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21st October, 2025

The Hidden Tax on Neurodivergent Professionals

With Dr Lee David

Photo of Dr Lee David

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On this episode

Many neurodivergent people become experts at masking their differences. They can ignore basic needs like hunger, thirst, and rest, believing they should just “keep calm and carry on” like everyone else seems to be doing. This masking takes a tremendous toll, leading to higher rates of anxiety, depression, burnout, and trauma among neurodivergent clinicians.

As Dr Lee David explains, creating neuro-inclusive workplaces benefits everyone, not just those with neurodivergent traits. Simple adjustments like providing meeting agendas in advance, allowing flexible work arrangements, or addressing environmental factors like lighting can make a big difference.

When neurodivergent people ignore their needs and push themselves to meet unrealistic expectations, they enter a boom-bust cycle: working harder, resting only briefly, then pushing on again, never fully recovering. This pattern eventually leads to complete burnout, where recovery becomes much more difficult and time-consuming than if they’d addressed their needs earlier.

But this episode offers a practical framework you can implement, to help create space between stress and reaction, allowing your wiser self to make choices that honour all your needs, not just the loudest ones calling for attention.

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About the guests

Dr Lee David photo

Reasons to listen

  • To learn how organisations can create neuro-inclusive workspaces that benefit everyone
  • For practical strategies to recognise when you’re masking your needs and how to honour them before reaching burnout
  • To understand the “Parts” model for managing internal conflict between your critic, your need for rest, and your wise mind

Episode highlights

00:04:44

|You don’t have to be neurodivergent to work here…”

00:08:39

What is alexothymia?

00:14:27

Why diagnosing burnout for neurodivergent people can be difficult

00:20:50

Fight, flight, freeze, faw… or flap

00:26:11

The Parts model for exploring anxiety

00:31:14

Alcohol’s effect on our ability to process

00:34:21

Boom and bust activity

00:42:30

Caring for our different parts

00:45:26

NOW: an exercising for grounding

00:48:56

Our different parts have differing needs

00:50:41

Neuro-inclusivity helps everybody

00:57:04

The value of seeking a neurodivergence diagnosis

01:01:29

Lee’s top tips

Episode transcript

[00:00:00] Rachel: It often takes a different source of brain to become a doctor or work in healthcare. High pressure, lots of exams, working unsociable hours on very little sleep. But often people whose brains work differently becomes so good at masking their differences that they ignore their own needs or suppress their feelings. This can lead to them asking why am I finding it so difficult when everyone else seems to be coping? [00:00:24] Rachel: This week I’m joined by Dr. Lee David, a GP and therapist who specializes in supporting healthcare professionals with their mental health. Today we’re…

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