Article
Attention
Comment
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
Comment
Economics
Generosity
1 min read

This year’s Budget won’t define your future

Dare to be generous in a time of constraint
Rachel Reeves holds a red briefcase up.
Chancellor Rachel Reeves preps.

There’s been much speculation about what Chancellor Reeves will announce on November 26, and it seems the country is holding its collective breath, fearing the worst. As a nation we’ve been privy to the disorganised to-ing and fro-ing of our politicians for a while now (but to be fair to the current government, waffling and backtracking aren’t unique to them).  

For many weeks, the political news reporting hinted strongly at Reeves breaking her election promise and raising income tax. With less than two weeks to go, Reeves decided to scrap the idea of raising income tax, which I’m sure is a relief to many. But the fact that she was steadfastly planning to go back on her word before retreating at the last minute does little to nurture public confidence.  

So, we’re left in a fog of uncertainty and confusion, with very little good economic news to look forward to. Do I paint a bleak picture?  

The real question is, how should I respond as a Christian?  

Living in tension 

So much of the Christian faith is about holding two seemingly contradictory truths in tension. We live in the natural world with all of its limitations, but we also live in a supernatural reality (what Christians call the Kingdom of God) where naturally impossible things become possible.  

One of the tensions surrounding this Autumn Budget – and our present moment – is that despite the government clearly not being able to offer viable solutions, the public’s dependence and expectation on the government to offer such solutions seems to be increasing. The result is perpetual disappointment in our politicians.  

But this shouldn’t surprise us. Democracy’s biggest weakness is that elected politicians are incentivised to say they are making decisions for our benefit, all the while making decisions that are in their own best interest in order to stay in power, offering the public the occasional short-term win at the expense of long-term gain.  

God operates in a different way entirely. He genuinely plays the long game for humanity’s benefit. Though at times it may appear that he is slacking on his promises (i.e. why is there so much sickness and abuse in the world if he is our healer and protector?), but he holds the big picture in mind. We might ask for something and not get it, but he will give us something better because he knows what we really need. He might allow us to fall flat on our faces, but he has a bigger redemption plan waiting for us. Our earthly government does not.  

In that light, we can trust God when his arm appears to be too short, because we know that he will work all things together for our good. His character does not change and His principles aren’t sacrificed on the altar of survival. He’s seen the end from the beginning, and he is committed to his purposes and plans. Unlike our earthly government, God is able to provide above and beyond what we can ask or think. He is able to supernaturally multiply meagre resources. He is able to make a way where there seems to be no way.  

The hard part is, he does require of us to walk in trust and obedience. But this is what true freedom is.   

Dominion  

For Christians, this bleak economic environment presents a great opportunity to be encouraging personal agency and creativity. This is a time to be leaning into entrepreneurship and collaboration, a time to challenge the pervasive narrative of scarcity. In other words, it’s a great time to exercise dominion to a greater degree than we ever have before.  

Considering how badly various parts of the Church have handled this mandate throughout history, it’s understandable that the word dominion might raise a few eyebrows. I want to be clear that dominion is not another word for imperialism or colonialism or any other ‘ism’ that seeks to exercise control over people. Biblically, exercising dominion means to make all of creation flourish, to create order out of chaos, and to bring all things under the Lordship of Jesus Christ. It’s what God commanded human beings to do at the very beginning of our existence, and it’s what Jesus reaffirmed in the Great Commission.  

We do this by modelling a Kingdom way of doing things that brings about righteous results. We do this by thinking differently, by being transformed by the renewing of our minds. We do this by moving in the opposite spirit to the one that is driving the rest of the world.  

Generosity 

We cannot exercise Godly dominion without pressing into generosity. This one is hard, because as so many of us can attest to, budgets are tight, our pay checks aren’t reaching as far as they used to, and it’s incredibly tempting to give in to fear and worry that we won’t have enough. I certainly struggle with this.  

The tension is: when we believe that our God is generous beyond measure, we confidently take a step of faith to continue giving. With the complete understanding that how much we give may need to vary depending on what kind of season we’re in, the truth is that we have resources to share, monetary or otherwise.  

I want to emphasise that generosity isn’t just about giving money. It’s a much fuller picture that furthers the ministry of reconciliation. By giving of all that we have and are, including our time, our hospitality, our attention, our emotions, and our power, we are inviting people into a reconciled relationship with God and man. Our generosity should ultimately be about reflecting the profoundly generous nature of God and the way He consistently brings hope and restoration where things have been badly broken.  

Our response 

It’s crucial to remember that we cannot reflect God’s generous nature without the Holy Spirit. He is present to help us discern how to make God’s Kingdom known in this fog of uncertainty and confusion. He is with us and will lead us.  

We don’t know what’s ahead; the Autumn Budget may or may not have a significant impact on your situation. But if you’re feeling worried about how your finances are going to stretch to the end of the month, God is with you in your lack. And if you’re feeling secure in your ability to remain financially comfortable and weather the storms, God is with you in your abundance.  

Regardless of which category we find ourselves in, our best response is to hold things lightly before the Lord, knowing that everything we have is from him, and everything we have is to be stewarded for his glory.  

Ultimately, our freedom isn’t determined by government policy or the Autumn Budget. Neither is our freedom determined by how much or how little financial security we have. Our freedom is found in maintaining a posture of trust and obedience, and a heart that dares to be generous in a time of constraint. 

Stewardship UK sponsors series 8 of the Re-Enchanting podcast. Find out more.