In this episode, Patrick Casale and Elena Carroll, an Autistic content creator who’s inspiring many others on her journey of late-diagnosed autism, talk about her story of moving from New Zealand to Toronto and finding her voice as a writer and advocate for neurodivergent communities. This conversation highlights some powerful lessons for mental health professionals, neurodivergent individuals, and anyone passionate about inclusion.

Key Takeaways:

1. Unmasking and Self-Discovery is a Lifelong Process: Elena shares her experiences with late autism diagnosis, showing that it’s never too late to understand yourself and make space for authenticity—even if it means returning to and healing parts of your childhood.
2. Accommodations Are Not “Extras”—They’re Essentials: Both Patrick and Elena discuss the importance of embracing sensory tools, routines, and downtime as valid forms of self-care, not signs of weakness or “neediness.”
3. Community & Representation Matter: Finding others who share your experience makes a world of difference. Content creation and open conversation help others feel seen, reduce shame, and normalize diverse neurodivergent journeys.

If you’re looking to deepen your understanding of late-diagnosed autism and want a refreshing, vulnerable perspective on healing and self-acceptance, this episode is for you.

More about Elena:

I'm Elena. I was diagnosed Autistic at 25 after years of struggling with mental health challenges and receiving different diagnoses that didn’t quite fit. I always felt different growing up, but I spent most of my life working hard to appear “normal.” Now, at 29, I’m on a journey to undo more than two decades of masking and finally get to know my true self.

I recently moved from New Zealand to Toronto, Canada, and over the past 18 months, I’ve started creating content focused on neurodivergence and autism. This work has been incredibly healing for me and has helped me connect with others who share similar experiences. I’m also in the process of writing a book about what it’s like to be a late-diagnosed autistic woman, exploring all the complexities and discoveries along the way.

• Instagram: elenacarr0ll 
• TikTok: elena__carroll 
• YouTube: Elena Carroll

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Thanks to Our Sponsors: The Receptionist for iPad & Alma

✨ The Receptionist for iPad

Thanks to The Receptionist for iPad for sponsoring this episode.

The Receptionist offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option.

✨ Alma

Thanks to Alma for sponsoring this episode.

Building and managing the practice you want can be challenging. That’s why Alma offers tools and resources to help you build not just any practice, but your private practice. They’ll help you navigate insurance, access referrals who are the right fit for you, and efficiently manage administrative tasks — so you can spend less time on the details and more time delivering great care. You support your clients. Alma supports you. Visit helloalma.com/ATPP to learn more.

Mentioned in this episode:

Alma

I want to thank Alma for sponsoring this episode.
Building and managing the practice you want can be challenging. That’s why Alma offers tools and resources to help you build not just any practice, but your private practice. They’ll help you navigate insurance, access referrals who are the right fit for you, and efficiently manage administrative tasks — so you can spend less time on the details, and more time delivering great care. You support your clients. Alma supports you. Visit helloalma.com/ATPP to learn more.

Resilient Mind Counseling

It's Patrick. Some of you may know that I own a group therapy practice in North Carolina, Resilient Mind Counseling. We specialize in supporting the Neurodivergent, LGBTQIA+, and Black, Brown, and Asian communities online and across North Carolina. We also have limited in-person openings at our offices in Asheville and Cary. We really love working with clients who are coming to terms with both Autism and ADHD discoveries later in life or questioning, as well as the intersections of race, gender, identity, and orientation. All of our therapists have lived experience and identify as AuDHD, Autistic, or ADHD. Our team of affirming therapists offers a safe, anti-racist, anti-oppressive, inclusive, and accessible space where you can show up exactly as you are—no masking, no judgment, and no need to make eye contact, just real connection and healing. We accept most commercial insurances like Blue Cross Blue Shield, United, Aetna, and Med Cost, as well as self-pay options. We currently have openings for new clients. Visit our website at resilientmindcounseling.com. You can also text or call our HIPAA-compliant phone line at (828) 515-1246, or email us at scheduling@resilientmindcounseling.com.

The Receptionist for iPad

I want to thank The Receptionist for iPad for sponsoring this episode.
From new patients faced with an empty lobby and no idea where to find their therapist to clinicians with a session running over time and the doorbell ringing, some of the most anxiety-ridden moments of a therapy appointment happen before a session even starts. The Receptionist for iPad, helps you tackle some of that pre-appointment apprehension and anxiety. The Receptionist for iPad is an easy-to-use digital client check-in system that helps your visitors check in securely to their appointments and notify their practitioners of their arrival via SMS, email, or your preferred channel. No more confusion, and less lobby checking or having clients sign in on paper logbooks. It can even help you upgrade and update your demographic information for your clients as well and even validate parking.

Start a 14-day free trial of the Receptionist for iPad by going to thereceptionist.com/privatepractice. Make sure to start your trial with that link and you'll also get your first month free if you decide to sign up.