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  • Do we really need labels like ADHD and AuDHD? - Neuropsychs Explored Part III
    2025/04/02
    Isabelle and David continue to explore how an official ADHD or autism or AuDHD diagnosis might be a useful bridge to belong to a community. But what about the people who see these labels as pathologizing, including famous ADHD researchers like Dr. Russell Barkely? David and Isabelle explore some of the ways that thinking of ADHD from the negatives only and leaves people using the label not as a tool for empowerment, self-understanding, and advocacy--but as an excuse. Furthermore, what about labels like "Asperger's" (low-support need/high-masking autism) that has its roots in Nazi extermination camps? Neuropsychs Explored Part III.---The pro to identifying as having ADHD that David now understands, that he didn't understand years ago, was that it allows you to fit into a culture and a group differently. He walked into a room in his 30’s (at an Eye-to-Eye conference) and found himself fitting in. David needed the label to understand himself. He brings up Dr. Russell Barkley and his research—Isabelle jumps in with a factoid about Barkley’s twin who had ADHD and addiction issues and died in a car accident…which helps give her context for why Barkley is so big on ADHD being a risk factor while driving. David wants to make it clear—it is a tragic story, and he’s not about casting anyone as evil or bad—but Barkeley’s work does do a number on people’s self esteem. They look at his research and think they can’t change and they start to use ADHD as an excuse, not an explanation. It’s important to have compassion for people, he does talk a lot about addiction and car crashes, and we all have sad parts of our past, and its what we do now that matters. When he’s talking to a room for non-ADHDers, they tend to think that people with ADHD are less, rather than more. He likes folk music and David likes rap, and David is not going to pretend to like folk music. Isabelle names that she tries to make sense of something so dehumanizing, like the six hour training she sat through of his that left her in tears, gaining some context for his story gave her a chance to reduce how slimed she felt. Knowing why does decrease suffering. Isabelle has seen a lot of hostility and backlash about AuDHD. Autism is a spectrum—yes, there are non speakers and folks with high support needs. But maybe it was what back in the day was called Asperger’s, a now unused term. David names that Dr. Asperger was a Nazi (sympathizer?) Who created a line around autism (essentially how high-masking someone was) that determined who lived and died. For more on this deep history of Asperger — check out the links below. Isabelle and David agree to have a way longer conversation on the history of neurodivergence. Isabelle talks more about her neuropsych assessment, including sample questions, and fill in the blank type sentences to write. And she was given a questionnaire to give to someone who knows her well—for kids, this might be both to caregivers and teachers, so they can get data about how the kid is functioning in multiple environments. Isabelle then waits, gets a twenty-some page document, and they sit down and cover it all. Isabelle has in the months between first hearing the neuropsychologist state that she meets criteria for autism, confirming her suspicions, she went on a deep dive on all these pieces of information. Isabelle felt the fear of having this diagnosis taken away from her felt so deeply. It was so hard, even just listening to the summary, she wanted to skip to the end (another autistic trait, she is learning, wanting to know the context so she can track what’s being described or knowing where it’s going), and she yes, she has autism, and she burst into tears. Isabelle finally has an answer to the riddle, which a chunk of it related to ADHD, but this is another part of the mystery, like she has been looking in funhouse mirrors her whole life, and now she has an accurate reflection of who she is, like a real, non-distorted mirror. She also has “severe” ADHD. David and Isabelle dig in with how negative this criteria is (which, side note, connects to Barkley’s research). Are we weather systems? Are we severely awesome? Maybe we change it to extremely? Gah. Asperger’s and the history of neurodivergence Articles and books on Dr. Russell Barkley Known as a big researcher of ADHD, does really good research, and pushes forward a lot of diagnostic criteria and is in a position of power changing the game for a lot of humans. The caveat that Isabelle and David often make is that: he takes a really doom and gloom, pathologizing perspective (which are scary research-based bits of information). Asperger’s Autism: you have 40% chance of ADHD, and then DEFINITIONSNote: “Neuropsych” is shorthand for BOTH a neuropsychological assessment or a neuropsychologist (which is confusing).Neuropsychologist is "an expert in how brain injuries and conditions affect your behavior, mood and thinking skills. ...
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    20 分
  • How does knowing what you really need help?
    2025/03/26
    David and Isabelle go into greater depth about neuropsychological assessments--both back in the day and now-for kids, and for adults--and Isabelle's AHA moment about self-disclosing her AuDHD self. From the odd history of the intersection of Autism Spectrum Disorder (ASD) and ADHD (did you know you couldn't be diagnosed with both for a long long time?) to realizing how literally she takes the world and how much it helps to finally have a turn signal on the car that is her, David and Isabelle dive deep into unmasking and the mistrust we have for the world when we are so misunderstood.---Isabelle likes having her new neuropsychological results because someone who is not her got to tell her that she has autism, and David has a different experience. His story was like three different hours of testing done at school, and it spit out that he was Oppositional Defiant, and then only in college did it notice he had differences in spelling and then ADHD. His experience is watching clients have their kids be flagged by a pediatrician or teacher to be tested and then they want to retest themselves. But David is so scared he’d go in now and learn…he doesn’t have ADHD? And that Isabelle actually understands this, because there was a big gap (of several months) between the interview and the tests. Isabelle goes into further details around how she took her test in a little cubicle. And how for kids, it looks more like play, it involves an IQ test and way more details about processing speed, working memory, visual spatial reasoning, reading, symbols, numbers, etc. to help with understanding learning differences and accommodations. So Isabelle had to sit in a cubicle and stare at a computer and click on a mouse for fifteen minutes and it was awful. When he was a kid, David was pulled from class, he had no idea how long it was going to take, there was a person sitting there who was reading from a book and asking him questions. For kids, a level of buy-in becomes very important, it’s hard to get data when you’re a willing participant. For David, his first neuropsych showed how unwilling he was to participate, because it was something he was forced to do because there was “something wrong” and they were looking for what was wrong. This is not don’t like this anymore. It’s important to talk to someone who has been assessed to see how they liked their assessment. You can get a second opinion. There are people who specialize in different areas of neuropsychological testing. And someone who is great at diagnosing ADHD may not be great at diagnosing autism or vice versa. And up until 7 years ago or so, it was impossible to have both autism and ADHD be a primary diagnosis; which connected to insurance company lobbying when the DSM was being updated, ensuring that the rates of certain conditions wouldn’t skyrocket because that would impact insurance coverage and ability to cover/deny and all kinds of political and social isms. The history of diagnoses and what makes the cutoffs incorporates layers of ableism, racism, sexism, homophobia…all kinds of oppression. David names how important it was an opening when you could have a combined AuDHD diagnosis because it started to mean that these diagnoses of deficiency, and all the stereotypes around all autistics being nonspeakers or having high support needs, started to get busted and it became more encompassing, maybe even of strengths? It’s possible for us to be complex beings, being perceived as having ADHD or autism in another context. We are the keepers of the stigma, it was the ‘last thing we wanted to be.’ The other day, Isabelle’s kid went to the doctor, and she always felt the doctor was annoyed with her for being so literal and asking so many detail-oriented questions. Her kid answered the doctor’s question of “does your throat hurt?” By checking in and saying “No.” And she had a lightbulb flash and realized he was taking the doctor literally. So she tells her kid “You and me, we both take things really literally and answer questions extremely honestly. I think the doctor means when she asks if your throat hurts, she means across the last week or so and not necessarily all the time or right now.” And he answers, “YES!” And she saw the doctor warm up to her kid and to her and she felt the difference, and maybe it was the vulnerability or the disclosure. For David's friend, there was a significant amount of distrust in the world, there was a pattern of miscommunication and people asking you things that they don’t mean, when they learned they were autistic, their last instinct was to tell someone. But when they came back from the dentist, they talked about how much the light was bothering them, they gave me some glasses and made it so much better. David can't make us all believe we are safe, we can feel cared for when we tell people what we need and they respond. Statistically, some of the time, your need won't be missed and until...
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    21 分
  • What is a neuropsych anyway? What is AuDHD? - Neuropsychs Explored Part I
    2025/03/19
    Isabelle shares the results of her neuropsych with David: she is AuDHD! As a grown human learning she has AuDHD (ADHD + Autism Spectrum Disorder), what does it mean to 'get a neuropsych?' What even IS a neuropsych? Who gets one and why? How does high-masking autism look like for Isabelle? Busting myths, calling out fun factoids, and celebrating this news and the decrease of suffering it has brought to gain self-understanding and acceptance. ---Isabelle is SO EXCITED to see David's face. Because for the last few recording sessions she hasn’t been able to see his face. And now she can see his face. She doesn’t know she misses it, and David is wagging his tail and doesn’t know if she’s making any sense. The checking for understanding is missing. Isabelle got back her neuropsychological assessment results back. She has “severe” ADHD and also, is high-masking autistic. A fairly common question is: do I need to get a neuropsych? What does it do? David names we can all know something but this is different from the actual experience of it. Are there electrodes to your head? (no) How many magnets are you exposed to? (none) Is there a flowchart? Isabelle doesn’t know a ton about assessments but she knows a little more now. So, for each job title or profession, you can administer different types of assessments, which involve data from interviews, and written/verbal tests—and a “neuropsychiatric assessment” is conducted by a neuropsychologist, someone who is skilled at administering and interpreting test results as well as being super savvy about neuroscience and the brain. It’s a battery of tests that is designed to help someone determine a psychological diagnosis (and how a diagnosis impacts your thinking, behavior, feelings, functioning, etc.). Isabelle’s experience was, she had used up her deductible and one of her kids as well as her and Bobby decided they wanted to learn more about themselves and get a neuropsych. And she wanted to test it out because she always had a little more mustard on the hot dog of ADHD, more auditory sensory stuff. So Isabelle went in for about an hour long interview and asked me a lot of directive, specific questions. No electrodes, sitting in a cozy office. She was asking questions about friendship, life history type questions about her childhood. With ADHD and Autism, you’re talking about neurodevelopmental conditions, meaning it’s baked in and showing up throughout your life. She was asking a lot of questions about what it was like for Isabelle socially, the years of bullying and taking things very literally, social faux pas, being late to catch on to social subtext or data. And stimming? Which applies to all neurospicy folk. David likens it to a car exhaust—it’s not anxiety, it’s repetitive movements that let out extra steam and overstimulation, when your senses have taking in too much it helps you release. Isabelle thought it was anxiety! But she…actually isn't very anxious. She likes wearing tight clothes and textures, she flaps her hands and holds her hands like a t-rex. She’s realizing how much she would be overloaded after a day, and she would pace, and wiggle her hands, she needs detailed handwriting, and she just wants to be left alone under her weighted blanket. And be crying. She’d say “and I'm overhwlemed because I had a hard day at work!” When for her, she was missing a crucial piece of information. Which is she went to Target, and was under fluorescent lights, and some random stranger talked to her and she didn’t understand it, and then when she said “what?” He looked at her funny, and THAT connected more to the state she found herself in than having a bad day at work. Sitting with uncomfortable feelings and anxiety is different—David names that with anxiety, people can be thought of as fragile, and that can be helpful—but when it’s applied to someone who is neurodiverse, who isn’t fragile, it can be pretty frustrating. David describes how he sits and bounces his leg pretty fast and his whole body will be shaking (best kind!) And David is sitting there stimming, and people turn to him "it's okay, it’s just a doctor's office” and they assume he's anxious, but he’as actually in an ADHD stupor and he’s bored and waiting and feeling good. So much of how people are perceived has a significant element of judgment. Over and over again because she's sitting still or pacing or rocking on her feet—they read Isabelle as impatient or angry, blew her mind. When you see her rocking back and forth and expressionless she's super happy and chill, but you take it as a signal she needs to mask and explain and do things to signal she’s happy and sometimes she doesn’t understand it herself so she just says “yes, I am angry.” And she thought she was a liar—because she’d be dishonest, she’d agree with someone else and say “yeah, I’m antsy.” Even if she wasn’t. David points out that that’s not ...
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    27 分
  • Loneliness and Changes to How We Mask - with Marcus Soutra, For the Good Consulting
    2025/03/05
    Isabelle and David welcome back Marcus Soutra, co-founder of Eye to Eye and founder of For the Good Consulting, and explore the nature of authenticity, "coolness" and the meaning of masking with nation-wide advocacy expert and fellow ADHD and LD-er. How did being "cool" go from being rich and unaffected to being authentic and open about ND/LD identities? From the loneliness and high masking rates of ADHDers, to Abercrombie & Fitch t-shirts and social media, the ways ND culture has approached masking and unmasking.----Isabelle talks about how being wealthy and affording the performance/clothes of ‘coolness’ growing up was Abercrombie & Fitch back in her high school days--these were expensive clothes that you had to get at the mall and were part of the performance of being 'cool.' And what about how much of coolness, at least for a time, was defined by money, or access to certain expensive clothing brands (like Abercrombie and Fitch) What it means to perform and be high masking, for her. There is a coolness factor, the kid who can pick up what’s cool has an advantage over the kid who doesn’t. Marcus sums it up: are you able to fit in and be embraced by the neurotypical world? And if you can’t, there’s the loner path, the bully path? The empathy he has for the bully path—they were, in his past, the LD/ND kids who were dealing with loneliness and not masking well and it was their way of finding their way to a role in the school community. 60% of people with ADHD say they mask on regular basis and 33% say there is a loneliness to the experience of having ADHD. Then there’s also the pain of being high-masking or being accepted by the neurotypical world, how little practice you have at sitting with who you really are, and finding a stable sense of self. There is a way to be a self to fit in that is not the same as an authentic, self-confident knowing-who-you-are self. The difference between doing it in a healthy way v. doing it in a way to survive. Hard to know what parts of you are okay, and when you’re blending into a neurotypical world, there’s a significant advantage of being able to read the rooms around social cues. Marginalized senses of self are real, having to exist believing you’re less than. Or believing if the mask ever falls, it’s terrifying. Isabelle names that there’s a management around masking and the layers, like she can unmask and say “I have ADHD!” but she doesn’t say, “I have ADHD and I screwed up the finances again so I can’t afford the school bill.” Something for her connects coolness to unaffectedness, not being vulnerable, or not caring what others think. Beyond the unique person who owns where they are, where does coolness come from in our culture? Marcus responds that it's often the people at the top of the social hierarchy, it’s the celebrities, the role models. Growing up for Marcus, there were the most attractive movie stars who were dyslexia, like Tom Cruise, Orlando Bloom, not Paul Giamatti. When it came to Aspergers (previous name for low support need Autism, check out more in depth on this history below) or Autism (before it was known as Autism Spectrum Disorder or ASD) were superheroes, like RainMan, Temple Grandin, and that was our introduction to the autism community. If you’re dyslexic, the way to make it out is to have hotness or have superhero qualities, and if you don’t fit into either one of those, good luck. This brings up how celebrities are not so far removed anymore, from the days that you got these bland PR stories or tabloids, now you have people sharing their stories and unmasking on social media. Marcus names that authenticity is now a part of social media, and it’s important for celebrities to have a cause, to be speaking to some aspect of this. If we'recynical, it could be a branding strategy, or it could be a shift in culture, because this emphasis on authenticity rather than hiding has been a big change in the last five years. What is Abercrombie & Fitch? The following documentary covers it pretty much:"White Hot: The Rise and Fall of Abercrombie and Fitch" (Netflix documentary)DEFINITIONS:Masking: Often used in referenced to autistic folx (Autism Spectrum Disorder (ASD)), it also applies to folx with ADHD, OCD, and all kinds of neurodivergence (ND) and learning differences (LD), like dyslexia, dycalculia, dyspraxia, dysgraphia, etc. It’s the idea that you have to wear a neurotypical "mask" to be accepted or to engage in a world made for those that are neurotypical. You 'pretend' as if you brain and nervous system work in ways they don't. It can be (and feel like) a matter of survival. From a great article on the topic:“For many neurodivergent people, masking is a survival tool for engaging in neurotypical societies and organizations. Masking (also called camouflaging) is the artificial performance of social behaviors deemed more “socially acceptable” in a neurotypical culture.”For more on Marcus ...
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    15 分
  • From "toughen up" to "the trauma ends with me" - with guest, Marcus Soutra (For the Good Consulting)
    2025/02/26
    Isabelle and David welcome back Marcus Soutra, co-founder of Eye to Eye and founder of For the Good Consulting, and ask an interesting question of this nation-wide advocacy expert and fellow ADHD and LD-er: how has life in schools changed for neurodivergent kids, especially now that some of us are parents/educators/in charge? Are kids still afraid, as David was, of having to go to the nurses' office? And how has what's "cool" been redefined in the past decades? From trauma modes to collared shirts, from shifting ADHD from a diagnosis to an identity, the three explore perspectives on masking (AKA using energy to appear as neurotypical), which can be both a poison and a salve.----David wonders, given that Marcus travels across the continental United States…what is he seeing as patterns in neurodivergent culture? Marcus describes that he sees the elder millennials having kids who are now being identified as being neurodivergent, and naming, “The trauma ends with me,” and they’re refusing to hand this off to the next generation, and because a generation that grew up with these labels are now turning into parents, school leaders, caregivers, people in charge. David likens this to growing up in an earlier generation where he was taught to toughen up, to take the knocks and handle it. Isabelle relates this to how when you’re living in survival mode, you can’t also be processing the trauma and making meaning of it, you first have to survive—and part of survival mode is to have tunnel vision, to stay tough, to not pause to feel. So it would make sense for a generation that maybe always was in survival mode to try to pass that on to their kids in the form of “toughen up.” She relates to wanting to break this cycle, though, so hard, as a parent. And also—what does David mean by the “boy named Sue” generation? (Answer: it’s a reference to a Johnny Cash song, see below). Marcus describes how this compares to other movements, where something that used to be a diagnosis or label is then taken back as an identity. As he has ADHD, he was hoping this change would happen so much faster, in his small, privileged ND community this change happened so rapidly. It does take these generational shifts and changes to make these things stick. David names that individually, we all have individual struggles that rub up against the system. It felt like school was meant to take parts of us away, it was like an eraser trying to shave parts off. But we are be keepers of that. In school there was no concept of advocating for an accommodation, it was just: do you want to look weird? Leaving class early to go get his meds. How has this changed for kids and adults? It’s hard to generalize because “you know one neurodivergent person, you know one neurodivergent person.” But having an open conversation about something and talk about it and acknowledge and not other it—it does set it up for students to have a teacher they can talk to and ask for what they need (even one adult in that building). The needle has moved from the average high schooler even knowing what dyslexia/ADHD/any ND or LD is. Marcus wasn’t bummed out about dyslexic, but back in high school, it was other people were going to see him being different. He refused to get accommodations for the third time, because if he got accommodations for it, he wouldn’t take the SAT at the same time. Isabelle remembers that as a full body memory, taking the SAT being a production back in the day and even in her own experience being bussed on the short bus into a different school for a Gifted program and how it signaled you were different but also you didn’t want to belong to this select tribe, either. David names: different is dangerous in some ways, not just for kids but for adults, too. You walk into a room and everyone is wearing a blue “I’m here for a reason” shirt and you might slowly back out of the room and go “I don’t belong.” Trying to be like everyone else is both the salve and the poison—it helps keep us save when we’re masking—what does everyone else is doing? It helps us mask, but David’s first time being a room where people admitted they were neurodivergent, Grady was bouncing a racket ball, the relief and joy you feel when you can join in being more authentically yourself. Isabelle is thinking of the “Cool Bean” book (see below) and how in that story, the beans are ‘cool’ not just because they are performing as cool and have style and whatnot, but also because they are willing to take risks and help those who are being bullied or laughed at, that are able to stand up for others and themselves in a way. This is so different than ‘coolness’ as Isabelle experienced it in her little bubble growing up in suburban Chicago, where coolness felt way more about avoiding being targeting and felt meaner and scarier and more about social power and wielding it (with meanness). Marcus names how his masking helped him in...
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    27 分
  • Why is the transition to sleep so extra hard?
    2025/02/19
    Isabelle and David continue to talk with David’s brother’s friend, Aaron, and dig deep into why winding down and going to sleep is the hardest transition of all: because you're staring into a black hole of no dopamine for hours! And also, a lot of traditional sleep hygiene tricks may not work. Folks with ADHD have higher rates of sleep apnea, among other sleep disorders, and also, can do with staying away from preferred activities before bed. This, sleep tips and tricks, and recognizing the value of being open about your neurodivergence...as well as some really good callbacks to the previous two episodes (096 and 097) regarding "St. Elmo's Fire's" amazing theme song.—-Isabelle and Aaron wonder: what’s with this PDA business (persistent drive for autonomy/persistent demand avoidance)? David explains: It’s hard for us to connect a learned moment with an experience, it’s hard for us to take a moment we're learning now and take it into the future, and we're distractable. If we're in a place with any shame, guilt, or anxiety, distraction becomes highly reinforcing. We are highly reinforced by not paying attention to what we want to pay attention to it. We're not seeing the long term consequence, we don’t understand what we're doing to our future by not doing it in this moment--delay of gratification and response cost. Like, what did you do today? “I watched three seasons of Scrubs and ate a buffet of Indian food.” We can't claim any wins at the end of the day, but in the moment it felt so nice, it was a distraction. Neurologically we don't get a success, norepinephrine —you feel anxious, and it leads into their evening, and for kids and adults, if you're really anxious about the next day, you don't want to go to sleep. “The longer I'm up today, the longer today is! I don't have to face tomorrow if I haven't gone to bed yet.” David has been thinking about this with his friend and colleague Noah, based on this book, Dopamine Nation. If we’re not accommodated or assisted by something during a transition, and then you have nothing else to do, you are looking down a long dark hole of no dopamine—that’s why the evening can look so hard. The road to sleep to extra awful, you have to sit still, you have to tolerate frustration and still yourself enough to go to sleep. David names: we are considered overtired if it takes less than 15 minutes to fall alseep—most ADHD folks, as an accommodation to not sit in the discomfort of staying still with no dopamine, don’t hit the bed until they are beyond exhausted and just crash. Isabelle and Aaron disbelieve this. Isabelle does not compute that this is how people live, that people just lay there for 8, 10, 15 minutes and slowly go to sleep, this has never happened to her. Aaron gets anxious that he won't fall asleep in 5 minutes and then can't stand the guided meditation. David will be snoring watching tv on the couch with his partner but doesn’t confirm he is “tired." with Delayed sleep phase onset, this is a thing we struggle with. Accommodations for sleep? Did you use enough physical energy during the day? You can't go into a preferred activity before bed—you have to find weird shows or things that are interesting but not so interesting it will keep you awake. What is a preferred activity? If you're super into a video game, for example—if you can't sleep, don't play the video game. The things that you prefer and wake you up, engage your hyperfocus. What's the boring video game that’s like paint by numbers? Isabelle will read nonfiction when she’s not feeling very tired, but if she reads compelling fiction she will stay awake. Because, who wants to sit in boredom? These are tips that are not sleep hygiene or what you’d expect. So many tactics to help a kid fall asleep are there to help them get bored enough to stay still and not reach for a preferred activity. The most important task in the brain's development is boredom: One of the most important things is to experience boredom. It's really important and yet we run from it all the time. A neurotypicaly person needs to encounter a certain amount of boredom to get creative. But with ADHD, we are bored a 1000's of times more often in a day than a neurotypical does in a day, and the feeling of being bored is so caustic and our brain is so creative and thinking of fun things all the time. But because we encounter so many micromoments of boredom, it makes it really hard to tolerate the 10 or 15 minutes to fall asleep. Or try something on in the store. The moment of a transition that's boredom and hurts. When do we want to sit with it, when do you want to avoid it? David tries to stop listening to a D&D podcast he wants to, he's trying to train himself to be awake still and do it at a time and then fall asleep, instead of falling asleep when he crashes. AND there are literal sleep disturbances. People with ADHD have a much higher likelihood of getting a CPAP machine and sleep ...
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    34 分
  • Are folks with ADHD natural promoters?
    2025/02/12
    Isabelle and David continue to talk with David’s brother’s friend, Aaron, and contemplate why folks with ADHD can be so enthusiastic and excited about interests, people, etc. Is it because we are like puppies who are starved for reinforcement (dopamine)? Or does it come from living a life on the outside and the joy of connection when it has been missed for so long. With callbacks to Greatest American Hero (See Ep095) as well as the real story behind the theme song to St. Elmo's Fire.—-David describes how borrowing from LeDerick Horne and his brilliant theory around leadership, that folks in leadership can have a number of qualities, including being promoters. Folks with ADHD can be natural promoters, and being a promoter is actually a form of leading others. With the caveat that we must be into what we promote. And how excited we are about people and how we talk people up. David names that perhaps this has something to do with how we are starving (for dopamine) and intimacy and connection and relatedness can help us fill that void, we reach for the connection and get excited. Isabelle wonders if this relates to an autism(ASD)-style special interest, how she perpetually is excited and has a working principle that everyone could find common ground if we just found a shared hobby or special interest. David likes to tell people on airplanes that he's a car salesman so he can talk and listen to his heart’s content but he doesn’t have to focus on what he does. Isabelle names that even though David is not very savvy about cars, he could sell a car because he's such a natural salesperson. Isabelle names that anxiety around overselling things, she might encourage people to try new things, take new risks, explore and play—but her working memory is so poor that she doesn't know if she oversold, she has to refer to notes or something as reference. David loved serving as fun because there was a high degree of risk and failing so it helped me remember things. David names that we are not starving puppies with watery eyes, but we are highly susceptible to be reinforced, so when we see someone else’s tail wagging, it shoots up our levels of dopamine, we are highly reinforced. The establishing operation—social connection and social mastery is water for us, like the water-deprived rats being reinforced in Skinner boxes. The environment makes Isabelle’s puppy quality feel safe or good or not; and can lead to her feeling starved of that connection and reinforcement. The feeling when you have no one wagging their tail back at you—how many mistakes we do make, how many social gaffs and miscues, and big ones. It's almost like we find ourselves so marginalized, its like finding a prison gang when we find people who get us. What does it do to your sense of self when you can't do what you want with your morning—how that deflates your sense of self. Isabelle feels like she shares a bond with the other parents and caregivers that are always running late—it flares up imposter syndrome and “if you only saw me five minutes ago." David reframes this as "if only you saw what it took me to get here and I made it!" Aaron is a master of social engineering, even though he's almost always good at it and social interaction, he remains scared the whole time. The anxiety hits because if it doesn't work out, he takes the hits hard: he can take a lot of them, but they hit hard. David shares one of his hits—he was spending a lot of money for grad school, wanting to read all the books for all his classes, he was going to learn it all...but he didn't do any of the readings for one of his classes. The class was talking about this person out loud, “Ed Nafoah” — he was like "what is this Nafoah guy talking about ?” and everyone in class is like “Edna? Her name is Edna Foa.” It took five to ten minutes for David to feel the cabin pressure returning and the lights to come up and to return to his body. Aaron points out that his impulsivity could carry him through it—David had a ballast and in grad school and they were talking about different psychosocial backgrounds, step or two based on privilege. The professor holds up a dollar and says "the first person to…can have this dollar?” He’s never seen someone authorized like that. Aaron sings the theme song from “The Greatest American Hero” which we all know, and the superhero suit is David’s impulsivity. Who is Edna Foa?Greatest American Hero trailer (he is LITERALLY "walking on air")Story behind St. Elmo’s Fire theme song, "Man in Motion" here's the music video and the song A quick synopsis of the backstory behind the song (Source: Wikipedia)And an interview with the songwriter/singer, John Parr, discussing how he came up with the idea and how he snuck it in to be the theme song for this 1980’s Brat Pack Extravaganza. For more about our guest:Aaron Michael Ullrey (he/him)Writing and Editing Specialist, Editor in ChiefResearch Associate, ...
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    27 分
  • What happens when you be more of the person you want to be?
    2025/01/15
    Isabelle and David welcome David’s brother’s friend, Aaron, who, as a recently diagnosed ADHDer, brings up the idea of if ADHD is a superpower, it's like the super suit in “Greatest American Hero:” a suit given with a manual that got lost on the first day of use. What happens when you find your ‘ingredient’ for doing the things you previously struggled with and now can do? How does your self esteem and sense of self efficacy impact how you handle days when that ingredient is missing? This plus being puppy dogs together, tackling Mt. Laundry, and why intimacy beats contempt.----David and Isabelle welcome Aaron, a longtime friend of David’s brother, who was recently diagnosed with ADHD as an adult. In thinking about ADHD, he thinks about this show from the 1970’s, “Greatest American Hero,” where this teacher is given a superpower suit by some aliens, who also give him a manual for the suit, and he loses it on the first day, so he goes around saving people but also is seeking this manual and he always gives it up to save someone. He resonated with this character so much, and for Aaron, medication made a huge difference—he is able to wake up and do the thing and then he is able to do. He’s been medicated for anxiety and depression his whole life and taking medication for ADHD doesn’t make those go away, but it helps him be the person he always wanted to be. Isabelle so resonates with the suit metaphor and how she and Bobby attempted to make their home more ADHD friendly (see “Keeping House While Drowning” and all the ADHD friendly home tips below!) And she forgot her medication and instead of spiraling into anxiety, when she realized why she stalled out all day, she was able to recognize it was “oh, I was missing my ingredient.” David points out that it’s not just medication, because medication is not for everyone, it can be so many things, once we find out what the ingredient is—working out in the morning, the coffee routine, whatever it might be--when you all of a sudden miss it, you can pinpoint it and recover. Even more so, Aaron describes how it is a conscious habit, as a child of the 80’s, he is not about the idea of 'working on his self-esteem,’ but realizes through therapy and his conversations with David that it keeps coming up for a reason, there are wounds there that do shift when you are able to do some of the things you previously struggled with. David can recognize those nasty voices in our heads, the angry voice as a teenager to get himself to do things. Based on his arbitrary math, while it takes 6 weeks to build a neurological bridge, it takes 6 years to build a habit. He chose to make excitement that it will be over the habit over the anger over having to do it. Whether it’s medication or nervousness or anxiety, David recognizes that something has to stimulate him so he has to choose his path and practice it. Aaron remembers his psychologist friend Dave 20 years ago sharing the 3 paths to happiness (he was studying at the time)—the first is excitement, the second is contempt (at least temporarily), and the third is intimacy. Aaron is excitable and comes from a contemptuous family and wants to focus on intimacy. This makes Isabelle make awkward spiders with her hands, the idea of gossiping and spreading shame makes you feel reassured and safe but also brings with it a threat and temporary condition; for Isabelle, intimacy means playfulness, curiosity, a willingness to see what happens next, and as David defines it: a shared vulnerability. Aaron ordered up BRAIN STUFF, and sadly David has no links, so Isabelle tries to fill it by talking about studies that connect to how we associate the negative talk about someone with the gossiper, not the subject of the gossip. David names that he does think ADHD is a superpower with a missing manual, and the tricky part is let’s say we’re talking unbridled enthusiasm: it’s a superpower and contagious and also has an effect on the recipient. David names being okay with someone not wanting to be the recipient at this current moment. THE THINGS WE MENTIONED:Greatest American Hero Opening Credits (Worth it to finally see where this song comes from and for the flying haphazardly imagery)How to Keep House While Drowning by KC DavisSo You’ve Been Publicly Shamed by Jon Ronson"Punishing or praising gossipers: How people interpret the motives behind negative gossip shapes its consequences" (source: Social and Personality Psychology Compass)-----Cover Art by: Sol VázquezTechnical Support by: Bobby Richards
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    29 分