Late-Diagnosed Autism & ADHD: Why So Many Girls Get Missed With Jamie Roberts, LMFT @neurodivergenttherapist

Why do so many autistic and ADHD girls grow up believing they're simply "too much," anxious, or broken? In this episode, I sit down with licensed marriage and family therapist, author, and neurodiversity advocate Jamie Roberts @neurodivergenttherapist to talk about why autism and ADHD so often go undiagnosed in girls, how masking hides neurodivergence, and what changes when people finally receive answers later in life. We also explore the overlap between neurodivergence, eating disorders, anxiety, body image, and identity, along with what true neurodivergent-affirming care can look like.

What You'll Learn

Jamie shares her own journey to a late diagnosis of autism and ADHD and explains why so many girls first receive diagnoses like anxiety or depression instead of having their neurodivergence recognized. We discuss perfectionism, people-pleasing, masking, sensory differences, and why many neurodivergent girls become experts at hiding their struggles.

We also talk about healing your inner teen, embracing authenticity after years of masking, and learning that taking up space is not something you have to earn. Jamie explains why neurodiversity-affirming therapy focuses on understanding rather than changing who someone is, and why autonomy, identity, and self-acceptance matter so much for long-term well-being.

We Also Discuss

How autism and ADHD often present differently in girls

Why anxiety and depression can mask underlying neurodivergence

The emotional impact of receiving a late autism diagnosis

Masking, perfectionism, and people-pleasing

Healing your inner teen after years of feeling misunderstood

The relationship between neurodivergence, body image, and eating disorders

Why compliance-based approaches can harm neurodivergent people

Universal Design and creating environments that work for everyone

Jamie's new book, Neurodiversity for Teen Girls.

About Jamie Roberts

Jamie Roberts, LMFT, is a licensed marriage and family therapist, speaker, and author specializing in neurodivergent-affirming mental health care for teens and young adults. She is the founder of Neuropebble, a neuroaffirming clinical training platform, and Equilibrium Counseling Services. Jamie openly shares her own experience with late-diagnosed autism and ADHD while helping clinicians, parents, and neurodivergent individuals better understand neurodiversity through education, advocacy, and practical support.

Follow Jamie on Instagram @neurodivergenttherapist and @neuropebble.

Related Episodes

Late-Diagnosed Autism, ADHD, & “Neurohybridity”: Why Some People Never Fit One Label With Dr. Emma Offord @divergentlives on Apple & Spotify.

Autism, ADHD, & Eating Disorders: Recovery, Sensory Needs, & Late Diagnosis With Margo White, CPN @margo_wholebodynutrition on Apple & Spotify.

“Stuck” Isn’t Lazy: Inertia in ADHD, Autism, & Eating Disorder Recovery With Stacie Fanelli, LCSW on Apple & Spotify.

About Dr. Marianne Miller

I'm Dr. Marianne Miller, PhD, LMFT, an eating disorder therapist, neurodivergent-affirming clinician, and host of Dr. Marianne-Land. I specialize in ARFID, binge eating disorder, anorexia, and bulimia while supporting neurodivergent adults, teens, athletes, and LGBTQIA+ clients through a sensory-attuned, trauma-informed, weight-neutral approach. I provide therapy throughout California and coaching worldwide.

Learn more at www.drmariannemiller.com and follow me on Instagram @drmariannemiller.

Listen and Subscribe

If this conversation helped you better understand late-diagnosed autism, ADHD, masking, or neurodivergence in girls and women, please follow Dr. Marianne-Land, leave a rating and review, and share this episode with someone who has spent years wondering why they always felt different. Your support helps more people find neurodivergent-affirming information and compassionate eating disorder care.