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.  

Review
Comment
Migration
4 min read

Listen to their stories: five good reads by refugee writers

The very least we owe refugees is the courtesy of listening to their stories. As World Refugee Day approaches, Krish Kandiah calls us to go beyond the headlines and recommends five good reads.

Krish is a social entrepreneur partnering across civil society, faith communities, government and philanthropy. He founded The Sanctuary Foundation.

Two young brothers sit next to other, the younger looks to the elder.
Hamed Amiri, author of The Boy with Two Hearts, with his brother.

I heard them calling out to me as I walked down the street.  

“Hey Paki, why don’t you go black to your own country?!”  

I carried on walking. I was 14 years old, and I had heard it all before. In fact, I couldn’t remember a day when I didn’t face a similar verbal barrage at some point. It didn’t get any easier. It always hurt.  

When you are told something over and over again, you can start to believe it is true. But I wasn’t from Pakistan. None of my family members were from Pakistan. I had been born in the Sussex County Hospital in Brighton. I had a British passport – as did my parents.  

That group of people on the other side of the road were making judgments about me that were entirely wrong. I had to remind myself – like I did every day: they were the ones who were out of place, not me. They were the ridiculous ones, not me.  

I flashback to that moment sometimes as immigration persists as a top news story. Most days in the media I hear someone say today’s equivalent of “Hey Paki, why don’t you go back to your own country?!  The derision is there, the bigotry, the racism, the aim to exclude and to humiliate, the false assumptions and preconceptions.   

It’s time to hear the other side of the story. Who are the refugees that are coming here? Why are they coming? What has happened to them to make them stay in a country that is not always as welcoming as it should be? How does it feel to be an asylum-seeker or refugee in the UK right now? For refugees who have faced not just verbal abuse but physical assault, threats of torture and death the very least we owe them is the courtesy of listening to their stories. 

As we approach World Refugee Day on 20th June I would like to recommend you to spend some time listening not just to the polarising rhetoric but those about whom they are talking. The best way is to spend time in person with those who have been forced to flee their homes. The second-best way is to read books written by or about refugees. The following are some of the most powerful I have read recently:   

The Lightless Sky by Gulwali Passarly 

A book cover shows a the head and body of a person silhouetted against a dusty sky.

This beautifully written book will not only give you fresh insight into life in Afghanistan but will help you understand why there are unaccompanied asylum-seeking young Afghan boys in the UK. Gulwali explains his dangerous childhood in Afghanistan and why his family paid to have him taken out of the country. This book draws you into the world of a young boy proud of his heritage but fleeing a war zone that ripped his family apart. Gulwali’s journey takes him from the mountains of Afghanistan with his grandfather to a rollercoaster of a life in the UK and how he became a carrier of the Olympic torch and an outspoken advocate for refugee rights. 

The Boy with Two Hearts by Hamed Amiri 

A book cover collage shows two brothers above an outline of one of their heads against a desert background

I saw this gripping tale of Hamed and his family performed at the National Theatre in London. It begins with Hamed’s mother Fariba taking the brave decision to give a public speech against the injustices of the Taliban in Afghanistan. The Taliban issued an execution order against her which would likely have led to her death. The family sell their possessions and head out of Afghanistan to get anywhere they can to safety. There are added complications to their already challenging circumstances as Hussein, Hamed’s older brother needs urgent life-saving heart surgery. It’s a nail-biting story of love and loss told with grace as the family travel across seven countries to find sanctuary finally in Wales.

My Fourth Time, We Drowned by Sally Hayden 

A boat used for smuggling migrants is paraded in a protest. Death notices of dead migrants are attached to the side
A boat used for smuggling migrants is paraded in a Berlin protest. Dead migrants are commemorated by death notices attached to its side.

Sally Hayden did not plan to write a book about the world’s most dangerous migration route but when she received direct social media messages from refugees imprisoned in a Libyan detention centre her life was turned upside down. This gritty story has won numerous awards for outstanding journalism and opens up readers eyes to the desperate situation faced by asylum seekers in the Middle East and Europe. Sally writes with great precision and detail and offers a candid and challenging picture of life for those forced to flee from countries such as Sudan, Eritrea, Syria and Afghanistan.  

You Don’t Know What War Is by Yeva Skalietska   

A book cover shows an illustration of a sunflower against a blue background.

Yeva Skalietska, aged 12, was sleeping soundly in her bed at her grandmother’s house when suddenly she was jolted awake by a noise that sounded like a car being crushed into scrap metal. She soon came to realise that a rocket attack was taking place in her home city of Kharkiv, Ukraine. Her gripping tale of those first few weeks of the Russian invasion told from a child’s perspective somehow brings home the reality of war in a most chilling and urgent way. It made me consider how my children would have dealt with all she had to go through. 

No Place Like Home refugee book festival

If you would like to hear refugee authors such as the ones above telling their stories in person, the ‘No Place Like Home’ Literary Festival is taking place on World Refugee Day, 20th June, St Martin-in-the-Fields Church, Trafalgar Square. A full list of speakers, and tickets,  subject to availability, can be found in this link.