PodcastsEducationAdulting with Autism

Adulting with Autism

April Ratchford MS OT/L
Adulting with Autism
Latest episode

318 episodes

  • Adulting with Autism

    Autistic Burnout, Sleep Debt & Nervous System Recovery with Tim Thomas | Adulting with Autism

    13/06/2026 | 35 mins.
    For many autistic and neurodivergent adults, burnout doesn't start with one bad dayβ€”it builds slowly through sleep deprivation, chronic stress, anxiety, and nervous system overload.
    In this episode of Adulting with Autism, I welcome back Tim Thomas, veteran recovery specialist and founder of Breathwork in Bed, to discuss why so many autistic adults feel exhausted, overwhelmed, and stuck in survival mode.
    Tim shares his personal journey from military deployment in Afghanistan to helping people understand the connection between sleep, stress, loneliness, and nervous system regulation. We discuss practical strategies for improving sleep, reducing overwhelm, managing burnout, and using breathwork as a tool for self-regulation.
    Topics include:
    βœ… Autistic burnout and chronic fatigue
    βœ… Sleep debt and nervous system overload
    βœ… Trauma, anxiety, and emotional exhaustion
    βœ… Why loneliness impacts mental health
    βœ… Breathwork and self-regulation techniques
    βœ… Sleep challenges in neurodivergent adults
    βœ… The connection between energy, recovery, and resilience
    βœ… Practical strategies for better sleep and reduced stress
    Whether you're an autistic adult, ADHD adult, parent, caregiver, or professional supporting neurodivergent individuals, this conversation offers valuable insights into improving sleep, restoring energy, and finding sustainable ways to recover from burnout.
    πŸŽ™οΈ Guest: Tim Thomas
    πŸ“± Learn more about Breathwork in Bed
    🎧 Subscribe to Adulting with Autism for conversations that help autistic young adults, parents, and professionals navigate adulthood with confidence.
  • Adulting with Autism

    "When You Have No More Fucks to Give": Autistic Burnout, Disappointment, and Getting Back Up Again

    10/06/2026 | 19 mins.
    What do you do when you're autistic, exhausted, and completely out of emotional bandwidthβ€”with zero fucks left to give?
    In this raw solo episode of Adulting with Autism, Auntie April MS, OT/L gets honest about the days when life keeps "life-ing": guests reschedule, kids melt down over school bureaucracy, work drains you, and everything feels like too much at once. She breaks down the lie that life is supposed to feel happy and "high vibe" all the time, and instead offers practical tools for moving through seasons of overwhelm, disappointment, and autistic burnout.
    April talks about what to do when your nervous system is fried, why you have to stop taking everything so personally, and how intentional recovery time isn't a luxury for autistic and ADHD adultsβ€”it's maintenance. She digs into anger as information, how to find healthy outlets instead of blowing up your relationships, and the difference between temporary shutdowns and giving up on yourself.
    In the second half, April shares her own story: failing out of college twice, becoming a nurse, parenting a disabled and autistic child, the death of her mother, divorce, homelessness, health crises, autistic burnout, and watching carefully laid plans (like a dream trip to Seoul) fall apart. Then she connects it to what's possible now: her son's second chance at college, a podcast with millions of downloads, and building a life that still isn't perfectβ€”but is very much not over.
    If you've ever felt like life is a dumpster fire and you're too tired to keep going, this episode is for you.
    In this episode, you'll learn:
    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why "life should be happy all the time" is a harmful lie

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to cope when you're overwhelmed, overstimulated, and done

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Practical ways to create intentional recovery time without guilt

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to focus on the next task instead of your entire life at once

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why anger is informationβ€”and how to channel it safely

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between a temporary shutdown and giving up

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to hold both disappointment and gratitude without gaslighting yourself

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why your story isn't over just because your plans fell apart
  • Adulting with Autism

    Autistic & Getting Your First Job: Boundaries, Burnout, and Bullshit You Don't Have to Put Up With

    08/06/2026 | 17 mins.
    Summer means a lot of my autistic squad is starting (or escaping) jobsβ€”first jobs after high school, college, or that soul-sucking gig you can't stand anymore.
    In this solo episode of Adulting with Autism, Auntie April MS, OT/L breaks down the stuff no one told us about autistic employment: why choosing a jobΒ justΒ for the money backfires, how sensory needs and social energy should shape your work, and why your first job is dataβ€”not your destiny. You'll hear real-talk about transportation, masking in interviews, accommodations, and how to protect your reputation in a world that loves workplace drama.
    We get into saying no without guilt, planning an exit from a toxic job without going scorched earth, and drawing hard lines around dating at work, office "family," and coworkers who will absolutely throw you under the bus. Finally, April talks about mental health non-negotiables, burnout, and why you are never paid enough to tolerate abuse, bigotry, or gaslightingβ€”no matter what your title is.
    If you're an autistic or otherwise neurodivergent adult trying to figure out work, boundaries, and survival in messy workplaces, this episode is your field guide.
    In this episode, you'll learn:
    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why money alone should never be your only reason for choosing a job

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How sensory needs (noise, smells, chaos) should guide your job search

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why your first job is information, not a life sentence

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Practical interview tips for autistic adults (eye contact, handshakes, masking just enough)

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What accommodations you can ask for and how to ask

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to protect your reputation and say no without over-explaining

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why you shouldn't date coworkers or your boss (and how it wrecks your credibility)

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The truth about burnout, HR, and when a job is costing your mental health
  • Adulting with Autism

    Late-Diagnosed at 53: Autism, Entrepreneurs & Finding Your Genius | Jonathan Domsky

    06/06/2026 | 38 mins.
    What if you went most of your life thinking you were just "quirky"… and then discovered at 53 that you're autistic?
    In this episode of Adulting with Autism, I talk with business and life coach Jonathan Domsky of Untangled Coaching, who works with "nerd diverse" entrepreneursβ€”people whose brains don't run on default settings and were never meant for the standard playbook. Jonathan shares how supporting his neurodivergent stepson led him to recognize his own autistic traits and finally connect the dots in midlife.
    We dig into why so many entrepreneurs are actually neurodivergent, why corporate life often breaks us, and how to design a business and life that actually fits an autistic brain instead of fighting it. Jonathan breaks down his framework of purpose, genius, and environment so listeners can start untangling cluttered expectations and build work that feels authentic, sustainable, and energizing.
    If you're an autistic or otherwise neurodivergent adult who feels stuck in a job that doesn't fitβ€”or you've secretly wondered if entrepreneurship might be your real laneβ€”this conversation will give you language, tools, and a new way to see yourself.
    In this episode, you'll learn:
    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why so many entrepreneurs are ADHD, dyslexic, or otherwise neurodivergent

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How Jonathan realized he met every trait of level 1 autism at 53

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What "nerd diverse" means and why default playbooks don't work for our brains

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The difference between excellence and genius (and why it matters)

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to clarify your purpose and design work around your natural strengths

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why environment, relationships, and systems must be built to fit youβ€”not the other way around

    Listen now to start seeing your "too much" and "too different" as clues to what you were actually born to do.
  • Adulting with Autism

    When Autistic Kids Grow Up: The Shocking Gap in Adult Autism Research (Releases June 4) | Brady Huggett

    03/06/2026 | 26 mins.
    What happens when autistic kids grow upβ€”and no one is studying their lives?
    In this powerful episode of Adulting with Autism, I sit down with science journalist Brady Huggett from The Transmitter to discuss his new podcast series When Autistic Kids Grow Up (releasing Thursday, June 4). Together, we uncover a massive and often overlooked gap in autism research: the lack of funding and support for autistic adults.
    While billions have been invested in understanding autistic children, research into adulthoodβ€”including health outcomes, lifespan, and quality of lifeβ€”remains dangerously limited. Brady shares the origin story behind the series, including a groundbreaking paper that exposed how little funding is directed toward adult autism research.
    We also explore the real-life impact of this gapβ€”from late diagnoses and co-occurring conditions to a shocking statistic showing autistic individuals may die up to 16 years earlier on average.
    This episode is a must-listen for parents, professionals, and neurodivergent adults navigating a system that often stops supporting them after age 18.
    In this episode, you'll learn:
    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why autism research overwhelmingly focuses on childrenβ€”not adults

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The NIH funding gap and what it means for real lives

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The challenges autistic adults face in healthcare and diagnosis

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why late-diagnosed adults are often left without answers

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The importance of lived experience in shaping research

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How media and podcasts can drive awareness and change

    🎧 When Autistic Kids Grow Up premieres Thursday, June 4β€”be sure to follow and listen.
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About Adulting with Autism
ADULTING WITH AUTISM A movement for neurodivergent adults, created by autistic occupational therapist April Ratchford, OTR/L. Adulting with Autism is a global community for autistic and ADHD adults navigating independence, relationships, college life, careers, emotional regulation, and real-world executive-function challenges. With over 2.7 million downloads, April blends lived experience, clinical insight, and honest conversation to guide neurodivergent adults into their next chapter of growth. Each episode brings practical tools, mental-health strategies, autistic storytelling, and real talk about boundaries, burnout, sensory needs, finances, friendships, and the messy parts of becoming an independent adult. Featuring leading experts in autism, mental health, neuroscience, accessibility, and creative industries β€” along with deeply human stories from autistic adults around the world. If you're a late-diagnosed autistic adult, a college student trying to survive executive-function chaos, or a neurodivergent person trying to build a life that actually fits β€” you are in the right place. πŸŽ™οΈ Hosted by: April Ratchford, OTR/L β€” autistic occupational therapist, autism advocate, author, and executive contributor to Brainz Magazine.
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