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.

Top 3 reasons to listen to the entire episode:

1. Gain a deeper understanding of post-exertional malaise (PEM) and how recognizing one's limits can help in avoiding the debilitating crash that often follows overexertion.
2. Using real-life experiences, understand the systemic challenges faced by neurodivergent individuals within a traditional healthcare model, highlighting the importance of self-advocacy and community support.
3. Discover practical strategies and tools from Dr. Houser on identifying environmental triggers and making manageable adjustments to improve health, particularly for autistic and ADHD adults.

As you navigate your own healthcare journey, remember to honor your limits, seek out community, and advocate for the care you deserve.

DISCLAIMER: This episode is not intended as medical advice.

More about Dr. Mel Houser:

Dr. Mel Houser (she/they) is an Autistic family physician with a clinical focus on providing primary care for neurodivergent patients across the lifespan. She is the Founder and Executive Director of All Brains Belong VT, a nonprofit 501(c)(3) organization in Montpelier, Vermont that uses universal design principles to provide neurodiversity-affirming medical care, social connection opportunities for all ages, and neurodiversity-related educational training. At age 37, Dr. Houser was diagnosed as autistic, ADHD, dyspraxic, dyslexic, and dyscalculic. She is also the parent of an autistic 6-year-old, who is her guru of so many keys to the universe.

1. Website: allbrainsbelong.org
2. Get Connected: allbrainsbelong.org/get-connected
3. Clinician Resources: allbrainsbelong.org/clinician-resources
4. Instagram: @allbrainsbelongvt
5. Bateman Horne Center Website: batemanhornecenter.org

Check out All Brains Belong’s project: Everything is Connected to Everything: Improving the Healthcare of Autistic & ADHD Adults provides health education resources to support people with this constellation of intertwined conditions, as well as strategies for discussing the project with medical providers. There is also a Clinician Guide with a combination of evidence-based practice and the lived experiences of more than 100 Autistic and

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 (

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:

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

————————————————————————————————

🎙️Listen to more episodes of the Divergent Conversations Podcast

🎙️Spotify

🎙️Apple

🎙️

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 flashback 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 relationships, the role of animal companionship, and how the neurodivergent experience can complicate or intensify the grieving process.

Top 3 reasons to listen to the entire episode:

1. Understand the unique ways neurodivergent grief manifests, including sensory and attachment factors, and gather validation for experiences that may not be widely recognized or understood by neurotypical circles.
2. Learn pragmatic strategies for processing grief—including rituals, attunement with supportive friends, setting boundaries, and balancing self-compassion with the demands of social expectations.
3. Explore the intersection of collective trauma, emotional wellness, and coping in a world full of ongoing stressors, with candid advice on when to lean into hard feelings and when to step back for necessary self-preservation.

For individuals navigating loss, especially through a neurodivergent lens, this episode offers insight, solidarity, and practical support. Remember that honoring your unique grief journey is vital—and that connection, self-compassion, and community are essential parts of healing.

————————————————————————————————

🎙️Listen to more episodes of the Divergent Conversations Podcast

🎙️Spotify

🎙️Apple

🎙️YouTube Music

▶️ YouTube

💬 Join Divergent Conversations Underground

————————————————————————————————

✨ Jane:

Jane is a practice management software and EMR that helps you balance caring for clients while growing your business. Co-founded by a multidisciplinary clinic owner and a developer with an eye for design, it’s built to fit the way that you work, supporting your practice as it grows and evolves.

Jane

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 new season plans—without guest speakers, focusing on honest, relatable conversations between friends and colleagues.

Top 3 reasons to listen to the entire episode:

1. Discover a realistic and neurodivergent-affirming approach to wellness that acknowledges low energy periods, demand avoidance, and the vital importance of community and interdependence.
2. Learn practical tools for navigating and repairing relationship ruptures, including how to get beneath content-driven arguments to the underlying attachment needs and emotions.
3. Find validation and actionable self-care frameworks, from balancing self-soothing with self-nourishment to reimagining community as “mile deep, inch wide”—especially relevant in the current climate of heightened stress and activism.

While reflecting on your own wellness and connections, consider how you might honor your needs for both rest and community support. Listen to this episode for an open, compassionate look at what real, sustainable neurodivergent wellness can look like.

Articles and essays mentioned in this podcast:

1. Dr. Neff’s article on rupture repair (written shortly after the experience discussed in this episode): https://neurodivergentinsights.com/rupture-repair
2. Identity Development Model Article (also discussed in this episode): https://neurodivergentinsights.substack.com/p/neurodivergent-identity-arcs
3. Two Forms of Self-Care by Dr. Daniel Wendler: https://neurodivergentinsights.com/two-forms-self-care

Divergent Conversations Underground (a space to continue and deepen the conversation together)

1. Divergent Conversations Underground: If you’d like to go deeper with us this season, we’re excited to stretch into more nuanced, searching conversations in community. https://divergentconversations.substack.com

————————————————————————————————

🎙️Listen to more episodes of the Divergent Conversations Podcast

🎙️

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 flashback 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, health challenges, and environmental demands converge to create what they jokingly call “perpetual sensory hell.” With humor and candor, they explore how burnout can signal deeper misalignment and the importance of understanding personal triggers, as well as highlight why these conversations matter so much for late-identified Autistic adults.

Top 3 reasons to listen to the entire episode:

1. Gain clarity on the difference between Autistic burnout and depression through real-life examples and practical markers—vital for anyone navigating neurodivergent mental health.
2. Hear validating stories about sensory struggles, task exhaustion, and the havoc that chronic burnout can wreak, along with the role of major life changes, masking, and health conditions.
3. Pick up concrete advice for recognizing your own burnout triggers, interpreting external and internal signals, and beginning to build a more resilient, neurodivergent-affirming life.

If you’re navigating burnout or are curious about what “Autistic burnout” really means, this episode offers honest validation, practical wisdom, and a sense of solidarity. Discover how being seen and understood can be the first step out of perpetual burnout.

Resources

1. Neurodivergent Insights Resource on Autistic Burnout: neurodivergentinsights.com/burnout-resources

Divergent Conversations Podcast Episodes:

1. Episode 2: Autistic Burnout (divergentpod.com/2)
2. Episode 47: Autistic Burnout (Part 2): A Deep Dive Into The Diversity of Burnout (divergentpod.com/47)

————————————————————————————————

🎙️Listen to more episodes of the Divergent Conversations Podcast

🎙️Spotify

🎙️Apple

🎙️YouTube Music

▶️

Burnout isn’t just about exhaustion—it’s a sensory experience that can leave neurodivergent people feeling stretched to the breaking point. When every sound, smell, or texture feels overwhelming, how do we navigate recovery and build resilience in a world that rarely slows down?

In this flashback episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the connection between sensory processing and autistic burnout. They share candid reflections on their personal burnout cycles, explore how sensory overwhelm shapes emotional and cognitive well-being, and highlight the critical need for understanding individual sensory profiles. This conversation unpacks the realities of living through burnout—including the constant to-do lists, the elusive pursuit of “just right” sensory environments, and the importance of community support—while providing practical strategies for recovery and prevention.

Top 3 reasons to listen to the entire episode:

1. Discover how sensory overload and sensory needs play a major role in burnout for Autistic and ADHD people, and pick up strategies for managing sensory overwhelm even when "rest" isn’t an option.
2. Hear honest, relatable insights from Patrick and Megan Anna about identifying sensory triggers, living with constant overwhelm, and unlearning narratives around "not being content"—plus the validating realization that everyone’s sensory profile and needs are truly unique.
3. Get practical tools to help you map your own sensory landscape, communicate your needs, and take actionable steps toward burnout recovery and prevention—grounded in real-life experiences and evidence-based wisdom.

If you’re feeling stretched thin by sensory and emotional demands, this episode is designed to help you understand why and start reclaiming what makes you feel safe, soothed, and genuinely well.

Resources

1. Neurodivergent Insights Resource on Autistic Burnout: neurodivergentinsights.com/burnout-resources
2. The Autistic Burnout Workbook by Dr. Megan Anna Neff: simonandschuster.com/books/The-Autistic-Burnout-Workbook/Megan-Anna-Neff/9781507223062
3. Check out Neurodivergent Insights’ Library of Boundary Scripts (free resource): neurodivergentinsights.notion.site/Boundary-Statements-17da17a4bb8b80c9a45dc8ff9c651725

Sensory Checklists

1. Sensory Preferences: neurodivergentinsights.com/sensory-preferences-the-complete-checklist
2. Sensory...