Skip to content
ADHD Chatter PodcastADHD Chatter Podcast

No.1 AuDHD Expert: The Lonely Side Of AuDHD Nobody Talks About

Dr. Samantha Hiew is an ADHD and Autism expert with a PhD in Medical Sciences and lived experience of being AuDHD. In this episode, we explore the hidden cost of masking Autism, the identity crisis that can follow a late diagnosis, why making friends can feel so difficult, and how to find your true self after years of pretending to be someone you're not. If you've ever felt different, misunderstood, or like you don't know who you really are, this conversation is for you. Chapters: 00:00 Trailer 01:28 Why Autism Often Goes Unnoticed 03:22 My Emotional Reaction To An Autism Diagnosis 04:59 The Identity Crisis Nobody Talks About 07:18 Processing A Late Autism Diagnosis 11:39 Why Traits Can Feel Stronger After Diagnosis 12:59 The Hidden Cost Of Masking AuDHD 16:40 How To Find Yourself Again 20:32 Tiimo Advert 23:12 Why Making Friends Is So Difficult 25:39 Finding Love As An AuDHDer 30:57 The Stages Of AuDHD Acceptance 35:50 Audience questions Visit Sam’s website 👉 https://samanthahiew.com Learn more about Sam's new AuDHD Women's Practitioner Masterclass: https://hub.adhdgirls.co.uk/AuDHD-in-women-masterclass   Find Sam on Instagram 👉 https://www.instagram.com/samanthahiewphd/ 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 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
Jun 1, 202639mWatch on YouTube ↗

CHAPTERS

  1. Trailer: the lonely, destabilizing side of AuDHD and late diagnosis

    A quick preview frames late-diagnosed AuDHD as an emotionally intense experience—often tied to trauma history, rejection, and the nervous-system need for safe connection. Dr. Samantha Hiew is introduced as a specialist helping people process diagnosis and identity shifts.

  2. When autism is suspected (and why it’s missed—especially in women)

    Samantha explains common windows when people seek an autism assessment, often after an ADHD diagnosis. Life transitions, relationship struggles, and hormonal changes can reveal coping limits and bring traits into sharper focus.

  3. The emotional hit of a late AuDHD realization: grief, frustration, anger

    The conversation turns to the emotional rollercoaster after discovering there’s “more going on” than ADHD alone. People often grieve lost years and feel deep frustration at being misunderstood, which can escalate into anger about being missed.

  4. The identity crisis: masks, false selves, and the ‘life quake’

    Samantha describes AuDHD identity as layered—like an onion—where removing one mask reveals another. For some, the mask becomes an entire persona, making late diagnosis feel like a destabilizing “life quake” with no stable anchor of self.

  5. When the mask stops working: collapse, midlife turning points, and authenticity demands

    The episode explores why some people protect the false self until it fails—often during a “dark night of the soul” moment. As relationships and life structures change, inauthenticity becomes harder to sustain, forcing confrontation and healing work.

  6. Friendships after self-discovery: outgrowing old bonds and choosing alignment

    As self-understanding increases, people often reassess friendships built on the masked version of themselves. This can lead to endings and beginnings—becoming more discerning about what aligns with values, health, and nervous-system needs.

  7. Why traits can feel stronger after diagnosis: attention, anxiety, and medication effects

    Alex asks whether unmasking can make autism/ADHD traits appear to worsen. Samantha explains that heightened self-monitoring and anxiety can amplify awareness, and medication changes can also make autistic traits more pronounced.

  8. The hidden cost of masking: overfunctioning, safety-seeking, and relationship patterns

    Samantha shares personal and community examples of overfunctioning—being others’ “frontal lobe”—and how biology (perimenopause) can remove the capacity to keep doing it. She connects masking to outsourcing safety in relationships and the need to anchor safety internally.

  9. Finding yourself again: inner child, protector parts, reparenting, and emotional expression

    The discussion moves into practical inner work: understanding the ‘inner child’ and the protective parts that react with anger or shutdown. Healing involves reparenting, building internal safety, and practicing emotional expression within relationships.

  10. Sponsor break: Tiimo planning app for neurodivergent brains

    Alex shares an ad for Tiimo, positioning it as a flexible planning tool designed by and for neurodivergent users. The segment highlights AI-assisted planning and voice transcription to reduce decision paralysis and forgetfulness.

  11. Why making friends can be harder post-diagnosis: trauma, doubt, and ‘parallel play’

    Samantha frames late diagnosis as traumatic for many, intensifying feelings of difference. While ND-to-ND friendships can increase understanding, shared trauma can also create triggering dynamics—yet alternative connection styles like parallel play can work well.

  12. Finding love as an AuDHDer: attachment shifts, truth, and quieter seasons

    Samantha discusses changing attachment patterns and the need for relationships grounded in truth rather than performance. Increased discernment may reduce dating volume for a time, but can lead to higher-quality alignment and more conscious relationships.

  13. Stages of AuDHD acceptance: confusion, dissonance, denial, bargaining, integration

    The episode outlines common emotional stages after late AuDHD recognition. People may cycle through confusion and cognitive dissonance, then denial and bargaining (overexplaining/oversharing), before moving toward integration—often after anger is processed.

  14. Audience Q&A: anger after diagnosis, ‘fad’ skepticism, and ‘is it too late?’

    Alex pulls questions from the audience, focusing on persistent anger, older adults doubting AuDHD’s legitimacy, and late-life diagnosis decisions. Samantha reframes anger as loss of agency, encourages openness to assessment, and emphasizes it’s never too late to benefit from self-knowledge.

Get more out of YouTube videos.

High quality summaries for YouTube videos. Accurate transcripts to search & find moments. Powered by ChatGPT & Claude AI.