My ADHD diagnosis

In my last update I mentioned I was waiting for my adhd assessment. Well, as the title of this post suggests, I got the diagnosis – and I’m so relieved that I did.

However, the assessment wasn’t easy, there were many tough and deeply personal questions asked, and though I was prepared to answer things about my childhood and school life, the ones that hit hard were actually nothing to do with those topics. I mean, I did cry when talking about my primary school teacher bullying me; for some reason, whenever I explain that to a doctor, the tears always appear. But I expected that, so after the influx of emotion passed, it was fine.

What got me was attempting to explain how, if I had ADHD and thus my concentration was so bad, did I manage to write books. Not only this, but the doctor (a psychiatrist specialising in neurological conditions) went on to ask how successful a writer I was, including how many books I’d sold. And considering I’ve had high imposter syndrome recently and have been questioning whether writing to be published is something I should even be pursuing still, it cut me deep.

Other questions that hurt were why I still had my birds when their sounds were distracting, why I don’t want kids, and how I knew I had something close to an eating disorder when I was younger (I didn’t have any diagnosis or records of one, but gosh did I have the mindset and sadly could slip back into it easily if I’m not careful). So, ouch, on all fronts, to the point where I completely broke down after the assessment was over.

But – as I’d also provided lots and lots of notes beforehand explaining my brain – I got my diagnosis then and there at the end of the session. Quickly, abruptly (as to my mind, things really hadn’t been going well. I’d been rambling and getting flustered, so it felt like my responses weren’t particularly coherent), and without much extra explanation. I was asked if I had any questions, but my brain was fried at that point, so any I had promptly left.

Fortunately, after emailing the head ADHD nurse, who I’d been in contact with during preliminary screening, I had a good conversation the next day with full permission to explain my feelings and rant as much as I needed to to get everything out. After that, she went through reasons why certain questions were asked, and went on to detail all next steps and options open to me.

Though I’ve been hesitant to try medication before, on the grounds that if I’m to have it, I want to make sure it’s the correct type for my neurodivergent brain and won’t simply cover up the symptoms of an underlying condition (untreated ADHD can often cause anxiety and depression, both of which I have), I chose to be put forward for ADHD medication. After a few tests at my GP surgery, which included blood pressure, pulse, height, weight, and an ECG, I received my first prescription of methylphenidate, which is a slow-release stimulant.

Now, medication isn’t for everyone, and there are lots of treatment options for the parts of ADHD that interfere with daily life. But, for me, I’m really pleased I made the choice I did. Within an hour of taking the first dose, a subtle, yet tangible change occurred to my thoughts. Usually, my brain runs off at top speed on anything and everything, flitting from topic to topic. But, though I still had the thoughts – meaning, I was still very much myself – I could choose to follow only the ones that were relevant to what I was doing at the time, and go back to the others later. When I explained this to my partner (who we also suspect is ADHD), he came up with a great metaphor: instead of everything being dumped in a box that I have to sift through to find something, I’d been given shelves where I could see everything individually and just select what I needed.

As of writing, I’m on day six of being medicated, which admittedly, isn’t very long, but it does appear that my ability to maintain focus on writing has definitely increased (the very fact that I’m writing this, after not posting an update for so long due to lack of energy and motivation, is good evidence of this). And the thing that’s most surprising is the realisation that the fatigue I felt from doing any kind of task was caused mostly by my chaotic thoughts, and now they have (slightly) more order, that fatigue is nowhere near as bad. I can feel it, but I’m not completely crashing anymore.

Sadly, my laptop battery is now fading, so I’ll have to wrap this up. Getting confirmation of my full neurodiversity (I’m autistic too, and yes, you can very much have both conditions), has allowed me to understand and accept how different, yet cool, my brain is. Even though I struggle with things on a daily basis because of it, I can see my creativity and ability to notice things few others do all stem from it and make my world brighter.

This process has taken, well, a lot of processing, but I’m getting there. And taking medication, despite all the controversy surrounding it, is no different to when I wear my ear defenders or sunglasses to help lesson sensory overload when I’m outside. It’s an aid to help me, and it’s not a bad thing. (I will point out, though, that I’m taking my medication exactly as prescribed by my doctor and I’ll be having strict, regular reviews with them to make sure it’s still doing what it should and nothing else.)

Lastly, for those interested or considering pursuing diagnosis, some key details. I’m in the UK and went through the NHS, so the process may differ considerably in other countries, but here’s the route I took:

In mid 2019, I spoke to a general GP at my local doctor’s surgery, explaining that I wanted to be referred to the ADHD service for diagnosis. I had a few notes with me on traits I resonated with so they could easily see my reasoning.

After that, I had a very long wait (possibly made worse by the pandemic), but eventually got sent some screening questionnaires to complete and send back. After that was done, a phone call was arranged with the ADHD nurse for an hour long further screening conversation, in which I had to answer a lot of personal questions about school, family, work, social life etc.

Determining that I was eligible for a diagnostic assessment, I was then given a virtual appointment and completed the assessment I’ve spoken in detail about above, and as mentioned, after diagnosis, I was offered options for treatment, which included various therapies and medication. I received very detailed leaflets on the option I chose, so I could thoroughly research before finalising my decision.

So, there we go. I hope this essay of a post has been interesting and/or helpful. Thank you for reading!

#52weeksofnaturepoetry Week 10 – Living Grave

So many times, I’ve walked past. Seeing but not seeing.

For this giant’s footprint, this decayed and blackened skeleton

has long scuttled from my attention. But now I                  pause.

Vague architecture

ripples into sense:

Steps morph into centuries-old roots basking on the soil’s surface,

the ankle-high wall surrounding a stump-table

melts into remains

of an even larger trunk, worn smooth by time’s fingers.

Five of me could stand inside and still not knock elbows.

I bet

it was Lord of Trees once,

before disease or the elements or man

finally beat it down.

And though the realisation

that I’m hovering within its bones strikes hard,

I don’t mourn for long.

How can I

when this humble grave teams with life?

Fungi, lichen, moss –

they decorate its bark like the echoes of new growth.

Climbers and creepers seek its grain, grasping

it like a helping hand, a boost of support

for their own roots.

And here I am, connected to it all,

part of the quiet bustle that takes place despite winter’s clutch.

This poem is part of my #52weeksofnaturepoetry project to raise funds for UK wildlife charity RSPB and to encourage an appreciation for nature. If you enjoyed it, please consider sharing it and/or donating to the RSPB via my Just Giving page here.

Help keep wildlife wild!

Splinters

The splinters of the branch slid into my fingers

as it snapped at the force of my hand as I tumbled into the tree.

Blood beaded down the bark and caught on the tip of a serrated leaf.

The red mirror showed

how little I’d changed

despite being shoved out of line, convinced my place was over here, not there.

My hair was ruffled, but still mine.

My clothes were covered in cobwebs and lichen, but still mine.

My eyes were wet and open, but still mine.

The blood dripped from the leaf and was instantly swallowed by the soil.

I stood up.

Last glance

She leads him

To the mirror pool

Where she tells him to dip his hands and drink.

She doesn’t say when to stop,

And so he continues, draining the pool.

In his belly, the shards of the mirror form, and

He sees not the blood from the wound in his middle,

But the faces of his children as they play,

Oblivious, in the fields below.

Powder puff

I stare out at the breeze lifting the fushia flowers from the plant, seeing

only fairies with puffy blossom skirts

and skinny legs dangling out beneath.

When they fall to the ground, I think, ‘Oops, there goes

another one who was too weighed down by her dress.’

Visions like this come often;

bursts of another world thrown

at me like powder at a colour festival.

I drink them up and let them buzz inside me for the rest of the day.

She reaches forward now

Bitter, the pills slide down her throat

recalling the shock of months ago.

She thought she’d buried it, good and gone,

but they said she has to face it now.

She cannot keep running on a tape stuck on rewind.

Mind seeing what was, not what is.

She’s being broken down to atoms

so she can be rebuilt.

Possible, but outside of time.

Reflections in water

Together from dawn,

deep diving into the world:

symbiotic minds.

Waiter, there’s a wasp in my soup

I have white noise in my head.

It layers itself over everything my brain is trying to do

and the only way I can turn the screen

to a semi-smooth grey

is impair my senses

so my receptors can focus on one at a time.

I don’t want to be trying to read while having an audiobook playing

and a graphic novel flicking pages all at once.

I want what I see, hear, smell, taste and touch

to be a well-organised orchestra performing a waltz,

not one who’ve had their instruments switched with scrapyard junk

trying desperately to tune up what can’t be tuned.

 

Take off

My wings spread, feathers brushing the dust away from the flight path. Goggles down, I cast my gaze ahead and jump. Wind tears at me; a gale. It flurries up, causing my momentum to surge off course. The tick of the second hand on my pocket watch counts the moments I plunge down — the sound a boom, cannon blasts in my head. The updraft catches me in her firm hold, clasping me tight against her bosom, correcting my flight. She deposits me on the take off platform where I started, urging me to try again. We all have to fly by ourselves at some point.

Words within words

It was clear when we first met,

Laughter from both sides

Over meandering conversations and footpaths,

Voluntarily giving information we’re so used to withholding.

Every time a wall would fall,

Your eyes became brighter.

Our friendship deepened and evolved into simply

Us.