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August 23, 2025 32 mins

In this episode, Patrick Casale and Dr. Priyanka Rao talk about her journey from clinical work into the world of coaching, viral social media growth, and the permission to let your path evolve—especially as a late-diagnosed ADHDer.

Her authenticity, humor, and vulnerability about pivoting careers offers valuable insight for clinicians, entrepreneurs, and anyone feeling pressure to “stick to the plan.”

Here are 3 key takeaways:

  1. Prioritize Authenticity Over Perfection: Showing up as your real self is what builds trust and genuine connection—whether you’re creating content, leading a group, or sitting one-on-one with a client.
  2. Embrace the Pivot (without shame): It’s okay—and healthy—to follow what excites you, even if it means leaving behind something you once worked hard for. Letting go of “shoulds” and honoring your energy isn’t a failure; it’s necessary growth.
  3. Impact Can Look Different: Transitioning to new modalities or scaling back can create a ripple effect—from helping more people at once to empowering others through your story. Your reach and impact aren’t limited to direct client hours.

Whether you’re managing a private practice, exploring entrepreneurship, or redefining your role entirely, give yourself the grace to evolve. Your journey doesn’t need to be linear or “by the book”—especially if leaning into your strengths and interests allows you to thrive and serve others more fully.

More about Priyanka:

Dr. Priyanka Rao—also known as Pri—is a Licensed Psychologist, executive coach, and founder of Asha Mental Health and Asha Coaching & Consulting. She specializes in adult ADHD and autism assessments and supports late-diagnosed professionals and entrepreneurs in building lives that work with their brains, not against them. A late-diagnosed ADHDer herself, she brings both clinical expertise and lived experience to everything she does.


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