PodcastsEducationAdulting with Autism

Adulting with Autism

April Ratchford MS OT/L
Adulting with Autism
Latest episode

266 episodes

  • Adulting with Autism

    Rebuilding After Trauma, Chronic Pain, and Identity Loss — PERMA, Psychological Safety, and Thriving at Work with Hacia Atherton

    21/03/2026 | 32 mins.
    What do you do when the dream you built your identity around disappears overnight?
    In this episode of Adulting With Autism, host Sia talks with Hacia Atherton—former elite equestrian, trauma survivor, and workplace culture strategist—about rebuilding after a devastating riding accident that left her with broken hips, a shattered pelvis, severe nerve damage, chronic pain, and a long recovery.
    Hacia shares how Positive Psychology's PERMA framework helped her rebuild in tiny, realistic increments, how to define success day-by-day when your capacity changes, and what real support looks like (versus "support" that sounds good but misses the mark).
    They also unpack psychological safety at work—what it looks like in real rooms, why silence in meetings is a red flag, and how autistic and neurodivergent adults can create pockets of safety even inside imperfect systems. Plus: how to document toxic dynamics, advocate for accommodations, and protect your nervous system when you feel trapped.
    Hacia is the founder of Empowered Women in Trades and the author of Billion Dollar Blindspot, a guide to the hidden costs of toxic workplace culture and how leaders can fix it.
    In this episode, we cover:
    Identity loss after trauma and how to rebuild without abandoning yourself
    Chronic pain, invisible struggle, and support that actually helps
    PERMA in everyday language (for teens and adults)
    Nervous system protection in toxic environments
    Psychological safety: what it feels like in a room (and what it looks like)
    Neurodivergence at work: communication, advocacy, and accommodations
    Why resilience sometimes means resting, pausing, or walking away
    Small practices for feeling seen when the world doesn't see you
    Connect with Hacia Atherton:
    Website: https://haciahatherton.com
    Instagram: @hacia.atherton
    LinkedIn: Hacia Atherton
    Book: Billion Dollar Blindspot (Amazon, Barnes & Noble, Walmart.com)
  • Adulting with Autism

    Autistic Burnout, People-Pleasing & Self-Trust: Mindset Tools That Actually Help (Karin Velicka)

    16/03/2026 | 31 mins.
    Do you feel like you have to perform to be accepted—at work, in relationships, even in your own self-talk? In this episode of Adulting with Autism, we're joined by Karin Velicka, a certified self-love and mindset coach, former professional athlete, and author of the upcoming book Dear Me Letters.
    Karin shares her journey from a high-achieving finance path to coaching and emotional healing, and offers practical tools for autistic and ADHD adults who are navigating self-doubt, people-pleasing, burnout cycles, and major career transitions. We talk about why "quick fixes" rarely stick, how to build self-trust through small consistent steps, and how to make self-compassion feel real (not forced or fake).
    In this episode, we cover:
    Signs you may need deeper inner work (overachieving, people-pleasing, weak boundaries)
    How to break limiting beliefs like "I'm not enough" and untangle generational patterns
    Why letter-writing can be more powerful than traditional journaling
    Self-love for neurodivergent adults: improving the inner dialogue without toxic positivity
    A gentle entry point to breathwork for trauma, overwhelm, or sensory discomfort (eyes open is okay)
    How autistic professionals can reduce overwork guilt with boundaries and "schedule a date with yourself"
    Career transition clarity: radical honesty, courage, and walking with fear instead of letting it stop you
    Why slow progress is real progress—and how to celebrate it
    Guest: Karin Velicka
    Instagram: velicka.karin
    Website / Book updates: VelickaKarin.com (upcoming: Dear Me Letters)
    If you found this episode helpful, follow Adulting with Autism, leave a review, and share it with someone searching for autism self-love, mindset coaching, people-pleasing recovery, burnout, or career transition support
  • Adulting with Autism

    Late ADHD Diagnosis at 56, Dyslexia, and Breaking the "Failure Identity" — John O'Shea on NeuroSpicy

    14/03/2026 | 33 mins.
    What happens when you're diagnosed with ADHD at 56—after a lifetime of dyslexia, chaos, big wins, big losses, and school trauma that taught you you'd never be "enough"?
    In this episode of Adulting With Autism, we talk with John O'Shea, author of NeuroSpicy, about late diagnosis, anger and shame, the nervous system cost of being punished for learning differently, and how ADHD isn't a deficit of attention—it can be an overload of thoughts "like a V8 with no brakes."
    John shares how the end of his 32-year marriage pushed him into rock bottom—and why writing became a lifeline. He also explains why ADHD and dyslexia can be both a superpower and kryptonite, and what it takes to build resilience without staying trapped in failure as a "comfort blanket."
    In this episode, we cover:
    What it feels like to get an ADHD diagnosis later in life (and why it mattered more to others than to John)
    School trauma, humiliation, and why criticism can trigger rage in ADHD/dyslexic adults
    Anger as armor: shame, rejection sensitivity, and emotional overflow
    The "fast brain" experience: overload vs "attention deficit"
    Why ADHD people can be scattered and intensely focused (hyperfocus)
    The Hawaii customs story: literacy shame, humiliation, and consequences
    Reframing neurodivergence: "we don't need fixing—we need understanding and tools"
    What the education system should change (and John's plan for an ADHD/dyslexia empowerment course)
    Imposter syndrome and "fake it till you make it" as a practical survival tool
    Tools John uses to regulate: meditation, gym, sauna, grounding, and presence practices
    Where to find the book and John's work
    Connect with John O'Shea:
    Website / book: https://neurospicy.life
    Discount code: ABC25
  • Adulting with Autism

    Conscious Living for Overwhelmed Young Adults: Alignment, Mentorship, Boundaries, and Nervous System Tools (with Samantha Kane, Roots Wings Wellness)

    11/03/2026 | 34 mins.
    Adulting can feel like chaos: bills, work pressure, relationships, identity, and the constant question—"What am I supposed to do with my life?"
    In this episode of Adulting With Autism, we talk with Samantha Kane, founder of Roots Wings Wellness and a Certified Holistic Life Coach (Conscious Guide). Samantha helps people build self-mastery by connecting to their higher selves through grounded, practical rituals—nervous system regulation, boundaries, journaling, and alignment practices that actually work in real life.
    Samantha shares why the first step for many young adults isn't a perfect plan—it's finding a mentor you trust. We also unpack what "alignment" really means, how to tell the difference between intuition vs anxiety, and what to do when you're stuck—whether you need movement, patience, or both.
    In this episode, we cover:
    The first step when you feel lost: finding a mentor (without needing money)
    What "alignment" is and how to recognize it (jobs, friendships, relationships)
    Intuition vs anxiety: practical questions to check your "gut"
    Outgrowing friends, boundaries, and why you don't get to keep every relationship
    Adult priorities: spending vs bills, and choosing consequences on purpose
    Purpose pressure in your 20s: why you don't need the "perfect job" immediately
    Avoiding work identity burnout: managing energy and keeping life separate from work
    Finding your true self after years of labels: journaling as self-observation
    Feeling stuck: stagnant energy vs "meantime" waiting (and how to tell the difference)
    Tools to regulate: grounding/nature, box breathing 4–4–4–44–4–4–44–4–4–4, creative breath visuals
    Connect with Samantha Kane:
    Website: https://rootswingswellness.com (free guide + free call available)
    Instagram: @rootswingswellness
  • Adulting with Autism

    Hypnotherapy for Fight-or-Flight: Nervous System Regulation, Chronic Pain, and Consent-Based Healing (with Ethan Reisboard, CHT)

    09/03/2026 | 25 mins.
    If you live in fight-or-flight—anxiety, hypervigilance, chronic stress, shutdown, or even chronic pain—your body isn't being "dramatic." It's protecting you. But healing is hard when your nervous system can't access safety.
    In this episode of Adulting With Autism, we talk with Ethan Reisboard, CHT, a hypnotherapist who helps clients regulate their nervous systems and create lasting change using evidence-informed hypnotherapy tools.
    Ethan shares his own recovery story: in 2021 he developed post-concussion syndrome with debilitating migraines and eye dysfunction. After trying numerous approaches with no results, hypnotherapy helped shift his body out of fight-or-flight so recovery could finally begin. Now he works with clients (mostly over Zoom) to build safety, reduce triggers, and develop skills that last beyond a single session.
    In this episode, we cover:
    What hypnotherapy is (and what it is not)
    Why the hypnotic state supports the parasympathetic nervous system
    How fight-or-flight can show up as anxiety and chronic pain
    How you know you're "out" of fight-or-flight: when triggers become less relevant/reactive
    "I can't be hypnotized" — stage hypnosis vs therapeutic hypnosis
    How to find a qualified hypnotherapist (training, supervision, credentials)
    Tools Ethan uses with clients: breathwork (including vagus nerve activation), somatic tracking, guided practices
    Working with neurodivergent clients: visualization differences, trust, sensory concerns
    Nature and travel as nervous system support—without using external "escape" as the only strategy
    Consent, safety, and agency: why hypnosis can't make you do what you don't want
    How hypnotherapy can complement OT/PT/clinical rehab when progress is stuck
    Connect with Ethan Reisboard, CHT:
    Website: https://ethanreishypnotherapy.com
    Social: Ethan Reis Hypnotherapy
    Free consultation scheduling and resources available on his website

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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 — 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.
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