Dr.Pelicari had spend time to reply and share his info with you, the least proper behavior of yours would be spending some time and share your ideas with him.
Yeah that was his point. He knows he should but doesn't. Guilt drives no adrenaline in ADHD - it's not motivating or even relevant to getting something done. In fact, it reinforces his avoidance behavior by simply being a weight - one that the harder he tries to do something about, the more his mind resists it and goes into something else. Anxiety occurs only when things are about to explode or spiral out of control, and only then does something important get done.
HPA Axis is severely impaired in ADD, CDD, etc. Means stress does different things. In a concentration deficit disorder, the weight of importance becomes negligible next to the draw of excitement. Whereas a normal person would ignore or put off responsibilities consciously, it's automatic or never even enters the mind in CDD. When asked why, they don't know.
We're starting to learn why now - stress has a different effect on the mind when there is low norepinephrine, low cortisol, high NMDA activity, low acetylcholine, and low dopamine. It's one of the most common comorbid disorders, so it may also include high or low serotonin, high stratial dopamine, low or high basal GABA, low opiod density, low nicotinic receptor activity, etc. which makes finding someone just like us equally frustrating and consuming. There is no normal ADD, CDD, SCT, ADHD-PI, etc.
Commonly, paying bills, following up, and other mundane adult activities are too daunting to even think about and when we do, the guilt or shame in putting it off is hardly motivating. You want to change, but you also want the world to change. You want to get work done, but you lose track of time doing little stuff that doesn't matter. You want to care, but it's whatever.
Brain scans show that at rest, a normal ADD brain and regular brain work the same, but when asked to concentrate use entirely different areas. You can look at problems totally differently - detached almost, looking for a creative solution before looking for an obvious one... Which is good sometimes, but other times, the world outside or in your head causes a bouncing between reality that is truly frustrating. I would love to say it's intentional, but it's not. I would love to say it is habitual, but it's not.
Using will power is about as effective as trying to move a muscle that fell asleep. It's not impossible, but it doesn't work the way it should, either. Eventually enough blood flow returns to the PFC with enough hype and breathing and smiling and even anxiety or anger - all have stimulating and channeling or motivating effects on ADD cognition... Similar to blood returning to a muscle. But, unlike sleeping funny, you can't just shift and make it better.
Thus goes the search to normalize or enhance the ADD brain and avoid all mundane tasks until we've procrastinated enough to do something important. ADD cortisol levels stabilize in the evenings, so there exists the reward to stay up late to get something done. Like this post. And so goes the cycle to have hyper somnolence and ADD - or more of a CDD characteristic.
Edited by devinthayer, 26 July 2016 - 05:13 AM.