Why Asking 'How Functional Are You?' Is Problematic

The language we use to describe Autistic experiences can shape not only how we see ourselves, but how our needs are understood—or overlooked—by others.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the topic of functioning labels in Autistic spaces. Through direct exploration of their own journeys, they unpack the reasons behind the prevalence of labels like “high” or “low” functioning, discuss the roots in societal values around productivity and worth, and offer thoughtful alternatives such as support-needs-based language. They also reflect on the challenges of unlearning internalized ableism, fostering compassion for different arcs of discovery, and addressing community tensions in regards to Autistic people with varying support needs.

Top 3 reasons to listen to the entire episode:

1. Gain clarity on why functioning labels are widely criticized and how they fail to capture the lived realities of Autistic people—especially when support needs, communication, and daily functioning can vary and intersect in complex ways.
2. Hear candid discussion about the emotional impact of language—how shame, internalized ableism, and gatekeeping in neurodivergent spaces can affect community, self-advocacy, and the willingness to seek help.
3. Discover practical, affirming alternatives to functioning labels and why evolving our language helps build more inclusive, supportive, and respectful Autistic and neurodivergent communities.

If you’ve ever wondered about the impact of functioning labels or struggled with finding the “right” language to describe your or your loved ones’ experiences, this episode will challenge, encourage, and inform you about language, identity, and what it means to create more supportive Autistic spaces.

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✨ Neurodivergent Insights Autistic Burnout Resources

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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