Teaching Executive Skills Versus Doing Them For Kids

Distinguishing between ADHD and anxiety can feel a bit like trying to figure out if you're sneezing because of a cold or because your neighbor just started mowing their lawn - or maybe it's a bit of both, the symptoms look the same, but the solution is very different. This week, I'm talking with Dr. Mona Potter, a Harvard-trained, board-certified child and adolescent psychiatrist and the Chief Medical Officer and Co-founder of InStride Health. Dr. Potter spent years at McLean Hospital pioneering treatments for anxiety and OCD, and has a unique perspective on how we can manage the specific brand of exhaustion that comes with being neurodivergent in a world that never stops moving.

Today, we're exploring the bio psycho social model—which is just a fancy way of saying we're looking at your sleep, your stress, and your chemistry all at once. We discuss the "optimal zone" of anxiety and how it can actually mask ADHD symptoms until you find a treatment that works, the difference between a "crutch" and a tool, and why parents (and adults) should stop trying to be the "external executive function" for everyone around them. We also take a deep dive into the specific mechanics of OCD and why the structure that saves an ADHDer might actually feed an obsessive loop.

If you'd life to follow along on the show notes page you can find that at HackingYourADHD.com/269

YouTube: https://tinyurl.com/y835cnrk

Patreon: https://www.patreon.com/HackingYourADHD

This Episode's Top Tips

1. 1. To tell ADHD and anxiety apart, look at what's pulling your focus. ADHD distractions are often external (the world "tapping you on the shoulder"), while anxiety distractions are typically internal (a "side commentary" of what could go wrong).
   2. Remember that medication can turn down the biological "volume" of symptoms, but it doesn't build skills or "brain muscles." Use the quiet provided by medication as a window to practice the executive function habits you need.
   3. While structure and rituals are helpful for ADHD, they can feed OCD. If you have both, you must learn to sit with the distress of not performing a ritual (Exposure and Response Prevention) rather than making things "seamless".