Living through uncertain times as a neurodivergent person can feel overwhelming, with the world constantly shifting and the weight of global and personal challenges piling up. In moments like these, knowing how to show up, preserve your energy, and find a sense of agency can be both confusing and crucial.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss navigating overwhelm, advocacy, and community involvement during times of societal upheaval. They explore the emotional reality of living through constant crises, the unique stressors for neurodivergent individuals, and how to find paths toward meaningful resistance, connection, and hope—even when capacity feels low. Together, they share candid reflections about balancing activism, self-preservation, content creation, and the ongoing work of staying regulated and connected.

Top 3 reasons to listen to the entire episode:

1. Gain insight into managing overwhelm and advocacy as a neurodivergent person, including how to channel nervous system arousal into meaningful action, avoid shame-based paralysis, and find sustainable ways of resisting and contributing.
2. Hear real-life examples and coping strategies for regulating your nervous system amidst media overload, doomscrolling, and the nonstop news cycle, with practical suggestions for curating content and sustaining your energy.
3. Join a vulnerable, validating conversation about the challenges of showing up authentically as a neurodivergent creator and community member, especially when the world's demands feel impossible—plus, hear updates about the podcast’s evolving approach to sustainability and intentionality.

If you’ve been questioning how to take care of yourself while also caring about the world, or need reminders that community and connection are possible even in hard times, this conversation will offer solidarity, hope, and practical support.

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✨ 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:

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 (