ADHD/ND here, and I really agree with this one quote from this piece:

> those most affected by executive dysfunction require therapy to be more directive, specific and accountable; that is, processing of past trauma and relational approaches are not sufficient. What often does not seem like trauma therapy at all can lead to great strides forward if it allows individuals to obtain a greater sense of structure and mastery in day-to-day life tasks

I've spent so much time in therapy doing the whole "let's go through your childhood and your past" and it was just not effective in tackling what I really needed. It's remarkable how many licensed therapists just didn't know how to deal with this. I'm sure it's really helpful for some people, but outside of increasing some basic awareness about how my family of origin resulted in present-day behaviors, I definitely reached diminishing returns on that route.

As skeptical as I am of AI as an interventional tool for "reaching our most effective selves", I can't help but feel that if it can be wired up to do the appropriate "micro-interventions" that reflect OP's insight ("directive, specific and accountable ... to obtain a grater sense of structure"), we might see 'ADHD' become a thing of the past (at least for the people that share my phenotype of it). It's my hope at least...

▲

beecasthurlbow 33 minutes ago | parent | next [-]

How would you recommend others get access to the kind of support that worked for you? Is there a specific type of therapist or coach?

▲

nico 2 hours ago | parent | prev | next [-]

Thank you for sharing your experience. I feel similarly

On a tangent, this makes me think about the explainability of ai models. In a way, discovering our childhood trauma and the way it affects us, is akin to searching for explainability

However, in practice, the best way to overcome whatever we want to overcome, might not be to first have an explanation of why/how it happened

▲

tom_vidal 2 hours ago | parent | prev | next [-]

What have you found that’s worked for your own executive dysfunction?

	▲	hirvi74 an hour ago \| parent [-]
		Acceptance of the fact that I will always have executive function difficulties and there is nothing that can really improve it. It's not the realization I wanted to have, but it is one I wish I learned earlier.

▲

jack_pp 2 hours ago | parent | prev | next [-]

Why are you sure it's really helpful for some people?

Before psychology you had religion, even in the oldest form of Christianity, orthodoxy, you are not too dwell on the past, not to blaim others.

I doubt it really truly helps anyone to dig up the past

▲

mrcsd 2 hours ago | parent [-]

Logged in just to say, for me reaching into my past has been one of the most transformative and healing acts I've ever done.

▲

Noaidi 2 hours ago | parent [-]

I have a friend, next alcoholic, she was recently reading through her old journals to try to figure out her life. What happened? She told me that she had a really strong impulse to start drinking again.

In my opinion, you gain nothing from looking at trauma or trying to see some psychological way to get out of it. The only cure is to forget about it.

▲

glenpierce an hour ago | parent [-]

Extrapolating from a single anecdote seems like poor judgment.

▲

Noaidi an hour ago | parent [-]

Why is this complicated? If you can’t remember the trauma, how can you suffer from it?

Now we may have behaviors that were shaped by our trauma, but remembering our trauma, what does that do but reinforce the memory again and there force reinforce our trauma response?

All that has to be done is focus on your present date and your present reaction examine if that’s dysfunctional or not.

▲

esseph an hour ago | parent [-]

>Why is this complicated? If you can’t remember the trauma, how can you suffer from it?

Because trauma affixes neutal pathways. You don't have to remember it to be affected, at all.

	▲	jack_pp 33 minutes ago \| parent [-]
		If you find a bug in your code does it matter who is to blame? Is it useful to remember you had a fight with your wife the day you committed it? Does a car mechanic need a video of the crash to fix the car?

▲

hirvi74 an hour ago | parent | prev | next [-]

ADHD here, as well.

> it was just not effective in tackling what I really needed.

That's how I would summarize my experiences with psychotherapy too. I think the only thing I have truly learned from therapy is what I feared most. There ain't much in this universe that can truly help with ADHD. Medications and other interventions barely move the needle for me. Seriously, I am at the point in my life where I am basically done fighting the condition. It's a Sisyphean effort that's mostly fueled by arbitrary societal expectations and my own egotistical desires and insecurities.

▲

rightnutwingjob an hour ago | parent | prev [-]

> I'm sure it's really helpful for some people

It’s not. There’s no evidence that it has any beneficial effects on anything other than the therapists wallet.

ADHD is an entirely made up diagnosis. There’s no evidence that any of this nonsense is real in any way shape or form.

It’s one thing: a lack of discipline.

	▲	idiotsecant an hour ago \| parent [-]
		In the same way that drowning is a lack of air, yes.