Labels can have a profound impact in the way neurodivergent individuals are perceived by others and themselves. Labels both originate from and shape narratives that can shift the trajectory of how life is experienced. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Sandra Coral, somatic therapist, founder of Neurodivergent Narratives, author, and podcast host, about the impact and source of labels, the use of somatic therapy, and the...

Rejection sensitive dysphoria (RSD) impacts many aspects of your life and can be a driving force in how you manage relationships and internally process the world around you, so there are many nuances for it. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, answer some of the questions from listeners about RSD, including everything from self-shaming to the connection with other diagnoses. Top 3 reasons to listen to the entire episode: Understand...

If you struggle with rejection sensitive dysphoria (RSD), navigating social media can be complicated.  Social media is both a place where many neurodivergent individuals are able to find connection and be seen, but it can also be a place where impulsivity and reactiveness can run rampant, both on the giving and receiving end of online conversations and posts. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, delve deep into the complex...

Do you ever feel like you are more sensitive to rejection, teasing, criticism, or your own perception that you have failed or fallen short? Or maybe you know someone who seems to be particularly hard on themselves and reactive to others? Everyone experiences some reaction to rejection, but individuals with RSD find themselves more likely to perceive harsh rejection and criticism where there might be none and can sometimes feel like they live in a chronic state of rejection. In this episode,...

Do you wonder how life might differ between an Autistic individual without ADHD and an Autistic individual with ADHD? In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Amanda Diekman, mother of three neurodivergent children, and an author and coach in the neurodivergent-affirming parenting world, about her experiences as an Autistic individual without ADHD. Top 3 reasons to listen to the entire episode: Understand some of the struggles,...

Would you describe the way you feel as you walk through the world as having raw, exposed nerve endings? Or would you say that you just flow through the world able to smoothly transition throughout to day to handle whatever comes your way? In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Jennifer Agee, a neurotypical mental health professional, about her experience moving through the world as a neurotypical in comparison to the...

Ever wonder what the differences are between the ways non-Autistic ADHDers and Autistic ADHDers process and move through the world? In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Dr. Donna Henderson, a non-Autistic, ADHDer psychologist, about her personal experience as an ADHDer, as well as explore the overlap and differences between ADHD and autism. Top 3 reasons to listen to the entire episode: Understand what life looks like as an...

Autism and narcissism can sometimes get lumped together in conversations, but despite there being some seemingly overlapping traits, it is important to not generalize all people with narcissistic traits as individuals with a narcissistic personality disorder. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk about the stereotypes, misconceptions, and misunderstandings surrounding autism and narcissism, as well as the traits that are often...

Pregnancy loss is traumatic and the grief process that follows is complex. And when you are Autistic, the way you express grief and loss might not meet the expectations of society, which can result in feeling ashamed and isolated.  In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, speak with Dr. Kiley Hanish, a neurodivergent occupational therapist specializing in mental health during the perinatal period, about autistic grief and loss while...

Taking up space and asking for what you need in social settings and relationships can be particularly challenging for Autistic individuals, especially before Autistic diagnosis or discovery. It is not uncommon for many Autistic people to respond strongly to rejection, and we often work hard to "earn" a place in groups where we are allowed to safely exist by being helpful to others or blending in by dressing or acting in a way that seems "normal" or "acceptable." Maintaining these actions...

Statistically, 70% of Autistic individuals identify as non-heterosexual, and genderqueer people are 3 to 6 times more likely to be diagnosed as Autistic than cisgender adults. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Rebecca Minor, MSW, LICSW, a gender expansive therapist and advocate in the neuroqueer space, about genderqueer identity and neuroqueer identity—what they are, how they intersect, and how they are perceived versus...

Many questions around identity often come up for adults who have been masking their whole lives and discover later in life that they are Autistic. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, answer some of the questions sent to them from podcast listeners about identity and moving forward in life after autism discovery. Top 3 reasons to listen to the entire episode: Hear answers to questions like, how do you know who you really are beyond...

Identity is complex and interwoven into the world around us. But as Autistic individuals who wear a mask, identity is often not entirely shaped by ourselves. Late in life discovery of autism or ADHD can set off a cascading journey of self-discovery and identity exploration. Once we start to embrace our authentic selves and explore our identity, everything can change. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, dive into the topic of...

Lived experience, awareness, self-identification, and self-diagnosis for autism and ADHD can have immense value, allowing us to connect with a community and share experiences that others may not fully comprehend. However, there are also risks of misdiagnosis and misinformation that can potentially cause harm. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, explore the hot topics surrounding misinformation, social media anecdotes, and...

Self-disclosure of an autistic diagnosis in medical situations or even everyday life is a very vulnerable thing to do, and there are so many results that can come from it. Self-disclosure can result in both negative and positive experiences including everything from insurance challenges and negative societal assumptions to better accommodations for sensory issues in medical situations and quicker access to neurodivergent-affirming healthcare providers. This mix of results can make the...

Do you ever feel like your immune system is working against you? You don’t know what’s wrong, no one else knows what’s wrong, you keep doing medical tests and it’s coming back normal or the pieces don’t add up. Autistic people often experience a myriad of chronic health conditions and nervous system dysregulation that leaves us feeling terrible, overwhelmed, and with tons more questions than answers about what’s going on with our bodies. In this episode, Patrick Casale and Dr. Megan Anna...

There are a lot of nuances of Autistic masking, and it's become a sensitive and polarizing topic these days online and in social media. With all the various opinions, information, and anecdotes out there, it can be confusing to understand what masking is, and how privilege and different social identities intersect with the experience of unmasking. Masking and unmasking impacts mental health, identity, and relationships in significant ways.  In this episode, Dr. Megan Anna Neff and Patrick...

Difficulty with unexpected changes or routine disruptions is a pivotal part of being Autistic and even small changes can result in a surge of irritation. In regards to routine or plan changes, Dr. Neff described her feelings as an Autistic person: "Once I'm, like, emotionally checked out of something, I'm out." Patrick Casale shared his experience saying that it's very hard to get back into a place where he feels mentally regulated, and he just gets very irritated, very easily. In this...

In this episode, we explore demand avoidance, a common experience among neurodivergent people. We delve into the factors contributing to demand avoidance, including executive functioning challenges, sensory issues, and a desire for autonomy. Additionally, we take a closer look at Pathological Demand Avoidance (PDA), also known as Pervasive Drive for Autonomy, a complex and often misunderstood subtype of autism. Join us as we navigate this important topic, gaining a deeper understanding of...

Socializing in groups can feel exhausting and often adds an entirely different level of complexity to the sensory experience and challenges for autistic individuals. Patrick Casale, an AuDHD mental health therapist, shared his thought processes and some of the questions that run through his head when in group conversations, such as, "When do I interrupt? When do I not? When do I jump in? When do I not? When do I stay quiet? When do I avoid adding commentary?" Dr. Neff shared that she shows up...

Picture the immense amount of energy invested in analyzing your emotional responses to every social interaction, striving to decipher not only your own feelings but also how the other person perceived the conversation. Or imagine navigating through life with a constant undercurrent of irritability and anxiety, yet lacking a clear understanding of their origin. These experiences only represent a small fraction of what people with alexithymia may experience. Alexithymia, which in simple terms...

Travel and the act of experiencing people and places is something that is generally talked about with excitement, but for Autistic people, it can be a much more complex experience. Patrick, who hosts entrepreneurial retreats for therapists all over the world and travels often for extended periods of time, shared that despite loving to travel, the experience of hosting retreats and being away from home could also feel torturous at times, like having exposed nerves that were shocked by all...

Being an Autistic human often pairs with a complex relationship with emotions. Just the question, "How do you feel," can feel so uncomfortable and spark anxiety, panic, and avoidance, often resulting in pre-planned responses or an answer that makes you think, "What the hell am I saying right now?" In her initial session with a new therapist, Megan Anna, an Autistic psychologist, unintentionally exposed her genuine feelings about emotions, inadvertently confessing, "I hate emotions." In this...

Finding a neurodivergent affirmative therapist is important for individuals who are Autistic, have ADHD, or have another diagnosis. However, it isn't always easy to connect with a therapist who is willing to explore their client's special interests, even though it can help them feel more comfortable and relaxed during therapy sessions. There are some therapists out there who shy away from or just don't understand neurodivergent minds and thinking, despite what claims may be on their profiles,...

There can be a lot of stigma around autism and especially being an autistic therapist, which can make it even harder for autistic individuals to step into this career. They may even be told that they can't be empathetic or relate to others in a way that could help their clients, which is just NOT TRUE. If you are autistic and have been hesitating to step into the mental health field because of the stigma around autism, then this episode is for you. Top 3 reasons to listen to the entire...