The Tricky Relationship Between Addiction and Neurodiversity

On episode 233, Emily Kircher-Morris is joined by Patrick Casale, a mental health clinician specializing in addictions. The conversation covers a lot of ground, including neurodiversity-affirming practices, and the intersectionality of addiction and neurodivergence. They discuss the importance of creating a neurodivergent affirming environment throughout the therapeutic process, from intake to therapy sessions. They talk about the need for a more nuanced understanding of addiction in the neurodivergent community and the importance of community and connection in recovery. They address concerns about stimulant medication and its relationship to substance abuse, as well as the impact of video games and electronics on addiction. TAKEAWAYS Creating a neurodivergent affirming environment is crucial in the therapeutic process, from intake to therapy sessions. A more nuanced understanding of addiction is needed in the neurodivergent community, considering the impact of neurodivergent traits on coping mechanisms. Community and connection are essential in recovery from addiction. Concerns about stimulant medication and its relationship to substance abuse should be addressed with a focus on individual experiences and needs. The impact of video games and electronics on addiction should be evaluated based on how they affect daily functioning and well-being. Neurodivergent burnout requires sensory soothing and accommodations in the workplace or school settings. Support and normalization are important for individuals struggling with addiction. Get signed up for the live, free continuing education training, Foundations of Neurodiversity-Affirming Therapy, happening on Friday, July 12th. If you can’t be there live, you can still access the video and get the credit. Learn more about 2e students by taking our course, Strategies for Supporting Twice-Exceptional Students. It’s great for CE credits for educators, and the course will be enlightening to anyone curious about helping 2e students thrive in the classroom. Patrick Casale is an AuDHD Licensed Clinical Mental Health and Addictions Therapist in Asheville, NC.. He is the owner of All Things Private Practice and Resilient Mind Counseling. Patrick works as a business coach and strategist, and is also a group practice owner, motivational speaker, international retreat planner, the host of All Things Private Practice Podcast, and co-host of Divergent Conversations Podcast. His work has helped and inspired thousands of mental health professionals to take risks, start and grow their businesses, and invest in themselves. Patrick has been featured on Private Practice Startup, Abundance Practice Building, Therapy Reimagined, Not Your Typical Psychotherapist, Selling The Couch, and Modern Therapists. He is a passionate advocate for reducing shame and stigma of mental health, as well as impostor syndrome. Patrick helps mental health entrepreneurs break the mold, work through their fears and insecurities, and to embrace their authenticity. He loves good coffee, craft beer, playing soccer, and traveling the world. His official motto has become “doubt yourself do it anyway”. BACKGROUND READING Patrick’s website Instagram