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Episode 126 (Season 4): Am I Still Me? Post-Diagnosis Identity Spiral
Episode 1263rd October 2025 • Divergent Conversations • Megan Anna Neff & Patrick Casale
00:00:00 00:29:43

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Discovering you're Autistic or ADHD as an adult can turn your whole sense of self upside down. Navigating the emotional aftermath—wondering, "Am I still me?"—often brings up more questions than answers, and can feel both destabilizing and deeply transformative.

In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the post-diagnosis identity spiral that so many neurodivergent people encounter. They break down the emotional complexities of life after self-discovery or diagnosis, exploring questions of authenticity, the role of masking, the impact of imposter syndrome, and how claiming a neurodivergent identity can shift relationships, careers, and even self-advocacy.

Top 3 reasons to listen to the entire episode:

  1. Unpack how coming to terms with an Autism or ADHD diagnosis can impact your sense of self, relationships, career, and community—plus, get insight into navigating the uncertainty and self-doubt that often arise after discovery.
  2. Learn why it’s common to experience imposter syndrome, emotional overwhelm, and a desire to "map" every experience to a diagnosis—and how to find reassurance and clarity in the midst of this complexity.
  3. Hear Patrick and Megan Anna’s honest reflections on their own journeys, including how health events, career changes, and intersecting identities complicate (and enrich) the process of integrating a new neurodivergent identity.

If you’re asking yourself who you are after discovering you’re neurodivergent—or supporting someone through this kind of identity spiral—this episode offers validation, practical insights, and the reminder that you’re not alone on this journey.

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Neurodivergent Insights Autistic Burnout Resources

If you’d like to supplement your learning on burnout, you can check out Neurodivergent Insights' resources on burnout. We have articles, an Autistic Burnout course, workbooks, and print books! Visit: neurodivergentinsights.com/burnout-resources

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Divergent Conversations Underground is a space for messy conversations, real connection, and unfinished thoughts in a neurodivergent-affirming community. If you’d like to go deeper with us into more nuanced, searching conversations, join here: divergentconversations.substack.com

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Mentioned in this episode:

Neurodivergent Insights' Autistic Burnout Resources

If you’d like to supplement your learning on burnout, you can check out Neurodivergent Insights' resources on burnout. We have articles, an Autistic Burnout course, workbooks, and print books! Visit: https://neurodivergentinsights.com/burnout-resources

Jane

Jane is a clinic management software and EMR designed to be an extra set of helping hands in your health and wellness business. Available online and on any device, Jane has branded online booking, scheduling, insurance billing, customizable documentation templates and online forms, integrated payments, telehealth, and more — wrapped up in one beautiful package that even your patients/clients will love. Backed by our unlimited human support available by phone, email, and chat (even on Saturdays!), Jane is here to help you get back to the work you love. Get 2 months off new Jane subscriptions when you use code DCPOD at signup. Visit: https://janesoftware.partnerlinks.io/divergentconversations

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