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Divergent Conversations

Divergent Conversations

By: Megan Anna Neff & Patrick Casale
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About this listen

Dr. Megan Neff and Patrick Casale are two Neurodivergent therapists in a neurotypical world. During this podcast, they’ll talk about their own personal experiences as Autistic-ADHDers. They will reflect on their lived experience as AuDHD mental health professionals, and entrepreneurs, as well as offer clinical guidance, and support. Episodes will be conversational in nature, and they’ll interview other ND Folx to amplify the voices of other neurodivergent advocates and individuals as they share their authentic stories. New episodes will come out weekly, on all major platforms. Megan told Patrick, ”I’ll bring the chaos, You organize it.” This perfectly sums up their working relationship and friendship. Reflections of two neurodivergent clinicians. Raw, Vulnerable, Affirmative As Hell. Follow on instagram.com/divergentconversations Topics include Autism, ADHD, Sleep struggles, Chronic Illness, RSD, Alexithymia, Autistic burnout, Intersectionality, Neuroqueer, Creativity, OCD, Neurodivergence, Affirming Language, Small business ownership, Unpacking Internalized Ableism, and so much more. If you love the podcast, please leave us a 5 star review https://podcasts.apple.com/us/podcast/divergent-conversations/id1662009631 Visit our website for all podcast episodes and sponsorship opportunities divergentpod.com Legal Disclaimer: The content provided in this podcast is for informational purposes only and should not be considered medical advice. Always consult a qualified healthcare provider or medical professional for personalized advice regarding any medical condition or treatment.Copyright 2022 All rights reserved. Economics Hygiene & Healthy Living Leadership Management & Leadership Psychology Psychology & Mental Health Science Social Sciences
Episodes
  • Episode 142: FLASHBACK — AuDHD Burnout City: How Autistic and ADHD Burnout Collide and Compensate
    Jan 23 2026

    ADHD and Autistic burnout can feel like an endless cycle of overwhelm, exhaustion, and frustration—especially for those who live at the intersection of both identities. Many AuDHD individuals struggle to distinguish between ADHD burnout and autistic burnout, but understanding their overlap and unique challenges is crucial to finding compassionate, practical ways to support our mental health.

    In this flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the unique qualities of AuDHD burnout. They reflect on their own lived experiences, explore the differences and intersections between ADHD and Autistic burnout, discuss why traditional accommodations often fall short, and share insight on how burnout can lead to shame, depression, and executive function collapse. Through vulnerable storytelling, tangible metaphors, and thoughtful humor, they invite listeners to rethink both self-care and community support in navigating burnout.

    Top 3 reasons to listen to the entire episode:

    1. Gain clarity on the nuances between ADHD burnout, Autistic burnout, and their combined impact for AuDHD burnout—plus learn why academic literature often overlooks the lived reality of those with dual neurotypes.
    2. Hear relatable and honest discussions about executive dysfunction, shame spirals, depression risk, and the paradox of needing energy to recover from exhaustion, especially within the context of daily life and work.
    3. Take away practical frameworks and metaphors (including animal critter analogies and the “burnout city”) that offer new language for self-understanding, along with concrete ideas for future-proofing your life against burnout as an AuDHD individual.

    If you’re navigating the relentless push-pull of ADHD and Autistic traits, or supporting someone who is, this conversation will help you feel seen and provide tools for building more resilient self-care. Listen now for validation, empathy, and practical insight on surviving—and even softening—the cycle of AuDHD burnout.

    Resources

    1. Neurodivergent Insights Autistic Masking Workbook: neurodivergentinsights.com/autistic-masking
    2. Neurodivergent Insights Resource on Autistic Burnout: neurodivergentinsights.com/burnout-resources
    3. The Autistic Burnout Workbook by Dr. Megan Anna Neff: simonandschuster.com/books/The-Autistic-Burnout-Workbook/Megan-Anna-Neff/9781507223062
    4. Check out Neurodivergent Insights’ Library of Boundary Scripts (free resource)

    Divergent Conversations Podcast Episodes:

    1. Episode 2: Autistic Burnout (
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    42 mins
  • Episode 141: FLASHBACK — OCD: I-CBT and Neurodivergent Approaches to OCD [featuring Brittany Goff]
    Jan 16 2026

    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 flashback 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:

    1. Understand how sensory discrepancies can lead to the development of obsessive stories, particularly for autistic individuals, and how inference-based cognitive-behavioral therapy (I-CBT) offers a tailored approach to counteract these doubts.
    2. Discover the unique challenges and strategies for neurodivergent individuals, including those with undiagnosed autism or ADHD, in managing OCD symptoms and building self-trust through a neuro-affirmative lens.
    3. Learn about the intersection of personal experiences, vulnerable self-themes, and logical reasoning with OCD, and how neurodivergent traits such as hyperempathy and rejection sensitivity influence the creation of obsessive narratives.

    As you reflect on this episode, consider how your sensory experiences and neurodivergent traits affect your perception of reality and self-trust, as well as how I-CBT can offer tools and strategies to foster a stronger sense of certainty and understanding in your daily life.

    DISCLAIMER: I-CBT is currently only evidence-based for OCD.

    More about Brittany:

    Brittany Goff is a Licensed Clinical Social Worker and the Clinical Director at Zen Psychological Center, a neuroaffirming OCD practice in Maryland. Additionally, she serves as an Instructor at the Cognitive Behavioral Institute, where she provides continuing education in Inference-based Cognitive Behavioral Therapy (I-CBT) for OCD. She authored the first-ever I-CBT workbook and was one of the first adopters of I-CBT in the United States. She is the first clinician to offer I-CBT training specifically tailored for individuals with Autism and ADHD, a neuroaffirming approach to treating OCD.

    For those wanting to learn more about Inference-based, Cognitive Behavioral Therapy, visit the following two Facebook groups:

    1. I-CBT & Neurodivergence: For licensed therapists, graduate students, researchers, and occupational therapists to discuss the application of I-CBT. Free Resources will be shared for use with clients.
    2. I-CBT & Neurodivergence Community: A supportive space for all individuals to connect and share experiences. Free resources, games, and worksheets are accessible to those wanting to apply I-CBT with the help of an I-CBT provider.

    If you’re interested in deepening your understanding, you can find Brittany Goff’s I-CBT training below, which focuses on resolving the OCD doubt. This fidelity of the model helps you teach your clients how to break free from the obsessive thinking patterns that create convincing narratives of doubt.

    Trainings in I-CBT: icbtonlinelearning.com

    If you are interested in learning how to adapt I-CBT for neurodivergence join the waitlist here and you will be notified when the training is released:

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    57 mins
  • Episode 140: FLASHBACK — Giftedness: Navigating Giftedness in Marginalized Communities [featuring Sheldon Gay]
    Jan 9 2026

    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 flashback 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:

    1. Discover the complexities and societal pressures of intellectual identity and how they shape interactions and self-perception, as well as the struggle to find genuine connections while managing unique cognitive abilities.
    2. Gain a deeper understanding of the unique challenges faced by gifted individuals, especially within marginalized communities. Learn about the burden of expectations, code-switching as a gifted black man, and the journey of self-acceptance.
    3. Learn about Sheldon Gay's perspective on navigating biases in professional spaces, the importance of authenticity, and the impact of self-trust and empathy in both personal and professional settings.

    As you explore the depths of your own identity and capabilities, remember the importance of self-trust and creating spaces where you can be your authentic self. Reflect on how societal expectations may have influenced your journey and seek communities that celebrate your unique experiences and perspectives.

    More about Sheldon:

    Sheldon Gay is an entrepreneur with a background in engineering and creating memorable customer experiences. He's worked in various fields, including healthcare, nonprofits, and education-technology. In addition to growing multiple businesses, he is currently the Vice-Chair of the neurodivergent-affirming non-profit, Umbrella US. As a Black man who discovered later in life that he’s neurodivergent, he sees the world from a different angle than most. Due to his unique perspective, he knows all too well how it feels to be “the only one” in a room. After intense self-discovery work in his early 40s, he found answers to life-long questions and received freedom from burdens he'd carried since he was a child. Now, he uses his experiences to help others embrace their true selves and release their burdens as well. Sheldon helps his audiences become curious about their minds, combat loneliness through community, and experience peace and joy through authenticity.

    1. Website: sheldongayisbugn.com
    2. Social Media: @imustbebugn and @imustbebugn.bsky.social

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    1 hr and 6 mins
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thanks Megan and Patrick for your bravery in sharing, your podcast is a godsend

thank you Megan and Patrick

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