Symptoms as Obstacles

Design composed of girl profile colorful fractal butterfly patterns and abstract lights on the subject of beauty creativity and imagination

I have ADHD. I’m sure I’ve always had it, but got diagnosed at 40 because I was tired of working so hard when focusing on things seemed easy for others. Since then, I’ve been on a daily medication, that helps quite a bit. I can focus on one thing for 90 minutes, which was nearly impossible before.

When you have symptoms of any disorder, or medical condition, that is your obstacle to overcome. Some things are overcome by medicine, others habits or routines, and some things will just be a struggle. But it is yours to overcome, and not an excuse for a lack of trying.

For example, let’s say you have asthma. Running a marathon may be a poor choice for you, and you should work with your body to do what makes sense. But if running a marathon was your life’s ambition, you might discuss it with your doctor, work up the stamina to run longer distances over time, and still carry your rescue inhaler. Your obstacle to work around is sustained lung capacity – which your body may or may not tolerate.

Since this is a mental health blog, let’s say instead that you have bipolar disorder which causes your mood to be both depressed then elevated with impulsivity. One way to balance that out is a mood stabilizer. You might also track your mood in a journal or on an app so you are prepared for when the manic phase is coming. Since you are impulsive when manic, you might give your credit cards to a trusted person during those days so you don’t overspend. Your obstacle is to work around the impulsivity and know when the manic phase will be arriving by tracking your mood.

Back to my ADHD example, I hate a task before a task. It takes an amount of executive function to begin a task that can be difficult to summon, so putting another in the way is frustrating and can make me want to quit. I know that my medication starts to wear off by 7pm, so I do well to get those high-executive-function tasks out of the way before then. A way this often comes up is in cleaning the cat box. I have to sweep the hall and laundry room of cat litter before I can get to the box. Sometimes I have to only sweep, and come back later to do the box. I can’t just not clean the box, so blaming ADHD is insufficient. I have to work around the obstacle of task-before-a-task frustration by separating it into two discrete tasks, and doing it before it is late in the evening.

Everyone has different obstacles, even within the same symptoms or diagnoses. That’s why cookie-cutter therapy does not work. We have to determine, for you, your obstacles, and how to help you work around them with grace.

Autumn Hahn is a Licensed Mental Health Counselor, Licensed Clinical Professional Counselor, and Certified Clinical Hypnotherapist practicing at Clear Mind Group in Florida, Georgia, Idaho, Nevada, New York, and Virginia. Call 407-494-5280 for a consultation. Follow Clear Mind Group on Twitter & Facebook.

ADHD in Adults and My Experience

October is ADHD-Awareness Month. I thought I’d speak to my experience.

I was diagnosed with ADHD in my 40s. Looking back, I see the early symptoms in my childhood – lots of daydreaming, easily distracted, unable to have single-focus. I was raised in the kind of home where manners were important and was taught to pay attention, entertain myself in quiet situations (like in a restaurant), and respect my elders and others. This meant I always had a book with me so I had something to occupy my mind, did not interrupt, waited my turn, and adhered to all of the social niceties. Interrupting, getting out of your seat, and being loud or messy are symptoms of ADHD in children, especially boys, that I did not display because I was taught that they were unacceptable behaviors. But when I think back to being in school, I remember looking out of the window for long periods of time, doodling in the margins of my notes, writing poems during class lectures, and other distractible behaviors that were unnoticed by others. In college, I applied the behaviors I learned growing up; I had good study skills and was always a straight-A student. College was not difficult for me, but did require a lot of reading and studying outside of class.

As an young adult, I had learned to make my brain work for me. I multi-tasked constantly and always had 15 tabs open in my brain’s computer, including one always playing music of some sort. Working in an office was fine for me, but keeping to a clock always bothered me. I’m super-efficient, and get a job organized in just a few months and am bored thereafter. I hate punching a clock and find that I have usually finished my 8 hours of work in a few hours, so why be chained to the desk before I’m allowed to leave? This caused me to feel resentment and I thought there was something wrong with how I thought about work, as people I talked to did not feel this way, and simply slacked off more during the day; I would rather slack off at home, where my video games were. I always worked and attended school, as well as raised my kid, was in a relationship, and managed both my home and my kid’s extra-curricular activity. I was so busy outside of work, that having down time at work felt unacceptable.

In my later adulthood and career, I own and run multiple businesses, write books, play and run D&D games, am always planning business ideas, and all the normal things like see my friends and do hobbies. This works much better for me. I set my own schedule, can work a few hours here and there, jump from project to project, and utilize lists to get multiple things done. I use the calendar to set up my tasks and be sure they are done; I live and die by my calendar. I have used the Sticky Notes app on my computer, with a different note for each “category” (each business, home things, writing) to stay organized.

In my 40s, I went to the psychiatrist and asked about being assessed for ADHD. He asked me for a list of my current projects and I told him to clear out his calendar for the rest of the day. I listed them (take a deep breath): 3 projects for my board-game business in various stages of readiness, building my counseling business (including counseling, seeing interns, doing the social media, marketing, bookkeeping, etc.), planning auditing as a service, writing a curriculum for treatment centers, planning online courses to sell, and writing a fiction novel. He did some testing and prescribed me a medication. I’ve been on it since, including a dose increase. It took about a month before I noticed the change I was looking for: decreased distractibility. I want to finish more projects, spend more time on a project once I’ve begun it, and be more satisfied with the work that I am doing. Medication has helped me with this focus.

Here are a few of my favorite videos on how ADHD symptoms present in adults, and they’re in bite-sized format, perfect for the mind that has trouble concentrating.

https://vm.tiktok.com/ZMdYrE9K1/

https://vm.tiktok.com/ZMdYrgHAD/

https://vm.tiktok.com/ZMdYrKkXL/

https://vm.tiktok.com/ZMdYrKbeD/

https://vm.tiktok.com/ZMdYh6Exv/

https://vm.tiktok.com/ZMdYrKDx8/

https://vm.tiktok.com/ZMdYhjUrD/

Autumn Hahn is a Licensed Mental Health Counselor, Licensed Clinical Professional Counselor, and Certified Clinical Hypnotherapist practicing at Clear Mind Group in Florida, Georgia, Idaho, Nevada, New York, and Virginia. Call 407-494-5280 for a consultation. Follow Clear Mind Group on Twitter & Facebook.

Entrepreneurs face Anxiety, Fear

0plateIn September, 2013, Inc. Magazine‘s Jessica Bruder discusses the issues that entrepreneurs face with regard to mental illness. They often suffer from depression, anxiety, attention deficit hyperactivity disorder (ADHD), or bipolar disorder. Entrepreneurs are often swept up in new ideas and bouts of creativity that are actually mania or can mirror the symptoms of mania or hypomania. When followed by doubt in their business or product, failure to see growth, failure to make certain incomes, or not achieving certain markers of success, there can be depressive feelings. If these phases cycle, it can mimic bipolar disorder, or be an expression of bipolar disorder. Anxiety is often found in the entrepreneur as he/she worries about product launch, deadlines, and if the business is “good enough” to be a hit. The tendency to jump form one part of the project to the next is often a marker for ADHD and adults with ADHD will gravitate toward work that allows them to function in time with their brain chemistry. Continue reading “Entrepreneurs face Anxiety, Fear”