I Need A Parallel Universe

Summary

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Armstrong & Getty On Demand

Episode: "I Need A Parallel Universe"
Date: December 8, 2025

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Episode Overview

On this episode of Armstrong & Getty On Demand, the hosts dive deep into the rising rates of autism diagnoses among children, reflecting on childhood experiences and the cultural landscape of mental health. They weave personal stories and skepticism about modern diagnosis trends, discuss hypothetical "parallel universes" where their own lives might have played out differently had they been labeled or medicated early on, and examine the pros and cons of today's approach to ADHD and autism in kids and adults. The tone is candid, reflective, and, as always, laced with humor and a touch of irreverence.

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Key Discussion Points & Insights

1. Casual Rant: "Airport Pajamas" and The Decline of Adult Presentation

[02:56 – 03:54]

• The episode opens with a humorous gripe about adults wearing pajamas in public, specifically airports.
  • "Hates sissy men who show up at the airport in pajamas and slippers." – Joe Rogan [03:12]
  • "Dress like a grown up, for crying out loud." – Joe Rogan [03:17]
• The conversation broadens to the trend of young adults going out in pajamas; the hosts compare generational standards and poke fun at the casualization of attire.

2. Autism Diagnoses and Medicaid Fraud

[03:57 – 06:15]

• The hosts discuss an alarming rise in autism diagnoses, referencing reporting from Minnesota’s welfare scandal and the Wall Street Journal.
  • "Diagnosis rates of autism among children have more than tripled over the past 15 years." – Joe Rogan [04:24]
  • "Medicaid pays healthcare providers big bucks to diagnose and treat children with autism... states rarely verify that kids who are diagnosed actually meet the medical criteria for the disorder." – Joe Rogan [04:43]
• Explains financial incentives for over-diagnosis, especially within public health systems versus private insurance.

3. Over-Pathologizing and Labeling of Kids

[06:07 – 06:15, 10:20 – 12:10]

• Discussion shifts to how lower-income kids are disproportionately labeled autistic for behavioral/developmental problems.
• They touch upon the perennial debate: Are these mental health conditions more prevalent, or are we just diagnosing more?
  • "Is there more autism or did we just used to overlook it? Not call it anything?" – Joe Rogan [10:20]
  • "Way more kids with way more problems that ever existed when you were young." – Joe Rogan [10:33]

4. The "Parallel Universe" Thought Experiment

[11:08 – 13:55]

• A personal anecdote: a friend casually tells one host he's "clearly on the spectrum, probably ADHD," sparking introspection.
  • "You're clearly ADHD and you're probably almost certainly on the spectrum of some sort... That's really interesting. Which gets to my whole parallel universe thing." – Joe Rogan [11:13, 11:33]
• The hosts muse about how their lives might have changed had they been diagnosed, medicated, or routed through special programs as children.
  • "Would love to go back in a parallel universe... see how I would have turned out versus ignoring it my whole life." – Joe Rogan [12:00]
• Raises the question: For mild cases, is it better NOT to know or name your neurological quirks—does it foster grit instead?

5. The Pros and Cons of Diagnosis and Medication

[13:06 – 17:35]

• Guest Commentator shares personal experience: would have been labeled ADHD as a child, but is uncertain if it would have helped or just changed his life's path.
  • "I don't know what are the downsides to medication. You have to incorporate that into your analysis." – Guest Commentator [13:50]
• Discusses how medication can dramatically help some people but also profoundly alter personality in others:
  • Story of a woman who stopped ADHD medication because "it changed who she was." [15:42]
  • Contrasted by a young man who benefits greatly from the right medication.
    • "He can focus on things for, you know, 30 seconds at a time and not three... It's just made all the difference in the world." – Guest Commentator [16:22]
• The hosts express ambivalence and concern over whether such labels serve as excuses or enablers.

6. Modern Culture: Everyone Gets a Label

[14:38 – 17:35]

• Critique of the proliferation of "special needs" in academia and society:
  • "Two thirds of all college students claim to need special dispensation... It's just become idiotic. Everybody's got a special need now." – Guest Commentator [14:38]
• The pathologizing of typical boy behavior, especially their need for movement and energy.
  • "It's toxic masculinity or that's obscene. It got. It makes me just so angry to even think about." – Guest Commentator [17:35]

7. Old Dogs, New Labels: Is there Value in Adult Diagnosis?

[18:02 – 21:37]

• Debate whether there is value in pursuing a diagnosis for oneself later in life.
  • "I do have social stuff that is outside of the norm, I think." – Joe Rogan [20:16]
• Discussion turns humorous—would being on the spectrum entitle him to perks like special parking, plane boarding, or theme park fast passes?
  • "Do I get to board first in planes?... Give me something." – Joe Rogan [21:14, 21:30]

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Notable Quotes & Memorable Moments

• "You're clearly ADHD and you're probably almost certainly on the spectrum of some sort... That's really interesting. Which gets to my whole parallel universe thing." – Joe Rogan [11:13, 11:33]
• "If you're severely anything, obviously you need a diagnosis and probably some sort of either therapy or medication, but if you're that mild version... are you better off never being told you have some special reason to be not paying attention or struggle in life?" – Joe Rogan [12:29]
• "My wheels have been turning ever since this person said to me, 'Oh, you're obviously on the spectrum. You don't know that?' Like, what?" – Joe Rogan [19:08]
• "Do I get special parking spots or anything? I mean, I'd look into it if I get to like park closer to the store." – Joe Rogan [20:56]
• "It's just become idiotic. Everybody's got a special need now." – Guest Commentator [14:38]
• "I'd rather get in a fist fight than have somebody hug me, for instance." – Joe Rogan [20:37]
• "He can focus on things for, you know, 30 seconds at a time and not three... It's just made all the difference in the world." – Guest Commentator [16:22]

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Segment Timestamps

• 02:56 – 03:54 — Rant about adults in pajamas, generational shifts in public decorum
• 03:57 – 06:15 — Autism diagnosis rates, Medicaid fraud, incentives for over-diagnosis
• 10:20 – 13:55 — Reflection: “parallel universe,” personal anecdotes about being labeled/diagnosed
• 13:06 – 17:35 — Pros and cons of ADHD medication, personal stories, societal over-pathologizing
• 18:02 – 21:37 — Should adults get diagnosed? The joke: perks of having a diagnosis
• Throughout — Discussion remains balanced, switching between introspection, skepticism, and humor

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Tone & Style Notes

The conversation alternates between sincere curiosity and light-hearted banter. Hosts are candid about their confusion and skepticism, yet empathetic toward those truly helped by diagnoses and medication. They avoid dismissing the struggles of others but question the explosion of labels and accommodations in contemporary culture.

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Summary Takeaways

• The explosion of childhood autism and ADHD diagnoses is likely driven by a mix of better recognition and perverse systemic incentives.
• The panel expresses major skepticism about over-pathologizing ordinary childhood (especially boys), and whether mild neurodivergence should be labeled/treated at all.
• The "parallel universe" question—how would knowing you had ADHD/autism as a child change your life?—remains open, as each host reflects on the unpredictability of alternate life experiences.
• The episode closes with jokes about the possible “benefits” of adult diagnosis (perks, parking, fast passes), underlining the sometimes-absurd cultural moment regarding mental health labels.
• Ultimately, the hosts urge listeners to think critically about where meaningful help ends and unnecessary labeling begins.

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Transcript

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[Joe Rogan]

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[Guest Commentator]

One more thing.

[Joe Rogan]

Before I get to why I need a parallel universe. I just got a text from a friend of mine. He is a retired grown man in his 60s who said he hates sissy men who are. He's at the airport. Apparently he hates sissy men who show up at the airport in pajamas and slippers.

[Ryan Reynolds]

Amen.

[Guest Commentator]

Man up men. Yeah, I agree.

[Joe Rogan]

Dress like a grown up, for crying out loud.

[Ryan Reynolds]

I get it when you're in high school, you know, we used to like walk around in pajamas and stuff. But when you're like a grown man doing that, that's weak.

[Guest Commentator]

Look, harmless trends are harmless trends. But pajamas, even in high school?

[Joe Rogan]

Oh yeah, Pants. I live in a Chinese attack. I live in a college town. 90 of the college kids I see are in their pajamas.

[Guest Commentator]

Yeah, well then 90% of them need to man up and pant up.

[Joe Rogan]

Well, I'm not saying I'm including the women. It's popular.

[Guest Commentator]

Oh yeah, yeah.

[Joe Rogan]

To the why I need a parallel universe. I think this is interesting. We've talked about this before and you've had a comment about it, Joe, which you'll probably repeat here, starting. I'll start with this. And I almost never work this side of the street about autism and kids mental health problems. But this is from the Washington.

What's the one that Byron York works for?

[Guest Commentator]

Free Beacon or Washington Times?

[Joe Rogan]

I can never remember one of them. Diagnosis rates of autism among children have more than tripled over the past 15 years. We know that one reason which Minnesota. Minnesota's welfare scandal has laid bare with shocking details is Medicaid fraud and abuse. Now we've been talking a lot about the Minnesota thing and in particular their. Their fraud, which might lead the nation. Medicaid pays healthcare providers big bucks to diagnose and treat children with autism. Sometimes tens of thousand dollars a month for a single child. Yet states rarely verify that kids who are diagnosed actually meet the medical criteria for the disorder. So if you put down that you got an autistic kid, nobody confirms it or not.

[Guest Commentator]

Apparently, at least he's quoting Alicia Finley's piece in the Wall Street Journal.

[Joe Rogan]

Yeah, or they get appropriate treatment from qualified specialists. You don't have to 1 confirm you got a diagnosis or 2 show that you're using the money for any sort of treatment or anything like that.

[Guest Commentator]

The results just have to get lots of money.

[Joe Rogan]

Children covered by Medicaid or the government run Children's Health Insurance Program are two and a half times more likely to than those with private coverage to be diagnosed with autism. Now I suppose you could tease it out and have some reason that kids with private coverage are less exposed to plastics or cell phone towers or whatever the hell we think causes autism.

[Guest Commentator]

You know, I had a thought pop up, but then I corrected it. I was thinking, well, maybe the and this is not my point of view, but I'm just expressing it. Maybe the greedy, selfish private insurance companies refuse to pay for treatment. But then no, it's it's just diagnosis. It's not treatments of any kind. Two and a half times more likely to be diagnosed autistic.

[Joe Rogan]

The final sentence being many lower income kids are labeled autistic merely because they have behavioral or developmental problems. And that's kind of actually what I wanted to get into As a football.

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[Joe Rogan]

So people always say, well, you know, is there more autism or did we just used to overlook it? Not called anything? There's some of that, of course, but that's not the vast majority of it. And I've talked to people who research this for a living. It's not even close to explaining where we are. And if you've had kids in the modern world, you know, there's way more kids with way more problems that ever existed when you were young, depending on your age. I mean, it's just, it's just a fact. And this leads me to what I really wanted to talk about is this. So a woman who knows me, grown woman with kids, she brought this up. She said this the other day, just offhandedly. She, she actually has four kids, three of them autistic, three autistic boys, one of them severely autistic.

[Guest Commentator]

Wow.

[Joe Rogan]

She said, well, you're clearly on the spectrum somewhere to me.

[Ryan Reynolds]

What?

[Joe Rogan]

She said, oh yeah, yeah, I can diagnose it from a mile away. You're clearly. She said, you're obviously adhd. I assume you know that. And I said, no, I've never thought about it for a second. She said, you're clearly ADHD and you're probably almost certainly on the spectrum of some sort. I thought, wow, that is. I've never even thought about this before. That's really interesting. Which gets to my whole parallel universe thing. I don't know if I am or not.

I'm a 60 year old man who's been relatively successful. My life has lived. I'm not sure it makes any difference at this point, but.

If I would, I would love to go back in a parallel universe and have me diagnosed with something at age whatever, put in maybe special classes, maybe given medication, whatever goes along with it.

And see how I would have turned out versus ignoring it my whole life. Yeah, be fascinating.

[Guest Commentator]

Yeah, absolutely. I've long.

Fantasized about, you know.

[Joe Rogan]

Just.

[Guest Commentator]

Seeing that because it's such an intriguing question, I think for everybody. What if I had taken a left instead of a right? You know, career wise, the, you know, the Partner wise, just 100 things, how.

[Joe Rogan]

Would that have played out?

[Guest Commentator]

It's just so in, so intriguing.

[Joe Rogan]

But specifically on this medical thing, it is the question of now, if you're severely, anything, obviously you need a diagnosis and probably some sort of either therapy or medication, but if you're that mild version that a lot of kids are, are you better off never Being told that you have some special reason to be not paying attention or struggle in life.

[Ryan Reynolds]

I think so, yeah. I would think so. Like.

[Joe Rogan]

Like, I wasn't told I have any special reason to, even though some woman just told me the other day I do.

Are you better off just thinking, God, I suck at this. I better work harder?

[Guest Commentator]

Wow, that's. That's a really difficult question. Answer simply. Yeah, I'd say it depends, obviously, as you indicated, on the severity of the situation.

Yeah, there's something to be said for figuring out like I did, because I 100% would have been diagnosed in school with ADHD. It was just way, way too slow for me. It made me insane.

[Joe Rogan]

Do you think it would have been helpful to. You.

See, that's.

[Guest Commentator]

That's where it starts to get really complicated. Yes, in a way. But it would have routed me in a different direction than the one I took, which has ended up being really interesting and fun and, you know, difficult at times, certainly. But I don't know what are the downsides to medication. You have to incorporate that into your analysis.

[Joe Rogan]

Yeah, no doubt. Or upsides that maybe, you know, I've never had medication of those kind. Maybe if I ever had some medication, I don't know that I do have any of these things that this woman said I have, but if I did or do, and I'd take any medication where all of a sudden, oh, wow, this must be what it's like for other people to try to pay attention. Maybe it would have been awesome. But knowing my personality, I think it's much more likely that I'd. I got an excuse. Yeah, for not getting my ass done. Well, I can say shit. It's a podcast. I got an excuse for not getting my shit done. Finally, my ship has come in. Uh, I don't know if I'd have done that or not, or if kids do that. I have no idea to that point.

[Guest Commentator]

And I don't have it readily in front of me, I don't think. But there's now a growing awareness that the fact that like two thirds of all college students claim to need special dispensation to take tests or whatever has become completely unworkable. They're having to figure out what to do now because it's just become idiotic. Everybody's got a special need now.

[Joe Rogan]

But if I was told I had something when I was eight, with the exact same life I've lived, personality I've lived, how much would that bore into my mind of reason why I can't do this, or I Shouldn't be held to a standard for that. I don't know, but it would have to have an effect. Katie, you look like you wanted to say something. Something.

[Ryan Reynolds]

Well, a friend of mine realized that she was having a lot of trouble concentrating, and she got diagnosed with ADHD, I think, when she was 26. And then they gave her medication and she stopped taking it because she had. She said it totally messed with my personality. It changed. It changed who she was. So I wonder if that would happen as a child. You wouldn't.

[Joe Rogan]

Most people would like that with me if it totally changed my personality.

[Guest Commentator]

No comment. So a young man I know who is 32. 30. 32, 33. 33, who looks a lot like me, but is taller.

Recently got. Saw a doctor about ADHD problems because he suspected that he has that and indeed got medication number one, and it messed with him and was bad. Medication number two is great. And he's thrilled. Really, really happy about it.

[Ryan Reynolds]

Interesting. Okay.

[Guest Commentator]

He says he can. He can focus on things for, you know, 30 seconds at a time and not three seconds at a time or even longer than that. And it's just made all the difference in the world. Which is interesting because nobody who's known him since the day he was born.

Realized that was going on, and neither did he.

[Ryan Reynolds]

What made him realize it?

[Guest Commentator]

Self awareness. I think the more you live and the more you experience, the more you realize, wait a minute. Other people seem to do this easily, and it's making me insane.

[Joe Rogan]

Wouldn't that be crazy if I figured out at age 60, a little tweak here, there, and all of a sudden I can do various things that I've struggled with my whole life? That'd be nuts. I don't know that I'm gonna seek that out. The last thing I need is to go down that road at this point. But I have no idea. And I don't want to respond to emails and texts about not believing in medication or diagnosis because I'm a million miles from that. If you've been listening to the show for a long time, I have a kid that's got all kinds of stuff and all kinds of medications. So I am on that train. But do we do it more often than we need to? Almost certainly be true, isn't it?

[Guest Commentator]

Oh, 100%, yeah. Yeah. Any responsible commentator would tell you that about the. And part of it is the pathologizing of little boys, how the need to get up and move and have lots of energy and you need to tire them out before they can sit still. Is Somehow that's. That's a condition. It's toxic masculinity or that's obscene. It got. It makes me just so angry to even think about.

[Joe Rogan]

I wish I could actually run that parallel universe experiment with, you know, me or anyone else, where one you tell them they've got an excuse and one, you don't tell them and see which turns out better. I don't actually know.

[Guest Commentator]

Yeah, I think it would probably vary kid to kid. Here's. Here's a strong statement. I have not evaluated this statement for its effectiveness. Side effects include diarrhea, pounding headaches, and eye bleeding.

[Joe Rogan]

Erections lasting more than four hours.

[Guest Commentator]

Oh, erections last for four days. Are you kidding me?

[Joe Rogan]

Oh, my God. God, how am I supposed to sleep?

[Guest Commentator]

So here is my strong statement.

That sort of revelation would hit with people roughly. Like all obstacles hit with that person. Some people see an obstacle, they lay down and quit and blame it for the rest of their lives. Some people think, nah, all right, that's what I got to deal with. And they deal with it. It would be similar to, like, most setbacks. I don't know. Again, I just. That's off the top of my head.

[Joe Rogan]

I don't know. I really, really don't know. It's. My wheels have been turning ever since this person said to me, oh, you're obviously on the spectrum. You don't know that. Like, what?

[Guest Commentator]

Really? Yeah.

[Ryan Reynolds]

I would have been offended myself. Yeah. Hey, thank you.

[Joe Rogan]

Think I should have thrown a punch or something?

[Ryan Reynolds]

Oh, totally. Haymaker.

[Guest Commentator]

I wouldn't be offended by that. Really.

[Ryan Reynolds]

If you told your boss, I know you're yelling at me, but you're only doing it because you're on the spectrum.

[Guest Commentator]

That's not gonna go well.

[Ryan Reynolds]

For instance.

[Guest Commentator]

Yeah.

[Commercial Announcer]

Yeah.

[Joe Rogan]

Oh, I don't think I am.

But I don't actually know.

Elon is. So are a lot of the geniuses that have done all the genius stuff throughout history, so. I'm not. I'm not that either. I'm not a genius. Well, yeah, I'm sure the donated test.

[Guest Commentator]

Is coming out any second.

[Joe Rogan]

Yeah.

[Guest Commentator]

You know, it's an in. Really interesting question is, should you investigate it now?

[Joe Rogan]

Yeah, that's what I've been thinking. I mean, I do have social stuff that is outside of the norm, I think.

[Guest Commentator]

Yeah. Oh, yeah, you are. And as am I. But not quite as far down the road of antisocial. You know, just being an introvert. Social anxiety.

[Joe Rogan]

I'd rather get in a fist fight than have somebody hug me, for instance.

[Guest Commentator]

Yeah. Yeah, that's that's kind of spectrumy.

[Ryan Reynolds]

Yeah, spectrumy.

[Joe Rogan]

But what else? What else goes with that, I wonder?

[Guest Commentator]

Oh gosh, it's. It's a grab bag. Yeah. I suppose your results may vary.

[Joe Rogan]

Do I get special parking spots or anything? I mean, I'd look into it if I get to like park closer to the store.

[Ryan Reynolds]

You want a placard?

[Joe Rogan]

I want a placard. I want a tax deduction.

[Guest Commentator]

I got real bad adhd. Sometimes I wander off and I can't find my car because I can't concentrate. So I need to park in the first six spaces, please.

[Joe Rogan]

Do I get to board first in planes? I mean, what else comes with this? If I, if I go ahead and pursue this.

[Guest Commentator]

But then you'd be with people longer. Oh, fast pass.

[Joe Rogan]

You know, fast pass at the theme park. See, there's all kinds of things that are going to come let Magic Mountain.

[Guest Commentator]

Let me in.

[Joe Rogan]

Let me in.

[Guest Commentator]

I have the adhd.

[Joe Rogan]

I can't focus right. I'm barely on the spectrum. Give me something. Now give me something.

[Ryan Reynolds]

You know the placard be handy during the holiday season, during Christmas shopping.

[Joe Rogan]

I'm just saying, Jack.

[Ryan Reynolds]

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