Episode 125

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Published on:

26th Sep 2025

Episode 125 (Season 4): Hidden Shame of ADHD: Restlessness, Relationships, and Post-Discovery Impact

Discovering you’re ADHD later in life can be a profound and disorienting experience—especially when it means re-examining your relationships, identity, and even your sense of self. For many ADHD adults, the post-diagnosis journey brings unique challenges and unexpected waves of both relief and shame.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the post-discovery experience of ADHD, both independent of or including an Autism diagnosis, exploring how ADHD can impact self-perception, partnerships, and daily living. Drawing from their own stories and clinical expertise, Patrick and Megan Anna reflect on internalized ableism, common misconceptions, relationship dynamics, and the emotionally complex reality of integrating an Autistic and ADHD (AuDHD) identity.

Top 3 reasons to listen to the entire episode:

  1. Gain a compassionate, firsthand perspective on the emotional aftermath of discovering you’re ADHD as an adult—including how shame, self-acceptance, and relief can intermingle in unexpected ways.
  2. Understand the nuanced impact of ADHD traits on relationships, from struggles with contentment and impulsivity to the important role of neurotype-informed partnership accommodations.
  3. Hear honest discussion about the societal framing of ADHD and Autism for AuDHDers, internalized stigma, and the lifelong process of making peace with the challenging (and sometimes conflicting) aspects of a dual-neurotype identity.

If you’re navigating your own late-in-life ADHD discovery—or supporting someone who is—this episode offers insight, validation, and real talk about what it means to live and grow as an ADHD adult.

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Thanks to Our Sponsor: Landmark College Success Center & Jane

Landmark College Success Center

Landmark College Success Center, located in San Mateo, California, provides academic support, executive function coaching, and transition-to-college skills training for neurodiverse learners, both in-person and online. A subsidiary of Landmark College (landmark.edu) – the world’s first and foremost college for neurodivergent students – the Success Center is equipped to put you or your student on the path to success. Learn more at landmark.edu/successcenter.

✨ 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 Success Center

Landmark College Success Center, located in San Mateo, California, provides academic support, executive function coaching, and transition-to-college skills training for neurodiverse learners, both in-person and online. A subsidiary of Landmark College (landmark.edu) – the world’s first and foremost college for neurodivergent students – the Success Center is equipped to put you or your student on the path to success. Learn more at landmark.edu/successcenter.

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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.