Am I normal?

(This post was originally posted on Attention Allies: Therapists for ADHD in August 2024)

Psychotherapist, counsellor and ADHD coach Duncan E. Stafford hopes you “don’t feel normal”. Why is this and how can it help ADHDers to create useful tools for self-development?

The subject of “normal” in connection with adult ADHD is one that comes up regularly in my consulting room. Any quick search online for information about adult ADHD will support the persistent nature of questions like this, returning results such as:

  • “Can someone with ADHD have a normal life?”
  • “Is ADHD considered normal?”, and
  • “Can you be normal and have ADHD?”*

This fascinates me because the concept of the “normal” human being is both subjective and perhaps, surprisingly, a relatively new concept.

The word “normal” – from the Latin root normalis, meaning something made according to a carpenter’s square – hadn’t been applied to human beings before the nineteenth century, when Adolphe Quetelet published “On Man and the Development of His Facultiesor Essay on Social Physics”.

In the years before 1835, “normal” was a term used only in mathematics and related disciplines, including astronomy. Quetelet took the astronomer’s error curve or, as it became known, the “normal distribution curve” and applied it to measuring humans. And the rest, as they say, is history.

A subjective term

“Normal” in relation to people is a subjective term. When used as a description, it implies a thing that should be aimed for or agreed upon. Being “normal” in human terms suggests the acceptable boundaries of what a person is or should aim to be. “Normal” is applied to the body through size, weight, shape, strength and so on; it’s applied to the mind in terms of aspects such as cognitive ability, sanity, reasoning and perceptual speed, among other measures. If we look at the term historically, it has often been used to reinforce white, Western and middle-class people’s definitions and standards of humanity. And so, you might see why I have a problem with ADHDers asking if they are “normal”. I might even suggest: “Who wants to be ‘normal’?”

Our development since childhood has been measured against created “normal goals”. In school, our abilities are tested to see if we reach at least the minimum, “normal” or “average” of others in a range of things thought to be the most useful.

Hyperkinetic to ADHD

When I was at the end of my school education, the term ADD (1980)** had hardly begun to be used, and ADHD (1987)*** hadn’t yet been created. In my own school era (and perhaps even today), students with ADHD were likely to be castigated for their internal motor-driven impulses and told to sit downbehave, stop being careless, stop making silly mistakes and stop being naughtydisruptive or “stupid” rather than receiving positive comments about themselvesNothing on the preceding list was valued as good “normal” behaviours in classrooms. But the balancing behaviours often seen in the hyperkinetic child – as pre-1980s psychiatry, developmental psychology and education then termed ADHDers – weren’t valued in such children. It was, and perhaps still is, almost invisible to many the ultra-inquisitiveness, robust enthusiasm, unusual or eccentric creativity, sweeping spontaneity, fantastical imagination, and lively conversational skills and personality that the ADHDer brings.

When an ADHDer asks me “Am I/Is it normal?”, I tend to answer “I hope not!”. I suggest that we replace “normal” with “typical” in terms of feelings and behaviour. From there we can often see what someone’s real question and/or concern about themself is: “Are there other people like me?” If that inquisitiveness (typical of many ADHDers) can be engaged with, it may allow the inquisitor to feel calmer, less alone and, importantly, able to ask more questions of themself and what I call “the soup” we were brought up in and live in. In creating an interest not in normality, but in similarity, we potentially lead to the prerequisite for the creation of vital personal tools for self-development. As a therapist, I can help ADHDers engage and support self-actualisation and self-determination.

Back to the curve?

So, are you tempted to plot all of this on a standard deviation curve? I’m not. To do so is to limit our creative engagement with understanding ourselves in an attempt to reach mythical, societally created norms.

I like to know what others do and why they think they do things, but I like to help ADHD people understand that living your life by comparison to created norms tends, on the whole, to make an ADHDer feel claustrophobic, tense and constricted at minimum. ADHDers don’t need more restriction or created failures; they need freedom to be, and for that they need flexibility.

Footnotes

* Retrieved from Google search 10 August 2024.

** The American Psychiatric Association released a third edition of the Diagnostic and Statistical Manual (DSM-III) in 1980 in which it renamed Hyperkinetic Reaction of Childhood to Attention Deficit Disorder (ADD). Two categories were outlined: with – and without – hyperactivity.

*** The American Psychiatric Association released a revised third edition of the Diagnostic and Statistical Manual (DSM-III-R) in 1987, in which it renamed ADD as Attention Deficit and Hyperactivity Disorder (ADHD).

All rights reserved © Copyright Duncan E. Stafford 2024. Unauthorised use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. Author contact via website Contact page.

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There’s something about anxiety right now (2017)

stressBoth the West and the UK as a nation have had a difficult couple of years – from terror attacks in major European cities that many of us know well, to the Brexit vote and result, quickly followed by the political fall-out and Trump’s control of the USA. Just when we thought it couldn’t get worse, terror came back to the streets of the United Kingdom in the middle of yet more political uncertainty during the 2017 general election. Then, most recently, we witnessed the unprecedented loss of life in the Grenfell Tower horror.

For most of us, these events are stories we digest through the various forms of news and political and social media coverage – something happening in the outside world, well away from us. But these events have been quite triggering for people with worked-through and unworked-through trauma in their life stories.

At my own practice, contacts from people experiencing anxieties appear to have risen dramatically since the June 2016 Brexit vote; 2017’s events have done nothing to quell this near tide.*

Anxiety can be an extremely difficult and life-restricting thing to experience or have to live with. The professions of psychiatry, psychology and psychotherapy have created many working models of anxiety and many labels with which to subdivide or associate types of anxiety. Social Anxiety, Panic Disorders, Obsessive-Compulsive Disorder (OCD), Post-traumatic Stress Disorder (PTSD), Acute Stress Disorder and Generalised Anxiety Disorder form the kaleidoscope of disorders humans feel when anxiety gets overplayed and out of hand. And yet, anxiety is a natural thing to experience. Indeed it is the body’s response to danger. You can think of it like a monitor or alarm that is set to be triggered if you are put in the position of feeling threatened, under pressure or when you are facing a stressful situation.

In small amounts, anxiety is often a very good thing and in some situations it can even be the thing that saves your life. However, get too much of it happening inside a human being for too long a duration, and it can cause problems with pretty much any area of your life. At that point, we start to think of it not as a friend that can help us to feel alert, motivated and push us into action, but as a disorder that can control and even ruin our life.

If you find that you have – in addition to the primary anxiety symptoms of irrational and excessive fear or worry – other common emotional symptoms such as feelings of dread or apprehension, vigilance for danger signs, expectation of the worst, difficulty with concentration, feeling irritable or tense and jumpy, or that you experience mind fade (where your thoughts just go blank), then it might be time to think about taking steps to talk through your anxiety issues with a professional or, at the least, take some positive actions which might include things like mindfulness practice or regular exercise. And, if you don’t feel like being confined to a room to work through your issues with a therapist, then you might want to consider taking your anxiety to an outside environment with some walk and talk therapy – such as the type I offer within my Cambridge or Bristol practice.**

* There has been a reported five-fold increase in traffic to the Mental Health Foundation’s online anxiety page since July last year (Therapy Today Magazine May 2017)

** Walk and talk therapy will be the subject of a future post on this blog site.

Living life by numbers … and the midlife crisis

Numbers_edited-1Living life by numbers … and the midlife crisis

May 7 2016

Conveniently, for lovers of statistics, the Canadian-born psychologist and social analyst Elliot Jaques – who coined the term “midlife crisis”* – died at the age of 86. I say ‘conveniently’ because his lifespan correlates so well with modern statistical expressions about the mid-point of life. As examples of this, the World Health Organization revealed in 2013 (the most recent figures available) that life expectancy for the average UK citizen is 83 years, and a 2015 report from the Economic Journal revealed that life satisfaction gradually declines throughout the early part of adulthood, reaching a low between the ages of 40 and 42 – so close to Dr Jaques’ midlife point.

The difficulty with reporting averages and statistics about human life is that it can obscure life-lived experience and meaning. If we expect a ‘midlife crisis’ to occur at a certain age, then we will be likely to attribute all negative experiences and challenges to that age rather than to the actual experience triggers and events we are living through at that point in time.

Our later 30s and 40s can be especially difficult times, not particularly because of our age, but because of the responsibility life tends to have assumed. In contrast to childhood – a time when the vast majority of people will have been nurtured, protected and cared for by other people – 35 to 50 year-olds generally have to work hard to support themselves and other family members. And with these struggles come other issues – including depression, anxiety and the realisation that time is passing quickly.

It seems that headline statistics as reported in the media tell us very little about the real nature of a person’s issues – although they do appear to make people feel unhappy when they don’t live up to the ideal average. And how do we, as individuals, ever know when midlife will be? For some, 50 will be the figure they never reached; for a few – take, for instance, therapist Hedda Bolgar** who, aged 102, still worked four days a week – that midpoint would not yet have been reached.

I remember sitting on the sofa with my mother listening to the radio on the eve of my 10th birthday, feeling sad that it didn’t matter how long I would go on to live “I could never count my life in single digits again”. While I didn’t realize it at the time, I was actually making an observation that the middle of life can only be seen on reflection, since the truth of it all is that we are actually continually positioned at the extreme end of our lives. This is as true today at the start of my 51st year as it was at the conclusion of my ninth.

Crises can happen at any time of life and it’s important to see each crisis for what it is – and act accordingly. Then, perhaps we can aim for 45 joyous, rather than a total of 90 miserable, years.

* Elliot Jaques (1965) Death and the Midlife Crisis

** http://www.today.com/id/45287411/ns/today-today_people/t/age-therapist-still-psyched/

What are you living for now

JamWhat are you living for now

5 April 2016

It is a gloriously sunny spring afternoon and all I can see, as I walk away from the city centre of Cambridge, is an unending line of traffic queuing to make its way to an impossibly small number of parking spaces. I am aware that I feel very free, liberated, uplifted by the sunlight. But as my passage contraflows the stationary victims – would-be shoppers – I can’t help picking up on the silent messages of those stranded in their overheating metal boxes. Hands flex and contract as they grasp and ungrasp leather clad steering wheels. Passenger seats wriggle with adults and children, each stretched to breaking point by the seemingly endless wait to reach the junction of this road in order to join the main queue on the next one. Further along, the frustration has already erupted in road rage as a woman in a 4×4 mounts the pavement in a very unwise manoeuver. For a while my joyful mood is attenuated. I have stopped enjoying my journey (on foot) and begun to focus on getting to my goal, far away from this line of traffic. Without conscious passage, my head is cluttered with thoughts about the anxiety of modern life – something I’ve been meaning to write about for some while – and then my working mindset is to the fore.

From the communication style they’ve adopted, the male/female pair in the silver Merc look ready for a couples session. Come on! Shouting rarely gets listened to. The family in the people carrier could do with an anger management workshop. And will someone please hand the sports car driver a paper bag to breath into before he passes out!

For a few more metres I’m left wondering what this line of suffering stretching out in front of me is all about before the words of British philosopher and Zen exponent Alan Watts come to mind. In one of his engaging talks* he states: “You can’t live at all unless you can live fully now.” The point he is making is that it’s not the end goal that forms the major reward and provides the greatest pleasure, but the journey itself. And having engaged with this thought, I felt once more liberated, uplifted and grateful that I wasn’t sat in the traffic looking for anticipated reward in my shopping basket.

*If you can spare 2 minutes 22 seconds, you can listen to the rather inspirational way Alan Watts talks about life fully in the now.

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Why not visit my therapy website – therapy-space – where you can contact me or find further information about the therapies I provide for women, men and couples.