Adulting with Autism

April Ratchford MS OT/L

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 — 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 — you are in the right place. 🎙️ Hosted by: April Ratchford, OTR/L — autistic occupational therapist, autism advocate, author, and executive contributor to Brainz Magazine.

  1. 2d ago

    Autistic Flexibility: How to Recover When the Routine Falls Apart

    This episode was supposed to come out Monday. It is not Monday. Why? Because a cat grooming appointment turned into 90 minutes of furious cat screaming in my car, followed by rehab week at work—meaning unexpected music, decorations, people, activities, changing treatment spaces, and an autistic nervous system quietly asking, "What the f**k are we doing?" So naturally, we are talking about flexibility. Not the kind where someone tells autistic people to "go with the flow," smile through chaos, love spontaneity, or stop needing routine. Absolutely not. Routine is helpful. Predictability is regulating. Visual schedules, alarms, calendars, transition warnings, clear expectations, and knowing what is supposed to happen next can make adult life dramatically easier. But there is a difference between a routine that supports your life and a routine that becomes so rigid that one unexpected change destroys your ability to function. In this solo episode of Adulting with Autism, I talk about how to build flexibility without throwing away structure. We cover sick days, schedule changes, noisy roommates, late buses, canceled plans, unavailable grocery items, work disruptions, sensory overload, anger, boundaries, parenting, accommodations, and the most important skill of all: Not becoming spontaneous. Becoming recoverable. Because the goal is not to make yourself love change. The goal is to learn how to say, "This is some b******t. What do we do now?"—and find a next step. In This Episode, We Cover p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why this episode came out late: cat grooming, sensory overload, rehab week at work, exhaustion, and giving yourself permission not to force productivity when you are at capacity. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why unexpected disruptions are not evidence that you are lazy, unreliable, broken, or bad at adulting. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Routine as a regulating support for autistic, ADHD, AuDHD, and neurodivergent adults. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why predictability reduces cognitive load, decision fatigue, stress, executive-function demand, and nervous-system overwhelm. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between a supportive routine and a restrictive routine. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Supportive routine: "This structure helps me function." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Restrictive routine: "If anything interrupts this structure, I cannot function." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why adulthood is fundamentally unpredictable, even for highly organized people. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why routine should support your ability to function—not trap you every time life changes direction. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> April's example of her son being sick and becoming angrier because illness disrupts his routine, body awareness, sensory tolerance, energy, and ability to feel like himself. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why sickness, pain, fatigue, hunger, overload, hormones, poor sleep, and sensory stress can reduce flexibility and increase irritability. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Everyday adult disruptions: p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> A professor changes a deadline p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> A bus runs late p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> A roommate makes noise p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> A coworker calls out p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> A client cancels p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Your usual desk is unavailable p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The Wi-Fi fails p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Construction starts outside p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The grocery store is out of your exact preferred item p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Someone changes the plan p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Your car suddenly needs repairs p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why flexibility does not mean liking change, pretending to enjoy spontaneity, or instantly adapting without emotion. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What flexibility actually means: "This is not what I wanted. I am annoyed. I can still figure out what happens next." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why the "error, error, error" response is not the problem. The important question is what you do after your nervous system signals that something changed. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to move from "the day is ruined" toward "What is Plan B?" p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why workplace accommodations matter: clear communication, predictable scheduling, written instructions, sensory supports, reduced unnecessary last-minute changes, flexible options, and accessible management. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why accommodations reduce unnecessary barriers but cannot eliminate every unpredictable event in adult life. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why parents can accidentally overprotect autistic children from all disruption because they know change is hard. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between supporting routine and preventing every manageable experience of change. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why young adults need practice with small, survivable disruptions before adulthood hands them bigger ones. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Small flexibility practice examples: p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Eating lunch 15 minutes later than usual p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Choosing the second-best coffee or grocery option p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Taking a different route p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Sitting in a different seat p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Moving an appointment by an hour p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Choosing another activity when plans are canceled p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why forcing massive surprise changes is not "building flexibility." It is just being an a*****e. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why the nervous system learns through lived experience: "I did not like this, but I survived it." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Scripts for unexpected change: p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> "This is not the plan, but I can make another plan." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> "I don't have to like this to handle it." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> "Give me a minute to adjust." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> "What is the next thing I can control?" p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why identifying what you can still control is one of the fastest ways to reduce overwhelm. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Options after disruption: changing the order, leaving earlier, asking for clarification, using headphones, taking five minutes somewhere quiet, choosing another option, rescheduling, or deciding something cannot happen today. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Anger and dysregulation: why irritation is often the first signal that your nervous system is over capacity. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why "everyone is annoying me" may sometimes mean "I need food, sleep, quiet, medical care, lower sensory input, rest, or a break." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between "everyone is an a*****e" and "my nervous system is done." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why understanding that difference can protect relationships. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why autistic adults cannot expect everyone else to arrange themselves perfectly to prevent discomfort. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why you are also an unpredictable human who will sometimes be late, sick, distracted, overwhelmed, cancel plans, misunderstand things, or disrupt someone else's routine. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why flexibility includes extending grace to other people without excusing disrespect, abuse, boundary violations, or harmful behavior. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between healthy flexibility and over-masking. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why "I can adapt" is different from "I will ignore every signal from my body so nobody else is inconvenienced." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why changing a plan because your capacity changed is adaptation—not failure. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why rigidity can sometimes disguise itself as productivity: "I said I would do it today, so I must do it today no matter what condition I'm in." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why sometimes the healthiest response is: "The conditions changed, so the plan changes." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Building elasticity into routines through calendars, reminders, preparation, transition warnings, sensory tools, rest, and realistic Plan B options. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why flexibility does not have to be graceful, pretty, or calm to count. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why the goal is not becoming spontaneous—it is becoming able to return after something changes. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The closing reminder: routine should be a support, not a cage; flexibility should be a skill, not a demand. About the Host April Ratchford, MS, OT/L, is an autistic occupational therapist, former nurse, parent of an autistic young adult, and host of Adulting with Autism. April uses a direct, practical, funny, and lived-experience-informed style to talk about autistic adulthood beyond childhood services. Her episodes explore real adult-life topics, including employment, executive function, sensory needs, healthcare, parenting, burnout, relationships, money, transition, identity, self-advocacy, and how to build a life that works with the brain you actually have.

  2. 5d ago

    Autistic Employment: Stop Building a Career You Have to Survive

    Welcome to Episode 350 of Adulting with Autism. This episode was supposed to come out Saturday. It is Sunday. I know how calendars work. Life happened, work happened, exhaustion happened, and I decided I would rather give you an episode where I could form complete sentences than force myself to publish something just because it was technically on time. And honestly? Grace is part of adulting too. Today, I'm talking about employment—specifically the difference between hating your career and hating your job. Because those are not always the same thing. You may love the technical work but hate the workplace culture. You may enjoy helping people but hate the schedule. You may be brilliant in your field but completely depleted by fluorescent lights, open offices, vague expectations, office politics, public-facing demands, constant interruptions, or a manager who believes "you should just know." For autistic, ADHD, AuDHD, and neurodivergent adults, employment is never only about whether you can perform a job. It is also about whether you can perform that job in that environment, under that schedule, with that workload, with those communication demands, without sacrificing the rest of your life just to remain employed. I share my own path from nursing to occupational therapy, why I did not stop loving healthcare, and how changing the structure of my work helped me support both my career and my family. We also talk about masking, burnout, sustainable success, career pivots, transferable skills, and why you do not have to wait for a catastrophe before you are allowed to leave something that no longer fits. In This Episode, We Cover p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why this Episode 350 release is a day late—and why rest, grace, and not forcing content are part of sustainable work. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The disappearance of autistic adults after childhood services end. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why autistic adults still need employment support, OT, purpose, executive-function tools, sensory support, relationships, healthcare, rest, and community after age 18. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why employment is one of the biggest places where autistic adulthood, sensory needs, executive function, financial pressure, identity, and burnout collide. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between hating your profession and hating the conditions under which you are expected to do it. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Questions to ask before blowing up your entire professional life: p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I hate the actual work? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I hate this employer? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I hate my boss? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I hate the schedule? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I hate the commute? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I hate productivity pressure? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I hate the sensory environment? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I hate the social performance? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I hate being interrupted all day? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I hate full-time work but enjoy the same work part-time? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> April's nursing story: loving problem-solving, triage, patterns, patient care, and healthcare—but needing a work structure that fit parenting a disabled child. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why moving from nursing to occupational therapy was not abandoning healthcare—it was changing the container. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why a profession is not a marriage vow. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why a career pivot does not mean your previous career was a failure. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Different versions of the same profession: inpatient, outpatient, remote, in-person, PRN, part-time, management, independent practice, agency work, direct care, consulting, education, and entrepreneurship. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why two people with the same job title can have radically different experiences based on manager, schedule, noise level, communication, expectations, flexibility, and culture. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Environmental job fit: open offices, interruptions, fluorescent lighting, unpredictable schedules, team-building, public-facing work, verbal-only instructions, office politics, and sensory overload. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why "Can you do the job?" is not the only employment question. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The better question: "Under what conditions can this person do their best work without destroying themselves?" p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What occupational therapy means in adult life: employment, self-care, cooking, school, relationships, leisure, rest, household management, community participation, and quality of life. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why employment is not sustainable if an eight-hour workday leaves you unable to eat, shower, speak, tolerate another human, or do anything except lie horizontally in silence. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> High masking at work: why showing up, answering emails, and technically maintaining employment does not reveal the real cost. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why "You're doing so well" can ignore the energy, recovery, sensory load, anxiety, executive-function demand, and masking required to look functional. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Burnout as an invoice from the nervous system. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Signs employment may be costing too much: irritability, sensory sensitivity, numbness, losing interest in hobbies, social withdrawal, exhaustion, weekend recovery, increased anxiety, mask-cracking, shutdown, and fantasizing about quitting. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why surviving a job is not necessarily thriving in a job. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Communication clarity as an accommodation. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Predictability as an accommodation. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Written instructions as an accommodation. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Flexible scheduling as an accommodation. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Noise reduction and lighting adjustments as accommodations. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why accommodations matter—but why even good accommodations cannot turn every workplace into the right workplace. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why work is an exchange: labor for compensation—not a cult, family adoption, or entitlement to all remaining hours of your day. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The danger of rigid employment rules: p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> "Don't quit." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> "Finish what you start." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> "Be responsible." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> "Work harder." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> "Do not disappoint people." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why those rules need context. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why maturity sometimes means leaving, changing direction, reducing hours, changing settings, or pivoting. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The pivot metaphor: when the road is closed, you do not sit at the barricade for six hours because it was your original route. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How April's podcast may become the next container for skills she built through nursing, occupational therapy, advocacy, education, problem-solving, and systems navigation. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why skills travel from one job, role, industry, or career into another. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Transferable skills from teaching, nursing, healthcare, food service, retail, technology, caregiving, customer service, and other work. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why neurodivergent adults may think too literally about credentials and forget to ask: "What problems can I solve?" p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why a terrible week is not always proof you need a whole new career. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The importance of giving yourself enough distance to identify temporary stress versus a persistent pattern. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Questions to ask when rested: p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I still hate this? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I enjoy the technical work? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do parts of this job still light me up? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Would I enjoy this work with reasonable workload and support? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Do I dislike the profession—or what this employer has turned it into? p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why it is okay to finish a chapter that was successful. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why something does not have to become terrible before you are allowed to leave. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why waiting for burnout, illness, firing, or catastrophe is not the only way to get permission to pivot. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> "This no longer fits the life I am building" as a complete and valid reason. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why success is not one lifestyle. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why a sustainable career may mean 25 hours instead of 40, periods of intense work followed by rest, multiple income streams, independent work, consistent routines, or less public-facing work. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why parents should not make "get them a job" the final goal. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The real goal: sustainable, meaningful work that fits a person's strengths, needs, sensory system, energy, capacity, and desired quality of life. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why young adults need permission to experiment with jobs, majors, industries, roles, schedules, and environments. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why a first job, first degree, or first career direction does not have to define the next 5

  3. Sep 9

    Adulting With Autism: Nobody Gave Us the Syllabus

    Nobody actually teaches you how to become an adult. We spend 18 years telling kids to go to school, pass their classes, graduate, maybe go to college, maybe get a job—and then suddenly everybody says, "Fly little birdie." Except adulthood is not a single task. It is one giant group project with invisible rules, unclear expectations, healthcare paperwork, money decisions, grocery lists, transportation plans, insurance, appointments, laundry, subscriptions, and a whole lot of "How the hell was I supposed to know that?" In this solo episode of Adulting with Autism, I'm talking honestly about what independence actually means for autistic, ADHD, AuDHD, and neurodivergent adults. Spoiler: independence does not mean doing everything alone. It means knowing what you can manage, what you need help with, how to build systems around your executive-function challenges, and how to ask for support before your entire life catches fire. We talk about learning your medical history, handling prescriptions, avoiding credit-card traps, tracking subscriptions, making transportation plans, surviving adult mistakes, and navigating the complicated parent shift from "I do it for you" to "I show you how" to "You've got this." This episode is for neurodivergent adults figuring it out, parents trying not to rescue their kids forever, and anyone who still feels like everybody else got the adulting syllabus except them. In This Episode, We Cover p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why adulthood feels like one giant group project with hidden rules and no syllabus. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why neurodivergent adults often need direct instructions, concrete expectations, visual tools, and systems—not vague "you should know this by now" advice. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The transition from childhood medical care to adult healthcare responsibility. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What every young adult should know about their own health: p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Medication names p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Dosages p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Reasons for each medication p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Prescribing providers p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How often medication is taken p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Allergies p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Diagnoses p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Past surgeries p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Medical history p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why "the little white pill" is not enough information at a doctor's appointment. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> HIPAA and why, after age 18, medical providers may need to speak directly with the adult patient unless appropriate permissions or legal arrangements are in place. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why independence is not the same as never asking for help. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between support, assistance, managing, rescuing, and taking over someone else's life. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Examples of healthy adult support: p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Making your own appointment but using reminders so you do not forget it p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Grocery shopping with a list so you do not come home with drinks, Oreos, and no dinner p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Using automatic payments because dates, mail, and due dates can disappear from an ADHD brain p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Getting help with complicated medical paperwork or insurance choices p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why money management is an adulting skill that schools often fail to teach. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Credit cards: what a credit limit actually means, why it is borrowed money, and why minimum payments can keep debt around much longer than expected. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Understanding APR, statement balances, pending charges, due dates, automatic payments, and bank-account balances. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why subscriptions quietly drain money: $9.99 feels small until 12 recurring charges become $120 every month. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why out-of-sight, out-of-mind can make neurodivergent adults especially vulnerable to forgotten subscriptions and surprise charges. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Transportation as independence: driving, public transit, rideshare, family support, walking, planning ahead, and knowing how you will get where you need to go. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why a transportation plan should exist before an appointment becomes someone else's emergency. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why mistakes are part of adulthood—and why neurodivergent young adults need room to make survivable mistakes. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The DoorDash credit-card lesson: emergencies are emergencies, not food delivery when there is a cafeteria or grocery store nearby. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why financial consequences can be valuable when they are proportional, clear, and survivable. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Laundry, cat food, household supplies, forgotten groceries, and the reality that nobody has it together all the time. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why the goal is not preventing every mistake; it is noticing what went wrong and building a better system next time. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The hard parent shift: moving from doing things for your child, to teaching them, to supporting them when they get stuck, to trusting them to manage more of their own life. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why some autistic adults will need significant support throughout adulthood, some will need very little, and many will need variable support depending on the task and season of life. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How someone can be excellent at work and still struggle to call a doctor, clean a room, eat regularly, open mail, manage insurance, or remember appointments. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why human ability is not a straight line. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The truth about "real adults": most people are winging it, using systems, asking questions, making mistakes, and pretending they understand insurance. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What adulthood really is: building systems around what you are bad at, using your strengths, asking for help, and continuing to learn. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Your closing message to listeners: you are doing far better than you think you are. About the Host April Ratchford, MS, OT/L, is the host of Adulting with Autism, a podcast created to support autistic, ADHD, AuDHD, and neurodivergent adults as they navigate real life beyond childhood services. As an autistic occupational therapist and parent of an autistic young adult son, April brings both professional experience and lived experience to conversations about executive function, independence, transition to adulthood, healthcare, money, parenting, work, relationships, self-advocacy, and the unglamorous everyday tasks that make up adult life. Her approach is direct, practical, compassionate, funny, and realistic: nobody needs to become a perfect adult. They need tools, systems, support, and enough self-awareness to build a life that works with the brain they actually have. Find the podcast, resources, episode links, and social channels at adultingwithautism.com. Key Takeaways p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Independence does not mean doing everything alone. It means knowing what you can manage, what you need help with, and how to access support without giving up control of your own life. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Adulting is not automatic at 18, 22, 30, 40, or 50. It is learned through information, experience, mistakes, systems, support, and repetition. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Neurodivergent adults may need direct, practical instruction in healthcare, money, transportation, food, routines, household tasks, and self-advocacy. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> You need to know your own medications, diagnoses, allergies, medical history, providers, and healthcare needs. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Credit cards are not free money. Subscriptions add up. Pending charges count. Automatic payments can be a helpful executive-function tool. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Parents cannot prevent every mistake—and young adults cannot learn adulthood without making some mistakes. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The best mistakes are survivable ones: mistakes that teach a lesson without destroying someone's future. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Being professionally competent does not mean you will automatically be good at home care, phone calls, healthcare, finances, food, or paperwork. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Everybody is winging it. Older adults simply have more data, more mistakes, more practice, and more systems. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Asking for help before everything is on fire is a major adulting skill.

  4. Sep 7

    Neurodivergent Talent Is the Future of Work with Dr. Bonnee Price-Linden

    What if neurodivergent talent is not a workplace problem to accommodate—but one of the most underused sources of creativity, innovation, and future-ready thinking? In this episode of Adulting with Autism, I talk with Dr. Bonnee Price-Linden, a pediatric neuropsychologist, neurodiversity consultant, and founder of Burch Price & Associates. Dr. Linden has spent more than 30 years supporting children, families, schools, universities, and organizations around autism, ADHD, learning differences, neurocognitive development, and workforce inclusion.burch-price-associates.ce-go+1 We discuss what happens after diagnosis and school supports end, why graduation is not the same thing as readiness for adult life or employment, and how vague workplace expectations, culture-fit hiring, unclear onboarding, and masking drain neurodivergent employees. Dr. Linden challenges organizations to think beyond individual accommodations and instead redesign the systems that determine who gets hired, who gets heard, who burns out, and who gets to thrive. In This Episode, We Cover p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Who Dr. Bonnee Price-Linden is: pediatric neuropsychologist, forensic psychologist, founder and CEO of Burch Price & Associates, and director of Linden Neuropsychological Services.burch-price-associates.ce-go+1 p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why she describes neurodivergent talent as one of the most underutilized resources in the workforce. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What organizations can gain from neurodivergent employees: innovative thinking, creative problem-solving, pattern recognition, different perspectives, and less "single-track" decision-making. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The transition problem: why school supports may stop while adult independence, college, employment, finances, social demands, and self-advocacy needs increase. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why early intervention should include future employment, agency, decision-making, independence, and real-world skill development—not only "getting through the school year." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The danger of assuming a young adult will suddenly manage everything independently once they reach college or employment. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> College transition challenges, including social navigation, self-management, working memory, communication, organization, and the loss of familiar support systems. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why universities may advertise neurodiversity programs but still struggle to offer meaningful transition support in practice. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why graduation is not the finish line. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between "getting a degree" and building sustainable capacity to hold a job, manage stress, avoid burnout, and live independently. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why parents are often encouraged to prepare their children to fit into existing systems instead of expecting systems to become more inclusive. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The importance of parents, educators, clinicians, universities, employers, and self-advocates working together rather than passing responsibility down the line. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why standard interviews and "culture fit" can screen out highly capable autistic and ADHD candidates. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How interview processes often reward eye contact, quick social responses, conventional communication style, and similarity to the interviewer rather than job-relevant ability. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The role of workplace ambiguity: vague feedback, unclear priorities, unwritten expectations, confusing onboarding, and why they can drain cognitive energy. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why unclear communication is not only a neurodivergent issue—many employees struggle when leadership messages are diluted through layers of hierarchy. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The need for organizations to clarify who is responsible for what, what success looks like, and how feedback should be communicated. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Workplace masking: pretending to understand, performing expected social behaviors, replaying the day at night, and using off-hours to decode what happened. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How masking can contribute to fatigue, poor mental health, reduced retention, missed contributions, and burnout. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why the real cost of masking is often invisible to employers until an employee disengages, becomes ill, or leaves. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Accountability versus blame: why leaders should not assume that a performance problem means lack of effort. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The danger of assigning the worst possible motive to a missed task, late arrival, different communication style, or executive-function struggle. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why workplace systems need to be designed collaboratively, not imposed entirely from the top down. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between capability and capacity. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why a person can be highly intelligent and highly capable while still needing help with processing speed, working memory, task chunking, attention management, organization, or sustainable output. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why working memory and processing speed are key friction points in teams, classrooms, and corporate settings. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How teaching chunking, time management, planning, communication, and self-awareness early can support long-term career sustainability. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why being "the smart kid" does not automatically prepare someone for work, relationships, emotional health, self-advocacy, or adulthood. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The hidden emotional burden of being brilliant but constantly aware that you are processing, responding, or navigating differently. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Meaningful neuroinclusion: not jargon, not tokenism, and not forcing sameness—but building teams and organizations where different ways of thinking are genuinely welcomed. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why Dr. Linden is skeptical of treating accommodations as the whole solution. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between creating one-off accommodations and redesigning the workplace infrastructure so a wider range of people can succeed from the beginning. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What parents can do: seek a thorough neuropsychological evaluation, understand strengths and challenges, build supports early, and choose clinicians who understand education-to-employment transitions. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What an ADHD/autistic employee can do when misunderstood at work: ask for a conversation about how to share ideas, how to contribute best, and how the team can communicate more effectively. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why teams should intentionally ask: "How do we make sure quieter, more direct, slower-processing, or differently communicating people can contribute their ideas?" p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Dr. Linden's bottom line: neurodivergent people belong in the workforce because of their talent and humanity—not because they are "cute," inspirational, or a compliance obligation. About the Guest Dr. Bonnee Price-Linden, PhD, is a pediatric neuropsychologist, forensic psychologist, consultant, and founder of Burch Price & Associates. She has more than 30 years of experience working with children, families, schools, universities, corporations, and government agencies around neurodevelopment, autism, ADHD, learning differences, cognitive rehabilitation, trauma, and workforce inclusion.burch-price-associates.ce-go+1 Dr. Linden is also the owner and director of Linden Neuropsychological Services, where she provides neuropsychological consultation, assessment, counseling, remediation, and strategic support for children and families.lindenneuropsychologicalservices+1 Through Burch Price & Associates, she helps organizations redesign systems, address bias, improve hiring and retention, train leadership and HR teams, and create more sustainable pathways between education and employment for neurodivergent people.burchprice+1 Find Dr. Linden, her workshops, corporate trainings, videos, and neuroinclusion resources at burchprice.com. You can also find her through Linden Neuropsychological Services at lindenneuropsychologicalservices.com.burchprice+1 Key Takeaways p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Neurodivergent talent can strengthen organizations through creativity, pattern recognition, innovation, and different ways of solving complex problems. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> School graduation is not the same thing as readiness for college, work, independence, self-advocacy, or a sustainable adult life. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The education-to-employment gap grows when young people are trained only to comply with systems instead of learning to understand their own strengths, needs, choices, and capacity. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Standard interviews and "culture fit" can exclude candidates who have the skills to do the job but do not perform neurotypical social expectations. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Masking may look like success during the day while creating intense mental and physical recovery demands at night. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Capability and capacity are not the same: someone can be brilliant and still require clearer instructions, task chunking, working-memory supports, or a more sustainable pace. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Accommodations matter, but better organizational design is more powerful: clear expectations, inclusive teams, flexible communication, transparent onboarding, and multiple ways to contribute. p]:pt-0 [&

  5. Sep 5

    Late Autism Discovery, Trauma & Forgiveness with Juan Colon

    What happens when you spend your childhood being called a brat, a problem, or "bad"—and only later realize that you were an autistic child trying to survive without the language, support, safety, or understanding you needed? In this episode of Adulting with Autism, I talk with Juan Colon, author of The Untold Story of an Autistic Orphan: The Awakening. Juan shares his journey through abandonment, instability, homelessness, incarceration, fatherhood, late autism diagnosis, and the long process of learning to understand himself with compassion instead of shame.amazon+1 For Juan, "the awakening" means more than receiving an autism diagnosis. It means recognizing patterns, accepting responsibility for choices, forgiving people who hurt him, understanding that trauma shaped behavior on all sides, and choosing not to repeat the pain he experienced as a child. This is a raw and hopeful conversation for autistic adults with complicated pasts, parents seeing familiar traits in their children, and anyone trying to move from survival mode into healing, accountability, and a more peaceful life. In This Episode, We Cover p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Who Juan is: a Puerto Rican father, family man, autism advocate, and first-time author who describes himself as an ordinary man who survived unusual circumstances. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why family, fatherhood, love, accountability, and staying positive are central to Juan's identity. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Juan's memoir, The Untold Story of an Autistic Orphan: The Awakening, and why he chose to write it.amazon+1 p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What "the awakening" means: understanding himself, seeing his behavior from others' perspectives, and finding a deeper sense of purpose. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How autism understanding helped Juan view past conflicts, misunderstandings, and painful relationships with more compassion. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why forgiveness is not necessarily about excusing another person; it can be a way of releasing the emotional weight you continue to carry. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Growing up without knowing he was autistic. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Childhood traits that make more sense now: intense curiosity, sensory-driven impulses, strong reactions, difficulty explaining behavior, and being misunderstood by adults. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Juan's story about cutting his grandmother's clothing because the sound and sensation created an urge he could not explain at the time. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How sensory seeking or sensory-driven behavior can be misread as intentional misbehavior or "being bad." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The labels placed on him in childhood: brat, bad, troublemaker, disruptive, and difficult. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Being kicked out of school and treated as a behavior problem rather than a hurting child with unmet support needs. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How his son's autism assessment became the beginning of Juan's own self-recognition. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Seeing his son show behaviors similar to the stories he had heard about his own childhood. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How becoming a parent helped Juan understand some of the stress and fear his own mother may have experienced as a single parent. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why seeking an autism assessment was part of a broader process of understanding unstable work patterns, conflict avoidance, and the tendency to leave jobs or situations when they felt unsafe. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How diagnosis changed his parenting: pausing before arguing, trying to see his child's perspective, and responding with more understanding. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why autistic adults who are questioning themselves do not need to be perfect—or wait until they are overwhelmed—to seek guidance. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The importance of accepting uncertainty, asking questions, seeking support, and being willing to learn more about yourself. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Childhood abandonment, instability, life on the streets, incarceration, and the desire to create a family life Juan did not have as a child. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How the desire to become a present, loving father helped him keep moving through hardship. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Shame and memoir writing: how to look back honestly without letting the past become your permanent identity. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Juan's central self-compassion message: treat yourself as you would treat your best friend. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Redemption as forgiveness, responsibility, repair, letting go, and creating peace. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Juan's "book bag full of rocks" metaphor for the heaviness of resentment, anger, tension, and unresolved pain. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How diagnosis and a compassionate relationship with his wife helped reduce conflict and improve communication. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why being met with love, patience, and gentleness can interrupt an old pattern of defensiveness, argument, running, or escalation. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Moving from survival to reflection: recognizing the pattern of running from consequences and deciding to face hard things instead. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How asking a social worker for help became a turning point in choosing a more stable direction. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Writing a book while autistic: hyperfocus, emotional intensity, revisiting buried memories, crying, planning, and staying with a project because it felt meaningful. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The patterns writing revealed: rigid thinking, intense arguments, difficulty letting go without clear proof, and going deeply into a belief or conflict. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Therapy as support—not proof that someone is "crazy." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why avoiding therapy may be connected to fear, stigma, ego, shame, or the belief that needing help means weakness. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What parents can do when their child's traits bring up grief, confusion, or painful memories from their own childhood: face the feelings, seek support, and resist running from what hurts. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Juan's hope: his children and family will experience a life with more love, stability, safety, and support than he did. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why Juan feels "rich" through family connection, healing, and giving others hope—not only through money or status. About the Guest Juan Colon is the author of The Untold Story of an Autistic Orphan: The Awakening, a memoir about his experiences with childhood loss, abandonment, instability, homelessness, incarceration, fatherhood, survival, and late autism discovery.amazon+1 Juan's story centers on the power of self-understanding, accountability, forgiveness, family, faith, and choosing a different path. Through his memoir and public conversations, he shares a message for autistic adults who may feel defined by their past: as long as you are here, there is still room to learn, repair, grow, and build a life that feels more aligned with who you are. His book is available as a Kindle title through Amazon under Juan and Ibelise Books.amazon+1 Key Takeaways p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> An autism diagnosis can help adults reinterpret years of conflict, sensory experiences, social struggle, impulsivity, and shame with greater accuracy and compassion. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Being misunderstood as a child can create a painful identity story: "I am bad," "I am a problem," or "something is wrong with me." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Sensory-driven or autistic behavior is not automatically malicious behavior. Children often need curiosity, support, and explanation—not punishment and labels. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Understanding your autistic child may help you recognize and heal pieces of your own childhood story. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Accountability and self-compassion can coexist. Understanding why something happened does not erase responsibility, but it can help create a different response next time. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Forgiveness can be a release for the person carrying pain; it does not have to mean pretending harm never happened. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Therapy is not proof that you are broken or "crazy." It is one way to seek support, perspective, tools, and healing. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Your past may explain parts of your story, but it does not have to decide the life you build from here. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> A meaningful "why"—such as parenthood, family, love, or a desire to break cycles—can help people choose a different path even when change is difficult.

  6. Sep 2

    Beyond 25: Autism, Adulthood & Building a Future with Tammy Michelle

    What happens when autistic children grow up—and the supports, services, funding, and public attention begin to disappear? In this episode of Adulting with Autism, I talk with Tammy Michelle, co-founder of the Chaka Khan Foundation, founder of Artistology, artist advocate, entertainment executive, and mother of two autistic adult sons. Tammy shares her family's advocacy journey, beginning with her sister Chaka Khan's recovery work and expanding after Tammy's eldest son, Tallon, was diagnosed autistic in the early 2000s.chakakhanfoundation+1 We talk about the gaps Black and Brown families face in autism diagnosis, resources, and advocacy; the service cliff that affects autistic adults after childhood; and why the Chaka Khan Foundation's Beyond 25 initiative centers workforce development, technology training, gaming, community, and long-term quality of life. Tammy also shares why music has been a powerful force for communication, regulation, healing, connection, and expression throughout her family's life—and is a foundational tool for the Foundation's work in supporting neurodiverse communities. Grounded in its profound role in the brain, Tammy explains how music, mindfulness, and mediation are some of the most important supports autistic adults can build.  In This Episode, We Cover Who Tammy Michelle is: co-founder of the Chaka Khan Foundation, founder and CEO of Artistology, artist manager, creative-wellness advocate, and longtime entertainment executive.artistology The origins of the Chaka Khan Foundation in 1999, when Tammy and Chaka Khan began creating community support connected to substance-use recovery, women's healing, and underserved youth.chakakhanfoundation How Tammy's advocacy expanded after her eldest son Talon was identified as autistic. The early 2000s reality of autism awareness: limited public understanding, stereotypes shaped by media such as Rain Man, and fewer visible resources for families. Why parents may react defensively at first when someone raises developmental concerns—and how understanding can grow with information, support, and time. The barriers Black and Brown families have historically faced in accessing accurate diagnosis, early intervention, special education services, advocacy, and resource navigation. Why lack of information about legal rights and services can become an access barrier in underserved communities. The foundation's early partnership with Cure Autism Now and its role in autism-awareness efforts, resource fairs, fundraising, and community outreach.chakakhanfoundation How family advocacy evolved from autism awareness to tutoring, education, women's recovery support, wellness programs, and community empowerment.chakakhanfoundation. The experience of parenting an autistic adult: Talon is now 28, uses limited spoken language, and continues to have adult goals, desires, relationships, interests, and a right to community. Why "non-speaking" does not mean "has nothing to say" or "does not want the same things other young adults want." The questions parents begin facing as their children become adults: What happens after parents are gone? What services will remain? What does self-sufficiency look like for this person? How can families plan for communication, safety, autonomy, relationships, and quality of life? The Chaka Khan Foundation's Beyond 25 initiative, which focuses on skills development, independence, career growth, community, and what happens when systems stop showing up for autistic adults. Gaming, esports, technology training, and workforce development as potentially meaningful pathways for neurodivergent adults. Why gaming is more than entertainment: it can involve real skills, professional roles, technical systems, teamwork, strategy, design, broadcasting, production, and career opportunities. Tammy's younger son's late autism diagnosis and the relief that can come from finally understanding lifelong social, sensory, and communication differences. Why a diagnosis can bring validation rather than limitation. What employers can do to make hiring, onboarding, feedback, and advancement more accessible: identify strengths, recognize unique skill sets, use real assessments, and create opportunities that align with capability. Autism awareness, acceptance, inclusion, and access as a pathway: awareness creates understanding; compassion allows inclusion; inclusion makes access more possible. Playground communication boards: large public visual-communication boards featuring play activities, wants, needs, and emotion choices. How communication boards help children communicate what they want to do, what they need, and how they feel without requiring spoken language. Why public play spaces should include communication access as part of standard community design. Music and regulation: how Tallon sings more fluently than he speaks, uses music as a source of connection and calm, and enjoys Michael Jackson videos. Music as medicine: Tammy's experiences with musicians in her family, her brother's stroke recovery, and the use of sound and singing bowls as supportive tools.

  7. Aug 31

    ADHD Is Not Bad Behavior: Parenting, Shame & Family Systems with Judy Richardson-Mahre

    What if your child is not being defiant, lazy, careless, or disrespectful—but struggling with a brain function they cannot simply force into place? In this episode of Adulting with Autism, I talk with Judy Richardson-Mahre, founder of Kaleidoscope Coaching and Counseling, ADHD specialist, therapist, educator, wife to an ADHD partner, and mother of four neurodivergent children.kcccares+1 Judy shares what changed when her husband and daughter were diagnosed around the same time—and when her husband said, "You mean I'm not just stupid?" That moment became part of her mission: helping neurodivergent children, adults, couples, and families replace blame with accurate brain-based understanding. We discuss ADHD as brain wiring rather than a discipline problem, why consequences often fail when executive function is impaired, how emotional escalation can be a form of attempted motivation, and what positive discipline looks like when you are raising kids with different strengths, struggles, and support needs. In This Episode, We Cover p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Who Judy is: ADHD specialist, therapist, educator, engineer, wife to an ADHD partner, and mother of four neurodivergent children.kcccares+1 p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why her family's diagnoses changed her career and inspired her to help families understand neurodiverse brains. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The moment her husband learned about ADHD and asked, "You mean I'm not just stupid?" p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> ADHD as brain wiring—not moral failure, poor parenting, laziness, lack of intelligence, or malicious behavior. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why behavior often reflects a mismatch between expectations and executive-function capacity. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How Judy's engineering background supports her focus on systems, strengths, problem-solving, and brain-based patterns. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What life looked like before diagnosis: chaos, escalations, confusion, discouragement, outside criticism, and attempts to gain "control" that made everyone more dysregulated. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why different ADHD children can express challenges differently: emotional intensity, difficulty following multi-step directions, high energy, forgetfulness, and other executive-function needs. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why parents need to understand executive functions before interpreting behavior. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The dangers of placing neurotypical expectations on neurodivergent children. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why consequences often do not work when a child lacks reliable control over the skill being punished. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The "glasses" analogy: when a child cannot see, we provide glasses; we do not punish them for failing to see harder. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How negative messages affect ADHD children and can create shame, rejection sensitivity, low self-worth, and later mental-health struggles. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why Judy says children with ADHD can receive overwhelmingly more negative feedback than neurotypical peers. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How chronic criticism can turn into rejection sensitivity and the expectation that every interaction will bring judgment or disapproval. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Long-term effects of missed support: anxiety, depression, shame, self-harm risk, substance use, relationship challenges, driving difficulties, and employment instability. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why words such as "defiant," "irresponsible," "lazy," "not trying," and "bad behavior" can misrepresent executive-function struggles. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> ADHD and internal motivation: why a non-preferred task can trigger avoidance, anger, emotional escalation, or conflict. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How anger may become the brain's attempt to create enough stimulation to complete an unwanted task. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Alternatives to anger-based motivation: music, dance, body movement, playfulness, novelty, co-regulation, and creating positive emotional activation before a hard task. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Positive discipline: not authoritarian, not permissive, but a combination of kindness, firmness, mutual respect, boundaries, accountability, and skill building. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Judy's Parent Rescue approach: pairing positive discipline with ADHD and neurodiversity-informed parenting support. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Setting developmentally appropriate expectations and adding support when a child cannot yet meet a demand independently. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to set boundaries around items such as screen time without arguing, negotiating endlessly, escalating, or shaming. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why parents need to regulate their own anxiety before trying to regulate a child. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Parenting as a marathon rather than a sprint: repetition, systems, support, respite, tag-teaming, and realistic expectations. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why teenagers and young adults can trigger parents so intensely—and how family-of-origin wounds can affect a parent's reaction. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> ADHD in couples: forgotten agreements, shutdown during conflict, emotional escalation, different planning strengths, and mismatched executive function. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Judy's relationship metaphor: "I'm the planner, and he's the planter." p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why a fair division of labor is not traditional or identical—it is based on actual strengths, capacity, and what each person can reliably carry. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why an undiagnosed or defensive ADHD partner may benefit from a neutral third party such as a therapist or ADHD-informed couples clinician. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> When therapy, coaching, or both may be useful for ADHD adults and couples. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What to seek in an ADHD-informed clinician: specific training in executive function, ADHD, neurodiversity, relationships, and the varied ways ADHD presents. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to recognize approaches that are too shaming, rigid, behavior-focused, or designed to make neurodivergent people seem more neurotypical. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why movement, sensory tools, music, breathing, and nervous-system regulation are essential supports for anxious ADHD brains. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Judy's closing message: when parents understand neurodiversity, compassion, patience, mutual respect, and connection become more possible. About the Guest Judy Richardson-Mahre is the founder of Kaleidoscope Coaching and Counseling in Apple Valley, Minnesota. She is an Adlerian marriage and family therapist, educator, ADHD specialist, parent coach, and consultant who supports neurodivergent individuals, couples, parents, families, educators, and clinicians.kcccares+1 Her approach blends therapy, coaching, positive discipline, parent education, ADHD-informed strategies, executive-function support, couples work, and neurodiversity-affirming care. Kaleidoscope Coaching and Counseling provides support for ADHD, anxiety, depression, parenting, co-parenting, grief, loss, adolescent therapy, adult therapy, couples therapy, and family therapy.kcccares+1 Find Judy, her services, ADHD coaching, training resources, and Parent Rescue information at kcccares.com.kcccares+1 Key Takeaways p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> ADHD behavior is not automatically a behavior problem; it may reflect executive-function capacity, internal-motivation differences, nervous-system activation, or a need for more support. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Shame-based language can create long-term damage, especially when a child repeatedly hears that they are lazy, bad, difficult, or not trying. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Consequences are ineffective when a child does not have reliable control over the skill being punished. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Positive discipline is neither permissive nor authoritarian; it combines kindness, firmness, boundaries, accountability, and skill teaching. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Anger and avoidance may be an ADHD brain's attempt to create enough stimulation to approach a non-preferred task. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> A fair division of labor in ADHD relationships is based on strengths and reliability—not rigid gender roles or equal-looking task lists. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Regulation comes before executive function. When anxiety and emotion rise, access to planning, memory, flexibility, and impulse control drops. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Parents do not have to be perfect. Understanding the brain and reducing shame can change a family's direction at any point.

  8. Aug 29

    Brilliant Starters, Consistent Finishers: ADHD, Execution & Entrepreneurship with Rob Nickester

    What if you are not lazy, unfocused, or incapable—you simply need an execution system that matches your actual brain, energy, attention, and capacity? In this episode of Adulting with Autism, I talk with Rob Nickester: entrepreneur, investor, former 35-year IT professional, late-diagnosed ADHD adult, and founder of Inspire X. Rob helps entrepreneurs, executives, and high-capacity adults become more consistent finishers instead of constantly cycling through great ideas, unfinished projects, overthinking, and last-minute pressure.paste.txt Rob shares his journey from barely graduating high school to a successful IT career, real-estate investing, and coaching. He talks honestly about hiding struggles, feeling like the dumbest person in the room, failing professional certification exams, and realizing that asking for help does not prove you are incapable. We also break down his practical 3x3 Focus Method: three priorities, three action steps per priority, and three meaningful wins at the end of the week. If you are a neurodivergent adult who is busy all day but still feels like you never move the needle, this episode is for you.paste.txt In This Episode, We Cover p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Who Rob is: entrepreneur, investor, former IT infrastructure architect, real-estate partner, late-diagnosed ADHD adult, speaker, and founder of Inspire X.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why he left a 35-year W-2 career to focus fully on entrepreneurship, investing, and coaching.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> His work helping companies, executives, founders, and entrepreneurs become "brilliant starters" and more consistent finishers.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Growing up with ADHD traits before having language for them: boredom, restlessness, distractibility, procrastination, intense energy, and hyperfocus.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Hyperfocus as both a strength and a challenge: procrastinating for weeks, then producing high-quality work in one intense final burst.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why Rob believes many ADHD adults can outperform others in short bursts but struggle with consistency, long-range planning, and sustainable follow-through.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The fear of speaking up in leadership settings, even while being technically capable and successful. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Waiting to be directly asked a question because of the belief: "I am the dumbest person in the room."paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How imposter syndrome and fear of judgment can limit leadership presence, promotions, opportunity, and visibility. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The power of saying, "I don't know—but I can find out," instead of pretending to have every answer.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> His Colorado-parking-lot story: receiving a failed certification result, hiding it from his wife, and carrying the belief that he had been exposed as unintelligent.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why opening up to peers often reveals that other people have failed, struggled, retaken tests, and felt the same insecurity. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why highly capable ADHD adults may become skilled at hiding struggle: systems were often not designed for how they learn, focus, process information, or demonstrate competency.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Learning by doing versus reading, listening, memorizing, and taking traditional tests. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why 45–50 minute lessons can lose an ADHD brain after 15–20 minutes, even when the person is capable of understanding the material.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Building execution systems around real attention, energy, capacity, and time horizon rather than idealized productivity standards. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Rob's 3x3 Focus Method: p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Choose three priorities for the week p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Break each priority into three tangible action steps p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Complete nine action steps total p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> End the week with three meaningful wins.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why ADHD adults often see what is urgent now and what is close ahead—but can struggle to connect with distant future goals.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to identify a true next action versus a vague or overwhelming goal. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why "start a business" is not a next step, while "list three business-name options" or "identify one product category" is.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to know a task is too big: if it requires more than three action steps in the time frame, break it down again. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between busy work, productivity, and actual execution. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why you can complete many tasks but still not move the needle forward. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The 80/20 principle: identifying the high-impact 20 percent of actions that drive real progress rather than spending the day on the 80 percent of noise.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How ADHD minds can "complexify" everything through overthinking, overpreparing, overresearching, and analysis paralysis.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> A podcast-outreach example: researching hosts may feel productive, but sending the actual message creates a result. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why a new system often gets abandoned after two weeks: novelty fades, boredom arrives, and the original "why" gets lost. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Using a meaningful reason, goal, or personal leverage to remain engaged when motivation drops.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Rob's personal non-negotiables: routines, sleep, food awareness, movement, exercise, and experimenting to understand what supports or disrupts focus.paste.txt p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why he uses exercise to burn off enough physical and mental energy to sleep and quiet his mind. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> His final message for listeners in their own "parking lot after failure": speak up, ask for help, challenge limiting beliefs, and use community rather than carrying the struggle alone.paste.txt About the Guest Rob Nickester is an entrepreneur, investor, coach, speaker, and founder of Inspire X. After a 35-year technology career, he transitioned out of his W-2 role to focus on entrepreneurship, real-estate investing, leadership development, and coaching.paste.txt Rob has invested in apartment buildings, car washes, RV parks, and other business ventures. He began coaching after people in his investing and networking circles asked how he had built a successful career and investment portfolio despite early academic struggles and a late ADHD diagnosis.paste.txt Through Inspire X, Rob supports companies, executives, entrepreneurs, founders, and ambitious professionals who have big goals but struggle with consistency, execution, focus, completion, self-doubt, and limiting beliefs.paste.txt Find Rob at inspirex.co, robnikester.com, or follow @RobNikester on social platforms. His free community and resources, including the 3x3 Focus Method and 33 Rise Challenge, are available through his Skool community: skool.com/inspirex.paste.txt Key Takeaways p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> ADHD can include procrastination, distraction, boredom, hyperfocus, and last-minute intensity—but those traits do not equal lack of intelligence or capability. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Imposter syndrome often makes highly capable people stay quiet, hide mistakes, and wait to be invited into conversations they are already qualified to join. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> You do not need to have every answer. "I don't know, but I can find out" is often a stronger leadership response than pretending. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> If your task has too many moving pieces, it is not a usable next action yet. Break it down again. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Being busy is not the same as executing; execution means choosing actions that move a meaningful goal forward. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> ADHD-friendly systems should be simple, visible, action-oriented, and close enough in time for the brain to connect with them. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Consistency does not come only from discipline. It comes from knowing your "why," reducing complexity, and making high-impact actions easier to repeat. p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Failure does not prove you are the dumbest person in the room. It is often proof that you are doing something challenging enough to learn from.

See All (351)

4.8
out of 5
77 Ratings

About

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 — 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 — you are in the right place. 🎙️ Hosted by: April Ratchford, OTR/L — autistic occupational therapist, autism advocate, author, and executive contributor to Brainz Magazine.

Information

  • Creator
    April Ratchford MS OT/L
  • Years Active
    2024 - 2026
  • Episodes
    351
  • Rating
    Explicit
  • Copyright
    © 2026 April Ratchford MS OT/L
  • Show Website
    Adulting with Autism