Late Diagnosis ADHD: Looking Back for Context, Looking Forward for Clarity
Release Date: 11/06/2025
The Evolution of Assessment: It's More Than Just a Score
Neurodiversity Podcast
As public understanding of neurodiversity continues to grow, evaluators face a shifting landscape when assessing clients whose traits don't match traditional, less nuanced pictures of autism. Many individuals—especially women and girls—learn to navigate daily social interactions through pattern recognition and learned strategies rather than intuitive processing, masking their traits enough to miss early identification. Dr. Jeremy Sharp, a licensed psychologist, founder of the Colorado Center for Assessment, and host of the Testing Psychologist Podcast, joins Emily to unpack the realities...
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Autistic Girls Are Going Undiagnosed or Misdiagnosed
Neurodiversity Podcast
Often, autistic girls are called shy, introverted, perfectionistic, confused, anything BUT autistic. There is a pervasive impression, even in the medical community, that autism occurs in boys vastly more often than girls. The result is, autistic girls are missing out on services and tools that are available to them. Holly Blanc Moses is a therapist, and the host of the Autism ADHD Podcast, and she joins Emily Kircher-Morris in this encore presentation to talk about missing autism in girls. You can for our upcoming continuing education course for mental health professionals, Clinical...
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The Right to Be Heard: Reclaiming Communication Autonomy
Neurodiversity Podcast
The baseline premise of Augmentative and Alternative Communication (AAC) rests on the fundamental principle that communication is an inherent human right rather than a privilege to be earned through baseline cognitive compliance. Too often, school systems and clinical providers inadvertently stall access to verbal alternatives by requiring non-speaking students to prove communicative readiness or complete repetitive testing metrics. Brenda Del Monte, an AAC specialist and author, alongside Sarah Kinsella, an assistive technology specialist, join Emily Kircher-Morris to discuss ways to reverse...
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What We’re Learning About (Pervasive) Pathological Demand Avoidance
Neurodiversity Podcast
When an autistic child or teen consistently pushes back against daily expectations, traditional parenting and teaching methods often default to high-pressure enforcement. This pattern routinely triggers escalating defensive behaviors, creating a continuous loop of friction that strains the entire family system. In this encore conversation, Sandra McConnell, an advocate known as the PDA Mama Bear, joins Emily Kircher-Morris to unpack the nuanced framework of pervasive demand avoidance and explore how it reshapes typical social navigation. They talk about ways to shift the focus away from...
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The Parenting Long Game: Finding the Problem Under the Problem
Neurodiversity Podcast
Today we talk about how parent reactivity, historical family patterns, and systemic overwhelm inadvertently trap families in cyclical power struggles. Emily Kircher-Morris welcomes Diane Dempster, a professional coach, author, and co-founder of ImpactParents, to talk about how urgency often drives parents out of an objective problem-solving mindset, and toward reactionary behaviors that over-manage their kids, rather than supporting their neurological growth. They talk about the family as an interdependent system, and about how interpersonal traps of the traditional drama triangle can cause...
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The Rewards and Punishment Paradox with Alfie Kohn
Neurodiversity Podcast
Within traditional educational and parenting paradigms, behaviorist strategies such as token economies, behavior color charts, and positive reinforcement models are frequently treated as standard mechanisms for human development. However, these compliance-driven metrics often collapse under long-term evaluation, obscuring the critical psychological friction they introduce. Alfie Kohn, a prominent educational theorist and author of Punished by Rewards, joins the program to systematically critique the reliance on traditional behavioral modification systems, including school-wide positive...
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Educator Burnout: Why "Remember Your Why" Isn't Enough
Neurodiversity Podcast
The high statistical prevalence of burnout in the education system has moved past the realm of speculation and into undeniable systemic reality. While modern teacher preparation programs provide good technical training, they consistently fail to equip people with the emotional tools required to withstand chronic occupational stress. Katrina G. Huels, an educational consultant, former special education leader, and author of Transformational Tools for Special Educators, joins Emily to talk about the cumulative emotional load of behavior management, chronic staffing shortages, and high...
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Deconstructing Gifted Burnout
Neurodiversity Podcast
When highly capable children spend years cruising through an educational system where academic rigor is geared toward the average, they fail to develop the neurological muscles required to process difficulty. This week, we present an encore chat with Dr. Brian Housand, coordinator of the academically or intellectually gifted program at the University of North Carolina Wilmington, and Andi McNair, a gifted education author and digital innovation specialist. They discuss how burnout can be a result of long-term exposure to unrealistic expectations and a profound fear of failure, and how it can...
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Waiting for Sleep: Chronobiology and Neurodivergence
Neurodiversity Podcast
When a neurodivergent child or teen struggles with daytime focus, emotional volatility, or low frustration tolerance, caregivers naturally look for behavioral or psychological explanations. However, chronic sleep deprivation frequently hides behind these daytime struggles, acting as an unseen amplifier for executive dysfunction and sensory overload. Dr. Melisa Moore, a clinical psychologist and board-certified behavioral sleep medicine specialist at Rady Children's Health San Diego, joins Emily Kircher-Morris to reframe sleep not as an isolated nighttime issue, but as a continuous 24-hour...
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Understanding ADHD Children
Neurodiversity Podcast
Parents often believe they know their children, when in reality they haven’t made the effort to really understand them. That understanding can be even harder when adding ADHD into the mix. Dr. Sharon Saline is a clinical psychologist and author of the book, What Your ADHD Child Wishes You Knew. She talks with Emily Kircher-Morris about how to go about understanding your child better, and how ADHD can complicate the relationship. This conversation was previously released. Perfectionism can be difficult to identify in therapy, and once identified, still very difficult to overcome. If you're a...
info_outlineToday, Emily Kircher-Morris talks with Carla Ciccone, a Toronto-based writer and author of the book Nowhere Girl, about her experiences with ADHD, identity, and motherhood. Carla talks about dealing with her late diagnosis of ADHD, and the overall impact of societal expectations on women. They talk about the difficulties of navigating life with undiagnosed ADHD, how it increases the challenges of parenting, and the importance of self-awareness and therapy in managing ADHD symptoms.
TAKEAWAYS
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When you realize you've had ADHD all along, allow yourself grief and grace.
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Therapy can be a critical tool for understanding and managing ADHD as an adult.
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Motherhood can look completely different through the lens of ADHD.
For information about the variety of courses for teachers, parents, and mental health professionals through the Neurodiversity University, check the info page on our website.
Carla Ciccone is a Toronto-based writer whose work spans memoir, cultural commentary, and reported nonfiction. She is the author of Nowhere Girl, a powerful debut that blends personal narrative with investigative reporting to explore her experience of living with undiagnosed ADHD. Through sharp insight and humor, Carla sheds light on the challenges of late diagnosis and the complexities of navigating neurodivergence in a world that often overlooks it.
In addition to her book, Carla’s writing has appeared in a range of publications, where she explores topics related to identity, mental health, and gender. With Nowhere Girl, she offers a resonant, deeply personal account that has sparked conversations about how ADHD—especially in women—can remain hidden for years.
BACKGROUND READING
Carla on Instagram, Carla’s website, Nowhere Girl: Random House, Amazon
If you'd like members of your organization, school district, or company to know more about the subjects discussed on our podcast, Emily Kircher-Morris provides keynote addresses, workshops, and training sessions worldwide, in-person or virtually. You can choose from a list of established presentations, or work with Emily to develop a custom talk to fit your unique situation. To learn more, visit our website.
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