ADHD & Stress - is chronic stress a silent threat for late diagnosed adults?
ADHD Coach Katherine Sanders
### Show Notes for "Daily Practices for Stress Relief" Podcast Episode: 2024 Q1 M2 Wk 2 - ADHD & Stress - Daily Management
#### Episode Overview:
In this weekβs episode, we delve into the silent yet formidable challenge of chronic stress, particularly how it intersects with ADHD. Chronic stress is a major health risk, linked to the six leading causes of death. For those with ADHD, stress not only exacerbates mental health issues but also impacts overall wellbeing. Through this conversation, we aim to unpack the daily stressors for individuals with ADHD and provide practical strategies for managing stress on a day-to-day basis.
#### Last Week Recap:
We revisited ADHD and emotional dysregulation, exploring the neuroscience behind our emotions and why those with ADHD may experience heightened dysregulation. Key points included sudden mood changes, intense emotional reactions, and the significant impact these have on professional and personal relationships, especially as women approach perimenopause.
π‘π§ What you'll learn about in this episode:
Understanding the health risks associated with chronic stress and its heightened impact on individuals with ADHD. How ADHD exacerbates stress through unique challenges in executive function, time management, and emotional regulation.
- A look at how our bodies respond to stress, including the role of cortisol and adrenaline, and how ADHD affects this response.
- Differentiating between stress that motivates and stress that debilitates, with a focus on the ADHD experience.
- ADHD-Specific Stressors:Identifying common stressors for those with ADHD and strategies for managing them, such as simplifying executive function demands and avoiding multitasking.
- How stress feeds into and amplifies emotional dysregulation in ADHD, creating a challenging feedback loop.
-Tips for reducing stress, including exercise, mindfulness, and improving metacognition.
- Recognizing and avoiding harmful resilience patterns that can exacerbate stress and lead to burnout.
- The potential physical and mental health consequences of unmanaged stress.
-Techniques for recognizing and addressing the unique stressors in oneβs life, including journaling and mindfulness.
Let me know how you're going to use this information to lighten the load of your invisible backpack. Share your thoughts, experiences, and progress with and consider how you might help someone else understand their stress better. Together, we can tackle the challenge of ADHD and stress, one stone at a time.
Connect with Katherine here:
Make sure you don't miss the new way to manage your time, energy, focus and more - https://adhdcoachkatherine.com/
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Arnsten, A. F. T. (2009) "Stress signalling pathways that impair prefrontal cortex structure and function." Nature Reviews Neuroscience, 10(6), 410-422.
Tuckman, A. (2009). More Attention, Less Deficit: Success Strategies for Adults with ADHD. Specialty Press/A.D.D. Warehouse.
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Siegmann, P., Teismann, T., Fritsch, N., Forkmann, T., Glaesmer, H., & Zhang, X. C. (2019). "Resilience to suicide ideation: A cross-cultural test of the buffering hypothesis." Clinical Psychology & Psychotherapy, 26(1), 1-9.
Graziano, P. A., & Garcia, A. (2016). "Attention-deficit hyperactivity disorder and children's emotion dysregulation: A meta-analysis." Clinical Psychology Review, 46, 106-123.
Mikami, A. Y., Smit, S., Khalis, A. (2020). "The Social Lives of Children with ADHD: A Systematic Review." Journal of Attention Disorders, 24(2), 152-173.
Lupien, S. J., McEwen, B. S., Gunnar, M. R., Heim, C. (2009). "Effects of stress throughout the lifespan on the brain, behaviour and cognition." Nature Reviews Neuroscience, 10(6), 434-445.
Knouse, L. E., & Safren, S. A. (2010). "Current status of cognitive behavioral therapy for adult attention-deficit hyperactivity disorder." Psychiatric Clinics of North America, 33(3), 497-509.
Saccaro LF, Schilliger Z, Perroud N, Piguet C. Inflammation, Anxiety, and Stress in Attention-Deficit/Hyperactivity Disorder. Biomedicines. 2021 Sep 24;9(10):1313. doi: 10.3390/biomedicines9101313. PMID: 34680430; PMCID: PMC8533349.
Young, S., & Bramham, J. (2007). ADHD in Adults: A Psychological Guide to Practice. Wiley.
Faraone, S. V., Asherson, P., Banaschewski, T., Biederman, J., Buitelaar, J. K., Ramos-Quiroga, J. A., Rohde, L. A., Sonuga-Barke, E. J. S., Tannock, R., Franke, B. (2015). "Attention-deficit/hyperactivity disorder." Nature Reviews Disease Primers, 1, 15020.
Gerlach, M., Banaschewski, T., Coghill, D., Rohde, L. A., Romanos, M. (2010)."Psychosocial interventions for ADHD: A systematic literature review and meta-analysis." Journal of Attention Disorders, 14*(5), 420-437.
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Transcript
RODE NT-USB & Susan's iphone (work) Camera:
welcome back.
2
:My friend, it is time for this
week's ADHD, powerful possibilities.
3
:I am . ADHD coach Catherine, And this
week we are looking at ADHD and stress.
4
:When I called chronic stress, the silent
assassin in a recent social media post.
5
:a friend of mine said.
6
:don't you think you're being a
bit, "click-bait-y" are you being
7
:a bit of a sensationalist here?
8
:I really want to keep things grounded
in fact, and avoid the kind of
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:sensational headlines that I see.
10
:Big podcasters and media people using
when they're trying to get listeners.
11
:Is it accurate to call chronic
stress, a silent assassin?
12
:I would argue that, yes it is.
13
:It's one of the biggest problems
that we face as a society today.
14
:And for people with ADHD, I
would go further and say it's
15
:more of a problem for us.
16
:Because we're permanently in a state
of chronic stress, unless we're
17
:actively taking steps to deal with it.
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:So let's look at what is stress,
how does it affect people with ADHD?
19
:What can we do about it?
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:And as usual, there will be journal
articles and references that
21
:you can find in the show notes.
22
:What does chronic stress do to your body?
23
:According to the APA chronic stress
is linked to the six major causes
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:of death in the west at the moment.
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:Heart disease, cancer, lung disease.
26
:Accidents liver cirrhosis.
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:And unfortunately.
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:Taking of one's own life.
29
:I don't want to use the term
because it will cause algorithms
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:to go off, but unaliving is.
31
:the way that young people
talk about it today.
32
:The unique impact of ADHD can
mean that everyday life in itself
33
:becomes a chronic stressor.
34
:And that means that we are much
more vulnerable to these impacts.
35
:And adults with ADHD are twice
as likely to be diabetic.
36
:Than people without ADHD.
37
:Although chronic stress may not.
38
:Directly.
39
:Cause diabetes.
40
:I'll explain later why?
41
:I think it is particularly
important for people with ADHD.
42
:To be aware of how it can
affect your health long term.
43
:we tend to think of stress as affecting
our mental health Our well being, our
44
:level of anxiety and so on, but it has
a real physical effect and I want you
45
:to be aware that your mental health
and your physical health are connected.
46
:Throughout your life, but
especially as you get older,
47
:So today we're going to look at stress.
48
:We're going to unpack what it is, how
it affects us physically, mentally.
49
:The connection with ADHD and more
importantly, what we can do about it.
50
:As always.
51
:At the end of the programme, there will be
takeaways that you can start to use today.
52
:And last week we began by looking
at ADHD and emotional dysregulation.
53
:A quick recap, emotional dysregulation.
54
:Can be experienced as sudden mood changes.
55
:An intense, emotional reaction.
56
:Having problems calming down after
we've been really stressed and upset.
57
:And it also can affect your
personal and professional
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:performance at home and at work.
59
:Emotional dysregulation
can occur at any time.
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:It's something we experienced
through our whole life.
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:Lots of people were told.
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:You're just a bit emotional.
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:You're too sensitive.
64
:Get over it.
65
:So, if you want to know more
about emotional dysregulation,
66
:RSD how emotions are formed,
what the pathway is in your body.
67
:Jump back to last week after this episode.
68
:One of the reasons I wanted to have
a little episode looking at stress.
69
:is because our emotions.
70
:Can be triggered by
stressors in the environment.
71
:The external stimuli, the internal
stimuli that lead to emotions.
72
:Are described as stressors.
73
:So while you're learning to
notice, what affects your
74
:focus, your energy, your sleep.
75
:We're also going to start to look at
what's affecting your individual stress
76
:response and what can you do about it?
77
:Ideally, we're going to get
those stress bunnies into line.
78
:So that they're not running around
and spoiling your nice garden.
79
:But it takes time.
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:There are no quick solutions.
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:There's no one cool trick that
I'm going to share with you today.
82
:But I am going to give you
the facts that you need.
83
:And some tools that you can
choose to play with later on.
84
:And I want to reassure you.
85
:This doesn't mean you
need to mask or hide.
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:Any kind of unhealthy resilience.
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:There's none of that.
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:It's really about going beyond,
needing to mask and needing to
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:feel that you have to be resilient.
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:We want to design a life.
91
:Where that is not required.
92
:Let's imagine that you have a backpack
on your back and it's got rocks in it.
93
:These rocks are every challenge
that you have throughout the day
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:every demand upon your focus,
upon your energy upon your time.
95
:And if you have ADHD, you're
already starting with a backpack.
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:That's more than half full.
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:Just because of the way
that your brain works.
98
:And not only are those stones heavier,
but they can be added to or taken away.
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:unpredictably or at least
it feels unpredictable.
100
:And although you can't take
the backpack off completely.
101
:Unlike some gurus, I'm not suggesting that
we all go off and live in the forest and
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:have this wonderful organic lifestyle,
which would be really nice for many of us.
103
:It's just not practical.
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:So the backpack has to stay on
so that we can manage stress
105
:and events in our daily life.
106
:But can we reinforce the straps?
107
:Can we make it more
comfortable on your shoulders?
108
:Can you build up your muscles so that
you don't even feel the backpack anymore?
109
:And is there a way to keep
the rocks from going in?
110
:Or can we make the rocks that
you have to pick up smaller.
111
:Think about your backpack as
we go through this episode.
112
:And I'm going to start asking you to think
about the rocks that you're carrying and
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:the ones that are being added every day.
114
:Let's look at the science of stress.
115
:Stress is just a response
to our environment.
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:When we see something as a challenge.
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:or a threat.
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:Our body releases, chemicals,
neurotransmitters, like
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:adrenaline and cortisol.
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:These get us ready to fight flight
freeze, or there's another one
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:that some people add, fawn or fib.
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:Whichever one you want to use.
123
:But basically your brain is
saying I'm going to keep you
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:alive for as long as possible.
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:And that means you need
to be ready to run.
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:So here are some chemicals that
will make your muscles go faster.
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:Make your heart beat faster.
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:Turn off your digestion a little
bit and get your brain focused
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:to move you out of harm's way.
130
:If you go back to the episode, talking
about emotions I go into detail about
131
:the pathway that all these messages
get passed through in your brain.
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:If you think about being late
for a meeting, being late for
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:a Drop off at school, being
late for an important deadline.
134
:Your heart starts to pound.
135
:You maybe start to sweat
your hands, get damp.
136
:And clammy.
137
:Maybe feel a bit sick.
138
:This is the impact of stress being felt
in a short time frame on your body.
139
:Now The NHS in the UK?
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:says stress can make you irritable angry.
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:Can make you feel worried, tearful.
142
:It can sometimes make us feel hopeless
or scared if it goes on for too long.
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:It can also make it
hard to make decisions.
144
:Now is this starting to sound a little
bit like what we experience with ADHD?
145
:If your thoughts are racing,
you're struggling to make decisions
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:and you're feeling overwhelmed.
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:How are you going to
determine if it's just ADHD?
148
:Or if it's a stress in your
environment, in your current situation.
149
:You might want to look at some
of the physical reactions.
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:that can go with it in the short
term things like racing pulse.
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:A headache, Lots of us have had
those headaches that last all day.
152
:And it can be caused by stress.
153
:Stress because our muscles are tight.
154
:Our shoulders are tight
our neck is cramping up.
155
:So you could have a physical
sign that can help you determine
156
:is it stress, or is it ADHD?
157
:But the point is that the
overlap is already there.
158
:So it's important to manage
stress and be proactive about it
159
:The reason that stress and ADHD are such
a toxic combination is that we already
160
:have a different background level.
161
:or base level, if you like
of neurotransmitters like
162
:dopamine cortisol, adrenaline.
163
:Our brain releases these in
an attenuated or lower way.
164
:Somebody described it once.
165
:as playing a game in hard mode from
the beginning without realising.
166
:And as somebody who came to
computer games late in life, I
167
:always go for the easy option.
168
:I will never choose to play in hard
mode because I find that off putting.
169
:And I do think many of us with ADHD.
170
:Feel like we just can't win.
171
:And a lot of that is down to stress.
172
:If you're already struggling
with dopamine, norepinephrine,
173
:cortisol, adrenaline.
174
:Imagine what happens let's say
you're a marketing executive.
175
:You have got a big deadline for a new
client, your project isn't finished.
176
:And you're struggling to gather
all the resources together.
177
:what's your response going to be.
178
:Are you going to be calm.
179
:communicate clearly with your team.
180
:bring things together or are you
more likely to be running around,
181
:getting snappy with people, filling
your heart, maybe getting a bit fast,
182
:maybe even getting some chest pains.
183
:Which one of these are you
going to experience more?
184
:And if that becomes your norm, We tip
over into the area of chronic stress,
185
:which is very different from the positive
stress that I want to look at next.
186
:Stress can be a positive thing
don't need to spend too long
187
:on why stress can be positive.
188
:But if we have a lower background
level of adrenaline norepinephrine.
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:dopamine, etc, When you have a short
emergency burst of adrenaline, you might
190
:find that your brain focuses more easily.
191
:And you suddenly can get things done.
192
:You see the solution to
the problem you take.
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:Action It's one of the reasons
why many people with ADHD.
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:find themselves in high pressure
environments, whether that is working
195
:in emergency services in medicine,
these kind of intense bursts of energy.
196
:wonderful for our brain.
197
:or at least they feel
wonderful to begin with.
198
:The thing that makes stress
positive is that it is short term.
199
:It is defined and there's a
problem that you can solve.
200
:If you are in a job with a lot
of pressure, a lot of stress.
201
:But you have very little
control over how that problem.
202
:is managed.
203
:That is going to eventually
turn into a chronic stressor.
204
:And one of the areas That's very
common for people with ADHD to
205
:experience chronic stress is at work.
206
:We may not have control over
the things that are affecting
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:us on a day to day basis.
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:Which is why home work relationships.
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:parenting money problems.
210
:These all become sources of chronic
stress because we are not in control.
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:We're not the only person involved.
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:The circumstances may not be something
that we can manage in isolation.
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:And of course.
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:When we are stressed.
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:The impact, all those things we've talked
about, struggling to focus, feeling
216
:overwhelmed, being to make decisions.
217
:These get worse.
218
:And they make your ADHD traits
feel worse, have more of an impact.
219
:And so it becomes this vicious cycle.
220
:The more overwhelmed you become the more
stressed you become, the more stressed you
221
:become, the more your ADHD, affects you.
222
:And then you get even more stressed.
223
:You can see where this is going.
224
:It's a vicious cycle that needs
managed and of course, support.
225
:If you add in.
226
:The higher rates of childhood
traumatic experiences and a more
227
:negative view of life of ourselves.
228
:A more ruminative state
of mind, if you like.
229
:That also means that people with ADHD are
more likely to experience chronic stress.
230
:So if you have ADHD, The impact
of identifying the chronic stress.
231
:The things that you can deal with
and that you can get support for
232
:and even learning to manage your
positive stress and identify it.
233
:Before it turns into something
that is burning you out.
234
:Can be a real game changer in
how we feel every day and how we
235
:manage when things do go off the
rails, because life happens right.
236
:The thing is that combination of
doing deep work of challenging
237
:the way we think about ourselves
the way we think about life?
238
:the way we look at challenges
that come up for us.
239
:Needs to be done along with the
everyday, the short term things
240
:like, what are we tolerating?
241
:Are we making sure we're
getting enough sleep?
242
:You need to do both of those
things to make a significant
243
:and long lasting change.
244
:And that might mean.
245
:I'm Taking a bit of time to stop looking
at new shiny objects and thinking.
246
:What do I need to address?
247
:now And in the long term, And
how am i going to do that.
248
:Let's have a look at the special stressors
that people with ADHD might experience.
249
:Think about your executive functions.
250
:People with ADHD, have a wide range.
251
:Of executive function challenges.
252
:Some people have amazing ability to
plan ahead and they can almost visualize
253
:how they're going to structure things.
254
:Some people have brilliant
time management skills.
255
:But they could not plan and
organise a holiday if you
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:paid them thousands of pounds.
257
:They all fall into this general bucket.
258
:Which we call executive functions.
259
:And within those, you will find the
requirements for daily adult life.
260
:So even before we start to think about.
261
:Extra problems we're likely to
experience with money with family.
262
:You're starting from a higher
level of demand on a daily basis.
263
:Another problem that people with ADHD in
particular are likely to experience is.
264
:The impact of multitasking.
265
:Multitasking is never good for anybody.
266
:And studies have shown even when people
think they're really good at multitasking.
267
:They're not.
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:Multitasking.
269
:feels really good with ADHD because it
feels like we're being very efficient.
270
:We're getting extra things done at once.
271
:Our brain is happy because
it's being allowed to attend to
272
:different things at the same time.
273
:And that is an extra bunch of rocks that
you're putting into your backpack because
274
:you're dividing your brain already.
275
:Almost across the board, ADHD
affects your time management.
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:And time is incredibly pressured
these days, we have deadlines.
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:We have demands.
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:And time if you're already struggling to
grasp it, to manage it, to understand it,
279
:then that is an extra rock that goes into
your backpack from the start of your day.
280
:I know a remarkable number of
people with ADHD who struggle
281
:with auditory processing.
282
:Now, that doesn't mean we can't hear.
283
:It means that the processing of
instruction or information that comes
284
:in through our ears takes longer to
turn into information that we can use.
285
:For example, if I was in a classroom.
286
:I need to be taking notes at the
same time as I'm listening because
287
:then I can look at the notes and I
know what the person's been saying.
288
:If you gave me directions to a
place and I didn't manage to write
289
:them down I wouldn't remember them.
290
:I can remember one or two steps
at most and this is really normal.
291
:It's nothing to do with how intelligent
you are or how good your memory is.
292
:It's just Information that comes in that
way is more difficult for us to retain
293
:this week, it's been very windy and stormy
in Scotland, and I felt It was incredibly
294
:tense for no new reason and it was just
the sound of the wind outside that was
295
:making my brain feel really on edge.
296
:So when we're thinking about emotions
and emotional dysregulation and stress,
297
:I hope you can see how the impact of
stress is going to affect your emotions
298
:and lead very quickly into emotional
dysregulation if we're unaware.
299
:of what's happening
300
:Stress doesn't just add extra
rocks into your backpack, which is
301
:already half full because of ADHD.
302
:It amplifies the impact, because it
increases your cortisol, and the more of
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:these neurotransmitters like adrenaline
and cortisol that we have, the more things
304
:like focus, attention, problem solving,
the executive functions are affected.
305
:And so the more stressed we become, we
really quickly end up in this vicious
306
:circle of being really stressed.
307
:Our ADHD feels worse.
308
:We have a harder time doing things
that makes our stress worse.
309
:And you can see how it.
310
:It really starts to get out of
control, which is why overwhelm and
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:just paralysis happens so often.
312
:And I'm not talking about physical
paralysis, although we can experience
313
:it as an inability to move.
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:But that mental block of not being able
to do a single thing and that feeling
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:of just everything being too much.
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:Intimately connected between your
emotional dysregulation and the
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:amount of stress that is in your life.
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:Of course, the stress that's in your life.
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:Ripples out.
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:It goes through your workplace,
it goes through your home, it
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:goes through your friendships.
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:And we know how important social
connection is for people with ADHD.
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:But if you're permanently stressed,
anxious, and you're maybe, like me,
324
:a bit snappy when you're on edge.
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:When you've got a lot to handle.
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:That can make social connection
much harder to maintain.
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:You might feel you're too busy.
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:To make time, to cultivate friendships,
to spend time with your loved ones
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:without anything else going on.
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:So the impact of stress goes
through your whole life and then
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:goes out into society as a whole.
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:Because of our heightened sensitivity
to stress and the impact it
333
:has on us, what are the really
quick things that you can do?
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:The first one obviously is exercise,
and by exercise a walk around the block,
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:anything that gets your heart rate up
to a, what they call zone two, where
336
:you can still have a conversation but
you're feeling like you're moving.
337
:And for me that doesn't have to
be very much these days because
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:I'm quite unfit at the moment.
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:But exercise has a It has an
incredible effect on everybody's
340
:brain and our cortisol levels, etc.
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:But especially if you have ADHD.
342
:So try to make that
something you have every day.
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:The other thing that you
can do is introduce a very
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:short Mindfulness practice.
345
:And this isn't a 45 minute scan of your
body and dwelling on all of your thoughts
346
:and examining them and things like that.
347
:It's literally learning to manage your
breathing in a way that can allow you
348
:to reduce that tension and stress.
349
:We'll come back to that.
350
:Before we go on to more ways that you
can manage stress, because we don't
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:want to get rid of stress completely.
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:It's actually a positive and
helpful thing for most people.
353
:Let's talk about stress.
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:This resilience which has gone
too far, toxic resilience.
355
:Now, I know many people with
ADHD are incredibly resilient.
356
:We keep going.
357
:We have an almost insatiable
need to solve the problem.
358
:And it's one of the reasons why we
end up in business for ourselves.
359
:It's one of the reasons why people with
ADHD can be a huge gift in your workplace,
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:if you're an employer listening to this.
361
:People with ADHD will keep going
till they solve that problem.
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:But it can come at a cost to themselves.
363
:When you are feeling burnt out
and overwhelmed, it may be that
364
:you have strayed too close to this
kind of toxic level of resilience.
365
:And what does that look like?
366
:How are you going to spot it?
367
:How do you know if you've gone
too far in this resilience
368
:trait that is so normal in ADHD?
369
:You could be ignoring signs of
burnout, which we talked about before.
370
:It could be that you are working late.
371
:Every single night instead
of one or two nights a month.
372
:It could mean you're not making time
for activities that you enjoy and
373
:which are, in quotes, not productive
or not related to your work.
374
:And this is a really common trap for
high achievers with ADHD or people
375
:who are self employed entrepreneurs.
376
:They push and push.
377
:and then they burn out because
they've ignored these signs.
378
:Let's pause and I want you to
answer these five questions.
379
:Are you ignoring your
limits, physical or mental?
380
:Are you somebody who's
glorifying overwork?
381
:Has it become a badge of honour
to work 60 or 70 hours a week?
382
:Are you neglecting your emotional health?
383
:Do you have somebody that
you can regularly connect
384
:with and express things to?
385
:Have you lost the boundary
between your work and your life?
386
:Is there any balance left?
387
:And do you recognise that you are
working at a level that is not
388
:sustainable but continue to do so anyway?
389
:If you can answer yes to most
of these questions, please take
390
:care of yourself, because that is
very close to burnout territory.
391
:It might not happen emotionally, but
physically the effect of that much
392
:stress is going to come home eventually.
393
:And what happens if we just ignore
the stress, or we try to manage
394
:it in a way that isn't helpful?
395
:I mentioned earlier the physical
impact of chronic stress according
396
:to the APA, and it's really scary.
397
:And I don't use that word very
often, but it is, genuinely.
398
:Things that you would imagine, like
anxiety and depression, are more
399
:common, but also heart disease,
cancer, lung disease, liver cirrhosis.
400
:More likely to have high blood
pressure, which is the silent killer.
401
:You're more likely to have
strokes, sleep problems.
402
:You're more likely to gain weight.
403
:And, of course, you'll
have problems with memory.
404
:And we suspect there's a connection
between stress and things like dementia.
405
:Stress changes our behaviour.
406
:Because we adapt our behaviour
to deal with the stress.
407
:We're more likely to smoke, to overeat,
to eat a more refined type of diet,
408
:we're more likely to consume alcohol
or other things if we're dealing with
409
:stress in a less constructive way.
410
:And we know that job pressure with a
limited capacity for solving problems
411
:if you're not in charge of your
decisions, that's a higher risk
412
:for coronary heart disease.
413
:Stress even depresses your immune
system, so you're more likely to get
414
:sick from all the viruses that are
going around today and that makes
415
:it harder to recover from illness.
416
:And in today's world that
may mean economic problems
417
:because you're not working.
418
:And of course we know that
money problems feed into stress.
419
:It's very easy to fall into a cycle
of absolutely feeling trapped by
420
:the amount of stress in your life.
421
:And before, when I talked about diabetes
and stress, there are three reasons why I
422
:think stress and diabetes are connected.
423
:The first is hormones.
424
:If you are stressed, your body is
going to release hormones to deal
425
:with it, so you'll have more glucose
in your bloodstream for you to run
426
:away from the tiger or the bear.
427
:But over time, if that keeps
happening, your blood sugar is
428
:going to be permanently raised.
429
:And that means you're going to become
insulin resistant, which is what leads
430
:to type 2 diabetes for many people.
431
:The other way stress can lead to
diabetes is it affects our behaviour.
432
:And of course there's the inflammatory
response over time, that is also going
433
:to affect how your body responds to
insulin all of these factors together,
434
:to me, suggest that diabetes, which
we are already at risk for, with
435
:ADHD, is connected with stress.
436
:Let's take a moment and look
at how you can identify what's
437
:causing stress in your life.
438
:And obviously, this can feel overwhelming
if you are in a place where everything
439
:is stressful and you're burnt out.
440
:The first thing I do when I want to do
a brain dump and work out what's causing
441
:me stress is to relax my body first.
442
:So I begin by taking a deep breath
in through my nose, making sure
443
:it's inflating my tummy, and then
breathing out through my mouth.
444
:And while I'm doing that, I'm
noticing Where am I holding tension?
445
:For me, it's usually my
shoulders and my neck.
446
:Sometimes it's in my jaw.
447
:If you notice that any of those areas
feel tight just now, give them a
448
:little wiggle, and gently soften them.
449
:Imagine nice, soft, warm light on all of
those tense, tight muscles, especially in
450
:your neck, your shoulders, and your jaw.
451
:And once I've deliberately relaxed
my muscles, It's easier to face
452
:the things that are causing
stress, the rest of the pile.
453
:Because I've told my body, it's okay,
we're going to think about these
454
:things, but right now, we're safe,
we're just going to make a list.
455
:Think about, are you
over committing at work?
456
:Are you saying yes to too many projects?
457
:Is there a project or an event
coming up at work that you
458
:are trying to manage alone?
459
:Is there a project or an event that
you are trying to manage on your own?
460
:Is a member of your family or one
of your friends having a hard time?
461
:And you're worried about them, you're
concerned, you want to help, but there's
462
:maybe not very much you feel you can do.
463
:Are you carrying that with you?
464
:Instead of trying to write down
everything at once, take a moment at
465
:the end of the day and just check What
was causing me the most stress today?
466
:Now, I have to say, in my personal
practice, I tie this with three
467
:things that I'm grateful for,
or three things that gave me
468
:joy, so I try to balance it out.
469
:But, is there something in
particular that is causing you
470
:stress that you can write down?
471
:Now you've identified the type of
stress you're experiencing, and what's
472
:causing it, how do you address it?
473
:This is really complicated because it
depends on your circumstances, the thing
474
:that's causing stress, and how much
agency or control you have over it.
475
:And one of the things I think
causes most stress is when we
476
:feel we don't have any agency.
477
:It's something that's been imposed
on us, and we can't get rid of it.
478
:If you can't remove the source
of the stress, there are ways
479
:to think differently about that.
480
:You might choose to set a boundary for
yourself and say, I'm going to think about
481
:this situation for five to ten minutes.
482
:If I haven't come up with something that
I can do practically, then I'm going to
483
:I'm going to put a pin in it and leave it
for another day because I can't change it.
484
:And sometimes acknowledging that lack
of control and saying, I can't do
485
:anything about it, it's causing me
harm, I'm not letting go of it, but I'm
486
:going to leave it to one side can help.
487
:You might also find that you come up
with a phrase or a mantra and Dana
488
:Maher, who is a fantastic coach in the
States and who taught me, came up with
489
:this phrase especially for parents I
can't care more about this than you do.
490
:So if you have a teenager who's maybe
thinking about exams, you maybe have
491
:a partner who's stressed out at work,
if you are taking on their stress, if
492
:you are taking on too much of the thing
that they need to do but aren't doing.
493
:That phrase can help you to
set a boundary for yourself.
494
:I can't care more about this than you do.
495
:Because it hurts us in the long term.
496
:You might also, if you're spending
a lot of time in your head with
497
:stress, want to spend a bit more
time connecting with your body in a
498
:way that is pleasant and relaxing.
499
:Exercise doesn't have to be strenuous.
500
:It can be a gentle walk around the park.
501
:I especially love a walk in nature
for dealing with stress because it
502
:is shown time and time again to have
positive impact on your mental health.
503
:I'm sure I'm not the only one who
remembers the TikTok trend of going for a
504
:stupid walk for your stupid mental health.
505
:There's a reason that was so popular
because people recognized that it
506
:was actually helping, even if we
set out with a level of frustration.
507
:You might find that there are gentle yoga
practices or somatic forms of exercise
508
:that release the tension in your muscles
without having to think about it too much.
509
:And these can be very beneficial
to lower your levels of
510
:cortisol and stress overall.
511
:Because the thing is, if your body is
ready for fight or flight, you're going
512
:to struggle to find creative ways to solve
the other problems at work, at home try
513
:monitoring your stress levels through
the day and you could do this really
514
:simply with a piece of paper and give
1 to 10, how stressed are you feeling.
515
:Set an alarm on your phone, check
in every hour, every couple of
516
:hours, so that you're beginning to
identify the peaks and troughs of
517
:stress and energy throughout the day.
518
:If you notice that your state
has changed, is there a cause?
519
:Is there a circumstance?
520
:And how is that affecting your mood?
521
:Because quite often, after a
long time with chronic stress,
522
:we don't recognise it, anymore.
523
:It just becomes this
wall of background noise.
524
:And once you've identified what
is causing your stress, you
525
:might need to take some action.
526
:This is where you need to have a team,
and if you live with other people,
527
:whether you're related to them or not,
you might want to discuss with them
528
:things that are causing you stress.
529
:We'll come to communication in future
because I think there are ways to
530
:do it, but look at how much you're
actually doing on a daily basis
531
:and ask, I need help with this.
532
:Who will take this on?
533
:Whether that is being the person who
notices when the milk has run out, see
534
:if somebody else can manage that for you.
535
:If you live on your own there are going
to be people who can do that for you.
536
:Yes, it's probably something you might
need to pay for, but for example I
537
:pay a bookkeeper because But it's
a level of stress I don't need, and
538
:an area that is not my strength.
539
:So I pay somebody to do that, and
they're very good . Hello Harriet.
540
:But, list out all your commitments,
look at your priorities, Are these
541
:things overwhelming your actual
priorities and what can you get rid of?
542
:There's going to be some things you've
taken on that are no longer serving you.
543
:There are going to be some things
that are not your responsibility
544
:that someone else can take on.
545
:There are going to be things that are your
responsibility someone can help you with.
546
:And then there are going to be things
that you either need to bless and
547
:let go, or give yourself enough
mental space, thinking space, to
548
:come up with a different solution.
549
:One of the reasons I go to my coach,
I get stuck, I can't see a way around
550
:it, I go talk to him and we come up
with a solution, but he's fantastic
551
:at giving me that space to think
552
:of course.
553
:Not all coping mechanisms are as healthy?
554
:Unhealthy coping mechanisms tend
to give you short term relief.
555
:They feel good for five to ten
minutes, then everything else kicks in.
556
:So it might be that you have spent
impulsively it might be that you Eat
557
:something that gives you a quick whoosh of
glucose, which makes your brain feel happy
558
:in the short term, and then a sharp dive.
559
:It may be alcohol, or something else
that allows you to numb out because
560
:the chronic stress is just too much.
561
:And because of ADHD, we're more
susceptible to these addictive types of
562
:behavior because the dopamine is already
lower and we're looking for more rewards.
563
:We need more rewards more often to feel
as good in our brain as the average human.
564
:And that's why we need to be really
cautious around these unhealthy
565
:quick fix solutions for stress.
566
:Where else can you look for help apart
from these unhealthy coping strategies?
567
:We've talked about exercise.
568
:We've talked about identifying points
in your day when you feel stressed.
569
:We've talked about using your body
to lower your stress levels before
570
:you start to think about things.
571
:Let's think about relationships.
572
:Now, they can be a source of stress.
573
:Generally, the studies show that
having relationships and family
574
:connections can be a buffer.
575
:Not all of them, and I'm very aware that
for some people, family relationships are
576
:a source of significant pain and distress.
577
:Obviously that is not applicable, but
maybe you have good friends who can listen
578
:and who can give you that thinking space.
579
:Maybe they have a different perspective
and as long as they're not doing
580
:it with any expectation of you
taking their advice and doing what
581
:you're told, it can be helpful.
582
:Because then you can say no, I
don't want to try that solution.
583
:And they can say, OK.
584
:It can actually help you to
think through how you're going to
585
:resolve these long term stressors.
586
:And the other thing that you can
do is start to incorporate little
587
:mindful moments throughout the day.
588
:These might not feel like they're having a
big impact to begin with, but taking a few
589
:moments to pause, the kettle's boiling,
just concentrate on the steam coming up.
590
:Allow your breath to
return to a normal rate.
591
:Focus on that instead of all the
stuff you've got to do in advance.
592
:These mindful moments build up
throughout the day, over time, that
593
:lower cortisol reduces the impact on
your physical health, it allows you to
594
:come up with more creative solutions
to the things that are weighing on you.
595
:And one that is incredibly
powerful is the pause.
596
:I'm going to come back to that in
a couple of weeks when we look at
597
:a toolkit for emotional regulation.
598
:But, taking a moment before you
respond, and you might want to shout
599
:and react, that's actually just going
to create more cortisol, and you're
600
:going to inflict it on other people,
601
:it's like pouring.
602
:on to a fire, it very rarely
works to resolve the situation.
603
:Try to pause for a moment before you
respond and that in itself is telling
604
:your brain, this isn't an emergency,
it can take a minute to think.
605
:Everything's okay.
606
:And then your solution, your response
is going to be better for everyone.
607
:And if you can, commit to some
form of exercise every day.
608
:I know I talk about it every week.
609
:But the endorphins we get from
exercise are incredibly good
610
:for you in terms of your mood.
611
:Your feeling of well being, how you
respond to the challenges, because we
612
:can't get rid of the backpack completely,
but the endorphins help to shrink
613
:it, so you can't take on too much.
614
:I should say that there comes a point
where you need to get professional help,
615
:and if it's affecting you so much you've
developed, signs of depression or anxiety,
616
:you're really not sleeping at night and
you've not experienced any enjoyment in
617
:your usual activities for two or three
weeks or more, please go and see your
618
:doctor and get referred to somebody
like a psychologist, a counsellor.
619
:Get help sooner rather than later because
the long term impact on your physical and
620
:mental health isn't worth putting it off.
621
:But remember, you have the power.
622
:to make changes in how
you respond to the stress.
623
:Even if you can't empty the
backpack completely and we always
624
:have a certain amount of rocks in
there because of our ADHD, we can
625
:choose to go for a daily walk too.
626
:Release some endorphins.
627
:We can choose to make time every day
for what I call the non negotiable fun.
628
:We can choose to make meaningful
connections and to have friendships with
629
:other people that feedback that wonderful
connection those conversations that
630
:allow us to laugh and to cope with the
challenges that everyone experiences.
631
:You can learn what sets off your stress
response and how it affects your ADHD.
632
:And I believe that you can do this.
633
:And I believe that you can reduce the
number of stones that you allow to be
634
:put into your backpack on a daily basis.
635
:And the less we're carrying every
day, the more possibility we have
636
:to reach a destination that is
really joyful and meaningful for us.
637
:Let me know if you're going to apply
anything that we've talked about
638
:today, what you recognise as the
source of your stress and how you're
639
:going to manage it going forward.
640
:And if you know somebody who's stressed
or you've stressed and you've been living
641
:with someone, can you share this episode
with them so they understand why they
642
:need to take care of themselves too.
643
:Maybe.
644
:You can even work together.
645
:And reduce the stress, whether
that's at home or at work.
646
:Let me know what you're going to do
with this and come back next week when
647
:we're going to do some myth busting
of ADHD because there's just too many
648
:and it's causing a stress impact on
too many people we're going to address
649
:the big myths in ADHD and why they're
affecting our emotions so much.
650
:Don't forget to come back next
Wednesday for the next episode
651
:of ADHD powerful possibilities.
652
:I'm your friend ADHD
coach Catherine and it.
653
:is a privilege to be with you every week.
654
:So take care.