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Developing focus and stillness

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ADHD - Yoga improves executive functions of planning and organising

Understanding ADHD

   Attention Deficit Hyperactivity Disorder is a neurodevelopmental disorder characterised by a lack of ability to pay attention and a behaviour that is restless, fidgety, and impulsive. A person with ADHD lacks time perception and procrastinates but intriguingly they are highly focussed when engaged in something that arouses their curiosity and interest, and have the ability to finish tasks when working against a time deadline.  Affecting nearly 1 in 20 children ADHD may last well into adulthood and beyond or may occur in some people in their adult life. 

Risk factors for ADHD

While ADHD can occur in any person at any age, some risk factors predispose a person to develop ADHD. The more risk factors a person has higher the probability of developing this disorder. Those most likely to be diagnosed with ADHD are-
1) Young children and adolescents are most likely to develop ADHD with boys three times more likely to have ADHD than girls although the reason for this is not well understood. In the adult population as well, more men are affected by this disorder than women.
2) Genetics - A person having a close relative such as either one or both parents, an identical twin, or a sibling with ADHD or another mental health disorder.
3)  Babies who have been exposed to toxins in the womb, for example a person whose mother consumed alcohol, drugs, nicotine or smoked during pregnancy is also at higher risk of developing ADHD.

Managing priorities with ADHD

Possible causes of ADHD

There is still ongoing research to understand the possible origins of ADHD but it is considered to be caused by a combination of risk factors at play. The more risk factors involved, the higher the chances for ADHD to manifest. Some of these factors are:
 

Overstimulation of the brain - while ADHD has been around for a long time, more cases have been diagnosed in recent times. One reason for that could be too much overstimulation of the brain from the world around us. The Internet has successfully connected people around the world but has also given us too many choices and distractions to explore whether shopping for something, searching or researching something, the news around the world, short videos on social media such as TikTok, engaging with too many people including strangers, even the marketing is designed to capture a person's attention for mere 10-30 seconds. This kind of online environment has programmed our neural circuits to generally become impatient for sustained attention given the amount of time available in a working day. When multiple sensory stimuli are vying for attention, some people may find it difficult to zoom in on what's important and relevant and zoom out on matters that are trivial and or not pressing, creating what is termed as attention blinks. These attention blinks can also be observed in the elderly due to an age-related cognitive decline.

Genetic Inheritance - Research studies have shown a significant genetic link between ADHD occurrence in a person and them having a close family member with ADHD. Twin studies have demonstrated that a child has a 70% likelihood of developing ADHD when one of the twins has ADHD and a 25% chance of having a parent with ADHD.

Disturbance in Brain Chemistry - Many studies have evidenced the link between ADHD and suboptimal functioning of the neurotransmitter system in the brain while some studies have questioned this view. In particular, the neurotransmitter dopamine which plays a role in creating reward and pleasure is also responsible for better focus, motivation, and movement. Low dopamine levels in the frontal lobes and excess dopamine in the basal ganglia (causing motor hyperactivity) are suspected to play a role in the manifestation of ADHD and also explain the drug-seeking behaviour of some individuals with ADHD as drugs increase dopamine levels and minimise the symptoms of ADHD. 

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Yoga: Self-Regulation, Mind-full to mindful

Yoga for ADHD

Yoga is often suggested as a complementary or alternative therapy for individuals with Attention Deficit Hyperactivity Disorder (ADHD). While it may not be a standalone treatment, incorporating yoga into a comprehensive ADHD management plan can offer various benefits. Here are some ways in which yoga can help individuals with ADHD:

  1. Mind-Body Connection: Yoga emphasizes the connection between the mind and body. Through mindful movement, breath control, and meditation, individuals with ADHD may enhance their awareness of their bodies and develop better self-regulation.
  2. Focus and Concentration: The practice of yoga often involves concentration on specific postures (asanas) or breath patterns. This can help improve attention and focus, which are commonly challenging for individuals with ADHD.
  3. Stress Reduction: Yoga is well-known for its stress-relieving effects. Engaging in yoga practices can reduce cortisol levels and promote a sense of calm. Managing stress is crucial for individuals with ADHD, as stress can exacerbate symptoms.
  4. Improved Self-Control: Many yoga postures require a level of discipline and control. Regular practice can help individuals with ADHD develop better self-regulation and impulse control, essential skills for managing ADHD symptoms.
  5. Balancing Energy Levels: Yoga involves a combination of energizing and calming postures. This can help balance the energy levels in individuals with ADHD, providing a structured and constructive way to release excess energy.
  6. Enhanced Executive Function: Executive functions, such as planning, organization, and time management, can be challenging for individuals with ADHD. Yoga practices that involve sequencing and coordination may help improve these executive functions over time.
  7. Sensory Integration: Many individuals with ADHD also experience sensory processing challenges. Yoga can provide sensory input through various movements and positions, contributing to improved sensory integration.
  8. Sleep Quality: ADHD is often associated with sleep difficulties. The relaxation techniques incorporated in yoga, particularly at the end of a session during the "savasana" or corpse pose, can promote better sleep quality.
  9. Social Interaction: Group yoga classes provide a structured social environment, fostering a sense of community and belonging. This can be particularly beneficial for individuals with ADHD, as social support plays a crucial role in overall well-being.

Two women in a Triangle pose (Trikonasana)

Effects of ADHD on the individual and their life

Even though ADHD is not a life-threatening mental illness (barring rare situations in which the person's impulsive behaviour may put them at such a risk) it can have poor repercussions for a person in many vital aspects of their life if it is not treated or managed well. Some adverse effects of ADHD on the individual and their life are:
 

1) Among children or teens with ADHD, their short attention span and restless nature can make it very difficult for them to concentrate and do well in their school or higher academic studies. Especially, if their condition is initially not reckoned by school staff then they may draw rebuke and admonishment likely to cause emotional upsets. Among adults, this may impact their employability and career.
2) People with ADHD have difficulty planning and organising time and space. Their distorted perception of time makes them feel they have more time available than in reality. This creates a tendency to procrastinate, and while they may be quick to get on with something they may find difficulty in finishing what they started, in part due to a loss of interest before reaching their desired goals or they may not be able to follow their plans in an orderly manner.. Their lack of organisation causes a cluttered space in their environment - be it cluttered desks, messy rooms, and semi-finished tasks or projects, all of which may even create conflict with family members. And because of this drawback even if they may be very intelligent they don't fulfill their potential.
3) Among children as well as adults with ADHD, their tendency for impulsive behaviour and lack of risk perception can make them engage in hazardous behaviour without thinking about consequences, endangering themselves or others; for instance, driving too fast, slamming the door in a sudden outburst of anger, take financial risks including gambling. Among adults, some may seek to self-medicate through drug abuse, and overuse of stimulants, and are likely to face difficulties in maintaining relationships.

Impact of ADHD on family and friends

Since ADHD has a high occurrence among young children and adolescents, it is bound to cause concern to parents of children with ADHD. When parents realise their child has ADHD, it is going to make them worry about the child's behaviour, normal development, performance at school, social circle at school, and out of school. They may even be stressed about their child getting involved in situations that can cause trouble or danger to the child and possibly others due to the child's unexpected behaviour or actions.
Parents may blame themselves for their child's condition or bad behaviour and may experience guilt and shame from any adverse social interaction involving their child. A child's ADHD may even create situations of conflict between the parents for various reasons that can include differences of opinion regarding the course of treatment and ways of disciplining the child, and they may even face a dilemma if they have another child without ADHD who may feel resentful about their parent appearing more lenient towards their sibling with ADHD. The sibling without ADHD may view this as the parent being less loving towards them. All of these can put a strain on family dynamics.
ADHD in adults can have a negative impact on their relationships, friendships, and people in their social circle.
A person with ADHD has poor stress response. So situations that raise their stress can cause angry outbursts with corresponding actions such as slamming doors, abruptly leaving meetings, or putting pressure on others with their impatience. The person's partner can feel exhausted from doing extra chores as the person with ADHD is messy, disorganised, and less likely to share all the responsibilities evenly. Such behaviour can drain their partner or friends, create distance in mutual understanding and relationships.
The individual's partner may misconstrue their lack of attention as disrespect, arrogance, or a lack of interest in having a meaningful conversation or the partner may perceive the individual's fleeting attention in romantic situations as a lacklustre gesture of love. This can hurt emotions, create misunderstanding, and at worst breakdown in the relationship. 

Common symptoms associated with ADHD

The symptoms of ADHD will manifest corresponding to the subtype of ADHD of which there are three viz:
1) Inattentive subtype 2) Hyperactive impulsive subtype 3) Combined subtype
 

Inattentive subtype - This subtype of ADHD was formerly known as ADD (attention deficit disorder) and the main symptoms include the inability to pay attention (especially for non-preferred tasks) or getting easily distracted, making careless mistakes, not listening properly when spoken to directly, and several other symptoms.
 

ADD is equally common in boys and girls, but girls are less likely to be diagnosed with ADHD as they do not exhibit disruptive behaviour as much as boys do.

 

Hyperactive-impulsive subtype - The symptoms for this subtype of ADHD are dominantly marked by hyperactive and impulsive behaviour more likely to be noticed among boys than girls. This behaviour can show up as persistent restlessness with the inability to sit still either in a class or meetings, excessive talking with a tendency to interrupt conversations, and dangerous behaviour such as driving fast, gambling etc. without care and comprehension of the consequences.

 

Combined subtype - The symptoms are a combination of both the other subtypes characterised by inattentiveness and impulsive hyperactivity.

Managing ADHD - How others can help?

For ADHD in children, parents, carers, and teachers can play a crucial role in creating a supportive environment that nurtures a child's development irrespective of ADHD. Parents can learn from behavioural management programmes techniques of effective communication, and ways to engage their child with ADHD to improve their attention and behaviour. Children with ADHD lack planning and organisation, completing tasks on time, and can make their room or house messy. Parents can help the child establish a routine with their daily tasks along with a timeline for each task along with reminders to finish them on time, get the child to declutter their space or clear up after say a playdate with their friends, To help the child cope with their lack of working memory, it can be a good practice to make the child repeat vital information so they can remember and retrieve it when needed soon again.
For an adult with ADHD, it will help them to have sticky notes or notice boards reminding them of important tasks, important dates, and deadlines for work projects as they tend to forget, poor time management, procrastinate, leave things incomplete, and start something new. Allowing regular breaks at the workplace and where possible providing a quieter work environment, involving the person with ADHD in projects that arouse their interest will not only help the person with ADHD but also benefit the company as the person performs well.
 

Children and adults with ADHD can be taught techniques to improve focus and minimise fidgety restless behaviour by encouraging them to exercise or play sport, practice mindfulness and meditation.

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