Holly Madison opens up about her autism diagnosis at 42 and how boyfriend Zak Bagans handled it

Holly Madison revealed during the 'Talking to Death' podcast that a doctor told her that she has 'high executive functioning'
PUBLISHED MAR 31, 2024
Holly Madison revealed that her autism diagnosis wasn't 'shocking' for her boyfriend Zak Bagans (Denise Truscello/WireImage and Instagram/ @realzakbagans)
Holly Madison revealed that her autism diagnosis wasn't 'shocking' for her boyfriend Zak Bagans (Denise Truscello/WireImage and Instagram/ @realzakbagans)

LOS ANGELES, CALIFORNIA: Holly Madison has revealed the changes she experienced after she was diagnosed with autism at the age of 42.

The former Playboy model told PEOPLE, “I'm so glad I got that diagnosis because I can recognize how I operate the way I do, why I operate the way I do, how I relate to people.”

“I feel like it's helped my social skills just knowing that,” she shared.


 
 
 
 
 
View this post on Instagram
 
 
 
 
 
 
 
 
 
 
 

A post shared by Holly Madison (@hollymadison)


 

Holly Madison speaks of her experiences before her autism diagnosis

The 44-year-old TV personality further explained, “I look back and I just see how I used to have so much trouble connecting with people. I think that played into some of the decisions I made.

“Feeling like I connected with certain people easier and thinking, ‘Oh, this must be meant to be because I never connected with anyone before,’ kind of a thing, when really, I think it was just being on the spectrum was a difficulty for me.”

Holly Madison shares about her bond with boyfriend Zak Bagans

Madison also mentioned her longtime boyfriend Zak Bagans’ response to her diagnosis.

BEVERLY HILLS, CA - SEPTEMBER 25:  Hugh Hefner and girlfriend playboy model Holly Madison hug during
Holly Madison recalled her time living in Hugh Hefner's mansion (Getty Images)

She asserted, “I'm lucky enough to be dating somebody who just has always kind of understood me and accepts me for who I am, so getting the diagnosis wasn't super shocking to him.”

“I am lucky that I haven't had a ton of trouble in recent relationships as far as feeling an intimate emotional connection with somebody,” ‘The Girls Next Door’ star added.

In December 2023, Madison disclosed on the ‘Talking to Death’ podcast that the “doctor told me that I have high executive functioning, which means I can pretty much go about my life and do things ‘normally'.”

She continued at the time, “I think because I’m more quiet, I’ve only recently learned to make eye contact, I’m often in my own thoughts, things like that, so people take that as offensive.”


 
 
 
 
 
View this post on Instagram
 
 
 
 
 
 
 
 
 
 
 

A post shared by Holly Madison (@hollymadison)


 

“They’re like, ‘Damn, you’re not super interested in me, f*** you.’ Like, I'm just not on the same social wavelength as other people but don’t take it personally. So I like being able to explain that,” she added.

Holly Madison describes scenarios at Hugh Hefner’s house as ‘weird’

In another interview with PEOPLE, Madison opened up about her time at the infamous mansion of Hugh Hefner.

She disclosed, “They would have these trays everywhere, like in every bathroom, out on the tennis courts, by the pool, and it would be a tray with Kleenex, Pepto Bismol, Vaseline, baby oil, sunscreen — any kind of makeshift lube.”

Holly Madison is seen on July 29, 2019, at Los Angeles. (Photo by Hollywood To You/Star Max/GC Images)
In December 2023, Madison disclosed on the ‘Talking to Death’ podcast that a doctor told her that she has high executive functioning (Photo by Hollywood To You/Star Max/GC Images)

“It was weird,” she noted.

MORE STORIES

The post Khloe Kardashian liked featured Charlie Kirk speaking with a fan at an event about his devout Christian faith
Sep 13, 2025
Whitney Cummings sparked widespread outrage after posting a controversial tweet about the killing of conservative activist Charlie Kirk
Sep 13, 2025
Prince Harry was spotted entering King Charles’s London residence, months after saying his father had ignored his calls
Sep 11, 2025
Rosie O'Donnell said Ellen DeGeneres’ friendship denial hurt so much she printed T-shirts for her staff reading, 'I don’t know Rosie, we’re not friends'
Sep 10, 2025
A post alleged that Karoline Leavitt called Patti LaBelle 'just a singer,' leading LaBelle to deliver a seven-word response that froze the studio
Sep 10, 2025
Jennifer Lopez feels free channeling emotions into music, but Ben Affleck is embarrassed and sees it as crossing a line, according to the source
Sep 9, 2025
Howard Stern added that he missed last week’s show due to illness, not contract talks, and addressed rumors of being fired from his own show
Sep 9, 2025
Taylor Swift and Travis Kelce’s engagement in August 2025 triggered a wave of pregnancy chatter after an ultrasound photo went viral
Sep 9, 2025
Ed Sheeran, 34, revealed that he was leaving Suffolk with his wife Cherry Seaborn and their two daughters, Lyra and Jupiter
Sep 9, 2025
From Ice Spice’s chaotic corset to Paris Hilton’s flame dress, see the celebs who landed on the worst-dressed list at the 2025 VMAs
Sep 8, 2025