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Patrick Casale

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Divergent ConversationsDivergent ConversationsNot Your Neurotypical Wellness: Adaptations and ReflectionsNavigating 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...2025-06-2047 minDivergent ConversationsDivergent ConversationsNeurodivergent Wellness Tips That Backfire and How to Adapt ThemTypical 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...2025-06-1355 minDivergent ConversationsDivergent ConversationsThe Power of Play: Holding the Heavy with Laughter and ConnectionFinding 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...2025-06-0640 minAll Things Private Practice PodcastAll Things Private Practice PodcastConsistency, Criticism, and Courage in Private Practice ConsultingIn this episode, Rachel Bentley shares her journey of building a thriving group practice and launching the Next Level Private Practice Summit, emphasizing the power of community, collaboration, and taking risks despite self-doubt or fear of imperfection. She and Patrick Casale discuss the importance of consistency, authentic connection, and embracing vulnerability to grow personally and professionally in private practice.Here are 3 key takeaways:Embrace Imperfection and Take Action: Rachel shares how perfectionism and self-doubt almost stopped her from launching her summit. The key isn't to wait until everything is perfect, but to take the leap and...2025-05-3136 minDivergent ConversationsDivergent ConversationsUsing Creativity to Anchor into Aliveness and HumanityCreativity 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...2025-05-3049 minAll Things Private Practice PodcastAll Things Private Practice PodcastWhy a Great Group Practice Beats Going Solo: Dialectics, Support, and Less StressIn this episode, Patrick Casale and Sabrina Longley, LCSW at Resilient Mind Counseling, talk about why authenticity, open communication, and a supportive work environment matter so much for therapists who’d rather work for someone else than run their own practice. They also share how embracing your identity and using dialectics can boost confidence and create a healthier, more collaborative workplace.Here are 3 key takeaways:The Power of Authenticity: Sabrina beautifully highlights how living authentically at the intersection of her identities (Black, fat, neurodivergent, extroverted, and more) has been non-negotiable for her well-being and effectiveness as a...2025-05-2444 minDivergent ConversationsDivergent ConversationsCurating Connection: Neurodivergent Communities Online and In-PersonFinding 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...2025-05-2351 minDivergent ConversationsDivergent ConversationsNavigating Core Beliefs and Self-WorthStruggling 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.Top...2025-04-251h 07Divergent ConversationsDivergent ConversationsFLASHBACK — Sensory Shutdowns and Meltdowns: Navigating Neurodivergent ExperiencesSensory 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...2025-03-0757 minDivergent ConversationsDivergent ConversationsFLASHBACK — “What is ADHD?” (Part 1): Personal Stories and Professional InsightsNavigating 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:Get an overview of the often misunderstood and oversimplified traits of ADHD, from executive functioning challenges to...2025-02-2118 minDivergent ConversationsDivergent ConversationsFLASHBACK — ADHD & Romanticism: Reconciling Fantasies with RealityFor 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:Discover the impact of romanticizing...2025-01-3146 minDivergent ConversationsDivergent ConversationsStepping Out of Comfort Zones: Our First Meeting and The Belize Retreat ExperienceNavigating 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.Top 3 reasons to listen to the entire episode:Gain a deeper understanding of how to honor your sensory and social needs in overwhelming environments, as...2025-01-2453 minDivergent ConversationsDivergent ConversationsReflections and Insights From 2024For 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.Top 3 reasons to listen to the entire episode:Gain insights on how Patrick Casale has navigated his post-surgery recovery, focusing on balancing energy with new opportunities and the significant role of a values-based decision framework.Learn...2025-01-1751 minDivergent ConversationsDivergent ConversationsGiftedness (Part 2): You’re a Zebra, Not a Weird HorseThe 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:Discover the unique traits of gifted and neurodivergent individuals, including the intense emotional experiences...2024-11-2258 minDivergent ConversationsDivergent ConversationsGiftedness (Part 1): Defining Giftedness: Beyond High IQsThere 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.Top 3 re...2024-11-1551 minDivergent ConversationsDivergent ConversationsOCD (Part 5): Bridging Mental Health and ComedyBalancing 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:Gain insights into how the blend of personal vulnerability and social critique in comedy helps individuals connect with their audience and understand their own mental health experiences more deeply.Hear Samuel Silverman's unique perspective on b...2024-11-0841 minAll Things Private Practice PodcastAll Things Private Practice PodcastBecome a TEDx Speaker: Tips for Powerful Public SpeakingIn this episode, Patrick Casale and Michael Ashford, Director of Marketing at The Receptionist, a podcaster, a two-time TEDx speaker, and a speaking coach, discuss the journey of becoming a paid public speaker, the highs and lows of pursuing TEDx talks, and the importance of authentic storytelling.Here are 3 key takeaways:Take Action Despite Fear: Patrick discusses his journey of overcoming imposter syndrome and committing to TEDx speaker coaching, emphasizing the importance of moving forward despite self-doubt.Prepare Through Diverse Experiences: Michael Ashford shares how his extensive background in podcast hosting, creating social media videos, and...2024-11-0233 minDivergent ConversationsDivergent ConversationsOCD (Part 4): I-CBT and Neurodivergent Approaches to OCDNeurodivergent 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:Understand...2024-11-0155 minDivergent ConversationsDivergent ConversationsDifferentiating OCD, Autism, and Tourettes Behaviors and Enhancing HealthcareNavigating 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:Gain val...2024-10-2556 minDivergent ConversationsDivergent ConversationsOCD (Part 2): Exposure Therapy—You Don’t Have to Lick ToiletsOCD 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:Learn practical strategies for rebuilding self-trust after anxiety-inducing experiences...2024-10-181h 00Divergent ConversationsDivergent ConversationsThe Neurodivergent Experience of Hurricane HeleneFor 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.Top 3 reasons to listen to the entire episode:Hear firsthand accounts from Patrick, a resident of Asheville, NC, about the challenges of enduring Hurricane Helene as...2024-10-1147 minDivergent ConversationsDivergent ConversationsOCD (Part 1): An Introduction to OCDObsessive-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 Neff, two AuDHD mental health professionals, provide a compassionate, insightful conversation about the perceptions, identities, and experiences tied to OCD.Top 3 reasons to listen to the entire episode:Gain a better understanding of OCD as a mental health condition, how it differs from...2024-10-0459 minDivergent ConversationsDivergent ConversationsChronic Health (Part 4): All Brains BelongNeuroimmune 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 family physician, about the intricate dynamics of chronic health, energy management, and the often-overlooked connection between neuroimmune systems and neurodivergence.Top 3 reasons to listen to the entire episode:Gain a deeper understanding of post-exertional malaise (PEM) and how recognizing one's limits can help in avoiding the debilitating...2024-09-2755 minDivergent ConversationsDivergent ConversationsChronic Health (Part 3): Megan’s Biopsychosocial AssessmentBy 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 of chronic fatigue and long COVID, and how these affect one's social life and overall health through the lens of Megan’s experiences.Top 3 reasons to listen to the entire episode:Learn about realistic and attainable goal-setting to overall health using a bi...2024-09-2043 minDivergent ConversationsDivergent ConversationsChronic Health (Part 2): Patrick’s Biopsychosocial AssessmentA 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 listen to the entire episode:Gain insight into Patrick Casale's ongoing battle with sleep issues, from his childhood to the present day, and learn how various factors—like sleep environment, hydration habits, and caffeine intake—impact his nights.Hear D...2024-09-1347 minDivergent ConversationsDivergent ConversationsChronic Health (Part 1): Series IntroductionDealing 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 biopsychosocial model, share their experiences, and introduce this new series on chronic health issues for neurodivergent individuals.Top 3 reasons to listen to the entire episode:Gain practical insights into managing chronic health struggles through the biopsychosocial model, which considers the in...2024-09-0631 minDivergent ConversationsDivergent ConversationsNeurodivergent Entrepreneurs (#5): Unmasking The Person and ProfessionalNavigating 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. Megan Anna Neff, two AuDHD mental health professionals, meet with Maureen Werrbach to discuss the complexities of finding balance between personal identity and public presentation. This deep dive into the experiences of neurodivergent individuals shines a light on the challenges and triumphs of embracing one's true self amidst societal and professional expectations.Top 3 reasons to listen...2024-08-301h 00Divergent ConversationsDivergent ConversationsNeurodivergent Entrepreneurs (#4): Rewiring Beliefs to Face Your Inner CriticNeurodivergent 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, 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 entire ep...2024-08-2353 minDivergent ConversationsDivergent ConversationsNeurodivergent Entrepreneurs (#3): Balancing ADHD and EntrepreneurshipADHD 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. Megan Anna Neff, two AuDHD mental health professionals, talk with Gabrielle Juliano-Villani, owner of GJV Consulting and Training and an ADHD entrepreneur, about ADHD's impact on entrepreneurship, offering practical strategies and personal insights.Top 3 reasons to listen to the entire episode:Hear real-life stories about managing the emotions of rejection sensitive dysphoria (RSD) and burnout, with practical tips for emotional regulation and recovery.Learn practical strategies for...2024-08-1637 minDivergent ConversationsDivergent ConversationsNeurodivergent Entrepreneurs (#2): The Psychology of EntrepreneurshipEntrepreneurship 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 Anna Neff, two AuDHD mental health professionals, talk with Dr. Corey Wilks, a psychologist and executive coach, to explore the intersection of psychology, entrepreneurship, and core values.Top 3 reasons to listen to the entire episode:Discover how to leverage the "availability paradox" to make more intentional choices, allowing you to prioritize opportunities that align with your values...2024-08-091h 02Divergent ConversationsDivergent ConversationsNeurodivergent Entrepreneurs (#1): An IntroductionEntrepreneurship can be an attractive alternative for neurodivergent individuals to the traditional 9–5 jobs that cater to a society that is systemically structured to be more accommodating to neurotypical needs. However, being a neurodivergent entrepreneur comes with its own set of challenges and triumphs, from managing executive functioning to dealing with burnout. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, introduce their new series on neurodivergent entrepreneurship, as well as share their personal journeys and provide valuable insights.Top 3 reasons to listen to the entire episode:Get tips on...2024-08-021h 00Divergent ConversationsDivergent ConversationsAsk The Audience (#2): Language for Autism, and Neurodivergent TherapistsIt’s natural to have many questions following neurodivergent discovery, diagnosis, or while embracing a new identity. Additionally, there are individuals who might not identify as neurodivergent but are curious about the very nuanced conversations happening in and around the neurodivergent community.In this second Ask The Audience episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, respond to questions they have received from podcast listeners and their communities.Top 3 reasons to listen to the entire episode:Dive into the controversial topic of whether "everyone is a little bit autistic" an...2024-07-2624 minDivergent ConversationsDivergent ConversationsAsk The Audience (#1): Adult Autism, Identity Shifts, and Podcast InsightsIt’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 and Dr. Megan Anna Neff, two AuDHD mental health professionals, respond to questions they have received from podcast listeners and their communities.Top 3 reasons to listen to the entire episode:Hear Dr. Neff and Patrick share their “surprising” experiences and personal growth as podcast hosts...2024-07-1937 minDivergent ConversationsDivergent ConversationsIn-Between Phase of an Autism Diagnosis: From Asking to AssessmentFor 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 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.Top 3 reasons to listen to the entire episode:Learn...2024-07-1248 minAll Things Private Practice PodcastAll Things Private Practice PodcastWriting a Love Letter to Humanity: Therapy, Trust, and Transformative HealingIn this episode, Patrick Casale and Candyce Anderson, LPC, private practice owner, TEDx speaker, and author, discuss the transformative power of therapy, emphasizing authenticity, vulnerability, and the importance of betting on oneself. They share their stories from personal struggles to creating a meaningful and impactful private practice that honors individual needs.Key Takeaways:Authenticity and Vulnerability in Therapy: Building trust through genuine connections can pave the way for profound healing and transformation in clients' lives.Facing and Embracing Change: Leverage personal struggles and creativity to innovate and bring new ideas into the world, making a difference...2024-07-0636 minDivergent ConversationsDivergent ConversationsADHD & Romanticism: Reconciling Fantasies with RealityFor 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 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:Discover the impact of romanticizing future...2024-07-0544 minAll Things Private Practice PodcastAll Things Private Practice PodcastEnhancing Neurodiversity-Affirming Events and Inclusive CareIn this episode, Patrick Casale talks with Molly Herold and Reese Ramponi about the essential practices for creating neurodiversity-affirming environments in retreat and event settings as well as in clinical spaces.Here are 3 key takeaways:Intentional Support Structures: Emphasized the importance of having dedicated support and decompression strategies at events to ensure sustainability and avoid burnout. Patrick shared how his neurotypical retreat co-host manages social interactions, creating a balanced dynamic.Neurodiversity-Affirming Practices: Molly and Reese detailed the creation of a neurodiversity-affirming training course for ADHD diagnosis and evaluation. They stressed the urgency to bridge gaps in...2024-06-2936 minDivergent ConversationsDivergent ConversationsUnderstanding ADHD Tax: Impact, Personal Stories, and Management StrategiesIt’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, 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 experiences and...2024-06-2838 minAll Things Private Practice PodcastAll Things Private Practice PodcastRevolutionizing Health Equity: Funding and PartnershipsIn this episode, Patrick Casale talks with Dr. Omolara Uwemedimo, co-founder of Strong Children Wellness and founder of Melanin in Medicine. They discuss empowering BIPOC clinicians, promoting health equity, and developing sustainable practices.Key Takeaways:Diversify Revenue Streams: Strong Children Wellness thrives by diversifying income sources, collaborating with nonprofit partners, and securing grants. This strategy ensures steady growth and sustainability.Creative Expertise Utilization: Clinicians can leverage their skills beyond direct health services by offering trainings, educational programs, and strategic advisory services, especially via contracts with nonprofits.Strategic Partnerships: Building relationships with nonprofits and community organizations can...2024-06-2234 minDivergent ConversationsDivergent ConversationsADHD Interest-Based Nervous SystemsNavigating 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 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:Discover effective...2024-06-2142 minAll Things Private Practice PodcastAll Things Private Practice PodcastRedefine Workplace Culture: Prioritizing Belonging and CommunityThere are many ways to create a business and community that doesn’t just survive but thrives, starting with prioritizing people over profit.In this episode, Patrick Casale and Dr. Mona Nour discuss the art of creating a sustainable and fulfilling business that aligns with your values while fostering a true sense of belonging.3 Key Takeaways:Align Your Business with Your Values: Entrepreneurs, especially in the mental health field, must consider the cost of not aligning business practices with their core values. It's about creating a fulfilling and supportive environment over merely chasing profits.Pr...2024-06-1540 minDivergent ConversationsDivergent Conversations“What is ADHD?” (Part 4): Unpacking ADHD Impulsive TraitsADHD 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 and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the intricate dynamics of impulsivity in ADHD, blending personal experiences with clinical insights.Top 3 reasons to listen to the entire episode:Explore the differences and connections between im...2024-06-1423 minDivergent ConversationsDivergent Conversations“What is ADHD?” (Part 3): Unpacking ADHD-Hyperactive TraitsADHD 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 discussion—this is not an endorsement of the DSM-5.In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the ADHD hyperactive type and share their personal experiences.Top 3 reasons to listen to t...2024-06-0748 minAll Things Private Practice PodcastAll Things Private Practice PodcastSetting Boundaries and Finding Balance: Private Practice LessonsIn this episode, Patrick Casale and Cameisha Brewer, a remarkable therapist, business coach, speaker, and author, delve into the world of private practice, therapy, and entrepreneurship. Here are three key takeaways:Prioritize self-care as a clinician: Owning a business not only grants you freedom but also allows you to prioritize your well-being. Remember, taking care of yourself is not a luxury—it's a necessity.Embrace the business side of private practice: Understanding the entrepreneurial aspects of private practice is crucial for sustainability as a clinician. Don't shy away from the business aspects—they are just as impo...2024-06-0132 minDivergent ConversationsDivergent Conversations“What is ADHD?” (Part 2): Unpacking ADHD-Inattentive TraitsADHD 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 professionals, talk about the DSM-5 criteria for the inattentive subtype of ADHD, as well as share their personal experiences.Top 3 reasons to listen to the entire episode:Understand the DSM-5 criteria for ADHD, offering a deeper un...2024-05-3154 minDivergent ConversationsDivergent Conversations“What is ADHD?” (Part 1): Personal Stories and Professional InsightsNavigating 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 ADHD, breaking down what it means. This episode lays the groundwork for their upcoming series focused on ADHD.Top 3 reasons to listen to the entire episode:Get an overview of the often misunderstood and oversimplified traits of ADHD, from executive functioning challenges to...2024-05-2416 minDivergent ConversationsDivergent ConversationsRethinking Parenting: Supporting Gender Diverse and Neurodivergent YouthIf you're parenting a neurodivergent child or young adult, you understand that 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. Megan Anna Neff, two AuDHD mental health professionals, speak with Lisa Dube, a licensed clinical social worker, a specialist in gender identities and neurodivergence, and the founder of Merrimack River Wellness. They dive into the nuances of parenting, supporting, and understanding neurodivergent children, particularly those exploring their gender identity.Top 3 reasons to listen to the entire episode:...2024-05-1755 minAll Things Private Practice PodcastAll Things Private Practice PodcastBreaking the Status Quo: Success, Self-Doubt, and Therapy IntensivesIn this episode, Patrick Casale and Amanda Buduris dive into the real challenges and transformative practices for mental health professionals transitioning to private practice.Key Takeaways:Embrace Your Unique Journey: Amanda discusses her personal experiences as a first-generation woman of color in the mental health field, emphasizing the importance of acknowledging your background and challenges while building your practice.Invest in Growth: The importance of seeking external expertise and investing in your business comes to the forefront. Amanda shares how getting help with marketing significantly boosted her practice's visibility and growth.Innovate with Therapy Intensives: Explore...2024-05-1134 minDivergent ConversationsDivergent ConversationsThe Intersection of Autism and Eating DisordersAutism and eating disorders have a complex relationship that until more recent 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. Megan Anna Neff, two AuDHD mental health professionals, talk with Livia Sara, a recognized autism advocate in the eating disorder recovery space, author, and podcast host, to dissect the intricate relationships between autism, eating disorders, and the neurodivergent experience. Together, they share personal experiences and professional insights, diving into a conversation that's...2024-05-101h 00All Things Private Practice PodcastAll Things Private Practice PodcastBehind the Scenes of Event Success: Planning, Production, and PromotionIn this episode, Patrick Casale speaks with Steve Turney, Executive Director of the Mental Health Marketing Conference. They share their insights into the world of event planning and the tremendous value it can bring to your private practice and beyond.Here are 3 key takeaways:Venue as a Branding Tool: Expand your brand's reach and recognition by choosing a venue that resonates with your event's identity. Your venue isn't just a location; it's a key part of your marketing strategy.Consistent and Creative Marketing: Utilize platforms like LinkedIn to target industry professionals and incorporate consistent, creative marketing...2024-05-0439 minDivergent ConversationsDivergent ConversationsUnderstanding PMDD: The Link Between Hormonal Imbalances and NeurodivergencePremenstrual Dysphoric Disorder (PMDD) is an often misunderstood and misdiagnosed condition, and yet it has a profound impact on the lives of the women experiencing it.In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Jes Hagen, a renowned nutritional therapist and NBC-HWC board-certified integrative menstrual health educator and coach, to explore the interconnectedness of hormonal imbalances, their profound impact on mental health, including conditions like ADHD and bipolar, and the empowering potential of integrative approaches to these issues.Top 3 reasons to listen to the entire episode:2024-05-0358 minDivergent ConversationsDivergent Conversations“What is Autism?” (Part 4): Special Interests and Complex Sensory ExperiencesNavigating 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 Anna Neff, two AuDHD mental health professionals, talk about the nuances and misconceptions surrounding special interests and sensory experiences for Autistic people.Top 3 reasons to listen to the entire episode:Learn about the role of special interests in fostering connections for Autistic...2024-04-261h 09Divergent ConversationsDivergent Conversations“What is Autism?” (Part 3): The Complex Interplay of Routine, Control, and FlexibilityFor many Autistic individuals, the consistency of routines and rituals isn't just nice, it's a strategy to accommodate for the sensory needs of their systems. Routines are reflected both internally and externally, and the disruption of these routines can result in great distress.In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk about the comfort and chaos of daily routines and rituals, shedding light on the importance and challenges of these patterns in the lives of Autistic individuals.Top 3 reasons to listen to the entire episode:Gain...2024-04-1957 minAll Things Private Practice PodcastAll Things Private Practice PodcastLife's Trials: Podcasting, Private Practice, and Personal GrowthJoin Patrick Casale and special guest Gordon Brewer as they unpack the trials and triumphs of podcasting alongside candid revelations about life's personal hurdles.Key Takeaways:Consistency is King: Building a loyal audience takes time – often years. Stay the course, and trust the process of organic growth. Your consistency will pay off.Launch & Learn: Don't compare your beginning to someone else's middle. Imposter syndrome is real; acknowledge it but don’t let it derail you. Your unique voice has a place in the vast podcast landscape.Passion Fuels Podcasts: Follow your curiosity and let your passion guid...2024-04-1334 minDivergent ConversationsDivergent Conversations"What is Autism?" (Part 2): Navigating the Social LabyrinthNavigating 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 well as explore the connection between relationships and common Autistic traits such as repetitive behavior, difficulty with flexibility, special interests that are intense or atypical, and sensory differences.Top 3 reasons to listen to the entire episode:Unpack the different ways in which autistic individuals...2024-04-1246 minAll Things Private Practice PodcastAll Things Private Practice PodcastFrom Therapist to Boss: Leadership Roles in Group PracticeIn this episode, Patrick Casale talks with Lindsay Keisman about the intricacies of transitioning from a thriving therapist to an equally triumphant business owner.Key takeaways:Leadership Transition - Navigating the transition from individual contributor to effective leader means understanding that it’s not an overnight change. This requires intentional development, clear communication, and alignment with the responsibilities of the new role.Mentorship is Vital - New leaders need more than just how-to books on business ownership to thrive; dedicated mentorship time and real-life guidance from those above them are instrumental in shaping a leader's ability to...2024-04-0638 minDivergent ConversationsDivergent Conversations“What is Autism?” (Part 1): Understanding Autistic Communication“What is autism?” This is a question that comes up a lot in more recent times, and the 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 an identity, and all the things in between.In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, start the conversation around autism with an honest and insightful discussion about “what is autism” and the intricacies of social interactions as experience...2024-04-051h 04Divergent ConversationsDivergent ConversationsAutistic Burnout (Part 2): A Deep Dive Into The Diversity of BurnoutBurnout 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 of burnout, seasonal depression, and the importance of strategic withdrawal, offering solace and understanding to those who tread these difficult terrains.Top 3 reasons to listen to the entire episode:Identify how what we call burnout might be related to...2024-03-2958 minDivergent ConversationsDivergent ConversationsNavigating Neurodiversity in the Workplace: Crafting Safe SpacesA 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 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:Understand the essential need to reframe our workplace cultures to no...2024-03-221h 00All Things Private Practice PodcastAll Things Private Practice PodcastBIPOC Queer Care: Building Affirmative Spaces in Mental HealthIn this episode of All Things Private Practice, Patrick Casale sits down with Dr. Antoine L. Crosby, psychologist and owner of Affirmative Spaces. Together, they delve into the nuanced journey of creating safe, affirmative spaces in mental health care for BIPOC queer individuals.Key Takeaways:Building Safe Spaces: Antoine shares his inspiring mission to create environments where marginalized communities can seek help and exist fully. Learn how aligning your practice with a robust set of values can support and protect these communities.Authenticity in Practice: We explore the emotional labor of code-switching and the liberation that...2024-03-1634 minDivergent ConversationsDivergent ConversationsThe Creative Sides of Autism + Advocacy Through ArtCreativity is a medium of expression and connection that often works well for neurodivergent individuals.In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, are joined by Bret Malley, filmmaker, professor, late-in-life diagnosed Autistic person, and father of an Autistic son, for an enriching conversation that explores the intersection of autism and creativity. Bret shares his journey of autism advocacy, inspired by the desire to support his son, using creative outlets, as well as shares his process and inspiration for creating a documentary that seeks to provide a more a...2024-03-151h 18Divergent ConversationsDivergent ConversationsSensory Shutdowns and Meltdowns: Navigating Neurodivergent ExperiencesSensory 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 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 clinical...2024-03-0854 minDivergent ConversationsDivergent ConversationsThe Relief and Grief of Later-in-Life DiagnosisA 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 and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Jamie Roberts, the founder of Equilibrium Counseling Services, about the complex and deeply personal aspects of neurodiversity, identity, and self-discovery.Top 3 reasons to listen to the...2024-03-0147 minDivergent ConversationsDivergent ConversationsLet The People Feel What They Need To FeelNavigating 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 Fries, about the intricate landscape of autism advocacy, especially done through stories, which Tiffany says are the best teachers, to create relatability and allow space for people to feel how they feel.Top 3 reasons to listen to the entire episode:Gain insight into...2024-02-2358 minDivergent ConversationsDivergent ConversationsUnfortunate Coping: Neurodivergence, Addiction, and RecoveryWhen 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 ultimately the loss of connection.In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, dive into the complex topic of the connection between neurodivergence and addiction and “unfortunate coping.”Top 3 reasons to listen to the entire episode:Ga...2024-02-161h 03Divergent ConversationsDivergent ConversationsBridging the Gap: Empowering Neurodivergent FamiliesMany 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 with Dayna Abraham, ADHDer, national board educator, author, and parenting specialist for neurodivergent children, about how to bridge the gap between parents and children who don’t yet understand neurodivergence by meeting parents where they are with language and narrative so that they can acces...2024-02-0952 minDivergent ConversationsDivergent ConversationsReflection and Intention: Mapping Energy, Setting Boundaries, and Finding BalanceIt’s important to take moments to pause and reflect on 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 reflection and intention setting, as well as the shame, impact, and FOMO that can be experienced when addressing expectations and embracing limitations. They also share some of their own intentions and the emotions that accompany them as...2024-02-0234 minDivergent ConversationsDivergent Conversations[FLASHBACK] Episode 25: Exploring Different Neurotypes: Ask a Neurotypical [featuring Jennifer Agee]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 experiences of autistic individuals.Top 3 reasons to listen to the entire episode:Understand...2024-01-261h 09All Things Private Practice PodcastAll Things Private Practice PodcastMarketing Authenticity and Client Relationships in Private PracticeIn this episode, Patrick Casale and Ryan Schwartz dive deep into marketing strategies and imposter syndrome in private practice, highlighting the importance of therapists separating their self-worth from business outcomes and using relatable, hopeful, and authentic language in their marketing materials to attract and connect with clients.They emphasize the need for therapists to showcase their personalities, understand clients' experiences, and create a sense of hope and connection in their profiles to foster meaningful client relationships and successful private practices.Here are the top 3 key takeaways:Authenticity is Key: Therapists should focus on their...2024-01-2037 minDivergent ConversationsDivergent Conversations[FLASHBACK] Episode 24: Exploring Different Neurotypes: Ask an ADHDer [featuring Dr. Donna Henderson]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 ADHDer in regards to things like executive functioning, sensitivity and reactiveness, conversational tempo, working memory, and...2024-01-1957 minAll Things Private Practice PodcastAll Things Private Practice PodcastRetirement Planning 101: How To Protect Your FutureRetirement planning doesn't have to be scary or unattainable. In this episode of the All Things Private Practice Podcast, host Patrick Casale is joined by Ryan Derousseau, a certified financial planner. They dive deep into the importance of retirement planning for private practitioners and therapists. They discuss the common challenges faced by those in private practice, including the lack of financial planning and the emotions of shame and fear surrounding retirement.Ryan shares valuable insights on simple strategies to start securing financial stability, the importance of investment in retirement accounts, and the significance of building assets beyond...2024-01-1326 minDivergent ConversationsDivergent Conversations[FLASHBACK] Episode 15: Exploring the Intersection: Neurodivergent Experiences and Chronic Health Conditions featuring Dr. Mel HouserDo 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 Neff, two AuDHD mental health professionals, talk with Dr. Mel...2024-01-1248 minDivergent ConversationsDivergent ConversationsNavigating Neurodivergent Attachment: Unraveling Complex RelationshipsThe 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, attachment theory, and relationships across various neurotypes.Top 3 reasons to listen to the entire episode:Understand the unique challenges neurodivergent individuals face in feeling connected and present in social situations, and how their experiences with attachment styles can differ significantly from societal norms.Identify how the...2023-12-1553 minDivergent ConversationsDivergent ConversationsReleasing Expectations Around The Neurodivergent Holiday ExperienceThere 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 complexities of navigating the holiday season as neurodivergent individuals, offering valuable strategies for managing stress, setting boundaries, and finding moments of connection.Top 3 reasons to listen to the entire episode:Understand the challenges of masking or un...2023-12-0837 minDivergent ConversationsDivergent ConversationsRewriting Neurodivergent Narratives: Navigating Labels, Trust, and Healing through Somatic Work [featuring Sandra Coral]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 treatment of individuals from children to adults who have and don’t have the label of ADHD in relation to ra...2023-12-011h 10Divergent ConversationsDivergent ConversationsUnmasking Rejection: Answering Questions About RSDRejection 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 what masked RSD looks like and the impact it has on shame and finding connection.Identify...2023-11-2444 minDivergent ConversationsDivergent ConversationsRSD and Social Media: Exploring the Complex Relationship and Nurturing Mental Wellness OnlineIf 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 relationship between social media, rejection sensitive dysphoria (RSD), setting boundaries, and mental well-being.Top 3 reasons t...2023-11-1745 minAll Things Private Practice PodcastAll Things Private Practice PodcastFreedom in Authenticity: Unmasking and Overcoming Imposter Syndrome In this episode, Patrick Casale and Jamie Roberts discussed the powerful impact of authenticity in the mental health profession. We explored the connection between imposter syndrome and masking, and how embracing our true selves can lead to greater success and fulfillment in our practices.3 key takeaways:1️⃣ Authenticity builds trust: As mental health professionals, it's essential to create a safe and trusting space for our clients. By being open and genuine about our own struggles, we can foster a stronger connection and create a sense of empathy and understanding. Authenticity allows clients to feel seen, heard, and...2023-11-1135 minDivergent ConversationsDivergent ConversationsInside Rejection Sensitivity Dysphoria: Insights on RSD, Mental Health, and RelationshipsDo 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, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, dive...2023-11-1048 minAll Things Private Practice PodcastAll Things Private Practice PodcastShaping Your Own Path: Self-Worth, Success, and Building a Thriving Private Practice In this thought-provoking episode, Talia Bombola* and Patrick Casale, delve deep into the ways in which we can align our decisions and actions with our true goals and values. They explore the notion that many of us find ourselves trapped in the busyness of our businesses, driven by societal expectations and a fear of deviating from the norm. They talk about healing inner child wounds in order to combat self-doubt, perfectionism, and impostor syndrome.1️⃣ Stay True to Your Values: Building and running a business is not just about making money or ticking off boxes. It's essential to alig...2023-11-0434 minDivergent ConversationsDivergent ConversationsExploring Different Neurotypes: Ask an Autistic [featuring Amanda Diekman]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, grief, and loss surrounding switching between a masked and unmasked self.Identify some of the ways that autism without...2023-11-031h 07Divergent ConversationsDivergent ConversationsExploring Different Neurotypes: Ask a Neurotypical [featuring Jennifer Agee]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 experiences of autistic individuals.Top 3 reasons to listen to the entire episode:Understand...2023-10-271h 08Divergent ConversationsDivergent ConversationsExploring Different Neurotypes: Ask an ADHDer [featuring Dr. Donna Henderson]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 ADHDer in regards to things like executive functioning, sensitivity and reactiveness, conversational tempo, working memory, and...2023-10-2056 minDivergent ConversationsDivergent ConversationsChallenging Stereotypes About Autism and NarcissismAutism 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 perceived to go with them.Top 3 reasons to listen to the entire episode:Understand how social media, a more polarized society with low tolerance...2023-10-1343 minDivergent ConversationsDivergent ConversationsAutism and Pregnancy Loss: An Autistic Journey of Grief and Identity (featuring Dr. Kiley Hanish)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 focusing on pregnancy loss.Both Dr. Neff and Kiley, who are both Autistic, experienced pregnancy loss and they t...2023-10-061h 07Divergent ConversationsDivergent ConversationsTaking Up Space: Navigating Social Interactions as a Neurodivergent IndividualTaking 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 while constantly paying attention to details can be a painful and exhausting experience.2023-09-2936 minDivergent ConversationsDivergent ConversationsEmbracing Neuroqueer Identity: Queerness Explored Through the Lens of Autism and ADHDStatistically, 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 present in society, relationships, and the mental health community.Top 3 reasons to listen to the entire episode:Understand what is genderqueer identity an...2023-09-221h 03Divergent ConversationsDivergent ConversationsQuestions and Answers: Redefining Identity Through Autism DiscoveryMany 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 the mask, can you still enjoy your masked life and live...2023-09-1544 minDivergent ConversationsDivergent ConversationsAutistic Unmasking: Redefining Identity and Authentic Self-DiscoveryIdentity 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 exploring identity as late-diagnosed Autistic individuals and discuss the process of exploration and claiming an identity that...2023-09-0836 minDivergent ConversationsDivergent ConversationsAutistic and ADHD Self-Identification and MisinformationLived 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-diagnosis of autism and ADHD.Top 3 reasons to listen to the entire episode:Understand the importance of finding “data points” to look at the overall pers...2023-09-0144 minDivergent ConversationsDivergent ConversationsAutism and Healthcare: The Impact and Challenges of Self-DisclosureSelf-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 decision to self-disclose or even seek a diagnosis in the first place a very tricky choice. In this episode, Patrick Casale and D...2023-08-2551 minDivergent ConversationsDivergent ConversationsExploring the Intersection: Neurodivergent Experiences and Chronic Health Conditions featuring Dr. Mel HouserDo 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 Neff, two AuDHD mental health professionals, talk with Dr. Mel...2023-08-1846 minDivergent ConversationsDivergent ConversationsAutistic Masking: The Impact on Mental Health, Identity, Safety, and PrivilegeThere 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 Casale, two AuDHD mental health professionals, delve deep into the concept of Autistic masking as well as share t...2023-08-1151 minDivergent ConversationsDivergent ConversationsWhen Little Things Feel Huge: Neurodivergent Perspectives on Routine DisruptionsDifficulty 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 episode, Dr. Megan Anna Neff and Patrick Casale, both AuDHDer mental...2023-08-0443 minDivergent ConversationsDivergent ConversationsDemand Avoidance and PDA: Exploring the Overlap and Difference [Featuring Tara Holmquist]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 demand avoidance and its impact on neurodivergent lives.Dr. Megan Anna Neff, an AuDHDer psychologist and mother of a child with PDA, describes it as "...2023-07-2844 minDivergent ConversationsDivergent ConversationsSensory Overload and Social Engagement — The Autistic Experience in Group SettingsSocializing 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 differently in conversations with people one-on-one than in group...2023-07-2147 minDivergent ConversationsDivergent ConversationsUnderstanding Alexithymia — Exploring the Complexities of EmotionPicture 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 is difficulty identifying and describing emotions, is a trait that is often associated with autism and ADHD, however despite the fact that...2023-07-1433 minDivergent ConversationsDivergent ConversationsTravel and Autism — Exploring the World with Heightened SensesTravel 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 things sensory.When talking about travel and social interactions, Dr. Neff expressed that it "feels...2023-07-0740 minDivergent ConversationsDivergent ConversationsAutistic EmotionsBeing 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 episode, you'll hear the personal experiences and realizations of both Patrick and Megan Anna around emotions, communication...2023-06-3041 minDivergent ConversationsDivergent ConversationsI’ll Bring The Chaos & You Help Organize ItHave you ever felt like there was some big mystery that you could never solve as to why you acted and thought the way you did?Maybe you were told that you are neurodivergent but struggle to understand what that means for you.Do you feel tired of masking and don't know where to find a voice that will speak out, be supportive, and educate about neurodivergence?This episode is for you.Top 3 reasons to listen to the entire episode:Understand what it means to be autistic and how it...2022-12-2834 min