All Things Private Practice Podcast
All Things Private Practice Podcast TM is where we dive deep into the gritty, unfiltered world of being a mental entrepreneur, mental health professional, and a private practice therapist. Join us as we explore the emotional roller coaster of small business ownership, tackling the raw and unapologetic aspects that often go unspoken. In each episode, we fearlessly dissect self-doubt, resilience, impostor syndrome, and paralyzing perfectionism. This podcast normalizes fear and failure and helps make the small business journey relatable. Patrick Casale is an Autistic ADHD licensed clinical mental health therapist, group practice owner, business coach, consultant, AuDHD TEDX speaker, retreat...
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Navigating the Messy Middle: Liminal Spaces in Private Practice
<p>Navigating the in-between phases of life isn’t easy—especially for private practice owners, leaders, and entrepreneurs pivoting in uncertain times. In this episode, Patrick Casale and Imani Harrison talk about liminal spaces—those in-between moments when something has ended but the next phase hasn’t yet begun—offering valuable insight for anyone building something new, feeling stuck, or doubting what comes next.</p><p>3 Key Takeaways:</p>Growth Always Involves Endings: Every transition—whether chosen or forced—brings grief and discomfort. Each ending has valuable information, and sometimes things have to crumble for us to rebuild better.Get Comfortable wi...
Why Talk Therapy Alone Falls Short for Healing
<p>As mental health professionals, we are overdue for a change in how we approach healing and support. In this episode, Patrick Casale talks with Dr. Colleen Cira—a nationally recognized trauma expert, group practice owner, and more—about the limitations of traditional one-on-one talk therapy and the urgent need for more community-focused solutions.</p><p>Here are 3 key takeaways:</p>The Traditional Model Leaves People Out: One-on-one talk therapy is valuable, but it’s rooted in a medical model that assumes a “sick person/expert fixer” dynamic. This leaves many clients—and even therapists—feeling disconnected and unsupported.Community is Essential f...
Beyond Picky Eating: How to Recognize and Treat ARFID
<p>In this episode, Patrick Casale and Dr. Marianne Miller break down critical myths about Avoidant/Restrictive Food Intake Disorder (ARFID) and offer practical, compassionate approaches for clinicians, parents, and anyone supporting neurodivergent folks with eating challenges.</p><p>Here are 3 key takeaways:</p>ARFID is not “picky eating”: Labeling someone as a “picky eater” implies willfulness or stubbornness, when ARFID is in fact a complex, involuntary experience often tied to sensory processing and interoceptive cues.A collaborative, sensory-affirming approach matters: Treating ARFID requires asking nuanced questions about sensory preferences, hunger awareness, and family dynamics. Pressure, shame, and coercion do more har...
Navigating ADHD and Rejection Sensitivity as a Therapist
<p>As an ADHD therapist, coach, and entrepreneur, navigating professional and personal life comes with unique challenges—and opportunities.</p><p>In this episode, Patrick Casale and Bobbi-Jo Molokken, psychotherapist, ADHD coach, and founder of Embrace the Muchness, LLC, dive into topics like Rejection Sensitive Dysphoria (RSD), real-life ADHD accommodations for therapists, and the importance of authentic self-disclosure with clients.</p><p>Here are 3 key takeaways:</p>Accommodations Are Essential, Not Optional: Implementing simple strategies like concurrent note-taking, scheduled sending of emails, and pausing to address recurring thoughts can increase effectiveness in both sessions and business operations.Name and Normalize Yo...
Push-Pull of AuDHD Burnout: ADHD Excitement vs. Autistic Exhaustion
<p>AuDHD Burnout goes beyond overwhelm felt from external forces in life and into an internal struggle of navigating the everyday tug-of-war needs and desires stemming from being both Autistic and ADHD.</p><p>In this episode, Patrick Casale talks with Atsede Scarseth, an AuDHD LPC, Coach, and Certified Yoga Teacher, about the complexities of AuDHD (Autistic + ADHD) burnout, masking, and the necessity of both self-acceptance and truly restorative rest, particularly as a neurodivergent entrepreneur.</p><p>Here are 3 key takeaways:</p>Burnout is Nuanced: It’s not just about overworking; neurodivergent people often burn out from sensory overload, masking, or...
Neurodivergent Friendships and Social Struggles
<p>In this episode, Patrick Casale talks with Caroline Maguire, ACCG, PCC, M.Ed. Caroline is an award-winning author and coach whose work inspires crucial conversations around social skills, friendship, and belonging—especially for neurodivergent adults. Patrick and Caroline discuss everything from unmasking and authentic connection to the real-life struggles and victories of forming meaningful relationships as adults who think differently.</p><p>Here are 3 key takeaways:</p>Go with Your Gut: Whether you’re writing, working, or building friendships, trust your instincts. Embracing confidence in your own voice—even when it means not pleasing everyone—is essential for authenticity and fulf...
Therapist Turned Comedian: Embracing ADHD and Change
<p>In this episode, Patrick Casale talks with Mim Kempson, a neurodivergent therapist, relationship expert, and now, stand-up comedian making bold moves from Australia to Montreal.</p><p>Mim offers a raw take on embracing neurodivergence and designing life—and business—around personal strengths and values. Her journey is proof that our differences can become our superpowers, whether in the therapy room or on a comedy stage.</p><p>Here are 3 key takeaways:</p>Context is Everything: Success as a neurodivergent professional often depends less on “fixing” ourselves and more on finding (or creating) environments where we thrive.Leaning Into Discomfo...
Mixed Neurotype Couples: Before and After Diagnosis
<p>In this episode, Patrick Casale talks with Thomas Kear and Lauren Sanderson, founders of neuroduo, about being in a mixed neurotype relationship, navigating ADHD and Autism, whether diagnosed or not. This conversation is packed with real-life reflections on neurodiversity, partnership, and communication.</p><p>Here are 3 key takeaways:</p>Understanding Yourself First is Crucial: Before you can support your partner, you need to understand and learn about your own neurodivergence—only then can you communicate your needs and work together.Communication Styles Can Be Wildly Different: The “Thunderstorm and Turtle” analogy for mixed neurotype partnerships (ADHD and Autistic) is a powe...
Spiritual and Energy Practices in Therapy: Law and Ethics
<p>In this episode, Patrick Casale and Dr. Tina Vitolo, founder of The Black Sheep Therapist® movement, talk about bringing non-traditional modalities and spiritual practices into clinical therapy settings and the service side of therapy. This conversation tackles the gray areas, legal myths, and shame therapists face when paving their own path to offer services like tarot card readings, crystal work, and past-life regression.</p><p>3 key takeaways:</p>You Can Integrate Spiritual/Energy Practices Ethically: Dr. Tina Vitolo shares her nationwide research into actual state laws and ethics codes—there is rarely black-and-white language forbidding innovative approaches. If you use...
Affirming All Bodies: Dismantling Anti-Fatness in Therapy and Everyday Life
<p>In this episode, Patrick Casale talks with Sabrina Longley about what it means to truly build a fat-affirming therapy practice. This topic is especially important as we head into the new year, and toxic resolution/fitness culture starts ramping up.</p><p>Here are 3 key takeaways:</p>Assume Less, Listen More: Approaching clients from a place of curiosity rather than assumption is crucial. Don’t make judgments about health, habits, or desires based on body size.Representation Matters: The resources, images, and stories we use in our practices should reflect the identities and lived experiences of all bodies—including larg...
