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Back from the Abyss: Psychiatry in Stories

Hiding in plain sight-- Life, work, and therapy on the autistic spectrum

Back from the Abyss: Psychiatry in Stories

Craig Heacock MD

Psychiatry, Bipolar, Suicide, Depression, Ketamine, Psychotherapy, Science, Psychedelics, Health & Fitness, Addiction, Medicine, Psychology, Mental Health

4.8452 Ratings

🗓️ 3 October 2025

⏱️ 65 minutes

🧾️ Download transcript

Summary

In today’s story we explore what it’s like to be on the autistic spectrum, and more specifically, how a later life diagnosis can totally change the way you view the world and yourself. Aurelie, our storyteller today, was an autism expert, a clinical psychologist who had trained with some of the premier autism experts in the country…yet she didn’t discover her own autism until she was 40 years old. This episode explores why women on the spectrum are so often missed, how women on th...

Transcript

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0:00.0

Welcome to Back from the Abyss. This is a place for stories of hope and healing, recovery, and redemption. I'm Dr. Craig Hecock. Before we start today's story,

0:24.6

I wanted to announce that Hillary McBride and I will again be teaching our intensive seminar

0:29.3

on transference and countertransference for clinicians. It's called I love you, I hate you,

0:35.1

are you my mom? It's going to take place this February in Joshua Tree,

0:39.8

California. Check out my website, Craig Hecock.m.D.com for more details and registration. We still have a few

0:46.5

slots open. In today's story, we explore what it's like to be on the autistic spectrum, and more

0:53.4

specifically, how a later

0:54.8

life diagnosis can totally change the way you view the world and yourself.

1:00.2

Arelli, our storyteller today, was an autism expert.

1:04.8

She was a clinical psychologist who had trained with some of the premier autism experts

1:08.7

in the country, yet she didn't discover her own autism until

1:12.8

she was 40 years old. This episode explores why women on the spectrum are so often missed,

1:19.3

how women on the autistic spectrum are often masters of masking, which means imitating the

1:24.8

mannerisms and behaviors of neurotypical people,

1:32.9

thus allowing them to both fit in and also to be left hiding in plain sight.

1:36.9

A final note here. Throughout the recording,

1:41.0

Arelli was using a little plastic toothpick as a fidget object,

1:44.4

and as we recorded, I didn't realize how much this would show up on the recording, so when you listen to Arelli and you hear a little tap, tap, tap in the background,

1:48.5

that's her little soothing toothpick.

1:53.1

I had a son who was already diagnosed autistic, and I had coughed that off to his father's genetics, but my daughter went to middle school

2:05.3

and within, it was a large public middle school and within three months her mental health

2:12.3

just tanked, got her evaluated. She was identified as autistic and ADHD.

...

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