
Ready to unmask all that sensory stuff?
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)
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)
Previous Episode

I'm Not Tired, You're Tired
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...
Next Episode

All About ADHD - Part VIII
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-6th 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; episode 18, All About ADHD Part VI; episode 21, All About ADHD PART VII). Bobby starts by naming that a lot of self-help and business books focus on you giving one specific thing your all and focusing on that, continuing David’s idea that folx with ADHD are like relief pitchers, so don’t try to make them all around baseball players (play to your strengths rather than trying to change your vulnerabilities). David names that it can be distracting trying to be perfect. Bobby also names that being a freelancer means you are wearing so many hats and getting caught up in so much minutia. But it also is scary to say you’re going to say no to 98% of what you would normally do and only focus on the 2% that’s your focus—also, what about the fact that Bobby (and many of us) want to wear many hats and do so many different things? Isabelle relates to this in how she checks out a number of ebooks from the library and reads them all, but in patches and based on what her mood is. David names that what they’re both talking about is the structure. You are focusing on one thing, but you’re using a structure to determine what that one thing is, and how it’s more of a pattern and a rhythm than you might realize. Bobby names that he thinks it’s true because of Isabelle’s 5 year journal, that reveals they are way more into repeating patterns throughout the year than you would think. Focusing on the things you’re really good at allows you to notice what else you should pick up and add to your repetoire. People with ADHD often overcommit because they want to make people happy. So saying you can focus on what you’re good at doesn’t mean you have to do it one way, it’s more that finding what you want to do helps you feel less overwhelmed. Find what you’re good at and invest energy into it. David is good at talking and listening so that’s what he does for a living. It’s about accepting your vulnerabilities and knowing who you are, it’s about embracing, not curing. ADHD requires a variability of stimulation. In the absence of stimulation, we can’t do tasks. Example: one explorer goes ‘there’s a cliff!” While the person with ADHD goes “there’s a cliff!” and almost runs up to the very edge and sees an orchard that was hiding there. The need for stimulation is why you might get closer to the edge of the cliff, it might mean why you wait until the last minute to do something. This connects to procrastination and self-stimulation. (For MORE on procrastination, check out episode 08: Are We Designed to Procrastinate?) Which emotions help your heart beat faster, that help you self-stimulate? The ones you’ve practiced the most, usually, including: anxious, angry, or excitement (or arousal). Bobby and Isabelle both relate to the anxious/angry during transitions part. You can always expect those things around a transition. It can make you feel like less of a monster, if you can expect it. Instead of saying “why are you always so mean to me when we leave?” You say “oh my gosh, we need to leave, I’ll meet you there.” David mentions that it’s a DRO technique, which means a Differential Reinforcement of the Other (DRO), a type of behavioral technique that makes the behavior you’re trying to avoid not an option. Bobby uses accommodations to make sure he’s on schedule, so he gets anxious and needs to be on schedule and tries to be early. Isabelle, on the other hand, has her own rhythm and path and gets overwhelmed when she hears too many voices coming at her, and then gets really mad at herself. David names that it may be less about being mad at getting micromanaged and more about getting distracted. Isabelle agrees, that it feels like six competing voices sometimes, and it’s very overwhelming, she gets that way about music and sounds in general. David talks over Isabelle to demonstrate what it’s like when she’s trying to go through her list and giving her instructions, and she gets so mad at him (and it’s okay, it’s part of the example) and he points out her way of creating a sound screen is to hate somebody. So with structure and independence, you don’t need to get angry because you don’t need to self-stim (see below) to stay focused. In essence, there's no way she can take on another competing stimulus (like someone telling her what to do as she has he...
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