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December 13, 2025 33 mins

Navigating private practice as a neurodivergent therapist, parent, and business owner is complex—and sometimes, the most important growth comes in those moments when we allow ourselves to pause, reassess, and adapt.

In this episode, Patrick Casale talks with Amanda Losch, neurodivergent therapist and mother, about the choice to step away from direct client work to focus on family, health, and community impact, and how this shift has come with grief, relief, and a redefining of professional identity.

Here are 3 key takeaways:

  1. Grief and Relief Can Coexist: Stepping back from a role you’ve worked hard to build may bring up conflicting emotions. Allow yourself to hold both the grief of letting go and the relief of honoring your needs without shame.
  2. Redefining Impact: Our ability to help doesn’t end when we step away from direct practice. Supporting the neurodivergent community, advocating for accessibility, and sharing lived experiences creates ripple effects—sometimes bigger than one-on-one sessions.
  3. Work with Your Energy, Not Against It: Accepting the natural ebb and flow of creativity, motivation, and energy can lead to better self-compassion. Instead of striving for an unrealistic “balance,” meet yourself where you are, appreciate your unique rhythms, and give yourself permission to rest.

If you’re in the thick of change or burnout, you’re not alone. Sometimes the best way forward is through curiosity, flexibility, and a little less self-judgment.

More about Amanda:

Amanda is an AuDHD therapist and private practice owner living in the Chicago suburbs, specializing in developmental trauma. Amanda recently took time away from direct practice to become a caregiver to her neurodivergent family. Between drop-offs and naps, she is building a resource network in her community for neurodivergent families, as well as providing education on safety, accessibility, and inclusion to local organizations. She enjoys exploring the intersection of neurodivergent parenting, chronic health, and developmental trauma. You can find content about the realities of parenting a neurodivergent family on Instagram @complex.motherhood, and you can find local resources (if in the Chicagoland area) on @ndfamilyguide.


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