WEBVTT

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we're looking at brains being wired differently,

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which is much more validating and compassionate.

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The ADHD brain, and to a large extent the autistic

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brain, is driven by interest, by novelty, by

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stress, and by challenge. That's different to

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the neurotypical brain that is driven by doing

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the right thing. The ADHD brain likes to be stimulated.

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It's hard to juggle lots of things. Our brain,

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we all have limits. But the ADHD brain is more

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than just struggling to juggle. Hey, and welcome

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to the 40s Formula, your go -to place for insightful

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discussions on navigating the 40s and thriving

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in this transformative decade. We're your hosts,

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Jasmine and Amanda, two women that are passionate

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about exploring the challenges and adventures

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that come with turning 40 and what lies ahead.

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Dr. Emma Waddington is a UK -trained clinical

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psychologist with 20 years of experience in mental

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health. She is the founder and clinical director

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of Us Therapy, where she works with individuals,

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couples, children and families helping them navigate

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challenges such as anxiety, perfectionism, depression,

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sleep disorders, anger management and behavioural

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difficulties. She draws on evidence -based approaches

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including cognitive behavioural therapy and acceptance

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and commitment therapy. Emma has a particular

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interest in ADHD women, recognising how often

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it is undiagnosed and how frequently it coexists

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with anxiety. She is passionate about increasing

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awareness and understanding of ADHD, especially

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in populations where it has historically been

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overlooked. Before moving into private practice,

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Emma was an adjunct associate professor at the

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National University of Singapore's Master of

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Clinical Psychology programme, where she taught

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and mentored aspiring psychologists for five

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years. Emma is also a podcast host and author,

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dedicated to making psychological insights accessible

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and engaging. Having moved eight times and lived

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in five countries before settling in the UK for

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her studies, she understands firsthand the complexities

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of growing up across cultures. Holding both British

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and Spanish nationalities, she brings a global

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perspective to her work, particularly in supporting

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the expatriates and third culture families. So

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today on The 40s Formula we're joined by Emma

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Waddington, a clinical psychologist and we are

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going to be talking about ADHD in women. When

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it comes to ADHD I think the pitch that gets

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painted in most people's mind is a hyperactive

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little boy who is being disruptive in class.

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But a lot of women and girls don't get the diagnosis

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they need. Why do you think that is Emma? For

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a very long time we've all thought of ADHD as

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the boy who has ants in their pants. And actually

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there's been recent, we've got a manual called

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the Diagnostics Statistical Manual, the DSM,

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which as psychologists we use to diagnose. And

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the last edition, which is the fifth and they're

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now doing a revised edition, changed some of

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the diagnoses and made it much broader. And that

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has allowed for us to think about women more.

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But most of the research originally was done

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on boys and men, like most of the DSM. The original

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research was on men. And so when we thought of

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ADHD, we're really looking at the diagnostic

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criteria as it pertains to men. And more recently,

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we've recognised that women are quite different

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when they present with ADHD and girls. And partly

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we think about it from the perspective of socialising

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girls. From a young age, we're told to be good

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girls, to behave. So girls are very good at what

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we call masking. So kind of like camouflaging.

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hiding some of the hyperactivity. So quite early

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on girls realize that they can't be agitated

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and running around and in classroom teachers

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recognize the girls that sit quietly and do their

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worksheets and are good girls. Boys tend to have

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a little bit more leniency when it comes to misbehavior.

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Girls don't. So what we know is that early on

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girls are recognizing that they need to restrain

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their hyperactivity. And so what we find is it

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goes inside. And so girls, and it varies through

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what we're also seeing from the research in ADHD

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is that as we go through different stages in

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life, it presents slightly differently. So you

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see in girls, we start to have more hyperactive

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thoughts. The agitation is internal, not external.

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So you might not be as fidgety physically. but

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you're more fidgety emotionally. So we see that

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agitation emotionally. So you see the teenage

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girls, you know, getting really, really angry

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and upset, struggling socially because they're

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not quite picking up the cues in the same way.

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They're not attending to the same things that

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they need to. So that's what you see with ADHD

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in girls is that they start to mask. from about

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the age of 12, 13, 14. And they develop ways

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of coping with this internal agitation, with

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some of their forgetfulness, when some of their

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difficulty regulating their attention, and they

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develop ways of coping. And so then we fast forward

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through life and you can see some women with

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ADHD sort of become perfectionistic, have lots

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of structure. We sometimes call it the ADHD piles.

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of to -do lists. And they might create very rigid

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structure that allows them to cope, to handle

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some of what we call that executive functioning

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deficits or difficulties. But then it gets to

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a point in life, and that's why we're seeing

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an increase in diagnosis around the age of 30

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or 40, when the load just gets too high. It's

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when we see that women are, you know, getting

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higher up in their career, having children, you

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know, multiple relationships. They may have been

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through various marriages and life is just getting

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really, really complicated. That's when they

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seek help. And it's often help for anxiety and

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depression, not for ADHD. That's what I'm seeing.

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So I'm seeing women who present with really struggling

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with perfectionism, burnout. Just their mood

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is dropping and that's often because they've

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had a life of self -criticism. What's wrong with

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me that I'm always late? What's wrong with me

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that I can't quite figure this out and I'm finding

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myself working so hard but never feeling like

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I'm enough? And that criticism accumulates and

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it gets to a point where we start to feel depressed.

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And so we see adult women with ADHD who present

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more with anxiety and depression instead of ADHD.

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But when we start to dig in, we realize that

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these problems have been there forever. That

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as a young girl, they were peddling so fast just

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to keep up. And as an adult woman, they're now

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tired and burning out and have had enough. Can

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I ask a really obvious question? So first of

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all, I want to be clear that ADHD is Attention

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Deficit Hyperactivity Disorder. And then I remember

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back in the day, if you will, there was ADD,

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Attention Deficit Disorder. When you're referring

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to ADHD, are you referring to ADD interchangeably

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or is that part of the DSM update that there

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is no more ADD? Well, there's two types. You

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can have the attention. or hyperactivity that

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there's basically, essentially now we know that

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ADD there's some people who present more with

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attentional issues and I don't like to call it

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a deficit. We're moving out of that. We're now

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thinking more that it's an attention regulation

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issue. I mean somebody with ADHD can hyper focus

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incredibly well. So it's not an attention problem.

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It's a problem of regulating attention. We're

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attending to the wrong things. We're attending

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to the thing that matters to us most versus not

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being able to attend. So sort of if we look at

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the diagnostic criteria, you know, lack of focus,

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difficulty organizing, careless mistakes. But

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often that can be attributed to the fact that

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we're attending to certain cues and not others,

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to certain interests and not others. So we do

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have two subtypes. The attention subtype. and

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the hyperactivity subtype and you can get obviously

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they can have both subtypes or just leaning on

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one or the other and with women we see that there's

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more of the attention subtype only because hyperactivity

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is seen well the diagnostic criteria looks at

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it more externally when you speak to women who

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have adhd and you say does your mind feel like

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a popcorn machine like thoughts are just popping

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away they'll go yeah And that's the hyperactivity

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gone inside. Like there's the agitation that

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they feel that often then results in emotional

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dysregulation and frustration because they can't

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quite handle their thinking. I think now I'm

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just like starting to question myself like, oh

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shit, am I ADHD? Do I have ADHD? Just because

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my thought process is sometimes all over the

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place. But then I wonder, is it ADHD? Is it just

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because there's so much going on, then you've

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got your so many things calling for your attention,

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you know, you've got social media, you've got

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your kids, you've got your family, you've got

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work, got the podcast, there's so much stuff

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going on. Could it just be that we've changed,

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the kind of world that we live in has changed,

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our bodies just haven't, our mind just hasn't

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caught up to the current lifestyle that we're

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living in? I do think that we are all quite overwhelmed.

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Now, the difference with somebody who presents

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with ADHD is that this isn't just a contextual

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issue. Like, this isn't something that you're

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just struggling with today. It's described as

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a developmental condition in that you've always

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had it. And I really love the movement that we're

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having now in the world of psychology, this more

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neuroaffirming, which we're looking at neurodivergence.

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So as opposed to a disorder, we're thinking that

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we're looking at brains being wired differently,

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which is much more validating and compassionate.

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So when we think about an ADHD brain under this

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umbrella of neurodivergence, or the autistic

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brain, or we have the epileptic brain is under

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that umbrella as well, they're wired differently.

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So they're driven by different things. So, and

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I find that really helpful for my ADHD community.

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To recognize that the ADHD brain and the, to

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a large extent, the autistic brain is driven

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by interest, by novelty, by stress and by challenge.

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Now that's different to the neurotypical brain

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that is driven by doing the right thing or driven

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by a sense of belonging or doing what's expected.

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The ADHD brain likes to be stimulated, which

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means that One of the problems we have when there's

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a lot going on is that the ADHDer will choose

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to do what's novel, what's new, what's interesting,

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what's challenging, what's stressful versus what

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has to be done just because. Like your chores

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or your admin. So you have an ADHD who can, you

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know, pull off a fantastic podcast, but they'll

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really struggle to do their taxes. or organize

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the day -to -day pickups of the kids. So that's

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quite different. So in terms of functioning,

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we think of the overwhelm of the day -to -day

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life that we have. Of course, it's hard to juggle

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lots of things. Our brain, we all have limits.

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But the ADHD brain is more than just struggling

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to juggle. Like it will impact functioning. And

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I think what's really important is to recognize

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that the burnout piece, because that's what usually

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brings clients to see me, is when they feel this

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visceral burnout. Like the lady who came on our

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podcast, Michaela Thomas, she talks about having

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two states, meerkat and sloth. So when you're

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in the meerkat, you're all excited, you get easily

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distracted by the squirrel, everything is, you

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know, sparkly, everything's exciting and sort

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of You know, you've got a bit of a skip and a

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buzz, but then you burn out and then you're like

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a sloth. And my clients will describe the state

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where they just cannot get up for anything. Like

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nothing is worth it. And it's emotional because

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often it comes with lots of self -criticism.

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Like what's wrong with me? Why can't I just do

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this small task? Everything feels unsurmountable.

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But it's also deeply physical. Like they're exhausted.

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And that's because they've just had probably

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a period of hyperactivity and getting everything

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done. And they're exhausted by that. So it's

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kind of like a feast and a famine. And I think

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that's different to the overwhelm of day -to

00:14:04.480 --> 00:14:06.840
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wait to see what you make. You mentioned that

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people with ADHD are driven by... dopamine or

00:14:56.700 --> 00:14:59.200
stimulants or deadlines, whatever it is that

00:14:59.200 --> 00:15:05.399
gets them motivated. Then that to me seems like

00:15:05.399 --> 00:15:09.080
a chemical imbalance in the brain. So could you

00:15:09.080 --> 00:15:13.480
explain how that could be happening or if it

00:15:13.480 --> 00:15:15.860
is something that can be explained? I mean, I'm

00:15:15.860 --> 00:15:20.720
not a neuroscientist. Pretend to be. We did just

00:15:20.720 --> 00:15:22.259
have one on, so we'll get her in touch. Oh yeah,

00:15:22.600 --> 00:15:25.039
I get them to speak about that. But there is

00:15:25.039 --> 00:15:28.879
a dopamine hypothesis in that ADHD, because it's

00:15:28.879 --> 00:15:32.220
driven by interest, is actually driven by dopamine.

00:15:32.899 --> 00:15:36.340
And so what you'll see is the ADHD brain will

00:15:36.340 --> 00:15:40.139
mine for dopamine. So that hyper -focus that

00:15:40.139 --> 00:15:43.039
we see with the ADHDers is that they'll get really

00:15:43.039 --> 00:15:46.519
excited by something. And it could be anything.

00:15:46.639 --> 00:15:51.399
It could be You know, furniture painting. And

00:15:51.399 --> 00:15:53.340
they'll paint every piece of furniture that has

00:15:53.340 --> 00:15:56.740
happened to me personally. This sounds like a

00:15:56.740 --> 00:15:59.919
very real life example. It is. Until there's

00:15:59.919 --> 00:16:02.740
nothing brown in the house. And then I'm done.

00:16:03.179 --> 00:16:05.340
And then I'll find something else that's sparkly

00:16:05.340 --> 00:16:07.279
and new and exciting, right? And that's what

00:16:07.279 --> 00:16:10.019
we call the dopamine hypothesis, because they

00:16:10.019 --> 00:16:12.659
mine the dopamine until there's nothing left.

00:16:13.289 --> 00:16:15.690
And then when there's nothing left, they can't

00:16:15.690 --> 00:16:18.230
understand why they did all that. Like, what

00:16:18.230 --> 00:16:20.830
was so interesting about this? Because there's

00:16:20.830 --> 00:16:23.409
no more excitement left. It's no longer novel

00:16:23.409 --> 00:16:27.309
or a challenge and no longer of interest. So

00:16:27.309 --> 00:16:29.409
you're right. There is a dopamine. We talk about

00:16:29.409 --> 00:16:32.830
the dopamine mining and it helps my clients to

00:16:32.830 --> 00:16:35.889
understand their behaviors. Like, why is it that

00:16:35.889 --> 00:16:40.070
I can find this so easy, but something else so

00:16:40.070 --> 00:16:43.990
hard? And that Once we have that understanding,

00:16:44.149 --> 00:16:45.830
there's a compassion that comes with it, which

00:16:45.830 --> 00:16:48.710
I think is so important, but also it helps us

00:16:48.710 --> 00:16:52.230
organize our day so that we keep the challenge

00:16:52.230 --> 00:16:55.169
and the novelty driving some of the behaviors

00:16:55.169 --> 00:16:58.710
that we find harder. So for example, you can

00:16:58.710 --> 00:17:01.669
create, I have clients who time themselves doing

00:17:01.669 --> 00:17:05.579
the dishes. Oh. That's a quite interesting idea.

00:17:05.579 --> 00:17:07.619
That would literally motivate me zero, but I

00:17:07.619 --> 00:17:10.420
can totally see how for the ADHD person this

00:17:10.420 --> 00:17:12.859
could be a fun game. It's like, how quickly can

00:17:12.859 --> 00:17:16.640
I do it today? Like creating a challenge in the

00:17:16.640 --> 00:17:19.819
things that are most difficult. So it's like

00:17:19.819 --> 00:17:22.460
gamifying things that could be mundane, which

00:17:22.460 --> 00:17:26.400
will then give you something to feel excited

00:17:26.400 --> 00:17:29.210
by. Yeah, that's very interesting. Yeah, it's

00:17:29.210 --> 00:17:31.109
like using the what you know about the wiring

00:17:31.109 --> 00:17:34.009
of your brain to your advantage to your advantage.

00:17:34.009 --> 00:17:36.250
And I think everyone can benefit from that tip,

00:17:36.250 --> 00:17:38.150
right? I think neurodivergent, neurotypical.

00:17:38.430 --> 00:17:40.269
I think that everyone, you know, coming from

00:17:40.269 --> 00:17:42.170
the lens of fitness and nutrition, which is which

00:17:42.170 --> 00:17:44.549
is my profession. It's like I'm always telling

00:17:44.549 --> 00:17:47.410
my clients to gamify an aspect of their fitness

00:17:47.410 --> 00:17:50.349
and nutrition life because saying, OK, eat a

00:17:50.349 --> 00:17:53.309
drink, a protein shake every day. OK, boring.

00:17:53.789 --> 00:17:56.559
But what if? Every day you had a new recipe for

00:17:56.559 --> 00:17:58.700
that protein shake and you woke up in the morning

00:17:58.700 --> 00:18:00.859
and opened your inbox and it was like a completely

00:18:00.859 --> 00:18:02.660
different recipe from yesterday, you know, and

00:18:02.660 --> 00:18:04.819
it felt like something like a reward that you

00:18:04.819 --> 00:18:06.859
got every morning as opposed to the drudgery

00:18:06.859 --> 00:18:09.400
of the protein shake. You know, so I think we

00:18:09.400 --> 00:18:11.380
can all benefit from exactly what you're saying.

00:18:11.400 --> 00:18:14.400
Yeah, that's true. Making it exciting and interesting.

00:18:15.000 --> 00:18:17.079
Yeah. Novelty. Novelty is a driver, I think.

00:18:17.400 --> 00:18:19.839
Of course. Yeah. All sorts of mundane habits.

00:18:21.720 --> 00:18:27.319
Absolutely. protein shakes. Can nutrition or

00:18:27.319 --> 00:18:32.079
all lifestyle habits help people who are struggling

00:18:32.079 --> 00:18:36.539
with ADHD or being neurodivergent in any way?

00:18:36.779 --> 00:18:39.200
I mean, if we think about our cognitive functioning,

00:18:39.619 --> 00:18:43.759
right? So from a diagnostic perspective, we know

00:18:43.759 --> 00:18:46.680
that when we do you know, when we look at ADHD

00:18:46.680 --> 00:18:48.779
as they struggle with their executive functioning.

00:18:49.240 --> 00:18:51.559
And what is our executive functioning? Essentially,

00:18:51.559 --> 00:18:54.200
it's the part of our brain which sits sort of

00:18:54.200 --> 00:18:58.500
here in the front of our brain. And it is responsible

00:18:58.500 --> 00:19:01.619
for everything from organizing and planning,

00:19:02.400 --> 00:19:08.299
being able to predict, set goals. So it's a very

00:19:08.299 --> 00:19:10.700
important part of our brain, but in the ADHD

00:19:10.700 --> 00:19:15.130
brain, This part is under we talk about it being

00:19:15.130 --> 00:19:17.230
under resourced. It's almost like it's like an

00:19:17.230 --> 00:19:20.109
office that is running short of admin staff.

00:19:20.210 --> 00:19:23.109
It's not my metaphor. I do like that. Yeah, I

00:19:23.109 --> 00:19:25.450
wish it were. It's not mine. There's a fantastic

00:19:25.450 --> 00:19:28.130
podcast called The Neurodivergent Woman. And

00:19:28.130 --> 00:19:31.369
they came up with that metaphor. And it's fantastic.

00:19:31.490 --> 00:19:34.309
So the idea is that we're under resourced in

00:19:34.309 --> 00:19:38.190
that area, which means that we have to make decisions.

00:19:38.329 --> 00:19:40.529
Who do we use? What do we use our admin support

00:19:40.529 --> 00:19:46.549
for? And I think nutrition and self -care play

00:19:46.549 --> 00:19:48.930
a part in our cognitive functioning. And so it

00:19:48.930 --> 00:19:53.069
will help. So for example, I know clients who

00:19:53.069 --> 00:19:56.869
use coffee, caffeine is phenomenal for the ADHD

00:19:56.869 --> 00:20:00.630
brain until it's too much. How do you know how

00:20:00.630 --> 00:20:02.650
much is too much? Jess is like, I'm instantly

00:20:02.650 --> 00:20:05.970
worried. I think we know because we get over

00:20:05.970 --> 00:20:09.160
agitated. So when we think about medication for

00:20:09.160 --> 00:20:13.440
ADHD, some people use medication. And it's the

00:20:13.440 --> 00:20:16.380
same function, much, much stronger than caffeine.

00:20:16.660 --> 00:20:20.960
It's a stimulant. So often when I talk to my

00:20:20.960 --> 00:20:23.440
ADHDers, I'll ask them about how they use caffeine

00:20:23.440 --> 00:20:26.859
and dark chocolate. And they'll be like, oh,

00:20:27.259 --> 00:20:31.740
I do use it to give me a bit of a step up to

00:20:31.740 --> 00:20:36.339
get me ready for something. So you can use nutrition

00:20:36.339 --> 00:20:38.660
in that way, but just to be mindful where it

00:20:38.660 --> 00:20:42.420
goes too much, when we use too much of the stimulant,

00:20:42.539 --> 00:20:46.059
or when we use food to slow us down, because

00:20:46.059 --> 00:20:51.559
sometimes we can overeat. One of the presentations

00:20:51.559 --> 00:20:55.220
we see often with ADHD is binge eating and bulimia.

00:20:56.200 --> 00:20:58.200
Either it's because we've been very self -critical

00:20:58.200 --> 00:21:00.319
about ourselves and we're using food to soothe

00:21:00.319 --> 00:21:03.759
us, or we're impulsive and we just can't stop.

00:21:04.039 --> 00:21:07.079
So we can see that certain foods can be a bit

00:21:07.079 --> 00:21:10.059
triggering for the bulimia, for example, in the

00:21:10.059 --> 00:21:12.079
binge eating, and then we have to be more mindful

00:21:12.079 --> 00:21:15.680
about that. But to recognize that sometimes food

00:21:15.680 --> 00:21:19.099
can help soothe, you know, having food that feels

00:21:19.099 --> 00:21:24.259
a bit more like a comfort can be helpful. And

00:21:24.259 --> 00:21:26.339
in terms of cognitive functioning, I think a

00:21:26.339 --> 00:21:30.079
lot about sleep with ADHD, like we really need

00:21:30.079 --> 00:21:33.769
to prioritize our sleep. Often ADHDs don't sleep

00:21:33.769 --> 00:21:37.190
as much and they don't need as much. So be mindful

00:21:37.190 --> 00:21:41.130
of how much you actually need. Because that will

00:21:41.130 --> 00:21:43.329
help your functioning and your emotional regulation.

00:21:43.490 --> 00:21:45.829
Because that's the other piece we see with ADHDs

00:21:45.829 --> 00:21:48.690
with women, is they can have really quite explosive

00:21:48.690 --> 00:21:51.589
anger. And if you haven't slept, that's even

00:21:51.589 --> 00:21:55.230
worse. Or menopausal, perimenopause, just even

00:21:55.230 --> 00:21:58.230
worse. Yeah. I mean, the hormonal piece is real

00:21:58.230 --> 00:22:01.640
too. You mentioned a few kind of similar thematics

00:22:01.640 --> 00:22:04.339
in the ADHD brain, right? So you mentioned kind

00:22:04.339 --> 00:22:06.400
of being, you know, hyper focused on something

00:22:06.400 --> 00:22:08.640
and then crashing into burnout. You mentioned

00:22:08.640 --> 00:22:11.039
binge eating and then potentially purging or

00:22:11.039 --> 00:22:12.700
perhaps going through a period of restriction,

00:22:12.819 --> 00:22:14.559
right? So kind of this feast or famine, I believe,

00:22:14.660 --> 00:22:17.119
is a language that you use. What type of cognitive

00:22:17.119 --> 00:22:19.619
techniques do you use with clients to help them

00:22:19.619 --> 00:22:22.539
bridge what I'm also seeing as the all or nothing

00:22:22.539 --> 00:22:25.619
mindset, right? Either I'm super on or I'm so

00:22:25.619 --> 00:22:27.480
off I can't get out of bed. Right. How do you

00:22:27.480 --> 00:22:30.539
help them get into that gray area? When you're

00:22:30.539 --> 00:22:33.859
in hyper focus and you're excited about something,

00:22:33.940 --> 00:22:38.380
it's really hard to slow down. So there's a few

00:22:38.380 --> 00:22:42.140
things that I do is I'll get people to journal

00:22:42.140 --> 00:22:44.380
and think about what they're doing and how it's

00:22:44.380 --> 00:22:48.619
working. So putting their, for example, if they're

00:22:48.619 --> 00:22:52.440
really into a project, not starting the project

00:22:52.440 --> 00:22:56.759
straight away. you know, at 5 a .m. in the morning.

00:22:57.619 --> 00:22:59.720
Because they might just keep going the whole

00:22:59.720 --> 00:23:03.259
day and neglect everything else. There's a technique

00:23:03.259 --> 00:23:07.700
that we say, stop, think, do. Just take a moment

00:23:07.700 --> 00:23:11.359
when you walk into a room, stop, think what you

00:23:11.359 --> 00:23:13.440
need to, what is it that's most important that

00:23:13.440 --> 00:23:17.160
you need to do in this moment? Do it. Don't leave

00:23:17.160 --> 00:23:20.529
it till later. do it right now and so when we

00:23:20.529 --> 00:23:23.390
have things that are novel and exciting I tell

00:23:23.390 --> 00:23:26.269
people not to do that first thing to sort of

00:23:26.269 --> 00:23:28.829
structure their day where they have the day peppered

00:23:28.829 --> 00:23:31.710
with these exciting things but they do the things

00:23:31.710 --> 00:23:36.230
that they have to do before because otherwise

00:23:36.230 --> 00:23:38.410
they'll beat themselves up over not having done

00:23:38.410 --> 00:23:41.869
whatever it might be the the food shopping or

00:23:42.079 --> 00:23:44.500
Even parenting, one of the things that I find

00:23:44.500 --> 00:23:47.819
really validating to say to my ADHD community

00:23:47.819 --> 00:23:50.740
is that parenting can be painfully boring. Yeah,

00:23:50.880 --> 00:23:54.559
and repetitive. You gotta get comfy in the repetition.

00:23:55.519 --> 00:23:59.579
Yeah, and that's okay. Like we live in a society

00:23:59.579 --> 00:24:02.680
where we're supposed to be joyous all the time

00:24:02.680 --> 00:24:05.839
as parents, and it's really depleting. Chris,

00:24:05.980 --> 00:24:08.700
my co -host, talks about that. You know, parenting

00:24:08.700 --> 00:24:12.180
is depleting. So how are we going to restore

00:24:12.180 --> 00:24:15.640
ourselves? And with an ADHD brain, it can be

00:24:15.640 --> 00:24:18.599
particularly depleting because it's not novel.

00:24:19.099 --> 00:24:22.319
It's incredibly repetitive. There's no challenge

00:24:22.319 --> 00:24:25.319
and there's no reward. Nobody's telling you you're

00:24:25.319 --> 00:24:27.480
doing a great job. Hey, hey, those waiting to

00:24:27.480 --> 00:24:29.799
be parents get excited. Okay. This is what's

00:24:29.799 --> 00:24:33.559
coming your way. So I think organizing your day,

00:24:33.700 --> 00:24:37.059
creating structure, um, is really, really helpful

00:24:37.059 --> 00:24:40.680
cognitively. The other piece that I love is the

00:24:40.680 --> 00:24:44.119
self compassion. You know, once we get to know,

00:24:44.319 --> 00:24:46.680
so part of the journey into exploring whether

00:24:46.680 --> 00:24:51.259
you have ADHD, um, be it through a formal process

00:24:51.259 --> 00:24:54.740
that I actually think can be very validating.

00:24:54.779 --> 00:24:56.779
So when you go through the process of diagnosis,

00:24:57.359 --> 00:25:00.380
even as an older adult it can be very validating

00:25:00.380 --> 00:25:03.559
because as you do all the questionnaires and

00:25:03.559 --> 00:25:06.299
the tests and you see wow this is really hard

00:25:06.299 --> 00:25:09.339
for me no wonder I find it so difficult to do

00:25:09.339 --> 00:25:13.079
admin or no wonder I feel like I'm so impulsive

00:25:13.079 --> 00:25:16.099
like the tests will show so the process can be

00:25:16.099 --> 00:25:20.779
very validating um and I think that or you can

00:25:20.779 --> 00:25:23.599
just you know, read about it and see whether

00:25:23.599 --> 00:25:26.660
you recognize yourself in the podcast like this

00:25:26.660 --> 00:25:29.859
one or in, you know, the there's lots of good

00:25:29.859 --> 00:25:32.779
quality and be mindful to look for good quality

00:25:32.779 --> 00:25:36.039
material. But once you start to recognize yourself

00:25:36.039 --> 00:25:39.279
and you can validate, wow, this is hard because

00:25:39.279 --> 00:25:42.200
it is hard because these are things that I can't

00:25:42.200 --> 00:25:46.680
do. Just like somebody who has, you know, any

00:25:46.680 --> 00:25:51.799
other chronic condition like diabetes or struggles

00:25:51.799 --> 00:25:55.039
with physical impairments. These are challenging

00:25:55.039 --> 00:25:57.980
things for my brain to do. So having that self

00:25:57.980 --> 00:26:01.859
-compassion reduces the stress load, which helps

00:26:01.859 --> 00:26:05.420
us function cognitively. So self -compassion

00:26:05.420 --> 00:26:07.920
is a superpower. I think it is for everybody.

00:26:08.559 --> 00:26:11.720
But especially for the ADHD brain. So I was actually

00:26:11.720 --> 00:26:13.880
going to ask whether it's worth finding out later

00:26:13.880 --> 00:26:17.900
in life. I understand if you're a child in school,

00:26:17.900 --> 00:26:21.140
maybe it can help them get to... get through

00:26:21.140 --> 00:26:22.519
the education system, you know, because there's

00:26:22.519 --> 00:26:25.440
just so much that you need to get through. And

00:26:25.440 --> 00:26:27.339
it might give you that additional support that

00:26:27.339 --> 00:26:29.559
you need. But I'm looking at myself and I'm thinking,

00:26:29.599 --> 00:26:32.460
OK, am I? Do I have it? Maybe. I don't know.

00:26:32.579 --> 00:26:35.119
But do I need to know now? I feel like I've gotten

00:26:35.119 --> 00:26:38.099
through. Yeah, you've developed your coping strategies

00:26:38.099 --> 00:26:40.079
around it, whether you have it or not. Exactly.

00:26:40.160 --> 00:26:42.039
So I figured out what works for me. You know,

00:26:42.039 --> 00:26:45.720
I'm getting through and I feel OK. Is it worth

00:26:45.720 --> 00:26:48.180
finding out for sure? It depends where you're

00:26:48.180 --> 00:26:51.500
at with it. So when I have clients who come to

00:26:51.500 --> 00:26:54.839
me who've had, you know, a lifetime of anxiety

00:26:54.839 --> 00:27:00.940
and depression, and often clients who have ADHD,

00:27:01.279 --> 00:27:03.299
there's just this sense of there's something

00:27:03.299 --> 00:27:06.380
inherently wrong with me that they've carried

00:27:06.380 --> 00:27:09.779
their entire life. It's not just today. It's

00:27:09.779 --> 00:27:12.059
not during this period of stress. It's something

00:27:12.059 --> 00:27:16.140
they felt throughout their lives. And so understanding

00:27:16.140 --> 00:27:20.660
what that piece is. is very validating and very

00:27:20.660 --> 00:27:23.559
powerful. So it's not that there's something

00:27:23.559 --> 00:27:26.279
inherently wrong with me. It's that I'm wired

00:27:26.279 --> 00:27:29.759
differently. That I think differently. That when

00:27:29.759 --> 00:27:33.640
I see something sparkly and new, I get so excited

00:27:33.640 --> 00:27:38.279
that I need to follow it. And I forget about

00:27:38.279 --> 00:27:40.779
the other things that are not as exciting. But

00:27:40.779 --> 00:27:42.900
that's because my brain is wired like that. It's

00:27:42.900 --> 00:27:45.519
not that there's something wrong with me. So

00:27:45.519 --> 00:27:50.160
through the process of assessment, we can understand

00:27:50.160 --> 00:27:52.299
how we're wired differently. And I think that

00:27:52.299 --> 00:27:56.259
can be very validating. So is it worth it? It

00:27:56.259 --> 00:27:58.339
depends. It depends how much you're struggling

00:27:58.339 --> 00:28:02.160
with it. Self -identification is also incredibly

00:28:02.160 --> 00:28:04.480
useful. I know a lot of people who've chosen

00:28:04.480 --> 00:28:08.220
that path and that's been enough for them. But

00:28:08.220 --> 00:28:11.269
some people want to really understand. how they're

00:28:11.269 --> 00:28:13.990
thinking and making sense of the world. And that's

00:28:13.990 --> 00:28:16.210
how the process of assessment can really help.

00:28:16.670 --> 00:28:18.609
You mentioned medication earlier and stimulants.

00:28:19.430 --> 00:28:22.269
Do you think that most people, all people need

00:28:22.269 --> 00:28:25.150
to have medication or is it only for certain

00:28:25.150 --> 00:28:27.569
people? What's your sort of thoughts on that?

00:28:27.930 --> 00:28:30.430
Some people can really benefit from it. It depends

00:28:30.430 --> 00:28:34.950
the level of dysfunction. It depends how much

00:28:34.950 --> 00:28:38.529
you're struggling. So what we find with medication

00:28:38.529 --> 00:28:42.779
really helps with focus. So if you find that,

00:28:42.779 --> 00:28:46.619
you know, I've had clients that really procrastinate,

00:28:46.980 --> 00:28:49.900
like procrastination is a big problem for them.

00:28:50.240 --> 00:28:53.019
Often what we find with people who procrastinate

00:28:53.019 --> 00:28:56.079
is that they'll procrastinate till the last minute.

00:28:56.480 --> 00:28:59.119
And what, because it's a boring task and what

00:28:59.119 --> 00:29:02.119
will happen last minute is stress goes up. And

00:29:02.119 --> 00:29:05.200
as we know, the ADHD brain is driven by stress

00:29:05.200 --> 00:29:07.539
and stress challenge. So we'll start the task

00:29:07.539 --> 00:29:11.150
at 10 PM. So you get that little high. Exactly.

00:29:11.150 --> 00:29:13.950
These are the people who are, I thrive under

00:29:13.950 --> 00:29:16.190
pressure kind of. But the problem with doing

00:29:16.190 --> 00:29:19.130
it at 10 p .m. and finishing at 3 a .m. is that

00:29:19.130 --> 00:29:22.910
you don't do it well. So then comes in the self

00:29:22.910 --> 00:29:27.230
-criticism. And then that's where moods, issues

00:29:27.230 --> 00:29:30.309
happen. You beat yourself up and then you start

00:29:30.309 --> 00:29:32.490
again, you procrastinate. Look, what a terrible

00:29:32.490 --> 00:29:35.750
job I did last time. What's the point? Who cares?

00:29:36.200 --> 00:29:40.200
10 p .m. again and we're in that cycle. So medication

00:29:40.200 --> 00:29:42.819
can help to improve your focus in those moments.

00:29:44.500 --> 00:29:47.440
Medication also helps with hyperactivity if you

00:29:47.440 --> 00:29:51.539
have a lot of hyperactivity. So it kind of depends

00:29:51.539 --> 00:29:54.880
and I'm an advocate of you know if you're really

00:29:54.880 --> 00:29:58.589
struggling with this give it a go. It's not forever.

00:29:58.710 --> 00:30:01.069
It's not the same as going on an antidepressant

00:30:01.069 --> 00:30:04.049
medication where it takes weeks to see effects

00:30:04.049 --> 00:30:06.309
and then it takes weeks to come off it, if not

00:30:06.309 --> 00:30:08.690
months for some people. This is something that

00:30:08.690 --> 00:30:11.750
you can try and see that the complexity with

00:30:11.750 --> 00:30:13.890
the medication for ADHD is finding the right

00:30:13.890 --> 00:30:16.589
dose. You have to find that sweet spot because

00:30:16.589 --> 00:30:19.730
initially you can get quite agitated, struggle

00:30:19.730 --> 00:30:23.019
with sleep. struggle with food, as in, you know,

00:30:23.059 --> 00:30:26.819
you go off your food. So finding the right dose

00:30:26.819 --> 00:30:30.259
can take a while, but coming off it doesn't give

00:30:30.259 --> 00:30:32.619
you the same withdrawals that you do with other

00:30:32.619 --> 00:30:35.039
medications like for anxiety and depression.

00:30:35.299 --> 00:30:39.920
I've heard that using nutrition in the sense

00:30:39.920 --> 00:30:43.619
that you are eating sort of whole foods, keeping

00:30:43.619 --> 00:30:46.660
out the ultra processed foods, maybe even obviously

00:30:46.660 --> 00:30:50.359
exercising, cold plunges, soreness, you know,

00:30:50.480 --> 00:30:52.599
all of these sort of biohacking techniques that

00:30:52.599 --> 00:30:57.119
people use to live longer can also help. Do you

00:30:57.119 --> 00:30:58.819
think that's also the case? Have you seen that

00:30:58.819 --> 00:31:02.200
with people who... who use lifestyle as a way

00:31:02.200 --> 00:31:04.799
to manage some symptoms? I mean, I don't know

00:31:04.799 --> 00:31:08.339
the research on it. I think that what I see in

00:31:08.339 --> 00:31:11.920
my practice is that exercise is fantastic because

00:31:11.920 --> 00:31:14.380
exercise gives you lots of endorphins and dopamine.

00:31:14.440 --> 00:31:16.119
And that's the thing that will help us drive

00:31:16.119 --> 00:31:19.619
and regulate our emotions. So exercise is definitely

00:31:19.619 --> 00:31:22.619
very important and eating in such a way that

00:31:22.619 --> 00:31:26.450
it doesn't affect your sleep. So what we see

00:31:26.450 --> 00:31:28.809
is that we get very agitated because we overdo

00:31:28.809 --> 00:31:31.250
it with caffeine and then we drink at night to

00:31:31.250 --> 00:31:33.710
slow us down and then we don't sleep well. So

00:31:33.710 --> 00:31:36.250
then we're back on the caffeine. I do see those

00:31:36.250 --> 00:31:42.490
cycles or a lot of sugar to inevitably sort of

00:31:42.490 --> 00:31:45.869
get us moving a bit faster, but then that has

00:31:45.869 --> 00:31:48.730
a down. So I do think that these sort of peaks

00:31:48.730 --> 00:31:53.869
and troughs can be influenced by food. I don't

00:31:53.869 --> 00:31:58.029
know about the ice bath plunges. I don't know

00:31:58.029 --> 00:32:00.450
about those pieces, but I have seen sleep and

00:32:00.450 --> 00:32:04.150
food and exercise can be really important. You

00:32:04.150 --> 00:32:06.990
talk about emotional dysregulation and I'm guessing

00:32:06.990 --> 00:32:10.089
that can have a big impact on your relationships

00:32:10.089 --> 00:32:15.369
as well. How does somebody with ADHD go through

00:32:15.369 --> 00:32:17.630
a relationship and what sort of challenges do

00:32:17.630 --> 00:32:20.150
they encounter? as you can imagine, it can be

00:32:20.150 --> 00:32:22.869
quite complex. So from an early age, women with

00:32:22.869 --> 00:32:27.029
ADHD, women with ADHD tend to be super empaths.

00:32:28.089 --> 00:32:32.049
That's another fallacy. Like the idea that we,

00:32:32.210 --> 00:32:34.569
if we have somebody who presents with ADHD and

00:32:34.569 --> 00:32:37.809
even autism, that they don't empathize. That's

00:32:37.809 --> 00:32:41.769
just absolutely wrong. They tend to be, because

00:32:41.769 --> 00:32:44.049
they recognize that they have some difficulties

00:32:44.049 --> 00:32:47.119
picking up cues. They tend to be tremendously

00:32:47.119 --> 00:32:50.460
good at watching humans and they'll watch from

00:32:50.460 --> 00:32:53.299
a very early age, hence the masking. The problem

00:32:53.299 --> 00:32:56.480
with the masking is that it's very tiring. So

00:32:56.480 --> 00:33:01.579
we know that ADHD is a very, very sensitive to

00:33:01.579 --> 00:33:04.940
rejection. So this rejection sensitivity dysphoria

00:33:04.940 --> 00:33:09.319
is real. It's a real problem. So the fear of

00:33:09.319 --> 00:33:13.859
being rejected hits very, very deep. And so they'll

00:33:13.859 --> 00:33:17.119
be from a very young age will be trying to see

00:33:17.119 --> 00:33:20.140
if there's a risk of being rejected. So sometimes

00:33:20.140 --> 00:33:25.519
we see ADHD girls being quite socially anxious

00:33:25.519 --> 00:33:29.180
and trying to mask their anxiety or, you know,

00:33:29.180 --> 00:33:33.119
being a little bit more the clown, you know,

00:33:33.240 --> 00:33:36.119
trying to fit in. And that's because they're

00:33:36.119 --> 00:33:39.339
trying to mask what they recognize is a type

00:33:39.339 --> 00:33:41.240
of, it's a difference. They're slightly different.

00:33:41.279 --> 00:33:45.319
They're more likely to say things, be impulsive

00:33:45.319 --> 00:33:47.579
with what they say. And they notice that that's

00:33:47.579 --> 00:33:50.460
different to the other girls in the class. that

00:33:50.460 --> 00:33:52.700
perhaps are not saying things. So this level

00:33:52.700 --> 00:33:55.740
of masking that goes on and this fear of being

00:33:55.740 --> 00:34:00.180
rejected will really influence how we respond

00:34:00.180 --> 00:34:04.140
in relationships. So then we fast forward and,

00:34:04.140 --> 00:34:06.819
you know, we're now starting to have boyfriends

00:34:06.819 --> 00:34:10.960
and partners. We're going to be incredibly anxious

00:34:10.960 --> 00:34:15.059
about how they think about us. So we're masking.

00:34:15.760 --> 00:34:18.260
We're not being our authentic selves in a relationship.

00:34:19.740 --> 00:34:22.460
And we're wondering if they're going to stay

00:34:22.460 --> 00:34:25.420
with us. Are they going to criticize us? Because

00:34:25.420 --> 00:34:27.500
we will have had a long history of criticism,

00:34:27.760 --> 00:34:30.699
right? Girls get, just like boys, what's wrong

00:34:30.699 --> 00:34:33.440
with you? Why can't you just sit still? Why are

00:34:33.440 --> 00:34:35.900
you always late? Can't you get yourself more

00:34:35.900 --> 00:34:38.599
organized? Like there was somebody who actually

00:34:38.599 --> 00:34:41.099
Michaela on our podcast quoted that by the age

00:34:41.099 --> 00:34:45.780
of 10, they've had about 12 ,000 instances of

00:34:45.780 --> 00:34:48.699
criticism. and that just keeps going. So you're

00:34:48.699 --> 00:34:51.059
an adult woman, you're in a relationship and

00:34:51.059 --> 00:34:53.860
it can be even with friendships and you're expecting

00:34:53.860 --> 00:34:55.900
to be criticized because that's your history.

00:34:56.119 --> 00:34:58.059
Your history tells you you get things wrong.

00:34:58.320 --> 00:35:00.639
Your history tells you that you misunderstand

00:35:00.639 --> 00:35:04.619
people, that people think you're weird or you're

00:35:04.619 --> 00:35:08.219
different, you're quirky. So you're busy masking

00:35:08.219 --> 00:35:12.900
and you're busy waiting to be rejected. So what

00:35:12.900 --> 00:35:17.000
happens is that perhaps you do something in the

00:35:17.000 --> 00:35:20.340
relationship and somebody responds to you, you

00:35:20.340 --> 00:35:22.920
know, even maybe neutrally, but you misinterpret

00:35:22.920 --> 00:35:26.699
it as they don't like me. It feels like a personal

00:35:26.699 --> 00:35:29.019
attack. You're more likely to perceive it as

00:35:29.019 --> 00:35:33.599
a personal attack. And then because of the ADHD

00:35:33.599 --> 00:35:37.619
and because you've been sort of burrowing all

00:35:37.619 --> 00:35:40.739
that sort of pain, there's more likely to be

00:35:40.739 --> 00:35:44.280
an explosion of emotion. So what we see in relationships

00:35:44.280 --> 00:35:47.340
is that many women talk to me about how angry

00:35:47.340 --> 00:35:50.460
they get because their partner said, Hey, what

00:35:50.460 --> 00:35:53.820
happened to dot, dot, dot, you know, where are

00:35:53.820 --> 00:35:57.320
the keys? What happened to the plan of going

00:35:57.320 --> 00:36:01.219
out for Sunday brunch? The woman will explode.

00:36:01.360 --> 00:36:03.559
You're like, what do you mean? What are you saying

00:36:03.559 --> 00:36:07.539
about me? And we'll get very, very upset. And

00:36:07.539 --> 00:36:10.539
perhaps it is a neutral sort of jab, and perhaps

00:36:10.539 --> 00:36:13.000
it's just a complaint and not a criticism, but

00:36:13.000 --> 00:36:16.840
it will be internalized as a criticism. So this

00:36:16.840 --> 00:36:21.019
will be a problem that I see. So getting easily

00:36:21.019 --> 00:36:25.099
triggered by their partners, experiencing more

00:36:25.099 --> 00:36:29.119
levels of criticism or interpreting it as criticism,

00:36:29.619 --> 00:36:31.920
that tends to be a problem in relationships.

00:36:32.239 --> 00:36:35.619
The other piece that's quite interesting is that

00:36:35.849 --> 00:36:42.190
The ADHD woman is often a very busy woman. She

00:36:42.190 --> 00:36:45.650
just doesn't sit still. Even in the evenings,

00:36:46.309 --> 00:36:49.050
sitting down to watch Netflix, you'll be up and

00:36:49.050 --> 00:36:52.230
about doing things. And that can be quite irritating

00:36:52.230 --> 00:36:55.730
to partners. So that'll be a piece. But once

00:36:55.730 --> 00:36:57.969
you know that that's what's happening, you can

00:36:57.969 --> 00:37:00.449
say all of this to your partner, which is why

00:37:00.449 --> 00:37:04.070
I think understanding whether you have ADHD can

00:37:04.070 --> 00:37:07.170
be very powerful because it's a way to communicate

00:37:07.170 --> 00:37:09.150
with your partner what's happening. I'm also

00:37:09.150 --> 00:37:12.230
a couples therapist. The most important skill

00:37:12.230 --> 00:37:16.369
in a relationship is the ability to talk. And

00:37:16.369 --> 00:37:18.710
I don't believe there are any conversations that

00:37:18.710 --> 00:37:20.610
we can't have with our partner as long as we

00:37:20.610 --> 00:37:23.570
know how to have them. And so having that language

00:37:23.570 --> 00:37:27.389
to go, you know, I have this rejection sensitivity.

00:37:27.670 --> 00:37:32.539
So when I hear words like what happened to the

00:37:32.539 --> 00:37:36.219
plan or why are we running late? Whatever it

00:37:36.219 --> 00:37:39.659
might be. I take it very personally. It really

00:37:39.659 --> 00:37:44.219
hits me hard. And what I need from you is for

00:37:44.219 --> 00:37:46.760
you to say it more softly, whatever it might

00:37:46.760 --> 00:37:48.960
be that you need, but to explain to your partner

00:37:48.960 --> 00:37:51.719
that, you know, we're in it together. This is

00:37:51.719 --> 00:37:54.280
teamwork. This is how it lands. I know it's not

00:37:54.280 --> 00:37:57.619
your intention. Could you help me out here? And

00:37:57.619 --> 00:38:02.019
the same with You know, I'm a big believer in

00:38:02.019 --> 00:38:04.659
teamwork when it comes to admin. In the ADHD

00:38:04.659 --> 00:38:07.400
world, we talk about time blindness, which I

00:38:07.400 --> 00:38:11.340
love as a term. The ADHD brain just doesn't calculate

00:38:11.340 --> 00:38:14.760
time the same way as in your typical brain. ADHDers

00:38:14.760 --> 00:38:18.320
will try and squeeze things in with five minutes.

00:38:18.340 --> 00:38:20.219
That actually is a task that should take 20.

00:38:20.900 --> 00:38:23.260
And suddenly you're 20 minutes late and your

00:38:23.260 --> 00:38:25.059
partner's like, I can't believe we're here again.

00:38:25.920 --> 00:38:28.199
So this is where you can lean on each other.

00:38:28.250 --> 00:38:30.989
And your partner can go, honey, we have five

00:38:30.989 --> 00:38:33.690
minutes. You can't do anything in these five

00:38:33.690 --> 00:38:35.869
minutes. So just come with me and let's get in

00:38:35.869 --> 00:38:40.289
the car. And that's teamwork. Yeah. And I think

00:38:40.289 --> 00:38:43.449
that's really important in relationships is to

00:38:43.449 --> 00:38:47.070
recognize that we're all different. And some

00:38:47.070 --> 00:38:49.510
of us are wired differently and we could do with

00:38:49.510 --> 00:38:52.079
a little more support. And it sounds like, you

00:38:52.079 --> 00:38:54.300
know, in that exact example, right? So you have

00:38:54.300 --> 00:38:58.460
an ADHD partner and a neurotypical partner. What

00:38:58.460 --> 00:39:01.619
if we are talking about two ADHD partners? Are

00:39:01.619 --> 00:39:03.739
there different issues then that come to the

00:39:03.739 --> 00:39:07.199
front? Sometimes it can be a really fantastic

00:39:07.199 --> 00:39:11.539
partnership, especially if the topics of interest

00:39:11.539 --> 00:39:14.539
are very similar, because there's nothing more

00:39:14.539 --> 00:39:17.860
exciting than talking about your topic of interest.

00:39:18.059 --> 00:39:21.619
Like if you have somebody who's an ADHDer or

00:39:21.619 --> 00:39:24.760
autistic and you know their topic of interest,

00:39:24.820 --> 00:39:27.500
you wouldn't make them happier than to talk about

00:39:27.500 --> 00:39:31.820
that. And so you can be incredibly aligned if

00:39:31.820 --> 00:39:35.980
you're too neurodivergent individuals in a partnership

00:39:35.980 --> 00:39:38.179
because you know what it's like to talk about

00:39:38.179 --> 00:39:41.619
the topic of interest, for example, or you know

00:39:41.619 --> 00:39:45.840
how hard it is to organize. So there can be teamwork

00:39:45.840 --> 00:39:50.230
in that too, a recognition that We're similar

00:39:50.230 --> 00:39:52.449
in as much as we have very similar challenges

00:39:52.449 --> 00:39:55.309
and how can we work it out together? Sometimes

00:39:55.309 --> 00:39:59.590
I've seen that work really well because you don't

00:39:59.590 --> 00:40:01.969
have to explain it as much. You kind of get it.

00:40:02.119 --> 00:40:04.340
And I get it on the high end, if that makes sense,

00:40:04.400 --> 00:40:06.000
like on the shared interest. And I'm thinking

00:40:06.000 --> 00:40:07.860
of a couple that I know specifically who are

00:40:07.860 --> 00:40:10.480
both very outwardly communicative about their

00:40:10.480 --> 00:40:12.800
ADHD struggles. Right. But then, you know, my

00:40:12.800 --> 00:40:14.860
question is always, then who's doing the admin?

00:40:15.119 --> 00:40:17.860
Like, who is the one who, like, is the grounded

00:40:17.860 --> 00:40:20.239
person? Because they're they they both I think

00:40:20.239 --> 00:40:22.179
that's something that they express in their struggles

00:40:22.179 --> 00:40:24.820
as a couple is like, it's all great. So they're

00:40:24.820 --> 00:40:26.679
in the world of finance. Right. So they're like

00:40:26.679 --> 00:40:28.159
really into the markets and they're really into

00:40:28.159 --> 00:40:29.880
Bitcoin and they're really into that. But then

00:40:29.880 --> 00:40:31.610
it's like at the end of the day, they look at

00:40:31.610 --> 00:40:33.730
each other and it's like, did you actually, did

00:40:33.730 --> 00:40:36.329
you buy the shares today? Like did you actually

00:40:36.329 --> 00:40:38.150
pull the trigger on that investment? And it's

00:40:38.150 --> 00:40:40.230
like, oh shit. And then the markets are closed,

00:40:40.369 --> 00:40:42.349
you know? And it's like, oh, so like that last

00:40:42.349 --> 00:40:44.469
bit of follow through was the missing piece.

00:40:44.829 --> 00:40:47.610
And I think it's great example. I think that's

00:40:47.610 --> 00:40:50.889
where you have to get external support. Like

00:40:50.889 --> 00:40:54.369
I'm a big believer in recognizing our limitations

00:40:54.369 --> 00:40:56.909
and working in the things that we're great at

00:40:56.909 --> 00:40:58.849
and getting help for the things that we struggle

00:40:58.849 --> 00:41:02.039
with. I think this is why I love my helper. Because

00:41:02.039 --> 00:41:06.400
she has taken all of that stuff off my hands.

00:41:06.920 --> 00:41:09.860
I don't have to think about it anymore. Since

00:41:09.860 --> 00:41:12.179
we both work in the coaching field, I always

00:41:12.179 --> 00:41:15.780
say, you can almost always tell a valuable coach

00:41:15.780 --> 00:41:17.980
because they have a coach in some aspect of their

00:41:17.980 --> 00:41:20.199
life. And I would say the same for therapists.

00:41:20.880 --> 00:41:24.019
Really effective therapists often have... I feel

00:41:24.019 --> 00:41:26.320
like therapists need therapists because they

00:41:26.320 --> 00:41:30.179
take on so much. On a separate note, I heard

00:41:30.179 --> 00:41:33.699
somewhere that everyone has a little bit of ADHD

00:41:33.699 --> 00:41:36.480
or a little bit of neurodivergence. So is it

00:41:36.480 --> 00:41:38.420
a case of you either have it or you don't have

00:41:38.420 --> 00:41:41.599
it? Or is it a spectrum where you might have

00:41:41.599 --> 00:41:44.199
it a little bit or you have it a lot? So in the

00:41:44.199 --> 00:41:48.800
ADHD community, I would say, and the autistic

00:41:48.800 --> 00:41:52.800
community, it's quite insulting to think of somebody

00:41:52.800 --> 00:41:54.820
having a little bit of it because it can be really

00:41:54.820 --> 00:41:57.099
quite challenging to have it. I think what we

00:41:57.099 --> 00:42:00.119
all have a little bit of is difficulties. You

00:42:00.119 --> 00:42:02.280
know, we've all got a executive functioning.

00:42:02.659 --> 00:42:04.599
Some of us are better at it and some of us are

00:42:04.599 --> 00:42:08.300
worse. I think if we think of ADHD and autism,

00:42:08.380 --> 00:42:10.760
if we're talking about that too here, I think

00:42:10.760 --> 00:42:12.480
you either have it or you don't. You're either

00:42:12.480 --> 00:42:16.639
wired in this way or you're not. When you talk

00:42:16.639 --> 00:42:19.780
to somebody with ADHD about what their moments

00:42:19.780 --> 00:42:22.900
of burnout are like, that is serious. That is

00:42:22.900 --> 00:42:25.159
real. Where they might not be able to get out

00:42:25.159 --> 00:42:28.059
of bed because they have absolutely exhausted

00:42:28.059 --> 00:42:30.119
themselves and you can't have a little bit of

00:42:30.119 --> 00:42:34.019
that. To be diagnosed with ADHD, there has to

00:42:34.019 --> 00:42:37.159
be an impact on functioning. That's real. Yeah.

00:42:37.210 --> 00:42:39.510
So I guess for me, when people talk about a little

00:42:39.510 --> 00:42:43.670
bit or that it's a fad, it's just trendy to have

00:42:43.670 --> 00:42:46.769
ADHD, when you talk to the community, those that

00:42:46.769 --> 00:42:50.429
have it, it's real. It's not trendy. It can be

00:42:50.429 --> 00:42:53.250
really, really hard. And also something that

00:42:53.250 --> 00:42:55.369
we haven't talked about and it's not talked about

00:42:55.369 --> 00:42:58.849
a lot, the autistic research is far, far ahead

00:42:58.849 --> 00:43:02.429
of the ADHD research in women. ADHD researchers

00:43:02.429 --> 00:43:05.250
will catch up. But what we know is that there's

00:43:05.250 --> 00:43:07.730
a lot of common, there's a lot of chronic health

00:43:07.730 --> 00:43:12.110
conditions that come with ADHD and autism. Somebody,

00:43:12.929 --> 00:43:14.929
Jennifer Kemp, who was also on our podcast, she

00:43:14.929 --> 00:43:17.949
talks about, you know, autism is in every cell

00:43:17.949 --> 00:43:21.170
of our body. So it's not just our cognitive functioning

00:43:21.170 --> 00:43:23.349
that's impacted, our whole body is impacted.

00:43:23.449 --> 00:43:26.070
And we're looking at that in the ADHD community,

00:43:26.469 --> 00:43:30.309
too. We often see chronic fatigue. with ADHD.

00:43:30.949 --> 00:43:35.369
We see immunity difficulties with chronic pain.

00:43:35.809 --> 00:43:39.650
So it often comes with migraines. There's a whole

00:43:39.650 --> 00:43:43.409
facet that comes along with the ADHD that can

00:43:43.409 --> 00:43:47.480
also impact functioning. So I think what we have

00:43:47.480 --> 00:43:52.099
a little bit of is perhaps a tendency to be more

00:43:52.099 --> 00:43:55.699
excited by things, you know, struggle to plan,

00:43:55.800 --> 00:43:58.260
struggle with cognitive functioning, but I don't

00:43:58.260 --> 00:44:00.800
think we have a little bit of ADHD. What are

00:44:00.800 --> 00:44:04.539
your thoughts on gut health and its relationship,

00:44:04.699 --> 00:44:07.280
if there is a relationship to ADHD or autism

00:44:07.280 --> 00:44:09.699
spectrum disorder? Yeah, there's a lot, there's

00:44:09.699 --> 00:44:13.159
a lot in the... in the research world around

00:44:13.159 --> 00:44:15.840
this. And that's really, really interesting because

00:44:15.840 --> 00:44:18.840
we see so much correlation. A lot of people with

00:44:18.840 --> 00:44:22.480
ADHD and autism have gut issues and have had

00:44:22.480 --> 00:44:26.420
from the get go. In fact, when we look at young

00:44:26.420 --> 00:44:28.579
children getting diagnosed, they've often had

00:44:28.579 --> 00:44:33.659
reflux or gastric issues as little people. And

00:44:33.659 --> 00:44:37.179
so I think that there's more and more being discovered

00:44:37.179 --> 00:44:41.179
in that area. And we know that the gut holds

00:44:41.179 --> 00:44:45.639
a lot of serotonin, which will influence mood,

00:44:45.880 --> 00:44:47.840
which will influence our functioning in many,

00:44:47.840 --> 00:44:52.360
many ways. And I'm really interested to see where

00:44:52.360 --> 00:44:55.539
we go with it. Are there any myths about ADHD

00:44:55.539 --> 00:44:58.760
that you'd like to bust? The one that you just

00:44:58.760 --> 00:45:00.809
said about... You know, can I have a little bit

00:45:00.809 --> 00:45:03.909
of it? I think is an important myth because it's

00:45:03.909 --> 00:45:06.730
important to protect those that have a diagnosis

00:45:06.730 --> 00:45:10.469
and that, you know, really do recognize the challenges

00:45:10.469 --> 00:45:15.409
that they face. I think the other myth is that

00:45:15.409 --> 00:45:19.590
women don't have it as much as men. I for me,

00:45:19.869 --> 00:45:23.250
I've been in the in the world of psychology for

00:45:23.250 --> 00:45:27.809
over 20 years. And I when I trained, it was boys.

00:45:28.320 --> 00:45:31.639
you know, four to one, four boys for every girl.

00:45:32.739 --> 00:45:36.480
That's changing. It's been a radical shift to

00:45:36.480 --> 00:45:38.900
start looking at women. So these high achieving,

00:45:39.179 --> 00:45:42.300
high performing women who, how have they kept

00:45:42.300 --> 00:45:45.840
it together, has been through all this overcompensation

00:45:45.840 --> 00:45:50.699
and really underneath it is the ADHD. And I think

00:45:50.699 --> 00:45:52.719
that's a myth that we need to bust, that women

00:45:52.719 --> 00:45:55.420
don't have ADHD and that girls don't have ADHD.

00:45:55.840 --> 00:45:58.239
because I think there's a lot of suffering that

00:45:58.239 --> 00:46:02.880
happens with undiagnosed women and girls. So

00:46:02.880 --> 00:46:06.659
for anyone out there who either has ADHD or thinks

00:46:06.659 --> 00:46:09.900
they may have ADHD, where can they go to find

00:46:09.900 --> 00:46:15.320
out more? There is a few websites now, more and

00:46:15.320 --> 00:46:18.340
more that are women. There's a lot of clinical

00:46:18.340 --> 00:46:21.079
psychologists that are coming out as ADHD and

00:46:21.079 --> 00:46:23.739
autistic and I think they're brilliant to follow

00:46:23.739 --> 00:46:27.320
because they have good quality. research. So

00:46:27.320 --> 00:46:29.840
one is Michaela Thomas from the Thomas Connection.

00:46:29.920 --> 00:46:33.699
She's fantastic. She's in the UK. Jennifer Kemp

00:46:33.699 --> 00:46:39.920
is in Australia. She does a lot of writing and

00:46:39.920 --> 00:46:43.860
has done a lot of podcasts on it as well. There's

00:46:43.860 --> 00:46:46.719
a few websites. There's the Neurodivergent Woman,

00:46:47.400 --> 00:46:49.460
which is a podcast. And they also have a website

00:46:49.460 --> 00:46:53.719
with some fantastic resources. There's also Embrace

00:46:53.719 --> 00:46:57.579
Autism. which has some screeners as well that

00:46:57.579 --> 00:47:01.440
women can use to see if they can self identify.

00:47:02.139 --> 00:47:08.940
So I would seek support from psychologists, psychiatrists

00:47:08.940 --> 00:47:12.320
in the area. If we're gonna sort of look through

00:47:12.320 --> 00:47:15.460
social media and the internet, I would make sure

00:47:15.460 --> 00:47:20.400
I'm looking at high quality content because this

00:47:20.400 --> 00:47:23.619
is a big deal to be looking and exploring into.

00:47:24.199 --> 00:47:26.420
ADHD. And we'll put all of this into the show

00:47:26.420 --> 00:47:29.860
notes as well. And Emma, it has been absolutely

00:47:29.860 --> 00:47:32.119
amazing having you here on the 40s Formula and

00:47:32.119 --> 00:47:35.820
sharing all your insights about ADHD and neurodivergence.

00:47:36.139 --> 00:47:38.280
But before we go, we do want to ask one final

00:47:38.280 --> 00:47:40.860
question, and that is what's your 40s Formula,

00:47:41.079 --> 00:47:44.440
especially for women who either are or think

00:47:44.440 --> 00:47:49.360
they may be struggling with ADHD? What sort of

00:47:49.360 --> 00:47:51.500
advice would you give them to help them thrive?

00:47:52.199 --> 00:47:55.159
through this, despite this. I think we always

00:47:55.159 --> 00:47:57.340
think about, you know, at the end of the day,

00:47:57.559 --> 00:48:00.239
what truly matters are our relationships. So

00:48:00.239 --> 00:48:02.260
really protecting relationships. But I think

00:48:02.260 --> 00:48:05.840
that's something that mostly we're thinking about

00:48:05.840 --> 00:48:08.300
more and more. I think the piece that's really

00:48:08.300 --> 00:48:10.659
important is actually what we've touched on,

00:48:10.699 --> 00:48:13.219
which is self -compassion. You know, learning

00:48:13.219 --> 00:48:18.380
to be kind. As women, we've taken on so much

00:48:18.380 --> 00:48:21.400
and we've been told that we need to take on more.

00:48:21.739 --> 00:48:25.940
You know, to be valuable to society, we have

00:48:25.940 --> 00:48:28.440
to carry the load at home. We have to carry the

00:48:28.440 --> 00:48:30.860
load in relationships often. You know, some of

00:48:30.860 --> 00:48:33.119
us are working women or even those of us who

00:48:33.119 --> 00:48:37.079
are homemakers. We tend to carry the biggest

00:48:37.079 --> 00:48:40.420
load. So self -compassion is very important and

00:48:40.420 --> 00:48:43.960
learning to set boundaries. Learning to say no

00:48:43.960 --> 00:48:47.360
and ask for help. Like there's nothing to be

00:48:47.360 --> 00:48:51.590
ashamed of. Because if we can't support us and

00:48:51.590 --> 00:48:54.070
we can't be well, we can't help anybody else.

00:48:54.449 --> 00:48:56.909
So when we think about relationships, often I

00:48:56.909 --> 00:48:59.929
think it just encourages women to subjugate more.

00:49:01.010 --> 00:49:04.389
Like I have to do yet another thing. Well, let's

00:49:04.389 --> 00:49:06.989
start saying no and thinking about what is it

00:49:06.989 --> 00:49:10.619
that gives me a sense of purpose in this world.

00:49:10.659 --> 00:49:13.480
What makes me feel good about me? And I think

00:49:13.480 --> 00:49:16.219
self -compassion, you know, being kind helps

00:49:16.219 --> 00:49:18.940
us make room for those questions. I think that's

00:49:18.940 --> 00:49:21.519
amazing. Yeah, it's beautiful. I think everyone

00:49:21.519 --> 00:49:23.679
can take on a little bit of self -compassion,

00:49:23.800 --> 00:49:25.920
for sure. Thank you so much, Emma. It's been

00:49:25.920 --> 00:49:28.019
wonderful having you here. Thank you. Thank you

00:49:28.019 --> 00:49:31.059
very much. Guys, you know we love coffee. And

00:49:31.059 --> 00:49:32.480
if you want to show us some love, you know, you

00:49:32.480 --> 00:49:35.380
can always get us one. Just visit buymeacoffee

00:49:35.380 --> 00:49:39.920
.com slash the forties formula. Cheers. Before

00:49:39.920 --> 00:49:42.880
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00:50:16.679 --> 00:51:03.860
Bye! I think that's evolution for you. Keeps

00:51:03.860 --> 00:51:05.699
us going. Otherwise humanity would have ended.

00:51:05.840 --> 00:51:08.000
Oh, good. Yeah. You're right. Long time ago.

00:51:08.000 --> 00:51:09.780
Yeah. We wouldn't have time to actually have

00:51:09.780 --> 00:51:10.139
babies.
