Hydration

Figure out if your sense of thirst works (part of interoception). If you can go hours without getting thirsty, it might not be working so well.

If your “thirsty don’t work” then building in a hydration habit is important to avoid dehydration.

Ted Ed: What would happen if you didn’t drink water? – Mia Nacamulli – YouTube

Habits: https://youtu.be/PZ7lDrwYdZc 
Effective practice: https://youtu.be/f2O6mQkFiiw

Water | Bunny’s Info-Dump (sweetpeastudio.biz)

Water Calculator: Water Intake Calculator – How much water should you drink per day? (gigacalculator.com)

Ehlers Danlos & Neurodiversity Research

I’m so excited, a friend of a friend just shared all this:

Dr. Eccles specific research areas are Neuroscience, Psychiatric and neurodevelopmental features of connective tissue disorders, Mechanisms of chronic pain and fatigue.

The quickest way to see a summary of all her 67 published medical research with active links to each is here: https://www.researchgate.net/profile/Jessica-Eccles-3

Some titles of pubs just within the last 2 years:

  • Towards a Neurodiversity-Affirmative Approach for an Over-Represented and Under-Recognised Population: Autistic Adults in Outpatient Psychiatry
  • Joint Hypermobility Links Neurodivergence to Dysautonomia and Pain
  • Variant connective tissue (joint hypermobility) and dysautonomia are associated with multimorbidity at the intersection between physical and psychological health
  • Connecting brain and body: Transdiagnostic relevance of connective tissue variants to neuropsychiatric symptom expression

You Tube Videos:

Autistic Inertia vs ADHD?

PDA and/or ADHD (executive function problems) – It took reading a bunch of comments to realize that Autistic Inertia is probably just comorbid ADHD executive function challenges.

How to ADHD on YouTube has a lot of great videos on various ways to manage problems like this. Wall of Awful, Motivation Bridge, Procrastination, tools like SunSama, Pomodoros, Bullet Journals, body doubling (co-regulation for adults), accountability buddies

More of the same:

What is autistic inertia? https://autismawarenesscentre.com/what-is-autistic-inertia/

I’m not sure that giving things a new name is helpful. It’s executive function difficulties no matter what the “reason” is and know that means it’s easier to find solutions.

Mistakes

Stub

Links:

What to do when Mistakes make you Quake book

other books

wall of awful videos from How to ADHD

Mistakes just mean you tested a hypothesis and proved it wrong. If you don’t know the hypothesis, you can try to figure it out. If you do know, then you can try to document it, your observations and conclusions. Generally, conclusions are just coming up with a new hypothesis to try.

Scientific Method (life is an experiment)

Is she fine, or is she masking?

I keep meeting folks who have one kid diagnosed but other kids that aren’t. There is relatively strong evidence that it’s genetic/hereditary (Genetics of Autism Spectrum Disorders – PMC (nih.gov)) – enough that I’m not sure why folks aren’t told to automatically have all siblings evaluated.

I’m 42 and just now starting to figure out who I am and who I want to be, I spent so long masking so deeply that it’s taken over two and a half years to start to realize that I don’t need to do things I “should” to be “normal” or “fit in” – a recent example was telling my best friend that I don’t like eating at restaurants, most of them are sensory nightmares and that I would stay home and happily wait while the others went out. It’s so nice to be able to say no to things without feeling guilty or like I need to explain or give reasons.

We are all….

Made of stars (carbon based)

One (energy/matter)

A community/universe in ourselves (microbiomes)

Rube Goldberg machines

Experimenting (whether through action or inaction)

Made of sunlight (sun energy + soil are consumed by plants which are then consumed by humans or animals that are consumed by humans, therefore we are made of sunlight)

POTS and not the cooking or herbal kind

Here’s some info on POTS (Postural Orthostatic Tachycardia Syndrome) – which I think might also be called Vasovagal Syndrome – at least it sure sounds the same to me, possibly the vasovagal one is missing the other related symptoms. Either because they aren’t there or just the connection isn’t being made since they aren’t what a cardiologist might be looking at. 

Postural Orthostatic Tachycardia Syndrome (POTS) (for Parents) – Nemours KidsHealth

I didn’t discover it until 2005-2010ish, but looking back it explains my temperature intolerances, fainting, dizziness, vertigo, fatigue, tunnel vision, chemical sensitivities, etc. and those either developed or got worse during my teenage years.

Being pregnant and having the associated increased blood volume was the best I ever felt and I finally figured out the wall of fatigue the first couple days of/before my period is from the drop in blood volume.

It also addresses the gas and nausea I would have that was one of my worst symptoms. I didn’t figure that out until much later and even then I didn’t know why, it took my ADHD doctor to explain it to me because he was monitoring my blood pressure while we found the right dosage of Adderall. Turns out that the side effect of increased blood pressure is super helpful for me and I was able to reduce my Midodrine by half or more.

I only figured out my POTS because I kept seeing the acronym when I was looking up EDS info. When I went to look that up it was another epiphany moment for me.

Syncope can trigger your sympathetic nervous system (panic! the brain isn’t getting blood to provide oxygen!!), and then when you recover that can kick off the parasympathetic system (rest & digest – time to dump some digestive juices into your empty stomach!) which can then result in gas, bloating & nausea.

Brain Scans: Autism, ADHD & OCD… or just HSP?

This is what really helped me feel confident in my hypothesis (bold is mine):

What Brain Scans Tell Us About Autism Spectrum Disorder

Anagnostou and her colleagues had set out to use neuroimaging to identify brain differences unique to ASD, as compared to other neurodevelopmental differences like ADHDOCD, and intellectual disability. And they did find that brain differences clustered into different groups—but not by diagnosis. In fact, brain scans could not distinguish children who had been diagnosed with ASD from those who had been diagnosed with ADHD or OCD.

“Dr. Anagnostou reported data from multiple papers that looked at over 3,500 children,” Dr. Alycia Halladay, Chief Science Officer at the Autism Science Foundation, explained to me. “These studies looked at multiple structural and functional features of the brain—including cortical gyrification (the way the brain folds in the cortex), connectivity of different brain regions, and the thickness of the cortical area—and found no differences based on diagnosis.”

New Research May Change How We Think About the Autism Spectrum | Psychology Today

My umbrella hypothesis about sensitivity, Autism and neurological differences

Just found this October 23, 2022: How Childhood Trauma Leads to Addiction – Gabor Maté – YouTube

WE EVOLVED to NEED CONNECTION and AUTHENTICITY

Lacking those needs, we lack health.

———————————————————————————–

This is my rough draft, I’m throwing things out before they are polished to get the ideas out in the world sooner.

HSP 20%-30%

So if Neurodivergent (ND) = HSP

Then ND = 20-30% and Neurotypical (NT) = 70-80%

OCD, ASD & ADHD are not neurotypes, they are collections of challenges that ND/HSP have or they are symptoms of an underlying problem (impared sleep for example) or lack of certain skills.

For example:

  • Emotion regulation is a skill. NT tend to learn it innately, ND often need direct instruction, which they may or may not get as children. (ND tend to learn scholastic skills innately instead, but NT need to be taught that)
  • Executive dysfunction is often impaired by sleep issues which can stem from many sources. NT with sleep problems also have executive function challenges. Sleep problems are just much more common and harmful (larger impact per degree of problem) for ND. Part of that goes back to the self regulation skills and whether they were taught or not, such as good sleep hygiene and routines.
  • Anxiety is common among ND, that’s actually their role – to be the cautious future thinkers. Again it comes back to learning emotion regulation skills to manage the anxiety (Think Cassandra of Greek myth – if you’ve identified with her, you’re probably ND)
  • In OCD the ACEs (adverse childhood experiences) have tuned their brain to be even more sensitive to danger and the compulsions are a coping tool. Either they are hyperfocusing on something to avoid the pain of the anxiety or they are using a strategy to calm themselves or it was a self preservation habit or something along those lines
  • ADHD and Autism: Aspergers or ADHD? The answer will surprise you. – Penelope Trunk Careers
  • ASD difficulties in social interactions and communication – again just a skill not taught that NTs pick up automatically and NDs don’t, and also there has been research showing that ND communicate fine with ND, it’s just the ND-NT communication that is challenging. Yes, talk to us like you would a 5 year old. Direct, detailed, clear, concise language, with compassion and kindness. And if that’s not how you communicate with a 5 year old, I don’t really want to be communicating with you anyway.
  • ASD repetitive behaviors are again compulsions like OCD, they are a coping tool – so adverse events paired with a lack of (socially acceptable) coping skills/tools can result in presenting as ASD
  • ASD intense interests – again, this is the role of ND/HSP – I would guess that every advancement ever was made by someone ND, either because they didn’t realize not to do something just because no one else did it or because they were curious. NDs with good social & emotional skills have intense interests/are deep thinkers (see HSP descriptions) – they just mask or control them successfully when interacting with NT folks or a mixed crowd.
  • unusual responses to sensory stimuli – Again this is just the role of the ND – high sensitivity for danger detection paired with a lack of coping tools or skills – NDs are the canaries in the coal mine of the human race (link rise of Autism with chemical farming, smoking, sitting, sugar, processed foods, diabetes, Alzheimers, microbiome)
  • The reason people have been able to “cure” autism is because they have been able to teach the missing skills or to correct an underlying health problem caused by the high sensitivity, such as intolerances to gluten, food coloring, etc. The person is still ND, but the problem behaviors (maladaptive coping tools, missing self-regulation skills, dysregulation caused by a health problem) have been resolved.
  • Ehlers-Danlos has a high co-morbidity rate with ASD
    • It’s a collagen disorder, the hypermobile type is the only one they don’t know the genes for the last time I checked – which would make sense if they are trying to compare people who have EDS and are diagnosed because they are suffering from it, and people who don’t have it + people who have it but are undiagnosed because they are not suffering from it or it has been labeled something else like Chronic Fatigue Syndrome, Fibromyalgia, etc.
  • One of the symptoms of defective collagen is increased tissue permeability
    • That could be a major factor for the sensory sensitivity of ND (HSP)
    • Again, there are things that can be taught to reduce the risk of challenges, there are those who innately figure them out or are taught in childhood and they often go undiagnosed unless it causes problems later in life (arthritis, joint pain, etc.) or they are misdiagnosed because EDS is “rare” – even though they know it’s a dominant gene????

So that leaves us with two things:

First – how can we test this hypothesis?

Second (wish I could recall what I meant, maybe the “what should we do about it?” part?)

Research studies that screen for EDS (somatic traits), HSP (mostly cognitive traits), OCD, ADHD & ASD, ACE & PCE scores and brain scans.

Participants should include large cohorts that are already diagnosed with one of the above issues and screen for the rest in addition to NT controls.

ADHD symptoms arise from executive dysfunction,[6][7][8] and emotional dysregulation is often considered a core symptom.

https://en.wikipedia.org/wiki/Attention_deficit_hyperactivity_disorder

Obsessive–compulsive disorder (OCD) is a mental and behavioral disorder in which an individual has intrusive thoughts and/or feels the need to perform certain routines repeatedly to the extent where it induces distress or impairs general function

Risk factors include a history of child abuse or other stress-inducing events; some cases have occurred after streptococcal infections.

Obsessive–compulsive disorder – Wikipedia

The autism spectrum is a range of neurodevelopmental conditions generally characterized by difficulties in social interactions and communication, repetitive behaviors, intense interests, and unusual responses to sensory stimuli. It is commonly referred to as autism or, in the context of a professional diagnosis, as autism spectrum disorder (ASD), but the latter term remains controversial among neurodiversity advocates, neurodiversity researchers, and many autistic people due to the use of the word disorder and due to questions about its utility outside of diagnostic contexts.

Autism spectrum – Wikipedia

Having a partner is overrated if you aren’t happy.

I replied:

Only someone with autism would say that. Having a partner is absolutely NOT overrated. Steering one’s own ship IS overrated. Wanting to do everything how we want to do it at the cost of making compromise to share life with someone else is the definition of autism…The human race would not have survived if it were normal to want these things.

She replied:

[I had] a narcissistic/borderline mother who made emotional chaos normal in my childhood…So I picked two husbands where emotional chaos was normal. Then I got sick of feeling emotionally drained and got out. Since then I’ve navigated carefully to protect my serenity. In therapy again now to expand my thinking around this and more. I don’t think I’m autistic. 

I replied: You’re autistic. Here’s why:

Self-analysis is autism

Just because you can spew DSM stuff doesn’t mean you’re not autistic. In fact, analyzing ourselves as a hobby is a marker of autism — we are constantly trying to understand how to world works, and how we feel comfortable. Because actually we can’t do either of those things. And the real reason we are out of step is that our brain makes us blind to ourselves. We see other people clearly but we don’t see ourselves.

But wait, all that analysis has payoff. People with autism are better writers than everyone else, because we spend our life memorizing dialogue and replaying it in our heads trying to figure out what just happened. ]….

Autism – Penelope Trunk

[Borderline personality is autism

So many autistic women think they are not autistic but “just recovering from a mother who has borderline personality disorder”. But autism and BPD frequently go together and scientists think BPD is so similar to autism that it’s another autism spectrum disorder. BPD is caused primarily by a mother who has BPD and autism; her erratic parenting causes her autistic daughter develop BPD.

Narcissism is autism

Narcissism and autism are so similar that scientists are thinking narcissism might be a subset of autism so we could just delete the narcissism category from the DSM.

There are many published papers explaining why narcissism is part of autism. You don’t need to know every piece of research but you do need to know that if your therapist diagnosed your parents or your spouse with narcissism it’s because the therapist doesn’t understand autism, and you have it, and that therapist can’t help you.

Divorce is autism

When the commenter writes that she’s been divorced twice. That’s probably because she decided the men have a problem (narcissism) and she has a problem (raised by a mom with BPD) and she felt depressed. But depression is part of autism, regardless of who we pick to marry, and staying married protects against the worst depression.

Autistic marriages are likely to end because we have the most emotionally compromised dating pool. If you’re not autistic you sort out people who violate all the social rules for dating. So autistic people are left with a dating pool of each other, and we don’t even notice there’s anything wrong.

Loneliness is autism

That is, until the honeymoon glow turns to marital glower and loneliness seems hard to separate from choice of spouse. I’ve done that. But once you get divorced, you’re forced to diversify your ideas about loneliness.

I used to think loneliness was something I had from not being around enough people, and that’s why I feel less lonely when I write on my blog. But I discovered that loneliness is a neurological disorder. Loneliness isn’t caused by a lack of social support. Loneliness comes from chronic illness or social anxiety. And the only way start feeling less lonely is to first acknowledge it’s an autism thing.

Interestingness is autism

So, yeah, I do think the commenter has autism. She must be really interesting to have appealed to her ex spouses because she — like me — is totally interested in her own stuff. So we are magnets for people who like interestingness. And wanting life to be interesting is not normal. There are higher values than that. But not for us.

So it’s no wonder that adults with autism know more about autism than mental health professionals. And if you want to know if you have autism, don’t ask a professional. Ask someone with autism. And if you want your life to get better after you find out you have autism, talk to people who also know they have autism. You get really smart about yourself really fast once you have that label.

Autism – Penelope Trunk

amygdala vs prefrontal cortex

my hypothesis is that there is a common neurodivergent brain type identified as HSP, also seen in non-human populations and that OCD ADHD and autism are conditions that affect that neurotype based on: chemical exposures, childhood ACE or PCE and epigenetics. Especially with chemical exposures, ehlers-danlos seems to be also tied in, as that may make tissues more permeable and more susceptible to chemicals creating epigenetic changes, also might support the sensitivity trait

Disabled by the environment or the social model of disability

survival and success through diversity

Societal roles and functions of neurotypical and neurodivergent

Two sides of any trait, for example: anxiety stems from future thinking, future thinking allows planning for the future – for example this climate crisis

Maslow’s hierarchy of needs versus the Blackfoot Native American system

United States medical system is broken. The education system is broken. The legal system is broken. The economy and government are broken.

This is how humans learn – through failure. We break things to figure out how they work. And with that understanding we can repair or rebuild better.

Mental health is physical health – the brain is part of the body and what you eat goes into your body and is what your body uses to run itself, so food is medicine.

If the soil is lacking nutrients, then the plants will also, and so will we or the animals we eat who eat the plants. Without the nutrients we need, our immune systems end up in overdrive or we end up with “neurological” disorders because we don’t have the components needed to work properly. Our immune systems get overwhelmed or confused and we end up with inflammation, which ends up being the root of so many diseases.

Notes from Stanford Neurodiversity Summit: