Worlds No.1 ADHD Mentor Shares New Coping Strategy | Matt Gupwell

14 Jul 2025 · 1 h 21 min · 25 chapters

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In short

How to understand ADHD/autism beyond stereotypes and symptoms, especially for people diagnosed later in life; coping strategies framed as “cages”; effects on loneliness, depression/anxiety, and grief; and how “skill regression” is often misinterpreted.

Guest backgrounds

Matt Gupwell is a globally recognized ADHD educator/mentor (not a clinician), combining evidence-based research with lived experience. He’s 10 years into his own ADHD understanding and is the father of two sons diagnosed autistic at ages 4 (2009/2010). His youngest was diagnosed with ADHD at 14 (during lockdown); his oldest was diagnosed last year. He runs Divergence Works, a community/charity with an app-based support space.

Key claims

Stop explaining ADHD by traits; instead ask what specific concepts (e.g., time blindness, executive function challenges) mean to the person and what support they need. Diagnosis doesn’t remove depression/anxiety or loneliness; it provides tools and meaning. “Skill regression” is reframed as processing and making space, not losing skills. Late diagnosis can trigger loneliness and identity questioning. Midlife “crises” may sometimes be misread; ADHD-related impulsivity and self-confusion could be a factor (not proven).

Notable examples

Men feeling unable to discuss ADHD due to stigma; people whose parents withheld diagnoses until university; Matt’s own worst depression episode despite knowing his ADHD; his “cage” example of being unable to say no to helping others; and his juggling/circus example showing skills can return once identity processing is complete.

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

Chapters

Tap a time to open that second in VO

Rethinking ADHD: A New Perspective

0:00 to 1:20

Learn how to approach ADHD beyond symptoms, focusing on personal impact and support.

“We have to stop explaining ADHD by symptoms or traits.”

Welcoming Matt Gupwell

2:20 to 3:20

Meet Matt Gupwell, a passionate ADHD mentor and educator.

“Last time we did a brilliant conversation on rejection sensitive dysphoria, which is brilliant and very well received.”

Passion for ADHD and Autism

3:20 to 4:50

Explore Matt's motivations and experiences that shape his advocacy work.

“challenges something in me because I'm not a specialist.”

Understanding Late Diagnoses

4:50 to 7:30

Discuss the challenges faced by individuals receiving ADHD diagnoses later in life.

“So I think that's how I would define myself.”

Navigating ADHD and Autism Together

7:30 to 9:50

Understand how ADHD and autism intersect, particularly in late diagnoses.

“I've seen more division of people who share the same conditions or labels than I have coming together.”

The Impact of Life Experiences

9:50 to 14:00

Learn about the lifelong challenges and reflections of those diagnosed later in life.

“but they suspect they would if they went for assessment or they've recently got a diagnosis and 85 % of those people are female.”

Understanding ADHD Through Life Experiences

14:00 to 16:42

Explore how personal stories and perspectives shape the understanding of ADHD.

“She started an open university degree this January, studying psychology and counselling because all this stuff, right?”

Diagnosis and Its Complexities

16:42 to 19:19

Learn how ADHD diagnosis affects mental health and understanding of oneself.

“You know, again, I can't speak from a clinical perspective here.”

Gender Differences in ADHD Experiences

19:19 to 22:05

Discuss the differences in how men and women process ADHD diagnoses.

“And you get a diagnosis in your 40s or later.”

Loneliness and Neurodivergence

22:05 to 24:36

Examine the link between neurodivergence and feelings of loneliness.

“It does make you feel like you don't fit in your own skin, let alone with anyone else.”
Show all 25 chapters

The Impact of Late Diagnosis

24:36 to 28:00

Understand how late ADHD diagnosis can influence social connections and self-identity.

“You know, it can be really hard to feel like you've never fitted in.”

Accepting Post-Diagnosis Reality

28:00 to 29:13

Understanding the emotional journey after an ADHD diagnosis.

“Maybe I'm not that ADHD because I like going to the pub or I like doing this.”

Accepting Post-Diagnosis Reality

29:18 to 30:47

Understanding the emotional journey after an ADHD diagnosis.

“We all convince ourselves that buying that one magic notebook will solve all of our problems, but it never does.”

Midlife Crisis vs. ADHD

30:48 to 34:28

Exploring the potential link between midlife crises and undiagnosed ADHD.

“I do, but I'm going to preface this very carefully because I'm aware that I want people to be very clear.”

Self-Reflection in Crisis

34:28 to 37:18

The importance of self-inquiry during midlife changes.

“I know it's hard not to react, but would that help and maybe save marriages, careers, relationships, etc.?”

Cages: The Metaphor of ADHD Coping Strategies

37:18 to 42:00

Understanding how unhealthy coping strategies can trap us.

“And so we can look at the negative, right?”

Breaking Free from Emotional Cages

42:00 to 46:33

Explore how to recognize and escape the emotional cages created by fear and anxiety.

“That's when I first realized how negative that was for me.”

Understanding Skill Regression in ADHD

46:33 to 53:33

Learn why the term 'skill regression' might be misleading for those with ADHD.

“Matt, I've heard you use the term skill regression.”

Grieving and the ADHD Brain

53:33 to 55:51

Discuss how ADHD affects the grieving process and emotional responses.

“So this term of skill regression is now taken as irrefutable fact, right?”

Understanding Grief and ADHD

56:00 to 1:02:10

Explore how ADHD affects emotional responses to grief and acceptance.

“kubla ross model and it said that when people experience any kind of grief they go through certain stages, and I'm going to misquote these.”

The Role of Medication in ADHD Management

1:02:10 to 1:07:40

Discuss the effectiveness of medication and alternative strategies for ADHD.

“Or do you think the solution to ADHD management is deeper than meds?”

Recent ADHD Research Insights

1:07:40 to 1:10:01

Learn about new studies on ADHD and related disorders, including sleep issues.

“talk about multimodal approach the the way that's often referred to is pills and skills.”

Understanding ADHD Diagnosis Variability

1:10:01 to 1:14:16

Explore how geographic differences impact ADHD diagnosis and support.

“to which the answer was no, the participants were all people who had a diagnosis of ADHD.”

Reframing ADHD Perspectives

1:14:16 to 1:16:56

Learn how to reframe conversations about ADHD for better understanding.

“That's where community education comes in.”

Community and Personal Insights on ADHD

1:16:56 to 1:21:10

Discuss community involvement and personal insights for ADHD support.

“I want to finish with the ADHD agony aunt section, which I think you're familiar with.”
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Transcript

Automatic transcript. May contain errors.

0:00We have to stop explaining ADHD by symptoms or traits. We have to say, what does time blindness mean to you? Does executive function challenges mean to you? How does that impact someone else? And what's the support you might need that could help you? As we get more focus on women, rightly so, I think it's really important that conversation is there. For me, it's equally as important that we can give men as well a space to say, this isn't about whether you think you did ADHD right. It's about what did it mean to you and what does it mean now? What do you need now and going forward? Matt Gupwell is a globally recognized ADHD mentor.

0:35Matt Gupwell:Whose work has helped millions of people understand their neurodivergent brains. He's the most powerful voice in the ADHD and autism space. And an expert in all things ADHD. Helping you optimize your ADHD in all sectors. I also know young people who have found out later in life, Actually, their parents did get them diagnosed with autism or ADHD when they were very young. The parents never told them. And then their autism was picked up when they were at university and they were falling apart. That's painful. Do you think there's confusion sometimes between what someone might describe as someone having a midlife crisis, how that might be confused with actually undiagnosed ADHD?

1:13But I'm going to preface this very carefully. I want people to be very clear. This is my opinion. Loyal listeners and viewers, I can't thank you enough for tuning into ADHD Chatter, where we ask world-leading ADHD experts the hard questions to give you access to the most cutting-edge information on the topic. If you've ever felt broken or different, I hope this helps in your search for information, answers, and community. And do you know what would really help me in return? By clicking the follow or subscribe button wherever you're listening. It might not seem like much, but at ADHD Chatter, it means a huge deal.

1:49And with this, I can book more incredible guests and keep the self-discovery fire alive for all of us, including myself. Just one click of a button goes a lot further than you think. We'll promise to listen to your feedback and book the guests you want on topics that matter to you. And remember, you're not broken, just different, and you have always been enough.

2:12matt welcome back to the adh chatter studio again thank you is it fourth fifth time fifth fifth time yes how do you feel being back again it's such a privilege to have you here i'm still as confused as i was last time that you was like be back if i'm honest addicts you know i've been saying this to people before okay but but no it's it's really nice and it's it's it's nice to be back and nice to see you again, but it's nice to be sort of included and to have a platform and to hopefully have a really good discussion about, you know, what ADHD means. So yeah, I'm really grateful. Exciting. Thanks.

2:50Last time we did a brilliant conversation on rejection sensitive dysphoria, which is brilliant and very well received. And I think today we're hoping to explore a little bit more about ADHD and autism. So I suppose if any of the ADHD chatter listeners don't recognize you, which I suspect will be very few people, what would you say are your specialities and your strengths within the ADHD or the autism space? So it's interesting. I think that, for me, challenges something in me because I'm not a specialist. So I'm not a psychologist or a psychiatrist or a doctor or a researcher on anything. So for me to say I have a speciality would be overstating who I am.

3:46I am just somebody who's 10 years down the road of my own understanding of ADHD, who is incredibly passionate about evidence-based research being combined with lived experience and helping people understand there's a space for them both. But I don't think I have a speciality. I have what I define as I have a passion for the way I do things and approach things and say things. And so I define myself professionally as an ADHD educator or an educator in the neurodiversity space, which again, it feels really lofty to say, you know, I have no qualifications other than my lived experience in this. But I only say things that I'm confident can be backed up by what people have experienced and also what's seen in the evidence and the research.

4:51So I think that's how I would define myself. Others may say different things. You may not have any qualifications, but having been an observer of the landscape myself for only two years, I would say you are the most passionate voice in the space on various platforms online. And you've got your own lived experience. Where does that passion come from? What are you hoping to achieve in the space? It comes from exactly the same place it did originally, which is, if I can help make the world a more welcoming, understanding, empathetic, knowledgeable even place, so that my sons who are now 19 and 20 have a far better life than I had up until very recent years, then that's why I do what I do.

5:53It always has been. It always was. They were diagnosed autistic when they were both four, 2009, 2010, respectively. and from that day until today and every day going forwards everything i do is for them they're at the front of my mind now they'll be at the front of my mind whenever i do my work if by doing that and being that passionate it also helps other people make sense of themselves and what these things mean then that's just an incredibly humbling added bonus i think um and yeah you're Right, I am passionate and vociferous and argumentative. And I think that comes from a place of having struggled, known I've struggled and not had the tools and the language and the understanding and the knowledge to advocate for myself.

6:54Having seen my son's struggle when they were at school because I didn't know what I needed to know to support them back then. That passion is about, I don't want anyone else to have to experience that level of challenge, not them or anyone else. And I suppose taking all of that into account, is there a subsection of ADHD and autism that you're most passionate about? No, and again, I think this is interesting. I've been giving this a lot of thought. I'm not comfortable with this idea, I think, of subsections when we have conversations like that. And what I mean is over the past few years particularly, I've seen more division of people who share the same conditions or labels than I have coming together.

7:42So I have focuses and things that are my interest, if you like, my special interest. But I am passionate about the understanding, being better of ADHD and autism and particularly what they mean to people. Not what they are, but what they mean and what that can do to help people. So that's really my focus, if that makes sense. It's not to say it's only women or it's only men. And yes, I'm very invested in late life diagnosis or very late life diagnosis. But I think that's because that's me. I'm 51. You know, it makes sense that I would be. But it doesn't matter whether you're four years old and you've just got a diagnosis or 84 years old.

8:39For me, the most important thing is that people are able to find information and community and support that helps them make sense of these things. So, you know, that's why I do so many different things. I'm involved in a charity, a CIC called Divergence Works, and we have a community that we've run for a couple of years now that's just moved off WhatsApp onto an app. And what's so nice about that is there's such a wide range of people who contribute to it, but what they've all got from it that they tell us is they've found that sense of community of people who can help share their experience that that helps them make sense of what it means to them that's the most important thing it's making sense of it it's like your book yeah well i think that's why most people listen to this podcast and your podcast and other podcasts is they want to make sense of so many years of of the of it not making sense and you said you're 51 and looking at the back end of this podcast the sort of it's a whole spectrum of age groups but the the concentration is 40 to 60 year olds uh many of whom don't have a diagnosis for various reasons but they suspect they would if they went for assessment or they've recently got a diagnosis and 85 % of those people are female.

10:04Do you think there's a different process someone goes through when they get a diagnosis of ADHD later in life compared to someone who knows that they have had ADHD from a very young age? I do. And there's a lot of nuance to this conversation. There's lots of different sort of sub-experiences. So I can talk about my sons. I mentioned they were four respectively when they were diagnosed with autism. So they're now 19 and 20. They've known for most of their lives. Now, when they were diagnosed, Catherine, my wife, and I made it our mission, knowing nothing at that point about autism, nothing at all, to learn as much as we could in order to help us understand it and to help them and their teachers understand it.

10:54and we always spoke to the boys about their autism they have known they were autistic since they had their diagnosis so they're very fortunate that they have a really deep and rich understanding about what autism means to them and they have lots of friends who are autistic and so their experience is very different now it doesn't mean that's not been difficult for them they've been bullied they were excluded from things that were never invited to parties we we ended up home educating them for five years because school was so bad you know life has not been easy for them but at least they've got a framework for their autism of how that may have impacted they are both also diagnosed with adhd my youngest was diagnosed at 14 during lockdown My oldest was only diagnosed last year.

11:50So it's been interesting seeing their process of now adding ADHD to themselves and how they manage that. And again, it's not to say that's not been challenging for them and going through titration and being on medication and college. It has. But they're lucky that we talk about it. They're very fortunate that we talk about it. I also know young people who have found out later in life, few in their mid-twenties, that actually their parents did get them diagnosed with autism or ADHD when they were very young, sort of somewhere between four and eight years old, but their parents never told them. For whatever reason, typically because it's this framework, we don't want them to be labelled.

12:43They didn't tell their kids. And then their autism was picked up when they were at university and they were falling apart. Now, that's inherently a different experience as well. That's painful because then there's a whole different layer of stuff to unpick and how do they make sense of that? The other bit that I'm really interested in, and you just mentioned the demographic of the podcast, right? It absolutely is true for lots of reasons that if you receive the understanding, and you're fortunate enough where you choose to get diagnosed with ADHD or autism or both, once you get past 40 years old, the process of making sense of what that means, means unpacking your entire life, right?

13:30You can't compare that to, say, somebody at 23 years old who receives the same diagnosis and that's okay it's okay that it's different and it's not to say it's harder but I think my passion lies in trying to help those people who are older make sense of how to unpick all of that information and make sense of how to do all that retrospective looking at their entire life whether they've thrived or not and and then moving forwards and i think it's really important that they have really good if you like age appropriate information from people who've lived it as well that they can look to and go i understand how you can talk about the experience of having lots of jobs or being a parent or failed relationships or, you know, I keep thinking of my wife here.

14:35She started an open university degree this January, studying psychology and counselling because all this stuff, right? This is attempt three at a degree. The shame and embarrassment she feels about not being able to do it twice and having to start again at 50 is completely incomparable to somebody who's younger because it hits harder, but it's helping her process it in her way and helping somebody else who's younger process it in their way. So it's about just making sure people have the information that they can connect to and feel speaks to them rather than, you know... It's very hard when I see really young people talking about how to live your life with ADHD and talking about the experience of people who are older.

15:34How do you know? When I was 23, I was too busy flying around the world with British Airways, getting spectacularly drunk, smoking 40 to 60 cigarettes a day, not knowing I had problems with addiction. And I thought I knew everything. I thought I was the man. I thought I had life sorted. And what I thought about people who were 40 or 50 or 60 was nothing like me. They don't understand me. And how could I understand them, right? And it's that narrative of we've got to be careful of speaking for everyone. We've got to make sure that the information supports people to answer those questions. Do you think there's a risk, Matt, of someone who is in the age group that you're specializing in, people over 40, experiencing stress, anxiety, maybe even depression, but because they don't know that they perhaps are living with undiagnosed ADHD or other neurodivergent conditions, that that could be the sort of key that unlocks their understanding and paves that path for them to live a more understanding and self-compassionate life?

16:42There is absolutely no doubt. You know, again, I can't speak from a clinical perspective here. I can speak from the information and the experience I've gained from the support group I run and from mentoring people. But I also have spoken to clinicians who confirm this. Absolutely. You watch your comments lighter. Right. Literally, if you are listening to this now and you've just heard that question. just how many of you went through your lives living on stress and adrenaline and being told you were depressed or had anxiety but always wondered if it was just that and and then have since realized that it is or could be adhd and that's added a completely different layer of understanding to it right a hundred percent it does i think what's really important though for me to say is whilst that may be the experience before we know it's really really really important people realise the diagnosis doesn't make that go away it helps you understand perhaps why you've experienced it the way you have it maybe helps you understand why you experience it differently but it doesn't necessarily mean it will stop and you know this year I have had the worst period of depression I've had in probably three years I mean debilitating depression wanting to just give up everything I couldn't see the point in life and I've not felt like that in years and yet I know a lot about my ADHD I'm 10 years down the line and I still get hit by anxiety and I still get hit by depression and I am still incredibly stressed, right?

18:39What I'm fortunate to have is now a better understanding of what my ADHD means and autism means in relation to those things, which means I can choose different tools to support me, right? So I think that's really important because yes, there are people that struggled before who may still be struggling, particularly when they're newly diagnosed, right? And it's helping them understand that's okay. You're not failing. It's part of the process, but it helps you make sense of the process now and it helps you potentially understand how to support you and advocate for you. Well, I suppose there's quite a lot of shame associated with this huge history of failed relationships, perhaps jobs that you've started and abandoned because you've sensed that your boss is annoyed with you, how you've reacted to criticisms and rejections at family events, that can compound over so many years to create this incredibly anxious person, I imagine.

19:45And you get a diagnosis in your 40s or later. Have you, Matt, experienced a difference in the sexes, how sex is how men and women go on and process that diagnosis yeah and it's changed more recently as well i think um so yes i have and and the the first thing to say and i have to start with this is what's really good and really important is that the conversation around women being recognized as having ADHD and autism as well, is louder and more consistent than it's ever been. And that's phenomenal, right? It's so, so good. I think the difference that I see between men and women particularly is because there's still a stigma attached for all of us to ADHD, that ADHD, a lot of people still think it's the naughty little boy.

20:44or they perceive that if a man's diagnosed later in life, they were that naughty little boy, right? And they were always getting in trouble. Now, I meet so many men and I'm one of them who that isn't the experience of. I wasn't always in trouble. I didn't get detentions. I was never excluded. You know, I never had run-ins with the law. I was impulsive and stupid and made very bad decisions, but I wasn't that. So what I hear from men in the way they experience it is they feel that they can't talk about it as openly because they'll be judged that, oh, well, you must have been like that and therefore are you that now?

21:28And so it makes it very hard for them to know, how do I describe this to people? How do I explain what ADHD was to me and is to me? so that's the challenge but it's one that i think was always going to happen for a while as as we get more focus on women rightly so and now with with women going through perimenopause and menopause and that knowledge that we're gaining now i think it's really important that that conversation is there for me it's equally as important that we can give men as well a space to say this isn't about whether you think you did adhd right it's about what did it mean to you and and what does it mean now what do you need now and going forward so ultimately there is always going to be a difference it's giving people the tools to explain what that means i think for the reasons you've just said many men don't feel comfortable speaking openly about let alone neurodivergent conditions but mental health in general do you think being neurodivergent goes hand in hand with loneliness there's no doubt and i don't have to say that claiming any sort of clinical knowledge that's just based on everything we see you'll have seen it in the the people that you speak to events and you know who reach out to you loneliness is something we hear all too often and i think i think it's really challenging because if you grow up not knowing why things have been difficult, why maybe you don't make friends or keep friends or you don't feel you fit in anywhere, school, university, jobs, life even, it does make you feel lonely.

23:21It does make you feel like you don't fit in your own skin, let alone with anyone else. I think the challenge is, and again, it sounds strange to say this, But a diagnosis, knowing it's ADHD, doesn't change that pain, if you like. It doesn't mean that that goes away. It just gives you maybe a part of a reason for it. And I think that's why we still see people, when they're newly diagnosed, who feel that so much. They still feel so isolated and so lonely. and they often will feel lonely in their own homes and their own relationships, which is a whole different thing. But that then is about they're still so invested in what this means and sadly very often their families aren't.

24:17Well, you've been diagnosed, don't you? And why aren't you so interested in it as I am? And that makes us feel lonely. So that's why community is so important. That's why finding people to connect with who can share that and validate that's so important. But yeah, they are, for me, inextricably linked and really difficult to admit. You know, it can be really hard to feel like you've never fitted in. And I think it takes a lot of mental strength to admit why that may have been and to admit maybe just how much you've never fitted in. You know, it's that phrase, you've never been so lonely in a crowd.

25:06I, for most of my life, was always around lots of people. I was, you know, very social. I was seen as very outgoing. And yet I was perpetually feeling lonely, right? perpetually lonely. And it's the same with friendships. You know, you hear people say they've got no friends, they've never had any friends. I've done that. I have sobbed with my wife saying that I've got no friends. Now, that's not true. I've got friends. There are people I know, if things went wrong, I could pick up the phone and they would be there for me. But it's the feeling of being that lonely. There are times where it's just so complicated and confusing making sense of all of this that you feel like you're a burden to anyone else and you feel like nobody's calling or nobody's reaching out so yeah you you feel lonely and isolated and different and and it's just helping people find that connection you know is that phrase isn't it connections the opposite of loneliness well it is but we have to find our tribe to do that.

26:18Do you think a late diagnosis, say in your 40s or later, could a diagnosis of ADHD or other neurodivergent conditions trigger loneliness in the sense that you might have up until that point in your life been coping so well that you've got a group of friends and there's a version of you that has been functioning and is social and does get by and does go to events and you get this diagnosis and you start questioning, is that a true representation of me and your sort of your sort of true self that you'll come to realize post diagnosis becomes a bit of an island separates from this version of yourself that you've been presenting to the world for 40 years is it possible for that person that that sort of your true self post diagnosis to suddenly feel lonely when they didn't before yeah absolutely and i think i think You've explained that really well.

27:12We can develop systems of coping and we can go through life doing things that feel right and we feel are expected. But then when we get the permission to look at our life and understand that there's ADHD or there's autism or something else connected, it can make us question did i ever actually really enjoy that do i really want to do that and that can be really difficult you know i i i know of people and and me as well post diagnosis i lost or stopped interacting with complete groups of people because i just felt that it wasn't right i couldn't do it anymore and i felt more uncomfortable trying to than not and and it still makes me sad to not have those groups and to not be invited to things but there's a point where i have to accept i now do the things that make me feel comfortable in my own skin and and there i now have people who accept me for that but that's taken time right so yeah i i think post-diagnosis again it's the i i'll keep coming back to this diagnosis is the beginning it's not the end and and it it doesn't make everything better and in a lot of ways loneliness included it can actually feel like it makes it worse which i think is why you see a lot of people then start to reject their diagnosis or question their diagnosis.

28:56Is this right? Maybe I'm not that ADHD because I like going to the pub or I like doing this. Actually, what they're saying is I missed that. And I'm not comfortable with maybe acknowledging that doesn't feel right. But it is part of the process. A quick word from our sponsors to address a big ADHD issue, the notebook fallacy. We all convince ourselves that buying that one magic notebook will solve all of our problems, but it never does. Nor does the second one, or the third, or the tenth. Well, Teemo app is more useful than having all the notebooks in the world. And what use are notebooks if you keep losing your pen, anyway?

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31:04I do, but I'm going to preface this very carefully because I'm aware that I want people to be very clear. This is my opinion, right? This is my opinion based on things that have rattled around my head. And I've asked questions about this to people I really sort of rate in the research and the clinical world. But yeah, and where this comes from for me is, you know, I was a sort of 10, 11-year-old of the 80s, right? Now, if we think of what, particularly a male midlife crisis, what the stereotype of that was back then, it was the guy who maybe reached his 40s mid 40s and out of nowhere seemed to reject his life up to that point so we quit the job or we start dressing really really in you know these clothes that are way too youthful whatever that means or you know leaving long-time marriages or relationships and taking off with a new younger partner or buying the sports car out of nowhere right now all of those things back then were the stereotypes, oh, he's having a midlife crisis, that one, oh, he's falling apart, oh, he's not right, right?

32:14And for the longest time I've questioned, I wonder how many of those men were actually going through fundamental changes in their sense of self. And, you know, you could question testosterone maybe coming into it in the same way we talk about hormones with women, how many of those men were actually so confused that what they were doing was a demonstration of, actually, all of a sudden, none of this feels right. Go back to that framework of loneliness. All of a sudden, that isn't me. But because they don't know what me is, they go to another extreme and they try and do something vastly different.

33:02Could that have been undiagnosed ADHD? Could that have been presentations of impulsivity, right? Or of sort of hyperactive brains never resting and not helping them? Maybe. I don't know. I'm not a clinician. I can't say. What I know is the research that's out there on testosterone hasn't looked at it from that point of view yet, but I believe it's starting to happen about what happens when a man's testosterone changes. But at the best, it's correlation. Certainly not a cause. I think ADHD could be ever defined as a cause for a midlife crisis. But I do wonder about it. And I do wonder when we see people get to this midlife, I wonder how many of those people have got that sense of impending, is this it?

34:02I'm getting old now. Does it never get any different to this? And it all starts to feel mundane and it all starts to feel, dare I say, boring. And I can really understand how some people with poor impulse control might suddenly start doing things that just seems out of character. Now, at that point, would it be useful if the people around them maybe felt confident enough to say, do you think we might need to explore some different avenues for why you feel this way, rather than reacting to the behaviors? Now, I know that's hard, right? I know it's hard not to react, but would that help and maybe save marriages, careers, relationships, etc.?

34:59Maybe. So, yeah, I can't help but wonder about that. But it's very hard to quantify, I think, because there's also an element of who's really going to admit that? who's really going to admit that actually they didn't want that sports car or they didn't want to do that thing but it was a reaction to something else or oh god it was adhd so yeah i think possibly how we ever know i don't know but i think if there are people out there now who are struggling with this sense of ah who am i where am i that's where starting to look at what else could be contributing to that is important doesn't mean it is but asking yourself questions and asking professionals yeah i think that's a really smart move one of my favorite lines matt is in a song from a band called plus 44 and it's the past is only the future but if the lights turned on and you can get to an age where you've accumulated enough life experience enough evidence to be able to accurately predict how the future is going to go unless you make significant changes.

36:12So is it easy to label someone in their 40s who has that evidence making significant changes, i.e. buying the sports car, moving country, changing their appearance as having a midlife crisis? Or are they actually taking action to divert an otherwise inevitable path that will replicate their past. Is it easy to say it's a midlife crisis for anyone else on the outside? Yes. Because that's what we look at. It goes back to the frameworks and the stigma. Yeah. From anyone else outside? Yeah. I'm sure it is easy. If you're the person going through that, it's about having the ability to ask yourself some really hard questions.

36:57why do i feel like this what am i running from or towards even right and particularly why now why wasn't i doing that in my 30s why i didn't want to do that in my 20s does that make sense i think it's it's how we we ask ourselves the questions that may lead us to where we need to look for the answers i've heard you describe adhd coping strategies in the past as cages could you describe what you mean by cages and how this could manifest negatively so what i mean by this metaphor of cages is this when we are undiagnosed lots of us and lots of people watching and listening i'm sure will have lent into things that they would say were helping them right they would have done things that they said they needed to do so you know you can start with maybe the negatives so the person that is always first to the bar after work and you know always the the social butterfly but i need to do that to decompress i need to i need to do that for me or the person that is out every weekend or or you know the person that is the loudest in the group or the most the most sort of gregarious the person who maybe knows that when they're drinking on their own at home, having a couple of beers might be seen as socially acceptable, but when you've done your own car and have Corona to yourself, that maybe that's not right, but it's okay.

38:40I don't have a problem. It's all right. It's not a problem, right? And so we can look at the negative, right? We can also look at the positive. If those people who are, they throw themselves into work, they throw themselves into exercise, they throw themselves into, you know, they become obsessed with the mindfulness or the breath work or the whatever. I think very often if you ask those people, why do you do that? They say, well, it helps me. I just, you know, it makes me feel something. What I've started to notice more and more with people I've mentored and with people I've spoken to is if you then ask them, okay, what doesn't doing that do for you?

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39:28I mean, when you really sit with it, are you really, really happy and comfortable with that? A lot of the time people will start to open up and say, no, but I don't know how to be if I don't. I don't know how not to do that. And that's when they become cages because when we don't feel confident enough, it goes back to what you said about maybe saying, actually, I don't want to go out and be social every night. That fear of what if I don't, will I be lonely, for a lot of people keeps us going back even when we don't want to. It's a cage. It's a cage that's very hard to shake because we're not sure who we are, what we need, what is good for us.

40:13So, yeah, I see a lot where they become cages. I mean, look, yes, it's a very loosely connected metaphor to the addiction pattern as well. And, yeah, we see examples of people who, again, due to maybe a lack of impulse control, would say it's okay, it's just that, it's just that. And then other people have now started to notice that actually this is not right. this is too much. But it's the recognition of it that's hard. And where I first realized this, where I first started to connect this as a problem,

40:56was years ago now with the previous job, I had a sort of transit van thing, right, for work. Now, as soon as I got that van, literally every weekend, several nights a week, I was out helping somebody. Can you come around? Can I borrow the van? Can you move this? Can you shift this? And I could not say no. And I couldn't say no because I felt that that was me being nice and being a good friend and being helpful. And it was a good thing to do. And I would say to my wife who was struggling with the kids and doing things on her own, yeah, but I just need to do this because it's good to do, isn't it?

41:36Right? I wasn't able to recognize that for them at home, it wasn't good, that she was left on her own struggling. And I wasn't able to recognize that what it meant was I wasn't resting. I was perpetually tired and I wasn't doing it for me. And I wasn't getting really anything from it, but I was scared not to. That was my cage. That's when I first realized how negative that was for me. And it's things like that that I think can seem so innocuous. But actually, if we really sit down and face them, they are a problem. And they're not serving us. But it goes back to those high levels of anxiety and stress and fear of rejection and not fitting in, that we keep these things as cages that we do, because what happens if I don't anymore?

42:31and it's that fear of what if that i think keeps that happening i think for most of my life pre-diagnosis the cage i was stuck in was always dealing with negative hyper focuses with i guess three d's like i would either drown the negative thoughts out with alcohol which i can't do anymore because i like yourself i believe if i am an alcoholic so drinking is very dangerous for me or I would distract myself or at least try to and if I couldn't do those two then I would dwell on the thought and that was often horrific. I guess breaking out of that cage post-diagnosis is realizing that there's a C there which is communicate like find someone to talk to about it and you realize it and it's so obvious but Ned Halliwell famously said never worry alone and I think it's so important with all of these things when you get that spiral when you get that ruminating and the the mind that so many of us have that make it so easy to to hyper focus on something terrible when you're in that uh pick up the phone yeah i mean go yes it's fundamental principle of recovery isn't it you know if you think you're at risk call someone right but there is a little nuance to that as well so if you were in that dwelling phase and somebody said to you Alex, I think you're talking about this too much.

43:58Because we might be a bit more prone to rejection, because we might be a bit more prone to RSD, the likelihood if they say that is you don't go, oh, thank you for saying that. That's just what I needed to hear. It's that you then react negatively to them. No, no, I'm not. No, you're wrong. And guess what? Then you're back in the spiral again. right so it's it's really hard because you're right it takes us having the ability to pick up the phone it takes us having the ability to recognize i don't think this is a pattern i should be in but but that's difficult to come to because it can fundamentally change your opinion of who you are it can be a really bumpy escape out of that cage because like you said if you pick up the phone and you just sense that that person doesn't have the time for you or they're giving you like half-hearted advice then like you said rsd triggers and suddenly the drowning out of the problem almost the compulsion to go towards that d the really dangerous d that winds up a lot of people like you and me in hospital uh it's really hard to to not do it so it's almost a very dangerous learning curve to get out of that cage for so many of us it it is but i i think it's if you can understand what your d's are right i mean really and admit them which is the hard bit you know you're talking recovery about hitting rock bottom and that's the point where people admit okay i'm not coping and i'm not in control fine if you can do that you have more chance more more frequently of feeling like you can pick up the phone and not go into the drown particularly.

45:42But by heck, that's hard. Because as you will know, and other people watching this will know, the drowning is really effective. We learn that leaning into the stuff that drowns out the noise and drowns out the difficult and stops us having to face the hard. We learn that that works really well. What we don't know is that there's anything else that will work as well, if not better, and we're terrified to try it. So it's that community of support and education that says, try it, pick up the phone once. But yeah, it is very difficult, but those cages exist until we're ready to acknowledge that that's what they are.

46:33Matt, I've heard you use the term skill regression. What does that actually mean in the world of ADHD? Right. So, to go about this properly, what I actually say is skill regression is wrong. I disagree with the term skill regression. And I firmly believe that when people use the term skill regression, it's used by people that actually, and this will light firework, don't yet understand what the process of making sense of their conditions is. So when people talk about skill regression, typically it's something that happens after diagnosis or recognition. And what they say, and it feeds back to what we were talking about, they say how all of a sudden, in the workplace we hear it a lot, they've had the same job for three years and it's been a really high-stress job and they've always coped.

47:36And then all of a sudden, post-diagnosis, they can't do that anymore. They physically can't do it or they can't socialise anymore or they can't this or they can't that. and they term it as skill regression caused by ADHD and autistic masking. It's not. It's absolutely not. Fundamentally, it misses the most important point of this. What's actually going on at that point is processing. Your brain is having to process an enormous amount of new information about who you are, why you are the way you are, why you've done the things you do, why your life has been the way it is. And as part of that processing and of making sense of that, your brain has to filter some things out.

48:33It has to make space for all this new information and new focus so something will get pushed out. and that's why people say, I just haven't got the capacity to do that anymore. I just don't feel I can. It is not negative. It's normal and it's okay. It's absolutely okay to feel that. What I've seen time and time again with people I've mentored, with people I've worked with and the Divergence ADHD community is as people become more comfortable with what these things mean, some of the things they defined as skill regression come back. Their capacity to do some of the things they did before will return, but they may do them differently.

49:26So they may choose the social events they go to rather than go to all of them. They may say, okay, there's a family birthday party, and whereas before I'd have no filter and I'd be the last person at the bar and be steaming drunk now, I'm going to go, but I'm going to leave at 10 o 'clock, right? That's not skill regression. That's skill acquisition. That's learning how to cope, right? So this concept that we lose ability and it's caused by the condition is not right. What we are doing is making space to process some really difficult, really confusing, sometimes really upsetting, information about ourselves and also to then learn what to do with that.

50:19Inherently, something's got to give. I don't understand how you can lose skills just because you've got a new diagnosis of a neurodivergent condition. For example, if I was pretending that I like bicycle riding my whole life and I got a diagnosis and I suddenly realized that actually I don't like bicycle riding, that I was just pretending to do that to fit in, I still know how to ride a bike. I don't lose the ability to ride a bike or at work. If I was pretending to like accounting or a doctor because I thought that's what my parents wanted me to do, if I get a diagnosis, I still know how to do heart surgery.

50:55I still know how to use an Excel spreadsheet. I'm not losing those skills. Surely it's a stage where someone can consolidate all of the skills that they've acquired throughout their entire life, masking or not, and then take the new version of themselves onto the next version to grow on what they've already learned? Yep. I mean, yeah, ultimately, it's that. It's not, and that's why the term skill regression is, it's almost offensive to me. We don't lose skill, right? Now, I'll give you a real good example is the juggling balls I brought in last time behind you, right? Now, juggling was connected to my life for 15 years.

51:34I was a performer, jester. I taught 80 ,000 people to juggle. It was seven days a week. It was everything for me, right? And juggling and circus skills was everything to me. When I was diagnosed, in the phase where I became so just uncertain who I was anymore and so unaware of what this all meant, I couldn't go near juggling or circus girls. I physically felt a reaction to that because it's just not me anymore and I'm not sure it ever was and I don't know what that means and it's painful and I just couldn't do it, right? It almost repulsed me. I could still juggle. I could still teach people to juggle.

52:24I just couldn't go near it because it didn't fit with what I thought I, or who I thought I was at that point. It's taken me until this year to now put juggling back into all of the keynote talks I deliver. And I use it to explain things like executive function, right? And I use it to explain things like overwhelm or sensory processing because it works really well. The only reason I can do that is because I've done the processing of my diagnosis. I've made sense of what it means to me and who I am. And now actually I love juggling. I've got juggling balls in my bag, right? It does what it always used to do for me.

53:06If I juggle for a couple of minutes, it switches my brain off, I de-stress, but it's a healthy decompress, right? So that's exactly that point. I didn't forget how to do it or regress. I just couldn't because it didn't fit. So it's an unfortunate. This is terminology that gets perpetuated across social media. And there's a phrase somebody said to me that I really think this fits into, right? So this term of skill regression is now taken as irrefutable fact, right? When opinions start to be taken as fact, it's dangerous because people then think that's what they have to behave like. Who's saying they're fact?

53:51Oh, I see skill regression literally on every social media reel I watch when people talk about skill regression. And it's always by people who are incredibly newly diagnosed and they're repeating what they've seen because it fits. I can understand how you might be repulsed or not want to go near something that you've been skillful at for years because you associate it with a previous version of yourself that isn't aligned with your new self. But you still know how to do it. Like a war veteran might be so traumatized by his experience that he doesn't want to ever go near a gun again. But he still knows how, if push comes to shove, he'll still know how to reload and fire a gun.

54:28He hasn't lost that skill. It's just a clunky term that I think wasn't thought through. And again, hasn't been challenged. People haven't stopped and gone, no. Like, I haven't forgotten this. It just doesn't fit. It's processing. The fundamental concept here is your brain is processing information you don't know how to process. You're probably not getting the support you need to process. Something's got to give. Something has to suddenly go, I haven't got space for that. It doesn't mean you never will again. So it's terminology like that when we see it repeated and, dare I say, masking, that then confuses people because they think they have to live up to the definitions they're being told.

55:26And actually, they don't. They have to figure out what these things actually mean to them. And that's the key. I want to move on, Matt, and talk about grieving briefly. How does the ADHD brain process grieving? do you think it is different um either in death end of a relationship and i guess we can extend this to the loss of anything yeah i mean again so not a clinician so i can't i can't talk clinically about grief but what i can say is this then my wife will challenge me on this that's fine there's the sort of the gold standard model for grief for a long time was known as the kubla ross model and it said that when people experience any kind of grief they go through certain stages, and I'm going to misquote these.

56:10So there is anger, bargaining, denial, and acceptance. Now, what the Kubler-Ross model said was those stages can occur at any time, in any order, and more than once until the process of grieving has become one that we are able to make sense of. We never get over grief, I think is something you hear a lot. If you then take everything we hear about ADHD, particularly in terms of our emotional dysregulation, things like rejection sensitivity, and you put that next to a very traumatic process of grief, does it make sense that we might react differently to grief? Yes, it does. It makes sense that we may react in ways that seem to people over the top or sort of unrealistic to the situation.

57:14In some ways, we hear of people, particularly when we talk autism, who are very cold. You know, it pains me to say this. I know that I've attended funerals and seen people crying and felt nothing. Not that I wasn't sad. I didn't cry. You know, because my brain is processing all of that emotion differently. So, yes, I think we do. I think where it really is important is this. When you get that diagnosis, you get an answer. You get an answer that we've asked for, right? We wanted. But when that answer then opens the door to having to look at a history that may include difficulty and challenge and sadness and discomfort and trauma and everything else, as well as happiness and joy and excitement, yes, our brain has to find a way to process that.

58:25Now, in almost everyone I've ever seen, including me, who's newly diagnosed, I've seen anger, bargaining, denial, and acceptance. What's fascinating is the order. It tends to, for most people that I've worked with and I've seen, follow the same order initially. And surprisingly, the first thing that people will very loudly, vociferously say is that they accept it. Oh, it's such a relief. I've got the diagnosis. Yeah, 100%. I always knew it's wonderful, right? That nine times out of 10 is more front than Brighton, right? And we do it because if we don't do that, we've got to actually face very early on that, oh my God, that's a lot.

59:24That's why we see lots of very newly diagnosed people who suddenly want to tell everyone about their ADHD and talk to the world about it. It's part of that, yeah, I accept this and I'm going to share it with you because actually if I do that, I don't have to stop and feel the discomfort. But then we always see people after that initial phase who will go through what looks very much like denial. Maybe they're wrong. I'm not like that person who's got ADHD. I'm not like them, so I don't think it was right. Maybe the clinician wasn't right. We see the bargaining, right? And that comes up a lot in people's decisions or not to take medication.

1:00:11That's where I see that bargaining phase come up a lot. Oh, well, my ADHD is not so bad that I need medication. I don't need that. Now, that typically is about they don't understand what medication is, what it does. They haven't had to explain, but they're trying to bargain for themselves about how ADHD impacts them, right? And it goes over and over, and we repeat the cycles on these phases until we stop trying to hear what other people tell us our ADHD should mean and we understand what it means to ourselves. When we can sit in peace for the first time and say, I think I get it. I actually think now I'm comfortable with who I am with this information and I think I know what it means going forwards, that's when we stop seeing so much of that.

1:01:13And again, to put that in context, I have known that ADHD was a piece of me for a decade. I was told July 2015, right? It has taken me until this year to be able to say I can sit down, I can look myself in the mirror, be comfortable with who I am, be comfortable with what my ADHD and my autism means, not fight it, not deny it, and have some sense of what it means to me and what I do with it and how I communicate it. Ten years. I'm not saying it'll take a decade for everyone. Maybe I'm just slow. But what I'm saying is people are often in such a rush to seem like they've got it that actually they extend the process of making sense of it rather than shorten it.

1:02:05You mentioned medication? Yeah. What are your views on medication and the efficacy of it? Or do you think the solution to ADHD management is deeper than meds? Yep. All the research, all the clinicians, I went to the World Congress for the World Federation of ADHD in Prague, I spoke to the most prolific sort of researchers and scientists and pharmacologists and clinicians about this. What do we know in terms of efficacy? Stimulant medication, when suitable, when right for a person, titrated in the right way, managed properly, is the single most effective treatment that we have. particularly that we have a conclusive evidence base for in managing the majority of symptoms of ADHD for children and adults.

1:03:06There is no argument to that that I can find. And there was a paper, I can't remember when this came out, I want to say November last year, that was published by, in contribution with a lady called Susan Young, who's a phenomenal clinician and expert in this field, but she was part of the research. And what that paper did was it looked at all of the available, if you like, treatments, approaches for ADHD, and what was most effective. And again, what was at the top of the list? Medication. Every time, medication. The problem that I see in the conversation about medication is that what people don't get at the point of being told that medication might be an option is the right information.

1:04:06There isn't time, right? When we're in clinic appointments, very often, depending on who your provider is, there just isn't time, because of the pressures on the clinicians, to go into detail about what medication is, what it does, what it means, and why. There just isn't, right? It's why on the podcast that I started, we're deliberately with a clinician. Our most viewed episode, nowhere near your numbers, obviously, but the most viewed episode we've got still is the first one we did. It is an hour and 56 sort of long, deep dive into medication. Every medication. What do they do? How do they do it?

1:04:53Why do they do it? What's going on? Right? it's been recommended to physicians in training. It's been recommended to clinicians in training. So you need to watch this to help you explain it, right? And the reason it's the most viewed that we hear time and time again is because that information on that podcast is the information people didn't get at the point they were told, I think you might want to consider medication. So because people don't understand it well enough, they're fearful of it, right? And, oh, it's going to have side effects, and what if it does this and what if it does that? All the research is out there to tell you exactly what the side effects are and what the risks are and what they're not.

1:05:38For children and adults, it's all out there. I think what's important to say is medication is an tool, right? It's the most effective tool we've got, but it's a tool, right? And it does a very specific job, right? It literally interacts with our brain, with our neurotransmitters, and helps us focus and concentrate. And by consequence, then, can help with things like executive function and emotional dysregulation. It does do that, and it does it really well if we're on the right dose. It's not for life, not daily. It's as and when. It's out your system every day, right? So my views on it passionately are, I wish the information out there was better.

1:06:31But I am also very open to the fact that there are other things we can do that support us that can help. Now, for people who can't take medication, there are other things we can do. we know that certain psychological therapies, we know that certain sort of counselling approaches can really help us make sense of this thing called ADHD. We know that exercise has a really interesting impact on ADHD and that different types of exercise improve different parts of ADHD as well, right? That's interesting for people, I think, to know. We know things like, yes being able to eat the healthiest diet that you can reasonably afford and have access to well it's healthy it's good of course it will can help but it's not going to do the same thing so it's for me medication is gold standard because there's evidence to it but the nice guidelines talk about multimodal approach the the way that's often referred to is pills and skills.

1:07:51Now, if other things help us develop skills, that's great. But there are more people that will need the pills in order to develop the skills than will be able to develop the skills without the pills, right? So we have to be smart. We have to be saying, what am I fearful? When I hear that word medication, what am I worried about, right? But the skills are important. because they're very often the questions, why aren't I organized or why can't I go to diary or management time? We can learn skills for those. But yeah, that's my point all the time. And speaking of evidence-based, Matt, something you're pretty synonymous with, is there any new ADHD research that has caught your eye that might not be accessible right now to the public?

1:08:39Yeah, there is. I mean, the one thing I want to say is this. Again, I'm not a clinician. So everything I find, anyone else can go and find anything, right? You can find it on PubMed or Google Scholar. It's all out there. It's knowing what to search for. However, at the World Congress in Prague, there were a couple of seminars that I attended that I thought were really important for people to know the research was happening. So the first one was specifically on sleep disorders and all different types of sleep disorders. and how having ADHD impacted those sleep disorders. That was really interesting because it's the first time that that research has not just said, we'll look at sleep, which we know is vital.

1:09:30We know good quality sleep is really important. We've got lots of evidence that says that. this looked at people with diagnosed sleep disorders and their experience of adhd as well and it is different dependent on the sleep disorder unsurprisingly the difference and the way that people can manage it does vary so that was interesting it was interesting that at the end of that i got to ask a question about did that include people with autism as well to which the answer was no, the participants were all people who had a diagnosis of ADHD. That was the focus. They didn't know for sure whether those people may be autistic or not.

1:10:20But what the researcher said to me was it is an interesting and important question because yes, again, having autism plus ADHD plus a sleep disorder may well present again different challenges. So that I thought was fascinating. The other research that was more global, less UK-based, but I think it has a place. The other research that I found really interesting was there are lots of studies that have been done now about different regions, countries particularly, looking at why there are different rates of diagnosis in children in different geographic areas in the same country. So all children that would meet the clinical standard of ADHD, but in different areas, there were very different rates of diagnosis.

1:11:07And what the research seemed to be pointing to, and again, Steve Ferone sort of really explained this well, was it's not to say that the children living in, you know, if we said it was in the UK, it's not to say that there are more children in London with ADHD than there are in Chester. what actually might point to more is that there are more clinicians in london that understand that if a child gets a diagnosis there there is also the support that follows from that diagnosis educational or whatever it may be and that in certain regions isolated regions for example that support's not there so what does the diagnosis then give that child if not medication I think that was interesting because it does point to a way that we look at what a diagnosis means to people and what's going on.

1:11:58But whilst not presented at the conference, the one thing I wanted to share that I found fascinating was this. Slipharone said something while we were interviewing him, and it sort of really helped me reframe what it means about ADHD. And he said there have been lots of population studies now done to look at where the line, if you like, the cutoff for has ADHD, doesn't have ADHD is. What he said was, for example, if you wrote up a description of ADHD symptoms and you gave that to a thousand people in Birmingham, in London, in Edinburgh, in Cornwall, and you ask them to score themselves on how they think they fitted in, what you would find is not that there were more people who did or more people who didn't.

1:12:52You would find a very, what they call, natural graded distribution, a gentle curve towards the ends. More people that had some presentations, some of the symptoms. He said you could then take that and do that differently using, do you know, sequencing, right? So we can now take a blood sample. We can look at your DNA. He said, if we did it using DNA samples, you'd find exactly the same thing. A thousand people all have their unique gene sampled. You would find exactly the same thing. There's not more people with at one end and more people without at the other. There's a graded distribution. And that's important because it feeds into the interim report for the task force as well because it was mentioned there.

1:13:37For me, that's important because what it says is there are people who, if they went for an assessment, would not meet the criteria. But that might mean that instead of ticking eight symptoms, they only tick six. Does that mean they're not struggling? Does that mean that then we don't support them? No, it shouldn't. What it means is we need to look at what's the support they need, because they could be struggling just as much and just as hard as someone that meets the criteria. Right. So what do we do? That's where social education comes in. That's where community education comes in. That's where helping people understand how to support themselves is really important.

1:14:26And I think that's the most important thing, because that's everything I'm trying to do. it goes back to the principle of if we can help more people learn how to understand what their ADHD means to them and then give them tools to know how to explain that to other people in a way that they can understand, people are going to start to be able to get better support and better understanding and to actually then thrive more in life but to do that we have to stop explaining adhd in almost pseudo clinical terms by symptoms or traits we have to say what does time blindness mean to you what does executive function challenges mean to you what does it mean to you and how does that impact someone else and what's the support you might need that could help you.

1:15:25It's how I deliver every session I deliver with my corporate clients now. I don't talk about any symptoms. I don't tell them how to spot ADHD or autism. It's of no relevance. I tell them what they'll see that people might be struggling with and I give them a framework of questions that they can then ask that isn't threatening, that doesn't spike fear, but that leads to a mutual understanding of, so if we do that does that help you and guess what nine times out of ten that support is either low cost or free it just is understanding so that's where I think the research and the lived experience piece is important if everyone watching you watching this now takes one message away it's this the research that's been done isn't behind the curve it's well ahead of the curve it's just not published yet because it's slow that's research right there is as much value in the research as there is in the lived experience what we need is a coming together of the two more right so that we don't think that it's pathologizing on this side and a really holistic social model on this side what we think is look at all this amazing information we've got that can help us understand what adhd is and how we can better support people to understand what it means to them.

1:16:50If we can get there, I think we start to see a very different conversation. Truly fascinating, Matt. Thank you so much. My pleasure. I want to finish with the ADHD agony aunt section, which I think you're familiar with. Yes. We did it last time, which is the washing machine of woes because my ADHD item is a washing machine because I always leave my laundry in the machine. Did I ask you that before? whether i do whether you leave your laundry in the machine i've got to be honest i barely do the laundry because i don't remember i have to be reminded to do it so no i don't um we all do if i'm honest the washing stays in there for days and it goes on a new cycle so often it's frightening well everyone should be using the teemo app which is the sponsor and since i've been using them i'm actually getting pretty pretty good at remembering there you go then see this week matt in the washing machine someone's asked as someone with adhd and anxiety every time i tell someone about it my partners or work i magically lose touch with them somehow and gradually they fizzle me out of their lives do you think the two things are connected connected yes what's actually i think at the heart of this is i would ask that person when you say every time you talk to someone about your adhd be are you trying to help them understand what it means or are you talking to them about traits and symptoms with an understanding of adhd that is almost more clinical and expecting them to know what that means and therefore to be able to support you because that's the narrative out there really is we're taught to talk about the symptoms and inattention and impulsivity and i'll go back to this phrase no one else is as interested in what that means as you are literally they don't care they don't so rather than talking about my adhd means it's about how can you say when i leave the washing machine the washing in the washing machine for example i do that because i'm not very good at keeping track of time or i'm not very good at remembering processes that makes me feel really embarrassed.

1:19:05And when you then say, why have you done that again? It makes me feel like you're judging me, right? What would help me is if rather than saying that, you could say, hey, I noticed you left the washing machine, the washing in the machine. I've hung it out. How can, what could we do that might help you? Now, it could be a reminder app. it could be a post you know it could be anything but don't talk about my adhd means talk about when i do this it means this it feels like this i know it impacts you and i really don't want to be that person if we start doing that we lose less people because they know how to have a conversation with people they don't know how to have a conversation with a diagnosis because um who was ever taught that that's what i would say and i know the podcast as well helps people because i see it in the comment section.

1:20:01When I do the washing machine of waves, I see comments saying, you just reminded me to empty my washing machine, so thank you very much. Yeah, it's always tidy, but yeah, it goes back to that is the community thing. If somebody listens and comments and somebody else sees it, that's how we help. So yeah, that's what I would say. Matt, thank you so much. Just before we finish, every guest writes their three rules to live by and they post it in this post office and I'm going to deliver to you the previous guest's letter. and if you could kindly read it for us Matt there are three rules to live by number one treat your own physical comfort with respect your sensory experience matters yeah I like that number two be kind to yourself so that you're able to be kind to others and three never feel bad about enjoying or investing in your hobbies and interests very good well don't spend a fortune until 24 hours has passed yeah I mean set a reminder to return.

1:21:00The old classic hack. Yeah. Matt, once again, thank you so much for all your wisdom on behalf of all the listeners and viewers. Huge. Thank you so much. Thank you for having me back and I genuinely hope I haven't challenged too many people and I hope it helps. You've been perfect. Thank you, Matt. Cheers.

From the publisher

Matt Gupwell is a globally recognised ADHD mentor, who’s work has helped millions of people understand their neurodivergent brains

He’s the most powerful voice in the ADHD & Autism space and an expert in all things AuDHD, helping you optimise your ADHD in ALL sectors

00:00 Trailer
03:10 What are your specialties within the ADHD or Autism space?
10:04 Early life ADHD diagnosis VS late life ADHD diagnosis
19:47 Processing a diagnosis: men VS women
22:34 The truth about neurodiversity and loneliness
29:14 Tiimo advert
37:19 The ADHD coping strategy called ‘Cages’
55:38 The truth about ADHD and grieving
01:02:05 Medication
01:08:26 New ADHD research
01:16:59 The ADHD agony aunt section
01:20:21 A letter from the previous guest

Find Matt on Linkedin 👉 https://www.linkedin.com/in/mattgupwell/

Find Matt on Instagram 👉 https://www.instagram.com/thinkneurodiversity/?hl=en

Get 30% off an annual Tiimo subscription 👉 https://www.tiimoapp.com/adhdchatter

Buy Alex's book entitled 'Now It All Makes Sense' 👉 https://www.amazon.co.uk/Now-All-Makes-Sense-Diagnosis/dp/1399817817

Producer: Timon Woodward
Recorded by: Hamlin Studios
Trailer Editor: Ryan Faber

DISCLAIMER: The content in the podcast and on this webpage is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website.
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