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.

A Blessing and/or Trauma

This comment, had me looking for an image – Saw a post where a lady has an unplanned pregnancy 2 months into dating. One comment said “adoption is an option”. This woman said – Yeah and a boatload of trauma in the child’s life.

When I found this image, I followed the LINK>Blessing Invalidates Trauma. She writes – When your biggest blessing invalidates my greatest trauma it sets me up for a lifetime of pain, suffering and isolation. It facilitates a lifetime of suicidal ideation, because the pain is just too great to process. It makes me feel more isolated and alone than non-adopted individuals can ever imagine. It makes me wish I was aborted and feeling like I want to die for most of my life, because my pain is greater than my desire to want to live. It drives me to attempt to take my life as a teenager, because you fail to admit I have lost anything. It drives me to a place of addiction, because at the end of every day the only way to manage every day life is to numb the pain. When you use bible scriptures to defend your blessing, it makes me question the bible and the God you are speaking of. When your biggest blessing outshines my reality, it makes me feel unimportant and insignificant. When you refer to me as a blessing, it hurts because you are invalidating my adoptee and relinquishee reality.

She goes on to share a common adoptive parent response to a child’s question – Mommy, did I come out of your tummy? That adoptive mother’s answer goes like this – She loved you so much she gave you to me to raise, and I will always love her and be thankful for her decision.

She goes on to say – I was approximately five years old when this conversation took place, and it’s clear to me that my life was never the same. Every day, I was haunted every hour and every minute wondering, wishing, and dreaming about finding HER.

She also notes – No matter what questions I had or what mental torment I experienced from this moment forward, my adoptive mom’s joy and happiness trumped everything. My feelings didn’t matter when I was her biggest blessing in life, and her joy of being a mother trumped my feelings of sadness every damn day.

She suggests – Today is a new day and a new year. It’s 2020, and when you know better, you do better. More importantly – READ her entire essay !!

Adoption-Related Complex Trauma

Also called Cumulative Trauma – The research is definitive. Adopted kids are not only traumatized by the original separation from their parents, they may also have been traumatized by the events that led to them being put up for adoption. In addition to that, foster care itself is considered an adverse childhood experience.

I recently wrote a blog titled “It’s Simply NOT the Same.” Though the traumas may originate similarly, the outcomes are not the same because just like any other person, no two adoptees are exactly alike. That should not prevent any of us from trying to understand that adoptees carry wounds, even if the adoptee is unaware that the wounds are deep within them.

It is not uncommon for an adopted person and/or the adoptive family to seek mental health services due to the effect of the adoptee experiencing traumatic events. Unfortunately, for psychology and psychiatry clinicians, adoption related training is rare. In my all things adoption group, the advice is often to seek out an adoption competent therapist for good reason.

“What does an adopted baby know ? She knows her mother, she knows her loss, sadness and hurt, she knows that those who hold her today may be gone tomorrow and that she will be the only one left to pick up the pieces that no one seems to think are broken.”
~ Karl Stenske, 2012

The reasons a child is put up for adoption or relinquished are many – an unwanted or unplanned pregnancy, often compounded or driven by a lack of financial resources (poverty) or no familial support to care for a child. Becoming a single parent may simply seem too daunting to an unwed expectant mother. Sadly, for some, a chronic/terminal illness or certain diseases may lead the mother to believe she cannot provide proper care for her baby. Certainly, prolonged substance addiction and/or severe mental health issues (which may be related to addiction) can cause parental rights to be forcefully terminated by child welfare authorities. Adoptees who come out of the child welfare system (legal termination of parental rights by a court of law) cannot legally be returned to their birth families due to safety or other reasons that are considered serious.

Adoption is not always a success. Disruptions and dissolutions do sometimes occur.

Disruptions can happen after the adoption has been finalized when the adoptive parents then experience difficulties with their adopted child. The adoptive parents may have difficulty finding support and the resources they require to deal with the issues that come up.

Risk factors leading to a higher rate of disruptions are: older age when adopted, existing emotional and behavioral issues, having a strong attachment to their birth mother, having been a victim of pre-adoption sexual abuse, suffering from a lack of social support from relatives causing the adoption to occur, unrealistic expectations surrounding the adoption and the child on the part of hopeful adoptive parents, and a lack of adequate preparation and ongoing support for the adoptive family prior to and after the placement.

A devastating occurrence is a dissolution or breakdown. This applies to an adoption in which the legal relationship between the adoptive parents and the adoptive child is severed, either voluntary or involuntarily. Usually this will result in the entry or re-entry of the child into the foster care system, or less commonly a second chance adoption, or even the private transfer of the child from the adoptive parents to a non-vetted receiving parent.

Adoption has been subject to both positive and negative assumptions related to the practice and this is of no surprise to anyone who has studied the practice of adoption for a period of time.

There are 6 main assumptions about the practice of adoption –

[1] Adoption is a joyous event for all involved – known as the Unicorns and Rainbows Fantasy in adoption centric communities; [2] adoption parallels genetic birth experience and a biological family life – which close observation and mixed families (who have both biological and adopted children often belie); [3] once adopted, all of the child’s problems disappear and there will be no additional challenges – rarely true – and often attachment or bonding fail to occur; [4] creating a family through adoption is “false,” only biological families are “real” – this goes too far in making a case because many adults create chosen families – the truth is as regards children, family is those persons we grow up with – believing we are related to them – in my case, both of my parents were adopted and all of my “relations” growing up were non-genetic and non-biological but I have a life history with them and continue to have contact with aunts, an uncle and cousins I obtained through my parents’ adoptions; [5] the adoptive life is better than the biological life the child had or would have had – never a known assumption – more accurately, the adoptee’s life is different than that child would have had, if they had not been adopted; and, [6] closed adoptions are in the best interest of the child – this one was promoted with the intention of shielding adoptive parents from original parents who regretted the surrender, from the child who might yearn for their original family and often in some cases to shield a person operating unscrupulously, such as the baby thief Georgia Tann who sold ill-gotten children. Popular media has reinforced both the positive and the negative messages about adoption and many myths and stereotypes regarding adoptive families and birth parents are believed in society as a whole.

The term “adoption-related complex trauma” is rarely used in discussing symptoms and behaviors. It is more common to see terms such as “developmental trauma” or “complex trauma” to describe the psychological effects found within the adopted population.

The terms complex trauma and complex post-traumatic stress disorder have been used to describe the experience of multiple and/or chronic and prolonged, developmentally adverse traumatic events, most often of an personal nature such as sexual, physical, verbal abuse or of a societal nature such as war or community violence. These exposures often have occurred within the child’s caregiving environment and may include physical, emotional and/or other forms of neglect and maltreatment that begin early in childhood. In the case of infant adoptions, the trauma is non-verbal but stored in the body of that baby – not conscious but recorded.

Some of this content has been sourced from a long dissertation titled Treatment Considerations For Adoption-related Complex Trauma. Anyone interested is encouraged to read more at the link.