Episode 119

full
Published on:

15th Aug 2025

Episode 119 (Season 3): AuDHD Burnout City: How Autistic and ADHD Burnout Collide and Compensate

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 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.

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Thanks to Our Sponsor: Landmark College & Jane

 Landmark College:

Landmark College is the world's first accredited college designed exclusively for students who learn differently. Landmark, located in Putney, Vermont, offers courses in person and online, awarding associate and bachelor's degrees, and offering pre-college, gap year, and professional development programs  for educators who work with neurodivergent students. With a student-to-faculty ratio of just 7 to 1, and the renowned Landmark College Institute for Research and Training, Landmark offers personalized and research-informed support for neurodivergent students that is not available at traditional colleges. Enrollment is still open for Fall 2025. Learn more about this opportunity at landmark.edu.

✨ Jane:

Jane is a clinic management software and EMR designed to be an extra set of helping hands in your health and wellness business. Available online and on any device, Jane has branded online booking, scheduling, insurance billing, customizable documentation templates and online forms, integrated payments, telehealth, and more — wrapped up in one beautiful package that even your patients/clients will love. Backed by our unlimited human support available by phone, email, and chat (even on Saturdays!), Jane is here to help you get back to the work you love. Get 2 months off new Jane subscriptions when you use code DCPOD at signup. Visit: janesoftware.partnerlinks.io/divergentconversations

Neurodivergent Insights Autistic Burnout Resources

If you’d like to supplement your learning on burnout, you can check out Neurodivergent Insights' resources on burnout. We have articles, an Autistic Burnout course, workbooks, and print books! Visit: neurodivergentinsights.com/burnout-resources

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💬 Join Divergent Conversations Underground

Divergent Conversations Underground is a space for messy conversations, real connection, and unfinished thoughts in a neurodivergent-affirming community. If you’d like to go deeper with us into more nuanced, searching conversations, join here: divergentconversations.substack.com

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Mentioned in this episode:

Jane

Jane is a clinic management software and EMR designed to be an extra set of helping hands in your health and wellness business. Available online and on any device, Jane has branded online booking, scheduling, insurance billing, customizable documentation templates and online forms, integrated payments, telehealth, and more — wrapped up in one beautiful package that even your patients/clients will love. Backed by our unlimited human support available by phone, email, and chat (even on Saturdays!), Jane is here to help you get back to the work you love. Get 2 months off new Jane subscriptions when you use code DCPOD at signup. Visit: https://janesoftware.partnerlinks.io/divergentconversations

Neurodivergent Insights' Autistic Burnout Resources

If you’d like to supplement your learning on burnout, you can check out Neurodivergent Insights' resources on burnout. We have articles, an Autistic Burnout course, workbooks, and print books! Visit: https://neurodivergentinsights.com/burnout-resources

Landmark College

Landmark College is the world's first accredited college designed exclusively for students who learn differently. Landmark, located in Putney, Vermont, offers courses in person and online, awarding associate and bachelor's degrees, and offering pre-college, gap year, and professional development programs  for educators who work with neurodivergent students. With a student-to-faculty ratio of just 7 to 1, and the renowned Landmark College Institute for Research and Training, Landmark offers personalized and research-informed support for neurodivergent students that is not available at traditional colleges. Enrollment is still open for Fall 2025. Learn more about this opportunity at landmark.edu.

Learn More About Landmark College

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About the Podcast

Divergent Conversations
Reflections of Two Neurodivergent Clinicians
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.
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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.