Autistic and other neurodivergent people of all ages are vulnerable to many factors, both internal and external, that may lead to anxiety and phobias. Dr. Karen Levine’s publications and clinical innovations have directly addressed these challenges in respectful and insightful ways. We discuss ways to understand such challenges and provide support based on a deeper understanding of the experiences shared by autistic individuals and neurodivergent individuals. Karen discusses her approach focusing on relationships, affective support, and the use of humor in co-regulation .