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In short

Notes on Podcast Episode 675: "THIS Is The Biggest Misconception About ADHD"

Podcast Overview

  • Title: The Goal Digger Podcast
  • Host: Jenna Kutcher
  • Guest: Dr. Sasha Hamdani (board-certified psychiatrist and ADHD clinical specialist)
  • Episode Focus: Exploration of ADHD misconceptions and insights into managing ADHD for better mental health and productivity.

Key Themes and Discussions

Guest Introduction

  • Dr. Sasha Hamdani:
  • Known for her educational content on ADHD and mental health.
  • Author of *Self-Care for People with ADHD* which offers actionable tips.
  • Creator of FocusGenie, an upcoming app designed for focus, productivity, and ADHD education.

ADHD Misconceptions

  • Common Misunderstandings:
  • ADHD is often misdiagnosed, especially in women who may present symptoms differently (e.g., inattentiveness rather than hyperactivity).
  • Societal stigma around ADHD can lead to underdiagnosis or misinterpretation of symptoms.

ADHD in Women

  • Women frequently experience undiagnosed ADHD due to:
  • Different presentation symptoms (e.g., inattentiveness).
  • Hormonal fluctuations leading to varying symptom severity.
  • Societal expectations that do not always recognize ADHD in women.

Importance of Understanding ADHD

  • Neurodivergent Perspective:
  • Emphasizes the need for compassionate understanding of oneself and others with ADHD.
  • Highlights that ADHD can be a strength in entrepreneurship and creativity.

Behavioral Management Techniques

  • Tracking Patterns:
  • Importance of documenting daily habits (e.g., sleep, food intake) to recognize patterns and triggers.
  • FocusGenie app will include tools to help users track their ADHD-related behaviors and patterns.

Relationship Dynamics

  • Navigating relationships between neurodivergent and neurotypical partners.
  • Communication strategies such as writing down feelings to facilitate understanding and empathy.

Practical Strategies for ADHD Management

  • Self-Care Techniques:
  • Recognizing the impact of nutrition, hydration, and sleep on ADHD symptoms.
  • Utilizing structured routines and external tools (like apps) for better organization and focus.

Final Thoughts

  • Dr. Hamdani encourages listeners to explore and understand their mental health needs, emphasizing that ADHD does not have to be a limiting factor in life.
  • The podcast promotes awareness, compassion, and actionable strategies for those affected by ADHD.

Key Takeaways

  • ADHD is often misunderstood and misdiagnosed, especially among women.
  • Understanding one's own neurological differences can empower individuals to harness their strengths.
  • Communication and behavioral strategies are essential for managing ADHD effectively.
  • The development of supportive tools and community resources is crucial for fostering understanding and growth.

Resources Mentioned

  • FocusGenie: Upcoming app for managing ADHD.
  • Self-Care for People with ADHD: Book by Dr. Hamdani.
  • Social Media: Dr. Hamdani's Instagram and TikTok (@thepsychdoctormd) for educational content.

Conclusion

  • The episode underscores the importance of destigmatizing ADHD, fostering understanding, and utilizing tools for effective management. Jenna Kutcher and Dr. Sasha Hamdani's conversation exemplifies how awareness and education can lead to better support for those navigating ADHD.

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Transcript

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0:01Today's episode is sponsored in part by Revolve and Spectrum. Revolve is my all time favorite place to shop for my dream wardrobe. Head to revolve.com forward slash gold digger to shop my favorites and get 15 % off your first order with the code gold digger. Spectrum business keeps your business connected with reliable service you can count on. Visit spectrum.com forward slash free for life to learn how you can get business internet free forever. As always, you can find all of our amazing deals in the show notes. Now let's get into it. okay I have been on this ruthless pursuit to purge any clothes that I'm not actually wearing like if I haven't reached for it in months it's gotta go I am trying to be really intentional about what I bring into my closet right now which means I am only buying pieces that I know I will actually wear and use revolve just gets it though I'm literally wearing my brown autry sneakers from there right now and my new suede purse it fits my laptop in it so it's basically a fancy shoulder bag that works for everything.

1:02I love finding pieces like that. Things that look good, but also work hard for my actual life. Their holiday shop is live right now with all the good stuff. Sparkly party dresses, cozy sets, cute gifts, everything you need for whatever is on your calendar. And it's all in one place, which makes shopping feel way less overwhelming. Whether it's a weekend away, a big night out, or a holiday party, your dream wardrobe is just one click away. Head to revolve.com forward slash gold digger shop my edit and take 15 % off your first order with the code gold digger fast two-day shipping easy returns it's literally the only place you need to shop from that's revolve.com forward slash gold digger to shop my favorites and get 15 % off your first order with the code gold digger offer available for a limited time so happy shopping I got really interested in talking about ADHD and explaining ADHD and doing those things but I found there was a big hole.

1:57When I wanted to show patients and talk about ADHD, I didn't like the books that were out there because I'm like, they're not written for my brain. And I don't want to read this. Hey, my name is Jenna Kutcher and I am obsessed with all things, business, marketing numbers, and helping you to navigate both the messy and the magical seasons of this thing called life. I'm a small town mama who took a$300 camera, grew a successful photo biz. and now I work from home and run a seven-figure online business. I teach you the tried and true secrets to building a career you adore. Shy away from the real talk?

2:30No way. Money, hardship, growth, loss, and marketing are all topics we discuss here. Think of this as your one-stop shop for happy hour with a gal pal mixed with business school. Pull up a seat, make sure you're cozy, and get ready to be challenged and encouraged while you learn. This is the Gold Digger Podcast. Gold diggers, you know how much I love to nerd out on all things, mental health, self-care, boundaries, all of that. If this kind of stuff is your jam too, well, you are going to fall in love with today's guest. Dr. Sasha Hamdani is a board certified psychiatrist and ADHD clinical specialist.

3:04I started following her a few months ago on Instagram and really fell in love with her and her content. Like her content has truly been life-changing for me as someone who was recently diagnosed with ADHD. Her social media is wildly educational. She effortlessly breaks down stigmas and provides accessible information about mental health and ADHD. Dr. Hamdani was selected to participate in the Healthcare Leaders in Social Media Roundtable at the White House recently. So that should tell you a lot about how incredible she is. In January of this year, Dr. Hamdani published her first book, Self-Care for People with ADHD, ADHD 100 plus ways to recharge, de-stress and prioritize you.

3:48And I ate it up. It is amazing because she writes it in a way that works for people with neurodivergent brains. I'm talking like short little paragraphs. You can pick it up. You can leave it off. It's amazing. What I love about it is it is full of actionable tips. And along with her book, she also has a company called Focus Genie, which is an app for focus, productivity and ADHD education. Dr. Hamdani has seriously changed my life for the better. She has also become a friend of mine. I absolutely adore her. And so I am so excited to have her on the show today to discuss ADHD, mental health, self-care.

4:26Dr. Hamdani, welcome to Goal Digger. If you're ready to dig your biggest goals with each other in person, mark your calendars for September 5th through the 8th, 2023 for HubSpot's annual Inbound Conference in Boston. There will be multiple stages featuring over a dozen industry experts, including Reese Witherspoon, Derek Jeter, Neil Patel, and more. You'll learn everything from sales strategy to AI and innovation, connect with the leaders, and the best part is you'll walk away with practical tips that you can put into action as soon as you get home. Tickets are selling out fast, so head over to inbound.com to get yours today.

5:08Okay. So I have to tell you when I first stumbled upon you on the internet, I fell in love in a way that I haven't fallen in a very long time because I felt like I found somebody who like understood myself and my brain, but also brought like levity to it. So I just want you to know first, like when I found you and I messaged you and I was like, I am obsessed with you. You were like, wait, what? It's so true. The obsession is very deep. That's you. You swear this isn't on video because I'm turning red and sweating a little bit. This is video, but I won't. No, that is that's extremely kind and generous and sweet of you.

5:47And the obsession is absolutely both sided. So there's that. So let's talk about you. And for anyone who doesn't know you kind of give us a synopsis of who you are on your homepage of your website. You have this quote listed by Thomas R. Insull that I would love for you to elaborate on because when I read it, it really resonated with me. And here's what it is. I won't make you repeat it verbatim. My philosophy is really based on humility. I don't think we know enough to fix either diagnostics or therapeutics. The future of psychiatry is clinical neuroscience based on a much deeper understanding of the brain.

6:24Talk to me about this, who you are, what you do. Walk me through it because I love that line. It's a good line. So I'll tell you a little bit about my background and then I'll circle back to this quote and we'll see if I get there. I was just going to say, do we trust ourselves to circle back? No, of course I don't. Just remind me. So I was diagnosed in fourth grade with ADHD after I legitimately started a riot in my classroom. Like I got all, it was a day where there was a substitute teacher and now like having kids, I'm horrified. Right. Because I'm like, Oh God, every, like their job is hard enough.

7:00Yeah. So I, you know, it right ensues a substitute teacher, a regular teacher or like do something. So my mom is a pediatrician. Luckily for me, like my symptoms were loud enough and prominent enough to go in and get evaluated. I got evaluated. I was medicated shortly after. The thing is, this is like a million years ago, right? There was so much stigma around it. So my parents didn't really know how to broach it with me. And so it was, you know, they were giving me a medication and they were like, it's going to help with school. It's going to help you focus. It's going to help you participate.

7:32All of which were true, but I didn't really know that I had the diagnosis of ADHD. So did pretty well, got into medical school right out of high school. and so I entered medical school thought I was gonna do peds and I wanted to specialize in peds neurosurgery which now I'm like what I think I think it just sounded cool in my brain yeah and then I went through and as I was going through like I stopped taking my vitamin that was helping my brain wheels fell off I was almost kicked out of school like I didn't understand what had happened because I'd gone from being pretty high, like achieving in high school to being literally the lowest in my class.

8:13So I was very confused at this thing. And so that's when my parents were like, okay, it's ADHD, let's figure out what your brain is doing. And then from there, my priorities pretty much shifted in terms of like what my interests were. And like, I knew that in order to maintain sustainability and to keep going forward, that it was just really important to understand my brain. And that's kind of what led me into psychiatry and continuing to do this moving forward. Wow. Okay. So what do you do today? Walk me through what you do today. Yeah. Do you want me to go over the quote? Did you forget about the quote?

8:49Oh, we, I mean, look at us. I was just going to jump on together and I was like two girls with ADHD. What could go wrong? Yes. Let's circle back. Look at this. I know. Well, I wrote a note. I wrote a note because I'm like, I'm not going to be the one who forgets. Okay. So basically, the thing about the quote is that when I was starting my journey in terms of clinical practice, and I knew I was starting off this, like, I was, I gained the privilege of other people trusting me enough to take care of them. I thought about like, what's something that's going to be so important to me moving forward in terms of how I treat other human beings.

9:26And I think that basis is humility, like understanding that you're coming to me in a vulnerable position, that you need to trust your provider to help guide you through this journey. And so the provider needs to constantly remind themselves that this is an exercise in humility, that we need to be grateful for this opportunity, that we can help people with our education base and with our clinical expertise and with our lived experience. And so I put that on my page because I was like, you know, I think this is really important. I think. And the other part of the quote was talking about how a lot of psychiatry is based in just this deep, deep understanding of the brain.

10:02And there's so much about the brain. This is how it ties into the humility part, because there's so much about the brain that we still don't understand. So I think that those two things, basing my practice and humility, and then basing my practice and everything that I kind of do stems from how does the brain work and then moving from there. Yeah, I love that. One post that I saw that you recently did that really resonated with me was some actor was studying for a role. And one of the cast members had ADHD. And in studying for it, he realized he had it. And that happened to me. I had an incredible guest on my podcast, Tracy Otsuka, who talks about ADHD.

10:39And I did the entire interview. And then we got off of the interview. And she goes, you know why I wanted to come on your show, right? And I was like, no. And she's like, I am very certain that you have ADHD. And I had been interviewing her through this lens of like, let's just help other people. And it sent me down the rabbit hole of starting to understand and learn more. And that was how I discovered that I have ADHD and I got diagnosed. So what has it been like for you? Because I mean, you it's so rare now that I know so much more about it, and it's still the top of this iceberg of it. it's so rare that you were diagnosed as young female.

11:18But one thing that I'd love for you to talk about is just so many women listening to this might actually have ADHD and never knew it or were never diagnosed. Can you talk a little bit about that? Yeah. So there's a huge, I call it this huge hidden population, right? People are running around with undiagnosed ADHD and it's especially prevalent in women because of numerous different reasons. One of them is that women present really differently than males. So typically, they're the inattentive daydreaming kind of kid. That kid's not causing problems in school, that kid's minding their own business and kind of spacing out and just like gets passed from grade to grade.

11:56And usually what they hear is, she's a pleasure to have in class. Well, she's a pleasure to have in class because she's not like in anyone's face. She's not screaming. She's not like for me, I think I got diagnosed early because I was so annoying. I was annoying. I was just like, I was in everyone's face. I could not stay in my seat for the, like the biggest complaint my teachers had about me is like, we never know where she is. I don't know where she is. Like she will be like there. So at one point, my sister was in kindergarten and I was in fourth grade and I knew she was in kindergarten. So like in the middle of class, I would like go in like out of my classroom and I would go and try to find her and they'd be like, where the hell were you?

12:39And I'm like, I don't know. So I presented very differently where I was taking a lot of the teacher's resources to even just keep track of me. Yeah. So typically I presented like a male, typically females don't present like that. Yep. The second thing is that typically females, you know, if, if people are lucky or like, if they're starting to show symptoms, it typically doesn't worsen or become super problematic until puberty or until there's some variation, hormonal variation that's happening as well. Because you know, with ADHD, it is highly variable with your hormonal cycle as well. Would that be impacted by motherhood pregnancy?

13:20Yes. Okay. Okay. Yes, yes, yes, yes. So there's this hormonal fluctuation. But the problem is, is that a girl coming in hormonal fluctuation, I have low frustration tolerance, I can't focus on irritable. What are providers immediately gonna think you're hormonal, it's puberty, it's not a big deal. You're this is your age, you're a teenager. So it's get passed off as hormones, which is infuriating. But that's what happens. Yeah. And then another reason that it just is, you know, for a long time with generations, my generation, generations before me, and even some generations after me is it just wasn't talked about.

13:57Yeah. Like people thought about, like, even when I was in medical school and I was like, there's no, you know, my dad told me, he's like, okay, well, the reason you're taking that medication is because you have ADHD. And I was like, there is no way. There's no way. I'm not a boy. I'm not like running around. And even by like med school, I had kind of calmed down. I mean, theoretically, I had calmed down by that the wheels had come off. But like, I was thinking about the past 10 years before where I'd been on medication. I was like, I'm not hyper. I'm not like, what is that? So there was just like this very skewed picture of what it looks like.

14:33And it was really stigmatized. So I think that there's lots of different reasons. Oh, and another reason is you're frequently misdiagnosed. Like if you're not being passed off and you're like, it's hormones. A lot of times, especially with young moms or things like that, it's motherhood. this is what being a first time mom is like, or it's, you know, you're having some anxiety, you're having some depression. And really, when you deep dive into it, it's no, I mean, yeah, maybe I maybe I'm expressing this depression and anxiety, but it's stemming from ADHD. Yes. I had so many interesting experiences.

15:11So when I had that interview with Tracy, and then I sent it to my family, I was like, everyone needs to listen to this. And my dad was like, Oh, I totally have it. And I was like, no one ever told us this. And my mom was like, a hundred percent dad absolutely had it. And then it opened up this huge conversation within my family where my mom was like, the more I learn about it, the more I think all three of you kids have different, you know, spectrums of it. And it was so interesting for me because I was, I was, I was a high achiever, high performer, good GPA and stuff, but I had to work so hard at it where some people, it just comes naturally.

15:46I didn't trust myself to remember anything. I would panic before tests because I'd be like, I studied all night and I can't remember anything. I would like just blank out. And so it's so interesting to like look back. And I think a lot of moms are getting diagnosed because they're looking for solutions for their children, right? Like they're mothered kids. So can you talk about like the genetic impacts of that or like how that works? So ADHD is, well, I'll tell you, it's highly heritable. So it gets passed on through families. And that is truly the genetic load of ADHD is very high. And that's why you see it when moms are getting their kids evaluated.

16:23They're like, oh, that's me. And things like that. You're getting this pass on through it. And it doesn't look, it doesn't always look the same, which is tricky. You know, like how it can present in a girl sibling versus a boy sibling can be totally different. It's very multifaceted. It can be dependent on other things. But that's why it's kind of important to understand, okay, there is a heritable link here. Now, typically, when I talk about this, there's this like secondary wave of emotion around it, because people are like, Oh, my God, I don't want to have kids if I'm going to pass this on, or I'm going to do that.

16:57And what I tell people is like, you know, this is there's a concept of genetic permeance, which is like, there is, you know, you can have different severity, or you can and as things trickle down, you know, it might get passed on, but it might not be very severe, It might present a little bit differently. But I also tell people that if it is getting passed on and if your child does get ADHD, who better to parent that child than you? Someone who understands their own brain. And so that I think that's just an important thing to conceptualize and to understand in terms of part of the joy about being an ADHD specialist and like dealing with this so much in my own practice is that it is so responsive to management.

17:47And I'm not even talking about medication. I'm talking about just treatment in general and looking it in its face and deciding that you want to start going through those symptoms and understanding your brain. It just responds well. So that makes it really rewarding to treat and start working with patients. I love that. I feel like even just my understanding of myself has expanded with a lot more compassion. Like even through the content that you create and stuff, I can't even tell you how many of your reels I've like forwarded to Drew and be like, this is why I am the way I am. But it's interesting because a lot of times, and I would love to talk about this with you, is that like, it's not, it doesn't have to be like a diagnosis that holds you back.

18:32It can be something that can power you forward and you can be empowered in. And I know for me, now that I have that, I can understand some of the things that I really don't like about myself or I get frustrated by. But I also can see how some of these behaviors like getting really obsessed and immersed in something or something like that has really propelled me to success. Like I actually think and maybe you know way more. We do know way more about this. But I think a lot of entrepreneurs probably have some level of ADHD. Can we talk about this? I think you're 100 % right. And I think that that's because like, if you're thinking about ADHD, right at it's like, what is ADHD?

19:11ADHD at its base is a dysregulation issue. So certain parts of your brain are moving faster than other parts, certain parts of your brain are moving slower than other parts, norepinephrine and dopamine are being utilized differently in different areas of the brain, but at its base, your brain's moving really fast, right? And so you're processing tremendous amounts of data. Now, because you're moving so fast and you're processing all of this stuff all at once, you tend to, and this doesn't have a judgment component to it, but you tend to take shortcuts. And so one of those things is that you can sort through a lot of information and you can either jump to conclusions or you tend to be a little bit impulsive in your decision-making or you tend to not weigh and agonize over risks.

20:04You're like, this is what I want. This is what I'm gonna do. I don't care if this is a small hiccup, let's keep doing it. And so those people that have ADHD and their brain is moving faster, they're willing to take those risks. Those are people that can also get a great amount of reward from that, which is awesome. Yeah. Walk me through. So you just touched on certain things. I want, if somebody is listening to this and all of a sudden they're like, wait, do I have it? Or what is this? Can you just give us some of the key indicators that might maybe put a little red light on your radar of like, oh, this might be someone.

20:38So, so ADHD is broken into three subtypes. There's inattentive, there's hyperactive, and there's combined type, which is a combination of the two. Inattentive is the stuff that you are, it's exactly what it sounds like. Difficulty organizing information. Difficulty with like, I can't keep track of anything and I'm losing stuff. Difficulty. Yeah. Difficulty with starting complicated tasks. Difficulty with maintaining attention or starting tasks and finishing tasks. So executive function kind of things. That's all inattentive stuff. hyperactive is like physical hyperactivity, verbal impulsivity.

21:20So like, can't stay in your seat, you're fidgeting a bunch, you're you're blurting out answers, you're interrupting people, people are always like, can you let me finish? Can I talk? And then combined type is kind of combination of the two. And so what I tell people is that a lot of people, like if you did a cross section of humanity. And this is why, you know, you hear so often, everybody has ADHD. I do that too. Like, you know, you just hear that all the time. And it's so reductive to the people actually who are struggling because they're like, the hell you do. Like, you don't know what this is like.

21:56No. And so people in remote periods of their lives or in periods of high stress, they have difficulty with executive function. They have difficulty processing stuff. They have difficulty with I'm forgetful and I have a short attention span, but it's not persistent and chronic and limiting because in and of itself, I know there's a lot of controversy about attention deficit hyperactivity disorder. People get really hung up on that word disorder. And I think there's a lot of value in that word. And I think that there's value in that word in that it indicates that this is limiting to people's lives.

22:34Because if it wasn't limiting to someone's life, then why are we talking about it? Right? Yeah. Why is this a big deal? The fact that it is so persistent, so chronic, and that it bleeds into every facet of your life. That's what makes it a disorder. So for people that are saying, you know, I don't have different or, you know, when you have these absolutely neurotypical people that are telling you, like, just make a list, you're like, Oh, of course, I've never thought about that. Like, get out of here. Yeah. It's, Just it's one of those things that if you have, there's a chance that you might have exhibited symptoms at one period of your life or something.

23:12But that's why it's really nice to be able to rely on a trained clinical eye to put together all those pieces and figure out like, is this actually what we're dealing with? Because if you are dealing with something that is, you know, say it's anxiety and not actually ADHD, and you start treating the ADHD, there's a potential that your anxiety could get worse. So it's important to figure out what it is if you're going down that medication route. If you're not going down the medication route, honestly, I think a lot of the behavioral techniques could help a lot of people. Even if they're in that tiny portion of their lives that looks like ADHD, using those behavioral strategies could pull you out.

23:49Looking for a new podcast to add to your weekly lineup? Check out Entrepreneurs on Fire, hosted by John Lee Dumas. Every week, JLD and his guests share practical strategies to fire up your business journey and create the life you've always dreamed of. No matter what goals you're digging this year, Entrepreneurs on Fire will inspire you to take action and give you the tools to get there. JLD has interviewed over 3 ,000 incredible entrepreneurs, including Seth Godin, Gary Vaynerchuk, Barbara Corcoran, Tim Ferriss, and so many more, including yours truly. You are bound to find the topic or the guest you're looking for.

24:26I loved his recent interview with Tyler Wagner on how to become a successful author. I honestly wish I had heard that episode before I promoted my book. Listen to Entrepreneurs on Vyre wherever you get your podcasts. I think you'll love it just as much as I do.

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26:11We booked some of our most memorable stays this year on Airbnb. There's something special about finding a place that doesn't just look great in the photos, but actually feels welcoming the moment you walk in. That this feels right kind of feeling. If you've got trips coming up, whether it's a family vacation, a retreat, or a work trip, your house will probably be sitting empty while you're gone. Have you considered hosting your home on Airbnb and letting it work for you? It's a simple way to earn some extra income that can be put towards a future trip or home improvement projects. Your home might be worth more than you think.

26:45Find out how much at airbnb.com forward slash host. Let's talk about some of those strategies that are helpful. Walk us through because no matter who is listening to this, they are like high achieving, busy, slightly overwhelmed, you know, so let's walk through some of that. Are you talking about anybody? Not us. Okay. So let me tell you my journey with behavioral management, because I think that's important. Okay. So when I, so I, I go through medical school struggling with that. And for a while I was like, I absolutely don't have ADHD. And I rebelled against it. And I was like, I'm not taking any medication.

27:24There's no way. So I started to dig deeper into that hole. And that's when, you know, my parents took time out and actually started to explain things and gave me the space to do it without the pressure of school. Yeah. And so I actually immersed myself and I was like, okay, I think I do need medication. I think I do need management. So that started my journey, was on medication. And then, you know, I got done with medical school and I got into psychiatry residency where I was literally surrounded by psychiatrists and therapists, and it was great. And in that time, I moved to Phoenix from Kansas City, and I stopped being able to tolerate the medication.

28:02I like I couldn't do it. Like I passed out. I was like, I lost a bunch of weight. I would get headaches. I'd be jittery. I'd be anxious. And I was like, I really don't understand what's happening. Yeah. And it's just, you know, part of it is like my brain had been changing. Part of it is I was using behavioral techniques. I didn't necessarily need as much. So then I knew that I wanted to start to move off of it. And I tried a couple of other things, same exact response. So I tried to wean myself off of it. Went terribly, terribly. Wheels came off again when I should have been like at my most stable.

28:39But like what I noticed this time is it wasn't as much of the academic stuff, but it was my interpersonal stuff. Like I was fighting with my parents. I was fighting with my husband. I was fighting with like I just could not keep a level ground at any point. I felt like everything was shifting around me. so then I got back on medications but I really focused on the behavioral stuff because I was like eventually I want to try and so I was surrounded by this team of psychiatric and psychological professionals and they they literally were like this is how you eat this is how you sleep this is how you show up this is how you like school thank you seriously it was life school It was just like how to be a human.

29:22And so I, from that, then when I got out of residency, I was like, you know what? I'm done with like the academic stuff. I'm in practice. It's really fulfilling and enriching in my life. I don't think I knew this. I knew I wanted to have children and start that process. And I was like, you know, ideally, and again, by the way, this is not a pro or against meds because like I have needed it at many portions of my life. and even like if I need it again in the future, I will absolutely go to medications. But at that point in my life where I was trying for pregnancy and I felt like, you know, I want to see, like this is my opportunity to potentially be off of medication.

30:04I want to see if I could do it. And so since trying for my first, so I've been off of medication for about seven years. Yeah. But it's only because I cemented those behavioral techniques. So I feel very, very strongly about good behavioral management And that comes from just like we talked about before, but understanding your brain, like just deep diving, understanding this is what my brain is doing. So this is how it course correct. Yeah. So what are some things that you do when you start to feel overwhelmed or paralyzed or like aloof or anything? Do you have anything that you can share? Yeah.

30:44Yeah. So sometimes, and again, this is stemming from like, what are the circumstances around that? So when I first started going through this process where I was trying to gather information about like, what are my patterns? Like what happens to me? It didn't really have a good tracking mechanism. And so I kept it on the notes app on my phone. I would just document that kind of stuff. And I would do like, this is sleep. This is my food intake. This is my water intake. And actually part, well, I'll get into that, but like part of that app I'm creating for ADHD management focus genie, it has that built in because I was like, this is what I was doing every single day for three years to figure out what my patterns were.

31:29And if you don't use that app, just having it on your phone and being able to kind of say like, okay, this is how I was trending. So it helped me kind of understand like I'm overwhelmed. I'm literally hungry. If I eat, it will be better. Or it's overwhelmed because I haven't had a sip of water all weekend. Or I'm overwhelmed because I have been sleeping so poorly that I do not feel awake for the first six hours of the day. And then I've missed even more. But the problem with ADHD is that you don't readily recognize your patterns. I think what people do is every day, you're reinventing the wheel.

32:09You recognize there's a problem. Yeah. But you try to course correct without manipulating it or training where you're like, Oh, they slept through the night. Let's do this every single day. And then it's like the next night, it's a new thing. Yes. Yes. Yes. It's exactly like that. It's, it's just, it's really, it's so multifaceted and there's so many different variables that go into it. So it's really, really important to figure out your pattern. So that, that would be my number one advice for anything. It's find a way to, in an organized fashion, track your variables. And like with the app, the thing that I like about it, he's like back in the day when I was doing with my one of my attendings is the one who told me to do that.

32:49Yeah. He made me like, plug it into Excel. Yeah. And so I had to go back and like type all these things. And then he's like, let's see a chart. So I generate a chart. And so like with this app, what I'm doing is like you open up the app and you plug in all of those things. And then And over time, you see what you're doing. And so then if you're like, oh my God, I had this huge fight with my husband on Monday. You go back to Monday and you're like, oh, I didn't eat. Oh, I didn't sleep. Okay. And so it's easier to kind of figure out where's the hole. I have a question about this. So one thing I love about tracking, especially for women, is tracking also around your cycles.

33:26So since there are hormonal impacts, would that make sense? like if whenever I get PMS or like the week before, I don't usually have a lot of the regular PMS symptoms, but without fail, every time I'm PMSing, I will say, I can't do it all anymore. Like there is like that moment of like, I'm carrying the weight of the world and I cannot do it anymore. And then I'm like, Oh, and my period's coming. Does that impact like the monthly cycle impact your ADHD? Yes. Okay. So Jenna, what happens is that like on a very, very basic level. When your estrogen drops, which is typically what your body is trying to do when you're getting ready to expel that egg and endometrial lining and all of that stuff.

34:10When your body is ready to do that, your estrogen level drops. When that happens, estrogen and dopamine kind of hang out together and your dopamine level drops as well. And so, in that low dopamine state, you're understimulated, you're overwhelmed. There's like literally not enough gas in the tank. And the thing that's terrible is that if you look at it, half of the month is really you're in a lower estrogen state. So when I get into like, once I started understanding that, I'm not even kidding, I will plan events and stuff. Yeah. In the periods where I'm like, it's, it's after my period, I'll be fine.

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37:05that's so wild so i want to know wait can i this is somewhat personal so you can totally like switch it but is your husband neurodivergent or is he not god no no i mean he is so so he's an attorney and his brain works like i don't even understand how his brain works it's like so painfully like rigid and organized. Yes. Very much to the point where like, you know, it's like, I'm, I'm watching us 50 years in the future where he's like, I'm telling a story and I'm like all over the map and like, I've taken like 50 different tangents and then he'll like, look over the people I'm talking to and he'll summarize my story in like three like words.

37:51And I'm like, Oh, I feel like when I met drew in college, his room, like he had these like Tupperware containers with like batteries organized. Like if, if I were to ask him like, do you have a triple a battery? He would like pull out the correct tote, open it up and find it. If somebody asked me for that, I'd be like opening remote controls and like digging in junk drawers of like, I'm sure I have one somewhere. And that is like, so exemplary of our life together where it's like, Like he is like perfect. Like he knows there's a place for everything. Everything has a place. I am the opposite where I'm like chaos.

38:25And I'm like, I know where everything is in this chaos. And when you clean it, I don't know where it went. And so it's like, it's so funny. So do you have any tips for like people that have different brain types in relationships asking for a friend? I will tell you that one of the things that has helped me the most is like understanding that our brains were different because like we went from like we dated for a little bit and then I mean like not enough time to really know each other or spend a significant amount and then it became long distance because I was in residency and in that time like when we actually got engaged and lived in the same place I was just like what is what is this like I can't share my space with you.

39:16You suck. And so that like, it was so difficult for me to kind of figure out because a lot of our fights would stem around this, like my inability to, to be up to his standards of organization. And I was like, what a crazy thing to be upset about. Cause like this mess, I do not even clock it. I'm walking past it and it does not even go on my radar. Yes. So I feel like that was an underlying issue, but the bigger problem is we didn't know how to talk to each other about it. So he was like, why am I constantly telling you the same thing over and over again? You're not a child. And I'm like, why am I taking the brand to this?

39:55Because it's not a big deal. And I also don't care. Yes. So hard though. Like, cause it's like, it doesn't bother me. So like, I don't care, but then I've had to like, even, even when we were prepping for this interview, I like made a coffee, I had a spoon and I put it in the sink. And then I like thought about it and I was like, it matters to him that I wash this spoon. Doesn't matter to me, but I'm going to wash this spoon. But like, I've had to like train myself of like, this matters to them and I need it to at least subconsciously slightly matter to me. But isn't that so hard? It's so hard.

40:28It's so hard. So our fight start, like we had this biblical blowout and part of our, what that stemmed from is because I will take off fruit stickers and I'll just put them wherever like they'll be on the counter they'll be like on the toilet paper roll not toilet paper roll they'll be on like the paper towel roll they'll be on the fridge they'll be like on another fruit and he's like just put it in the trash and i was like it's sticky like i don't know why that doesn't like that doesn't bother me like that's not that weird and so that's what and he's like it's not about the fruit stickers and i was like oh but it is okay Okay.

41:05So when we, so we finally got to a spot where we were communicating at each other, but not with each other. We were just like talking around each other. And so he, it was actually his idea. He's like, let's write things down. So he wrote something and he like articulated what the issue was. I wrote something. I articulated like what this was. And then we both read each other the letters. It wasn't in response. We just wrote like where we came from and we both could hear it for the first time and look at things and like without trying to formulate our responses. Yes. And when I understood like this causes him anxiety, when I'm disorganized, it makes him feel destabilized.

41:47That gave me the motivation to be like, I need to be more mindful of this. And in that case, I had that because I will never have the internal motivation. I don't care. Yeah. I don't care. So yeah, so exactly. It's important to him. So then you start to adjust accordingly. And what I've found is that in things like that, small things, like you can start doing like little hacks to make that a little bit easier. Like for me, another thing, it's like with our Keurig, I'll always leave that gross pod in the thing or like, you know. What aliens took it out? Right? Apparently that's like a big thing.

42:25If I like, I don't know, I've never replaced. I don't unload. And I leave dishes on the side of the sink. I don't even put them in the sink instead of the dishwasher. And that drives him literally bonkers. It's like such a process too. I feel like that's why though I appreciate the work you do and like the humor that brought to it as well. Because even today, Drew is like leaving for school drop-off. He's like, where's the key to my car? I'm like, I don't know. I had it yesterday. I don't... He's like, every time you drive, I don't know where the key is. And like, and I was like, I don't know.

42:58I, I brought it in with me to the orthodontist. Oh, here it is. It's in my wallet. Like, it's interesting to see those differences. But like, for me, one of the big ones is I get so stressed out by like mail, by like shipping things. Like I never return a single thing. Right. So I'll like order stuff online. I'll be like, Oh, if it doesn't fit, I'll return it. I know I can't those tasks, like very much overwhelm me. And so like, I've had to like explain to him, Like, I just need you to run to the UPS store for me today. Like it would help me so much because it's stressing me out to see that package and knowing that like, I can't follow through on that right now.

43:32And so it's just so it's interesting, but I also cannot imagine being married to someone like me. Like if two neurodivergent brains were together, I feel like I would feel like a teenager, like an unsupervised teenager in an adult life. That's what I feel like I'd be like. There's pros and cons. I mean, there's some people that are like in like they're two neurodivergent people in the couple and it works really well because they have this place of understanding. They're working on coping skills together. I can tell you for myself, I need that because he provides that stability for me so that I can, you know, if I am a little bit more disorganized or something like that.

44:12And I felt like, and maybe unconsciously, I mean, it was unconscious, but like, I felt like when we first got together, and like, I actually was like conceptualizing, like, what would it look like if we had kids or like something like that? I remember telling my mom, I was like, you know, I really think that having kids is going to be difficult unless I have a partner that's able to like, kind of keep it together better than I can, because I think it will be really difficult to take care of a small person. I'm going to get overwhelmed. And I don't I want someone who is going to be able to stand on their feet and calm me down in that moment.

44:51So I don't necessarily know if that's a nerd version thing or anything. It's just like the complimentary part of you, I guess. And you shouldn't, you shouldn't need that. There's some people that don't even need that and they can do all of these things on their own. I know that I, I need, and I really wanted that kind of companionship to help me raise a family. I feel like even if I travel without him, I am like a frat boy in a hotel room. Like I like, and then if I'm with him, he like takes everything out of his suitcase, puts it into the drawers. And like, I'm like, oh, is this what we do as adults?

45:25Like I cannot even imagine that. No, it's just like a rummage fest every time. Yes, I know. Even like suitcases, like when we get home from a vacation, he unpacks like right away. And I'm like two months later, still digging out of the same day. Eventually all of that stuff will go. You know what? You and I can go travel together. We won't be a mess, but I am ready for it. One thing that I would love to share is if somebody is listening to this and they're like, ooh, maybe I have this, or maybe someone I love has this, or maybe I just want to learn more about it? What would you say would be some good steps to take?

45:59I think that there is... So to be totally honest with you, part of why I got onto social media in the first place is because I got really interested in talking about ADHD and explaining ADHD and doing those things. But I found there was a big hole. Because when I wanted to show patients and talk about ADHD, I didn't like the books that were out there because I'm like, they're not written for my brain. And I don't want to read this. I don't want to read this. So either they were super, super clinical. And I was like, I don't even get this. What are you talking about? I'm just so boring. Or it's like so unclinical that I'm like, this isn't giving me this isn't giving me ADHD specific information.

46:40I want something that's written about our brains and things like that. And so I've had a hard time, honestly, finding information that I feel is like now I know there's a lot more stuff out there. But I was in that spot in that journey where I was like, I don't know where to get good info. But I think part of it boils down to like, also knowing what kind of information you're going to absorb best. So if there are people that are like, I'm never going to read, then don't read, find your information some other way. go on YouTube, try to find like a good sound educational bite video, go on podcasts are great.

47:20This is such it's such important work that you do. And like other podcasters do in terms of expanding reach for, you know, talking about ADHD and also destigmatizing at the same time, that's really important. I think that there's some people I talk about social media a lot, But because it can be a useful tool. Oh, yeah. The reason I don't love social media. Well, I mean, there are a lot of reasons. But like, the reason I started on this journey to create an app in the first place is because I really like the information on social media. There's a lot of good information. It's also a lot of bad information.

47:58And even the good information isn't really organized in a great way. So like if I want to learn about rejection sensitivity, I'm at the whim of the algorithm. Like they're going to show me whatever they think is about rejection sensitivity. Some of it could be true. Some of it could not be like you're not really knowing what you get. So I think it's there is a there's a hole in terms of ADHD. Well, I think you've filled this hole in so many ways. So for everyone listening, they're like, where can I find you? Let me tell you, you are one of my favorite people to follow. So I have not like I forward every post you do to somebody because it makes me think of somebody.

48:37So this is now the time. Where can everybody find you and connect with you and learn more about you? Yeah. Okay. So I am on social media. I'm on Instagram. I'm on TikTok. I'm on YouTube, the Psych Doctor MD. I released my self-care for people with ADHD that came out in January through Simon & Schuster. And that is, I mean, that's just like, it's a book with all. And when I'm talking about self-care, it's, it's mostly like how to understand your brain, how to take care of your neurodivergent brain, but everything is like two paragraphs long. So you can literally pick, pick it up from anywhere. And I mean, I, I was not going to write a regular book.

49:21This is just like, you could pick it up from anywhere. You can read it where, wherever you want. It's just like small little digestible chunks. And then, um, You can also find me through Focus Genie, which is the app we just released, which is a comprehensive ADHD management, behavioral ADHD management platform. So it has educational modules where you can pick and choose and you can learn about every different little bit of them. And they're fun categories, Jenna. It's like stuff like that I felt were very salient in my own life, like how to recognize a toxic relationship, how to cope with a late diagnosis, how to like stuff that is actually instead of just like the run on the mill stuff, including stuff like fundamentals of diagnosis and all this other stuff, how to get diagnosed, all that.

50:09There is also that tracker that we talked about where you could literally look at over time. How did I drink? How did I eat? What is my mood like? What like how much am I fidgeting? It has a mindfulness component. And then the thing that I use the most, and I've been using it for like six or seven months now as it's been in production, it's literally a productivity tool where you can, there's a to-do list and I'm too lazy to type stuff. You can just voice record into this to-do list. You can complete them. And then it shows you insights of how much of your to-do list you're completing per day and over time.

50:44There's a task tracker where you can set it and you can either listen to music or you can body double. There can be someone doing the task with you. It's just, it's cool. I love that. I'm so excited to be a user because I just feel like too, there's been a gap in like being diagnosed, doing my own research, but there hasn't been a lot of tools. And so I'm so excited about this. I'm so happy for you. Thank you so much for coming on. We are hilarious friends. Well, we'll like text each other and then like five days later we'll respond. And then we're like, don't apologize. No, I apologize. This is how we are.

51:19So I love, I love our friendship. I can't wait to watch it grow. Thank you for coming on the podcast. Of course. Thank you for having me. I still have these pinch me moments when it comes to this show. And today's episode really felt special to me. You know, I found Dr. Amdani, who I like to call Sasha, on Instagram and seeing how her content just helped me feel seen and understood also helped me to send said content to people in my life so that they could help understand me better. It just really reminds me of the power of showing up and sharing our gifts freely. And I am just so grateful for the way that she does that.

52:00And I'm so excited about Focus Genie. It is incredible. It's beautiful. It is so easy to use. It is something for people who struggle with consistency to follow through on. And I truly just believe that there is a need for more resources for people with ADHD. And I'm just so grateful that there are humans in my life like Sasha, who are stepping in to create the types of things that will help fill those needs. I just love that I get to have these types of conversations with amazing humans. It feels like a massive blessing. So if you made it this far, especially if you have ADHD, congratulations, pat yourself on the back and take a moment to subscribe and leave a review.

52:42If you haven't done that, it helps our show so much and just helps us continue to create content that hopefully serves you and makes your life even a little bit better. Of course, until next time, gold diggers, keep on digging your biggest goals. And thank you so much for listening to another episode of the podcast. I'm over here giving you a virtual high five because you just finished another episode of the gold digger podcast. Did that go by way too fast for anyone else? If you want more, head over to gold digger podcast.com for show notes and all the discount codes from today's sponsors. And if you're looking for a new crew of movers and shakers like you to bounce ideas and ask questions, be sure to join my exclusive community for Gold Diggers on Facebook.

53:22The link's waiting for you at golddiggerpodcast.com.

From the publisher

Goal Diggers, you know how much I love to nerd out on all things mental health, self care, boundaries… all the things. If this kind of stuff is your jam too, you’re going to LOVE today’s guest!
Dr. Sasha Hamdani is a board-certified psychiatrist and ADHD clinical specialist. I first started following her about a year ago on Instagram (@thepsychdoctormd) when I was diagnosed with ADHD and wanted to learn more about it.
Her social media is SO educational; she effortlessly breaks down stigmas and provides accessible information about mental health. In January of this year, Dr. Hamdani published her first book, Self-Care for People with ADHD: 100+ Ways to Recharge, De-Stress, and Prioritize You! and I ate.it.up. It is FULL of actionable tips and, along with her company FocusGenie, which is an app (coming soon!) for focus, productivity, and ADHD education!
Dr. Hamdani has seriously changed my life for the better when it comes to understanding my diagnosis and I am SO excited to have her on the show today to discuss mental health and self care, so click play NOW to hear her insights!
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