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adhd

A woman in black long sleeve shirt stands in front of mirror.

Have you ever had that friend who goes on vacation for four days to London and comes back with a full-on Queen's English posh accent? "Oooh I left my brolly in the loo," they say, and you respond, "But you're from Colorado!" Well, there are reasons they (and many of us) do that, and usually it's on a pretty subconscious level.

It's called "accent mirroring," and it's actually quite common with people who are neurodivergent, particularly those with ADHD (Attention Deficit Hyperactivity Disorder). According Neurolaunch, the self-described "Free Mental Health Library," "Accent mirroring, also known as accent adaptation or phonetic convergence, is the tendency to unconsciously adopt the accent or speech patterns of those around us. This linguistic chameleon effect is not unique to individuals with ADHD, but it appears to be more pronounced and frequent in this population."

Chameleon, science, reptile, adaptation, mirroringA chameleon rolls its eyes. Giphy SWR Kindernetz

Essentially, when people have conversations, we're constantly "scanning" for information—not just the words we're absorbing, but the inflection and tone. "When we hear an accent, our brains automatically analyze and categorize the phonetic features, prosody, and intonation patterns," writes Neurolaunch. For most, this does result in copying the accent of the person with whom we're speaking. But those with ADHD might be more sensitive to auditory cues. This, "coupled with a reduced ability to filter out or inhibit the impulse to mimic…could potentially explain the increased tendency for accent mirroring."

While the article explains further research is needed, they distinctly state that, "Accent mirroring in individuals with ADHD often manifests as an unconscious mimicry of accents in social situations. This can range from subtle shifts in pronunciation to more noticeable changes in intonation and speech rhythm. For example, a person with ADHD might find themselves unconsciously adopting a Southern drawl when conversing with someone from Texas, even if they’ve never lived in the South themselves."

Sam Elliott, cowboy, southern accentsSam Elliott gives a tip of his cowboy hat. Giphy, Sam Elliott, Grit TV

People are having their say online. On the subreddit r/ADHDWomen, a thread began: "Taking on accents is an ADHD thing?" The OP shares, "My whole life, I've picked up accents. I, myself, never noticed, but everyone around me would be like, 'Why are you talking like that??' It could be after I watched a show or movie with an accent or after I've traveled somewhere with a different accent than my 'normal.'

They continue, "Apparently, I pick it up fast, but it fades out slowly. Today... I'm scrolling Instagram, I watch a reel from a comedian couple (Darcy and Jeremy. IYKYK) about how Darcy (ADHD) picks up accents everywhere they go. It's called ADHD Mirroring??? And it's another way of masking."

(The OP is referring to Darcy Michaels and his husband Jeremy Baer, who are both touring comedians based in Canada.)

Hundreds of people on the Reddit thread alone seem to relate. One comments, "Omfg I've done this my whole life; I'll even pick up on the pauses/spaces when I'm talking to someone who is ESL—but English is my first language lol."

Sometimes, it can be a real issue for those around the chameleon. "I accidentally mimicked a waitress's weird laugh one time. As soon as she was out of earshot, my family started to reprimand me, but I was already like 'oh my god I don’t know why I did that, I feel so bad.'"

@theweirdocoach

Anyone else? #adhdawareness #adhdinwomen #neurodivergent


Many commenters on TikTok were shocked to find out this can be a sign of ADHD. One jokes, "Omg, yes, at a store the cashier was talking to me and she was French. She's like 'Oh are you French too? No, I'm not lol. I'm very east coast Canada."

And some people just embrace it and make it work for them. "I mirror their words or phrase! I’m 30. I realized I start calling everyone sweetie cause my manager does & I work at coffee shop."

via BiancaMcIntyre.com and Canva/Photos

Brian a McIntyre and a man who doesn't understand women with autism.

It’s a common fact that good-looking people have a lot of advantages, whether it’s being seen as smarter and more capable or having a much easier time on dating apps. Good-looking people also have it easier in the workplace, where they are more likely to receive raises and promotions and be listened to in meetings.

It’s taboo for good-looking people to complain about the problems that come with being attractive. Still, Bianca McIntyre, a woman in Australia, says that when you’re “conventionally attractive” and have autism, it can cause potential romantic partners to have disturbing reactions. This can lead the autistic person to become hyper-fixated on their appearance out of fear that, if not for their looks, they’d be ostracized.

McIntyre is a borderline personality disorder specialist who has the disorder and was diagnosed with ADHD and autism later in life. She uses her lived experience to help people through one-on-one sessions, short-form content, educational talks, webinars, and videos. She explained the trouble that happens when you’re conventionally attractive and the person you're dating discovers you are “weird” in a viral TikTok video with over 1.4 million views.

@putting_the_b_in_bpd

Have you had this experience? Have you taken time to unpack the shame that may have come from this type of environment? 💜 #asd #autism #austisminwomen #audhd #puttingthebinbpd #bipittyfriends #nd #neurodivergent #attractiveness

“When you grow up, and you find out that people consider you conventionally attractive, you have an ability to attract people. But then you get to see in real-time as they viscerally find out how weird you are,” she says in the video. “I used the word viscerally because it's this almost cognitive dissonance that happens in real-time, in physical distance, where they can't comprehend how you look a certain way, but you don't behave the way that a person who looks like that should behave.”

She adds that when potential romantic partners go through this experience, they get very angry because they feel like they have been fooled. This can lead to disturbing behavior, such as bullying, and eventually, they leave her. After repeatedly suffering this treatment, McIntyre became fixated on her looks to compensate for her unique personality. “You place all of your value as a human being on what you look like. That's a really difficult thing. That's a really exhausting mindset,” she continues.

adhd and autism, autistic women, attractive women, pretty privilege, depression, shameA woman is upset in her car.via Canva/Photos

Another problem that women McIntyre works with often face is a cycle of hypersexualization, where autistic women find themselves in compromising situations they wouldn’t have entered if they had a stronger sense of self. This dangerous cycle can lead to bouts of shame and depression and lead to sexual victimization.

Some may have a problem with McIntyre explaining the drawbacks of being “conventionally attractive,” but she isn’t denying the advantages. In the video, she understands that speaking about being good-looking is taboo and that there are “inherent positives” to being attractive. But ultimately, she made the video to open a dialog with other women who have struggled with the same issue, especially those who are young.

adhd and autism, autistic women, attractive women, pretty privilege, depression, shameA woman upset on her bed.via Canva/Photos

“I want you to know that you're not alone, and more importantly, if you are a younger autistic woman and you find yourself in this situation, in this headspace, that ‘I am pretty and that is worth more than my personality. My personality is weird, I'm a weird person, but at least I'm conventionally attractive,’” she said. “I really want you to understand that your inherent value does not revolve around whether you can attract, entertain or arouse those around you. Your inherent value comes from being a human being.”

Health

Doctor breaks down how to recognize ADHD in adults. The symptoms may be surprising.

"75% of adults with anxiety actually have ADHD as the cause of their anxiety."

Doctor breaks down how to recognize ADHD in adults.

If it seems that everyone is being diagnosed with Attention Deficit Hyperactivity Disorder (ADHD), there may be a reason and it's likely not the reason people think. Diagnostic criteria were initially based off of how ADHD presented in white children who were mostly male, so if you fell outside of that box your diagnosis was often overlooked. This is especially true in girls who then turned into undiagnosed or misdiagnosed women.

But it's not just women who were undiagnosed since the criteria mostly included ways in which hyperactivity showed up—you know, the "H" in ADHD. But not everyone with ADHD presents with the stereotypical hyperactivity bit. ADHD specialist Dr. Heather Brannon breaks down ways in which ADHD is missed and how to identify it in adults in a TEDx Talk in 2021.

In the first few minutes of the video, Brannon drops a statistic that feels mind-boggling: "75% of adults with anxiety actually have ADHD as the cause of their anxiety." Even though I fit into that category, consider my mind completely boggled because I thought I was a rarity and my psychiatrist was a magician. Turns out, he was probably just up to date on his continuing education credits.

Brannon talks about how people who may express feelings of overwhelm, anxiousness, and tiredness and who are easily frustrated may actually have undiagnosed ADHD.

It's pretty easy to overlook ADHD that presents with more of the attention deficit part of the diagnosis than the hyperactivity part. When someone is having difficulty sitting still, talking so fast that you can barely keep up, and is constantly on the go, it's pretty easy to pinpoint there may be an issue.

But when the person is quiet, sits still but misses large chunks of conversations, or is chronically forgetful and sleepy, it's much easier to miss the signs, according to Brannon.

Brannon says many people feel bad about themselves without knowing why, so having an answer for why you're feeling this way can be helpful.

The video is really fascinating and may help others recognize signs within themselves or with loved ones.

Give it a gander below:

This article originally appeared two years ago.

Parenting

3 things I learned from my kid's ADHD therapy that every parent needs to know

Parent Child Interaction Therapy was the ultimate crash course in parenting a stubborn child.

Unsplash and Evan Porter/Upworthy

Learning more means doing better for everyone.

We knew our now 4-year-old daughter was different very early on in her life. On her first birthday, she had another 1-year-old friend over to play in the backyard (it was COVID times, so there was no big party with all of her daycare friends). The boy, a neighbor of ours, sat and played in the baby pool for a solid hour without moving or making much of a peep. Our daughter, meanwhile, stripped off her swim diaper and spent the entire afternoon wandering around the yard, rolling in grass, swinging sticks around, and generally making mayhem. Making mayhem pretty much became her norm for the next few years. She slept poorly, had multiple meltdowns every day, and was so defiant my wife and I were left completely exasperated and in tears most days.

It wasn’t too long before we started to look into parenting coaching to get a grip on her behavior and regain some sense of normalcy in our lives. The stuff that had worked with our older daughter had been a colossal failure thus far. I loved our parenting coach and her ideas. Talking to her was almost like therapy for us. But her techniques didn’t work either. Then we tried Occupational Therapy. Our daughter loved going because she got to climb around on obstacle courses and play fun games that were meant to work on her vestibular system and help her feel more calm and grounded, but we never saw much of a difference in her.

gif of a a tired man falling to the floorWe were exhausted.Giphy

Finally, we took the plunge and did a full-scale psychiatric evaluation, and the results showed that she had ADHD. It confirmed what we pretty much already knew. We thought we’d be going down the medication road sooner than later, but our doctor actually recommended a specific kind of therapy. It was called PCIT.

Parent Child Interaction Therapy promised to ‘train’ us on how to better interact with our daughter. Great, more parenting coaching, we thought. Another person to tell us that we need to be more consistent, apply more discipline, and yadda yadda yadda. But we didn’t have any other options, so we gave it a try.

In short, and to our complete surprise, PCIT has been a life-changer. When it was described to us as coaching or training, they really weren’t kidding. We spent several sessions in the office with our daughter while literally being observed with a camera and fed lines through a headset! As of this writing, we’ve been practicing the techniques for several months and we’ve seen a big difference. At so many points throughout the therapy, my wife and I agreed that all parents with stubborn kids should go through this program.

Here are just a few of the things we learned that helped us immediately in our daily life with a super defiant, too-smart-for-her-own-good, highly dysregulated kiddo.

1. The magic of 'Special Time'

boy playing with  blocks on white wooden table Photo by Ryan Fields on Unsplash

Our first task in PCIT was to have more positive interactions with our daughter. We spent so much of our time telling her, "No," reprimanding her, arguing, bargaining, negotiating, and punishing that it was making it really hard to take any joy in being her parent.

So, our therapist introduced us to a concept called Special Time. For just five minutes every day, we were instructed to give our daughter our undivided attention and fill her with as much positive energy as possible. There were extremely specific ways that we did this, and, in fact, we even practiced and were measured in the therapy setting on how well we implemented all the techniques! But during Special Time, we play with our daughter one-on-one and let her lead the interaction. Our job is to play along. Meanwhile, we shower her with praise (“Wow, I love how nicely you’re sharing the toys with me!”), touch or speak to her affectionately (“I’m having so much fun playing with you”), imitate the way she played and even echo things she said back to her to let her know she was being heard and listened to. Doing Special Time made a huge difference, almost immediately, in reducing her negative attention seeking behaviors.

And we always feel good at the end of it, which helps offset the stress and frustration of our many conflicts. If you’ve got a kid that sometimes acts out for attention, pre-emptively giving them lots and lots of positive attention might help.

2. The Time Out flow chart

I think a lot of parents can relate when I say that, for years, we found implementing punishments with our daughter to be a disaster most of the time. With a stubborn and dysregulated kid, doing things like taking a toy away or doing 'No Dessert' would almost always cause an explosion, and/or end up hurting us more than it hurt her.

A lot of parenting experts have their own approach to Time Out, but not many of them are clinically validated like the one used in PCIT. When we learned how to do Time Out properly, Time Out became the primary 'punishment' we use. When she doesn't do what we clearly ask her to do, or she breaks a House Rule (like 'No Hitting'), she goes into Time Out. Once she's ready to do the thing we asked, she can come out of Time Out and the conflict is over. She can go right back to playing or having dessert. It’s so much simpler.

Although, when I first saw the flow chart for how Time Out worked, it looked like anything but simple.

a flow chart about how to handle Time Out in PCITIt looks complicated at first, but it's actually simpler and more effective than we thought.Evan Porter/Upworthy

Seeing this flow chart at first was incredibly overwhelming! But with a little practice, it made sense. The first couple times using the Time Out sequence at home were a little rough, but after a little while of being consistent with it, just the threat of it is usually enough to get our daughter back on the right track.

Even if you don't follow the brain-dizzying flow chart above, I think all parents could benefit from learning a consistent Time Out sequence that ends with your child complying every single time without fail. It's tough! Sometimes it takes a while and you have to be a little stubborn yourself in order to see it all the way through to the end, but the investment is worth it.

3. Active Ignoring

This one is a little controversial in some circles but we found it to be an excellent tool to have in our toolbox. Our therapist even told us that if she could teach her patients just one thing, it would be how and when to use Active Ignoring or Selective Attention.

A handout from UC Davis describes this technique as: "We use Selective Attention to deal with behaviors that are minor, irritating, and inappropriate. Ignoring these behaviors is an active way to correct them! You will strategically use the technique to stop specific behaviors," like whining, sulking, screaming, being clingy, lying, and more. The idea is that these behaviors are attention-seeking so any kind of attention only fans the flames and rewards them.

gif of a woman trying to get a man's attentionSometimes being unbothered works.Giphy

When our daughter is fussy, irritated, and whiny, we first try to help her regulate. One of the best ways we learned to do this (again, through PCIT!) is with leading by example. We used to bombard her with calming options. “Want to color? Want a snack? Oh, let’s walk outside! How about a drink of water? What if we put on some music?” And of course she would just say No, No, No!!!! And then we’d wonder why we could never get her to calm down by coloring. It turns out that sometimes what works way better, and is less overwhelming for her, is if we just calmly get out all the supplies and start coloring ourselves. She’ll almost always join in when she’s ready.

But if we just can't shake the grumpiness and whining and tantrums, we'll turn to Active Ignoring. This approach has two big benefits. Number one, it stops the conflict from escalating further. We used to get into these cycles where everything we would try to say or do would just make the tantrums worse to the point they became full-blown nuclear explosions. By just walking away, we were able to nip a lot of those in the bud. Number two, ignoring helps keep us calm. Yes, parents are human beings that get frustrated and angry and upset, too! And when those emotions start to pile up, it makes everything worse. Having the freedom to just turn away or walk away or stop talking has done wonders for our mental health.

Sometimes, some of the techniques we've learned in therapy feel "mean." We're not able to be as flexible and gentle sometimes as we'd like to do, but that's because flexible and gentle is not what our daughter needs most of the time. She needs us to be strong and consistent. That makes us reliable and safe, and it helps keep her regulated. The techniques taught in PCIT won't be right for every kid or every family, but it was right for us.

I was as skeptical going into all of this as anyone, but going through the therapy has allowed us to enjoy being her parents so much more. She's the sweetest kid and one of the funniest people on the planet. She brings so much fun and laughter to our lives, and it's been absolutely amazing to spend less time butting heads with her and more time soaking in her incredible energy.