Article
Psychology
6 min read

Paying attention to ADHD– is it really just a fad?

Media fixation with ADHD caught Henna Cundill’s eye, so she decided to investigate its struggles and superpowers.
From a darkly shadowed face, a single illuminated eye stares.
Brands&People on Unsplash.

In a feat of irony, attention deficit hyperactivity disorder (commonly known as ADHD) is now getting a lot of attention. For example, between 28 and 31 January The Times newspaper published one article per day about ADHD. Intrigued, I looked back over the past few months, and I found that The Times has averaged 8 to 10 articles per month which are either partly or exclusively about this topic. These range from celebrity diagnoses to handwringing over the “troubling rise” in incidents of the condition, to concerns about parents gaming the system to get their children disability payments or extra time in exams.  

With all this media hype, it is little wonder that some commentators are inclined to dismiss ADHD as a fad. Scroll through the comments beneath each article, and you will reliably find the rallying cry of, “We didn’t have ADHD in my day!” followed by the patient responses of those who try to correct this fallacy.  

While the high public profile of ADHD is new, the condition itself is not. As early as the mid-1700s a Professor of Medicine called Melchior Adam Weikard was describing patients who were “unwary, careless, and flighty” – behaving in ways governed by impulse, and showing poor skills in punctuality, accuracy, and having an inability to complete tasks, to the detriment of their mental health. His description is of its day. For example, and somewhat amusingly, Weikard (himself German, but at this point living in Russia) also described his patients as follows:  

Compared to an attentive and considerate person such a jumpy person may act like a young Frenchman does in comparison to a mature Englishman. 

Even so, Weikard did not unconsciously adopt all the prejudices and stereotypes of his context: he broke firmly with existing medical consensus when he diagnosed these patients as having a “dysregulation in cerebral fibres” – rather than attributing their difficulties to astrological misalignments or demon possession.  

By characterising ADHD as a brain-based condition, Weikard was ahead of his time, and we’ve come a long way since then. This is not the place to chart the whole biography of ADHD, suffice to say that when someone rolls their eyes and declares dismissively, “We didn’t have ADHD in my day…” – they are either over 300 years old or not talking like a mature Englishman, even if they read The Times.  

The negative side of the condition as being in a constant fight with one’s own thoughts and senses – these are doughty opponents, they always know where to find you, and they only sleep when you do. 

Another thing that is not new, despite what cynical commentators might seek to imply, is the treatment of some aspects of ADHD with medication.  

Doctors have been prescribing amphetamines to patients with ADHD since at least the 1950s. Yet now those medications are in short supply. Contrary to the media hype, fewer than 1 in 10 people with an ADHD diagnosis take prescribed medication, but for some of those who do it can be a lifeline – calming down a washing machine mind that is stuck on constant spin.  

One acquaintance of mine has taken to anxiously touring the local pharmacies, driving to neighbouring towns and villages, desperate to get her prescription filled.  

Another is passing her own tablets on to her son, whose prescribed supply ran out sooner. Sharing prescription medication is, I am duty-bound to add, an illegal practice – but it is hard to expect a parent to medicate themselves whilst seeing their own child struggle to attend school, to complete exam papers and to just generally feel (and I quote) “like a normal person.”  

People who have ADHD sometimes describe the negative side of the condition as being in a constant fight with one’s own thoughts and senses – these are doughty opponents, they always know where to find you, and they only sleep when you do.   

This is not to overlook that there are positives to ADHD too – it is often pointed out that the condition entails a degree of “superpower.” A person living with ADHD may have an incredible ability to focus on one difficult problem to the exclusion of all else, and thus solve it, perhaps devising creative solutions that elude those with a more pedestrian style of thought.  

Also, it is common for people who live with ADHD to be dynamic conversationalists, with high social intelligence and empathy, priming them for success at tasks like broadcasting and debating. Many elite athletes also live with ADHD and say that they able to strive for excellence due to their restless energy and resilience in the face of tough training regimes.  

Given the mixed bag of struggles and superpowers, there is a raging debate about whether ADHD should even be considered as pathology, or just as a neurodivergent way of being human. I suspect there is no right or wrong answer to this – for each person who lives with ADHD it depends on their own experience and how they feel it helps or hinders them to live the life they choose. Neither is it a binary choice: more than one of my own acquaintances who live with ADHD has described themselves as being in a “love-hate relationship” with their neurodivergence.   

ADHD challenges me to unfold my mind too – to become ever more aware and appreciative of the fact that there are many ways to be human. 

Neurodiversity, like any kind of diversity, challenges the way we live to together in communities, choosing or refusing to show empathy towards those who are perceived as ‘other’. There are several places in the Bible where human interconnectedness is likened to the human body – made up of many different parts, with each member dependent on the other for the wellbeing of the body as a whole. In one of his letters, St Paul wrote, “If the whole body were an eye, where would the hearing be? Or if the whole body were an ear, where would the sense of smell be?” Society needs problem solvers, communicators, high achievers, even while society also needs people who can structure, plan and maintain consistency – and above all, society needs these different neurotypes to work together with a certain amount of mutual understanding and trust.  

Reflecting further on the body metaphor, Paul also wrote this: “If one part of the body suffers, the whole body suffers with it.” It is estimated that about 5 per cent of people in the UK has ADHD, so it is likely that includes someone you know. The majority don’t take regular meds, but if you are connected to someone who is usually reliant on these, the next few months may be a time of particular stress and anxiety, as the current medication shortage is expected to continue into late spring. This affects not just those living with ADHD, but all of us, as we live together in our families, communities, and networks. Not everyone chooses to be open about having an ADHD diagnosis, but if they are, now might be a good time to ask them how they experience this condition, both with its positives and negatives, and how you can support them if they are managing without their usual prescription. 

The body metaphor, and Paul’s teaching around it, reminds us that diversity is no accident, God has always been attentive to those who feel divergent or far from the centre, as Jesus affirmed when he announced his ministry would be for the poor, the prisoners, the disabled and the oppressed. The psalmist too, observes that God’s attention and concern for us is so complete, that one is “…hemmed in, before and behind” – even if one strays to the very ends of the Earth, or drives to the pharmacy in the next village. Thus, while the media circus may be new, we can be sure that God has always been attentive to those with ADHD, and wider society is called to be likewise. 

Writing for The Times, Esther Walker describes ADHD as “…the health story that keeps unfolding.” Well, certainly every time I unfold my newspaper, there it is again. But ADHD challenges me to unfold my mind too – to become ever more aware and appreciative of the fact that there are many ways to be human: usually complex, sometimes difficult, often brilliant, and always interconnected.  

Article
Change
Identity
1 min read

How to be (un)successful

Could busyness really be the counterfeit of significance?
A man sits cross legged in a park with a laptop on the grass in front of him. He looks to one side.
Malte Helmhold on Unsplash.

You probably want to be a success. 

That’s OK – it’s a very reasonable thing to desire.  

The questions ‘Am I successful?’ or ‘What is success?’ are deeply significant and to ask such questions is a normal part of the human experience. The yearning for a life of purpose, as elusive as it can seem, is felt acutely by the majority of those who have ever lived – certainly by more than might admit it. (Those feelings of inadequacy you experience may be more common than you think.) And now more than ever it is understandable that you may feel you are not particularly successful, or not successful enough. We are assaulted by a combination of capitalism and consumerism, social media and cancel culture, polarised ideologies and virtue signalling, topped off by the wounds of our parents passed down – all of which can amalgamate into producing some pretty angsty, pressure-driven people. 

It’s not just you; I’m pretty sure we all have a bit of a problem with success (the word itself is so subjective), and our idea of it can often be fuelled by wounds rather than vision, romanticised projections rather than reality. Because we are all somewhat flawed, any worldly contribution we try to make can get precariously entangled with a me-fixated narcissism on a fairly regular basis.  

Most of us know that being successful is not simply about money, looks, large numbers or power. That’s just a caricature to which very few reasonable people actually subscribe, right?  

Well, sure – at least on the surface. 

My social-media feeds are rammed full of early-to-mid-thirties enjoying a kind of spandex-clad transcendence. 

The thing is, despite seeing through it and being repelled by it in others (we see it’s all vanity, inch-deep), something in us longs for success on these terms. But much more interesting than skimming along the surface of ‘success’ is excavating deeper into some of the core motivating beliefs we humans have about ourselves, such as mistaken pride in thinking we each control our destiny, or paranoia that tells us there’s an inherent scarcity of everything in the world. These are the swell that carry along the undercurrent of comparison – where we see the lives of others and long for a different reality for ourselves. And comparison – so often eliciting either pride or despondency – rarely ends well.  

A cursory glance through the wisdom of online articles on the matter tells us millennials typically understand that material wealth isn’t the marker of success – there are enough old, sad, rich people to show that. Instead, success has now become synonymous with living a life that others want. Chase an experience. Go adventure. Wanderlust. #yolo. To succeed in life is to publicly consume as many unique experiences as you can during your short time on earth.  

I don’t know about you, but my social-media feeds are rammed full of early-to-mid-thirties enjoying a kind of spandex-clad transcendence. Success for today’s generation would seem to look a lot less like the overweight suit-clad city trader selling their soul to the system, making shedloads of cash to buy a slice of suburban real estate with a Porsche in the drive, and more like the lithe and mindful global citizen doing ‘life on my terms’. Think coastal living, yoga on a stand-up paddleboard in the morning, slaying the emails in your industrial co-working space, eating a superfood lunch, nailing a couple of zoom calls early evening before smashing some gua bao and margaritas with ‘your peeps’ at the latest pop-up restaurant before taking an Uber home. #squadgoals  

There’s no escaping the fact that technology has shrunk the world and as James Mumford notes, ‘global capitalism has brought so many different ways of life closer to us than ever before. We can see vividly a greater number of people who we want to be.’ This can bring up hidden feelings we thought we’d buried long ago.  

I often feel unfulfilled. Sometimes completely lost. For years I haven’t been able to admit that. Until fairly recently I would find myself looking at others and thinking: ‘Don’t they ever struggle with life’s big questions? Don’t they ever want to give up? Surely, I can’t be the only one sinking under the weight of comparison?’ Far from freeing me from my broken sense of self, the version of faith I was trying to live by was exacerbating the core wound I recognised in myself. That wound was a sense of feeling a failure, unsuccessful. And like an unwelcome parasite, it fed on comparison to others.  

Read any random couple of articles on ‘successful’ people talking about how ‘successful’ they are, and a lot of what’s conveyed is a profoundly angsty relationship with time: ‘You only have one shot at life’; ‘I don’t want to waste my time on earth’; ‘You can never get it back.’  

It’s as though we have an inherent recognition – and for some, dread – of the physical limits placed on us by virtue of being mortal and human. But what if unencumbered productivity, unceasing activity and unrelenting progress – however that is defined – are signs less of success than of self-centred insecurity? Could busyness really be the counterfeit of significance?  

It’s as if we have, left unchecked, an insatiable appetite for accomplishment. It’s not hard to see where this comes from. Paul Kingsnorth comments that: “Modern economies thrive by encouraging ever-increasing consumption of harmful junk, and our hyper-liberal culture encourages us to satiate any and all of our appetites in our pursuit of happiness. If that pursuit turns out to make us unhappy instead – well, that’s probably just because some limits remain un-busted.” He goes on to suggest that this is a fundamentally spiritual problem, because ‘a crisis of limits is a crisis of culture, and a crisis of culture is a crisis of spirit.’ 

So far so depressing? 

It needn’t be. 

Fullness of life – true success, if you like - is found in living to serve others above ourselves. 

Despite my continued struggle with all of the above, (neatly summarised by the inner critic’s voice asking me ‘what have you got to show for your life?’), I am beginning to learn that ‘life in its fullness’ (as Jesus once described what he came to offer) is found elsewhere. So, what does this look like and how do we successfully access this fullness of life? This quote can come across – and I’ve heard it used as such – like a marketing slogan, dangling a golden carrot in front of sad or vulnerable people to recruit them into church. Presumably that wasn’t what Jesus had in mind.  

Now there’s no denying the fact that Jesus was one of the most influential people who ever lived. Arguably THE most influential. Generally, even those who don’t follow him recognize that what he taught was pretty timeless. (Also evidenced by the 2.6 billion people today who are happy to be called Christian.) All of this suggests he had some fairly wise takes on how to live life well, and that his perspectives have stood the test of time. So, when he is recorded as teaching about how to discover what he described as ‘life in its fullness’, the chances are there is something valuable and insightful for those of us searching for success.  

The thing is, in this particular speech, Jesus conceptualized ‘life in its fullness’ as a shepherd who ‘lays down his life for the sheep’. Sure, he was talking about himself, but he was also talking more broadly about the human experience. Jesus’ point is that fullness of life – true success, if you like - is found in living to serve others above ourselves. This flies in the face of much conventional ‘self-help’ wisdom, but it would seem you cannot find true abundance any other way.  

We might well think: ‘Well hang on a minute, Jesus claimed to die for the sins of humanity – we can’t all do that!’ Absolutely right, and please don’t try. But in dying and raising to life again, Jesus foreshadowed the journey of surrender and rebirth that each person who chooses true success must go through. As C. S. Lewis said: ‘Nothing that you have not given away will be really yours. Nothing in you that has not died will ever be raised from the dead.’ This new life of serving others above ourselves – where we seek to align our desires, loves and motivations, our use of time and energy, words and actions with those of Jesus – comes to resemble the promise of life in its fullness. Discovering that would seem fairly successful wouldn’t it? 

 

How to be (UnSuccessful) is published by SPCK.