Especially when you don’t have the hyperactivity part (used to be ADD, now it’s ADHD - inattentive type), this makes so much sense as to why I was just called lazy and sensitive as a kid and teenager. Getting diagnosed in my late 20s made so many things make sense in hindsight.
Can you expand on the lazy and sensitive parts? :)
A better name for the syndrome would be Executive Function Disorder. Executive Function is the term used to describe the ability to exercise agency and rational judgement when making decisions. Disorders of executive function leave a person having difficulty not responding impulsively. This affects attention; what I decide to pay attention to, and how long I hold my attention there, and it also affects emotional expression, how well I maintain an even keel and exercise control over how strongly my emotions become and how they influence my behavior. In ADHD people have difficulty deciding where their attention will go and also tend to be more emotionally labile. Shame sensitivity is frequently reported.
Can you expand on “shame sensitivity”?
My mother has a partially shame based operating system. She uses self shame as a motivational tool that increases her executive function, e.g. she manages to diet by responding to the part of her that tells her to eat chocolate with shame for wanting chocolate. She avoids the chocolate and goes on with her life.
She tried to install that same operating system in me. Due to my shame sensitivity it paralyzed me and left me unable to function. Instead I would spiral in shame and self hatred for my inability to do what she wanted me to do, even though I wanted to do it too.
My system actually works pretty well with love as motivation instead of shame. It just took me 15 years of intensive commitment to inner work to unravel the shame.
Thank you for putting words to that, even if I am tearing up at work
there’s also RSD (rejection sensitivity dysphoria) that can affect some but not all neurodivergent people - it’s an extreme emotional (for some even so bad it feels physical) reactions to real or perceived rejection. if anyone reading ever felt like or been told they are “overtly sensitive” or “overreacting” after something not that bad happened or was said to you - read up on RSD, it sucks hard but it’s comforting to know you’re not alone
Sure. Shame is one of the basic emotions. The emotions are firmware build into the mammalian brain to motivate survival and reproduction. They motivate without deliberate thought by inducing pleasure or pain which the organism either seeks more of or flinches away from. Fear is a flinching away from, whereas anger is a moving towards (with intent to destroy). Shame is a hard stop. it’s function, along with surprise, is to create a hard stop of ongoing behaviors. It is regarded as the most painful of the basic emotions.
The emotions arise from the brainstorm and midbrain/sub-cortical parts of the brain, the brain’s basement if you will. In contrast we also have the cortical part of the brain, living in the attic, and it does a different sort of processing, being the seat of language and symbolic processing.
The cortex is the part of the brain that can represent and model aspects of the world and then run “what-if” scenarios to determine what the best course of action might be. For instance, one might model what will people around me do if I express my feelings in a very loud and obvious way -> they won’t like it!, and from this anticipation they might instruct themselves to inhibit the extent of the emotional expression.
Executive Function refers to exactly that function of the cortex that enables behavioral inhibition to happen, and that is what is impaired in ADHD. People with executive dysfunction have difficulty inhibiting socially inappropriate behaviors like expressing too much emotion, and they also have trouble inhibiting or moderating the strength of the emotional expression in the first place. In a single sentence, ADHD folk are more prone to act on (emotional) impulse.
So when shame is triggered, due to a perception of personal failure or unworthiness, ADHD folk are less able to keep going and more prone to be paralyzed or derailed by the shame emotion itself.
The problem there is that the name Executive Function Disorder is sort of taken.
If your experience of teenagerhood was similar to mine, you probably had a number of very frustrating moments where you knew what the responsible thing to do was but also knew that you would be unable to follow through on doing that thing, and that if you asked your family or friends to help you that you would not be able to do the emotional self-regulation to keep yourself from resenting them in the long term. Then at some point around 21 to 25, your brain finished growing, and suddenly you were able to make responsible choices!
Some people’s brains don’t make that final set of brain connections, and are stuck with a teenager brain forever. That’s what Executive Dysfunction is.
Oh, sure! The other comments did a pretty good job of explaining things. In my case, I struggled a lot with procrastination and getting sidetracked easily, which led to the lazy descriptor. And as for the sensitive, I tend to feel my emotions strongly and quickly, and I also have rejection sensitive dysphoria (RSD), so I tend to easily assume I’m being socially rejected
Oooh so that’s what inattentive is. I’m getting assessed in a week or so and for the pre-session questionnaire I was wondering what it meant if I didn’t have any of the “driven by a motor” symptoms.
I got called lazy and sensitive all the time too.
Well it is a behavior disorder. If you don’t have disruptive behavior, plenty of other psychiatric conditions cause the same or worse executive dysfunction (e.g., bipolar disorder, major depressive disorder) and the same or worse social anxiety and rejection sensitivity (e.g., social anxiety disorder). Let’s not pretend like ADHD isn’t difficult for others around the individual to deal with; it is, by definition, if someone has it.
Ask me if you’d like sources for any of the above.
It should be called Executive Dysfunction, but I don’t really want to tell people “I have ED”
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The joke is ED typically stands for Erectile Dysfunction
Call it executive malfunction disorder
“Sensitivity to justice? That is a problem that must be cured.” - what capitalism does to a mf-er
Just to be clear, what the DSM-5 means there isn’t “I’m mad that people are clubbing baby seals to death”, they mean “Greg didn’t take out the garbage like he promised, which is unfair and makes me so angry I can’t look at him without chewing him out about it”. It’s an exaggeration of a normal human thing to the point that it impairs other stuff such a peaceful cohabitation.
Most disorders/diseases are too complex to have a short name that accuratley describes what they are so I don’t think a disorder being ‘poorly’ named is that big of a deal.
At least come up with a fancy word for it like Wombleypoos or something
And add colours and levels for extra flavour.
They are diagnosed with Green Level 3 Wombleypoos, just keep them away from the level 2’s to avoid the floop scenario!
Most of my mates are some flavour, colour and level of Wombleypoo, but tbqh I’ve never considered whether - like star signs - there may be incompatibilities there
Oh I think I had that after gelatin fest from the old country
Yeah, this is why I am a fan of naming them after patient zero, or the first to diagnose etc.
The WHO discourages this because people will start associating the name with the disease. Which sucks if you happen to have this name. See Tourette’s, or Chagas disease.
You can read a bit about it here.
They don’t want to change it (at least in the US) because a lot of protections mention it by name.
So if the name changed, it would remove/weaken a lot of the legal protections.
If they change the name, people who get coverage and help from programs will experience a lapse of coverage and help until every little department and organization and office in the kluge help network all have the new name fully integrated into their systems, which could be years.
What are you basing this on? Does this happen every time the DSM is updated? I kind of doubt it.
i usually explain that it should be read as attention-(deficit/hyperactive) disorder
This is one case where introducing logical operators into written language could be helpful.
Ex. Attention (Deficit || Hyperactivity) Disorder.
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It can do that, but it can also make it so that it is difficult for you to do anything other than perform that one task for 2 hours.
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