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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 126 (Season 4): Am I Still Me? Post-Diagnosis Identity Spiral
    Oct 3 2025

    Discovering you're Autistic or ADHD as an adult can turn your whole sense of self upside down. Navigating the emotional aftermath—wondering, "Am I still me?"—often brings up more questions than answers, and can feel both destabilizing and deeply transformative.

    In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the post-diagnosis identity spiral that so many neurodivergent people encounter. They break down the emotional complexities of life after self-discovery or diagnosis, exploring questions of authenticity, the role of masking, the impact of imposter syndrome, and how claiming a neurodivergent identity can shift relationships, careers, and even self-advocacy.

    Top 3 reasons to listen to the entire episode:

    1. Unpack how coming to terms with an Autism or ADHD diagnosis can impact your sense of self, relationships, career, and community—plus, get insight into navigating the uncertainty and self-doubt that often arise after discovery.
    2. Learn why it’s common to experience imposter syndrome, emotional overwhelm, and a desire to "map" every experience to a diagnosis—and how to find reassurance and clarity in the midst of this complexity.
    3. Hear Patrick and Megan Anna’s honest reflections on their own journeys, including how health events, career changes, and intersecting identities complicate (and enrich) the process of integrating a new neurodivergent identity.

    If you’re asking yourself who you are after discovering you’re neurodivergent—or supporting someone through this kind of identity spiral—this episode offers validation, practical insights, and the reminder that you’re not alone on this journey.

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    Thanks to Our Sponsors: Jane

    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 helps with day-to-day admin, like scheduling, documentation, and billing, so you can stay focused on the care you give. Jane was built with clients in mind, too. With online booking and secure online appointments (telehealth), your care stays accessible and easy to keep up with.

    To learn more about Jane,

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    30 mins
  • Episode 125 (Season 4): Hidden Shame of ADHD: Restlessness, Relationships, and Post-Discovery Impact
    Sep 26 2025

    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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    🎙️Listen to more episodes of the Divergent Conversations Podcast

    🎙️Spotify

    🎙️Apple

    🎙️YouTube Music

    ▶️ YouTube

    💬 Join Divergent Conversations Underground

    ————————————————————————————————

    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 (

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    45 mins
  • Episode 124 (Season 4): Epiphanies and Apologies: Processing Life After Autism and ADHD Discovery
    Sep 19 2025

    After discovering you’re Autistic or have ADHD, you most likely started to re-examine the past—and the realization of missed cues or misunderstood moments can bring up nostalgia, relief, and even regret. Revisiting friendships, relationships, and life events through a newly understood neurodivergent lens is often emotional but also essential for self-understanding.

    In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the emotional journey that comes after Autism and ADHD discovery. They share how new self-knowledge reshapes memories, relationships, and the way they relate to themselves and others. Through candid stories about dating, friendships, family dynamics, and personal growth, Patrick and Megan Anna unpack the joys and heartaches of looking back, recontextualizing the past, and navigating big feelings that surface post-diagnosis.

    Top 3 reasons to listen to the entire episode:

    1. Gain insight into the emotional rollercoaster many neurodivergent people experience after a new diagnosis or self-identification, including “aha” moments and the complex process of reframing past experiences with new understanding.
    2. Hear personal stories about dating, friendship, and family dynamics that will resonate if you’ve ever wondered why life felt “off”—and how the right framework changes everything.
    3. Find compassionate guidance on repairing relationships, managing nostalgia or regret, and embracing self-compassion during a sometimes messy process of self-discovery.

    Whether you’re in the midst of self-discovery or supporting someone who is, this conversation brings real-life honesty and practical wisdom to a journey that can be both destabilizing and transformative.

    ————————————————————————————————

    🎙️Listen to more episodes of the Divergent Conversations Podcast

    🎙️Spotify

    🎙️Apple

    🎙️YouTube Music

    ▶️ YouTube

    💬 Join Divergent Conversations Underground

    ————————————————————————————————

    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 (

    Show More Show Less
    48 mins
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