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Divergent Conversations

Megan Neff & Patrick Casale

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Dr. Megan Neff and Patrick Casale are two Neurodivergent therapists in a neurotypical world. During this podcast, they’ll talk about their own personal experiences as Autistic-ADHDers. They will reflect on their lived experience as AuDHD mental health professionals, and entrepreneurs, as well as offer clinical guidance, and support. Episodes will be conversational in nature, and they’ll interview other ND Folx to amplify the voices of other neurodivergent advocates and individuals as they sh ...
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Navigating the healthcare system and advocating for needs can be a frustrating and invalidating experience, especially for neurodivergent individuals who exhibit interwoven behaviors associated with OCD, autism, or Tourettes. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, and Dr. Stacy Greeter, an Au…
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OCD is often misunderstood and can manifest in many forms from a variety of experiences that create associations with a compulsion and an outcome. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, are joined by Aiden Reis, a trans, Autistic therapist who specializes in OCD, anxiety, phobias, and panic. …
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For neurodivergent individuals, navigating the upheaval caused by natural disasters can be particularly challenging. The constant unpredictability, sensory overload, and disrupted routines can feel overwhelming. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the psychological, emotional, and …
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Obsessive-Compulsive Disorder (OCD) is often oversimplified and misrepresented, turning a complex mental health condition into a stereotype of mere cleanliness or orderliness. For those who struggle with it, the reality is far more nuanced, affecting many aspects of daily life and self-perception. In this episode, Patrick Casale and Dr. Megan Anna …
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Neuroimmune systems often intertwine with chronic health and neurodivergence, leaving neurodivergent individuals grappling with things like energy management, chronic fatigue, or other long-term health conditions. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Dr. Mel Houser, an Autistic fa…
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By exploring biopsychosocial aspects of life, it can become easier to understand our nervous systems from a holistic perspective offering more options to improve our quality of life with simple and manageable changes. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, explore the biopsychosocial aspects …
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A lot can be learned about our nervous system and needs by looking at biopsychosocial aspects of life. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, explore the biopsychosocial aspects of sleep and how they intersect with mental health through the lens of Patrick’s experiences. Top 3 reasons to list…
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Dealing with chronic health issues can often feel like a neverending battle, especially when it seems like there’s no clear path to improvement. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss their personal battles with chronic health conditions. They provide an insightful analysis using the …
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Navigating the complexities of personal identity and public presentation can be incredibly challenging, especially for those in the neurodivergent community with later-in-life discovery who have crafted a well-established public identity and role. In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, and Maureen Werrb…
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Neurodivergent individuals can sometimes feel overwhelmed by emotions or struggle to understand their own stress responses, and entrepreneurship can add another level of intensity to this experience. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Yunetta Smith, a licensed clinician, coach, …
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ADHD entrepreneurs can face unique challenges while balancing creativity, passion, and ideas with organization, implementation, and struggles with executive functioning. In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, talk with Gabrielle Juliano-Villani, owner of GJV Consulting and Training, about ADHD's impact …
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Entrepreneurship can on the surface appear to bring the promise of freedom and autonomy, but it also comes with unique psychological challenges that many neurodivergent entrepreneurs struggle to navigate. In this episode, Patrick Casale and Dr. Megan Neff, two AuDHD mental health professionals, talk with Dr. Corey Wilks, a psychologist and executiv…
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Entrepreneurship can be an attractive alternative for neurodivergent individuals to the traditional 9–5 jobs that cater to a society that is systemically more accommodating to neurotypical needs. However, being a neurodivergent entrepreneur comes with its own challenges and triumphs, from managing executive functioning to dealing with burnout. In t…
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It’s natural to have questions following neurodivergent discovery, diagnosis, or while embracing a new identity. Additionally, some individuals might not identify as neurodivergent but are curious about the very nuanced conversations happening in and around the community. In this second Ask The Audience episode, Patrick Casale and Dr. Neff, two AuD…
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It’s natural to have a flood of questions following neurodivergent discovery, diagnosis, or while embracing a new identity. Additionally, there are individuals who might not identify as neurodivergent but just have curiosity about the very nuanced conversations happening in and around the neurodivergent community. In this episode, Patrick Casale an…
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For adults questioning if they are Autistic, ADHD, etc., there is often an exploratory and somewhat confusing phase where they feel in between two different identities. In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, talk with Jak Levine-Pritzker, founder of Authentically ADHD LLC, about navigating identity when…
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For ADHDers, romanticism is a common struggle where you find yourself constantly daydreaming about an ideal future and struggling with the reality of the present. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the intricacies of romanticizing experiences and the repercussions that come with i…
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It’s common for ADHDers to feel these waves of inspiration that may lead to a romanticized version of the future that would come by acting on them. However, if action is taken, it alternatively might be accompanied by the ADHD tax—financial burden, over-commitment, broken dreams and promises, feelings of guilt and regret, etc. In this episode, Patr…
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Navigating the world with ADHD can present unique challenges, particularly when it comes to motivation and productivity. Whether it's the difficulty of getting started on mundane tasks or the complexities of staying engaged over time, the rollercoaster of emotional ups and downs can be hard to manage. In this episode, Patrick Casale and Dr. Megan A…
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ADHD often brings unique challenges with impulsive behaviors which can make everyday interactions and tasks more complex. In an attempt to better understand the ways ADHD can present in daily life, this episode uses the DSM-5 diagnostic criteria as a framework for discussion—this is not an endorsement of the DSM-5. In this episode, Patrick Casale a…
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ADHD hyperactive traits are often misunderstood and the DSM-5’s portrayal of this type is heavily geared toward children and adolescents, which can make it harder to understand and address in adulthood. In an attempt to better understand the ways ADHD can present in daily life, this episode uses the DSM-5 diagnostic criteria as a framework for disc…
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ADHD has many nuances and is often misunderstood and stereotyped. In an attempt to better understand the ways ADHD can present in daily life, this episode uses the DSM-5 diagnostic criteria as a framework for discussion—this is not an endorsement of the DSM-5. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professi…
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Navigating the identification, assessment, and diagnosis of ADHD as an adult can be confusing and overwhelming. This mini-series on ADHD focuses on demystifying the diagnostic criteria and making the process clearer and more understandable. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, dive into ADH…
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When parenting a neurodivergent child or young adult, traditional approaches don't always fit. Balancing the unique needs with the world's expectations can feel isolating and overwhelming. In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, speak with Lisa Dube, LCSW and founder of Merrimack River Wellness, about th…
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Autism and eating disorders have a complex relationship that for years has been overlooked often resulting in traumatic approaches to recovery and a misunderstanding of the experience and mindset of Autistic individuals struggling with disordered eating. In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, talk with …
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Premenstrual Dysphoric Disorder (PMDD) is an often misunderstood and misdiagnosed condition and yet has a profound impact on the lives of the people who are experiencing it. In this episode, Patrick Casale and Dr. Megan Neff, two AuDHD mental health professionals, talk with Jes Hagen, a nutritional therapist and integrative menstrual health educato…
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Navigating a world packed with all sorts of seemingly mismatched sensations, either overstimulating or understimulating, and having passionate interests that can appear as all-consuming to others, can be challenging and greatly impact the way we build relationships and even just get through the day. In this episode, Patrick Casale and Dr. Megan Ann…
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For many Autistic individuals, the consistency of routines isn't just nice, it's a way to accommodate the sensory needs of their systems. Routines are reflected internally and externally, and the disruption of these routines can result in great distress. In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, talk about…
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Navigating social relationships can be a complex, nuanced journey for Autistic people, and the way it presents in day-to-day interactions and situations is incredibly diverse. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the complexities of friendship management for Autistic individuals, as…
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What is autism? This question comes up a lot these days, and conversations around autism are extremely nuanced, making it hard to pinpoint one right way of looking at it, so let’s explore autism from what it means historically and clinically to how it represents identity, and all the things in between. In this episode, Patrick Casale and Dr. Megan …
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Burnout can make even the simplest tasks feel insurmountable, as well as look and mean very different things when you approach it from the lens of neurodiversity, where the meanings, causes, and coping mechanisms become very nuanced. In this episode, Patrick Casale and Dr. Megan Ann Neff, two AuDHD mental health professionals, explore the landscape…
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A traditional workplace can be really challenging for neurodivergent individuals, and if a workplace culture is made to be one-size-fits-all, the chances are high that it won’t fit for many neurodivergent people. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Lyric Rivera, founder of NeuroD…
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Creativity is a medium of expression and connection that often works well for neurodivergent individuals. In this episode, Patrick Casale and Dr. Megan Neff, two AuDHD mental health professionals, talk with Bret Malley about the intersection of autism and creativity. Bret shares his journey of autism advocacy, inspired by the desire to support his …
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Sensory meltdowns and shutdowns can be deeply misunderstood and unsettling experiences, whether you've faced them personally or seen a loved one struggle. For many Autistic individuals, dealing with overwhelming sensory stimuli is a recurring battle. The space between feeling in control and experiencing a complete sensory meltdown or shutdown can b…
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A later-in-life diagnosis of a neurodivergent condition can be a catalyst for great relief after years of searching for answers and feeling a bit different as well as invoke grief over the shift in identity, the years of not knowing, a new understanding of limitations, and changes that this understanding might bring. In this episode, Patrick Casale…
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Navigating the world of autism advocacy can be an emotional and complex journey, filled with deeply personal conversations about identity, representation, and systemic change. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Tiffany Hammond, mother, storyteller, and the creator of Fidgets and…
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When you are struggling with sensory overwhelm, social anxiety, feelings of not fitting in, and the many other common struggles that neurodivergent individuals experience, there can be a lot of appeal to turn to coping mechanisms that can temporarily reduce those feelings. However, these momentary escapes can lead to dependency, addiction, and ulti…
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Many neurodivergent people grew up with the feeling of being different, not belonging, and some even feeling like the world was against them. They may have also received painful labels like, “challenging,” “too much,” and “not enough,” among others. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk…
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It’s important to take moments to pause and reflect about what is going well in your life and what you want to change moving forward, especially when you have more limited energy to invest into what you choose. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk about the importance and benefits of r…
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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 Jenni…
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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…
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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, ov…
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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 so…
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For individuals who've wondered if they are autistic (or know they are but haven't been formally diagnosed), it can be a complex journey to first decide whether or not to seek a formal autism diagnosis and then to learn how to restructure the way they see and interact with the world. Getting diagnosed and embracing yourself as autistic can feel lik…
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Do you ever find yourself in a state of paralyzing burnout that can happen even when you're doing activities that you enjoy? Have you ever taken a vacation to fight the fatigue of life only to find that your post-vacation burnout-recovery state is reversed sooner and more severely than others? Do you wonder how you can reduce your burnout in a way …
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The world of relationships and attachment styles from a neurodivergent perspective is complex and sometimes misunderstood as characteristics of neurotypes and attachment styles overlap and shape social interactions and dynamics. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk about partnerships, …
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There are a lot of different opinions and feelings about the neurodivergent experience during the holiday season. The reality is that they will be vastly different for each individual, and there isn’t a right way to experience the holidays. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, dive into the…
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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 ther…
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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 ab…
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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 …
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