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Divergent Conversations

Megan Neff & Patrick Casale

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Dr. Megan Neff and Patrick Casale are two neurodivergent therapists in a neurotypical world. During this podcast, they’ll talk about their own personal experiences as Autistic-ADHDers. They will reflect on their lived experience as AuDHD mental health professionals, and entrepreneurs, as well as offer clinical guidance, and support. Episodes will be conversational in nature, and they’ll interview other ND Folx to amplify the voices of other neurodivergent advocates and individuals as they sh ...
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Want to understand the link between neurodivergence and eating disorders? The Liv Label Free Podcast provides you with insights and strategies for recovery through meaningful conversations and stories of lived experience. Your host, Livia Sara, is an autistic ED warrior that now guides other neurodivergent individuals and their loved ones to a life of freedom. Learn more about Livia on her website livlabelfree.com and follow her on Instagram @livlabelfree!
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Why are neurodivergent people at an increased risk of experiencing trauma? In this episode, Livia Sara chats with Dr. Neff, a neurodivergent psychologist and founder of Neurodivergent Insights where she creates education and wellness resources for neurodivergent adults. Dr. Neff is the author of the book “Self-Care for Autistic People” and she has …
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Dealing with chronic health issues can often feel like a neverending battle, especially when it seems like there’s no clear path to improvement. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss their personal battles with chronic health conditions. They provide an insightful analysis using the …
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Can being neurodivergent contribute to addiction? How can you make traveling easier as an autistic and ADHD individual? Why do autistic people make excellent entrepreneurs? In today’s episode of the Liv Label Free Podcast, Livia Sara chats with Patrick Casale, an AuDHD Licensed Clinical Mental Health and Addictions Therapist. Patrick is a group pra…
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Navigating the complexities of personal identity and public presentation can be incredibly challenging, especially for those in the neurodivergent community with later-in-life discovery who have crafted a well-established public identity and role. In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, and Maureen Werrb…
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Is PMDD related to autism and ADHD? How can experiencing extreme hunger in eating disorder recovery lead to PMDD? In today's episode, Livia Sara combines science and lived experience to uncover the intricate connection between extreme hunger, neurodivergence and PMDD. You'll learn: How I healed hypothalamic amenorrhea and got my period back The dif…
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Neurodivergent individuals can sometimes feel overwhelmed by emotions or struggle to understand their own stress responses, and entrepreneurship can add another level of intensity to this experience. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Yunetta Smith, a licensed clinician, coach, …
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ADHD entrepreneurs can face unique challenges while balancing creativity, passion, and ideas with organization, implementation, and struggles with executive functioning. In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, talk with Gabrielle Juliano-Villani, owner of GJV Consulting and Training, about ADHD's impact …
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My book “How to Beat Extreme Hunger” is here! In today’s episode, Livia and Mike discuss the experience of extreme hunger from a neurodivergent perspective, highlighting a variety of topics from the book. You’ll learn: The harmful impact of extreme hunger being diagnosed as binge eating disorder Using food to stim as an autistic ADHD individual The…
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Entrepreneurship can on the surface appear to bring the promise of freedom and autonomy, but it also comes with unique psychological challenges that many neurodivergent entrepreneurs struggle to navigate. In this episode, Patrick Casale and Dr. Megan Neff, two AuDHD mental health professionals, talk with Dr. Corey Wilks, a psychologist and executiv…
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Entrepreneurship can be an attractive alternative for neurodivergent individuals to the traditional 9–5 jobs that cater to a society that is systemically more accommodating to neurotypical needs. However, being a neurodivergent entrepreneur comes with its own challenges and triumphs, from managing executive functioning to dealing with burnout. In t…
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Extreme hunger is SUCH a terrifying part of the recovery process and can be especially confusing when you're also autistic...but extreme hunger is also such an IMPORTANT part of eating disorder recovery, which is why it's essential you learn to recognize it! In today's episode of the Liv Label Free Podcast, Livia Sara connects extreme hunger with t…
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It’s natural to have questions following neurodivergent discovery, diagnosis, or while embracing a new identity. Additionally, some individuals might not identify as neurodivergent but are curious about the very nuanced conversations happening in and around the community. In this second Ask The Audience episode, Patrick Casale and Dr. Neff, two AuD…
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Welcome to this Liv Label Free Neurodiversity-Affirming Guided Meditation, designed especially for those experiencing overthinking and anxiety related to autism. This practice embraces and affirms your unique neurodivergent mind, providing a safe and supportive space to calm your thoughts and find inner peace. 🎙️ Get FREE Audio Training on Autism a…
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It’s natural to have a flood of questions following neurodivergent discovery, diagnosis, or while embracing a new identity. Additionally, there are individuals who might not identify as neurodivergent but just have curiosity about the very nuanced conversations happening in and around the neurodivergent community. In this episode, Patrick Casale an…
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My mom is back for part 2 of our Q&A on autism and eating disorders! In today’s episode, we delve into the unique challenges faced by families when it comes to communication when dealing with autism and eating disorders. You’ll learn: Tips to communicate with an autistic person struggling with food How to build a safe and trusting environment in ED…
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For adults questioning if they are Autistic, ADHD, etc., there is often an exploratory and somewhat confusing phase where they feel in between two different identities. In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, talk with Jak Levine-Pritzker, founder of Authentically ADHD LLC, about navigating identity when…
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How do you best support an autistic child with an eating disorder? Is FBT helpful or harmful? Where can you get support as a parent? In today’s episode, Livia Sara and her mom Louise Alexandra answer listener questions about autism and eating disorders. You’ll learn: Slow and painful realization that your child is developing an eating disorder How …
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For ADHDers, romanticism is a common struggle where you find yourself constantly daydreaming about an ideal future and struggling with the reality of the present. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the intricacies of romanticizing experiences and the repercussions that come with i…
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Do you delay eating until your to-do list is in order? Perhaps, you believe eating is more "enjoyable" when you save most of your calories for the night. Or maybe you just can't get out of the restrict-binge cycle that's controlling your days! If you want to gain practical strategies for cultivating a peaceful relationship with food, this episode i…
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It’s common for ADHDers to feel these waves of inspiration that may lead to a romanticized version of the future that would come by acting on them. However, if action is taken, it alternatively might be accompanied by the ADHD tax—financial burden, over-commitment, broken dreams and promises, feelings of guilt and regret, etc. In this episode, Patr…
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Navigating the world with ADHD can present unique challenges, particularly when it comes to motivation and productivity. Whether it's the difficulty of getting started on mundane tasks or the complexities of staying engaged over time, the rollercoaster of emotional ups and downs can be hard to manage. In this episode, Patrick Casale and Dr. Megan A…
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My dear friend Victoria Kleinsman is back! In part 2 of our chat on all things body image, bingeing, and creating the life you love, we discuss: Fear of “letting yourself go” and losing control around food Intuitive eating VS. intuition eating How to find your happy weight without restricting The importance of eating “junk food” in eating disorder …
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ADHD often brings unique challenges with impulsive behaviors which can make everyday interactions and tasks more complex. In an attempt to better understand the ways ADHD can present in daily life, this episode uses the DSM-5 diagnostic criteria as a framework for discussion—this is not an endorsement of the DSM-5. In this episode, Patrick Casale a…
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ADHD hyperactive traits are often misunderstood and the DSM-5’s portrayal of this type is heavily geared toward children and adolescents, which can make it harder to understand and address in adulthood. In an attempt to better understand the ways ADHD can present in daily life, this episode uses the DSM-5 diagnostic criteria as a framework for disc…
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What does it REALLY mean to love your body? Today, Livia chats with her bestie Victoria Kleinsman, a Food Freedom & Body Love Coach. After spending over 20 years battling eating disorders and being petrified of weight gain, Victoria empathizes with the challenges of anorexia, bulimia, and binge eating. Now living in food freedom and self-love, she …
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ADHD has many nuances and is often misunderstood and stereotyped. In an attempt to better understand the ways ADHD can present in daily life, this episode uses the DSM-5 diagnostic criteria as a framework for discussion—this is not an endorsement of the DSM-5. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professi…
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Navigating the identification, assessment, and diagnosis of ADHD as an adult can be confusing and overwhelming. This mini-series on ADHD focuses on demystifying the diagnostic criteria and making the process clearer and more understandable. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, dive into ADH…
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It’s time for another update episode! Today, Livia is joined by her co-host Mike to share what’s been going on behind the scenes of Liv Label Free. We discuss: Why I left the Netherlands My upcoming extreme hunger book The Dutch translation of Rainbow Girl Experiences visiting Los Angeles Why neurodivergers are more likely to be followed by securit…
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When parenting a neurodivergent child or young adult, traditional approaches don't always fit. Balancing the unique needs with the world's expectations can feel isolating and overwhelming. In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, speak with Lisa Dube, LCSW and founder of Merrimack River Wellness, about th…
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Autism and eating disorders have a complex relationship that for years has been overlooked often resulting in traumatic approaches to recovery and a misunderstanding of the experience and mindset of Autistic individuals struggling with disordered eating. In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, talk with …
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When it comes to understanding autism, picky eating, and the infinite array of neurodivergent traits, nothing is more powerful than stories of lived experience. In this episode, Livia Sara speaks with George Muniz Gund, a Brazilian American autistic and ADHD actor, neurodiversity acceptance and disability justice advocate, podcast host, and blogger…
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Premenstrual Dysphoric Disorder (PMDD) is an often misunderstood and misdiagnosed condition and yet has a profound impact on the lives of the people who are experiencing it. In this episode, Patrick Casale and Dr. Megan Neff, two AuDHD mental health professionals, talk with Jes Hagen, a nutritional therapist and integrative menstrual health educato…
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Navigating a world packed with all sorts of seemingly mismatched sensations, either overstimulating or understimulating, and having passionate interests that can appear as all-consuming to others, can be challenging and greatly impact the way we build relationships and even just get through the day. In this episode, Patrick Casale and Dr. Megan Ann…
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For many Autistic individuals, the consistency of routines isn't just nice, it's a way to accommodate the sensory needs of their systems. Routines are reflected internally and externally, and the disruption of these routines can result in great distress. In this episode, Patrick Casale and Dr. Neff, two AuDHD mental health professionals, talk about…
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Navigating social relationships can be a complex, nuanced journey for Autistic people, and the way it presents in day-to-day interactions and situations is incredibly diverse. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, discuss the complexities of friendship management for Autistic individuals, as…
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What is autism? This question comes up a lot these days, and conversations around autism are extremely nuanced, making it hard to pinpoint one right way of looking at it, so let’s explore autism from what it means historically and clinically to how it represents identity, and all the things in between. In this episode, Patrick Casale and Dr. Megan …
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What is atypical anorexia and how does it differ from anorexia nervosa? This episode of the podcast uncovers the TRUTH about this eating disorder and validates the experience of individuals struggling with atypical anorexia. You'll learn: How atypical anorexia is diagnosed The role of BMI in eating disorders Atypical anorexia prevalence An alternat…
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Burnout can make even the simplest tasks feel insurmountable, as well as look and mean very different things when you approach it from the lens of neurodiversity, where the meanings, causes, and coping mechanisms become very nuanced. In this episode, Patrick Casale and Dr. Megan Ann Neff, two AuDHD mental health professionals, explore the landscape…
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A traditional workplace can be really challenging for neurodivergent individuals, and if a workplace culture is made to be one-size-fits-all, the chances are high that it won’t fit for many neurodivergent people. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Lyric Rivera, founder of NeuroD…
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What’s the difference between anorexia and ARFID? Unfortunately, there is incredible confusion when distinguishing between these two eating disorders. In today’s episode, you’ll learn: What is anorexia? What is ARFID? Overlapping symptoms of anorexia and ARFID Why eating disorders are adaptive behaviors Why autistic people may develop anorexia and/…
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Creativity is a medium of expression and connection that often works well for neurodivergent individuals. In this episode, Patrick Casale and Dr. Megan Neff, two AuDHD mental health professionals, talk with Bret Malley about the intersection of autism and creativity. Bret shares his journey of autism advocacy, inspired by the desire to support his …
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Sensory meltdowns and shutdowns can be deeply misunderstood and unsettling experiences, whether you've faced them personally or seen a loved one struggle. For many Autistic individuals, dealing with overwhelming sensory stimuli is a recurring battle. The space between feeling in control and experiencing a complete sensory meltdown or shutdown can b…
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A later-in-life diagnosis of a neurodivergent condition can be a catalyst for great relief after years of searching for answers and feeling a bit different as well as invoke grief over the shift in identity, the years of not knowing, a new understanding of limitations, and changes that this understanding might bring. In this episode, Patrick Casale…
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Is metabolism a possible connector of autism and anorexia? To date, there is meager scientific evidence of the role that metabolism plays in neurodiversity and eating disorders separately, much less the role it plays when the conditions co-occur. In this episode, you will learn two reasons why metabolism may be altered in autistic individuals and h…
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Navigating the world of autism advocacy can be an emotional and complex journey, filled with deeply personal conversations about identity, representation, and systemic change. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk with Tiffany Hammond, mother, storyteller, and the creator of Fidgets and…
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You see the message everywhere: if you want to recover from an eating disorder, you have to let go of all the rules around food! While this may sound like the ultimate form of food freedom, it can hinder neurodivergent people from reaching their unique version of food freedom. In this episode, Livia share 3 reasons why food rules may be helpful for…
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When you are struggling with sensory overwhelm, social anxiety, feelings of not fitting in, and the many other common struggles that neurodivergent individuals experience, there can be a lot of appeal to turn to coping mechanisms that can temporarily reduce those feelings. However, these momentary escapes can lead to dependency, addiction, and ulti…
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Today's episode explores why the popular eating disorder recovery advice to "eat mindfully" is not always accessible to neurodivergent individuals in recovery from disordered eating. You'll learn about a more neurodiversity-affirming approach to eating so you can reduce your anxiety around mealtimes! 🎙️ Get FREE Audio Training 👉🏻 Don't miss out! Ex…
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Many neurodivergent people grew up with the feeling of being different, not belonging, and some even feeling like the world was against them. They may have also received painful labels like, “challenging,” “too much,” and “not enough,” among others. In this episode, Patrick Casale and Dr. Megan Anna Neff, two AuDHD mental health professionals, talk…
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What’s the BEST treatment for eating disorders? In this episode of the Liv Label Free Podcast, Livia chats with Harriet Frew about the importance of creating relationships built on trust and safety. Harriet Frew is a licensed therapist and host of The Eating Disorder Therapist Podcast. She is an experienced expert in the ED recovery space and has t…
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