Secret #45: ADHD in Women with Michaela Thomas

 

Unlocking the complexities of ADHD and perfectionism can be a game-changer for many seeking self-understanding and balance. In this episode, Michaela Thomas, a senior clinical psychologist, delves into how self-identification and formal diagnosis can transform lives in therapeutic and group coaching settings. She sheds light on the nuanced relationship between ADHD and perfectionism, explaining how perfectionism often suppresses joy and hinders self-expression.

Thomas passionately explores the heightened sensitivity to rejection that individuals with ADHD experience, tying it to past ostracization and the resulting hypervigilance in social situations. This conversation is packed with insights on managing multiple responsibilities and the challenges of binary thinking common in ADHD.

From discussing the ADHD brain’s unique motivations—including urgency, interest, challenge, and novelty—to addressing emotional variability and hormonal influences, Michaela Thomas offers a comprehensive view of ADHD. She recommends Jennifer Kemp's "The Neurodivergence Workbook" and invites listeners to her podcast "Pause Purpose Play," promising a continuation of this vital discussion.

Whether it's understanding coping mechanisms or debunking misconceptions about ADHD in women, this episode is a treasure trove of information for anyone navigating the ADHD journey.

Listen in to discover empowering insights and practical tips for harnessing the strengths of ADHD while mitigating its challenges. This episode is essential for those seeking to better understand their own minds or support loved ones with ADHD, all through a lens of compassion and self-compassion.

Highlights:

  • ADHD and Perfectionism Connection

  • Emotional Sensitivity in ADHD

  • ADHD Diagnosis as a Starting Point

  • ADHD Coping Strategies for Women

TIMESTAMPS:

00:00 ADHD presentations vary widely across individuals.

03:25 ADHD in women worsens with motherhood, hormones.

08:31 ADHD's impact: negative comments internalize as self-criticism.

11:13 Midlife clarity: Prioritizing self over others' expectations.

16:01 Self-compassion helps balance procrastination, hyperfocus burnout.

18:28 Embrace slower starts for better performance.

21:50 Manage energy with music instead of doomscrolling.

26:59 Hypervigilance in ADHD involves scanning for rejection.

29:47 Perfectionism, ADHD challenge maintaining focus, taking breaks.

33:32 ADHD coping: Intelligence masks symptoms, compensatory strategies.

36:35 ADHD: Talent in crisis; struggle with simplicity.

39:34 Weightlifting, cardio, yoga, versatile meditation methods.

43:56 Use time to manage emotional reactions wisely.

46:20 Noticing triggers creates distance from reactions.

50:57 Perfectionism hinders ADHD joy and acceptance.


More about Mcihaela Thomas:

I founded the Thomas Connection because I have always cared about connecting with people. I love it so much, I have devoted half my life to psychology and wellbeing. I used to work both in Occupational Health in an NHS hospital, and in IAPT (Primary Care psychology services), before now working fully in The Thomas Connection. Over the years, I’ve seen so many people suffer, it has helped me see patterns in our struggles, the things which stress us out, the things we cry about, the values we hold, what we strive towards. My own tricky experiences as a parent have also shown me how we are all in his difficult life together, doing the best we can.

We all face hard times – it is a courageous thing to ask for help.


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Reach out and let us know you are listening and what you would like to hear on the show - email:lifesdirtylittlesecretspodcast@gmail.com

  • Secret #45: ADHD in Women with Michaela Thomas

    [00:00:00]

    Introduction and Guest Introduction

    Emma Waddington Video: Welcome

    Emma Waddington: to Life's Dirty Little Secrets. I'm Emma Waddington

    Chris McCurry: And I'm Chris McCurry, and today our guest is Michaela Thomas.

    We're delighted to have

    her.

    She's a senior clinical psychologist, coach, speaker, and founder

    of the psychology [00:01:00] practice, The Thomas

    Connection.

    She's also the author of The Lasting Connection, Developing Love and Compassion for Yourself and Your Partner. She has

    an award winning podcast, Pause Purpose Play,

    and Michaela specializes

    in the intersection between perfectionism and ADHD

    with ties to stress,

    anxiety, depression,

    procrastination,

    burnout, productivity, and overall well being.

    We will have information about her and all the wonderful things that she's doing in our show notes for this episode. So, welcome, Michaela. Thank you so much for being here.

    Michaela Thomas: Well, thank you so

    much for having

    me. I just already feel

    that this is going to be a very authentic

    slash chaotic conversation.

    Chris McCurry: Authentic, because I

    think we, we all have a bit of what we're going to be talking about today.

    Chris McCurry: ADHD

    specifically as it relates to women and I'm guessing professional women.

    So, start us off with just [00:02:00] kind of, a bit of a broader

    higher

    level view of this whole issue of ADHD.

    I know working with kids for all these years, I've seen a lot of

    what people call ADHD

    and it always mystifies me how different it can present in different people and

    and

    some of the misconceptions about it. So what are your thoughts on that?

    Michaela Thomas: Well, I think it's really nice to remind yourself of the phrase of once you've met one ADHD er, you've met one ADHD er, or you can replace

    that with one neurodivergent

    person because

    The

    presentations are so wildly different.

    And that is

    something that

    can stop people self identifying

    or recognizing the traits themselves because they might see ADHD

    as being synonymous with this, you know, little boy with

    ants in his pants.

    Who,

    absolutely there can be

    a presentation that looks like that, the hyperactive little boy who can't sit still,

    But it's not always like that. And something that we've seen a lot through now being, you know, able to [00:03:00] fund more research around ADHD in women

    specifically, because most of the previous

    research was

    done

    on

    Hormonal Impacts on ADHD

    Michaela Thomas: boys and men, we can see that the different hormonal impacts also means that ADHD presents it differently across the lifespan of a woman as well, with particular challenges around, say, adolescence pregnancy, postpartum, and also by current stage perimenopause, where everything just goes to shit.

    So. That's something I think is really fascinating of understanding why so many women are late diagnosed, partly because we then been operating for the last three, four decades on the decades on this notion that ADHD means hyperactivity, you can't sit still. And if you can sit still, you cannot be ADHD.

    That's

    just simply not true.

    Secondly, is that those women who've grown up with that notion that ADHD is just hyperactivity. They have not necessarily struggled as much as they currently do because their challenges

    [00:04:00] in life have been increasing

    Incrementally,

    exponentially.

    So just from my personal experience,

    but

    for definitely

    the women I meet in my clinic,

    when they get pregnant, if they become mothers, that's where it gets even more challenges.

    This is the hormonal aspects that women uniquely have, where we're looking at estrogen and progesterone and

    how that fluctuates across the

    lifespan. Then you look at say, when they come into perimenopause where

    estrogen is fluctuating even more,

    And they then have maybe a couple or even like three kids in your case, Emma.

    That

    adds to the chaos, right? And maybe some of those children are neurodivergent. So that adds further to the load on their capacities, their executive functioning, their ability to do things like

    planning,

    and so on. structuring their day, remembering things, all the admin that having kids involves, that's really difficult, really taxing.

    So if you look at the average age of diagnosis for women today with ADHD it's [00:05:00] about 36, 37 in the UK. That kind of makes sense for where a woman is when she's 36, 37 in mid, like coming into midlife, maybe

    in the most senior role she'd been in ever at work with more senior responsibility, having children, having fluctuating hormones and wham, you suddenly

    can't cope anymore.

    Emma Waddington: because up until then, how were women

    coping? If we're thinking specifically about women who do

    have ADHD, why is it that it's almost like the perfect storm.

    Everything comes together. The hormonal influence on our cognitive functioning, the sort of increasing demands.

    is it that we just get to a point

    where no longer

    have

    the ability to cope

    with the load.

    Emma Waddington Video: Is it quite

    Emma Waddington: literally

    a load on our cognitive ability. Is that

    what it is? Or is there

    Michaela Thomas: Partly. Yeah. Partly that. And partly I guess it's that some of the ways that

    we traditionally

    [00:06:00] try

    to cope with this, for instance, masking, which means that we suppress our need to move or suppress our urge

    to speak or suppress any impulses

    we might have.

    and trying

    to fit in,

    trying to be.

    like those other people, trying to be normative, trying to be typical.

    So masking is a term that has been around for a little while, but it might not be very well known. And that can help women who often have been socialized differently from an earlier age doing more role playing to socialize, They may be learning a little bit more of the

    rules of the game, so they can try to fit in.

    But that's hugely taxing. It's very exhausting to try to constantly mask and say the thing that you think is

    expected of you, rather than

    saying the thing that you actually want to say.

    So masking is one thing, kind of almost seeing it as camouflaging yourself

    to fit in.

    That's very difficult. But another thing that I specialized in

    for

    15 years before I realized

    Perfectionism and ADHD

    Michaela Thomas: that half my caseload were [00:07:00] also meeting criteria for ADHD is perfectionism.

    So perfectionism, people pleasing, overworking, repeated burnout cycles. All of those things

    were the things, were my bread and butter in my clinic, the things I was seeing.

    And when I

    then got my own ADHD diagnosis, it sort of clicked that, ah, okay, these are the things we do to cope. These are the things we do

    to try to suppress

    the

    urges,

    try to fit in, and try to do things to hide the chaos we have underneath.

    Emma Waddington: no. That's quite incredible.

    I think you came

    to that conclusion because I see in a lot of women with

    perfectionism,

    more than men,

    We

    see a lot more women who Are perfectionistic, have these kind of unrelenting standards across their lives as parents as working women, as everything really.

    And and they also tend to be very self critical with that perfectionism and

    until recently,

    I'd never connected it to ADHD.

    Emma Waddington Video: ADHD.

    Emma Waddington: I [00:08:00] just thought

    it was, you know, very

    rigid beliefs about

    themselves and how things should be done. I didn't think

    it was compensating for a

    difficulty, an underlying difficulty.

    I, I think that has been really

    that has shifted

    my view of a lot of

    the clients

    that I work with, and even myself thinking about how

    really perfectionism

    is a compensation as opposed

    to,

    a way of coping, as opposed to

    a series of

    beliefs about how things should be done.

    Michaela Thomas: Well,

    it can be both.

    obviously it's multi,

    multi dimensional that, and I think you mentioned self criticism, and I want to just touch upon that as well, that

    what we know from the research

    around growing up with ADHD, and

    especially if we don't know about it, and I'm sure Chris could weigh in

    on that as well as a child psychologist, that

    we get

    told a lot of negative comments.

    You're too late again, or don't be clumsy, you're lazy. All the things that are little remarks on the behavior and

    the [00:09:00] conduct on children with ADHD gets internalized as self criticism over time. And there's some harrowing research that says that you've had 12, 000 negative comments by the age of 12 or something like that.

    that

    is

    then becoming internalized as your own inner dialogue that oh, I'm just so lazy. Why can't I get myself started today? Why can't I remember this appointment or why did I forget to do this thing again? and then you lay on the shame and the self blame and the guilt and There we have kind of the recipe for coming into depressive cycles as well.

    Chris McCurry: you can end up with, you know, the, and again, this may fall under gender lines. I don't have the research, but

    You get a lot of boys. That hit uh, you know, in the States, it's called fourth grade. So, you know, 10, 11 years old,

    and they

    just give up academically because again, it's kind of like what you were describing before

     

    Chris McCurry: the demands increase.

    So the shift between third grade and fourth grade is huge in [00:10:00] terms of the type of material that kids have to learn. And you're.

    Reading

    to learn as opposed to learning to read and you have multiplication and division, which are very holistic as opposed to the linear stuff of adding and subtracting.

    And

    so if some boys, you know, they hit that and all of a sudden things are hard and they quit and then the girls again, you know, over generalization are going to work harder.

    So,

    you know,

    there's coping

    and then there's compensation, and then there's perfectionism. It's kind of on a continuum.

    Chris McCurry Video: And

    Chris McCurry: so perfectionism is when it gets toxic.

    Michaela Thomas: Yeah, absolutely and we get praised for that. That's the thing about the narrative of being a good girl. You know, in the classroom, we know that girls get different attention to boys.

    Uh, Even if

    a teacher is trying to be as conscious as possible, there are, you know, gender norms and stereotypes about how a boy and a girl behaves, and boys can be excused more of that, maybe distracted or hyperactive behavior, and girls [00:11:00] can be told off for those

    things. And so there's a lot of overcompensating

    of that, of trying to be a good girl, do what's expected of you. And this is where I often see when women come into midlife. When they've come to the point where they realize, actually, I

    don't want to

    just do what's expected of me anymore. I want to live a life that I enjoy, that I feel is fulfilling, and that's where it can have real sort of midlife clarity and realize, I've been doing everything else for everyone else, including maybe being a carer, my whole life, and when is it my turn?

    And that can be linked with sort of that sense of strong sense of empathy and compassion that a lot of ADHD women also

    experience.

    They can feel very deeply,

    very intuitively for others. And that can mean that they're more prone to

    vulnerable to burnout

    because they overstretch themselves and over deliver for others and don't meet their own needs.

    Emma Waddington Video: Yes.

    Emma Waddington: That's

    such an

    important piece. So

    the burnout piece is

    is fascinating

    for me because I hadn't realized to what degree

    women

    with [00:12:00] ADHD can burn out.

    Burnout and Hyperfocus Cycles

    Emma Waddington: I've had clients that will tell me that, you know, they work incredibly hard, perfectionistic, relentless,

    and it's kind of that hyper focus and burnout, or hyper focus,

    perfectionism and burnout seem to follow a sequence. maybe you

    Michaela Thomas: Like a

    roller coaster, if you

    Emma Waddington: Yeah. Could you talk a bit about that? Because I find that fascinating because it kind of doesn't follow. Well, it is a burnout, but it feels almost more physical than the burnout perhaps from this sort of relentless amount of stress. Like some of the women that I work

    with when they get their ADHD burnout, they are

    out.

    Michaela Thomas: yeah.

    It's a very,

    I mean, that's why chronic fatigue is over represented in ADHD women as well. And it's all linked. It's really all linked. Autoimmune disorders are over represented. Chronic pain,

    migraines, a lot of the things they're just your body saying, you know, enough.

    You've done

    more than you can

    cope with.

    You've gone over your capacity. And that's [00:13:00] where I think

    the patterns are so cyclical where they might then have a period of being a

    bit procrastinated or

    maybe struggling with their task initiation, you know,

    getting going, then they

    beat themselves

    up a bit for that because everyone else is so motivated. Why can't I do my stuff?

    They finally drop into hyper focus.

    Okay. Okay.

    I can get going now.

    I'm going to do these things. Get interested in it. Usually

    motivated by

    a sense of urgency. Because the deadline is looming and usually because cortisol

    has kicked in, the stress hormones

    have kicked in, adrenaline, okay, I'm going go.

    And

    that's where they

    do a, you know,

    a 2 a. m. kind of late deadline,

    staying up really late and working through all the cylinders, basically burning the candle at both ends. And then

    after that,

    eventually they crash because a hyper focus cannot last in, you know, in definite amounts of time. So I call that the hyper focus hangover.

    Where you feel awful, right? So they go into the [00:14:00] procrastination coming into them and

    thinking, okay, must do something now is lastminute. com need to get going, hyper focus, overwork, then often feel a bit

    dissatisfied with what they've also put together because they started too late and didn't have the time to really give it the attention it needed.

    That was seen in perfectionism as well.

    And then beat

    themselves up a little bit more for being in this pattern again, being in the crash where can they can literally be out for the count and needing to be signed off sick from work or just lie in bed can be very deep kind of completely depleting and then it starts over again because that crash has them fueled another episode of procrastination and slump so and round it goes

    I think of it as the the meerkat and the sloth, right? This is actually came

    from my own sister's account

    of who I am for my ADHD assessment. And she said, Michaela has two modes, the meerkat

    and the sloth. The meerkat is when I'm constantly like attentive and like looking around and, Oh,

    what's going on?

    What's going [00:15:00] on? I mean, you know, sidetracked by squirrels that's where you're really focused. And then suddenly you can't do that anymore. you run out of the meerkat steam and you become a sloth and

    just very stationary and like, ugh, I can't be bothered.

    So

    that's why I think sort of using these sort of metaphors can help us understand that it's not your fault, but you do need to recognize which state you're currently in, how you got into that state, what's gonna help rather than be harmful for you

    to come

    out of that state, and how you can gently guide yourself through that.

    oping Strategies and Self-Compassion

    Emma Waddington: Yeah, that's that self compassion piece that you were talking about at the beginning because

    clients

    of mine when they get, you know, they're very hard on themselves because they procrastinate and they don't understand it doesn't make any sense. Why can't I just get going?

    And

    then they do exactly like you said, or they'll work really hard and do

    tremendous amounts

    of work,

    neglect everything else.

    And I think that's really

    important to to [00:16:00] mention because.

    Most people recognize this, you know, we all

    procrastinate, we all leave things to last minute, and we all have a tendency

    to sort of focus

    on something if we're really

    interested in it.

    But I think the difference is that hyper

    focus is to

    the detriment of everything else, every other cue in our body, be it sleep or eat which is why it ends up in the burnout.

    Like where in that book you said it's loss it's a really good metaphor. And getting out of that cycle is really difficult.

    Do you have any

    so the self compassion

    piece is really important to recognize

    that there is something

    sort of, you know, cognitively, the way we approach things, the things that motivate us.

    I, I, love one of the metaphors that they use in the neurodivergent woman podcast, where they talk

    about ADHD being sort of, I'm going to butcher their version,

    but there's like uh, we have

    our our office, but our office

    is very under resourced. And it only has two admin and [00:17:00] the admin have a dilemma.

    They either attempt everything. Which means,

    you know, nothing

    gets done very well. And it's very chaotic and disorganized, or they only go for one thing,

    but that means that everything else is neglected. And I think that's a very compassionate

    realization. I

    think a lot of people recognize that

    Just simply true, that they can't do everything.

    The same way they'd like to, and they have to make these choices and having that more compassionate lens

    perhaps helps

    them to, yeah, to hold it more lightly as we say in our

    ACT

    community although that we use,

    Michaela Thomas: less arguing against yourself less fighting against the fact that this is likely to happen, that you are likely to have a slow start. I think of it similar to how I learned about managing my asthma when I was a child. I was told that it's really helpful for my lung capacity for me to be able to do exercise by doing a slightly longer warm up, right?

    [00:18:00] We're not just going to go.

    off

    you go and run because then my, usually I would sort of make my lungs would feel a bit too challenged by that. So I think of it sometimes we just have a slightly longer warm up

    before we can

    train.

    And then when we're off, we're pretty sprinty and to the point where sometimes you have to slow us down because otherwise we'll miss things along the way.

    We'll make careless mistakes as the diagnostic term says, which I

    think is horrible. Because

    we'll miss things because we're so focused

    on whatever we've got in front of us. So I think if it's been helpful of

    reminding yourself of the four

    different things that motivate the ADHD brain.

    So the urgency

    is something we've touched upon already.

    So when we have a deadline do things, we procrastinate until the deadline. So the urgency that drives us into action.

    but interest

    is usually when we drop into a hyper focus. I'm interested in a topic, so then I want to read about it.

    Challenge

    when you can make

    it playful and fun.

    You know, challenge yourself to get this amount of work done in 10 minutes or wash up all your dishes in 17 minutes.

    The last

    one is [00:19:00] novelty, which is crucial to understanding why sometimes ADHDers get into trouble. The novelty isn't just about seeing the beauty in the world and, Enjoying traveling

    to fantastic

    scenery and taking away sort of the, don't know, just the life enjoyment, but it can also be the thing that gets us into deep trouble, like leaving relationships before we should quitting a job that we could have persisted at,

    moving countries, or

    just impulsively burning your business down because it didn't go so well one week.

    Like that bit of craving things to be different is also something I see.

    Caused a lot of problems

    for the women I support because they don't stay consistently persisting with something. They kind of go,

    Oh, that didn't go well next. And that wanting to

    do the next thing, because that gives more novelty, that gives more stimulation.

    That can also mean that you then crave that stimulation, that dopamine in unhealthy things like

    overeating. We

    know that ADHD is highly correlated

    with binge eating disorder [00:20:00] and bulimia.

    So overeating, because you feel then. a sense of stimulation, a sense of feeling alive gambling, addictions overall, you know, alcohol, drug abuse, sex.

    So there can be, you know, as a couples therapist as well, there can be issues with wanting to have an extra marital affair. There are lots of things like that because there's just, there's no tolerance for boredom. We just crave stimulation and novelty.

    So when you know those

    things,

    you can work with

    yourself as the person you are, with

    the tools

    you've got,

    rather than shaming yourself, you can then bring in healthy,

    helpful novelty and stimulation,

    so that you don't

    go seeking dopamine in the unhealthy places.

    Emma Waddington: I like that. Can you give some examples? Cause I think that's really helpful. For our listeners,

    Michaela Thomas: so let's think

    of a really concrete one. I'm sure

    that anyone listening, and maybe yourselves included, would occasionally doom scroll. You scroll on your phone, don't really know where you've done, what you've been doing for the last half an hour, and suddenly time has just [00:21:00] passed. That's usually because our brain is craving some sort of stimulation and we can be too tired to initiate something else and then you come out of that you don't usually feel very good so

    instead of doing

    that so.

    Working with yourself knowing what kind of things can lift your energy so it's managing your energy for me music works really well a

    lot of my clients

    have

    particular playlists that I

    go to for more dopamine. Even if you went on to spotify or apple podcast or anything.

    Michaela Thomas Video: Apple music,

    Michaela Thomas: there

    will be things where you can search

    for like ADHD, upbeat music,

    et

    cetera, certain types of rhythms and beats

    that can be really stimulating

    for our brains. Movement. Always go to movement. So even if

    you're not hyperactive type of ADHD, you might have an internal restlessness instead that still you can't really think your way out. You need to

    move your way out of that.

    So when you're stuck in

    analysis paralysis, looking at all the accounts on Instagram or the people doing better than you, you can't sit there and like question those thoughts.

    [00:22:00] You just need to move to make the thoughts subside, if that makes sense.

    Emma Waddington: That's so interesting Cause that's I

    just want to touch on that internal agitation, right? So, so the difference with

    women

    not being sort of fidgety and ants

    in our pants is that we might have a lot of catastrophizing. That's quite typical too, isn't it? There's this doom and gloom and worst case scenarios and our minds can go wild with stories and ideas.

    And

    so you would,

    You think, you

    would see it

    in a similar way, is that we're looking for stimulation, that our mind is interesting, that's,

    Michaela Thomas: And that for women kind of common telltale sign that comes along with that catastrophizing and over, like overthinking and being too stuck in your own mind. It's anxiety. So a physical manifestation of anxiety in your body perhaps, or even. Panic attacks or sleeping

    problems or migraines, because your body is

    saying just stop for a moment, but we [00:23:00] can't it's like the Ferrari metaphor

    that you're, you know, your mind is racing really

    fast or your body is

    racing really fast or both.

    So, again, very different presentations from person to person.

    Emma Waddington: Yes, and that's where some of the self

    criticism can just,

    you know, take off as well, in that space. So it is really important to start to recognize those patterns and

    I guess, so

    when we think about ADHD, I mean, there's been

    so much in

    the social media and so many people sort of saying, oh, it's just a fad and everybody's getting diagnosed now and, I think

    this idea that women have been incredibly good at masking

    and that

    I

    think, but it is important to recognize that, you know, we all are quite critical. We all can be sort of catastrophizes.

    Emma Waddington Video: catastrophizes.

    Emma Waddington: We

    all can feel hyper focused at times, but ADHD is

    will

    really impact our functioning.

    Michaela Thomas: It will do, and I think one thing that's not very commonly talked about is rejection

    sensitivity,

    you know, [00:24:00] thinking about rejection, sensitivity, dysphoria or RSD.

    Michaela Thomas Video: RSD,

    Michaela Thomas: Which is

    very universal. So

    even though you might differ from your

    Fellow ADHD

    and how your brain is operating, a lot of us experience that, which means that we've taken it personally, when someone says something neutral, we will look for the negativity in it almost because we have a negativity bias in our mind, almost like the glass is kind of half empty and it's not your fault that your brain is wired that way.

    So it's a bit more

    of an uphill struggle to come out of a meeting in a positive way.

    So

    that classic thing of you send your friend a message on WhatsApp or something, and you can see that they've read it. So you see the blue ticks, but there's no reply. They must hate me, right?

    It's I think it's one of those things that's really hard to be ignored for us though. So even if it's benign, like even if you be

    like, Ah, everyone does that these days, nobody replies to text messages. The ADHD mind would be like, But if they loved me or if they liked me, they would, so we would find a reason to [00:25:00] go,

    Oh, but that's

    because they don't like me

    because we have,

    I mean, I mean, this is general terms, but overall.

    People have so many experiences of being rejected of being teased or bullied or seen as an outsider so that we have,

    you

    know, a super scanner that looks for that in a very hyper vigilant way. We're going to be on the lookout for anyone saying something negative because we've heard it all before.

    And

    even if we haven't heard it all before, we say it to ourselves constantly.

    The Impact of ADHD on Relationships

    Michaela Thomas: So even in, you know, in relationships where an ADHD ear is with a partner, they would often be

    reading their body language, their facial

    expressions, their tone of voice. Very consciously to be aware of any slight or any perceived kind of rejection, they will be on the lookout for it. So that's why

    women

    with ADHD can also be really good at reading facial expressions.

    Now it gets more complicated if you also have an autistic profile, which we know there's a huge overlap between the two. So,

    again,

    there's that [00:26:00] misconception that neurodivergent people or neurodivergent women can't ever read a facial expression.

    Sometimes they're very good at it because they've trained themselves their whole mind their whole lives to pick up

    any signs

    of threat

    or rejection in the mannerisms of another person.

    But they don't always get it right. They might jump to conclusion, catastrophize, like you said. Oh, that must mean that I'm

    horrible.

    So it's not a nice place to be.

    If you get stuck in those thoughts, you can kind of make sense

    why depression and anxiety is more likely in neurodivergent people.

    Chris McCurry: it seems like a lot of. A lot of what we've been talking about is sort of a very binary black and white kind of approach to the world.

    You know, you're either working like a demon or, you know, you're slothing, you know, as a way of even self care at that point.

    But,

    you know, I'm either completely loved or I'm completely rejected and people who are [00:27:00] stressed out tend to think in very black and white binary terms as we all can under the right circumstances.

    And you were describing earlier the

    37

    year old woman who is like trying to juggle all these things, all these spinning plates so just trying to distress a little bit could probably help open things up to see the possibilities somewhere in between. This is really great, and this is really awful.

    Michaela Thomas: Really difficult with those nuances though, because all or nothing thinking is very common in perfectionism and also in ADHD, that kind of polarized thinking. And that can be very difficult to say, maybe I need to de stress a bit, because the prospect of slowing down, the prospect of taking a break, might mean

    that I won't get started again.

    So not wanting to take a break from overworking isn't just

    about, well, I'm now being productive finally, it's also the fear that

    if I stop I won't get going

    again,

    and then I'll have to start all over again

    with

    that long warm [00:28:00] up, like I said. So if you are someone who can just stop and start and get going and don't get

    sidetracked or

    distracted then you wouldn't

    mind having a five minute break to just stretch your legs or

    your colleague asking you a question whilst

    you're in the middle of something.

    But when you're, When

    ADHD and Workplace Challenges

    Michaela Thomas: you have ADHD, having that kind of interruption to your focus can be, it can sidetrack

    you for

    the rest of the day. If you are not able to kind of find tools to come back into it

    again, because

    you might've worked so hard to even get you into the place of focus that you can very easily come out of it again.

    And then the self criticism cycle starts again. So

    all of these

    things give massive implications for how people are treated in the workplace, sitting in

    open plan offices or being a

    senior. Senior

    professional in a corporate workplace

    where you have 40 people constantly coming to knock on your door to interrupt you, you will never be productive.

    So understanding

    that of how our productivity differs from neurodivergent to neurotypical people

    is crucial for

    having a workplace where. We don't have people serially [00:29:00] going into burnout because then they take the work home with them. I didn't finish the stuff I was going to do today. So now I'm going to stay up till 2am, get it all done, then have a sleep deficit.

    And we know that sleep deprivation makes ADHD

    symptoms way worse, and then

    the next day they start and being even less able to focus and concentrate because executive functioning is impacted

    really negatively

    when you don't sleep.

    Emma Waddington: And

    I guess

    Rebranding ADHD: Attention Allocation Deficit

    Emma Waddington: as I'm listening to you, I'm thinking about, you know, the idea that ADHD, you know, that kind of how we need to rebrand ADHD, that it really isn't an attention deficit, but you know, in your contemplation

    Chris McCurry: attention allocation deficit,

    Emma Waddington: yeah, it's,

    Michaela Thomas: regulation

    problem

    is It's a lovely one that I like.

    Chris McCurry: or sometimes I tell parents it's an intention deficit disorder. Your child is not intending to do his homework.

    Yeah

    he's not motivated. It's not interesting. It's not, you know, he's not going to get any satisfaction out of this

    Michaela Thomas: No. And it's really sad because that means we [00:30:00] have so many children

    growing up.

    Harnessing Potential in ADHD Children

    Michaela Thomas: Like you mentioned those coming to 10, 11 or et cetera,

    who

    cannot utilize their potential,

    You know, very bright minds growing up who could solve the energy crisis for us, who are just not able to do that

    because they're not harnessing that energy, harnessing that potential.

    My son being a great example of that. He is incredibly bright and he hates school because

    it's too boring. It's too slow. I have to sit all day long and I'm not

    motivated and I don't get to do all the extra work I want to do. I don't get to move into more advanced things. I have to do the basics. So he's not motivated

    And that's, that. I see that so much.

    Chris McCurry Video: challenges

    Chris McCurry: are threats.

    Because they're going to expose me as really not that smart that everybody's been telling me I am. But if it's difficult, it must mean I'm not smart.

    This is Carol Dweck. Research into self stories. Yeah.

    Michaela Thomas: Yeah, I find that really fascinating when we think about ADHD as well, that[00:31:00]

    how

    you think of your own identity, what you've been told,

    And I

    work with a exceptionally bright people as well, who've often hinged sort of their identity on being smart, because that's the only thing they can kind of ride on to get

    through school.

    So they

    might have been,

    you know, achieving academically,

    but at

    a cost

    of their own energy or not seeing friends as much because they were focusing on constantly studying.

    So,

    we know

    that's also a compensatory strategy. High

    levels of intelligence

    can also mask and hide the ADHD symptoms because you

    find out different ways to try to ease it

    for yourself. My son has

    figured out that if he goes

    up to ask

    to have uh, you know, a drink of water far more often than he actually needs, he gets to move. He's given himself jobs in the classroom They give him the most movement in

    the day,

    like handing out all the books to everyone. So,

    and that we used to in that before

    anyone even noticed that we were doing this.

    So,

    smart

    children and then smart adults can go [00:32:00] undetected because they find all the compensatory strategies to still try to mask and fit in and hide the fact that they struggle so much underneath.

    Emma Waddington: And then, but then the risk of that is that you have this, you develop this very critical narrative. If you go undiagnosed and you build a story about yourself that is, you know, makes everything worse and I guess for me, in my mind, what's been really helpful in this conversation is starting to sort of disentangle anxiety from ADHD because there's so much about ADHD that

    looks like anxiety.

    And the anxiety can kind of mask the ADHD

    in a way. And it's, I think it's important to be able to disentangle the two pieces that anxiety is inevitable if you have ADHD.

    Michaela Thomas Video: Yeah,

    Chris McCurry: Well, they're both about

    attention, you know, they're both about attention allocation. If I'm anxious about, you know, if I'm a child and I'm

    sitting

    in the classroom worried about whether or not somebody is going to play with me at [00:33:00] recess, I'm not allocating my attention toward the teacher.

    So,

    you know, they both come from the same parts

    of the brain.

    Michaela Thomas: absolutely. And allocating our attention to past failures or past mistakes or times when someone did have a go at us for something that's.

    that,

    you know, not being in the present moment is going to have a huge impact on that, because you're thinking about all the past failures, you're worrying about failing again in the future, and,

    That

    piece of

    research saying that we're, you know, only

    In the present

    moment, what, 47 percent of the time, or whatever it is, that Harvard University study,

    Chris McCurry: I'm sorry,

    Can you say that again? Yeah.

    I

    was not in the present moment.

    Michaela Thomas: were you distracted, kidding. Yeah.

    Just kidding.

    Yeah, I mean, it's 50 50, if you would have heard me right.

    Chris McCurry: Exactly.

    Michaela Thomas: so, I wonder how high that would be for ADHD though,

    Like, is it 47 percent of the time, or is it

    80 percent of the time that you're not in the present moment, because you're somewhere else entirely?

    It's interesting. It's

    fascinating with our attention and it's [00:34:00] not, like I said, it's not a deficit because we also know from the research around ADHD as being in, say, in the emergency services that we're really good at handling crisis and emergency in the moment.

    So when it matters again, urgency, interest, challenge, novelty, new things happen, the

    Lateral problem solving and thinking that ADHD is going to have

    can bring huge asset. To emergencies where everyone else is run running the other way. The A

    DHD is running towards it because

    they can think of it. It's almost like, I think of that as we can handle

    the complexity

    but we can't handle the simplicity.

    Dunno what

    to, you know, make sure I booked a dentist appointment for my son or et cetera. But I can write a whole book about couples relationships.

    Emma Waddington: That is fascinating, isn't it? It's so true. I mean, from conversations I've had with clients is that, and that until you start to think about ADHD, it makes no sense in your head. Why [00:35:00] is it that, you know, in a crisis during sort of COVID, for example they, there was lots of things that you know, individuals with ADHD could get done and work with an

    intense force,

    But then could organize the childcare or the children's party, unless it was going to be the best party in the world with every single sort of entertainer, you know, confetti, whatever it was, then they could get it going. But if it's just your average party, then I just, I can't find myself. And yet I can do all these other incredible things.

    It doesn't make a lot of sense. It doesn't follow that

    anxious. you know, if it was just

    the fear of what others are going to think about me, then I get more motivated. That's always the dilemma. procrastination, like I, should be motivated because

    I'm going

    to get into trouble if I don't get this job done. And that's why you can differentiate it from anxiety because there isn't that, there is, of course, a fear, but the fear isn't motivating them to move until the end.

    Michaela Thomas: it can be [00:36:00] even more paralyzing, and this is what I mean about sort of using things that do help you. Raise your energy. Again, if you've been in stationary sat at the computer and then your mind is going, I can't focus. Then you always have to move. It's just, you cannot sit there for another hour and think that your focus is going to come.

    It won't.

    So it's, yeah, the

    answer is always

    movement to pretty much any affliction. And that's, I've noticed a difference for myself personally, how much better I feel on the days when I've exercised, I do sort of heavy weight lifting, not like.

    you know, bodybuilding,

    but as in a lift, lift

    weights in exercise, do cardio.

    I do yoga because that's yoga is easier for way

    into meditation for me because there's still body movement. I can sort of be in a flow with it, but I'm still moving.

    And it's finding. Like finding peace with that and making peace with what works for you,

    rather

    than thinking I should

    sit down and do.

    Ten minute seated

    meditation every day because that's supposed to be good for me. [00:37:00] There are many ways into mindfulness meditation that still works for the more hyperactive, restless mind that doesn't have to be you sitting there with eyes closed for ten minutes. I personally love it that too, but then I often have to layer it up with another, like, almost like another layer of stimulation, like listening to Thank you.

    A soundscape, or having some things like

    a scent around me. Like

    having a few things that makes my mind go, Ooh, this is really exciting. Like a weighted blanket can feel sensory nice and anchoring me in the present moment.

    So there's lots of things

    we can do that just, it doesn't have to look exactly the same as what everyone else does, but you can still practice things like meditation and mindfulness.

    Emma Waddington: Yes. Can I

    backtrack I was thinking about this emotional overwhelm. That individuals who present with ADHD can

    get really upset,

    really angry and

    really overwhelmed. You know, obviously that rejection sensitivity is

    a part

    of it. So it

    can be around people, but it can be around things [00:38:00] not going the right

    way.

    But it will be this very, you know, like a tsunami of emotion that they can't stop.

    Michaela Thomas: it can be very raw and especially for

    children who have more immature frontal lobes as well, they're still growing and developing, so they won't have the same stop pattern anyway. But the emotional regulation part of ADHD is, it's a funny one because it's been, you in the diagnostic criteria than taken out of the diagnostic criteria.

    And now people are lobbying for that needing definitely to be a crucial part

    of

    understanding ADHD. So if you are someone who is a big feeler or you're highly sensitive or

    You just feel like you have your heart on your sleeve that is quite common and not ever again, we've said sort of the presentations vary so much, but some children are very explosive.

    I think Ross Green's work around the highly explosive child

    kind of signals that I'm one of them.

    I'm sort of the, my, my emotional range is

    Like Ariana [00:39:00] Grande's vocal range.

    It's, it's a lot of everything. I can hit the highest and the lowest. And some people are a bit more steady in the middle.

    And I have to think that. As much as I find it hard with the emotional lows or the frustration tolerance, not being what it could be. It also means I hit the emotional

    highs,

    like the joy we can

    feel that

    the fact that I literally and metaphorically can skip when

    I'm happy about something.

    And my

    husband, who is a little bit more steady, he wouldn't.

    Skip. So I feel like I, you get the one with the other,

    unfortunately,

    you get the peaks with the troughs. So knowing that about yourself, it doesn't mean you're better or worse. There are plenty of fantastic singers out there who have a limited vocal range and you still enjoy their music. So it's just self awareness, understanding that I'm likely to

    be emotional

    here, So I give

    myself

    little permission pieces

    around that. So

    if something happens, I know I'm going to

    react strongly, you know, if something [00:40:00] triggers my RSD or, If I get an email from someone that is ever slightly rude or critical,

    which doesn't happen a lot, thankfully, but if I face a troll on, the internet, these

    things happen when you're slightly public profile, if that happens, I just step away because I know it will bring big feelings.

    And then 12 hours, 24 hours later, the big feelings will have subsided and I can come to clarity about what I want

    to do.

    So the wisdom comes after that. So

    I love

    the wise mind from DBT, dialectical behavior therapy, where you have an overlap of your sense and your sensibility

    your

    kind of, your logical side, as well as your emotional side.

    They can meet in the middle. And that can be hard for ADHDers if we don't first regulate our emotions and allow them to be there first. So, yeah, I'll hit some high notes and then I'll move on, basically.

    Emma Waddington Video: that's wonderful. And I guess when you were saying about, you know, that

    Emma Waddington: rejection sensitivity

    being so,

    Emma Waddington Video: [00:41:00] strong,

    Emma Waddington: then that one has to be sort of.

    really sensitive to that that, you know, if you are going to be working in environments that are social

    you know, if you are going to be connecting and having a busy social life, or you want to have

    Great friendships, and that is, you know, a vulnerability that you have to just be pointful of and treat yourself very kindly and know what's happening.

    I think awareness. Is so powerful. If like Dan Siegel says, you know, name it to tame it, give it a name. And even that rejection sensitivity, I hadn't thought of it before like that. It's really useful to know that's what's happening. I'm particularly sensitive to the possibility of rejection. And so I'll look for it and I'll find it.

    Chris McCurry: And in acceptance and commitment therapy, we would talk about how, you know, these things are directly linked to our values. I mean, I'm sensitive to rejection because I [00:42:00] value connection.

    You know,

    Michaela Thomas: where we care and we care where we hurt

    Chris McCurry: Right. Exactly.

    Chris McCurry Video: Silence.

    Michaela Thomas: I'm having some RSD triggered by this text and I can start a conversation with my husband then.

    If so, what's up? Oh, actually I think it's just a bit of RSD being triggered and I can notice that. That's very different to, or you wouldn't believe what this person said in this text message. I'm already having a bit of distance between me and the thoughts and the feelings by noticing them and saying, this is what I think is happening.

    It's not my fault. I'm not going to shame myself for it. I'm just going to give myself a bit of space then.

    Chris McCurry: Yeah.

    Michaela Thomas: then knowing that you need to go easy

    on yourself.

    Chris McCurry: it becomes one of those. Oh yeah. One of those. And even just abbreviating to RSD is a way of kind of getting a little distance from that a little decentering.

    Michaela Thomas: Yeah,

    it's just one of [00:43:00] those things that,

    or one of those days

    that we can often see in, And women who have more or less ADHD symptoms depending on where they are in their cycle.

    So

    in the monthly cycle. So knowing that as well, oh, it's the PMT week. That's where more demons come in.

    Emma Waddington: Yes, because one of the questions that people have asked me is around perimenopause and menopause and how that also makes some of the ADHD symptoms worse. And to be aware of that, I guess, is that hormonal influence on our cognitive functioning and our emotional regulation as a result.

    Chris McCurry: Could it not?

    Emma Waddington: How could It It makes sense. How could it not? It's and I think that's sort of ending our chat with a lovely sort of compassionate thing of how can I be helpful rather than harmful to myself if I am. A perimenopausal woman with a senior role, a couple of kids, and they're driving me up the wall. How can I be helpful rather than harmful to myself?

    Michaela Thomas: And

    Self-Compassion and ADHD

    Michaela Thomas: that's, might give you some ideas of setting up some better systems, asking for some more support [00:44:00] and developing some self compassion for yourself.

    Emma Waddington: Absolutely. You don't have to be everything for everybody, which is what we've often had to be as women.

    Michaela Thomas Video: Yeah,

    Michaela Thomas: It's a nice way to get the patriarchy in there again.

    Chris McCurry: And let me just

    on behalf

    of the patriarchy, let me offer my sincere apologies.

    Michaela Thomas: Accepted.

    It's okay, we need

    male allies. So we need men to enter the conversations with us and, Help us understand the the lack of equity and then we

    can continue to work towards equity.

    Emma Waddington: That's

    right. Yes. This has been wonderful. My goodness. I must admit, I have got more questions, but I'm going to hold them.

    I'm going to restrain

    myself.

    Michaela Thomas: always come over to my website and have a chat with me. And this is what I talk about on my own podcast constantly.

    So I would love to have a conversation with the other side of having you two over in my podcast one day. So

    Emma Waddington: Yes.

    Chris McCurry: We'd love to join you there. We'd be honored.

    Emma Waddington Video: Absolutely.

    Emma Waddington: It's [00:45:00] just so important and I think it's so empowering. I'm so excited. When I was so excited when I heard and I think of that description of yours, happiness with a skip, I totally know what that means. I get very excited about

    that. And

    when I when I, little bit,

    Michaela Thomas: a little bit extra.

    Emma Waddington: you're absolutely

    right. A little bit

    Plus

    as they would say

    here.

    Um, And this. This ADHD with perfectionism is just, it's such a powerful insight

    for me. And it's helped. Me support my clients much better and really give them a that compassionate lens that they really needed to hear and

    it's

    like magic. It really is. So I,

    we haven't touched on, you know, diagnosing, et cetera.

    but I

    think, Reading

    about ADHD,

    seeing if you recognize some of these symptoms can be incredibly empowering.

    Michaela Thomas: It

    can be. And self identification is also really valid. Sometimes people choose to come into my world and work with me [00:46:00] therapeutically or join my group coaching program

    and then further down the line go through

    the formal diagnosis. Some

    people choose to

    do the diagnosis first, because the way I do the assessment is therapeutic in itself as well.

    It's not

    just here's

    an hour where you tick through a few questions and tick boxes. It's in itself an exploratory journey where you come to terms with yourself and make space for that grief and relief that comes post diagnosis. Oh, it's not my fault and oh my goodness, what could life have been like had I known about this 40 years ago?

    So it's a lot. It cracks your world wide open. It's

    Michaela Thomas Video: But

    Michaela Thomas: this

    is why I've, you know, just thought about it when you said it, Emma, the combination between ADHD the the happiness with a skip,

    that perfectionism can really rob

    you from the joy that you could hit

    more with your ADHD,

    that some of the extras that you don't allow yourself because that's a bit weird or that you don't fit in and people, what are people going to think?

    So,

    the self

    regulatory aspects

    of perfectionism can really

    poo on your pee on

    your parade, if you may.[00:47:00]

    Emma Waddington: Yeah,

    it's a very good point. Actually. I haven't thought about it either. And you're absolutely right. Thanks. Like it just constrains you. And I know Jennifer Kemp, who's on our podcast,

    talked about, how liberated she felt when, you know, the more and more authentic she's been able to become. The less masculine.

    Michaela Thomas: Love

    her and I love her work and I saw her at a conference recently.

    she's, like the Australian Michaela. She does what

    she does

    on the other side of the world and occasionally we meet up. So she's lovely.

    for anyone who wants to do more work around this, I haven't

    yet written a book on ADHD, encourage anyone to go and check out Jennifer's, because it's great.

    Emma Waddington: Her work, her workbook. It's really

    Michaela Thomas: The Neurodivergence Workbook for developing self compassion. So it's a great resource, but if you want to just listen more, not everyone can pick up a book, then come along to the Pause Purpose Play podcast.

    Michaela Thomas Video: podcast

    Conclusion and Final Thoughts

    Michaela Thomas: And hopefully Emma and Chris will join me in the future.

    Emma Waddington Video: Hey, how

    Emma Waddington: how exciting. Well, that's

    given

    me a little

    skip

    internally.

    Emma Waddington Video: Wonderful.

    [00:48:00] Well,

    Chris McCurry: This has been wonderful. And I know listeners are going to be fine. We'll find it very helpful and informative. And

    Emma Waddington: And validating.

    Very. thank you. That's the whole point. This is why I do these things is just to get more people to realize it's not your fault. You're doing the best you can with what you've got and there are also things you can shape and mold and improve.

    Michaela Thomas: It's not

    the end of your life if you get a diagnosis, it's just the beginning of it.

    That's when you can

    really

    start to live life a little bit more extra. So thank you so much for inviting me.

    Emma Waddington Video: Thank you.

    [00:49:00]

 
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Secret #44: Parental Fatigue and Embracing Imperfection with Debbie Sorensen