Divergent Conversations

Navigating the healthcare system and advocating for needs can be a frustrating and invalidating experience, especially for neurodivergent individuals who exhibit interwoven behaviors associated with OCD, autism, or Tourettes.In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, and Dr. Stacy Greeter, an AuDHD and OCD child/adolescent and adult psychiatrist, discuss the multi-faceted challenges of accessing appropriate healthcare, the nuances of differentiating between behaviors related to OCD, Austim, and Tourettes, and the significance of authenticity in professional environments.Top 3 reasons to listen to the entire episode:Gain valuable insights into how to navigate the healthcare system more effectively by preparing questions, bringing an ally, and scheduling frequent consultations, emphasizing the importance of patient self-advocacy in medical appointments.Understand the distinctions among stimming, tics, and OCD compulsions, and learn to differentiate value-driven actions from fear-based compulsions, helping to provide clarity and reduce pathologizing behaviors that bring joy.Discover the importance of authenticity and individuality in both medical and therapeutic fields, hearing firsthand experiences from professionals who embrace their neurodivergent identities to foster better client outcomes and work cultures.As you reflect on this episode, consider the importance of advocating for your needs within the healthcare system. Remember, your voice and experience are crucial in navigating these complex environments.More about Stacy:Dr. Stacy Greeter is an AuDHD and OCD child/adolescent and adult psychiatrist in Sarasota, FL. Her autistic special interests include fantasy creatures and everything psychiatry. She uses metaphors from fantasy universes such as Star Wars, Lord of the Rings, and The Little Mermaid to make complex psychiatric concepts more relatable and advocate for autistic patients and other autistic doctors.Website: stacygreetermd.comYouTube: youtube.com/@stacygreetermdPsychiatry Boot Camp: stacygreetermd.com/psychiatry-boot-campFree Resource on Healthcare Advocacy————————————————————————————————🎙️Listen to more episodes of the Divergent Conversations Podcast🎙️Spotify🎙️Apple🎙️YouTube Music▶️ YouTube💬 Join Divergent Conversations Underground————————————————————————————————Thanks to Our Sponsors:✨ Neurodivergent Insights Autistic Burnout ResourcesIf 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————————————————————————————————💬 Join Divergent Conversations UndergroundDivergent 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————————————————————————————————Mentioned in this episode:Neurodivergent Insights' Autistic Burnout ResourcesIf 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

OCD is often misunderstood and can manifest in many forms from a variety of experiences that create associations with a compulsion and an outcome.In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, are joined by Aiden Reis, a trans, Autistic therapist who specializes in OCD, anxiety, phobias, and panic. They discuss practical strategies for effectively managing OCD through Exposure and Response Prevention (ERP) therapy using a value-driven and neurodivergent-affirming approach.Top 3 reasons to listen to the entire episode:Learn practical strategies for rebuilding self-trust after anxiety-inducing experiences, drawing from Aiden Reis’s invaluable insights into Exposure and Response Prevention (ERP) therapy adapted for neurodivergent individuals.Discover the importance of accommodating sensory needs in therapy without reinforcing anxiety, and understand how to effectively differentiate between sensory sensitivities and anxiety responses.Gain a richer appreciation of how addressing "what if" scenarios and unhooking from distressing thoughts can lead to profound empowerment and emotional resilience, helping you live a good life despite potential challenges.OCD can be challenging, but there are ways to manage it, and ERP done using a neurodivergent-affirming approach, can be an effective tool in managing OCD for neurodivergent individuals.More about Aiden:Aiden is a trans and autistic, private practice therapist based in Massachusetts. Working with Autistic and ADHDer clients, he is passionate about providing neurodivergent-affirming and LGBT-positive therapy. He specializes in OCD, anxiety, phobias, and panic. Aiden is a member of the International OCD Foundation.Website: www.divergecounseling.com————————————————————————————————🎙️Listen to more episodes of the Divergent Conversations Podcast🎙️Spotify🎙️Apple🎙️YouTube Music▶️ YouTube💬 Join Divergent Conversations Underground————————————————————————————————Thanks to Our Sponsors:✨ Neurodivergent Insights Autistic Burnout ResourcesIf 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————————————————————————————————💬 Join Divergent Conversations UndergroundDivergent 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————————————————————————————————Mentioned in this episode:Neurodivergent Insights' Autistic Burnout ResourcesIf 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

For neurodivergent individuals, navigating the upheaval caused by natural disasters can be particularly challenging. The constant unpredictability, sensory overload, and disrupted routines can feel overwhelming.In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the psychological, emotional, and physical impact of natural disasters on neurodivergent individuals. Patrick, who lives in Asheville, NC, which was destroyed by Hurricane Helene, shares his experience.Top 3 reasons to listen to the entire episode:Hear firsthand accounts from Patrick, a resident of Asheville, NC, about the challenges of enduring Hurricane Helene as a neurodivergent individual, including the disorientation from losing communication and navigating resource scarcity.Learn about the incredible efforts in Western North Carolina to band together, raise funds, and offer psychological support amid the chaos, showcasing the power of communal strength and how individuals can offer support that still works with their sensory needs.Understand the coping mechanisms and strategies for reestablishing normalcy, including navigating grief and routine disruption, that neurodivergent individuals can employ in the face of crisis.If you want to donate to Patrick's GoFundMe to help provide urgent aid for Western North Carolina communities affected by Hurricane Helene, visit: atppod.com/wncNOTE: Please be aware that this episode includes a first-hand account of the tragedy and devastation caused by Hurricane Helene in Asheville, North Carolina.————————————————————————————————🎙️Listen to more episodes of the Divergent Conversations Podcast🎙️Spotify🎙️Apple🎙️YouTube Music▶️ YouTube💬 Join Divergent Conversations Underground————————————————————————————————Thanks to Our Sponsors:✨ Neurodivergent Insights Autistic Burnout ResourcesIf 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————————————————————————————————💬 Join Divergent Conversations UndergroundDivergent 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————————————————————————————————Mentioned in this episode:Neurodivergent Insights' Autistic Burnout ResourcesIf 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

Obsessive-Compulsive Disorder (OCD) is often oversimplified and misrepresented, turning a complex mental health condition into a stereotype of mere cleanliness or orderliness. For those who struggle with it, the reality is far more nuanced, affecting many aspects of daily life and self-perception.In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, provide a compassionate, insightful conversation about the perceptions, identities, and experiences tied to OCD.Top 3 reasons to listen to the entire episode:Gain a better understanding of OCD as a mental health condition, how it differs from commonly held misconceptions, and why self-determination and neurodivergent-affirming practices are crucial.Hear personal stories about living with OCD, from intrusive thoughts and auditory hallucinations to coping mechanisms, and learn how these experiences align—or clash—with other neurodivergent conditions like autism and ADHD.Discover strategies for reducing stigma and opened discussions around OCD and mental health, emphasizing the importance of community, support, and educated perspectives.When exploring more about OCD, especially within yourself or in support of others, remember that understanding and compassion are key. Equip yourself with knowledge, seek out supportive communities, and always prioritize your mental well-being.Resource:Related Neurodivergent Insights Article: What is Obsessive-Compulsive Disorder (OCD)?Visit: neurodivergentinsights.com/blog/obsessive-compulsive-disorder————————————————————————————————🎙️Listen to more episodes of the Divergent Conversations Podcast🎙️Spotify🎙️Apple🎙️YouTube Music▶️ YouTube💬 Join Divergent Conversations Underground————————————————————————————————Thanks to Our Sponsors:✨ Neurodivergent Insights Autistic Burnout ResourcesIf 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————————————————————————————————💬 Join Divergent Conversations UndergroundDivergent 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————————————————————————————————Mentioned in this episode:Neurodivergent Insights' Autistic Burnout ResourcesIf 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

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 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: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.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.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.Website: allbrainsbelong.orgGet Connected: allbrainsbelong.org/get-connectedClinician Resources: allbrainsbelong.org/clinician-resourcesInstagram: @allbrainsbelongvtBateman Horne Center Website: batemanhornecenter.orgCheck 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 community members.Here's the link to the project: allbrainsbelong.org/all-the-things————————————————————————————————🎙️Listen to more episodes of the Divergent Conversations Podcast🎙️Spotify🎙️Apple🎙️YouTube Music▶️ YouTube💬 Join Divergent Conversations Underground————————————————————————————————Thanks to Our Sponsors:✨ Neurodivergent Insights Autistic Burnout ResourcesIf 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————————————————————————————————💬 Join Divergent Conversations UndergroundDivergent 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————————————————————————————————Mentioned in this episode:Neurodivergent Insights' Autistic Burnout ResourcesIf 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

By exploring biopsychosocial aspects of life, it can become easier to understand our nervous systems from a holistic perspective offering more options to improve our quality of life with simple and manageable changes.In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, explore the biopsychosocial aspects of chronic fatigue and long COVID, and how these affect one's social life and overall health through the lens of Megan’s experiences.Top 3 reasons to listen to the entire episode:Learn about realistic and attainable goal-setting to overall health using a biopsychosocial approach, highlighting why it's important to avoid extremes and embrace small, achievable changes.Gain insight into how personal struggles and professional advice sometimes contradict, as well as discover a more holistic perspective that underscores the importance of authenticity.Discover the psychological and biological dimensions of Megan’s chronic fatigue and long COVID, and how these affect her social life and overall health.As you listen, consider how you can apply these discussions to your own life, setting realistic goals and fostering a sense of balance. Make self-care a priority, and remember that small, positive changes can create ripple effects that significantly enhance your mental and physical health.DISCLAIMER: This episode is not intended as medical advice.Resources:Biopsychosocial Venn Diagram Download: https://drive.google.com/file/d/1W8zJvBOcokPqW2OIi70hIhlqmJcowdKA/view?usp=sharing————————————————————————————————🎙️Listen to more episodes of the Divergent Conversations Podcast🎙️Spotify🎙️Apple🎙️YouTube Music▶️ YouTube💬 Join Divergent Conversations Underground————————————————————————————————Thanks to Our Sponsors:✨ Neurodivergent Insights Autistic Burnout ResourcesIf 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————————————————————————————————💬 Join Divergent Conversations UndergroundDivergent 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————————————————————————————————Mentioned in this episode:Neurodivergent Insights' Autistic Burnout ResourcesIf 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

A lot can be learned about our nervous system and needs by looking at biopsychosocial aspects of life.In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, explore the biopsychosocial aspects of sleep and how they intersect with mental health through the lens of Patrick’s experiences.Top 3 reasons to listen to the entire episode:Gain insight into Patrick Casale's ongoing battle with sleep issues, from his childhood to the present day, and learn how various factors—like sleep environment, hydration habits, and caffeine intake—impact his nights.Hear Dr. Neff's expert advice on practical strategies for better sleep, including the use of cognitive behavioral therapy for insomnia (CBTI) and small, manageable changes that can make a big difference over time.Understand the biopsychosocial dimensions of sleep disturbances, including how stress, rumination, and hypervigilance can disrupt your rest, and discover methods to counter these challenges through visualization and grounding exercises.If you struggle with sleep, consider doing a biopsychosocial assessment for yourself, and find the small changes you can implement to improve your sleep quality and overall well-being.DISCLAIMER: This episode is not intended as medical advice.Resources:Patrick’s Biopsychosocial Venn Diagram Download: drive.google.com/file/d/1W5SwQ1x3gmEc6fnpVyMjhPUfzFwI2A07/view?usp=sharingBiopsychosocial Venn Diagram Download: drive.google.com/file/d/1W8zJvBOcokPqW2OIi70hIhlqmJcowdKA/view?usp=sharingSleep Resource (Neurodivergent Article): neurodivergentinsights.com/blog/autism-adhd-and-sleepSleep Workbook (Neurodivergent Insights): neurodivergentinsights.com/neurodivergentstore/sleep (Use Code: DCPOD for 25% off)————————————————————————————————🎙️Listen to more episodes of the Divergent Conversations Podcast🎙️Spotify🎙️Apple🎙️YouTube Music▶️ YouTube💬 Join Divergent Conversations Underground————————————————————————————————Thanks to Our Sponsors:✨ Neurodivergent Insights Autistic Burnout ResourcesIf 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————————————————————————————————💬 Join Divergent Conversations UndergroundDivergent 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————————————————————————————————Mentioned in this episode:Neurodivergent Insights' Autistic Burnout ResourcesIf 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

Dr. Megan Anna Neff, a mental health professional specializing in neurodivergent experiences, joins Patrick Casale to tackle the complex world of chronic health issues. They share their personal battles and emphasize a biopsychosocial approach, illustrating how biological, psychological, and social factors intertwine. Listeners will gain practical strategies for managing symptoms like depression and chronic pain, the importance of setting achievable goals, and how lifestyle choices can significantly impact well-being. It's an enlightening conversation packed with insights and encouragement.

Maureen Werrbach, a neurodivergent entrepreneur and founder of The Group Practice Exchange, shares her insights on navigating personal identity while managing a business. The conversation touches on the power of vulnerability and the importance of authenticity in professional settings. They discuss the challenges neurodivergent individuals face in leadership roles and the intersection of social justice with personal values. Reflecting on their experiences, the speakers emphasize the transformative journey of embracing one's true self amidst societal expectations.

Yunetta Smith, a licensed clinician and trauma expert, shares her insights on emotional awareness for neurodivergent entrepreneurs. She highlights how naming emotions can transform personal experiences and reduce stress. The conversation dives into her innovative EMDR work, making mental health resources more accessible for marginalized communities. Yunetta emphasizes the importance of understanding internal struggles behind perceived success and how emotional resilience can enhance both well-being and entrepreneurial growth.