Tag: Insomnia

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.

What is C-PTSD ?

Most of us have heard of PTSD but until this morning, I didn’t know there was a more severe version called Complex-PTSD.

Most people who have looked at adoption very closely already know that trauma is an aspect of having been surrendered to adoption for most adoptees.  I’ve become so steeped in it that I can recognize effects now in statements made by an adoptee that to them a vague issues they still don’t know the source of.  This lack of awareness occurs most often in teenagers and young adults.  Most mature adoptees have worked through many of these and may have had some counseling or therapy to help them uncover the underlying emotions and possible sources of these.

Complex PTSD, however, is specific to severe, repetitive trauma that typically happens in childhood – most often abuse.  On the surface, both PTSD and C-PTSD both come as the result of something deeply traumatic, they cause flashbacks, nightmares and insomnia, and they can make people live in fear even when they are safe.

The very heart of C-PTSD – what causes it, how it manifests internally, the lifelong effects (including medically), and its ability to reshape a person’s entire outlook on life – is what makes it considerably different.

PTSD typically results from “short-lived trauma”, or traumas of time-limited duration. Complex PTSD stems from chronic, long-term exposure to trauma in which a victim has limited belief it will ever end or cannot foresee a time that it might. This can include: child abuse, long-term domestic violence, being held in captivity, living in crisis conditions/a war zone, child exploitation, human trafficking, and more.

The causal factors are not all that separates PTSD from C-PTSD. How their symptoms manifest can tell you even more. PTSD is weighted heaviest in the post-traumatic symptoms: nightmares, flashbacks, hyperarousal/startle response, paranoia, bursts of emotion, etc.

C-PTSD includes all the symptoms of PTSD as well as a change in self-concept. How one sees themselves, their perpetrator, their morals and values, their faith in others or a god. This can overhaul a survivor’s entire world view as they try to make sense of their trauma and still maintain a belief that they, and the world around them, could still be good or safe.

When an adult experiences a traumatic event, they have more tools to understand what is happening to them, their place as a victim of that trauma, and know they should seek support even if they don’t want to. Children don’t possess most of these skills, or even the ability to separate themselves from another’s unconscionable actions. The psychological and developmental implications of that become complexly woven and spun into who that child believes themselves to be — creating a messy web of core beliefs much harder to untangle than the flashbacks, nightmares and other post-traumatic symptoms that come later.

The effects are usually deeply interpersonal within that child’s caregiving system. Separate from both the traumatic events and the perpetrator, there is often an added component of neglect, hot-and-cold affections from a primary caregiver, or outright invalidation of the trauma, if a child does try to speak up. These disorganized attachments and mixed messages from those who are supposed to provide love, comfort and safety – all in the periphery of extreme trauma – can create unique struggles.

Credit for this blog and for the beginning of my education in this new concept goes to Beauty After Bruises.