Divergent Conversations

Navigating Autistic burnout can feel overwhelming, especially when recovery advice is often oversimplified or disconnected from the realities of daily life. For many Autistic people, finding real, sustainable strategies to move through burnout isn’t just about willpower; it’s about understanding our needs, honoring our limits, and reclaiming a sense of agency.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the full spectrum of Autistic burnout recovery. They openly explore both the practical strategies and deeper psychological work needed to move forward, balancing tangible tools (like strategic withdrawal, boun...

Living with perpetual Autistic burnout can feel like navigating a world that’s always just a little too overwhelming, exhausting, or out of sync. For neurodivergent people, teasing apart burnout from depression and understanding how chronic sensory and emotional overload shapes daily life is not just challenging but key for self-advocacy and well-being.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the lived experience of Autistic burnout. They share personal stories about perpetual exhaustion, reflect on the nuances that differentiate Autistic burnout from depression, and illustrate how life stressors, he...

Navigating higher education as a neurodivergent student can often feel isolating and overwhelming in a system not designed for neurodivergent minds. For many, finding an affirming academic environment that truly recognizes and supports neurodivergent strengths, and not just challenges, can be life-changing.

In this episode, Patrick Casale, an AuDHD mental health professional, sits down with Dr. Adam Lalor, educational psychologist and Vice President for Neurodiversity Research and Innovation at Landmark College — the first college in the world designed solely for students with learning disabilities, ADHD, autism, and executive function challenges. They explore what makes Landmark’s approach to n...

Navigating wellness advice as a neurodivergent person can often feel invalidating, overwhelming, or just plain inaccessible. So much of what’s recommended—from meal prep to journaling—assumes executive function, sensory profiles, or social fluency that simply aren’t universal. However, the right adaptations not only make wellness more achievable but also help us honor our genuine needs instead of internalizing shame or “shoulds.”

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, ask their audience and discuss the kinds of health and wellness advice that often fall flat for neurodivergent people, then...

Typical wellness advice is often made to sound simple on the surface, but it can feel alienating, frustrating, or downright unhelpful in real life for many neurodivergent people. For many Autistic and ADHD adults, tips like “just relax,” “try meditation,” or “write in a gratitude journal” can miss the mark, complicating our efforts to find meaningful self-care and regulation.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, ask their audience to join in on the worn-down and worthy #NotYourNeurotypicalWellness conversation, exploring why so much mainstream wellness advice doesn’t work for many neuro...

Finding joy and playfulness can feel complicated when the world feels heavy and overwhelming. For neurodivergent people, accessing moments of laughter and lightness—especially while navigating guilt or social pressure to be productive—becomes an essential, yet nuanced, form of self-preservation and resistance.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the vital importance of play, laughter, and connection for neurodivergent well-being. They candidly discuss their personal struggles and breakthroughs with accessing joy, examine the intersection of play with heavy emotions, and share how dark humor, rituals, and community bant...

Creativity isn’t just a spark or a talent—it’s a vital tether to our humanness, especially in a world that can feel overwhelming or isolating for neurodivergent people. Whether you feel energized and alive, or stuck in a season of fatigue, the pursuit and practice of creativity can connect us to ourselves, our aliveness, and our communities.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, diiscuss what creativity truly means as neurodivergent people navigating complex feelings of energy, burnout, connection, and disconnection. They share personal experiences with creative flow...

Finding real connection and community as a neurodivergent person can be both beautiful and complicated. We often long for community that gets us, but knowing where to look or how to show up as ourselves can feel uncertain. Having spaces where we feel seen, supported, and not too much isn’t just affirming — it’s important for our well-being.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the complexities of finding, building, and sustaining community and connection as neurodivergent people. They candidly share personal experiences of seeking meaningful relationships, discus...

Navigating constant news cycles and the pressure to engage with digital content that often changes by the minute and is expressed with different narratives can be uniquely challenging for neurodivergent individuals. Finding authentic ways to support your mental health, honor limited energy reserves, and cultivate meaningful community has never been more crucial.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the realities of digital overwhelm, mindful media consumption, and the importance of authentic connection in turbulent times. They share lived experiences of navigating privilege, public visibility, community trauma, and...

Grieving the loss of a beloved pet or navigating collective trauma can feel overwhelming, especially for neurodivergent individuals who experience heightened attachment and sensitivity. This episode highlights the raw realities of grief, loss, and emotional processing, and explores the complexities unique to neurodivergent wellness journeys.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the challenges of navigating grief—particularly pet loss—while managing the heightened sensitivities and emotional intensity common among Autistic and ADHD adults. They talk about how grief impacts daily life, the importance of ritual, attunement in rela...

Prioritizing wellness and authentic connection is essential for neurodivergent individuals, especially during times of low energy or change. This episode highlights how embracing interdependence, rest, and honest communication can support deeper well-being and resilience within both friendships and professional collaborations.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, candidly discuss what led them to take a break from the podcast and how that pause deepened their understanding of self-care, boundaries, and the value of neurodivergent connection. Together, they share personal experiences of attachment wounds, rupture and repair, community building, and...

Struggling with feelings of not being “good enough” or questioning your legitimacy, even as your achievements grow, is a common but often isolating experience for neurodivergent professionals.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the complexities of “not good enough” schemas, imposter syndrome, and the compulsive drive for achievement, especially within neurodivergent communities. They examine how these beliefs can shape careers, relationships, and self-perception, while sharing personal experiences about preparing for significant milestones (like TEDx talks), returning to therapy, and the ongoing process of emotional growth and acceptance.

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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 flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, and Dr. Stacy Greeter, an AuDHD and OCD child/adolescent and adult psychiatrist, discuss the multi-faceted challenges of accessing appropriate healthcare, the nuances of differentiating between behaviors related to OCD, Austim, and Tourettes, and the significance of authenticity in professional environments.

Top 3 reasons to listen to the entire episode:

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 flashback 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 biopsychosocial model, share their experiences, and introduce this new series on chronic health issues for neurodivergent individuals.

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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 flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Dr. Mel Houser, an Autistic family physician, about the intricate dynamics of chronic health, energy management, and the often-overlooked connection between neuroimmune systems and neurodivergence.

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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 flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Yunetta Smith, a licensed clinician, coach, trauma expert, and EMDR trainer, about the impact of naming emotions on mental health, especially for neurodivergent individuals, entrepreneurs, and people of color, emphasizing the importance of allowing folks to have autonomy over their own experiences and healing.

Top 3 reasons to listen to the en...

For adults who are 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 flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Jak Levine-Pritzker, ADHD coach and founder of Authentically ADHD LLC, about the nuances of navigating identity when exploring the possibility of an autism diagnosis, as well as the effect of facing internalized ableism and external input throughout the assessment process.

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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 flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Lyric Rivera, founder of NeuroDivergent Consulting, author, and later-in-life diagnosed AuDHD person, about how to create neurodivergent-affirming spaces, including in the workplace and in online communities.

Top 3 reasons to listen to the entire episode:

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 be alarmingly narrow, with profound impacts on personal well-being and relationships.

In this flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, share their insights and experiences with Autistic sensory meltdowns and shutdowns, including strategies and signs discussed through a...

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 flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk about the nuances and misconceptions surrounding special interests and sensory experiences for Autistic people.

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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 flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, dive into ADHD, breaking down what it means. This episode lays the groundwork for their series focused on ADHD.

Top 3 reasons to listen to the entire episode:

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 flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the intricacies of the ADHD interest-based nervous system, how it impacts daily life, and practical ways to enhance motivation and productivity.

Top 3 reasons to listen to the entire episode:

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 flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the concept of the ADHD tax and its impact on various facets of life such as time, money, and relationships. Both hosts share their personal expe...

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 flashback 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 it. As neurodivergent mental health professionals, they offer a unique perspective on how projecting ideal futures can create a disconnect with the present, leading to disappointment and restlessness.

Top 3 reasons to listen to the entire episode:

Navigating anxiety, social awkwardness, and the intricacies of neurodivergence while trying to connect with others can be overwhelming.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, reflect on their experiences from a recent neurodivergent retreat in Belize. They share personal tales of stepping out of comfort zones, managing social expectations, and the profound insights gained from being part of a neurodivergent community.

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For neurodivergent individuals, the journey toward intentional living and work-life balance comes with both unique challenges and profound opportunities for growth.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, reflect on their past 2024 year, discuss pivotal moments of personal development, and share their hopes and strategies for a more intentional future.

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Navigating the intricate dynamics of human relationships and the impacts of our early experiences can be challenging but also lead to healthier, more fulfilling connections. 

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, along with Debra Brause, Psy.D., discuss how early childhood experiences for Autistic individuals can shape their adult lives, the importance of seeing people as whole beings, and the transformative power of therapy.

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For ADHDers who feel overwhelmed by the challenges of maintaining focus and managing anxiety around a flood of to-dos and expectations, finding effective strategies can make all the difference.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, along with Dr. Kourosh Dini, a clinical psychiatrist, psychoanalyst, musician, and creator of Waves of Focus, discuss how creative minds, including ADHDers, can harmonize play and productivity without succumbing to stress or societal pressures.

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As a neurodivergent individual, it can sometimes feel like your true self is hidden beneath layers of societal expectations.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, along with Dr. Karissa Burnett, a depth psychologist, trauma specialist, the founder of Divergent Pathways, and a late-diagnosed Autistic ADHDer, discuss the deep inner workings of the mind, the societal challenges faced by neurodivergent individuals, and the valuable insights that psychoanalytic therapy can offer. Together, they explore the intersections of depth psychology, authenticity, and the lived experiences of Autistic individuals, aiming to shed...

Navigating the world as a gifted individual can be emotionally taxing and filled with both internal and external challenges that are often dismissed or minimized by oneself and others. The giftedness label is often viewed as a privilege resulting in failure to recognize and offer support for the very real struggles that can come with it.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, open up about their personal experiences and discuss the complexities of giftedness, identity, and coping mechanisms in the context of mental health.

Top 3 reasons...

As a gifted, BIPOC individual, it can be uniquely challenging to navigate day-to-day experiences and find meaningful connections, especially prior to the discovery of giftedness.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, along with Sheldon Gay, an entrepreneur, podcast host, and the Vice-Chair of the neurodivergent-affirming non-profit, Umbrella US, discuss his unique perspective on being seen beneath our social masks, the societal impact of intellectual identity as a BIPOC human, and his personal self-discovery journey of giftedness.

Top 3 reasons to listen to the entire episode:

If you are the parent of a gifted or twice-exceptional (2e) child, you know the unique challenges and pressures these children face.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, and Dr. Danika Maddocks, a gifted/2e parent coach and owner of The Gifted Learning Lab, discuss the complexities of raising and supporting gifted and 2e kids, including the internal and external pressures, the impact of growth vs. fixed mindsets, and the innovative strategies that can support these exceptional children.

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Giftedness is paired with a unique cognitive and emotional makeup accompanied by many societal misconceptions. Many individuals find themselves grappling with high expectations, internalized stigma, and a constant quest for intellectual stimulation, often reconciling feelings of exceptional capability with misunderstood struggles.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, and Katy Higgins Lee, a multiply neurodivergent therapist, discuss the nuanced world of giftedness, including the intersection of giftedness, neurodivergence, and the emotional landscape that comes with it.

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The rich, layered experience of gifted and neurodivergent individuals often includes profound emotional sensitivity, rapid thinking, and unique challenges in daily life.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, and Dr. Matthew Zakreski, a speaker and clinical psychologist, discuss the complexities of neurodivergence and giftedness, including impostor syndrome, executive functioning, the concept of the rule of 5, mirror neurons, and the emotional depth of overexcitability.

Top 3 reasons to listen to the entire episode:

There are many stereotypes about giftedness, what it really means, and the connection it might have to neurodivergent traits related to autism or ADHD, but it’s actually a much more complex and nuanced label.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, and Emily Kircher-Morris, a Licensed Professional Counselor with a rich background in both education and mental health, discuss the multifaceted world of giftedness and neurodivergence, unraveling the intricate layers of IQ, societal expectations, and the personal journeys that shape the lives of gifted individuals.

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Balancing vulnerability and authenticity can be challenging, but also deeply rewarding. 

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Samuel Silverman, a psychiatrist and stand-up comedian diagnosed with OCD and ADHD, about the intersection of comedy, mental health, and the digital age.

Top 3 reasons to listen to the entire episode:

Neurodivergent individuals often find mental health topics like OCD, autism, and ADHD intertwined in ways that can complicate their personal narratives and self-identity.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss with Brittany Goff, an LCSW, the Clinical Director at Zen Psychological Center, and an instructor at the Cognitive Behavioral Institute, about the critical intersections of OCD, autism, and ADHD, their impact on well-being, and the use of I-CBT in the treatment of OCD for neurodivergent individuals.

Top 3 reasons to listen to the entire episode:

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 AuDHD and OCD child/adolescent and adult psychiatrist, discuss the multi-faceted challenges of accessing appropriate healthcare, the nuances of differentiating between behaviors related to OCD, Austim, and Tourettes, and the significance of authenticity in professional environments.

Top 3 reasons to listen to the entire episode:

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. They discuss practical strategies for effectively managing OCD through Exposure and Response Prevention (ERP) therapy using a value-driven and neurodivergent-affirming approach.

Top 3 reasons to listen to the entire episode:

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 physical impact of natural disasters on neurodivergent individuals. Patrick, who lives in Asheville, NC, which was destroyed by Hurricane Helene, shares his experience.

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