Episode 261

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Published on:

26th Aug 2026

Episode 261: Dragons, Dopamine, and Autistic Special Interests [featuring Mandi Dixon]

What happens when a TV show, book series, fictional universe, or character becomes so much more than entertainment?

Patrick Casale is joined by returning guest and ADHD Executive Function Coach Mandi Dixon for a deep dive into Game of Thrones, House of the Dragon, and the powerful role special interests can play in neurodivergent lives.

From favorite characters and dragons to Autistic-coded characters, PDA, hyperfixation, and the emotional devastation of a terrible series finale, Patrick and Mandi explore why fictional worlds can become sources of joy, nervous system regulation, connection, belonging, and escape. They also unpack something that isn't discussed nearly enough: the genuine grief that can happen when a special interest ends or suddenly stops providing the comfort it once did.

And yes—there are major Game of Thrones and House of the Dragon spoilers, so consider yourself warned.

3 Key Takeaways:

  1. Special interests can be much more than hobbies. For neurodivergent people, they can provide regulation, connection, belonging, predictability, and a place to experience genuine unmasked joy.
  2. Losing a special interest can create real grief. Finishing a beloved series, losing connection with an interest, or watching a fictional world come to an end can leave a surprisingly significant emotional void.
  3. Shared interests can transform neurodivergent connection. When people are given space to enthusiastically discuss what they love without masking or judgment, perceived "social deficits" can look very different—revealing connection, depth, and genuine enthusiasm instead.

More about Mandi:

Mandi Dixon is a Licensed Professional Counselor, EMDR therapist, and ADHD Executive Function Coach specializing in the intersection of ADHD and perimenopause in women. She’s a member of The Menopause Society and the International Society for the Study of Women’s Sexual Health, and her work has been featured in USA Today and Good Morning America. Mandi is based in Allen, Texas, where she sees clients and is currently writing her first book on ADHD and midlife hormonal health.

THE NEUROPAUSE COLLECTIVE is a group of 8 founding members of clinicians, coaches, advocates, and creators who all got tired of seeing the same gap and decided to build what we couldn’t find.

A structured community for neurodivergent people in midlife.

The NeuroPause Collective includes live support calls, monthly webinars and Q&As, practical resources, and access to people who actually understand the intersection of neurodivergence and midlife.

And eight of us means eight different perspectives.

Eight different areas of expertise.

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Because no single person should be anyone’s only source of information, especially when we’re talking about something as complicated as neurodivergence, hormones, mental health, relationships, work, identity, and midlife.

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Sign up here or find us on IG @neuropausecollectivehttps://www.theneuropausecollective.com/

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Mentioned in this episode:

NeuroPreneur Circle Community

NeuroPreneur Circle is an online community built by and for neurodivergent entrepreneurs who want a supportive space to build a business, a space where they can show up as themselves and in whatever way feels most comfortable. NeuroPreneur Circle exists because community built on masking isn't really community. And business advice built for neurotypical brains isn't actually useful to us, no matter how many times we try to make it fit. Whatever your neurotype, whatever you're building, there's a space here for you. You've been creating alone long enough. Visit: https://atppod.com/community

Show artwork for The Neurodivergent Entrepreneur

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.