Oct. 9, 2025

Beyond Burnout: The Physics of Autistic Inertia

Beyond Burnout: The Physics of Autistic Inertia

Autistic Inertia: Why You're Not Lazy, You're Operating by Different Physics | NeuroRebel
Can't start tasks you desperately want to complete? Can't stop activities even when exhausted? The answer is in Newton's First Law—and it's called autistic inertia.
Research shows autistic adults identify inertia as their MOST DISABLING experience—more challenging than sensory issues or social difficulties. Yet the DSM-5 doesn't mention it once.
In this episode, host Anita examines groundbreaking 2021 research by Dr. Dora Raymaker published in Frontiers in Psychology, exploring why 32 autistic adults described inertia as more limiting than any trait psychiatry actually measures.
You'll learn:

What autistic inertia actually is (rest inertia vs motion inertia)
The neuroscience: predictive coding, interoception & monotropic attention
Why psychiatry keeps misdiagnosing this as depression or ADHD
Evidence-based strategies that help (body doubling, environmental modifications)
How to educate clinicians who've never heard of inertia
Why productivity culture pathologizes neurological difference

This isn't gentle self-help—this is rigorous neuroscience meets lived autistic experience with critical disability studies analysis.
Perfect for: Late-diagnosed autistic adults, neurodivergent people struggling with executive dysfunction, mental health professionals, educators, partners/family seeking to understand
Content advisory: Discussion of burnout, executive dysfunction, medical gaslinking
Download FREE Autistic Inertia Accommodation Toolkit at neurorebel.com
NeuroRebel: Bilingual neurodiversity education challenging mainstream narratives. Research-informed. Autistic-led. Unapologetically honest.
#AutisticInertia #ExecutiveDysfunction #AutismAdults #Neurodivergent #AutisticBurnout #ADHD

BEYOND BURNOUT: THE PHYSICS OF AUTISTIC INERTIA

Complete Show Notes | NeuroRebel Podcast

Why can't you start tasks you desperately want to complete? Why can't you stop activities even when exhausted? The answer might be in Newton's First Law of Motion: and it's called autistic inertia.

In this episode of NeuroRebel, host Anita examines autistic inertia: the inability to initiate or stop actions despite clear intention and motivation. Research shows autistic adults identify inertia as their most disabling experience, more challenging than sensory sensitivities or social communication differences. Yet the DSM-5 doesn't mention it even once.

Drawing on groundbreaking 2021 research by Dr. Dora Raymaker and Dr. Michelle Mowbray published in Frontiers in Psychology, this episode explores:

  • What autistic inertia actually is (rest inertia vs. motion inertia)
  • The neuroscience behind why your brain operates according to different laws of motion
  • Why psychiatry and clinical psychology consistently miss this phenomenon
  • The role of predictive coding, interoception, and monotropic attention
  • How productivity culture pathologizes neurological difference
  • Evidence-based strategies that actually help (body doubling, environmental modifications, interoceptive training)
  • How to educate clinicians who've never heard of autistic inertia
  • The critical gaps in research, including the absence of cross-cultural and Spanish-language studies

This isn't gentle self-help: this is rigorous neuroscience meets lived autistic experience with critical disability studies analysis. Anita challenges the medical model that calls you lazy when you can't move and undisciplined when you can't stop, offering instead a framework grounded in emerging research and autistic scholarship.

If you've ever felt paralyzed despite clear intention, if you've hyperfocused until 2 AM despite desperate need for sleep, if your functioning is unpredictably variable: this episode is for you.

Content Advisory: Discussion of burnout, executive dysfunction, career challenges, and experiences of being pathologized.



SEO-OPTIMIZED KEYWORDS

Primary Keywords:

  • Autistic inertia
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  • ADHD and autism differences

Secondary Keywords:

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  • Predictive coding autism
  • Interoception and autism
  • Late diagnosed autism
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Academic/Professional Keywords:

  • Raymaker autistic inertia study
  • Frontiers in Psychology autism research
  • Critical disability studies
  • Phenomenology of autism
  • Autism qualitative research
  • Neurodivergent accommodation strategies
  • Medical model vs social model autism

Spanish-language Keywords:

  • Inercia autista
  • Autismo en adultos
  • Disfunción ejecutiva autismo
  • Neurodivergente
  • Diagnóstico tardío autismo

EPISODE STRUCTURE WITH TIMESTAMPS

[00:00] Cold Open: The Physics Problem Newton's First Law meets lived autistic experience. Why doesn't psychiatry know the physics?

[02:00] Act I: What the Research Actually Shows

  • Introduction to NeuroRebel methodology
  • Content advisory
  • Raymaker & Mowbray 2021 study breakdown
  • Rest inertia vs. motion inertia vs. inconsistency
  • Why the DSM-5 ignores the most disabling autistic trait
  • Intellectual honesty about limited research base

[08:00] Act II: The Phenomenology of Being Stuck

  • The invisible force field: when you can't initiate action
  • The river current: when you can't stop
  • The inconsistency problem: why functioning varies day-to-day
  • Neuroscience of interoception and predictive processing
  • Monotropic attention theory explained

[16:00] Act III: Why Psychiatry Keeps Getting This Wrong

  • The observational bias in DSM-5 development
  • How behavioral observation privileges external over internal experience
  • Productivity culture and disability pathology
  • Critical disability studies perspective
  • The missing cultural dimension: anglophone research bias
  • Why we need Spanish-language and cross-cultural research

[22:00] Act IV: Working With Your Physics

  • What limited research suggests: external initiation, environmental predictability, interoceptive training
  • What autistic communities know: body doubling, momentum hacking, hyperfocus boundaries
  • How to educate your clinician: three practical options
  • Finding neurodivergent-informed mental health providers

[28:30] Conclusion: The Questions This Raises

  • Open questions for future research
  • The line between accommodation and pathologization
  • What genuine accessibility would look like
  • Final affirmation: you're not lazy, you're operating by different physics

[30:00] Outro & Call to Action


KEY TAKEAWAYS

Autistic inertia has two primary forms: rest inertia (inability to start actions) and motion inertia (inability to stop or switch activities)

First formal research published in 2021 by Dr. Dora Raymaker and Dr. Michelle Mowbray in Frontiers in Psychology

32 autistic adults identified inertia as their most disabling experience—more than sensory issues or social challenges

Not mentioned in DSM-5 due to observational bias that privileges what clinicians see over what autistic people experience

Not laziness or lack of motivation—this is documented neurology involving predictive coding, interoception, and executive function systems

External force required to overcome inertia: body doubling, environmental cues, scheduled interruptions

Profound inconsistency: same person can function well one day and experience severe inertia the next with no predictable pattern

Cultural research gap: virtually all studies are English-language, Western, predominantly white populations

Productivity culture pathologizes neurological difference—measures worth by consistent economic output

Self-advocacy matters: educating clinicians, naming your experience, demanding informed care


QUOTABLE MOMENTS

"Why doesn't psychiatry know the physics? Newton's First Law explains what my psychiatrist spent fifteen months misdiagnosing."

"The DSM-5 has zero mentions of autistic inertia—the experience thirty-two autistic adults identified as their most disabling trait."

"This isn't an oversight. This is what happens when diagnostic criteria are built by observing autistic children in clinics rather than listening to autistic adults describe their internal experiences."

"You're not lazy. You're not unmotivated. You're operating according to different physics—and the world's failure to accommodate that says everything about the world and nothing about your worth."

"When autistic adults say 'I'm not lazy, I'm experiencing inertia'—and clinicians respond 'Have you tried making a schedule?'—we see exactly how observational bias fails."

"Inertia isn't about character or willpower. This is neurology operating according to different rules—and neurology can be worked with, even when it can't be changed."

"You deserve a clinician who treats you as the expert on your own neurology and partners with you rather than pathologizing you."

"We don't have depression where you don't want to do things. We have inertia where you desperately want to do things but your body won't comply."

"Imagine a work culture that recognized: 'This person produces brilliantly but operates according to different laws of motion.' We don't have that culture. We have a culture that calls you lazy when you can't move."

"Thirty-two autistic adults told researchers this was their most disabling experience—and psychiatry collectively shrugged."


ACADEMIC REFERENCES & CITATIONS

Primary Research on Autistic Inertia:

1. Raymaker, D. M., & Mowbray, M. (2022). Understanding autistic inertia. In L. Hull & K. Mandy (Eds.), Autistic Community and the Neurodiversity Movement: Stories from the Frontline (pp. 140-155). Palgrave Macmillan.
Plain language summary: First formal qualitative study examining autistic inertia with 32 autistic adult participants. Defined rest inertia (inability to initiate), motion inertia (inability to stop/switch), and documented profound inconsistency. Participants identified inertia as most disabling autistic trait.
Access: Available through academic libraries; summary at autisticinertia.com

2. Buckle, K. L., Leadbitter, K., Poliakoff, E., & Gowen, E. (2021). "No way out except from external intervention": First-hand accounts of autistic inertia. Frontiers in Psychology, 12, Article 631596.
https://doi.org/10.3389/fpsyg.2021.631596
Plain language summary: Qualitative analysis of online discussions about autistic inertia. Documents lived experiences and confirms inertia as distinct from depression, anxiety, or typical executive dysfunction.
Access: Open access

Autistic Burnout (Related Phenomenon):

3. Raymaker, D. M., Teo, A. R., Steckler, N. A., Lentz, B., Scharer, M., Delos Santos, A., Kapp, S. K., Hunter, M., Joyce, A., & Nicolaidis, C. (2021). "Having all of your internal resources exhausted beyond measure and being left with no clean-up crew": Defining autistic burnout. Frontiers in Psychology, 12, Article 614541.
https://doi.org/10.3389/fpsyg.2020.614541
Plain language summary: Companion study defining autistic burnout as distinct from occupational burnout or depression. Documents chronic exhaustion, loss of skills, and increased sensory sensitivity. Often co-occurs with inertia.
Access: Open access

Monotropism Theory:

4. Murray, D., Lesser, M., & Lawson, W. (2005). Attention, monotropism and the diagnostic criteria for autism. Autism, 9(2), 139-156.
https://doi.org/10.1177/1362361305051398
Plain language summary: Foundational paper proposing autistic cognition operates monotropically (few, intensely focused attention channels) rather than polytropically (many, diffuse channels). Explains both hyperfocus strengths and difficulty with task-switching.
Access: Available through academic databases

5. Murray, F., Lesser, M., & Lawson, W. (2022). The monotropism questionnaire. Autism in Adulthood, 4(4), 257-263.
Plain language summary: Development of questionnaire measuring monotropic tendencies, validating theory with quantitative data.

Interoception and Autism:

6. Brewer, R., Cook, R., & Bird, G. (2016). Alexithymia: A general deficit of interoception. Royal Society Open Science, 3(10), 150664.
https://doi.org/10.1098/rsos.150664
Plain language summary: Research showing autistic individuals often have difficulty detecting internal bodily signals (interoception), which may affect action initiation.
Access: Open access

7. Mahler, K. J. (2022). Interoception: The eighth sensory system. AAPC Publishing.
Plain language summary: Comprehensive guide to understanding interoception deficits in autism and practical interventions for improving body awareness.
Access: Available for purchase; clinical resource

8. Quattrocki, E., & Friston, K. (2014). Autism, oxytocin and interoception. Neuroscience & Biobehavioral Reviews, 47, 410-430.
Plain language summary: Theoretical paper proposing predictive coding framework for understanding interoceptive differences in autism.

Predictive Coding and Autism:

9. Van de Cruys, S., Evers, K., Van der Hallen, R., Van Eylen, L., Boets, B., de-Wit, L., & Wagemans, J. (2014). Precise minds in uncertain worlds: Predictive coding in autism. Psychological Review, 121(4), 649-675.
Plain language summary: Proposes autistic brains have difficulty with predictive processing—making accurate predictions about sensory input and consequences of actions. May explain inertia phenomena.

10. Palmer, C. J., Lawson, R. P., & Hohwy, J. (2017). Bayesian approaches to autism: Towards volatility, action, and behavior. Psychological Bulletin, 143(5), 521-542.
Plain language summary: Reviews predictive processing theories of autism and their implications for understanding action and behavior.

Executive Function in Autism:

11. Kenworthy, L., Yerys, B. E., Anthony, L. G., & Wallace, G. L. (2008). Understanding executive control in autism spectrum disorders in the lab and in the real world. Neuropsychology Review, 18(4), 320-338.
Plain language summary: Reviews executive function differences in autism, noting gap between lab performance and real-world functioning. Relevant for understanding why inertia appears inconsistent.

12. Hill, E. L. (2004). Executive dysfunction in autism. Trends in Cognitive Sciences, 8(1), 26-32.
Plain language summary: Classic paper examining executive function deficits in autism, providing foundation for understanding task initiation and switching difficulties.

Critical Disability Studies & Medical Model Critique:

13. Garland-Thomson, R. (2002). Integrating disability, transforming feminist theory. NWSA Journal, 14(3), 1-32.
Plain language summary: Foundational disability studies text examining how society constructs disability through exclusion rather than accommodating difference.

14. Davis, L. J. (2013). The disability studies reader (4th ed.). Routledge.
Plain language summary: Comprehensive anthology of critical disability studies scholarship. Chapters on medical model vs. social model essential for understanding how inertia gets pathologized.

15. Kapp, S. K., Gillespie-Lynch, K., Sherman, L. E., & Hutman, T. (2013). Deficit, difference, or both? Autism and neurodiversity. Developmental Psychology, 49(1), 59-71.
Plain language summary: Examines tension between medical model (deficit) and neurodiversity paradigm (difference) perspectives on autism. Relevant for framing inertia as neurological variation requiring accommodation.

Occupational Therapy & Intervention Research:

16. Gabriels, R. L., & Hill, D. E. (Eds.). (2007). Growing up with autism: Working with school-age children and adolescents. Guilford Press.
Plain language summary: Evidence-based occupational therapy approaches for supporting autistic youth. Chapters on environmental modifications and executive function support relevant to inertia.

17. Hume, K., Loftin, R., & Lantz, J. (2009). Increasing independence in autism spectrum disorders: A review of three focused interventions. Journal of Autism and Developmental Disorders, 39(9), 1329-1338.
Plain language summary: Reviews research on antecedent-based interventions, self-management strategies, and visual supports for increasing independence—relevant for inertia management.

18. Tomchek, S. D., & Dunn, W. (2007). Sensory processing in children with and without autism: A comparative study using the Short Sensory Profile. American Journal of Occupational Therapy, 61(2), 190-200.
Plain language summary: Documents sensory processing differences in autism. Relevant for understanding how environmental unpredictability may exacerbate inertia.

Double Empathy Problem (Context for Clinical Misunderstanding):

19. Milton, D. E. (2012). On the ontological status of autism: The 'double empathy problem'. Disability & Society, 27(6), 883-887.
Plain language summary: Challenges deficit model by proposing communication difficulties between autistic and non-autistic people are bidirectional. Explains why clinicians miss internal autistic experiences like inertia.

Community Resources & Grey Literature:

20. Autistic Inertia Project. www.autisticinertia.com
Community-driven research hub compiling academic studies, lived experience accounts, and practical strategies. Excellent resource for both autistic individuals and clinicians.


ADDITIONAL RESOURCES

For Autistic Individuals:

Finding Informed Clinicians:

Body Doubling Platforms:

Autistic-Led Organizations:

  • Autistic Self Advocacy Network (ASAN): autisticadvocacy.org
  • Autistic Women & Nonbinary Network (AWN): awnnetwork.org
  • Thinking Person's Guide to Autism: thinkingautismguide.com

For Clinicians:

Continuing Education:

  • Autism Level UP: Clinical training on neurodiversity-affirming practice
  • Therapist Neurodiversity Collective: Professional community and training resources

Clinical Assessment Tools:

  • Note: No validated clinical measures for autistic inertia currently exist. Consider qualitative assessment through patient self-report and functional analysis.

Recommended Clinical Framework:

  • Screen for inertia when autistic patients present with "depression" or "ADHD" that doesn't respond to standard interventions
  • Distinguish from depression (preserved motivation/desire in inertia) and ADHD executive dysfunction (inertia is more profound, variable)
  • Consider occupational therapy referral for environmental modifications
  • Explore body doubling, external cueing, and interoceptive awareness training

For Researchers:

Critical Research Gaps to Address:

  • Cross-cultural studies of autistic inertia
  • Spanish-language and non-anglophone research
  • Neuroimaging studies examining neural correlates
  • Longitudinal studies tracking inertia across lifespan
  • Intervention trials testing specific strategies
  • Quantitative measures and prevalence studies
  • Intersection with other conditions (ADHD, chronic illness, trauma)


CONNECT WITH NEUROREBEL

Website: www.neurorebelpodcast.com
Instagram: @neurorebelpodcast

Tiktok: @neurorebelpodcast
YouTube: youtube.com/@neurorebelpodcast (video essays & extended content)
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Email for questions, topic suggestions, or sharing your story:
neurorebelpodcast@gmail.com

For media inquiries, speaking engagements, or consultation:
neurorebelpodcast@gmail.com


ABOUT THE HOST

Anita is a retired tenured law professor, Fulbright scholar, researcher, and late-diagnosed autistic and gifted advocate based in Playa del Carmen, Mexico. With a prestigious academic background and deep commitment to social justice, Anita brings intellectual rigor and lived experience to neurodiversity education. NeuroRebel combines academic scholarship, critical disability studies, and unapologetic autistic perspectives to challenge conventional narratives about neurodivergence across Latin America and the Global South.

Anita's work centers autistic voices, prioritizes evidence-based research, and challenges medical model pathology through the neurodiversity paradigm. This podcast is for anyone seeking truth beyond trend, and demanding better from clinical psychology, education systems, and society at large.


ABOUT NEUROREBEL PODCAST

NeuroRebel is a bilingual (English/Spanish) podcast exploring neurodivergence and autism through research-informed, socially critical, first-person analysis. We don't oversimplify. We don't romanticize. We challenge mainstream narratives, examine peer-reviewed literature, and amplify marginalized voices within neurodiversity movements.

Topics span late diagnosis experiences, autistic burnout, philosophical reflections, cultural analysis, and systematic critiques of ableist institutions including Applied Behavior Analysis (ABA), medical models of disability, and productivity-centered definitions of worth.

Our audience: Neurodivergent adults (particularly late-diagnosed, gifted, and autistic listeners), mental health professionals, educators, researchers, policy advocates, and anyone seeking intellectual honesty about neurological difference.

Our commitment: Evidence-based education, cultural competency, de-pathologizing frameworks, and authentic representation of autistic experiences: particularly from Latin American and Global South perspectives often erased in anglophone-dominated research.


SUPPORT THIS WORK

NeuroRebel is listener-funded and advertising-free to maintain intellectual independence and serve our community without commercial compromise.

Ways to support:

💰 Financial support: buymeacoffee.com/neurorebelpodcast.com
One-time contributions or monthly support directly fund research, production, and translation costs.

Rate & Review: Leave a rating and review on Apple Podcasts, Spotify, or your platform of choice. Honest reviews help other neurodivergent people find us in the algorithmic wilderness.

📢 Share: Send this episode to someone who needs to hear they're not lazy: they're experiencing documented neurology.

🗣️ Amplify: Share quotes, insights, or your own inertia experiences on social media using #NeuroRebel #AutisticInertia

📚 Cite: If you're a researcher or clinician, cite this podcast and the research we compile. Amplify autistic scholarship.


CONTENT ADVISORY & ACCESSIBILITY

Content Warnings: This episode discusses executive dysfunction, burnout, career challenges, experiences of being pathologized, and systemic medical gaslighting. While not graphic, these topics may be activating for some listeners.

Accessibility Features:

  • Full transcript available in English and Spanish
  • Chapter markers for navigation
  • Natural pause points built into script
  • Clear content warnings at episode start
  • Downloadable resources in multiple formats

Audio Description: This podcast is audio-only content. All relevant information is conveyed through narration.

EPISODE CREDITS

Host & Writer: Anita
Script Development: NeuroRebel Production Team
Research Compilation: Anita
Audio Production: Anita
Translation (Spanish transcript): Anita
Graphic Design: Anita

Special thanks to Dr. Dora Raymaker and the autistic researchers whose work makes this education possible, and to the autistic community members who shared their experiences of inertia: making the invisible, visible.


PERMISSIONS & USAGE

Educational Use: Educators, clinicians, and researchers may use portions of this episode for non-commercial educational purposes with proper attribution to NeuroRebel and host Anita.

Transcripts: Full transcripts may be shared with attribution. Please link back to neurorebelpodcast.com.

Clips & Quotes: Social media clips under 2 minutes are permitted with clear attribution. Tag @neurorebelpodcast.

Not Permitted: Re-uploading full episodes, using content for commercial purposes without written permission, or misrepresenting the content or host's perspectives.

For permissions beyond educational fair use, contact: neurorebelpodcast@gmail.com


DISCLAIMER

This podcast provides educational information about autistic experiences and emerging research. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified healthcare providers with questions regarding medical or mental health conditions.

The views expressed are those of the host and do not necessarily represent the views of all autistic people, researchers, or clinicians. Autistic experience is diverse: this podcast represents one informed perspective among many.


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00:00 -   Introduction to Newton's First Law and Personal Experience

02:00 -   Understanding Autistic Inertia

03:40 - Research on Autistic Inertia

08:05 - Real-Life Experiences of Autistic Inertia

09:56 -   Neurological Insights and Theories

15:18 - Challenges in Clinical Recognition

21:17 - Strategies and Interventions

27:25 - Concluding Thoughts and Questions

30:10 - Final Remarks and Call to Action

WEBVTT

00:00:03.751 --> 00:00:16.442
Newton's first L of motion states that an object at rest stays at rest, and an object in motion stays in motion unless acted upon by an external force.

00:00:16.442 --> 00:00:24.841
It's physics, elementary physics at that, the kind of physics you teach to undergraduates in their first semester.

00:00:24.841 --> 00:00:42.496
So why on a Tuesday morning in my 16th year as a tenured law professor did I sit frozen at my desk for six hours, unable to type a single word about constitutional doctrine I could recite in my sleep.

00:00:42.496 --> 00:01:04.884
While my psychiatrist cycled through depression, anxiety, A DHD diagnosis and others, but never once mentioning that the answer was in the physics that day, my brain knew exactly what needed to happen, but my body simply would not comply.

00:01:04.884 --> 00:01:15.167
The highway between intention and action had collapsed, and when I finally found the research I discovered something staggering.

00:01:15.167 --> 00:01:26.177
32 autistic adults told researchers that this phenomenon, autistic inertia, was their most disabling experience.

00:01:26.177 --> 00:01:29.671
More limiting than sensory overwhelm.

00:01:29.671 --> 00:01:33.001
More challenging than social navigation.

00:01:33.001 --> 00:01:42.974
The single most significant barrier to their functioning and psychiatry collectively shrugged.

00:01:42.974 --> 00:01:47.671
The DSM five doesn't mention it, not once.

00:01:47.671 --> 00:01:50.912
And clinical training programs don't teach it.

00:01:50.912 --> 00:01:55.715
And mainstream autism discourse barely acknowledges it.

00:01:55.715 --> 00:02:08.764
So today we're doing what this podcast does best examining what happens when lived autistic experience collides with research that conventional medicine ignores and why?

00:02:08.764 --> 00:02:17.074
Understanding the physics, of how your brain actually works matters more than any productivity hack ever will.

00:02:17.074 --> 00:02:19.414
This is Neuro Rebel.

00:02:19.414 --> 00:02:24.875
I'm Anita, and we're talking about the Law of Motion that psychiatry forgot.

00:02:24.875 --> 00:02:39.780
Welcome to Neuro Rebel, where we examine Neurodivergence through the dual lens of rigorous research and unapologetic lived experience.

00:02:39.780 --> 00:02:53.818
I'm Anita, your host, a retired tenured law professor, a Fulbright scholar and late diagnosed autistic researcher who spent the last decade interrogating why clinical psychology keeps getting us wrong.

00:02:53.818 --> 00:02:57.771
If you're new here, understand this.

00:02:57.771 --> 00:03:09.651
We don't do inspiration porn, we don't oversimplify, we examine peer reviewed literature, challenge, medical model assumptions, and center autistic scholarship.

00:03:09.651 --> 00:03:15.366
If you're returning, thank you for trusting me with 30 minutes of your intellectual life.

00:03:15.366 --> 00:03:19.609
Autistic inertia.

00:03:19.609 --> 00:03:33.723
The term itself is borrowed from Newtonian physics, but the phenomenon predates its formal naming by decades, probably centuries, we've always known this experience.

00:03:33.723 --> 00:03:39.843
We just didn't have the language that's separated it from laziness, depression, or moral failure.

00:03:39.843 --> 00:03:41.883
Dr.

00:03:41.883 --> 00:03:47.493
Dora R aymaker herself, an autistic researcher at Portland State University and Dr.

00:03:47.493 --> 00:03:55.354
Michelle Mawbrey published the first peer review study examining autistic inertia in March of 2021.

00:03:55.354 --> 00:04:03.183
Their qualitative research with 32 autistic adults revealed something clinicians had been systematically missing.

00:04:03.183 --> 00:04:15.995
Participants described inertia as having two primary manifestations, first rest, inertia, and that is the inability to initiate action.

00:04:15.995 --> 00:04:28.403
Despite clear intention and motivation, one participant Described it as being stranded in the middle of the sea with no way out except with external intervention.

00:04:29.177 --> 00:04:36.646
Not a metaphorical paralysis, an actual inability to move from intention to execution.

00:04:36.646 --> 00:04:41.266
And the second group described motion inertia.

00:04:41.266 --> 00:04:47.416
The inability to stop or shift activities once momentum is established.

00:04:47.416 --> 00:04:55.247
Another participant explained, I can't stop what I'm doing even though I desperately need to.

00:04:55.247 --> 00:05:03.107
The research revealed a third critical dimension, and that is profound inconsistency.

00:05:03.107 --> 00:05:10.877
That is the same person might shower effortlessly one day and remain frozen for hours.

00:05:10.877 --> 00:05:13.726
The next, with no discernible pattern.

00:05:13.726 --> 00:05:25.637
This unpredictability compounds the disability because neither the individual nor the support systems can predict when inertia will strike.

00:05:25.637 --> 00:05:29.720
Now here's what should enrage you.

00:05:29.720 --> 00:05:51.680
Participants overwhelmingly identified inertia as their most disabling autistic trait, more than sensory sensitivity More than social communication differences, indeed more than any characteristic that the DSM five actually measures for an autism diagnosis.

00:05:52.867 --> 00:05:58.516
and yet the DSM five has zero mentions of autistic inertia.

00:05:58.516 --> 00:06:07.726
Clinical psychology textbooks don't discuss it, and most psychiatrists I've talked to have never even heard of the term.

00:06:07.726 --> 00:06:15.317
The medical establishment that claims to understand autism has no framework for the experience.

00:06:15.317 --> 00:06:19.906
Autistic people themselves identify as the most disabling.

00:06:19.906 --> 00:06:24.682
This isn't an oversight.

00:06:24.682 --> 00:06:32.692
This is what happens when diagnostic criteria are built by observing autistic children in clinical settings.

00:06:32.692 --> 00:06:52.632
Rather than listening to autistic adults describe their internal experiences, this is what happens when psychiatry privileges, behavioral observation over phenomenological reality, no intellectual honesty requires me to say this clearly.

00:06:52.632 --> 00:06:56.502
The research based on autistic inertia is thin.

00:06:56.502 --> 00:07:04.923
Rainmaker and Mare's 2021 study is groundbreaking precisely because almost nothing preceded it.

00:07:04.923 --> 00:07:18.392
We have one major qualitative study community generated descriptions on platforms like autistic inertia.com and scattered references in broader executive function literature.

00:07:18.392 --> 00:07:21.483
We don't have neuroimaging studies.

00:07:21.483 --> 00:07:24.663
We don't have large scale quantitative research.

00:07:24.663 --> 00:07:36.387
We don't have longitudinal data tracking inertia across a lifespan, and we don't have comparative studies examining how inertia manifests across different cultural contexts.

00:07:36.387 --> 00:07:42.524
Which matters enormously for a supposedly bilingual podcast.

00:07:42.524 --> 00:07:49.567
What we do have is 32 autistic adults saying, Hey, this is real.

00:07:49.567 --> 00:07:53.076
This is disabling, and nobody is listening.

00:07:53.076 --> 00:07:57.831
Sometimes that's where the best science starts.

00:07:57.831 --> 00:08:05.031
Not with brain scans, but with people insisting their experience needs to be taken seriously.

00:08:05.031 --> 00:08:12.322
Let me show you what inertia actually looks like.

00:08:12.322 --> 00:08:13.701
Not abstractions.

00:08:13.701 --> 00:08:17.002
Not metaphors, but lived phenomenology.

00:08:17.002 --> 00:08:30.427
Picture this, you're sitting on your couch and you want, you desperately want to shower before meeting your closest friend at the cafe you've been looking forward to all week.

00:08:30.427 --> 00:08:48.464
You can visualize every step, stand up, walk 15 feet to the bathroom, turn the dial feel the hot water on your skin, and you can practically smell the soap, but you can't move, not won't, but can't.

00:08:48.464 --> 00:08:53.929
Your mind is active, aware, and increasingly frantic.

00:08:53.929 --> 00:08:56.000
You're making mental lists.

00:08:56.000 --> 00:08:57.529
You're problem solving.

00:08:57.529 --> 00:09:08.445
You're experiencing mounting anxiety about being late, but there's this a barrier between your intention and your body's compliance.

00:09:08.445 --> 00:09:11.384
It is not depression, though.

00:09:11.384 --> 00:09:14.384
Everyone assumes that in depression.

00:09:14.384 --> 00:09:22.043
You often don't want to do things here, you desperately want to, you're mentally engaged.

00:09:22.043 --> 00:09:24.384
Your motivation is intact.

00:09:24.384 --> 00:09:29.453
It's not paralysis in any conventional neurological sense.

00:09:29.453 --> 00:09:32.903
You can move your breathing.

00:09:32.903 --> 00:09:34.403
Your heart is beating.

00:09:34.403 --> 00:09:37.254
You could move if the building caught fire.

00:09:37.254 --> 00:09:39.264
The system isn't broken.

00:09:39.264 --> 00:09:43.428
It's just not responding to the usual commands.

00:09:43.428 --> 00:09:54.533
One of rainmaker's participants described it perfectly, like being trapped behind glass, watching your life happen without you.

00:09:54.533 --> 00:10:03.423
Now, here's where this gets neurologically interesting research on interoception.

00:10:03.423 --> 00:10:11.852
That is our sense of our body's internal state suggests that autistic people often process bodily signals differently.

00:10:11.852 --> 00:10:25.158
Work by Rebecca Brewer and others show many autistic individuals have difficulty detecting or interpreting internal cues like hunger, fatigue or the urge to use the bathroom.

00:10:25.158 --> 00:10:34.467
Couple that with additional research that suggests that action initiation requires accurate predictive modelism.

00:10:34.467 --> 00:10:40.452
If your brain cannot accurately predict the sensory consequences of movement.

00:10:40.452 --> 00:10:52.171
That is can't model what standing up will feel like it might fail to generate the motor commands required to execute that movement.

00:10:52.171 --> 00:10:54.291
Let's bring this into reality.

00:10:54.291 --> 00:11:03.342
What this means is that in my Tuesday morning paralysis, my brain couldn't predict what typing would feel like.

00:11:03.342 --> 00:11:18.822
It couldn't model the sensory feedback of fingers and keys, so the action never initiated, not because I didn't want to write, but because my brain could not generate the predictive model required to start.

00:11:18.822 --> 00:11:26.092
Now the other side motion inertia.

00:11:26.092 --> 00:11:42.232
It's 10:00 PM You sat down after dinner to quickly organize last month's photos, just a 15 minute task, and instead what you ended up doing is reorganize your entire library.

00:11:42.232 --> 00:11:42.263
I.

00:11:42.623 --> 00:11:47.092
Your entire digital archive going back seven years.

00:11:47.092 --> 00:11:50.182
You've created three new taxonomic systems.

00:11:50.182 --> 00:11:54.293
You've color coded, tagged cross reference and more.

00:11:54.293 --> 00:11:57.682
Your back aches you haven't eaten.

00:11:57.682 --> 00:12:04.682
You desperately need to sleep and you have to go to work in four hours, but you cannot stop.

00:12:04.682 --> 00:12:11.789
It is not that you're having trouble stopping, you're actually unable to disengage.

00:12:11.789 --> 00:12:21.659
Your brain has momentum, the task has captured you, and finding the off ramp requires a force you don't currently possess.

00:12:21.659 --> 00:12:27.870
This is where mono attention theory becomes useful.

00:12:27.870 --> 00:12:47.740
Dyna Marie, when Lawson and Mike lesser proposed that autistic cognition operates mono tropically, meaning we tend to have fewer, more intensely focused attention tunnels rather than the diffuse, multitasking attention, typical in AIC cognition.

00:12:47.740 --> 00:13:04.365
The superpower version, we can achieve extraordinary depth of focus and expertise, but the collision with reality version, once we are in that focus state switching requires enormous cognitive force.

00:13:04.365 --> 00:13:06.995
It's not stubbornness.

00:13:06.995 --> 00:13:09.634
It's not a special interest obsession.

00:13:09.634 --> 00:13:15.904
It's that our attentional architecture operates according to different physics.

00:13:15.904 --> 00:13:27.105
Newton's first law, again, an object in motion, stays in motion unless acted upon by an external force.

00:13:27.105 --> 00:13:34.200
When your attentional system has momentum stopping it requires intervention.

00:13:34.200 --> 00:13:42.081
Your own neurology might not be able to generate but here's what makes inertia particularly destabilizing.

00:13:42.081 --> 00:13:43.701
It's unpredictable.

00:13:43.701 --> 00:13:46.417
Monday I shower.

00:13:46.417 --> 00:13:48.336
I dress, I eat breakfast.

00:13:48.336 --> 00:13:53.966
I write for four hours, Attend meetings, cook dinner, respond to emails.

00:13:53.966 --> 00:14:04.450
Highly functional by anyone's measure, but on Tuesday I sit frozen for six hours, staring at a blank document.

00:14:04.450 --> 00:14:14.940
On Wednesday I shower effortlessly, but then hyperfocus on reorganizing my bookshelf until it's 2:00 AM despite having a 9:00 AM class.

00:14:14.940 --> 00:14:23.058
Same brain, same responsibilities, same intentions, completely different physics.

00:14:23.058 --> 00:14:38.749
This inconsistency is what makes inertia nearly impossible to explain to neurotypical people they see how you function well one day and assume you are choosing not to function the next.

00:14:38.749 --> 00:14:49.658
They don't see that your neurological operating system is fundamentally variable in ways their experience doesn't prepare them to understand.

00:14:49.658 --> 00:15:16.297
And clinicians, clinicians are trained to identify consistent patterns for diagnoses, often dismissed variable presentation as inconsistent with a real disability, Which tells you everything about who gets to define disability and whose lived experience gets discredited when it doesn't match clinical expectations.

00:15:16.297 --> 00:15:21.315
I.

00:15:21.629 --> 00:15:35.095
So let's talk about why the DSM five, supposedly the authoritative text on autism does not mention the experience 32 autistic adults identified as their most disabling trait.

00:15:35.095 --> 00:15:37.735
This isn't accidental.

00:15:37.735 --> 00:15:39.884
This is structural.

00:15:39.884 --> 00:15:59.595
the DSM Five's autism criteria were developed primarily through behavioral observation of autistic children in clinical settings, researchers watched, they coded behaviors the identified patterns that are visible from the outside.

00:15:59.595 --> 00:16:02.317
What's visible from the outside?

00:16:02.317 --> 00:16:10.648
Well, social communication differences, repetitive behaviors, restricted interests and sensory responses.

00:16:10.648 --> 00:16:15.418
You can observe what is not visible from the outside.

00:16:16.288 --> 00:16:24.177
The internal experience of being unable to initiate action despite clear intention.

00:16:24.376 --> 00:16:31.277
The cognitive experience of being unable to stop despite a desperate need to do so.

00:16:31.277 --> 00:16:35.716
This is the phenomenology of inconsistency.

00:16:35.716 --> 00:16:42.085
Inertia is an internal experience.

00:16:42.085 --> 00:16:49.195
It requires listening to autistic people describe what is happening in their minds and bodies.

00:16:49.195 --> 00:16:58.465
It requires taking phenomenological reports seriously as data and not dismissing them as subjective.

00:16:58.465 --> 00:17:04.795
But the DSM framework privileges, behavioral observation over self-report.

00:17:04.795 --> 00:17:11.335
It trusts what clinicians see more than what autistic people say they experience.

00:17:11.335 --> 00:17:17.759
So when autistic adults say, I'm not lazy, I'm experiencing inertia.

00:17:17.759 --> 00:17:25.439
And clinicians who've never heard the term before respond with, have you tried making a schedule?

00:17:25.439 --> 00:17:30.913
We see exactly how this observational bias fails.

00:17:30.913 --> 00:17:47.393
But it's not just diagnostic categories, it's the entire framework of how we understand disability and functionality in a capitalist system that measures human worth by economic output.

00:17:47.393 --> 00:18:01.885
Leard Davis, Rosemary Garland Thompson, and other disability study scholars have extensively documented how medical models of disability serve economic systems.

00:18:01.885 --> 00:18:14.201
If you can't produce consistently, if your output is a variable, you are categorized as dysfunctional regardless of the quality or innovation of what you do produce.

00:18:14.201 --> 00:18:28.183
Autistic inertia is disabling, partly because it's neurological, and partly because we live in a world that requires consistent, predictable, sustained productivity.

00:18:28.183 --> 00:18:33.709
A world that has no room for people whose physics operate differently.

00:18:33.709 --> 00:18:37.769
Differently.

00:18:37.769 --> 00:18:42.534
Imagine for a moment, a work culture that recognized this.

00:18:42.534 --> 00:18:49.794
This person produces brilliantly, but operates according to different laws of motion.

00:18:50.693 --> 00:19:00.269
We need environments structured for our actual neurology, not someone else's idealized notion of consistency.

00:19:00.951 --> 00:19:03.382
We don't have that culture.

00:19:03.382 --> 00:19:10.701
We have a culture that calls you lazy when you can't move and undisciplined when you can't stop.

00:19:10.701 --> 00:19:17.996
And here's where my frustration as a supposedly bilingual podcaster gets sharp.

00:19:17.996 --> 00:19:28.316
Virtually all of the research on autistic inertia is in English conducted in English speaking countries with English speaking participants.

00:19:28.316 --> 00:19:38.107
But we need to ask, how does inertia manifest in cultures with different concepts of time, productivity, or disability?

00:19:38.107 --> 00:19:43.897
How do Spanish speaking autistic communities describe this experience?

00:19:43.897 --> 00:19:49.663
Is their existing terminology we're missing because Anglophone research dominates?

00:19:49.663 --> 00:19:54.837
I don't have answers because the research doesn't exist.

00:19:54.837 --> 00:20:04.984
When I search academic databases for Spanish language research on, I find almost nothing.

00:20:04.984 --> 00:20:13.667
When I ask Latin American clinicians about autistic inertia, most have never even heard of the concept.

00:20:13.667 --> 00:20:27.679
This matters because neurodiversity research that centers only on English speaking research, predominantly white, primarily Western populations, isn't universal science.

00:20:27.679 --> 00:20:31.308
It's culturally specific observation that is being universalized.

00:20:31.308 --> 00:20:36.979
We need research examining how inertia shows up.

00:20:36.979 --> 00:20:39.769
Or doesn't across cultures.

00:20:39.769 --> 00:20:43.608
We need multilingual cross-cultural studies.

00:20:43.608 --> 00:20:48.993
We need to stop pretending that the autistic experience is monolithic.

00:20:48.993 --> 00:20:54.907
It's not, but I don't wanna just critique.

00:20:54.907 --> 00:20:59.167
I want to ask, what do we do with this knowledge?

00:20:59.167 --> 00:21:03.644
So you recognize yourself in these descriptions.

00:21:03.644 --> 00:21:14.683
You understand that what you've been calling laziness or lack of discipline is actually a well-documented neurological phenomenon that research largely ignores.

00:21:14.683 --> 00:21:16.723
So now what?

00:21:16.723 --> 00:21:20.153
I am going to share with you three things.

00:21:20.153 --> 00:21:33.053
What the limited research suggests actually helps what autistic communities have developed through collective experience and how to advocate for yourself with clinicians who have never heard of the term inertia.

00:21:33.053 --> 00:21:38.467
And here's what the research suggests.

00:21:38.467 --> 00:21:41.017
First, be realistic.

00:21:41.017 --> 00:21:46.477
We don't have randomized controlled trials on inertia interventions.

00:21:46.477 --> 00:22:07.505
What we do have is occupational therapy literature on executive function support research on environmental modifications for autistic adults, and emerging work on interoceptive awareness, The external initiation support shows the most consistent evidence.

00:22:07.505 --> 00:22:26.255
Research by Gabrielson Hill and others on structured support for autistic adults suggests that external cues, that is another person being present, schedule check-ins and body doubling can provide the external force.

00:22:26.255 --> 00:22:30.930
Newton's first law requires to overcome rest inertia.

00:22:31.625 --> 00:22:46.366
This isn't about motivation, it's about your brain needing external input to bridge the gap between intention and initiation and environmental predictability matters.

00:22:46.366 --> 00:23:11.146
Work by Hume Loftin and Lance on antecedent based intervention shows that reducing environmental unpredictability can decrease the cognitive load that exacerbates executive dysfunction, not because routine is inherently calming, but because predictable environments reduce the predictive errors your brain has to process.

00:23:11.146 --> 00:23:16.307
And an interoceptive training shows emerging promise.

00:23:16.307 --> 00:23:33.092
Mailers work on body awareness interventions for autistic adults suggests that improving interoceptive accuracy, that is your ability to detect and interpret bodily signals may improve action initiation.

00:23:33.092 --> 00:23:37.253
It's still early research, but it is theoretically sound.

00:23:37.253 --> 00:23:49.961
Now let's move to what autistic people have figured out through lived experiences and which is shared widely on platforms and in community spaces.

00:23:49.961 --> 00:23:54.280
First body doubling works.

00:23:54.280 --> 00:24:03.490
Having another person present even silently, even virtually provides an external structure that bridges inertia.

00:24:04.211 --> 00:24:11.711
This isn't about accountability or supervision, but it's about borrowing someone else's momentum.

00:24:11.711 --> 00:24:14.651
And momentum matters.

00:24:14.651 --> 00:24:17.020
Momentum hacking matters.

00:24:17.553 --> 00:24:33.093
Some people find that starting with tiny, almost laughably small actions like put one foot on the floor stand for five seconds Can sometimes generate enough movement to overcome rest inertia.

00:24:33.093 --> 00:24:39.423
Not always, but sometimes the physics of starting anything carries over.

00:24:39.423 --> 00:24:51.532
And hyperfocused boundaries are essential for motion inertia, like external alarms, timers, or scheduled interruptions from others.

00:24:51.893 --> 00:24:56.452
These provide the external force required to stop.

00:24:56.452 --> 00:25:04.583
It's not self-discipline, but a structural intervention and naming changes everything.

00:25:04.583 --> 00:25:12.762
When you can say to a partner, I am experiencing inertia and I need external support to transition.

00:25:12.762 --> 00:25:20.113
Instead of apologizing for laziness, the entire interaction shifts.

00:25:23.607 --> 00:25:26.117
Let's talk about how to educate your clinician.

00:25:26.117 --> 00:25:34.005
If your therapist or psychiatrist has never heard of the term autistic inertia, you have three options.

00:25:34.005 --> 00:25:37.964
Option one, direct them to the research.

00:25:37.964 --> 00:25:38.835
Dr.

00:25:38.835 --> 00:25:40.335
Dora Ray Maker and Dr.

00:25:40.335 --> 00:25:56.240
Michelle Mawbrey, published the foundational study in 2021, and I've linked the full citation in our show notes@neurorebelpodcast.com, along with several supporting papers on executive function and interceptive processing.

00:25:56.240 --> 00:26:06.769
You can also point them to autistic inertia.com, which compiles both peer reviewed research and community knowledge in an accessible format.

00:26:06.769 --> 00:26:12.109
Option two explained it in terms that they already understand.

00:26:12.644 --> 00:26:14.384
Try something like this.

00:26:14.384 --> 00:26:27.855
I am experiencing severe executive dysfunction, specifically with action initiation and task switching, and it doesn't respond to typical A DHD interventions.

00:26:27.855 --> 00:26:36.734
And there's emerging research suggesting this is common in autistic adults and requires a different set of support strategies.

00:26:37.667 --> 00:26:44.417
Frame it in language that bridges their existing knowledge to the newer research they should be reading.

00:26:44.417 --> 00:27:05.002
And option three, find a clinician who already knows the autism counseling directory, neurodivergent therapists and similar directories increasingly list professionals who are themselves neurodivergent or specialize in autistic adult support.

00:27:05.002 --> 00:27:23.410
You deserve a clinician who doesn't dismiss your lived experience because it's not in the DSM five You deserve someone who treats you as the expert on your own neurology and partners with you rather than pathologizing you.

00:27:25.688 --> 00:27:27.107
So here's where I want to leave you.

00:27:27.107 --> 00:27:31.327
Not with neat answers, but with questions.

00:27:31.327 --> 00:27:36.428
This raises because the best science generates new questions.

00:27:36.428 --> 00:27:37.807
Question one.

00:27:37.807 --> 00:27:47.212
If autistic inertia is as disabling as the research suggests, then why isn't it in the diagnostic criteria?

00:27:47.212 --> 00:27:56.992
And what does that tell us about who gets to define autism and whose experiences get erased in clinical frameworks?

00:27:56.992 --> 00:28:10.236
Question two does recognizing inertia as a neurological difference, risk pathologizing, natural cognitive variation, and where's the line between?

00:28:10.236 --> 00:28:17.362
My brain operates differently and needs accommodation, and my brain is broken and needs fixing.

00:28:18.826 --> 00:28:19.817
Question three.

00:28:19.817 --> 00:28:32.297
How do we build a world that makes room for different laws of motion without simply demanding that autistic people adapt to neurological productivity standards?

00:28:32.297 --> 00:28:35.207
What would genuine accommodation?

00:28:37.247 --> 00:28:46.096
Question four, what happens when we examine inertia through non-Western non anglophone cultural frameworks?

00:28:46.096 --> 00:28:49.876
What are we missing by centering English language research?

00:28:49.876 --> 00:28:53.627
I don't have definitive answers.

00:28:53.627 --> 00:29:01.637
I have a framework that explains why I couldn't write that Tuesday, why I couldn't teach class on Wednesday.

00:29:01.637 --> 00:29:07.397
And I have research that validates experiences I've been taught to be ashamed of.

00:29:07.397 --> 00:29:18.887
I have a way of understanding myself that doesn't begin with what's wrong with me, but with what loss of motion am I operating under?

00:29:18.887 --> 00:29:20.742
you're not lazy.

00:29:20.742 --> 00:29:24.133
You're not unmotivated, and you are not broken.

00:29:24.133 --> 00:29:27.762
You are operating according to different physics.

00:29:27.762 --> 00:29:35.337
And the world's failure to accommodate that says everything about the world and nothing about your worth.

00:29:35.337 --> 00:29:39.345
Demand that our clinicians know the research.

00:29:39.345 --> 00:29:48.015
Share this with the people who've misunderstood you And build the knowledge base that psychiatry has failed to provide.

00:29:48.845 --> 00:29:52.625
And when inertia strikes, because it will.

00:29:52.625 --> 00:29:56.525
Remember, this isn't a moral failure.

00:29:56.525 --> 00:29:58.684
This is neurology.

00:29:58.684 --> 00:30:04.384
And neurology can be worked with even when it can't be changed.

00:30:04.384 --> 00:30:07.823
I.

00:30:07.823 --> 00:30:12.329
You've been listening to Neuro Rebel.

00:30:12.329 --> 00:30:21.599
I'm Anita, researcher, former law professor and your fellow traveler in demanding better from neuroscience and clinical psychology.

00:30:21.599 --> 00:30:39.816
You can find full citations in transcripts, in English, in Spanish On my website, neuro rebel podcast.com, follow us on social media and if this analysis helped you understand yourself better or someone you love more clearly, please share it.

00:30:39.816 --> 00:30:52.806
Not because we need algorithmic visibility, though We do, but because someone in your network desperately needs to hear that they're not lazy, but they're experiencing documented neurology.

00:30:52.806 --> 00:31:00.981
And if this research add values to your life, you can support my work by buying me a cup of coffee on my website.

00:31:00.981 --> 00:31:08.767
We're listener funded because we refuse to compromise intellectual honesty for sponsorship dollars.

00:31:08.767 --> 00:31:15.426
And remember, your autistic brain is in malfunctioning machinery requiring repair.

00:31:15.426 --> 00:31:26.406
It's a complex system operating according to different laws and demanding the world recognize those laws is the most radical thing you can do.

00:31:26.406 --> 00:31:29.892
Until next time, question everything.

00:31:29.892 --> 00:31:35.362
Trust autistic voices and never apologize for your physics.

00:31:35.362 --> 00:31:37.642
This has been Neuro Rebel.

00:31:37.642 --> 00:31:39.862
Thank you so much for listening.

00:31:39.862 --> 00:31:41.271
Until next time.

00:31:41.271 --> 00:31:45.616
I.