Tag Archives: ADHD

Navigating Burnout: Resources for Neurodivergent Individuals

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2024 update

7–11 minutes

Hi folks,

Following on from the post last year[1], there have been a solid quantity of new articles on avoiding and dealing with burnout. Considering we are in the Holiday season we thought it might be worthwhile to share a select number of them with you. Please see the previous (above) post for the definition of burnout, the differences between Workplace burnout and Neurodivergent burnout, and tips for recovery*.

Dora Rainmaker and team have been key researchers into neurodivergent burnout in recent years. Their 2020 paper “Having All of Your Internal Resources Exhausted Beyond Measure and Being Left with No Clean-Up Crew: Defining Autistic Burnout.

Autism in Adulthood defined it as the result from chronic stress in life and a mismatch of expectations and abilities without the right supports, which is characterized by pervasive, long-term exhaustion …, loss of function, and a reduced tolerance to stimulus[2]

One of the main issues with burnout is that it is often coupled with depression and lowered self-worth.  Prolonged masking of ourselves is not healthy, and the downward spiral of productivity due to exhaustion will leave a person wondering their capabilities. It can be additionally difficult as neurotypical friends, family and colleagues may not understand what it is we are going through, which affects the efficacy of their support [2].

Last month Diversity Council Australia hosted a panel discussion unpacking the evidence that burnout is a inclusion issue[17]. A key concern was the compounding impact of systemic barriers, microaggressions, tokenism, or outright discrimination, experienced by marginalised people. It was highlighted that for neurodivergent employees, these factors can add additional cognitive and emotional labour, leaving them more vulnerable to exhaustion and burnout.

One of the key takeaways from the event was the need for proactive, inclusive solutions to prevent burnout. This pervasive issue is not just a personal problem but a systemic one that can be prevented by fostering more inclusive, respectful, and supportive workplaces. As organisations seek to build resilient and sustainable workforces, it’s clear that prioritising inclusion isn’t just a “nice-to-have” – it’s a necessity for the health and wellbeing of all employees[17].

In his recent Art of Autism article, ND Therapist Robert Schmus[3] does a great job of highlighting some of the key differences and additional load, separating Neurodivergent burnout from the classic workplace definition. For him it was an intense brain fog – a difficulty of linking ideas together in an extensive executive function breakdown, coupled with heightened anxiety.  When burnout is left unchecked, these symptoms build up and can lead to shut down for an extended period of time. Robert’s experience feels very familiar in my recent experience of burnout as a downward spiral.

Robert goes on to highlight some of his key drivers of burnout, including prolonged masking, trying to meet unreasonable deadlines, being in hyperfocus for long periods of time without the necessary recovery time, and having far too many urgent deadlines at one time. Unclear targets and goals, and trying to hit targets in suboptimal conditions are some of the key stumbling blocks for ND folk. A poorly set up environment can make “deep work” difficult to achieve. In order to “catchup” people report working late at night or during holidays in addition to their regular hours. This can eat into recovery and social time, and further eroding support networks.

Devon Price gave a sobering account on research into the permanent effects of late-stage burnout.  However, the recovery process is not about going back into the grind.  It is about embracing different ways of achieving your goals, and sometimes setting different goals all together[4].

So, what do we do about Burnout?

Over the past year there have been a number of high quality resources and supports from within the neurodivergent community, as well as mainstream organisations, like Arts Centre Melbourne’s Arts Wellbeing Collective, and Black Dog Institute[18]. In this post I’ll highlight resources from within the ND community.

Rachel Worsley and Kate Hardiman’s podcast “Neurowork” is a collaboration of Neurodiversity Media and Unify 360’s workplace DEI consultancy. Neurowork focuses on managing creating inclusive environments, and has a number of recent episodes focusing on avoiding overload and recovering from burnout[5]. The importance of taking short and long recovery breaks is often overlooked. It’s important to short circuit fatigue, exhaustion and burnout before it becomes entrenched, and addresses Robert Schmus’s warning about multiple competing priorities and long chains of hyperfocus.

Neurowork also advocates for the need for clear communication[6]. Understand the steps and context of the work you are undertaking is essential to achieving better results with less stress. Regular open communication is essential for solving unforeseen issues promptly as a team, and supports individual DEAI based accommodation needs. Neurodiversity Media has some great resources and advice for creating environments for neurodivergent individuals and teams to thrive at work[6].

Kristen Hovet is a medical researcher and Science communicator behind the Other Autism podcast. In her episode “Autistic Burnout, Shutdown, and Social Hangover” she points out that flexible working arrangements are a big piece in reducing overload and burnout. Working from home arrangements can be perfect for deep work, and reduce social hangover and sensory overload[13]. This tracks well with the DCA Burnout and Inclusion findings that flexible working arrangements have been proven to positively impact employee mental health[17].

Reframing Autism’s Intersectional Advisory Committee released the exceptional Welcome Pack resource[7] in March this year. It’s a 200pg guidebook that is easy to read and paired with a 30pg workbook to help getting the clarity on what needs you have by asking the questions you may not have considered. It was very much needed and filled a gap that has been talked talked about in the community for a long time.

Reframing Autism also has a large variety of other resources and training webinars including a webinar training series on Autistic Burnout Resistance and Recovery for individuals seeking to understand the topic as well as managing their own and others recover from burnout. There is also a separate training module for mental health professionals[16].

ASAN AUNZ released their Self Advocacy guide last month[8]. It’s a document to help with the communication of needs, accommodations and boundaries. They have also released an app to help with communicating support needs and listing support services. ASAN in North America has equivalent resources to help guide the process to equity[9].

And it would be remiss of me if I didn’t mention two incredible books that landed this year, Jessica McCabes “How to ADHD: An Insider’s Guide to Working with Your Brain”[10], and Ludmila Praslova’s book “the Canary Code”[11]. Both of these are game changers and both are packed with resources.

Ludmila was featured on the Ted Podcast “Fixable” by Anne Morriss and Francis Frei[14]. Fixable has become one of my favorite go-to podcasts. Apart from their exception podcast on fixing work issues Anne and Francis have published “Move Fast and Fix Things”[15] which incorporates much of the advice here at the executive, primarily the communicating and trust building aspects.

That about wraps up the updates on burnout from 2024. There is a growing acknowledgement of burnout as a serious issue, with neurodivergent people being more heavily impacted. Workplace reform, including hybrid and remote work, and clearer boundaries are beneficial for all, with a growing range of mainstream professional and individual resources being created to increase support.

If you feel that you need support please see your General Practitioner or Mental Health Professional where you can, and trusted friend or family. It’s important to be proactive about your emotional wellbeing, speaking up about mental health is a great start. If you want to start at home, then the Black Dog Institute has a self care plan[18] as starting point to manage symptoms of burnout by helping you evaluate your coping skills, identify your daily self-care needs and replace negative coping strategies with positive alternatives. 

Hope you had a wonderful Holiday season, with all the types of rest you need.  Looking forward to pushing boundaries in 2025.

Reposted from Neurodiversity and Mental Wellness Tessitura Community - Shelly Binkley & Heath Wilder

References

* When I’ve mentioned neurodivergent burnout, I’m including many neurotypes and the variety of challenges non-exhaustively. Speaking with people throughout the neurodivergent community, I’ve found a similarity of experience and overlap in management that warrants the title. There are of course more specific focus areas which are named as such. The previous post highlights burnout and fatigue with more specificity.

  1. Shelly Binkley & Heath Wilder (May, 2023) Burnout through many lenses – Neurodiversity and Mental Wellness Tessitura Community (reprinted)
  2. Dora M. Raymaker, Alan R. Teo, Nicole A. Steckler, Brandy Lentz, Mirah Scharer, Austin Delos Santos, Steven K. Kapp, Morrigan Hunter, Andee Joyce, and Christina Nicolaidis (Jun 2020) “Having All of Your Internal Resources Exhausted Beyond Measure and Being Left with No Clean-Up Crew”: Defining Autistic Burnout Autism in Adulthood
  3. Robert Schmus (Aug, 2024) Autistic Burnout The Art of Autism 
  4. Dr Devon Price (Oct, 2024) You Might Not Recover from Burnout. Ever. What grows from the ashes of your old life? Dr Devon Price Substack
  5. Rachel Worsley & Kate Hardiman (Dec, 2024) What are your recommendations for managing energy levels and burnout in teams/environments that demand high performance? Neurodiversity Media and Unify360
  6. Rachel Worsley & Kate Hardiman (Dec, 2024) How to Fix Neurodivergent Burnout At This Time of Year Neurodiversity Media and Unify360
  7. Intersectional Advisory Committee (IAC) (Mar, 2024) Welcome Pack Reframing Autism
  8. (Nov, 2024) ASAN Self Advocacy Toolkit ASAN AUNZ
  9. (Dec, 2024) Autistic Advocacy Resources AutisticAdvocacy.org
  10. Jessica McCabe (Jul 2024) How to ADHD: An Insider’s Guide to Working with Your Brain howtoadhdbook.com
  11. Ludmila Praslova (Oct, 2024) the Canary Code the.canarycode.com
  12. Shelly Binkley & Heath Wilder (Dec, 2023) 7 Types of Rest Neurodiversity and Mental Wellness Tessitura Community
  13. Kristen Hovet (Aug, 2024) Autistic Burnout, Shutdown, and Social Hangover – The Other Autism
  14. Francis Frei & Anne Morriss (Nov, 2024) The power of neurodivergence in the workplace (w/ Master Fixer Ludmila Praslova) – Fixable
  15. Francis Frei & Anne Morriss (Oct, 2023) Move Fast and Fix Things – Harvard Business Review
  16. Autistic Burnout – Resistance and Recovery Community Webinar – Professional Webinar (2024) Reframing Autism
  17. Why Burnout Is an Inclusion Issue (Nov, 2024) Diversity Council Australia
  18. How to use self-care planning to improve your emotional wellbeing, even when you don’t think you need it (May 2023) Black Dog Institute

Is “My Neurodiversity is a Superpower” helpful or not?

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This idea is going around all the socials again. All ND folk get the “ADHD/ASD/Dyslexia etc makes my special person super special” or more commonly “is great for business”. But the absolute refutation of neurodivergence being positive has crept back.

The former I have sympathy with, as much as if I had ever heard it from a neurodivergent pal. The world is constructed in such a way that we are set up to fail. If by chance something helps you get an edge in a particular situation and finally feel good about yourself then great. Celebrate the heck out of that superpower. There will be time enough that you will struggle with Lex Luthor and their kryptonite.

The later is where the Superpower slogan really comes from. Organisations, government departments and people out to celebrate the monetary value of neurodiversity. The fact that the majority of the programs are below standard pay level and are run by no ND folk without input into accommodations are a huge problem. Excellent ND lead orgs like Genius Within exist that are the exception but by and large the answer to ND folks low employment rate is met my “How can I profit from this”. Using Elon Musk, or some other (usually white, male, privileged) icon as an example of “success” is more of the problem and more with marketing the inequity.

Heath doing that Clark Kent revealing the Superman costume under the shirt pose. I can admit I have a problem

What I do take exception to is punching down on anyone that has a moment of success and want to feel good about themselves wrt their neurotype. For the sake of everything that’s good, please knock it off. The fact is we have spikey profiles. We find some things easier and some things harder than the baseline. If you want to call the first bunch superpowers and the last kryptonite go for it. But the fact is, the things that neurotypicals are worse at than us, have been built into the rules or society to accommodate THEMSELVES for. Things like sitting still, social unstructured offices, working to a timetable rather than to interest … social structures that set us back. Every time we can’t equally compete in a world built for others or struggle due to difference socially, we are then called disordered and diseased.

Something I’m coming to rediscover is that projects not in conscious attention are still being worked on. My idea, and self experiment, is: if I start an idea with motivation, wire frame it out in my mind, then step away from it by dropping it out of conscious attention, when I pick it back up later I’ll have additional detail, and it’ll surface again when a new connection is made in parallel to the thing I’m doing in conscious work. This is really apparent when I’m getting across a whole business plan and linking detail to strategy. Procrastination and distraction don’t describe that process, and neither does multitasking. But it’s often used to describe what I’m doing.

To be honest I think there are a couple of things in the ND community that worry me. It’s hard not to fall in line with being told “it” – ie. our neurotype – is a disorder and a horrible problem, and by association so are we. I understand us thinking that, as it’s written in the descriptive title “disorder” given to us. It’s compounded by work practices and training that are designed for people unlike us. So we struggle to be something we’re not, using methods that hinder us, and can cause us pain. This leads to poor performance, and feedback that we don’t live up to our “potential”, further driving down our sense of self and acceptance of the deficit narrative.

But given space to thrive and practices that support us we can do exceptional things. But often these relaxation of the rules are a privilege afforded to the usual demographics, commonly white, male, financially secure, etc. I’d love to see that acceptance/practices/support extended to all demographics. So team meetings, but start with an agenda, have notes and end with action items (for executive functioning). Meeting spaces where distractions are minimised but doodling is OK (for stimming/fidgeting). Where text, voice and visuals are equally supported (for accessibility).

If neurodivergence is a disease, and treatment of it’s symptoms include, working with an ADHD coach to use motivation mapping to keep an interest in focus, or inventing BuJo to keep your life in a forward flow without (or even despite) executive function collapse, then by that logic every organisation psychologist should be called a medical specialist treating the disease of neurotypicality. I’m not saying it’s wrong, but I’d like some equality there. There are stacks of stuff in every Adam Grant book that don’t apply to me – but they are great skills and tips that I have to motivate and accommodate my NT colleagues.

None of the discarded crochet sets I did with my grandmother are about crochet; the squash racket in the back closet from my brief university days getting thrashed by my 70yo Professor, is about squash; the guitar that I spent 72hours learning Bohemian Rhapsody on when I found out that my dearest friend loved that song (on the eve of her birthday), was about guitar; the card game, since unplayed, that I played with my mum after her stoke, in her last days, was not about cards. They are about the attention and motivation and interest that was all consuming – in that relationship.

I get it. Sometimes I hate being different. I’m Autistic with my ADHD. I’m a reasonably good looking, intelligent and nice guy. Not being able to connect in a relationship till I was 27, losing jobs and burning out of university … that almost killed me. I’m a 28 year sober alcoholic. I blamed myself for being lazy and weird because everyone else seemed to say it first. What was odd though was that I also did exceptional things when everyone was in a crisis and saw the world in ways that were clear when others were baffled. Because of that I had friends when I was (ie: my “superpowers” were) exceptionally useful and no support when I needed it. That changed though. I’m making supports. I’m making support structures for others and fighting for inclusion. I’m old enough and accomplished enough (in the good times) that NTs have to put me in their hierarchy. So now I can make space and change and help others up. I’m strong enough now to meltdown and break in ways that we’d normally do in private and shame, but follow that up with education and transparency to try to get accommodation and acceptance for others. Some days I’m really kicking off the bottom and it’s a struggle to go on. I still hear the R word, and get questioned on my worth and ability.

But I show up every day.

So no. I will never subscribe to a disease model of ADHD (or Autism or dyslexia etc). I won’t talk about neurodivergence as a thing I can be separated from, like it’s a parasite hiding the real perfect me underneath. Because that’s not true and that helps nobody. What does help people, the neurominority, is lobbying and pushing for equitable rights. Equitable workplaces and social settings. Acceptance and awareness and appreciation.

Distraction ≠ Anxiety

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This blog post arrived from Hero’s Journal (the product of whom, I love) about distraction. It seemed to infer that distraction was the result of anxiety. It’s not that I’ve not heard that before (it’s quite a common trope in the “How to destress” pop-culture circle), but perhaps it struck me as odd here because the it was making distraction the subject rather than anxiety. The other reason it raised my attention’s right eyebrow was because I was talking (aka info-dumping) with a work pal this morning about the difference between working in the office and working at home.

Anxiety is not the primary reason for me to be distracted. IN FACT anxiety is a great driver of focus. In the office I tend to hyper-focus a lot because the excessive noise and human electricity-pollution creates such a atmosphere of stimulus stress that I usually have little choice but to burrow into work. Similarly task urgency makes me push into hyper-focus easily.

Additionally I’m more inclined to daydream when I’m in my home office working with much lower distractions and sensory pain.

Look, I’m no stranger to Yerkes-Dodson curve. I know that pressure leads to performance to a point. BUT I’m much more likely to hyper-focus with higher stress even when that stress is damaging.

Nancy Doyle – Assume Competence: Neurodivergent Staff Don’t Need Kid Gloves

It’s an ADHD thing (I’m pretty sure). I get distracted at low stress points and highly attentive at high stress points (until I meltdown). Heck, I went into business mode for a week when I arrived in Cairo the morning of Arab-spring when liaising with Australian and Canadian Governments (and the beautiful people of Egypt) saved our lives.

There’s also the judgment call on what we call performance. Free associating is great innovation work. It’s essential to me making innovative ground on projects.

So “No.” Destressing is not a solution to my distractedness. In many cases it’s the exact opposite.

On the other hand do check out the Hero’s Journal. I love mine and I’m using it to my personal mental health project. More on that soon

Combating Overcommitment & Monotasking: Good tips on hacking my job

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How to ADHD has really been on the money lately with incredible work tips that have really sung to me.

Taking on too much work. 

Ah YES! Over committing is a huge challenge for my life for a number of reasons.  Living a life in line with your values seemed a bit like the title of a pop psych book from the 90s (and personal baggage for another time). However stepping back for a minute and looking at what life values I need to prioritise was really great. Instead of fitting in one more request for other people, I really need to hit pause and take time out for myself, and the things on the top of my value list that I’m ignoring.  Things like personal health and relationships.

One way that I’m looking at that at the moment is by monitoring my emotional health using the Daylio app.  It also tracks potentially related stuff like healthy eating, exercise and personal timeouts.  Because the best way to get an over committed data junkie to take time out is with the lure of more data.

The other thing is Trello.  I talk about this a lot.  I have a personal Kanban for projects that I need to achieve and hard and soft deadlines for that.  For other work requests I’m building in two times a day of 30 minutes where I clear &/or prioritise those requests. Of course I can’t ignore everyone (as much as that sounds like heaven) but it does mean that I can block out times to focus and on what task knowing that the alerts will get dealt with in their own space.

Monotasking

That’s a great segue into the other great vlog –  Monotasking.  It’s a great reminder about the illusion that multitasking is somehow good.  I’ve known for a long time that my brand autistic neurotype deals with interruptions by crashing my brains hard drive.  It’s no secret that changing my focus requires a good 5-10 seconds to shelve what I was doing and making the turn.  Even then it takes a bunch of effort to do.  But split focus is also a pain for other neurotypes.  

Monotasking is a great way to do lots well.  Blocking out slabs of time to get things done.  It’s also good to block in slabs of time to do social or answer people’s questions.  It’s an idea I want to try out more and see how it goes.

Here are the two quick YouTube eps that I’m talking about.  Love to hear the ways you are hacking your work for your brain.