Episode 225

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Published on:

13th Dec 2025

Episode 225: Moving from Private Practice to Neurodivergent Parenting [featuring Amanda Losch]

Navigating private practice as a neurodivergent therapist, parent, and business owner is complex—and sometimes, the most important growth comes in those moments when we allow ourselves to pause, reassess, and adapt.

In this episode, Patrick Casale talks with Amanda Losch, neurodivergent therapist and mother, about the choice to step away from direct client work to focus on family, health, and community impact, and how this shift has come with grief, relief, and a redefining of professional identity.

Here are 3 key takeaways:

  1. Grief and Relief Can Coexist: Stepping back from a role you’ve worked hard to build may bring up conflicting emotions. Allow yourself to hold both the grief of letting go and the relief of honoring your needs without shame.
  2. Redefining Impact: Our ability to help doesn’t end when we step away from direct practice. Supporting the neurodivergent community, advocating for accessibility, and sharing lived experiences creates ripple effects—sometimes bigger than one-on-one sessions.
  3. Work with Your Energy, Not Against It: Accepting the natural ebb and flow of creativity, motivation, and energy can lead to better self-compassion. Instead of striving for an unrealistic “balance,” meet yourself where you are, appreciate your unique rhythms, and give yourself permission to rest.

If you’re in the thick of change or burnout, you’re not alone. Sometimes the best way forward is through curiosity, flexibility, and a little less self-judgment.

More about Amanda:

Amanda is an AuDHD therapist and private practice owner living in the Chicago suburbs, specializing in developmental trauma. Amanda recently took time away from direct practice to become a caregiver to her neurodivergent family. Between drop-offs and naps, she is building a resource network in her community for neurodivergent families, as well as providing education on safety, accessibility, and inclusion to local organizations. She enjoys exploring the intersection of neurodivergent parenting, chronic health, and developmental trauma. You can find content about the realities of parenting a neurodivergent family on Instagram @complex.motherhood, and you can find local resources (if in the Chicagoland area) on @ndfamilyguide.

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Thanks to Our Sponsors: The Receptionist for iPad!

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Thanks to The Receptionist for iPad for sponsoring this episode.

The Receptionist for iPad is a HIPAA-ready digital check-in system that eliminates the need to walk back and forth from your office to the waiting room to see if your next appointment has arrived. Clients or patients can check in for their appointments, and you'll be immediately notified by text, email, or your preferred channel. Break free from interruptions and make the most of your time, because it is valuable. Start a free 14-day trial of the Receptionist for iPad by going to thereceptionist.com/privatepractice. Make sure to start your trial with that link to get your first month free if you decide to sign up.

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You'll get a practical structure for therapists who want to start a podcast but don’t want to rush, perform, or build something they can’t sustain.

Grab your free copy of the Podcasting Workbook: https://ndpod.org/Free-Podcasting-Workbook

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Mentioned in this episode:

The Receptionist for iPad

 The Receptionist for iPad is a HIPAA-ready digital check-in system that eliminates the need to walk back and forth from your office to the waiting room to see if your next appointment has arrived. Clients or patients can check in for their appointments, and you'll be immediately notified by text, email, or your preferred channel. Break free from interruptions and make the most of your time, because it is valuable. Start a free 14-day trial of the Receptionist for iPad by going to https://thereceptionist.com/privatepractice. Make sure to start your trial with that link to get your first month free if you decide to sign up.

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About the Podcast

The Neurodivergent Entrepreneur
Honest conversations about building a business while Neurodivergent, the self-doubt, the chaos, and everything in between.
The Neurodivergent Entrepreneur is a podcast for ADHD, Autistic, and all other neurodivergent entrepreneurs who are building businesses, creative work, and lives that actually fit how their brains work. Hosted by Patrick Casale, LCMHC, this show is for people who
want to create meaningful work, create outside of the box, grow their impact, and build something sustainable without losing themselves in the process.

Being a neurodivergent entrepreneur can feel like holding a lot of contradictions at once. You may have big ideas, deep passion, creative energy, and a strong desire to do things differently. You may also be navigating burnout, masking, self-doubt, perfectionism, rejection sensitivity, executive dysfunction, inconsistent energy, and the pressure to keep showing up when your capacity is already stretched. This podcast speaks to that reality honestly, because building a business around your brain, your values, and your lived experience can be powerful, complicated, messy, and deeply personal.

Patrick Casale is a chronically ill, AuDHD, mental health therapist, entrepreneur, TEDx speaker, event host, group practice owner, and neurodivergent business owner who has built, grown, burned out, pivoted, and kept going. His work brings together clinical insight, lived experience, business perspective, and real conversation about what it actually takes to create something that feels values aligned. His conversations are direct, compassionate, unfiltered, and practical, with room for both the emotional reality of entrepreneurship and the concrete decisions that shape a sustainable business.

New episodes drop every Wednesday and feature honest conversations with neurodivergent entrepreneurs, creators, therapists, business owners, and leaders. Together, Patrick and his guests explore entrepreneurship, identity, mental health, chronic health,
creativity, leadership, systems, money mindset, visibility, community, sustainable growth, and the behind-the-scenes reality of creating work that matters.

Build your dream business. Protect your capacity. Work with your brain instead of against it.