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Unrelated but what's Magritte doing in the background there?
song: 其实都没有 - 于冬然 (remix not on youtube)
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When a person with ADHD complains of severe anxiety, I recommend that the clinician not immediately accept the patient’s label for her emotional experience. A clinician should say, “Tell me more about your baseless, apprehensive fear,” which is the definition of anxiety. More times than not, a person with ADHD hyperarousal will give a quizzical look and respond, “I never said I was afraid.” If the patient can drop the label long enough to describe what the feeling is like, a clinician will likely hear, “I am always tense; I can’t relax enough to sit and watch a movie or TV program. I always feel like I have to go do something.” The patients are describing the inner experience of hyperactivity when it is not being expressed physically.
At the same time, people with ADHD also have fears that are based on real events in their lives. People with ADHD nervous systems are consistently inconsistent. The person is never sure that her abilities and intellect will show up when they are needed. Not being able to measure up at the job or at school, or in social circles is humiliating. It is understandable that people with ADHD live with persistent fear. These fears are real, so they do not indicate an anxiety disorder.
holy SHIT
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Oh, I am INVESTED in this now.
my dnd party has run into an npc who may or may not be evil and may or may not decide to betray us and the dm was in chat today like “just so everyone knows…not addressing this comment at anyone in particular…his favorite colors are red and black…wink” so now i’m desperately trying to get a real physical friendship bracelet done before session tomorrow in the vain hope that i can somehow stop this npc from trying to do a murder on my party
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I am selling new dice.
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Me reaching what looks suspiciously to be the end of my rope: oobh i got plany off rope
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My doctor and therapist: now with this autism + ADHD diagnosis you need to learn to unmask because masking all the time will make you burn out again and feel like shit
Other people: well it's just interesting how after getting the diagnosis you suddenly start behaving like that I mean I'm not saying you're faking it's just funny how you suddenly cannot be normal like you were before
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Activism is not cold-calling.
Activism is not cold-calling, and this is critically important to understand.
I'm seeing a lot of posts on here about 'building bridges' and 'finding community,' and then (extremely valid) response posts saying "BUT HOW??" And I'm going to explain something that can be very counter-intuitive: there is strategy involved in community.
As a longtime volunteer labour organizer, I’ve taken and taught many trainings on the strategy of talking. Something that surprises a lot of people is the very first thing you do in a union campaign. You sit down with your organizing committee, take out pen and paper, and literally map it out. You draw a physical map of the workplace: where are the entrances, exits, break rooms, supervisor offices. Essentially, ‘where is it safe to have a union conversation.’ Then you draw another physical chart of your coworkers. You sort out who is union-friendly, openly hostile to unions, or somewhere in the middle, and then you plan out very deliberately and carefully who talks to whom and in what order.
Consider: If Vocally Leftist Jane walks up to Conservative David and says "hey what do you think about unions," David is going to shut down immediately. He's not inclined to listen to Jane. But if Jane talks to Moderate Jason and brings him into the fold, then Jason is a far more effective strategic choice to talk to David, and David may actually hear him out without an instant reaction.
IMPORTANT CAVEAT: If Conservative David turns out to be Alt-Right David, and could be dangerous to follow organizers, we write him off. We are not trying to reach Alt-Right David. We are trying to reach Conservative David, who may actually be persuaded to find solidarity with other employees as fellow workers. Jason is a safe scout to find out which one he is. It does no one any good if Leftist Jane (or even Moderate Jane who is a visible minority) talks to Alt-Right David and puts herself on his radar. Not only has she done nothing to convince Alt-Right David to join a union - she's probably actively turned him against the idea - but now she's also in danger and the entire campaign is at risk. NOBODY WANTS THIS. Jane was NOT a hero for doing this. The organizing committee was foolish and enacted a terrible strategy to everyone's detriment.
Where you can make a difference is with people who will listen to you. You having a conversation with your well-meaning but clueless Centrist Democrat Auntie, and maybe gently helping her understand some things the media has been glossing over, is way more strategically useful than you marching up to MAGA Neighbour You've Met Once and trying to "build community" or "understand" them. They don't care. They're impervious, dangerous, and cruel. But maybe your beloved auntie will think about what you said, and then talk to her friend Anna who IDs as "fiscally conservative" but didn't vote because she can't bring herself to get on board with Trump. Then perhaps Anna talks to her brother Nic who has MAGA leanings but isn't all the way there yet. Proto-MAGA Nic would not have listened to you, nor would he have listened to Centrist Democrat Auntie, but he might absorb some of what his sister is saying.
This is not a cop-out or an echo chamber. This is you spending your time and energy strategically and safely. You are not a useful activist to anyone if you’re dead. Anyone who is telling you to hurl yourself directly at MAGA assholes like cannon fodder has no understanding of the strategy behind community building, and you should feel comfortable writing them off.
Last point: If you are tired, emotionally devastated, and/or in danger: take a break. This post is for people who would feel better jumping into action, not for people who are too overwhelmed to even think about it right now. You are worth so much even if you’re not actively Doing Activism, and your rest is worth more than “a break period so you can recharge and Do More Activism.” We all deserve the individual dignity of being worthy of comfort, rest & safety just on the basis of being human, outside of whatever we're doing for others' benefit. To deny ourselves that dignity is to devalue ourselves, and that’s the absolute last thing any of us should be doing right now.
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I've been working on a lot of stuff in parallel and haven't been completing many sets lately. Did this one though.
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Trying some new display cases.
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ADHD-havers, I have a suggestion for you.
Consider some kind of foraging activity. A lot of my family have ADHD and a lot of my clients have ADHD and I've noticed over the years that a LOT of folks with ADHD have brains beautifully wired for foraging. Enough of them found this before ever meeting me that the pattern became obvious. It seems to function a lot like meditation works for many people without ADHD. It's great for calming, centering, and dopamine production.
That could take many forms! I first noticed it with fruit/berry picking, and mushroom foraging. But I've seen wild herb foraging, and even trash pickup. Basically find a way to be outside, looking for something with a bit of demand for detail noticing, that gives you something for succeeding (like, for example, raspberries). My wife can spend 10 minutes picking raspberries in the ally of our city lot and come back visibly calmer and happier, and, you know, with raspberries.
And this is why, along with native planting, I'm designing a foraging garden for my household.
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The data does not support the assumption that all burned out people can “recover.” And when we fully appreciate what burnout signals in the body, and where it comes from on a social, economic, and psychological level, it should become clear to us that there’s nothing beneficial in returning to an unsustainable status quo.
The term “burned out” is sometimes used to simply mean “stressed” or “tired,” and many organizations benefit from framing the condition in such light terms. Short-term, casual burnout (like you might get after one particularly stressful work deadline, or following final exams) has a positive prognosis: within three months of enjoying a reduced workload and increased time for rest and leisure, 80% of mildly burned-out workers are able to make a full return to their jobs.
But there’s a lot of unanswered questions lurking behind this happy statistic. For instance, how many workers in this economy actually have the ability to take three months off work to focus on burnout recovery? What happens if a mildly burnt-out person does not get that rest, and has to keep toiling away as more deadlines pile up? And what is the point of returning to work if the job is going to remain as grueling and uncontrollable as it was when it first burned the worker out?
Burnout that is not treated swiftly can become far more severe. Clinical psychologist and burnout expert Arno van Dam writes that when left unattended (or forcibly pushed through), mild burnout can metastasize into clinical burnout, which the International Classification of Diseases defines as feelings of energy depletion, increased mental distance, and a reduced sense of personal agency. Clinically burned-out people are not only tired, they also feel detached from other people and no longer in control of their lives, in other words.
Unfortunately, clinical burnout has quite a dismal trajectory. Multiple studies by van Dam and others have found that clinical burnout sufferers may require a year or more of rest following treatment before they can feel better, and that some of burnout’s lingering effects don’t go away easily, if at all.
In one study conducted by Anita Eskildsen, for example, burnout sufferers continued to show memory and processing speed declines one year after burnout. Their cognitive processing skills improved slightly since seeking treatment, but the experience of having been burnt out had still left them operating significantly below their non-burned-out peers or their prior self, with no signs of bouncing back.
It took two years for subjects in one of van Dam’s studies to return to “normal” levels of involvement and competence at work. following an incident of clinical burnout. However, even after a multi-year recovery period they still performed worse than the non-burned-out control group on a cognitive task designed to test their planning and preparation abilities. Though they no longer qualified as clinically burned out, former burnout sufferers still reported greater exhaustion, fatigue, depression, and distress than controls.
In his review of the scientific literature, van Dam reports that anywhere from 25% to 50% of clinical burnout sufferers do not make a full recovery even four years after their illness. Studies generally find that burnout sufferers make most of their mental and physical health gains in the first year after treatment, but continue to underperform on neuropsychological tests for many years afterward, compared to control subjects who were never burned out.
People who have experienced burnout report worse memories, slower reaction times, less attentiveness, lower motivation, greater exhaustion, reduced work capability, and more negative health symptoms, long after their period of overwork has stopped. It’s as if burnout sufferers have fallen off their previous life trajectory, and cannot ever climb fully back up.
And that’s just among the people who receive some kind of treatment for their burnout and have the opportunity to rest. I found one study that followed burned-out teachers for seven years and reported over 14% of them remained highly burnt-out the entire time. These teachers continued feeling depersonalized, emotionally drained, ineffective, dizzy, sick to their stomachs, and desperate to leave their jobs for the better part of a decade. But they kept working in spite of it (or more likely, from a lack of other options), lowering their odds of ever healing all the while.
Van Dam observes that clinical burnout patients tend to suffer from an excess of perseverance, rather than the opposite: “Patients with clinical burnout…report that they ignored stress symptoms for several years,” he writes. “Living a stressful life was a normal condition for them. Some were not even aware of the stressfulness of their lives, until they collapsed.”
Instead of seeking help for workplace problems or reducing their workload, as most people do, clinical burnout sufferers typically push themselves through unpleasant circumstances and avoid asking for help. They’re also less likely to give up when placed under frustrating circumstances, instead throttling the gas in hopes that their problems can be fixed with extra effort. They become hyperactive, unable to rest or enjoy holidays, their bodies wired to treat work as the solution to every problem. It is only after living at this unrelenting pace for years that they tumble into severe burnout.
Among both masked Autistics and overworked employees, the people most likely to reach catastrophic, body-breaking levels of burnout are the people most primed to ignore their own physical boundaries for as long as possible. Clinical burnout sufferers work far past the point that virtually anyone else would ask for help, take a break, or stop caring about their work.
And when viewed from this perspective, we can see burnout as the saving grace of the compulsive workaholic — and the path to liberation for the masked disabled person who has nearly killed themselves trying to pass as a diligent worker bee.
I wrote about the latest data on burnout "recovery," and the similarities and differences between Autistic burnout and conventional clinical burnout. The full piece is free to read or have narrated to you in the Substack app at drdevonprice.substack.com
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Last week's dice.
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(staggering through the door) "Dice..."
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Getting scolded for making a joke about Gatorade is the quintessential Mastodon interaction.
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Orientalism by Edward Said is free to read online!
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i think women should get into polearms in a big way. not a lot of women in polearms these days. would love to see women doing battle with polearms.
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