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Spicy Brain

Spicy Brain

Lara Sullivan

Spicy Brain is the podcast host Lara Sullivan wished existed when she was diagnosed with autism as an adult. Each week, Lara welcomes guests from across the neurodivergent community for thoughtful conversations that challenge stereotypes, celebrate differences, and highlight the humour and joy that only come from shared life experiences. Spicy Brain is for those diagnosed later in life, those still seeking clarity, or allies of neurodivergent children who want to better understand the world around them.

18 - Dr Jessica Agnew-Blais: ADHD & THE MENSTRUAL CYCLE | PMDD, Hormones & ADHD in Women
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  • 18 - Dr Jessica Agnew-Blais: ADHD & THE MENSTRUAL CYCLE | PMDD, Hormones & ADHD in Women

    In this episode of Spicy Brain, host Lara Sullivan is joined by Dr Jessica Agnew-Blais, ADHD researcher at Queen Mary University of London, to explore how ADHD shows up in women and what the menstrual cycle has to do with it.

    For decades, ADHD research was built almost entirely on boys. Jess’s work is changing that. She leads the MAAM study (Measuring Adult ADHD and Menstruation), which tracked women with ADHD every day for three months to find out whether their symptoms get worse at certain points in the cycle, and whether their medication stops working before their period. Jess also co-led research finding that women with ADHD are more than three times as likely to meet the criteria for PMDD.

    The episode explores:
     🌶️ Why girls and women with ADHD have been missed for so long
     🌶️ How ADHD presents differently in girls, from cartwheels to internal restlessness
     🌶️ Can you grow out of ADHD? Why symptoms change across your life
     🌶️ Late diagnosis after university, new jobs and having a baby
     🌶️ The menstrual cycle explained, and why the luteal phase hits so hard
     🌶️ Why ADHD medication can stop working before your period
     🌶️ Hormonal contraception, anaemia and brain fog
     🌶️ PMS vs PMDD, and the link between ADHD and PMDD
     🌶️ Inside the MAAM study and what researchers hope to find

    The results aren’t out yet, but Jess will be back on Spicy Brain once they are.

    Tune in for a fascinating conversation about ADHD, hormones and why women deserve better research.

    Timestamps
    00:00:00 Introducing Dr Jessica Agnew-Blais
    00:01:58 How Jess Started Researching ADHD in Women
    00:04:17 Why ADHD in Girls Gets Missed
    00:05:37 How ADHD Presents in Girls and Women
    00:08:33 ADD, Inattentive and Combined ADHD Explained
    00:10:18 Early ADHD Research Was Based on Boys
    00:14:41 Is ADHD Genetic?
    00:15:52 Can You Grow Out of ADHD?
    00:19:05 Life Transitions, Postpartum and Late Diagnosis
    00:22:36 Is ADHD a Spectrum?
    00:24:51 Why Hormones Were Left Out of ADHD Research
    00:26:22 The Menstrual Cycle Explained
    00:30:57 ADHD Symptoms in the Luteal Phase
    00:35:57 Why ADHD Medication Stops Working Before Your Period
    00:38:10 Hormonal Contraception and ADHD
    00:44:33 Anaemia, Brain Fog and Burnout
    00:46:26 PMS vs PMDD Explained
    00:49:30 Why You Should Track Your Cycle Before Seeing a GP
    00:51:49 The Link Between ADHD and PMDD
    00:53:09 Should Neurodivergent Women Be Screened for PMDD?
    00:55:04 When Autism and ADHD Overlap
    00:57:36 Inside the MAAM Study
    01:05:33 Why the Study Uses a Smart Ring
    01:11:42 What the Researchers Hope to Find
    01:12:50 Funding Women’s Health Research and ADHD in Puberty
    01:16:00 How to Follow the Research
    01:18:56 Spicy Fire Round
    01:24:41 Closing Remarks

    Support
    This episode touches on low mood and suicidal feelings linked to PMDD. If you’re struggling, you’re not alone:
    Samaritans: call 116 123 (free, 24/7) or visit samaritans.org
    IAPMD (International Association for Premenstrual Disorders): iapmd.org

    Contact Spicy Brain:
     Email: hello@spicybrainmedia.com

    Follow us on social media:
     Instagram: www.instagram.com/spicybrain.podcast/

    Follow Lara:
     Website: linktr.ee/Sullivanlara
     Instagram: www.instagram.com/sullivanlara/

    Follow Jess:
     LinkedIn: ADHD Lifecourse Lab [LINK]
     MAAM study: www.kcl.ac.uk/research/maam-study

    Tue, 03 Nov 2026
  • 17 - Elena Sullivan: GROWING UP WITH AN AUTISTIC SISTER | Siblings, Late Diagnosis & Family

    In this very special episode of Spicy Brain, host Lara Sullivan is joined by her sister and best friend Elena for an honest, emotional conversation about growing up with an undiagnosed autistic sibling and what changed when the diagnosis finally came.

    Elena has been by Lara’s side through everything. She shared her friends, stood up to the bullies, picked up on what Lara couldn’t say out loud and was there in the room on diagnosis day. Together they look back at their childhood through a new lens, from the early signs nobody recognised to moving schools seven times, Lara’s mental health crisis, and the relief and guilt the whole family felt when the answer was finally autism.

    The episode explores:
     🌶️ The childhood signs of autism that only make sense in hindsight
     🌶️ What it’s like being the sibling of an undiagnosed autistic child
     🌶️ Bullying, school anxiety and having someone to speak up for you
     🌶️ The weight of responsibility siblings can carry, and why it isn’t all on them
     🌶️ How to support a loved one through a mental health crisis
     🌶️ Diagnosis day and the mix of relief and guilt a family can feel
     🌶️ Why a diagnosis is a learning journey for the whole family
     🌶️ How having an autistic sister shapes Elena as a mum
     🌶️ Advice for anyone with an autistic sibling

    This episode is a thank you to the siblings, parents and loved ones who show up for neurodivergent people, often without anyone noticing.

    Tune in for a heartfelt chat full of laughs, tears and a lot of sister love.

    Timestamps
    00:00:00 Introducing Elena, Lara’s Sister
    00:03:34 Growing Up as Sisters
    00:08:33 Did Anyone Know About Autism Back Then?
    00:09:20 Childhood Signs of Autism in Hindsight
    00:12:31 Communication and Sensory Needs as a Child
    00:16:29 A Sibling Bond Like No Other
    00:20:15 The People Who Protected Lara
    00:22:48 Moving Schools Seven Times
    00:25:07 Blurred Childhood Memories and School Anxiety
    00:26:49 Bullying and Standing Up for Your Sibling
    00:30:56 Sharing Friends with an Autistic Sibling
    00:33:31 The Responsibility Siblings Carry
    00:37:36 How Constant Change Built Resilience
    00:39:23 Supporting a Sister Through a Mental Health Crisis
    00:42:57 How to Support a Loved One Who’s Struggling
    00:45:35 The Road to an Autism Diagnosis
    00:49:43 Diagnosis Day: Relief and Guilt
    00:51:39 Autism Doesn’t Define You
    00:54:41 A Learning Journey for the Whole Family
    00:55:30 How Their Relationship Changed After Diagnosis
    00:58:13 Becoming a Mum with an Autistic Sister
    01:01:05 Hope for the Next Generation
    01:03:12 Advice for Anyone with an Autistic Sibling
    01:04:13 The Spicy Run Club
    01:06:04 Why It’s OK to Ask Questions
    01:08:32 Spicy Fire Round
    01:13:29 A Thank You to the Siblings

    Support
    This episode includes a conversation about suicidal thoughts. If you’re struggling, or worried about someone you love, you’re not alone:

    Samaritans: call 116 123 (free, 24/7) or visit samaritans.org
    Mind: mind.org.uk

    Contact Spicy Brain:
     Email: hello@spicybrainmedia.com

    Follow us on social media:
     Instagram: www.instagram.com/spicybrain.podcast/

    Follow Lara:
     Website: linktr.ee/Sullivanlara
     Instagram: www.instagram.com/sullivanlara/

    #SpicyBrain #AutisticSiblings #LateDiagnosis #Autism #AutisticWomen #Neurodivergent #NeurodivergentFamily #NeurodivergentPodcast

    Tue, 27 Oct 2026
  • 16 - Cassia Tierney Clarke: AUTISTIC BURNOUT & REBUILDING YOUR LIFE | Late Diagnosis, CPTSD & Unmasking

    In this episode of Spicy Brain, host Lara Sullivan is joined by Cassia Tierney Clarke, host of the 9 lives podcast, for a raw and honest conversation about autistic burnout, late diagnosis and rebuilding your life from the ground up.

    From the outside, Cassia had it all. A viral weight loss and sobriety journey, millions of views, a running career, brand deals, a business and a podcast. Behind the scenes, she was falling apart. After stepping away from public life for a year, Cassia opens up about the breakdown that forced everything to stop, being diagnosed with CPTSD, and finally finding out she is autistic and ADHD after 31 years of masking.

    The episode explores:
    🌶️ Going viral overnight and building a life she never felt built for
    🌶️ How undiagnosed autism can leave women vulnerable in relationships
    🌶️ Burnout, collapse and stepping away from public life
    🌶️ Trauma in the body, shutdowns and going nonverbal
    🌶️ Getting diagnosed autistic and ADHD after a CPTSD diagnosis
    🌶️ The all-or-nothing brain, from alcohol to running to work
    🌶️ Why she stopped running, and what movement looks like now
    🌶️ “Stop calling yourself lazy when you’re exhausted”
    🌶️ Rebuilding, reclaiming autistic joy and becoming herself again

    Whether you’re in burnout right now, reinterpreting your whole life after a diagnosis, or wondering who you are once the old version of you no longer fits, this conversation is a reminder that rebuilding is possible.

    Tune in for an honest chat about burnout, identity and finding your way back to yourself.

    Timestamps
    00:00:00 Introducing Cassia Tierney
    00:03:00 Going Viral: Weight Loss, Sobriety and Running
    00:07:59 Running, Nature and Reconnecting with Your Inner Child
    00:11:02 Why Race Day Is So Hard for Autistic Runners
    00:12:35 Building a Business on Social Media
    00:15:36 How Nine Lives Began
    00:16:50 The Breakdown Behind the Success
    00:20:35 Saying Yes to Everything and Stepping Away
    00:23:11 Moving Home and Physically Collapsing
    00:24:32 A CPTSD Diagnosis Before Autism
    00:26:45 Validation, Success and Hating Social Media
    00:28:52 Heightened Senses, Smells and Memory
    00:30:47 Misdiagnosis in Autistic Women
    00:31:24 Trauma in the Body, Shutdowns and Going Nonverbal
    00:34:09 Childhood Signs and Why They Get Missed
    00:35:55 Family, Community and an Autistic Dad
    00:41:06 Getting Diagnosed Autistic and ADHD
    00:44:06 31 Years of Masking and Feeling “More Autistic”
    00:46:49 Redefining Success
    00:47:59 Boundaries and Telling Friends
    00:50:30 Unmasking and Stepping Away from Running
    00:54:30 Dating After Diagnosis
    00:57:38 Living with Autism and ADHD and Daily Self-Forgiveness
    01:00:13 The All-or-Nothing Brain: Alcohol, Sobriety and Work
    01:04:09 A Task a Day and the Ego Death
    01:06:37 Stop Calling Yourself Lazy When You’re Exhausted
    01:09:04 Rebuilding and Reclaiming Autistic Joy
    01:12:29 What She’d Tell Her Past Self
    01:13:48 Losing Followers and Finding a New Audience
    01:17:01 Spicy Fire Round
    01:19:46 Advice for Anyone in Burnout

    Support
    This episode discusses suicidal thoughts, self-injury and abusive relationships. If you’re struggling, you’re not alone:
    Samaritans: call 116 123 (free, 24/7) or visit samaritans.org
    National Domestic Abuse Helpline: 0808 2000 247 or nationaldahelpline.org.uk

    Contact Spicy Brain:
    Email: hello@spicybrainmedia.com

    Follow us on social media:
    Instagram: www.instagram.com/spicybrain.podcast/

    Follow Lara:
    Website: linktr.ee/Sullivanlara
    Instagram: www.instagram.com/sullivanlara/

    Follow Cassia:
    Instagram: https://www.instagram.com/cassiatierney/
    Podcast: https://www.instagram.com/9lives_podcast/?hl=en

    #SpicyBrain #AutisticBurnout #LateDiagnosis #AuDHD #Autism #ADHD #Unmasking #NeurodivergentPodcast

    Tue, 20 Oct 2026
  • 15 - Millie Gooch: ALCOHOL & THE NEURODIVERGENT BRAIN | Hangxiety, Addiction & Going Sober

    In this episode of Spicy Brain, host Lara Sullivan is joined by Millie Gooch, founder of Sober Girl Society and author of Hangxiety: How Alcohol Messes with Your Mind, for an honest conversation about alcohol and the neurodivergent brain.

    Millie started drinking at university, where alcohol became the thing that switched off her brain, gave her confidence and helped her feel “normal”. Years of blackouts and days-long hangovers later, she went sober at 26. It took another seven years and a psychiatric assessment for her book to find out she is autistic and ADHD. Looking back, so much of it suddenly made sense.

    The episode explores:
    🌶️ Why alcohol can feel like a shortcut to a neurotypical brain
    🌶️ What actually happens in your brain when you drink, and the next day
    🌶️ Hangxiety, rumination and why hangovers hit neurodivergent people harder
    🌶️ Blackouts, memory and “drunk words are sober thoughts”
    🌶️ ADHD, impulsivity and why stopping at two drinks is so hard
    🌶️ The “addictive personality” myth and why neurodivergent people are overrepresented in addiction settings
    🌶️ The alcohol industry, “drink responsibly” and what other countries do differently
    🌶️ Sobriety vs self-optimisation culture
    🌶️ Practical first steps if you want to change your relationship with alcohol

    Whether you’ve already stopped, are thinking about cutting back, or have never understood why alcohol hits you so hard, this is a judgement-free look at how your drinking might be connected to your neurodivergence.

    Tune in for a conversation full of science, lived experience and a lot of nodding along.

    Timestamps
    00:00:00 Introducing Millie Gooch
    00:02:00 Starting to Drink at University
    00:03:47 Realising She Didn’t Drink Like Everyone Else
    00:09:29 Going Sober at 26: The Final Hangover
    00:16:13 Early Sobriety, Panic Attacks and Therapy
    00:20:52 What Alcohol Does to Your Brain
    00:25:40 Can Your Brain Recover? Addiction on a Spectrum
    00:30:52 Hangxiety and Why Hangovers Hit Neurodivergent People Harder
    00:37:36 Drunk Words, Sober Thoughts and Lost Memories
    00:42:12 Why Nobody Links Alcohol and Mental Health
    00:47:52 Getting Diagnosed Autistic and ADHD
    00:56:02 How Alcohol Affects the Neurodivergent Brain
    00:58:08 The Addictive Personality Myth
    01:00:52 ADHD, Impulsivity and Not Being Able to Stop
    01:01:52 Addiction Services and Neurodivergence
    01:03:47 The Alcohol Industry and “Drink Responsibly”
    01:07:35 How Other Countries Restrict Alcohol
    01:09:51 What Needs to Change in the UK
    01:15:20 Sobriety vs Self-Optimisation
    01:20:32 Practical Tips to Drink Less
    01:22:19 Spicy Fire Round


    Support
    If anything in this episode has affected you, these organisations offer free advice and support:
    Alcohol Change UK: alcoholchange.org.uk
    We Are With You: wearewithyou.org.uk
    Nacoa (for anyone affected by a parent’s drinking): nacoa.org.uk

    Contact Spicy Brain:
    Email: hello@spicybrainmedia.com

    Follow us on social media:
    Instagram: www.instagram.com/spicybrain.podcast/

    Follow Lara:
    Website: linktr.ee/Sullivanlara
    Instagram: www.instagram.com/sullivanlara/

    Follow Millie:
    Instagram: https://www.instagram.com/milliegooch/
    Sober Girl Society: https://sobergirlsociety.com/
    Hangxiety: https://www.amazon.co.uk/Hangxiety-Alcohol-Messes-Your-Mind/dp/1837826641/ref=tmm_hrd_swatch_0

    Tue, 13 Oct 2026
  • 14 - Anna Archer: LATE DIAGNOSED AUTISTIC & ADHD AT 24 | Unmasking, Regression & Life After Diagnosis

    Spicy Brain Season Two kicks off with Anna Archer! 

    Host Lara Sullivan sits down with vlogger, business owner, investor and running community favourite Anna Archer, who spent 24 years not knowing she was autistic and ADHD.

    From the outside, Anna's life looked sorted. The vlogs, the running community, the friendships, the business. Underneath it was a very different story. Anna opens up about growing up online, rewatching her old videos for signs she missed, and what it's been like looking back at her whole life through a completely new lens.

    The episode explores:
     🌶️ Growing up online, work-life balance and female friendships
     🌶️ Getting diagnosed with both autism and ADHD
     🌶️ Social stigma, telling friends and going quiet on social media
     🌶️ Being vulnerable with an online audience and showing up as yourself
     🌶️ The push and pull of being AuDHD
     🌶️ ADHD medication, the hormonal cycle and lifestyle regulation
     🌶️ Skill regression, unmasking and taking steps before you feel ready

    This conversation is an honest look at post-diagnosis self-doubt, what's still hard, and why not having it all figured out is a normal part of the process.
    Tune in for a real conversation about late diagnosis, identity, and what life actually looks like after finding out you're AuDHD.

    Timestamps
    00:00:00 How Lara and Anna Met
    00:06:07 Rewatching Old Videos for Signs of Autism and ADHD
    00:09:45 Growing Up Online, Work-Life Balance and Female Friendships
    00:24:42 Getting Diagnosed with ADHD and Autism
    00:37:34 Autism Stigma, Telling Friends and Going Quiet on Social Media
    00:46:05 Vulnerability Online and Being More Yourself
    00:56:28 The Opposites of Being AuDHD
    01:03:01 ADHD Medication, Hormonal Cycles and Regulation
    01:14:24 Regression, Unmasking and Starting Before You Feel Ready
    01:24:42 Spicy Fire Round

    Contact Spicy Brain:
     Email: hello@spicybrainmedia.com

    Follow us on social media:
     Instagram: www.instagram.com/spicybrain.podcast/

    Follow Lara:
     Website: linktr.ee/Sullivanlara
      Instagram: www.instagram.com/sullivanlara/

    Follow Anna:
     Instagram: https://www.instagram.com/annaarcher/
     YouTube: https://www.youtube.com/@AnnaArcherFitness

    Tue, 06 Oct 2026
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