Identifying the Lost Generation of Autistic Adults
Megan Anna Neff
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Many autistic and ADHD adults reach a therapist after years of misdiagnosis, worn out from masking and unsure why the usual strategies haven't helped. Dr Megan Anna Neff is a clinical psychologist who has built her work around these clients, and around helping clinicians recognise and support them.
Dr Neff is the founder of Neurodivergent Insights, where she creates research-based education and clinical resources on autism, ADHD and AuDHD. She is the author of Self-Care for Autistic People and The Autistic Burnout Workbook, with AuDHD Unlocked due in 2027. She writes the Psychology Today blog The Neurodivergent Psychologist and co-hosts the Divergent Conversations podcast. Her work has featured in the LA Times, CNN and HuffPost, and she teaches clinicians internationally. Identified as autistic and ADHD in adulthood herself, she brings lived experience together with clinical training.
Her focus areas include adult autism and ADHD, less typical presentations, misdiagnosis, autistic burnout, masking, sensory processing, interoception and alexithymia. She helps clinicians understand how sensory and nervous system differences shape emotion and behaviour, and how to adapt therapy so it fits the client.
What sets her training apart is how she turns research into clear, usable resources. Her Misdiagnosis Monday series, for example, compares autism and ADHD with the conditions they're most often mistaken for. Clinicians leave with frameworks and worksheets they can use in their next session.
For your practice, expect to gain a clearer process for recognising autism and ADHD in adult clients, ways to tell autistic burnout apart from depression, and sensory and interoception tools for emotion regulation. Her approach particularly suits clinicians working with adults who have been missed or misdiagnosed, and those wanting to make their practice more neurodivergent-affirming.
Quick Win: Dr Neff's "sensory lens" helps clients notice how their environment affects their nervous system. Start with one of her five practices, a simple sensory journal, to track which settings drain or settle a client across the week.
Want to recognise and support the neurodivergent adults in your caseload with more confidence? Explore Dr Neff's courses below.
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