It’s All About the Dopamine

  • We Are Under Attack!

    Last week, I attended the International Conference on ADHD. It was great to see coaching friends in person, to meet new people, and to learn so many new things. All three keynote speakers were truly inspiring, imparting information and motivation.

    One common thread for all three speeches related to the current situation neurodiverse people are facing, due to a variety of policy and personnel changes in the Federal government. In case you are not aware of these challenges, here is a brief summary (if you know the issues, you can head down to the Call To Action):

    Department of Education/Office of Special Education: The Trump administration has expressed its intention to close the Department of Education. Since this can only take place through an act of Congress, the Department’s staff is being critically reduced, and plans have been announced to move various departments to other agencies. These actions will hamper oversight of compliance with IDEA (Individuals with Disabilities Education Act), which protects the rights of disabled students. It also can impact administration and protection of Section 504, under which many students with ADHD receive vital accommodations.

    Additionally, Office of Special Education staff has been significantly decreased. This endangers distribution of funding for special education programs at schools. There have also been discussions of moving OSEP to the Department of Health and Human Services, which smacks of looking at special education students as being impaired, versus different.

    Evidence – Based Care/Treatment of ADHD:  There have been many, many studies on ADHD that show that a multi-modal approach to treatment – medication, therapy, educational and work supports – is the best practice when it comes to addressing ADHD. However, the MAHA commission established by Robert F. Kennedy Jr., has cast doubt on these studies and treatments. MAHA’s approach could impact the availability of medication for ADHD and other mental health challenges, as well as cause issues with insurance coverage for treatments. The shortage of ADHD medication in recent years has been incredibly difficult for those that rely on medication to do their work, drive safely, and live life to the fullest. One can only imagine how reducing access to medication altogether would impact the ADHD community.

    Call To Action!

    Do the issues summarized above make you anxious? Frustrated? Angry? Is the thought of your child being unable to get their medication, or having difficulties at school because of programs being erased, something that you do not want to stand for?

    After listening to the keynote speakers at the conference, I am ready to fight.

    There are simple ways to make your opinion known to your Federal representatives. While you may think that this is ineffective, I can tell you, as a former constituent liaison for a state representative, letters, emails, and phone calls are logged. So while every word you write may not matter, just the act of writing does. We need to show our representatives that access to evidence based care and a protective environment for our neurodiverse children matters!

    The CHADD Advocacy Center (https://chadd.org/adhd-advocacy-action-center/) is set up for extremely easy access to your representatives. They supply a template for emails on a variety of important topics. When you insert your name and address, your email is automatically routed to your representative. It takes literally two minutes.

    I know that having one more task on your plate is exactly what you don’t want. So here are a few strategies to help out:

    • Set an alarm/reminder for a somewhat less busy time during your day.
    • Have Siri/Alexa remind you to “stand up for the rights of ADHDers!”
    • Stack sending emails with another existing habit (“before I brush my teeth I will…”)
    • Hop on the CHADD site while doing something else that you enjoy (“I will listen to this podcast only if I am also contacting my senator!”)
    • Gamify it – how many emails can you send in one week? Set up a contest with a friend or family member. (It is okay to send it over and over, again, numbers matter!
    • Think about your future self – will FutureYou want you to ignore this issue, and leave them without meds??
    • Ponder your values – who do you want to be in relation to this issue? Do you believe that all people are entitled to the assistance that will help them live a good life?

    I urge you to not sit on the sidelines. Use that ADHD sense of justice and fairness, and your creativity and compassion, to propel you towards action. For you, for me, for all of us.

  •  AI Is A Tool, Not A Person

    I have had many clients tell me, “I talked to ChatGPT, and it said…” or “Claude told me…” or even “AI is always so nice to me!”

    Is AI a powerful, extremely useful tool? Absolutely. But it’s just that – a tool. Treating AI as if it is a person whose opinion matters is the same as expecting the stove to tell you that what you are planning to cook is a bad idea. 

    AI can be particularly helpful to ADHDers. Developing a schedule, breaking down a task, summarizing notes or conversations are all jobs that can be handled by AI quickly and easily. I have encouraged clients to use ChatGPT for resume writing (where style or voice isn’t really a thing), or to draft simple emails. And during those trips down the ADHD rabbit holes? AI is your all knowing tour guide.

    However, AI is not human. It is not a friend, or a person, or a mentor.

    Why is this important to keep in mind?

    First of all, AI is a conglomeration of its training data, and information from the web. This data can be biased. So when you prompt AI to give you a list of, let’s say, ADHD coaches in New Jersey, you may get a list that isn’t updated, or may only be affiliated with a particular training program. This might not lead you to the best coach for you.

    Also, “social sycophancy” can occur when AI is in use. Sycophancy means excessive flattery; in this case, sycophancy means AI will agree with the user, regardless of whether they are on the right path or not. According to a Stanford University study, using ChatGPT to discuss an argument can often result in advice that emphasizes that the user is correct, and that there is no need for them to apologize or patch things up with their significant other, even if the user is clearly in the wrong.

    With an ADHDer there can be other factors that exacerbate the situation. ADHDers often experience uncertainty in relationships, ranging from people pleasing to feeling a heightened state of rejection. This uncertainty can cause the ADHDer to be more susceptible to AI’s sycophancy, whether they are right or wrong. Also, AI’s insistence that the ADHDer is correct can fan the flames of the argument, causing an emotionally dysregulated ADHDer to continue the argument, rather than discussing peace.

    So, how can we safely and effectively use AI?

    AI can be a terrific starting point when researching. For example, AI can find a list of ADHD coaches in New Jersey. After that, however, it is up to the user to follow up by speaking to coaches and finding a good fit.

    As I mentioned earlier, AI is also a great tool for navigating executive function challenges. Prompting ChatGPT “I have five things to do today, can you help me to prioritize them?” is an excellent way to utilize AI. Again, it is the user’s responsibility to see if that list makes sense in the larger context of their day and life. Following AI’s recommendations blindly is giving less trust to one’s own abilities and knowledge than to ChatGPT’s. And that’s just not valid. You know yourself better than Claude does

    How about using AI for advice?

    One must remember that AI doesn’t feel. ChatGPT can deliver an empathetic response, but it has no empathy. Claude can tell you that you were 100% right in an argument, but really has no understanding of you, the other person, your history, your anxieties, your rejection sensitivity…none of it. In the words of Myra Cheng, a computer scientist at Stanford University, “It’s important to seek additional perspectives from real people who understand more of the context of your situation and who you are, rather than relying solely on AI responses.”

    Using AI to find a variety of solutions to the problem that caused the argument is okay. Asking Claude for methods to stay calm during a heated discussion – great. But when it comes to asking AI what to do? That’s a big no.

    So AI can be useful, it can be a timesaver, it can help with the mundanities of life.

    But it is not your BFF.

  • Why Does ADHD Awareness Matter?

    October is ADHD Awareness Month. You may have received an email about it, or seen a post online. And you may have skipped right over it – after all, YOU are aware that you have ADHD, isn’t that enough? 

    Nope. It is not. Let’s go through a quick round up for whom ADHD awareness is extremely important, impacting ADHDers, and neurotypicals.

    Teachers and School Administrators – As a retired K-6 educator, I can accurately state that while teachers are aware of ADHD, many have not had appropriate training, and therefore do not have a full understanding of what it is and isn’t, or how to address challenges in the classroom.This is important if you are a parent of an ADHDer, as having your child get the message that they are lazy, incompetent, or even stupid can have life long ill effects on their self esteem. Additionally, if you are requesting accommodations or modifications, it is vital that the school team has a clear picture of what will help your child.

    Managers in the workplaceADHDers, with their creativity and ability to think outside the box, can be a real positive force in the workplace. However, they also can have difficulties with organization, and time blindness. This means that any project or responsibility, even simple tasks, can become a struggle to complete on time, or at all. Furthermore, ADHD hyperfocus can be a double edged sword. While being able to dig deep is a plus in any analytical position, getting stuck down a rabbit hole can slow work down without commensurate value. There are simple accommodations that can help with these challenges, such as check-ins with the manager. However, in order to put these supports in place, managers need to recognize that ADHD is real, not just an excuse.

    Family members aside from parents – Hopefully, if you are an ADHD parent, having an ADHD kiddo has led you to learn about ADHD, and gain an understanding of the causes of ADHD, as well as how to handle your child’s particular brand (and if not, let’s talk!). However, other family members may not believe that ADHD is real, or may make comments that can cut your child’s ego like a machete. If we believe that family members love our child, and are just misinformed, then sharing more about ADHD can benefit everyone.

    Our Government – Currently, the health and science arm of the U.S. government is going through radical changes, and often proffering opinions that are not backed by the majority of scientific research. ADHD has been mentioned in the MAHA literature, with RFK Jr. proposing voluntary attendance at “wellness farms” as a treatment. Perhaps some ADHD awareness, particularly relating to research backed treatment scenarios, would be helpful for the decision makers in Washington.

    This is by no means a complete list. My goal is to change your awareness of how sharing accurate information on ADHD can be beneficial to you, your loved ones, and society in general. Knowing about your or your child’s ADHD isn’t enough; we need to spread the word.

    So Happy ADHD Awareness Month! Go out there and amplify what YOU know about ADHD, for others!

  • My Emergency System

    Routines, habits, and structures are the supports that help ADHDers, and other neurodivergent folks, operate in our neurotypical world. Once we recognize that ADHD doesn’t mean you can’t pay attention (there’s that annoying name thing again), it means you have difficulty regulating focus, it’s just a few steps to “Aha! I CAN do things, I just find it hard to remember them, or stop doing interesting things to complete boring stuff. I just need some help with that piece!” And from there, reminders occur, body doubling ensues, and hopefully, productivity and self esteem rises.

    But what about those cases where, despite having great systems, you just cannot get it together? What then??

    First of all, don’t panic. Life is not just a linear journey. Things will happen that will upend our structures like a house of cards in a stiff wind. 

    And second – have an emergency system at the ready.

    You’ve heard those announcements – “This is a test of the Emergency Broadcast System. This is only a test. If this had been an actual emergency, you would have been instructed where to tune in your area for news and official information.”  In other words, if the you-know-what has hit the fan, we can, hopefully calmly, use what we already have in our possession to address it.

    My personal emergency system consists of putting specific tasks on my calendar at specific days and times, rather than just carrying them on a to-do list. I need to know that at 2pm I will be reminded to drop off a package, and at 3pm I will be vacuuming. The time aspect forces me to act.

    I also know that when in emergency mode, telling myself “oh I’ll remember that” when thinking of something I need to address is a BIG FAT LIE. So, when this happens, I will note it any way I can. If I can’t get to my task management app, that’s okay –  I can write on my arms, slap a Post It note onto my computer screen, or instruct Siri to text me about it. Anything that gives Working Memory a break.

    In other words, my emergency system super sizes my everyday routines and structures. Nothing fancy, nothing that requires me to learn how to use a new app in the midst of chaos.

    So, when is an emergency system put into play? Here are some scenarios.

    1 – When you are feeling overwhelmed by everything you need to do. This can be planning a presentation, throwing a party, moving…anything where the number of steps is too high to count.

    2 – When you are not 100%. Whether you are not feeling well physically, or are dealing with emotional fall out, having some extra oomph in your task management can help you to stay on track, even under difficult circumstances.

    3 – When deadlines are short, and tempers are shorter. Tasks that need to be “completed yesterday” come with their own special brand of stress. This, in turn, can have you and everyone else involved grinding their teeth and ready to pounce on the next person who looks at them wrong. Heightening our task management in easy but effective ways can help us make progress despite the pressure.

    Having your own emergency system gives you a structure to lean on when you feel as if the world is on fire. So give it some thought – you want to be ready when it’s not a test, but rather, an actual emergency.

  • The Kids Are Ready…But Are You??

    Their backpack is brimming with new notebooks and supplies. You’ve loaded their lunch account with money, and their pens and pencils are ready to solve tricky math problems and write wonderfully creative stories. 

    Your kids are ready to start the new school year…but are you?

    School can be anxiety producing for parents, particularly for parents of neurodivergent kiddos. In addition to homework, projects, and after school activities, ADHD parents spend every day waiting for the shoe to drop. Waiting for the homework that has been left at school, the assignment due tomorrow that your child remembers at 10pm, or the phone call from the teacher, about your child’s various and sundry challenges that they’re not sure how to handle.

    It’s exhausting. And disheartening.

    Here, in no particular order, are five ways you can prepare yourself for your child’s school year, in order to make this year less stressful for YOU.

    Wake up 15 – 30 minutes before your children do – We all like to roll over and get that last few minutes of sleep. But there is something so calming, and so wonderful, about having a few minutes of quiet before the day roars in. The time is yours, to use as you wish – coffee, meditating, working out, checking email, watching birds hovering at your bird feeder – however you would like to start your morning. 

    Keep an updated calendar for the entire family Whether you use a Skylight, Google Calendar, or a big whiteboard, having a calendar where ALL of your family’s appointments, activities, major projects, and tests are in one place allows for better planning. It also enables your ADHD kiddo(s) to be supported in their time management challenges; encourage them, when they ask if they can meet up with friends on any given day, to check the calendar for their availability (and yours, if you need to drive them).

    Practice talking less  As parents, many of us (myself included) feel the need to explain ourselves to our kids. “No, you can’t go out now, it’s 9pm,” turns into “No, you can’t go out now, it’s close to your bedtime, and I don’t want you to get to bed late, and then be tired tomorrow. You have a test, and you need to…” Your child hasn’t listened to anything beyond “no.” And you’ve used precious energy overexplaining. Keep it simple. If your child has questions or objections, they will most certainly let you know!

    Find something to do consistently that shows obvious results Raising kids is about playing the long game. What you do today may not net results for years, or ever. Having something that enables you to net some quick progress is not only satisfying, it can mitigate feeling like you are getting nowhere. Reading, knitting, coding, baking, refinishing furniture – anything with a short term easily identified result can balance out that long term commitment. 

    Be aware of your emotional temperature, and take a break when you need to  Learning how it feels to be hovering on the edge of exploding is something we try to teach our ADHD kids that struggle with emotional dysregulation; but are we applying this to ourselves? Feeling your face get hot, your heartbeat increase – those signals shouldn’t be ignored! If you find yourself about to lose it, take a short break. If you can get outside and take a walk, great. If not, hide in the bathroom or bedroom, and take deep breaths for a few minutes. Raising any kid, but particularly a neurodivergent child, can be very challenging to your patience – but blowing up at your kiddo won’t solve the problem, and will only leave the two of you feeling awful. Avoiding that icky feeling is worth taking a time out for a few minutes.

    As they say in “The Hunger Games,” “may the odds ever be in your favor.” Put another way…have a great start to what will hopefully be a wonderful year!!

It’s All About the Dopamine