Defining Self CareMar 15, 2021Self care is a buzzwork in our society these days. But some of us have been talking about self care for years, especially in the context of ADHD. I can’t speak to neurotypical folks. I’ve only been inside an ADHD guy’s brain. But I can tell you that ADHD people seem to have a particularly hard time with self care. I think there are many reasons that this is the case. We tend to have fewer hours in the day to be productive. (If you are familiar with ADHD, you know what I mean and I don’t have to go on a six paragraph tangent about it!) We also suffer from low self esteem due to the way that our ADHD negatively affects our day to day and big picture success. And, our struggles with the skills and executive functions of time management, initiation, follow through, consistency, and delaying gratification all make it harder for us to practice good self care. And fundamentally, self care might be not-so-stimulation and repetitive sometimes. But I had a really interesting session with a client about a month ago during which I challenged him to even question the concept of self care. He was going through a really difficult time in his life. He’s in the healthcare field and directly works with patients, but is not higher end of the healthcare pay/stability scale. So, work is very stressful for him. And, he is going through a tremendously stressful time with his soon-to-be-ex-wife. So, he came into a session and wanted to talk about his failures in the self care arena. He felt like he wasn’t living up to his own expectations (and his almost-ex-wife’s expectations) of how he was keeping the house. He wasn’t making the choice to spend the energy to make and eat the salad for dinner. He wasn’t coming home from work and folding the laundry and working out. He wasn’t meditating or doing any of the introspective practices that he’d done in the past. And, he was really beating himself up about it. Now, I’m a big believer in self care. Generally I consider sleep, exercise, and social interaction the winners podium of self care. If there were a B-team closely behind they would be eating well, some form of mindfulness practice, and managing leisure time and down time. Of course, managing work/life balance, addictive tendencies/activities, moderating screen time, and spending time nurturing our intimate relationships are also important parts of self care. But like anything in life, self care can be situational too. You are not always going to have the time and energy to do all that you want to do in any arena. That includes the self care arena. Sometimes self care is making the salad and going for a run. Sometimes self care is having a can of Bernie-O’s right out of the can for dinner, lying on the couch, watching two episodes of “The Expanse,” and going to bed. I wouldn’t recommend doing that every night. But if that is what you really need on a given night, is that not the definition of caring for yourself? I always argue that self care should be one of your top two priorities. Self care and your kids. But, in these crazy times we live in, we have to compromise on everything, even our upper echelon priorities. So, be kind to yourself. Set a reasonable bar. Find creative ways to reach it. Don’t be too hard on yourself when you fall short. Problem solve, and consider adjusting the bar again if you need to. And, meet yourself where you are, not where you wish you were. Now, that sounds like self care to me! Standard Disclaimer: In an effort to foil my own perfectionist tendencies, I do not edit my posts much… if at all. Please excuse and typos, mistakes, grammatical errors, or awkward phrasing. I focus on getting my content down. In my humble opinion, an imperfect post posted is infinitely better than a perfect post that goes unfinished.
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Being overwhelmed about writing thisMar 2, 2021When I started my ADHD blog I swore that I was going to be the person who posted on it weekly. I didn’t want to be the ADHD guy with all the ideas and none of the follow through. I have to say that I lived up to my own expectations. I practiced what I preached in my coaching practice and put structures in place to have topics to write about and behaviours to get it done. I’ve always been very proud of that. And, then I got really, really sick in Nov. of 2019. And, was just in the process of bouncing back around March on 2020, when… Well, we all know what happened in March of 2020. And, with two kids, the youngest being a five-year-old kindergartener with significant mental health issues at the time, much of normal life, and business as usual ground to a halt. Then I believe in early December I promised you, the few but beloved reader of my blog that I was officially back on the horse. Well, you know what they say about the best laid plans. The aforementioned now six-year-old was in crisis and needed to be hospitalized for an extended period of time over the holidays and into February. And, the emotional, psychological, and logistical toll that took on our family and on me was/is hard to quantify except to say that it was enormous. I don’t want to go into that too much. I’m happy to share anything about me. But, someday that child will be an adult and this post may still exist in the “datasphere.” I want to respect my son’s future privacy. Just know that this has been a difficult time for me. And, as the pieces seem to be coming back together for him and for us and there may be a light at the end of the tunnel that might even not be the proverbial train… I’m starting to have the bandwidth to think about things that were on the front burner in October of 2019, like completely redoing my website, starting a new marketing campaign, finishing my first book, taking my business to the next level, etc. And, on slightly more mundane level, I need to get back into the habit of writing blog entries as a part of what I do. Yet, I find the whole prospect overwhelming. Yes, all of it is overwhelming. But just the piece of the blogs is, in and of itself overwhelming. Why? I think it is because there have been several times over the past 14 months that I have started to write again and been re-sidetracked. I feel a bit like sisyphus having had the boulder roll down on me a few times already. I feel like it isn’t good enough to write one post. I need to be sure, absolutely sure, that I can get back on a roll for good. But of course that’s just a branch of perfectionism. Yeah, it’s nice to not start until I’m reasonably sure I’ll have some time every week to devote to blogging. But if I go every other week for a while, or if I have to do shorter posts, or it takes me a while to get back up to speed… or if, God forbid, something else happens that knocks me off track. So be it. There is nothing lost by posting today. And, I already feel better having written this. I can feel the momentum building. In a matter of six paragraphs I’ve gone from overwhelmed to energized and hopeful… just by getting started! What do you want to get started today? Standard Disclaimer: In an effort to foil my own perfectionist tendencies, I do not edit my posts much… if at all. Please excuse and typos, mistakes, grammatical errors, or awkward phrasing. I focus on getting my content down. In my humble opinion, an imperfect post posted is infinitely better than a perfect post that goes unfinished.
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Nutrition and ADHDDec 11, 2020There was a good, not great, but good article in ADDitude this week about nutrition and ADHD. It made some really good points that are pretty well established. The ADHD brain does better with high protein and low simple carbs. Though there is some good evidence that that is good for most humans. It is also good for those of us who are prone to depression and anxiety. There are some other claims in the article that seem a bit extra-science to me. And, I noted there there didn't seem to be any studies cited. Let's me honest. The field of nutrition is one offers a new best think pretty often. But I do think that the carb / protein has enough research behind it. Omega 3's are also good for humans. But, there are different kinds. They are not without environmental impact. And, the benefits for ADHD are not statistically significant for those who are effectively medicated already. At least according to what I've read... though I will admit that was a while ago. So, if you want to go beyond eating lots of healthy veggies and a moderate amount of naturally raised earth sustaining protein, and a lower carb diet, I would do your research in PARTICULARLY REPUTABLE sources. I should also say, that I recognize that the previous proposal is made by a white middle class guy who used to be a professional chef. I figure it is on you to try to acquire the skills to cook healthy. But, it is on us a a society to make sure that everyone has financial and logistical access to the healthy food the need to thrive. And, frankly we do not do a good enough job at that. (Wow. It's hard not to let at least a little social justice talk sneak into these posts these days. Perhaps I need a spin off blog?) Standard Disclaimer: In an effort to foil my own perfectionist tendencies, I do not edit my posts muh, if at all. Please excuse typos, mistakes, grammatical errors, or awkward phrasing. I focus on getting my content down. In my humble opinion, an imperfect post posted is infinitely better than a perfect post that goes unfinished.
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ADHD, BLM & Mental HealthcareDec 3, 2020I was the classic hyperactive boy. This was fully on display in my late teens and twenties when I was a young driver. Luckily I am an athlete with exceptional spatial abilities and hand eye coordination. So, despite being, at one point, one point away from losing my licence from speeding tickets, I was never in an accident that was my fault. There was an incident when I was at an all day concert in North Hampton with a girl. We originally were going to camp out and come home in the morning. But it had rained that day and we couldn't find any good places to stay... and I was still wired at 1am. I was about 19 at the time, pretty much straight edge. So when I got pulled over on the Mass Pike at 1am going 95 mph I was totally sober. I should probably note now, for those of you who don't know me personally or haven't seen my pictures on the other pages of my site, that I am about as white as you get. Not in the sense that I'm Mayflower white. I'm 3rd generation American in three directions and am a total mutt. But, I am a white (partly) Anglo-Saxon (raised) Protestant, who grew up (solidly middle class) in a rich Boston suburb. So, when I got pulled over I was scared... about losing my license, about having my car towed and how I was going to get home, about having to tell my parents, about what it was going to do to my insurance rates. But not for one second was I scared about the interaction I was about to have with the state police officer that was about to come to my car door. Because, fundamentally, I grew up with a respectful relationship with cops and was always treated fairly by them. The youth office in Newton was my D.A.R.E officer and the coach of our state championship high school lacrosse team. And that interaction went fine. I got a huge ticket for driving 89 mph. I think that is because 90 mph meant an automatic driving to endanger charge that may have meant impounding the car and lots of paperwork. And, the trooper seemed like a good guy. I like to think the interaction would have gone exactly the same if I were a young black man. But I don't know. Certainly statistics show that that is not always the case. And if you think a young black man in the same situation doesn't have a reason to be concerned, you are wilfully ignorant of the world we live in. I'm posting this now because I've wrestled with the idea of whether or not I should use this forum to express these thoughts. But finally decided that censoring myself is absurd. A direct line can be drawn from my hyperactivity to my speeding to my getting pulled over. (And, I was diagnosed and effectively treated.) A direct line can be drawn from Walter Wallace Jr.'s mental illness to his death at the hands of police in Philadelphia. We have a race problem in this country. We also have a mental health problem in this county. And the place where those two problems converge exists a crisis. We have missed the mark by talking about defunding anything. We need to be talking about funding mental healthcare, particularly in underserved communities. I will resist the impulse to write another 10,000 words about the problems and the solutions. I will just say that despite severe ADHD, I have grown up privileged in many ways as a white suburban American. I look forward to the day that we can all enjoy that privilege simply by virtue of the fact that we are Americans. Standard Disclaimer: In an effort to foil my own perfectionist tendencies, I do not edit my posts muh, if at all. Please excuse typos, mistakes, grammatical errors, or awkward phrasing. I focus on getting my content down. In my humble opinion, an imperfect post posted is infinitely better than a perfect post that goes unfinished.
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Getting back on the horseNov 24, 2020I've been thinking about how to make my triumphant return to my blog. How can I possibly come back with the consistency that I had always had pre-pandemic? Should I stockpile entries? Should I try to write in the middle of the night after the kids were in bed? Should I only do short, pithy posts that are less substantive but can be churned out? Should I take longer posts and make them into long series? Should I...??? The answer is no, no, and no. I can't expect myself to know what the future holds. I don't have a crystal ball. I don't even have a magic 8 ball. I can't guarantee that I can post weekly like I have in the past. But I can guarantee that I'm currently posting today. And that is a victory. That is an ADHD victory. That is a human victory. That is an anxiety victory. That is a pandemic victory. I haven't posted since early August. If I start posting at all, even if it's not every week, that will continue to be a victory. And I think we all need victories right now. So whatever you are struggling with, working out, eating well, meditation, getting work done, homework, job searching, keeping the house tidy, whatever... remember that it is not all or nothing. YOU CAN MAKE PROGRESS WITHOUT BEING PERFECT. Change is not a light switch, it is an iterative process. I have had so, so many things on hold as I've been in survive, not thrive mode through the last 8 months. And that was the right thing to do. Now I'm struggling with how to approach those things knowing that I'm still in survive mode but that I want or need to get back in the game somehow. I think the answer is small bites. ONE BLOG POST. DONE! BOOM! I feel better. How about you. Let's see when the next one comes... no pressure. But today I did one more than I have since August. Feels good! Standard Disclaimer: In an effort to foil my own perfectionist tendencies, I do not edit my posts muh, if at all. Please excuse typos, mistakes, grammatical errors, or awkward phrasing. I focus on getting my content down. In my humble opinion, an imperfect post posted is infinitely better than a perfect post that goes unfinished. AND YOU KNOW I DIDN'T REREAD THIS ONE. WHO HAs TIME FOR THAT $#!*
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Is your clinician really an ADHD expert?Aug 11, 2020ADDitude has a great article on Rejection Sensitive Dysphoria today. It is part of the emotional dysregulation that comes with ADHD for many. "New Insights Into Rejection Sensitive Dysphoria." It's a great article. But if you weren't reading super carefully, you might have missed something really important. "It’s widely understood that the diagnostic criteria for ADHD in the DSM-V only fit well with elementary school age children (6-12) and have never been validated in a group of people over the age of 16.1 They are based on only observational or behavioral criteria that can be seen and counted. The traditional diagnostic criteria intentionally avoid symptoms associated with emotion, thinking styles, relationships, sleeping, etc. because these features are hard to quantify. For clinicians who work with later adolescents and adults, the DSM-V criteria are almost useless because they ignore so much which is vital to understanding how people with an ADHD nervous system experience their lives." This is one of the main reasons we have so many incompetent clinicians in America, when it comes to ADHD. If you are truly "in the know." there is a wealth of information on ADHD, diagnosis, treatment, medication, etc. But, if you are going by the book, the one book that you are supposed to go by to diagnose and treat all mental disease and disorders... well, then you're shit out of luck in terms of knowing what you are doing. It is really shameful.
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