ADHD, a thread (1)
If you have #ADHD & are struggling please know you’re not alone. This week on @Overview, we're talking about living w/ ADHD & Anxiety during the pandemic & many the stigmas & misconceptions that making things worse.

I was diagnosed w/ ADHD when I was 7. And in so many ways it’s been a blessing. I love my energy, the hyper-focus, the calm I feel in chaos, the ability to & feel emotions so intensely. It’s allowed me to to see the world differently be in a constant state of wonder.(2)
But realizing all that has been a long, difficult journey so figured I’d share some of my own struggles as well as the resources from @HowtoADHD because Jessica's channel has been a game-changer for me.(3)
https://t.co/RO1ZGTlMq6
First off, #ADHD Attention Deficit Hyperactivity Disorder is a dumb description. It implies a deficit in attention & always hyper people. ADHD is a spectrum, & what we all have in common isn’t that we can’t pay attention. It’s that we have trouble controlling our attention.(4)
There are amazing analogies out there, like trying to watch 6 TV’s at once when someone else controls the remote. Or like driving a race car on city streets and spinning out whenever you try to turn.
My favorite is from my little brother who says, it’s like being in a forest full of distractions where you keep losing the trail… & when you finally find it, you’ll lock on so hard, you’ll follow it off a cliff. (5)
It gets confusing because it looks like a contradiction. Someone bouncing off the walls distracted & fidgeting. Then, they'll focus so hard for hours at a time, they forget about food, sleep or their loved ones? I THOUGHT THEY COULDN’T PAY ATTENTION? (6)
https://t.co/TXL9aOebDj
Turns out, both extreme states are the results of our problem with neurotransmitters like DOPAMINE & norepinephrine. If dopamine sounds familiar, it’s because it’s overhyped as the “pleasure chemical.” In reality, it also helps us learn through reward & motivation. (7)
Bottom line… because #ADHD brains have chronically low levels of dopamine… we have to overload ourselves just to feel it’s effects…(8) Here is a really good Valentines Day description from @HowtoADHD https://t.co/RDYueAi4BQ
Now, way back in our nomadic days, that kind of high-twitch brain wiring, might have been a benefit for an entire tribe, leading others in hunts or defending against invaders. But in the modern world, ADHD & it’s impulsivity create a constant struggle.(9)https://t.co/6mMV3fdjjg
Just a small list of negatives... We're more likely to lose things, make rash decisions, speed more, die in car crashes, get divorced, get fired, have trouble w/ finances, organization, & we're more susceptible to substance abuse, depression & suicide.(10) https://t.co/ZF8Iq8JoDU
A lot of those problems stem from our dopamine starved brains seeking stuff out that will allow us to feel, think & learn closer to the way others take for granted. Dopamine isn’t just some pleasure thing. It’s allows you to regulate emotional responses. (11)
Then there is the ADHD superpower HYPER-FOCUS.
Like, right now, I’m furiously locked into this thread, & breaking away is super disconcerting & almost painful. When honed & controlled it can supercharge your productivity. But when unchecked it can feel like this.(12)
There are a lot of really effective ways to thrive with ADHD. Cognitive therapy, exercise, post it notes everywhere! New experiences, crazy deadlines, the right profession, gamification, Jessica’s million tips on @HowtoADHD . Check out her TedTalk! (13) https://t.co/RqGMO8k484
But really, you can’t have a conversation about #ADHD without at least talking about medication.
Quick warning, my choices and perspective don’t reflect a “right” or “wrong” way to do things. I believe everyone should do what works for best for them. (14)
Some of my earliest #ADHD memories came from elementary school & these mortifying moments when class would be interrupted by a message over the intercom loudly broadcasting “Gadi please come to the nurses office… You forgot to take your medication.” (15)
I’m still not sure if it was an attempt to shame me into remembering to take them, or just the way they did things back then…But all of it would be made worse during recess when kids would laugh & call me weird & take turns asking me if I remembered to take my medicine.(16)
I wish, I could have understood that I wasn’t alone. That up to 16+ million Americans have #ADHD. That it's ok to have a different operating system & it didn’t mean I was dumb. I’m pretty sure my mom tried to explain it. But all I remember is being embarrassed & frustrated. (17)
And when the medication worked & allowed me to have control over what I choose what to focus on, I was even more angry that I needed it & wasn't like everyone else. (18)
Growing up, I also started to realize there were times I didn’t need it. I’d do fine if under intense deadlines, caught in a crisis or doing something I loved… which often made me question whether all of my struggles came from just not trying hard enough. (19)
We hear those words all our lives... JUST TRY HARDER! WHY CAN”T YOU DO THAT? IT SHOULDN’T BE THAT HARD. TRY HARDER. (20)
Imagine hearing those words again & again while trying as hard as you can, then going home & obsessing over how dumb u feel to the point that u forget everything else only to be jolted back into reality by someone asking you why you left the keys in the door. (21)
What people that don’t have #ADHD need to know is that THIS ISN’T ABOUT WILL POWER. There is a genetic difference in the way we create dopamine. (22)
https://t.co/PInu3lt8mi
Long story short, I’ve taken different medications on & off throughout my life. Each had it’s pros & cons & finding the right dosage & treatment takes time and a doctor who cares. And when I have, I’ve been able to control my mind & focus in a straight, linear way.(23)
However, over the last decade, I’ve also found myself in a profession that regularly activates my hyper-focus with intense deadline pressures, chaos & crisis & the ability to constantly explore new environments. For now, I've been able to navigate life without it. (24)
That’s not to say “don’t take medication…” or “eventually you won’t need it.” That’s not how it works. It’s a deeply personal & constantly evolving choice & people should do what works best for them. (25)
But in talking with Jessica for the Overview, I realized how a lot of my anger has closed me off to acknowledging some of the many tools that have allowed me to succeed. And a lot of that baggage plays into the stigma she’s working to undo. (26)
https://t.co/1jJe4K02F9
So here is a list of things that have helped me live with ADHD. Mindfulness, cognitive therapy, medication, exercise, constantly keeping lists and setting visual cues. Choosing a profession that plays to your strengths!(27)
Career choices are HUGE! For a long time I had the worst imposter syndrome in journalism that came with this ridiculous fear that my diagnosis would be found out & everything I did would be judged as, yeah but he has ADHD. (28)
Then I saw a couple of the most productive & talented journos I know talk openly #ADHD. I still remember seeing @yashar's thread & it brought me to tears. Still does. Please take a moment to read it. Thank you Yashar, it meant more than I can say. 🙏 (29)
https://t.co/7L6NJjSbA9
Turns out, Journalism can be amazing for #ADHD. The intense deadline pressures help trigger my hyper-focus & for those who struggle with repetitive routines, reporting can bring something different & unexpected everyday. (30) https://t.co/cIoGjpJBFz
In fact, there is a long list of jobs that can be perfect for #ADHD: Teaching, emergency care, writing, music, being a stylist, computer coder, graphic designer, a photographer, mechanic, entrepreneur… feel free to help! What other jobs have been a perfect fit? (31)
Finally, this is just one part of our look at mental health for @Overview. One of my best friends @WatchSavannah also takes a look at anxiety & the pandemic & I’m so incredibly grateful for the amazing insights & resources she's shared. Pls watch.
https://t.co/1jJe4K02F9

More from Health

🚨Important changes to lockdown/self-isolation regulations from 5pm

The Health Protection (Coronavirus, Restrictions) (All Tiers and Self-Isolation) (England) (Amendment) Regulations 2021

£800 'house party' FPN & police can now access track & trace data

https://t.co/k9XCpVsXhC


“Large gathering offence”

As trailed by Home Secretary last week there is now a fixed penalty notice of £800 (or £400 if you pay within 14 days) for participating in an gathering of over 15 people in a private residence


Fixed Penalty Notices double for each subsequent “large gathering offence” up to £6,400

Compare:
- Ordinary fixed penalty notice is £200 or £100 if paid in 14 days
- Holding or being involved in the holding of a gathering of over 30 people is £10,000


Second big change:

Since September has been a legal requirement to sell-isolate if you test positive/notified by Track & Trace of exposure to someone else who tested positive

Police can now be given access to NHS Track & Trace data if for the purpose of enforcement/prosecution


This will make it easier for police to enforce people breaking self-isolation rules. Currently there has been practically no enforcement.

Data says only a small proportion of people meant to be self-isolating are fully doing so.
You gotta think about this one carefully!

Imagine you go to the doctor and get tested for a rare disease (only 1 in 10,000 people get it.)

The test is 99% effective in detecting both sick and healthy people.

Your test comes back positive.

Are you really sick? Explain below 👇

The most complete answer from every reply so far is from Dr. Lena. Thanks for taking the time and going through


You can get the answer using Bayes' theorem, but let's try to come up with it in a different —maybe more intuitive— way.

👇


Here is what we know:

- Out of 10,000 people, 1 is sick
- Out of 100 sick people, 99 test positive
- Out of 100 healthy people, 99 test negative

Assuming 1 million people take the test (including you):

- 100 of them are sick
- 999,900 of them are healthy

👇

Let's now test both groups, starting with the 100 people sick:

▫️ 99 of them will be diagnosed (correctly) as sick (99%)

▫️ 1 of them is going to be diagnosed (incorrectly) as healthy (1%)

👇

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