis of Narcissistic Power Dynamics in Families and Healing Intergenerational Abuse and Trauma.

New Substack drop. Link in Bio. When you are raised by an abusive narcissist, the patterns of abuse they trap you and your family in feel like relationships constants and conditions of love that are inescapable; but they are escapable. Head over to my Substack to read the full piece detailing how narcissists turn loved ones against each other and why healing requires you to change your relationship with yourself and the four basic human emotions that keep us alive. Free subscribers can use your onetime use paywall unlock to read the full article.

https://drbotyler.substack.com/p/the-rules-of-narcissistic-gravitation?r=5tjjxk&utm_medium=ios

09/30/2026

As much as I would like to believe that all narcissism is caused by trauma and that it is therefore curable, my first and foremost bias is to follow the science; and science supports that many cases of Narcissistic Personality Disorder are genetic. This means that while they may be treatable, if the narcissist wants to be treated or is compelled by court order, it is not curable.

Check out my Substack article: “The Specific Neurodivergence of Narcissism,” for a deeper dive and research citatations.

Genetically driven narcissism may respond to consequences that force compliance with mutuality in relationships but the drive is always going to be to use others for self-advancement because that can be a competitive advantage in many circumstances even as it is abusive.

Unfortunately for those of us who have been victims of narcissistic abuse, narcissism and narcissists aren’t going anywhere.

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