Episodes

  • Holiday Prep Series: ADHD, meet more food...and real Thanksgiving wins

    Holiday Prep Series: ADHD, meet more food...and real Thanksgiving wins
    Nov 20 2024
    What do you do when people are openly judging your food sensitivities (or the food sensitivities of your kid)? What's the difference between a soft and hot response to commentary? Why do we go to town over certain foods we love and then have such particular things we dislike and how much the Thanksgiving feast of it all can be about winning the feeling and vibe, rather than 'winning' at some carbon copy idea or expectation of what the holiday (and meal) should be. Filled chock full of food facts, favorite foods, and alternate ways to celebrate, this episode has David and Isabelle so grateful for you, Team Shiny!----Isabelle wonders if her experience would have been different if her food sensitivities, then cast as being ‘too picky,’ ‘too sensitive’, had been more the norm in her family friend group growing up. She was the odd one out and that left room for so much judgment and commentary. Meanwhile, she sees her partner Bobby’s family and notes that pretty much everyone has food sensitivities, their yucks and yums, so they accept it and roll with it and stock up on what people like and seem to not be phased by it at all. David relates this to his experience being vegetarian for years and how he would feel when people would immediately show him the vegetarian dish on the menu—but he knows now that this was them looking out for him, verifying that this was a place he could eat. He couldn’t hear it then, but as he got older, he would just say “thank you.” The difference when you’re trying to advocate for your kid as a parent v. Others outside of that. David has his soft response—“if there’s ever a night to eat what you like, it’s with family” and his hot response is “should I follow you and talk about what you eat?” Isabelle noticed that she could change the texture of vegetables and thus reinvent her ability to eat vegetables, including the bitter ones she couldn’t handle for so long. There was so much labor put into the food of her Polish Christmas eve celebrations growing up, like pierogi, and there’s this sense of wanting to pass on food pushing and abundance and scarcity. David’s mouth is watering about pocket foods—pierogi, samosas, tamales—delicious. Which links up Isabelle’s fun fact about fried chicken—that frying preserves the food! And then, isn’t it technically a pocket food, too? But, as David points out—the bone! But, Isabelle counters, what about tenders? So is a chicken tender a pocket food with no other filling but chicken? And also foods on sticks. Isabelle likes the risk involved and also chewing on the stick. David doesn’t understand how to eat the food off the stick, but there’s a big difference between impulsive behavior and well thought out behavior. David and Isabelle are now very hungry. Isabelle asks if traditions really aren’t about transmitting memories, and if so, kids won’t remember the meal you served, but they will remember the feeling that someone stood up for them and their needs? David reframes this: are you trying to win an argument (about food) or win a feeling? Are you aiming for togetherness and connection—it’s not the day to argue about the food, or the screen, or the phone—give yourself that day. This brings Isabelle to asking David about jello with chunks in it, if he likes that kind of texture, and he doesn’t, he likes hard jello. Isabelle is confused by what he means and describes aspic served for Polish Easter, and furthermore, one of the most neurodivergent ways of relating to food, which can include eating copious amounts of the things we love repeatedly. For her, on another holiday with another food profile, she ate 27 eggs. In one day. Gave herself hives from the eggs. And that’s not including the mayonnaise. David meant hard jello like jello made with apple juice. Also as a former bartender, David cautions everyone about drinking and driving around Thanksgiving, a holiday notorious for stress and overindulging, and also about the dangers of alcohol soaked foods like jello shots. And he is grateful to Isabelle and to Team Shiny (we love you, Team Shiny!) For all we have made together, for all the people who now know more about ADHD or have new diagnoses: we’re sad you had to get a diagnosis and happy you had to get a diagnosis? We’re here for all of it. Have a great holiday!The backstory behind Nashville hot chickenFrying as a way to preserve food - "Since fried chicken traveled well in hot weather before refrigeration was commonplace and industry growth reduced its cost, it gained further favor across the South." (Source: Wikipedia)Fascinating rabbithole of a site that makes industrial fryers -- most processed foods are fried!Recipe for ‘hard jello’ aka Jell-o jigglers (which sadly does not mention apple juice, but does specify the water to gelatin ratio) And bonus: how to make gelatin out of any fruit juice (like apple juice)-----Cover Art by: Sol VázquezTechnical Support by:...
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    25 mins
  • Holiday Prep Series: ADHD, meet food!

    Holiday Prep Series: ADHD, meet food!
    Nov 6 2024
    This week we're revisiting what happens when you show up at a holiday meal and immediately realize with a sinking feeling- "Not again…I can't eat anything here…" From honoring the cook's efforts while not betraying your own needs, to recognizing the joys of chewing on pens and ice, join David and Isabelle as we embrace our sensory sensitivities and make our own neurodivergent-friendly and inclusive traditions. Check out our Holiday Survival Guide! Part of a holiday prep series designed to help take some pressure off the holiday season.——David and Isabelle stare down the fast moving train of holidays and expectations that is barreling toward us right now. As we approach Thanksgiving we have a bunch of "shoulds" coming at us--we should be like everyone else and even though we have sensory issues with cars, and sounds, and people, and all that stuff. Everything from sitting still from being held hostage on a plane or in the car, or being stuck in a service or sit at a table, or eating - the sound, the food, the overstimulation, while simultaneously coupled with frustration and your routine being destroyed, and all of this at the same time. This explains why Isabelle has a lurching sense of dread approaching this time of year. The holiday dread is real. David and Isabelle have covered other aspects of holidays, like speaking with family, and the glories and pains of holiday travel, and here they are focusing on food and sensory sensitivities. Isabelle remembers how growing up she was known as a picky eater but actually there were a lot of sensory sensitivities going on. She had memories of celebrating “wigilia” (Polish Christmas Eve celebration) and sitting at a much larger table, with much more eyes on her, and as someone who only ate pretty much chicken and white rice and potatoes, she was facing down a traditional non-meat meal of 12 mostly fish-based dishes (such as pickled herring). You fast before this evening meal, and then you commence the eating. She would be lightheaded and nauseous because she’d be so hungry and would fill up on dinner rolls with butter, everyone is judging and commenting, then she lives on the high of opening presents, and then they’d go to midnight mass at midnight, and then they’d light candles and means the oxygen is rapidly leaving the area in an enclosed place and so she’d either pass out and throw up. Everyone can look back in time and find the holiday memories of “we can’t believe we did that on purpose.” We don’t make time any other time of year to have these rituals, and see each other, and it's really about connections, yet we get caught up in following these rules that don’t always work. Isabelle thinks about how for years she carried the shame around this being her fault, she’s the picky eater that would end up passing out or throwing up, but then thinks about how easy it would’ve been to provide some kind of option for her. That there are traditions and ways of keeping the meaning behind the traditions, but also making even small accommodations that can make all the difference to us. How we can always make new traditions. There’s a really hard part with food: there are people that work really hard for hours in the kitchen and they want you to try and see what you like about it and not like about it—how can we try certain things that work for us, and how can we bring our own food—like here’s my tub of Mac and cheese, there has to be a middle path. The way to be a gracious guest and host, and how as neurodivergent folks we can prefer to host because it gives us structure, she can stay on her feet, it helps her mask less. What is this about ADHD and food sensitivities? There’s a lot around taste aversion, what happens when we associate a food item with a thought in our head—like “eww, this tastes like sand” and we don’t eat sand…or boogers. To make the eating experience a lot more about the flavors they’re experiencing rather than the thought in the brain. Is it salty? Sweet? Savory? Textures? David is a texture person, there is a fine line between “this is edible” and “this makes me gag”—like bananas, one day to the next changes. Isabelle and David firmly agree on bananas being this type of thing, and Isabelle does not do overripe bananas, you make it a cooking liquid and you put it in banana bread. David also likes drinkable yogurt and he doesn’t mind it because he’s drinking it. If he’s moving his mouth hole up and down there needs to be something there to fight my mouth.” And crunching is stimulating and stress reducing. Whether we’re chewing ice or almost-cutting-the-top-of-your-mouth bread crust. Is it the act of chewing that’s stress reducing, or something crunchy is stress reducing? Isabelle notices chewy things, like gum, gummy chews, and chip crunch, or a cold crunch, she does not like it—there are special ice cubes that collapse in your mouth that shrink in your mouth. Tiny ball...
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    33 mins
  • Is it ADHD culture or just ADHD trauma?

    Is it ADHD culture or just ADHD trauma?
    Oct 23 2024
    Is there a way to switch gears even when you're running late, overhwhelmed, and already past crispy? Isabelle and David explore how changing gears, especially during a transition--whether it's starting a conversation, leaving the house, beginning a work task--is up to us and how hard and real the struggle is and how important it can be to get your reps in. From potato sprouts and Carl Rogers, to neurodivergent trauma as culture, to all those half finished water bottles underneath your carseat, this conversation embraces what it means to share collective wounds as well as adaptations to a world not built for neurodivergent folx.----Isabelle (speaking of a hard moment trying to get herself and her kids out the door when they're already running so late and then stopping, covering her eyes and ears, and just sitting on the couch)-- thought this "busy-ness" was a personality trait, moving on to the next, to the next, to the next—to always be busy, harried, running behind. And you can’t expect the environment to stop when things feel like too much. Pandemic was not a blessing in disguise (that’s BS), and Isabelle’s experience was that on top of the systemic and personal trauma and wanting to chew her own arm off, it was the first time the world did stop to a degree—it took a lot of demands and choices off the table for her. How often when she is burned out and crispy does she want the world to stop, for things to slow down, to quiet down on a sensory level. And when the world stopped, that wasn’t the answer either, she actually found herself doing more—it’s a lot to realize that the world won’t stop for you and even when it does, it doesn’t address the overwhelm problem. David names that a lot of social expectations changed—doing laundry, doing hygiene. Finding out which things were effective and which weren’t was a lot then. In couples, there’s a big difference between a harsh versus a soft startup, taken from the work of the Gottmans (see links below). The harsh versus soft start up through transitions—are you giving yourself a harsh or a soft start up to a task? What do you need to transition to a particular activity—do you want to get there late, stressed, sweaty? Or do you want to get there and be bored for a bit, because you're about to read to kids in a library and need to come in with less energy? When Isabelle sits and asks for help, she interrupts and resets a harsh start up to a soft start up. She is doing for herself what she wishes another person would do. Sits her down, has her take a moment, helps take away the expectations and demands. Bobby can do that sometimes, but also she can’t expect someone to do that everyday. And it helps her get reps at switching from a soft to a harsh transition. She didn’t think she had a gear shift; she was on and off. It’s existential, you have to reset your own expectations and what it means to stop. Isabelle has to unmask, and reveal how vulnerable she is and ask for what she needs, she has to face trauma. A client of hers recently invented (she thinks?) This term “ADHD trauma.” Being neurodivergent in a neurotypical world that’s constructed to benefit and aid neurotypical ways of being generates trauma by virtue of the not having the right manual. And David calls this ADHD culture. We have different problems with friend groups or making purchases or being an imposter, the thing that makes this podcast fun to listen to. Culture is defined by how we dance with trauma. Every kind of culture—race, class, etc.—sets the standard of how you interact with the world. The feeling of going into a class and forgetting you had a test; all those empty water bottles under the seats, if you could clap your hands and the pile of laundry, the corner you forgot existed—and suddenly we feel better because you’re not the one who is like that. Does having ADHD make me allergic to rigid capitalist systems? There’s two people: the ADHD person is going to look down at the cliff and see apples and yells “apples!” And then the other person hears “oh, apples?” and makes an apple farm. We're not all the same but we do have something in common. Anything that overwhelms our capacity to cope or unable to change it—isn’t any identity the world wants you to change but you can’t going to set you up for overwhelming your capacity to cope (you can’t run from it, hide it, fight it, play dead…etc.) David has a thought: when he was getting kicked out of school, his brain coded that as bad. Fast forward, he ended up going to grad school at Northwestern. And not a lot of people at Northwestern got kicked out of high school. It’s definitely not something that you talked about. But then, he started working and advocating with Eye to Eye and other groups—suddenly, his story had worth. The amount of relief he started to see on kids faces that “oh, you can recover from every mistake” and he wasn’t proud when it happened, but...
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    29 mins
  • Why do we burn ourselves out?

    Why do we burn ourselves out?
    Oct 9 2024
    Why do we push ourselves so hard, hyperfocus, are ready to do 80 things at once, then crash and run out of steam before we ever move the needle? How much does this boom/bust cycle harm us, our relationships, and our wellbeing? David and Isabelle discuss how, as neurodivergent folx, we can't see our own energy bars and how this gets us into trouble. They also describe a game changing idea, of making their energy bars observable, that has helped them both actually see and attend to their needs well for the first time--and why they were compelled to build this into a Something Shiny toolkit (coming soon!). ----The things we use to help ourselves and reclaim our time doesn’t actually give us more resources, it can take resources away from us. David, for example, feels very successful when he avoids the YouTube video reel hole, scrolling from a sports ball thing to a weird deck someone built…he didn’t notice the spoons were going, he took up energy, he sat too long, he didn’t get something done. Sometimes the things and cycles we get into what we get into when we’re avoiding things, don’t help us. This connects to a big course launch coming soon from Something Shiny! A big aha between David and Isabelle has been recognizing that their energy bars are invisible to them, and with their shorter time horizons, Isabelle assumes that the energy she has is forever, and then halfway through taking on so many tasks sucks. She runs out of all her energy and momentum before she knows it, and it’s hyperfocus and intensity and crash. It hurts her relationships, her life, her health, so how can we actually see our energy bar? Especially in times like this where demands are many and slots are few. David points out that the way they check on their energy bar is odd; you see that your gas tank is full; “I got gas!” And half full “I got gas!” And quarter full “I got gas!” We ask if there’s gas, not if it’s enough, or if it matches what we’re trying to do. We push past this point without knowing it. David and Isabelle crisped themselves during recording this course without even knowing it. David lost the gas to eat, to observe the world. This is why David and Isabelle took time off this summer: a step by step guide to learn how to read and respond to your energy bar that makes it so your life gets easier. It’s fusing together what David and Isabelle know about how neurospicy brains work and then actually building the skills that help. It has deeply altered Isabelle’s sense of how she feels about herself on any given day. It’s the closest she’s coming to what she expects of herself day to day and responds to her needs. Picture the gas tank, but you’re in a car with your whole family, and your whole family has to get to the emergency room, she does not have time to get to the gas station and she needs to get the whole family there STAT. Isabelle’s self-neglect is real. The term “Burnout” is so interesting, coming from Industrial Revolution terms, that when a machine ran out of resources would run out of fuel, the machine destroys itself because it runs out of fuel. It’s not just that we’re running on fumes, it’s that when we’re running on fumes we have destroyed ourselves, our relationships. Isabelle, in her attempt to get to the emergency room, she gets angry, impatient, taking in any request, and then she is engaging in toxic behavior patterns, asking the world to STOP, but she’s hurting herself. David names that you’re not just hurting yourself, you’re hurting other people, you’re leaking out. When we’re done leaking, we don’t know what we’ve done to hurt other people and we’re hurting—both things are true. David thinks about his behavioral roots: the first thing you do to make change is you make your behavior observable. It’s really hard to actually observe energy, talking about the endings and beginnings we can't see, it makes different parts of back to school or our burnout observable. It’s observable so we can change some of these things: did you need a break? Would it have been better to be late to this? Where do we get those messages about what we’re supposed to do. Even as the term accountable (like “potential”) can make your spine curl, because it's been leveled at us anticipating mistakes we couldn’t, how can we be accountable for our own breaks because no one is going to give them to us. By the time Isabelle is running on fumes, that is not the time she has any bandwidth to think her way out of her feelings, and that's not a strength she has anyway, she can’t tell herself it’s going to be okay, by nervous system does not work this way, she has to take an action to change her internal state, but she’s so crispy to think that she needs a break—the idea of thinking she needs a break and then taking a break is 6 steps too far, and then she gets cranky, she gets grumpy, blaming everything around her, but it’s a set up when ...
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    26 mins
  • Does 'back to school' season hit you hard, too?

    Does 'back to school' season hit you hard, too?
    Sep 29 2024
    Ep075: Does back to school season hit you hard, too?Why is it so hard and triggering and exhausting to go back to school (even if you’re not a student or have a student in your life right now)? And what is this idea, “pervasive demand avoidance” (or a persistent drive to autonomy) and how can it crop up during massive transition times? David and Isabelle come back from a summer spent working on exciting new Something Shiny resources and describe some of the demands that may be filling up your slots this time of year. Also included: tangential journeys involving the cinematic classic “Legend,” deep cut Disney songs a la Tim Curry, and Isabelle’s allergy medicine hallucination moment.—-David and Isabelle welcome fall and the new school year, complete with the way germs start circulating and sick days shoot up once the school year kicks in, and then histamine levels and allergy medicines. There may be some links between antihistamines and psychiatric symptoms (see link below!). Isabelle describes a hallucination she had when taking a commonly prescribed allergy medicine, referencing the Tom Cruise movie, Legend. This brings up how intense children’s movies were back in the day, where kids were in real mortal danger a lot and awful things happened a lot. David recalls how intense Willy Wonka was, with the kids getting killed and then the tunnel sequence, which leads to Isabelle remembering how she shopped a class in college about children’s literature and it was all about Roald Dahl and how he hated childhood and was bullied and just dealt with a lot of things that made him hate kids. So, returning to Isabelle’s hallucination, she wakes up from a sleep, she sees Tim Curry in Legend demon costume asking if she has anything to eat, and she knows she’s hallucinating, but it was in the room. She hears him working in the kitchen. She then sees a pig walk in with human hands for feet, she wakes up, she is fully awake, the pig fades away, and she walks into the kitchen, and I say “You’re not real, I’m hallucinating” and he says “of course.” Also, it was almost morning, light was in the space, this wasn’t sleep paralysis or lucid dream, she fixed breakfast, called the doctor, and stopped taking this medicine immediately. Of course she told the whole story to the doctor because of course these details would be important. David names how strange the brain is and all the connections are. And this links up to an amazing CD put out by Disney where Tim Curry sings a Davy Crockett song. David was tormented by this song in elementary school, and they would make fun of him by singing this song at him, but why did this bother him actually? Isabelle recalls that back to school season as more triggering than she realized, she would use the relationship with her teacher to accommodate her, to do the hard things and ask for extensions and try and be. The teacher at her kids’ school was not picking up on her big hand gestures and quirk and charm, so two questions: 1) back to school season being triggering? And 2) when there is a vacuum, she becomes a cartoon character, as their previous guest Ren, brought up. Going back to school is so complicated; David notices that when he sees the back to school supplies on sale, it was a “gulp,” it always meant more work for him, the break being over. Now that he is not in school anymore, it has become a bit more of a “haha, I don’t have to do that anymore.” But regardless he wants to point out that neurotypical or neurodivergent alike, this is a time of intense transitions, beginnings and endings, and routine changes, and waking up earlier (for parents and kids and even fellow commuters who suddenly have to notice when school is in session on their traffic routes), it is a hard, hard time. It’s highly activating on a nervous system level, and germ load aside, kids will need down time and fatiguing and the adjustment period. This brings up the idea of cognitive demands on us—hold up ten fingers, and each slot is taken up with a task or a load: “buying school supplies,” “I’m sad my kid and I won’t have the same together,” and “I gotta change my morning routine” — in the face of so many demands, things become a can’t, not a won’t. In the face of so many demands, I actually can’t do any more, even a pleasant thing, everything is one ask too many or one step too much. And some people don't have ten slots, they have two—for example, a kid being ushered into a transition, even like three requests of a parent is actually too many demands, and they respond with “I don’t wanna” but also what’s in there is they cannot. They can do more, but with help. They’re going to get crispy and ragey, you become oppositional, pick fights, it looks like a sensory overload, or a shutdown, I am going to avoid anything that I perceive as a demand. David not sure how he feels about this diagnostic label because when we’re ...
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    29 mins
  • Summer Starter Series: When can hyperfocus be your friend?

    Summer Starter Series: When can hyperfocus be your friend?
    Sep 17 2024
    What happens when the rewards for doing something don't show up until way later? Or if it's harder to tell you're making progress on something, like saving money, applying for jobs, buying a house? David and Isabelle are joined by Isabelle's husband, Bobby, who also has ADHD, swapping stories about delaying gratification, shame spirals, and how we ruminate and distract AND hyperfocus for the win.---- The only thing that’s reinforced are tasks toward goal completion. What could I do today that would move me toward that goal? The only question: is it moving toward my goal? If so, it’s effective (or if not, not effective), rather than good or bad. For example, David venting about his paper to his friend helped him be on task, rather than not being on task and going out to eat at Burger King—it’s still about the paper (it’s still on task). How effective is it toward the task? More effective than going to Burger King and not talking or thinking about the paper at all. Long term goals are specifically hard for folx with ADHD because of the delay of gratification. The more you wait, the more you feel like you’re failing. Neurotypical folx will read that waiting as normal or to be expected. Bobby names things like saving for retirement, saving for a house, paying off debt—the progress is so slow it feels so boring. David relies on his awesome neurotypical partner to save for a house by taking what they would pay for a mortgage every month and saving whatever that was on top of their rent (so if their Lego House rent was $10, and they wanted a $30 mortgage, they saved the extra $20 every month). Isabelle wonders if neurotypical shame spirals go as deep as neurodivergent ones—for example, David’s goes to homelessness, and she notices that neurotypical folx notice how close they got the finish (like getting the brick at the bottom of the pool during swimming lessons), and factor that in, whereas for her it’s the outcome that matters and she goes straight to everyone she loves is going to abandon her and ditch her. David names that he has a few shame spirals—for work, it’s homelessness, for relationships—it’s abandonment. This leads to black and white thinking, which is more than just worth mentioning, it’s the difference between “not getting a snack” to “failure begets failure begets FAILURE…” And this extreme is dismissed so often, people don’t get it. As a therapist you’d never say “it’s not a big deal,” you’re invalidating those feelings. What we ADHD folx feel, our level of intensity, is REAL—instead of “it shouldn’t hurt that much,” it’s “that’s extremely frustrating.” Bobby is slurping all this data up, and taking the feels, and feeling them…and that’s what you do. You acknowledge how intensely you’re feeling them. Bobby sits in the role of “Novice EveryDay-er…Every Day Dude” (which is what it says on his nameplate). And not just acknowledging your feels, but acknowledging the intensity of how strongly you feel them. Feel the feeling, know it’s more intense, or it might not be felt by other people. And do what you need to do to regulate—-as opposed to let it go. It’s like telling someone with ADHD not to look at the ceiling (we all looked at the ceiling). Telling someone to fight something is not effective, it can go on forever in a power struggle. Isabelle describes that she prefers the phrase self-soothe to self-regulate, because it can be a pressure to return to masking and appearing as though you are neurotypical or ‘regular.’ David is wondering if self-soothing is the task, actually—you might not be able to soothe or make the injury out of the way, and instead get grounded again. It’s not about getting out of your ADHD mindstate, it’s about lowering your hyper focus and lowering the pressure to act. David does this intermittent fast now and just got distracted about the food he wants to eat (schwarma)—he’s not pretending he’s going back to the point and instead is focusing on food and saying “Schwarma.” The group decides they will say “Schwarma” any time this happens, if they can remember, which Bobby reassures them he will. Isabelle then describes that she thinks Bobby circumvents working memory problems by using some of the rules of comedy, like callbacks, and then…she also loses the plot and goes back to telling her story. Isabelle describes fixations on movies or things across many genres and seems to do with what the movie makes her feel. She is reminded of one of her roommates in college who was a lovely person, but would fixate on one or two somewhat depressing emo songs and for Isabelle, she didn’t like the emotional state it would generate. So she recognizes that she goes through fasts almost, of media that stirs up feelings because she gets so sucked in, so she avoids fiction and movies and music for a while. Then, it’s like a switch flips, and she gets sucked in and ...
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    35 mins
  • Summer Starter Series: Can you turn anxiety into excitement?

    Summer Starter Series: Can you turn anxiety into excitement?
    Aug 28 2024
    Why are some of us anxious and some of us excited (or a combo platter of both)? And is it possible to turn anxiety, or anger, or shame spirals, into something else? David and Isabelle swap stories, talk transgenerational trauma, and get curious about how we are socialized to mask and behave...and that perhaps the solution for being overly apologetic lies in the midwestern gem: "ope.”-----Isabelle starts by expanding on the idea of how you think about things, how that inner landscape can connect into tapping into norepinephrine—if you’re practicing going “I see you anxiety, I see what you’re trying to do, and I’m so grateful I have you because it helps me…” what it means to not shame or blame yourself for having an instinct to worry versus what you do know to be true. Short of someone giving you direct feedback, you don’t have data either way, so saying hi to your anxiety or feeling, and taking a few breaths to be grateful. Then when you do have a tough moment, like a hard meeting at work, you won’t beat yourself up about it as much. David even says: you can skip the shame spiral. Norepinephrine is so much about the inertia and movement of something. People with kids who have ADHD either have a very very clean room, or very very messy room. For those with a messy room, they’re like “where to start? Do I burn it and start over again?” Then you give them one specific thing to do, they earn dopamine from that one thing. So you build momentum by building a feedback loop between dopamine and norepinephrine, because you judge yourself on a very reasonable scale. If you make a broad request, it’s like “whaaa?” If you say “pick up your legos” or “Hunt for all the legos you can, you have 7 minutes, you earn 3 snarf points? What’s a snarf point? I’ll tell you in 7 minutes”—you now have specificity, and time pressure, and reward. Isabelle describes that she lives in the anxious side of the spectrum, and David lives in the excitement of it. If anxiety and excitement are the same physiological symptoms, how can you replace the two things? Isabelle wonders at her anxiety, which she is not bummed about, but knows that it’s a part of her, and also knows that it has served her and her people across the generations—like she feels less anxious when she has a very stocked pantry or fridge. How can that be turned into excitement? We’re talking about the interplay of epigenetics, and the interplay of how you lean into the anxiety. If you’re in the United States, you’d be hard pressed to not have a transgenerational history of trauma, and as men and women (and non-binary folx), we are treated differently and are rewarded for going to anger or anxiety. Men are traditionally reinforced for getting angry in the U.S.—it’s reinforcing for them, and it’s not great, and in the same way anxiety may be reinforced for women. Not that it’s so cut and dry and binary-based. David elaborates that his impulsivity has been viewed as confidence, whereas for women, it can be viewed as overemotionality, and can be shamed, or put in corners. David had to work really hard to find excitement, he was way more in that angry place, fighting any system, any person he could. When you get angry, you feel yucky afterwards for like two hours, and he met really good friends, had an amazing brother, and had good supports, and a lot of people don’t have that. And he had a choice in that moment whether to get anxious or excited. Isabelle is so grateful David shared that about himself and felt so seen, really resonating with the idea that whereas David’s impulsivity was viewed as confidence, hers was read as overreacting, or overdramatic. She describes how she makes big gestures and shrieks and has big reactions to things and how often she has to blunt them or try to mask them in her daily life. She also recognizes the layers of privilege she carries as a white, cisgendered woman, that she has gotten a lot of reinforcement for her anxiety. Her asking, let’s say, her kid’s teacher a detail-oriented question seems almost assumed, that she would be the one who needs to be vigilant about the details of things, whereas her husband, Bobby, is seen as winning the day if he gets the kids to school, even though he is more effective at this. How we’re socially viewed impacts how we think about it—perhaps Bobby running late is viewed as he was busy doing important things, whereas Isabelle names she has been conditioned to be extra apologetic and nervous and take it on as some awful thing that she’s running late. David goes into Tavistock group dynamics stuff (see show notes below)—based around the work of Wilfred Bion—where people learn how they are in a group. David was in a group and someone came in late and were overly explaining it, the group ended up attacking her about all her apologies—David named there is an art to being late, and it is this: acknowledging the inconvenience, ...
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    27 mins
  • Summer Starter Series: Why are decisions/transitions so easy/hard?

    Summer Starter Series: Why are decisions/transitions so easy/hard?
    Aug 14 2024
    Why do some of us minimize and reduce the number of choices while others seek excitement and novelty? Why do some of us need everything listed out while others need to just try something blindly? The secret? Different types of ADHD and different ways our ADHD shows up in different environments! David and Isabelle are joined by Bobby and Noah, who also have ADHD, and talk about things like trying to leave the house, deciding what to eat, and why their accommodations all look so different.-----Transitions and choices are hard. Isabelle and David are joined by Isabelle’s husband, Bobby, and David’s friend and fellow clinician, Noah, both of whom also have ADHD to talk about different types of ADHD. We don’t remember all the stuff we have to do to leave the house. Isabelle describes a detailed whiteboard and just how long it took to get into the habit of not forgetting things like lip balm. David puts everything into his bag at night. Isabelle has to do a one-touch rule. Noah’s and Bobby’s work bag are empty. Bobby’s really into minimizing things, which David points out is a wonderful intervention, especially for inattentive type— decision fatigue. Noah does this for going out, always ordering a blackened chicken sandwich. How exhausting it is to make decisions all the time. Noah’s experience in a blind restaurant. Bobby’s picky eating is connected to something ADHD-related—hypersensitivity around texture. David’s experience of this is big after decades of vegetarianism, experiencing the texture of meat for the first time (bacon and hot dogs are great. Other meat for him? Not so much). Isabelle references the Paradox of Choice book (TLDR) and describes the phenomena of randomly remembering facts she’s read, but struggling to remember what she read on command. Recognizing that when there is an overabundance of choice, we think we made the wrong one (or are left more disatisfied) because we always think we could’ve picked better. This relates to Isabelle’s reaction to Tinder as something that makes her nauseous thinking about it: too many choices. Same with old school diner menus. Or Cheesecake Factory menus. David agrees. Isabelle describes novelty seeking with food, whereas Bobby wants the same thing. David went to Superdawg and got everything on the menu he wanted because he couldn’t make a decision. Noah would go there, deliberate what to get for 20 minutes, and leave with nothing. Why do we all sound so different and yet similar? We’re talking about the distinctions between inattentive and impulsive ADHD types. What about combined type? Depends on the mastery of the environment: the more mastery, the more impulsive we can be, the less mastery, the more inattentive.What is Superdawg? If you’re in and around Chicago, you’re welcome to check it out. If you’re not, it’s still a fun place to look into. From the bottom of our pure beefy hearts. Paradox of Choice - book by Barry Schwartz (TLDR for Isabelle but an interesting summary appears on wikipedia). DEFINITIONSADHD types explained through how we order at a restaurant:inattentive type: struggles to figure out what to order, stares at menu (accommodations: always orders the same thing or same type of thing, asking the server for their choice/having the chef or someone else choose for you)impulsive type: orders three different entrees (to try them all), or the novel/strange seeming thing on the menu (accommodations: finding new places to eat or food bars where you can throw on whatever you want in that moment)combination type: see above and experience BOTH, often depending on your level of mastery/comfort (more mastery in the environment, the more your impulsivity shows up). Decision fatigue: the more decisions we make, the more our quality of decisions (or ability to do so well) deteriorates. Too many decisions can lead to an overwhelming feeling, burnout and poor decisions. Avoiding the complexity of decisions, can be an adaptive tool for individuals to preserve brain power for more important decisions, especially when the inattentive-type ADHD experience is loud. Here's an article on how to notice when it's happening to you.Hypersensitivity around texture: some textures are going to make people feel more yucky inside than you would think they could. Often times it can be really helpful to honor these sensitivities, and not try to push through them unless there's serious impact on food and nutrition.Here's a quick article on how to cope with hypersensitivities to sound, texture, taste, smell, etc. -----Cover Art by: Sol VázquezTechnical Support by: Bobby Richards
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    22 mins