Tag Archives: ADHD

Divergent Sleep

Introduction to Sleep and Neurodevelopmental Disorders

Sleep plays a crucial role in everyone’s health, but it holds a special significance in the management of neurodevelopmental disorders such as Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD). Understanding the unique sleep challenges faced by individuals with ASD and ADHD across various stages of life can improve interventions and support better daily functioning.

Neurotransmitter Functions in Sleep:

  • Serotonin: Often referred to as a key hormone that stabilizes mood, feelings of well-being, and happiness, serotonin also helps regulate sleep and digestive functions. In individuals with ASD and ADHD, serotonin levels are often dysregulated, which can contribute to sleep disturbances.
  • Dopamine: This neurotransmitter plays a significant role in controlling the reward and pleasure centers of the brain, motor movements, and focus levels. Fluctuations in dopamine can affect sleep initiation and maintenance, particularly impacting individuals with ADHD.
  • Norepinephrine: Acts as both a hormone and a neurotransmitter, norepinephrine helps the body respond to stress and increases alertness and arousal. Dysregulation can lead to difficulties in settling down for sleep among those with ADHD.

Genetic and Environmental Influences:

  • Recent research points to genetic mutations in certain circadian rhythm genes in individuals with ASD, suggesting a biological underpinning for sleep disruptions.
  • Environmental factors, such as exposure to artificial lighting, can further disrupt the natural alignment with the day-night cycle, exacerbating sleep issues in both ASD and ADHD populations.

Additional Factors Affecting Sleep in ASD and ADHD

  • Anxiety and depression, which are common comorbid conditions in both ASD and ADHD, can significantly impact sleep, leading to insomnia or disrupted sleep patterns.
  • ADHD often coexists with other sleep-related disorders like restless leg syndrome or sleep apnea, which can interrupt sleep architecture and reduce sleep quality.

Age-Specific Sleep Interventions

For Children and Adolescents:

  • Behavioral interventions: Techniques such as bedtime fading (gradually delaying bedtime to match the child’s natural sleep cycle) and teaching self-soothing skills can be particularly beneficial.
  • Parental training: Educating parents on gentle sleep interventions that can be applied consistently and effectively.

For Adults:

  • Cognitive Behavioral Therapy for Insomnia (CBT-I): This structured program helps adults address the thoughts and behaviors that prevent them from sleeping well. It involves techniques like stimulus control therapy and sleep restriction therapy, tailored to address the unique challenges faced by adults with ASD and ADHD.

Advanced Recommendations for Sleep Environment Modifications

Technology and Gadgets:

  • Use of weighted blankets to provide deep pressure stimulation, which can help increase serotonin levels and decrease cortisol levels, potentially aiding in better sleep.
  • Advanced sleep monitors that can track sleep stages and provide insights into sleep patterns, helping individuals and healthcare providers understand and manage sleep disturbances more effectively.

Conclusion: A Holistic Approach to Sleep Management

Enhancing sleep quality for individuals with neurodevelopmental disorders involves a multi-faceted approach that incorporates understanding biological, psychological, and environmental impacts on sleep. By adopting personalized strategies and interventions, significant improvements in sleep and, consequently, overall quality of life can be achieved.

Understanding Autism

Understanding Autism: Bridging Cognitive Connections

Exploring the ‘Why’: Autism and the Quest for Cognitive Clarity

The persistent questioning of “why” by autistic individuals is intimately linked to the unique neurodevelopmental characteristics of their brains, specifically regarding connectivity issues. Autism is associated with atypical neural connectivity, meaning how neurons communicate across different brain regions varies from non-autistic individuals. This variation can lead to challenges in intuitively integrating complex social, emotional, and sensory information, necessitating a more analytical approach to understanding the world.

The Role of “Why” in Completing Neural Circuits

Asking “why” and receiving a clear, detailed answer helps autistic individuals bridge gaps in their intuitive understanding of social and physical systems. This process is akin to completing a circuit in the brain, allowing for a fuller understanding of a situation or concept that was previously ambiguous or anxiety-inducing. By filling in the missing links between cause and effect, autistic individuals can reduce the anxiety associated with the unknown, providing a sense of cognitive closure.

Systemizing as a Coping Mechanism

The trait of systemizing—breaking down systems into understandable parts and comprehending their cause-and-effect relationships—is a strength often found in autistic individuals. This approach mirrors their need to understand the processes that neurotypical individuals might grasp intuitively explicitly. For example, while a neurotypical person might know that turning a key starts a car’s engine, an autistic individual benefits from knowing the sequence of mechanical events triggered by this action. Understanding the intricate steps between the critical turn and the engine’s start diminishes anxiety by demystifying the process, making the world more predictable and manageable.

The Importance of Explicit Explanation

Given the challenges with neural connectivity, explaining the steps involved in everyday tasks can significantly aid autistic individuals in building their understanding of various systems, including social interactions. Repeating these explanations helps form and strengthen neural connections that might not develop as naturally or as quickly as in non-autistic brains. This process of repetition and reinforcement is not indicative of intellectual disability but rather a different pathway to learning and understanding the world.

Patience, Repetition, and Positive Reinforcement

For autistic individuals and those in their support networks, patience and positive reinforcement are crucial. The repetition required to establish these neural connections should be approached with kindness and understanding, avoiding negative associations that hinder learning and acceptance. Autistic individuals are encouraged to practice patience with their unique learning processes, recognizing the effort and time it takes to “fabricate” these mental “parts” or connections.

Understanding Autism with Respect

Treating the quest for understanding with respect and providing clear, explicit information can significantly ease the cognitive and emotional load for autistic individuals. Like providing a cane to a blind person to navigate physical spaces, clear explanations act as a tool to navigate cognitive and social realms. This supportive approach fosters independence, reduces anxiety, and builds a foundation for more confident and self-assured interaction with the world.

Exploring Together: Nurturing Curiosity and Learning in Autistic Children

Encouraging curiosity and a quest for knowledge can be particularly impactful for autistic children, who often have a natural inclination towards understanding the world in a systemic and detailed way. Engaging with your child in exploratory and educational activities can foster a lifelong love for learning and discovery. Here’s how to embrace this journey of exploration and make it a rewarding experience for you and your child.

Encouraging Exploration and Curiosity

  1. Become Investigators Together: Use your child’s questions as a starting point to explore topics of interest. Whether it’s how plants grow, why the sky is blue, or how computers work, turn each question into a mini research project.
  2. Utilize Libraries and Online Resources: Libraries are treasure troves of information. Introduce your child to the library early on, showing them how to look up books on subjects they’re curious about. For online exploration, websites like Khan Academy, National Geographic Kids, and PBS Kids offer free educational content that’s engaging and informative.
  3. Watch Documentaries: There’s a documentary on nearly every topic imaginable. Platforms like YouTube and various educational TV channels offer documentaries that can spark interest and provide in-depth answers to many “why” questions.
  4. Visit Museums and Educational Centers: Museums, science centres, and botanical gardens offer hands-on learning experiences that can be incredibly stimulating. Many of these places offer free days or discounted tickets for children.
  5. Crafts and DIY Projects: Engage in crafts or DIY projects with a learning element—like building a simple circuit, assembling a model, or cooking together. These activities teach processes and systems and offer a tangible reward.
  6. Dismantle and Rebuild: Collect old mechanical items from thrift stores (like clocks, computers, or small appliances) and take them apart to see how they work inside. This hands-on approach can demystify technology and mechanical systems.
  7. Create a Sensory Board: Make a board with knobs, switches, textures, and lights. This can be a fascinating project for tactile exploration and understanding of cause and effect.
  8. Nature Projects: Planting seeds and watching them grow into plants can teach patience, care, and the cycle of life. Keeping a pet, like a lizard, can also introduce responsibility and the steps of care.

Fostering Communication Through Learning

  1. Make Communication a Learning Experience: Talk to your child about things you know, turning everyday moments into learning opportunities. Emphasize that communication allows us to ask questions, share discoveries, and learn more.
  2. Simplify Communication: Start with essential communication—simple phrases like “please” and “thank you,” “yes” and “no.” The complexity of language can evolve as their comfort with communication grows.
  3. Incorporate Social Rewards: In games and group activities, show how communication is essential for cooperation and achieving goals. Highlight the social rewards of effective communication, such as making friends, sharing interests, and working together.
  4. Encourage Expressing Feelings: Teach your child simple ways to express their feelings and needs. Understanding and verbalizing emotions can be a significant step in social development.

Conclusion

Exploring the world with your autistic child, inviting them into the wonders of discovery, and learning together can enrich their understanding and foster a positive approach to challenges. Being an interactive parent encourages academic learning and social and emotional growth, providing a foundation for long-lasting positive effects on their development. Engaging with your child in these ways shows them that the world is full of questions waiting to be answered, and together, you can find those answers.

Journey Through Knowledge

Free Online Resources For Kids

  • Sesame Street offers a variety of educational videos and games focused on letters, animal sounds, rhymes, and more, perfect for younger children​ (Verywell Family)​.
  • Starfall provides interactive games and activities for children in pre-K through grade 3, focusing on math, reading, and writing​ (Starfall)​.
  • Khan Academy Kids is a free, award-winning program offering educational activities for children ages two to eight, covering subjects like literacy, math, and social-emotional skills​ (Khan Academy)​.
  • The Exploratorium offers free educational activities and exhibits online for arts, sciences, and math, making learning fun and interactive​ (From ABCs to ACTs)​.
  • PBS Kids features educational shows with sing-a-long songs, sorting and counting games, and more​ (Verywell Family)​.
  • Duolingo can help children learn a second language through simple, bite-sized lessons​ (Busy Mom Smart Mom)​.
  • Mr. Nussbaum provides a wide variety of interactive educational games for kids in K-8th grade across various subjects​ (From ABCs to ACTs)​.

Organizations that provide Tech Devices

  • WonderBaby.org outlines various ways to obtain a free iPad for children with special needs, including through insurance companies, school districts, and grants from organizations like Little Bear Gives, Different Needz Foundation, and First Hand Foundation. They emphasize the importance of presenting a clear case for the need for an iPad as a communication or educational tool​ (WonderBaby)​.
  • The Autism Spectrum Disorder Foundation’s iPad For Kids Program offers iPads to help nonverbal autistic children with communication and learning, demonstrating the revolutionary impact such devices can have on breaking communication barriers​ (Autism Spectrum Disorder Foundation)​.
  • Navigate Life Texas provides a comprehensive overview of assistive and adaptive technology available for children with disabilities, including high-tech options like iPad apps. They emphasize how such devices can aid in daily life, from communication to organization​ (Navigate Life Texas)​.
  • In the UK, the Digital Lifeline Fund was established to offer free tablets to low-income groups with learning disabilities. This initiative aims to mitigate digital exclusion and support individuals’ mental health and well-being during the pandemic​ (Tech Monitor)​.
  • Meriah Nichols’ website also lists free resources and assistance for children with disabilities, highlighting the broader support landscape for families seeking technological aids​ (Meriah Nichols)​.

History of Learning Disabilities

Understanding the Historical Journey of Learning Disabilities and Neurodiversity

The history of understanding and intervening in learning disabilities, including conditions like Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD), has evolved significantly over the years. This evolution reflects broader changes in societal attitudes towards mental health, neurodiversity, and education. Below is an in-depth look at key milestones, important events, and the changing goals of interventions.

Early Beginnings (Pre-20th Century)

  • Before 1900s: Little was understood about learning disabilities. Children with these difficulties were often labelled as lazy or unintelligent. There was minimal recognition of neurodevelopmental disorders as distinct conditions.

Emergence of Concepts (Early 20th Century)

  • 1902: Sir George Frederick Still described a group of children with significant difficulties in sustaining attention and self-regulation, a condition we would now associate with ADHD.
  • 1930s-1940s: Swiss psychiatrist Eugen Bleuler first used the term “autism” to refer to a group of symptoms involving difficulty in social interactions and communication. However, his definition was broad and did not exclusively focus on what we recognize as ASD today.

Post-War Period and Increasing Awareness (Mid-20th Century)

  • 1943: Leo Kanner published a landmark paper describing 11 children who exhibited “early infantile autism,” a condition characterized by social withdrawal, a desire for sameness, and language peculiarities.
  • 1944: Hans Asperger described a similar condition, known as Asperger’s syndrome, highlighting individuals with significant difficulties in social interaction but with preserved linguistic and cognitive development.
  • 1960s: The term “learning disabilities” began to be used, recognizing that some children faced significant challenges in some academic regions despite having average or above-average intelligence.

Legislative and Educational Frameworks (Late 20th Century)

  • 1970s-1980s: Recognition of ADHD and learning disabilities led to the development of educational and legislative frameworks to support individuals with these conditions. The Education for All Handicapped Children Act (1975) in the United States required public schools to provide equal access to education for children with disabilities.
  • 1987: The DSM-III-R included a broader definition of autism, leading to increased recognition and diagnosis rates.

Neurodiversity and Mainstream Recognition (Late 20th Century to 21st Century)

  • 1990s: The concept of neurodiversity emerged, promoting the idea that neurological differences should be recognized and respected as a social category similar to ethnicity, gender, or sexual orientation.
  • 2000s-Present: There has been a growing understanding of the spectrum nature of autism and ADHD, recognizing the diversity of experiences and challenges faced by individuals. The DSM-5, published in 2013, reflected this understanding by merging all autism disorders into a single diagnosis of ASD.
  • 21st Century: Advances in technology and education have led to more personalized approaches to support individuals with learning disabilities, including the use of assistive technology, tailored educational strategies, and increased emphasis on inclusion and support in both education and the workplace.

Goals of Interventions

  • Early Goals: Initially, interventions aimed to “correct” or “cure” learning disabilities and behavioral issues.
  • Modern Goals: Today, the focus has shifted towards supporting independence, enhancing strengths, and providing accommodations that allow individuals with learning disabilities, including ASD and ADHD, to thrive in their personal and professional lives.

The history of learning disabilities and interventions is a testament to the progress in understanding human diversity and the importance of providing support that respects individual differences. While much has been achieved, ongoing research, advocacy, and education play crucial roles in furthering the inclusion and success of individuals with learning disabilities.

Neuroticism

Understanding Neuroticism: Navigating the Complex Landscape of Emotional Sensitivity

Neuroticism is one of the five major dimensions of personality in the Five Factor Model, also known as the Big Five personality traits. It refers to a tendency toward emotional instability, anxiety, moodiness, worry, and sadness. Individuals with high levels of neuroticism are more likely to experience a range of negative emotions compared to those who score lower on this trait. It’s important to note that neuroticism is a normal personality trait and varies widely across the population.

Key Characteristics and Behaviors

  • Emotional Sensitivity: High levels of emotional sensitivity and susceptibility to stress are hallmarks of neuroticism. Individuals high in neuroticism may react more intensely to stressors and may take longer to return to a baseline emotional state.
  • Anxiety and Worry: Individuals with high neuroticism often experience heightened levels of anxiety, worry, and fear, even in situations that might not provoke such responses in others.
  • Mood Fluctuations: Frequent mood swings and a tendency toward sadness or depression can also characterize high neuroticism. Such individuals might find it challenging to maintain a consistently positive outlook on life.
  • Self-Criticism: High neuroticism is associated with a propensity for self-doubt and extensive self-criticism. Individuals might be overly concerned with perceived failures and weaknesses.
  • Difficulty Dealing with Stress: People high in neuroticism may have a harder time coping with stress, often resorting to less effective coping mechanisms.

Implications on Life

The implications of neuroticism on an individual’s life can be profound, affecting personal relationships, work performance, and overall well-being.

  • Relationship Challenges: High neuroticism can strain relationships due to increased sensitivity to criticism, difficulty regulating emotions, and a tendency toward conflict or withdrawal in stressful situations.
  • Work and Academic Performance: Anxiety and stress associated with high neuroticism can impact concentration and productivity, potentially affecting work and academic performance.
  • Mental Health: There is a strong correlation between high levels of neuroticism and the risk of developing mental health disorders, including anxiety disorders, depression, and others. It’s important for individuals high in neuroticism to be aware of this risk and seek support when needed.
  • Physical Health: High neuroticism has been linked to poorer physical health outcomes, partly due to stress-related behaviors and potentially less effective stress management strategies.

Limitations

While neuroticism can present challenges, it’s crucial to recognize that it also relates to being deeply attuned to one’s environment and emotions, which can be advantageous in certain contexts. However, the limitations often associated with high neuroticism include:

  • Stress Management: Difficulty in managing stress and a tendency to perceive situations as more stressful than they are can lead to chronic stress and related health issues.
  • Risk Aversion: High neuroticism may lead to excessive caution or avoidance of risk, potentially limiting personal growth and opportunities.
  • Perception and Experience of Well-being: The propensity to experience negative emotions more frequently can affect one’s overall sense of well-being and satisfaction with life.

Understanding neuroticism as a personality trait involves acknowledging the full spectrum of human emotions and recognizing the strategies and support that can help individuals manage the challenges associated with high levels of neuroticism. Therapy, mindfulness practices, and developing effective coping mechanisms can significantly improve the quality of life for those who score high in this trait.

Neuroticism in Neurodivergent Individuals

Neurodivergent individuals often experience the world more intensely due to differences in sensory processing, executive functioning, and social communication. When combined with neuroticism, this intensity can exacerbate feelings of anxiety and stress, leading to heightened emotional responses to everyday situations. Neurodivergent individuals may also face additional stressors, such as navigating social expectations and environments not designed with their needs in mind, further contributing to neurotic tendencies.

The Negative Thinking Feedback Loop

A significant challenge for individuals high in neuroticism, including those who are neurodivergent, is the tendency to fall into a negative thinking feedback loop. This loop is a cognitive process where negative thoughts reinforce themselves, leading to increased worry, anxiety, and stress. For neurodivergent individuals, who may already be more sensitive to their environments, this loop can be particularly debilitating, making it difficult to break free from patterns of negative thinking.

The brain’s preference for negative thinking, a phenomenon known as the negativity bias, plays a critical role in this feedback loop. This bias means that the brain is more likely to focus on and remember negative experiences or information over positive ones. While this mechanism can be protective, helping individuals recognize and avoid threats, it can also lead to an overemphasis on negative thoughts and feelings.

Strategies to Break the Negative Thinking Loop

Breaking free from the negative thinking feedback loop is essential for managing neuroticism, especially in neurodivergent individuals. Here are some effective strategies:

  • Engaging Activities: Distracting oneself with activities that engage the brain can be a powerful tool in interrupting negative thought patterns. Activities that require concentration and focus, such as puzzles, reading, art, or physical exercise, can shift attention away from negative thoughts and provide a sense of accomplishment and relief.
  • Mindfulness and Meditation: Practices that promote mindfulness and meditation can help individuals become more aware of their thought patterns, allowing them to recognize the onset of negative loops and redirect their focus to the present moment.
  • Cognitive Behavioral Techniques: Techniques derived from cognitive-behavioral therapy (CBT) can be particularly effective. These techniques involve identifying and challenging negative thoughts, replacing them with more balanced and realistic perspectives.
  • Structured Routines: For neurodivergent individuals, structured routines can provide a sense of predictability and control, reducing the opportunities for anxiety and negative thoughts to escalate.

By recognizing the unique challenges neurodivergent individuals face in managing neuroticism and the negative thinking feedback loop, targeted strategies can be employed to support their well-being. Utilizing methods that engage the brain in positive, focused activities, alongside mindfulness and cognitive-behavioral strategies, can offer practical ways to mitigate the impact of neuroticism and promote a more balanced emotional landscape.

Openness to Experience

Embracing Novelty: A Guide to Openness in the Neurodivergent Mind

Openness, a spark of curiosity and creativity, stands as one of the Big Five personality traits. It paints a picture of a person’s readiness to dive into new experiences, soak in art, embrace various cultures, and welcome a world of ideas.

A Peek Into Openness

At its core, Openness to Experience is like being an explorer at heart. Imagine someone who:

  • Crafts worlds out of words, finding joy in the abstract and the yet-to-be.
  • Is a lifelong learner, driven by an insatiable curiosity about the world’s countless stories.
  • Sees art and beauty as soul food, feeling life more vividly through melodies and hues.
  • Approaches life’s questions with an open mind, ready to consider the road less traveled.
  • Lives richly, embracing a spectrum of emotions and deep reflections.

Openness in Daily Life

This trait doesn’t just decorate one’s personality; it shapes life paths, relationships, and self-growth.

  • Career and Creativity: Open individuals often find themselves in fields that feed their creativity and thirst for knowledge, like the arts or sciences.
  • Adapting to Change: Their love for exploration makes them naturals at adapting, turning them into assets in fast-paced or innovative settings.
  • Richer Relationships: Openness can deepen bonds through shared discoveries and emotional depth. Though, it’s worth noting, differences in openness levels can sometimes spark misunderstandings.
  • A Quest for Growth: It’s about a personal evolution, seeking to understand the self and the cosmos more intimately.

The Flip Side

Every coin has two sides. High openness might lead to:

  • Feeling swamped by endless possibilities.
  • Occasionally bumping into practical life’s less thrilling demands.
  • Being misunderstood by those who prefer the familiar over the novel.
  • The risk of always chasing the new, potentially overlooking the beauty of the now.

Openness Through a Neurodivergent Prism

Neurodivergence – encompassing conditions like ASD, ADHD, and dyslexia – introduces unique textures to the canvas of openness.

  • Passionate Pursuits: Many neurodivergent folks have deep, focused interests, showcasing remarkable openness within specific domains.
  • Innovative Thinking: They often bring fresh, creative solutions to the table, thanks to a unique perspective on the world.
  • A Different Sensory World: Heightened sensory experiences may translate into a profound appreciation for art and nature, akin to openness’s love for beauty.

Embracing Openness, Navigating Challenges

Embracing new experiences might look different for someone neurodivergent, balancing between the thrill of curiosity and the comfort of routine.

  • Honoring Special Interests: Integrating passionate interests with new explorations can make learning an adventure.
  • Creating Comfortable Newness: Introducing novelty in safe, structured ways can ease the anxiety of the unknown.
  • Celebrating Uniqueness: Valuing the distinctive ideas and creations neurodivergent minds bring helps foster a culture of openness and innovation.

Making Openness Accessible

Understanding and supporting openness in neurodivergence lights up paths to personal growth and collective enrichment. It’s about creating spaces where everyone’s explorative spirit can soar, respecting individual needs while celebrating shared human curiosity. After all, every mind holds a universe, and embracing openness invites us to discover them together.

2015 Personality Lecture 18: Openness – Creativity & Intelligence

Creativity and intelligence are both fundamental traits, part of Big Five Openness, and powerful determinants of innovation and general performance at complex tasks, respectively.

2015 Personality Lecture 18: Openness – Creativity & Intelligence Jordan B. Peterson

2017 Personality 19: Biology & Traits: Openness/Intelligence/Creativity II

AUDIO CORRECTED VERSION: In this lecture, I complete my discussion of Big Five trait openness to experience, which is the dimension composed of an amalgam of creativity and intelligence. I also discuss IQ: how it is measured, what it means, how powerfully it predicts long-term life success, as well as the highly skewed Pareto distribution of creative production.

2017 Personality 19: Biology & Traits: Openness/Intelligence/Creativity II Jordan B Peterson

Sensory Processing and Substance Abuse

Sobriety Straight Facts

ADHD and Substance Abuse: Studies have shown that adults with ADHD are approximately 1.5 times more likely to have substance use disorders than those without ADHD. Additionally, around 25% to 40% of adults with substance use disorders are estimated to have ADHD.

Autism Spectrum Disorder (ASD) and Substance Use: Research is more limited in this area, but one study suggested that young adults with ASD are 9 times more likely to have alcohol and substance use problems compared to their neurotypical peers.

Overstimulation with no coping mechanisms is an epidemic. Studies estimate that 25% of people in correctional facilities have ADHD.

Sensory Processing Challenges and Substance Use: Navigating the Path Between Overstimulation and Understimulation in Neurodivergent Individuals

Exploring the intricate relationship between sensory processing difficulties and substance use, particularly among neurodivergent individuals, reveals a nuanced interplay of self-medication practices, emotional regulation, and the quest for sensory equilibrium. This deeper understanding not only highlights the complexities inherent in sensory processing challenges but also underscores the imperative for comprehensive support mechanisms that prioritize understanding and addressing the root causes of sensory dysregulation.

Overstimulation and Substance Use: Navigating the Sensory Maze

  • Seeking Solace in Numbness: Individuals grappling with frequent overstimulation may resort to substances like alcohol or sedatives, aiming to mitigate the sensory onslaught. This numbing effect offers a reprieve, allowing for a semblance of normalcy in overwhelmingly sensory environments.
  • Emotional Equilibrium: The turbulence of emotions that accompanies overstimulation—ranging from anxiety to agitation—often leads individuals down the path of substance use as a means to regain emotional balance. Alcohol, for instance, becomes a tool to dull the sharp edges of anxiety, offering a fleeting sense of calm.
  • Alleviating Physical Distress: Overstimulation isn’t solely a sensory or emotional challenge; it manifests physically, prompting some to turn to pain medication as a salve for the sensory-induced discomfort.

Understimulation and the Quest for Sensory Fulfillment

  • The Pursuit of Sensory Richness: For those experiencing understimulation, stimulants’ allure lies in their capacity to amplify sensory experiences, fostering a connection to the environment that feels otherwise elusive.
  • Breaking the Monotony: The boredom of understimulation can drive individuals to use substances to inject novelty or excitement, challenging the sensory status quo.
  • Emotional Seeking: Similar to their overstimulated counterparts, individuals facing understimulation might engage with substances to craft an emotional landscape that their everyday sensory experiences fail to provide, chasing euphoria or a sense of well-being.

The Spiral into Substance Abuse

Leveraging substances as a coping strategy for sensory processing challenges is fraught with risks, including the potential for dependency and abuse. What begins as an attempt to manage sensory and emotional states can evolve into a cycle of reliance, where the absence of the substance leaves the individual feeling incapable of navigating their sensory world.

Concluding Thoughts: A Path Forward

The intricate dance between sensory processing challenges and substance use underscores the need for a nuanced approach to support, one that goes beyond symptom management to address the core of sensory dysregulation. It beckons a shift towards comprehensive strategies that embrace the complexity of neurodivergence, offering pathways to sensory integration that eschew reliance on substances. This journey, while complex, illuminates the possibility of a future where individuals are empowered to navigate their sensory experiences with resilience and grace.

Your journey is not alone; theneurodivergentbrain.org is a heartfelt initiative born from understanding the struggle against sensory overstimulation and its impact on daily life, especially regarding substance use. I have been there and was there for almost twenty years due to being constantly overstimulated. It is so much better now to manage my Autism and ADHD using everything I’ve shared on this site. I don’t want anyone ever to feel like I have felt, which is why I made this site.

Resources

Resources

Navigating Through Social Discrimination While in Recovery

Resource Blog for Sobriety
  1. ADHD and Substance Abuse: Studies have shown that adults with ADHD are approximately 1.5 times more likely to have substance use disorders than those without ADHD. Additionally, around 25% to 40% of adults with substance use disorders are estimated to have ADHD.
  2. Autism Spectrum Disorder (ASD) and Substance Use: Research is more limited in this area, but one study suggested that young adults with ASD are 9 times more likely to have alcohol and substance use problems compared to their neurotypical peers.
  3. Treatment and Support: Neurodivergent individuals with substance use disorders often require tailored support and interventions. The co-occurrence of substance abuse and neurodevelopmental disorders necessitates a comprehensive approach that addresses both issues concurrently.
  4. Resources for Substance Abuse:
    • Substance Abuse and Mental Health Services Administration (SAMHSA): SAMHSA provides a national helpline that offers free, confidential help for individuals facing substance abuse or mental health issues. Their website also includes a treatment locator tool. Website: www.samhsa.gov
    • National Institute on Drug Abuse (NIDA): NIDA offers extensive research and educational materials on substance use and addiction, including resources specifically related to various populations. Website: www.drugabuse.gov
    • Alcoholics Anonymous (AA) and Narcotics Anonymous (NA): These organizations offer support groups for individuals struggling with alcohol and substance use disorders, respectively. Websites: www.aa.org and www.na.org

Late diagnosis ASD Mind Buffering

Understanding Delayed Processing in Late Diagnoses Autism: Navigating Life with a Unique Cognitive Lens

Delayed processing is a distinctive cognitive characteristic often observed in individuals with Autism Spectrum Disorder (ASD), playing a crucial role in shaping their daily experiences and interactions. While ASD encompasses a broad spectrum of symptoms and traits, delayed processing refers explicitly to the prolonged time it takes an individual with autism to interpret, respond to, and integrate information from their environment, particularly in social contexts. This aspect of autism can significantly affect various dimensions of life, including communication, social engagement, emotional regulation, and decision-making. For individuals who receive a diagnosis of ASD later in life, recognizing delayed processing can be a pivotal moment, offering a new lens through which to understand their lifelong challenges and quirks. Such a revelation not only aids in self-understanding but also underscores the importance of tailored support and strategies to navigate a world that often prioritizes immediate response and quick decision-making. Understanding delayed processing is vital not only for the affected individuals but also for society at large, as it fosters empathy, inclusion, and a deeper appreciation of how people perceive and interact with the world around them.

Individuals with Autism Spectrum Disorder (ASD) who receive a diagnosis later in life often navigate daily life with nuanced challenges, particularly in social interactions and communication, without a clear understanding of the underlying reasons for their experiences. Delayed processing, a characteristic some individuals with ASD experience, can significantly impact their understanding and response to social cues and verbal communication. This can manifest in various ways, influencing their social interactions, emotional regulation, and overall communication effectiveness.

Examples of Delayed Processing in Daily Life

  • Delayed Reaction to Conversations: An individual might not fully grasp what was said in a conversation until hours later. This delay in processing can lead to misunderstandings and missed opportunities for engagement or clarification.
  • Agreeing without Understanding: Saying “yes” to questions or requests without fully understanding the implications or content of what was asked can lead to confusion and stress when the expected actions based on that agreement are not met.
  • Struggles with Social Exchanges: Difficulty in generating appropriate responses or “comebacks” in conversations. This often stems from not processing the social cue quickly enough to respond in real-time, leading to awkward pauses or missed cues.
  • Increased Processing Time Under Stress: Emotional arousal or stress can further slow processing, making it even more challenging to understand and respond appropriately during emotionally charged conversations or situations.

Communication Strategies for Supporting Delayed Processing

Understanding and accommodating delayed processing in individuals with ASD, especially those diagnosed later in life who might not have had support strategies in place, is crucial for effective communication. Here are some strategies that can help:

  • Use Clear and Concise Language: Simplifying language and being direct can help reduce the cognitive load, making it easier to process the communicated information.
  • Avoid Overwhelming with Questions: Bombarding an individual with multiple questions or complex information can overwhelm their processing capabilities. It’s more effective to give information or ask questions in a staggered manner, allowing time for processing.
  • Patience is Key: Recognizing that there is no “quick answer” for some individuals with ASD underscores the importance of patience in communication. Rushing or pressuring for immediate responses can exacerbate stress and hinder effective communication.
  • Non-Verbal Cues and Written Communication: Utilizing visual aids, written instructions, or text-based communication can provide alternative means for processing information, which might be helpful for some individuals.

Societal Misunderstandings and Biases

The lack of immediate or “appropriate” responses in social interactions can lead to misinterpretations, often misconstrued as disinterest, noncompliance, or rudeness. These societal biases can exacerbate the isolation and anxiety individuals with delayed processing may feel. Misunderstandings can also occur in educational and professional settings, where the expectation for quick processing and responses may not accommodate the needs of those with ASD.

Conclusion

Recognizing and accommodating the delayed processing in individuals with ASD, particularly those diagnosed later in life, is vital for fostering understanding and supportive social, educational, and professional environments. Clear communication, patience, and tailored strategies can significantly improve interactions and reduce the stress and anxiety associated with delayed processing. As awareness and understanding of ASD continue to grow, so too does the need for empathy and accommodation in all areas of life, helping those with ASD to navigate daily challenges more effectively.

Synaptic Pruning in ADHD

Synaptic Pruning in Autism, ADHD, and AuDHD

This 5-minute video explores the fascinating role of synaptic pruning in neurodevelopment, focusing on its impact in ADHD, autism, and general brain function. Synaptic pruning is the brain’s way of refining its neural connections, strengthening important pathways while eliminating unused ones.

Atypical Synaptic Pruning in ADHD: Understanding its Impact and Theories

Attention-Deficit/Hyperactivity Disorder (ADHD) affects a significant portion of the population, with implications that span childhood into adulthood. While the exact causes of ADHD remain multifaceted and not fully understood, emerging evidence points to atypical synaptic pruning as a potential underlying factor. Synaptic pruning, essential for developing efficient neural networks by eliminating lesser-used synapses, might occur differently in individuals with ADHD. This altered pruning process can lead to various neural connectivity issues, impacting executive functions such as attention, planning, and impulse control. Theories suggest that overactive pruning may lead to reduced neural connectivity. In contrast, delayed pruning could result in an abundance of weaker connections, affecting the ability to regulate behavior and focus attention. Moreover, genetic factors may influence the pruning process, further complicating the relationship between synaptic pruning and ADHD. Understanding these mechanisms is crucial for developing targeted interventions and supports for individuals with ADHD, enhancing their quality of life and ability to navigate daily challenges.

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by symptoms of inattention, hyperactivity, and impulsivity that are inconsistent with the developmental level of the individual. While the exact causes of ADHD remain complex and multifactorial, emerging research suggests that atypical synaptic pruning during brain development may play a role in the manifestation of ADHD symptoms.

Atypical Synaptic Pruning in ADHD

Synaptic pruning is a natural process of brain development where excess neurons and synaptic connections are eliminated to increase the efficiency of neuronal transmissions. In typically developing brains, this process helps to streamline neural networks, enhancing cognitive and functional efficiency. However, in individuals with ADHD, this process may occur atypically, leading to differences in brain structure and function that can affect behavior and cognition.

  1. Delayed or Reduced Pruning: Some studies have suggested that individuals with ADHD may experience delayed or reduced synaptic pruning. This can result in an overabundance of synaptic connections, potentially contributing to the brain’s difficulty in efficiently processing information, leading to symptoms of inattention and distractibility.
  2. Impact on Brain Regions: Atypical pruning in ADHD may particularly affect brain areas involved in executive functions, attention, and impulse control, such as the prefrontal cortex. This could lead to the underdevelopment of networks crucial for task planning, focus, and self-regulation.

Examples in Daily Life

  • Inattention: An individual with ADHD might find focusing on a single task or conversation challenging due to the brain’s inefficient filtering of relevant versus irrelevant stimuli. This might manifest as difficulty completing homework, frequent loss of personal items, or missing important details in instructions.
  • Hyperactivity and Impulsivity: The excess synaptic connections might also contribute to a constant need for movement or action, leading to fidgeting, interrupting others during conversations, or acting without considering the consequences.
  • Executive Function Difficulties: Atypical synaptic pruning could impact the brain’s executive functioning, making it hard to organize tasks, prioritize work, keep track of time, and follow multi-step instructions. This can affect academic performance, workplace productivity, and daily life management.

Studies and Research Links

While the concept of atypical synaptic pruning in ADHD is supported by emerging research, it is important to consult specific studies for detailed insights:

  1. Shaw P, Eckstrand K, Sharp W, Blumenthal J, Lerch JP, Greenstein D, Clasen L, Evans A, Giedd J, Rapoport JL. “Attention-deficit/hyperactivity disorder is characterized by a delay in cortical maturation.” Proceedings of the National Academy of Sciences, 2007. This study provides evidence of delayed cortical maturation in individuals with ADHD, which may relate to atypical synaptic pruning processes.
  2. Sowell ER, Thompson PM, Welcome SE, Henkenius AL, Toga AW, Peterson BS. “Cortical abnormalities in children and adolescents with attention-deficit hyperactivity disorder.” The Lancet, 2003. This research explores cortical abnormalities that could be indicative of differences in synaptic pruning in the ADHD brain.

Synaptic Pruning

Synaptic Pruning in Autism, ADHD, and AuDHD

This 5-minute video explores the fascinating role of synaptic pruning in neurodevelopment, focusing on its impact in ADHD, autism, and general brain function. Synaptic pruning is the brain’s way of refining its neural connections, strengthening important pathways while eliminating unused ones.

The Essential Process of Synaptic Pruning: Shaping the Brain’s Connectivity

What is Synaptic Pruning?

Synaptic pruning is a natural process in brain development where weaker and less frequently used neural connections (synapses) are eliminated, making room for stronger, more frequently used connections to flourish. This process is analogous to pruning a tree: by cutting back overgrown branches, the tree’s overall structure and fruitfulness are improved.

How and When Does It Happen?

Synaptic pruning primarily occurs during two key stages of human development: first, in early childhood and again during adolescence. During these periods, the brain undergoes significant changes in its structure and function.

  1. Early Childhood: After birth, the brain experiences a surge in synapse formation, a period known as synaptic exuberance. This is followed by a phase of synaptic pruning, which begins around the age of 2 and continues into early childhood. Up to 50% of synaptic connections may be pruned during this time.
  2. Adolescence: Another significant phase of synaptic pruning occurs during adolescence. This pruning process affects the brain’s prefrontal cortex, which is involved in decision-making, impulse control, and social behavior. It refines the brain’s connectivity patterns based on experiences and learned behaviors.

Why Is It Important?

Synaptic pruning is essential for the healthy development of the brain’s neural circuits. It improves the brain’s efficiency by removing redundant connections, allowing more effective communication between neurons. The process is influenced by a “use it or lose it” principle, where frequently used connections become stronger, while those not used are pruned away.

Daily Life Examples

  1. Language Development: In early childhood, the brain is highly receptive to learning multiple languages. Synaptic pruning helps to refine language skills by strengthening neural pathways associated with the languages a child is frequently exposed to while eliminating those that are not used.
  2. Social Skills: During adolescence, synaptic pruning in the prefrontal cortex helps teenagers improve their social understanding and decision-making. As they navigate complex social situations, the brain prunes away unnecessary connections, enhancing skills like empathy, impulse control, and social cognition.
  3. Learning and Memory: Learning new skills, whether playing an instrument or solving mathematical problems, involves strengthening specific neural pathways. Synaptic pruning eliminates distractions from unused pathways, focusing the brain’s resources on improving performance and retention in practiced skills.

Synaptic pruning is a fundamental aspect of brain development, crucial for optimizing brain function and adapting to the individual’s environment and experiences. By understanding this process, we gain insights into the importance of early life experiences and the adaptive nature of the developing brain.

The Intricate World of Neurons

Neurons called the brain and nervous system building blocks, are specialized cells that transmit information throughout the body. Their unique structure and ability to communicate with each other through electrical and chemical signals enable the vast array of human behaviors, thoughts, and emotions.

Structure and Function: A typical neuron comprises a cell body (soma), dendrites, and an axon. The cell body contains the nucleus and cytoplasm, essential for the neuron’s metabolic activities. Dendrites extend from the cell body like branches, receiving signals from other neurons. The axon is a long, thin projection that transmits these signals away from the cell body to other neurons, muscles, or glands.

How Neurons Develop: Neuronal development is a complex process that includes neurogenesis (the birth of neurons), differentiation (where neurons acquire their specific functions), and synaptogenesis (the formation of synapses). This process is guided by both genetic programming and environmental factors, allowing the nervous system to adapt to its surroundings. During development, neurons extend axons to reach their target cells and establish synaptic connections, a process involving guidance cues and signalling molecules.

Mirror Neurons: A fascinating subset of neurons, known as mirror neurons, was first discovered in the early 1990s. These neurons fire when an individual acts and when they observe the same action performed by another. Mirror neurons play a crucial role in understanding others’ actions, intentions, and emotions, contributing to developing empathy, social learning, and language acquisition.

Neural Communication: Neurons communicate at synapses, where one neuron’s axon terminal meets another’s dendrite. This communication is achieved by releasing neurotransmitters, chemical messengers that cross the synaptic gap and bind to receptors on the receiving neuron. This process converts the electrical signal into a chemical signal and back into an electrical signal in the receiving neuron, allowing the message to continue.

Neuroplasticity: One of the most remarkable aspects of neurons is their plasticity—their ability to change in response to experience or injury. Neuroplasticity manifests in several ways, including forming new connections, strengthening or weakening existing connections, and creating new neurons in some brain regions, even into adulthood. This adaptability is essential for learning, memory, and recovery from brain injuries.

In conclusion, neurons are not just the functional units of the brain and nervous system; they are dynamic entities that play a crucial role in every aspect of human thought, behavior, and emotion. The study of neurons, including specialized types like mirror neurons, continues to unravel the mysteries of the brain, offering insights into the fundamental processes that make us who we are.

Videos

Imaging of Neurons Firing

Whole-brain Imaging of Neuronal Activity with Cellular Resolution

Video of dorsal and lateral projections of whole-brain, neuron-level functional activity in a zebrafish, reported by the genetically encoded calcium indicator GCaMP5G. HHMI Bulletin article: https://www.hhmi.org/bulletin/spring-2013/flashes-insight Nature: http://www.nature.com/nmeth/journal/v10/n5/full/nmeth.2434.html

Whole Brain Imaging of Neuronal Activity

Neurons under microscope

Uploaded by Mr.Duncan’s Social Studies Channel on 2019-02-11.

This is what brain cell conversations look like

Call them the neuron whisperers. Researchers are eavesdropping on conversations going on between brain cells in a dish. Rather than hearing the chatter, they watch neurons that have been genetically modified so that the electrical impulses moving along their branched tendrils cause sparkles of red light (see video).


Neuronal Uniqueness in Neurodivergent Brains

Neurodivergence encompasses a wide range of neurological differences, including autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), dyslexia, and others. Brain structure and function variations, including unique aspects of neuronal development, organization, and connectivity, characterize these conditions. While individual experiences and symptoms can vary widely, research has identified several neurobiological distinctions that contribute to the unique cognitive and sensory processing patterns observed in neurodivergent individuals.

Neuronal Development and Connectivity:

  • Increased Synaptic Density: Neurodivergent brains, particularly in autism, have been observed to exhibit increased synaptic density, meaning there are more connections between neurons. This can lead to a more prosperous, albeit more overwhelming, sensory experience and may contribute to the enhanced detail-focused processing seen in some autistic individuals.
  • Altered Neural Pathways: Differences in the development of neural pathways, including those related to social cognition, executive function, and sensory processing, have been documented. For example, in dyslexia, there is often altered connectivity in regions involved in reading and language processing. In ADHD, alterations in pathways associated with attention and executive functions are common.
  • Mirror Neuron System Variations: The mirror neuron system, implicated in understanding others’ actions and intentions, shows differences in neurodivergent individuals, particularly those with autism. This variation may contribute to challenges in social interaction and empathy experienced by some people on the autism spectrum.

Neuroplasticity and Compensation:

Neurodivergent brains often exhibit remarkable neuroplasticity, allowing individuals to develop unique strategies to navigate their environments and tasks. This adaptive capability can lead to exceptional abilities in certain areas, such as memory, art, computing, and pattern recognition.

Sensory Processing:

Neurodivergent individuals frequently experience atypical sensory processing, which may be related to differences in neuronal sensitivity and synaptic processing. This can result in hypersensitivities or hyposensitivities to sensory inputs like sound, light, and touch, profoundly affecting daily functioning and preferences.

Structural and Functional Differences:

It’s crucial to note that neurodivergence encompasses a broad spectrum of neurological variations, and the degree to which these characteristics manifest can vary greatly among individuals. Understanding these unique neuronal attributes in neurodivergent brains continues to evolve, underscoring the importance of personalized approaches in education, therapy, and support. This changing understanding also celebrates the diversity of human brains and the myriad ways they interpret and interact with the world.

  • Variability in Brain Volume and Structure: Research has identified variations in overall brain volume and the size and structure of specific brain regions in neurodivergent individuals. For instance, early rapid brain growth followed by a levelling off has been observed in some children with autism.
  • Differential Activation Patterns: Functional imaging studies have shown that neurodivergent individuals may use different brain regions compared to neurotypical individuals when performing the same tasks. These differences in brain activation patterns highlight the diverse ways the brain can accomplish cognitive and sensory processing.

Recognizing and understanding these differences not only enhances our appreciation of neurodivergence but also underscores the importance of tailored educational and therapeutic approaches. Ultimately, by embracing and supporting neurodivergent individuals, we foster a more inclusive and understanding society, celebrating the diversity of human brains and their unique interpretations of the world.

High Masking Females

High Masking Females: Unveiling The Power of Disguise in Women

Common Traits and Characteristics of High Masking Females with Autism

  1. Social Mimicry and Scripting: High-masking females often observe and imitate their neurotypical peers’ behaviours, language, and social cues. They may memorize and use scripts for various social situations to appear more fluent in social interactions than they feel.
  2. Suppressing Autistic Traits: They may suppress stimming (self-stimulatory behaviours), special interests, or emotional responses that are deemed socially unacceptable. This suppression can lead to significant internal stress and anxiety.
  3. High Sensitivity to External Expectations: They are often highly aware of others’ expectations and may go to great lengths to meet them, even at the cost of their well-being. This can include maintaining a job or social relationships that are significantly draining.
  4. Excellence in Performance Roles: High-masking females may excel in social or professional roles with clear rules and expectations, such as performances or presentations, because these scenarios allow for preparation and rehearsal.
  5. Internalizing Problems: Rather than externalizing their struggles through behaviour, high-masking females are more likely to internalize their difficulties, leading to issues like anxiety, depression, and low self-esteem.
  6. Chameleon Effect: The tendency to blend into social environments by changing behaviours, interests, or opinions to match the current social group, often leading to a loss of personal identity or uncertainty about their true self.
  7. Overachievement and Perfectionism: A drive to overcompensate for perceived deficits by achieving high academic or professional success, often accompanied by perfectionism and fear of failure.
  8. Social and Emotional Exhaustion: The constant effort to appear neurotypical can lead to burnout, characterized by social withdrawal, emotional exhaustion, and an increase in autistic traits or mental health issues when alone or in safe spaces.
  9. Late Diagnosis: Due to their ability to mask symptoms, females are often diagnosed later in life compared to their male counterparts. This delay can affect access to support and understanding, impacting mental health and self-identity.
  10. Reliance on Routines and Predictability: While many autistic individuals can share this trait, high-masking females might rely heavily on routines and predictability to manage the uncertainties of social interactions and daily life.

Understanding the concept of high masking is crucial for improving the recognition and support of autistic individuals, particularly females who have historically been underdiagnosed. It highlights the need for more nuanced and gender-inclusive approaches in diagnostic criteria, as well as the importance of creating environments where autistic individuals feel safe and supported to be themselves without the need for masking.

Resources

Masking in Autism & ADHD

Unveiling the Hidden Strain: The Complex World of Masking in Neurodevelopmental Conditions

Masking is a complex phenomenon often observed in individuals with neurodevelopmental conditions like autism and ADHD. It involves consciously or unconsciously altering one’s behavior, expressions, or reactions to conform to societal norms or to avoid negative attention. While masking can help individuals navigate social interactions more smoothly, it can also lead to significant cognitive and emotional strain.

Understanding Masking:

Masking involves adopting behaviours that are not instinctive to the individual to fit into a specific social context or hide characteristics that might be stigmatized or misunderstood. This can include suppressing natural tendencies, mimicking others’ social cues, or hiding interests that might be deemed atypical.

How Masking Becomes a Habit:

Over time, masking behaviours can become habitual, as individuals may continuously rely on them to navigate social situations. This habitual nature can make it difficult for individuals to discern their genuine behaviours from those they have adopted to mask their neurodivergent traits.

Cognitive Load of Masking:

  1. Increased Mental Effort: Masking requires constant monitoring and adjustment of one’s behaviors, which can be mentally exhausting. For a brain that is already processing a multitude of stimuli, as is often the case with ADHD and autism, this added layer of effort can lead to cognitive overload.
  2. Impact on Identity: Habitual masking can lead to a blurring of the individual’s understanding of their identity, as they may lose touch with their genuine preferences, feelings, and responses.
  3. Emotional Consequences: The effort to continuously mask can lead to feelings of isolation, anxiety, and depression, particularly if individuals feel they cannot be their true selves in social settings.

Examples of Masking in ADHD and Autism:

  1. Conscious Masking:
    • An autistic person might consciously avoid stimming (self-stimulatory behavior) in public due to fear of judgment, even though it’s a natural way for them to self-regulate.
    • An individual with ADHD might force themselves to sit still or not interrupt in a meeting, despite feeling an intense urge to move or speak out of turn.
  2. Unconscious Masking:
    • A person with autism might unconsciously mimic the expressions or mannerisms of others to appear more engaged or socially adept, without actively deciding to do so.
    • An individual with ADHD might subconsciously start organizing their workspace or adopting rigid schedules to counteract their natural propensity for disorganization, not fully realizing they’re compensating for their ADHD traits.

Real-Life Implications of Masking:

  • In the workplace, an individual with autism might mask by forcing themselves to participate in small talk or social gatherings, which can be draining for them.
  • At school, a student with ADHD might try to mask their difficulty focusing by pretending to take notes or nodding along, even when they’re struggling to pay attention.

Understanding the nuances of masking is crucial for providing appropriate support to individuals with ADHD and autism. Recognizing when someone is masking can lead to more empathetic and supportive interactions, helping to alleviate the additional cognitive and emotional burdens that masking may impose.

Video talking about Shame, Masking, and PTSD (mid-lecture part 11/60)

Warning: It may be triggering as it talks about parents who neglect, etc.

– YouTube

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60 Characteristics of Complex Trauma – Part 11/60 – Wear Masks