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Something Shiny: ADHD!

Something Shiny: ADHD!

David Kessler & Isabelle Richards

How many times have you tried to understand ADHD...and were left feeling more misunderstood? We get it and we're here to help you build a shiny new relationship with ADHD. We are two therapists (David Kessler & Isabelle Richards) who not only work with people with ADHD, but we also have ADHD ourselves and have been where you are. Every other week on Something Shiny, you'll hear (real) vulnerable conversations, truth bombs from the world of psychology, and have WHOA moments that leave you feeling seen, understood, and...dare we say...knowing you are something shiny, just as you are.
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Top 10 Something Shiny: ADHD! Episodes

Goodpods has curated a list of the 10 best Something Shiny: ADHD! episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Something Shiny: ADHD! for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Something Shiny: ADHD! episode by adding your comments to the episode page.

Something Shiny: ADHD! - What happens when we make mistakes?
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08/03/22 • 25 min

David asks: what about brushing your teeth and things that don’t have immediate gratification, necessarily, but you have to do them over and over again? How do you motivate yourself to do them? It’s preventative-you don’t see what you save, you don’t know what Past You did for Future You when you’ve brushed your teeth. David’s answer is to outsource a lot of decisions that he doesn’t want to make to ritual, and the world of pain is part of everything we have to do. He just does it because it’s the routine (like getting up) even though it is so hard, so very hard, to do the things we don’t want to do. The fact that we can feel this much pain helps us want to prevent other’s pain, makes us think creatively. David might be willing to bet that a lot of technology and innovation that makes things more efficient and helps us skip the boring tedious parts is perhaps invented by folx with ADHD. For folx with ADHD, you are tested in fire all the time, and it does things—there is negative stuff (sucks experiencing rejection, sucks making mistakes, sucks not being perfect, sucks being found out)—but our ability to think outside the box because we’ve had to struggle our whole life is something he doesn’t want to surrender. Isabelle names that it feels that David saying that expressed compassion to the part of her that didn’t get that before. She thinks about how in trauma work there’s this mythology around the trauma making you stronger, but also—you could’ve been great without the trauma, thank you. Isabelle didn’t really give herself credit for the strengths, and often assigns the strengths and things that she has achieved to good fortune or luck, while taking full ownership of the blame, shame, and mistake-making parts. It has taken her a long time to not just jump straight to “I got so lucky!” And recognize that maybe she had something to do it with—and wonders if she’s the only one? David names that this is so relatable—it is so hard to acknowledge that our strengths are coming from the same place our vulnerabilities are. It’s so easy to say we got lucky or it was chance, because we don’t get to refine the skills to know we did more than get away with something. We don’t fit in the Normal Rockwell image of how things appear and so we don’t think about doing things the same way others do, either. David names how a part of him would be ashamed about getting ready for a school presentation in ten minutes—instead of practicing every night for twenty minutes, like he thought he should. Never mind that he still got an A, was able to speak with great energy, that the fact his tone of voice was a little more engaging—all of those things are ADHD. David is just thinking he got away with it, because he’s not counting all the times he thought about doing the thing and then didn’t, because they were ‘dumb anxious thoughts,’ never mind that he got it done and got a good grade, he was still a fraud because he was different. Now he can look at it in a balanced way, it’s all ingredients to who we are. In the real world, you’re not in trouble if you get it done too fast. Isabelle convinced herself people would think she cheated if she was honest about how she did something. We encounter so much pain, we don’t need any help seeing the fault of our actions, David is really good at that—but we all need someone to remind us of what we’re really good at. Folx with ADHD are used to calling out ADHD behavior when something is not going right; getting use to calling out ADHD behavior when things that are happening that are excellent, and would not be happening if not for a person’s ADHD. There’s so much pain, let’s honor the great things. Isabelle thinks about how she was at the park with her kid on a playdate and had a snack bag and thermos with tea. She proceeded to leave this tea everywhere and put the tea everywhere, on slides, wherever, forgetting she had it, circling back, and meanwhile, her kid is playing and pushing their amazing boundaries. She always thinks someone has come in and moved something, like the realization in the film A Beautiful Mind that someone’s hallucinations are so real to them they feel like reality. David calls Isabelle on calling this a delusion: somebody did move it. It was you. And you don’t remember it because you didn’t make a memory because you were busy doing ten other things. The whole thing is accurate. Isabelle laughs so hard and thinks she might need to get that tattooed on her: “Somebody did move it, and it was you,” Memento-style (see below). Isabelle notices that over time she is much more open and discloses more quickly that she has ADHD, in an attempt to normalize it and make it a safe conversation for the other person, too. And she notices that in the past she would maybe make it more of an apology or an explanation—d...

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Something Shiny: ADHD! - REPLAY: ADHD & Relationships Round Table
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08/03/23 • 30 min

While we reunite (in person!) and prep some amazing new episodes, here's one of our top ever: ever wonder if it’d be easier to be partnered with someone who also has ADHD (or, someone who is neurotypical)? How can you coexist no matter what the combo platter of neurodivergence? Robin, David’s neurotypical partner, and Bobby, Isabelle’s neurodivergent partner, join a relationship round table filled with practical tips on how neurotypical and neurodivergent partners can better support, communicate, and respond in key moments with one another.

For our younger ears: there is a swear in the last minute of the episode. Be warned.
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ADHD is often scapegoated within relationships. David & Isabelle are joined by David’s partner, Robin, who is neurotypical, and Isabelle’s husband, Bobby, who also has ADHD. David describes his friendship with Noah, who also has ADHD, and how the two of them have different and complementary needs and accommodation styles (for example, Noah likes structure and being on time, David is more accommodated by not wanting to let Noah down). How relationships could look when people are aware of what they are good at, not so good at, and that they need to work differently. This is similar to how when Bobby and Isabelle were first diagnosed, they had very different ways of experiencing ADHD and their sample size (“but wait, Isabelle’s more organized, she can’t have ADHD!”) impacted their understanding of it. David and Robin describe how Robin gives David a part of a shelf—a place where he could freely be messy and do his thing. Like spots that she, as his neurotypical partner, does not try to manage. The group goes on a tangent about cockroaches running up legs and spiders in your mouth while you sleep (see below). David also observes that Robin does not ask him to do a lot of things so when she does ask him, it feels novel and he received instant gratification for doing the task, so he’s more likely to do it (and eager to please the person he loves). This also connects to how Robin asks him to sweep or clean up crumbs (more thoroughly). Isabelle notes Robin’s warmth—and recognizes that Isabelle and Bobby both aren’t as warm to each other around this feedback. Robin points out that Isabelle (having ADHD) may not see the feedback as it goes, and instead notices the feedback when she’s already overwhelmed. Isabelle and Bobby note what they call a Great America moment (see below) and notes how she was able to observe Bobby circling around distracted, like a shark, and that she was able to see he needed a different environment to complete his tasks and was able to choose to go to Great America anyway (for herself): in short, she didn’t have to jump into the shark circling herself. David points out that children (which he does not have) are like the loveliest hedonist parrots (which Isabelle and Bobby add: are also the best thing ever). David also talks about mirror neurons and how people with ADHD can have much more active empathic responses, where they can really sync up to the moods/emotions of the people around them. As Bobby is circling like a shark, Isabelle’s mirror neurons are activated and she is syncing up, but Isabelle does not need the same level of intensity. How to know when you don’t need that level of intensity, knowing when you can’t think your way out of that circle (AKA Great American moment). Also important and hard to notice when you’ve self-stimulated yourself into some intense emotion but then your next task doesn’t need it. Hard to see yourself clearly in these escalated moments and how a partner can see you more clearly sometimes and help reflect back boundaries or what you need. And so when Isabelle syncs up to Bobby, she’s trying to soothe them both, instead of paying attention to taking a break and NOT syncing up, which will help them both. Bobby notes that podcast recording sessions helps everyone. Robin also names times when she and David need to ask for what they need to sync up (or not sync up). David will call and give her a heads up telling her he’s ‘coming in hot’ from his commute/work time, when she’s on the couch horizontal watching the Office or Park and Rec—how they try to meet them halfway. How both David and Isabelle forget their age all the time.

For more show notes, go to somethingshinypodcast.com

Why is the cockroach named Rick? For no reason, except David and Robin like alliteration.

Isabelle mentions a sacred pact between humans and bugs? Well, it’s an ancient truce predicated on the idea that if a bug is around, that’s fine, we’re on their turf, really, but if a bug is on your body without you electing to have said bug on your body, or the bug is on your bed or perhaps in the bath/shower with you, you will...

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Isabelle & David welcome guests to a live Q & A (previously recorded) and start by addressing the question: What is it about folx with ADHD and overexplaining? Isabelle really relates to this as she overexplains the question. David describes the intersection between mastery and guilt. When you have a lot of mastery around the topic makes it hard to structure a response. You have so much to say, and as you start talking, you realize the holes in what you’re saying, so you go back and try to respond more and try to fill in more and more, and because you have a lot of mastery you have a lot of information. There is also a sense of guilt: when people are trying to be understood, or are feeling misunderstood, people can overexplain when they’re trying to explain themselves. This is literally what structure looks like: over explanation is a structural issue, thinking about the beginning, middle, and end of what you’re going to say. With ADHD we often had a good beginning, a solid middle, and then...it’s just supposed to end. Why are people still looking at me? But I’m still talking...(awkward silence). Isabelle names there’s a look on people’s faces when she’s talking too much and often makes a joke about talking to much to end it; David notices when people start checking their watches or phone, or starts looking around the room, he just assumes that people are done. YAY for the podcast format that helps them both talk longer than might usually be socially welcomed. Isabelle describes how many a part of overexplaining is wanted to clue someone in to what’s going on in her head when she unmasks, like it’s the closest thing to seeing her thought process and the tangents and longwinded way she sometimes gets to things. She also finds herself wanting to fill in silence with jokes and facts and anecdotes and is often the one to try to break the ice. David names that this could be something else: namely, how comfortable are we with nothing? David has a low tolerance for someone asking a question, let’s say in class, that no one’s answering. It could also be called mansplaining, in the form of David just taking up air time, but he’s noticed it often helps start off conversation. Isabelle agrees that her awkwardness often brings people together. Noah chimes in to name it as being natural pickle jar looseners. Noah names gaslighting, and if someone has been gaslit (by others or themselves) their whole life, they may walk around feeling like they need to prove that they’re not “crazy” —Noah describes that he often asks himself “is this weird? Should I say this? Are people going to think...” before he says something. Everyone on the call starts nodding vehemently. David names that folx with ADHD often are very connected to someone else’s inner state, they have lots of mirror neurons (neurons that fire when you’re witnessing or anticipating someone else doing a thing AS IF you are doing the thing yourself, which some folx think can be linked to empathy—see fuller definition and resources below). Isabelle and David open it up to even more questions. Noah starts with the challenge of working with clients who keep developing structure to get something done and it works for a week, but then they have to keep recreating or honing the structure week after week and it’s not working. David responds that there’s often an overcorrection when people are putting in structure, for example, they plan out every minute but it’s not sustainable. Also there’s novelty: novel plans can be attended to and are often stimulating, but once something is not novel, it can’t be attended to the same way. Even if you don’t really like the thing you’re doing, it may still give you a dopamine hit. Noah gives an example of the Pomodoro method, which uses timers. David names that not all interventions work well for different tasks and people. Think of the brain of someone with ADHD as a jet engine—it’s not disabled, but it might find it hard to go in the slow lane or try swimming. So now introduce an intervention that means you take a break quickly after starting (and started a jet engine can take a while)—is the person having trouble taking breaks or having trouble starting? Start a seven minute timer and have to start before it goes off. If it’s a taking a break intervention, maybe take a break when you next go to the bathroom. Breaks and ADHD is hard, people will believe they need to take more breaks, and that’s not true—people often need less breaks, to stay in rhythm longer, and take breaks when it’s effective. For example, instead of a break after school, knowing your medicine is not going to work as well later, going to punch a wall (or do some movement) and then resume homework. It’s like the intervention of needing extra time on a test, when we often need less time....

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Something Shiny: ADHD! - Ready to unmask all that sensory stuff?
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05/11/22 • 31 min

David mentions that he is sitting on the floor, because he still hasn’t gotten a desk. Isabelle supports the floor sitting and prefers it herself for her sessions, or standing. The two agree on swivel chairs and some of the squeaky and smooth qualities of swinging or rocking, and Isabelle mentions that 5 S’s, or the hacks that are supposed to help lull an infant to sleep (5 S’s) —what is it about water that Isabelle finds so soothing on a sensory level? Isabelle’s theory is that it provides a deep consistent pressure, and a lot of sensation and stimulation, the almost-weightless feeling— a set of physical sensations. David validates this: cold water is a neurological stimulant, and the sense of buoyancy may not be comforting for everyone, but soothing for you. David mentions Wim Hof and his method that uses very cold water/showers and breathing methods to give a bit of a reset. David points out that water may also be helpful because it provides bilateral stimulation and an element of risk taking (you have to keep swimming or moving or you’ll drown), and Isabelle confirms that for her that pressure and buoyancy and the sensation of being pulled down (like Twilight Zone Tower of Terror). Bilateral stimulation is when you stimulate first one side of the brain, then the other. It has been known to help with trauma processing (for example, what’s used in a method called EMDR, or Eye Movement Desensitization and Reprocessing), and added stimulation can be comforting alongside cognitive processing. Owning the idea that it might be comforting for you, not for everyone. There is a spectrum, for example, some people love a weighted blanket, some people cannot tolerate it. Make sure it’s a weighted blanket that is right for your age and weight range (because there are limits)—David almost threw his arm out throwing a weighted blanket. David tried it for three nights and then got too hot. Isabelle and Bobby’s blanket doubles up when one of them tosses their large blanket onto the other during the night. Isabelle talks about all the sensory rooms she wishes existed, and how awesome certain sensory toys are, and they agree about ball pits and how it feels. She mentions the City Museum of St. Louis (see below) which is filled with incredible sensory experiences—Isabelle had an experience where (as a six foot tall person) in a ball pit, she thought there might not be a bottom. David helped prompt Isabelle to remember what she was talking about by repeating back what her tangents were. Isabelle names that she has not idea where she learned something but can also picture it—David names that there are anchor memories. Isabelle notes that conversations with neurotypical friends—she slows down, tries to stay on topic, tries not to interrupt, which she notices she does not do with her neurodivergent friends. David never understood what masking was until he met David Flink and became involved with Project Eye to Eye. David learned through the trainings and collaborations with that organization that masking (pretending to be neurotypical) was chipping away at his authenticity. His usual rate of talking is 1.5x—and it takes energy to slow down, both Isabelle and David agree it’s exhausting to slow down. David describes how when everyone was talking, this awesome guy named Grady was throwing a ball against the wall, and then he shared this racquetball experience with each other. No one in that room dared to challenge someone to say they weren’t paying attention, regardless of what they were doing—it was such an empowering and incredible space. Isabelle remarks on how amazing this sounds and names that throughout this whole conversation, she has been fidgeting with a My Little Pony plastic tail—and how it would feel to hold up that fidget toy with pride. The importance of explaining to people why we need our sensory toys and fidgets and just how much it matters to unmask and set new models for people.

5 S’s (for soothing babies, developed by Dr. Harvey Karp who wrote the book The Happiest Baby on the Block) but as David and Isabelle name, these can be great sensory ideas for folx in any age or stage)

-swaddle (think of a weighted vest/tight shirt/weighted blanket/body sack/body sock)

-holding baby on their side or stomach (lying down in that position)

-shush (imitating white noise) (noise machine or ambient music)

-swing (or rock)

-suck (pacifier or thumb)

Twilight Zone Tower of Terror

City ...

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Something Shiny: ADHD! - I'm Not Tired, You're Tired

I'm Not Tired, You're Tired

Something Shiny: ADHD!

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04/27/22 • 30 min

Are folx with ADHD made to be night owls? Or early birds? Or does your early bird/night owl setting, which feels so engrained in your personality, actually have more to do with giving yourself distraction-less time? David and Isabelle explore myths, misperceptions, and truth bombs about the nature of sleep and ADHD, including tips on setting up your morning or evening (or all day) routines, dropping the shame, and embracing what you may be doing right in staying up late (or waking up early).
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Isabelle is super tired and is tired of her own choosing. She has been waking up earlier than usual in an attempt for her and Bobby to each get some alone time in the morning to get situated and start their routines and transitions differently. She does yoga, exercises, meditates, and can see that it gives her more energy. She wonders if folx with ADHD are actually night owls by nature, having spent years waking really early, then sleeping in—but is it ADHD? Delayed sleep phase is one idea, but David mentions that folx with ADHD seek out a distraction-free environment, and where you get that time (whether in the morning or in the night time) is the kind of person you become (early bird or night owl). So you adapt to achieve the distraction less time in the morning or at night. We carry so much of a load for all the things we’re not doing (I still need to call this person, I still need to do all these chores, etc). the escape of things being too late or too early to do also gives us distraction-less time. Being up early or staying up late gets really simple, it takes away choices. What happens when you are hyper vigilant all the time that you’ve made a mistake and someone is going to call you on making a mistake before you realize you’ve made a mistake? Or that you’ll later be embarrassed for doing something impulsively? This connects to how often is anxiety used by us to drive things, the anxiety of being an imposter, being seen as incompetent—there are lots of these themes for people. Certain environments shut off the anxiety or the drives. How much shame we have determines the intensity of the anxiety, hyperfocus, hyper vigilance. One of the reasons we are doing this podcast is to reduce that shame: there’s no shame in your night game! If you are still getting up and doing the things you need to do in the morning, go for it. If you like to wake up super early and run for hours—we can self-authorize to do the things we like and need. And shoutout to new parents, from David, that in between all of the unsolicited parenting advice, you need to believe in yourself and your needs, and not have shame for your needs. There can be so much anxiety for the ongoing assault of judgment about how you should be doing it; or how you should be spending your evenings. Or how you should be spending our mornings. Or how neurotypical you should look, how you should ‘do’ ADHD. There is no right way. If the task gets done, drop the how. Isabelle points out that early birds are often praised while night owls get the shame. David names that it’s more about finding mastery over your behavior. The answer is yes, there is no better, the real question is: are you getting up for the things you need to get up for? It’s the metacognition (see definition below), that gives you awareness that you have some mastery over your behavior (eg. Like waking up early easing your morning transitions. Isabelle is so tired she realizes her tangents are in slow motion and David names that he sees her turning on her blinker to make her tangent. Isabelle remembers reading a book about sleep that mentioned a method used by the military to fall asleep in two minutes (see article below), that includes relaxing your jaw. David names that sleep training often relies upon fatigue, and fatiguing your body. Weighted blankets can help (but with a word of caution, they are quite heavy, so if you try to throw it across your bed like a regular blanket, you will throw your shoulder out). It’s tough to plan what time to go to bed without factoring in what time you want to wake up, nor that you need to wake up earlier the day before so that you’re actually tired and fatigued when you try to go to bed early. Isabelle experiences this every time she tried to go to bed early before a trip. David is trying to actively do this now by waking up earlier the day before and drinking lots of chamomile tea. David names: we often do the right things but we don’t know why. When you’re staying up later, you’re getting the alone time that you need, but you’re not allowed to have it. Or if you’re listening to music all the time it’s helping you tune the distractions or scary noises out. Sleep hygiene is a place where we should all over ourselves (stop ‘shoulding’ on yourself). Sleep hygiene is creating routines: does it help? Does it...

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Something Shiny: ADHD! - A Conversation About ADHD Medications - Part II
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03/30/22 • 31 min

Big Ol’ Disclaimer: We are not doctors or prescribers, but two therapists who have a lot of experience working with folx on/off, loving/hating, trying/not trying all types of medications and accommodations for ADHD. Please seek medical advice for all your medication questions! Continuation of disclaimers galore: we are not giving medical advice, just our opinions.

The importance of having a therapist or someone who can help you monitor medications if you are on them. Isabelle describes what it’s like to be off of her ADHD medications while she’s been pregnant/breastfeeding children the last couple of years (stimulant medications, see below, are often not recommended during pregnancy/breastfeeding, though other forms of meds are safe for pregnancy/breastfeeding—another reason why it’s so important to have empowered conversations with your doctors, prescribers, and therapists!) It’s hard when part of your accommodations is medication and that leg of your scaffold is not available. Non-medical or pharmaceutical interventions for ADHD are effective and include: diet, working out, getting adequate sleep, mindfulness activities (not all the time) but a practice during the day can help with frustration tolerance, fidget toys, finding ways to get the energy out, finding more existential interventions to get yourself excited about things instead of anxious or angry about things. David using the idea of guessing the color of the tie of the annoying dinner companions he was previously angry about having to go to—switching an annoying task to an exciting one (those meddling mendelson’s with their zebra zingers!) David also mentions there are some ideas around microdosing with mushrooms, cannibis, ketamine, etc. and he’s never seen them work, not that they don’t, but that he doesn’t even know how to begin talking about them working and is not comfortable talking about it as an expert (if you are one, email us at [email protected]! We’d love to have you on the show to talk more!). Also those microdosing interventions would clearly not work (and be illegal!) with kids. There are really different kinds of ADHD medications, including antidepressants like Wellbutrin (buproprion), which works on inhibiting the uptake (or increasing the quantity of) dopamine, serotonin, and norepinephrine in the brain (which works with the neurotransmitters affected by the brain difference that is ADHD). While a number of other medications can be prescribed for ADHD, David and Isabelle drill down into specifics about the stimulant meds most often prescribed for it: Ritalin and Adderall. Each of these meds have a line of meds that come from them (each med is more related to one or the other). Ritalin is more of a stimulant while Adderall is a stimulant with a mild anti-anxiety component to it. People will have sometimes have side effects to Adderall that makes them feel like there are ants running under their skin or a cold sensation, it’s typically a reaction to the anti-anxiety part of the med; those folks can take the Ritalin or Wellbutrin route sometimes. David shares the story of how he was lucky and Ritalin worked for him; however, his curiosity and studies wanted him to try a newer class of meds like Focalin. He noticed 3 weeks later that it was working; he noticed it was working because he picked up a piece of paper on the floor to throw it away—on the first try! Yet three weeks later he couldn’t remember his partner’s face when she wasn’t in the room and having intense intrusive thoughts of feeling awful and very depressed. He didn’t realize it was the medication right away, but his partner helped him connect the dots and it felt better as soon as he got off of the meds. Even though he tried a different med in the Ritalin family and it should’ve worked for him but it didn’t. David honors how if he was a kid, they would talk about how his behavior was improving, and how he was performing better on tasks, but he might not be able to vocalize his depressive thoughts and changes in recall—so important to not make someone take medication. If medication works, people with ADHD will take it (because it works). They often don’t want to take it when it doesn’t work. People can sometimes feel that people feel really zombie-like, or off, or not like a person—but then you see all these neurotypical-world gold stars for performance but they miss that there’s a person underneath it who is experiencing it working or not working, too. It can take so much patience and tenacity to find a good fit. David and Isabelle reveal that they also specialize in working with trauma, and even specific to survivors with ADHD, it can impact what type of ADHD medication they can tolerate. Medications that come in and out...

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Something Shiny: ADHD! - All About ADHD - Part VI

All About ADHD - Part VI

Something Shiny: ADHD!

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03/02/22 • 31 min

Isabelle & David welcome Isabelle’s husband, Bobby, and their friends, Christina, AJ, and Gabe, to continue to listen and learn from David’s tried and tested presentation on ADHD, which he normally gives to fellow clinicians (for the 1st-5th parts of this talk, please see episode 4, All About ADHD Part I; episode 6, All About ADHD Part II; episode 9, All About ADHD Part III; episode 12, All About ADHD Part IV; episode 15, All About ADHD Part V). The audience checks in about the things they’ve remembered from previous lectures—the need for structure, wins, energy bar (making sure you use your energy during the day)—inability to integrate past memories into future experience means you have to develop metacognition, thinking about your thinking. What are we going to do about ADHD? ADHD is most often scapegoated for the world’s crap. For example, people dealing with all kinds of things, but the one diagnosis a parent will share on the playground after their kids shows all kinds of behaviors is ADHD, not the OCD, Bipolar II Disorder, etc. that their child is also experiencing. We also only attribute things to ADHD when they’re negative or could be viewed as negative—for example, after a meltdown—“It’s my ADHD” when no one ever completes a task brilliantly and says “it’s my ADHD!” Are people born having ADHD? Yes, you are born with it, you are genetically predisposed to it, if you have it someone in your family likely has it, and in places where ADHD is not present in the entire family, there is a family traumatic experience that can prime you, and even specific gene setups that can link to being more or less vulnerable to environmental factors (See Orchid Children article below). David talks about ADHD as a gift, referencing his incredible friend, Bill, who’s excited and about to make anything exciting when he talks about it. He travels the world giving speeches, writing articles, or improving his investment portfolios, the man does not relax—this is also about ADHD. It’s genetic, not a choice. What we do have a choice in is how we develop frustration tolerance, developing a sense of who you are, developing your self-esteem: that’s the variable. You have to believe you can do “it,” no matter how realistic, the belief needs to be fostered. The second most important thing is advocating for accommodations: knowing what you need and asking for it. The third most important thing is metacognition (thinking about thinking): knowing why the accommodation works, knowing you can do it because you’ve done it before—understanding why it works—for example, knowing you’re frustrated because you didn’t use your energy bar. Some people are born like an orchid, some are born like a dandelion: a dandelion can grow through a concrete slab, you can mow over them, they grow right back. David describes the orchid he is purchasing for his love and partner, Robin, and got this orchid and then he says he’s going to take care of it, and he killed it in a week. You can also put one ice cube on the orchid a week (or sprays)—and let it run with water. Students in schools are all treated like dandelions; but if you water an orchid like you water a dandelion, it’s dead. But orchids are beautiful, they last so long, they grow on some of the most inhospitable things, they add color and beauty to anything. What are the environmental watering instructions for someone with ADHD—it’s constantly having a menu and having to do things differently. Knowing why you struggle with something—a school would never take someone in a wheelchair and asks them to walk—they would create accommodations. So why take someone with ADHD and ask them to do something that they need to do differently and ask them to do it the same? ADHD is not a learning disability, it’s a sitting still, a pacing disability (when things move slowly, David turns into an insane person—like a slow-walking person...but put him in the trenches and he’s ready)—so he crosses the street, he goes out of the way to mitigate his frustration. Using a relief pitcher metaphor from baseball, a relief pitcher doesn’t pitch the whole game, or run, or hit the ball—it’s hard to define them as a baseball player...but they’re highly coveted for what they do. Now imagine a relief pitcher saying to their school: “I want to be a baseball player” so the school focuses on the running, hitting the ball, etc. but...it misses the thing that person does and does well. So part of the accommodation is knowing where you a relief pitcher, what you do well, and staying in your lane. For example, David and his partner set it up so that he has an allowance and passes money to her—not because he’s in shame about how he manages money, but because it helps him stay in his lane and not spend all his money on jujubes...

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Joined by Isabelle’s husband, Bobby, who also has ADHD, Isabelle and David explore their origin stories in the first recording of Something Shiny ever (from over 3 and a half years ago). Isabelle describes how she first became more familiar with ADHD through working with David and working with clients who had the diagnosis, turning to David for help. She would then come home and tell Bobby the tips and kept telling him he had ADHD, not like it was some bad thing, but like it would only help him to know. She started noticing how sessions with her clients with ADHD had a different feel to them, and she really enjoyed them (as well as sessions with her neurotypical clients, it just had a different speed). One day, after about a year of this more focused work, she was talking to a fellow clinician who was sharing her ADHD origin story with Isabelle. She described what it was like to go into a room to get a cup of coffee, only to clean the kitchen, only to pick up three things and forget what she was doing. Isabelle started shaking and realized it was just like her. She had a flash and thought “somebody else does that?” She came to David the next day and said, “I think I have it” and he said “I know. Welcome to the tribe!” And she cried and felt so welcome and love it. She wonders how she went so long without getting diagnosed. Her mom was called into a parent teacher conference when Isabelle was in preschool, thinking she would need ESL support (English is Isabelle’s second language, her parents are Polish immigrants), and the teacher’s feedback was that Isabelle would not stop talking. She would get this feedback throughout her schooling and recognized that she was always talking and distracting other kids, but she was really lucky to have teachers who would redirect her, give her extra work, let her read and hyper focus on what she wanted to do. She then wonders how she got through Harvard, and realized retrospectively that she was prescribed Wellbutrin, which is a medication that also helps with ADHD. After weaning herself off of it, she was running around to her friends describing that she thought she had ADHD, who dismissed it as withdrawal symptoms; she accepted this explanation at the time, though she could not longer focus and magically do her work, and then went all over the place the next couple of years. After landing a corporate gig, she was able to focus on pretty boring stuff, but she had undiagnosed hypothyroidism, and any time her meds would increase to bring her thyroid to a normal level, she would again notice ADHD symptoms increase dramatically. David and Isabelle clarify how the hypothyroidism, which would normally produce lethargy, was taking away Isabelle’s impulsivity and ADHD symptoms, working like a lead vest. When Isabelle started to suspect she had it, she came home and cried and Bobby thought she had cyberchondriac’d (see definition below) herself into a diagnosis, because he saw her as focused. He had just come to terms with his ADHD and couldn’t believe his wife had it, too, because she seemed so different to him. Then she suddenly appeared to have it, very obviously, seeming much more scattered and he wonders if its because she didn’t have to fake it anymore (see Masking definition below). Isabelle notes that her and Bobby are a very small sample size, so she only has to be more focused than him to appear focused. She resonated with David describing how you can self medicate with anxiety, she noticed that she did it all the time to leave the house and make transitions. This connected to how when she realized she had it, she unmasked and suddenly didn’t want to use anxiety to help her transition anymore, making it harder for her to do things like leave the house. David then shares how he has symbol recognition disorder in 5th grade, and it was never validated that he had ADHD and was labeled as lazy or like he wasn’t trying. The struggles in school got significantly worse as he got closer to high school, and the group all agrees that no one ever says that middle school was the BEST. David wasn’t testing well, he went to a really prestigious school with all the resources, and he was never diagnosed because he was deemed ‘too smart.’ However, freshman year, he got the label of having behavior disorder, which meant school got worse, really fast. He ditched school, got a ‘screw you’ attitude, playing Mortal Kombat with all the delinquents and got kicked out of high school. He was kicked out of school because of behavior problems and sent to an alternative school, still without an ADHD diagnosis, but he had a much better time in school. He got his homework done because all homework was done in class. In his previous school, he would go home, not do his homework, and then be too ashamed to go to ...

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Something Shiny: ADHD! - Isn't there a right way of doing things?
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09/29/21 • 21 min

What if there is no one right way to do something? Isabelle and David are joined by Isabelle’s husband, Bobby, who also has ADHD, in this discussion on why we care how we do a thing. The idea there isn’t a right way is a hard for Isabelle to take in, especially as David describes that how we feel when we feel like we have to be perfect on the outside to hide the fact that we feel so different/deficient on the inside (AKA Imposter Syndrome). For folx with ADHD, this can look like our habits and the way we approach tasks ‘appearing’ neurotypical. 1 in 8 or 2 out of 10 people have a learning disability or ADHD in the U.S. right now (Updated stat: One out of every five people in the United States is identified as having a learning or attention issue. “The State of Learning Disabilities” 2017. National Center for Learning Disabilities). Is the task of a test to take the test in one go, or to do it in 20 minutes? Are we being tested on information or on the speed (for example, accommodations for more time on tests, for example). David would write a 3 hour talk on a plane ride in less than 2 hours and would never share this because, even if the talk was great, he would be judged for how he got the talk done—he thought he didn’t work on it “long enough.” Isabelle resonates with this, an accommodation for her working memory is to do a task right away, but then sends it much later so it appears like she spent more time on it. Doing work how everyone else does it to not seem different, deficient, or to appear as if it was too easy or you cheated somehow. If it’s easy for the ADHD person, they think it’s easy for everyone; if it’s hard for the ADHD person, they believe it’s easy for everyone. What if you did something for a job that was easy? Would you rather do something you enjoy or do something that’s hard? Bobby reclaims that reading a book includes listening to a book. He’s listening to a self-help type book—you think it’s the procrastination that’s the problem, but the problem is you judging yourself for not doing it. David talks about Wilfred Bion (see below) and whether a group was working on a task or catering to the group’s emotionality—what’s the task of every group? David and Isabelle go down a rabbit hole about group dynamics and where some of the theory comes from around the idea of focusing on task v. emotionality. What matters for ADHD is that we can do the task v. our emotional baggage around proving how we did the thing. Embracing how you work instead of judging it. For example, David knows his body doesn’t respond to meditation by breathing and sitting; he goes on endless walks instead. But if he were to let his beliefs/fears about how he’s supposed to do it impact him, he wouldn’t get the benefit of it. It’s about letting people do things their way instead of the ‘one way.’

Here’s a link to how common ADHD and LD’s are in the U.S. as well as the racial differences (racism loud and clear)

Bobby’s book he was reading on business - Bobby thinks it was Cal Newport’s book, Digital Minimalism.

DAVID'S DEFINITIONS

IMPOSTER SYNDROME : is the belief you don't belong/are bad, or that you have to be perfect on the outside along with the fear you will be found out/exposed and people will know you're a mess on the inside.

TASK V. EMOTIONALITY

  • Task: what you’re trying to do - the ‘work’ of a group or a person.
    • for example: I am finishing my project this weekend.
  • Emotionality: what you do to prepare to do a task - beliefs/fears/assumptions about what you’re doing
    • for example: I’m doing it wrong/right, I always procrastinate, big fear you’ll never get it done, dream that someone will come and save you from having to do it, etc.

OTHER FUN STUFF

Wilfred Bion (1897-1979) was a British psychoanalyst who ran group therapy during World War II out of a military hospital (so folx with trauma). He was among the pioneers of ways of running a therapy group, writing about it, and co-creating the Tavistock Institute for studying group relations with other wartime psychologists. The term “Tavistock" later became synonymous with a form of studying group dynamics experientially also known as group relations work. It was basically a way to try to understand how people function in a group. For more, check out this wik...

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Why do some of us minimize and reduce the number of choices while others seek excitement and novelty? Why do some of us need everything listed out while others need to just try something blindly? The secret? Different types of ADHD and different ways our ADHD shows up in different environments! David and Isabelle are joined by Bobby and Noah, who also have ADHD, and talk about things like trying to leave the house, deciding what to eat, and why their accommodations all look so different.
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Transitions and choices are hard. Isabelle and David are joined by Isabelle’s husband, Bobby, and David’s friend and fellow clinician, Noah, both of whom also have ADHD to talk about different types of ADHD. We don’t remember all the stuff we have to do to leave the house. Isabelle describes a detailed whiteboard and just how long it took to get into the habit of not forgetting things like lip balm. David puts everything into his bag at night. Isabelle has to do a one-touch rule. Noah’s and Bobby’s work bag are empty. Bobby’s really into minimizing things, which David points out is a wonderful intervention, especially for inattentive type— decision fatigue. Noah does this for going out, always ordering a blackened chicken sandwich. How exhausting it is to make decisions all the time. Noah’s experience in a blind restaurant. Bobby’s picky eating is connected to something ADHD-related—hypersensitivity around texture. David’s experience of this is big after decades of vegetarianism, experiencing the texture of meat for the first time (bacon and hot dogs are great. Other meat for him? Not so much). Isabelle references the Paradox of Choice book (TLDR) and describes the phenomena of randomly remembering facts she’s read, but struggling to remember what she read on command. Recognizing that when there is an overabundance of choice, we think we made the wrong one (or are left more disatisfied) because we always think we could’ve picked better. This relates to Isabelle’s reaction to Tinder as something that makes her nauseous thinking about it: too many choices. Same with old school diner menus. Or Cheesecake Factory menus. David agrees. Isabelle describes novelty seeking with food, whereas Bobby wants the same thing. David went to Superdawg and got everything on the menu he wanted because he couldn’t make a decision. Noah would go there, deliberate what to get for 20 minutes, and leave with nothing. Why do we all sound so different and yet similar? We’re talking about the distinctions between inattentive and impulsive ADHD types. What about combined type? Depends on the mastery of the environment: the more mastery, the more impulsive we can be, the less mastery, the more inattentive.

What is Superdawg? If you’re in and around Chicago, you’re welcome to check it out. If you’re not, it’s still a fun place to look into. From the bottom of our pure beefy hearts.

Paradox of Choice - book by Barry Schwartz (TLDR for Isabelle but an interesting summary appears on wikipedia).

DEFINITIONS

ADHD types explained through how we order at a restaurant:

  • inattentive type: struggles to figure out what to order, stares at menu (accommodations: always orders the same thing or same type of thing, asking the server for their choice/having the chef or someone else choose for you)
  • impulsive type: orders three different entrees (to try them all), or the novel/strange seeming thing on the menu (accommodations: finding new places to eat or food bars where you can throw on whatever you want in that moment)
  • combination type: see above and experience BOTH, often depending on your level of mastery/comfort (more mastery in the environment, the more your impulsivity shows up).

Decision fatigue: the more decisions we make, the more our quality of decisions (or ability to do so well) deteriorates. Too many decisions can lead to an overwhelming feeling, burnout and poor decisions. Avoiding the complexity of decisions, can be an adaptive tool for individuals to preserve brain power for more important decisions, especially when the inattentive-type ADHD experience is loud. Here's an article on how to notice when it's happening to you.

Hypersensitivity around texture: some textures are going to make people feel more yucky inside than you would think they could. Often times it can be really helpful to honor these sensitivities, and not tr...

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FAQ

How many episodes does Something Shiny: ADHD! have?

Something Shiny: ADHD! currently has 98 episodes available.

What topics does Something Shiny: ADHD! cover?

The podcast is about Health & Fitness, Mental Health, Therapy, Podcasts, Adhd, Self-Improvement, Education and Neurodivergent.

What is the most popular episode on Something Shiny: ADHD!?

The episode title 'What happens when we make mistakes?' is the most popular.

What is the average episode length on Something Shiny: ADHD!?

The average episode length on Something Shiny: ADHD! is 27 minutes.

How often are episodes of Something Shiny: ADHD! released?

Episodes of Something Shiny: ADHD! are typically released every 14 days.

When was the first episode of Something Shiny: ADHD!?

The first episode of Something Shiny: ADHD! was released on Jul 3, 2021.

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