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Episode 91: The week in ADHD (19)

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March 23, 2023

TLDR: Episode 91 of The ADHD Adults podcast discusses routes to a diagnosis and answers questions from listeners. Alex goes on a trip and everyone agrees not to ask James how he is again.

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  • The Importance of Self-Care and Productivity for ADHD AdultsADHD adults face unique challenges in managing distractions and sleep issues, emphasizing the importance of self-care and seeking help and support. Prioritizing productivity and staying engaged in the ADHD community can provide additional value.

    The ADHD Adults Podcast hosts, James Brown, Alex Connor, and Sam, reflect on the importance of self-care and productivity in managing ADHD. They discuss how the week between podcasts can be challenging for adults with ADHD due to various distractions and sleep issues. James shares his recent experience of giving talks and feeling tired, while Sam talks about staying up late and feeling overwhelmed with work. They also mention the benefits of having extra content and community engagement to provide more value to their listeners. The podcast also features an interview with Dr. Nick Bridgeford about routes to a diagnosis for ADHD. Overall, the episode highlights the importance of prioritizing self-care, seeking help and support, and staying engaged in the ADHD community.

  • Impact of Poor Physical Health on Mental HealthPoor physical health can lead to negative coping mechanisms like binge eating and worsen mental health issues such as negative thoughts and self-harm.

    Poor physical health can negatively impact mental health and lead to unhealthy coping mechanisms, such as binge eating. This person shared their experience of dealing with a bug that kept them in bed for days, which led to increased stress and binge eating. They also discussed their past struggle with negative thoughts and self-harm, which they used as a mental escape clause. Recently, they've been questioning their motivation and purpose in life, leading to feelings of burnout and self-loathing. It's important to note that while they've had a difficult week, they've not had suicidal thoughts. Mental health issues can manifest in various ways, including physical symptoms, negative thought patterns, and unhealthy coping mechanisms. It's crucial to prioritize self-care and seek support when needed.

  • Being too focused can lead to unexpected consequencesStaying present and mindful can prevent impulsive actions and unexpected consequences, especially for those with ADHD.

    Both Sam and Alex shared experiences of being so focused on their tasks or activities that they became oblivious to their surroundings, leading to unexpected consequences. Sam shared an incident where he stubbed his toe and didn't notice the injury until he saw blood on the carpet. He also impulsively bought several items, including plants and an electric scooter, without properly considering the care and responsibilities they required. Alex mentioned that she got carried away with a game of curling and ruined it for her team by thinking it was already over. Both Sam and Alex acknowledged their ADHD as a contributing factor to their lack of awareness and impulsivity. These experiences highlight the importance of staying present and mindful of one's surroundings and the potential consequences of impulsive actions.

  • Genetics and family history in ADHDDiscovering potential health markers in genetics and family history can be overwhelming, but it's important to remember that having a marker doesn't guarantee development of a condition. Building a family tree can provide comfort and understanding, while resources and alternatives for managing health conditions exist.

    Genetics and family history can be a source of anxiety and concern for individuals with ADHD, as they may discover markers for various health conditions. However, it's important to remember that having a marker does not necessarily mean one will develop the condition. The person in the discussion was particularly affected by this realization when they discovered potential markers for various health issues and felt overwhelmed. They also found comfort in building their family tree, despite having no initial interest in it. It's essential to remember that everyone's experience with genetics and family history is unique, and it's crucial to approach the information with a balanced perspective. Additionally, there are various resources and alternatives for managing health conditions, including medication and lifestyle changes, which can be explored through the NHS or personal choices.

  • Impact of ADHD medication on blood pressureADHD medication may increase blood pressure in some individuals, depending on their initial levels and cardiovascular history. Non-stimulant medication or therapy might be recommended for those with high blood pressure concerns. Open communication with healthcare professionals is essential for informed treatment decisions.

    The more we learn and revise, the more we understand about various topics. Regarding ADHD medication and blood pressure, it's essential to consider individual cases as some stimulants may cause small increases in blood pressure, potentially leading to hypertension. The decision to prescribe medication depends on the person's initial blood pressure and cardiovascular history. If high blood pressure is a concern, non-stimulant medication or therapy might be recommended. However, some individuals might not respond to medication or prefer non-pharmacological approaches. In the future, it's unlikely that child and adult ADHD will be seen as separate disorders, and previous diagnoses should remain valid. A diagnosis is a lifelong condition, and the impact on an individual's life is considered during the diagnostic process. It's crucial to have open and honest conversations with healthcare professionals about treatment options and concerns.

  • Diagnoses are subjective and can vary greatly from person to personDiagnoses can provide insights but are socially constructed and inconsistent, leading to frustration and challenges for those seeking treatment later in life

    While diagnoses can provide valuable insights and support, they are also socially constructed and subjective. The experience of ADHD, for instance, can vary greatly from person to person, and the application of labels and treatments can be inconsistent. If someone was diagnosed as a child but then disengaged with their treatment, they might face challenges getting a new diagnosis and prescription later in life. This can lead to frustration, anger, and feelings of rejection. Recent research suggests that ADHD medication can actually change the brain and improve its function, but there's ongoing debate about whether purely hyperactive ADHD might be a different disorder. Ultimately, it's important to remember that diagnoses don't define us, and everyone's experience with neurodivergence is unique.

  • ADHD manifests differently for individuals and can be influenced by co-occurring conditionsIndividuals with ADHD may not fully respond to typical medication due to underlying differences or co-occurring conditions. They might be drawn to multiple stimuli and struggle to focus on one task for an extended period due to an active default mode network.

    ADHD can manifest differently for various individuals, and some may not fully respond to typical medication due to underlying neurodevelopmental differences or co-occurring conditions like social anxiety or impulsivity. The discussion also highlighted the complex nature of reward systems in individuals with ADHD, as they might be drawn to multiple stimuli and conversations for the novelty and interest they bring, rather than feeling a lack of pleasure in the current situation. This can lead to difficulty focusing on one conversation or task for an extended period. Additionally, the group agreed that the ADHD brain tends to leave the default mode network on, making it more prone to distractions and daydreaming.

  • Our energy levels can depend on the situation and our responsesJungian psychology highlights the fluidity of personality traits, and our energy levels can change based on social context and individual responses. Recognize that we're not pigeonholeable and adapt accordingly.

    Our personality traits, including introversion and extroversion, are not fixed but rather depend on the situation and our individual responses. Jungian psychology suggests that we get energized differently based on our social environment. Some people may feel more energized in large groups, while others may prefer one-on-one interactions. It's essential to recognize that we're not pigeonholeable and that our energy levels can vary depending on the people we're with and the context of the interaction. Additionally, the route to a diagnosis for ADHD can be diverse, including private and NHS options, with various challenges and experiences along the way.

  • The journey of getting a proper diagnosis and treatment for ADHD can be frustratingPersist in seeking help from healthcare professionals, having a supportive friend can make a difference, and keeping track of progress can ensure eventual care.

    The journey of getting a proper diagnosis and treatment for ADHD can be frustrating and disheartening, with many people encountering skepticism or dismissal from healthcare professionals. This can lead to feelings of helplessness and despair. Having a supportive friend who understands your struggles and can provide a sense check and a sense of humor can make a significant difference. Additionally, persistence is key. If you're not getting the help you need from one GP, don't hesitate to seek out a new one or to file a complaint. It's also important to note that the process of getting referred for an assessment can be complicated, with multiple partners in a practice and long wait times for appointments. Keeping track of your progress and following up consistently can help ensure that you eventually receive the care you need.

  • Going private for ADHD diagnosis and treatment in the UKDouble-check costs, get GP agreement, and prepare for potential complications when seeking private ADHD diagnosis and treatment in the UK. Keep detailed records and consider bringing support.

    If you're considering going private for an ADHD diagnosis and treatment in the UK, be sure to double-check the costs and ensure your GP will sign a shared care agreement beforehand. The process can be complicated, and there may be additional costs for titration and medications that aren't initially disclosed. Additionally, if you have a diagnosis from another country and are moving to the UK, the acceptance of your diagnosis and access to medication may depend on the country of origin and the involvement of a UK psychiatrist for annual reviews. It's important to remember that the process can be unpredictable and may require additional appointments and assessments. To make the process smoother, consider bringing a friend or partner for support, and keep detailed records of your diagnosis and treatment.

  • Productivity and Medication Breaks for ADHDAssessing the risks and benefits before taking a break from medication for increased productivity is crucial for individuals with ADHD.

    Productivity can sometimes be enhanced by taking a break from medication, but it's important to assess the situation carefully and consider the potential risks and benefits before making a decision. The speaker shared his personal experience of being off his meds for a month and the increase in productivity he experienced. However, he acknowledged that he may need to have his medication reassessed. It's important to note that everyone's experience with ADHD and medication is unique, and what works for one person may not work for another. The speaker also mentioned the importance of staying on task and being mindful of introducing irrelevant topics during discussions. This conversation took place during episode 90 of the ADHD Adults podcast, which aired on the 19th of the month. If you're interested in learning more about ADHD and related topics, you can get involved by contacting the ADHD Adults community through their social media channels or their Discord site.

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