PodcastsEducationAdulting with Autism

Adulting with Autism

April Ratchford MS OT/L
Adulting with Autism
Latest episode

315 episodes

  • 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" entrepreneurs—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 fit—or you've secretly wondered if entrepreneurship might be your real lane—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 you—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 up—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 adulthood—including health outcomes, lifespan, and quality of life—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 gap—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 children—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 4—be sure to follow and listen.
  • Adulting with Autism

    Avoid the Chaos: Executive-Function Friendly Health & Care Planning with Raymond Lavine

    01/06/2026 | 39 mins.
    Raymond Lavine joins Adulting With Autism to talk about a topic most people avoid until it becomes a crisis: caregiving and long-term care planning—and why "I'm too young to think about that" is exactly how chaos happens later.
    Raymond grew up in Hollywood, California, and spent most of his career in financial services (commercial banking, mortgage banking, insurance). For the past 15+ years, his work has focused on long-term care benefits—what they are, what they aren't, and how to think about them as part of real-life adulthood (not just "nursing homes").
    In this conversation, Raymond reframes long-term care as something much broader than many people assume. Caregiving, he explains, is any time one person helps another with daily life—whether that's after an accident, during illness, with cognitive changes, or temporary mobility issues. And crucially: you don't have to be elderly to need caregiving.
    Raymond also shares personal stories that make the stakes real: experiencing an unexpected heart attack and the difference preparation can make, plus what it looked like to plan ahead for his wife's knee replacement and hiring a caregiver for the first time. He's candid about his own strengths and limitations—why he's "not caregiving material," why he's "not patient material," and how self-awareness can actually improve outcomes when a family is under pressure.
    For neurodivergent adults (and anyone with executive-function challenges), this episode is especially practical: Raymond walks through what information you should have ready (medications, providers, insurance details), why systems beat memory in emergencies, and how a little organization can reduce overwhelm when health situations move fast.
    In this episode, you'll hear:
    What "caregiving" really means (and why it's bigger than nursing homes)
    Why young adults should care: care needs can happen at any age
    The difference between planned vs. unexpected health events (knee surgery vs. heart attack)
    What happens when there's no plan: chaos, stress, time pressure, and avoidable mistakes
    Practical readiness: keeping your med list, providers, and insurance info accessible
    Executive-function friendly systems (digital notes, printed summaries, repeatable routines)
    Why long-term care plans exist: paying for help at home or in a care setting
    Reality check on employer benefits (and what questions to ask at work)
    How to communicate with care teams and caregivers with respect (they aren't "the help")
    Staying independent longer by using support strategically
    Guest: Raymond Lavine
    Raymond Lavine is a long-term care benefits advisor with a background in financial services. He helps individuals and organizations understand caregiving risk, cost planning, and long-term care options—so families aren't forced to figure everything out in the middle of an emergency.
    Where to find Raymond
    Raymond shares resources and contact info on his website: www.lavineltcins.com
  • Adulting with Autism

    Define Your Success: Resilience, Creativity, and Advocacy Tools with Nicholas Kelly (RD)

    30/05/2026 | 24 mins.
    Nicholas Kelly, MS, RD, LD joins Adulting With Autism for a powerful, practical conversation about chronic illness, resilience, executive function, and redefining success one day at a time.
    Diagnosed with Cystic Fibrosis at just three months old, Nicholas brings a rare dual perspective to this episode: he's both a registered dietitian and a lifelong patient. He shares what it's really like to build a meaningful life while managing a condition that demands constant planning, medication, and energy budgeting—and how those skills overlap with what many neurodivergent adults are already doing to navigate daily life.
    Nicholas has lived through high-stakes medical moments—multiple emergency surgeries, severe hospitalizations, and years of time spent admitted—yet he's also built a life that's intentionally expansive: clinician, speaker, poet, dancer, artist, educator, and advocate. In this episode, he breaks down how he turns "big concepts" like resilience, psychological safety, and confidence into steps you can actually use, especially when your bandwidth is limited.
    We also talk about the difference between motivation and systems, why "well-meaning advice" often misses the point when you're dealing with complex health realities, and how to define success without toxic productivity—especially during flare-ups, burnout, or major life disruptions.
    Through his work with Define Your Success LLC, Nicholas creates workshops for adults and young people (including neurodivergent audiences) focused on practical tools, self-expression, and advocacy. He's delivered 85+ speeches, completed a TEDx talk, appeared on local and national TV, and has spoken directly to the FDA as a patient advocate—always with the same goal: help people live bigger than their circumstances, without pretending the hard parts don't exist.
    In this episode, you'll hear:
    Living at the intersection of chronic illness + adulthood + identity
    What a "dual lens" looks like as a dietitian who's also a lifelong patient
    Nutrition as support (not perfection): practical approaches for low-energy days
    Executive-function strategies for managing meds, appointments, and daily planning
    Redefining success: measuring progress day by day when life is unpredictable
    Psychological safety + real support vs. "helpful" advice that doesn't fit reality
    Advocacy skills: how to speak up in healthcare settings and be taken seriously
    Creativity as regulation and resilience (poetry, dance, art) when life is heavy
    "Multiple passions" and the patience it takes to actually build skill over time
    Holding grief and hope together after loss within chronic illness communities
    Guest: Nicholas Kelly, MS, RD, LD
    Nicholas Kelly is a Registered Dietitian, public speaker, and cystic fibrosis advocate. Diagnosed in infancy, he combines clinical training with lived experience to teach practical tools for resilience, self-advocacy, and daily-life systems. He also creates workshops through Define Your Success LLC.
    Where to find Nicholas
    Workshops and speaking through Define Your Success LLC
    Nicholas is also known for his advocacy work and public speaking (TEDx, media features, FDA patient advocacy)
  • Adulting with Autism

    ADHD, Execution & "Starting Ugly": How to Stop Stalling and Finally Follow Through | Adam Tilove

    27/05/2026 | 39 mins.
    Why do so many people with ADHD (and other neurodivergent traits) struggle to follow through—even when they have great ideas?
    In this episode of Adulting with Autism, I sit down with executive coach and author Adam Tilove, creator of Neurodiscipline and the book Split Second: Stop Stalling and Start Doing. Adam shares powerful, real-world strategies to close the gap between ideas and execution—without relying on motivation alone.
    We dive into the hidden mechanics behind procrastination, including emotional "off-ramps," perfectionism, and the shame cycle that keeps so many neurodivergent adults stuck. Adam explains how ADHD brains process dopamine differently, why "starting ugly" is the key to momentum, and how small wins can completely transform your productivity and self-esteem.
    If you've ever felt like you're living in a "graveyard of unfinished projects," this episode will give you practical tools to finally move forward.
    In this episode, you'll learn:
    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why motivation isn't the problem—it's your system

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The concept of "recoil" and emotional off-ramps

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How perfectionism blocks execution (and how to beat it)

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> What "starting ugly" actually means and why it works

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> The power of small wins and momentum

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> Why sleep is critical for ADHD focus and discipline

    p]:pt-0 [&>p]:mb-2 [&>p]:my-0"> How to shift from "What's wrong with me?" to "What's wrong with my system?"

    Whether you're navigating ADHD, autism, or executive functioning challenges, this conversation will help you take action—imperfectly, but consistently.
    Listen now and take your first step toward follow-through.
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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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