285. variegated


paint-260701_640I finally scheduled an AD/HD assessment for myself. That’s the good news.

The bad news is that it isn’t until the end of the month.

When I called to speak with the clinic about setting up an appointment, they asked what I felt were my three biggest area of impairment.

And I froze.

Just three?

For how much I’ve thought and written about this, the bottom dropped out from under my completely and my mind went blank.

It was humiliating but illustrative.

The DSM-5 criteria for Attention-Deficit/Hyperactivity Disorder (annotated):

1. Inattention: Six (or more) of the following symptoms have persisted for at least 6 months to a degree that is inconsistent with developmental level and that negatively impacts directly on social and academic/occupational activities:

a. Often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or during other activities.

My first semester in grad school in 2015, we had an assignment to review and analyze one year of professional journal issues related to our area of focus. I chose American Archivist. Or rather, I missed the “one year” part and ended up looking at all 77 volumes going back to 1938 and did a qualitative analysis of article titles and subjects covered. This is just one spectacular example of the types of “careless mistakes” I make on a daily basis. I can read through instructions multiple times and the last time I’ll focus on one intriguing detail that will blot out all the other steps.

b. Often has difficulty sustaining attention in tasks or play activities.

During the time that it took to write the above paragraphs, I watched five YouTube videos, looked up diagnostic criteria for three other conditions in the DSM-5, read three blog entries, scrolled through my Facebook feed, went to pet the dogs, took photos of the sleeping dogs, refilled my water glass, checked email, looked through an ADHD resources website, refilled my water glass again, went upstairs to look for a book, forgot why I went upstairs and ended up wiping down the granite countertops in the kitchen…

c. Often does not seem to listen when spoken to directly.

It’s not that I’m not listening. It’s that I’m trying to remember what you said ten seconds ago, because it was probably important, and I’m not taking notes. I should be taking notes. Where’s my notebook? Why don’t I have a notebook on my desk? Where are the notebooks in the building? Oh god, you just said something else that sounded important. What were you saying earlier again? Augh, why am I not taking notes? Oh, right, I was looking for my notebook. Where do they keep the notebooks again? I should really go get one. Oh gods, yes, you’re still talking!! I should really be taking notes…

d. Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace.

See a., b., and c. Also e.

e. Often has difficulty organizing tasks and activities.

It’s ironic that cataloging was the area of librarianship that most excites me, because I am not organized at all in my personal life. Things typically go where I’m going to find them. There’s always a moment at the outset of any task or activity where I feel utterly overwhelmed and overcome with anxiety about how to proceed. If I am working by myself, it’s usually not a problem—if I can sustain the mental energy and it’s something that interests, that is. Usually I start with the thing that seems most important, which may simply be the first thing that catches my attention and seems important. Because priorities are a tricky thing for me—either nothing is a priority, or everything is.

Yeah, I don’t understand priorities.

f. Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort.

This should not be interpreted as laziness. It’s more that a lengthy chapter in a book or an article looks like Mount Everest to me. I know that, to get through it, I’m going to have to take notes to keep track of all the details, and fend off all the other distractions that I know are going to crop up the minute I try to focus.

g. Often loses things necessary for tasks or activities.

Notebooks. Pens. Allergy medication. Sunglasses. Sunscreen. Books. Laptop. Flash drive. Car keys. Work keys. Canvas bags. Lists (oh god, lists). Food. Security badges. Etc.

h. Is often easily distracted by extraneous stimuli (for older adolescents and adults, may include unrelated thoughts).

See below. Also, having a conversation with me that stays on topic is near impossible. In the span of about thirty seconds I could interrupt myself 2-3 times with a related thought that quickly turns unrelated, which will lead to various anecdotes and things that I am suddenly able to remember that I would never be able to recall if I tried. Last semester I interrupted myself in a final presentation to comment that a thing I’d just explained sounded like a really interesting research question, and I almost didn’t get back on topic, even with my notes. I got lost during a piano performance once when someone sneezed or moved in my peripheral vision, causing me to lose focus entirely.

i. Is often forgetful in daily activities.

A frequent occurrence for me is to walk into a room and have no idea why I’m there. For a while I worried that this was a symptom of early-onset Alzheimer’s. In reality, what happens between the time that I set out to go get something and the time that I arrive is that I’ve gone down numerous thought holes and daydream tunnels, and was really only half focused when I decided I needed to go get the thing that I’ve arrived in the room to fetch. This happens to me at least three times a day.

People talk about AD/HD as if it’s a license to be whimsical and carefree.

It’s exhausting and stressful.