PodcastsCulture et sociétéAdulting with Autism

Adulting with Autism

April Ratchford MS OT/L
Adulting with Autism
Dernier épisode

275 épisodes

  • Adulting with Autism

    Stop Chasing KPIs: The Performance Trap, OKRs vs Curiosity & the OLA "Puzzle" Framework (with Radhika Dutt)

    05/04/2026 | 36 min
    If KPIs, OKRs, and vague performance reviews make you feel like you're constantly proving yourself—and still never "doing it right"—this episode will click.
    April is joined by Radhika Dutt (electrical engineer, startup builder, author of Radical Product Thinking, and an ADHD-identified leader) to unpack why goals and targets often backfire, crush curiosity, and fuel burnout—especially for neurodivergent brains that thrive on meaning, pattern-finding, and problem-solving.
    Instead of "hit this number," Radhika introduces a different way to work (and lead): puzzle setting + puzzle solving, using her OLA framework—a practical method you can apply in corporate, healthcare, education, and everyday life.
    In this episode, you'll learn:
    What OKRs and KPIs actually are—and why they often create performance theater instead of real progress
    How target culture trains people to hide "bad numbers," making leaders the last to know when something is wrong
    Why goal systems get gamed (the Microsoft support-queue example) and how that destroys morale for people who care about quality
    The emotional cost of performance culture: masking, burnout, and losing intrinsic motivation
    The shift that helps neurodivergent people thrive: move from goal-setting to puzzle-setting
    How to set a strong puzzle using the 3 O's: Observation (what's happening)
    Open Questions (what we genuinely don't know yet)
    Objective (the puzzle summary)

    How to solve puzzles without binary "pass/fail" thinking using 3 questions: How well did it work?
    What did we learn?
    What will we try next?

    How to respond to vague performance feedback by turning it into a puzzle you can clarify and act on (including an OT/healthcare example)
    Why psychological safety is required for this approach—and how leaders can model it without "shooting the messenger"
    What the performance trap looks like at work and in personal life (chasing the next target → fast track to burnout)
    When goals do work: repetitive tasks (reps at the gym) vs complex work that needs exploration (puzzles)
    Radhika also shares real outcomes from puzzle-led work (including growth and churn improvement) and why it's okay—and necessary—to ask open questions you don't yet have answers to.
    Free toolkit + framework: Radhika's OLA (Observe, Hypothesize, Learn, Adapt) resource (link in show notes)
    Connect with Radhika: LinkedIn (link in show notes)
    Upcoming book: releasing ~2027 (Radhika welcomes listener stories using the framework)
    If you're tired of performing and ready to problem-solve like your brain actually wants to—this one's for you.
  • Adulting with Autism

    Emerging Adulthood on the Spectrum: Autonomy, "Long Runways," Therapy Fit & Moving Out Step‑by‑Step (Dr. Jack Hinman)

    04/04/2026 | 47 min
    Turning 18 doesn't flip an "independent adult" switch—especially for autistic young adults.
    In this episode of Adulting With Autism, April talks with Dr. Jack Hinman, Psy.D. from Engage (Southern Utah) about what actually helps autistic young adults move toward adulthood without losing autonomy, burning out, or getting stuck at home.
    Dr. Jack breaks down why the transition from high school → "real life" often feels like a cliff, how parents can shift from control to influence, and what supports matter most when young adults are building real-world skills.
    In this episode, you'll hear:
    Why "if you met one autistic person, you met one autistic person" matters in support planning
    The idea of bandwidth: sensory bandwidth, demand bandwidth, and social bandwidth—and why respecting it changes everything
    Emerging adulthood as a longer runway (18–30+) and why interdependence is often the real goal
    How to help parents stop treating adult kids like kids—without abandoning them
    What goes wrong when autistic young adults have a bad therapy experience (and how to re-enter therapy slowly)
    How to make therapy fit the person: pacing, reducing demand (even 15-minute family sessions), side-by-side seating, and meeting in less intense settings
    Transition planning that actually works: building independence in small reps (menus, phone calls, scheduling, money habits)
    What to do when a young adult is chronically online: start with empathy, name the belonging need it meets, and build bridges to structured offline connection
    College readiness reality check: high school scaffolding hides skill gaps—start smaller (community college, high-interest classes, EF coaching/tutoring)
    Dating while living at home: shift from "control" to relationship-based influence and keep connection close
    Reframing anxiety: you can't grow without it—validate + normalize instead of treating anxiety as failure
    A practical first step for moving out: make a 1–10 list and start with the easiest "number 1" action today
    If you're a young adult who wants independence—or a parent trying to support it without micromanaging—this episode gives you language, frameworks, and next steps that don't rely on shame.
    Learn more: engagelifenow.com
    Dr. Jack on LinkedIn: Jack Hinman
  • Adulting with Autism

    Neuroinclusion Without Disclosure: The RESPECT Framework, Neuro‑Belonging & Workplace Red Flags (with Pasha Marlowe)

    03/04/2026 | 38 min
    "Be yourself at work"… 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)—therapist (32+ years), coach to neurodivergent adults and couples, and author of Creating Cultures of Neuro Inclusion—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"—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 fail—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 work—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 Self‑Sabotage + How Memory Reconsolidation Creates Real Change (Brian DesRoches)

    02/04/2026 | 45 min
    If you've ever said "I know better… so why do I keep doing this?"—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"—it has emotional immunity to change when change feels unsafe. In other words, many self-defeating patterns aren't personality flaws… 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 predictions—"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 reconsolidation—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 defective—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 Trade‑Offs & Burnout Recovery (with Natalie Diggins)

    01/04/2026 | 33 min
    What if "adulting" isn't failing—it's just doing life without the tools your brain actually needs?
    In this episode of Adulting With Autism, host April talks with Natalie Diggins—technologist and author of The Autistic Adults Toolbox—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 wheel—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"—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 life—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 supports—not pressure.

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À propos de 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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