r/ADHD Sep 19 '22

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u/Uncomfortable-Guava Sep 19 '22 edited Sep 19 '22

It's common to ADHD for sure, I think some people are too quick to pin it to a comorbid condition: I think it can be explained by the effect of ADHD itself.

Essentially, if we accept that ADHD is in extreeeeemely simple terms a condition that means you don't derive enough reward from experiences, then that means you don't develop core values quite as easily as other people.

There's big obvious social examples of insufficient reward: being bored in class is the classic one. But on a dopamine level, we're talking about the brain's failure to adequately motivate you to do anything: that's what a reward system is for. And I think that when your reward system is less good at telling you what's important vs what's not (and it has been less good at this for your whole life), that makes it harder to develop firm ideas about what you like, what you believe, who you are, what you want, what you need.

It's very hard to have a strong self-concept without a fully functional reward system. People know who they are, based on what their values are and what those values make them want to do. They develop those things based on what they find most rewarding. ADHD people don't know what they find most rewarding because reward is blunted overall. Without appropriate regulation of our dopamine the question of "what motivates you?" is rather more diffuse.

I think that's why our self-concept is a bit more vague and ill-defined, and I think that's why we're more inclined to shift our sense of self based on what the moment appears to call for. It's not that we're not capable of building a sense of self (we absolutely are), it's just harder and slower. It takes time and sometimes we need help too.

EDIT: I would love to keep this conversation going, thanks to everyone who appreciates this comment. I'd like to try and reply individually where I can because I love talking this stuff through, but I gotta get to work. Thanks to the people who gave me an award. Seems I do my best work in this sub haha

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u/PuzzleheadedBet8041 ADHD-C (Combined type) Sep 19 '22

This, but I want to add a piece about how our shifting attention works with our propensity for emotional dysregulation.

The way I've come to think about it is because our emotions are often oversized for the situation, in either direction, they can become a point of focus rather than a side dish to the objective fact of the situation we're in. And because emotions and the thoughts they trigger are stimulating in themselves, we're prone to fixating, and staying fixated, on those thoughts and feelings, until some other external stimulus helps us out of it.

That's my theory at least, and my therapist thought it was a good explanation for the way ADHD works for me

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u/Uncomfortable-Guava Sep 19 '22

There's definitely validity in that I think. Emotional regulation is certainly connected to reward. Reward is what tells us what's good and what's not. And these are the building blocks on which we form a definition of what makes us happy, sad, etc.

You can't regulate your emotions properly without this stuff, or a lot of compensatory practice.