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ADHD, autism or complex trauma? [pdf]

228 points · 265 comments · skeptical1884

  1. thoughtpeddler · · focus · HN ↗
    ADHD/ND here, and I really agree with this one quote from this piece:

    > those most affected by executive dysfunction require therapy to be more directive, specific and accountable; that is, processing of past trauma and relational approaches are not sufficient. What often does not seem like trauma therapy at all can lead to great strides forward if it allows individuals to obtain a greater sense of structure and mastery in day-to-day life tasks

    I've spent so much time in therapy doing the whole "let's go through your childhood and your past" and it was just not effective in tackling what I really needed. It's remarkable how many licensed therapists just didn't know how to deal with this. I'm sure it's really helpful for some people, but outside of increasing some basic awareness about how my family of origin resulted in present-day behaviors, I definitely reached diminishing returns on that route.

    As skeptical as I am of AI as an interventional tool for "reaching our most effective selves", I can't help but feel that if it can be wired up to do the appropriate "micro-interventions" that reflect OP's insight ("directive, specific and accountable ... to obtain a grater sense of structure"), we might see 'ADHD' become a thing of the past (at least for the people that share my phenotype of it). It's my hope at least...

    1. jack_pp · · focus · HN ↗
      Why are you sure it's really helpful for some people?

      Before psychology you had religion, even in the oldest form of Christianity, orthodoxy, you are not too dwell on the past, not to blaim others.

      I doubt it really truly helps anyone to dig up the past

      1. mrcsd · · focus · HN ↗
        Logged in just to say, for me reaching into my past has been one of the most transformative and healing acts I've ever done.
        1. Noaidi · · focus · HN ↗
          I have a friend, next alcoholic, she was recently reading through her old journals to try to figure out her life. What happened? She told me that she had a really strong impulse to start drinking again.

          In my opinion, you gain nothing from looking at trauma or trying to see some psychological way to get out of it. The only cure is to forget about it.

          1. glenpierce · · focus · HN ↗
            Extrapolating from a single anecdote seems like poor judgment.
            1. Noaidi · · focus · HN ↗
              Why is this complicated? If you can’t remember the trauma, how can you suffer from it?

              Now we may have behaviors that were shaped by our trauma, but remembering our trauma, what does that do but reinforce the memory again and there force reinforce our trauma response?

              All that has to be done is focus on your present date and your present reaction examine if that’s dysfunctional or not.

              1. esseph · · focus · HN ↗
                >Why is this complicated? If you can’t remember the trauma, how can you suffer from it?

                Because trauma affixes neutal pathways. You don't have to remember it to be affected, at all.

                1. coldtea · · focus · HN ↗
                  How much of that is pseudoscience?
                  1. esseph · · focus · HN ↗
                    None of it, this has been common knowledge for decades.

                    <a href="https:&#x2F;&#x2F;pmc.ncbi.nlm.nih.gov&#x2F;articles&#x2F;PMC6428430&#x2F;" rel="nofollow">https:&#x2F;&#x2F;pmc.ncbi.nlm.nih.gov&#x2F;articles&#x2F;PMC6428430&#x2F;

                    <a href="https:&#x2F;&#x2F;aifs.gov.au&#x2F;resources&#x2F;practice-guides&#x2F;effect-trauma-brain-development-children" rel="nofollow">https:&#x2F;&#x2F;aifs.gov.au&#x2F;resources&#x2F;practice-guides&#x2F;effect-trauma-...

                    <a href="https:&#x2F;&#x2F;pmc.ncbi.nlm.nih.gov&#x2F;articles&#x2F;PMC3968319&#x2F;" rel="nofollow">https:&#x2F;&#x2F;pmc.ncbi.nlm.nih.gov&#x2F;articles&#x2F;PMC3968319&#x2F;

                    Adding to this, trauma extends to multiple generations:

                    &quot;Intergenerational influences of paternal combat-related trauma on offspring behavioral and brain function&quot;

                    <a href="https:&#x2F;&#x2F;www.sciencedirect.com&#x2F;science&#x2F;article&#x2F;pii&#x2F;S235228952500061X" rel="nofollow">https:&#x2F;&#x2F;www.sciencedirect.com&#x2F;science&#x2F;article&#x2F;pii&#x2F;S235228952...

                    &quot;Exposure of Men to PTSD-Promoting Trauma Elevates Levels of Sperm miRNAs with Anxiety and Depression-Inducing Activities&quot;

                    <a href="https:&#x2F;&#x2F;www.biorxiv.org&#x2F;content&#x2F;10.64898&#x2F;2026.04.22.720211v1.full" rel="nofollow">https:&#x2F;&#x2F;www.biorxiv.org&#x2F;content&#x2F;10.64898&#x2F;2026.04.22.720211v1...

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