Episode 261: Dragons, Dopamine, and Autistic Special Interests [featuring Mandi Dixon]

What happens when a TV show, book series, fictional universe, or character becomes so much more than entertainment?

Patrick Casale is joined by returning guest and ADHD Executive Function Coach Mandi Dixon for a deep dive into Game of Thrones, House of the Dragon, and the powerful role special interests can play in neurodivergent lives.

From favorite characters and dragons to Autistic-coded characters, PDA, hyperfixation, and the emotional devastation of a terrible series finale, Patrick and Mandi explore why fictional worlds can become sources of joy, nervous system regulation, connection, belonging, and escape. They also unpack something that isn't discussed nearly enough: the genuine grief that can happen when a special interest ends or suddenly stops providing the comfort it once did.

And yes—there are major Game of Thrones and House of the Dragon spoilers, so consider yourself warned.

3 Key Takeaways:

Special interests can be much more than hobbies. For neurodivergent people, they can provide regulation, connection, belonging, predictability, and a place to experience genuine unmasked joy.Losing a special interest can create real grief. Finishing a beloved series, losing connection with an interest, or watching a fictional world come to an end can leave a surprisingly significant emotional void.Shared interests can transform neurodivergent connection. When people are given space to enthusiastically discuss what they love without masking or judgment, perceived "social deficits" can look very different—revealing connection, depth, and genuine enthusiasm instead.

More about Mandi:

Mandi Dixon is a Licensed Professional Counselor, EMDR therapist, and ADHD Executive Function Coach specializing in the intersection of ADHD and perimenopause in women. She’s a member of The Menopause Society and the International Society for the Study of Women’s Sexual Health, and her work has been featured in USA Today and Good Morning America. Mandi is based in Allen, Texas, where she sees clients and is currently writing her first book on ADHD and midlife hormonal health.

Instagram: @AdhdmenopausetherapistWebsite: https://www.mandidixonco.comWebsite: https://mymenopauserx.com

THE NEUROPAUSE COLLECTIVE is a group of 8 founding members of clinicians, coaches, advocates, and creators who all got tired of seeing the same gap and decided to build what we couldn’t find.

A structured community for neurodivergent people in midlife.

The NeuroPause Collective includes live support calls, monthly webinars and Q&As, practical resources, and access to people who actually understand the intersection of neurodivergence and midlife.