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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If I Could Do Things Differently...
<p>I just returned from an unforgettable month in Queenstown, New Zealand, which was top of my bucket list as a lifelong Tolkien fan, and my wife and I even did a vow renewal at Hobbiton. Beyond the scenery, the trip highlighted some powerful contrasts with life and business in the US, especially around community, culture, and personal well-being.</p><p>After years of building a "dream career"—hosting 22 international retreats, running multiple ventures, and chasing “success”—I’ve learned some hard lessons about burnout, intentionality, and redefining what matters.</p><p>3 Key Takeaways:</p>Intentionality over Hustle: Success fueled by constan...
Affirming Autism Assessments for High-Masking Adults
<p>In this episode, Patrick Casle and Dr. Salena Justice, a psychologist who specializes in working with high-masking autistic adults, talk about the realities of autism assessment and the ongoing need for affirming care in the mental health field.</p><p>Here are 3 key takeaways:</p>Affirming Approaches Matter: Many traditional training programs still lack truly affirming perspectives on autism, often focusing on stereotypical or high-support presentations. It's important for providers to move beyond outdated models and truly listen to the lived experiences of autistic individuals.Telehealth Can Be Empowering: Contrary to common hesitation, effective and affirming autism assessments are...
Be Annoying: Your Voice is Needed
<p>In this episode, Patrick Casale talks with Caryn Zaner, PsyD, founder of Therapy for the Apocalypse and Felt Not Fixed, about what it means to run a business—and a life—rooted in values, authenticity, and a commitment to community, especially while navigating the challenges of a capitalist system that isn’t designed for equity or collective care.</p><p>Here are 3 key takeaways:</p>Embrace Value Alignment, Even When It’s Hard: If your business decisions don’t feel authentic or congruent with your values, it’s nearly impossible to stay motivated or feel good about your work. It’s okay to...
Speak Like a Badass: Confidence, Clarity, and Opportunities for Therapists
<p>In this episode, Patrick Casale talks with Azizi Marshall, an award-winning entrepreneur, psychotherapist, and media trainer who recently pivoted from running a group practice to founding a cutting-edge video and podcast recording studio, about empowering professionals to communicate with confidence and clarity, as well as what opportunities might open up as a result.</p><p>Here are 3 key takeaways:</p>Embracing Career Pivots: Sometimes your true calling means letting go of what no longer serves you—even if it’s been a big part of your identity. Azizi’s decision to close her group practice wasn’t easy, but it creat...
Why Therapists Should Talk About Politics
<p>In this episode, Patrick Casale talks with Lauren Roberts, LPC, and ADHD-Certified Clinical Service Provider from South Louisiana, about the complexities and realities of therapists speaking (or not speaking) about politics in their practice. In today’s challenging climate—especially for marginalized and neurodivergent communities—this conversation feels more important than ever.</p><p>Here are 3 key takeaways:</p>Therapy is Political: Simply existing is political. For many clients, finding a therapist who affirms their values and needs isn’t a luxury—it’s a necessity. Silence or neutrality can inadvertently alienate those who need support most.Relatability Equals Accessibilit...
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...
