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Trauma and ADHD

In this deeply engaging video, Dr. Lalitaa Suglani converses with Dr. Shyamal Mashru on the intricate relationship between trauma and ADHD. The discussion begins with a fundamental question: Is ADHD inherent from birth, or does it emerge from experiences of trauma? This question sparks a fascinating dialogue that delves into theories surrounding ADHD, including insights from Gabor Maté's "Scattered Minds," suggesting that many mental health conditions, including ADHD, may stem from traumatic responses. Dr. Mashru presents a nuanced perspective, navigating the "chicken and egg" scenario of trauma and ADHD. He proposes that rather than trauma causing ADHD, individuals with ADHD may experience accumulative traumas over their lifetime due to the condition's symptoms. This theory is illustrated through examples of common experiences shared by individuals with ADHD, such as academic underachievement, workplace challenges, and pervasive feelings of failure, leading to rejection sensitive dysphoria. The conversation further explores the concept of rejection sensitivity and its profound impact on self-esteem and self-perception. Dr. Mashru suggests that the series of small traumas experienced by individuals with ADHD contribute to a cycle of anxiety, depression, and low self-worth. This cycle is often exacerbated by the societal misunderstanding of ADHD, leading many to internalise negative perceptions and mask their struggles. Dr. Suglani shares her personal and professional experiences, highlighting the importance of recognising the impact of ADHD beyond its symptoms. She emphasises the need for appropriate support and understanding to navigate the challenges posed by ADHD and its interplay with trauma. This video is a must-watch for anyone interested in understanding the complex dynamics of ADHD and trauma. It offers valuable insights for individuals with ADHD, their loved ones, and professionals in the field, providing a deeper understanding of the condition's effects on daily life and the importance of compassionate support and awareness. Video Transcript Dr. Lalitaa Suglani (LS): So do you feel that with ADHD we’re born with it or do you think it comes from a place of trauma, because there's a lot of research that I've read and I hear often people say is I feel like my ADHD has come from my trauma and what's your take on that? Dr. Shyamal Mashru (SM): This area, so I'm going to drop a big name out here is Gabor Maté. (LS): Scattered Minds (SM): Scattered Minds [The Origins and Healing of ADHD by Gabor Maté], so if we look Gabor Maté’s theory, there is no ADHD and there probably is no mental health conditions, the whole thing is trauma and it's all a trauma response. My personal view here, and I'm not as famous as Gabor Maté, but you know, my personal view here is it's not clear, it's a chicken and egg and we don't know which one’s coming first and which ones coming after. (LS): Do you mean the trauma and the ADHD (SM): So is it that you having significant trauma and that's producing ADHD symptoms.. (LS): Or has that exacerbated the symptoms (SM): Or and this is more my feeling, is there a biological condition going on here which is your ADHD. That then leads you to have little traumas throughout your life which accumulate. So for example, at a younger age in school, teachers will say but Lalitaa is so bright, why can't you just you know put bit more effort in, she doesn't meet her potential. It's such a shame. (LS): That's what was said to me (SM): Just engage a bit more. So that's a trauma because then your parents will come back to you and what are you doing, what's going on, what's this in your school report, blah blah. You then get to Uni, you're not getting your assignments in on time. (LS): Or your assignments don't flow which is what happed to me (SM): Or it is a bit haphazard and again you're getting the same message. But now it might look like well no but are you just a bit lazy, Lalitaa is just lazy, she's bright but she’s just lazy. She was the same at school, the same thing was happening there. (SM): Then you get into work, you're not getting, you know simple things, you're making mistakes with, I'd expect so much more of you Lalitaa, I mean these are just careless mistakes that you're making aren't they really (LS): You have that layer of rejection sensitivity, just there like watching (SM): It’s building and it’s building, these are all little traumas and then that leads you to develop symptoms of rejection sensitive dysphoria, what is that, why do you have a fear of failure or rejection, because you've had a lifetime of essentially these messages. What does that do to your self- esteem? Eventually you might start believing those messages and actually thinking do you what, maybe there's nothing wrong with me, maybe I'm just lazy. (LS): Maybe I'm not trying hard enough