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Tag: adhd advocacy

Why A Coach Might Recommend Therapy

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Recently, I was invited to present to a group of therapists on ADHD coaching. The goal of the presentation was to introduce coaching to the therapists, describe the benefits, including the evidence to support the success of coaching as an intervention, and to delineate the differences, and crossover, between ADHD coaching and therapy.

I receive inquiries from potential clients that are hoping that coaching will help them to address their challenges related to ADHD; that is my hope as well. But sometimes, these potential clients are not “available for coaching.” And therapy, either while in coaching or prior to starting, would l enable them to move forward.

Having ADHD can cause one to doubt one’s abilities, sanity, and value. It can ramp up anxiety; it can, when challenges become too great, cause the ADHDer to sink into depression. 

While it would seem that addressing ADHD challenges would cause ones mood to lift, anxiety to lessen, and self esteem to rise, the past is still there. The feelings of being “less than” might dissipate; but having had those feelings before coaching can still get in the way, because they are ready to jump up when something doesn’t work.

For example, let’s say one of the strategies that a client and I discuss as a possibility is having a morning routine that includes taking time to eat breakfast, while sitting at a table with actual silverware and plates (by the way, a great way to start the day!). So, my client tries this out, finds they look forward to it, and so are more apt to get up on time. A win!

Until the day they oversleep.

And then, there is no time for this luxurious breakfast. There’s barely time to shower. And the entire time, the messages of the past pop up, sometimes in the voices of parents or teachers, ready to destroy the client’s self esteem and good feelings.

Now if this happens once in a while, it can be addressed in a coaching session. But if the client is struggling, these events of the past, and the subsequent emotions they evoke, can really get in the way.

Potential clients sometimes want the shortcut (really, who doesn’t?) They want the answer to how to deal, without addressing what has been before. However, shortcuts that ignore how a client shows up for support don’t work. And any responsible coach will tell you that.

Therapy addresses your past. Therapists help clients to explore what happened, how it impacted one’s emotions and self-talk, and how to deal with those pesky messages in the future. And when clients have dealt with their past, coaches are there-ready to walk side by side with clients, into the future.

Perfectly Imperfect

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“And now that you don’t have to be perfect, you can be good.”

― John Steinbeck, East of Eden

When I first saw this quote from one of my favorite authors, it really hit me between the eyes. I’m sure there are many interpretations of it, but to me, it meant that now that so much energy and worry and thought didn’t have to go into perfection, one could actually just be good enough. And that’s okay.

Many ADHDers struggle with perfectionism-something that those who don’t have a personal knowledge of ADHD probably find counterintuitive. How could anyone who can’t/won’t/doesn’t pay attention/do things on time/stay organized actually care about being perfect??

But in reality, all of those years of mistakes, and late assignments, and impulsive actions can add up to a lot of fear and anxiety that is expressed as perfectionism.

This tendency can lead to procrastination, feelings of failure that then cycle into more perfectionism, and just a general lack of motivation and positivity. Because if your standard is that you must be perfect, who wouldn’t dread attempting a task??

In other words, perfectionism is bad for your health, mental and otherwise.

So, how to break that pattern? Here are some ideas:

1 – Develop Mantras – “Done is better than perfect” or “Good enough is good enough” are two ideas. Practice repeating these to yourself; also pop them on a Post-It on your laptop or desk, and other places you can see it.

2 – Use a timer – For tasks that should be simple to complete (writing an email, wrapping a gift) determine how much time it should take (perhaps time it once before using this strategy), and set a timer. When the timer goes off, it’s time to stop.

3 – Keep a “done” list – keeping a list of what you were able to accomplish makes you feel good. Bonus points for things that were complete, but they weren’t 100% perfect.

4 – Name your Perfectionism – find a shorthand way to name your perfectionism, so that you can easily become aware of being held hostage by it. Awareness is the first step to change! It’s also fun to say “Shut up, Penelope Perfect” when you’re hearing that voice in your brain.

5 – Practice doing things imperfectly – no, I’m not saying ruin all of your clothes by washing your wool sweaters in hot water. But little things-leaving autocorrected texts alone, sending an email without re-reading it more than once, quickly-and seeing that the world doesn’t end when you do that, can be a good way to get accustomed to imperfections.

It’s not easy to break the perfectionism habit. Your brain has been telling you that everything must be just so for a long time. It takes time and practice, so be gentle and patient with yourself. Getting to the point where you can giggle a little at your perfectionism seems to be a place to aim for.

Because, as Steinbeck said, now that you don’t have to be perfect, you can be good.

Why It’s Okay To Say “Hey, Siri?”

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I was chatting with a client the other day, discussing a strategy we had designed together to help keep her on track with keeping her house more organized and clean. When I asked her the question, “How will you remember to do this?” her response was “Well, I can set a reminder, but I really should be able to remember without it.”

She SHOULD remember without a reminder? What does that even mean??

The word “should” implies a rule or requirement, like you should eat vegetables, or you should drive under the speed limit. But as far as I know, there is no rule in this world that requires people to remember tasks, birthdays, and anything else, without any sort of support.

And yet, this is a common ADHD lament…I SHOULD be able to do this without using any of the many things that would make it easier/shorter/more likely to happen.

Interestingly enough, neurotypicals don’t feel this way. In fact, they embrace any and every thing that will help to make life easier. Apple watches, Alexa, air fryers, dashboard reminders for oil changes-these are all ways that technology helps to make things smoother. And it is not just ADHDers who are calling out, “Hey Siri?”

So that got me thinking about why neurotypical folks embrace futuristic enablers, and ADHDers feel guilty about using them.

I realized that, because ADHDers often feel like they are AT FAULT, they are incapable, they are lazy-possibly because they’ve been told that by teachers, family, and others-they want to show that dammit, they don’t need help! They can do it! I’m not going to need no stinkin’ Alexa!

This is quite the conundrum. Because ADHDers are NOT at fault, they ARE capable. They are NOT lazy-and there is nothing wrong with using supports that are available, just like neurotypicals do. In fact, it can be a real game changer for ADHDers.

Look, I sew things. Now I certainly know how to thread a needle, and sew by hand. But, when given the choice, I will always use my sewing machine. And that’s not because I’m lazy, or incapable. It’s because it makes it much more likely that I will complete the project I’ve started-and I’ll enjoy it more, because the time and drudgery of hand sewing is eliminated.

So, my ADHD friends, please do NOT eschew technology, or planners, or any of the things that can make it more likely that you will succeed. Be the intelligent, creative person you are, and utilize anything you can to improve your life.

I’m not going to say you SHOULD embrace supports. Maybe…just strongly consider it.

It Really Is All About The Dopamine

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Well, it is. All about the dopamine,that is.

I could get technical here-get into re-uptake inhibitors, and serotonin versus dopamine-but that’s really not my area of expertise. I know enough to understand this one important fact though-there is “an association between ADHD and lower levels of dopamine.”¹

So then, logically speaking, that means that ADHD is related to brain chemistry. Not laziness, not apathy, not “trying to get away with something.” Saying that an ADHDer is being sluggish on purpose is like saying that someone with glasses isn’t trying hard enough to see.

I’m going to cover a lot of topics in this blog-some funny, some not so amusing. But I wanted to start with this basic idea-ADHD is about physical brain chemistry and structure-because if you are reading this, odds are you have ADHD, or have a loved one who has it (or are one of my friends or family that I forced to read it). And you have possibly been told, or even told someone else, that there’s no such thing as ADHD, it’s just people who are screw ups. Or won’t pull their own weight.

There are a lot of events in the world right now that show, in some people’s minds, that science isn’t to be believed. I don’t get that, and I never will. And there will always be people who don’t believe the science that shows ADHD is related to brain chemistry and structure. I don’t get that either, but unfortunately, they’re out there.

As long as you, the ADHDer or the family member of an ADHDer, know different.

It really is all about the dopamine. That’s where it starts…and that’s where it ends.