PodcastsEducationAdulting with Autism

Adulting with Autism

April Ratchford MS OT/L
Adulting with Autism
Latest episode

304 episodes

  • Adulting with Autism

    "Adulthood Is a Falsehood": Building a Life That Works for Your AuDHD Brain (Nicole Farrell)

    11/05/2026 | 39 mins.
    What if "adulting" isn't a checklistโ€”house, job title, perfect routineโ€”but simply learning how you work and building a life that supports it?
    In this episode of Adulting With Autism, April talks with Nicole Farrell, a nonprofit funding & development consultant who runs Rubber City Development Consulting. Nicole shares how receiving a dual diagnosis of ADHD + autism at 25 helped her finally understand why school, schedules, and "normal" work systems felt impossibleโ€”and why entrepreneurship became the most regulating option for her nervous system.
    Nicole's work spans nonprofits at every size, from brand-new orgs to a national nonprofit with a $35M/year budget, and she's deeply involved in community volunteering (Boys & Girls Club, PBS, 4โ€‘H, multiple boards). She's also honest about what's messy behind the scenes: masking in business settings, executive function "systems" that are basically notebooks + whiteboards + a calendar, and an inbox that'sโ€ฆ extremely ADHD.
    This conversation tackles the stuff people don't say out loud: the cost of forcing yourself into rigid systems, the grief and relief of late diagnosis (especially for women), why "independence" can still feel miserable, and how money management is different when you've grown up poorโ€”and when your income changes.
    It's also a practical episode: Nicole shares concrete habits that help her create stability and protect income, plus encouragement for listeners who feel "behind" (living with family, needing more support, still figuring it out). One of the biggest takeaways: there is no timelineโ€”and "adulthood" as portrayed by TV is basically fiction.
    In this episode, you'll hear:
    Who Nicole is: nonprofit funding/development consultant + community volunteer (and new horse-stable owner)
    Diagnosed with autism + ADHD at 25: why gifted girls often get missed until it all falls apart later
    Why entrepreneurship helped: choosing how and when to work (and working from the beach when needed)
    How to stop forcing yourself into systems that aren't built for neurodivergent people
    Independence in your 20s: "I did the apartment + jobโ€ฆand I was still miserable"
    Feeling behind: why there's no set timeline, especially in today's economy
    Workplace advocacy: requesting accommodations (and a reminder about ADA rights in the U.S.)
    Executive function systems Nicole actually uses: notebooks, whiteboards, and a calendar she trusts with her life
    Masking in business: why it's exhausting, why it still happens, and how to reduce burnout with intentional recovery time
    Money shifts: going from poverty to high income, and donating locally as an ethical anchor
    Side hustles and experiments: permission to try things without treating them as permanent (plus a cautionary tale about a cat cafรฉ)
    "Adulthood is a falsehood": keeping your whimsy and accepting you'll never have all the answers
    About Nicole Farrell
    Nicole Farrell runs Rubber City Development Consulting, supporting nonprofits with funding and development strategy. She also mentors aspiring business owners (especially women and marginalized folks) and advocates for building work around neurodivergent strengths instead of forcing neurodivergent people into rigid systems.
    Where to find Nicole
    Instagram / TikTok: @nicolewritesstuff
    Website: RubberCityDevelopmentConsulting.com
    Email: [email protected]
    Facebook: Rubber City
    (Coming relaunch) Personal site: NicoleEFerrell.com
  • Adulting with Autism

    What "Adulting" Really Means When Your Brain Is Spicy and Life Is Messy (Tina Estrella)

    09/05/2026 | 26 mins.
    Adulting when your brain is "spicy" and life is messy isn't about having the house, the car, or the perfect routineโ€”it's about learning how to work with your nervous system, not against it.
    In this episode of Adulting With Autism, April sits down with Tina Estrella (also introduced as Tina Strayer), a certified EK (Existential Kink) coach and "flow state management" coach whose work is closely related to Internal Family Systems (parts work)โ€”with a more playful, "juicy," body-based approach.
    Tina shares her own story of being misdiagnosed in the era when autism/ADHD (especially in women) wasn't "on the menu," and how re-framing her experience through an ADHD / neurodivergent lens has helped everything click into place.
    Together, they unpack what "kink" means outside of media stereotypes, how hidden pleasure patterns can show up inside self-sabotage loops, and why the goal isn't to eliminate anxietyโ€”it's to stop rejecting it and learn to make it an ally.
    This episode is full of practical distinctions (intuition vs fear vs nervous system overload), re-frames for shame and the inner critic, and a simple first step when you catch yourself spiraling: step back and breathe, then question the story running in your mind.
    In this episode, you'll hear:
    Tina's journey: misdiagnosis โ†’ self-understanding through neurodivergence/ADHD
    What "Existential Kink" actually means (and why it's not just about sex)
    "Radical approval": why rejecting anxiety keeps it stuck
    Turning anxiety into clarity by creating distance: "I'm not anxietyโ€”I'm experiencing anxiety"
    How to tell intuition (calm knowing) from fear (tense urgency) and overload (too activated to choose well)
    Shame + inner critic: what they're trying to protect, and how to work with them
    Self-sabotage + "hidden pleasure patterns" (video games/TV/scrolling): when soothing becomes avoidance
    What "flow state management" is and why it matters for neurodivergent adults
    "Dream team" parts work: coaching inner chaos instead of trying to exile it
    How to recognize you're about to abandon yourself (the loop + the heavy fog)
    The first thing to do in a spiral: breathe + question the narrative
    What real transformation looks like: reacting differently and being okay with still being a "hot mess"
    About Tina Estrella
    Tina Estrella is a certified EK coach who blends existential kink concepts with parts-work-inspired coaching and nervous-system awareness. She supports clients in building self-trust, reducing shame cycles, and learning to navigate anxiety and inner chaos without forcing themselves into an unrealistic "perfect adult" mold.
    Where to find Tina (and her new podcast)
    Socials: YouTube, Instagram, TikTok, Facebook
    Search "Tina Estrella" or "Flowstate manager, Tina"
    Podcast: No Safe Word in Real Life (currently on YouTube and Spotify)
    Website (as stated): tinastreeya.com
  • Adulting with Autism

    If You Can Name It, You Own It: Emotional Growth for Autistic & ADHD Adults (Dr. Gloria Vanderhorst)

    06/05/2026 | 35 mins.
    Change is hardโ€”especially when you're autistic, ADHD, burned out, or late-diagnosed and trying to "adult" with a nervous system that did not get the memo.
    In this episode of Adulting With Autism, I'm joined by Dr. Gloria Vanderhorst, Ph.D.โ€”a Licensed Telehealth Psychologist serving Maryland and Washington, DC with over 30 years of clinical experience. Dr. Vanderhorst works with adults, couples, and families and uses evidence-based approaches including Internal Family Systems (IFS) and Emotion Focused Therapy (EFT)โ€”all delivered through secure, HIPAA-compliant virtual sessions.
    This conversation is a grounding, practical reset for anyone who feels stuck in their own head: we unpack why introducing change feels impossible, what "high-functioning anxiety" can look like in adulthood, how to get out of negative thought loops, and why grief isn't just about deathโ€”it's also about the life you thought you'd have, the energy you don't have anymore, and the version of you that had to survive.
    And yesโ€”she gives a simple, free starting point you can do today: download a feelings sheet and start naming what's happening inside you. Because in Dr. Vanderhorst's words (and honestly, she's not wrong): if you can name it, you own it. If you can't name it, it owns you.
    In this episode, we talk about:
    Where to start with personal growth (especially if you're overwhelmed)
    Why change feels so hard (hint: it's not just youโ€”it's human)
    "High-functioning anxiety" in adults: how it shows up as avoidance, overthinking, and staying small
    Outgrowing childhood coping skillsโ€”and how to tell when it's time to get help
    A practical "brain dump" method for overthinkers and over-functioners
    Gentle regulation during change (and why your nervous system needs a thermometer, not a lecture)
    Grief beyond death: late diagnosis, burnout, lost expectations, and unnamed losses
    Why our culture avoids griefโ€”and how to recognize grief when it's hiding in your body
    Resilience, meaning, and why healing happens in connection, not isolation
    The "backpack of rocks" metaphor (and how to stop carrying what isn't yours)
    About Dr. Gloria Vanderhorst, Ph.D.
    Dr. Gloria Vanderhorst is a licensed psychologist who provides telehealth therapy for Maryland and Washington, DC. She offers individual therapy for adults, online couples therapy and marriage counseling, and support for concerns like anxiety, depression, ADHD and executive functioning, trauma, relationship issues, family conflict, and performance anxiety. Her work is grounded in EFT and IFS and focuses on emotional growth, self-understanding, and healthier relationships.
    Resources + How to connect with Dr. Vanderhorst
    Website: DrVanderhorst.com
    Free resource: Download the Feelings Sheet (under the site's Resources section)
    Book: Read, Reflect, Respond โ€“ The 3 Rs of Growth and Change (available on Amazon)
    Telehealth note: You must be physically located in Maryland or Washington, DC at the time of your appointment.
  • Adulting with Autism

    Beyond DSM Labels: Dr. Meher Chahal on Autism, ADHD, Trauma, and Real Healing

    04/05/2026 | 23 mins.
    What if the DSM isn't the "final word" on your brainโ€”just a system that got used for billing and scaled into a cultural identity machine?
    In this episode of Adulting With Autism, April sits down with Dr. Meher Chahalโ€”a physician trained in Western medicine and psychiatry who no longer practices in the traditional system and now works as a Systemic & Family Constellations facilitator/therapist, Jungian coach, and author of Unlicensed Medicine.
    We get into the messy reality of labels: how they can help people access services and how they can quietly shape self-worthโ€”especially for autistic and ADHD kids who get "file-foldered" before life even starts. Dr. Chahal shares her perspective on why diagnosis can slide into identity, why some behaviors get pathologized without context (hello, bullying and "ODD"), and how neurodivergent adults can move toward personal sovereignty without pretending symptoms don't exist.
    If you've ever wondered, "Do I need meds, therapy, coachingโ€ฆ or just a safer environment?"โ€”this episode is for you. We talk about choosing support based on practical dysfunction and symptoms, not just a label, and how to "window shop" providers without getting retraumatized by the system.
    In this episode, we cover:
    DSM labels, billing, and why that matters for real-world care
    Autism/ADHD kids, early diagnosis, and the impact on self-worth
    Overdiagnosis, overprescribing, and why context (home + school) matters
    Bullying, misdiagnosis, and why "behavior problems" aren't always pathology
    Reframing "ODD" and other sticky labels that follow kids into adulthood
    How to choose meds vs. therapy vs. coaching based on your symptoms and daily life
    Moving out of "victim consciousness" while still honoring real trauma
    About Dr. Meher Chahal:
    Trained in Western medicine, psychiatry, Systemic & Family Constellations therapy, Hellenistic astrology, and Jungian coaching, Dr. Chahal supports founders and business leaders with clarity, alignment, and sustainable growth. Her work integrates Business Constellations, Jungian psychology, and astrology to uncover hidden dynamics impacting leadership, revenue, team structure, and decision-makingโ€”using astrology as a practical timing and strategy tool for launches, pivots, investments, and long-term planning.
    Find Dr. Meher Chahal: DrMeherChahal.com
    Book: Unlicensed Medicine
  • Adulting with Autism

    Autistic Burnout vs Burnout: Dr. Megan Neff on Sensory Needs, Masking, and Energy (Spoon Theory)

    30/04/2026 | 30 mins.
    "What do you do?" can be a hard question for autistic peopleโ€”especially when your whole life finally starts making sense after you find the right language.
    In this episode of Adulting With Autism, Dr. Megan Anna Neff (clinical psychologist, educator, and creator of Neurodivergent Insights) shares her path into autism advocacy: near the end of her clinical psychology doctorate, one of her children was identified as autisticโ€”and that sparked her deep dive into autism in girls and women. What she found changed everything, including how she understood herselfโ€”and how unprepared the mental health field often is to recognize autistic and ADHD adults.
    We talk about what shifts when you finally have the language for autism/ADHD: burnout, sensory needs, shame, and self-expectations. Megan explains how taking sensory needs seriously can be a major first step in unmaskingโ€”and why it can reduce cumulative stress and burnout over time. She also challenges the modern self-care industry, reframing self-care as self-attunement, plus collective and interdependent careโ€”not a product you buy to survive a system that's burning you out.
    Megan breaks down the difference between "burnout" and autistic burnout, explains spoon theory (from the chronic illness community), and shares practical ways to budget energyโ€”without ignoring the role of privilege and real-world constraints. We also discuss the complex emotional reality of late diagnosis: the liberation and the grief, the identity rebuilding, and why sensory awareness can feel like it gets worse before it gets better.
    This episode is for anyone who's wondering "am I autistic, ADHD, or both?" and wants a gentle, realistic starting point that honors both strengths and struggles.
    In this episode, we cover:
    Dr. Megan Neff's "entry point" to autism: clinical training + child identified autistic + recognizing her own autism
    Why so many autistic/ADHD adults were missedโ€”and why this moment in time feels pivotal
    Sensory needs and burnout: how disconnection/dissociation can be an adaptation
    why fluorescent lights, grocery stores, and everyday environments can be costly
    letting needs be "needs," not "weakness"

    Self-care without pretending to be neurotypical: critiquing the self-care industry
    the importance of collective care and interdependent care
    "self-care starts with self-attunement" (checking in with what you need moment-to-moment)
    interoception challenges (not noticing thirst/hunger until it's too late)

    Why a card deck can be more executive-function-friendly than "read another book"
    What's inside the Self-Care Activities for Autistic People deck (6 domains): Sensory (weight/pressure/movement/stim songs, sensory soothing)
    Physical (hydration, blood sugar, movement supports)
    Emotional
    Mental (including identity-related reflection)
    Social (cross-neurotype communication, rejection sensitivity, social stress)
    Professional (workplace supports)

    Autistic burnout vs "regular" burnout: autistic burnout often impacts basic life tasks and can be pervasive across domains
    deeper brain fog + bigger dip in daily functioning

    Spoon theory (origin in chronic illness advocacy) and what "spoons" mean as energy units
    Energy budgeting in real life: the role of privilege/constraints (parenting, work demands, limited choice)
    reducing sensory irritants as "quiet energy drains"
    noticing internalized ableism + workaholism/type-A patterns

    Late diagnosis and identity: liberation and "I'm not broken" moments
    grief, revisiting old wounds, relationship shifts during unmasking
    why awareness can feel worse before it feels better

    Deconstructing shame: naming internalized ableism when it shows up
    making room for grief without pathologizing yourself
    unmasking privately when public unmasking isn't safe

    Why community matters (especially online): belonging as an antidote to shame
    hearing your story reflected in others

    Gentle next steps if you suspect autism/ADHD: lived-experience podcasts/books
    screeners as one data point (not a diagnosis)
    considering whether formal diagnosis is helpful for you

    Find Dr. Megan Anna Neff / Resources mentioned:
    Neurodivergent Insights (website with free PDFs/articles + resources)
    Instagram: Neurodivergent Insights (visual education/infographics)
    YouTube: Neurodivergent Insights (educational videos)
    Podcast: Divergent Conversations (co-hosted; includes unpacking autism/ADHD criteria through lived experience)
    Book: Self-Care for Autistic People (major outlets)
    Deck: Self-Care Activities for Autistic People (major outlets)

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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 โ€” 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 โ€” you are in the right place. ๐ŸŽ™๏ธ Hosted by: April Ratchford, OTR/L โ€” autistic occupational therapist, autism advocate, author, and executive contributor to Brainz Magazine.
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