When chronic fatigue meets an ADHD brain

Just like it’s much harder for a hypermobile person to recover from an extended period of inactivity and lack of appropriate load-bearing (since I learned this the hard way, I have now heard it coorroberated by many reliable sources of hypermobility-meets-chronic fatigue information) I suspect it’s much harder for a neurodivergent person to recover from extended lack of cognitive load bearing. In fact, across both areas, my whole view of pacing has had to be changed since I was busy writing about it last year, with my source information taken from more neurotypical outlets at that time. So what’s important here is to "use it" in order not to "lose it"…yes…but to adapt the way we “use” and “move” to what we can genuinely cope with at this time, be it recumbent exercise or micro dosed cognitive excursions that we enjoy but don't sustain for too long at a time.

Super syndrome: taking a unified approach to all the things

What if there is a constellation of frequently overlapping health “things” that some of us have going on, all of them connected together so deeply and intrinsically that it makes a nonsense to consider them in a piecemeal fashion? Looking into the findings of a couple of neurodivergent medical professionals who share this view I have so long held and ways we can use the information to further our self-understanding and thus empower ourselves.

What is “rolling PEM”?

Rolling PEM (post extertional malaise) tends to come on quite late after the multiple exertions that caused it, often creeping up on you unseen and then it comes on BIG. Its a trickster because it can even feel good at the time it starts accruing…I hear just so many people saying that they felt so good while they were in the thick of pushing through the big project or doing more exercise than normal or handling the new responsibility at work, that they felt like they were over ME/CFS; that they even thought that maybe they were getting permanently better at last, that it was a sign that they were ready to take on more. At the height of the adrenaline surge, you can feel as though you are more than coping, that things really are improving, that you are putting chronic illness behind you at last, so you then feel more confident to take on more of the "normal" things than you would otherwise dare...until, suddenly, it has the last laugh! I recently heard a description of it that went along these lines: if normal PEM is a debt that you always have to pay back after the energy overspend, like repaying a bank loan, then rolling PEM is like having to pay back a loan shark with unimaginable amounts of interest added on top. You really don't want to be indebted to that kind of debt collector because it will be utterly ruthless to deal with; there will be no more negotiating or delaying to be had, absolutely no leeway for extenuating circumstances given!

Life in the gap: coercing an AuDHD brain to work within the energy parameters of ME/CFS

Learning how to slow down, how to pace or stop everything including your overactive mind may be the biggest achievement of your life with ME/CFS when you are also AuDHD because it is THE hardest thing for you...yet slow down or stop you must. The point is, those spaces and pauses between exertion and overthinking, that very void you always dreaded, may hold the very healing elixir, the antedote, you've probably chased after all these years but getting into this state is always doubly tough for you and takes such persistence and focus...perhaps more effort than all the things you ever filled-up all your days with before.

Hyper: when your body doesn’t behave in predictable ways

Curly tubes, slow motility, mystery pain, treatment outcomes that don't "take" for very long, delayed and paradoxical responses and an ongoing tricky relationship with gravity...exploring some of the quirks of living with a hypermobile body.

Learning to ADHD pace…the hardest but most powerful thing you will ever do

The constant play-off between the two sides of AuDHD can be such a challenge to live with as well as such a blessing. Having parts that both provoke and complement each other is precarious in the extreme and not for the faint-hearted. It's also far too simplistic to describe ADHD (or autism for that matter) as a superpower, not to mention dismissive of its many hardships but there can be some perks when it comes to recovering from burnout, ideally before it turns into a chronic state. Exploring how ADHD can throw you a lifeline at times of health crash but also the importance of pacing...before you allow yourself to become burned out yet again!

Assessing the true price of the deep dive

If you are extremely prone to taking deep dives, the time comes for asking: What is the true price of doing this in terms of its impact on self-care; is it all worth it? What do I gain from this latest obsession? Is my self-care repeatedly suffering, coming second-best to my latest fixation? Have I succeeded in traumatising myself in the name of a few inches of increased knowledge? What did I lose, in terms of blissful ignorance or humanising innocence, when I opened up that latest can of worms? Should I continue or just drop it now, like a hot potato, to reclaim my peace of mind? Can I break this trend of pushing myself too hard, too relentlessly, without first assessing the value of what I am doing or whether my nervous system would rather be doing something else or even has the reserves to cope? Can I allow that it’s not always a waste of time to be less driven or intense? Can I guide my inbuilt intensity into more benign practices that generate joy and not so much discontent, fear and trauma? Can I actually learn to steer this neurodivergent vehicle of mine instead of running it off the rails?

Adult ADHD challenge: When you know you need to stop everything for while…but its a real struggle to do so

As someone with ADHD I can never completely stop or relax. I end up laughing at myself for my lack of ability to sustain even the most inviting moments of peace and inactivity for very long but I am also mortified. Almost as soon as I have clocked the perfection of such a moment, like taking a minds-eye photograph of it, I am already prepared to dismantle it and move on to the next thing. Its as though I am designed to blow-up such moments of completion, some part of me utterly compelled to drop the pebble in the smooth pond, like I just cant help myself!