Latest / Dementia Researcher Vodcast / Life As A Researcher With ADHD
Transcript
- 0:00- [Voice Over] The Dementia Researcher Podcast,
- 0:02talking careers, research, conference highlights,
- 0:05and so much more.
- 0:08- Hello and welcome to the Dementia Research Podcast.
- 0:11Today we're talking about life as a researcher with ADHD.
- 0:15(bright music)
- 0:20Hello, I'm Gemma Lace and I'm a dementia researcher
- 0:23and associate dean at the University of Salford.
- 0:25I'm hosting today's episode
- 0:27because this is a topic that feels really personal to me.
- 0:30ADHD is something that has shaped my own experience of work
- 0:33and research, and it's something I know many people
- 0:35are navigating quietly.
- 0:37In this conversation, we want to better understand
- 0:40what ADHD looks like in practise,
- 0:42how we can affect people differently,
- 0:44and our researchers have found ways to work
- 0:46with it at different stages across their career.
- 0:49We'll also talk about what has been challenging,
- 0:52what has helped, how people have found ways
- 0:54to succeed in research environments
- 0:56that are not always designed with neurodiversity in mind.
- 1:00I'm joined today by Dr. Eric Hill, Kalliopi Mavromati,
- 1:04Natalie Wickett and Kate Harris.
- 1:06Say hello everyone.
- 1:08- Hi. - Hi.
- 1:09- Hello.
- 1:10- Thank you all for joining me.
- 1:12We've already said this is going to be fun
- 1:14and chaotic, so we might all break out
- 1:16into spontaneous laughter.
- 1:18So I think we just embrace that from the beginning.
- 1:21To start us off, could I ask you all
- 1:23to briefly introduce yourselves?
- 1:25So Eric, could I start with you?
- 1:28- Yep, I'm Dr. Eric Hill.
- 1:29I'm a reader in cellular
- 1:31and molecular neurobiology at Loughborough University.
- 1:34I was diagnosed with ADHD
- 1:35probably about eight or nine years ago.
- 1:39- Fabulous, thanks Eric.
- 1:40Kate, do you wanna go next?
- 1:41- So, I'm Dr. Kate Harris.
- 1:43I'm a senior lecturer
- 1:44in interdisciplinary drug discovery
- 1:46up at Newcastle University and I was diagnosed
- 1:50with ADHD about five months ago.
- 1:53So it's all very new.
- 1:55- Fabulous.
- 1:56Kalliopi, do you wanna go next?
- 1:58- You can call me Kalli, but Hh, I'm Kalli.
- 2:01I'm a researcher at the University of Glasgow.
- 2:04I research dementia
- 2:05and I create scales for measuring life after stroke.
- 2:08I was diagnosed with ADHD about two years ago at 23.
- 2:13- Fabulous.
- 2:14- Thanks Kalli, and Natalie.
- 2:16- Hi, I'm Natalie.
- 2:18I'm at graduate school at Simon Fraser University in Canada,
- 2:22and I got diagnosed with ADHD about four years ago,
- 2:25I think when I was 20.
- 2:27And I'm interested in researching dementia
- 2:31and strength training and physical activity.
- 2:35- Very cool.
- 2:36I'm already getting imposter syndrome now
- 2:37because I have been in and out of the diagnostic procedure
- 2:41for about seven years
- 2:43and now I've just abandoned it and given up all hope.
- 2:46So I the only one who's not formally diagnosed.
- 2:50(bright music)
- 2:56Okay, to begin, could you explain what ADHD actually is
- 3:00for someone who may be hearing about this properly
- 3:02for the first time?
- 3:04Eric, can I come to you first for that?
- 3:08- Yeah, ADHD is a terrible name.
- 3:10So it stands for Attention Deficit Hyperactivity Disorder.
- 3:14And so what we need to understand is
- 3:15it's a lifelong neurodevelopmental disorder.
- 3:18It has a huge genetic component to it
- 3:20and around about two to 5% of all adults are suspected
- 3:23to have ADHD, but only about one in nine
- 3:26are actually diagnosed with ADHD.
- 3:29And I think when we think of ADHD, I was diagnosed
- 3:31with a combined inattentive and hyperactive.
- 3:35And so we think of often the the hyperactive side
- 3:39of ADHD and not necessarily that inattention.
- 3:41And it's not necessarily that we lack attention,
- 3:43it's that maybe our attention isn't directed
- 3:45at the right place at the right time.
- 3:47So you think of people following a particular task
- 3:49and maintaining attention,
- 3:51particularly if it's something they're not
- 3:52necessarily interested in.
- 3:54So maybe you're not listening
- 3:55to someone when you're being spoken to directly
- 3:57'cause you've got distracted,
- 3:59to the kind of more hyperactive side
- 4:00where you're fidgeting,
- 4:01you're tapping, squirming, biting your nails,
- 4:04leaving your seat when you'd probably be expected
- 4:06to stay sitting down
- 4:08and that kind of feeling of restlessness
- 4:10and almost like you're driven by a motor.
- 4:12And those are some of the kind of things
- 4:13that they look at when they're going
- 4:15through the diagnostic pathway review.
- 4:17- So you mentioned there, Eric, that there's often
- 4:20that focus on the hyperactivity element.
- 4:24So Kate, I'm gonna direct this one at you.
- 4:27Do you think that ADHD is misunderstood
- 4:31by the wider population?
- 4:33- Oh yeah.
- 4:34Also, I was really loving Eric,
- 4:36when you were giving your descriptions,
- 4:37it was properly taking me back to the questionnaire
- 4:39that they make you answer.
- 4:41Like the bit was like, oh,
- 4:42do you feel like you're driven by a motor?
- 4:43I'm just like, yep, that's memory right there.
- 4:48Yes, I think it really is.
- 4:51I think that there's a huge amount of
- 4:56development that's happening now where people are starting
- 4:58to understand more, but it's also a relatively new thing.
- 5:03It's not new in terms of people have heard about it,
- 5:05but for it to become quite mainstream is quite new.
- 5:08So we're starting to understand more
- 5:10and there's obviously kind of our generation are the ones
- 5:13that are really sort of learning about it,
- 5:15but obviously, it's hereditary.
- 5:17So our parents' generation
- 5:18and our grandparents' generation are like,
- 5:20what is this nonsense?
- 5:21This was just normal.
- 5:22And then they obviously forget that
- 5:25what there's normal maybe different to
- 5:28what is actually normal.
- 5:30I still find it hilarious that they go to your parents
- 5:33to ask them if you were normal growing up when there's a 70%
- 5:36or 80% chance that they were not normal growing up.
- 5:39But anyway, that's a discussion for later in the podcast.
- 5:43I think a lot of the misunderstanding is about
- 5:47that hyperactivity and not necessarily the inattention
- 5:51and the fact that you simultaneously be both distracted
- 5:54and hyperactive and hyperfocused.
- 5:57It's not intentional.
- 5:58None of this is intentional.
- 5:59It's just there's not enough dopamine for us
- 6:00to do whatever you want us to do at any one time.
- 6:03A huge aspect of it, at least from perspective people,
- 6:07myself and people I know is about
- 6:08internal emotional regulation as well.
- 6:10People misunderstand that side of it very much.
- 6:15And controlling impulse
- 6:16and controlling the ability
- 6:19to not speak even though you really don't wanna speak,
- 6:22but it just comes out.
- 6:24So a lot of that, so that can lead
- 6:25to you being the disruptive one in the room
- 6:28or the one that's not serious or the one that's always late
- 6:31because they don't care
- 6:32or poor attention to detail,
- 6:33which in the sciences does use such a solid when you can't
- 6:36pay attention to detail consistently.
- 6:41So yeah> - I think
- 6:43you're absolutely right there
- 6:44and I think sometimes what is misunderstood as well is
- 6:47how it can manifest differently in different situations
- 6:50as well as differences
- 6:52between different individuals as well.
- 6:56So Kalli, I wanted to to ask you about, you know, some
- 6:59of the things that you just heard there from Eric
- 7:02and from Kate about how maybe some of the things
- 7:05that they had experienced as part of their ADHD.
- 7:09What about your kind of individual experience of ADHD?
- 7:15- Yeah, I 100% agree with everything
- 7:18that's been said in case my nodding
- 7:20hasn't made that clear enough.
- 7:22I'm a serial nodder, whenever I agree, you'll see it.
- 7:27But yeah, I think for me,
- 7:31because it's difficult for me
- 7:35to discuss something about my past
- 7:36before I was diagnosed is actually quite emotional.
- 7:40But for me, as someone who has both autism
- 7:43and ADHD, it has been even just understanding
- 7:47what ADHD really means
- 7:49because it's very tangible to explain to my family
- 7:52and my friends and my colleagues
- 7:54has made a massive difference in my life.
- 7:57At the same time, I have experienced ADHD as a true gift
- 8:02and at the same time, a bit of a burden.
- 8:06I have, as I probably think many people
- 8:10with ADHD think, I have many times thought
- 8:13that there was something to be fixed.
- 8:15And in fact, even after I got my diagnosis
- 8:18and started meds for about the first year
- 8:20and a half, I thought I had to just fix my ADHD.
- 8:24And then it's only been recent months,
- 8:26which is well into the second year of me
- 8:30using stimulants, short term and modified release
- 8:34I should add as well,
- 8:37I'm finding that I don't actually want to change it.
- 8:41Instead I just want to find a way to regulate it
- 8:45so that I can continue doing everything I want to do
- 8:48and everything that makes me happy.
- 8:50But that does mean that, for example,
- 8:53when I'm in hyperfocused mode
- 8:53and thanks for bringing it up Kate,
- 8:55I was thinking about this,
- 8:56as I've been in the last two days actually.
- 8:58I need to just let my brain do its thing
- 9:02and then I will use my meds after when I'm calm
- 9:05and I'm struggling to get out of bed in like a week or so.
- 9:09So I guess
- 9:11I've like gone over like a gazillion faults there,
- 9:14but for full transparency, I made the decision
- 9:17to not take meds before this conversation
- 9:19so that I could be visibly unmasked
- 9:23because I never had that when I was growing up
- 9:27and I thought it would be nice to be that person.
- 9:31- Kalli, thank you so much.
- 9:32Thank you so much for sharing that.
- 9:34It's really brave and you are amongst friends here
- 9:36and your words are likely to really hit home
- 9:40with everyone who's listening.
- 9:41So thank you so much for your bravery, kudos to you.
- 9:47It is quite difficult to be open, isn't it?
- 9:49You know, I know when I was growing up,
- 9:53if you had ADHD you were kind of a naughty kid.
- 9:56I know my mom was really adamant about not being
- 9:59labelled with anything.
- 10:01I was described as a butterfly
- 10:04and I thought that was a much nicer
- 10:07because I was essentially, yeah,
- 10:13I don't even have the words to say
- 10:14what I want a Tasmanian devil running
- 10:16around interested in everything
- 10:19and you know, some of the words that you mentioned, Kalli.
- 10:22So I just went off on my first one of whatever.
- 10:25Kalli, you mentioned that hyper focus.
- 10:28I wonder if you or anyone else in the room
- 10:31just wanted to explain
- 10:33what we mean by hyperfocus
- 10:34'cause I think we all get what we mean by hyperfocus
- 10:37and it might be useful for the non-ADHD community
- 10:41to understand what hyperfocus looks like
- 10:45and also what happens after a period of hyperfocus.
- 10:49- As a neuroscientist, I've been very intrigued by that
- 10:52because I never was taught that in my degree.
- 10:55Not at any point,
- 10:57but from everything I've understood
- 10:59in the last couple of years, hyperfocus is kind of,
- 11:03it's also hormonally determined, especially for women.
- 11:06We wanna make that very clear,
- 11:07but it's basically, it's not a state, it's just kind of,
- 11:11your brain just kind of starts being a little bit hyper,
- 11:15but not in the physical hyper way in the, I have a lot
- 11:18of thoughts and I want to do the things I am thinking.
- 11:22For me, a lot of the time it's doing science,
- 11:24like a lot of science very intensely
- 11:27without wanting to stop.
- 11:29And if I am interrupted because I have to eat
- 11:32or I have to sleep, it actually feels like uncomfortable.
- 11:35And sometimes that hyperfocus can look like me,
- 11:38like having all-nighters.
- 11:40It can be stress induced sometimes for me
- 11:43because I'm no longer in education formally,
- 11:46it's not induced by stress, it's more by creativity.
- 11:50And whenever that happens to align with that cycle
- 11:52of my menstrual phase, but it's,
- 11:56but yeah, it's that kind of thing.
- 11:57And then afterwards, it's sort of a,
- 12:00your brain has used up all of the dopamine
- 12:02it has to help you initiate tasks
- 12:04because as Eric said, it's not that
- 12:06you don't have attention, it's that you have it spread out
- 12:09in a lot of places
- 12:10and there's not quite enough dopamine for you
- 12:12to focus in one place and actually act on what you wanna do.
- 12:16So once it's all been used up during your hyperfocus state,
- 12:20you kind of then tend to crash in my experience.
- 12:22And it's a little bit like it's harder
- 12:25to do the basic things.
- 12:27Eric, what you think?
- 12:29- Yeah, I think a lot of what's not kind of described
- 12:32in the diagnostic criteria when you're talking
- 12:34to professionals
- 12:36and other people, it's that the linking all of that
- 12:38to your executive functions, that there's things
- 12:40that I guess most people take for granted,
- 12:42but kind of your inhibit your control, your self control,
- 12:45your ability to hold information, your working memory
- 12:47and your cognitive flexibility are all disrupted.
- 12:50And those links to kind of
- 12:52where you get reward from something
- 12:54and that reward can differ wildly
- 12:56to doing something really boring and inane.
- 12:58And for me, a lot of the time it's,
- 12:59I love reading about science sometimes
- 13:00and I'll just go into a rabbit hole
- 13:02of science and then I'll emerge and it'll be hours later.
- 13:05And knowing I'm doing that, having,
- 13:07I've got maybe tonnes of marketing to do in the background
- 13:10and I'm getting reward from
- 13:11one thing and not from the other.
- 13:12So I'm just focusing on the thing.
- 13:13And then having that time blindness where you don't notice
- 13:16'cause it's difficult to shift your attention.
- 13:18And I think for a lot of people with ADHD,
- 13:20it's that shift in attention from that hyperfocus
- 13:23where you get a reward to something that's not necessarily
- 13:26that interesting to you or that rewarding at that moment
- 13:29unless there's those other things like fear of failure
- 13:31and embarrassment and stuff driving things forward.
- 13:34And I think the way people present the diagnosis rates
- 13:37between males and females is very different.
- 13:39And that's not based on any biology or genetics.
- 13:44The occurrence is identical,
- 13:46but I think the presentation is different
- 13:47that often women don't often show that hyperactivity
- 13:51or it's frowned upon.
- 13:52Whereas me running and jumping
- 13:53and throwing myself at trees,
- 13:55that's fine, that's what boys do.
- 13:57It's just being in a laugh
- 13:59and my parents said, you haven't got ADHD,
- 14:01you're just like your dad, right?
- 14:02And I was like, hmm, yeah,
- 14:03like kind think like there's a reason for that.
- 14:06He'd get the same score as me I imagine.
- 14:09So I think that that kind of
- 14:11how the kinda social representation like comes to bay
- 14:14as well, what people are expecting to see
- 14:18and then that kind of internalisation,
- 14:19that internal hyperactivity.
- 14:21People might not see that but it's still there.
- 14:23So I think people understanding there are different ways
- 14:26it's presented but it's still those
- 14:27very similar symptoms as well.
- 14:30- Yeah, cheers Eric.
- 14:32Natalie, what about you?
- 14:33We spoke a lot about, you know, how the symptoms
- 14:36manifesting in different people in the room.
- 14:39So what about you, what's your experience of ADHD?
- 14:43- I actually wanted to touch back on ADHD being
- 14:47misunderstood and hyperactivity
- 14:49and what Eric just mentioned about the differences
- 14:51in presentation between males and females.
- 14:55And that as a girl, I find that I have
- 14:58that more internalised hyperactivity
- 15:01and I might be completely still, but my mind is going
- 15:04and going and going and that kind of difference there,
- 15:08which I've spoke about with many of my friends
- 15:11who have ADHD as well.
- 15:15Yeah, and I think that can make it very misunderstood
- 15:18for girls.
- 15:20- Question.
- 15:21Natalie, I was thinking recently I was noticing
- 15:24that when I'm like around
- 15:26and during my period I find that I, a lot
- 15:28of my internal hyperactivity is emotional.
- 15:31So like I tend to kind of think about not nice things
- 15:34and things that make me really sad.
- 15:36But then when, when I'm out of that part
- 15:38of my cycle like I am now, it's more about things
- 15:41that make me actually want to act.
- 15:43And sometimes I do get a little bit
- 15:44of physical hyperactivity
- 15:46but still like the internal hyperactivity is more like
- 15:48creative than it is emotional.
- 15:51Do you find that at all?
- 15:52- Yeah, I did actually wanna talk about the like
- 15:55menstrual cycle as well and I'm glad you brought that up
- 15:58because that's where I was originally gonna go with my point
- 16:01that before I lost my train of thought
- 16:03that in my follicular phase when oestrogen is higher,
- 16:06I do feel like my focus is much better,
- 16:10I feel better in myself.
- 16:11I feel, I mean most women do,
- 16:13but my ADHD symptoms I feel like are partially relieved
- 16:17and they get much worse in the luteal phase.
- 16:19I struggle with my mood much more.
- 16:21I struggle with my focus much more.
- 16:23Everything feels much worse.
- 16:24Sometimes it even feels like my medication just doesn't work
- 16:27in that part of the cycle. - That is so true.
- 16:31It's just, and you can't predict
- 16:32if it's gonna work or not, right?
- 16:37- They had to give me an extra booster
- 16:38for when I'm on my period 'cause nothing works.
- 16:42My long release stuff doesn't work.
- 16:44So they literally had to dial up my meds
- 16:46just for that week. - Wow.
- 16:48I tried not taking them when I find
- 16:51that they're making me a little bit hyper
- 16:52and actually on those days just before my period,
- 16:55actually that seems to work better.
- 16:56But then it's again a coin toss.
- 16:58You have to take it one day
- 16:59and find that it's, oh it's making me do too much today
- 17:02and then it's, you can't predict it.
- 17:05Like those few days are just totally--
- 17:07- Get in the hang of it.
- 17:08I've only just finished titration
- 17:10so I'll let you know in a year's time.
- 17:13- I think it's important as well for people that the links
- 17:16between oestrogen and menopause, I think a lot
- 17:18of people getting brain fog, memory loss
- 17:20and also realising they've got ADHD at that point
- 17:24and that again, being misdiagnosed is quite important.
- 17:28- So literally, 'cause the two were for,
- 17:30for girls are often children.
- 17:32So if you're not found out sooner,
- 17:34found out, that was the wrong phrase.
- 17:36It's children or menopause, you're right
- 17:39'cause I have no idea this was a total blindside to me,
- 17:42two years ago, but then I had kids
- 17:45and my whole like my brain fell apart.
- 17:48- Yeah, absolutely.
- 17:49The compensatory mechanisms like
- 17:51you get them all together and then children
- 17:53or menopause, all that shifts and that blanket of oestrogen
- 17:59and hormones changes
- 18:00and then whatever mechanisms you were using as a bit
- 18:05of a survival tactic are just that rug is whipped around
- 18:09and so it changes. - Honestly with kids,
- 18:10do you have time for yoga
- 18:12to stop you buying a million things on a random website?
- 18:15No.
- 18:18- More about the panic eating custard creams in secret
- 18:21so that you can do something.
- 18:25It happens. - Yeah, I always used
- 18:26to eat caramel digestives when I would study
- 18:29to like try and help me.
- 18:32- I have a friend introduced me to volume eating
- 18:36and she explained that basically if you just eat foods
- 18:40that are very chewy, even if they don't have a lot
- 18:42of calories, so think carrots, popcorn,
- 18:46like it doesn't even have to be like healthy.
- 18:47It can literally just be eating popcorn
- 18:49or like tortilla chips because you're, you know,
- 18:53I don't know about you but I stim with chewing a lot
- 18:55of the time so that's also why I lost
- 18:56a little weight once I started meds.
- 19:01Just chewing, it helps a lot.
- 19:02So something I tried was,
- 19:03when I first started I would like take my meds
- 19:05during the week and then not in the weekend.
- 19:07And I realised that if I make sure I have popcorn
- 19:10and like baby tomatoes or carrots
- 19:12and cucumbers in the house,
- 19:14I could literally just like be constantly chewing
- 19:16while I watch a movie and I can sit still to watch it
- 19:20because I'm chewing the whole time
- 19:22and it doesn't fill me up too much.
- 19:24But I still kind of feel like I've eaten, I don't know,
- 19:27the caramel digestives is a great idea
- 19:29and I'm gonna try that on my next office date that I go.
- 19:33- I was gonna mention that it's the key
- 19:36kind of diagnostic criteria criteria when you go
- 19:38through all the questionnaires and you tick them off
- 19:40and your doctor looks at it and says whether you're,
- 19:43you know, you've hit enough of the points
- 19:44to go into the diagnosis but the sides of it
- 19:48that aren't part of the diagnostic pathway.
- 19:49So things like that emotional dysregulation,
- 19:52the rejection sensitivity, the sleep,
- 19:53the time blindness, sensory process
- 19:56and the fact that they 85% people
- 19:58with ADHD have something else going on.
- 20:00Whether that's mental health issues, autism, dyslexia,
- 20:04dyspraxia and all of those.
- 20:05And so people don't think about
- 20:07that when they're thinking about ADHD.
- 20:08They're just thinking about these people
- 20:09that are bouncing about and uncontrollable.
- 20:11They're not seeing all those other things that I think
- 20:14that are quite important for people with ADHD
- 20:17and they think that maybe they struggle with
- 20:18that aren't part of the criteria.
- 20:19- Also, I have been thinking about this lot
- 20:23and I would, I was thinking it would be good
- 20:25to bring it up in this Dementia Researcher Podcast.
- 20:29I've been listening to, you know, friends and family
- 20:33and although I can't share their stories
- 20:35because they're not mine to tell,
- 20:36I'm seeing that some women in
- 20:39and around my life are realising
- 20:41that actually they have ADHD later in life.
- 20:44But much later in life that at the point
- 20:46where other people may worry that they have dementia.
- 20:50I distinctly remember the months
- 20:53before I started meds, I was really struggling
- 20:56so much I kept saying to everyone around me,
- 20:59I feel like I have dementia.
- 21:01I find unfinished emails everywhere.
- 21:03I don't remember starting them.
- 21:04I don't remember why they're not finished.
- 21:06There's missing words in the stuff I write.
- 21:09I'm confused, I dunno why that's happening
- 21:11even though I have systems
- 21:11so I don't forget stuff technically.
- 21:15And I was thinking as a researcher
- 21:17that actually this is probably something
- 21:20that you can find in functional measures of daily life.
- 21:23I literally two days ago wrote up a project proposal
- 21:27where I'm going to try
- 21:28and use functional like functional activities records
- 21:32from a retrospective cohort of older adults to try
- 21:35and see if I can make up an ADSU diagnosis based on
- 21:38that functional daily life data.
- 21:41(bright music)
- 21:46- Okay, so one thing that I'm really curious about,
- 21:49we're all dementia researchers in the room.
- 21:52Was there anything specific
- 21:54around being a dementia researcher
- 21:57or being in academia
- 21:58that made your ADHD maybe a bit more apparent
- 22:02or triggered it
- 22:04or made you notice different sides of your ADHD?
- 22:06I see Kate is nodding enthusiastically.
- 22:09Should we go with you first Kate?
- 22:13- Yes.
- 22:14I have three words
- 22:15that maybe people in this call will identify with,
- 22:18which is rejection sensitivity dysphoria.
- 22:24- Please elaborate because there may be people listening
- 22:26who have no idea what that is.
- 22:30- So this is a term used
- 22:33to describe, I'm trying to think of a way of saying it.
- 22:38A phenomenon.
- 22:39Oh my goodness, I sound so jargony.
- 22:41Essentially one of the hallmarks of having ADHD can be
- 22:45that you are incredibly sensitive to perceived rejection
- 22:49and perceived is a really important word here.
- 22:52So two things I wanna clarify there are
- 22:54sensitive does not mean it's uncomfortable.
- 22:57It means there is a visceral pain in the very centre
- 22:59of your being that makes you feel evolutionarily like
- 23:02you're being chased by a lion.
- 23:04Now I haven't actually been chased by a lion,
- 23:06but I have been in fear for my life in the past
- 23:09and the feeling is the same.
- 23:11The second is the perception of rejection.
- 23:13So for me, unless feedback
- 23:17or comments are genuinely positive,
- 23:19my brain will interpret that as rejection.
- 23:22Which means anytime any feedback
- 23:25or any conversation does not lead
- 23:27with someone saying something outwardly positive about me
- 23:30as a human being or a researcher,
- 23:33my fight or flight kicks in and as an academic,
- 23:39rejection, genuine rejection comes thick and fast
- 23:42and perceived rejection is pretty much constant.
- 23:45So I'm not gonna lie.
- 23:47Yes, okay.
- 23:48I'm not having any structure during my job.
- 23:51Becoming an independent leader was bad,
- 23:53but realising that I couldn't navigate
- 23:55even being in meetings, the differences of opinion
- 23:58or every time I asked something, someone saying no
- 24:00'cause bureaucracy said no was basically me
- 24:03in a constant state of panic attacks.
- 24:06And that was when I realised maybe I was a bit more
- 24:08than just bubbly and like to run around a lot.
- 24:12- And I think that that is something that is crucial
- 24:16if you are a PI or a supervisor
- 24:19or you are working with someone with ADHD,
- 24:22if you are not aware of that
- 24:24and the impact of your words
- 24:25that can literally send someone into a spiral
- 24:29of anxiety
- 24:31and catastrophizing, that is something really important
- 24:35that you know, if you're listening to this,
- 24:37if you're watching this
- 24:38and you aren't aware of that, you've been mindful of
- 24:43how you articulate feedback and being mindful
- 24:47and being able to read the room knowing
- 24:48that not everyone will be able to be able to read that room.
- 24:52It's so important isn't it?
- 24:56- So I'm laughing.
- 24:57That was actually probably pretty bad.
- 24:59- It is very uncomfortable.
- 25:01I've seen some interesting memes about this of people
- 25:04kind of laying in foetal positions
- 25:06after getting paper rejections
- 25:08and it is that bad, isn't it?
- 25:09It is absolutely horrific.
- 25:11- Well if you just present a research idea
- 25:13and someone just goes, yeah, I don't really believe
- 25:15in your field of research and you're like, right,
- 25:17I just need to jump off something.
- 25:18Like there's no point in me being here.
- 25:20I'm gonna move like, and you can't control it.
- 25:23It's not drama.
- 25:24Like I would love not to behave like this.
- 25:27And it's not like I kick off in the meeting,
- 25:28I go and I just sob on my own.
- 25:30But the fact of the matter is, is it takes time away
- 25:32from writing grants.
- 25:34- Yeah.
- 25:35What about some of the positive elements
- 25:38of ADHD then, you know, how have you kind of embraced
- 25:43some of your ADHD to make progress?
- 25:46Everyone in this room is successful
- 25:48and if you're thinking no I'm not
- 25:50that's your imposter syndrome,
- 25:51that is absolutely your imposter syndrome.
- 25:53So what do you feel have you been able
- 25:57to take advantage of with respect to your ADHD?
- 26:02- I think I'm really careful
- 26:03'cause I know some people say that ADHD is a superpower
- 26:08and I don't believe that,
- 26:09it wouldn't be a disability or seen like that if it was.
- 26:12And I think if you could bottle
- 26:13that hyperfocus, yeah, amazing.
- 26:15But you can't, so it's the worst superpower ever.
- 26:19If you could like, if you can't
- 26:20actually use it when you need it.
- 26:23So for me though, at certain times,
- 26:25that kind of interest in something
- 26:27and for me, it's always been science since I was a child.
- 26:29I think my nan used to know that she came
- 26:32to science museum and that's carried on.
- 26:33And so for certain things in science that
- 26:34I would just be buried in and really be obsessive
- 26:38and I think that energy that that brings
- 26:40that people are like, oh my god, Eric's really excited,
- 26:41jumping up and down that you've got a result in lab.
- 26:43Kind of that infectious enthusiasm for certain things.
- 26:47I think that's been great at maintaining focus
- 26:49in certain things and which is great in science
- 26:52'cause you're constantly chipping away
- 26:54and you're in interesting stuff.
- 26:55I think it's when you can't do that
- 26:58and you're having to do admin
- 26:58and other things in your job and the boring stuff.
- 27:01And especially I think
- 27:02as your career develops, your role gets bigger.
- 27:04You're doing other things.
- 27:05You've got a group,
- 27:06you've got all these deadlines
- 27:07and that's when I had my diagnosis
- 27:09because asked like why can't I mark 60 exams
- 27:12in a day like other people?
- 27:14But I did 20 other things
- 27:17and it was another academic that said, yeah
- 27:19because you've got ADHD Eric.
- 27:20And I was like, everyone used
- 27:22to joke about that when I was a child
- 27:24and they went that kind of thing
- 27:27and I thought, oh, I went speak to my doctor
- 27:28and they went, have you ever done a test?
- 27:30And they went, wow, you've got a high score.
- 27:32And I think, so for me there were certain things
- 27:33that worked really well with being a PhD student postdoc
- 27:37apart with some of the boring stuff.
- 27:38It was later on that it became a massive problem.
- 27:41And I think that academia is that constant environment
- 27:43of being peer assessed, peer reviewed.
- 27:46And just asking for rejection
- 27:48and then how do you deal with that?
- 27:49You can either spiral
- 27:51or I just get, oh, I'm gonna prove you wrong kind of thing.
- 27:53Like I get angry and like it almost,
- 27:57and then I'm gonna be tenacious,
- 27:58I'm gonna actually might prove you wrong.
- 27:59And that emotional dysregulation can
- 28:01send people in a different direction.
- 28:03I think those around you might, my god, they got angry
- 28:05about that or really upset really quickly what was all that?
- 28:08And next section you're like, I don't really care about it.
- 28:10I'm going to have some food, it's gone.
- 28:12So I think people might not understand around you
- 28:14that dysregulation, that lack of control
- 28:18is because you're not able to control it.
- 28:20It's part of the ADHD and and for us maybe accepting that
- 28:24and understanding why we do that
- 28:25and not beating ourselves up is important.
- 28:27But the people around you might think, oh my god,
- 28:32don't really understand that.
- 28:33One of my PhD students said I had an abrasive enthusiasm
- 28:35for science sometimes.
- 28:40In a good way I think.
- 28:41But I could see what I do jump up and down.
- 28:43I do get excited about stuff
- 28:46if I'm really excited about part of science.
- 28:47That's all I'll talk about for ages.
- 28:49So I can understand that from other people.
- 28:52But yeah, for me, it's been great
- 28:53because my interest is science
- 28:54and it's my job so it's like my hobby.
- 28:57- It's really great to hear that
- 28:59'cause I know that having special interest and that passion
- 29:01and enthusiasm, it's great if you've got somewhere
- 29:04to channel it and many people don't have somewhere
- 29:06to channel it and that can exacerbate
- 29:10the symptoms even more.
- 29:11Natalie, what about you?
- 29:12You know, how has ADHD influenced your career
- 29:17and how you've, you know, navigated your,
- 29:21maybe your student years and your choices?
- 29:24- Yeah, I think the two things
- 29:26that I would definitely say I managed to, I struggled
- 29:30to navigate the most is the lack of structure
- 29:35and the fact that I would call myself a perfectionist.
- 29:38But really it's more like if I can't get something right
- 29:40the first time, I don't wanna do it at all.
- 29:43That's something I really struggle with.
- 29:44Probably linking back to the rejection sensitivity.
- 29:48But if I, yeah, if I can't do it perfectly the first time,
- 29:51I don't wanna keep trying, I wanna call it a day.
- 29:56But I think the lack of structure
- 29:57is probably the biggest one.
- 29:59Going into university,
- 30:01when I went and did my undergraduate, I went to Exeter,
- 30:03did neuroscience and it was almost like the rug
- 30:07had been pulled out from under my feet.
- 30:09Whereas before I had this environment that I'd created
- 30:13to support myself and I had my family to look after me
- 30:16and help me
- 30:18and remind me, like my mom would say, Nat,
- 30:19have you done your homework?
- 30:20Nat, have you packed your lunch?
- 30:21Nat, you know, everything really got your PE kit.
- 30:25And if I hadn't, she'd pick me up on it
- 30:28and she'd drop me my lunch to school or something like that.
- 30:31But then all of a sudden when I went to university
- 30:33and I had all of that taken away
- 30:35and it required a lot more executive function
- 30:38to navigate daily life and daily tasks.
- 30:43And that was really difficult
- 30:45in a new environment like that.
- 30:48And yeah,
- 30:49all of a sudden I went from forgetting my lunchbox
- 30:53to locking myself out of my flat multiple times a week
- 30:55and forgetting my keys
- 30:56or missing doctor's appointments, missing lectures,
- 30:59not being able to get through lectures, things like that.
- 31:03And the lack of structure from university compared to school
- 31:07and having to regulate my own schedule, my own timing.
- 31:11That was something that was really difficult for me.
- 31:15- It's a real big shift isn't it, from going from
- 31:17that really structured kind of environment
- 31:20to the research environment is completely lacking structure.
- 31:24I'm gonna ask something that might expose myself here.
- 31:27Has anyone, has anyone else
- 31:30as a compensation mechanism for that
- 31:34discomfort with the lack of structure gone the other way
- 31:37and had to really over structure everything
- 31:41to feel kind of safe and secure, right?
- 31:44Maybe lists everywhere of things.
- 31:48Is that a me thing?
- 31:49Is that my ADHD does anyone else, you know,
- 31:53for certain things have to, right like, Kalli's nodding.
- 31:58- Yeah, I've been, this is like,
- 32:01there's so much overlap between what you
- 32:03and Eric have been saying about you know,
- 32:05and also not, sorry oh my gosh, I had like six tabs open
- 32:09and I'm trying to just stick to one thought.
- 32:11I was trying to answer what you said about
- 32:12the compensator mechanisms.
- 32:14I use the office, going to the office,
- 32:18which I don't like doing because I hate the commute.
- 32:21I use it to force myself to do things that I don't wanna do.
- 32:27So I say yeah, wait, wait, wait.
- 32:28It works, it works.
- 32:29If I say, okay, I'm gonna treat, I'm gonna get myself,
- 32:32I got myself a nice coffee machine
- 32:33and so I will make myself a really nice coffee
- 32:35and I will enjoy my coffee on the way to the office.
- 32:37And then when I get to the office, I will just do the thing
- 32:39I don't wanna do and I'll just do it
- 32:41and it'll be out of my head.
- 32:42Also what I've started doing to kind of give myself
- 32:45a little bit of structure. and oh.
- 32:47and I don't allow myself to think about those things
- 32:49I'm avoiding when I'm not at the office.
- 32:51That has solved a lot of issues for me.
- 32:53It works so well.
- 32:54It's compartmentalization, it's kind of like,
- 32:58like enclosed cognition
- 33:00but instead it's just about where you are.
- 33:02It's conditioning yourself.
- 33:03You just have to stick to it.
- 33:04It's hard at first
- 33:05and then it starts working a lot.
- 33:07It works.
- 33:08But after the other thing I do is I actually work nights.
- 33:12So whenever I have to write, I can't do that
- 33:16when there's people around.
- 33:17And I'm finding it that if I'm home alone,
- 33:20unless I'm in hyperfocus mode, I can't get myself
- 33:24to do things when I'm alone.
- 33:26So I go to the office later like one
- 33:29or 2:00 PM, I do the things I don't wanna do while
- 33:32there's people around, you know, I'm the office jester,
- 33:34I bother them all the time.
- 33:36And then when they're gone then I turn the lights off
- 33:39'cause I don't like the big light
- 33:41and I just work away until like eight or 9:00 PM
- 33:43and that's me finished.
- 33:44And I don't carry stuff home.
- 33:47And I don't allow myself to do things
- 33:51outside of my designated, you know, structure
- 33:55that has absolutely no meaning
- 33:56because you could literally just say Kalli,
- 33:58couldn't you just do the exact same things
- 34:00but in your home at your desk?
- 34:02No I can't, I don't know what to tell you.
- 34:04It's about that change of environment.
- 34:06It's about telling myself it's actual do things
- 34:10that are annoying time,
- 34:11but that structure really has been
- 34:13working really well for me.
- 34:15- So you've got some really good compensation mechanisms
- 34:18there about that building your own structure,
- 34:20setting some clear boundaries,
- 34:23understanding when you work best and how you work best.
- 34:27And it also sounds like you've snuck in a little bit
- 34:29of reward there with linking to your favourite coffee.
- 34:31So there's some really cool lessons to be learned there.
- 34:34Sorry Eric, did you want to say something?
- 34:36- Yeah, so I really benefited from coaching later on
- 34:40after diagnosed, meds really helped.
- 34:42But then coaching was really great
- 34:43and then I trained to become a coach later on
- 34:47and kind of like when we were talking about things
- 34:49my coach said, Eric, you're weird for someone with ADHD
- 34:53because you've got so many organised things
- 34:55to make sure you look organised.
- 34:57That's really unusual and I didn't really understand those
- 35:00and my part of it might be fear of failure,
- 35:02that rejection sensitivity.
- 35:03I don't appear normal in academia
- 35:05'cause I have so many electric reminders.
- 35:06Even time you've got 15 minutes start meeting,
- 35:09you've got 10, you've got five because I know I'll
- 35:11carry on talking to someone.
- 35:13And those things there I've got two whiteboards
- 35:15with multiple notes on, 'cause I know I'll be blind
- 35:17to both of them at different points
- 35:18and I'll have things popping from my computer.
- 35:20My watch will start to vibrate if I'm doing a lecture
- 35:23to say, Eric stop, you're gonna go over the time.
- 35:25And that there's so many things I've put in place
- 35:27and then a few people have also suggested
- 35:30because I have so many rules I've created
- 35:33and then maybe they've become more apparent of medication
- 35:35that maybe I've got autism and ADHD.
- 35:38And when I thought I didn't, lots of people just laughed
- 35:39and said, why do you think you don't?
- 35:41All the light sensitivity, noise sensitivity.
- 35:43The things I do in the same order,
- 35:44my bag is in the same position.
- 35:45All my meds are in certain places in the kitchen
- 35:47that I know I will have to pass and go to.
- 35:49My bag is in front of the door
- 35:51so I cannot forget it before I leave.
- 35:53There are so many things to put in place
- 35:54to make sure that that happens.
- 35:56And I think a lot of people would just do that,
- 35:58but I have to have them there.
- 35:59If I'm on the train, my bag is wrapped around my leg
- 36:02so I don't leave it.
- 36:04So there's just lots of things
- 36:05that you've done to appear normal.
- 36:07But all these reminders I have to have
- 36:08and that's kind of really helped to have those.
- 36:11But I think like Kalli said is it's,
- 36:13it's having those rewards built in.
- 36:15So if I let myself make myself do this bit that I hate,
- 36:19then I will get to have lunch or that snack
- 36:21or I'm gonna go for a walk now or do something else
- 36:23and compartmentalise it.
- 36:24So maybe some people describe it as golden time.
- 36:27I'm gonna do the really boring things in the morning
- 36:29when my meds are at the highest.
- 36:30So by the afternoon I can do other stuff.
- 36:33And I always work best at night and for ages I tried not to,
- 36:36'cause I thought that's really bad for me
- 36:37but I don't work very well when other people are around.
- 36:39If I haven't got my playlist or whatever it is
- 36:42or my noise cancelling headphones depending on where I am,
- 36:44I can't do that extended writing.
- 36:46So having those rewards built in,
- 36:48but just sometimes when you are in that moment,
- 36:51I have to just let it go.
- 36:52Now I might, I'll spend hours writing
- 36:54or doing something else because if I try not,
- 36:56if I try to force myself to do it at a different time,
- 36:58it's just never gonna happen.
- 36:59- That was such a hard lesson for me to learn.
- 37:03I have, I went my entire education and career
- 37:07before meds by just having multiple jobs, multiple things.
- 37:11I did Greek exams to get here
- 37:14and I was using one
- 37:15to productively procrastinate the other because that works.
- 37:18I didn't have much free time
- 37:19but I was avoiding one by doing the other.
- 37:21So I was actually so productive
- 37:23and I did that throughout uni
- 37:25but then at some point everybody was like, you need
- 37:28to go slow and steady with your dissertation.
- 37:30And everybody kept trying to force me to work in a way
- 37:32that I am not capable of working
- 37:34and I never will be able to do,
- 37:37slow, steady and slow and steady.
- 37:39No, never, can't do that.
- 37:41- There's such a strong restage in that for people who
- 37:46aren't living with ADHD.
- 37:47It's having a bit of empathy of the different ways
- 37:51of working and acknowledgement that, you know,
- 37:55it was a big deal when I was in the lab of who was in
- 37:58at what time and how many hours people were doing.
- 38:03And that research culture of acceptance
- 38:05of different ways of working different patterns.
- 38:08Many of you have mentioned using different states
- 38:12of your energy to do different tasks.
- 38:15Is that getting the worst thing done first?
- 38:18It's, you know, it's called eating the frog
- 38:19in the coaching world.
- 38:20It's like get that worst thing done and out of the way
- 38:23and then reward yourself afterwards.
- 38:25So there's loads of really useful insights for people
- 38:28who may be looking at this.
- 38:30(bright music)
- 38:36So Natalie, have you got anything that you
- 38:38want to add to that?
- 38:39- Yeah, I feel like I've tried a million different things
- 38:41to help with ADHD symptoms.
- 38:43I've done all the planners,
- 38:44I'm sure we all have and it's nothing new.
- 38:48But I have a few kind of what I call little hacks for myself
- 38:51to set myself up for a good day
- 38:53and set myself up to be productive because otherwise,
- 38:56I will just hyperfocus on scrolling on my phone.
- 39:01So mainly diet and exercise.
- 39:04I find it really important for me.
- 39:05If I move, I feel a hundred times better.
- 39:09So I tend to wake up and go to the gym straight away,
- 39:13have a high protein breakfast to help kickstart my day,
- 39:17get that dopamine production going.
- 39:19I think the high protein breakfast is really important.
- 39:23I have blue light glasses even though I don't have
- 39:26prescription glasses,
- 39:27blue light glasses make me feel like I'm smarter
- 39:30and make me feel more productive.
- 39:33So for whatever reason I put my glasses on, I'm in my zone.
- 39:36It's kind of like when you don't wanna go for a run,
- 39:38if you put your shoes on and do them up,
- 39:40you're ready to go for the run.
- 39:41Same kind of concept for me.
- 39:45And another rule I have is don't put it down, put it away.
- 39:50If I put something down, I never pick it back up.
- 39:53I know I won't.
- 39:56So put it away, don't put it down.
- 39:58Alarms, I have a million different alarms on my phone
- 40:01because I know that I'm gonna forget my appointment.
- 40:04So I set an alarm an hour before,
- 40:06get ready for my appointment, get ready
- 40:08for my meeting, get ready for my lecture.
- 40:10I know that's done and body doubling as well.
- 40:13Super important for me.
- 40:15Half the stuff I get done I can't get done on my own.
- 40:18If I need to tidy my room
- 40:19or if I need to do some work,
- 40:20I'm gonna call my friend and I'm gonna do it
- 40:22whilst I'm on the phone or if they can come sit even better.
- 40:26And lastly, if I have a day where I don't take my medication
- 40:31or something, obviously do your own research
- 40:33before taking anything
- 40:35but L-tyrosine is, I find incredible supplement.
- 40:38I think it's supposed to boost your dopamine.
- 40:41I can't quite remember how it works off the top of my head
- 40:44but definitely something
- 40:45to look into if anyone out there like doesn't work
- 40:48with medication or thinks they might have ADHD
- 40:51and they don't wanna take medication or they can't yet
- 40:54because they've not got a diagnosis, look into L-tyrosine
- 40:58and see if it helps.
- 41:01- Fabulous, thanks Natalie and we will come back
- 41:02to medications in a moment as well.
- 41:04But first I just wanted to make sure that Kate,
- 41:07what do you think about coping mechanisms?
- 41:09What works for you?
- 41:11- Cheers, I was just gonna say that yes,
- 41:13'cause L-tyrosine is the precursor to dopamine chemically,
- 41:16which is why the high protein breakfast
- 41:18works so well as well.
- 41:22I had to get my chem head in there
- 41:24somewhere was gonna say.
- 41:26So I'm very new to all of this
- 41:28so I'm learning a lot from all of you.
- 41:30Thank you because I said this kind of came out
- 41:33of nowhere in the past couple of years
- 41:35and I don't really know what's going on.
- 41:37But what I do know is
- 41:40that normal time management methods do not work.
- 41:43So we hear a lot of eat that frog
- 41:45and blah blah blah blah blah and I can't,
- 41:47the frog is irrelevant to me
- 41:48'cause I'm interested in the zebra in the corner.
- 41:51So I have to build up in a slightly different way.
- 41:56I was also gonna say, sorry.
- 41:57I know but you know what I mean?
- 42:00Randomly, I want to just tell Eric yes,
- 42:01I'm trained as a coach too and it's amazing.
- 42:05Anyway, so,
- 42:06and that's been really helpful for me actually
- 42:08as a coping mechanism.
- 42:09Didn't realise it at the time but I think it was deliberate
- 42:12'cause I wanted to understand how other people behaved
- 42:15and the ways other people behaved.
- 42:17I think that has become something of a special interest.
- 42:21But it really helped me understand the responses of others.
- 42:24And so if someone's very direct, but that's
- 42:26because they're a very direct personality,
- 42:27it makes me less likely to spiral, et cetera.
- 42:31But in terms of getting stuff done, I have to build up
- 42:36almost like build up dopamine.
- 42:38I need quick wins in the morning to get started.
- 42:42If I just go for the hardest things first,
- 42:44I'll just end up rocking in a corner.
- 42:45But I just go right, what is the smallest, easiest thing
- 42:49that frankly is gonna take me nothing
- 42:51and I have to just build up the momentum
- 42:54and then I can tackle that big thing,
- 42:56which is the exact opposite of what all the common
- 42:59Task management tells you to do.
- 43:03It's something I really wanna bring in to our institution.
- 43:05We're all facing efficiency drives across the sector
- 43:10and any efficiency drive has got
- 43:11to take the neurodivergent mind into accounts.
- 43:13There will need to be separate advice on task management
- 43:16for people who cannot just, you know, people go,
- 43:20oh just block out your day.
- 43:21Great, my outlook says I'm not doing anything
- 43:23but I can assure you that that is not what is happening.
- 43:27So yeah, so I think
- 43:29that's the bit I'm learning And then I just wanna thank
- 43:31the rest of you for all of your advice
- 43:33because I've taken much of it on.
- 43:37- That's brilliant Kate.
- 43:38Again, it's coming back to
- 43:39that thing of appreciate we've got people in the room
- 43:43that have got that same diagnosis
- 43:45but that there's still variations in how we need
- 43:49to do things in our way for us in relation
- 43:51to our fluctuations and our experiences.
- 43:56And I was also laughing 'cause I'm a coach as well.
- 43:59It's like, and you know
- 44:02and I've met so many people in that coaching space
- 44:06of people like, oh yeah maybe.
- 44:08And I think it's about that you know that some
- 44:10of those other parts, elements.
- 44:12- How I actually started looking into it was
- 44:14'cause I was on a training accelerator.
- 44:15I train with the coaching academy
- 44:16and they do these big accelerators.
- 44:19- Oh hello.
- 44:20- I literally, I got onto one of the calls on one
- 44:22of those breakout rooms that they do
- 44:24and someone went, well you're in your own space.
- 44:26And I went, no I'm not.
- 44:29I was literally honest to God.
- 44:30And then a few months later when everything
- 44:32started falling apart, I was like, maybe she was right.
- 44:35I've been trying to find her,
- 44:36I can't remember her name obviously like,
- 44:38but I wanna find her and be like, cheers fam.
- 44:40She was like, no, there's something about you,
- 44:41you're spacey.
- 44:43- ADHDers need to help others and support others.
- 44:50Okay, so let's just,
- 44:51so we've spoke about a lot of the coping mechanisms,
- 44:53which is really around how we kind of manage ourselves
- 44:57and use tricks and tools to manage ourselves.
- 44:59But what about medications then?
- 45:02Are they any good?
- 45:03Do they really help?
- 45:04Eric, do you wanna kick us off?
- 45:06- Yep, I think linked to people's coping mechanisms,
- 45:08if you've met one person with ADHD,
- 45:11you've met one person with ADHD.
- 45:13It's a great like phrase
- 45:14that I've learned from one of my friends with ADHD.
- 45:17And I think the same with medication.
- 45:18People have to find what works with them
- 45:20and it can also be what brand.
- 45:22So I've been quite lucky.
- 45:23I've found medication straight away that worked
- 45:25and went through different stages of titration.
- 45:28So I'm on one of the stimulant medications.
- 45:29I must say that there's different types.
- 45:31There's a stimulant medication, things like methylphenidate,
- 45:34which is kind of like weak speed,
- 45:36some people might describe it as.
- 45:38And then there's a non stimulant medications
- 45:41and that carries with it a stigma.
- 45:43And because you go go to get collected,
- 45:45it's a controlled drug, you have to sign extra things.
- 45:47It's in a bag with an orange sticker on in the UK
- 45:49to say controlled drugs, they have to go
- 45:51and count it out as well at the same time,
- 45:54you have to constantly go in
- 45:55and drop the prescription off and be checked.
- 45:58So there's those kind of things that come along
- 45:59with medication but people have to find
- 46:01the different things.
- 46:02My sister has a diagnosis, she's tried multiple medications
- 46:05to try and find the right one
- 46:07and sometimes they just don't work for people.
- 46:10I think we have to be careful they don't do everything
- 46:12to fix your ADHD
- 46:14and they can help control some of the symptoms
- 46:15to help you to focus.
- 46:17But I think you also need to develop other skills.
- 46:19And I think for me, coaching was the big thing
- 46:22that went alongside the medication
- 46:24to understand my brain better and how I do things,
- 46:26but also to challenge people around me
- 46:28to have those difficult conversations.
- 46:30To have some tools to use and to understand.
- 46:34One of my biggest issues is if people
- 46:35aren't clear in their directions.
- 46:38So like, you know, that will lead me to procrastination.
- 46:41I'll waste loads of time doing too many things.
- 46:42So having this kind of clean setup
- 46:45where I'm gonna work in a particular way
- 46:47'cause it works for me and explain that to other people.
- 46:50But I think everyone needs to understand the differences
- 46:52between the medications
- 46:53that they may try then they may work some of the time
- 46:55and not all of the time that your diet might be important.
- 46:58The exercise, how much sleep you're getting
- 47:00and if you're ill and whether they're gonna work.
- 47:01And so I think some people get really disappointed
- 47:04quite quickly with them 'cause they're not
- 47:06doing things straight away.
- 47:07And it took maybe for me three months
- 47:09before I noticed that suddenly I was doing loads of stuff
- 47:11that usually I struggle with.
- 47:12And also I was like, wow, I've just done
- 47:14loads of marking in one go.
- 47:15And I thought, oh is this what other people are like?
- 47:19All that noise wasn't coming in.
- 47:21I wouldn't like to say they're not voices,
- 47:23but you know, the like not quite being tuned into the radio
- 47:26properly that there was too many other things
- 47:28and then all of a sudden, I was productive
- 47:30and I could get that done.
- 47:30I was like, oh wow, that was weird.
- 47:32And then in the afternoon, yeah, I'm bouncing
- 47:34around all over the place
- 47:35and maybe for some people they have top-ups
- 47:38so there are medications that are instant,
- 47:40other ones kind of slow release.
- 47:42So you get that early kind of rise and then slow decline.
- 47:45And some people they break that down quickly
- 47:47and need topped up in the afternoon
- 47:48and then there might be a bit of a spike in their focus.
- 47:52And then that also relates to maybe their behaviour
- 47:54and their emotional state.
- 47:55And so I think for having people around you with
- 47:58that understand, oh, it's the afternoon, Eric's medications
- 48:01gonna be running out, these metres
- 48:02are gonna go on a bit longer.
- 48:03Let's do this at nine o'clock
- 48:04and put something right after it.
- 48:06So we have to finish on time,
- 48:07but at least he's gonna focus the most then.
- 48:09And so it's important to understand
- 48:11how they change over the day.
- 48:12But there are, so I think
- 48:14for me there were lots of advantages.
- 48:15Medication changed my life, no doubt about it.
- 48:17I think you probably would've stopped me having
- 48:18some kind of nervous breakdown.
- 48:20But I think after that, after dealing with
- 48:22that initial change, it was, what else do I need to change?
- 48:25And it was the way I was working to suit other people,
- 48:28not to suit the way my brain worked
- 48:31and almost that period of mourning
- 48:32and then understanding I'll fight my brain
- 48:34and other people need to understand
- 48:36that I will just go along.
- 48:37I am a people pleaser and actually be better for me
- 48:40to work in a different way.
- 48:42And so that's been really useful to have the tools to do
- 48:44that alongside the medication.
- 48:46- Yeah and that people pleasing is exhausting isn't it,
- 48:49when you're trying to do it everyone else's way.
- 48:52And I think once there's an acceptance
- 48:55of your ADHD of I can just do it my way
- 48:59and I can articulate to others what would be useful for me.
- 49:03And I think given that we're really nearly out of time,
- 49:07I'm really keen that we have a strong roundup message
- 49:11for the audience.
- 49:12(bright music)
- 49:18So if someone was listening to this
- 49:21and they thought that they had ADHD
- 49:23or maybe it's someone who is working closely with someone
- 49:26who does have ADHD or maybe you're a supervisor
- 49:30and you've got a student with ADHD, team,
- 49:34what do we want them to take away from this discussion?
- 49:38So Natalie, could I come to you first?
- 49:40What do we want people to take away from this chat?
- 49:46- From the perspective of a student with ADHD,
- 49:49I think it's very important, as Eric was saying,
- 49:52to have clear instructions
- 49:54because if they're not clear, obviously procrastinate.
- 49:57But more than that I think it just
- 50:01makes your life so much easier to follow step by step
- 50:04and have everything clear.
- 50:07And secondly, lots of small deadlines.
- 50:09If I have one big deadline, I'm not gonna do anything
- 50:12until you know, it's urgent.
- 50:14And the urgency is a big driving factor
- 50:17for people with ADHD.
- 50:18But if I have lots of small deadlines,
- 50:20the urgency is gonna come at different points
- 50:22and it'll force me to make sure I get things done
- 50:27when they need to be done and keep me on track.
- 50:29And that's probably the biggest factor that helps me.
- 50:33- Yeah, really good tips there.
- 50:35Kalli, what about you?
- 50:38- I mean it's like I said, Eric said no two people
- 50:40with ADHD will be the same.
- 50:43I wish my supervisors,
- 50:46if I could have told them one thing, I would've said,
- 50:49please don't give me deadlines and be patient with me.
- 50:52Help me understand what I need to do
- 50:55and I will find a way to work, make it part
- 50:57of my system instead of making myself fit
- 51:01a plan you think will work but probably won't
- 51:04because I don't work in the same way as you
- 51:06and I do say the same thing to my colleagues also.
- 51:09I ask them to wash my mugs
- 51:10because I cannot wash my mugs at the office.
- 51:16They're very nice about it.
- 51:17I bring coffee and then just they wash my mug
- 51:19as a thank you.
- 51:20So I really appreciate them.
- 51:22So that's my message.
- 51:27- Thanks Kalli.
- 51:28Kate, what about you?
- 51:31- I dunno how I can follow that.
- 51:33Do you know what, I'm sorry to be soppy.
- 51:36Normally I like to be the Bantersaurus Rex,
- 51:38but what I'm gonna say is that the one thing I want someone
- 51:43to take away, whether they have it, think they have ADHD
- 51:46or they have a colleague with ADHD is compassion
- 51:49for yourself, for your colleague with that is curiosity.
- 51:54You know, we're taught in coaching
- 51:55that no behaviour is a problem behaviour.
- 51:58And I said that oddly like the parent
- 52:00of a toddler, apologies.
- 52:01But what I mean is a lot,
- 52:05it's about curiosity and understanding.
- 52:07You can look at someone and go, oh, they're different.
- 52:08They're annoying, or you could get curious about it.
- 52:11And that includes with yourself.
- 52:13So rather than going, oh,
- 52:14why can't I shut up in this meeting?
- 52:16I went in determined not to say a word,
- 52:18and then I couldn't, get curious.
- 52:21Or if you're wondering why a colleague,
- 52:24sometimes I think one person wants to describe me
- 52:25as schizophrenic because, you know, one second, I was,
- 52:28it's not okay to say, I know, one second,
- 52:31I was all confident, the next second I was hiding.
- 52:33And actually, rather than saying as a judgement ,
- 52:35maybe go for why, why might that be kind of thing.
- 52:39So just ask a person the question.
- 52:41Ask yourself the question
- 52:42and be compassionate about whatever the response is.
- 52:46- Beautifully put, Kate.
- 52:48Beautifully put.
- 52:49Cheers, Eric.
- 52:51- I think, yeah, I think just being educated
- 52:54to understand what ADHD is and what it isn't,
- 52:57and understanding that person that you work with.
- 52:59They might have these highs and lows.
- 53:01They might be working really hard all the time
- 53:04and just to help look out for them.
- 53:05That be very clear about boundaries
- 53:08and enable them to have structures
- 53:11so that they can work within,
- 53:13within a particular way that's helpful to them.
- 53:14And trying to understand that,
- 53:15but also to understand that to, in order to people please,
- 53:18they may burn themselves out
- 53:20unless the instructions are clear
- 53:21and because the medications are often stimulants,
- 53:24we don't necessarily get tired
- 53:25while we're burning ourselves out.
- 53:26And so I think it's important to realise that, you know,
- 53:29to sometimes give people clear boundaries
- 53:32and tell them exactly what you want from them,
- 53:34and understand that it may take more time for them
- 53:36to do that, or they may need to work in a particular way,
- 53:39but to just really understand for their ADHD,
- 53:41what they're like and what works best for them
- 53:43and what doesn't.
- 53:45- So hopefully those tuning in will now have
- 53:47a much better understanding of what ADHD is
- 53:49and how it affects people differently.
- 53:52We have spoke about so much in this session.
- 53:55It has been really interesting and really exciting.
- 53:58We've gone from various tips and hacks
- 54:01and things that have worked well for people living
- 54:04with ADHD to some advice for those working with ADHD.
- 54:09But I think what we've done importantly is maybe quash
- 54:12some of those misconceptions around what ADHD might be.
- 54:17And maybe we've encouraged some empathy in the fact
- 54:21that it looks very different in different individuals
- 54:24and even in the same individual.
- 54:26It can look different at different times of the day
- 54:29or depending on the cycle of the month
- 54:32or what has been eaten for breakfast and so on.
- 54:35So this has been a brilliant discussion
- 54:38and I can't wait to meet you all in person.
- 54:40That is gonna be fun.
- 54:43Thank you so much, Dr. Eric Hill,
- 54:46Kalli Mavromati, Natalie Wickett
- 54:49and Kate Harris for sharing really authentic, genuine,
- 54:54honest, brave stories today and great advice.
- 54:58The links to relevant resources will be included
- 55:01in the show notes along with a full transcript,
- 55:04which will be available at dementiaresearcher.nihr.ac.uk.
- 55:10Don't forget, we do have
- 55:11the Dementia Researcher Community app
- 55:13where you can share your own experiences
- 55:15and talk about this topic more.
- 55:17Thank you so much for listening.
- 55:19I'm Dr. Gemma Lace and you've been listening
- 55:22to the Dementia Researcher Podcast.
- 55:24Goodbye.
- 55:25Say goodbye everyone. - Bye.
- 55:28- [Voice Over] The Dementia Researcher Podcast
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- 55:33with generous funding from the UK National Institute
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