So this is an ADHD assessment, okay? I'm

going to take some notes. Then we're

going to understand what is going on

here and what to do about it.

>> Uh 45 minutes late.

>> Yeah, sorry. There was like a ton of

traffic. I forgot it was today.

>> That's okay. Let's review your answers

to the questionnaire I sent over.

>> Didn't do it.

>> Mhm.

>> [clears throat]

>> Okay, let's just dive in then. Uh

question one, where are your sunglasses?

>> I don't know.

>> And when was the last time you did know?

>> 2017.

>> Okay. Are you thirsty?

>> Yes.

>> Do you have water?

>> Got it.

>> Will you drink it?

>> Nope.

>> What was that noise?

>> A reminder.

>> For you to

>> Wish my best friend a happy birthday.

>> Today?

>> Two months ago.

>> And you

>> Forgot.

>> For the

>> Seventh year in a row.

>> And how many times have they forgotten

yours?

>> Zero.

>> Which makes you feel like

>> friend.

>> Even though you're

>> Friends are super important to me.

>> And when was the last time you started a

new hobby?

>> This morning.

>> Pottery or pizza making?

>> Pottery.

>> Say more.

>> So that I can make custom plates on

which to put my homemade pizza.

>> And your pizza oven has been

>> Outside.

>> For

>> Three years.

>> Filled with

>> Cobwebs.

>> And you are

>> Too afraid to clean it.

>> Have you ever kept a plant alive?

>> No.

>> How many amazing ideas do you have on a

given day?

>> Uh between one and 300,000.

>> And how many of them do you execute?

>> Pass.

>> And finally, if you were the star of an

action movie where the fate of humanity

hinged on your ability to send a thank

you card, it would end with

>> Perfect score.

>> So what we're going to do is go through

each of these things that they describe

and talk about how they connect to ADHD,

okay? So first thing is that he's late.

So we know that ADHD has time blindness.

Second thing is the questionnaire. Did

you fill out the questionnaire? No, I

forgot. This is executive function and

or disorganization. The water thing I'm

not quite sure about. Do you have water?

Are you thirsty? I was kind of confused

about that one. You forget to eat or

drink. Okay, that's helpful.

>> We can talk about that.

>> Thank you, Chad.

>> Bodily signals.

>> Next thing is birthday. This is a big

one, okay? So forgot birthday, set

reminder, reminder is old. This is the

other interesting thing, right? Like the

reminder was from a while ago, but they

still haven't turned it off. They

forgotten for seven years. Friends are

important to me, and this makes me feel

bad. This one is really interesting.

We're going to dig into this one some.

So, adopting new hobbies, impulsivity,

and then they have cobwebs, which is

lack of follow-through, right? So,

discipline, also executive function.

Plant is dead. This I think is also

impulsivity. This is kind of the same as

number five. How many ideas do you have?

Hyper association. And then the last

thing is this thing where he says, "If

you had to write a thank you card,

otherwise humanity would die, what would

happen?" And he's like, "Everyone would

die." So, we're going to talk about high

stakes and how high stakes impedes

action. There was an interesting paper.

We're going to talk about all these

mechanisms, okay? We're going to speed

run them. There was an interesting paper

that came out maybe about a year and a

half to two years ago that did an

analysis of ADHD short-form content, I

think specifically on TikTok, and found

that something like 90% of it was like

wrong in some way. So, there's a lot of

bad information about ADHD on the

internet. I actually think this one is

pretty good because each of these things

we can describe, we can characterize and

describe in a particular way. The first

problem with this is that when

oftentimes when we see a piece of

content like this, we're like, "Oh,

yeah, this is me. I have ADHD. This is

me." What I don't like about this is the

finality of it, right? So, this is our

experience, and when we hear that a

million other people have our

experience, what we don't hear is the

million people who were able to change

it, right? So, if you have an ADHD, if

you have a 60-second clip about all the

problems that ADHD causes, that will way

outperform what actually works because

that requires depth and nuance, right?

This clip I think has something like

800,000 views. There's no way that my

reaction to it will get that, even

though I too have clips in the 800,000

million whatever multi-million views.

And so, that's the challenge. So, let's

start with time blindness. Clinical

implications of perception of time and

attention deficit hyperactivity

disorder, a review. time perception in

children with attention deficit

disorder, why don't you go to bed on

time, a daily diary study of the

relationship between chronotype,

self-control resources, and the

phenomenon of bedtime procrastination.

There's a lot of papers about this. So,

I'm going to give you guys a quick

overview of this stuff, okay? So, what

causes time blindness in ADHD and how do

we fix it? So, the first thing is we

have an internal biological clock that

measures how long things take. In people

with ADHD, that basic capability is

impaired, which frustrates the

neurotypical people around us a lot

because they're like, "I told you what

time to be here. Why are you always

late? How long does it take you? It

takes you 45 minutes to get here. Why

don't you just leave at 5:15 so you can

be here by 6:00?" So, the reason this is

so confusing for them is they will lay

it out for you so easily, right? And

that makes sense cognitively. The

problem is that that theoretical thing

does not translate to your frontal lobes

to actually plan action. This is kind of

like telling someone, "Okay, how do you

not recognize a tree has branches and

leaves and flowers? If the flowers are

red, that means it's a rose. How do you

not understand that this is a rose

bush?" And it's because you're blind.

Like, that's that middle step of, "Oh,

this makes sense into my head," which

neurotypical people have no idea that

there is a process between make sense in

my head, therefore I do it. That

fundamental gap has to be translated by

your brain. And time blindness is a good

example of this. There's another really

interesting thing about time blindness,

which is that, you know how people with

ADHD don't know how long something

takes, right? So, it's hard to plan your

day. Why is it hard to plan your day?

Well, because I have 15 minutes of I

have to fill out this application. How

long will it take? Between 15 minutes

and 15 hours. That's why it's hard to

plan because you have no idea how long

something will take. The other

interesting reason why it's hard to plan

for your day is because when you do a

task, if you have no internal biological

clock, your brain gets no data about how

long that takes. Does that kind of make

sense? When I sit down to do something,

a neurotypical person is like, I sat

down around this time. Oh, how long did

that take? It'll take you about half an

hour. How long were you in line at the

DMV? I was in line for about half an

hour. You have an internal biological

clock that is measuring things. When it

measures how long something it takes,

subconsciously and without your

knowledge, you can also plan because now

your brain knows, oh, go to the DMV,

that is a 30-minute errand. That is

missing in ADHD. So, a big part of what

we like teach in Dr. K's Guide to ADHD

and Doing Stuff, About Doing Stuff, is

what are the tools that you can use to

overcome that. So, as a simple example,

people with ADHD, their sensory input is

very, very robust. So, if you see

something, if you hear something, you

get distracted, you start paying

attention to it. What you see and what

you hear sinks in, which is why the

utilization of like an organized planner

or something where you measure your time

in some way. I like measure things. I'm

working on, I started at this time on

this day, and I worked for this many

minutes. And I just happen to have what

games I chose not to play, which was

Monster Hunter Stories and Warhammer and

Unicorn Overlord recently. So, literally

externally measuring things, writing

things down, will help your brain.

Second thing, the questionnaire. Did you

forget to do the questionnaire? So,

neurotypical people can remember to do

things. Now, remembering to do something

is actually really strange if you think

about it. This is one of the weirdest

things in the brain is remembering

things. I'll give you all an example.

I'm on my way home from work, and I'm

about to take the exit off the highway

to return to my home when I remember I

need to pick up some milk. So, I'm like,

oh, I was about to take the exit, I

don't take the exit, I move one more

exit down the highway, and then I go

pick up the milk. I want you all to

think about how weird that is. I forgot

something, and then I remembered. Do I

control the remembering? Absolutely not.

My brain I forgot. My brain My brain

remembers, and my brain floats up to the

surface of my conscious thinking that I

did I need to do this thing. So, a

neurotypical person takes this for

granted. The fact that you can remember

is bizarre. To remember means that you

forgot. And if you forgot, you don't

control whether you remember or not,

right? That is the experience of

remembering. Oh, sometimes I remember,

and sometimes I forget.

>> Hey all, if you're interested in

applying some of the principles that we

share to actually create change in your

life, check out Dr. K's Guide to Mental

[music] Health. And so, we start by

understanding what literally is

meditation. How does experience shape us

as human [music] beings? How do we

strengthen the mind itself as an organ?

And so, by understanding our mind, we

understand a very, very simple tool, a

crucial tool [music]

that we have to learn how to use if we

want to build the life that we want to.

So, check out the link in the bio and

start your journey today.

>> So, what we know about people with ADHD

is that their executive function and

their inability to remember things makes

it so that organization becomes really

important, and particularly sensory

input becomes really important. I will

never remember where I put my keys. So,

I always put them in the same place. I

know where the keys belong, but I won't

remember where they are, which brings us

to another really interesting thing

about ADHD, which is that a lot of the

problems with ADHD, the reason we don't

solve them is because we try to use a

neurotypical strategy. And a

neurotypical strategy won't work, right?

So, if we're blind, we can't navigate

with sight, we need a stick. But if you

have a stick, you can manage. So, this

is where like with ADHD, this is where

you won't remember where you put it.

That's why there must be one place where

it goes. I love this phrase, don't put

it down, put it away. Put it where it

belongs. So, what I found working with

patients, and this is going to be a big

theme that we're going to focus on, is

half the problems that you have are way

easier to solve than you realize if you

do them in a particular way. Now,

building up the habit to do them in that

way is not simple, but it's way easier.

So, like a big problem with ADHD is

preventing certain steps of this

process, which is really where the

problem lies. So, if I always put things

where they belong, I will never lose

them. Right? Which a neurotypical person

can afford to be lazy, we cannot. And if

you really think about it, how hard is

it to, in my case, you know, in our

house we have a nice little key rack

thing right by the door, and that's

where the keys go. And what's

infuriating to me is, since I lose my

keys a lot, I always put my keys in the

same place. My wife does not have ADHD,

she does not put her keys where they

belong all the time. However, so then

what happens is she misplaces her copy

of the key, and then she takes my copy

of the key. And then I go to drive the

car and I can't find my keys. Now she's

lost two sets of keys because my keys

are reliably in one spot, and her keys

are who the hell knows where. So then I

end up looking for keys anyway. And then

what I have to do, and by the way, I

This is really interesting. I'm curious

about this. If you have ADHD, are you

better at finding the things that your

partner misplaces than what you

misplace? I would bet money that the

answer to that question is true yes for

y'all, too. Now I figured out where to

find the keys that she misplaces because

there's a pattern or order to them.

Whereas, when I misplace them, it's

absolute chaos. Okay? So, this is where

if you forget to do questionnaires, if

you forget to do things, you need to

create a system where you are prompted

in a sensory way. So, like

questionnaires or paperwork goes in a

particular place that you check on a

daily basis. You don't rely on, "Oh, do

I need to do something? Do I not?" No,

you just go there and mechanically you

look through what you need to do. Right?

So, a good example of this is when I'm

using an electronic health record and

and things like that. When I go to the

office, the first thing that I do is I

log into my EHR and I see what what what

my tasks for the day are. What I do the

the night before I go to bed is check my

calendar, when I wake up in the morning,

I check my calendar. And then it goes

into the calendar and it goes out of the

mind. We can talk about bodily signals.

So, this happens a lot. This is kind of

with like

hyperfocus. So, often times with ADHD,

we get so hyperfocused on something.

This isn't just ADHD. This is going to

be neurotypical people with video games,

for example. When we get really

hyperfocused on something, we will often

times suppress our bodily signals. And

then when we have a break of some kind,

we realize, "Oh my god, I'm so thirsty."

And so, often times the right move there

is to once again structure the way that

you consume food and the way that you,

you know, drink water or whatever. So,

this is where often times what I try to

do is have lunch ready when I'm done

streaming. This I have a lot of help

with. Thankfully, somebody else

basically takes care of this for me. But

when I'm done, lunch is usually ready.

And if it's not ready, then I'm going to

eat like crap. Right? Cuz I'm so hungry.

And the really strange thing about being

really hungry, which is true people with

ADHD, I think it's maybe more intense,

but true of regular people as well,

neurotypical people as well. When you

are really hungry, you want unhealthy

food way more than you want healthy

food. But healthy food will satisfy you

way more than it will if you're not

starving. The food that you want, you

want a hamburger so much, but you will

be way more satisfied with a salad when

you are starving. And when you are not

starving, a salad will satisfy you less.

A burger will be more enjoyable because

it's fatty and it's delicious and it's

got protein in there and it's got that

umami and we're going to put that

pickles and mayo and mustard or

whatever. So, this is what's also really

hard is often times when we're really

hungry, right? Like we want to eat that

really unhealthy thing, but you'll

notice something interesting. If you

want a cookie when you're starving and

you eat a piece of fruit, you will love

the fruit way more as well. So, usually

when I work with people with ADHD or who

are just trying to eat healthy, we try

to lean into this principle. Next thing,

this is one that I want to spend a

little bit of time with, the birthday

card, okay? This is a reminder to do a

birthday card for my friend, okay? We

talked about executive function, we

talked about forgetting things, we've

talked about sensory input. The biggest

challenges in ADHD, in my opinion, are

not the first level challenges, they're

the challenges that we layer on top,

okay? So, so this is how this goes. I

forgot my birthday card. That is a

problem in of itself, that could be

fixed. Then our mind does something kind

of interesting. I've forgotten 7 years

in a row. So interesting that it

remembers that. Have you guys ever

noticed that? That my mind is really

good. Oh, yeah, I may have forgotten

where my keys are, but it's really good

at keeping track of how many years I've

forgotten this kind of thing. So, not

only do I forget my friend's birthday

card, now my mind is keeping track of it

and it is making me feel worse because I

am I have a very good resolution into

how bad I'm doing. And then it does

something even more interesting, which

is it says, "Oh, do you care about your

friends?" Yes, I value my friendship so

much. And then it does something kind of

interesting. I value my friendships a

lot and I failed. And since I value my

friendships a lot, I feel so much worse

about myself. You guys see how that

works? And it happens so quickly. Forgot

a birthday card, forgot a birthday card

for 7 years, but I care about my friends

and they got me one. And so you kind of

like beat yourself up very, very

quickly. So, this is where there's also

emotional reactivity in ADHD. There's an

emotional dysregulation subtype, which

some people are advocating to be its own

classification. So, there's attention

deficit disorder, there's attention

deficit hyperactivity disorder, right?

Those are two subtypes. Inattention

predominant, hyperactivity predominant,

or a mix of the two, the combo meal. And

then they're like, "Okay, let's do

emotional dysregulation subtype." If you

really look at what this is, this is

dysregulation of your emotions. And

here's how this works. Every day when

you get the reminder, you are reminded

that you forgot the birthday card. That

reminder that you forgot the birthday

card activates the emotional circuits

that give you guilt. And once my guilt

emotional circuitry gets hyperactivated,

right? Let's think about what's

precisely happening here. I hear a

reminder,

guilt pops to 100. Literally, the action

is an alarm went off on my phone.

Response is guilt goes to 100. We're not

even aware that it's guilt. Then what

happens is when the guilt circuitry

activates, it manifests as thoughts.

It's been 7 years. You care about your

friends. Look at you caring about your

friends. How pathetic. You care about

your friends and you've forgotten 7

years in a row. It's like bludgeoning

you with these thoughts. And then there

is an identification with it. I am a bad

friend. So, I love to cite this this

paper. Really interesting. If you look

at the comorbidity between people with

ADHD and depression, 3% of people who

are diagnosed with depression will grow

up to have ADHD. 70% of people with ADHD

will grow up to have depression. A

Treating ADHD is not just about time

blindness, suppression of bodily

sensations, executive function deficit,

emotional dysregulation. It is also

about the consequences

of living with those things. I'm an

idiot. I'm unreliable. I'm this. I'm

that. Right? We have the first layer of

primary symptoms. And then we layer on

top of that things that are harder to

beat. And here's the tricky thing. If I

start someone on stimulant medication,

it only works on layer one. Doesn't

really work on layer two. Works on layer

two maybe a little bit because it

regulates the amount of guilt that I

feel. Reduces the activity of my my

guilt circuit in the brain. But it

doesn't change my sense of identity,

which is why I really love, and this is

what really confuses people,

psychotherapy is equally effective to

medication. Works the same. Effect size

is the same. And when I when I work with

patients with ADHD, I like to do

psychotherapy with them as well because

we have to do this identity component.

You're not a bad friend. You're not a

bad person. You have this problem. We're

going to actually jump to this, high

stakes. There's one thing that is very,

very, very annoying about ADHD. Can

happen in neurotypical typical people,

too. So, if you look at motivation and

action, as something called salience

increases, salience is importance. As

the importance of an action increases,

your motivation increases with it,

right? So, oh, it's not like, do I need

to pick up milk? Uh, not that big of a

deal. Oh my god, I've got a hot date

tonight. I really got to pick up that

bottle of wine on my way home. As

something becomes more important to you,

your motivation towards that thing will

increase. It's why it's hard to get

patients to take blood pressure

medicine. Cuz if you take blood pressure

medicine, you don't really feel a

difference. You feel the side effects,

but you don't feel the difference. It

doesn't feel important. So, we really

have to help people understand how

important it is. Cuz high blood pressure

usually doesn't have any symptoms unless

it's catastrophically high. You can run

it like 160 doing damage to your body

for 20 years and not feel a thing. But

I've noticed in my patients with ADHD

that high stakes is paralyzing, not

motivating. For most people, as the

stakes increase, our motivation

increases. ADHD, it seems to have the

opposite effect. And even in

neurotypical people, there comes a point

where if the stakes elevate to a certain

point, we become overwhelmed and we

become paralyzed. Now, one of the

mechanisms for this is when we have a

sympathetic nervous system response, so

when our body gets turned on, I don't

mean like sexually, well, sexually, too,

but so, when our body is facing stress,

tiger in the jungle, I'm taking my final

exam, my body's like, we need to be

active. So, adrenaline increases,

cortisol increases. And when our

sympathetic nervous system activates,

uh, fight or flight is what we think

about with the sympathetic nervous

system. There's a third element, which

is freeze. Fight, flight, or freeze. So,

what we know is that, you know, when a

when an animal is being hunted, it'll

run away, it'll fight, or it'll play

dead. And so, there's a a point where

even like with trauma, right? Like

there's a moment where we try to run,

but then we freeze. When I work with

patients who have been sexually

assaulted, they will sometimes resist,

they'll sometimes fight back, but

sometimes what they'll do is dissociate

and lock down and freeze. And that lock

down is triggered by a high level of

sympathetic activity. We feel

overwhelmed, stuck, frozen. This seems

to happen more often in patients with

ADHD. And the reason for that is,

remember there's a emotional

dysregulation subtype, right? So,

emotions skyrocket, and when emotions

are very, very, very high, that is what

can trigger the freeze response. I'm

going to throw down with you when I'm

not mildly angry, when I'm absolutely

pissed. Oh my god, I'm so angry. Er.

I'm not going to dead ass run away if

I'm like a little bit anxious. The more

fearful I am, I'm terrified, I'm just

going to run. I'm going to stop

thinking, I'm going to run. And when I

feel overwhelmed, I'm going to lock

down. This is what makes it so hard for

my patients is because the more

important things are, the harder it is

for them to actually act. So, when they

want to act the most, it becomes the

hardest to act, right? So, this is it's

it's such a beautiful example because

he's like, "Can you write a thank you

card if it's not that big of a deal?"

Yes. If the fate of humanity depends on

it, that pressure activates us

emotionally. I don't know if it

activates really that dissociation

mechanism, that's a different mechanism

in the brain, but it really causes us to

shut down, for sure. To feel locked

down, to feel paralyzed. I'd say lock

down is a better subjective description

from the patients that I've worked with,

right? They feel like they're stuck,

they're paralyzed. They're like they

can't do it, okay? And so, then what

happens is this aspect of high stakes,

how important are friendships to you?

The more important they are, the more

that stakes increase, the more that you

lock down, which then makes you feel

even worse and leads to low self-esteem,

leads to low things like depression,

okay? So, this is what's really scary

about it. Now, this is where there's an

element of work that oftentimes people

with ADHD miss, which is like, how do I

deal with this? Actually, the way to

deal with this is to deal with the

association, right? There's a chain,

forgot card, forgot 7 years,

relationships are important, I am bad.

And so, people will come in and they

say, "How do I have self-esteem, Dr. K?"

And they try to work on this problem,

confidence, in isolation. Whereas,

actually what we need to do is this is

caused by this, this is caused by this,

and this is caused by this. If we can

break the chain, this melts on its own.

So, notice the associations, notice the

way that your mind jumps from one thing

to another thing to another thing. And

you will say, "But, Dr. K, all of those

things are true." I'm not saying they're

not true. What I'm saying is that as you

lose attentional control of your mind,

this is why mindfulness and meditation

helps so much in ADHD. Because I want

y'all to think about what is really

happening in this scenario. The event is

an alarm goes off, and the result is I

am bad. I'm not disputing the logic of

any of these. What I'm encouraging y'all

to notice is just see how when an alarm

goes off, I feel like crap. Like, what?

It's this daisy chain, this is where we

have to stop the attentional We have to

shift our attention away from this

process, restrain the mind. And then

when we restrain the mind, direct the

mind, make a card. Then, get excited

about it, make six more. Then, mail one

overnight. Just go to the post office.

But instead, we do this. We do this

every day when the alarm goes off,

instead of actually fixing the problem.

And this is like, this is what's so cool

about working with situations like this.

All of these things can get better. Now,

this too is something that I think is

really important. Let's talk about

number five, new hobbies. I love this

example, pottery or pizza. Pottery so I

can make a plate for my homemade pizza.

So good. So, new hobbies. We're

impulsive. There's a lot of excitement.

Oh, I want to do this. I want to do

this. It would be so cool if we did

this. So cool if we did this. But, then

we have a problem with follow-through.

So, one of the biggest things that I I

try to help people do is what people

will come to me and they'll say, "How do

I follow through? How do I follow

through? How do I follow through? How do

I develop discipline?" That's not what

you need to do. The circuit in your

brain that acts impulsively turns on and

then turns off. When it's on, you're

motivated. When it's off, you're

demotivated. So, order pizza oven

cobwebs for 3 years. Really good, right?

That's the scenario. So, actually what

we need to control is not the discipline

to follow through. What we need to

control is starting in the first place.

If we start to separate action from

impulsivity. If we act impulsively and

impulsiveness is what gets us to act.

And then when the impulsiveness goes

away, we won't follow through. The

secret to follow through is not aha.

Aha. The secret to follow through is to

not start.

You cannot quit or abandon if you never

start.

>> [laughter]

>> Look at the wisdom. But, literally. So,

here's the cool thing, okay? This is

going to be some weird neuroscience, but

I'm like it's it's legit, y'all. Action

is motivated by all kinds of things.

Nucleus accumbens. This is dopamine,

emotions, impulsivity, okay? So, like

all of these things can result in

action. So, when I restrain my

impulsivity, this is my frontal lobe

blocking this and preventing that

action. This is also the same part of my

brain that gives me discipline. That

gives me follow-through. The ability to

plan and execute tasks over a long

period of time is done by the frontal

lobes, okay? So, literally the same part

of your brain that does follow-through

is the same part of your brain that does

not behave impulsively. That restrains

your impulses. It's the same part of the

brain. It is to act deliberately. Does

that make sense? Act deliberately means

act with follow-through. Deliberate, one

after the other. It's the same circuit.

Stopping the impulse is the

follow-through, literally. Same circuit

in the brain, same function. And the way

that that works, another way to kind of

understand is what I said earlier, which

is to disassociate impulsivity from

action. To be able to train yourself to

act out of things that are not

impulsive. But as long as you are acting

out of impulsivity, that circuit will

not grow, right? We are stopping one

circuit, we are pruning some neurons,

and we're strengthening other synaptic

connections. So this one is huge, right?

And while I'm learning lots of things, I

also have this scheduled on my calendar,

right? So like I'm using organization to

be able to do it all. Where you guys saw

saw my excel excel spreadsheet with the

various words that I wrote, the times

that I wrote them. So I'm not just

buying books on fiction, I'm actually

writing. And I have a scheduled time

that I go to an art class for 2 hours a

week. And so if you schedule it, you'll

do it. If you get prompted by it, you'll

do it. If you have to show up, you will

show up, right? You may show up late,

unless you set a a timer and you know

where your keys are. Do you all see what

what I'm saying? Keys are in one place.

I have my bag ready to go. I put

everything in in in its place, and then

I'm out the door on time. And I'm

checking my calendar obsessively four

times a day, okay? The impulsivity is

also the the the ideas. How many ideas

do you have? One to 300,000 a day. How

many of them do you do? None. This is

also impulsivity. Why do you do none of

them? Because you're impulsive. If you

are relying on your impulse, you'll

start on a dozen and you'll finish none.

If you disassociate impulsivity from

action, if you start to act without

impulse impulsiveness, and you restrain

yourself from acting when you get

excited. And I mean literally restrain

yourself, like sit and like I'm not

going to order this book on Amazon. I

feel like ordering it, I'm not going to

do it. And then another impulse will

will come up. You check your calendar,

you look at what you need to do next.

It's amazing. A ADHD when I work with

people, it feels like a set of dominoes.

But the first one is like Stonehenge.

But once one thing gets better, what's

really scary about is scary about it is

all of these deficits cascade. A

snowball becomes an avalanche. And now

suddenly I am a fundamentally bad person

because each of these statements is

logically true. But it is the process

that my brain literally what happened

today? My alarm went off. And then I

feel like crap for the rest of the day.

It can get better.

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