TRANSCRIPT 🔗
WEBVTT
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Welcome to Hacking Your ADHD. I'm your host, William Kerb,
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and I have ADHD. On this podcast, I dig into
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the tools, tactics, and best practices to help you work
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with your ADHD brain. Hey team, this week I'm talking
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with Dr. Judy Ho, a clinical and forensic neuropsychologist with
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a PhD in clinical psychology. She focuses on mental health, ADHD,
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and various psychological disorders. She is triple board certified and
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is a tenured associate professor at Pepperdine University where she
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teaches graduate level psychology. In our conversation today, we talk
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about how ADHD can impact self-esteem, the importance of understanding
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your brain's wiring, and practical ways to manage attention and relationships.
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Dr.
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Ho shares insights in how cognitive behavioral therapy, CBT, can
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help train your attention and how reframing your thoughts can
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reduce self-sabotage. Also in our conversation, Dr. Ho shares some
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of her favorite strategies for improving focus, managing emotional regulation,
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and mindfulness to tackle ADHD challenges. Whether you're struggling with
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self-sabotage or finding it hard to keep up with tasks,
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This episode is packed with tips that will help you
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thrive with your ADHD. If you'd like to follow along
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on the show notes page, you can find that at hackingyouradhd.com
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slash 197.
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slash a slash hacking dash your dash ADHD. Or check
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for the link in the show notes. All right, keep
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on listening to find out how you can work on
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overcoming self-sabotage. So it's great to have you here to
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talk about ADHD. And I kind of wanted to start with,
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so you're triple board certified and licensed. And I don't
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know what triple board certified means.
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Well, it just means that I'm certified in different specialty
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areas across three separate boards. Board certification in psychology is
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not mandatory. It's an optional thing that you can do
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to essentially prove your expertise in more specialty areas where
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that might be important. So One of my specialty areas
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is neuropsychology. And even though you don't have to be
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board certified to practice neuropsychology, it's always better if you
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are because one, you're protecting your clients. Two, you're making
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sure that you're on top of the latest science. And three,
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it just builds trust between the people that you interact with.
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And when you're talking about this area of expertise and
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you feel like there's a base to draw from, that
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there's a certain standard, hopefully, that you're upholding. Awesome.
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Yeah, that's always kind of something I look for is like,
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what gives someone like the weight behind their words? And
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certainly with your quite well established background there, I'm like, yeah,
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this is someone worth talking to and listening to about
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their things, especially with in regards to ADHD. So I
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was kind of curious what really drew you to doing
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more stuff with ADHD?
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Well, one, I think it's just such an interesting clinical
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condition that's oftentimes misunderstood. And as a neuropsychologist, I naturally
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gravitate towards working with people who might have ADHD because
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usually to get a comprehensive workup, you go to a neuropsychologist,
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you get cognitive testing done to make sure that your
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attention problems are really coming from something that stems from
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ADHD rather than maybe, for example, depression or anxiety or
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a variety of other reasons. And so, one, I think
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it was just a natural gravitation. But two, I think
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that it's often misunderstood. So sometimes people who have ADHD,
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and especially when they're young, they're getting diagnosed or they
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just feel different. It really affects their ability to have self-confidence,
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to feel like they can affect positive change in their life.
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And it really affects so many different areas. And sometimes
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when individuals are pretty bright, they can hide
that for
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a really long time. So they don't even show the
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outside world, how much they're actually struggling on the inside.
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And then by the time they reach adulthood, maybe they've
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written off certain careers or certain activities because they have
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these potential weaknesses in their skill sets. And yet there's
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a lot we can do to overcome that. But they've
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essentially relegated themselves into a certain type of career or say,
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these are the only hobbies I can do, but not
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these other ones. And then they're limiting themselves in terms
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of how much they could really achieve.
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Yeah, I absolutely see that, especially with being able to
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kind of mask your symptoms and then being just like, oh,
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this is just how everyone is. And in the long run,
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that's really detrimental, even though in the short term, it's like, oh, yeah,
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I'm just like everyone else. I'm not causing problems. I
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do see that being a big piece with the problem
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with how ADHD is currently diagnosed is often like who's
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being the most disruptive.
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Right.
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That's why I think partially why we see such a
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higher amount of people with the hyperactive diagnosis rather than
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the inattentive, just because the hyperactive does tend to be
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a lot more disruptive.
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Right, exactly. And when you think about in the classroom,
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children who have more of that hyperactive, impulsive form of ADHD,
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they're the ones that the teachers are going to really
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notice right away and say, oh, I got to get
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this kid to be seen by somebody, an educational psychologist,
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tell the parents what's going on. And then you have
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these quieter individuals who are just struggling with their inattention.
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Maybe they're daydreaming more. They're looking around. But hey, they're
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not being disruptive. And you've got a class of 30
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people to manage. So who are you going to identify first?
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And who ends up escaping that
diagnosis when maybe they
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should be diagnosed so that they can get additional support?
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And then just, I think, also an explanation for why
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they might struggle with certain things. You know, I think
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that that's always so important. When I talk to my clients,
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as they get older, maybe they're a teenager or they're
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an adult, you know, they say, well, I've always felt
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different when I was a kid, but I never knew why.
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And that during such a crucial time for the foundation
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of who you are and understanding your place in the world,
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that can be so hard to overcome at a later age. Yeah.
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Well, especially if you build up this internal monologue about
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yourself of like, I struggle with things that are simple
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for other people. And therefore that's me just being kind
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of a bad person. Overcoming that like Internal talk like
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and not realizing, oh, there is a reason that I
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struggle with these things that take executive function to do.
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Yeah, exactly. And I think that oftentimes kids from a
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very young age will put labels on themselves like. oh,
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I must be stupid. You know, I'm not smart. And
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most of the times that's absolutely not the case. I
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know so many brilliant people who have ADHD, but in
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terms of their own internal monologue and what they tell themselves,
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and especially when they have a failure of some sort,
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which all of us have, or make a mistake, you know,
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their first thought is, well, that's why, because I'm stupid.
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That's why I couldn't do this. And it's such a
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tragedy in some ways, because I think that you end
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up really boxing yourself in and then you tell yourself
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that you can't succeed and it becomes a self-fulfilling prophecy
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over time. Yeah.
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I mean, it always kills me so much when I
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hear my kids like I'll have to correct them on something.
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And they're like, oh, I'm stupid because I'm like, no,
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you're not stupid, especially if it's like related to like ADHD.
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It's like that's not what's going on here.
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I think that that sometimes as they get older, it
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even affects so many other areas of their life, not
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just a career achievement, but even just personal achievement of
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any sort. it kind of generalizes into other areas. Like
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they don't even think that they can achieve fitness goals,
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for example, even though that may have nothing to do
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at all with the way that their brains work in
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ADHD or just in relationships. They'll have more problems in
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their relationships. And I think part of it is just because, again,
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when you're somewhat inattentive, you know, the biggest complaint that
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I get from spouses and partners is, of people with
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ADHD is, well, I've just felt like this person's never
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listening to me and maybe they don't care. And they're
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even hiding their ADHD from their partner, or maybe they
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don't even know that it's ADHD. And then it's causing
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all this relationship conflict and they're having difficulty having meaningful
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relationships when they really should be able to.
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Personally, I've had this thing where, especially when I'm driving
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and my wife will start talking to me, I'm paying
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attention to something else. And then halfway through her story,
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I'll just come into stoplight or something and be like, Well, no,
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she's been talking and I don't even know when she started.
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Oh, my gosh.
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And it's fortunately so I've been able to be like, hey,
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I wasn't listening. Can you start over so that I
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can actually pay attention to what you're saying? And especially
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reframing it like I want to hear what you're saying.
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I just wasn't paying attention and I'll try better next time.
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Yeah, that's such a great reframe. And also if your spouse, partner, friend,
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whoever you're talking to understands that, hey, you know what?
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This is something that I struggle with from time to time,
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but
I'm acknowledging it. And also, like you said, the
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positive side of it, which is I don't want to
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just pretend I heard what you said. I actually want
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to know what you said. So can you start over
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so I can really understand what it is that you're
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talking about? I think that's so great.
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Yeah, because it is very easy to just be like, oh,
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I'll just pretend. But that's where you get a lot
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of the conflict is because then they're like, oh, and
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what do you think? And you're like, I don't know
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how to respond to this anymore.
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Exactly. And then I think that that causes frustration so
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much more when somebody is maybe in that phase of
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still trying to hide their ADHD, because sometimes the spouse
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or the partner will interpret that as, oh, well, they
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just don't really care about me or what I have
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to say. And it's not true. People with ADHD, sometimes
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they have a harder time switching gears too. So maybe
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they are focusing on one thing and they're thinking, well,
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I'm going to transition right now, but you can't just
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expect them to make that transition sometimes within a couple
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of seconds. It might take them a few minutes to
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settle into a new routine, a new task. And so
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I think it just helps when you understand, okay, well,
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the ADHD brain works somewhat differently with different things. And
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if the person doesn't have ADHD, they're with somebody who
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has ADHD, it could take a little while, a little
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negotiation to understand each other. Absolutely.
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Because it's just reading into things that aren't really there
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because the brains are just wired a little bit differently.
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And even when I'm like dealing with, you know, my
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kids and being like, okay, if I want to ask
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them to do something, I have to really get their
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attention first. If I just go, you know, ask a
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question and I don't get any responses, it's because they
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probably literally didn't hear me and never entered their brain
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that I was talking.
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Exactly. And again, once you understand that, it helps so
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much more to have good communication and to not feel
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like it's willful, right? Because that's also what I hear
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all the time. from people who have ADHD is, oh, well,
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people in my life think that I'm just doing it
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on purpose to annoy them, but it's not on purpose.
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And I think that even that understanding can really help
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boost relationships and have people then have a deeper understanding
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of one another.
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Yeah, absolutely. Because it's just so hard to, without that
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communication piece, to move forward. Because since it's such an
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internal condition, that does seem willful if you're not aware
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of it.
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I think that that's even more of a challenge for
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people who are smart, who are super capable, who are successful.
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Because I think from the outside, the other person might
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be saying, well, I don't get it. You're so great
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at all these other things, or I know you're smart.
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So why can't you do this? Or why can't you
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understand that? And I think that that also creates some
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difficulty in relating because it's almost like a double-edged sword.
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You're smart, you're talented. And then people just expect that
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it should be that way across the board. But people
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with ADHD often have to work very hard to achieve
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success because of some of the rewiring of the brain
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that they have to do to get certain things done.
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And yet the people that they're in relationships with, they
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may not see that struggle or those workarounds.
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And it's funny too, because I'll do the same thing
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to myself with, I'm just like, why is this so hard?
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I can do all these other things. It's like, why
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is getting the trash out of my car something that
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I'm always struggling with? That shouldn't be an issue.
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Right. And that's such a good example of that there's
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all these complicated things that you're able to do. And
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then it's something that feels basic, but also in just
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in terms of the way that people who have ADHD,
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the prioritizing of things that that really causes more cognitive
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impact than maybe the average person who doesn't have ADHD.
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So it's like, Well, if it's kind of a lower
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thing on the totem pole of priorities, that's the things
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that get kind of written off and put off. And
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they're able to say, okay, this is my first priority day,
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so I can get this done. But then by the
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time they get that done, their brain is already exhausted.
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That cognitive strength is already kind of diminished. And like
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the last thing you'd want to do is go and
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pick up a couple of pieces of trash from your car. Yeah.
285
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Even today, I was like looking at my calendar and
286
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being like, okay, I have this interview at one. I
287
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should make sure that I schedule in lunch. And then
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I kind of put that off and I put that off.
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And then about like 20 minutes before we got on,
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I'm like, oh, I should eat something before I get on.
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And it's baffling even to myself how I can like
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ignore hunger cues until I really need to do that now.
293
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Yeah. Yeah. It's like, I think it's because your brain
294
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is focused on something and it makes it harder to
295
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also be integrating everything else at that same time. And
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that's probably one of the biggest challenges as we become adults, right?
297
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And we have increasing numbers of responsibilities and tasks to do.
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And then people are coming at us with more and
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more things to do throughout the day. And yeah, some
300
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of those basic tasks just go to the wayside when
301
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you have to manage all of those other things.
302
00:14:27.850 --> 00:14:29.950
So one of the interesting things I saw was that
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you have your book, Stop Self-Sabotaging. And I actually recently
304
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did an episode based off the song, My Own Worst Enemy,
305
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because I was feeling like that is like something that
306
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like often people with ADHD feel like they are their
307
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own worst enemy, that they're always self-sabotaging themselves.
308
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Yeah. Yeah, that's such a good point. And I think
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that oftentimes what we see with people who have ADHD
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is that there's forms of procrastination that are happening. And
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that I think is one of the more common forms
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of self-sabotage is, you know, you could be so excited
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about an idea and you really care about this project.
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And yet somehow it just takes forever to get things started.
315
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And self-sabotage is a universal phenomenon. It happens to everybody,
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not just people with ADHD. But I think with people
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with ADHD, even for themselves and their own understanding, it's
318
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so hard to have self-compassion sometimes. It's hard for you
319
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to say, oh, actually, maybe part of the reason why
320
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I'm self-sabotaging is because of the way my brain works
321
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due to ADHD. Because as adults, you want to take
322
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maybe some more responsibility. You're like, well, is that just
323
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an excuse or is that what's really going on? But
324
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people who have ADHD, they do struggle to execute tasks
325
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in an orderly fashion and efficiently. And that's just a
326
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constant struggle that they have to work through. And most
327
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people with ADHD, they're just trying to find different ways
328
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to be more efficient. And sometimes those experiments, maybe they
329
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don't go so well, but it's hard because your self-esteem
330
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does take a hit every time something doesn't go the
331
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way that you had planned in your head. Absolutely.
332
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And I think we also have this tendency to look
333
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back with these rose-tinted glasses and be like, oh, I
334
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could have done all these things. And then I look
335
00:16:05.490 --> 00:16:07.529
back and I'm like, oh yeah, that's also that time
336
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when I hurt my leg or something and I couldn't
337
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move around. And I'm like,
that might explain why I
338
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wasn't doing as much as I should the past couple
339
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of months.
340
00:16:14.570 --> 00:16:17.490
Yeah, that's right. I feel like people with ADHD are
341
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often the hardest on themselves, much harder on themselves than
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even people around them, just because for most people, they've
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noticed these differences from a young age and they've been
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trying to compensate ever since. And so Yeah, I think
345
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that that was a really good example of how that
346
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could manifest that a lot of times people will just say, oh,
347
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my gosh, like, was that my fault? Like, there's almost
348
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a questioning, almost like you're unsure. And maybe half the
349
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time you should take some responsibility. But I feel like
350
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a lot of the time they feel over responsible. And
351
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that's hard because when you fill your mind with negative
352
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ideas about yourself, it's so much harder to overcome that hurdle, too.
353
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So it becomes definitely a vicious cycle. Yeah.
354
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And it's especially with something with like rejection sensitive dysphoria
355
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where your brain is kind of actively looking for these
356
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things to be like, I want to make myself feel bad.
357
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Right.
358
00:17:04.519 --> 00:17:06.579
Like a better way to say it. But that is
359
00:17:06.640 --> 00:17:09.539
often how I like in retrospect think about the RSD
360
00:17:09.599 --> 00:17:11.539
is being like, my brain was just trying to make
361
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me feel bad because maybe it's just that was the
362
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stimulation it wanted at the time.
363
00:17:15.730 --> 00:17:19.150
Yeah, exactly. And sometimes we do need that. Right. And
364
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I think there's always a balance. You know, you can't
365
00:17:21.450 --> 00:17:24.890
constantly be productive. You know, it's also important for your
366
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brain to disengage from that fight or flight feeling and
367
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to actually be in rest and relaxation, because actually that's
368
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how we learn best. You know, we learn the most
369
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when we're able to take our time to absorb information.
370
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If we constantly feel like everything's an emergency. then your
371
00:17:38.299 --> 00:17:41.039
brain is operating in that state of emergency. And in
372
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a state of emergency, you're not going to be making
373
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room for novel information. It's more just about, well, what's
374
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it going to take to survive and get out of
375
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this situation? And so it becomes very basic, actually. And
376
00:17:51.670 --> 00:17:54.890
so I think more than anything, people with ADHD probably
377
00:17:55.250 --> 00:17:58.549
have to give themselves more time for self-care and more
378
00:17:58.630 --> 00:18:01.269
time to get into that rest and relaxation state than
379
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the average person because they need that for their brains
380
00:18:04.130 --> 00:18:05.309
to be able to work at their best.
381
00:18:05.640 --> 00:18:07.259
This is something I've been thinking about this week because
382
00:18:07.279 --> 00:18:09.680
I've been just getting the kids back into school mode
383
00:18:09.720 --> 00:18:11.799
and feeling extra tired and being like, I don't want
384
00:18:11.839 --> 00:18:13.720
to take that time for rest. And then when I
385
00:18:13.740 --> 00:18:15.869
do rest, it's hard. And one of the things I
386
00:18:15.880 --> 00:18:19.769
was specifically thinking about is often the act of resting
387
00:18:20.049 --> 00:18:22.230
isn't interesting enough for me. So if I'm trying to
388
00:18:22.250 --> 00:18:25.109
take a nap or just chill out, my brain doesn't
389
00:18:25.190 --> 00:18:27.190
want it. I'm like, oh, I need a little extra
390
00:18:27.210 --> 00:18:31.769
stimulation or relaxation. It can't just be low stimulation. It
391
00:18:31.789 --> 00:18:33.430
needs to be with a little bit something. So I'm
392
00:18:33.450 --> 00:18:36.420
not really pushing too hard, but still getting something there.
393
00:18:36.740 --> 00:18:39.059
Yeah, it makes sense. You kind of want a little
394
00:18:39.079 --> 00:18:41.519
bit of that novelty, but not so much where you're
395
00:18:41.539 --> 00:18:44.500
getting into a super stressed out mode. One thing that
396
00:18:44.539 --> 00:18:47.460
I like to recommend for my clients is to try
397
00:18:47.480 --> 00:18:49.220
to find activities that help them to get in a
398
00:18:49.259 --> 00:18:52.309
state of flow. So maybe you've heard of this too, William,
399
00:18:52.349 --> 00:18:54.289
but that state of flow is actually something that you
400
00:18:54.329 --> 00:18:57.319
do that is pretty active. So A state of flow
401
00:18:57.519 --> 00:19:00.660
is not achievable if you're just vegging out watching Netflix.
402
00:19:01.400 --> 00:19:03.980
It's more something that's active so that there's a bit
403
00:19:04.019 --> 00:19:06.900
of a challenge, but not so challenging. And then you
404
00:19:06.960 --> 00:19:09.650
feel like your skill level is pretty good. It doesn't
405
00:19:09.670 --> 00:19:12.450
have to be the best, but you feel generally somewhat
406
00:19:12.509 --> 00:19:15.869
competent at this hobby or this
activity. And that's how
407
00:19:15.910 --> 00:19:17.430
we get into a flow state. And so you can
408
00:19:17.470 --> 00:19:20.109
actually get into a flow state with reading, but instead
409
00:19:20.150 --> 00:19:22.910
of passively turning the page, it's about actively making notes
410
00:19:22.930 --> 00:19:25.390
in the margin or doing a voice memo to yourself.
411
00:19:25.849 --> 00:19:27.869
And I also find that people with ADHD tend to
412
00:19:27.910 --> 00:19:30.549
get into flow activities a little bit better when it
413
00:19:30.650 --> 00:19:34.250
is multimodal. So something that's visual, but also they're hearing it.
414
00:19:34.910 --> 00:19:38.069
There's more than one type of exposure that can help
415
00:19:38.089 --> 00:19:40.809
them be engaged and get into flow. So I totally
416
00:19:40.829 --> 00:19:42.990
hear what you're saying. Also, when I talk to my
417
00:19:43.049 --> 00:19:46.049
ADHD clients about practicing mindfulness, they're like, oh, God, I'm
418
00:19:46.089 --> 00:19:48.470
not going to just sit there cross-legged and meditate. And
419
00:19:48.490 --> 00:19:50.420
I tell them, yeah, you know what? I don't like
420
00:19:50.440 --> 00:19:53.490
that either. And my form of mindfulness is actually being active.
421
00:19:53.569 --> 00:19:56.309
So It can be a walking mindfulness where you're just
422
00:19:56.369 --> 00:19:59.190
trying to take in the environment around you and really
423
00:19:59.289 --> 00:20:02.569
being present. It could also be what I call practical mindfulness,
424
00:20:02.630 --> 00:20:06.079
which is doing an activity singular mindedly. So these are
425
00:20:06.210 --> 00:20:08.819
basic things. You can be taking a shower mindfully. You
426
00:20:08.839 --> 00:20:12.279
can be washing dishes mindfully, folding the laundry mindfully. But
427
00:20:12.319 --> 00:20:14.819
the whole point is not doing five things at once, right?
428
00:20:14.839 --> 00:20:17.200
Because most people are like doing their laundry and listening
429
00:20:17.220 --> 00:20:19.240
to a podcast. And at the same time, they're doing
430
00:20:19.259 --> 00:20:21.289
some other thing like thinking about their to-do list for
431
00:20:21.329 --> 00:20:23.920
the day. And I think that those active forms of
432
00:20:23.980 --> 00:20:26.700
mindfulness are probably a little bit easier for people with
433
00:20:26.720 --> 00:20:27.579
ADHD also.
434
00:20:27.839 --> 00:20:29.880
Yeah, I think doing that thing where the idea of
435
00:20:29.900 --> 00:20:33.109
like single tasking, but being very focused on that task.
436
00:20:33.130 --> 00:20:35.890
Because often it's when I'm like bored with a single task,
437
00:20:35.930 --> 00:20:38.109
it's because I'm thinking about something else and I'm doing this.
438
00:20:38.130 --> 00:20:39.829
I'm just trying to get on to the next thing.
439
00:20:39.890 --> 00:20:41.569
But if I'm like, oh, I'm folding the towels and
440
00:20:41.589 --> 00:20:43.279
I'm feeling
how the towels feel.
441
00:20:43.299 --> 00:20:43.380
Yeah.
442
00:20:44.099 --> 00:20:45.579
Really paying attention to what I'm doing.
443
00:20:45.859 --> 00:20:48.980
Exactly. And it's also so much more enjoyable. I mean,
444
00:20:49.099 --> 00:20:51.500
I personally find that if I can be mindful while
445
00:20:51.519 --> 00:20:53.720
I'm folding my laundry, it's actually a little bit easier
446
00:20:54.220 --> 00:20:56.500
than if I'm already thinking about, I need to rush
447
00:20:56.539 --> 00:20:58.279
through this so that I can do this next thing.
448
00:20:58.420 --> 00:21:00.900
You know, it can actually make it a lot nicer
449
00:21:00.980 --> 00:21:03.259
of a chore than it otherwise would be. Yeah.
450
00:21:03.279 --> 00:21:06.960
Because when we're distracted, it's when it's the most unenjoyable.
451
00:21:07.019 --> 00:21:08.440
I'm like, I'm just doing this thing until I get
452
00:21:08.460 --> 00:21:09.069
to the next thing.
453
00:21:09.369 --> 00:21:10.660
Exactly. Exactly.
454
00:21:11.460 --> 00:21:13.380
One of the things that I've seen most talked about
455
00:21:13.400 --> 00:21:16.960
a lot for the effectiveness for treating ADHD through therapy
456
00:21:17.039 --> 00:21:19.880
is the cognitive behavioral therapy. And I kind of wanted
457
00:21:19.930 --> 00:21:21.589
to hear a little bit more about your thoughts on
458
00:21:21.609 --> 00:21:22.150
that aspect.
459
00:21:22.670 --> 00:21:25.829
Cognitive behavioral therapy is so great because they're concrete skills
460
00:21:25.869 --> 00:21:28.809
that you can learn to train your brain. And that's
461
00:21:28.829 --> 00:21:31.039
what I really like about it because it's really hands-on
462
00:21:31.160 --> 00:21:33.940
and you're giving people tools that can change their life
463
00:21:34.039 --> 00:21:38.460
right away. So cognitive behavioral therapy traditionally doesn't focus so
464
00:21:38.539 --> 00:21:40.960
much on, you know, okay, like, let's go all the
465
00:21:41.000 --> 00:21:43.220
way back to your childhood to see when these patterns
466
00:21:43.259 --> 00:21:46.109
were established. It's much more in the here and now, like, okay,
467
00:21:46.230 --> 00:21:48.650
this is a problem that you're struggling with. Let's see
468
00:21:48.690 --> 00:21:50.670
how we can solve it. And so I think that
469
00:21:50.730 --> 00:21:54.190
definitely has its place and is very effective in helping
470
00:21:54.230 --> 00:21:57.690
people with ADHD overcome certain difficulties. One of the things
471
00:21:57.710 --> 00:22:00.759
that I love showing my clients how to do is
472
00:22:01.119 --> 00:22:04.500
a technique to train their attention the way that you
473
00:22:04.539 --> 00:22:07.920
might train physically, you know, like going from walking to
474
00:22:07.980 --> 00:22:10.859
jogging or like gradually lifting more and more weights. And
475
00:22:10.900 --> 00:22:13.140
I try to explain that, you know, your attention is
476
00:22:13.240 --> 00:22:16.849
actually a trainable skill. And when you have ADHD, maybe
477
00:22:16.869 --> 00:22:18.970
you're starting at a place where that skill isn't as
478
00:22:19.009 --> 00:22:22.150
strong as the average person, but in the end, you
479
00:22:22.190 --> 00:22:25.170
can train it up and be better than you were
480
00:22:25.210 --> 00:22:29.089
maybe yesterday or a month ago. And the This activity
481
00:22:29.170 --> 00:22:32.460
essentially just involves you picking a task that you have
482
00:22:32.500 --> 00:22:36.539
to do and then setting the timer on your phone for,
483
00:22:36.640 --> 00:22:39.490
let's say, 15 minutes to start, you know, make sure
484
00:22:39.529 --> 00:22:41.910
before you start this task that you get rid of
485
00:22:41.950 --> 00:22:44.349
all the distractors. So, you know, get the snack, you know,
486
00:22:44.390 --> 00:22:46.549
have a waters, you know, go to the restroom so
487
00:22:46.569 --> 00:22:48.250
that you can't in the middle of the task say, oh,
488
00:22:48.289 --> 00:22:50.190
now I got to go do this thing. And then,
489
00:22:50.329 --> 00:22:52.710
you know, of course, close up anything that could be distracting,
490
00:22:52.750 --> 00:22:55.950
like your phone's notifications are off, et cetera. And then
491
00:22:56.109 --> 00:22:57.970
you just sit down to do this task. And then
492
00:22:57.990 --> 00:23:00.950
you also bring with you a piece of scratch paper
493
00:23:01.269 --> 00:23:03.509
and a writing utensil. And that's it. So then you
494
00:23:03.549 --> 00:23:05.930
start the timer, you start doing the task, and you're
495
00:23:05.950 --> 00:23:08.170
going to notice that, you know, pretty soon in your
496
00:23:08.230 --> 00:23:10.690
thought is going to wonder and you're going to say, oh, well,
497
00:23:10.869 --> 00:23:12.289
maybe I need to do this other thing or I
498
00:23:12.309 --> 00:23:15.039
have to go shopping later or, oh, we need more milk.
499
00:23:15.099 --> 00:23:17.920
Like whatever happens, all you're going to do is turn
500
00:23:17.960 --> 00:23:21.069
to that piece of paper. Jot down in shorthand what
501
00:23:21.089 --> 00:23:23.089
that thought was. Don't spend any more time on it.
502
00:23:23.109 --> 00:23:24.789
Just write it down and then go right back to
503
00:23:24.829 --> 00:23:27.329
the task. So you keep doing this throughout the 15 minutes.
504
00:23:27.349 --> 00:23:29.609
And then when the timer goes off, you can check
505
00:23:29.710 --> 00:23:32.650
that scratch paper next to you just to kind of look, okay, well,
506
00:23:32.869 --> 00:23:34.609
this thought was nothing. That's not anything.
507
00:23:34.630 --> 00:23:34.970
Oh, okay.
508
00:23:34.990 --> 00:23:36.450
But I do have to go get more milk. So
509
00:23:36.470 --> 00:23:38.250
that was something that I could probably put on my
510
00:23:38.269 --> 00:23:40.670
to-do list because that's important. But essentially what you're going
511
00:23:40.690 --> 00:23:43.230
to find
is that over time, you will be able
512
00:23:43.259 --> 00:23:46.279
to do longer and longer periods of time like this
513
00:23:46.299 --> 00:23:49.670
where you're just focused on one task. And then because
514
00:23:49.710 --> 00:23:53.190
you have this sort of like capture technique, you're always
515
00:23:53.230 --> 00:23:56.309
going to be able to return to whatever random meandering
516
00:23:56.349 --> 00:23:59.289
you had, especially if it was important for some reason.
517
00:23:59.670 --> 00:24:01.019
And most of the times you're going to find that
518
00:24:01.039 --> 00:24:03.220
you just have all these random thoughts and they don't
519
00:24:03.259 --> 00:24:06.539
really actually matter. And also over time, as you do
520
00:24:06.599 --> 00:24:08.559
this exercise and train your brain, you're going to find
521
00:24:08.599 --> 00:24:10.920
that less and less of your thoughts are going to
522
00:24:10.940 --> 00:24:12.980
be those that kind of don't make a difference. They're
523
00:24:13.000 --> 00:24:15.240
just trying to pull you away. And more and more,
524
00:24:15.640 --> 00:24:17.309
your thoughts are really going to be things like, oh,
525
00:24:17.329 --> 00:24:19.119
this is actually an important task I have to attend
526
00:24:19.140 --> 00:24:22.450
to later. So I've helped my clients use this technique.
527
00:24:22.789 --> 00:24:26.170
It's very, very simple in theory. And if you just
528
00:24:26.329 --> 00:24:29.470
start with one task a day for 10, 15 minutes,
529
00:24:29.529 --> 00:24:31.390
the next week you can go up to 20 minutes
530
00:24:31.450 --> 00:24:33.849
for one task. And then the next week you can
531
00:24:33.890 --> 00:24:35.829
go up to 25 minutes for a task. And that's
532
00:24:35.869 --> 00:24:38.109
how you can strengthen your attention muscle.
533
00:24:38.500 --> 00:24:41.319
That sounds like a great way to really get yourself
534
00:24:41.380 --> 00:24:43.769
to pay attention to what you're doing and then build
535
00:24:44.069 --> 00:24:44.829
into other skills.
536
00:24:45.339 --> 00:24:47.440
Yeah, build into other skills. And I also think that
537
00:24:47.539 --> 00:24:51.680
this is an especially great training technique for tasks you
538
00:24:51.720 --> 00:24:54.119
really don't want to do, like paying bills. You're like,
539
00:24:54.279 --> 00:24:57.099
that's so boring. But if you can tell yourself, well,
540
00:24:57.119 --> 00:24:58.380
I just have to sit down and do it for
541
00:24:58.380 --> 00:25:01.190
15 minutes. You know, most people can tolerate 15 minutes
542
00:25:01.210 --> 00:25:03.349
without too much distress. And so I think it can
543
00:25:03.390 --> 00:25:05.990
really help with tasks that you really don't want to do.
544
00:25:06.230 --> 00:25:09.089
That's a good one to use these types of techniques on.
545
00:25:09.779 --> 00:25:11.160
And then, like you said, you can build it into
546
00:25:11.240 --> 00:25:13.140
other skills. It's like, OK, well, now I
feel more
547
00:25:13.180 --> 00:25:15.539
confident that I can do something for 30 minutes at
548
00:25:15.559 --> 00:25:17.980
a time and not feel so much distress. And now
549
00:25:18.039 --> 00:25:20.400
I can maybe tackle that big project that I've been
550
00:25:20.440 --> 00:25:22.549
putting off for a week because now I have more
551
00:25:22.589 --> 00:25:24.349
confidence in my ability to focus.
552
00:25:24.829 --> 00:25:26.549
The other thing was also make me think about it.
553
00:25:26.569 --> 00:25:29.089
So the getting set up part really reminded me of
554
00:25:29.130 --> 00:25:31.690
how I sit down to write episodes, making sure I
555
00:25:31.730 --> 00:25:34.109
have everything in place, having something to take notes on
556
00:25:34.170 --> 00:25:36.049
on the side so that I can sit down and
557
00:25:36.170 --> 00:25:38.670
just focus. And then combining with that idea of like, yeah,
558
00:25:38.730 --> 00:25:41.180
everyone should have about 15 minutes they can do these things.
559
00:25:41.400 --> 00:25:43.180
And then if that's not the case where you're like
560
00:25:43.180 --> 00:25:46.660
15 minutes would be impossible for me, then go non-judgmentally like, well,
561
00:25:46.900 --> 00:25:49.299
why not? What is keeping that from happening? Is it
562
00:25:49.319 --> 00:25:51.019
just the thoughts or is it because I have so
563
00:25:51.039 --> 00:25:53.240
many distractions in place already? Like I don't have a
564
00:25:53.259 --> 00:25:55.240
place I could sit down without distractions or something.
565
00:25:55.539 --> 00:26:01.089
Yeah, that's such a great point. I And that's what's
566
00:26:01.130 --> 00:26:03.750
taking us away rather than what's really going on. And
567
00:26:04.029 --> 00:26:06.970
I found that sometimes, you know, especially after COVID and
568
00:26:06.990 --> 00:26:09.470
the height of COVID, some of my work is from home,
569
00:26:09.569 --> 00:26:11.349
you know, much more than it used to be. And
570
00:26:11.450 --> 00:26:13.920
sometimes it is too distracting to be at home and
571
00:26:13.960 --> 00:26:16.279
to do this work because, you know, you're always pulled
572
00:26:16.319 --> 00:26:18.039
away by something like, oh, I could also be doing
573
00:26:18.059 --> 00:26:20.519
my laundry in between or, you know, there's always something else.
574
00:26:20.940 --> 00:26:24.170
And so sometimes I will just go to a coffee
575
00:26:24.210 --> 00:26:26.569
shop or go to the library and say, I'm just
576
00:26:26.589 --> 00:26:28.609
going to do this for the next hour to two
577
00:26:28.650 --> 00:26:30.299
hours so that I can actually really focus. I mean,
578
00:26:30.359 --> 00:26:32.960
I think that focusing has become harder and harder and
579
00:26:33.000 --> 00:26:35.900
harder because sometimes I'll be on my laptop working on
580
00:26:35.920 --> 00:26:38.769
a neuropsych report and then I'll have five emails come
581
00:26:38.849 --> 00:26:40.670
in and it's like popping up and I'm thinking, oh
582
00:26:40.690 --> 00:26:42.289
my gosh, I have to stop and email them back
583
00:26:42.329 --> 00:26:44.089
right now. And so I think that whether you have
584
00:26:44.130 --> 00:26:47.269
ADHD or not, attention is a hard thing to have
585
00:26:47.309 --> 00:26:50.269
these days, especially with how much technology is just constantly
586
00:26:50.309 --> 00:26:52.650
disrupting our ability to pay attention.
587
00:26:52.970 --> 00:26:54.839
I mean, that's one of the interesting things I see
588
00:26:54.880 --> 00:26:56.220
with people being like, oh yeah, I used to be
589
00:26:56.259 --> 00:26:58.079
able to read so much and I find it so hard.
590
00:26:58.119 --> 00:27:00.119
And I'm like, well, when you're trying to read, do
591
00:27:00.160 --> 00:27:01.819
you have your phone right next to you? Do you
592
00:27:01.839 --> 00:27:05.099
have this like easy out whenever things get boring? And
593
00:27:05.119 --> 00:27:06.799
I'm like, It is harder for me to read when
594
00:27:06.859 --> 00:27:08.579
I have that easy out right next to me. But
595
00:27:08.619 --> 00:27:10.400
if I'm sitting on a plane and I don't have
596
00:27:10.440 --> 00:27:12.440
anything else to do, that's real easy to read.
597
00:27:13.039 --> 00:27:15.980
Oh, the best. You're so focused on the plane. Yeah.
598
00:27:16.039 --> 00:27:17.980
You know, when I fly, I try not to tap
599
00:27:18.059 --> 00:27:20.990
into the Wi-Fi. Like sometimes if I have to work
600
00:27:21.009 --> 00:27:22.509
when I'm on a plane, yes, I will. But like
601
00:27:22.730 --> 00:27:25.440
if I don't, It's so nice because then you just
602
00:27:25.539 --> 00:27:29.740
do like the in-flight activities and they're kind of simple,
603
00:27:29.779 --> 00:27:31.859
but they're kind of nice. It's a form of mindfulness, right?
604
00:27:31.920 --> 00:27:33.980
Like you either watch the movie or you play a
605
00:27:34.019 --> 00:27:36.769
game on that, the little screen, or you listen to
606
00:27:36.809 --> 00:27:39.309
the radio that they provide, but you're not doing like
607
00:27:39.329 --> 00:27:41.269
a million other things at the same time. Yeah.
608
00:27:41.289 --> 00:27:43.670
And so one of the funny things with my kids, like, yeah,
609
00:27:43.690 --> 00:27:46.369
they absolutely get screen time, but like sometimes they'll be like, yeah,
610
00:27:46.390 --> 00:27:47.630
we're not going to do that right now. And then
611
00:27:47.650 --> 00:27:50.220
they do find something else to do. Like they may
612
00:27:50.380 --> 00:27:51.900
initially be like, I'm bored and I don't want to
613
00:27:51.920 --> 00:27:54.930
do anything. And frustrated with like how much they're being
614
00:27:54.950 --> 00:27:57.319
like i just want to do pokemon go or whatever
615
00:27:57.339 --> 00:27:59.359
and i'm like okay well we'll find something else and
616
00:27:59.400 --> 00:28:01.299
they always do one of the things i always focus
617
00:28:01.339 --> 00:28:03.400
adhd is i'm like yeah i'll get bored but i
618
00:28:03.529 --> 00:28:05.190
i will get on board real quick i will find
619
00:28:05.230 --> 00:28:05.890
a way to not be.
620
00:28:05.809 --> 00:28:07.809
Bored Oh, yeah. I know that's like one of the
621
00:28:07.849 --> 00:28:10.910
superpowers of ADHD, I feel like, is like you will
622
00:28:10.990 --> 00:28:13.150
find something that you can be engaged in. You'll be
623
00:28:13.190 --> 00:28:15.609
probably more motivated than the average person to do that.
624
00:28:16.289 --> 00:28:18.390
And of course, as you I'm sure know, you know,
625
00:28:18.529 --> 00:28:21.500
one of the superpowers also of ADHD is hyper focus,
626
00:28:21.559 --> 00:28:24.200
you know, and sometimes that can be utilized for like
627
00:28:24.420 --> 00:28:28.240
great good rather than taking you away and distracting you.
628
00:28:28.740 --> 00:28:31.029
from something that you should be doing. I mean, I've
629
00:28:31.049 --> 00:28:34.750
seen people, again, when they have ADHD, when they're interested
630
00:28:34.769 --> 00:28:37.609
in something, I mean, they have the most intense focus
631
00:28:37.630 --> 00:28:39.170
that I've ever seen. I think that that is a
632
00:28:39.190 --> 00:28:42.109
superpower because it's almost like they don't get tired. They
633
00:28:42.130 --> 00:28:43.210
just keep going. Yeah.
634
00:28:43.230 --> 00:28:45.390
I always just try to remind people, it's like, yeah, hyperfocus,
635
00:28:45.529 --> 00:28:48.109
great for getting stuff done, but kind of a double-edged
636
00:28:48.150 --> 00:28:51.079
sword too, because you're probably drawing on your future reserves
637
00:28:51.190 --> 00:28:54.200
of mental energy. I don't know if I'll really work
638
00:28:54.240 --> 00:28:56.089
on something and I'll come out the other side, I'm like, no,
639
00:28:56.119 --> 00:28:57.079
I'm not doing anything for a week.
640
00:28:57.339 --> 00:28:59.609
Exactly. You're like, now I'm burnt out for the next
641
00:28:59.619 --> 00:29:00.089
five days.
642
00:29:01.140 --> 00:29:03.130
All right. I was wondering if there's anything you kind
643
00:29:03.150 --> 00:29:04.849
of wanted to leave the audience with or any other
644
00:29:04.890 --> 00:29:06.289
topics that we wanted to hit.
645
00:29:06.769 --> 00:29:09.650
This has been a great conversation. I just love that
646
00:29:09.910 --> 00:29:13.009
you're shedding light on ADHD in so many different ways.
647
00:29:13.089 --> 00:29:14.869
And I think that it's always important to know that
648
00:29:15.150 --> 00:29:17.799
even though you may have started to think about your
649
00:29:17.819 --> 00:29:21.619
ADHD as a more negative thing, as maybe an area
650
00:29:21.859 --> 00:29:26.109
of weakness or in your skill, There's so many benefits
651
00:29:26.170 --> 00:29:28.490
of it, too, you know, and it's really learning to
652
00:29:28.819 --> 00:29:30.940
work with the way that your brain works. And I've
653
00:29:30.960 --> 00:29:32.940
seen just so much success in the people that I've
654
00:29:32.980 --> 00:29:35.440
worked with who have ADHD and started to believe in
655
00:29:35.480 --> 00:29:38.130
themselves and find essentially the hacks that really work for
656
00:29:38.170 --> 00:29:40.009
them to be able to achieve all the things. that
657
00:29:40.029 --> 00:29:42.309
they want. And so I just love that we're having
658
00:29:42.329 --> 00:29:46.250
this conversation about just all the different dimensions of ADHD
659
00:29:46.269 --> 00:29:47.299
and what it's like to live with it.
660
00:29:47.569 --> 00:29:50.059
It's all about just finding, working with your own brain
661
00:29:50.119 --> 00:29:52.390
rather than what you think should work.
662
00:29:52.859 --> 00:29:54.839
Oh, yeah. And I think that that's the hardest thing, right?
663
00:29:54.859 --> 00:29:57.769
Because sometimes you'll look on social media or You'll read
664
00:29:57.789 --> 00:29:59.670
an online article and you think, oh, well, how come
665
00:29:59.690 --> 00:30:01.630
this hack doesn't work for me? How come this skill
666
00:30:01.650 --> 00:30:04.130
doesn't motivate me? And it just means that your brain
667
00:30:04.150 --> 00:30:06.390
works differently. You know, you try them on for size.
668
00:30:06.410 --> 00:30:08.349
If they don't work, that's OK. Everybody's going to find
669
00:30:08.390 --> 00:30:11.569
their own unique toolkit. And even people without ADHD are
670
00:30:11.609 --> 00:30:15.259
going to encounter those kinds of challenges from time to time. Absolutely.
671
00:30:15.730 --> 00:30:16.099
All right.
672
00:30:16.279 --> 00:30:18.900
If people wanted to find out more about you, your
673
00:30:19.019 --> 00:30:20.920
work or your books, where would be the best place
674
00:30:20.940 --> 00:30:22.170
to find out more information about you?
675
00:30:22.730 --> 00:30:24.849
Well, you can find me on social media at Dr.
676
00:30:24.890 --> 00:30:29.339
Judy Ho, or you can also go to my website, drjudyho.com.
677
00:30:29.380 --> 00:30:31.660
I have tons of free resources on there. And also,
678
00:30:31.680 --> 00:30:33.200
if you sign up for my newsletter, then you'll get
679
00:30:33.240 --> 00:30:36.289
weekly free resources delivered to your inbox. Awesome.
680
00:30:36.349 --> 00:30:38.250
Well, I'll get all that in the show notes so
681
00:30:38.289 --> 00:30:40.089
that people can find you real easily. Thank you so
682
00:30:40.130 --> 00:30:41.009
much for coming on the show.
683
00:30:41.190 --> 00:30:42.710
Thank you so much. Well, it was a lot of fun.
684
00:30:49.549 --> 00:30:51.609
Thanks again to Dr. Judy Ho for coming on the show,
685
00:30:51.809 --> 00:30:53.589
and thank you for sticking with us all the way
686
00:30:53.609 --> 00:30:55.730
to the end. Before you go, though, let's do a
687
00:30:55.750 --> 00:30:59.849
quick rundown of today's top tips. 1. Train your attention
688
00:31:00.029 --> 00:31:02.390
like a muscle. Use a simple task and set a
689
00:31:02.410 --> 00:31:05.130
timer for 15 minutes and gradually increase the time to
690
00:31:05.170 --> 00:31:08.390
strengthen focus. You can also work on capturing distracting thoughts
691
00:31:08.430 --> 00:31:11.619
by keeping a notepad nearby while working, jotting down distractions
692
00:31:11.660 --> 00:31:15.440
without letting them derail your task. 2. Try to use
693
00:31:15.480 --> 00:31:19.240
multimodal mindfulness, which involves engaging multiple senses to stay focused.
694
00:31:19.720 --> 00:31:22.240
such as reading or taking notes, and then combining those
695
00:31:22.309 --> 00:31:27.910
activities with a visual or auditory element. 3. If you're procrastinating,
696
00:31:28.109 --> 00:31:32.609
ask yourself why and address the underlying reasons, whether it's fear, failure,
697
00:31:32.789 --> 00:31:35.890
or overthinking. Often procrastination is a sign that you have
698
00:31:35.970 --> 00:31:39.069
some need that is being unmet. Addressing that need can
699
00:31:39.170 --> 00:31:43.609
often help get you unstuck and get you through that procrastination. Alright,
700
00:31:43.710 --> 00:31:46.069
that's it. Thanks for listening. I'd love to hear what
701
00:31:46.089 --> 00:31:48.420
you thought of this episode. feel free to connect with
702
00:31:48.440 --> 00:31:52.460
me over at hackingyouradhd.com slash contact. If you'd like links
703
00:31:52.519 --> 00:31:54.569
or to read this episode's transcript, you can go to
704
00:31:54.609 --> 00:32:01.859
the show notes page at hackingyouradhd.com slash 197. And now
705
00:32:01.990 --> 00:32:05.339
for your moment of dad. Incorrectly is the only word
706
00:32:05.460 --> 00:32:08.579
that once spelled correctly is still spelled incorrectly.