The Tragic Impact Of Undiagnosed ADHD & How To Reverse It | Dr. Jacob Ambrose

28 Oct 2025 · 1 h 1 min · 27 chapters

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In short

The episode explains how undiagnosed ADHD can lead to chronic shame, low self-esteem, overwhelm/executive dysfunction, burnout, and rejection-sensitive dysphoria (RSD). It argues that many ADHD struggles are worsened by repeated childhood criticism and social pressure—especially for women who are expected to “take up less space.” It also covers how ADHD affects relationships: masking, limerence (hyper-fixation), anxious/avoidant/fearful attachment patterns, and how RSD can derail conflict and create guilt after arguments.

Guest

Dr. Jacob Ambrose, an ADHD expert and clinical psychologist specializing in ADHD.

Key claims

ADHD is not a “deficit of attention” so much as a neurochemistry difference that can produce overwhelm; shame comes from being judged for one’s wiring; RSD is like a body-level “stop” response to perceived criticism; burnout comes from repeatedly telling oneself “no” to fit societal boxes; diagnosis can reduce misinterpretations and self-doubt.

Notable examples

a child wearing a “blindfold” in an obstacle course receiving constant negative feedback; adults feeling paralyzed or scrolling social media due to overwhelm; dinner-table nonverbal rejection shaping lifelong beliefs; partners saying “you’re too sensitive/reactive”; relationship triggers where a small tone shift causes intense sadness/rage.

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

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Understanding Women with ADHD

0:00 to 1:11

Explore the unique challenges and societal pressures faced by women with ADHD.

“Women with ADHD are the most stressed human beings.”

Introducing Dr. Jacob Ambrose

1:40 to 2:24

Meet Dr. Jacob Ambrose, an ADHD expert and clinical psychologist.

“Remember, you're not broken, just different, and you have always been enough.”

The Impact of Early Criticism

2:24 to 3:40

Discussion on how childhood criticism shapes self-esteem in individuals with ADHD.

“I love that question because I think it brings light to a lot of the heart of the issue with ADHD.”

Shame and ADHD

3:40 to 4:44

Exploration of shame experienced by individuals with ADHD due to societal judgments.

“You know, so shame is, I think that's part of the reason why a lot of people with ADHD experience so much shame.”

The Quest for Self-Acceptance

4:44 to 6:05

Dr. Ambrose shares his mission to help individuals with ADHD embrace their identity.

“I mean, there's been many times where I've seen someone with ADHD experience what looks like this attack of the self.”

Motivation and Executive Dysfunction

6:05 to 7:35

Understanding the motivational challenges and executive dysfunction in ADHD.

“You said something really heartbreaking there, Jacob.”

The Cycle of Burnout in ADHD

7:35 to 11:40

Discussion on how internal struggles lead to burnout and fatigue in ADHD individuals.

“Like you like people with ADHD are supposed to be the most motivated people in the world.”

The Chronic Nature of Rejection Sensitivity

11:40 to 13:32

Exploring how chronic rejection sensitivity affects individuals with ADHD.

“Those nasty comments we mentioned earlier at the start, in our early years, little external comments from other people like stop fidgeting, why are you so sensitive, why are you so lazy?”

Perception of Rejection and Criticism

13:32 to 14:00

How past experiences shape the perception of rejection in adults with ADHD.

“If you experience shame and you know why, well, hey, all right, well, I know that I made this mistake or who knows what.”

Understanding Rejection and Internalized Shame in ADHD

14:00 to 25:08

Explore how rejection sensitivity affects individuals with ADHD, particularly women, and its impact on emotional well-being.

“is almost like perceiving rejection and criticism or approval being taken away when it's not actually happening?”
Show all 27 chapters

The Importance of ADHD Diagnosis and Self-Acceptance

26:19 to 28:00

Discuss the role of ADHD diagnosis in self-awareness and its implications for interpersonal relationships.

“Do you think getting a diagnosis of ADHD, getting a professional's stamp of approval, getting that diagnosis, do you think that really helps somebody in their journey of self-awareness and self-understanding?”

Understanding Self-Doubt in ADHD

28:00 to 29:29

Learn how self-doubt impacts individuals with ADHD and the importance of diagnosis.

“So even though you might say to yourself, I've got ADHD, I don't need a diagnosis, over time you could really begin to doubt that opinion of yourself.”

Dating Dynamics for ADHD Individuals

29:30 to 31:46

Explore how ADHD affects romantic relationships and attachment styles.

“So a lot of people with ADHD experience a lot of difficulties with dating because they're experiencing these big emotions that's larger than life that the other person doesn't quite get.”

Managing Emotional Triggers in Relationships

31:47 to 35:58

Understand the emotional rollercoaster faced by ADHD individuals in relationships.

“that I got in childhood when I unmasked?”

Defining Limerence and Its Effects

35:59 to 38:18

Discover the concept of limerence and its impact on individuals with ADHD.

“You know, you wouldn't run up to a traumatized cat and squeeze it.”

Object Permanence and Emotional Attachment

38:19 to 41:36

Learn about object permanence and its role in the emotional experiences of ADHD individuals.

“So a lot of people can even with ADHD resign to not wanting to do relationships because they feel like, I feel like I have psychosis when I have a crush on someone.”

Gender Differences in ADHD Experiences

41:37 to 42:00

Examine how ADHD presents differently in men and women, especially in social contexts.

“I ask because 80 % of the listeners and viewers of this podcast are women.”

Navigating Relationships with ADHD

42:00 to 43:16

Explore how ADHD affects women's dating experiences and attachment styles.

“you're still experiencing a whole lot of pain and rejection, of course.”

Attachment Styles Unpacked

43:16 to 47:13

Learn about different attachment styles and their impact on relationships.

“they're not sure what attachment style they are what what might be some common signs of someone who has an anxious attachment style?”

Challenges of ADHD in Relationships

47:13 to 48:24

Understand the specific challenges faced by individuals with ADHD in romantic contexts.

“And then the other person on the other side with ADHD is picking all this up, and they feel rejected by all these cues.”

Misconceptions About ADHD

48:24 to 51:15

Discuss common misconceptions about ADHD and the struggles faced by individuals.

“And you know that in private, you show so much of that potential.”

Symbolism of Binoculars in ADHD

51:15 to 53:19

Examine the metaphor of binoculars to describe the ADHD experience.

“I want to move on to my favorite part of the show, which is called the ADHD item section.”

Healing from ADHD Scars

53:19 to 56:00

Learn about the long-term impacts of ADHD and how to foster healing.

“Sometimes you see details that neurotypical people miss.”

Navigating Acceptance with ADHD

56:00 to 56:56

Learn how to create positive experiences to counteract negativity from ADHD.

“that send you the message that the water is warm.”

Building Evidence Against the Inner Critic

56:56 to 58:27

Explore strategies to gather evidence that contradicts negative self-perception.

“So is it about collecting as much evidence as possible that's contradicting the inner critic that you have that's been built up through years of being told that you're different?”

Creating Lasting Positive Habits

58:27 to 59:19

Discover how to establish new, sustainable habits that support ADHD strengths.

“But I will say one of the gifts of ADHD is that you are like a train.”

Letter from a Previous Guest

59:19 to 1:00:32

A heartfelt letter from a past guest to their younger self, highlighting growth.

“And then finally, being in community with someone regularly that supports that way of life.”
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Transcript

Automatic transcript. May contain errors.

0:00Women with ADHD are the most stressed human beings. With ADHD as a woman, you're physiologically wired to take up space. You can be larger than life, big emotions, and yet you live in a society that tells you to be small and to take up less space. So in order to fit into this world, you really have to go against your true neurochemistry. Even so much to the point that a lot of women with ADHD can look like they even have OCD because they're so refined in their behavior. As a woman with ADHD, you're so curious, and yet you have to sometimes dumb yourself down to fit around the ego of society. Dr.

0:31Jacob Ambrose is an ADHD expert and clinical psychologist with a vast knowledge of ADHD. With years of experience specializing in ADHD. Dr. J understands the complex struggles of ADHD. And he's here to help you understand yourself. A lot of people with ADHD have a high level of energy that's been told, stop, don't keep going, this is not okay. When you're an adult and you're trying to navigate interactions. If you've had a higher frequency of interactions that told you to stop, your body is physiologically going to tell you to stop, no matter how much your logical brain tells you to go. People with ADHD tend to have low self-esteem.

1:03Why do you think that is? I think the reason that a lot of people with ADHD experience so much shame is because... Quick one before I get distracted. I just wanted to say a very brief thank you to all of my listeners. Thank you for tuning in and thank you for subscribing and following the podcast. It really, really helps. At ADHD Chatter, my mission is to ask the world-leading experts the hard questions to give you access to the most pioneering advice the world has to offer, and with an aim to help you feel seen. Following and subscribing helps me on my mission to book these incredibly insightful guests and to give you these incredibly insightful interviews.

1:40Remember, you're not broken, just different, and you have always been enough.

1:47Jacob, thank you so much for joining us. it's good to be here thanks for inviting me it's always surreal when you see someone's content on social media and you meet them in real life so it's a huge honor for you to have made the trip here today thank you very much of course and same to you i mean i've been watching your videos and clips and whenever i first saw you as i was lost looking for the studio it was great to see you and for that reason to find it but also just like wow i feel like i know so much about you looking at your book looking at your content and then meeting you again for the first time in human which is interesting.

2:18I'm excited to get to know you, Jacob. An interesting question to start with, and perhaps also a bit of a heartbreaking one, but people with ADHD tend to have low self-esteem. Why do you think that is? I love that question because I think it brings light to a lot of the heart of the issue with ADHD. I think the reason that a lot of people with ADHD experience so much shame is because you are judged from childhood for the very wiring that is you. In childhood, I mean, whenever I bring people to understand the shame, I have them think about what it would be like to wear a blindfold as they're navigating obstacle course of life and your peers don't have blindfolds on.

3:01You get much more intense and much more frequent negative feedback from your environment. So with that being said, over time, a lot of people internalize the message that it's not necessarily my behavior that's the problem. It's something in here. It's the system that's generating these problems. And that is the definition of shame. It's something is wrong with me to my core. And I think a lot of people with ADHD experience that because their very wiring is criticized by a society that makes them fit into this box. And then as a child, that's just six or seven trying to digest all this, walks away with, wow, something's wrong with me.

3:40You know, so shame is, I think that's part of the reason why a lot of people with ADHD experience so much shame. Do you think as a consequence of those, that early exposure to criticism, do you think people solve that problem? Neurodivergent kids solve that problem by changing who they are? Oh, yeah. 100%. I think also this speaks to the traditional hyperactive piece with ADHD, right? Where you start off with seeing so much more hyperactivity in youth. And then as people get older, you see that they become these really good people at masking their ADHD. And so I see as a consequence, people can put themselves in the box of logic or really, really refine their behaviors to try to fit into the box of society.

4:25And you might not even know someone has ADHD, and yet they're experiencing so much cortisol and stress masking their body. When I see someone like yourself, Jacob, talking so passionately about ADHD, I always wonder what their driving force is, what's getting them out of bed in the morning. So what is your mission within the ADHD space? Yeah, I really I really like that question. I mean, there's been many times where I've seen someone with ADHD experience what looks like this attack of the self. They do something wrong and then they have this almost a systemic meltdown of like, what is wrong with me?

5:02And they start to say, I'm so stupid. What's wrong with me? And that also used to be me. You know, as somebody that studied psychology, went into the field, was really excited to learn. There was a lot of hiccups in the early part of my career. And I almost decided not to do it. If anybody asked me back when I was in the early stages of my education what I wanted to do, I would tell them research and possibly teaching. And they say, well, no clinical work. Of course not. And now it's literally my identity because of the one factor that shifted later in the middle of my career, which was, oh, wait a minute.

5:35I have ADHD. And once I found that out, I realized I had this extremely passionate, curious side of myself that wanted to understand the deepest parts of psychology that had not really blossomed because I thought that I would take up space in a bad way. And now that I've worked towards confidence for myself, I see a lot of people that want to shut down, have this attack of the self occur. And I want to step in and give them that same ability to see past it so they can reach that potential that's already existing. You said something really heartbreaking there, Jacob. You said, what's wrong with me?

6:09And I think that's such an echo of how so many people with ADHD think about themselves. And many of us are lucky to figure out what is the issue. We get an understanding of ADHD as in the picture. But what do you think is the consequence of someone who truly believes that about themselves, is asking themselves that question, what is wrong with me, but never gets that understanding piece, never finds out that they have ADHD? Yeah, it changes everything. I mean, if you don't know that you have this different kind of neurochemistry and your environment is telling you that something's wrong with you, and then you start to adopt that same message, in a sense, you almost unconsciously align with the perpetrator that is putting you in this box.

6:52So you see, one of the issues with ADHD is extreme difficulties with motivation sometimes. You see a lot of people struggle with what's called executive dysfunction. And so that's when you're looking at tasks and you see a mountain of things in front of you that you're like, I'm not sure if I can accomplish the under stimulating aspects of this journey. And that comes with it. But what's even worse is when you start to imagine the issues that exist inside of yourself. Right. And one of the biggest things that happen when somebody doesn't really know what's going on with their own internal neurochemistry is that they will they will judge themselves so harshly that they never reach that full potential.

7:35Like you like people with ADHD are supposed to be the most motivated people in the world. You have so much energy. So if you imagine a young child that is working on something, they're running, they're jumping, they're they're curious that that used to be you with ADHD. So how do you take that child and then look at someone who's 30 years old and has a hard time getting out of bed? That stark difference is the difference between someone who knows about their ADHD versus someone who doesn't. And is it overwhelm that stops people from being able to get over that start line, that internalized hyperactivity, all of those racing thoughts?

8:14And that can look like laziness, which is really sad, but we know it's not. It's overwhelm. What are the consequences of somebody who is experiencing overwhelm to the point where some days all they can do is scroll social media? Because that's the one thing that's distracting that horrible internal monologue, which is telling themselves that they're useless or lazy. What are the long-term consequences of having that internal monologue or even the optics of appearing to be physically paralyzed to those around you? Yeah, I think in that case, the worst parts of ADHD get much worse. And I ask people this question a lot, but what do you think the world would look like if ADHD was perfectly validated?

8:58Well, I think that issues with attention would start to be more covered with curiosity. I think that hyperactivity and impulsivity would look more like passion. So I think when you when you look at that question of like well, what's the impact of being constantly overwhelmed? Well, I think just like for any human being if you're overwhelmed, it's harder to think It's harder to not be impulsive It's harder to not yell at your spouse, right? So you take the already existing difficulties with working memory with adhd and you take the already existing impulsivity And you magnify that I would bet that our definition and stereotype of adhd is not actually adhd but the overwhelmed person with ADHD.

9:42And I think it speaks to even the definition in the DSM, right? You mentioned this in the book, right? The attention deficit. Even in the language, attention deficit hyperactivity disorder. You're coming at it from the point of deficit. So I think that's part of what we're seeing. And the type of person with ADHD who perhaps doesn't struggle to start the task, because like you said, I don't think ADHD is so much a deficit of attention. And I think when someone with ADHD finds something that they're truly passionate about, that's when they can have an abundance of attention. That's when you see that person with ADHD doing incredible things.

10:20But often it's like the external critique, the feedback from their peers, their partner, their boss, perhaps, that is judging them because the way they do things might be outside the stereotypical, quote unquote, normal way of doing it. So they suppress that good way of doing it, and they try to be someone that they're not, which is exhausting. Do you think as a consequence of that internal struggle to fit in, they're at a heightened risk of a cycle of burnout? Oh, 100%. Yeah. Burnout, fatigue. If you really think about it, all the way back from childhood, you're suppressing a very passionate, powerful part of yourself.

11:00You're going from that childhood version of yourself that was running around, playful, physiologically reactive to the world around you, larger than life, to this person in this corporate box that's trying to fit the boxes of society. So as you're trying to fit into those boxes, there's a part of you that's very dormant. that it's almost like the energy of this beast inside of you that you had to suppress since childhood. So I think burnout is by definition, the process of having to tell yourself no repeatedly to tell yourself, no, that you can't enjoy yourself when work was always supposed to be meant to be somewhat enjoyable.

11:36So it's really tough to see a lot of people with ADHD experience so much burnout, but it's so active and present because you're constantly having to tell yourself no to meet these boxes. Those nasty comments we mentioned earlier at the start, in our early years, little external comments from other people like stop fidgeting, why are you so sensitive, why are you so lazy? I think in their isolated form, they can appear quite harmless. But when you add them up throughout someone's entire childhood, they can compound and create an adult that's very fearful of criticism and rejection and the shame that can be associated with rejection-sensitive dysphoria.

12:18Do you, with your patients, see people with ADHD having a heightened level of shame? Totally. Yeah. I see a lot of people with ADHD that they've had so many traumatic experiences that build up just as you say, right? Trauma is something that doesn't have to be this one intense experience where something that happened that everybody was blown away by, It could be the version of you that was at the kitchen table and you said something that you thought was really important and people non-verbally turned away and you get the core belief message that my thoughts aren't really important or valid here.

12:53While it can be said that that one moment isn't very intense, as a child and all the way through adulthood, it's possible that you spend the majority of your time at the dinner table. It's something that you do 30 minutes a day for your whole life. And so you take that and you add it up. That leaves a lasting mark on the psyche. And that's chronic. And so I think with ADHD, you experience this chronic experience of rejection over and over again. And that leads to this rejection sensitivity and extreme shame. I would even go on to add that what makes shame far worse is when you don't realize why you're feeling it.

13:32If you experience shame and you know why, well, hey, all right, well, I know that I made this mistake or who knows what. But if you're experiencing shame and you don't realize what's happening inside of your body in terms of your neurochemistry, then you're going to walk away with what's wrong with my system. Why can't I have a conversation and feel comfortable like the people around me. It's tricky and it's so filled with shame. That devastating and heartbreaking example you said at the dinner table, lots of events like that, can that create an adult that is almost like perceiving rejection and criticism or approval being taken away when it's not actually happening?

14:14Yes, totally. One of the things that I'll tell a lot of clients is that you have a very powerful reptile operating inside of you that learns purely based on experience. So if you throughout life witness a lot of red lights that tell you to stop, red is going to slowly start to mean stop. If you run into a red light that says go, it's going to be hard to even physically push the gas pedal. So if you have gotten a lot of experiences in childhood that says stop the moment you exist, you are going to want to pump the breaks before you talk to someone. And it's simply because we have a reptile inside of us that learns based on experience.

14:52And a lot of people with ADHD have a high level of energy that's been told, stop, don't keep going. This is not okay. So of course, when you're an adult and you're trying to navigate interactions, if you've had a higher frequency of interactions that told you to stop, just like the red light, your body is physiologically going to tell you to stop, no matter how much your logical brain tells you to go. Do you think women internalize that feeling of shame more than men? Oh, yeah. Yeah. I mean, this is something that is just huge, but women with ADHD, I would say, are the most stressed human beings.

15:29I think in comparison to other people with ADHD, a whole lot. Because with ADHD, you are physiologically wired as a woman even to... With ADHD as a woman, you're physiologically wired to take up space. You can be larger than life, big emotions, and yet you live in a society that tells you to be small and to take up less space. So in order to fit into this world, you really have to go against your true neurochemistry. And I mean, even so much to the point that a lot of women with ADHD can look like they even have OCD because they're so refined in their behavior. So yes, I would say that it's extremely shame-provoking and you experience so much stress.

16:11And that high achieving perhaps ADHD women, that sounds exhausting, that constant internal extra effort, extra workload that you have to do just in order to achieve the same as perhaps many neurotypical women. Are there consequences of that internal workload that an ADHD woman might not even be aware of? And can that come out quite explosively sometimes in relationships? Oh yeah, totally. You're constantly having to walk around the boxes of society that's expecting you to be small. I mean, even at an intellectual level, right? As a woman with ADHD, you're so curious, you're playful, you're imaginative, and yet you have to sometimes dumb yourself down to fit around the ego of society.

16:57So a lot of these women are having not not only to emotionally take on more stress, but take extreme amounts of notes so that they don't accidentally go into a space too impossibly, right, and slip into existence. If we just talk about RSD, which I think is the most challenging aspect of ADHD, out of your patients, how have you had people describe the experience of RSD to you? I've had quite a few descriptions. I would say the most common is that this ADHD, that they're still coming to knowing themselves, feels like this separate entity of some sort. Something that feels like it's splitting their consciousness in a way that keeps them from accomplishing their goals sometimes.

17:41They feel like, why do I have this impulsive nature that wants to keep me from staying on task? It makes me not want to get out of bed sometimes. And of course, there's a lot of misconceptions and messages from society wrapped up in that, but it really feels like something that can just hold them back, at least from their perspective. How confusing do you think it can be, rejection-sensitive dysphoria, for someone who doesn't understand it? Because it can be so unpredictable. It can completely derail your day sometimes. It's that you could be having a fantastic day, and then someone says something in a perceived tone of voice, and you take it personally.

18:20And it can be that instant sadness or rage. And if you're living your life not understanding why you can have these very sudden changes in mood, what are some real-world consequences of exhibiting behavior like that and not understanding why? Yeah, I would say one of the greatest consequences is that the worst parts of all of that actually get a lot worse because with ADHD, you experience gigantic emotions sometimes. Your ups are up and your lows are low. You're extremely curious and you zoom into things so well. You're so curious that those are some of the best things, right? But when it comes to rejection sensitivity, you do that very same thing when it comes to a negative comment, a nonverbal shift in someone else.

19:10You explaining something not in what you consider to be the perfect way, right? You notice it, you're curious about it, you zoom in on it, and then you experience this negative emotional response to it. And then you start to have even more thoughts of why am I so different? Why do some people just hear this and then move on? And then that thought in and of itself makes the emotion even bigger. And then you can't let go of that. And now you're at home and it's time to go to bed at 11 p.m. or 12 p.m., whatever works for you, and you can't let go of that comment. It really is hard. And that ruminating, that having this experience over and over again, and believing that you're different, and almost having that internal critic confirming that every time this trigger happens, can that compound into depression?

19:59Certainly, yeah. That's a perfect observation because, yeah, you get this message over and over and over again that something's wrong with me. And then you're laying at bed thinking that I did something wrong. You chew on that and you think that that emotional experience is going to last. And so of course, as you go out into your day, you're more shy than the next person to build more connections. You're thinking that your literal existence in the space you take up in the world is a bad thing when it's really the most magnetic thing about you. So when you suppress that over and over again throughout your day, you don't get a whole lot of those experiences that make human beings happy, which is genuine human connection.

20:38You miss out on a lot of that because of rejection sensitivity. And I guess the optics of being triggered and almost having a quite noticeable change in your mood, that can expose you to comments like, oh, you're so reactive, or you're so sensitive, or why are you so emotional? And that can hurt, particularly when you know deep down that you're not necessarily responding right now to the comment that person has said today. you're probably reacting to the 20 ,000 comments you've had in your early years, and your nervous system's almost kind of been snapped back to that. What's the emotional toll or the extra emotion somebody might be feeling in response to somebody, a partner, a boss, a friend, saying over and over again, you're too sensitive?

21:25I would say it's the equivalent to being hurt physically really bad. and then being accused for bleeding. You've experienced so much jabs from society, and then you bruise. And then the people that bruise you or the environment that bruise you is now telling you that you're too sensitive on that part of your skin. You've experienced just like you laid out perfectly, right? The accumulation of all of these experiences, they've left a mark on your body. And so now, of course, that part of your body is going to be sensitive. And so if anybody pokes that part of your body and they say, oh, wow, look at you, you're so tender right there.

22:10Well, yeah. I mean, partly it's because of comments like this. Do you think having a fear of that event, a fear of being triggered by a criticism, is that going to make people shrink themselves, make themselves smaller? Totally. Yeah. You're not going to want to bump into walls with a bruised arm. And when you're bruised so much by rejection in society, you're going to want to make yourself a lot smaller. And then if you hear a lot of those messages and you're not aware that you have a diagnosis of ADHD, you're not aware that you've been rejected and that partly your shame is coming from this rejection of your neurochemistry, that's going to lead you to feel completely alienated, othered from other people and people that aren't aware of what's happening a lot of times othered by themselves.

22:52So you'll hide from reality in that way. If someone's in the pits of a trigger, right in that epicenter, that horrible feeling of internalized sadness or rage. Someone said something, they've just seen an email and it's ended abruptly and they've taken it personally and they're feeling that huge swirl of shame. How can someone cope in that very specific, acute moment of heightened shame, heightened sadness? I would say it's a really tough spot to get out of. It's one where the snowball is really big and it's been falling for a long time. So you're kind of catching it at the end. I will say though, that some of the best advice that I've, I mean, I guess I'm tooting my own horn a bit, but my thought of the best advice that I've given a lot of people with ADHD is riding the wave and increasing your ability to tolerate misunderstandings.

23:52Because with ADHD, you've experienced so much misunderstanding since you were a child. You've been totally told that your neurochemistry is something that just does not work here. And when you try to explain yourself, everybody's missed you, right? Because they might not understand the diagnosis. So partly when you're experiencing those gigantic emotions in the middle of a misunderstanding or someone that's missing you, I would say that you have to realize that it's not one, your fault. And two, that with ADHD, you will hyper-focus on what the problem was. You'll hyper-focus on that emotion. But tomorrow, it might feel a little bit different.

24:32And unfortunately, you're made to be the one to have to sacrifice in that relationship until the other person gets it. So I would say ideally, you protect yourself and keep yourself safe. And only when you experience those moments, remind yourself that it isn't you that's too incompetent or small in that moment. It's more or your environment. And if you choose to move forward with that, then you are choosing to be patient and kind, extremely kind. And you can do it with people, especially people. If they take it as an investment, that's far better because maybe it can turn into something down the line.

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25:45The important difference is Timo is designed by neurodivergent brains for neurodivergent brains and you can tell it's built to adapt to your neurodivergent way of thinking and be flexible to your way of planning and now it's even more simple with the AI planning assistant Timo offers an incredible new voice transcribing service making it even easier to use it's almost so simple that it feels like a cheat code to play life on easy mode give it a go and use the link in my bio for 30 % off just a note though this code is only applicable on the web browser not on the smartphone back to the show so interesting jacob i think rsd is such a pain point within the community i think it's so often the thing that holds people back from from being the brilliant version of themselves that they could be i think it's the pain of being triggered or experience a criticism criticism is so much that we go to extraordinary lengths to protect ourselves from encountering one um we put out of the people's needs ahead of our own.

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26:43Do you think getting a diagnosis of ADHD, getting a professional's stamp of approval, getting that diagnosis, do you think that really helps somebody in their journey of self-awareness and self-understanding? I think so. I think when you get a diagnosis, one, you've probably been living, I mean, you have been living with this your whole life, and a lot of people won't get it. Some people might jump on board though, if they see someone with credentials that says, here's the stamp that says you have ADHD. So I'm, I'm all for getting a diagnosis, but I think it also helps clear up some, you know, misdiagnoses or misunderstandings because it is important to really figure out, do I have this?

27:26And am I relating to a lot of the things that I'm seeing because of something else or because there's a whole lot of ways in which, for example, someone might have issues with attention, but it might be because they need glasses. But if you get that accurate diagnosis, I think that's extremely helpful. And also you don't necessarily need it at the same time. Don't allow the lack of a diagnosis or a lack of time to get one to discount your real experiences. So I would say it's nuanced and yeah, get one to convince some of those neurotypical peers you have. I feel like sometimes the self-esteem challenges that can come with being having ADHD, you can often doubt your own judgment.

28:05So even though you might say to yourself, I've got ADHD, I don't need a diagnosis, over time you could really begin to doubt that opinion of yourself. So getting that diagnosis from a professional, that can be quite good evidence to combat any self-doubt of your own opinion that you have ADHD. Yeah, I love that you said that because as you've heard so many messages from the perpetrator that is saying that you don't quite fit in, you don't know what you're talking about. You're constantly being pushed away. So if you're not, if you can get that, that would be really helpful. And leaning into the self-acceptance of like, yes, I do know these things, right?

28:40That's a really good thing to do. And taking all of this into account through the lens of ADHD and RSD and feeling different, do you think people with ADHD attach differently to other people, specifically in a romantic setting? Oh, yeah. I like that question. I think you do 100%. I think that with ADHD, you are constantly looking for a rule book to figure out how to navigate the world. And with ADHD, you don't do anything halfway. So with relationships and dating, especially in the early phases of courtship, you can hyper focus on someone. You can experience that sense of limerence with another human being.

29:18You're thinking about them, hyper focus just like you would on anything that you're getting a lot of dopamine from. And so when you're latching onto that person, you're not only interested in them, but you're accepting them as an authority in your life in some way. So a lot of people with ADHD experience a lot of difficulties with dating because they're experiencing these big emotions that's larger than life that the other person doesn't quite get. And a lot of people with ADHD, once they go through that process, then they get rejected. That self-fulfilling prophecy happens and the person pushes them away.

29:51And the ADHD person will attempt to be more inhibited or nonchalant in those interactions. And that is even more difficult because with ADHD, you wear your emotions on your face. It's so hard for you to do anything halfway, both behaviorally and also non-verbally. So if you pretend like you don't care, people are going to think that you hate them. So in a sense, I would say people with ADHD, you are literally forced into a state of vulnerability when it comes to those situations in which you truly want someone. And part of the work is realizing that you're not necessarily different in that you don't date the same way.

30:28It's just that you are sort of forced with your working chemistry to date more vulnerably. Do you think someone with ADHD going into a new relationship, there's a higher chance that they will feel the need to mask because of their their internal fear that the new person might think that they're a bit too different. So they might put on this version of themselves and that is really liked by their new partner, but then over time you want to unmask because you want to be your true version of yourself for the longevity of the relationship. But is there a fear that the version of yourself that you displayed at the start of the relationship might be different to who you really are underneath?

31:07And therefore, Or what if my partner doesn't like what they see when the mask comes off? Yep, yep. That is partly, I think, why those long-term relationships can be so tricky, right? Because you can be wearing such a strong mask at the beginning because, like you said, you might be fearing that rejection. So I would say, yes, you will much more than the next person be tempted to mask because you're hoping that the other person accepts you. because you've learned over and over and over again that when you don't mask, people reject you. So as you lean to pull that mask off in the relationship, it's hard to do because you're like, wait a minute, am I going to get that same slap on the wrist that I got in childhood when I unmasked?

31:50But the trickiest part about relationships is that you can't fake it for that long. So at some point, you're going to get triggered, they're going to get triggered, and the mask is going to come off whether you like it or not. some people with age you turn to extreme shame in those moments and they say i'm a monster that hurt you i let this monster out by mistake i'm sorry i must go or um i finally unmask okay i'm waiting for the other shoe to drop like reject me right then that's that's some of a very common experience i've seen with a lot of clients and with rejection rsd that can be a bit of a grenade right a minefield in a relationship particularly when you're you feel like you've got so much invested emotionally in this person.

32:33And yet sometimes their actions inadvertently might be the cause of a trigger. How do you see RSD causing struggles in a romantic relationship with someone with ADHD? Yeah, I see it. I see it happen quite a lot because it is a grenade, right? Like your, your rejection sensitivity is something that you've experienced since childhood. You've got all these bruises on your body from when you were rejected in childhood. So you go into a new relationship and this person that's very new to you and you're very new to them, you're trying to interact. They might be very innocent in a critique or you might be very reactive to that critique, right?

33:13And then that person says you're being too much and then you react and you say, well, you're telling me I'm too much. I've been told that since I was a child. I think in relationships it's extremely hard because it can recreate all of the pain you went through in childhood again with another human being simply because that person doesn't quite understand what's happening in you and because you're also reacting to not the person in front of you, but the people that hurt you for so long. How do you deal with that kind of guilt though? If you are triggered and you say something nasty in response because you're in that heightened emotional state, but in doing so, you're pushing away somebody that you do actually deeply love and you don't want to hurt.

33:53And then you're kind of left on your own after a trigger, after a big argument because of RSD. And I guess you're just filled with shame, filled with guilt. And you kind of want to go to that person who you've had this big row with after you've regulated and you've come down from that heightened state and apologize. How do you deal with that rollercoaster of emotions as a person with ADHD, with RSD, and you're scared that you're going to push that person away because of RSD? I would say it's somehow, someway, pausing in the middle of the emotion. With ADHD, you can experience huge emotions. You can zoom into something that feels extremely interesting when it comes to positive stimulation, but the same thing can occur when it comes to negative stimulation.

34:40So if you're in the middle of a relationship with someone where you're in conflict and the person says something that misses you and you're experiencing a misunderstanding, understanding, pausing in the middle of that storm can be one of the greatest changes that you can shift if you're with someone that's open to learning more about you. Because they might be someone that is not very neurodiversion informed, right? There's all sorts of people. But I think pausing in the middle of that storm allows you to try to look past the emotion and to communicate clearly with the other person saying, hey, I'm experiencing this and it's rooted in this.

35:17I've learned this from my trauma and it's a chronic trauma and I need you to be present with me in the middle of it. And I think the second piece might be realizing that it's not your fault that you're feeling this way. You're feeling something very big and it's important that you allow yourself to feel those things, not from a place of judgment, but more so from a place of recovery. Are you someone that I can recover with? And it's not going to look good for a while because we're going to trigger each other. But over time, just like any relationship, we're going to slowly build and grow close together and we're going to learn each other.

35:52And then the reptile in me that's been afraid of being hurt since childhood will slowly start to regulate, just like you would with a traumatized cat. You know, you wouldn't run up to a traumatized cat and squeeze it. It might scratch your face. you learn to become afraid of the things that the cat's afraid of so that you don't touch those things and just like the other person is also a traumatized cat you learn to live together you mentioned the word limerence there could you briefly explain what you mean by limerence in a relationship so limerence is essentially when you hyper fixate on another human being it's basically when you be you become obsessed with them in their existence you fantasize about this person.

36:31You don't even have to necessarily know them that well, but essentially they feel like God that can give you both heaven and hell. With ADHD, this is quite common because you hyper-focus. You already have that tendency to hyper-focus on things that are important to you. You've experienced a lot of rejection from early attachment figures. So when there's an attachment figure that seems very interesting to you, to recover that loss, you are ready to bridge the gap between you and them immediately. Even more so, people with ADHD and anxious attachment, for example, they will hyper-focus on other human beings and try to bridge that connection between the two.

37:09And the other piece with ADHD that makes it more common is that you wear your expressions on your face and through your behaviors. When you're the raw, unfiltered version of yourself, you can chase someone with great intensity. So limerence is very common because it's really the expression of, I desire you, I want to have you. And whenever you're someone with ADD, you can impulsively seek out that other person. You can push for them really hard. So it's very common. So if the limerence is high and you perceive this new person as being on such a pedestal, you're hyper-focusing on them, they're your entire world, but you perceive a criticism from that person, is therefore the RSD trigger also heightened?

37:54Oh, yes, totally. That sends, if being rejected by someone that you didn't have on a pedestal hurts and you can think about it until 3 a.m., being rejected by someone that you have limerence with, a hyperfixation, you've just been kicked out of heaven. That can be something that can cause you not to eat for a few days, right? That feels like hell. And that makes relationships feel that much more scary. So a lot of people can even with ADHD resign to not wanting to do relationships because they feel like, I feel like I have psychosis when I have a crush on someone. It feels completely like it takes you away from your ability to engage in reality testing.

38:34So I would say a thousand times yes. And if the limerence isn't reciprocated, what does that look like? That's quite a risky situation to be in for someone with ADHD? Yeah, it can look like desperation. It can look like the door keeps closing on your face and this is the one person that just got away. If you think about the exponentially bigger version of that one product at the supermarket that you couldn't get, that now you have to somehow forget about. Think about that, but times a hundred, right? Now there's a human being on the other side that's reminding of your trauma. And as we know with trauma, a lot of people are dealing with this in therapy, but the people that hurt either most early on or sometimes people want to get the most mastery over.

39:21So a lot of people with ADHD can be very attracted to people that push them away because they've been feeling like the connection is right on the other side of the door of rejection. So yes, it's really hard to reach that. If somebody that keeps pushing away, that can be a very tough situation. How do you, because something I deal with a lot is object permanence, which is this idea that something's out of sight, out of mind and that can cause some struggles. I can forget to reply to emails, reply to text messages because they're not in my immediate now. But if I'm heartbroken and I'm obsessing over the pain of being hurt by someone I have high limerence over, why does object permanence not apply in that scenario?

40:05If they're not in my immediate now, why can't I forget they exist? I wasn't thinking about object permanence, but that is a brilliant connection and I'm excited to. I think with ADHD, you have out of sight, out of mind, like you're saying. You have difficulties with working memory in a sense because it's harder for you to hold, in a sense, different chunks of information. So of course, if something's not right in front of you that's not stimulating, it's gone. But another thing to consider with ADHD is that when something is truly important to you, because your working memory might be a bit more difficult.

40:42It's almost like this difficulty with object permanence makes it even more so hard to deal with the separation because now that this person that you're extremely hyper-focused on is pulling away, you're like, wait, I don't wanna lose this person forever. So a lot of times with ADHD, especially when you're really hyper-focused on someone, you might need exponentially more evidence to know that that person won't leave you or forsake you. That's why a lot of people with ADHD can deal with fears of abandonment, yet also deal with the issue of out of sight and out of mind. It can feel more comfortable with people that you're not hyper fixated on, but you know how easily you can lose things and people because of short working memory, but also because of rejection and heartbreak.

41:27So it makes it even more intense that you don't have that evidence in front of you. And do you think men and women experience this experience of limerence and obsession in the early stages in a relationship in equal measure. I ask because 80 % of the listeners and viewers of this podcast are women. And perhaps more broadly, first, we'll start with, do you think ADHD generally presents differently between men and women? Totally, yes. I think that a lot of women with ADHD that are navigating the world, they experience a lot of stress because if you're a guy with ADHD, you're still experiencing a whole lot of pain and rejection, of course.

42:07But I think when you run into issues for taking up too much space, society looks at you and kind of chuckles first and then says, cut that out. For women, it's cut that out. It's not okay. And then you even get rejected by other women as well. Other women that have felt like I need to fit into this box of society and make myself small. And I cut that immature side of myself out a long time ago. Why haven't you? And so I think a lot of women deal with that. And when it comes to dating, unfortunately for a lot of women, you are feeling that part of yourself cry out. And it says, I want to impulsively seek this person.

42:42I want to be vulnerable. And ADHD is a vulnerability diagnosis. So when you're trying to navigate relationships as a woman with ADHD, if you lean into something called avoidant attachment, which is essentially a style of relating to people where vulnerability feels like a curse because you never want to give people the opportunity to hurt you again you can want to lock yourself in a box so i've seen a lot of women with adhd and avoid an attachment avoid dating at all costs because they feel like i i don't want to be put in a state where somebody can hurt me and if someone's listening and they hear you say that and they're not sure what attachment style they are what what might be some common signs of someone who has an anxious attachment style?

43:23Oh, yeah. Thanks for bringing that up. So attachment is basically a word that means how you connect with other people. So when you're looking at different styles of attachment, if you want to figure out which one you relate to, I would say it's good to observe these four types. You have secure attachment, which is where you have a positive view of yourself and others. You have avoided attachment, where you feel as though other people are untrustworthy at times. And you can trust yourself to navigate the world, but with other people, you're not so sure. And so vulnerability becomes very scary. With anxious attachment, if you lean that way, you are some of the most hopeful people, but you feel like you need to change everything about yourself to meet the boxes of someone else so that you can pull them towards you.

44:07It's positive view of others, negative view of self. Finally, there's fearful attachment where you experience a good bit of both and you have the biggest sometimes internal experiences. A lot of people with ADHD have fearful attachment, which is kind of the worst of both worlds. So if you're listening and you're trying to figure that out, it's worth digging into and to see how do I relate to people? Do I mask so strongly that I hide myself because I think vulnerability feels extremely scary? That might look more avoided. If you're pursuing people and you feel like if I only were accepted, I would feel completely at ease in life.

44:45And I need to do whatever I can to change myself, whether it's exercise, becoming more intellectual or whatever, to win people over. And I keep putting myself in compromising states to do that. That might look a little bit more anxiously attached. And what damage can happen in a relationship if you are someone who has an anxious attachment style? What does that in reality look like? What kind of behaviors would someone give off? Is that kind of someone who is constantly seeking reassurance from their partner? Oh, yeah, totally. Yeah, traditional anxious attachment. You're constantly seeking connection with people.

45:20With ADHD and anxious attachment, imagine how much that enhances that, right? If you have ADHD and anxious attachment, the already existing fears of abandonment grow because you've been one told by society with anxious attachment that, okay, you are not enough. You experience that a whole lot. But with ADHD, you literally are rejected for your own neurochemistry. So if you have both ADHD and anxious attachment and you're in a relationship, not only do you need evidence that that person won't leave, but you have a hard time seeing it with your ADHD. Not only do you have a hard time not prioritizing the other person over your day, but you also experience impulsive urges to send them millions of texts because you also have this wiring of impulsivity, right?

46:04So when you're dealing with dating with anxious attachment and ADHD, you are 100 % given a tough hand to deal with. There's the light side of the other side of the coin, but on the dark side of the coin, relationships are extremely hard to navigate without disrespecting yourself in that way. Do you think two people with ADHD are a good match? In other words, do two people who potentially have anxious attachment styles, is that a good match or do opposites attract? What are compatible attachment styles? I think it's actually extremely compatible if it happens. But it is my opinion that a lot of people, two people with ADHD will probably have a hard time connecting with each other.

46:49They might meet each other, but the moment that something like dating or relationships come up, it's very likely that one will accidentally reject the other one. Because if you have high levels of rejection sensitivity and you experience difficulties with eye contact and you've been told that you're not enough, it's very likely that as you're talking to someone that you're really invested in, you might look down. Or your working memory might be filled up with chunks of information that are taking your ability to focus away. And then the other person on the other side with ADHD is picking all this up, and they feel rejected by all these cues.

47:20And then they go into their own head. And so at the end of the day, you both feel like you hate each other's guts. And it never quite gets there because also the executive functioning of trying to push past during something that seems very daunting is very difficult. So I hardly ever see a lot of people with ADHD with anxious attachment together, especially. And I guess you can push the person away. You can almost self-sabotage the relationship if you perceive that they have rejected you in some way. It's kind of like you want to be the one in control of ending the relationship before they hurt you.

47:53Certainly. Yeah. I mean, if you see that there's a daunting task in front of you with ADHD and rejection is on the other side of that, it's very likely that you will head out before it gets too bad because you're afraid of being hurt again. So if you're experiencing limerence in relationships, you're hyper-focused on someone, even in that case, you might be so afraid of getting hurt that you pull away because you know that this person is, you might be leading it to a bad place, right? Even though you're attracted. The worst part of ADHD, I think, is also that you are so capable. You have so much potential.

48:30And you know that in private, you show so much of that potential. The issue is that when you go in public and you experience what's called that rejection sensitivity, now your working memory is filled up with all sorts of negative pieces of information that disturbs your performance. So if you're experiencing all of that and you're trying to pursue a relationship, that can just really, really make things difficult for you. Out of the people I've spoken to, one of their main concerns is that they want to open up in their relationship about ADHD, but they're concerned that their partner might have some misconceptions about what ADHD actually is, some certain myths that feed into a perhaps unhelpful stereotype.

49:09What do you think are some of the biggest ADHD misconceptions that are out there? Yeah. The first ADHD misconception that comes to mind, and I think one of the worst misconceptions is that you are clueless. You are short-sighted. You don't know what's right in front of you, and you have no ability to be there for the people around you. I think that is a huge misconception because people with ADHD are the most curious people in the world. They long to look deeply at things. But I think the issue is that when you look deeply at things, you might bump into a wall next to you. And so as you're trying to, you have all this ability to go deeply into something, but no bridge to connect to the people around you.

49:52And so people see you as sort of this system that's not quite operating effectively in a lot of situations that other people are. So I think that's one of the bigger misconceptions that you aren't clueless. You are so insightful that some people don't get you. Very curious in other people's conversations sometimes when I'm in a restaurant with my partner, and I have to bring myself back to the conversation. It's men and women. I think that's a big myth, right? That sadly still seems to be true in many circles that ADHD is just a male issue, a male thing. And do you think it's common for people with ADHD to hear that they just need to work harder by people that perhaps just don't get the internal invisible workload that's going on in their head.

50:42Yeah. And that's the, sometimes the saddest message is that you just need to work harder because you've been working so hard your whole life. Most of the clients that I work with ADHD, the message is exactly the opposite. You've been working so hard and part of growth is going to look like you taking a step back. Unfortunately, a lot of people with ADHD even get called selfish, right? Because they think that people that are neurotypical are assuming that you're not paying attention to them. They're thinking that you're not caring about them. But in reality, you are so focused on something that can be so deep that the rest of the world can become literally invisible at times.

51:17And so people don't get that. This has been truly fascinating, Jacob. I want to move on to my favorite part of the show, which is called the ADHD item section. Every week, my guest brings in an item that most represents ADHD for them. And I'm going to reveal what yours is now underneath this cloth is a pair of binoculars. So I'll leave it to you to explain why does a pair of binoculars represent ADHD? I think binoculars work perfectly because I wish that everybody could see that with these. It's exactly what you're wearing all the time with ADHD. I think binoculars are a perfect example of what the experience of someone with ADHD is like because when you look into them, you can see things that are very far away.

52:03You can look at them with great detail and there's fascinating information that you can get depending on what you're looking at. Unfortunately though, a lot of people don't have these binoculars. These are people that are neurotypical, who knows what. So as you're looking at the world with these binoculars, you have all these fascinating insights, yet you can accidentally bump into a wall and that's what people see. So people assume that you are somewhat short-sighted and you don't know what's going on half the time, when in reality, you're in a world that is just as real as the world that other people live in.

52:36They just can't see what you see. Unfortunately, with the rejection sensitivity of ADHD, a lot of people will have a fear of opening up about this whole world that they can see. And so they won't even go into detail about it. I think the biggest issue is that these binoculars are invisible. Because a lot of people who are neurotypical that don't also see these binoculars assume that you're either clueless, selfish, or just completely out of the loop on things. When in reality, you're just really good at seeing things from far away. I wish that we could all see that this is the experience of ADHD and that these binoculars were actually visible.

53:13And I think that would actually start to unite people. So that's why I picked these. Yeah, that's fascinating, Jacob. I think it's such a good representation. You're so focused on the world. Sometimes you see details that neurotypical people miss. And I think that makes us tremendous problem solvers sometimes. I think people with ADHD, we've had to solve problems from such a young age just to solve the problem of feeling different. And maybe that is masking. but we see details that other people miss and i think it's such an important reminder um that thinking differently is not a problem to be fixed but but a strength to be embraced um fascinating jacob i want to move on to the adhd agony arm section which is uh where a member of the audience sends in a question um and it's in a washing machine because my item is a washing because it represents memory loss because I always leave my clothes in the laundry after a cycle and I ask all my guests, do you do the same?

54:17I would say yes. You don't have to lie to make me feel better. No, I do. Yeah, that's fascinating. I think I have been using the Timo app, which has made me a little bit better. But yeah, still the smell of damp gets me sometimes. And if anyone's watching, a little reminder to go empty your washing machine or restart the cycle. This week, Jacob, someone's asked, even though I'm a little older now in my mid-40s and the world has come a long way to understanding ADHD, I still bear the scars of being misunderstood for so long. Even things said to me at school 30 years ago, why won't these scars heal?

54:58Gosh, that's a big one. Yeah, that's huge. That's the million-dollar question. Great, great question, by the way. That is essentially the experience of a lot of people with ADHD because when you're trying to change any kind of behavior, the only way to change it is you can't just think your way through it. That's the first step, of course. But the second step is that you have to get a new experience. So I want you to imagine that there's a cold pool of water in front of you and you walk down towards it and you dip your toe in it and it's really cold. You can pull your toe back out. your body is going to be like, this is really, really not comfortable.

55:36The only way that you can actually experience warmth in that moment is to go all the way into the pool, stay in it, and then your body will slowly get the new message that it is safe here, it is warm. But you need, in other words, to have new experiences. With ADHD, you are getting new experiences all the time that send the message to you that the water is cold. and what you need are new, healthy relationships that send you the message that the water is warm. So if you can create essentially an equation that shows that you are getting more positive experiences on average of acceptance, pure acceptance, both from yourself and other people, that can slowly shift it.

56:19It's going to take a long time. It's going to take a lot more time than other people because you're navigating a world that is constantly trying to tell you, don't go into the water. but if you can first identify how you're keeping yourself out of the water, not saying what's wrong with this broken system, not yelling at yourself when you make a mistake, realizing that you have real abilities and real disability pieces with ADHD that's different than the world, and then finally surround yourself with people with that same logic, then you can start to see some changes. But it is extremely difficult when you're in a world that discourages you from all water.

56:55Right. So is it about collecting as much evidence as possible that's contradicting the inner critic that you have that's been built up through years of being told that you're different? Yes, it's building up new pieces of evidence and real lived experiences. So at the cognitive level, at the level of thought, the new understanding that I am not broken. I am someone that's different and I have great abilities. But then at the physical level, the behavioral level, it's opening up about your emotions, allowing them to be just as big as they are, and then the person in front of you not saying, cut that out, but giving you a hug.

57:35If you can get both of those experiences over and over and over again in closeness, then you'll start to feel like your heart's regulated, even in the middle of a misunderstanding. And is there anything that he can do also to help cement that new bits of evidence that contradict that internal monologue? Because I feel like object permanence comes into this, right? Because you could put yourself into the cold water and you could get that new experience of that's not as dangerous as I thought, but perhaps time can go past and then you could forget because the inner critic is so hardwired from so many early messages.

58:11What can someone do to kind of really help cement that new experience to keep that contradiction more sustained? I would say it's truly about creating new systems because 100 % is so hard with object permanence. It's so hard with executive dysfunction to keep new things going. But I will say one of the gifts of ADHD is that you are like a train. You, if you build a new habit that stays consistent over the period of like a month or so, that is going to become your new way of life. So if you can create new ways of life that are very practical, that lead to not rejection sensitivity and real rejection experiences, but moments of acceptance, that can change everything.

58:53So I would say find something that you truly are proud of yourself when you do it. You know, if it's an activity or an idea, find people that will celebrate those things. and then allow them to celebrate that. Be in spaces where you truly are feeding your ADHD the things that it needs to survive well, right? Eating well, sleeping well, doing all the things that set you up for positive experiences. I would say that's the best advice. And then finally, being in community with someone regularly that supports that way of life. It's huge. Really helpful, Jacob. As I said, this has been a lot of fun.

59:29Just before we finish, I'm going to deliver you a letter that was written by the previous guest, where the previous guest actually wrote themselves a little letter for the younger version of themselves. And it was put in that letterbox. If I could deliver the letter to you, Jacob, if you could kindly read it out. This is a letter from the previous guest to their younger self. This is so cool. You won't believe this, but it's true. You're going to become an ADHD advocate. Release some potential. Hashtag brain friend. Hugs and kisses, Christian. that was Kristen Pressner she was amazing yeah and if afterwards if you could kindly write a letter to your younger self and then the next guest will read it out of course Jacob as I said truly valuable thank you so much for sharing your wisdom for all the listeners who are struggling to grapple to understand their brains thank you very much thank you for having me it's been incredible it's been great I feel almost a bit emotional at this space so thank you for providing it you

From the publisher

Dr Jacob Ambrose is an ADHD expert and clinical psychologist with a vast knowledge of ADHD. 

With years of experience specialising in ADHD, Dr Jay understands the complex struggles of ADHD and he’s here to help you understand yourself.

00:00 Trailer 

02:27 How ADHD affects self esteem 

04:40 Jacob’s mission 

08:19 The emotional consequences of overwhelm 

12:17 The shame of ADHD

15:04 How women internalise shame 

17:10 Rejection Sensitive Dysphoria 

25:08 Tiimo advert 

26:43 Does an ADHD diagnosis help

28:48 How ADHD people attach to others 

30:35 Unmasking in romantic relationships 

32:38 RSD in relationships

36:14 Obsessing over someone (Limerence)

41:47 Differences between female and male ADHD

43:13 Signs of an anxious attachment style 

49:09 Common ADHD stereotypes 

51:22 Jacob’s ADHD item

53:56 Audience questions 

59:29 A letter to my younger self 

Find Dr Jay on Instagram 👉 https://www.instagram.com/dr.jacob.ambrose/?hl=en

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Producer: Timon Woodward 

Recorded by: Hamlin Studios

Trailer Editor: Ryan Faber

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