Article
Attention
Comment
Psychology
6 min read

Paying attention to ADHD– is it really just a fad?

Media fixation with ADHD caught Henna Cundill’s eye, so she decided to investigate its struggles and superpowers.
From a darkly shadowed face, a single illuminated eye stares.
Brands&People on Unsplash.

In a feat of irony, attention deficit hyperactivity disorder (commonly known as ADHD) is now getting a lot of attention. For example, between 28 and 31 January The Times newspaper published one article per day about ADHD. Intrigued, I looked back over the past few months, and I found that The Times has averaged 8 to 10 articles per month which are either partly or exclusively about this topic. These range from celebrity diagnoses to handwringing over the “troubling rise” in incidents of the condition, to concerns about parents gaming the system to get their children disability payments or extra time in exams.  

With all this media hype, it is little wonder that some commentators are inclined to dismiss ADHD as a fad. Scroll through the comments beneath each article, and you will reliably find the rallying cry of, “We didn’t have ADHD in my day!” followed by the patient responses of those who try to correct this fallacy.  

While the high public profile of ADHD is new, the condition itself is not. As early as the mid-1700s a Professor of Medicine called Melchior Adam Weikard was describing patients who were “unwary, careless, and flighty” – behaving in ways governed by impulse, and showing poor skills in punctuality, accuracy, and having an inability to complete tasks, to the detriment of their mental health. His description is of its day. For example, and somewhat amusingly, Weikard (himself German, but at this point living in Russia) also described his patients as follows:  

Compared to an attentive and considerate person such a jumpy person may act like a young Frenchman does in comparison to a mature Englishman. 

Even so, Weikard did not unconsciously adopt all the prejudices and stereotypes of his context: he broke firmly with existing medical consensus when he diagnosed these patients as having a “dysregulation in cerebral fibres” – rather than attributing their difficulties to astrological misalignments or demon possession.  

By characterising ADHD as a brain-based condition, Weikard was ahead of his time, and we’ve come a long way since then. This is not the place to chart the whole biography of ADHD, suffice to say that when someone rolls their eyes and declares dismissively, “We didn’t have ADHD in my day…” – they are either over 300 years old or not talking like a mature Englishman, even if they read The Times.  

The negative side of the condition as being in a constant fight with one’s own thoughts and senses – these are doughty opponents, they always know where to find you, and they only sleep when you do. 

Another thing that is not new, despite what cynical commentators might seek to imply, is the treatment of some aspects of ADHD with medication.  

Doctors have been prescribing amphetamines to patients with ADHD since at least the 1950s. Yet now those medications are in short supply. Contrary to the media hype, fewer than 1 in 10 people with an ADHD diagnosis take prescribed medication, but for some of those who do it can be a lifeline – calming down a washing machine mind that is stuck on constant spin.  

One acquaintance of mine has taken to anxiously touring the local pharmacies, driving to neighbouring towns and villages, desperate to get her prescription filled.  

Another is passing her own tablets on to her son, whose prescribed supply ran out sooner. Sharing prescription medication is, I am duty-bound to add, an illegal practice – but it is hard to expect a parent to medicate themselves whilst seeing their own child struggle to attend school, to complete exam papers and to just generally feel (and I quote) “like a normal person.”  

People who have ADHD sometimes describe the negative side of the condition as being in a constant fight with one’s own thoughts and senses – these are doughty opponents, they always know where to find you, and they only sleep when you do.   

This is not to overlook that there are positives to ADHD too – it is often pointed out that the condition entails a degree of “superpower.” A person living with ADHD may have an incredible ability to focus on one difficult problem to the exclusion of all else, and thus solve it, perhaps devising creative solutions that elude those with a more pedestrian style of thought.  

Also, it is common for people who live with ADHD to be dynamic conversationalists, with high social intelligence and empathy, priming them for success at tasks like broadcasting and debating. Many elite athletes also live with ADHD and say that they able to strive for excellence due to their restless energy and resilience in the face of tough training regimes.  

Given the mixed bag of struggles and superpowers, there is a raging debate about whether ADHD should even be considered as pathology, or just as a neurodivergent way of being human. I suspect there is no right or wrong answer to this – for each person who lives with ADHD it depends on their own experience and how they feel it helps or hinders them to live the life they choose. Neither is it a binary choice: more than one of my own acquaintances who live with ADHD has described themselves as being in a “love-hate relationship” with their neurodivergence.   

ADHD challenges me to unfold my mind too – to become ever more aware and appreciative of the fact that there are many ways to be human. 

Neurodiversity, like any kind of diversity, challenges the way we live to together in communities, choosing or refusing to show empathy towards those who are perceived as ‘other’. There are several places in the Bible where human interconnectedness is likened to the human body – made up of many different parts, with each member dependent on the other for the wellbeing of the body as a whole. In one of his letters, St Paul wrote, “If the whole body were an eye, where would the hearing be? Or if the whole body were an ear, where would the sense of smell be?” Society needs problem solvers, communicators, high achievers, even while society also needs people who can structure, plan and maintain consistency – and above all, society needs these different neurotypes to work together with a certain amount of mutual understanding and trust.  

Reflecting further on the body metaphor, Paul also wrote this: “If one part of the body suffers, the whole body suffers with it.” It is estimated that about 5 per cent of people in the UK has ADHD, so it is likely that includes someone you know. The majority don’t take regular meds, but if you are connected to someone who is usually reliant on these, the next few months may be a time of particular stress and anxiety, as the current medication shortage is expected to continue into late spring. This affects not just those living with ADHD, but all of us, as we live together in our families, communities, and networks. Not everyone chooses to be open about having an ADHD diagnosis, but if they are, now might be a good time to ask them how they experience this condition, both with its positives and negatives, and how you can support them if they are managing without their usual prescription. 

The body metaphor, and Paul’s teaching around it, reminds us that diversity is no accident, God has always been attentive to those who feel divergent or far from the centre, as Jesus affirmed when he announced his ministry would be for the poor, the prisoners, the disabled and the oppressed. The psalmist too, observes that God’s attention and concern for us is so complete, that one is “…hemmed in, before and behind” – even if one strays to the very ends of the Earth, or drives to the pharmacy in the next village. Thus, while the media circus may be new, we can be sure that God has always been attentive to those with ADHD, and wider society is called to be likewise. 

Writing for The Times, Esther Walker describes ADHD as “…the health story that keeps unfolding.” Well, certainly every time I unfold my newspaper, there it is again. But ADHD challenges me to unfold my mind too – to become ever more aware and appreciative of the fact that there are many ways to be human: usually complex, sometimes difficult, often brilliant, and always interconnected.  

Article
Comment
War & peace
3 min read

Letter from Lviv

Loss, resilience, and a hope one day to count blessings not missile intercepts.

Iryna Dobrohorska is Christian Aid’s Country Response Director for Ukraine.

A woman stands at the back of an armoured military vehicle, the door of which is open.
Iryna stands by a displayed military vehicle.

Ukraine is only two years older than I am. My personal history is intertwined with Ukraine’s history. Instead of the carefree fun I should be having as a young Ukrainian woman, on Saturday I was reflecting that my last two years have been dominated by war since Russia began its full-scale invasion. Over those 730 days, I have witnessed the best and worst of humanity.  

I was evacuated from Kyiv to the sounds of explosions nearby, fearing I would be raped or murdered by Russian soldiers if they entered the capital. I’ve wept over losing university friends in combat. I’ve despaired at how Ukrainian writers are being deliberately targeted by the Kremlin.  

But I also observed the speed that we Ukrainians built trust and social connections with unknown people. I was proud of the warmth of my hometown, Lviv, which welcomed people from the east of the country - it crushed the myths that Russia was trying to ooze into our national life that we were a divided country that didn’t have the right to exist except as part of Russia. 

Not just in Lviv but all over Ukraine. This month in Odesa I felt the same warmth extended to elderly displaced people when I hosted a visit to our local humanitarian partner Heritage Ukraine by the Archbishop of Canterbury, Justin Welby. He saw for himself how the team, funded by the Scottish faith charity Blythswood, had opened their doors and their hearts to these traumatised strangers facing an uncertain future. 

One of those displaced people, Nadia, told me: “We want to go home, but our home is being shelled. At least here we stay with dignity.”  

The violence inflicted by Russia is not becoming any easier in the prolonged war we now face.

t’s a scene of resilience I’ve grown accustomed to as I’ve crisscrossed the country to play my small part in the astonishing humanitarian effort powered by the UK public’s incredibly generous donations.  

The Iryna I saw in the mirror in 2021 wouldn’t recognise the young woman I see looking back at me today.  

In Kherson, I was recording the stories of illegal detention of civilians to the sound of artillery fire. In Mykolaiv, my window view was an apartment block with the roof blown off and clay-coloured water was the only drinking option.  

I never thought that I would learn the types of weaponry used in modern warfare. Now I know the difference between the motorbike sound of a drone from the missile whistle above my head followed by the clank when it detonates nearby.  

Security awareness is an everyday reality in Ukraine. We often debate during an alert whether choosing to sleep in our own beds instead of going to a shelter may turn out to be our last night. A six-months pregnant teacher friend of mine in Kyiv was killed in her sleep from a drone strike.  

The violence inflicted by Russia is not becoming any easier in the prolonged war we now face. Yet I also sense the paradox that we’ve accepted the war becoming everyday normality and so has the rest of the world. 

Global attention today is not focused only on Ukraine. A host of other crises are taking precedence in the need for a humanitarian response. My biggest fear is that the long-term nature of our crisis reduces global actors to sympathizing observers.  

What I do know is that my generation of young Ukrainians who have lost so much will not allow that to happen. More than ever, I feel the need for a just and resolute peace for Ukraine. With the help of our international friends, the day will come when those who have suffered can go back to rebuild their homes and communities.  

As I move on to engage further in Ukraine’s recovery efforts, I feel privileged to have worked for Christian Aid as part of the humanitarian response. I’m most proud of our role in being a catalyst for local people to help themselves by setting their own community priorities in the kind of support they need, giving them a sense of dignity and self-worth.  

It’s that kind of world that I dream about - where one day I will count my country’s blessings instead of how many drones and missiles were intercepted the night before.