hi

The Hyperactivity in Attention-Deficit Hyperactivity Disorder is NOT about being physically hyperactive, it's about having a "hyperactive central nervous system" because it's a form of inheritable dysautonomia. The problem with disautonomia, especially the ADHD kind, is that it makes boredom flag to your nervous system as a THREAT, triggering hyperactive and maladaptive central nervous system processes like fight or flight.

But dysautonomia kills you that way. Literally, part of the reason our average life spand increase on stimulents is that it helps manage risk-taking impulsivity that can get us killed by accident, but the other part is that stimulents can regulate a hyperactive CNS such that it is functionally (while impacted by the stimulent) NOT dysregulated anymore. And PHYSIOLOGICALLY that is essential because the physical outcomes of dysautonomia can reduce your life span by YEARS if not decades through self-perpetuating hypervigelence, endocrine disruption, and adrenal fatigue.

So when the ADHD brain goes stimulation-seeking and a doctor tells you to practice mindfulness, it feels like being told "hey go stand in a functioning boiler until you can stop thinking" rather than WHAT IT IS which is the process of re-teaching your body what is and isn't safe.

Standing outside making mindful, non-interpretive/moralized observation of the world helps your brain and body re-acclimate to the idea that absence of that frantic "busy" feeling isn't a threat or a risk to your safety, and gradually reduces the level of distress that just hanging out somewhere triggers for you.

Learning WHY this stuff was being suggested and understanding what it was actually supposed to do went a long way towards changing my relationship with my ADHD. I am FAR more functional now, far less prone to shame spirals and rejection sensitivity, hell, I can **sit physically still for near on an hour at a time** now without feeling like I'm going to crawl out of my skin.

So yeah. Go outside. Let the world narrow around you and take deep breaths until it stops feeling claustrophobic or like you need to climb walls. Learn how to let little sensations become big ones like the way the heat of the sun on your skin starts as a gentle warming and be omes a unique collection of sensory moments depending on how it lands on you. Listen for sounds under sounds and let them fade in and out as you move your focus from one sound to the next. Enjoy. Move on. Rinse and repeat.

bUt yOu nEveR hAd a pRoBLem wiTH this bEfOre?!

buy a pack of chapsticks and put one in the pocket of all of your coats and jackets because you always forget to bring one and chapped lips is sensory hell

leave important things where you can see them. if they go in a box or a drawer you will forget they exist

put any appointments or deadlines in your phone calendar As Soon As you get them. set a reminder for a week before, a day before, an hour before, as many as you need as often as you need them.

when that little voice in your head says "i dont need to write that down, ill remember it" that is the devil talking!!! write it down anyway!!

plan for down time. have a few hours at the end of every day to just do fun stuff like engage in your hyperfixations. even if you didnt get all of your work done that day, have the rest anyway. you probably spent the whole day beating yourself up for not doing what you Should be doing, so you still need the break.

if you never eat vegetables because its too much effort to chop and cook them, get the frozen or canned shit. it doesnt go off for ages and you just have to microwave it. theres no point buying fresh vegetables if they just keep going off and being left to rot in the bottom of your fridge

if you struggle to decide what to have for dinner every day, take the decision out of it. choose a set of meals and eat those on rotation until you get sick of them, then choose some new ones and do it again.

I've had such bad memory my entire life that to this day someone suggesting I forgot something because I simply didn't care enough is a legitimate trigger that, in the worst cases, makes me have a breakdown.

I struggled keeping it clean.

I struggled getting it clean.

I would sincerely put in quite a bit of effort and be really proud of the progress I made. Then one of my parents would come check and see how I was doing.

“Well, you’ve still got a long way to go.”

That sentence. I was like, 11 when my parents were saying that to me. It was crushing. All my pride and satisfaction with my work was completely gone. All my effort was worthless to them. All they saw what everything I didn’t do.

At the age of ELEVEN, I knew that wasn’t right. That wasn’t fair. I swore to myself I would never invalidate someone’s work like that.

Now, at 30, I catch myself thinking ‘I cleaned up, but my apartment is still so messy.’ and I flashback to standing in my bedroom as a child, hearing those fucking words from my parents.

‘No. I wouldn’t invalidate someone else’s work. I’m not going to invalidate my own. I did good. I made progress.’ and I’ll list the things that I DID get done to myself.

You deserve credit for all the progress you make.

You deserve credit for all the work you do.

It doesn’t matter how much work you have left.

What you accomplish, no matter how small, counts. Even when what you accomplished was taking a day to rest and recharge and give yourself a break.

Regardless of their philosophy it pretty much goes like this:

1. Emotionally sensitive essay about the struggle of ADHD and the author's personal experience with it as both a person with ADHD and a healthcare professional.

2. Either during or directly following this, a lightly explicated catalogue of symptoms, illustrated by anecdotes from patient case studies. Optional: frequent, heavy use of metaphor to explain ADHD-driven behavior.

3. Several chapters follow, each dedicated to a symptom; these have a mini-formula of their own. They open with a patient case study, discuss the highly relatable aspects of the specific symptom or behavior, then offer some lightweight examples of a treatment for the symptom, usually accompanied by follow up results from the earlier case studies.

4. Somewhere around halfway-to-two-thirds through the book, the author introduces the more in-depth explication of the treatment system (often their own homebrew) they are advocating. These are generally both personally-driven (as opposed to suggested cultural changes, which makes sense given these books' target audience, more on this later) and composed of an elaborate system of either behavior alteration or mental reframing. Whether this system is actually implementable by the average reader varies wildly.

5. A brief optional section on how to make use of ADHD as a tool (usually referring to ADHD or some of its symptoms as a superpower at least once). Sometimes this section restates the importance of using the systems from part 4 to harness that superpower. Frequently, if present, it feels like an afterthought.

6. Summation and list of further resources, often including other books which follow this formula.

I know I'm being a little sarcastic, but realistically there's nothing inherently wrong about the formula, like in itself it's not a red flag. It's just hilariously recognizable once you've noticed it.

It makes sense that these books advocate for the Reader With ADHD undertaking personal responsibility for their treatment, since these are in the tradition of self-help publishing. They're aimed at people who are already interested in doing their own research on their disability and possible ways to handle it. It's not really fair to ask them to be policy manuals, but I do find it interesting that even books which advocate stuff like volunteering (for whatever reason, usually to do with socialization issues and isolation, often DBT-adjacent) never suggest disability activism either generally or with an ADHD-specific bent.

None of these books suggest that perhaps life with ADHD could be made easier with increased accommodations or ease of medication access, and that it might be in a person's best interest to engage in political advocacy surrounding these and other disability-related issues. Or that activism related to ADHD might help to give someone with ADHD a stronger sense of ownership of their unique neurology. Or that if you have ADHD the idea of activism or even medical self-advocacy is crushingly stressful, and ways that stress might be dealt with.

It does make me want to write one of my own. "The Deviant Chaos Guide To Being A Miscreant With ADHD". Includes chapters on how to get an actual accurate assessment, tips for managing a prescription for a controlled substance, medical and psychiatric self-advocacy for people who are conditioned against confrontation, When To Lie About Being Neurodivergent, policy suggestions for ADHD-related legislation, tips for activism while executively dysfunked, and to close the book a biting satire of the pop media idea of self-care. ("Feeling sad? Make yourself a nice pot of chicken soup from scratch and you'll feel better in no time. Stay tuned after this rambling personal essay for the most mediocre chicken soup recipe you've ever seen!" "Have you considered planning and executing an overly elaborate criminal heist as a way to meet people and stay busy?")

Every case study or personal anecdote in the book will have a different name and demographics attached but will also make it obvious that they are all really just me, in the prose equivalent of a cheap wig, writing about my life. "Kelly, age seven, says she struggles to stay organized using the systems neurotypical children might find easy. I had to design my own accounting spreadsheet in order to make sure I always have enough in checking to cover the mortgage, she told me, fidgeting with the pop socket on her smartphone."

I feel a little bad making fun, because these books are often the best resource people can get (in itself concerning). It's like how despite my dislike of AA, I don't dunk on it in public because I don't want to offer people an excuse not to seek help. It feels like punching down to criticize these books, even though it's a swing at an industry that is mainly, it seems, here to profit from me. But one does get tired of skimming the hype for the real content only to find the real content isn't that useful either.

As it was requested by @peculiaroptimism, I made a diagram showing the overlap between Autism, ADHD and PTSD. 

( I was so surprised to realise that PTSD and Autism don’t have any overlap that isn’t also shared with ADHD! )

The centre shows an overlap between all three - you don’t need to repeat those points anywhere else or they would be in literally every section.

The lack of symptoms in the Autism/PTSD overlap does not mean there is no overlap. It means there are no symptoms that aren’t also shared with ADHD.

They’re different from hyperfixations, and I think a lot of people don’t know/understand that.

I’m not a psych professional or anything, but I do have both autism and ADHD so I can do my best to describe the difference as I experience it and based on what I’ve read.

Both are intense interests, but while hyperfixations are often short term, restrictive/circumscribed/special interests are often longer term.

Hyperfixations are an intense focus on a subject for a burst of time. It’s sort of like your mind is laser focused on a task, even if the task is something like a video game that’s fun.

For example, last night I spent multiple hours combing through the wiki for a game I have never played and don’t really have any interest in playing, but I was fascinated by it and wanted to know all about it. I forgot that I had made myself tea and sort of zoned everything else out. Today I don’t really care about it anymore.

Special interests are defined often as “intense interest in a narrow range of subjects,” and sometimes it’s added that a lot of people with autism are particularly interested in parts of that subject that are uncommon, often (but not always) things related to numbers and other objective data, like dates, stats, etc. It’s under the category of “repetitive behaviors” in the DSM criteria because people with autism will often read the same book/watch the same videos/return to the same subject over and over. Sometimes, like in my case (moreso when I was younger) autistic people struggle to connect with others outside of connecting about their special interest.

For example, I’ve been obsessed with Sonic the Hedgehog since I was really, really little. Everything I could get my hands on in a Sonic theme I did. Sonic was a part of almost every aspect of my life and I had a lot of trouble focusing on or being interested in things that weren’t related to Sonic, and a lot of my conversations with others were about Sonic. This obsession is still around today! Some people get a few throughout their lifetime, but I’ve mostly just had the one.

Both SpIns and hyperfixations differ from regular passion or interest. SpIns are highly specific and hyperfixations are intense but may not last past the burst of focus. I guess I could compare them to makeup and clothes. Makeup you put on and wear all day and then wash it off and it’s gone, and clothes you wear and then put them in the closet to wear again later and they don’t really leave as easily.

So he's MORE LIKELY to grow up to be an adult who doesn't lose multiple jobs due to forgetfulness if he's given the opportunity to learn those tactics with a safety net as a kid.

I'm reminded of a thing I saw somewhere.