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The Divergent Conversations Podcast is hosted by Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals and entrepreneurs, as well as features other well-known leaders in the mental health, neurodivergent, and neurodivergent-affirming community. Listeners know, like, and trust the content and professionals on this podcast, so when they hear a recommendation on the podcast, they take action.

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Episode 125 (Season 4): Hidden Shame of ADHD: Restlessness, Relationships, and Post-Discovery Impact

Sep 25, 2025
Divergent Conversations Podcast

Show Notes

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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Thanks to Our Sponsors: Landmark College Success CenterJane, & Neurodivergent Insights

 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 (landmark.edu) – the world’s first and foremost college for neurodivergent students – the Success Center is equipped to put you or your student on the path to success. Learn more at landmark.edu/successcenter.

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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


 

Transcript 

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