For the past year, I've finally been able to have a strong, lasting, cleaning routine. It took me my whole life, but I was never able to go past my own argument of "who cares"? Who cares if the dishes aren't done? If the laundry isn't folded? Only I can judge me. It doesn't matter, ultimately.

But silently, I wasn't happy with that, and I've known I wasn't happy for years, kinda like an addict saying he'll stop but he never does.

One day earlier this year, during winter, while on a good cleaning day, I took some time to look at my old notebooks from college. I remembered a page I had written during some off-time on an internship. I had written a full page of the same line: "I like it when...". I had wanted to just do some introspection and list every thing I liked that came to mind. Stuff like "I like it when I eat pizza", "I like it when I play boardgames with my friend", etc.

Those notes were five years old, you know what was the very first thing on the page? That's right: "I like it when my apartment is clean"

It hit me like a fucking brick. I almost cried right there.

From then on, it was over. The cleaning me had won over the lazy me and I've since been able to keep a clean apartment :)

So, what's your story? How did you overcome a challenge in your life?

This was inspired by a recent post from Your Local Epidemiologist, where she lays out a set of guiding principles for the blog going forward:

• be a steady guide, trying to avoid whiplash
• providing important context - a broader perspective
• staying grounded in evidence
• being clear about what we know and what we don't know
• approaching issues with empathy

She also references the hazard + outrage framework for risk communication. I come from a safety / risk assessment background, so we usually think of risk = severity x likelihood. But as a communication framework, hazard + outrage seems pretty useful, as talking about risk to lay people is always difficult.

Thinking about one's guiding principles, writing them down, testing them in use, seems really useful to me as a way to be more proactive and less reactive in the way that I deal with the world. So then, the questions on my mind for the Tildes community are:

• what are your guiding principles?
• how did you come by them?
• how have they evolved over the years?

Since this is a text post, I'll put mine in another post below so the responses can thread under it. And since I can never resist a quote, I'll close with:

If you don't stick to your values when they're being tested, they're not values, they're hobbies.
~ Jon Stewart

Ever since my diagnosis two years ago, I have had this as an ongoing conversation with my family. I always felt like there was very little accurate representation of ADHD in media. The few examples I could always think of were either very loosely coded as ADHD, or extreme stereotypes. I want to crowdsource some examples of ADHD representation in media, both good and bad.

Doug from Up: This is a common one that comes up a lot. I think it’s a really poor example. The only ADHD symptom is the squirrel joke they use a handful of times. It’s also (for my presentation at least) extremely inaccurate. Random things I see will indeed distract me, but Doug can come back from the conversation without a missed step. I think this one is extra harmful because it gives a false sense of how the ADHD brain works.

Dory from Finding Nemo: This is another common one people bring up. Dory’s intrusive and impulsive thoughts are much more accurate to my presentation, so it’s an improvement from Doug. I don’t like that she is often portrayed as stupid or careless. I’m not against a character with those traits, but with so few examples of ADHD in media, I think people may think it comes from the ADHD.

Evelyn Wang from Everything Everywhere All At Once: This example showed up recently on my Internet searches. I want to rewatch it again with the context of ADHD. I feel like it is probably a decent representation, but I can’t say for sure without a rewatch.

Percy Jackson: This is the only one on my list that is explicitly diagnosed with ADHD (and dyslexia and other issues). I will give them kudos for the explicit diagnosis, but I don’t think it’s a good representation. ADHD seems to just mean that he is bad at school. It seems that it has no impact on Percy outside of that. For my particular case, I was quite good in school, so it is inaccurate for me. I would be interested to hear if other people resonate more with it. Dyslexia seems to come up more in the books, so it may be a better representation for that.

Todd from Bojack Horsemen: I saved my personal favorite for last. I first watched Bojack Horsemen before my diagnosis, and ADHD wasn’t really on my mind. After my diagnosis, I realized how good of a portrayal Todd is. As a bonus, it is the only portrayal I have heard of that includes hyper focus (When Todd hyper focuses on writing the rock opera, and then the hyper focus switches to a video game). With the exception of the rock opera, I think I have had the same exact scenario play out in my own life. I had something I wanted to do, was able to focus on it, but was stolen away into a video game hyper focus.

Are there any other examples you have found?

So I've watched this If Neurodivergents Conducted Job Interviews Like Neurotypicals and one thing struck me as odd. Is it not like normal when somebody tells you they've been sick recently for you to share your own experience with similar condition?

I do have ADHD and automatically share when this exact situation comes up, but is this like a no-no among neurotypical folks?

Hey everyone!

Do you have any experience with time blocking? Do you use any apps to help or do you do it all manually in your calendar? I recently watched a video I found on Tildes by Answer in Progress (https://youtu.be/vYaNiC4kchg?si=zh02N4bStqAhBBAe) about attention span. I have heard a lot about time blocking in the past, but always thought I never really needed it.

However, recently I've been starting to realize maybe I'm not doing well mentally..days can slip by on YouTube, or a video game, and the things I wanted to get done get pushed back to the next day..and the next day, and so on..or things I was passionate about, things I want to succeed in that I am good at..just sort of slip away, and I stop doing them and lose my drive. So maybe I need to block time to get it done... I'm not sure. So I guess I can try Meditation and time blocking..

Anyway, anyone have some suggestions if they do this? Have you found that it helped?

I've been doing a lot of work with my therapist and it has been suggested that I might have a mix of both Autism and ADHD.

I have always related to Autism to a certain extent but I would never say it because I felt like I didn't really fit because some things I do don't make sense it that context. I was also obsessed with learning to be human since young and have a lot of systems to deal with it and apparently that means I've been masking for a very long time.

But my therapist also brought up ADHD and that has explained a lot about some the things I'm still currently struggling with. But again, when I look it up, I don't feel like I fully fit. But also, I have developed a lot of systems over the years to deal with my issues and function like a normal human being. So a lot of the things I struggle with is hidden because I've "fixed" them.

I'm still reluctant to say I have either of those two things because I feel like an imposter. So I've just settled on Neurodivergent and think that I can always learn the tools that help people with ADHD even if I don't have it. Because if the tools work for you, then why not?

But my therapist has suggested getting diagnosed because it does change what kind of medication you might get. I'm currently on medication for anxiety and depression.

So now I'm wondering how common it is to have a mix of both ADHD and Autism. For those who have both, what is it like for you? What is your daily life like? What are your struggles and how do you deal with them? When did you realise you might have a mix of both? How do you feel about yourself and your brain?

I apologize if this isn't the right place to ask this. I don't post very often and am getting used to it.

The last time I cried was probably like 3 years ago. I have no idea why. I know that not being able to cry can be a result of depression, or some sort of trauma, or having to suppress your emotions for a long time - but I never experienced any of that. I just suddenly stopped being able to cry and it sucks because crying is a great emotional outlet and sometimes I really feel like I want to cry but just can't for some reason.

Has anyone else dealt with the same thing?

I'm 46 years of age. My childhood and youth and post-youth life wasn't traumatic or anything. I had an okay life. I guess I might even have had a good life. But for some reason, reminiscing about it just doesn't feel pleasant. Some folks find talking about their past highly enjoyable. So why don't I like it? Is this normal?

The past few years I have been gradually starting to use ASMR to relax. I have had increasing bouts of anxiety and can't take too many kinds of medications since I am on blood thinners. So I rely on different relaxation methods to get me through.
I am fond of shoe and purse tapping but can't take mouth noises. Actually most tapping sounds seem to be the best fit for my ears. Maybe the occasional crinkling here and there. Perhaps even some whispered talking but I prefer just the sounds.
Some of these folks really go out in their productions. It's been amazing watching the evolution over the years.

I have lost my r/finch community, and am feeling curious to see if there are any folks here who also find apps can be helpful for their mental health.

I struggle with anxiety and am processing a lot of grief, and may or may not have ADHD (I am in the process of getting tested, but it takes a while). My experiences with therapy are a bit mixed, so I am currently going down the route of trying to DIY my wellness a little. Starting simple with things like, sleep more, try to focus on drinking enough, go out in nature, switching off podcasts and phones and reading more. It's actually helped me, bit by bit.

One of my 'tools' is an app called finch, a virtual pet that encourages you to set goals, check in how you are feeling, journal, do mindful breathing and such. I tried many things and this app is the one that stuck and actually works.

Just wanted to ask, do any others here use wellness apps? And have they worked for you? Which do you recommend?

Just to be clear, I mean apps that work as a stand alone solution, rather than apps like 'better help' which ultimately just connect you to a therapist. Although Better Help has its uses too!

I'm writing this post in the spirit of the powerful conversations that I had participated in on reddit in /r/adhd. I'm giving up reddit, after this recent fiasco. And, so, I hope to find a similar community here.

And, so, here we go.

I recently quit my job in Big Tech after 7 years in that space. Corporate America, and Big Tech in particular (among other fields) is a human meat grinder. Humans go in and husks come out. After taking a medical leave of absence from work due to complications from anxiety, and multiple medical interventions, I realized that I needed to evaluate whether my job, even my career, was sustainable for me. It only took a few weeks, after returning to work, to accept that, yes, this job and perhaps this career are actively harming me. After talking about it with my wife, at length, I found relief in quitting.

At the core of it: my career has simply been incongruent with my values.

Sure, I've always been a nerd. I was the "brainy" kid. I didn't know how to people well (though I'm told that I'm not on the spectrum or not in any meaningful way). I'd always been overweight and prone to stress. Throughout my life, I was often labeled as the "sensitive" one by people. I rarely felt as though I fit in with any group of people, save perhaps for the other misfits who would band together because they didn't with in with any group of people.

Just before the pandemic began, at the tender age of 47, I was diagnosed with ADHD Combined type. More recently, I was diagnosed with C-PTSD, that I have likely suffered for 40 of my 50 years.

Now I know where that weight comes from: self-medication to give me a dopamine hit and numb me to layers of trauma. I also know where the emotional reactivity comes from: emotional flashbacks resulting from the C-PTSD.

1. Lexapro for well over a decade. It helped to blunt the lows but, I've found, also the highs. I rarely feel poignancy with Lexapro. When I have occasionally been able to ween from it, I have felt a far greater range of emotions.
2. I've had an excellent therapist for going on 8 years who practices ISTDP. He's helped me learn to show up for my more challenging emotions instead of instantly reaching to numb them.
3. Adderall and Vyvanse both used to help until I received a stellate ganglion block (Disclaimer: I have been a client of Dr Mulvaney's practice though I link to it as his explanation is excellent; I'd make this a footnote alas tildes doesn't support that extension for markdown)
4. Ketamine (prescribed) to better address the depression and anxiety. Ketamine, as a psychedelic, combined with the skills learned in therapy has let me dig deeper into my layers of trauma, leading to better overall mental health and better self-understanding.
5. Stellate Ganglion Block mentioned above. Short version: it reduced my seemingly PTSD-driven emotional reactivity to about 10% of what it was prior to the SGB. It's like getting a new nervous system. Unexpected side effect: medications that act on my nervous system now respond differently. As a result, stimulants are now extremely uncomfortable for me whereas before they were effective. Before the SGB, I would say that fear was my primary emotion. Now, I feel things.

I know: I'm privileged. I'm an "old white dude who profited from being in Tech". Yep. True. But I can't retire yet; we don't have that kind of money. We do, however, have enough such that I have the luxury of time to figure out my next steps.

What I have right now is the plan to make a plan. The core of it: live a life congruent with my values--not just at some far off retirement but here, now.

At first, step 1 was to answer this question: "What is the minimum amount of money that I need to earn for us to not massively disrupt our lives?" But then I realized that this is a fear-based question. It means starting out by saying "no" to everything that doesn't earn "enough" money for some arbitrary value of enough.

Where I'm at now, Step 1 Mark II, poses a more inspiring question: "What does retirement look like for my wife and I?" I don't know that we truly get to retire in the sense of living a life of leisure as seemingly many Boomers and earlier were privileged to do. Besides, part of my sense of accomplishment and peace is knowing that I did something to make the world better.

So what do you struggle with?
How are you doing?
What are you doing about it?

Be well.

P.S. This is me trying to do my part, as a new member of this community, to encourage growth not in membership but into different areas of discussion.