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AuDHD Expert: What Female AuDHD Really Feels Like, THIS Trait Makes You Vulnerable!

Dr. Samantha Hiew is a highly specialised female ADHD and Autism expert with a PhD in medical sciences. She’s here to give you a detailed crash course in AuDHD and help you spot it. Chapters: 00:00 Trailer 01:57 What AuDHD feels like 04:29 Sam’s story 26:29 Tiimo advert 28:09 Fearing your self diagnosis is wrong 30:14 How to spot AuDHD in women 35:48 When your partner doesn’t understand 37:48 How to advocate for yourself 40:02 How Autism can mask ADHD 40:52 The AuDHD RSD experience 47:16 Difference between RSD and narcissistic rage 48:24 How autism can parent ADHD 49:57 AuDHD Hacks 51:50 Most requested audience questions Visit Sam’s website 👉 https://samanthahiew.com Join Sam's AuDHD programme 👉 https://hub.adhdgirls.co.uk/AuDHD-Women-Intersectional-Scientific-Lens Find Sam on LinkedIn 👉 https://www.linkedin.com/in/samanthahiew/ Join the Patreon community 👉 https://www.patreon.com/cw/ADHDChatter Get 30% off an annual Tiimo subscription 👉 https://www.tiimoapp.com/offers/adhdchatter Buy Alex's book entitled 'Now It All Makes Sense' 👉 https://www.amazon.co.uk/Now-All-Makes-Sense-Diagnosis/dp/1399817817 Pre-order Alex’s latest book about Rejection Sensitive Dysphoria 👉 https://linktr.ee/adhdchatter?utm_source=linktree_profile_share&ltsid=9ffd8709-06df-444c-9936-c136fbd14d6e Producer: Timon Woodward  Recorded by: Hamlin Studios Trailer editor: Ryan Faber DISCLAIMER: The content in the podcast and on this webpage is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website.

Alex Partridgehost
Mar 3, 202656mWatch on YouTube ↗

CHAPTERS

  1. 0:00 – 1:57

    Trailer: AuDHD as heightened cue/threat detection in women

    A fast teaser frames AuDHD as a distinct neurotype overlapping with autistic girls’/women’s social communication patterns. It highlights intense sensitivity to cues, and how trauma can shift that sensitivity into threat detection.

  2. 1:57 – 4:29

    What AuDHD feels like: the push–pull nervous system collision

    Sam describes the core felt experience as competing needs: sameness/control versus freedom/novelty. This internal contradiction can create distress, especially during transitions, and often leads to “squiggly careers” and frequent reinvention.

  3. 4:29 – 26:29

    Sam’s path: late diagnosis, squiggly career, and finding the AuDHD lens

    Sam connects lived experience (diagnosed in her 40s) with a scientific background (PhD, cancer research) and a nonlinear career across many industries. She explains how shame, identity, motherhood, and postnatal anxiety intersected with undiagnosed neurodivergence and ultimately fueled her advocacy work.

  4. 26:29 – 28:09

    Why women get missed: gender bias, masking, and the ‘lost girls’ pattern

    The conversation turns to systemic diagnostic blind spots: assessments built around stereotyped presentations, and women’s higher masking and social motivation. Sam describes difficulties relating to criteria, and how women may make friends but struggle to maintain them—often the most painful part.

  5. 28:09 – 30:14

    Denied autism diagnosis & the trauma misattribution problem

    Sam recounts being denied an autism diagnosis multiple times, with clinicians attributing her traits to trauma. She explains how the assessment process itself can be traumatic, especially when it drills into bullying, friendships, and relational history, and how lacking a developmental witness complicates formal diagnosis.

  6. 30:14 – 35:48

    Vulnerability trait: intense need for connection, trauma, and relationship ‘push–pull’

    Sam shares a painful period involving divorce and an intermittent reinforcement relationship dynamic that intensified dysregulation. She explains how AuDHD women’s strong drive for connection can increase susceptibility to push–pull cycles, leading to PTSD-like symptoms and “person addiction.”

  7. 35:48 – 37:48

    Tiimo sponsor break: neurodivergent-friendly planning support

    A brief ad break introduces Tiimo as a planning app designed for neurodivergent users. The pitch emphasizes flexible scheduling, an AI planning assistant, and voice transcription as accessibility tools.

  8. 37:48 – 40:02

    Fear of being ‘wrong’: self-doubt during diagnosis and timing trauma work

    They address the common fear that an assessment might invalidate someone’s explanation for their struggles. Sam describes how confusing criteria, falling below thresholds, and intensive trauma therapy at the wrong time can destabilize people who have masked for decades.

  9. 40:02 – 40:52

    How to spot AuDHD in women: ‘swan’ masking, cue overload, and rumination

    Sam outlines a recognition profile: high social drive, heavy masking, intense cue pickup, and confusion about others’ true intentions. She highlights the “swan” metaphor—appearing fine publicly while paddling frantically underneath—followed by shutdown/decompression at home.

  10. 40:52 – 47:16

    When your partner doesn’t understand: recovery needs and unhealthy coping

    Sam explains that without support for decompression, cohabitation can become walking on eggshells and constant masking. They discuss how lack of recovery space can push people toward coping via alcohol, work, shopping, eating, or conflict—often to self-soothe rather than for pleasure.

  11. 47:16 – 48:24

    Self-advocacy in real life: boundaries, sensory planning, and micro-environments

    Sam shares practical advocacy strategies for events and public speaking: controlling heat, sound, and crowd exposure, and creating portable calm through headphones. She describes becoming more selective, limiting time on-site, and choosing solitude to reduce overwhelm.

  12. 48:24 – 49:57

    Autism masking ADHD, and the AuDHD RSD experience as threat scanning

    They explore how overlapping traits (executive function, sensory issues, emotional dysregulation) can hide AuDHD in plain sight. Sam reframes RSD in AuDHD as a nervous system phenomenon: heightened salience detection—especially after trauma—shifts into hypervigilant threat detection in relationships and work.

  13. 49:57 – 51:50

    RSD vs narcissistic rage, and ‘autism parenting ADHD’ inside the mind

    Sam addresses why RSD episodes can resemble narcissistic rage, especially when trauma, addiction patterns, or personality structures are involved. They also discuss an internal “parent/child” dynamic—stability becomes intolerable and novelty-seeking kicks in—sometimes amplified by trauma-driven need to feel alive.

  14. 51:50 – 56:59

    AuDHD hacks + audience Q&A: boundaries, basics, and hormones/menopause

    They close with practical guidance: start with protecting recovery and basic needs, and default to “no” to avoid overcommitment. Audience questions cover depression/anxiety misdiagnosis, how menopause/hormonal shifts can unmask AuDHD and reduce masking, and whether to seek diagnosis even when life feels manageable now.

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