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Episode 21 – Trauma, PTSD & Systems Harm

What if you're not "too much," "too complex," or "treatment resistant"? What if the very systems designed to help neurodivergent people are inadvertently causing harm instead?

In this episode, Aaron explores the deep intersection between neurodivergence and trauma — and why so many AuDHDers, autistic folks, and ADHDers find themselves stuck in cycles of misdiagnosis, invalidation, and burnout.


What we cover

  • The difference between big T trauma (PTSD) and complex trauma (cPTSD), and why complex trauma is so prevalent in neurodivergent communities
  • Why neurodivergent people are statistically more exposed to trauma, bullying, social exclusion, and adverse childhood experiences (ACEs)
  • How diagnostic overshadowing leads clinicians to mislabel trauma responses as personality disorders — or dismiss them entirely
  • The structural harms baked into school systems, healthcare, and historical practices like ABA
  • How masking, allostatic load, and burnout compound trauma and erode identity
  • Why service avoidance is often a reasonable response to repeated invalidation
  • The link between systems harm, hopelessness, and elevated suicidality in our communities
  • Practical scripts for advocating with GPs, psychologists, and other clinicians when you feel unheard


Key takeaway

The "complexity" so often attributed to neurodivergent clients usually isn't about us — it's about a mismatch between our characteristics, our histories, and systems built for someone else. Understanding trauma and neurodivergence together makes the "complex" much less complex.


Content warning

This episode discusses trauma, complex trauma, interpersonal violence, school bullying, healthcare harm, and suicidality at a conceptual level. Please pause and reach out to a support service if needed:

  • Lifeline: 13 11 14
  • Beyond Blue: 1300 22 4636
  • 13YARN: 13 92 76
  • QLife: 1800 184 527
  • Emergency: 000


Referenced research

  • Stickley (2022) – ACEs and neurodivergence
  • Berg (2024) – Adverse childhood experiences in autistic adolescents
  • Adams (2025) – Parents on CAMHS: "accumulating harm and waiting for crisis"

You are not too much. You are not defective. You are different — and you are worthwhile.

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Keywords: AuDHD podcast, autism and ADHD, neurodivergent psychologist, neurodiversity affirming, Howearth Psychology, queer psychologist, autism diagnosis, ADHD awareness, lived experience, neurodivergent mental health, clinical psychology podcast

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