PodcastsEducationAdulting with Autism

Adulting with Autism

April Ratchford MS OT/L
Adulting with Autism
Latest episode

273 episodes

  • Adulting with Autism

    Neuroinclusion Without Disclosure: The RESPECT Framework, Neuroโ€‘Belonging & Workplace Red Flags (with Pasha Marlowe)

    03/04/2026 | 38 mins.
    "Be yourself at work"โ€ฆ unless that part of you is autistic, ADHD, anxious, too direct, too emotional, or needs something different.
    In this episode of Adulting With Autism, April talks with Pasha Marlowe (she/they)โ€”therapist (32+ years), coach to neurodivergent adults and couples, and author of Creating Cultures of Neuro Inclusionโ€”about what real neuroinclusion looks like in workplaces, families, and community.
    This conversation is practical and validating, especially if you don't feel safe disclosing a diagnosis (or you don't have one), but you still need support to function and avoid burnout.
    In this episode, you'll learn:
    What neuroinclusion actually means (it's not just "neurodivergent-friendly"โ€”it's collaboration between all neurotypes)
    Why leaders are losing people: it's often not "work ethic," it's lack of respect, agency, autonomy, and psychological safety
    The RESPECT Framework: a simple "user manual" approach to talk about needs/preferences without requiring diagnosis or disclosure
    How to write a one-page "how my brain & body work" guide (without turning it into a 10-page autobiography)
    The difference between being told you belong vs neuro-belonging: belonging to yourself first (even in ableist spaces)
    A powerful reframe for people-pleasers: "Disappoint others before you disappoint yourself."
    Why "fix-the-person" workplace solutions failโ€”and how overworking in the first 30/60/90 days can lead to exploitation and burnout
    How leaders can hold hard conversations when someone is labeled "too direct," "difficult," or "emotional" (hint: set expectations before conflict)
    Workplace red flags for fake neuroinclusion: disorder-first language, functioning labels, sloppy "neurodiverse individuals," euphemisms, and excluding mental health from the neurodivergent umbrella
    How to advocate using universal design language (e.g., "the flickering lights are disabling" / "I need captions to absorb the content") without outing yourself
    If you're exhausted from masking all day, Pasha also shares how to talk to people at home about why you "crash" after workโ€”and how to find spaces where you can actually unmask and be understood.
    Pasha's book: Creating Cultures of Neuro Inclusion (paperback/Kindle/Audible)
    Website: PashaMarlowe.com
    Email: [email protected]
    Social: TikTok/IG @neuroqueercoach | LinkedIn/Facebook: Pasha Marlowe
  • Adulting with Autism

    Triggers vs Anxiety: The "Emotional Immunity" Behind Selfโ€‘Sabotage + How Memory Reconsolidation Creates Real Change (Brian DesRoches)

    02/04/2026 | 45 mins.
    If you've ever said "I know betterโ€ฆ so why do I keep doing this?"โ€”this episode is for you.
    April sits down with Brian DesRoches, a psychotherapist with 35+ years of experience, to unpack what's actually happening when we get triggered, people-please, shut down, avoid hard conversations, or spiral into self-blame.
    Brian breaks down a powerful reframe: your brain doesn't "hate change"โ€”it has emotional immunity to change when change feels unsafe. In other words, many self-defeating patterns aren't personality flawsโ€ฆ they're protective emotional learnings your nervous system is still running, often from long ago.
    In this episode, you'll learn:
    The difference between normal stress, anxiety, and being triggered (and why they're often lumped together)
    Why triggers are essentially threat predictionsโ€”"the feeling of what will happen"
    How behaviors like withdrawal, avoidance, people-pleasing, sarcasm, over-drinking, and perfectionism can be protective (not "brokenness")
    The neuroscience of memory reconsolidationโ€”and why insight alone often doesn't create change
    What it means to "update" an old emotional learning at the synaptic level (vs just coping after you're activated)
    A practical starting point: do a trigger inventory, identify one pattern, notice body signals, and name the feared outcome
    Why feedback/authority situations can feel so intense for autistic people: the threat of being seen
    How to find the right support: look for experiential therapy and ask about memory reconsolidation-informed approaches
    This conversation is validating, practical, and hopeful: you're not lazy, dramatic, or defectiveโ€”your brain is protecting you. And yes, you can update what it learned.
    Brian's website: BrianDeRoche.com
    (Books available on Amazon / by order at bookstores; includes a supplemental set of client stories.)
    If you found this episode helpful, follow the show and share it with someone stuck in a loop of self-blame.
  • Adulting with Autism

    The Autistic Adults Toolbox: Sensory "Hurricane Warnings," Masking Tradeโ€‘Offs & Burnout Recovery (with Natalie Diggins)

    01/04/2026 | 33 mins.
    What if "adulting" isn't failingโ€”it's just doing life without the tools your brain actually needs?
    In this episode of Adulting With Autism, host April talks with Natalie Digginsโ€”technologist and author of The Autistic Adults Toolboxโ€”about practical, real-world systems that make autistic life more manageable without shame, fluff, or forced positivity.
    Natalie shares why she built a "toolbox" in the first place (starting with the moment she couldn't even find a template to tell a surgeon what she needed), and how autistic adults can stop reinventing the wheelโ€”at work, in relationships, in social situations, and during burnout.
    In this episode, you'll learn:
    How to anticipate sensory overload instead of just enduring it (Natalie's simple day-by-day framework)
    The three times disclosure can make sense: helping someone, trust/intimacy, or the "thermonuclear option"
    How to plan for holidays and parties by protecting your "sensory calories" (before/during/after strategies + finding quiet spaces)
    The difference between meltdowns and tantrums, and how to explain meltdowns to a partner
    How Natalie spots burnout early with a "hurricane warning system"โ€”plus her written down plan for recovery
    A minimalist executive-functioning setup: the "Top 3" notepad rule (when apps are too much)
    Relationship communication that works: shifting to "I want / I need" language and making needs understandable across neurotypes
    If you've ever felt "too much," "too sensitive," or like you're behind in lifeโ€”this conversation is a reminder: you're not broken. You need tools.
    Find Natalie's book: The Autistic Adults Toolbox (online or at your local bookstore)
    If you liked this episode, follow/subscribe and share it with someone who needs practical supportsโ€”not pressure.
  • Adulting with Autism

    Sustainable Success Without Burnout: Rebalancing, Boundaries, Perfectionism, and Redefining "Success" โ€” with Carol Enneking

    30/03/2026 | 30 mins.
    If you're ambitious, high-performing, and secretly exhaustedโ€”this episode is for you.
    In this episode of Adulting With Autism, we talk with Carol Enneking, former corporate VP in Talent and Leadership and author of The Rebalancing Act, about redefining success in a way that doesn't cost your health, relationships, or sense of self.
    Carol shares what she saw inside high-performance culture: many of the most "successful" people were also the most depleted. Together we unpack why "balance" isn't a stable destination, how to rebalance in real life, and how autistic and neurodivergent adults can navigate burnout, sensory load, and maskingโ€”without sacrificing ambition.
    In this episode, we cover:
    Why high performers often achieve more while enjoying it less
    "Balance" vs rebalancing (and why balance is basically a myth)
    Boundaries for ambitious people: when to dial it up vs dial it back
    People pleasing + perfectionism: how to loosen your grip without doing sloppy work
    Burnout signs (physical + cognitive) and why time can prevent escalation
    How to redefine success using values, legacy, and intentional choices
    A healthier relationship with failure: "failed" vs "I am a failure"
    Practical questions to stop spiraling: best case, worst case, likely outcome
    Connect with Carol:
    Website: carolenneking.com
    Book: The Rebalancing Act (wherever books are sold)
  • Adulting with Autism

    How to Declutter When You're Overwhelmed: ADHD/Autism-Friendly Systems (Takilla Combs)

    28/03/2026 | 26 mins.
    If you're an autistic or ADHD adult struggling with clutter, executive dysfunction, burnout, or decision fatigue, this episode of Adulting with Autism is for you. Professional Organizer and Life Organizing Strategist Takilla Combs (founder of Xtreme Audacity Organized Solutions) breaks down why organization isn't about pretty bins, Pinterest pantries, or perfect routinesโ€”it's about building sustainable systems that support how you actually live.
    We talk about how clutter can be physical, mental, emotional, and operational, why high performers can look "together" at work while feeling overwhelmed at home, and how to create flexible routines that work for neurodivergent brainsโ€”without shame or perfectionism.
    In this episode, you'll learn:
    Why clutter often starts as brain clutter and shows up in your environment
    The real reason "motivation" and quick productivity hacks don't stick
    Takilla's S.Y.S.T.E.M. framework: clutter costs Space, Time, Energy, Money
    How to build routines around your natural rhythms (and adjust as life changes)
    What to do when your systems fall apart due to mental health dips or a busy season
    A simple approach to paper clutter: handle what's already open first, one pile at a time
    Guest: Takilla Combs โ€” Life Organizing Strategist + Professional Organizer
    Website: https://extremeaudacity.com (starts with X)
    Podcast: The Organized Life with Takilla Renee
    Social: @extremeaudacity | @takillarenee
    If this helped, follow Adulting with Autism, leave a review, and share this episode with someone navigating ADHD, autism, executive functioning challenges, or overwhelm.

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About Adulting with Autism

ADULTING WITH AUTISM A movement for neurodivergent adults, created by autistic occupational therapist April Ratchford, OTR/L. Adulting with Autism is a global community for autistic and ADHD adults navigating independence, relationships, college life, careers, emotional regulation, and real-world executive-function challenges. With over 2.7 million downloads, April blends lived experience, clinical insight, and honest conversation to guide neurodivergent adults into their next chapter of growth. Each episode brings practical tools, mental-health strategies, autistic storytelling, and real talk about boundaries, burnout, sensory needs, finances, friendships, and the messy parts of becoming an independent adult. Featuring leading experts in autism, mental health, neuroscience, accessibility, and creative industries โ€” along with deeply human stories from autistic adults around the world. If you're a late-diagnosed autistic adult, a college student trying to survive executive-function chaos, or a neurodivergent person trying to build a life that actually fits โ€” you are in the right place. ๐ŸŽ™๏ธ Hosted by: April Ratchford, OTR/L โ€” autistic occupational therapist, autism advocate, author, and executive contributor to Brainz Magazine.
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