Does ADHD Make You More Anxious?

HealthyGamerGG
30 Oct 202214:33

Summary

TLDRThis video script delves into how individuals with ADHD leverage negative emotions like anxiety, anger, and shame to motivate themselves, contrasting with neurotypical motivation. It discusses the book 'Your Brain's Not Broken' by Tamara Rosier, which explains how ADHDers use intense emotions to compensate for motivational deficits. The script challenges the oversimplification of attributing these behaviors solely to ADHD, highlighting that these emotions are universal and serve as powerful motivators. It also addresses the potential long-term mental health impacts of using such 'dirty motivators' and the importance of differentiating between ADHD's direct effects and the consequences of growing up undiagnosed.

Takeaways

  • πŸ‘— The script uses the example of receiving compliments and criticism at a party to illustrate how ADHD individuals might focus more on negative feedback, using it as a motivational tool.
  • 🧠 ADHDers often use intense negative emotions like anxiety, anger, and shame to motivate themselves because they might not be able to rely on traditional motivators like interest or importance.
  • πŸ”„ The book 'Your Brain's Not Broken' by Tamara Rosier is referenced to explain how ADHD individuals use negative emotions to function daily, contrasting with neurotypical individuals who may have an easier time with motivation.
  • 🚫 The script challenges the oversimplification of attributing all negative emotions to ADHD, noting that these emotions are common across all humans and serve useful purposes.
  • ⏳ Negative emotions are highlighted as stronger motivators than positive ones, which is why they have been conserved in human evolution.
  • 🧐 The script points out that the brain is more sensitive to negative stimuli than positive, which is why negative feedback can be so impactful.
  • πŸ‘¨β€βš•οΈ An example of medical students is given to show how high levels of neuroticism, which includes a tendency to worry, can lead to better performance due to the use of negative emotions as motivation.
  • πŸ€” The term 'dirty motivators' is introduced to describe the use of negative emotions like shame and self-loathing, which can lead to success but at the cost of personal well-being.
  • πŸ‘¨β€πŸŽ“ The script discusses how anxiety can be particularly useful for ADHD individuals to counteract forgetfulness and inattention, serving as a form of protection against these issues.
  • 😑 Anger is noted as a common emotional response for ADHD individuals, but it's not necessarily an adaptive mechanism like anxiety or shame; it's more about emotional dysregulation.
  • πŸ‘¨β€βš–οΈ The script emphasizes the importance of treating ADHD and the emotional consequences separately, as medication can address ADHD symptoms but not the emotional issues like low self-esteem that may arise from living with undiagnosed ADHD.

Q & A

  • How do people with ADHD often motivate themselves using negative emotions?

    -People with ADHD often use intense negative emotions such as anxiety, anger, and shame to motivate themselves because these emotions can be powerful motivators. They might use anxiety to remember tasks, anger to push themselves to complete tasks, and shame to feel driven to succeed despite feeling unworthy.

  • What is the role of anxiety in ADHD as described in the script?

    -Anxiety in ADHD serves as a tool to counteract forgetfulness and inattention. People with ADHD may develop a paranoid mindset to constantly worry about forgetting things, which ironically helps them remember because they are always anxiously thinking about it.

  • How does the book 'Your Brain's Not Broken' by Tamara Rosier explain ADHD motivation?

    -The book explains that individuals with ADHD often struggle to motivate themselves in the same way neurotypical individuals do. Instead, they rely on strong negative emotions to drive themselves, focusing on interests more than importance and consequences.

  • What is the significance of the example given about wearing a fancy dress at a party in the script?

    -The example illustrates the bias towards negative feedback. Even with multiple compliments, one negative comment can have a more significant impact and be more memorable, highlighting how negative emotions can be powerful motivators.

  • Why are negative emotions considered 'dirty motivators' in the context of the script?

    -Negative emotions are referred to as 'dirty motivators' because while they can drive success, they often come at the cost of personal happiness and well-being. They can lead to feelings of being damaged, competent, or stupid, and can result in imposter syndrome.

  • What is the difference between the anxiety used as an adaptive mechanism in ADHD and the other negative emotions mentioned?

    -Anxiety in ADHD is seen as an adaptive mechanism to compensate for forgetfulness and inattention, whereas the other negative emotions like anger and shame are not necessarily adaptive but rather consequences of growing up without a diagnosis or treatment for ADHD.

  • How does the script relate the experience of negative emotions to the broader human experience?

    -The script emphasizes that negative emotions like anxiety, shame, and anger are not exclusive to people with ADHD but are part of the human experience. They have evolved because they serve as powerful motivators, even if they are often viewed negatively in society.

  • What is the role of the brain's bias towards negative information as explained in the script?

    -The script explains that the brain is more sensitive to negative information than positive, which is an evolutionary bias. This bias makes negative feedback more impactful and memorable, thus making negative emotions strong motivators.

  • Why might treating ADHD not resolve feelings of self-loathing according to the script?

    -Treating ADHD might not resolve feelings of self-loathing because these feelings are often a consequence of growing up without a diagnosis or treatment, and they need to be addressed independently, possibly through psychotherapy.

  • How does the script differentiate between the adaptive use of anger in ADHD and the emotional dysregulation experienced by some individuals with ADHD?

    -The script suggests that while some individuals with ADHD might adaptively use anger to manage situations, emotional dysregulation, including difficulty with frustration tolerance, is more commonly a challenge for those with ADHD and not necessarily an adaptive mechanism.

Outlines

00:00

πŸ‘— ADHD and Motivation Through Negative Emotions

The speaker begins by illustrating how individuals with ADHD might use negative emotions to motivate themselves, contrasting the positive feedback from many with the impactful criticism from one. The book 'Your Brain's Not Broken' by Tamara Rosier is referenced, which discusses how ADHD individuals often rely on intense negative emotions like anxiety, anger, and shame to drive themselves, unlike neurotypical individuals who are naturally motivated. The speaker critiques the oversimplification of attributing these behaviors solely to ADHD, noting that these emotions are universal and serve as powerful motivators due to their evolutionary significance.

05:01

🧠 The Power of Negative Emotions in Motivation

This section delves into how negative emotions, particularly anxiety, can be harnessed as a tool for motivation. The speaker explains that while these emotions can be mentally taxing, they are also a powerful driving force. Examples are given, such as medical students using anxiety to study harder or individuals with ADHD using anxiety to counteract forgetfulness. The concept of 'dirty motivators' is introduced, referring to the use of shame and self-loathing to achieve success at the cost of personal contentment. The speaker also touches on the idea of imposter syndrome being a consequence of using negative emotions as a primary motivator.

10:02

😑 Emotional Dysregulation and ADHD

The final paragraph addresses the complex relationship between ADHD and emotions, particularly anger. It suggests that while anxiety can be an adaptive response to forgetfulness for those with ADHD, anger might not serve the same adaptive purpose. The speaker points out that individuals with ADHD may experience emotional dysregulation and have a lower frustration tolerance, which can lead to anger. However, this is not necessarily a learned behavior but rather a part of the condition that can be managed with treatment. The paragraph concludes by emphasizing the importance of understanding the emotional challenges associated with ADHD and the need for separate therapeutic interventions to address self-esteem and emotional regulation.

Mindmap

Keywords

πŸ’‘ADHD

Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, impulsivity, and hyperactivity. In the video, ADHD is central to the discussion of how individuals with this condition use negative emotions as a motivational tool, often due to challenges with attention and memory. The script mentions how ADHD is associated with forgetfulness and emotional dysregulation, which can lead to the development of coping mechanisms that may be harmful in the long term.

πŸ’‘Motivation

Motivation in this context refers to the internal and external factors that drive individuals to take action or engage in certain behaviors. The video discusses how individuals with ADHD may struggle with motivation and instead rely on negative emotions such as anxiety, anger, and shame to fuel their actions. This is contrasted with neurotypical individuals who may have more natural motivation without the need for such intense emotional stimuli.

πŸ’‘Anxiety

Anxiety is a feeling of worry, unease, or fear that can be experienced in varying degrees. In the script, anxiety is highlighted as a common emotion used by individuals with ADHD to motivate themselves, particularly to counteract forgetfulness. The speaker gives an example of how anxiety can serve as a reminder to perform tasks, such as locking a car, by creating a worry loop in the mind.

πŸ’‘Anger

Anger is an intense emotional response to a perceived provocation, hurt, or threat. The video script discusses how anger can be harnessed as a motivational tool by individuals with ADHD. It is suggested that people with ADHD might experience anger more intensely and use it to push through tasks, although the speaker also notes that anger may not always be an adaptive response and can lead to emotional dysregulation.

πŸ’‘Shame

Shame is a painful feeling of humiliation or distress caused by the consciousness of wrongs or foolish behavior. In the context of the video, shame is described as a negative emotion that some individuals with ADHD use to motivate themselves. The script mentions self-loathing as a form of shame that can drive individuals to perform tasks to avoid feelings of worthlessness, although this can be detrimental to their self-esteem.

πŸ’‘Neurotypical

Neurotypical refers to individuals who have typical neurological development and do not have conditions such as ADHD. The term is used in the video to contrast the motivational strategies of individuals with ADHD, who may rely on negative emotions, with those of neurotypical individuals who may have more straightforward access to motivation and may not need to rely on intense emotional stimuli.

πŸ’‘Emotional Regulation

Emotional regulation is the ability to manage and control one's emotions. The video script suggests that individuals with ADHD often struggle with emotional regulation, which can lead to heightened experiences of negative emotions like anger. This difficulty can result in the use of these emotions as a coping mechanism, even though it may not be the healthiest approach.

πŸ’‘Imposter Syndrome

Imposter syndrome is a psychological pattern where individuals doubt their accomplishments and fear being exposed as a 'fraud'. The video connects the use of negative emotions as motivation with the development of imposter syndrome, particularly in high-achieving individuals who may feel that they do not deserve their success despite external validation.

πŸ’‘Forgetfulness

Forgetfulness refers to the inability to remember or the act of forgetting. In the context of ADHD discussed in the video, forgetfulness is not due to memory problems but rather attentional issues. Individuals with ADHD may not encode information properly due to inattention, leading to forgetfulness. Anxiety can serve as a countermeasure, as the worry associated with potential forgetting can help reinforce memory encoding.

πŸ’‘Self-Esteem

Self-esteem refers to an individual's overall sense of self-worth or personal value. The video script discusses how the use of negative emotions as motivation can lead to low self-esteem, particularly in individuals with ADHD who may struggle with feelings of self-loathing and shame. The speaker emphasizes that while treating ADHD can help with attention and impulsivity, addressing self-esteem issues often requires separate therapeutic interventions.

Highlights

ADHD individuals may use strong negative emotions to motivate themselves, as they might not be able to motivate like neurotypicals.

ADHDers are motivated by interest rather than importance and consequences, leading to reliance on anxiety to prioritize tasks.

The book 'Your Brain's Not Broken' by Tamara Rosier discusses how ADHDers use intense negative emotions for motivation.

Anxiety can be used as a tool for ADHD individuals to remember tasks, serving as an antidote to forgetfulness.

Anger is used by some ADHDers to fuel themselves to complete tasks, although it can be unhealthy and lead to exhaustion.

Shame and self-loathing can be intense motivators for ADHD individuals, but at a cost to their mental health.

The negative emotions used by ADHDers are not exclusive to them but are conserved across the human race.

Negative emotions are powerful motivators, often stronger than positive emotions, due to the brain's sensitivity to negative stimuli.

The bias towards negative emotions has evolutionary benefits, as it helps avoid harmful situations.

Cultural conditioning can influence the focus on negative feedback over positive, impacting self-perception.

ADHDers may develop adaptive mechanisms to cope with their symptoms, but these can be harmful in the long term.

The experience of shame and self-loathing in ADHD is not a direct consequence of the disorder but a result of growing up without diagnosis or treatment.

Anger in ADHD is not necessarily an adaptive mechanism but can be a result of emotional dysregulation.

People with ADHD may have difficulty with frustration tolerance, which can lead to anger and emotional outbursts.

The emotional challenges faced by ADHD individuals can lead to a high risk of depression and self-esteem issues.

Treatment for ADHD does not automatically resolve issues like self-loathing and anger, which require independent therapeutic approaches.

The video emphasizes the importance of understanding the connection between ADHD and emotions for effective management.

Transcripts

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so for example let's say I get dressed

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up and I go to a party and I'm wearing a

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fancy dress and nine people walk up to

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me and say Dr K that's a beautiful dress

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you look great in it you're really

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rocking the dress bro and then one

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person walks up to me is like you look

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absolutely ridiculous what on Earth are

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you doing wearing a dress it looks

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terrible you all need to hear this ADHD

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ears use strong negative emotions to

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motivate ourselves so I was reading this

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book your brain's not broken by Tamara

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Rosier and explains the most effed up

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oh whoops

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about how adhders motivate themselves

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using intense mode emotions since we

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can't motivate like neurotypicals as you

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know we are motivated by interest rather

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than importance and consequences so how

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do we get the day-to-day stuff done in

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order to function here we go anxiety we

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rely on anxiety to tell us what needs to

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be done did I lock my car what happened

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if I accidentally unlocked it my stuff

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would get stolen I can't buy a new one

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lock car lock car lock car it is like we

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inject strong emotions like fight or

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flight into ourselves but the thing is

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they can linger after oh wait I just

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locked my the car right yeah oh I'm

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worried oh gosh and that's mentally

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taxing anger getting mad in order to

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fuel ourselves to do the task the book

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gives an example of this guy whose

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mother was angered by his behavior and

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when no one else else was around to yell

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at me I learned to yell at myself as you

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can imagine this is not healthy and it

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leads to exhaustion and crankiness shame

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and self-loathing an intense feeling of

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flawed of unworthy of love to start I

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imagine how disappointed my supervisor

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would be if I don't finish on time she

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will then she will realize she shouldn't

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have given me the job in the first place

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I have to get this right or I'll screw

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up my kids for the rest of their life so

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we are rehearsing different ways we are

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damaged and competent and stupid there's

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more like more in the book but these are

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really the top three that I found crazy

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we use anxiety anger and shame to fuel

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the motivation deficit and neurotypicals

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have naturally and it can come at a cost

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so I really like this post for a lot of

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reasons and there are some things that I

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would sort of disagree with the first

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thing that I really like is that it

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shows how having ADHD and negative

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emotions can synergize in some ways what

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I dislike about it is that I think it

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once again

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oversimplifies into attributing all of

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these things to ADHD so this isn't just

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true of people with ADHD this is true of

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everyone where if we kind of think about

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it why do human beings have negative

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emotions right let's just start there

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let's start by recognizing that anxiety

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shame and anger are not exclusive to

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people with ADHD these are conserved

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across the entire human race and why is

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that it's because they are very very

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useful emotions so in today's society we

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tend to think about negative emotions

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this is negative right it's like I want

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to feel a lot of excitement I want to

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feel a lot of Joy I want to feel a lot

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of curiosity but I don't want anxiety I

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don't want anger I don't want shame

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those are bad emotions and those are to

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be avoided but let's remember that if

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they didn't do something for us we

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wouldn't have evolved them and it turns

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out that the negative emotions are

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actually very very powerful motivators

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in fact they're stronger motivators than

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positive emotions so let's just

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understand that for a sec the first

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thing to get is that our brain is more

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sensitive to negative things than

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positive things this is a bias that's

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baked in so for example let's say I get

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dressed up and I go to a party and I'm

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wearing a fancy dress and nine people

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walk up to me and say Dr K that's a

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beautiful dress you look great in it

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you're really rocking the dress bro and

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then one person walks up to mean it's

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like you look absolutely ridiculous what

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on Earth are you doing wearing a dress

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it looks terrible hey Chad subscribing

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to our YouTube channel allows us to help

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more people with their mental health

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thanks to your support so far we've

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already reached thousands of people from

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across the globe so help us out and hit

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subscribe wait they have to hit

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subscribe and click a bell now now in my

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mind I've got nine compliments and one

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person has criticized which one do I

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focus on I tend to focus on the

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criticism right so I've also seen this

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in in especially kids that are South

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Asian or East Asian where their parents

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will focus on like it doesn't matter

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like how much I get right all that

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matters is what I didn't get right or

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that someone else does a better job than

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I do it's like you got 92 on on the test

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but our neighbor across the street their

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kid got a 98. why can't you get a 98 why

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do you have to get a 92 and so even like

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culturally or can will be conditioned to

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focus on the negative right we'll see

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that a lot and so if you kind of think

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about this where does this come from I

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sort of use food poisoning as a good

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example so if we weren't biased towards

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the negative like let's say that like I

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got food poisoning from eating something

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right if I got food poisoning 40 of the

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time but it was fine sixty percent of

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the time I would be in a lot of trouble

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if I kept eating it because even though

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technically sixty percent of the time

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I'm fine that's more than half on

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average it's a good idea for me to eat

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but the consequences of making that

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negative mistake are so high that even

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if you really think about it if you go

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to your favorite restaurant you get food

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poison once it's actually like hard to

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go back there right and so we tend to

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see is that the brain is biased towards

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the negative that we weigh the negative

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more powerfully than the positive and so

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what this results in is some of us who

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struggle with motivation have one really

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powerful tool to motivate ourselves and

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that's negative emotion and this isn't

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just kids with ADHD so you'll see this

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for example in medical students where

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some Med students or most Med students

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are high on neuroticism so this is one

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of the five Factor personality

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dimensions and neuroticism is the

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tendency to worry and so people may

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think like why on Earth would a tendency

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to worry be a good thing like why would

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we even have people who have a tendency

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to worry well it turns out that if

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you're worried about failing a test

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you're going to study harder and that

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fear of failing can make you actually

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work harder and actually outperform

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people who are kind of chill so on the

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one hand we have the paranoid medical

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student who's a or paranoid pre-med who

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wants to go to medical school and on the

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flip side we have our classic Stoner

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personality plus or minus marijuana

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whatever we've got someone who's like eh

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everything will be okay right we're not

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even saying that it's marijuana related

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we've just got people who are like that

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bad that personality and they're like

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I'm just chilling like live for today

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don't worry about tomorrow everything

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works itself out and the pre-med is the

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one who gets an a the person who's

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pretty chill will get like a B plus B

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minus right because on Friday night one

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of them's out having a good time the

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other one's actually at the library

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study so we tend to see is that actually

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negative motivators uh what I call the

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dirty motivators so I kind of think of

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them kind of like nuclear power or like

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they harness a bunch of energy but

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they're radio active and if you're not

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careful they'll damage your life right

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you can succeed but you won't be happy

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or content in doing so I see that a lot

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also in like the fields of like finance

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and stuff like that where you'll see a

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lot of imposter syndrome so people who

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use dirty motivators will be will

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experience a lot of imposter syndrome as

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well so I'll give you a like let's just

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take a quick look at this so if you use

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shame or self-loathing oh my God like

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I'm gonna do so bad at this let me try

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my best even though I'm Unworthy of it

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and then you end up feeling damaged and

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competent or stupid but you do well

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enough in school right because you're

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beating yourself up all the time then

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you'll actually succeed and you go to

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medical school and then it when someone

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has used shame and self-loathing to

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motivate themselves and they get into

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medical school or they wind up in

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residency at Harvard what do they end up

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feeling like they end up feeling like an

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imposter an imposter is someone who has

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shame and self-loathing on the inside

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but performs well on the outside and

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we're seeing a growing level of imposter

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syndrome across society as a whole and I

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think part of the reason for that is

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because we're using shame and

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self-loathing as motivator now out of

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these three specific things I think the

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anxiety one is the best that's ADHD

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specific so the anxiety one really

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illustrates how we can use anxiety as an

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antidote to forgetfulness so in the

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brain of someone who's got ADHD they're

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highly distractible they also tend to be

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forgetful but really if you look at it

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it's not that they have memory problems

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it's that they have attentional problems

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so when I I forgot where my keys are

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it's not that I knew where my keys are

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and then my I had a memory problem what

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actually happens is I'm not paying

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attention when I put them down so it's

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this is this is important to understand

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but it's not the recall that is impaired

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with people with ADHD it's the insertion

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of the information it's the like you

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know it we don't write it to the hard

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drive well enough like that's where the

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real problem is it's inattention not a

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lack of not really a memory problem but

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we can still see how anxiety can be an

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antidote to that so when I'm anxious

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if I've trained my brain to be paranoid

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then I won't forget because I'm always

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worrying about it because what can

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protect me against forgetting if I'm

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always worried about it and even if it's

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okay I've trained myself to always worry

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because I can't trust my memory so I'm

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always worrying always wearing always

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worrying and this is what you see in

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people with ADHD is that they develop

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adaptive mechanisms which are harmful to

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them over the long term so this is why

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for example ADHD people with ADHD have a

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very high risk of depression children

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with ADHD have a very high risk of

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depression developing major depressive

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disorder later in life so these kids

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grow up and they struggle in school they

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forget all the time things like that

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they develop some self-esteem issues so

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that too I think this isn't directly a

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consequence of ADHD this is usually what

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happens when you have a kid with ADHD is

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they look around at other kids and they

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realize I'm just as smart as these other

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kids are they're told by their teachers

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they're told by parents you're so smart

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you have so much potential so they I

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know I've got the IQ but then I can't

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perform in school so I can't get an A

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because I get distracted I can't pay

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attention it's a really classic case

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that I kind of think of which is that

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teacher asks the kid are you paying

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attention answer the question and the

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kid wasn't paying attention they look

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around they see a problem on the board

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they look around everyone's looking at

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them okay we're in math class there's a

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problem on the board I see that these

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other three problems have answers this

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one doesn't have an answer let me answer

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that question okay this is the answer

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and they say it the teacher kind of

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looks at them with skepticism writes the

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answer on the board and moves on this

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inattention makes it very difficult to

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function in school everyone recognizes

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your potential but you don't live up to

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it and then everyone says oh you should

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just try harder doesn't apply himself

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doesn't apply herself doesn't live up to

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her full potential and so then what

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happens is you start to feel broken if

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you have ADHD because you recognize that

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I'm just as smart as these kids when I

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pay attention I'm able to learn just as

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fast as they do but I'm not able to pay

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attention and no one recognizes that my

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problem is a lack of attention it's it's

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like exactly what happens imagine a

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child who goes to school is super smart

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but needs glasses and can't read because

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they don't have glasses how would that

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child feel about themselves if no one

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recognized that oh the problems of the

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kid needs glasses the child would

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stumble adapt do all kinds of stuff to

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just be average they exert so much

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effort to just perform at an average

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level and they end up feeling terrible

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about themselves because what they see

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is I'm trying hard I try hard every

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single day I'm trying so so hard and if

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the best I can do is average how screwed

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up must I be because everyone says I

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could do great but I can't do great and

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I'm trying so hard so they develop

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self-living now is this a direct

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consequence of ADHD D I don't think so I

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think this is the consequence of

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untreated undiagnosed and untreated ADHD

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and growing up in that situation so this

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is important to understand that you've

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got to differentiate those out a little

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bit and the reason that's important is

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because once you treat the ADHD some of

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this may go away but this won't a

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stimulant medication isn't going to fix

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this this needs independent treatment

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right in Psychotherapy or something like

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that now anger is a really interesting

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example because we do know for example

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that emotional dysregulation is common

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in people with ADHD people with ADHD can

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sometimes have low frustration tolerance

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they can kind of perseverate and if they

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get Disturbed they can respond with

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anger there's some evidence that given

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the same stimuli people with ADHD will

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feel more anger but that once again I

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think you've got to be kind of careful

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because I don't know that that's

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necessarily an Adaptive mechanism like

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the other two I think sometimes people

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with ADHD just experience more anger and

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frustration and have difficulty with

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frustration tolerance that has something

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to do with probably the way that their

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frontal lobes strong struggle to inhibit

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the negative emotional circuitry in the

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brain so for a neurotypical person if I

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experience some amount of anger there's

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another part of my brain that's like

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telling me okay calm down take a deep

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breath let's not lose control and that's

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the part of the brain that really

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doesn't function very well in people

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with ADHD or some people with ADHD now

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what all human beings will tend to do in

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that situation is like if I'm going to

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be angry anyway let's make the most of

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it so people with ADHD will develop some

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adaptive strategies but I think anger is

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a little bit different just to kind of

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summarize I think it's really

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unfortunate but oftentimes people with

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ADHD will experience high levels of

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negative emotion in the case of anxiety

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sometimes that's almost an Adaptive

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mechanism to make up for being forgetful

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distractible or not paying attention to

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things other examples of the negative

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emotions they experience aren't

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necessarily adaptations per se but are

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consequences of frequently growing up

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without a diagnosis or treatment of ADHD

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and the important thing there is that if

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we say that self-loathing is a part of

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the Ada HD then treating the ADHD should

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fix the self-loathing but in my

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experience as a clinician it doesn't

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work like that that you can treat the

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ADHD but you need to deal with the

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self-esteem and self-loathing

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independently the last emotion is anger

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which in my experience a lot of times

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people just get dysregulated very easily

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I don't know that it's necessarily

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adaptive maybe a portion of that is

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adaptive but understand that part of

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ADHD is to be unable to regulate your

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emotions and then as most people with

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ADH do they'll adapt to those

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circumstances as best they can maybe use

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that anger to manage social situations

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maybe use that anger to even beat

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themselves up a little bit and then what

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we do know is that people tend to

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internalize the dialogue that is used

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with them that has nothing to do with

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ADHD that's just how we all work so you

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can take a kid in an abusive situation

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where they have ADHD or don't have ADHD

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if they're given abusive language they

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will internalize those thoughts and have

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self-esteem problems later at the end of

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the day I do think it's really really

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important to understand the connection

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between ADHD and emotions and hopefully

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we've sort of Illustrated that a little

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bit today if you found this video

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helpful check out Dr K's guide we've

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spent hundreds of hours writing and

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filming to help people understand their

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mind so that they can build the lives

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that they want so check out the link in

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the description below

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Related Tags
ADHDEmotional RegulationMotivationSelf-EsteemAnxietyShameAngerImposter SyndromeCoping MechanismsMental Health