adhd – Michmutters
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Hannah Gadsby on her memoir, Ten Steps to Nanette, and how her autism diagnosis changed her life

Hannah Gadsby’s memoir, Ten Steps to Nanette, opens at the scene of a fancy Hollywood garden party at the home of actress Eva Longoria.

Celebrities are queuing to talk to Gadsby, whose Netflix comedy special, Nanette, had just sucker punched the world.

But the world-famous comedian extracts herself from a conversation with celebrated singer-songwriter Janelle Monáe to examine the preternaturally green lawn underfoot.

It’s an immediate insight into Gadsby’s brain, where thoughts and ideas bubble over — often clashing abruptly with the real world.

“My world is so much different than it was five years ago. I cannot explain how different it is,” she tells ABC RN’s Big Weekend of Books.

She’s referring not only to the global success of Nanette and its follow-up show, Douglas, but also to her 2017 diagnosis of autism spectrum disorder and ADHD.

“It was an eye-opening thing, to start to understand that you think differently,” Gadsby says.

‘Begin at not normal’

Ten Steps to Nanette details Gadsby’s quest to understand her own biology, beginning in her conservative and isolated hometown in north-west Tasmania.

Her memories from childhood and her teen years have jagged edges, often tinged with self-loathing and confusion over her sexuality and neurodiversity.

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Australia

ADHD can have a significant impact on people’s lives — even when you’re an adult

Janine Falcon is in her 50s, but for most of her life she had no idea the things she struggled with were common symptoms for people with ADHD.

“I remember thinking once, ‘Oh, I wish I could go to the doctor and say, listen, I’m having focus problems, can you give me Ritalin? Please can I have Ritalin?'” she says.

“But I also figured: you don’t have ADHD, you’re not sitting around jittery, you’re not hyperactive in the least … they are going to laugh at you and say get out of my office, you’re wasting my time.”

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All in the Mind explores ADHD in adulthood

ADHD – attention deficit hyperactivity disorder – is not a behavioral condition; it’s not a mental illness, or even a specific learning disability.

It’s a developmental impairment of the brain’s self-management system or executive function – your ability to stay organized, keep focused, and self-regulate.

While many people can struggle with these skills, people with ADHD can experience problems with executive function all the time.

It can manifest itself in many ways and can have a significant impact on people’s lives.

For Janine, being chronically late was a major way ADHD impacted her.

“When I worked in an office, oh my God, I never got to work on time,” she says.

“I felt it was something I couldn’t help, but deep down you think there’s something wrong with you if you can’t help being late, and so you kind of avoid that thought.”

ADHD Adult brain
The brain on the left shows activity in healthy subjects, versus the decreased brain activity of a person living with ADHD on the right.(Wikimedia Commons: Zametkin et al)

Monash University professor of cognitive neuroscience Mark Bellgrove says it’s generally thought ADHD involves a fundamental disruption to neurotransmission.

“Principally that’s around two neurochemicals: dopamine and noradrenaline,” he says.

“These chemicals in the brain are very important for helping us regulate our alertness, our attention, but also for helping us control our behavior to make sure it’s appropriate for whatever context we might be in.

“We think in ADHD that dopamine and noradrenaline levels in the brain are probably reduced.”

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