Attention Deficit Hyperactivity Disorder

beetles-and-yarn

1 month ago

So real, esp when it's something like "we need to talk later" No, no. You don't get to do that to me, we talk now, thank you

A six panel comic explaining the difference between short-term waiting and long-term waiting. The comic is titled "Wait Times" and is made by Theresa Scovil. Panel 1: Honeydew holds up two bubbles. One is labelled "Short-term waiting" and the other is labelled "Long-term waiting". Honeydew says to the audience "There's a big difference between short-term waiting and long-term waiting." Panel 2: Honeydew cheerfully draws on their tablet while the "Long-term waiting" bubble floats by them. Narration says "With long-term waiting I understand that I'm free to do other tasks while I wait. I have the time." Panel 3: Honeydew sits on the couch while the "Short-term waiting" bubble floats by them. Narration says "With short-term waiting I freeze. I worry that if I start anything I'll miss what I'm waiting for." Panel 4: Honeydew sits on the couch looking stressed while they tap their knee with their hand. The "Short-term waiting" bubble starts to distort. Narration says "So if I'm told something will happen soon, but it doesn't for several hours, that's me stuck in short-term waiting, doing nothing, for hours!" Panel 5: Honeydew says to the audience "Being in short-term waiting mode for the long-term is so nerve wracking to me." Panel 6: Honeydew throws their arms up and yells "Think about it! Anxiety constantly rising while you're unable to do anything for hours!"

Having to wait a long time while in short-term waiting is so exhausting. I have trouble not getting angry at people who unintentionally put me in that state.

Tags

adhd waiting mode attention deficit hyperactivity disorder

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thesicus

2 years ago

Hi!

I've read your post on the science of ADHD and was wondering if you could help me? (Feel free to say no!)

I'm trying to find articles on that symptom where you're unable to do anything even when you want to. Tumblr seems to refer to it as Executive Dysfunction, but since that term is very broad I have been unable to find anything specifically on the above symptom. Do you have any tips? Do you have any idea whether it has a more defined "name"?

Again, don't feel any pressure to answer!

Kind regards,

Hello!

Well, I can try to help 😅

Ah, yes. I'm afraid that executive dysfunction is in fact the official scientific / medical term for this, and there isn't a more defined name for this – at least not an official medical or scientific one. But I see how that might be a bit frustrating when looking for resources to deal with a specific issue or situation.

Just to clarify, what kinds of "articles" are you looking for? Scientific articles, or popular media articles / lay literature?

What you could try to look for are specific presentations of ex. dys., specific ways in which it manifests; there are a number of lay terms that describe more specific aspects of it. For example some people talk about "decision paralysis", or "ADHD waiting mode" – obviously neither of those are official terms, but it may help you find more resources on them, especially in popular/non-scientific media.

If you're going for scientific literature itself (which I personally do recommend), consider looking for executive function instead. Executive function is a fundamental cognitive ability and plays a role in many many things, and thus has a lot of research to back it up. Try searching it in connection to ADHD, and that should lead you to some beginning at least.

Now, you say that you couldn't find anything for "that specific symptom" – a lot of the time, it is a matter of recognising how the same concept leads to different outcomes. So even if you don't find articles that describe your exact situation, the concept discussed in the article might still be helpful to understand your specific symptoms. Furthermore, while it is true that this "inability to do the thing" is often based in executive dysfunction, there are also motivational aspects that have to be considered in ADHD. By motivational aspects I do not mean that you do not want to do the thing, or that you are not trying enough to do the thing. Rather, the motivational circuits in ADHD brains are different from those in neurotypical brains, which can thus lead to some difficulties.

I am guessing part of what you are looking for are ways to deal with this kind of issue. In my experience, understanding it helps to work around most symptoms to a certain degree already, so I do thing that learning about the mechanisms of it is beneficial in any case. Still, there are hacks that help with ADHD paralysis – I'll list a few and how they might help. [All of these are based on urgency, novelty, or personal importance, which are generally the factors that determine how well ADHD vibes with a task or activity.]

The three second rule; sounds stupid, but try it out! If you're trying to start doing something that requires you to move (e.g. take a shower, make food, do the dishes – whatever) and you find yourself stuck on the couch/at your desk/in bed/on the floor, take a deep breath, count down from three, and when you reach 0 you have to move. It can be any movement, but since you're not giving your brain a lot of time to think, the easiest movement is usually to get up – which gets you started at the very least. Try to ride that momentum.

Pomodoros; time your tasks for mini-deadline pressure. Pick a thing to do, e.g. you want to draw because you like drawing, then set a timer to around 20-30 minutes (at least that's the norm, but hey you can also do 16 and a-half minutes!). Start the timer, and while it runs you focus only on the previously specified task. When it's done, take a break of 5-10 minutes (again, you do you), then the next timer starts. I use this a lot for studying and writing, because it creates little focus windows that are easier to handle.

Increase or decrease stimulation; music, fidgets, anything that vibes for you. Maybe the hurdle is that you're simply over- or understimulated – play around with your activity-environment to see if it makes a difference!

Body doubling; personal favourite, simply hang out with your friends! The presence of another being/person often helps to stay on task, and it can be energising (at least to extraverts like me)

External incentives or accountability; aka threats and bribes 😏 my favourite variant of this is a concept I introduced on several of my Discord servers – Drabbles for Dopamine, where people literally bribe each other with little drabbles so they do the thing. But this works with anything! Tell your friend that you want to be out of bed in 30 minutes and ask them to check in on you; the pressure of having someone else know often already is enough. If the "threat" of them checking is not enough, add a "bribe" to it, for example a picture of their pet – whatever is at hand and motivates you.

There is more of course, but those are the few that come to mind off the top of my head. Feel free to message me if you have questions about any of them.

Besides that, here are a few links that might be of interest:

Popular / non-scientific sources (sorted by how useful I think they'll be for you)

What is executive function and why do we need it? – How to ADHD (video)

ADHD and Motivation – How to ADHD (video)

Motivation | How to ADHD (YT playlist)

Executive Dysfunction & ADHD - when you can't 'do the thing' (article)

What is executive function? (ADDitude mag article)

Scientific articles / research (no particular order!)

Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review

Executive functions and adaptive functioning in young adult attention-deficit/hyperactivity disorder

Are There Executive Dysfunction Subtypes Within ADHD?

Disturbance of the emotion and motivation in the adhd: a dopaminergic dysfunction

Executive dysfunction in attention-deficit/hyperactivity disorder: cognitive and neuroimaging findings

Tags

adhd do the thing research attention deficit hyperactivity disorder executive dysfunction

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