{"id":1780,"date":"2023-06-01T12:19:49","date_gmt":"2023-06-01T12:19:49","guid":{"rendered":"https:\/\/howiem.org\/wordpress\/?p=1780"},"modified":"2023-09-23T10:55:05","modified_gmt":"2023-09-23T10:55:05","slug":"add-adhd-notes","status":"publish","type":"post","link":"https:\/\/howiem.org\/wordpress\/2023\/06\/01\/add-adhd-notes\/","title":{"rendered":"ADD \/ ADHD Notes"},"content":{"rendered":"<p>Not gonna try covering &#8220;what is ADHD&#8221; here \u2014 there&#8217;s tons of google-able info out there. If you&#8217;re not sure you have ADHD, this screener is the typical way to assess patients: <a href=\"https:\/\/adhduk.co.uk\/adult-adhd-screening-survey\/\">https:\/\/adhduk.co.uk\/adult-adhd-screening-survey\/<\/a>\u00a0\u2014 along with one key factor: the symptoms must have been present your whole life (albeit not generally noticeable until you&#8217;re around 6; until then you&#8217;re not really put in situations where the symptoms cause problems). ADHD isn&#8217;t something you develop; it was always there. The way the symptoms present themselves does vary with age, however; physical hyperactivity tends to die down as you hit adulthood, with the hyperactivity becoming more a mental thing instead. I never really exhibited any physical hyperactivity even as a kid; everything seemed normal until I started being given unattended work to do (homework). No problem focussing in class, but without that external interaction, my brain just went into freewheeling\u00a0<em>everything is interesting and distracting<\/em> mode, and I&#8217;d lose an hour considering how the pencil in my hand must have been constructed, rather than spending 5 minutes completing the task.<\/p>\n<p>OK: Here&#8217;s how I deal with things.<\/p>\n<h2>Medication vs behavioural changes<\/h2>\n<p>While I take meds (Methylphenidate) and they certainly help, they&#8217;d be useless without the behavioural changes I&#8217;ve made, and without the insights I&#8217;ve learned into which aspects of my personality are &#8220;wrong&#8221;. The biggest positive impact on my life came from realising I had ADHD. Just that. Just knowing &#8220;It&#8217;s not my fault, it&#8217;s not just laziness&#8221;. I mean, I&#8217;m lazy too \u2014 but that&#8217;s not why I crashed through jobs and relationships and life.<\/p>\n<p>The meds help but they don&#8217;t cure ADHD. If I don&#8217;t make an effort to recognise when I&#8217;m losing focus, I can still lose hours \/ days, even on the meds, and without the &#8220;get stuff outta your brain&#8221; stuff I&#8217;ve learned, the meds would just make me more efficient at not doing things, at getting lost in a sea of intrusive thoughts.<\/p>\n<p>I wouldn&#8217;t want to be without the meds now, but if couldn&#8217;t get hold of them, it wouldn&#8217;t be the end of the world: it&#8217;s the behavioural stuff that&#8217;s really given me the key to breaking out of the fugues.<\/p>\n<p>These are the main symptoms I seem to have, and how I deal with them:<\/p>\n<h2>Absent-mindedness, and how it ruins everything<\/h2>\n<p>This is a two-fold problem:<\/p>\n<ol>\n<li>I forget dates, appointments, shopping list items, tasks.<\/li>\n<li>My brain constantly interrupts me to try reminding me of these things, meaning I lose focus on the thing I&#8217;m trying to do right now.<\/li>\n<\/ol>\n<p>Solution: the key is to <em>remove the need for me to remember these things<\/em>.<\/p>\n<p>This is an insanely important approach to living happily. Your brain does two vital things for you &#8211; <strong>processing<\/strong> stuff (thinking \/ doing), and <strong>remembering<\/strong> stuff. Seems like the brain is a little like dynamic RAM, in that memories fade if you don&#8217;t think about them now and again: but that means your brain will tend to interrupt whatever you&#8217;re doing to pop thoughts in like &#8220;so-and-so&#8217;s birthday is in two weeks &#8211; better remember to buy a card&#8221;. If you&#8217;re not near a shop right then, there&#8217;s nothing you can do with that thought: but the chances are it&#8217;s stopped you processing the task you were trying to do&#8230; you&#8217;ve lost focus.<\/p>\n<p>If you can remove the need to remember things, you can focus on the processing \/ doing \/ actioning. As long as <strong>the things you need to remember are stored somewhere safe<\/strong>, in some way that&#8217;ll trigger you to be reminded <em>when you actually have to action them<\/em>, you can safely forget about them. When your brain tries to interrupt you to refresh a memory, you can safely ignore it.<\/p>\n<p>There&#8217;s a whole book on this, called Getting Things Done, by Dave Allen. It&#8217;s a life changer: but the core principles are quick and easy to explain. The crux is that &#8220;remove the need for me to remember&#8221; thing. But you can only safely forget things if you have a robust \/ reliable \/ trustable place to store those things. Dave Allen&#8217;s book sets out a fairly complicated approach which, once set up and once you&#8217;ve got into the habit of using, is really effective \u2014 but it&#8217;s too complex for me, and I struggled with the routines you need to follow to make it work properly. I use a much simpler approach:<\/p>\n<ol>\n<li>Anything I have to do on a certain date (eg a week before someone&#8217;s birthday, buy a card), I set a Reminder for on my phone. &#8220;Siri, at 8am on June 10th please remind me to buy Susan a birthday card&#8221;.<\/li>\n<li>Anything I can&#8217;t deal with right now but that needs dealing with by a certain date, I treat the same way: I set a reminder.<\/li>\n<li>Everything else goes into to-do lists (again, on my phone, but synced to my Macs\/PCs) tied to the place I have to do them. So I have a Shopping list, a Car list (for maintenance jobs), a House list, an &#8220;Amazon&#8221; list etc. Rather than flat lists, an outliner &#8211; where you can break down things into smaller to-do lists &#8211; really helps.<\/li>\n<li>Anything physical I need to remember, eg &#8220;don&#8217;t forget to take this book with me tomorrow&#8221;, I physically place somewhere I can&#8217;t miss it. The book I have to take doesn&#8217;t go next to the front door, it goes on the floor leaning against the door where I can&#8217;t avoid tripping over it. If it&#8217;s the day after tomorrow instead, I set a reminder for the night before: &#8220;Siri, tomorrow night at 7pm, remind me I need to take that book with me the next day&#8221;.<\/li>\n<li>Ideas, whether they&#8217;re for a song, an electronics project, a new way to organise cat food, whatever &#8211; goes in a to-do list of its own &#8220;Future \/ rainy day stuff&#8221;. That way I don&#8217;t lose the idea, but I don&#8217;t need to remember it: and if my brain disagrees and tries interrupting me, I can ignore it.<\/li>\n<\/ol>\n<p>OK I&#8217;m stopping here for now but am gonna add to this.<\/p>\n<p>To come:<\/p>\n<ul>\n<li>turning big projects from a dark overwhelming spaghetti of ideas you can&#8217;t get started on, into a breezy and fun actionable list<\/li>\n<li>how to reframe boring stuff into exciting stuff to help get over &#8220;leave it to the last minute&#8221; problems<\/li>\n<li>how to deal with mood \/ depression<\/li>\n<li>how to recognise the signs that ADHD is causing a particular problem you&#8217;re facing, so you can deal with it in a more precise way<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Not gonna try covering &#8220;what is ADHD&#8221; here \u2014 there&#8217;s tons of google-able info out there. If you&#8217;re not sure you have ADHD, this screener is the typical way to&#8230;<\/p>\n","protected":false},"author":2,"featured_media":1800,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[37],"tags":[],"class_list":{"0":"post-1780","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-add"},"_links":{"self":[{"href":"https:\/\/howiem.org\/wordpress\/wp-json\/wp\/v2\/posts\/1780","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/howiem.org\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/howiem.org\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/howiem.org\/wordpress\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/howiem.org\/wordpress\/wp-json\/wp\/v2\/comments?post=1780"}],"version-history":[{"count":5,"href":"https:\/\/howiem.org\/wordpress\/wp-json\/wp\/v2\/posts\/1780\/revisions"}],"predecessor-version":[{"id":1785,"href":"https:\/\/howiem.org\/wordpress\/wp-json\/wp\/v2\/posts\/1780\/revisions\/1785"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/howiem.org\/wordpress\/wp-json\/wp\/v2\/media\/1800"}],"wp:attachment":[{"href":"https:\/\/howiem.org\/wordpress\/wp-json\/wp\/v2\/media?parent=1780"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/howiem.org\/wordpress\/wp-json\/wp\/v2\/categories?post=1780"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/howiem.org\/wordpress\/wp-json\/wp\/v2\/tags?post=1780"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}