originally written for Medium • Photo by Jackson Simmer on Unsplash If you know, you know. And that changes pretty much everything. “Suddenly, so much of my life made so much more sense.” That’s the most common refrain I hear from people like me who were late-diagnosed with ADHD. In my case, it was an ongoing, bitter, semi-serious joke, because while I excelled at tests, writing, and learning of all kinds, I somehow wasn’t ever able to parlay that into a secure career the way my peers seemed to. I would ask myself, over and over, as I looked at a depleted bank account or sat in traffic on the way to another job that I used to love but now felt like sandpaper in my gut: if I’m so smart, why ain’t I rich? Almost exactly a year ago from this writing, I got the confirmation of a possible answer to that question: because you’ve had ADHD (combined type) since you were a kid, and nobody knew it. I can’t blame anyone, not my teachers, not my parents, not my self, not my well-meaning friends and partners who tried a variety of techniques to help me succeed. There wasn’t the science to understand what ADHD was (in truth, there still isn’t, really, but at least it’s getting better). Now that I know I have ADHD, what does that change about my life? Being ignorant is not a sin. Remaining ignorant, is. — Robert Heinlein “What…are you…prepared…to DO?” — Sean Connery to Kevin Costner, The Untouchables Like many late-diagnosed ADHD folks, I channeled the one double-edged superpower that I understood: hyper-focus. I devoured the books, the podcasts, the papers, the social posts, the videos, and started writing about how I understood what I was learning (and now you’re reading this article! Sing with me: “It’s the CIIIRRRRRCLLLE of WRIIIIIIIIITE…”). That was the easy part. The hard part was — still is — that second part of the serenity prayer: accepting the things I cannot change. I have to stop pretending that my brain will work in the same way that most brains in this world work. It explains all the mishaps, mistakes, and poorly thought-out decisions that have made my life more difficult than it needed to be, but it doesn’t fix them. That’s up to me. Discipline means limiting my options. I hate even writing that. The cold, hard truth is that there are just some things that I see other people take for granted that I cannot do. I’m going to give you the current version of the running list, but before I do, I want to head off the typical neurotypical response: oh, everybody has that happen sometimes. Yes. You’re right. They do. The difference of ADHD is not in the symptoms; it is in the frequency and severity of the symptoms. Yes, everyone has diminished mental capacity when they don’t get enough sleep; for someone with ADHD, trouble sleeping is more common, and the diminishment is more severe. Which is why it’s at the top of the list: Things I cannot do: Skip on sleep. There’s an inverse relationship between how much sleep I get and how much my ADHD manifests during my day — and yes, I’m aware that sleep deprivation affects everyone, please see the above about severity. To add a layer of complication, the quality of the sleep also seems to be a factor.Skip on meds. It’s not just taking them — it’s the whole system of checks and reminders I have to have in place, because my brain doesn’t form habits, nor can it just assume I’ll remember to take them. Hence the obnoxious and insistent medical alarm on my Apple Watch, the checkbox in my daily journal for meds, and carrying a spare dose with me everywhere in my ADHD every-day carry.Skip on exercise. Again, I know: everybody needs to move. However, for most people, it’s because their body needs it. Mine too, but it’s become more and more clear that it’s really because my brain needs it to function adequately.Buy things conveniently. I used to think that contactless payment idea, the PayPal’s and the Venmo’s and tap-cards were wonderful inventions — until I realized, decades too late, that they make it that much easier for my brain to create crises by making impulsive purchases. I have them, but I’ve made them harder to use for myself.Use phrases like “in a while”, “soon”, or “later.” Time blindness is a thing. I’ve learned the hard way that I really have no concept of the passage of time, so if I use those very common phrases, they really have no meaning at all. Things I have to do: Interrupt my life to make notes. I have to write things down — names, tasks, ideas, you name it — in my little field notebook, or they get lost. It’s a common joke among ADHDers: The biggest lie we tell ourselves is “Oh, I’ll remember this later.” And sure, there are things on my phone that can let me conveniently take notes — but the phone is no longer a phone, remember? It’s an Infernal Distractibility Sarlacc Pitt of New Shiny ...
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