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Up and down the UK,
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it feels like everybody is talking
about one thing.
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Attention Deficient Hyperactivity
Disorder is one of
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the most searched health-related
hashtags,
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amassing over 20 billion views.
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Why do people not take
ADHD seriously?
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Over 200,000 people are on the
waiting list for a diagnosis,
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with waiting times of up to eight
years.
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If I hadn't been able to afford,
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whatever that was, £500 at that
time,
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I would still have been on an NHS
waiting list.
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Social media is awash
with ADHD-related content,
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and famous faces starting
to talk publicly about it.
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As a kid I was a complete nightmare
kid,
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running around the place, couldn't,
you know,
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couldn't control my emotions.
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I'm Dr Karan Rajan, medical myth
buster and health educator.
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ADHD might be easier to understand
if you think about it as
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a dopamine deficiency compared
to a neurotypical brain.
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I'm fascinated by the huge explosion
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of interest surrounding the
condition,
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to the point of which everyone is
talking about it.
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The whole of my childhood is papered
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with everybody telling me to calm
down.
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And it's not just millennials
offering opinion.
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The mobile phone made everyone ADHD.
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It's a hugely complex topic,
with a huge variety of symptoms.
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And as the saying goes, "If you've
met one person with ADHD,
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"you've met ONE person with ADHD",
which makes diagnosis a minefield.
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So, we're going to help.
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For those people on the waiting list,
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for those of you who suspect
a diagnosis might be
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a good idea, we have the
world-leading experts.
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It's not just the worried well,
if you see what I mean.
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It's real, but because it's so
common, it's coming to light.
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The most authoritative
neurodiverse voices...
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We know the right things to do
to help ourselves
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and make ourselves feel better.
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..and some world-beating
commentators.
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Sometimes I have to many things in
my head,
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that I just lose everything.
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Dr Clare Bailey Mosley and I are
going to take you through all of
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the stages of diagnosis, from form
filling to the final assessment.
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What do you to relax? I don't, I
suppose.
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We'll explain what constitutes
a diagnosis...
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Everybody loses their keys
sometimes, but if you've got ADHD,
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it needs to be significantly
more than you would expect.
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..and you can join in by filling out
this assessment form.
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We'll explain later.
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We're here to steer you through
a myriad of information
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to help you on your way to whatever
that outcome may be.
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So what do people with ADHD say
it's like?
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Normally my brain is almost as if
there's like all of these sort
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of particles, firing off in
different directions
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all at the same time.
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It is like having a Ferrari engine
but having bicycle brakes.
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It feels like there's just always
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a swarm of bees in my brain that are
just always are going at
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each other, are trying to fight
each other,
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trying to get to the top of my
attention.
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It was like 20 televisions on at
once.
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And you can't really tell what
channel it's on and what it...
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..what anything is saying.
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2.6 million people in the UK have
ADHD,
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and there's probably a lot more
without an official diagnosis.
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Yes, private assessments are
quicker, but on the NHS,
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the waiting list can be
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a matter of years, all depending on
where you live.
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We're going to look at what exactly
constitutes a diagnosis.
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You'll primarily be assessed on
three criteria.
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The first is for those inattentive
symptoms,
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defined by someone who can be easily
distracted and forgetful.
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Next, are traits of hyperactivity
and impulsiveness,
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often characterised by restlessness,
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excessively talking and acting
without thinking.
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And the third is impairment.
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To be diagnosed,
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your life has to be significantly
impacted by ADHD.
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It's not just a case of losing your
keys.
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To give you a step-by-step
understanding of
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the diagnosis process,
Dr Clare Bailey Mosely has agreed
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to share her assessment journey
with us.
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Clare is a former GP and widow of
the late, lovely, Michael Mosley.
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Throughout their life together,
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she believed there were indications
that they both had the condition.
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Michael would wait until the last
moment to write his articles
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and wait until the pressure was
there,
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which is a really classic thing
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before you actually get into
the zone and then power through.
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Clare's own big aha moment came when
her inattentiveness nearly led
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to fire in a friend's kitchen.
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I cooked a meal and I left my rice
cooking. Went off,
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came back and there was smoke
billowing around
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the kitchen and it was very
embarrassing.
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Clare may be a doctor,
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but she can't simply diagnose
herself. There are formal steps.
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I haven't had an assessment
but I've had an inkling
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for some time that I do have ADHD
in some form.
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If you want to be diagnosed,
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you have to start by looking
backwards.
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ADHD is a neurodivergent condition,
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which most experts would say you
are born with.
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So a diagnosis will look at
childhood behaviours.
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Argh!
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So whether it's your child now
or what you were like as
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a child then, what are the traits to
spot?
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Hello.
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I'm here at a sensory experience
to get
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the expert view from the mouths of
babes...
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Help.
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I'm Mikey, M-I-K-E-Y, Mikey, and I'm
seven.
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..and hang out with
Professor Stephen Scott,
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the number-one world-leading academic
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and clinician in the research of
ADHD,
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to find out what behaviours
an assessment will be looking for.
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So if you're a parent at home,
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what are some signs that you can
really pick out that
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to differentiate between maybe just
a personality trait of that child
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vs something that could be ADHD
and a pathological condition?
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First of all, if you're just
watching in
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the school playground, are they
running around
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more than other kids?
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At the table, compared with their
brother,
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do they have to keep getting up
and down?
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Are they always forgetting things
much more? Are they leaving kit,
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gym kit at school and that sort of
thing, this disorganisation?
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The second step is to ask
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the teachers what they're like
in class.
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If they are fine in class, it's
something else, it's not ADHD.
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But if the teacher says, "Yes,
they're very disruptive.
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"They're always chatting
and talking to the other people.
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"They keep wandering around.
They seem to be daydreaming.
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"You know, come back!", Then you're
more likely to be onto
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something. Because if it's both at
school
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and at the home, then it's more
likely that you should be concerned
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about it.
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Carry on! This room is... It's
really satisfying and nice.
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But look down, Oliver.
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It can give you an extremely good
memory or it can give you
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a memory that is almost equivalent
to a goldfish.
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Things just feel, maybe,
a bit more hyper.
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And also, I fidget a lot.
I mean a lot, a lot.
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Sometimes I have too many things in
my head that I just lose everything,
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so I can't think of what I'm saying.
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Do you find concentrating tricky?
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Erm, sometimes.
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ADHD presents so differently in
different people.
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What are some of the core symptoms
of ADHD?
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The boys are often hyperactive
and impulsive,
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which means they get referred
to services,
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whereas the girls can just
be inattentive
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and it can be missed until
adolescence.
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So whilst it is commoner in boys
when you do surveys,
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two-and-a-half times more common in
boys than girls,
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the referral rate to our services
is four-to-one, boys-to-girls.
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Because they're causing more trouble
in the family,
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they're being more difficult.
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AGH!
SHE LAUGHS
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What's hard about ADHD is sometimes
I say things that are,
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like, I never knew that were
actually really rude,
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so I just say it without thinking.
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So we're hearing more about
ADHD being on the rise.
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Do you think that's a result of
increased awareness
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and we're getting better at
diagnosing it?
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Or there something environmentally?
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I think the evidence is actually
clear,
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because when we do surveys in
whole community,
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epidemiological surveys,
it is so common. 5%.
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Now, epilepsy 1% or 2%. Autism is
1%.
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This is five times more common.
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So actually, we're getting much
more referrals.
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So I've been looking at - in the
South London Maudsley Trust,
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which is the biggest mental health
trust in
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Europe, actually - of those
referred,
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how many when they finally get
to be assessed have got it?
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94% have. Wow.
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So it is not just the worried
well, if you see what I mean.
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It's real but because it's
so common, it's coming to light.
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So first, be reassured, you might
have every right
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to be asking, "Does my child or do I
have ADHD?"
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If you are an adult starting out on
the journey to diagnosis,
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there are ways of looking more
closely at childhood behaviour.
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Recollections from your school,
family and friends will help,
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and, of course, your own memories.
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So, I've found some old books
from when
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I was nine or ten, which is quite
interesting.
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Fortunately for Clare, these jotters
have teacher comments,
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as well as surprisingly good
handwriting for a future GP.
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"Unfinished. You waste too much
time. You made a good start.
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"It was a pity to spoil it."
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"Please finish." I think I've got
quite a few of those.
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Four out of ten. So it wasn't
terribly motivating somehow.
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Like many women across the UK,
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Clare is from a generation who were
simply missed by
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the system of the time and are now
looking for answers.
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When I'm looking through these
books,
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I think there are significant clues,
the fact that I kind
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of really focussed on things that I
was interested in
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and barely finished the things that
I wasn't.
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So where might you start if you too
are looking for answers?
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We are using an ADHD screening form
from the WHO,
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easily found if you put those words
into your internet search engine.
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It's a symptom checklist designed by
the WHO,
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the World Health Organisation.
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And it's not a diagnostic tool on
its own, but it could give
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a strong indication - if you tick
four or more
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of these grey boxes - that if you
wish,
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you may benefit from an ADHD
assessment, so let's begin.
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So first question -
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"How often do you have difficulty
wrapping up
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"the final details of a project?"
I have to say
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I do love a good project.
I can get very involved in it.
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But I do kind of fade a little bit
towards the end.
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Number two, "How often do you have
difficulty
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"getting things in order when you
have to do
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"a task that requires organisation?"
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"How often do you have problems
remembering appointments
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"and obligations?"
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I think probably that's my most
frustrating thing.
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"When you have a task that requires
a lot of thought,
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"how often do you avoid or delay
getting started?"
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"How often do you fidget and squirm
with your hands or feet
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"when you have to sit down for a
long time?"
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00:12:02,440 --> 00:12:04,680
"How often do you feel overly active
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"and compelled to do things like you
were driven by a motor?"
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That's Part A of the form.
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If you tick four or more marks in
the shaded boxes,
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then your symptoms are consistent
with ADHD in adults.
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Section B provides additional
context.
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But what about other things you
might have heard about the condition?
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ADHD arms?
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Next, I'll help myth bust some
of what's being said on our socials.
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Do you do when you go to sleep at
all?
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Where you curl up like this?
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You know? No. No?
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In a world in which
over 200,000 people
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are waiting for a diagnosis,
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do you have ADHD?
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Lots of you have what are known
as ADHD traits,
240
00:12:55,480 --> 00:12:57,800
but do they add up to a diagnosis?
241
00:12:57,840 --> 00:13:00,920
It's quite difficult to explain
how it doesn't affect my life.
242
00:13:00,960 --> 00:13:02,200
It affects my health,
243
00:13:02,240 --> 00:13:03,480
it affects my sleep,
244
00:13:03,520 --> 00:13:06,760
my diet, my exercise,
literally everything.
245
00:13:06,800 --> 00:13:08,920
If I'm losing things on
a constant basis, like,
246
00:13:08,960 --> 00:13:11,920
that's very expensive
and very frustrating.
247
00:13:11,960 --> 00:13:14,120
Yeah, and again it has that knock on
effect of confidence -
248
00:13:14,160 --> 00:13:16,840
of, like, why can't I just adult
like everybody else?
249
00:13:18,160 --> 00:13:20,320
Dr Clare is exploring a diagnosis,
250
00:13:20,360 --> 00:13:23,520
having thought about it for years.
251
00:13:23,560 --> 00:13:26,560
It's a journey of self-discovery.
252
00:13:26,600 --> 00:13:28,720
I'm curious.
253
00:13:28,760 --> 00:13:31,600
So, did you tick four or more
grey boxes
254
00:13:31,640 --> 00:13:34,920
on the WHO self-assessment survey?
255
00:13:34,960 --> 00:13:36,240
If you look at my form,
256
00:13:36,280 --> 00:13:37,560
out of the six questions,
257
00:13:37,600 --> 00:13:40,920
only one of the answers
are in the grey box.
258
00:13:40,960 --> 00:13:43,040
One out of six wouldn't
meet the threshold
259
00:13:43,080 --> 00:13:44,960
for a formal ADHD assessment.
260
00:13:47,960 --> 00:13:50,440
I have got my score.
261
00:13:50,480 --> 00:13:52,320
I scored four,
262
00:13:52,360 --> 00:13:55,680
which puts me just
over the line.
263
00:13:55,720 --> 00:13:58,800
And that is particularly
in the areas
264
00:13:58,840 --> 00:14:00,560
of being impulsive
265
00:14:00,600 --> 00:14:03,720
and time blindness.
266
00:14:03,760 --> 00:14:08,480
You know, I'm looking forward to
seeing what happens next.
267
00:14:08,520 --> 00:14:09,680
The first step is,
268
00:14:09,720 --> 00:14:12,320
if you're an adult, you need
to speak to your GP
269
00:14:12,360 --> 00:14:14,160
and discuss with them whether
you'd be eligible
270
00:14:14,200 --> 00:14:16,120
for an NHS ADHD assessment.
271
00:14:16,160 --> 00:14:18,520
And if you're worried that
your child has ADHD,
272
00:14:18,560 --> 00:14:21,080
you can speak to their GP -
as well as their school -
273
00:14:21,120 --> 00:14:24,080
and also get them referred for
an NHS ADHD assessment.
274
00:14:24,120 --> 00:14:27,920
There's also a private route
available.
275
00:14:27,960 --> 00:14:29,920
There is useful information online
276
00:14:29,960 --> 00:14:33,920
to help you figure out if an
assessment is warranted.
277
00:14:33,960 --> 00:14:35,560
But is the sheer wealth of it
278
00:14:35,600 --> 00:14:38,360
actually being counterproductive?
279
00:14:38,400 --> 00:14:39,680
ADHD arms?
280
00:14:39,720 --> 00:14:40,920
You know, you kind of just
stand like this
281
00:14:40,960 --> 00:14:43,560
when you're thinking
about something.
282
00:14:43,600 --> 00:14:45,640
T-rex arms. Have you seen this?
T-rex arms?
283
00:14:45,680 --> 00:14:47,320
Do you do this when you go
to sleep at all,
284
00:14:47,360 --> 00:14:48,920
where you curl up like this?
285
00:14:50,600 --> 00:14:52,120
You know. No. No. No.
286
00:14:52,160 --> 00:14:53,520
Have you ever done that yourself?
287
00:14:53,560 --> 00:14:54,920
Yeah, or seen anyone do that?
288
00:14:54,960 --> 00:14:57,560
No. Probably with the duvet
just to get warm... Yeah.
289
00:14:57,600 --> 00:14:58,680
..and snuggly.
290
00:14:58,720 --> 00:15:02,920
So this next clip is the dot test -
and it's a test of someone's focus.
291
00:15:02,960 --> 00:15:04,600
So, according to this clip,
292
00:15:04,640 --> 00:15:07,600
if you stare at the flashing
blue dot in the middle,
293
00:15:07,640 --> 00:15:09,840
you should be able to make
all three yellow dots
294
00:15:09,880 --> 00:15:12,000
in the periphery disappear.
295
00:15:12,040 --> 00:15:13,920
And if you can't make
them disappear,
296
00:15:13,960 --> 00:15:16,520
then this clip says that you've
likely got ADHD,
297
00:15:16,560 --> 00:15:18,200
or a strong chance of that.
298
00:15:18,240 --> 00:15:20,120
OK, so this is a dot test,
299
00:15:20,160 --> 00:15:24,920
and you should see the other circles
on the outside disappear
300
00:15:24,960 --> 00:15:27,920
Well, two of them are gone.
OK. Now they're back.
301
00:15:27,960 --> 00:15:29,160
No, not for me.
302
00:15:29,200 --> 00:15:32,400
Any luck? No, they're still there.
One, two, three.
303
00:15:32,440 --> 00:15:35,320
So, according to this test,
you could have ADHD.
304
00:15:35,360 --> 00:15:36,920
Or you're just easily distracted.
305
00:15:36,960 --> 00:15:39,200
That could be me, too.
Yeah. Yeah, yeah.
306
00:15:39,240 --> 00:15:40,920
Do you think you guys have ADHD?
307
00:15:40,960 --> 00:15:42,960
No. No? No. No.
308
00:15:43,000 --> 00:15:44,440
Have you ever been diagnosed
with ADHD?
309
00:15:44,480 --> 00:15:45,680
No, I have not.
310
00:15:45,720 --> 00:15:48,760
And do you think this test is good
enough to diagnose you?
311
00:15:48,800 --> 00:15:50,680
No!
Yeah? Why not?
312
00:15:50,720 --> 00:15:52,160
It just seems a bit silly.
313
00:15:56,040 --> 00:15:58,520
If you seriously think
you have ADHD,
314
00:15:58,560 --> 00:16:01,040
be mindful of internet diagnostics.
315
00:16:01,080 --> 00:16:03,280
T-rex arms and dot tests are fun,
316
00:16:03,320 --> 00:16:04,600
you may procrastinate,
317
00:16:04,640 --> 00:16:06,280
you may interrupt or talk a lot,
318
00:16:06,320 --> 00:16:07,920
you may stim or skin pick,
319
00:16:07,960 --> 00:16:09,320
all of which are fine.
320
00:16:09,360 --> 00:16:11,360
But an assessment will go
much deeper.
321
00:16:13,440 --> 00:16:16,920
And as we've said, queues for
assessments can be very long,
322
00:16:16,960 --> 00:16:20,160
so is a formal diagnosis even
necessary for you?
323
00:16:22,960 --> 00:16:28,040
Dr Val Harpin has spent no less than
30 years researching ADHD.
324
00:16:28,080 --> 00:16:29,640
We have a huge backlog,
325
00:16:29,680 --> 00:16:32,560
so now we're trying to diagnose lots
of adults -
326
00:16:32,600 --> 00:16:34,920
particularly women -
327
00:16:34,960 --> 00:16:38,920
who were missed when we only thought
ADHD was a narrow situation.
328
00:16:38,960 --> 00:16:42,760
And now it's really key that we deal
with the backlog
329
00:16:42,800 --> 00:16:44,240
and help those people.
330
00:16:46,680 --> 00:16:51,360
So, should everyone get diagnosed if
they think they might have it?
331
00:16:51,400 --> 00:16:55,800
There are upsides and downsides
to having a diagnosis.
332
00:16:55,840 --> 00:16:59,320
I think if you're a young child,
there are no down sides,
333
00:16:59,360 --> 00:17:01,920
because the sooner you get diagnosed
334
00:17:01,960 --> 00:17:04,920
and you get the right help
and people understand you,
335
00:17:04,960 --> 00:17:06,040
the better.
336
00:17:06,080 --> 00:17:07,600
But when you're older,
337
00:17:07,640 --> 00:17:11,600
I think people have lots of
different responses.
338
00:17:11,640 --> 00:17:14,640
Sometimes I think the biggest thing
is relief.
339
00:17:14,680 --> 00:17:17,400
Er, "Yeah, that explains it."
340
00:17:17,440 --> 00:17:21,040
Sometimes it makes them also
feel resentful. Mm.
341
00:17:21,080 --> 00:17:25,320
You know, "My life could've been
so different if only I'd known."
342
00:17:25,360 --> 00:17:27,520
So there are some downsides.
343
00:17:27,560 --> 00:17:30,480
So people struggling underneath,
below the surface...
344
00:17:30,520 --> 00:17:33,680
Yeah. ..where life is quite
difficult
345
00:17:33,720 --> 00:17:36,920
and can be impaired in many ways.
346
00:17:36,960 --> 00:17:39,360
One of the important things when it
comes to ADHD,
347
00:17:39,400 --> 00:17:41,720
because everybody can look
at a checklist,
348
00:17:41,760 --> 00:17:46,240
but just going "yes, yes, yes"
is not diagnosing ADHD.
349
00:17:46,280 --> 00:17:50,920
The bottom line is that it needs to
cause you significant problems.
350
00:17:50,960 --> 00:17:53,120
Everybody forgets things sometimes.
351
00:17:53,160 --> 00:17:55,640
Everybody loses their
keys sometimes.
352
00:17:55,680 --> 00:17:58,280
And we're more likely to do that
if there are other stressors
353
00:17:58,320 --> 00:17:59,840
in life or whatever.
354
00:17:59,880 --> 00:18:01,680
But if you've got ADHD,
355
00:18:01,720 --> 00:18:05,560
it needs to be significantly
more than you would expect
356
00:18:05,600 --> 00:18:06,920
for that person's age,
357
00:18:06,960 --> 00:18:11,680
for their cognitive ability
and for their situation.
358
00:18:11,720 --> 00:18:15,840
So just doing it a bit of the time
is not ADHD.
359
00:18:15,880 --> 00:18:20,960
You have to do it in more than one
situation and consistently.
360
00:18:23,960 --> 00:18:26,240
It's important to say that
being "impaired"
361
00:18:26,280 --> 00:18:28,320
doesn't mean there's no help
or support
362
00:18:28,360 --> 00:18:30,920
that you can access for your ADHD.
363
00:18:30,960 --> 00:18:34,480
Not that everything about the
condition is a problem.
364
00:18:34,520 --> 00:18:37,040
It's just under a year since
my first book came out.
365
00:18:37,080 --> 00:18:38,520
A lot of you have read this one,
actually.
366
00:18:38,560 --> 00:18:41,240
I think around 20,000 of you,
which is wild.
367
00:18:41,280 --> 00:18:43,560
Ellie Middleton likes to shout
about the positives
368
00:18:43,600 --> 00:18:44,920
of having the condition.
369
00:18:44,960 --> 00:18:46,920
She's written two empowering books
370
00:18:46,960 --> 00:18:51,920
and has built up an audience online
of 500,000 followers.
371
00:18:51,960 --> 00:18:53,920
I think the big thing
that I've learnt
372
00:18:53,960 --> 00:18:56,040
and tried to, like, preach
to other people,
373
00:18:56,080 --> 00:18:57,920
is just don't be afraid
to make things
374
00:18:57,960 --> 00:19:01,040
as easy for yourself as
humanly possible.
375
00:19:01,080 --> 00:19:04,200
ADHD is also characterised
by traits
376
00:19:04,240 --> 00:19:09,040
of creativity, resilience, excellent
problem-solving skills.
377
00:19:09,080 --> 00:19:11,360
Entrepreneur Alex Partridge
is the founder
378
00:19:11,400 --> 00:19:14,160
of the social media platform
LADbible.
379
00:19:14,200 --> 00:19:15,720
He's now a leading voice,
380
00:19:15,760 --> 00:19:19,320
with his podcast garnering over
five million views.
381
00:19:19,360 --> 00:19:22,560
Getting an ADHD diagnosis was
incredibly validating.
382
00:19:22,600 --> 00:19:26,040
You get reassured
by a professional
383
00:19:26,080 --> 00:19:29,520
that the suspicions that you have
about your brain are valid
384
00:19:29,560 --> 00:19:33,440
and you start looking back through
your entire life
385
00:19:33,480 --> 00:19:35,680
through this new lens that you have.
386
00:19:35,720 --> 00:19:42,240
And you start adding colour to
situations from your past.
387
00:19:42,280 --> 00:19:43,920
Taking everything into account,
388
00:19:43,960 --> 00:19:47,520
Clare has decided to proceed with
a full clinical assessment -
389
00:19:47,560 --> 00:19:49,480
and is booking one that
can be filmed
390
00:19:49,520 --> 00:19:51,680
for the purposes of this programme.
391
00:19:51,720 --> 00:19:54,240
So, if you've decided to be assessed
or been referred,
392
00:19:54,280 --> 00:19:55,560
you should know that both the prep
393
00:19:55,600 --> 00:19:58,120
and the assessment can be lengthy.
394
00:19:58,160 --> 00:20:01,760
The assessment process is actually
really complex.
395
00:20:01,800 --> 00:20:05,920
Because you need to understand
somebody's whole life history,
396
00:20:05,960 --> 00:20:07,920
the environment that they
grew up in,
397
00:20:07,960 --> 00:20:10,320
you know, their family
background,
398
00:20:10,360 --> 00:20:12,920
to have the ability to understand
399
00:20:13,960 --> 00:20:16,920
whether their symptoms are explained
by ADHD
400
00:20:16,960 --> 00:20:20,240
or whether they could be better
explained by something else.
401
00:20:20,280 --> 00:20:21,440
In the assessment for ADHD,
402
00:20:21,480 --> 00:20:23,560
they ask you so much about
your childhood.
403
00:20:23,600 --> 00:20:24,920
It's very in-depth,
404
00:20:24,960 --> 00:20:26,920
and it can be quite sensitive
405
00:20:26,960 --> 00:20:29,680
because nothing is off-limits
to talk about.
406
00:20:33,240 --> 00:20:36,640
I'm slightly nervous about it,
I have to say.
407
00:20:36,680 --> 00:20:41,680
Because it might show things that
I hadn't even recognised.
408
00:20:41,720 --> 00:20:45,920
And I'm really looking forward
to finding out, really.
409
00:20:45,960 --> 00:20:49,520
An assessment may be done by number
of ADHD specialists,
410
00:20:49,560 --> 00:20:51,480
such as a psychiatrist.
411
00:20:51,520 --> 00:20:53,640
Clare is with Vicki George,
412
00:20:53,680 --> 00:20:57,240
a private Clinical Nurse Specialist
in ADHD.
413
00:20:57,280 --> 00:20:58,480
Hello, Vicki.
Hi.
414
00:20:58,520 --> 00:21:01,760
Really nice to meet you.
Lovely to meet you.
415
00:21:01,800 --> 00:21:04,080
The first criteria an assessment
will look at
416
00:21:04,120 --> 00:21:05,720
is inattentive behaviour.
417
00:21:07,760 --> 00:21:10,440
This causes difficulties
with concentration,
418
00:21:10,480 --> 00:21:12,280
focus and organisation.
419
00:21:13,520 --> 00:21:16,560
In our brains, there's a group
of interconnected regions
420
00:21:16,600 --> 00:21:19,360
called the Default Mode Network.
421
00:21:19,400 --> 00:21:20,920
In a neurotypical brain,
422
00:21:20,960 --> 00:21:24,920
the DMN quietens down when attention
is needed.
423
00:21:24,960 --> 00:21:26,760
But for someone with ADHD,
424
00:21:26,800 --> 00:21:28,920
it is often dysregulated,
425
00:21:28,960 --> 00:21:33,520
meaning it is excessively active
and less able to switch off.
426
00:21:33,560 --> 00:21:36,080
This can make it harder to store
information,
427
00:21:36,120 --> 00:21:37,960
resulting in memory lapses.
428
00:21:39,520 --> 00:21:41,520
So the first thing I want to look at
429
00:21:41,560 --> 00:21:45,720
is inattentive symptoms associated
with ADHD.
430
00:21:45,760 --> 00:21:49,200
Having an ADHD assessment can be
really emotionally challenging -
431
00:21:49,240 --> 00:21:51,360
for most people, actually.
432
00:21:51,400 --> 00:21:53,920
Because you're sat in front of
a professional
433
00:21:53,960 --> 00:21:55,680
that you've only just met
for starters,
434
00:21:55,720 --> 00:21:59,280
and they're asking you to kind of
disclose your whole life story.
435
00:21:59,320 --> 00:22:01,520
Do you notice anything in terms
of, like,
436
00:22:01,560 --> 00:22:03,440
how you listen in conversations?
437
00:22:03,480 --> 00:22:06,280
It shouldn't be anything less
than 2.5 hours,
438
00:22:06,320 --> 00:22:08,400
but actually it quite often
exceeds that.
439
00:22:08,440 --> 00:22:10,840
I certainly... As a child,
I daydreamed.
440
00:22:10,880 --> 00:22:15,120
I can remember probably
more about school
441
00:22:15,160 --> 00:22:16,920
staring out of the window.
442
00:22:16,960 --> 00:22:20,800
We're looking for how somebody
is able to concentrate,
443
00:22:20,840 --> 00:22:23,280
focus in different settings.
444
00:22:23,320 --> 00:22:25,680
What about your mind wandering?
445
00:22:25,720 --> 00:22:26,920
I'm sure that happens,
446
00:22:26,960 --> 00:22:30,920
but it's difficult for me to measure
because it's wandered.
447
00:22:30,960 --> 00:22:32,360
Do they overcompensate,
448
00:22:32,400 --> 00:22:35,720
do they mask their difficulties
from others?
449
00:22:35,760 --> 00:22:41,160
Certainly, Michael was aware
of my poor timekeeping.
450
00:22:41,200 --> 00:22:43,200
Quite often, people can see
the problems
451
00:22:43,240 --> 00:22:45,920
that ADHD is causing in
their lives
452
00:22:45,960 --> 00:22:48,760
but can't quite figure out
why that's happening.
453
00:22:48,800 --> 00:22:53,320
I just think I have been living
with it... Yeah.
454
00:22:53,360 --> 00:22:58,560
..you know, sort of comfortably
but with the odd blip.
455
00:22:58,600 --> 00:23:01,400
So Clare definitely displays
456
00:23:01,440 --> 00:23:04,920
a lot of the inattentive-type
symptoms.
457
00:23:04,960 --> 00:23:07,320
So, again, dating back to childhood.
458
00:23:07,360 --> 00:23:09,760
Comments from teachers about,
you know,
459
00:23:09,800 --> 00:23:13,600
starting off with enthusiasm,
not finishing.
460
00:23:13,640 --> 00:23:16,360
And then, you know, throughout her
adult life,
461
00:23:16,400 --> 00:23:19,280
time management is a real issue
for her.
462
00:23:19,320 --> 00:23:21,840
So it's just digging a bit deeper
of whether this is
463
00:23:21,880 --> 00:23:23,800
a problem or not, basically.
464
00:23:28,560 --> 00:23:32,080
The inattention stage of
the diagnosis is over.
465
00:23:32,120 --> 00:23:33,920
A trait that can be tough
to manage
466
00:23:33,960 --> 00:23:35,240
in a neurotypical world.
467
00:23:35,280 --> 00:23:38,080
However, the flip side of
the symptom, for some,
468
00:23:38,120 --> 00:23:39,520
is hyperfocus.
469
00:23:42,480 --> 00:23:45,240
Hyperfocus refers to an
intense fixation
470
00:23:45,280 --> 00:23:48,560
on an interest or activity for
extended periods of time.
471
00:23:48,600 --> 00:23:50,760
Now, someone who experiences
hyperfocus
472
00:23:50,800 --> 00:23:53,600
are often so absorbed in that
activity they can block out
473
00:23:53,640 --> 00:23:55,240
the entire world around them.
474
00:23:58,480 --> 00:24:00,120
When I was writing both of my books,
475
00:24:00,160 --> 00:24:03,280
I would literally sit for, like,
five, six hours a day
476
00:24:03,320 --> 00:24:04,920
and just pour out words,
477
00:24:04,960 --> 00:24:06,440
and just go and go and go.
478
00:24:06,480 --> 00:24:08,400
And then, once that sort
of hyperfocus,
479
00:24:08,440 --> 00:24:11,320
hyper-fixation had worn off,
I literally, for a month,
480
00:24:11,360 --> 00:24:13,040
didn't write a single word.
481
00:24:13,080 --> 00:24:17,040
Your vision just goes
into tunnel vision,
482
00:24:17,080 --> 00:24:21,920
and everything else to you
becomes invisible
483
00:24:21,960 --> 00:24:23,320
and ceases to exist.
484
00:24:23,360 --> 00:24:25,720
And the focus that you have
for that thing
485
00:24:25,760 --> 00:24:28,920
is more than the average person
would relate to.
486
00:24:28,960 --> 00:24:31,920
And that hyperfocus can enable you
to become world-beating
487
00:24:31,960 --> 00:24:34,920
at that thing, world-class
at that thing.
488
00:24:34,960 --> 00:24:39,320
But hyperfocus doesn't choose
what you focus on.
489
00:24:39,360 --> 00:24:43,840
In 2019, George King scaled
the Shard,
490
00:24:43,880 --> 00:24:45,920
the tallest building in the UK,
491
00:24:45,960 --> 00:24:47,960
using no safety equipment.
492
00:24:49,720 --> 00:24:51,360
He went to prison for two months,
493
00:24:51,400 --> 00:24:53,920
and that's because it was
incredibly dangerous
494
00:24:53,960 --> 00:24:55,480
and illegal.
495
00:24:55,520 --> 00:24:59,920
But for George, it seems this kind
of intense heart-stopping activity
496
00:24:59,960 --> 00:25:03,280
is how some of his ADHD traits
manifest.
497
00:25:03,320 --> 00:25:08,320
For me, hyperfocus really came in
in the preparation process.
498
00:25:08,360 --> 00:25:09,560
I'd go into the concierge.
499
00:25:09,600 --> 00:25:10,760
I'd speak to the concierge.
Wow.
500
00:25:10,800 --> 00:25:13,440
I'd find my way up to
the office levels
501
00:25:13,480 --> 00:25:16,040
and look at the facade from
a close-up view.
502
00:25:16,080 --> 00:25:18,440
Other times, I'd dress up
in sports gear,
503
00:25:18,480 --> 00:25:20,920
I'd run to the Shard and I'd stretch
on a pillar.
504
00:25:20,960 --> 00:25:22,240
And I'd see on the pillar
505
00:25:22,280 --> 00:25:24,080
that it goes from a wrist
to my elbow.
506
00:25:24,120 --> 00:25:26,400
And then I'd run back home and I'd
measure from my wrist to my elbow,
507
00:25:26,440 --> 00:25:27,920
and that would be one measurement.
508
00:25:27,960 --> 00:25:29,480
And I'd do hundreds of these
509
00:25:29,520 --> 00:25:31,200
different reconnaissance missions,
510
00:25:31,240 --> 00:25:33,120
only getting one piece
of information
511
00:25:33,160 --> 00:25:35,120
at each and every given time.
512
00:25:35,160 --> 00:25:37,920
I wouldn't have been able
to do this
513
00:25:37,960 --> 00:25:40,960
level of meticulous planning
without having ADHD.
514
00:25:45,680 --> 00:25:49,560
George scaled the 350-metre
pointy behemoth
515
00:25:49,600 --> 00:25:51,080
in 45 minutes.
516
00:25:51,120 --> 00:25:54,200
When you're climbing it freehand,
free solo... Yeah.
517
00:25:54,240 --> 00:25:55,920
..I mean, your life's
in your fingertips.
518
00:25:55,960 --> 00:25:57,680
So there's no time for any
other thoughts,
519
00:25:57,720 --> 00:25:59,760
you're totally dialled
into the moment.
520
00:26:01,560 --> 00:26:04,040
Living with ADHD is very chaotic.
Yeah.
521
00:26:04,080 --> 00:26:05,640
The thoughts are relentless.
522
00:26:05,680 --> 00:26:07,200
They never stop.
523
00:26:07,240 --> 00:26:10,760
But when I have something which
actually means something to me,
524
00:26:10,800 --> 00:26:15,440
all those thoughts become compressed
and then channelled into one thing.
525
00:26:15,480 --> 00:26:17,280
The universe gets out of the way
526
00:26:17,320 --> 00:26:19,400
and it's only this thing
in front of me,
527
00:26:19,440 --> 00:26:22,080
and it's a very fierce level
of focus -
528
00:26:22,120 --> 00:26:23,520
and it's unwavering.
529
00:26:26,280 --> 00:26:30,080
ADHD gave me the ability
to be hyperfocused,
530
00:26:30,120 --> 00:26:32,360
to plan so meticulously.
531
00:26:32,400 --> 00:26:34,640
So I'm blessed that I have it.
Yeah.
532
00:26:34,680 --> 00:26:36,920
I see it as a gift.
533
00:26:36,960 --> 00:26:39,280
I do not see it as a disorder
at all.
534
00:26:41,960 --> 00:26:43,920
Hyperfocus is one of many traits
535
00:26:43,960 --> 00:26:45,920
that do not form part of
the diagnosis
536
00:26:45,960 --> 00:26:49,480
but that people with ADHD will often
find they have in common.
537
00:26:53,160 --> 00:26:54,600
For lots of those symptoms,
538
00:26:54,640 --> 00:26:57,280
it can be really comforting knowing
there are other people
539
00:26:57,320 --> 00:27:00,720
who feel like you or experience
things the way you do.
540
00:27:00,760 --> 00:27:04,560
Step three, get it all into
the washing machine.
541
00:27:04,600 --> 00:27:07,360
And there's a whole ADHD community
out there.
542
00:27:07,400 --> 00:27:09,680
I've got absolutely no idea
543
00:27:09,720 --> 00:27:12,120
why or how it works,
544
00:27:12,160 --> 00:27:13,960
but it does work.
545
00:27:23,920 --> 00:27:26,640
ADHD seems to be the topic
on everyone's lips.
546
00:27:26,680 --> 00:27:29,240
But what are the experts looking for
in a diagnosis
547
00:27:29,280 --> 00:27:31,760
and how do you know you need one?
548
00:27:31,800 --> 00:27:34,880
My understanding of myself
got better.
549
00:27:34,920 --> 00:27:37,160
My ability to cope got better.
550
00:27:37,200 --> 00:27:39,240
I think I can credit
a lot of my ideas
551
00:27:39,280 --> 00:27:42,320
and, like, endless energy
and passion to it.
552
00:27:43,920 --> 00:27:45,200
With the rise of the internet -
553
00:27:45,240 --> 00:27:47,160
and our old friend,
social media -
554
00:27:47,200 --> 00:27:49,800
there's been a significant shift
in how the condition
555
00:27:49,840 --> 00:27:52,600
is perceived and discussed.
556
00:27:52,640 --> 00:27:54,680
It's nice to, like, have a community
of people
557
00:27:54,720 --> 00:27:56,600
who feel the same as I do, OK?
558
00:27:56,640 --> 00:27:58,880
Because I felt so alone
for a long time.
559
00:27:58,920 --> 00:28:00,880
From Knights of the Realm
who are asking
560
00:28:00,920 --> 00:28:04,880
different and personal philosophical
questions about the subject...
561
00:28:04,920 --> 00:28:07,880
Consider not what's odd about ADHD,
562
00:28:07,920 --> 00:28:10,160
but see if you can define
what normality is.
563
00:28:10,200 --> 00:28:12,400
..to high profile ADHDers
564
00:28:12,440 --> 00:28:14,720
who are shocked by the length
of the waiting list.
565
00:28:14,760 --> 00:28:16,560
All this awareness is now causing
a massive problem,
566
00:28:16,600 --> 00:28:18,320
because everybody thinks
they have ADHD
567
00:28:18,360 --> 00:28:21,400
and the NHS waiting list
is something in...
568
00:28:21,440 --> 00:28:22,960
Is it a year or something?
Eight years now.
569
00:28:23,000 --> 00:28:24,280
Eight years?!
Yeah.
570
00:28:29,400 --> 00:28:32,000
We've already looked at the first
criteria you'd be assessed on,
571
00:28:32,040 --> 00:28:33,200
which is inattentiveness,
572
00:28:33,240 --> 00:28:35,200
and its stablemate,
hyperfocus.
573
00:28:35,240 --> 00:28:37,880
The next set of probing questions
would look for examples
574
00:28:37,920 --> 00:28:39,840
of hyperactivity and impulsiveness.
575
00:28:41,560 --> 00:28:43,320
This can cause someone to fidget,
576
00:28:43,360 --> 00:28:46,880
excessively talk and acting
without thinking.
577
00:28:46,920 --> 00:28:51,240
In the brain, two neurotransmitters,
dopamine and norepinephrine -
578
00:28:51,280 --> 00:28:54,200
crucial for the body's response
to stress and danger -
579
00:28:54,240 --> 00:28:56,400
send signals to different regions,
580
00:28:56,440 --> 00:29:00,040
affecting our behaviour
and emotions.
581
00:29:00,080 --> 00:29:01,760
In an ADHD brain,
582
00:29:01,800 --> 00:29:04,240
they are distributed at
much lower levels,
583
00:29:04,280 --> 00:29:07,880
impairing someone's attention
and impulse control.
584
00:29:07,920 --> 00:29:09,640
I'm very impulsive.
585
00:29:09,680 --> 00:29:12,560
And I think impulsivity is
a great strength
586
00:29:12,600 --> 00:29:14,120
once you understand it.
587
00:29:14,160 --> 00:29:16,880
It's the reason so many people
with ADHD
588
00:29:16,920 --> 00:29:20,880
become world-class at whatever it
is that we impulsively started.
589
00:29:22,520 --> 00:29:25,960
So what might this part of the
in-person assessment look like?
590
00:29:26,000 --> 00:29:29,320
Here's Clare, now two hours
into her session.
591
00:29:29,360 --> 00:29:34,320
How you would describe yourself in
terms of, like, hyperactivity?
592
00:29:34,360 --> 00:29:38,040
I would say I'm energetic.
593
00:29:38,080 --> 00:29:43,040
Sometimes you can have somebody
who is very hyperactive,
594
00:29:43,080 --> 00:29:44,920
and you can see that in the room.
595
00:29:44,960 --> 00:29:46,600
However, for some people,
596
00:29:46,640 --> 00:29:49,440
hyperactivity can be
very internalised.
597
00:29:49,480 --> 00:29:52,360
Any, like, habits or repetitive
kind of fidgeting?
598
00:29:52,400 --> 00:29:55,320
I think I just do fidget.
599
00:29:55,360 --> 00:29:57,120
It's about getting to the bottom,
600
00:29:57,160 --> 00:29:59,320
the root cause, of why they're
more vulnerable
601
00:29:59,360 --> 00:30:01,440
to these things happening
in their lives.
602
00:30:01,480 --> 00:30:02,600
What do you do to relax?
603
00:30:02,640 --> 00:30:04,320
I don't, I suppose.
604
00:30:04,360 --> 00:30:07,200
I think I just like to be... Yeah.
..active.
605
00:30:07,240 --> 00:30:11,160
We will ask... So questions about
substance misuse,
606
00:30:11,200 --> 00:30:12,760
risky sexual behaviours.
607
00:30:12,800 --> 00:30:14,880
There can be the extremes
of impulsivity
608
00:30:14,920 --> 00:30:17,000
and risk-taking type behaviour.
609
00:30:17,040 --> 00:30:19,760
Is that something
that you relate to?
610
00:30:19,800 --> 00:30:23,880
They are all really relevant to
the assessment process.
611
00:30:23,920 --> 00:30:28,120
Hyperactivity, impulsivity
and trying to control behaviour
612
00:30:28,160 --> 00:30:31,320
is familiar ground for
many with ADHD.
613
00:30:31,360 --> 00:30:33,680
Here, Jordan Stephens
from Rizzle Kicks
614
00:30:33,720 --> 00:30:35,920
opens up about how it affected him.
615
00:30:35,960 --> 00:30:37,960
For me, a big part of
my journey was
616
00:30:38,000 --> 00:30:42,080
I was doing a lot of drugs to combat
the incessant, like,
617
00:30:42,120 --> 00:30:43,440
chatter in my head.
618
00:30:43,480 --> 00:30:47,280
So I was creating albums,
like, high or drunk
619
00:30:47,320 --> 00:30:49,560
to kind of get myself
out of the way.
620
00:30:49,600 --> 00:30:53,120
And Matt Willis has also been really
honest about how it manifested
621
00:30:53,160 --> 00:30:54,480
in his younger years.
622
00:30:54,520 --> 00:30:57,080
Kind of young, kind of smoking weed
and kind of drinking and stuff.
623
00:30:57,120 --> 00:30:58,880
Sure. I was always the one
who was kind of...
624
00:30:58,920 --> 00:31:01,120
Going that extra mile. ..going that
extra mile, you know...
625
00:31:01,160 --> 00:31:03,880
Destructive. Just destructive,
just wanting to kind of
626
00:31:03,920 --> 00:31:05,320
change the way I felt.
627
00:31:08,200 --> 00:31:10,960
I've come to meet some people
who have used boxing as
628
00:31:11,000 --> 00:31:14,560
a way to manage their ADHD symptoms
and calm their brains.
629
00:31:20,720 --> 00:31:22,520
Nice and straight. Double jab...
630
00:31:22,560 --> 00:31:24,360
I was always in trouble at school.
631
00:31:24,400 --> 00:31:26,440
I wasn't able to sit through
all my lessons,
632
00:31:26,480 --> 00:31:29,200
so I'd, you know, I'd be up and down
everywhere.
633
00:31:29,240 --> 00:31:31,000
I always thought I was just
a naughty kid,
634
00:31:31,040 --> 00:31:34,440
but I didn't want to be like that -
I just was.
635
00:31:35,960 --> 00:31:37,960
Jab with the right hand.
636
00:31:38,000 --> 00:31:41,760
I just always thought I was just
gonna be a naughty kid in school,
637
00:31:41,800 --> 00:31:44,520
didn't really see a pathway for me.
638
00:31:45,680 --> 00:31:46,760
And again.
639
00:31:46,800 --> 00:31:49,480
So how do you find boxing
has helped you?
640
00:31:49,520 --> 00:31:51,240
Oh, it's been life-changing.
641
00:31:51,280 --> 00:31:53,880
Boxing is the one thing that
I can actually come in
642
00:31:53,920 --> 00:31:55,640
and focus on.
643
00:31:55,680 --> 00:31:59,040
When I'm in a session, everything
else just switches off,
644
00:31:59,080 --> 00:32:01,080
which is really nice cos I don't
get that chance
645
00:32:01,120 --> 00:32:02,600
with anything else in my life
646
00:32:02,640 --> 00:32:04,720
because my brain is just
always at a 101.
647
00:32:04,760 --> 00:32:07,680
But when I'm here and, you know,
I put my gloves on,
648
00:32:07,720 --> 00:32:09,880
that's it - the world
just turns off.
649
00:32:13,080 --> 00:32:14,600
Before, I'd rise to anything,
650
00:32:14,640 --> 00:32:17,520
like, you could call me
an idiot and I'd rise to it.
651
00:32:17,560 --> 00:32:19,360
So small things would really
affect you?
652
00:32:19,400 --> 00:32:23,040
Yeah, yeah, and then I started
boxing and most of my anger,
653
00:32:23,080 --> 00:32:25,440
I was getting that out in the gym
hitting in the bags.
654
00:32:27,520 --> 00:32:29,960
Boxing has been my lifeline.
You know, it...
655
00:32:30,000 --> 00:32:32,160
I would go so far as to say
it's saved my life.
656
00:32:32,200 --> 00:32:33,680
Right hand roll, right hand.
657
00:32:33,720 --> 00:32:36,120
Right hand roll, right hand.
And again.
658
00:32:36,160 --> 00:32:40,040
You will find that any physical
exercise is regularly recommended
659
00:32:40,080 --> 00:32:42,880
for someone who has ADHD
or symptoms of.
660
00:32:42,920 --> 00:32:44,120
Beautiful.
661
00:32:44,160 --> 00:32:46,320
And that doesn't have
to mean boxing.
662
00:32:46,360 --> 00:32:50,120
Even the smallest of activities
can help people focus energy
663
00:32:50,160 --> 00:32:51,560
or manage hyperactivity.
664
00:32:51,600 --> 00:32:52,640
Good. Let's go.
665
00:32:52,680 --> 00:32:54,360
Ooh, look at that.
666
00:32:54,400 --> 00:32:57,760
It's like a... Oh, God, I love it!
667
00:32:57,800 --> 00:33:00,040
It's a fidget toy.
668
00:33:00,080 --> 00:33:04,880
I guess I just find it easier
to think when I'm also, like,
669
00:33:04,920 --> 00:33:06,800
occupied by something else.
670
00:33:06,840 --> 00:33:09,880
And you don't need to have
a diagnosis to find them useful
671
00:33:09,920 --> 00:33:11,000
or soothing.
672
00:33:11,040 --> 00:33:13,600
If I don't have something like this
in my hand I'm always, like, sort of
673
00:33:13,640 --> 00:33:16,240
having the stream of thought at
the same time as trying to talk of,
674
00:33:16,280 --> 00:33:17,960
like, "OK, how should I be sitting?"
675
00:33:18,000 --> 00:33:19,560
Like, "Should I'd be sat still?"
676
00:33:24,920 --> 00:33:28,880
The third and final part of
an ADHD diagnostic assessment
677
00:33:28,920 --> 00:33:32,000
delves into impairment.
678
00:33:32,040 --> 00:33:34,520
Compared to someone who is
neurotypical,
679
00:33:34,560 --> 00:33:39,000
an ADHDer will struggle in areas
like the home, education,
680
00:33:39,040 --> 00:33:41,840
work and social interactions.
681
00:33:41,880 --> 00:33:45,720
So you'd need to show evidence
of how symptoms consistently
682
00:33:45,760 --> 00:33:48,240
interfere in daily life.
683
00:33:48,280 --> 00:33:50,320
The things are most people
find hard
684
00:33:50,360 --> 00:33:52,480
seem to, like, click in my brain
quite easily,
685
00:33:52,520 --> 00:33:54,880
whereas the things that most people
seem to find easy
686
00:33:54,920 --> 00:33:58,120
of, like, getting in the shower,
like, staying organised,
687
00:33:58,160 --> 00:34:01,640
cooking, cleaning, going to the gym,
doing all of those things,
688
00:34:01,680 --> 00:34:04,520
they're the things that feel
difficult for me cos they're not
689
00:34:04,560 --> 00:34:07,440
as, like, I guess exciting for
my brain in the same way.
690
00:34:07,480 --> 00:34:10,680
So when something's not something
that is challenging
691
00:34:10,720 --> 00:34:13,800
or exciting, it's, like,
a real slog to try
692
00:34:13,840 --> 00:34:16,160
and motivate myself to
actually do it.
693
00:34:18,800 --> 00:34:24,160
So the final part of the assessment
is looking at how all of
694
00:34:24,200 --> 00:34:27,120
the symptoms and behaviours
that you've kind of identified
695
00:34:27,160 --> 00:34:31,400
and we've talked about,
how they impact your life.
696
00:34:31,440 --> 00:34:34,520
So I do turn it back
to that person and say,
697
00:34:34,560 --> 00:34:37,320
"Where do you feel that all
of these symptoms
698
00:34:37,360 --> 00:34:40,120
"that we've identified associated
with ADHD,
699
00:34:40,160 --> 00:34:42,040
"where are they holding you
back in life,
700
00:34:42,080 --> 00:34:44,200
"where are they causing
the biggest problems?"
701
00:34:44,240 --> 00:34:47,600
What about relationships and,
you know,
702
00:34:47,640 --> 00:34:50,080
friendships, relationships
with family as well,
703
00:34:50,120 --> 00:34:52,640
is there any impairment?
704
00:34:52,680 --> 00:34:54,600
Not particularly.
705
00:34:54,640 --> 00:34:59,320
In somebody's personal life it might
be that they have got themselves
706
00:34:59,360 --> 00:35:02,080
into debt, or they...
707
00:35:02,120 --> 00:35:04,880
Constant credit cards or, you know,
708
00:35:04,920 --> 00:35:08,600
conflict with their partners
over money.
709
00:35:08,640 --> 00:35:13,680
What about any kind of
overcompensating behaviours
710
00:35:13,720 --> 00:35:19,200
that you recognise in yourself that
almost like tips things too far
711
00:35:19,240 --> 00:35:20,720
the other way round?
712
00:35:20,760 --> 00:35:23,040
Some things. Yeah.
713
00:35:23,080 --> 00:35:24,720
It can really be, you know,
714
00:35:24,760 --> 00:35:29,200
what people describe as
a roller-coaster of emotions.
715
00:35:29,240 --> 00:35:32,040
Next, after a four-hour deep dive,
716
00:35:32,080 --> 00:35:34,680
Clare ends her quest for
a diagnosis.
717
00:35:34,720 --> 00:35:36,280
Would you agree with that?
718
00:35:36,320 --> 00:35:41,520
I would. I think that's probably
a very fair reflection, actually.
719
00:35:41,560 --> 00:35:44,280
And I learn what support you can
access whether you've had
720
00:35:44,320 --> 00:35:45,800
a diagnosis or not.
721
00:35:45,840 --> 00:35:47,840
Dopamine, dopamine, dopamine.
722
00:35:56,080 --> 00:35:58,960
Dr Clare has always suspected that
her and her late husband,
723
00:35:59,000 --> 00:36:00,520
Michael, had ADHD.
724
00:36:00,560 --> 00:36:04,600
And now, having gone through the full
diagnostic process, time to find out.
725
00:36:05,640 --> 00:36:07,840
Clare's scored highly
for inattentiveness
726
00:36:07,880 --> 00:36:09,600
and hyperactivity,
727
00:36:09,640 --> 00:36:12,320
and has just completed
the final stage of
728
00:36:12,360 --> 00:36:15,480
a gruelling four-hour assessment,
impairment,
729
00:36:15,520 --> 00:36:19,960
a crucial criteria which everyone
needs for an ADHD diagnosis.
730
00:36:21,080 --> 00:36:26,880
When we looking at the diagnostic
criteria for ADHD,
731
00:36:26,920 --> 00:36:30,080
we really focus on level
of impairment.
732
00:36:30,120 --> 00:36:35,000
And you even recognise yourself that
there isn't really any impairment
733
00:36:35,040 --> 00:36:36,760
in your adult life.
734
00:36:36,800 --> 00:36:41,040
Without that impairment,
we wouldn't diagnose ADHD.
735
00:36:41,080 --> 00:36:42,720
Would you agree with that?
736
00:36:42,760 --> 00:36:47,120
I would. I think that's probably
a very fair reflection, actually.
737
00:36:47,160 --> 00:36:51,880
It's interesting,
hearing all these...
738
00:36:51,920 --> 00:36:53,560
..what you would call impairments,
739
00:36:53,600 --> 00:36:56,840
but I don't feel particularly
impaired by them.
740
00:36:56,880 --> 00:37:00,040
I know it's a weird thing to say.
Yeah.
741
00:37:00,080 --> 00:37:03,280
You know it's possible for anybody
to have sort of traits of ADHD,
742
00:37:03,320 --> 00:37:07,880
but actually it not warrant
or justify a diagnosis
743
00:37:07,920 --> 00:37:12,440
and need treatment because there
isn't impairment there.
744
00:37:14,240 --> 00:37:16,280
It was a long process,
I have to say.
745
00:37:16,320 --> 00:37:20,280
A really interesting
and intricate process.
746
00:37:20,320 --> 00:37:24,920
It turns out that I actually
don't fit the criteria,
747
00:37:24,960 --> 00:37:30,080
but I've found it really
interesting, really interesting.
748
00:37:30,120 --> 00:37:32,840
So Dr Clare has her answer.
749
00:37:32,880 --> 00:37:34,920
But what about those who don't yet?
750
00:37:36,960 --> 00:37:39,160
If, like Clare, you don't have
a diagnosis,
751
00:37:39,200 --> 00:37:43,280
you can still access lots of help
and support from the ADHD Community.
752
00:37:49,120 --> 00:37:51,840
Rox, who has ADHD,
and her husband Rich,
753
00:37:51,880 --> 00:37:54,400
who doesn't, offer up
an unfiltered view
754
00:37:54,440 --> 00:37:56,640
of what it's like to live with ADHD.
755
00:37:56,680 --> 00:37:58,400
You think you're doing it
on the chorus,
756
00:37:58,440 --> 00:38:00,760
but you're actually not -
you've gotta do it...
757
00:38:00,800 --> 00:38:03,040
The pair have created an app
that harnesses
758
00:38:03,080 --> 00:38:05,880
the power of something called
"body doubling".
759
00:38:05,920 --> 00:38:09,560
So body doubling is a really strange
phenomena in the ADHD world,
760
00:38:09,600 --> 00:38:12,680
that essentially means
we - people with ADHD -
761
00:38:12,720 --> 00:38:16,560
can get more stuff done
if we have company.
762
00:38:18,200 --> 00:38:21,200
To most people, making the bed,
you just make the bed.
763
00:38:21,240 --> 00:38:23,400
To a lot of ADHDers,
it doesn't work like that.
764
00:38:23,440 --> 00:38:25,880
It's, "Where do I start?
Do I take the duvet off?
765
00:38:25,920 --> 00:38:28,000
"Do I take the pillows off?
Do I have to change the sheets?
766
00:38:28,040 --> 00:38:30,680
"Do I tidy the bedside tables
as part of this?"
767
00:38:30,720 --> 00:38:33,280
Your brain just spills out
into this...
768
00:38:33,320 --> 00:38:35,560
what should be one task,
makes it 20.
769
00:38:35,600 --> 00:38:37,400
"It's overwhelming. I won't do it."
770
00:38:37,440 --> 00:38:40,720
Step one here is going to be get
the laundry that you want to wash.
771
00:38:40,760 --> 00:38:42,800
Go and grab that, and I'll meet you
back here for step two.
772
00:38:42,840 --> 00:38:46,840
We have these videos broken down -
they're like instructional videos
773
00:38:46,880 --> 00:38:50,040
for basic tasks, which nobody
would normally give
774
00:38:50,080 --> 00:38:51,360
because they're basic.
775
00:38:51,400 --> 00:38:56,160
However, it brings some logic
into a very chaotic brain,
776
00:38:56,200 --> 00:38:58,160
and just helps you get stuff done.
777
00:38:58,200 --> 00:39:01,480
Step three, get it all into
the washing machine.
778
00:39:01,520 --> 00:39:03,400
I initially thought it was
a terrible idea.
779
00:39:03,440 --> 00:39:05,560
I was like "What...
What are you talking about?
780
00:39:05,600 --> 00:39:08,760
"You wanna build an app about making
the bed and doing the w...?"
781
00:39:08,800 --> 00:39:12,000
Like, I couldn't see it.
But you were like, "This is it."
782
00:39:12,040 --> 00:39:14,440
Step five, pat yourself on the back
because you've climbed
783
00:39:14,480 --> 00:39:18,040
Mount Everest, also known as
Starting Laundry Phase 1.
784
00:39:18,080 --> 00:39:22,600
I think unless you have ADHD
you wouldn't see the need for it,
785
00:39:22,640 --> 00:39:24,120
you wouldn't understand it.
786
00:39:24,160 --> 00:39:27,120
Hello, everyone.
You have got me today.
787
00:39:27,160 --> 00:39:31,280
Today they're doing a live stream to
some of their 300,000 followers.
788
00:39:31,320 --> 00:39:32,840
So hopefully that is OK.
789
00:39:32,880 --> 00:39:35,160
I can see lots of people on.
790
00:39:35,200 --> 00:39:39,000
You'll be able to see there is
a blue-haired emo walking around
791
00:39:39,040 --> 00:39:41,760
behind me doing the kitchen
as we speak.
792
00:39:41,800 --> 00:39:43,320
Say hello. Hello.
793
00:39:43,360 --> 00:39:47,840
One of the main things why the app
works is shame reduction.
794
00:39:47,880 --> 00:39:51,160
So shame can make you freeze,
can make you feel like
795
00:39:51,200 --> 00:39:52,640
you can't do something.
796
00:39:52,680 --> 00:39:56,720
When you meet that with other people
who feel that they can't,
797
00:39:56,760 --> 00:39:59,880
and you have someone being really
kind telling you you can,
798
00:39:59,920 --> 00:40:02,800
it's actually amazing
what people can do.
799
00:40:04,200 --> 00:40:06,640
Joanna, it looks like
she's washing up.
800
00:40:06,680 --> 00:40:09,440
Helen, it looks like she has just
done the washing.
801
00:40:09,480 --> 00:40:11,400
We've got Clare - I think
that's a new face.
802
00:40:11,440 --> 00:40:13,280
I think Clare might be...
Yes, that's me, Claire.
803
00:40:13,320 --> 00:40:15,200
..unloading the dishwasher.
Hello. Hi, Clare.
804
00:40:15,240 --> 00:40:16,640
I'm doing the dishwashing.
805
00:40:16,680 --> 00:40:18,840
Yeah, she's definitely doing
something in the kitchen,
806
00:40:18,880 --> 00:40:19,960
so good luck.
807
00:40:20,000 --> 00:40:22,000
Despite not having
a diagnosis,
808
00:40:22,040 --> 00:40:25,880
Clare, like many others, is finding
support from the ADHD gang.
809
00:40:25,920 --> 00:40:27,440
I'm packing the dishwasher.
810
00:40:27,480 --> 00:40:31,720
This is a new experience,
doing the dishwashing.
811
00:40:31,760 --> 00:40:33,600
So it's quite nice.
812
00:40:33,640 --> 00:40:35,920
It's the kind of sense that
you're all doing it together.
813
00:40:35,960 --> 00:40:38,760
We don't get enough
community stuff somehow.
814
00:40:38,800 --> 00:40:40,440
So it's quite engaging,
815
00:40:40,480 --> 00:40:44,680
and if it's helping people get
motivated that's fantastic.
816
00:40:47,840 --> 00:40:51,680
As well as tapping into those
with lived experience of ADHD,
817
00:40:51,720 --> 00:40:54,200
we can also turn to experts.
818
00:40:54,240 --> 00:40:58,680
Parul Singh advises companies how
to be more neurodiverse-friendly
819
00:40:58,720 --> 00:41:01,800
and is going to show me things that
workplaces could consider
820
00:41:01,840 --> 00:41:04,240
if they were to be more
accommodating.
821
00:41:04,280 --> 00:41:06,520
Hi, Parul. Nice to meet you.
Hi, Karan. Nice to meet you.
822
00:41:06,560 --> 00:41:11,560
So I've heard this is a
neurodiverse-friendly work space.
823
00:41:11,600 --> 00:41:16,200
On first instances, it looks
no different than another
824
00:41:16,240 --> 00:41:17,520
really nice workplace.
825
00:41:17,560 --> 00:41:19,840
So when you walk into
any other office,
826
00:41:19,880 --> 00:41:21,880
what's the first thing that
you usually see?
827
00:41:21,920 --> 00:41:22,960
A reception desk.
828
00:41:23,000 --> 00:41:24,080
Absolutely. Yeah.
829
00:41:24,120 --> 00:41:27,800
And if we look here, it kind of
looks like a reception desk.
830
00:41:27,840 --> 00:41:30,520
Sort of, yeah. But nobody is
actually usually sat here.
831
00:41:30,560 --> 00:41:32,640
This was quite intentional
because for a lot of
832
00:41:32,680 --> 00:41:34,840
the time, in offices,
you walk in,
833
00:41:34,880 --> 00:41:36,640
there might be more than
one receptionist. Yeah.
834
00:41:36,680 --> 00:41:38,680
You don't know where to look.
It can feel a bit, like,
835
00:41:38,720 --> 00:41:41,120
anxiety-inducing. Sort of
overwhelming, the choice.
836
00:41:41,160 --> 00:41:44,040
Yeah, absolutely. And people
with ADHD might need more flexible
837
00:41:44,080 --> 00:41:45,240
hours than other people. Yeah.
838
00:41:45,280 --> 00:41:47,640
So they might feel conscious
that "Oh, I'm going for, like,
839
00:41:47,680 --> 00:41:50,120
"a longer lunch. Is someone going to
notice it?", or, like,
840
00:41:50,160 --> 00:41:51,440
"I'm leaving early", or something.
841
00:41:57,760 --> 00:42:00,600
So in this bit here we've got
these little cubicles.
842
00:42:00,640 --> 00:42:02,840
If I open it, this probably looks
like a soundproof booth
843
00:42:02,880 --> 00:42:05,520
where you would usually do meetings
or you would do calls.
844
00:42:05,560 --> 00:42:08,280
So this isn't actually for
calls and meetings.
845
00:42:08,320 --> 00:42:12,000
When somebody with ADHD is
completely hyperfocused
846
00:42:12,040 --> 00:42:14,960
on their work, which is a great
thing to be able to get into,
847
00:42:15,000 --> 00:42:17,840
actually... Yeah. ..because
they might be able to do
848
00:42:17,880 --> 00:42:20,480
what somebody else might need
four hours... Yeah, I can't do that.
849
00:42:20,520 --> 00:42:22,680
..in literally, like,
maybe like an hour or two.
850
00:42:22,720 --> 00:42:26,080
It happens to me very often
and a lot of my friends with ADHD.
851
00:42:26,120 --> 00:42:28,560
That hyperfocus is like golden time.
852
00:42:28,600 --> 00:42:31,680
So this is a space which
actually somebody can truly get
853
00:42:31,720 --> 00:42:33,520
into that hyperfocus zone. Yeah.
854
00:42:33,560 --> 00:42:35,600
Obviously, we have a spinny chair
as well, which is great
855
00:42:35,640 --> 00:42:36,960
to sort of fidget on.
856
00:42:37,000 --> 00:42:40,320
It nurtures those traits
which can be leveraged into
857
00:42:40,360 --> 00:42:42,240
something positive. Yeah, absolutely.
858
00:42:48,840 --> 00:42:52,120
How important is it to have
workplaces like this
859
00:42:52,160 --> 00:42:53,880
that can be more inclusive?
860
00:42:53,920 --> 00:42:56,320
This is not about trying to hire
more neurodivergent people.
861
00:42:56,360 --> 00:42:58,440
They are in your workplaces already.
Yeah.
862
00:42:58,480 --> 00:43:01,480
So it's in your best interest when
you have maybe spent money hiring
863
00:43:01,520 --> 00:43:03,800
that person, onboarding them,
training them,
864
00:43:03,840 --> 00:43:06,800
investing in them,
to do whatever you can,
865
00:43:06,840 --> 00:43:09,360
whether it's the work environment or
the support systems that
866
00:43:09,400 --> 00:43:12,000
you actually have in place for
neurodivergent people
867
00:43:12,040 --> 00:43:15,520
and people with ADHD
to actually help them thrive.
868
00:43:15,560 --> 00:43:19,160
And for the ADHD brain looking
for that dopamine hit,
869
00:43:19,200 --> 00:43:23,560
there's a special space
in Parul's ideal work world.
870
00:43:23,600 --> 00:43:26,680
Wow. So this is the karaoke room,
871
00:43:26,720 --> 00:43:29,800
and as you can see it's just
beautifully furnished.
872
00:43:29,840 --> 00:43:31,640
You walk into this room
and you're like,
873
00:43:31,680 --> 00:43:33,880
"Dopamine, dopamine, dopamine,
dopamine."
874
00:43:33,920 --> 00:43:37,840
And there's so many different
textures, shapes, colours.
875
00:43:37,880 --> 00:43:40,920
It's, you know, a bit of
an eclectic mix of things in here.
876
00:43:40,960 --> 00:43:42,320
Actually just coming in here,
877
00:43:42,360 --> 00:43:44,880
it's such a different vibe
to out there.
878
00:43:44,920 --> 00:43:46,320
It's all about balance, really,
879
00:43:46,360 --> 00:43:48,600
which sometimes can be
a bit hard for us to get.
880
00:43:48,640 --> 00:43:50,560
So, it's like,
take a break in here, take...
881
00:43:50,600 --> 00:43:52,840
You know, take your lunch,
have a little bit of fun,
882
00:43:52,880 --> 00:43:55,560
get back into the zone,
get the work done.
883
00:44:02,560 --> 00:44:07,480
There is a wide of support people
can access without a diagnosis.
884
00:44:07,520 --> 00:44:11,680
But for those that do get one,
it can be incredibly empowering.
885
00:44:11,720 --> 00:44:13,280
After I got diagnosed,
886
00:44:13,320 --> 00:44:15,840
I felt like a weight
had been lifted,
887
00:44:15,880 --> 00:44:18,160
like people would actually
know now.
888
00:44:18,200 --> 00:44:21,120
I think that was probably the most
game-changing thing about
889
00:44:21,160 --> 00:44:23,600
getting a diagnosis.
Like, I finally felt like
890
00:44:23,640 --> 00:44:27,280
I was in control of my life rather
than life just happening to me.
891
00:44:27,320 --> 00:44:30,000
So, there was, like, this big
wave of happiness and
892
00:44:30,040 --> 00:44:33,280
sort of feeling validated
and feeling understood
893
00:44:33,320 --> 00:44:35,720
and starting to be able
to forgive myself for all of
894
00:44:35,760 --> 00:44:38,640
the stuff that had gone not so well.
895
00:44:38,680 --> 00:44:42,520
Then I think there's also, like,
waves of grief that come in as well,
896
00:44:42,560 --> 00:44:45,160
of like, "How could life have been
different if someone had
897
00:44:45,200 --> 00:44:46,800
"figured this out sooner?"
898
00:44:46,840 --> 00:44:49,800
I would put my arms around
the younger version of me,
899
00:44:49,840 --> 00:44:54,640
the little boy that was
so scared of being different
900
00:44:54,680 --> 00:44:58,920
and so fearful of
letting someone down
901
00:44:58,960 --> 00:45:00,720
or encountering a rejection,
902
00:45:00,760 --> 00:45:03,840
and saying that,
"The same things that are...
903
00:45:03,880 --> 00:45:06,840
"The same things that are causing
this fear of rejection
904
00:45:06,880 --> 00:45:09,960
"and anxiety of being different
are the same things that,
905
00:45:10,000 --> 00:45:13,360
"when you're older, are going to be
your biggest assets."
906
00:45:15,160 --> 00:45:16,320
One more.
907
00:45:16,360 --> 00:45:18,160
I hope we've given you
some insight into
908
00:45:18,200 --> 00:45:20,320
the official symptoms of ADHD.
909
00:45:22,080 --> 00:45:24,760
And that hearing from others
has offered you some tips
910
00:45:24,800 --> 00:45:26,880
and coping strategies,
911
00:45:26,920 --> 00:45:30,840
and given you an understanding
of what an assessment entails.
912
00:45:30,880 --> 00:45:33,840
I believe it's on all of us
to be more understanding
913
00:45:33,880 --> 00:45:36,480
about what ADHD is.
914
00:45:36,520 --> 00:45:38,320
And for those with the condition,
915
00:45:38,360 --> 00:45:40,960
we need to recognise
their unique strengths,
916
00:45:41,000 --> 00:45:44,800
abilities, and embrace the different
ways they think.
917
00:45:45,880 --> 00:45:49,320
And if you think this sounds
like you, we embrace you too.
918
00:45:52,880 --> 00:45:56,920
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