About
Helena Keown (huh-LEE-nuh KOW-en) is a neurodivergent writer. She first came to Prosper Health to find a therapist, and is thrilled to write for Prosper and support their mission of building better resources for autistic adults. When she is not writing, she enjoys running, tying herself into elaborate shapes on aerial silks, and sewing garments from vintage patterns.
Experience
Helena has written about a wide range of topics, from the intersection of culture and technological development for NotePage, to queer media for the GLAAD blog. She has also worked as a development editor for the New York University Expository Writing Program's journal, Mercer Street. She currently daylights as a project manager in the public sector, and is a freelance writer and editor.
Education
B.A. in Language and Mind, New York University (2018)
Recent Articles by
Helena Keown

PMDD and Autism: Understanding Their Intersection and Getting Support
No one loves getting their period––but for people with PMDD, periods can be debilitating. PMDD affects up to 10% of people who menstruate, and for autistic individuals, that rate is even higher. PMDD presents unique challenges for autistic people, but there are several options for treatment and support that can help them reduce and cope with PMDD symptoms.

Therapy for Autistic Adults: What to Expect in Your First Session
Autism spectrum disorder (ASD) is a neurodevelopmental disorder that affects the development of a person’s brain and nervous system. ASD is part of the natural diversity in human brains, traits and behaviors, also called neurodiversity. Autism occurs along a spectrum, and each autistic person may have a very different combination and intensity of autistic characteristics and support needs. In general, when compared to neurotypical peers, autistic individuals typically experience differences in sensory and cognitive processing, social approaches, communication and their relationship to routine and repetition.
ASD has long been stigmatized and misunderstood, even within the medical community. Often, autism is associated with early childhood, but in reality, it’s a lifelong diagnosis. The CDC estimates that nearly five and a half million US adults are autistic, yet the scarcity of resources for autistic adults is staggering. A 2019 study found that 84% of US counties have no diagnostic resources for autistic individuals of any age, and accessing high-quality mental health services as an autistic adult is notoriously difficult.
For many autistic adults, this gap in resources can make getting help daunting—but all the more important. Autistic adults are more likely to be diagnosed with a mental illness––between 40 and 50% of autistic individuals have or have had anxiety, and as many as 40% have or have had depression, compared to 18.2% and 21.4% of all US adults, respectively. Even more worrying, 66% of late-diagnosed autistic adults reported experiencing suicidal ideation at some point in their lives. Stigma and a broad social failure to accommodate autistic needs are likely drivers of poorer mental health outcomes among autistic adults.
Autistic adults can thrive despite adversity, but many of us confront similar challenges and could benefit from support. These can include, but are certainly not limited to:
- Masking and unmasking
- Autistic burnout
- Sensory sensitivity and sensory overload
- Disclosure and accessing support
- For late-diagnosed autistic adults, processing a new diagnosis

CPTSD vs Autism: Similarities, Differences, and How to Get Support
Complex PTSD, or CPTSD, is a mental health condition people can develop after prolonged exposure to trauma. CPTSD is fairly common among autistic individuals, and shares a number of features with autism, like sensory sensitivity and emotional dysregulation. However, they are distinct diagnoses, differing in key areas like how and when they emerge during a person’s life and goals for treatment.