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Episode 58: Neurodiversity at Work: A Clinician Explains Why Accommodations Go Wrong & How to Do Better

Featuring Matthew Seneshen, clinical counselor & educator specializing in neurodiversity and workplace mental health



How do you survive at work when the system expects you to prove you’re struggling before it offers help?



In this episode, we explore:


Neurodiversity & Identity

  • Early diagnosis, dysgraphia, and processing differences

  • Shifting from “broken” to understanding neurodivergence as natural variation


Workplace Reality

  • Why accommodations often fail in real-world settings

  • The gap between inclusive policies and actual day-to-day experiences

  • Stigma, “othering,” and the pressure to self-disclose


Systems & Models

  • Medical model vs. social model of disability

  • Introducing the biopsychosocial approach to workplace support

  • Why workplaces struggle to implement meaningful change


Universal Design & Solutions

  • Moving from individual accommodations to universal workplace design

  • Collaborative, proactive support instead of reactive gatekeeping

  • Why supporting all workers improves outcomes (and retention)


Self-Advocacy & Boundaries

  • How to communicate needs without over-pathologizing yourself

  • Knowing your “line” at work before burnout hits

  • Navigating conflict with managers and systems


Mental Health & Meaning

  • Separating your worth from productivity

  • Values-based work and identity outside of your job

  • Grief, burnout, and rebuilding a sense of self



Key Questions Answered in the Audio:

  1. Why do workplaces require proof of struggle before offering support?

  2. How do you know in advance if an accommodation will be helpful or sustainable?

  3. How do you advocate for yourself without oversharing or stigmatizing yourself?



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