This is a personal essay on my reflections about ADHD. I wrote this mostly in April 2023 and published in 2024 with the conclusion and some edits.
intro
Itās 11:55pm on a Sunday. Iām folding my laundry and listening to an audiobook ā The Distracted Mind: Ancient Brains in a High-Tech World ā to try to keep myself occupied to do my laundry which Iāve procrastinated all week and to learn more about the underlying mechanisms of the brain that lead to distraction.
Meanwhile, Iām thinking about work and how to organize my upcoming week while my friend from Ohio is visiting. As the audiobook starts talking about goal interference, I think about how my goal of listening to this audiobook is being interfered by my contemplation about the next week, and then realize, āHey, this [internal monologue about goal interference] is finally a good way to start this article Iāve wanted to write for months!ā So I stop folding my laundry and start writing on my laptop. Itās the second article Iāve started in the same day, adding to the list of twenty articles Iāve been working on. Both my goals of doing laundry and listening to this book were interfered. Oops.Ā¹
āThe only problemā¦ if I wasnāt moving forward, I felt like I was going to explode.ā ā Bradley Cooperās character in Limitless
Iāve always been a huge multitasker, scatterbrained and unfocused. In high school, thereād be lunch periods where Iād be simultaneously playing rapid chess, doing homework due that day, while eating at a Quiz Bowl practiceĀ². In college, Iād watch Breaking Bad while oscillating between doing CS homework and reading reddit. In reality, I was probably doing none of these individual tasks particularly well, but sometimes I delude myself into thinking multi-tasking is something Iām good at (I am! Sometimes. I think.)
My friends have often told me that I walk too quickly, that I belong in New York City. But being in NYC always felt too overstimulating, too chaotic, too much of everything, everywhere, all at once.Ā³
During an average 15 minute walk to work, Iāve probably had a dozen internal monologues and sent three slack messages or worked on another unlikely-to-be-published article draft.
Startup life and SF has felt more fun and novel than the eventual monotonous day-to-day of big tech and Seattle I felt after three years, but I always wonder if itāll last.
Sometimes itās hard to stop obsessing about moving forward.
For much of my life, discontentment has been my default state and my constant driver. Iād have these cycles of transitory periods, where things felt great after a big accomplishment, new role, a new apartment, new friends, new activities and projects and hobbies and goals, and then itād all feel flat shortly after.
Three years ago, I learned these traits ā this constant drive and discontent and context switching, and a mix of procrastination, focus, presentness, relationship, and work woes ā were all somehow related to ADHD, and I started treatment after consulting a specialist and receiving a diagnosis.
For years, Iād been focused on systems, processes, habits, goals, direction, and structure, as a way of coping pre-diagnosis. Dozens of productivity apps and YouTube videos and a thousand iterations later, I had something that worked, until it didnāt.
A year ago, Iād switched jobs and homes and a few months later and I was beginning to have those lovely ādo better or else hereās the doorā conversations.ā“
Both as a means of treatment and my latest obsessive hobby, I began to dive into psychology & neuroscience. After all, doesnāt it seem to make sense to go to the root of all problems ā the brain ā to address them?
neurology
In this neuroscience rabbit hole, I think Iāve often found more questions than answers.
āIf you live under a bridge, dopamine makes you want a tent. If you live in a tent, dopamine makes you want a house. If you live in the most expensive mansion in the world, dopamine makes you want a castle on the moon. Dopamine has no standard for good, and seeks no finish line. The dopamine circuits in the brain can be stimulated only by the possibility of whatever is shiny and new, never mind how perfect things are at the moment. The dopamine motto is āMore.āā ā Molecule of More, Dr Lieberman
Over time, Iāve learned an oversimplified model is that dopamine is the reinforcement learning (RL) system of the brain, and ADHD typically is linked to some ādeficienciesā in this system. Those deficiencies ā often dopamine not being retained or released as much as an average person ā may manifest in executive dysfunction, disorder, craving, and addiction.
A popular theoryāµ claims that ADHD was evolutionarily advantageous in the past ā it encouraged movement, creativity, exploration, exploitation and rewarded it. But in todayās world, thereās often a mismatch between these adaptive traits and the constraints of our modern environment.
Oddly, the diagnosis and subsequent research didnāt seem to provide much solace. If anything, sometimes it felt worse having this internalized identity and deficiency.
foraging
Iāve never been much of a gum chewer, but when I was a kid, Iād pick the sweetest gum, chew it until the flavor was gone, and then quickly discard it.
At the time, I never understood how people could keep chewing their gum long after the flavor was gone, to listen to the same music or watch reruns of the same show over and over. It felt pointless ā devoid of utility and novelty.
In The Distracted Mind: Ancient Brains in a High-Tech World, the authors talk about this notion of foraging ā how weāre constantly foraging for new and novel information and thatās hijacked in todayās modern tech world.
You might think of foraging like a graph traversal, where each node has some resources that can be exploited and depleted. Modern foraging is swiping on TikTok, Tinder, NYTimes, or Amazon. Or walking through Times Square and deciding what to look at and what to eat amongst the banquet of options.
Iāve been really liking this idea of foraging as a metaphor for how dopamine drives the brain ā weāre constantly foraging for stimuli, experiences for some expected reward. And for those with ADHD, this foraging is even more central to daily life.
For much of my life, to keep foraging was more critical to better navigate the world; to push back into going to school after dropping out, to work on academic & social & physical improvement to support myself, to progress faster through a career to better support myself and family.
The need for more has always been a major driver, and boy did it drive. But after the necessity went away ā working in one of the most privileged industries in the world ā the fight-or-flight didnāt vanish. Peace didnāt suddenly arrive after Maslowās hierarchy of needs felt mostly met, lifestyle creep just settled in instead.
I feel often like Iām foraging, chasing, driving. And that feels good in a lot of ways ā meeting new people, trying new hobbies, learning new things, moving āforwardā by some arbitrary measures ā but some part of it feels perpetually unsustainable.
Perhaps the unsustainable part is that skiing not feeling as fun or novel after the twentieth time doesnāt mean you should move on to paragliding, that jumping between six topics in a single conversation or twenty different work tasks in a day doesnāt feel totally sane for those youāre around. Sometimes, the same people and places and experiences youāve had in your life just donāt feel as meaningful anymore.
Ten jobs, eight cities, dozens of hobbies and projects and goals later, and the fulfillment of work and accomplishment, the novelty of new experiences ā it all seems to slowly fade and the law of diminishing returns settles in. It feels like an endless maze, and Iād been turning towards treatment to try to escape it.
moving forward
A part of me (and a therapist or two) knows that to fixate too much on the pathology and neurology is likely the wrong approach. It creates a self-fulfilling prophecy ā that thinking my brain is wired a certain way makes it further so.
Iāve been trying to worry less about the neurology and dopamine and assume my brain is malleable.
Things will be okay, and itās okay to just live in the now. One of my goals has been to be more fully engrossed in the present, to look beyond utility and towards just experiencing life in front of me. Part of this is practicing stillness and presence, bringing the ideas of meditation to everyday activities like eating, watching a show or movie, or in conversation with others.
Another seemingly incompatible goal has been to embrace that thereās ways in which my brain is simply okay as it is. Foraging isnāt so bad as long as itās directed towards the right goals. Find the right job where an atypical style of work is a boon, the right projects that are novel and interesting, the right friends who will entertain your divergent conversations, and life falls into place.
Thereās some balance of foraging and stability, excitement and presentness, and none of these must live in antagonist of the other. Discontentment and anxiety can be useful, but to be fully driven by it isnāt.
Wrapping this article up a year later, procrastinating from doing a different load of laundry, I guess I can say ā sometimes it all works out. Therapy, meditation, medication, exercise, books, and friends help.
Maybe this brain isnāt so bad after all. š
footnotes
- The intro of this essay is sorta a parody of those old Forbes āA day in the life of [some famous person]ā video styles where the narrator has this internal monologue of like āItās 7am, I wake up and take a cold shower and meditateā routinesā¦ but itās like a dysfunctional and ADHD monologue instead where everything goes not-as-planned despite best efforts. This video by KRAZAM is one of my favorite parodies of these videos.
- Often this is referred to as ādopamine stackingā, stacking many different sources of stimulation, which inadvertently increases your dopamine baseline and probably isnāt a good thing if done too much over time. š
- In Everything, Everywhere, All at Once Michelle Yeohās character was written with undiagnosed ADHD. Researching the movie led director Daniel Kwan to his own ADHD realization. The characterās journey is an apt metaphor for a context-switching, threads-pulling, dopaminergic ADHD life.
Waymond:Ā Exactly. I've seen thousands of Evelyns, but never an Evelyn like you. You have so many goals you never finished, dreams you never followed. You're living your worst you. Evelyn:Ā I cannot be the worst. What about the hot dog one? Waymond:Ā No. Can't you see? Every failure here branched off into a success for another Evelyn in another life. Most people only have a few significant alternate life paths so close to them. But you, here, you're capable of anything because you're so bad at everything.
- Iām not going to make the claim that ADHD is the cause of my work woes, but it was what prompted me to dig into this rabbit hole more deeply, mostly because it seemed like an effective lever to pull. Generally I think itās rather hard to decouple this particularly nebulous disorder from your identity, or to pinpoint it as the root cause of anything at all. I also generally was doing a lot of not-so-great things at work: overpromising and underdelivering, being too abrasive and inflexible, and navigating towards my goals poorly. I think this is all maybe somewhat simultaneously related to ADHD, but blame and causation are not worth discussing.
- Hereās a great video lecture on this adaptationalist origins view of ADHD by Dr. Russell Barkley.
āIn this two part video, I examine the hypothesis that ADHD is not a disorder but is simply a mismatch between modern culture and traits that were adaptive for some reason earlier in human evolution. This adaptationist or mis-match idea argues that cultural evolution proceeded far more quickly than biological evolution such that a trait or set of traits that were once adaptive or helpful to human survival in earlier periods of human evolution have become maladaptive due to changes in culture such that these traits are no longer adaptive. For example, Hartmannās idea that ADHD represents earlier successful hunters during the hunter-gatherer phase of evolution now forced to live among farmers in contemporary culture. Or Jensen and colleaguesā idea that ADHD represents adaptive traits for warfare during an earlier human epoch that are new at odds with a relatively more peaceful contemporary culture.ā
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