PodcastsEducationAdulting with Autism

Adulting with Autism

April Ratchford MS OT/L
Adulting with Autism
Latest episode

331 episodes

  • Adulting with Autism

    Hair Pulling, Shame & Nervous System Coping: Living with Trichotillomania with Jessie Hannah

    13/07/2026 | 20 mins.
    What if the "worst thing you do" isn't a moral failureβ€”but a nervous system trying desperately to self-soothe?
    In this episode of Adulting with Autism, Auntie April MS, OT/L talks with Jessie Hannah, the creator of Bare Becoming, who has lived with trichotillomania (a hair-pulling disorder) since she was seven. Jessie describes trichotillomania as a body-focused repetitive behavior (BFRB)β€”an irresistible urge to pull out one's hairβ€”categorized under OCD and anxiety-related disorders in the DSM-5. She shares how years of hidden pulling, wigs, and intense shame finally led to one radical act: shaving her head. That moment felt like "losing 500 pounds" and marked the beginning of sharing her story instead of hiding it.
    Jessie explains how BFRBs like hair pulling, skin picking, and nail biting are often subconscious nervous system patterns, not conscious choices or character flaws. She breaks down the basics of the nervous systemβ€”sensory input, vagus nerve, the brain's responseβ€”and how coping behaviors start as self-soothing and then become completion loops the body wants to finish. She also talks about anxiety, perfectionism, and all-or-nothing thinking (catastrophizing), and why shame and judgment block the curiosity we need to understand and change our behavior.
    Through Bare Becoming on TikTok and YouTube, Jessie invites people to stop asking "What's wrong with me?" and start asking "What is my behavior trying to protect me from?" She shares tracking tools (like calendar logs of pulling episodes), how that data helped her see patterns (including hormonal cycles), and how small acts of self-awareness can slowly rebuild self-trust. Jessie also speaks candidly about showing up publicly with a shaved head, being asked intrusive questions, dating and relationships while hiding wigs, and the relief of finding community and feeling less alone.
    If you live with hair pulling, skin picking, nail biting, or other hidden coping behaviorsβ€”especially as an autistic or ADHD personβ€”this episode offers language, validation, and gentle first steps toward seeing yourself as understandable, not broken.
    In this episode, you'll learn:
    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What trichotillomania and BFRBs are, and how they show up in daily life

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why coping behaviors are nervous system patterns, not moral failures

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How anxiety, perfectionism, and completion loops interact with pulling and picking

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between automatic, unconscious behaviors and focused, perfectionistic rituals

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why judgment and shame crowd out the curiosity needed for change

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How tracking episodes (time spent, hairs pulled, triggers) can reveal patterns and progress

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What Jessie's shaved-head journey has taught her about visibility, questions, and self-acceptance

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How hidden BFRBs impact relationships and what happens when you finally show up as your full self

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What's inside her "start here" resource for teens and parents navigating BFRBs

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What it means to become more "understandable to yourself" and set yourself up for success
  • Adulting with Autism

    Distinct, Not Deficient: Neuroinclusive Workplaces & Maximizing Manhood with Grant Harris

    11/07/2026 | 34 mins.
    What if your workplace has been misreading your quiet, focused, neurodivergent brain as a liabilityβ€”when it's actually one of its greatest assets?
    In this episode of Adulting with Autism, Auntie April MS, OT/L talks with Grant Harris, a dad, husband, Hall of Fame athlete, three-time author, keynote speaker, and human-centered performance strategist. Grant works with HR, L&D, ERGs, and people leaders to help them stop misinterpreting talent by fixing workplace friction, rather than blaming individuals for systemic design problems.
    Grant shares his story as a late-diagnosed autistic introvert who once memorized the flags of every country in the world, and how being "unaware" of his neurodivergence but "aware" of his introversion shaped years of misjudgment and misunderstanding in corporate spaces. He explains why differences themselves are not liabilities, how ableist systems and narrow norms construct the idea of "liability," and why neurodiversity belongs at the center of conversations about performanceβ€”not just at the margins of DEI.
    The conversation dives into meeting norms, camera expectations, performance reviews, and "able-bodied" language; the ways organizations quietly burn out high-performing neurodivergent employees; and Grant's frameworks like his human score assessment and Compliance to Community model. He offers language and tactics for neurodistinct professionals to talk about "how my brain works" without feeling like they're confessing or apologizing, and emphasizes that your job is not your worthβ€”even if you're used to tying your identity to what you do.
    If you're autistic, ADHD, or otherwise neurodivergent and tired of overperforming, masking, or feeling responsible for fixing broken systems, this episode gives you practical ways to honor your brain, set boundaries, and participate in change without burning out.
    In this episode, you'll learn:
    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How Grant's late autism recognition and lifelong introversion shaped his career and misread talent

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why differences are not liabilitiesβ€”and how systems create that story

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Common friction points for neurodivergent workers: meeting norms, camera rules, "loudest voice wins" culture

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to spot genuine neuroinclusion vs. compliance theater in recruiting, onboarding, and day-to-day practices

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The unique pressures on Black neurodivergent professionals around masking, "aggression" stereotypes, and overperformance

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What Compliance to Community means and why fixing processes (not people) is key to true inclusion

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Practical phrases for talking to managers about your brain style without disclosing diagnoses

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to set boundaries (like email batching and energy windows) that protect your performance and health

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why you are not responsible for fixing your entire workplaceβ€”and what "being part of the solution" realistically looks like

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> One belief about work and worth Grant hopes you'll let go: your job title is not your identity
  • Adulting with Autism

    Lottery Money, Addiction & Choosing Recovery: Neurodivergent Resilience with Peter John Mather

    08/07/2026 | 43 mins.
    What if your family won the lotteryβ€”and instead of solving everything, your life spiraled into addiction, suicide attempts, and near-death experiences?
    In this episode of Adulting with Autism, Auntie April MS, OT/L talks with Peter John Mather, an entrepreneur, professional skydiver, health and life coach, Tony Robbins volunteer, and recent immigrant to the United States. Peter shares the story of his mother winning the lottery and how, rather than "ruining his life," that sudden influx of money amplified choices he was already making as a young man struggling with drugs and alcohol. He's clear: the lottery didn't create his addictionβ€”it simply injected finances into a spiral that had begun around age 17–18.paste.txt
    Peter describes multiple attempts at recovery, including a heart attack at 21 from a cocaine overdose where he was brought back to life. Counseling helped temporarily, but without strong role models, personal development, or language for addiction, he repeatedly found himself "going back to the same bar." He explains how, for many years, he didn't even recognize himself as an alcoholic or drug addict until he finally took a hard snapshot of his life and admitted he had a problem.paste.txt
    Now over five years into sustained recovery, Peter talks about the mindset shift that allowed him to see his path as a series of choices rather than a curse, and how coaching, community, and intentional work have helped him rebuild: multiple businesses, deep friendships, a strong marriage, and a new life in America. His story offers a nuanced look at sudden wealth, addiction, and neurodivergent resilienceβ€”and what it takes to choose a different direction, even after near-death experiences.paste.txt
    In this episode, you'll learn:paste.txt
    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How lottery winnings intersected with, but didn't "cause," Peter's addiction

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why sudden money (lottery wins, inheritances) often magnifies existing patterns

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What it was like to have a heart attack at 21 from a cocaine overdose and survive

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why early counseling helped temporarily but didn't stick without deeper change

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How lack of role models and personal development language kept him stuck

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The moment he finally recognized himself as an alcoholic and drug addict

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What has sustained his recovery for over five years (mindset, support, coaching)

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How he reframed his past from "ruined by money" to "a series of choices"

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The life he's created now: entrepreneurship, skydiving, coaching, and emigrating to the U.S.
  • Adulting with Autism

    ADHD Scattershot, Late Autism & Escaping the Corporate Box: Reinventing Life with Ghostwriter Richard Lowe

    07/07/2026 | 29 mins.
    What if you spent decades in high-level IT, only got your autism and ADHD diagnoses in your mid-60sβ€”and then realized your "too much" brain is actually your superpower?
    In this episode of Adulting with Autism, Auntie April MS, OT/L talks with Richard Lowe, a former Director of IT at Trader Joe's and VP in multiple tech and consulting companies who walked away from a six-figure corporate career to become a full-time ghostwriter. Richard helped design major water systems in places like Las Vegas and New Haven, lived through intense office politics and introversion, and eventually decided he was "done with corporate," moved to Florida, and built a thriving ghostwriting business from scratch.
    Richard shares how his late autism and ADHD diagnoses at age 64 "finally made sense" of a lifetime of hyperfocus, time blindness, face blindness, and a childhood shaped by abusive dynamics and early medications. He describes using books, hobbies, and deep focus as a survival strategy growing upβ€”and how those same traits, when reframed, became the engine behind writing dozens of books, building systems that work for his brain, and turning his "scattershot" ADHD pattern (nothing, nothing, nothing… then everything) into a productive power instead of a shame cycle.
    The conversation ranges from his years in IT and the burnout of trying to navigate office politics as an autistic, introverted manager, to his unconventional route into photography, Renaissance fairs, and belly dance communities as a way to work through grief and shyness. Richard explains how he hacked executive functioning with calendars, to-do lists, and tech, and why he believes neurodivergent adults should stop forcing "neurotypical methods" and instead design systems around their actual brains.
    If you're autistic or ADHD, stuck in a career or identity that doesn't fit anymore, or trapped in the "nothing, nothing, nothing, then all at once" pattern, Richard's story offers both radical permission and concrete ideas for rebuilding your life on your own termsβ€”even later in life.
    In this episode, you'll learn:
    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How a late autism/ADHD diagnosis can reframe decades of burnout and "weirdness"

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What Richard's "scattershot" ADHD pattern looks like in daily life (113-item to-do lists, marathon hyperfocus sessions)

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How time blindness, face blindness, and childhood coping strategies shaped his career and hobbies

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why office politics and mandatory socializing in corporate IT were harder than the technical work

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How photography, Renaissance fairs, and belly dance communities helped him dismantle extreme shyness

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Practical ways he uses tech (calendars, lists, notes, photos) to patch executive-function "holes"

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why he sees ADHD as a superpower, not a disabilityβ€”and how to leverage it

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What "stop forcing the neurotypical method" means in real-world systems and routines

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> His concept of "the box" we build around ourselvesβ€”and how to start stepping out of it

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why it's not too late to leave a well-paid career and reinvent yourself
  • Adulting with Autism

    "I Am Not Dumb, I Am Dyslexic": Late Diagnosis, the 3Ds & Smarter Than School Says with Jess Arce

    04/07/2026 | 31 mins.
    What if the real problem was never your intelligenceβ€”but the way you were taught?
    In this episode of Adulting with Autism, Auntie April MS, OT/L talks with Jess Arce, founder of 3D Learning Experts and author of I Am Not Dumb, I Am Dyslexic. Jess calls herself "America's Dyslexia Expert" for a reason: she's dyslexic, three of her four children are dyslexic, her husband is dyslexic, and she's been working with dyslexic, dysgraphic, and dyscalculic learners since 2012.
    Jess shares the story of her daughter, whose profound dyslexia and ADHD were missed for years, and her youngest son, who struggled with speech, early academics, and was finally identified in Texasβ€”where dyslexia services opened up an entirely new path. She explains how traditional tutoring and schools focus on "getting through this grade" or "just doing the homework," while her 3D approach focuses on building lifelong tools so learners become independent, not dependent on someone else to decode every assignment.
    She breaks down what the "3Ds" stand for (dyslexia, dysgraphia, dyscalculia), why dyslexic people are often 3D, big-picture thinkers, and how standard phonics teaching (like saying "puh" instead of a clean /p/ sound) actually confuses dyslexic brains. Jess also walks listeners through common adult signs of dyslexia and dysgraphiaβ€”hating reading, poor spelling, word substitutions, left/right mix-ups, messy handwriting, and trouble getting thoughts onto paperβ€”and why none of those mean you're stupid.
    From the staggering statistics on dyslexia and incarceration to the cost and limitations of formal testing, Jess offers practical alternatives: self-assessment checklists, targeted tutoring, creative workarounds for paperwork-heavy adult life, and self-advocacy tools like 504 plans and disability services. Throughout, she keeps returning to one core message: school performance is not the measure of your intelligence.
    If you've ever thought, "Maybe I'm just lazy or dumb," because reading, writing, or math feel harder than they "should," this episode will help you see yourselfβ€”and your brainβ€”very differently.
    In this episode, you'll learn:
    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why "I am not dumb, I am dyslexic" is more than a book titleβ€”it's a needed reframing

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What the 3Ds are: dyslexia, dysgraphia, and dyscalculia

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How dyslexic 3D thinkers see patterns and big pictures that schools often ignore

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why traditional tutoring (and many teachers) fail dyslexic students

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How sound-based teaching (not just letters) changes everything

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Common adult signs of dyslexia and dysgraphia, beyond school grades

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why so many dyslexic people end up in the justice systemβ€”and what that says about schools

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Practical workarounds for paperwork, emails, and text-heavy apps

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to start advocating for accommodations at work and school

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> One belief about "being smart" Jess hopes you'll throw out forever
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About Adulting with Autism
ADULTING WITH AUTISM A movement for neurodivergent adults, created by autistic occupational therapist April Ratchford, OTR/L. Adulting with Autism is a global community for autistic and ADHD adults navigating independence, relationships, college life, careers, emotional regulation, and real-world executive-function challenges. With over 2.7 million downloads, April blends lived experience, clinical insight, and honest conversation to guide neurodivergent adults into their next chapter of growth. Each episode brings practical tools, mental-health strategies, autistic storytelling, and real talk about boundaries, burnout, sensory needs, finances, friendships, and the messy parts of becoming an independent adult. Featuring leading experts in autism, mental health, neuroscience, accessibility, and creative industries β€” along with deeply human stories from autistic adults around the world. If you're a late-diagnosed autistic adult, a college student trying to survive executive-function chaos, or a neurodivergent person trying to build a life that actually fits β€” you are in the right place. πŸŽ™οΈ Hosted by: April Ratchford, OTR/L β€” autistic occupational therapist, autism advocate, author, and executive contributor to Brainz Magazine.
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