282. doldrums

Standard

The period in the weeks and months after school lets out have been some of the most listless recently. I am doing a practicum internship this summer, but that’s not the same as class.

As one who depends on adrenaline energy to get through the day, lacking the power of structure and urgency to propel me takes the proverbial wind out of my sails. One day is much like another.

I have one more semester and then this is real life, albeit with a master’s degree.

Thankfully I have the nonsense with the American government to distract me.


Recently I’ve been doing some more formal reading on AD/HD to get a better handle on this condition and how I can prevent it from wreaking any further havoc on my life.

  • Barkley, Russell A., and Christine M. Benton. Taking charge of adult ADHD. New York: Guilford Press, 2010.
  • Sarkis, Stephanie Moulton. Adult ADD: a guide for the newly diagnosed. Oakland, CA: New Harbinger Publications, 2011.

As Vivian observes in Wit, “My only defense is the acquisition of vocabulary.

As I observed in a previous post, one theory about the cause of AD/HD (attention deficit/hyperactivity disorder) is that it is due in part to a dopamine disorder, the neurotransmitter that helps to regulate emotional responses and take action to achieve specific goals, along with feelings of reward and pleasure.

It’s thought that AD/HD may be a deficiency of dopamine receptors, meaning that although dopamine is produced at normal levels in the brain, there aren’t enough receptors to process that neurotransmitter.

There may also be higher concentrations of proteins called dopamine transporters in the brains of AD/HD people, meaning that for these individuals dopamine is prevented by that protein from moving from one cell to the next.

This helps outline three of the most prominent hallmarks of this condition in my life: namely, an inability to regulate my emotions, an inability to follow through on my goals (despite all my best intentions), and experiencing a hollowness when it comes to rewards and pleasure.

Even when I do manage to achieve a goal, or manage to do something impressive, I can’t enjoy it.

At the conclusion of my senior composition recital in college, I recall standing in front of my applauding peers and teachers just after the final notes of the last piece, and feeling as if all of it were an afterthought. I’d already moved on to the next thing, but I had to act as if I was enjoying the moment. It was awful.

I always thought this was because my parents consistently downplayed my successes lest pride go to my heart, instead attributing my efforts to Jesus’ work.

Maybe it’s simply a lack of dopamine in my brain.

Dr. Russell Barkley calls AD/HD a “blindness to the future” or “intention deficit disorder” rather than an “attention disorder.”

It’s a “nearsightedness to time.”


As I alluded to several posts ago, like most AD/HD folks, I have an easy time starting projects, but a much harder time finishing them. I have eight promising bars of different pieces of music, but quickly lost interest once I’d begun.

My computer is full of writing projects that I started but forgot about or got bored with.

Even this blog has several dozen drafts of posts I began but never finished.

Any kind of long-term planning or habit formation is dependent on the successful function dopamine in the brain.¹ For those of us with AD/HD, that dopamine dysfunction makes it incredibly difficult to follow through with long-term projects because we don’t experience any of those chemical rewards that NT² brains do as soon as we’ve begun or meet benchmarks.

For me, AD/HD is characterized by the tyranny of the “now” and the “new.” Things are interesting or important so long as they are right in front of my face, or immediately looming on the temporal horizon. Otherwise, they are a problem for the me of the future.

And the frustrating thing is that I recognize that this is a problem. I have so much field data about how I’ve fucked up by waiting until the last minute to start projects, missed deadlines, and lost out on opportunities because they just weren’t urgent enough.

Even worse, my behavior is mystifying and frustrating to those close to me. You’re very intelligent, they say, so why can you just work hard to apply yourself?

Great question. Let me get back to you on that.³


The personal ramification of AD/HD for me is that it makes long-term relationships very difficult to manage.

Like with projects, unless I see people every day, I’m going to forget about them, no matter how good of friends we are. My brain has trouble processing anything outside of the “now.”

Plus, I often test friends’ patience with my impulsiveness and short temper. A deficiency of dopamine, along with a practically inactive anterior cingulate cortex, means that before I’ve had a chance to think about the consequences of my blowing up, I’ve already done it and am horrified and perplexed by my behavior.

What this means for my dating life is that… well, nothing good.

To begin, all of the above can prove deterrents for potential boyfriends. Most gay men are actually pretty averse to crazy, and mine has a way of manifesting itself on its own.

A lack of emotional regulation means that, although I rarely feel attracted to a guy, when I do, holy shit.

My crushes are very intense.

If I’d been out in high school, I probably would’ve learned coping techniques to avoid verbally vomiting on guys I like as often, or to avoid my anxiety turning me into a veritable tweak-fest of awkwardness around someone.

It’s also very difficult for me to retain romantic or sexual feelings for most guys beyond an initial encounter. Without the dopamine rush of reward in a sexual experience, romantic feelings are tough to sustain.

I worry that AD/HD has ruined my chances at finding a decent guy.


References/Footnotes:

¹ Georgia Health Sciences University. “Habit formation is enabled by gateway to brain cells.” ScienceDaily. http://www.sciencedaily.com/releases/2011/12/111221140448.htm (accessed July 4, 2017).
² NT = Neurotypical.
³ Though I have every intention of actually getting back to you about this in the moment, in actuality I’ll have forgotten that we even had this conversation within two minutes, meaning that I won’t get back to you and you’ll think I’m a complete flake.

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