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
Creed
Psychology
4 min read

Worry: bug or feature of our lives?

The ancient root of common or garden worrying.

Andy is a vicar-in-training in Durham.

A woman rubs her face in worry, while siting at a screen.
Vasilis Caravitis on Unsplash.

Climate change, smartphones, a loss of social cohesion: these are just some of the potential culprits for an oft-discussed, much worried about, anxiety epidemic. But what if our worries can’t be fully explained by any particular feature of the modern age? What if worry is in fact an ancient problem that afflicted the first  century no less than the twenty-first? What would that mean for how we should respond?

I’m not a psychologist, or a social scientist, but I am a common or garden worrier. And worry worms its way into my life through the gap between responsibility and control. 

I first encountered this at work. As someone who organised events, I felt responsible (and would be held responsible) for how many people signed up. But I soon came to the painful realisation that I didn’t control how many people signed up. I had responsibility but not control - and worry wormed its way in through that gap. And that didn’t seem fair to me - it seemed like a “bug” that should be fixed. Maybe my bosses just needed to relax a bit. That way my responsibility would shrink to match my control. Or maybe I needed better comms, better marketing - some way of making sure people came.  That way my control would expand to match my responsibility. Either way, the gap between responsibility and control should be eliminated somehow.

And then I had kids - three of them. As a dad I am responsible for my children. But I am not in control of them - sometimes I can barely get them to eat their tea. And so worry worms its way in - through that gap between responsibility and control. But I began to realise that when it comes to my kids, I just can’t close the gap and I shouldn’t even try. To abdicate responsibility or to seek control are just two different flavours of failure. The gap between them isn’t a bug in the code of life, it’s a feature. It’s part of being human, and so human flourishing means learning to live well with, even in, that gap. But how?

In the earliest record we have of Christians trying to explain themselves, a book of the Bible called (confusingly) Acts, we follow Paul, convert to Christianity, to Athens, the cultural capital of the ancient world. And there he meets people different from us in almost every way… except that like us they are worriers. And they are worried because they feel responsible for something they can’t control. Paul finds an altar with this inscription “to an unknown god”. What makes people erect an altar to an unknown god? The worry that worms its way in between responsibility and control. We’re not sure if we know about all the gods - we’re not in control. But that god we don’t know about might hold us responsible. So let’s try to close the gap by erecting an altar to a god we don’t even know.

Paul offers a better solution - to them and to us. He’s invited to give a speech to the leaders figures of Athens, but he doesn’t present his audience with a more sophisticated technique for closing the gap between responsibility and control. Rather, he introduces them to his God, to the truth that allows us to flourish in that gap. This God, Paul says, marks out the appointed times and places of all people: that is, he is in control of all things. This God, Paul says, wants everyone to seek him and find him: that is, he wants the best for all people. This God, Paul says, doesn’t need anything from us: that is, our responsibility is his invitation to be part of what he’s doing in the world. Know this God, trust this God, Paul says, and you can see the gap between responsibility and control as a feature of life and not a bug. You can flourish in and not worry about the gap.

But how does that work in the midst of tea-time tantrums and the day-to-day worries of life? Well for me, on a good day, it works a bit like this. When I’m confronted with the reality of quite how much is beyond my control, I’m not faced with chaos. I’m just faced with the fact that I’m not God, but God is - and nothing is beyond his control. And the God who is in control when I’m not loves my kids more than I do, better than I do. And he doesn’t need me. He’s not delegated responsibility for my kids to me because he’s too busy to look after them himself. I’ve been given the responsibility of being their dad so I get to share in the joy of watching them grow into all they were made to be. The gap is still there - I’m really responsible and I’m really not in control. But maybe I’m ok with that.

There may well be certain features of the modern age that heighten our anxiety. But the people of first century Athens didn’t have smartphones or face climate change and they still worried. Because they felt responsible for something they didn’t control, just like we do. It’s an ancient problem, a feature not just of our culture, but of being human. And what if an ancient problem needs an ancient solution?

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