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<v Speaker 1>Welcome to the Trauma Therapist Podcast. My name is gimickperson.

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<v Speaker 1>I interview incredible people who've dedicated their lives to helping

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<v Speaker 1>those who've been impacted by trauma. A big thank you

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<v Speaker 1>to our sponsors and our guests who are supporting this

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<v Speaker 1>show five four, three, two and one our folks, welcome

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<v Speaker 1>back to the podcast. Very excited to have as my

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<v Speaker 1>guest today. Crystal Kasagnasi. Crystal welcome, Thank you all right.

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<v Speaker 1>Crystal is a registered psychologist and the founder of Thrive

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<v Speaker 1>Psychology Health Team. With nearly a decade of experience supporting children, adolescents,

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<v Speaker 1>adults and families, Crystal specializes in comprehensive psychological assessments and

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<v Speaker 1>evidence based therapy for anxiety, depression, trauma, and neurodivergence. A

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<v Speaker 1>neurodivergent practitioner and parent herself, she brings both clinical expertise

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<v Speaker 1>and lived experience to her work, offering a trauma formed

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<v Speaker 1>and affirming perspective. Our Crystal. Obviously just a little bit

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<v Speaker 1>about you, but before we going share with the listeners

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<v Speaker 1>where you're from originally and where you are currently, and

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<v Speaker 1>then we'll get going.

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<v Speaker 2>So I am a first generation Canadian, So I was

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<v Speaker 2>born in Toronto and I still reside in the Greater

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<v Speaker 2>Toronto area. My parents are originally from Bulgaria and so

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<v Speaker 2>they immigrated to Canada before I was born with my

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<v Speaker 2>older sister.

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<v Speaker 1>All Right, so how does all this start for you?

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<v Speaker 3>Yeah, definitely as a story there.

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<v Speaker 2>I think for many of us in this field, without

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<v Speaker 2>a purpose, passion might not always be there. And so

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<v Speaker 2>there definitely was a time where I too, myself struggled

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<v Speaker 2>with my own mental health, and I think one being

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<v Speaker 2>a first generation Canadian is tricky, and so definitely the

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<v Speaker 2>layers there and navigating that where you're in a society,

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<v Speaker 2>your parents are coming from a different society, friction is,

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<v Speaker 2>they're struggling, they're trying to figure it out and doing

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<v Speaker 2>the best that they can with the resources that they have.

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<v Speaker 2>But it all came to like a screeching salt, and

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<v Speaker 2>I thought I hit rock bottom when I was probably

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<v Speaker 2>about sixteen years old in Grade ten, and thought that

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<v Speaker 2>I didn't want to live anymore. And so thankfully I'm

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<v Speaker 2>alive and I'm still here, and I had help from

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<v Speaker 2>a professional.

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<v Speaker 3>But that's really what started.

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<v Speaker 1>If you're jumping over all these chapters, you're giving us

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<v Speaker 1>the intro and the epilogue. What was going on for you?

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<v Speaker 1>I mean you mentioned the backdrop, but specifically to the

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<v Speaker 1>degree that you feel comfortable. What were you experiencing.

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<v Speaker 2>Yeah, so, like you mentioned, I am late diagnosed neuro divergent,

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<v Speaker 2>so I didn't know back then, but the struggles were

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<v Speaker 2>definitely there.

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<v Speaker 3>I didn't wake up in my.

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<v Speaker 2>Thirties and become an ADHD or autistic.

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<v Speaker 3>It was there.

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<v Speaker 2>I just didn't have the language to really understand that.

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<v Speaker 2>And so traditionally I always did quite well in school,

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<v Speaker 2>but again I did struggle with deadlines, procrastination, getting things done,

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<v Speaker 2>and I remember there was summatives is what we would

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<v Speaker 2>call it, final exams, assignments, all of these things come

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<v Speaker 2>to a close at the end of the year. And

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<v Speaker 2>I went to a school that was non semestered, so

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<v Speaker 2>I had eight courses that I had to deal with,

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<v Speaker 2>So that would have been eight exams and eight final

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<v Speaker 2>projects that I postponed and delayed and put off to

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<v Speaker 2>the very end, and so it was the end of

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<v Speaker 2>the world that I had to get it all done.

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<v Speaker 1>So this was going on for you, was undiagnosed? Did

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<v Speaker 1>this show up symptomatically in terms of what anxiety stress

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<v Speaker 1>I'm imagining.

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<v Speaker 3>Yes, so it did show up sabbatically.

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<v Speaker 2>I had a panic attack, which I had no idea

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<v Speaker 2>what that was. And I remember it was the dead

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<v Speaker 2>of winter in Canada and I was walking with my

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<v Speaker 2>friend and I just couldn't breathe, I couldn't see. I

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<v Speaker 2>started to feel dizzy, and she was like, do I

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<v Speaker 2>call an ambulance?

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<v Speaker 3>What do I do?

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<v Speaker 2>And I was like sixteen years old, and I had

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<v Speaker 2>no idea what was happening. In my mind, I probably

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<v Speaker 2>thought I was having a heart attack or dying or something,

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<v Speaker 2>which of course we know make things worse. And so

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<v Speaker 2>that was my body showing me how stressed out I was.

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<v Speaker 1>Right.

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<v Speaker 2>I did go to the hospital. They did tell me

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<v Speaker 2>it was a panic attack, but I don't think I

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<v Speaker 2>really made sense of it back then like I do now.

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<v Speaker 2>And I continued to push myself and then I just

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<v Speaker 2>couldn't take it anymore.

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<v Speaker 3>There was too many things.

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<v Speaker 2>I felt like my parents didn't get me, they didn't

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<v Speaker 2>get it. I felt like I was alone and the

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<v Speaker 2>only one in this world that was dealing with this thing.

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<v Speaker 2>And so oh, I one night was like, I don't

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<v Speaker 2>want to be here anymore.

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<v Speaker 3>But I'm still here.

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<v Speaker 1>So what did you do with that one night? Did

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<v Speaker 1>you just had that thought? Did you?

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<v Speaker 3>Yeah? So thank you for asking.

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<v Speaker 2>I don't know how much detail you want, but I

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<v Speaker 2>am going to open it too, because I do think.

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<v Speaker 1>People are going to connect with you with your story, right,

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<v Speaker 1>I mean, this is what this podcast is about. I

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<v Speaker 1>don't want just a thirty thousand foot view of what's

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<v Speaker 1>going on. To the degree that you feel comfortable sharing,

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<v Speaker 1>is a lot of people have that same experience? What

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<v Speaker 1>was yours?

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<v Speaker 2>Yeah? Yeah, So I guess I had said this is it,

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<v Speaker 2>I'm done with this place, and I had some minde

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<v Speaker 2>all and tyin a li all and I took a

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<v Speaker 2>whole bunch right, And I remember crying and feeling absolutely

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<v Speaker 2>like out of it. I couldn't walk and I was like, wait, no,

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<v Speaker 2>what's happening?

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<v Speaker 3>I why did I do this? And I had to crawl.

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<v Speaker 2>To my older sister's room and she had she was

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<v Speaker 2>two rooms down for me, and I crawled there and

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<v Speaker 2>it was like nighttime, and so I literally grasped onto

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<v Speaker 2>her and said I need help. And I guess like

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<v Speaker 2>she woke up in a panic. My parents woke up

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<v Speaker 2>in a panic. Didn't know what happened. I couldn't talk,

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<v Speaker 2>I was like out of it, and so they took

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<v Speaker 2>me to an emergency and I guess at that time

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<v Speaker 2>they like hooked me up to IVS and try to

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<v Speaker 2>get things out of my system. And I was okay, thankfully,

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<v Speaker 2>but yeah, I guess I really was done at that time.

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<v Speaker 2>And then in that's liver of a moment, I was

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<v Speaker 2>like wait, wait, like what did I just do? And

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<v Speaker 2>I thankfully someone was there that really one helped me physically.

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<v Speaker 2>But then afterwards I got connected with supports from my

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<v Speaker 2>mental health that really helped me with that and really

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<v Speaker 2>pave the journey for me to say, hey, like I

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<v Speaker 2>had this experience, I really struggled. Someone was there for me,

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<v Speaker 2>and I want to do this for others as well.

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<v Speaker 1>Well. Okay, so how does the healing journey for you unfold?

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<v Speaker 1>And how old are you at this point?

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<v Speaker 3>I am thirty two years old this year.

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<v Speaker 1>So when you had that experience, I was sixteen. Okay,

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<v Speaker 1>so you get help. Someone hears you at what point?

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<v Speaker 1>But you said you weren't diagnosed. You weren't diagnosed at

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<v Speaker 1>that point? We were you diagnosed with anything at that point?

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<v Speaker 2>No? Your point and I think healing definitely is a

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<v Speaker 2>lifelong journey, and I strongly believe that we're always healing

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<v Speaker 2>and learning and unlearning. So even though I've healed, I'm

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<v Speaker 2>still very much so in that state where I'm always

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<v Speaker 2>trying to improve. But what had happened is I saw

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<v Speaker 2>a psychiatrist at the hospital and a social worker and

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<v Speaker 2>didn't deem meet at risk enough. So I was at

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<v Speaker 2>home and I had to go back to school. And

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<v Speaker 2>my mom, coming from a household of an immigrant right

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<v Speaker 2>where traditionally mental health all of these things, it's very

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<v Speaker 2>nuanced and we don't really talk about it, don't know

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<v Speaker 2>how to support.

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<v Speaker 3>I remember hearing things like.

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<v Speaker 2>Kind of like ignored, yeah, and you know, bless her

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<v Speaker 2>because she didn't know what to do. And she went

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<v Speaker 2>to my high school and was like, this is what happened.

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<v Speaker 3>Help me.

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<v Speaker 2>I don't know what to do. And I think in

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<v Speaker 2>that moment as a teenager, I hated her for it

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<v Speaker 2>because I felt embarrassed and humiliated. But looking back, thank

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<v Speaker 2>goodness she did that. So of course, in Canada when

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<v Speaker 2>there's difficulties like this, and in the States as well, right,

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<v Speaker 2>we have systems that support students as best as they can,

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<v Speaker 2>and so I was connected with the school social worker,

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<v Speaker 2>which was phenomenal. It was a wonderful experience for me.

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<v Speaker 2>And I think, you know, a part of it is

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<v Speaker 2>I was getting involved with like the wrong crowd and

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<v Speaker 2>skipping school, you know, not really anchoring myself in my

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<v Speaker 2>academic success that I did have. And so this person

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<v Speaker 2>just told me straight and kind of helped me, you know,

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<v Speaker 2>anchor myself.

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<v Speaker 3>And they told.

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<v Speaker 2>Me, if I want to pursue this, because I had

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<v Speaker 2>shared with them, you really helped me. I want to

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<v Speaker 2>do this, that I had to put in the hard work.

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<v Speaker 2>So they were able to help me find places to

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<v Speaker 2>volunteer in in high school. But I had to show

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<v Speaker 2>up and I had to you know, interview, and I

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<v Speaker 2>had to do it.

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<v Speaker 3>I ended up.

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<v Speaker 2>Switching high schools through conversations with them my parents. You know,

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<v Speaker 2>eight courses was a lot to carry. So I switched

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<v Speaker 2>schools to wat get away from some of these relationships

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<v Speaker 2>that were kind of putting me in a tough spot,

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<v Speaker 2>but also to manage four courses at a time and

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<v Speaker 2>not having to carry that heavy of a load. And

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<v Speaker 2>so grade twelve, I went to a new school, no friends,

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<v Speaker 2>I really locked in on my studies because I'm like,

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<v Speaker 2>I'm going to university and that I did, and I

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<v Speaker 2>went to my undergrad which again you know, first and

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<v Speaker 2>second year, boy were they tough and I wanted to

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<v Speaker 2>drop out. I told my boyfriend at the time. My

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<v Speaker 2>parents like, I am done. I am not doing this.

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<v Speaker 2>It is too hard. I am too tired. And looking back,

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<v Speaker 2>I think definitely, you know, like cycle of burnout. I

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<v Speaker 2>was burnt out, and so thankfully around the same time

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<v Speaker 2>my school went on strike, so I had that pause.

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<v Speaker 2>I kind of recentered, found my passion again and pushed through.

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<v Speaker 2>In psychology. Undergrad psyche it is brutal. You learn everything

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<v Speaker 2>and anything, and it is multiple choice. And so for

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<v Speaker 2>someone with ADHD autism, even though I didn't know it,

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<v Speaker 2>you struggle with executive functioning and so multiple choice and

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<v Speaker 2>a million one things to know they don't not go

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<v Speaker 2>hand in hand. But by my third and my fourth year,

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<v Speaker 2>where I really focused in on therapy, you know, psychology topics,

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<v Speaker 2>more applicable skills, counseling skills, That's when I felt more

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<v Speaker 2>grounded and I met the next person in my journey

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<v Speaker 2>that really believed in me and inspired me and was

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<v Speaker 2>like you got to keep going. Because I knew I

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<v Speaker 2>had this goal, I just didn't know how I was

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<v Speaker 2>going to get there.

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<v Speaker 3>And so when it got hard, was.

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<v Speaker 2>I wanted to be a psychologist, right, and so I

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<v Speaker 2>knew this is what I wanted to do, and I

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<v Speaker 2>didn't know if it was possible, if I could do it,

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<v Speaker 2>if I could get there. I realized that the more

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<v Speaker 2>that I thought about it and try to map it out,

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<v Speaker 2>the more anxious I got about it. And so I

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<v Speaker 2>think my brain just kind of focused on the here

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<v Speaker 2>and now, and looking back, I think everything fell into

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<v Speaker 2>place the way that it did, but definitely there was

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<v Speaker 2>that hard work along the way and those people that

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<v Speaker 2>believed in me along the way. And so in fourth

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<v Speaker 2>year I had a wonderful professor that was like, you

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<v Speaker 2>should go to grad school. There's this program. It's really great.

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<v Speaker 2>You know, in Canada we have like public institutions and

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<v Speaker 2>private institutions. There was this program that is private, but

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<v Speaker 2>it's more so focused on like the clinical skills rather

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<v Speaker 2>than the research. And I think research never has been

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<v Speaker 2>my bread and butter. So they recommended this program. I

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<v Speaker 2>did an interview, I got in, you know, and I

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<v Speaker 2>did this clinical psych program, which was great. I didn't

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<v Speaker 2>struggle at all academically. I felt like because it was

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<v Speaker 2>my passion, my interest, I was motivated. Those attentional difficulties

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<v Speaker 2>were not as hard to keep up with, right like,

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<v Speaker 2>I was able to manage. And then after that I

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<v Speaker 2>did go back to you know, the field and start working.

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<v Speaker 2>I started working in a school board with students, which

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<v Speaker 2>was great. I've always worked in school board settings, but

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<v Speaker 2>also private practice settings because with today's day and age

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<v Speaker 2>and economy, I couldn't just have one job.

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<v Speaker 3>I had to have multiples. So I liked the balance

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<v Speaker 3>of that and.

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<v Speaker 2>Being able to work in a school setting, but then

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<v Speaker 2>also to be able to work in a private setting

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<v Speaker 2>where the therapy, you know, the assessments, they were more

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<v Speaker 2>complex and thorough. In the school system, you know, we

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<v Speaker 2>are limited in terms of the time we have with

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<v Speaker 2>students and the services that we could offer.

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<v Speaker 3>So I enjoyed that balance.

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<v Speaker 2>And then I had some kids, so I'm a mom

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<v Speaker 2>of three. I had my first child, and I was

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<v Speaker 2>planning for my second while also going back to school

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<v Speaker 2>to do my doctorate. So now going back to like

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<v Speaker 2>more of a public setting, I decided to go to

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<v Speaker 2>the university of Toronto and do my doctorate just because

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<v Speaker 2>I wanted to get more schooling. And so I'm like,

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<v Speaker 2>I need to do an assessment. I know I struggled

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<v Speaker 2>in the past with school. I know this has been hard,

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<v Speaker 2>and so I'd like some formal accommodations. And so I

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<v Speaker 2>went into it thinking that I had anxiety and you know,

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<v Speaker 2>thought maybe at times when there was those lows and

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<v Speaker 2>maybe it was depression. And the wonderful psychologist told me

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<v Speaker 2>it was ADHD, and I was like, wow, okay, it

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<v Speaker 2>is ADHD.

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<v Speaker 3>I kind of wondered at some times, but I didn't know.

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<v Speaker 3>And so.

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<v Speaker 2>University to have a critical mind and to question things,

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<v Speaker 2>and so naturally I did, and I did do a

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<v Speaker 2>second assessment. And so before I started ADHD medication, I

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<v Speaker 2>was like, I need to be one hundred and twenty percent.

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<v Speaker 2>I want a second opinion. I want to make sure

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<v Speaker 2>that this fits right, a little bit of the denial mindset,

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<v Speaker 2>which did also confirm it.

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<v Speaker 1>And then Crystal, So these assessment was with These were

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<v Speaker 1>psychological assessments like a battery of peste.

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<v Speaker 3>So I did.

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<v Speaker 2>My first assessment was a psychological assessment, and then I

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<v Speaker 2>was like, let me see what a medical doctor psychiatrist

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<v Speaker 2>has to say, right, some differences there, and they both

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<v Speaker 2>came to the same conclusion.

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<v Speaker 1>Okay, yeah, okay, so wow, at what point do you

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<v Speaker 1>learn about the now pardon my ignorance here, does autism

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<v Speaker 1>and HGAD fall under the topic of neurodivergence or just

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<v Speaker 1>is that just autism? They both do, yes, okay.

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<v Speaker 3>Okay, yeah, so.

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<v Speaker 2>Yeah the autism that didn't comme until later, right, So

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<v Speaker 2>I wasn't identified early on, but this is common, right.

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<v Speaker 2>ADHD often does overshadow or conceal autistic traits. And so

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<v Speaker 2>even with my own clients, with colleagues, people that I

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<v Speaker 2>know with, we all joke around and say that ADHD

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<v Speaker 2>is like that gateway diagnosis to autism, right. I think

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<v Speaker 2>societally it has become more you know, accepted, right, a

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<v Speaker 2>lot more understanding about ADHD to start. We feel more

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<v Speaker 2>comfortable receiving this diagnosis where autism or you know, is

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<v Speaker 2>still not so much understood or accepted or you know,

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<v Speaker 2>not there yet but hopefully soon. And so once I

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<v Speaker 2>got that adh SHE diagnosis, I started taking medication, which

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<v Speaker 2>like one hundred and fifty percent confirmed it because I

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<v Speaker 2>was like, wow, this is what it's like to you know,

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<v Speaker 2>not be distracted.

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<v Speaker 1>Wow.

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<v Speaker 2>And with that, definitely I felt more equipped. But of course,

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<v Speaker 2>you know, there was grief there for that sixteen year

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<v Speaker 2>old girl that almost died because she was struggling with

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<v Speaker 2>ADHD and didn't have the tools to cope with it. Right,

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<v Speaker 2>And so definitely, through my own therapy works through that

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<v Speaker 2>portion of things. Had a couple more kids. So I'm

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<v Speaker 2>a mom of three, and I remember social media right

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<v Speaker 2>wonderful and many different ways. We do have to take

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<v Speaker 2>things with the grain of salt. But I do think

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<v Speaker 2>that in today's day and age, through podcasts, through conversations,

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<v Speaker 2>through posts, this is where we're doing the big learning

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<v Speaker 2>by relating to one another. And another person that I

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<v Speaker 2>have no idea who they are posted this video about

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<v Speaker 2>themselves and AUDIHD as we refer to it, which is

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<v Speaker 2>odd and ADHD and I had known that the ADHD piece.

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<v Speaker 2>I didn't know the autisum piece, even though I had

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<v Speaker 2>worked with autistic kids. I was a psychologist at this

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<v Speaker 2>point doing assessments. It just didn't click. And I remember

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<v Speaker 2>it was Christmas break, just after I became a registered psychologist.

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<v Speaker 2>I came across this video and you know, to become

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<v Speaker 2>a psychologist, there's a lot of work, so I was

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<v Speaker 2>likely a little bit burnt out, but I remember just sobbing.

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<v Speaker 2>It really hit me and it was like a light

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<v Speaker 2>bulb and I was like, this person just described my

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<v Speaker 2>whole life in less than five minutes, and this is

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<v Speaker 2>what I've experienced and didn't know.

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<v Speaker 1>That in that moment. What were you identifying with specifically?

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<v Speaker 2>I think this sense of not belonging, this chronic feeling

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<v Speaker 2>like I am different and I don't belong and I

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<v Speaker 2>don't know why, this chronic sense of I have such

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<v Speaker 2>big feelings and empathy and emotions that if a friend,

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<v Speaker 2>a loved one, and even another human being, if they

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<v Speaker 2>describe things to me, I really do feel it this.

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<v Speaker 2>I have been a history of like having moments of

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<v Speaker 2>you know, shutting down, periods of burnout and just like

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<v Speaker 2>disconnecting moments of when I was younger, having huge meltdowns

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<v Speaker 2>and just being a handful for my family to deal with,

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<v Speaker 2>you know, having so much wonderful skills and knowledge about

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<v Speaker 2>certain things, but then other things just knowing absolutely nothing

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<v Speaker 2>about and really struggling with feeling as though I am

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<v Speaker 2>performing all the time, like it's a performance and people

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<v Speaker 2>are judging me or crediting me. I need to be

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<v Speaker 2>liked by others, which really did fuel into my people

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<v Speaker 2>pleasing tendencies and my drive to be perfect twenty four

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<v Speaker 2>to seven, all of these pieces.

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<v Speaker 3>You know, that's just the way.

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<v Speaker 2>That I have been, and it does come with hardships

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<v Speaker 2>because one, we can never please everybody. People will dislike

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<v Speaker 2>us or be unhappy with us. That's just the reality.

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<v Speaker 2>And two, we can't be perfect. It's not possible. So

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<v Speaker 2>I've always been stuck in this state where I'm fighting

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<v Speaker 2>against myself with two unreal realities that I expect.

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<v Speaker 3>And once I heard that, and I just like all clicked.

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<v Speaker 2>All the times where I felt stressed out or overwhelmed,

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<v Speaker 2>disappointed in myself, when I didn't want to live, all

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<v Speaker 2>of these things were like a slap in the face,

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<v Speaker 2>and it's like, Wow, there's nothing wrong with me.

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<v Speaker 3>I'm not broken. I think I have autism.

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<v Speaker 2>And so I remember telling my friends, my partner, my parents,

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<v Speaker 2>and people were like hmm, like as if I was

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<v Speaker 2>like out to lunch, to be honest. And then a

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<v Speaker 2>wonderful colleague of mine around the same time got diagnosed

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<v Speaker 2>and I had already booked my assessment. I was already

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<v Speaker 2>on this journey, and I was like, you know what,

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<v Speaker 2>like I need to know, I feel it, but I'd

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<v Speaker 2>like someone else to tell me if this is the

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<v Speaker 2>truth or not. And someone I used to work with

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<v Speaker 2>came out and said that they were AUDIHD and autistic.

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<v Speaker 2>And so that was that next you know, like step

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<v Speaker 2>in my journey. That was like, okay, like you know

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<v Speaker 2>you can be an autistic psychologist, right, because of course,

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<v Speaker 2>like you fight against yourself to be like is this acceptable?

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<v Speaker 3>What will people think of me?

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<v Speaker 2>Right? But they came out and I was like, you

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<v Speaker 2>know what, I'm doing this? So I continued on with

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<v Speaker 2>my appointment. Actually last April, so a year ago today,

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<v Speaker 2>in the month of autism Acceptance.

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<v Speaker 3>Is when I got my diagnosis. And I just cried.

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<v Speaker 2>And I think it was not cry from sadness, but

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<v Speaker 2>it was crying from I'm not crazy. You know, I

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<v Speaker 2>did see this thing, and you see me, you understand it.

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<v Speaker 2>I'm not alone. There's many of us out there, and

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<v Speaker 2>now I have the language and the framework that I've

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<v Speaker 2>missed for this, you know, three decades of my life

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<v Speaker 2>to really understand my experience and to support my brain

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<v Speaker 2>in a way that I won't burn out, that I

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<v Speaker 2>won't dislike myself, that I won't feel as though, you know,

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<v Speaker 2>something's wrong with me most of the time.

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<v Speaker 1>So yeah, damn, Crystal, You're amazing. Your story is like

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<v Speaker 1>so and so you are so inspiring. I mean just

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<v Speaker 1>you know everything you went through, and you know, crawling

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<v Speaker 1>down the hallway grabbing your sister waking her up. I mean,

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<v Speaker 1>my gosh, you know amazing, and then here you are

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<v Speaker 1>founding this psychology group Thrive. Talk to us. How did

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<v Speaker 1>that come about?

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<v Speaker 3>Yeah?

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<v Speaker 2>So, I mean I do attribute it to my ADHD

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<v Speaker 2>brain for sure. That drive, that inspiration, and that like

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<v Speaker 2>a little bit of impulsivity, right, risk taking, because opening

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<v Speaker 2>up a business, starting something so big, there is a risk, right,

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<v Speaker 2>There's always that fear of the unknown.

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<v Speaker 3>And I had.

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<v Speaker 2>This idea, and I was like, just do it, right,

401
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<v Speaker 2>I don't want to live my life regretting it. But

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<v Speaker 2>I had always worked in this community, this area. I

403
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<v Speaker 2>was born and raised in this area, so it is

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<v Speaker 2>close to home and close to my heart. There was

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<v Speaker 2>no practice like this here, right, and so I would

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<v Speaker 2>have to travel thirty minutes forty minutes an hour doing

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<v Speaker 2>all of these other places, and so.

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<v Speaker 3>That's where the idea.

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<v Speaker 2>Came from that I don't want to continue commuting. I

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<v Speaker 2>don't want to have this environment here not be served right.

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<v Speaker 3>And so with that.

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<v Speaker 2>Idea started, it did bloom and grow over time, and

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<v Speaker 2>I think daily my passion really is confirmed just because

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<v Speaker 2>the girl that I was, there's many children ado lessons

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<v Speaker 2>that I work with every single day that are like me.

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<v Speaker 2>I think today's day and age, I've about eighty percent

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<v Speaker 2>of the assessments and the therapy that I'm doing is

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<v Speaker 2>with people that are burnt out, that are drained, that

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<v Speaker 2>are questioning do I have ADHD? Do I have autism?

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<v Speaker 2>So many people are receiving these diagnoses and feeling seen

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<v Speaker 2>and heard and you know, understood for once.

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<v Speaker 3>In their lives.

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<v Speaker 2>And so I think that's the passion that you know,

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<v Speaker 2>continues my practice day and day out, because there is

425
00:24:44.480 --> 00:24:46.960
<v Speaker 2>still a little bit of a divide in our field,

426
00:24:47.240 --> 00:24:50.319
<v Speaker 2>believe it or not, and still some people probably would

427
00:24:50.400 --> 00:24:55.400
<v Speaker 2>question an autistic psychologists and whether or not that's that's possible.

428
00:24:55.839 --> 00:24:56.720
<v Speaker 3>But when we look.

429
00:24:56.599 --> 00:25:00.200
<v Speaker 2>At the research, we really do see that our tradition

430
00:25:00.599 --> 00:25:06.000
<v Speaker 2>methods of assessing and detecting and observing signs of neurodiversity

431
00:25:06.079 --> 00:25:11.039
<v Speaker 2>in girls, women and other marginalized individuals is flawed because

432
00:25:11.039 --> 00:25:14.559
<v Speaker 2>a lot of it is internalized and nuanced, like I

433
00:25:14.599 --> 00:25:18.200
<v Speaker 2>said earlier in terms of the depression talk in my household,

434
00:25:19.640 --> 00:25:22.079
<v Speaker 2>and so it's hard to spot and it does require

435
00:25:22.279 --> 00:25:26.759
<v Speaker 2>a lot of deeper work, and oftentimes it can coexist

436
00:25:26.799 --> 00:25:30.400
<v Speaker 2>with trauma and it can, you know, mirror one another.

437
00:25:31.119 --> 00:25:33.200
<v Speaker 2>I think a big part of it is understanding if

438
00:25:33.240 --> 00:25:36.200
<v Speaker 2>it is trauma or autism, but another part of it

439
00:25:36.240 --> 00:25:39.119
<v Speaker 2>is it can be both, because I think in itself,

440
00:25:39.359 --> 00:25:43.440
<v Speaker 2>being autistic or having ADHD and living a life not

441
00:25:43.640 --> 00:25:48.240
<v Speaker 2>knowing is traumatic. It really is stressful and overwhelming, and

442
00:25:48.319 --> 00:25:51.799
<v Speaker 2>our brain really does learn ways to protect ourselves and

443
00:25:51.839 --> 00:25:57.039
<v Speaker 2>that typically includes masking or evolving, concealing, keeping it away,

444
00:25:57.200 --> 00:26:00.759
<v Speaker 2>keeping it hidden. And if a psychologist in their thirties

445
00:26:00.839 --> 00:26:03.440
<v Speaker 2>was able to hide it from themselves for that long

446
00:26:03.519 --> 00:26:06.960
<v Speaker 2>and was practicing in the field, surely many others do

447
00:26:07.079 --> 00:26:10.400
<v Speaker 2>as well, right, And so I think my passion really

448
00:26:10.559 --> 00:26:14.880
<v Speaker 2>is bringing that education, that understanding. If one person here's

449
00:26:14.920 --> 00:26:17.160
<v Speaker 2>a story and was like, oh I wonder, then I

450
00:26:17.160 --> 00:26:21.279
<v Speaker 2>would feel happy about it because receiving that final diagnosis

451
00:26:21.279 --> 00:26:24.440
<v Speaker 2>in addition to the ADHD has truly saved my life

452
00:26:24.480 --> 00:26:27.920
<v Speaker 2>to be honest a second time and prevented that burnout

453
00:26:28.359 --> 00:26:31.279
<v Speaker 2>that was surely coming if I didn't know. In the

454
00:26:31.359 --> 00:26:34.599
<v Speaker 2>last year, I have really focused on my mental well being,

455
00:26:34.640 --> 00:26:39.200
<v Speaker 2>my own therapy, my own unwriting of this perfectionism, this

456
00:26:39.319 --> 00:26:43.680
<v Speaker 2>people pleasing or masking, and being my own true, authentic

457
00:26:43.799 --> 00:26:46.160
<v Speaker 2>self that I do think is going to allow for

458
00:26:46.279 --> 00:26:48.279
<v Speaker 2>me to be the best that I can in my

459
00:26:48.359 --> 00:26:50.880
<v Speaker 2>field and also to take care of myself and my

460
00:26:50.920 --> 00:26:52.240
<v Speaker 2>body the best that I can.

461
00:26:53.400 --> 00:26:54.559
<v Speaker 3>Well, what.

462
00:26:56.200 --> 00:27:02.119
<v Speaker 1>Could you review, just broadly the diagnostic criteria for autism

463
00:27:02.200 --> 00:27:04.160
<v Speaker 1>and isn't it can correct me if I'm wrong? Isn't

464
00:27:04.200 --> 00:27:07.000
<v Speaker 1>it usually or commonly diagnosed early?

465
00:27:10.480 --> 00:27:11.519
<v Speaker 3>It can be.

466
00:27:12.319 --> 00:27:14.839
<v Speaker 2>But I think the rate in which we are identifying

467
00:27:14.880 --> 00:27:19.240
<v Speaker 2>it in adulthood these days has shifted, right, And we

468
00:27:19.359 --> 00:27:22.599
<v Speaker 2>do know that our lovely friend, the DSM is getting

469
00:27:22.680 --> 00:27:25.240
<v Speaker 2>updated in the near future, And so I'm curious in

470
00:27:25.319 --> 00:27:29.119
<v Speaker 2>terms of what these diagnostic pieces will look like. Right

471
00:27:30.039 --> 00:27:35.039
<v Speaker 2>and if AUDIHD, whereas ADHD and autism together becomes its

472
00:27:35.079 --> 00:27:38.599
<v Speaker 2>own diagnosis one day, We don't know, but we do

473
00:27:38.680 --> 00:27:41.000
<v Speaker 2>look at several different areas right.

474
00:27:41.160 --> 00:27:42.279
<v Speaker 3>One of it being that.

475
00:27:42.400 --> 00:27:49.839
<v Speaker 2>Restricted repetitive behaviors, this neatness for sameness or novelty with

476
00:27:49.880 --> 00:27:54.720
<v Speaker 2>the adhdpiece. With this, it's like routine and that does

477
00:27:54.759 --> 00:27:58.680
<v Speaker 2>not have to be rigid in the sense of I

478
00:27:58.759 --> 00:28:01.319
<v Speaker 2>need to do ABC and D every single day. That

479
00:28:01.400 --> 00:28:04.279
<v Speaker 2>could be more nuanced and socially acceptable, as in, like

480
00:28:04.359 --> 00:28:06.759
<v Speaker 2>every day at work, I park in the same general

481
00:28:06.799 --> 00:28:10.279
<v Speaker 2>area of my parking lot, right, or I have these

482
00:28:10.319 --> 00:28:13.160
<v Speaker 2>certain sequences of getting ready every single day, and I

483
00:28:13.240 --> 00:28:16.240
<v Speaker 2>just that's the way that I do things. In terms

484
00:28:16.319 --> 00:28:21.559
<v Speaker 2>of the special interests, it's not dinosaurs or cars, you know,

485
00:28:21.759 --> 00:28:24.119
<v Speaker 2>or things that we might see in childhood. For me,

486
00:28:24.519 --> 00:28:28.240
<v Speaker 2>my special interest was actually psychology and human behavior, right

487
00:28:28.640 --> 00:28:31.480
<v Speaker 2>because at a young age I really learned to study

488
00:28:31.559 --> 00:28:35.559
<v Speaker 2>others and learn how to adapt, and so I fell

489
00:28:35.599 --> 00:28:38.799
<v Speaker 2>into this field trying to understand others and trying to

490
00:28:38.839 --> 00:28:41.880
<v Speaker 2>make a career out of it, which is an autistic trait,

491
00:28:42.880 --> 00:28:45.359
<v Speaker 2>and really built my whole life around it, my whole

492
00:28:45.359 --> 00:28:48.920
<v Speaker 2>passion and purpose. And so my special interest aligns with

493
00:28:48.960 --> 00:28:52.720
<v Speaker 2>my career and working and so it is societally acceptable

494
00:28:53.680 --> 00:28:59.240
<v Speaker 2>in terms of any other mannerisms or any other behaviors.

495
00:28:59.720 --> 00:29:03.319
<v Speaker 2>Look back, I don't think I was aware of it,

496
00:29:03.920 --> 00:29:08.200
<v Speaker 2>but I do fidget, I do like cross my hands

497
00:29:08.240 --> 00:29:12.440
<v Speaker 2>and my feet, and I think likely my brain.

498
00:29:13.480 --> 00:29:22.319
<v Speaker 1>Right now under my desk, okay.

499
00:29:19.519 --> 00:29:22.000
<v Speaker 2>Like I do certain things with them, and you know,

500
00:29:22.279 --> 00:29:25.440
<v Speaker 2>in absence, you know, one trait does not mean you're autistic,

501
00:29:25.960 --> 00:29:30.119
<v Speaker 2>but all together collectively like that has been my experience,

502
00:29:30.240 --> 00:29:33.519
<v Speaker 2>and I think as my nervous system has gotten out

503
00:29:33.519 --> 00:29:36.200
<v Speaker 2>of fight or flight, right, I think I've done masked

504
00:29:36.200 --> 00:29:38.359
<v Speaker 2>and I do these things more freely because there are

505
00:29:38.440 --> 00:29:43.519
<v Speaker 2>a sense of self regulation and coping eye contact right, Like,

506
00:29:44.200 --> 00:29:48.359
<v Speaker 2>it's hard to sustain it. Sometimes it's inconsistent. It's not

507
00:29:48.400 --> 00:29:51.440
<v Speaker 2>that I can't make eye contact. I may prefer not to,

508
00:29:51.640 --> 00:29:55.119
<v Speaker 2>and I give myself permission these days. I think the

509
00:29:55.160 --> 00:29:58.839
<v Speaker 2>biggest piece in terms of for my experience is really

510
00:29:58.960 --> 00:30:01.680
<v Speaker 2>these moments of being alone.

511
00:30:02.480 --> 00:30:04.519
<v Speaker 3>So I am very social.

512
00:30:04.720 --> 00:30:08.359
<v Speaker 2>I'm very empathetic, which typically with my wonder is that

513
00:30:08.480 --> 00:30:11.279
<v Speaker 2>in you know, the opposite of autism, because we hear

514
00:30:11.400 --> 00:30:14.480
<v Speaker 2>rumors and myths that if you have autism, you're not

515
00:30:14.599 --> 00:30:17.519
<v Speaker 2>empathetic or you don't want to be social. And that's

516
00:30:17.519 --> 00:30:19.799
<v Speaker 2>not the case for me and my experience and a

517
00:30:19.799 --> 00:30:23.599
<v Speaker 2>lot of autistic individuals. We actually can be hypersocial, hyper,

518
00:30:23.759 --> 00:30:28.119
<v Speaker 2>you know, extroverted, hyper empathetic. But it's the rest and

519
00:30:28.160 --> 00:30:30.880
<v Speaker 2>the recovery that I need in between, right, and so

520
00:30:31.000 --> 00:30:34.039
<v Speaker 2>after a long day of sessions, I need quiet time

521
00:30:34.079 --> 00:30:36.599
<v Speaker 2>at the end of the day, after a week of

522
00:30:36.720 --> 00:30:39.880
<v Speaker 2>sessions the weekend, you know, I may not always want

523
00:30:39.920 --> 00:30:42.759
<v Speaker 2>to do fun things. I might need that alone time.

524
00:30:43.279 --> 00:30:46.519
<v Speaker 2>And I think prior to knowing, I was pushing myself

525
00:30:46.559 --> 00:30:49.559
<v Speaker 2>to do the most right, like go here, go there,

526
00:30:49.920 --> 00:30:52.519
<v Speaker 2>you know, be a good mom, be a good friend.

527
00:30:53.559 --> 00:30:56.319
<v Speaker 2>In the last year, I've been like, if I want

528
00:30:56.359 --> 00:30:59.440
<v Speaker 2>to stay home and relax, I'm giving myself that permission

529
00:30:59.519 --> 00:31:05.640
<v Speaker 2>to rely because my brain needs it. And so, long

530
00:31:05.680 --> 00:31:08.640
<v Speaker 2>story short, I'm going off topic. But there's lots of

531
00:31:08.680 --> 00:31:13.400
<v Speaker 2>different signs and symptoms that we look for to really understand.

532
00:31:14.319 --> 00:31:17.480
<v Speaker 2>I think in adulthood we definitely like to explore anxiety

533
00:31:17.519 --> 00:31:20.920
<v Speaker 2>and depression and mental health as well, because oftentimes when

534
00:31:20.960 --> 00:31:24.039
<v Speaker 2>we are neuro divergent, it can make us feel anxious

535
00:31:24.079 --> 00:31:28.680
<v Speaker 2>and overwhelmed, which can exacerbate those difficulties. It can make

536
00:31:28.759 --> 00:31:33.400
<v Speaker 2>us feel depressed, which can also exacerbate those difficulties. Trauma,

537
00:31:33.519 --> 00:31:35.920
<v Speaker 2>like I said, is another piece to keep an eye

538
00:31:36.000 --> 00:31:40.519
<v Speaker 2>on and kind of understand. Exploring the autism piece is

539
00:31:40.559 --> 00:31:45.519
<v Speaker 2>looking at those social communication behaviors, the restricted interests, you know,

540
00:31:45.599 --> 00:31:48.559
<v Speaker 2>all of those patterns that we would see present in

541
00:31:48.640 --> 00:31:52.799
<v Speaker 2>some capacity and form in childhood and adolescence. And then

542
00:31:52.839 --> 00:31:57.119
<v Speaker 2>the attention piece can be either an inattentive profile, which

543
00:31:57.200 --> 00:32:03.680
<v Speaker 2>is more of those internalized pieces where struggle with attention, planning, prioritizing, organization,

544
00:32:04.440 --> 00:32:07.839
<v Speaker 2>or the hyperactive pieces where I maybe feel more restless,

545
00:32:07.960 --> 00:32:11.480
<v Speaker 2>have more energy, more go go go, maybe even more

546
00:32:11.599 --> 00:32:15.319
<v Speaker 2>busier or hard to keep up with, or those combined together.

547
00:32:16.359 --> 00:32:17.480
<v Speaker 3>And so looking at that.

548
00:32:17.480 --> 00:32:22.000
<v Speaker 2>Whole profile really is what we do in an adult assessment.

549
00:32:22.200 --> 00:32:26.839
<v Speaker 2>Also with children adolescents with more nuanced cases, we do

550
00:32:26.960 --> 00:32:30.720
<v Speaker 2>that as well. I think the interview is the biggest

551
00:32:30.759 --> 00:32:34.759
<v Speaker 2>part of things. Listening to our clients, listening to our families,

552
00:32:35.200 --> 00:32:38.559
<v Speaker 2>that is the biggest piece to understanding because research does

553
00:32:38.640 --> 00:32:43.559
<v Speaker 2>show that our questionnaires, our methods, they're not bulletproof.

554
00:32:43.880 --> 00:32:45.000
<v Speaker 3>They will miss people.

555
00:32:45.519 --> 00:32:48.839
<v Speaker 2>And I think hearing people's voices is what we need

556
00:32:48.880 --> 00:32:52.559
<v Speaker 2>to be doing because their lived experience is really the

557
00:32:52.640 --> 00:32:56.720
<v Speaker 2>foundation for us to understand and not our own biases.

558
00:32:56.880 --> 00:33:00.440
<v Speaker 2>I do hear sometimes in our field people say people

559
00:33:00.480 --> 00:33:04.880
<v Speaker 2>are diagnosis shopping, getting other perspectives this and that, and no,

560
00:33:05.079 --> 00:33:07.720
<v Speaker 2>people are understanding of their experience and they want to,

561
00:33:07.799 --> 00:33:10.200
<v Speaker 2>you know, find someone that can help them make sense

562
00:33:10.240 --> 00:33:10.559
<v Speaker 2>of it.

563
00:33:10.720 --> 00:33:11.440
<v Speaker 3>And if we.

564
00:33:12.799 --> 00:33:15.240
<v Speaker 2>Discount people who see on social media this thing and

565
00:33:15.279 --> 00:33:18.400
<v Speaker 2>think they have autism, that's our own bias speaking. So

566
00:33:18.720 --> 00:33:21.359
<v Speaker 2>I think looking at all that information as closely as

567
00:33:21.400 --> 00:33:23.680
<v Speaker 2>possible and making sense of it is a big portion

568
00:33:23.839 --> 00:33:27.640
<v Speaker 2>of it. And also being mindful that in a way

569
00:33:28.000 --> 00:33:32.079
<v Speaker 2>our systems can pathologize and discriminate against people, and our

570
00:33:32.079 --> 00:33:33.359
<v Speaker 2>criteria really.

571
00:33:33.160 --> 00:33:33.880
<v Speaker 3>Can do that.

572
00:33:34.200 --> 00:33:39.559
<v Speaker 2>And I think things like borderline personality disorder and bipolar

573
00:33:39.599 --> 00:33:44.240
<v Speaker 2>disorder are big things that individuals get unfortunately misdiagnosed with.

574
00:33:45.000 --> 00:33:49.079
<v Speaker 2>And so yeah, just looking at everything as best as

575
00:33:49.079 --> 00:33:52.079
<v Speaker 2>we can is really my message.

576
00:33:52.680 --> 00:33:55.240
<v Speaker 1>Awesome, all right, Crystal, how do people learn more about

577
00:33:55.279 --> 00:33:56.359
<v Speaker 1>you and what you're doing?

578
00:33:58.240 --> 00:33:58.680
<v Speaker 3>Yeah?

579
00:33:58.720 --> 00:34:04.359
<v Speaker 2>So my website is www dot five dash Psychology dot

580
00:34:04.400 --> 00:34:07.079
<v Speaker 2>ca A, and people can also see me on social

581
00:34:07.160 --> 00:34:11.880
<v Speaker 2>media at sit with Crystal and Crystal are spelt weird.

582
00:34:12.000 --> 00:34:15.239
<v Speaker 3>It's c h R I S T A l.

583
00:34:16.679 --> 00:34:18.559
<v Speaker 1>Okay. We'll have all that linked up here at the

584
00:34:18.559 --> 00:34:22.559
<v Speaker 1>shows page at the Trauma Therapist podcast dot com. Crystal,

585
00:34:22.800 --> 00:34:25.440
<v Speaker 1>appreciate you being here and sharing your story. It's very inspiring.

586
00:34:25.480 --> 00:34:28.039
<v Speaker 1>You are very inspiring. Loved it.

587
00:34:30.000 --> 00:34:32.880
<v Speaker 3>Thank you so much. I appreciate it all right, take care,

588
00:34:34.840 --> 00:34:35.239
<v Speaker 3>take care,
