Grief is not just about death—and that misunderstanding keeps a lot of people stuck, ashamed, and confused about what they're feeling.
In this episode of Adulting With Autism, Kathryn "Katie" Brzozowski, a clinical social worker (DSW) and owner of a group private practice, breaks down what grief can look like in everyday life—especially for neurodivergent people and overwhelmed caregivers. Katie draws from years of medical social work experience (including oncology) to explain how any loss can create grief: a job, a relationship, health changes, even losing hair or a body part.
We also talk about the hidden toll of caregiving—why it's emotionally and physically draining, how depletion builds over time, and why "self-care" isn't a luxury when you're responsible for someone else's needs.
Katie brings in Acceptance and Commitment Therapy (ACT) to reframe resilience in a realistic way: life is going to keep "life-ing," and a full life includes the full range of emotions—not constant happiness. Instead of getting trapped in "Why did this happen to me?" forever, she encourages a shift toward the how: how you want to live now, what you value, and what support you need next.
This conversation is especially for listeners who feel exhausted, overloaded, stuck in rumination, or afraid to ask for help because they feel like a burden.
In this episode, we cover:
Why our culture is uncomfortable with grief—and why that makes loss lonelier
Grief beyond death: job loss, divorce, health changes, body changes, identity shifts
Sneaky signs of grief people don't expect: forgetfulness / feeling "untethered"
rumination, catastrophizing, "life will never be good again" thoughts
The emotional + physical drain of caregiving (and why depletion makes everything harder)
The psychological load of invisible health challenges (and the pressure to "prove" you're struggling)
Resilience through ACT (Acceptance & Commitment Therapy): happiness isn't the goal 24/7
values-based living even with difficult emotions
What helps when your mind and body are both exhausted: prioritizing
asking/accepting help without shame
noticing how your thoughts about self-care can ruin or restore it
Overthinking + over-functioning + pushing emotions down: why it "works" short-term but costs long-term
Transitions (small and big) and why they activate anxiety—especially with autism/ADHD
Moving from "Why did this happen?" to "How do I move forward?"
A grounded reminder: things change—a lot, and more often than you can predict
Normal stress vs overload: when it's time to talk to someone
"Feeling like a burden": the key difference between being told you're a burden vs assuming you are
why feelings aren't always facts
What compassionate support looks like for autistic adults: support shaped by the person's needs—not control
Find Katie / Speakeasy Counseling:
Website: speakeasycounselingandpsychotherapy.com or speakeasytoday.com
TikTok: Speakeasy Counseling
YouTube: Speakeasy Counseling
Podcast: Long Story Longer (with a psychiatric nurse practitioner)
Location: New Jersey (in-office + online options mentioned)