Hidden ADHD

So today’s topic came up because of this question – My brother, also an adoptee, had ADHD that was very obvious and came out behaviorally/externally. Therefore I was never tested/thought of having it because mine didn’t match my brothers. For years I lived thinking that my symptoms or experiences were just how the world works, but as I study more, I am seeing many ADHD symptoms that are just too hard to ignore. And maybe it isn’t ADHD, maybe it is related to dopamine levels that were affected through adoptee trauma and being born “addicted” to what my mother was using at the time. But I am wondering if other people have uncovered this or have experienced this, and how they went about handling it!

One adoptee shares –  I have PTSD. The symptoms are similar. Adoption is trauma. I do less. I learned how to practice self care and regulate my nervous system. It got easier when I got away from the people who raised me. Therapy when needed.

Another adoptee writes – I suspect I have ADHD, and like you have a lot of symptoms. I’m working up the courage to get tested. I struggle with feeling safe with doctors, so haven’t gotten tested yet. The way I present is far different from my husband who was tested for ADHD as a child. She was asked – could you share some of your symptoms and how they are different than your husbands? She answers – he’s hyperactive and has no concept of time. I’m more of the zone out and dissociate. He’s a list guy and helps him focus. lists bore me. He forgets to text and call people whereas I lose things all the time.

Another adoptee notes – Women often go misdiagnosed or undiagnosed with ADHD (and autism). I wasn’t diagnosed until my 20’s with ADHD and suspect I’m autistic, too. A very ignorant doctor tried to tell me that if I got good grades in school, then I couldn’t have ADHD. That’s untrue. You can also have ADHD and not be the hyperactive type. There’s a hyperactive, an inattentive, and a mixed subtype. Typically, if your symptoms were not enough to aggravate/inconvenience others, especially in childhood, then you went undiagnosed.

Yet another adoptee shares –  I used to just think that I had CPTSD from my adoption (which I very likely do have still), but after reconnecting with my birth family, found out that ADHD and autism are family traits (there is a genetic link to both of those). After doing a TON of research and taking the RAADS-R, it looks like I’m very likely AuDHD with a side of CPTSD/Adoption Trauma.

One more adoptee writes – Yes, diagnosed with ADHD at 38 and once I started meds, my autistic traits became more clear! And I do now know that I’ve always been this way, the two kinda cover for each other. My son is 6 and my mini-me, he hasn’t experienced any trauma in his life. We’re both neurodivergent.

Never Feeling Safe

An adult adoptee expresses how she feels –

Here it is in a nutshell. All I ever really wanted was to feel clean on the inside and I tried a lot of things to make that happen.

And it all boils down to not being able to untwist the core lie my whole existence on this planet this time around is based in and on.

Confusion is not a safe feeling. If you don’t feel safe your thinking processes are affected. You do things you wouldn’t do or not do things you would if you felt safe. The worst part is that you never knew why you never felt safe. It wasn’t a thought you could think through because the consequence of my honesty may mean abandonment.

I was stuck in a web of lies. Caught up in someone’s fantasy. A brain pickled in cortisol and oxytocin deprived. Being told this is gods will and how much I was loved yet no one would answer my questions.

And here we are today. After the truth set me free by opening the door to the demons I knew were lurking there. These were some hard core demons and then there were the encouragers and then there were none.

And here I am standing here loving me. I will be 72 in September, and I have learned to love me because I can love others better that way.

Now WTF do I need to do to get this adhd under control.

I’ve Seen The Damage

In my young adulthood, I saw some of the worst. Any substance addiction is not an easy nut to crack. It’s impact on parenting can’t be denied. Today’s story asks this question – Is it possible to support someone in parenting in ways that are physically and psychologically safe while that person is using meth?

A family friend who is incarcerated has a baby who has been in foster care since birth. The baby will be returned to her when the mother gets out of prison when the baby is about a year old. A parent-child rehab program will be provided, follow up substance use disorder programs will be offered, and the mother has access to familial financial support as well as support with housing and childcare (though she has currently declined childcare assistance). But she permanently lost custody of her first child due to inadequate care of the infant as a result of daily meth intoxication, and I want to ensure that that doesn’t happen again. She has had relapses every time she has left prison or rehab or psych facilities throughout her entire adolescence and adulthood (but she is a very young adult). I hope she doesn’t resume use, but I was wondering if anyone had any advice for helping her keep and take good care of her baby/ toddler even if she continues to struggle with addiction to the point that eliminating use of meth is not possible for her.

A physician comments – Being under the influence of drugs is NEVER safe. There is NEVER a safe amount of use that is ok. You can’t hit “the pause button” in being the person that is responsible for child while you get high and think that your entire constitution and judgment isn’t taxed and under the influence for a considerable amount of time after. If you are still using, then do not trust yourself that you are actually caring for your self, and much less adequately caring for additional humans who are critically growing and very needy, independent beings.

However, another person had a very different perspective – you see it at its worst. You don’t see it functioning day to day. Big difference. My SIL was a functioning parent with substance use disorder for decades. My neighbor as well. Many others I have known. It’s like anyone dealing with chronic disease. They need support.

The doctor responded – I deal with addicts, families, social workers, lawyers every single day. That’s 70% of who is in an ICU bed right now that we are caring for and all paying for. Yes, I agree they do need support 100%. They do not need to be responsible for a child while *using* drugs. Blessing to your SIL to have a support system around her, like a loving family that cares enough to do that. Most addicts do not have what your SIL has. That is not the reality of most people in this world, and one of the reasons they get into addiction to begin with. There is no such thing as a safe amount of drugs. It doesn’t work like that. Your brain gets rewired and your judgment is altered.

To which the person responded – I am so tired of people not understanding that there are people that are functional but still struggling with substance use disorder. They hear the word drugs and they make some serious assumptions about the person. I am going to “not all” here because I am so tired of the assumptions being made when it comes to substance use disorder.

Many have a support system for when they are active that keeps children safe. Being that support system is important. I didn’t see one comment from anybody saying that the original poster should be a support system. The only thing I’m seeing is people saying “nope can’t parent” “drug user? can’t parent”. People parent with disabilities that can also put children at risk, but nobody says a thing about them losing their kids.

Functional drug use IS a thing ! Stop making broad brush stroke assumptions of those challenged with substance use disorder !

Bottom line, there is this – The safety of the child has to come first. If someone is actively using they are at risk for psychosis (and if you haven’t seen that in someone you love I pray you never do). Absolutely the most terrifying thing I’ve ever seen and I felt unsafe as an adult being around someone in that state. It’s extremely dangerous for the child if the parent is seeing things that aren’t there, having delusions, etc. If you know someone is actively using around a small child you should either be intervening yourself or reporting them.

Recovery is possible and family and friend support play a big role in that. Just because someone has relapsed doesn’t mean they will again. It also doesn’t mean they will be using around their child. It’s great that’s she’s willing to go into treatment with baby. I would do everything you can to support her and let her know you see her beating the odds and are proud of her if you have the kind of relationship you can talk about those things.

And there was this advice – Her focus should be finding employment with medical insurance so that she is not on welfare and is not a target for state intrusion. She should focus on taking care of her children, being physically active and healthy, join a gym, exercise, garden, take care of her house. Keep the rif raf away from her house. Maintain normal hours – no rotating cast of strangers through the house – no visitors after 10 pm. Work hard at maintaining a schedule and sticking to it. She probably has ADHD and should get medication like Ritalin or Wellbutrin for it, which will address chemical imbalances that she has. She has to work extra hard at keeping up appearances – she’ll be held to a higher standard of care than other mothers. She can’t mess up. Nothing is worse for a child than having their parent taken away from them and even if she cannot take care of her child full time, every effort should be made to have her do as much as she possibly can for her child as a parent, not as a visitor.

I’ll end with this observation – it is hard to overcome generations of addiction, mental illness, and poverty. It’s just not simple.

Neuro Emotional Technique

I bring this up because so many adoptees and first moms (women who surrendered a child for adoption) suffer from the effects of those traumas and there could easily (often are) other aspects that disturb peace of mind and heart.

Neuro Emotional Technique (NET) is a research backed treatment to help release and overcome past traumas and unresolved stressful events. Clearing stress and trauma blockages allow you to make decisions without attachment to previous negative emotional experiences and to rebuild positive response patterns in your life.

From literature through the National Institutes of Health – Library of Medicine on a LINK>randomized controlled trial of the Neuro Emotional Technique (NET) for childhood Attention Deficit Hyperactivity Disorder (ADHD).The use of complementary and alternative medicine (CAM) has increased over the years, especially for developmental and behavioral disorders, such as ADHD. 60–65% of parents with children with ADHD have used CAM. Medical evidence supports a multidisciplinary approach (i.e. pharmacological and psychosocial) for the best clinical outcomes. The Neuro Emotional Technique (NET), a branch of Chiropractic, was designed to address the biopsychosocial aspects of acute and chronic conditions including non-musculoskeletal conditions. Anecdotally, it has been suggested that ADHD may be managed effectively by NET.

Evidence suggests that 10–30% of children with ADHD who have been prescribed stimulant medications, do not show clinically significant outcomes, and others experience side-effects and need to discontinue their medications. The most common side effects of stimulant medications are appetite suppression, weight loss, sleep disturbances, irritability, stomach aches, headaches, rashes, and occasionally the development or aggravation of tics. For these children, additional strategies need to be implemented in order to achieve a successful outcome.

There are no known side effects and there have not been any reports of adverse reactions to the NET protocol. Most practitioners are in the chiropractic field.

You Can’t Fix This

A woman writes about her adopted son. He is now a teenager. She adopted him at age 6. She asks, “Has anyone else felt that their adopted child is still greatly affected by their past despite begin adopted in a healthier home ?”

His genetic mother was her sister-in-law and she is aware that his mother had mental health issues. Her adopted son had what she describes as extreme behavioral problems

blogger’s note – which really isn’t that uncommon in adopted children due to adoption trauma.

He was diagnosed with autism and ADHD. She says he is defiant.

blogger’s note – I get that. I have 2 sons – one was defiant and one was compliant.

She does recognize that now that he is older, his behavior is drastically better (though she credits school and church, and of course the environment she brought him into).

blogger’s note – Well, my “defiant” son is much easier now in his older years than at 6 as well and since he was educated at home and we don’t go to church, I think it just comes with adapting and maturing.

One commenter noted that from the adoptive parent’s perspective – all of his good traits are due to her parenting and all of his bad traits are due to his genetics.

A transracial adoptee commented – I feel so much for adoptees in homes like this. As a child who was labeled “bad” for having trauma responses and trouble forming healthy attachments, I know this kind of treatment from an adoptive parent only makes it harder for an adoptee to find healthy footing later in life. Really hope this kid finds a good, empathetic support system that lets them know that their trauma is valid.

Childhood Trauma

This will not be news to most adoptees. Still the statistics don’t lie about what childhood trauma does to the child. Being separated from the family that we were conceived within will always have a layer of trauma built in.

The effects of adoption trauma include grief and loss, problems in relationships, struggles with identity and sense of belonging, or behavioral and academic problems. Adoption trauma can also sometimes lead to more serious mental health concerns, including anxiety, ADHD, and suicidal ideation.

Just Google “Adoption Trauma” and you will find abundant sources of corroborating information.

The Brain Has Been Rewired

Adoption trauma and ADHD can look similar or be co-existent. The explanation below comes from a trauma mitigation researcher was found helpful by some – “the brain has been rewired.”

Trauma (particularly neglect) can look close to “level 1” autism or ADHD/ADD. Their neural pathways are altered similarly, which is why the symptoms are similar. “Born” that way or chemically/head trauma caused (functioning altered from brain damage in childhood) and epigenetic/after birth alteration caused neurodiversity have slight specifics but ultimately the cause doesn’t matter in the “now”.

ADHD/ADD medication could help, even if they are only experiencing trauma responses that are causing those symptoms.

The difference tends to be that people with trauma have higher levels of BDNF – or a neuronal growth factor – and that gives them higher plasticity to regrow pathways. Medication does not reduce the BDNF level or neuroplasticity, in fact it can sometimes increase it further aiding in the process. The brain has been recently changed, instead of always being that way. So things like typical therapy (hypothetically) can rewire their brains, unlike people with “born” neurodiversity (and toxically caused/physically caused neurodiversity as brain damage that is typically permanent). People with born neurodiversity can “rewire” in their own ways but the traumatic stress from doing so, is a whole different thing. No matter the cause medication is a good choice.

More than one adoptee said things like –  I do actually have ADHD and I wish I had been medicated for it as a child. I eventually turned to self-medication to try and function which developed into a full blow substance use disorder, which is not an uncommon outcome for children with untreated ADHD. Living with ADHD in a world that thinks you’re just lazy and chaotic is it’s own form of trauma. Not being able to stop yourself from acting in ways you don’t want to act is kind of terrifying, or it was for me as a child.

Another one – I wish I had been medicated as a child. I have severe ADHD (whether it’s trauma I couldn’t tell you). I was denied the medication that would have made school easier for me and the accommodations I deserved and needed to thrive. By the time I got to a four year university, I was so behind there was no chance.

And this – ADHD meds (Adderall) helped me concentrate. But I also have a diagnosis of ADHD on top of adoption trauma and CPTSD. I didn’t experience a downside aside from a bit of a crash, until I switched to extended release. A computer test at an ADHD treatment center that tested listening and reaction times helped tease out that I actually have ADHD.

And another – I didn’t figure out my ADHD / Neurodivergence until I had a toddler with traits much like my own, minus the adoption / trauma background. Turns out I’m a combo of both adoption trauma + ADHD. I recently figured out I’m also autistic.  It’s quite possible many adoptees are Neurodivergent, on top of the trauma. So much of it is genetic — and who’s more likely to have an unplanned moment?? ADHD people. Meds were life changing for me. They’re short lived in the system, so if they’re not good for you, you can stop them and try something different. 

Also from another adoptee – I read research recently that says adoptees are 2 to 3 times more likely to have ADHD or ASD. It fits with the damage done by maternal separation and forcing a child to pretend that strangers are their parents, when they know they’re not.

More – I have ADHD and my meds make my life significantly better I am calmer and can focus. Or this – I wish I’d been diagnosed as a child, I think a lot of us 80s and 90s babies got missed and labeled as difficult. My adoptive parents still tell me what an awful teenager I was. It is hard to say really, what was adoption trauma, ADHD, ASD or just being a teenager.

A different suggestion was this – I recommend trying the Safe and Sound Protocol before medication because it helps reset the nervous system and then, you can find out what was wired due to trauma/PTSD and what is chemical imbalances. I was over medicated for everything and it made me worse but no one realized it. The SSP is a music frequency that is designed to stimulate the vagus nerve which is in charge of your autonomic nervous system. It should be used for kids & adults with ADHD, those on the spectrum and PTSD etc! It can be LIFE CHANGING!

I found this from Janae Elisabeth, the Trauma Geek, on Medium – LINK>A Neurodivergent Review of the Safe and Sound Protocol. She writes – The original recommendation was for trauma survivors to listen to one hour of this filtered music each day for 5 days. That recommendation has been amended, as this pacing has been found to be too fast for many people. The current recommendation is to try 10–15 minute segments, and to take breaks between listening days. Even this pace can be too much for some people’s nervous system. For some people, a good pace involves listening to as little as 30 seconds of the protocol at a time. For other people, this tool may just not be a good fit in any format.

The Teacher Is Not Your Ally

Today’s story of incredible persistence and resilience in the face of overwhelming challenges –

I was rescued from deadly abuse and trafficking as a child. I was fostered, adopted out, but soon after my parents both died. I got pregnant during my downspiral and ended up raising my premature son alone in a shelter for years until I aged out. I’ve spent my entire life giving him everything he deserved and loving him so much more purely than I ever knew. Now we could be torn apart.

A 51A (Investigation of Child Abuse and/or Neglect) was filed by my son’s teacher. Despite the fact he’s a happy and popular kid, is on a waitlist for therapy, that he has consistent check-ins for his medication and ADHD, that I’m constantly in contact with his school and counsellor regarding his progress and his absent work…

His mental health has been great and he simply just wants to goof off with his friends instead of reading Shakespeare. She might have been insulted I didn’t remember to reply to another “How can I motivate your teenager in my classroom?” she sent on Monday, but I had spoken to my son about the email and had informed him to start staying after twice a week again like she had requested.

So she.. reports me to the Division of Children and Families?

I have been so overwhelmed tending to the needs of my two other children who have chronic medical needs and are in and out of hospital frequently.. but I never let a single ball drop. I made every appointment, I pushed for all these resources for my children, I’m keeping up with all of these communications and advocating for my child. I thought I was truly doing everything I could for my son and he says himself that he’s been happy, just.. doesn’t care about English class. I can’t breathe – what is going to happen to my family? How do I disprove a claim that is so.. vague??

The social worker already called back to confirm they’re going to move forward with the investigation. My youngest is autistic, entirely nonverbal, and has type 1 diabetes. I’ve been sobbing all night trying to imagine her in a foster home… please someone give me some advice. I fought my whole life to keep my baby safe. How am I losing them now?

Some solid advice came back –

Do you have a support system? Don’t assume you will lose them. It’s an investigation. Breathe. Get your home in order. Clean to the max. Make sure food is always in fridge. Make sure no chemicals or otc drugs are in reach. Lock it all up. Print copies of all your communications with the school and medical personnel and any organization where you were pushing for resources and keep in a binder for easy reference. Ask the doctors for all the children’s medical records NOW to show they have been seen consistently. Make notes of your conversations with your son so you don’t forget things in the moment when they are asking questions and it’s nerve racking. Keep all of this documentation organized and easily reachable at a moments notice and do it before they come back. 

I agree with this little rant from someone else – All of this stress added to her already loaded plate caring for her kids with medical needs. All this extra stress, worry and basically trauma they are putting on her is so uncalled for. I understand that DCF has to investigate claims, but the system is honestly so disastrous, it’s rarely genuinely helpful to kids/families and doing this to families that don’t need any intervention at all is just cruel.

Abandonment is a Perception

Perception matters. As we go through our own “adult” stuff and often have to make hard choices, we are not always aware of how our children are perceiving what we had to do. My marriage at 19 ended in divorce after the birth of our daughter a few years later. Eventually, I then left my daughter with her paternal grandmother (about the age of 3), but she eventually ended up with her dad and a step-mother. I made attempts to stay in contact and reassure her always that it never was about her directly but my own problems. Fortunately, we are close today as adults raising children (my grandchildren and two sons I have now from a subsequent marriage who’s ages are close to that of my grandchildren). I have faced that as a child her perception was understandably about having been abandoned, even though it was never my intention to never to have her under my own roof again during her childhood.

Today, I read about a woman with somewhat similar concerns. She left her child’s father when her daughter was only a year and a half old. She gave her mother legal guardianship of her daughter as she was going through a really rough time in her life. It’s shameful and it’s tough to face these kinds of reality. Finally, this woman met someone with whom she has been able to create a whole and loving family with her daughter and a subsequent baby brother from her new relationship. This daughter is now 9 years old and there are understandably “issues”.

Her daughter has ADHD and a fiery personality. Also some mood and behavioral problems exasperated by her abandonment trauma. She tends to be self-centered (normal) and melodramatic (from me). She can be very mean and unforgiving at times. She easily gets stuck on feelings of being left out or forgotten, even while we’re actively spending time with her.

One response suggested – Behavior is communication. Give each other grace. You are not the choices you made.

Another offered a perspective which I find valid – She has emotions that she is shoving down because she does not know how to deal with them. A huge part of healing childhood trauma is to grieve the losses that caused the trauma. For her, it was not having you or her father in her life for those years. My suggestion is that you start working on grieving your losses, and be open and honest with her about it (age appropriately). Let her see that you are in denial, angry, bargaining, sad, and finally accepting of what happened. That will give her permission to explore those feelings that she has inside of herself. I would also suggest a trauma/grief informed counselor. 

You were part of your daughter’s wounding, you can play a major part in her healing too. It all starts with the parent healing as an adult. Learning what triggers us, so we can be the calm, consistent adults that our kids need because our calm becomes their calm, our ability to regulate our emotions becomes their ability.

More than one recommended LINK> Trust Based Relational Intervention – which I have seen and mentioned before. TBRI is an attachment-based, trauma-informed intervention that is designed to meet the complex needs of vulnerable children. TBRI uses Empowering Principles to address physical needs, Connecting Principles for attachment needs, and Correcting Principles to disarm fear-based behaviors. While the intervention is based on years of attachment, sensory processing, and neuroscience research, the heartbeat of TBRI is connection.

Someone else suggested mediation. Sometimes a safe person who’s not her parent can help her better understand/hear what you may be trying to communicate (and vice versa). And her suggestion came from personal experience – “I’ve had mediations done with both my and my mother’s therapist, and each time seemed to help shed some light on new aspects of a topic being discussed with our respective therapists.”

And an acknowledgement that I also understand personally – The mere fact that you care so deeply, is absolutely everything. DO NOT ever give up on that. Parenting is so hard, even without the added guilt you carry. All you can do is wake up and do the best you can do for that day.

Finally this from someone who’s been there (and hits me in the guilt place for I have done this too) – I wish my mom had owned her hand in my trauma WITHOUT excuses or trying to push blame onto others. I wish she would have validated my experiences. I wish she would have created and protected a safe space for me to understand and unpack all of the feelings and thoughts I had, preferably with a therapist. I wish she would have spent time one on one with me doing things I cared about, getting to know me deeper. I wish she wouldn’t have told me how hard XYZ was for her, I didn’t care, it wasn’t a competition, I was the helpless child. Even if my mom’s choices were between bad and worse, she was an adult who had brought me with her to that point. I wanted a mom who wanted to BE my mom.

She added – Your bit you wrote about your daughter feeling left out or forgotten hit me like a ton of bricks. That feeling is something I am working on to this day. I felt so out of place with my mom, stepdad, and new baby brother. I knew I was forgettable and honestly with a new baby – replaceable. They felt like a whole little family and I was just the chump she had to come back and get so I could tag along. (blogger’s note – though I never was able to bring my daughter back into my own life fulltime – we did have visits – I did go on to have 2 sons who I have been raising. This caused me to consider how that might feel to her – even though she is an adult with children of her own.)

One more – Focus on being your best self today and in the future. That’s how you can make it up to them, they’re often incredibly wise about this stuff. This way of thinking encourages you to reach a point of acceptance and decide… everyone’s alive, healthy, and you can’t change the past. I think that’s what I would say to my own parents, just sin no more and I don’t want to dwell in the past. (Though there may be times when the wounds bubble back up.)

My own last insight – life is messy, complicated and sometimes very very difficult. We can only acknowledge where we have failed but instead of continually beating ourselves up over that – move forward with being the best person we have managed to be at this time.

ADHD And Struggling

Design and Illustrations by Maya Chastain

I found much of this discussion helpful and so I am sharing it for today’s blog.

The original comment –

My 17 year old son adopted from foster care at 15, after 8 years in care. 2 failed adoptive placements before and he was living in residential treatment for 15 months before he transitioned to my home. He’s been with me for 2 years in total. He has not had contact with any biological family in 5+ years and did not have consistent care givers for the first 7 years of his life. He expresses hate towards his biological family and will not discuss with me.

He’s dealing with depression, anxiety, and ADHD. Although I believe the depression is very long term, today is the first day he has ever said it out loud. He had actively denied it previously. I also deal with depression and the sentiment he described of feeling like nothing even matters is something I’m very familiar with. He’s been let down so many times and I often tell him he’s had a very normal reaction to abnormal circumstances. He is so afraid to hope. He is in weekly therapy and working with psychiatrist. I feel like tonight him acknowledging his depression was a really big step forward. I am trying to help him navigate depression and be more hopeful. He is incredibly intelligent and capable and could really pursue so many opportunities and be well supported in whatever he chooses. He’s sabotaging himself instead. He is an older teenager navigating the transition to adulthood. Thank you for sharing any thoughts.

Response from an Adoptee with Depression and ADHD –

Just to translate some of what you’re saying here and how it may come across. You may not say these things out loud but “could really pursue so many opportunities and be well supported” tells me you probably imply these things:

“You could do so much more if you’d just apply yourself.”

*I’m never going to be good enough*

“Why are you struggling with something this basic”

*I’m stupid and can’t do basic things*

“You self-sabotage a lot”

*Push past burnout and ignore self-care*

My support network lets me move at my own pace. Also learning that I can’t brute force my way past ADHD by being “Intelligent” has helped.

No one really figures shit out until their 20s. Heck – I didn’t figure out anything until my 30s. Gen Z just has more pressure because you can’t live off the salary from an entry level job anymore.

The original commenter replied –

I definitely think this is something I’m struggling with and I appreciate your translation. I think what’s hard for me is that he is 17 but in many way operating as someone much younger. However he has the expectation the he be treated like every other 17 year old. We are fighting regularly because I won’t let him get a driver’s permit or I set structures around bedtime and Internet and he wants freedom. I’m very comfortable trying to meet him where he is and help him grow at whatever rate he grows. But he wants adult freedom and responsibility – he’s simply not ready for and it feels negligent on my part to just give him that because of his age. So I’m trying to help him set meaningful goals for himself, so that he can work towards the things he says he wants but it seems that his depression is a major barrier to working towards those goals.

I’m not rushing him to figure it out or trying to prescribe specific goals. I’m trying to support him in doing what he says he wants to do and having the freedom he wants to have. As a single parent, I’d love for him to have a driver’s license, just as much as he wants it. But how do I help him be ready for that, when the depression he’s experiencing seems to suck any motivation to do the work ?

Response from an Adoptee with Depression and ADHD –

Why can’t he have a learner’s, if you don’t mind me asking ?

People with ADHD (and often undiagnosed co-morbidities) struggle with being infantilized.

You’re talking about controlling bed time when ADHD can come with delayed circadian rhythm and insomnia.

Yes – ADHD often means you have issues keeping up with organizational skills, goal management, emotional regulation and peer relationships. That doesn’t mean you treat that person like a young child. In an environment where controlled exploration is allowed, you develop coping skills.

ADHD – ESPECIALLY as a teenager – means you’re fighting yourself for control of a brain that seems constantly against you. Emotions are hard to regulate. Your rewards system is fucked. Object permanence is a myth. Time is an abstract concept I’ve yet to grasp.

How can you expect a 17 year old to be motivated to control things that are hard and wield an intangible reward like “opportunities,” if he can’t have any control over what’s in front of him that matters.

“Opportunities” offers no tangible reward. My ADHD/PTSD/Depression brain looks at basic chores and goes, “I don’t get why that matters.”

I’m an adult. With therapy and support, I’ve found ways around that. But I also found it after I started having my own boundaries and stopped infantilizing myself.

Meaningful goals don’t work with ADHD. They just put things behind a glass wall you’ll never break. You get frustrated and give up easier.

You need to give him simple goals he can succeed at to build self confidence.

Don’t make freedom a “reward”. It breeds resentment. Work with him to set personal boundaries and schedules. Those won’t look like what works for a neurotypical.

I like “How to ADHD” for life hacks. I also really recommend Domestic Blisters but she’s more aimed at 20 somethings. Catieosaurus is great. She does talk about sexual health on occasion but nothing a 17 year old with Google hasn’t seen.