Cristina Collins
Associate Marriage and Family Therapist (AMFT) Therapist for Autistic Men

At a Glance
-
Loved an autistic man deeply — a relationship that transformed how she understands communication, connection, and the many ways people show care.
-
Neurodivergent herself — ADHD, significant sensory differences, and a mind that tends to go deeply into whatever captures her attention.
-
Air Force veteran, Command and Control Operations — high-stakes environments, NATO coordination, precision, and responsibility under pressure.
-
Master's degree in Industrial-Organizational Psychology — studying how people actually function inside organizations before becoming a therapist.
-
Nearly fifteen years with a Marine Corps veteran navigating the impact of PTSD, stress, and different nervous-system needs within a relationship.
-
Won't assume eye contact, small talk, emotional narration, or a softer communication style are prerequisites for meaningful connection.
-
Lifelong scholar — degrees in psychology, industrial-organizational psychology, and clinical psychology, with a doctorate in progress.
When the Usual Rules Don't Quite Fit
Maybe you've spent a lot of your life being given feedback about how you come across.
Too blunt.
Too quiet.
Too intense.
Too literal.
Doesn't read the room.
Doesn't seem interested.
Great at the technical part, but needs to work on the people part.
Maybe you've heard some version of that at work, in relationships, or both.
And after enough feedback like that, you may have learned to monitor yourself constantly: what your face is doing, how long you've been talking, whether you're making enough eye contact, whether your answer sounded too direct, whether everyone else understood some unspoken rule you somehow missed.
That can become exhausting.
I'm not interested in teaching you how to perform a more socially acceptable version of yourself.
I'm interested in understanding how you communicate, how you process the world, where misunderstandings are happening, and whether the adaptations you're making are actually serving you.
What I Think Often Gets Missed
People don't all communicate the same way.
But some styles are treated as acceptable while others are treated as problematic.
Someone may speak very directly and be interpreted as harsh.
Someone may need silence before responding and be interpreted as disengaged.
Someone may communicate care by solving the problem, remembering the detail, fixing the thing, showing up consistently, or telling you the truth — while the person receiving that care is waiting for words or emotional expression that look completely different.
The intention and the impact can both matter.
That's where I tend to get curious.
If your communication is consistently creating outcomes you don't want, we can work on that.
But we're going to look at it as a question of translation, context, choice, and fit — not as evidence that there's something defective about your personality.
Why I Understand This
I fell deeply in love with someone who was autistic.
He was brilliant, loyal, genuine, and experienced the world very differently than I did.
There was never a lack of love or effort between us — and yet sometimes we simply couldn't reach each other.
Conflict revealed those differences most clearly.
When I became overwhelmed, I needed space and silence to process.
For him, unresolved tension could create an urgent need to reconnect and know that we were okay.
So in the exact moments when I needed distance to feel safe, he needed closeness to feel safe.
We were two people who loved each other deeply, often asking for completely different things from one another in the same moment.
Neither of us had a map for what was happening.
We didn't yet have language for nervous systems, sensory overwhelm, processing differences, or mixed-neurotype relationships.
I learned that processing time isn't rejection.
Directness isn't automatically cruelty.
Needing clarity isn't the same as being rigid.
And showing love doesn't always look like talking about love.
That relationship changed the way I listen.
It made me much less interested in asking whether someone is expressing care the "right" way and much more interested in asking:
How does this person actually communicate care — and is the person they love able to recognize it?
I'm neurodivergent myself. I have ADHD, significant sensory differences, and a brain that tends to go deeply into what captures my attention. I've also spent time exploring whether autism may be part of my own story.
Sound especially affects me. Loud rooms cost me. Background noise doesn't always stay in the background. I understand from the inside that sometimes the environment really is part of the problem.
The Workplace Part
Before becoming a therapist, I earned a master's degree in Industrial-Organizational Psychology.
I studied how people function inside organizations: leadership, organizational culture, motivation, communication, performance, power, and the often-unspoken rules that shape whose style gets rewarded.
Then I went and lived inside one of the most hierarchical organizations there is.
I served in the United States Air Force in Command and Control Operations in Germany, working within a central command and control environment supporting five nuclear bases in coordination with NATO.
I advised senior leadership, coordinated high-level missions, and worked in situations where information came in quickly, precision mattered, and there wasn't much room for ambiguity.
So if you tell me you're excellent at your actual job but your performance review says you need to improve your "soft skills," I'm going to be interested in what that phrase actually means in your workplace.
If you corrected something inaccurate during a meeting and people became more focused on how you said it than whether the information was correct, I can understand why that would be frustrating.
If you're successful in a technical field but exhausted by office politics, vague expectations, networking, or constantly decoding what people really mean, we can talk about that directly.
I understand high-pressure environments, hierarchy, workplace culture, and what it can feel like to be competent while still being evaluated on a social rulebook nobody handed you.
How I Work
My approach is relational, neurodiversity-affirming, trauma-informed, culturally responsive, and strengths-based.
I lean on Emotionally Focused Therapy and Family Systems Theory, and I'll draw from other approaches when they're useful.
But I don't believe you should have to force yourself into a therapeutic model.
The therapy should fit the person.
I'm warm, but I'm also direct.
If I notice a pattern, I'll name it.
If something doesn't make sense to me, I'll ask.
If I disagree with your interpretation of something, I'll tell you what I'm seeing rather than expecting you to infer it.
And if I don't understand something about your experience, I'll be curious until I truly get it.
Who I Work With
-
Autistic men — diagnosed, self-identified, or still figuring it out
-
Men who have spent years being described as too blunt, too quiet, too intense, too literal, or difficult to read
-
ADHD and AuDHD men
-
Men in engineering, technology, military, trades, science, operations, and other technical or high-focus fields
-
Veterans and men from high-pressure work environments
-
Men navigating relationships where their intentions and their impact repeatedly seem to miss one another
-
Men experiencing autistic burnout, chronic overwhelm, or exhaustion from masking
-
Men exploring autism later in life
-
Men navigating sensory differences, boundaries, identity, and self-advocacy
-
Men moving through anxiety, depression, grief, trauma, PTSD, relationship difficulties, or major life transitions
What to Expect in Session
You won't have to perform therapy "correctly" with me.
Move around.
Fidget.
Look away.
Take a minute to answer.
Bring notes.
Make a list.
Tell me you don't know.
Ask me exactly what I mean.
Ask me why I'm asking the question.
If your brain works better when you can see something written down, we can write it down.
Silence doesn't make me nervous.
Sometimes your nervous system needs a moment before your words catch up, and I'm comfortable waiting with you.
You also don't need to arrive with a diagnosis, a polished explanation, or a tidy summary of what's wrong.
You don't have to convince me you're "autistic enough."
And you don't have to spend our sessions learning how to imitate somebody else's version of normal.
We can start much closer to home:
How does your mind actually work? What costs you more than people realize? What helps? What matters to you? And what would your life look like if more of it were built with your wiring in mind?
Sometimes understanding yourself isn't about becoming somebody new.
It's about finally having better language for the person you've been all along.
License, Training & More
-
License: Associate Marriage and Family Therapist (AMFT), California, License #156870
-
Supervised by: Dr. Harry Motro, LMFT #53452
-
Employed by: New Path Family of Therapy Centers
-
Education:
-
Doctor of Education (Ed.D.) in International and Multicultural Education, Racial Equity and Justice concentration — University of San Francisco (in progress)
-
M.A. in Clinical Psychology, Marriage and Family Therapy — University of San Francisco
-
M.S. in Industrial-Organizational Psychology — Carlos Albizu University, Miami
-
A.A. in Emergency Management — Community College of the Air Force
-
B.A. in Psychology — San Francisco State University
-
-
Clinical experience: Associate Marriage and Family Therapist, USF Center for Community Counseling and Wellness. Earlier work as a Behavioral Intervention Specialist with Seneca Family of Agencies and a Family Advocate with the Family Mosaic Project.
-
Military service: United States Air Force — Command and Control Operations, Spangdahlem Air Base, Germany. Advised senior leadership during critical incidents; supported mission monitoring during Operation Allies Refuge. Resiliency Trainer; diversity and inclusion leader. Distinguished Graduate, Command and Control Operations technical training.
-
Research and publication: Collins, C. (2016). Exploring Facilitating Factors in the Development of Global Leaders. International Journal of Business Management, 4(10), 446–456.
-
Training and modalities: Emotionally Focused Therapy (EFT), Family Systems Theory, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and neurodiversity-affirming psychoeducation