How Adults with ADHD Think: Uncomfortable Truths About the ADHD Nervous System

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How Adults with ADHD Think: Uncomfortable Truths About the ADHD Nervous System
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If you grew up with ADHD symptoms, chances are you always felt “different.” Here’s a scientific explanation of the neurological underpinnings of behaviors and feelings associated with attention deficit hyperactivity disorder.

. They were told by parents, teachers, employers, spouses, and friends that they did not fit the common mold and that they had better shape up in a hurry if they wanted to make something of themselves.

It also means that people with ADHD aren’t good at ordination — planning and doing parts of a task in order. Tasks in the neurotypical world have a beginning, a middle, and an end. Individuals with ADHD don’t know where and how to start, since they can’t find the beginning. They jump into the middle of a task and work in all directions at once. Organization becomes an unsustainable task because organizational systems work on linearity, importance, and time.

Lurching from crisis to crisis, however, is a tough way to live life. Occasionally, I run across people who use anger to get the adrenaline rush they need to get engaged and be productive. They resurrect resentments or slights, from years before, to motivate themselves. The price they pay for their productivity is so high that they may be seen as having personality disorders.

But they rarely get away with it entirely. When they tune back into what has gone on while they were lost in their thoughts, the world has moved on without them. Uh-oh. They are lost and do not know what is going on, what they missed, and what is now expected of them. Their reentry into the neurotypical world is unpleasant and disorienting. To individuals with ADHD, the external world is not as bright as the fantastic ideas they had while lost in their own thoughts.

For a person with ADHD, information and memories that are out of sight are out of mind. Her mind is a computer in RAM, with no reliable access to information on the hard drive. People with ADHD may not be able to recognize the benefits of medication, even when those benefits are obvious. If a patient sees neither the problems of ADHD nor the benefits of treatment, he finds no reason to continue treatment.

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