Divergent Conversations Episode 134 (Season 4): Navigating Suicidality and Safety for Neurodivergent Minds
Suicidality Is Common And Often Hidden
- Suicidality is common in neurodivergent communities and often hidden by stigma and fear.
- Open, honest conversations reduce isolation and create safer pathways to support.
Lifelong Fantasies Of Disappearing
- Patrick describes lifelong fantasies of disappearing starting around age six or seven.
- He clarifies these were mostly ideation, not active intent, and have persisted into adulthood.
Training Skews Toward Acute Crisis
- Clinician training emphasizes acute suicide assessment but often neglects chronic suicidality care.
- Chronic suicidal ideation needs ongoing conversation and different clinical approaches.
Content Warning: This episode talks about suicide and may be triggering. If you're in crisis or feeling unsafe, please reach out to a crisis line or local resources. We have provided some below.
Suicidal ideation and risk are common among neurodivergent people, and talking openly about suicidality is hard, especially in a society where honesty about these thoughts is often met with fear, stigma, or misunderstanding. Navigating life with suicidal ideation can be an isolating experience, but knowing you're not alone and having resources and strategies at hand can make a life-saving difference.
In this episode, Dr. Megan Anna Neff and Patrick Casale, two AuDHD mental health professionals, discuss suicidality in neurodivergent communities. They share personal stories, break down the spectrum from passive ideation to crisis, discuss the shortcomings of traditional mental health support systems, and offer practical tools for safety planning, reducing risk, and finding hope.
Top 3 reasons to listen to the entire episode:
- Gain a clear, relatable understanding of the difference between chronic and acute suicidal ideation, including the nuanced ways this shows up for neurodivergent people.
- Learn practical and accessible tools: how to create a personalized safety plan, what “means reduction” really involves, and how to identify red flags in yourself or loved ones, all explained with sensitivity and real-world insight.
- Find validation and connection from hearing honest, stigma-free conversations about suicidality from mental health professionals who genuinely get it, and discover resources, grounding strategies, and hope for weathering difficult moments.
If you or someone you care about has ever felt overwhelmed by thoughts of not wanting to exist, this episode offers education, real talk, and actionable strategies. Listen for life-affirming insight and ways to help yourself or others stay safe, seen, and supported.
Resources
- Free Workbook by Neurodivergent Insights: neurodivergentinsights.com/free/the-neurodivergent-adapted-safety-plan
- For a list of US and International Crises Lines (including non-carceral lines): neurodivergentinsights.com/neurodivergent-crises-support
- National Mental Health Hotline: 988lifeline.org
- International Association for Suicide Prevention: iasp.info/suicidalthoughts
- Crisis Call Center: hopeline-nc.org
- SeekHealing (North Carolina, USA): seekhealing.org
International
- U.K.: Samaritans 116 123
- Canada: 988 or Talk Suicide Canada (1-833-456-4566)
- Australia: Lifeline 13 11 14
*Non-Carceral Lines
Some crisis lines can lead to law enforcement involvement, which can put BIPOC and Trans people at risk. Here are non-carceral lines for BIPOC and Trans communities:
- Trans Lifeline Hotline: Call U.S. (877) 565-8860 or Canada (877) 330-6366
- BlackLine: Call 1 (800) 604-5841 or visit callblackline.com
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Thanks to Our Sponsors: Jane & Resilient Mind Counseling
✨ 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.
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My name is Patrick Casale, and I’m the founder of Resilient Mind Counseling, a neurodivergent-affirming group practice based in Asheville serving clients throughout North Carolina via telehealth and in-person sessions.
Our practice is passionate about supporting Autistic adults, ADHDers, and other neurodivergent individuals, along with the LGBTQIA+ community and folks experiencing anxiety, burnout, and life transitions. Many of our clinicians identify as neurodivergent themselves, and we pride ourselves on offering therapy that is affirming, authentic, and grounded in lived experience.
- Website at resilientmindcounseling.com
- Phone (text or call): (828) 515-1246
- Email: scheduling@resilientmindcounseling.com
✨ 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:
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
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
Resilient Mind Counseling
It's Patrick, one half of Divergent Conversations. Some of you may know that I own a group therapy practice in North Carolina, Resilient Mind Counseling. We specialize in supporting the Neurodivergent, LGBTQIA+, and Black, Brown, and Asian communities online and across North Carolina. We also have limited in-person openings at our offices in Asheville and Cary. We really love working with clients who are coming to terms with both Autism and ADHD discoveries later in life or questioning, as well as the intersections of race, gender, identity, and orientation. All of our therapists have lived experience and identify as AuDHD, Autistic, or ADHD. Our team of affirming therapists offers a safe, anti-racist, anti-oppressive, inclusive, and accessible space where you can show up exactly as you are—no masking, no judgment, and no need to make eye contact, just real connection and healing. We accept most commercial insurances like Blue Cross Blue Shield, United, Aetna, and Med Cost, as well as self-pay options. We currently have openings for new clients. Visit our website at resilientmindcounseling.com. You can also text or call our HIPAA-compliant phone line at (828) 515-1246, or email us at scheduling@resilientmindcounseling.com.