Adulting with Autism

What if intimacy and loneliness are just as important to your health as water, sleep, and nutrition?
In this episode of Adulting with Autism, I talk with Dr. Diane Mueller—known as both "the libido doc" and "the Lyme doc"—about shame-free intimacy, neurodivergent adults, and how long-term relationships can stay connected instead of turning into roommate status. Dr. Diane works both in chronic illness (Lyme, mold, complex root causes) and in sex, intimacy, and relationship communication.
We explore why the medical world often ignores loneliness, how shame shows up around sex and desire, and what autistic and neurodivergent adults are not being taught about consent, communication, and eroticism. Dr. Diane also shares how monogamous couples can bring curiosity and variety back into their intimate lives without abandoning safety or commitment.
In This Episode, We Cover
p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Who Dr. Diane is: "libido doc" and "Lyme doc," working at the intersection of chronic illness and intimacy

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Harvard's 75-year finding that loneliness is the #1 factor affecting happiness and longevity—and why intimacy matters for health

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What "shame-free" actually means in practice (not shaming shame, but learning from it and moving forward)

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How shame around sexuality (desire, toys, non-missionary positions, self-pleasure) gets pushed into shadow and gets louder over time

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The huge gaps in how we teach sex and relationships, especially for autistic and neurodivergent adults (linear, heteronormative, P-in-V-only scripts)

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Bioindividuality in eroticism: why there is no one "normal" way to experience intimacy or desire

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The three threats in conflict and why sex conversations uniquely maximize "threat to self" and ego protection

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Using Gottman-style positivity ratios in intimacy talks—building a "bank" of specific positive feedback before introducing changes

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Common vs normal patterns in monogamous relationships: dwindling sex, roommate dynamics, boredom, stress, erectile dysfunction, vaginal dryness

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The guitar metaphor: why practicing intimacy for decades doesn't have to make you worse, and how to add "notes" and variety over time

About the Guest
Dr. Diane Mueller is known as both the "libido doc" and the "Lyme doc," with dual specialties in chronic illness (Lyme, mold, multi-root causes) and in sex, intimacy, and relationships. She focuses on shame-free, holistic conversations that integrate health, emotional wellbeing, and deep connection between partners. Her work emphasizes the importance of intimacy and loneliness as central factors in happiness and longevity, not just side topics.
Key Takeaways
p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Loneliness and intimacy are core health variables, not optional extras.

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Shame can be a helpful flag when harm occurs—but chronic, circular shame around desire keeps people stuck and silent.

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Neurodivergent adults are rarely taught about consent, communication, and erotic variety in ways that respect their processing styles.

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Intimacy talks are high-ego-threat conversations; building a strong positive "bank" first makes change discussions safer.

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Common patterns (roommate vibes, dwindling sex) are not the same as "normal" or inevitable.

Why does so much self-help sound good… and then disappear when life gets hard?
In this episode of Adulting with Autism, I talk with Josh Davis, PhD—neuroscientist, former Barnard College professor, and NLP (Neurolinguistic Programming) trainer—about practical tools for real change in messy, everyday life. Josh has spent decades teaching neuroscience and psychology, and now focuses on bringing NLP tools to parents, especially dads, who want to show up differently for their kids without getting lost in guilt and overwhelm.
We dig into why the brain clings to old habits, what "manage attention, not time" looks like for distractible and executive-function-challenged brains, and why joining someone's reality (instead of trying to fix them) can dissolve conflict in seconds.This episode is perfect for neurodivergent adults, parents, and anyone tired of advice that doesn't stick.
In This Episode, We Cover
p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What NLP (Neurolinguistic Programming) actually is—and what makes it different from typical self-help

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How outcome-oriented therapies and NLP grew out of psychotherapy's most effective tools

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why wanting change isn't enough if different "parts" of you disagree (internal conflict)

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> "Manage attention, not time" as a realistic frame for overloaded, ADHD-style brains

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why you will never "catch up" on your to-do list, and why that's freeing, not hopeless

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Practical prioritization when your brain can only hold a few important things at once

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Real examples of using NLP with kids—joining their energy and positive intentions instead of lecturing

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How separating facts from interpretations helps with triggers (chapter "Just the Facts" in his book)

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why dads often lack support networks, and how these tools can help them feel less alone

About the Guest
Josh Davis, PhD, is a teacher, author, and trainer of Neurolinguistic Programming (NLP). He has taught high school, college, and adults, completed a doctorate in psychology and neuroscience, and served as a professor at Barnard College, part of Columbia University. His work focuses on making powerful change tools from psychotherapy and NLP accessible to everyday people, especially parents and fathers.
His recent book translates complex NLP methods into simple, usable tools and has become a USA Today bestseller.

What if burnout isn't a personal failure—but a system failure?
In this episode of Adulting with Autism, I talk with technologist Michael Eskenasy, creator of Human Cognitive Infrastructure, about why our current app-driven, fragmented world pushes humans to be the "integration layer" for everything—and how that crushes executive function, especially for neurodivergent people.
We explore what happens when technology forgets context and intent, why adding more tools often increases cognitive load, and what a "breathable life" could look like if infrastructure actually protected human capacity.
This one is especially for listeners who feel like they're bad at adulting, constantly overwhelmed by apps, or stuck in burnout despite "optimizing" themselves.
In This Episode, We Cover
p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What Human Cognitive Infrastructure is (and why context/intent matter)

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Burnout as a continuity failure, not a personal weakness

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How fragmented systems and open loops strain executive functioning

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why "more tools" can make neurodivergent life harder, not easier

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The coordination layer: incentives, politics, and why systems don't get fixed

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Designing tech that remembers context for you instead of demanding more from you

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Governance, trust, and safeguarding data when tech knows your life

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What a "breathable life" looks like after burnout and structural exhaustion

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How clinicians, educators, and employers can think about infrastructure in support plans

About the Guest
Michael Eskenasy is the creator of Human Cognitive Infrastructure, a technology concept designed to let systems carry context and intent instead of forcing humans to do all the integration themselves. His work looks at burnout, executive function, and coordination through the lens of incentives, governance, and trust, with a special relevance for neurodivergent households and support environments.
Find Michael on X (formerly Twitter): @ITSChefreyOS

Why do so many neurodivergent couples say, "We love each other—but we can't communicate"?
In this episode of Adulting with Autism, I sit down with couples therapist Lisa Rabinowitz, who specializes in ADHD and neurodiverse relationships, to break down why communication breaks down—and what actually works.
We talk about the real-life patterns showing up in relationships: constant arguments over small things, interrupting, time blindness, emotional overwhelm, and the exhausting "parent vs partner" dynamic.
Lisa shares practical, shame-free strategies to help couples understand each other, regulate emotions, and rebuild connection—even if it feels like things are too far gone.
If you've ever felt misunderstood in a relationship—or like you're trying your best but it's still not working—this episode is for you.
What We Cover
p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why couples fight over "small" things (and why they're not actually small)

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> ADHD symptoms in relationships: impulsivity, time blindness, forgetfulness

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The truth about interrupting (it's not disrespect)

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How neurodivergent vs neurotypical communication differs

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Emotional regulation and nervous system awareness

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Attachment styles and how past wounds replay in relationships

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Breaking the "parent/child" dynamic

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What to do if your partner won't go to therapy

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why "trying harder" doesn't fix relationship issues

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How real repair and change actually happens

About the Guest
Lisa Rabinowitz is a couples therapist specializing in neurodiverse relationships. She is trained in both the Gottman Method and PACT (Psychobiological Approach to Couples Therapy) and works with couples internationally to improve communication, emotional regulation, and connection.
Website: counselorforcouples.com
Book: Why Won't You Stop Interrupting Me? Simple Solutions for ADHD Couples (Audiobook coming soon)
Key Takeaways
p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Love alone isn't enough—couples need skills and systems

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Many "conflicts" are actually misunderstandings of neurodivergence

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Interrupting is often about processing, not disrespect

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Systems (alarms, notes, structure) reduce relationship stress

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> You don't fix relationships by trying harder—you fix them by doing things differently

Call to Action
If this episode resonated with you, share it with someone who needs it and leave a review to help more people find the show.

What if years of "anxiety and laziness" were really undiagnosed ADHD and autism—and therapy kept missing it?
In this episode of Adulting with Autism, Auntie April MS, OT/L talks with Robert Rackley, an Irish psychotherapist who practices in a sensory-based, neurodivergent-only clinic and specializes in autism and ADHD in adults. Robert first trained in traditional psychotherapy, then shifted his entire practice toward neurodivergence after realizing how often adults are missed or misdiagnosed, especially when they show up with jobs, houses, and families that don't fit stereotypical images of ADHD or autism.
Robert shares insights from his master's research on why adult ADHD goes unnoticed: masking, narrow stereotypes (e.g., "you can't have ADHD if you're successful"), and professionals who stop at anxiety or depression rather than looking deeper. He explains how labels like "lazy," "disorganized," or "dramatic" are often nervous-system freeze responses to chronic overwhelm, trauma, and catastrophizing—not character flaws—and why so many neurodivergent adults internalize those words for decades.
The conversation dives into common misdiagnoses (anxiety disorders, depression, personality labels) and how inattentive ADHD—especially in women—gets misread as "just anxiety." Robert talks about masking as a lifelong survival strategy that starts in childhood ("sit still, stop that") and leads to traumatized nervous systems, identity confusion, and severe mental health consequences, including self-harm and suicidality. He also explains rejection sensitive dysphoria (RSD) in everyday language: the brain searching for criticism, misreading tone and facial cues, and feeling one offhand comment as physical pain that lingers for years.
From autistic burnout and sensory processing differences to relationships, communication breakdowns, and alexithymia (having no words for emotions), Robert offers a clear picture of what neurodiversity-affirming therapy can look like—and how neurodivergent adults can safely try therapy again.
If you're an autistic/ADHD adult who's been told you're "lazy," "too sensitive," or "too much," or you've left therapy feeling blamed and unseen, this episode will help you see your nervous system, your emotions, and your story in a different light.
In this episode, you'll learn:
p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why adult ADHD and autism are so often missed or misdiagnosed as anxiety or depression

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How "lazy" and "disorganized" are often freeze responses and chronic overwhelm, not moral failures

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What masking does to a nervous system over decades, and why it leads to burnout and identity confusion

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How rejection sensitive dysphoria (RSD) feels and why one comment can hurt for years

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Practical ways to respond differently to perceived criticism and reduce mind-reading spirals

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What makes neurodivergent burnout different from typical stress or depression

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Early warning signs of burnout (withdrawal, irritability, food changes, constant overwhelm)

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What neurodiversity-affirming therapy can look like: sensory rooms, stimming, visual tools, and no pressure to "sit still"

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How alexithymia ("no words for emotion") complicates talk therapy—and what to do instead

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Questions to ask potential therapists to check if they really understand ADHD and autism

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Common autistic stereotypes ("you can't be autistic if you make eye contact") and how they harm adults

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Relationship patterns between neurodivergent and non-neurodivergent partners, especially around change and predictability

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Concrete self-regulation strategies (fidgets, sensory resets, noise management) and rebuilding self-esteem with kindness

p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Gentle first steps for adults who suspect they're autistic/ADHD but feel overwhelmed by the search