Adulting With Autism — Episode 300 (Milestone Special!)
We made it to Episode 300 of Adulting With Autism.
That's 300 episodes of conversations for the people who feel like they missed the manual—especially autistic and ADHD young adults trying to build a life that actually works with their brain. Thank you for listening, sharing, and growing with this show. This milestone episode is a celebration, and it's also deeply practical.
For Episode 300, April is joined by Matthew "Matt" Campbell, a licensed psychologist with over two decades of experience in private practice. Matt works with adults and provides therapy and testing with both kids and adults. In this episode, he breaks down why "self-care" has become exhausting for so many people—and how to bring it back to what it was always supposed to be: basic human needs and a solid foundation.
Matt talks about how self-care has been commercialized (so it starts to sound like spa days and expensive treats) and reframes it into what he considers the real essentials: sleep, movement, getting outside, social connection, and being intentional about what we consume mentally and physically. He explains why these basics matter even more for autistic and ADHD folks who are often spending extra energy adapting, masking, and navigating overstimulating environments.
They also get into motivation—why it fades even when you really want change—and why relying on it is a setup: motivation is an emotion, and emotions come and go. What creates lasting change isn't hype; it's structure, routine, consistency, and realistic short-term goals that build momentum.
If sleep is a struggle (especially common for autistic and ADHD listeners), Matt shares a clear, practical framework: sleep is largely about conditioning—consistent bed and wake times, a short wind-down routine, a cool/dark room, getting morning sunlight, and training your brain to associate the bed with sleep (not scrolling, not chores, not frustration). He also explains why naps can backfire for people who already struggle with nighttime sleep.
You'll also hear an honest discussion about screen time, online relationships, gaming, doomscrolling, and why constant news exposure can distort your sense of danger and raise anxiety. Matt emphasizes it's not about shame or "never screens"—it's about noticing tipping points and protecting your mental health with intentional limits.
To wrap it all together, Matt defines "adulting with autism" through a self-care lens: building a life that's livable means identifying what you value, and creating supportive foundations so you have the capacity to pursue it.
In this Episode 300, you'll learn:
- Why Episode 300 is a milestone (and why this community matters)
- Who Matt Campbell is and what he does as a licensed psychologist
- Why self-care feels exhausting: "self-care = selfish" belief + commercialization
- The Primal Five approach to foundational self-care:
- sleep
- movement
- getting outside / sunlight
- social connection
- mindful consumption (mental + physical)
- Why motivation fades (and why it's not the key)
- What does work: structure, routine, consistency, short-term goals, momentum
- Sleep strategies for autistic/ADHD brains:
- consistent bed time and wake time
- a 30-minute wind-down routine
- cool/dark room
- morning sunlight
- keep the bed for sleep (and what to do if you can't fall asleep)
- Naps: when they hurt more than help (for chronic poor sleepers)
- Social connection: quality over quantity, and what "your tribe" means
- Online connection: helpful, not the same as in-person; when screen time becomes a problem
- Doomscrolling/news: why it spikes anxiety and warps perceived risk
- How to improve routines without turning life into a rigid checklist
- How to spot "supportive" habits vs secretly draining expectations (movement vs extreme exercise)
- How to pick the one foundation to focus on for a month (start where you're struggling most)
About Matthew Campbell
Matthew "Matt" Campbell is a licensed psychologist with 20+ years in private practice. He works with adults (therapy) and provides testing and therapy with both kids and adults. He co-authored a workbook focused on foundational self-care habits.
Resources Mentioned
- Workbook: Our Primal Five (by Matthew Campbell and Josh Senko)
- Website/newsletter: ourprimal5.com
- Available at: Amazon and Barnes & Noble
- Coming soon: an Our Primal Five app (daily scoring + friend/group support)