People don't come with instruction manuals, yet most
Speaker:people manage to navigate social situations relatively easily.
Speaker:At least it seems that way.
Speaker:And if your neurodivergent, especially, if you are on the autistic spectrum,
Speaker:it can feel like everyone else got a copy of the manual and you never did.
Speaker:Neurodiversity is something we're only still getting to grips with, and it
Speaker:doesn't begin and end with autism.
Speaker:More and more people are wandering about seeking a diagnosis.
Speaker:For example, I was diagnosed with ADHD a couple of years ago and it's helped me
Speaker:get a much better understanding of what makes me tick, and where my strengths lie.
Speaker:In today's episode, I'm speaking with neurodivergence coach Matthew Bellringer.
Speaker:If you identify as neurodivergent and you want to learn how to capitalize on your
Speaker:strengths and deal better with the costs, or if you're wondering whether getting
Speaker:a diagnosis would help or hinder you, or you just want to support and benefit from
Speaker:people whose brains work differently, then get comfy and let's dive in.
Speaker:I'm Matthew Barringer.
Speaker:My work is all about exploring and sharing how everyone can
Speaker:benefit from neurodiversity.
Speaker:I'm particularly interested in the benefits that neurodiversity
Speaker:can bring for individuals and for society and for organizations.
Speaker:My focus is therefore a little bit different on the
Speaker:normal deficit based stuff.
Speaker:So it's all about actually what do we get with the way that different brains work?
Speaker:I have a, a kind of typical neurodivergent, mixed background of, um,
Speaker:tech research, innovation, psychology and communications, which has led me
Speaker:to, to, to doing this particular work.
Speaker:and I'm also an autistic ADHDer.
Speaker:So much there to unpick, Matthew.
Speaker:Loads of stuff in your background.
Speaker:Some sort of labels, well label some diagnoses yourself.
Speaker:And I really wanted to get you on the podcast today to talk to people in high
Speaker:stress, high stakes jobs, a lot of whom I think maybe neurodivergent themselves.
Speaker:Uh, I know that in medicine we have a, a high incidence of what I think
Speaker:you call twice exceptional people.
Speaker:So we'll talk about that in a minute.
Speaker:And what would be really nice to know is a little bit about what people who are twice
Speaker:exceptional particularly struggle with and how they might approach not being stressed
Speaker:and not being burnt out in a bit of a different way to other people perhaps.
Speaker:But I'd love to start off just by asking you, Matthew, you do lots of
Speaker:work with people who are neurodivergent, you're neurodivergent yourself.
Speaker:And just before the podcast I said to you, well, do we say
Speaker:neurodivergent or neurodiverse?
Speaker:so neurodiversity is, was was coined by, uh, sociologist, Judy
Speaker:Singer, um, in the late nineties, to describe the normal variation
Speaker:amongst the entire human population in the way that our neurology works.
Speaker:So it, it's, it's that neurology varies quite a lot between different people,
Speaker:between different and changes over, uh, as we age and all of these different
Speaker:things, and that's part of the, the normal diversity of human experience.
Speaker:It's a way of questioning the approach that says anything that
Speaker:differs from a very kind of strictly established standard is necessarily
Speaker:disordered or dysfunctional.
Speaker:That's not to say that it completely excludes that.
Speaker:And I, I think one of the, you know, neurodiversity can, can sometimes
Speaker:be interpreted to mean well then no one has any problems, and that's
Speaker:absolutely not what we're talking about.
Speaker:But the, we should be kind of working with that normal variation of how we all
Speaker:think and feel and experience the world.
Speaker:And most people think and feel ex and experience the world mostly
Speaker:the same or mostly similarly.
Speaker:It's not that everyone experiences it exactly the same, but these things kind
Speaker:of fall onto a normal distribution.
Speaker:They fall onto a fall onto a bell curve.
Speaker:And if you sit significantly outside of that bell curve, if you sit
Speaker:towards, towards the edges, um, of various different traits, various
Speaker:different kind of experiences, that can introduce some specific problems.
Speaker:And we, uh, we've kind of started to use the term neurodivergent to describe
Speaker:people who sit outside, significantly outside of that normal experiencing.
Speaker:And I say normal in the sense of statistically most common,
Speaker:experiencing of the world.
Speaker:So my kind of, my personal functional definition of, of
Speaker:neurodivergent is someone who, who significantly Im pervasively
Speaker:experiences the world differently to most other people around them.
Speaker:You don't necessarily need diagnosis, though there are a lot of categories,
Speaker:diagnostic categories that are associated with being neurodivergent.
Speaker:Um, these are sometimes called neuro minorities, specific neuro minorities.
Speaker:So for example, autism or ADHD, or dyslexia.
Speaker:Uh, the, the, these particular kind of ways of associated with a
Speaker:certain neurology lead to a kind of cluster of common experience,
Speaker:um, or more common experience.
Speaker:That's really helpful.
Speaker:So basically everybody is neurodiverse, but some people are further away from
Speaker:the, the commonality than others.
Speaker:And that would be neuro, neurodivergent.
Speaker:And then you've got these clusters of people that have fairly similar
Speaker:neurodivergences, which are these sort of minorities that you, neuro
Speaker:minorities that you talked about.
Speaker:Mm-hmm.
Speaker:That's helpful.
Speaker:And when we've chatted before, I know you've said to me that you think there
Speaker:are quite high quantity of people who are in these neuro minorities in some
Speaker:of these really high stress occupations, such as medicine, for instance.
Speaker:Is, is there a reason for that, do you think?
Speaker:Absolutely.
Speaker:I'd like to touch on, um, this idea of twice exceptional that you mentioned
Speaker:as well, that's, uh, that, that's I think, is a really helpful one.
Speaker:There is a cultural assumption that being neurodivergent comes
Speaker:with intellectual disability.
Speaker:That isn't true.
Speaker:It just isn't true.
Speaker:Sometimes some of the conditions come with intellectual
Speaker:disability, sometimes they don't.
Speaker:Being twice exceptional is to be neurodivergent and or inte, uh,
Speaker:creatively and or intellectually gifted.
Speaker:So it's to actually be kind of a higher level of certain ability than
Speaker:we'd normally see in the population.
Speaker:Until recently, that whole category hasn't even attracted diagnosis, partly
Speaker:because the diagnostic criteria are entirely deficit based, and are relatively
Speaker:unsophisticated, um, as a, as a, as a really, uh, differential diagnostic
Speaker:tool compared to a lot of other things.
Speaker:A a and so we, we kind of overlooked a load of experiences and one of the
Speaker:big experiences is, yeah, people who are, who, who are highly intellectually
Speaker:able, extraordinarily sometimes and yet also have specific difficulties.
Speaker:And very often those abilities make people a really good fit for certain professions.
Speaker:And there are a range of different kind of things that come with neurodiversity
Speaker:that lead people to being really able to cope in certain environments, being
Speaker:really skilled in certain environments, wanting to work in certain environments
Speaker:that perhaps most other people wouldn't.
Speaker:I think the best example of this, you know, and, and it's not the
Speaker:medicine as an entire body skews in one specific neurodivergent way, but
Speaker:that within the practice of medicine there are niches that suit the ways
Speaker:of thinking and being and working that different neuro minorities possess.
Speaker:I think the obvious example of this is emergency medicine and the chaos of an
Speaker:A and E department on a Friday night.
Speaker:And that that takes a certain sort of skillset to just to be able to cope, to
Speaker:navigate and to actually kind of enjoy.
Speaker:I, having spoken to people who work, working, like there's a kind of
Speaker:sometimes feels like a slightly perverse enjoyment, but an enjoyment of that kind
Speaker:of, you know, the intensity of that.
Speaker:And that's associated with ADHD traits in particular.
Speaker:The, the ability to kind of cope with all of those things happening at once and
Speaker:to en enjoy and to actually seek it out.
Speaker:But the flip side of that if you think about someone kind of skewing
Speaker:in that direction of a specialized neurology for being able to navigate
Speaker:that kind of chaos, it comes with a relatively, potentially with a reduced
Speaker:ability to do kind of procedural things, particularly low unstimulating
Speaker:procedural things like filling in forms.
Speaker:And it's not to say that everyone who is in these practices certainly has a
Speaker:clinically diagnosable condition, but might well share traits with people that
Speaker:do, and people who do have the condition might well do well in those specialisms.
Speaker:And it's not just medicine, is it?
Speaker:There's all sorts of, you know, specialties where you have to use your
Speaker:brain a lot for various things, or you have to respond quickly to emergencies,
Speaker:or we have to really get into the detail of stuff and think it through.
Speaker:And there's some things that you need to be able to interact with people
Speaker:a lot more than, than other people.
Speaker:is there something about, you know, people that are in these positions of
Speaker:extreme responsibility for other people that predispose them to some types of
Speaker:neurodivergence in the first place?
Speaker:Well, I, I, I think there's, um, there isn't a generalized
Speaker:blanket, but there are some trends.
Speaker:One of the interesting things about a relatively understudied
Speaker:group of neurodivergent people is neurodivergent people who are
Speaker:particularly interested in other people.
Speaker:Now, that has been overlooked, partly because part of the diagnostic
Speaker:criteria for a lot of neurodivergent conditions is a lack of empathy.
Speaker:That criterion itself is problematic.
Speaker:It's actually that.
Speaker:It's a lack of empathy for neurotypical people, for people
Speaker:who experience the world kind of in, like most other people do.
Speaker:And those, um, those, those absences of empathy disappear when with other
Speaker:people of their neurotype or their neuro minority, or almost entirely.
Speaker:So this whole situation of being interested in people can
Speaker:often mask the stereotypical presentation of neurodiversity.
Speaker:And I think a lot of people who, who end up professionally interested in working
Speaker:with and for people, part of that drive comes from wanting to understand people
Speaker:on a more profound level in some way.
Speaker:A lot of neurodivergent people talk about missing a memo or not
Speaker:getting an instruction manual that other people seem to have got.
Speaker:And I think very often that desire to study and to understand, if we
Speaker:are intellectually capable, it's one way of being like, oh, I can,
Speaker:I can, I can, I can figure it out, then I can look it up in a textbook.
Speaker:I can understand it, and then address that fundamental experiencing of
Speaker:the world that I'm, I'm not sure I understand how people work.
Speaker:Well, that, that's interesting.
Speaker:Are there any specific, you know, superpowers that you would attribute to
Speaker:some people with particular conditions, for example, you know, I know that often
Speaker:people with ADHD really struggle with executive function, getting themselves
Speaker:organized, et cetera, et cetera, but their superpower is connecting ideas
Speaker:and responding really quickly and just being able to take that thing from
Speaker:over there and, oh, that would work there and that is a real superpower.
Speaker:But then in other ways, the ADHD can be a real hindrance in, you
Speaker:know, actually getting stuff done.
Speaker:So, I mean, that's a really obvious one.
Speaker:What, what other superpowers have you observed in people that
Speaker:aren't perhaps quite so obvious?
Speaker:I tend to tend to avoid the word superpowers.
Speaker:Um, partly because it's not anything supernatural.
Speaker:I think if we are using a metaphor, it's closer to the, the kind of X-men
Speaker:mutant powers that they have this huge advantage, but they come with a cost,
Speaker:A nuant power with a cost.
Speaker:Love it.
Speaker:Okay.
Speaker:Because, because they, they, they, you know, everything has
Speaker:a, it's a plus and a minus.
Speaker:Um, we don't really get, like abilities for free.
Speaker:We are trading, you know, it's, it's a, a neurological trade of one thing
Speaker:for another thing very often, um, or one strength for a relative weakness.
Speaker:But having said that, I mean the, the, the kind of classic ones, yeah, the
Speaker:ones around creativity, for ADHD, uh, and, and, and, and it just a generalized
Speaker:ability to cope with and often enjoy relatively chaotic environments that
Speaker:can be overwhelming for other people.
Speaker:I'm not entirely sure whether that's just down to practice and the fact
Speaker:that we managed to generate quite a lot of chaotic environments.
Speaker:But one of the other strengths actually I've noticed is also quite
Speaker:a lot of project managers show ADHD traits, which seems counterintuitive.
Speaker:And I think this is the, the, the, like, one of the other ways that neurodivergent
Speaker:strengths can manifest is when we develop really good tools externally
Speaker:in ways of supporting everything.
Speaker:So if you need to develop things, people tell me I'm really, really organized.
Speaker:I don't experience myself as organized.
Speaker:I use a ton of tools around me, and I'm pretty good at using them cuz
Speaker:I've used them for my entire life.
Speaker:And if I don't, I don't do anything.
Speaker:So, but that then means I've got this, this kind of organizational
Speaker:skillset set in the outside world.
Speaker:So we can develop these skills, that are kind of mitigations really,
Speaker:and get very, very good at them.
Speaker:Thinking about autistic traits as well, which is the other, the other
Speaker:really big one, that's associated with visualization ability, very often.
Speaker:Often sensory sensitivity in different ways.
Speaker:So a real attunement to the senses, as well as a kind of uh, real
Speaker:joy in ordering things and having things in a certain arrangement.
Speaker:And what's interesting is for me in the, the two combined lead
Speaker:to a very intense curiosity and a desire to learn all the time.
Speaker:And that itself can be a benefit, particularly for a generalist, um,
Speaker:in a domain because it's that ability to go outside of the boundaries.
Speaker:With neurodiversity, we often face quite significant challenges, social
Speaker:challenges, um, life challenges.
Speaker:And if we're fortunate and we have the developmental, um, context and
Speaker:the internal capacity to develop a skill that mitigates them, that
Speaker:deals with it, we can end up with huge strengths in certain areas.
Speaker:Well, I mentioned that difficulty and empathy between generally neurotypical
Speaker:people and the neuro minorities.
Speaker:If you have strong reason to overcome that, you can overcome that.
Speaker:It's just a harder form of empathy.
Speaker:For me, my quick test for anyone, if they're wondering if they're
Speaker:hyper empathetic, hyper empathetic is, um, empathetic overspill,
Speaker:which is when you have empathy for inanimate and non sentient objects.
Speaker:So say for example, you see a mug that you haven't used for a while and you think you
Speaker:feel sorry for that mug because it must be feeling like it doesn't have a, you know,
Speaker:it, it's not living its purpose anymore.
Speaker:Um, that, that's an example of empathetic overbuilt.
Speaker:So it's just as a quick idea, but it, it can manifest all sorts of different ways.
Speaker:And so you can see where these hyper adaptions develop.
Speaker:And the hyper adaptions can be huge strengths and huge superpowers, though
Speaker:only in as much as they're not completely obligate trauma related responses.
Speaker:Cuz sometimes they develop as a result of trauma.
Speaker:And if they are then we, we, we struggle to moderate them, and we use them all
Speaker:the time and then we overuse them.
Speaker:Because this is one of the huge things.
Speaker:Any, any strength can be overused.
Speaker:And very often the, the most normal failure mode for anyone, neurotypical
Speaker:or neurodivergent is that not that we operate in a domain of weakness,
Speaker:but we operate in a domain of strength long past its usefulness.
Speaker:That is ringing really true because I know that I have the ability to connect
Speaker:ideas and share ideas and see connections, and see possibilities and all that,
Speaker:partly because of my own neurodiversity.
Speaker:And I know that when I'm talking to someone about ideas, I often talk to
Speaker:friends about new businesses that they want to set up and things like that.
Speaker:It's really good for a bit, and then I think I just overwhelm people with ideas.
Speaker:And, you know, so it starts off really good, but then it keeps going and
Speaker:it keeps going and it keeps going and, and eventually that person's
Speaker:like, oh my goodness, I'm exhausted.
Speaker:I can't listen anymore.
Speaker:Does that make sense?
Speaker:Absolutely.
Speaker:And I, I think this, this, this link links me really nicely to one of the
Speaker:other things that I'd like to, to mention actually, which, um, which is
Speaker:this concept of camouflaging or masking.
Speaker:So when we are neurodivergent, most neurodivergent people, particularly 2E
Speaker:people, twice exceptional people, tend to pick up the habits of getting by in,
Speaker:uh, normal society, in behaving in ways that don't mark them out as different.
Speaker:And I think when people hear masking, it sounds like striving to make up a deficit.
Speaker:But particularly for this group, the largest part of the masking is
Speaker:in inhibition, is in holding back.
Speaker:So it becomes that not telling everyone about, look, you know, when, when you
Speaker:start chatting to someone and you've, you are ma incredibly interested in
Speaker:something, you don't just give them all of the facts and the whole story.
Speaker:Like you don't, or you don't just tangent and tangent and tangent
Speaker:and follow the, the thread off because most people don't like that.
Speaker:And it, so we learn to actually hold back.
Speaker:And this also relates to the strength cuz it well deployed
Speaker:these things a huge strength.
Speaker:But when we've learned to mask them that way, we kind of associate
Speaker:them with being problematic per se, rather than contextually just
Speaker:something that's not always welcome.
Speaker:And so we tend then, then we suppress them entirely and then
Speaker:we don't have access to them.
Speaker:So I think that idea of, unpicking and kind of developing the strengths is,
Speaker:is about like working out where am I inhibiting and how could I use this thing?
Speaker:Because it's about expressing yourself and expressing what you, what you kind of
Speaker:are experiencing, but doing so skillfully.
Speaker:You know, in, in the medical context, you might suddenly have a huge amount of
Speaker:medical information at hand, but that's not something you necessarily want to, you
Speaker:know, give a lecture to a patient on for the quarter of an hour if, if it comes up.
Speaker:But it might be really useful in another context.
Speaker:And so that like being able to moderate that, and knowing when it's a thing and
Speaker:knowing how to work with it and how to express it well, is, is a real part of
Speaker:the, the kind of developing this skill.
Speaker:I'm really interested in this thing about masking and camouflaging and I
Speaker:know Matthew, you work with a lot of high functioning professional people who
Speaker:are having issues in their workplace, probably because of their new versions
Speaker:and because of the job as well.
Speaker:I know you, you coach them a lot.
Speaker:I know that people come to you with lots of different things, but can you see
Speaker:any themes in the types of issues that people are coming to you for help with?
Speaker:Yeah, I, I think if I boil it down in, in, in these contexts, like the, the, the
Speaker:core thing that most people I work with experience in some way or another is a
Speaker:combination of frustration and anxiety.
Speaker:That can manifest in all sorts of different ways, but very often it's
Speaker:rooted in that, that common experience.
Speaker:And that comes from seeing the world differently, seeing different things
Speaker:in the world, seeing different opportunities and different threats.
Speaker:And the difficulty with that is when you're working with others, that
Speaker:means everyone ignoring opportunities that you, that are obvious to you,
Speaker:and the frustration that comes with that, and equally blundering into
Speaker:threats that are obvious to you and the anxiety that comes with that.
Speaker:And so, yeah, that can, that can manifest in all sorts of different ways.
Speaker:Some people experience a kind of gap between their, their level of performance,
Speaker:what their, what they think, their level of performance, however, um, how much,
Speaker:however much approval people get in the outside world, that can often feel hollow,
Speaker:um, doesn't necessarily feel secure.
Speaker:Um, and that's, that's partly, um, a masking thing as well, is we
Speaker:learn to kind of separate and show a very partial image of ourselves.
Speaker:Then praise doesn't necessarily feel like it belongs to us when we get it because
Speaker:we know we are presenting a partial image.
Speaker:And, and so, uh, it can feel like a gap between in your potential,
Speaker:knowing that you are, there's something else that you are, or a
Speaker:sense that you are missing something.
Speaker:it can lead to, quite often people have a kind of creative unconventional
Speaker:side that doesn't get expressed or feels like they can't get that out in
Speaker:the world, and they can be incredibly, technically able, professionally able,
Speaker:but that they're, that feels stifling.
Speaker:It doesn't feel like self-expression in any sense of the word, and that
Speaker:they can't express themselves in as a, as their professional identity.
Speaker:And finally, it can also manifest as being torn between doing stuff that's
Speaker:intrinsically rewarding, that feels good, that gives you energy that you enjoy, and
Speaker:doing stuff that's materially rewarding, that gets you paid and gets you praise,
Speaker:um, an external kind of, um, approval.
Speaker:And that barrier, you know, the difficulty with those two things being
Speaker:entirely separate is whenever you're doing one, you're not doing the other
Speaker:because they're both needed, that always feels like plate spinning.
Speaker:And so this, this idea of constantly chasing reward, whether it's intrinsic
Speaker:or extrinsic, is one of the other common experiences in this space.
Speaker:And it's partly it's because we've learned that this our inner world
Speaker:are experiencing isn't really okay to share with others and isn't a value.
Speaker:And in the long run, the work is integrating the two.
Speaker:And is that more difficult for people with neurodivergence than it is
Speaker:for, um, air quotes, normal people?
Speaker:I think, uh, mo a lot of people experience some, not complete overlap,
Speaker:I should say, between the, um, between intrinsic and extrinsic reward.
Speaker:However, the system is set up to broadly direct people towards professions where
Speaker:they will experience a reasonable degree of both if they're, if you're lucky
Speaker:enough to get a decent education and get all of the support that that, that comes
Speaker:with, you know, if you, if you are, if you are fortunate enough to get to go
Speaker:to university, that's kind of what that process is supposed to be delivering.
Speaker:Accepting that there are plenty of people who are marginalized and that
Speaker:path doesn't work, but that, that is kind of what that's, that's so, it,
Speaker:it gives you at least a, most people a decent degree of overlap in that space.
Speaker:For a lot of neurodivergent people, it doesn't.
Speaker:You don't get, so it, it's ver barely any overlap or no overlap at all.
Speaker:And that starts very early.
Speaker:You know that, that, that, that's often a, a, an early, sometimes preschool, but
Speaker:definitely schooling upward experience.
Speaker:And if we are, again, it's an extra risk.
Speaker:With the twice exceptionality, we learn to put all of our approval, uh,
Speaker:we, we, we basically learn, okay, self approval, my self judgment is faulty
Speaker:clearly, cuz it doesn't line up.
Speaker:So we learn not to trust that all, and we learn just to
Speaker:trust other people's approval.
Speaker:And if we are bright, we can get a lot of it.
Speaker:We never have the situation where we can't get good grades, where we can't
Speaker:like, we may not like enjoy the process.
Speaker:We may not intrinsically like want to do that, but extrinsically
Speaker:we are rewarded for it.
Speaker:And that over time can separate us quite profoundly from,
Speaker:from our intrinsic motivation.
Speaker:So it is a particular risk.
Speaker:It, it's, it's a, it's a risk when neurodiversity and it's a particular
Speaker:risk for twice exceptionality.
Speaker:So essentially you're just doing what everybody else expects you to, what
Speaker:you're rewarded for, but actually you are really, it's not what you really love.
Speaker:Your masking stuff and what you really love is over here and no one
Speaker:really rewards or appreciates that.
Speaker:And then that's quite a lot of dissonance then to, to live with, right?
Speaker:It's a huge amount of dissonance to live with.
Speaker:And I think, you know, we, we, we don't talk about the
Speaker:mental health consequences yet.
Speaker:Neurodivergence is quite significantly impactful on a, on a life scale.
Speaker:Uh, adult diagnosis of ADHD is associated with a 13 year reduced life
Speaker:expectancy, which makes it more impactful than smoking 20 cigarettes a day.
Speaker:You know, and if we think about how we talk to people and society, we treat
Speaker:people who, who smoke 20 cigarettes a day.
Speaker:According to the latest ONS survey, only 22% of autistic adults are in work at all.
Speaker:And that comes with its own set of, you know, the, the, the,
Speaker:the stress and all of these.
Speaker:So this life expectancy reduction, it's partly in self-harm and risk taking,
Speaker:high, uh, extreme risk taking behaviors.
Speaker:It's partly in psychosocial stress and the ways of working with that, which
Speaker:can manifest as compulsive behavior and addiction, they can manifest as
Speaker:chronic physiological stress, which obviously, you know, increased risk
Speaker:of all sorts of different things.
Speaker:A big, a chunk of it is not getting help for treatable conditions.
Speaker:and that's because sometimes services are inaccessible or relatively inaccessible
Speaker:to us in a variety of ways, partly because sometimes the presentation of
Speaker:those conditions is on the stereotypical, when we are also neurodivergent, we
Speaker:might experience them differently and therefore report them differently
Speaker:and therefore not get them diagnosed.
Speaker:So there's a whole raft of reasons for this impact, none of them
Speaker:directly related to the neurology.
Speaker:They're all kind of external, systemic reasons.
Speaker:So this, this impact is, is something we kind of have to work with and understand.
Speaker:And I think, you know, both for you and I, it's a very interesting position to be in,
Speaker:to be neurodivergent and understand this and be on the pointy end of some of this.
Speaker:And to be working with people around this and be talking to professionals,
Speaker:medical professionals about these kind of consequences, and trying to
Speaker:work with others to, to reduce the consequences, the systemic consequences.
Speaker:And again, thinking back to some of the stereotypes around how we cope,
Speaker:how we manage, particularly in high stress roles and the maladaptive
Speaker:coping mechanisms that people often adopt, they can be significant.
Speaker:Doctors with substance dependency is kind of a cliche at this point.
Speaker:And there's, there's a raft of other behaviors as well.
Speaker:And I think we often overlook the supposedly in inverted commas
Speaker:good behaviors cuz we are very moral about what we think of as
Speaker:addiction, it's all moralized.
Speaker:But actually compulsive behaviors of things that we, that are, that
Speaker:are good to do, you know, that have some benefit, if we overdo
Speaker:them, that can be just as harmful.
Speaker:I know an awful lot of highly successful neurodivergent people who
Speaker:are compulsive work, compulsive workers are often, often addicted to work.
Speaker:That's often a maladaptive way of coping with this stuff.
Speaker:Though I should say maladaptive itself is judgmental, I think.
Speaker:I tend to prefer to think of these things as what they are is coping with things
Speaker:in the moment, the least bad way possible that's available to us at the moment,
Speaker:with all the resources that we have.
Speaker:Those might be psychological resources, those might be knowledge resources, those
Speaker:might be external environmental resources.
Speaker:But we choose the, we always choose the least bad option.
Speaker:What we actually have to do is move the situation so that there are
Speaker:some good options, not just least bad options, because the, you know,
Speaker:those least bad options can create a negative feedback loop, and that's
Speaker:what makes them so problematic.
Speaker:But I want to be clear when I say, you know, that, that there is no
Speaker:judgment in following these things.
Speaker:Very often we inherit these things from, from authority figures, from
Speaker:parents, from mentors, because they shared traits with us, and they
Speaker:learnt to cope that way because they, that's what got them through.
Speaker:And then you just carry that on.
Speaker:And either it's not helpful anymore or it was never that helpful in the first
Speaker:place, but we carry them on anyway.
Speaker:Yeah.
Speaker:Mean, I love the way that you've said, you know, things aren't good or bad, they're
Speaker:just helpful or, or not helpful really.
Speaker:You know, for example, glugging a bottle of wine every night, we've labeled
Speaker:as bad, but I know lots of people use that to turn their brains off and,
Speaker:you know, that is, that is sometimes seems like the least bad option.
Speaker:But other people just binge on chocolate or watch Netflix or go and
Speaker:do huge, huge amounts of exercise.
Speaker:But exercise, no, that's, that's a, that's a good thing.
Speaker:So that's a, or or working hard.
Speaker:Overwork.
Speaker:Well that's a good thing cuz you're just committed, aren't you?
Speaker:But actually all it is, is you trying to cope with stuff and, and
Speaker:work things out as well as you can.
Speaker:You know, I, I love what you said about the way that you have
Speaker:adapted and then these things seem to be a, like a superpower
Speaker:because you've had to work on them.
Speaker:And I can see that in my, myself, being quite chaotic at times, and I've
Speaker:had to learn how to organize myself.
Speaker:All of the work I do with this podcast is because I've struggled so much, um, only
Speaker:just been diagnosed with a d h adhd and that makes a lot of sense because I love
Speaker:these ideas and connecting stuff, and also, you know, I have struggled in jobs
Speaker:where that have to be very, very detail oriented and sit still for a long time and
Speaker:this and that and the other thing as well.
Speaker:But what I wanted to ask you, Matthew, what types of things are really,
Speaker:really helpful coping mechanisms?
Speaker:Because there are things that are more unhelpful, even without any judgment.
Speaker:It it, in no one's world, is it helpful to drink a bottle of wine at night.
Speaker:It's not helpful for your health, it's not helpful for, for you, so what have
Speaker:you found works for you and works for your clients that you work with as well?
Speaker:Yeah, ultimately what we want to do is move towards being in a situation
Speaker:where we, where we can play to our strengths primarily and where our
Speaker:weaknesses aren't a huge liability.
Speaker:And that means creating a context where that's true,
Speaker:which we can do multiple ways.
Speaker:And there, there are various tools and various approaches we have available
Speaker:at our disposal depending on, on, on what our particular needs are.
Speaker:I, I don't actually take scheduled work until till midday so I do get
Speaker:up later than most people and I work later than most people that has
Speaker:advantages cuz I'm based in the UK and it means I work with people in
Speaker:the US so, because I overlap quite significantly with their working hours.
Speaker:So that whole kind of space is, is one of the, um, you know,
Speaker:thinking about like where, where is my difference and advantage?
Speaker:Because that's the other area of this is, is actually we don't
Speaker:necessarily benefit from being exactly the same as everyone else.
Speaker:There are advantages, indifference too, and figuring out a situation that's like,
Speaker:oh, well, well does, where does this work?
Speaker:But it's moving towards that point, understanding, you know, moving towards
Speaker:a practice and a set of things that support us in play to our strengths
Speaker:I mean, that's great advice for anyone, right?
Speaker:You don't even have to be neurodivergent.
Speaker:Play to your strengths is one of the main pieces of advice I give when we talk about
Speaker:career development and, and resilience.
Speaker:Because if you can get into a job where you are doing more of what
Speaker:you love and you are good at, then actually you're gonna be much happier.
Speaker:And what I loved about what you said was find your exceptionality and
Speaker:then really, really play to that.
Speaker:What if your exceptionality is just really left field of what is sort of
Speaker:expected in the role that you've got?
Speaker:I think this is really interesting.
Speaker:This comes up a lot actually.
Speaker:There are, there are, there are different ways to, to engage with this.
Speaker:So one of the ways is to accept that, that you have a domain of practice
Speaker:that's important to you, but is not part of your professional world directly.
Speaker:That can be incredibly rewarding and incredibly helpful.
Speaker:The strong example for this is the one thing that predicts Nobel
Speaker:Prize winners more than anything else is having a significantly
Speaker:developed practice of playing music.
Speaker:And those aren't directly related, and they kind of stay separate.
Speaker:So you can have a practice, so as long as you've got the space in
Speaker:your life to follow the practice, keeping it separate can work.
Speaker:And I think the other thing around this is, and this is where this
Speaker:crosses over with my innovation work, is actually if you combine
Speaker:things together in an unexpected way, you can meet a different need.
Speaker:Anything in this space, choose something that feels more
Speaker:exciting than it does scary.
Speaker:Even if that means doing a really, really small thing.
Speaker:And starting with that, like actually this feels good to me, is a really
Speaker:good way to start exploring that as as slowly as you need, because
Speaker:it can be incredibly challenging.
Speaker:And I think all of this is great advice.
Speaker:Like I said, just now, you know, whether you aren't neuro diversion or not, because
Speaker:there's never ever gonna be one job that hits all your needs for connection,
Speaker:for this, for creativity, for that.
Speaker:And if you can find that outside of your work, that's absolutely brilliant.
Speaker:So if you're gonna look for the perfect job, you're never,
Speaker:ever, ever gonna find it.
Speaker:But perhaps it's, it's, it's harder to find that to get that, like you
Speaker:said, as much as, um, maybe other people would if you are neurodivergent.
Speaker:For people that are listening to this, that that would be air quotes normal.
Speaker:How can they change what they do at work to really help their
Speaker:colleagues who are neurodivergence.
Speaker:Thank you.
Speaker:I think that's a really important question actually.
Speaker:We tend to assume with any difference that, that the person
Speaker:who's different then bears all of the cost and of working with this.
Speaker:And if we look through this lens of, oh, you get, well, you get something
Speaker:exceptional out of working with this person, then maybe you can
Speaker:put in, you know, there's, there's value in putting in some effort.
Speaker:So, yeah, I think it's, it's a really important and underexplored thing.
Speaker:So the primary things are really building your own awareness and
Speaker:skills around understanding and finding, understanding with other
Speaker:people, reaching other people who experience the word differently to you.
Speaker:And that can be a really, really difficult thing if you are not used to it.
Speaker:One of the difficult things that we as neurodivergent people
Speaker:have to understand is we, we are regularly crossing that bridge.
Speaker:We are regularly encountering this.
Speaker:But not everyone is.
Speaker:And so actually a lot of those skills, it's, it's hard to build and it's scary.
Speaker:And so actually, you know, experiencing different perceptions, different ways
Speaker:of seeing the world and working with integrating those and understanding
Speaker:those and connecting with those, and reflecting on your own position
Speaker:and your own understanding, where is, where is your position actually?
Speaker:Cause we all have one.
Speaker:It's just that we tend not to notice it if it's the default.
Speaker:And so, so you can then know where you are coming from in the
Speaker:conversation as well is hugely helpful.
Speaker:Another side of this is being willing to engage with some of
Speaker:the work in bridging the gaps.
Speaker:So the classic thing is like, is to say, well, what do you need?
Speaker:And that's actually a really difficult question in a, in a, in an organizational
Speaker:context, is because that me needs someone to actually understand all of
Speaker:the stuff that you understand as well.
Speaker:So being willing to try stuff out and also being willing to be, to, to be
Speaker:wrong and to admit that you are operating in a space of limited knowledge.
Speaker:Because we all have limits to our knowledge and to our awareness.
Speaker:if you work with someone who is a specific neuro minority, it can be
Speaker:helpful to understand that condition though with a big grain of salt.
Speaker:The idea that we are, that the conditions predict very much about us as individuals
Speaker:isn't, is, is kind of out there in broader society, but it's not very true.
Speaker:We don't tend to fit the stereotypes terribly well.
Speaker:They're not that predictive.
Speaker:So it can be helpful and maybe it's like, you know, when you come up with something
Speaker:it's like, oh, is this what it is?
Speaker:Rather than this is what it is.
Speaker:It's the really important thing.
Speaker:Thank you.
Speaker:Lots of helpful stuff there, Matthew, as we just finish off, what would your
Speaker:three top tips be for anybody who feels that, you know, with a diagnosis or
Speaker:without a diagnosis, that they might be a little bit different from, from the norm?
Speaker:And actually, I think that's possibly quite a lot of the listeners here
Speaker:who've always felt, you know, I'm, I'm not exactly responding exactly
Speaker:like, like other people here.
Speaker:What, what would you, what would your main tips be for them for navigating
Speaker:the world and the worlds of work with perhaps a little bit more ease?
Speaker:I really like that focus on ease as well, because that's very often what we, what we
Speaker:don't experience if we're neurodivergent.
Speaker:Mm-hmm.
Speaker:We can do the performance, but it doesn't feel easy.
Speaker:Yeah.
Speaker:Ever.
Speaker:I think the first tip is to get curious about yourself and
Speaker:your experiencing of the world.
Speaker:You don't have to use the medicalized lens of specific diagnosis,
Speaker:but it can be very helpful.
Speaker:Research suggests that the younger you are, you get a diagnosis,
Speaker:the better your life outcomes.
Speaker:If you're neurodivergent, it's a direct relationship.
Speaker:Um, so whilst there are some drawbacks to diagnosis, it seems for most people
Speaker:it's mostly helpful, more helpful than it is a, a, a, an impediment.
Speaker:Mm-hmm.
Speaker:But that has to be a personal decision.
Speaker:I think just doing the self-development work, doing
Speaker:the, like self exploratory work.
Speaker:Where are my strengths?
Speaker:Where is my joy?
Speaker:Where is my, you know, where is my interest Reconnecting with that,
Speaker:that, that's particularly important if we're struggling with mental
Speaker:health issues as many of us do.
Speaker:And I think that connection with needs, what are my needs that aren't met?
Speaker:And that can be a very difficult question to answer if they've never been met.
Speaker:I think if we have organizational authority, particularly the more
Speaker:senior we are, the more important this is, is being open about it because
Speaker:it makes it easier for other people.
Speaker:There are a lot of people who are either don't know their neurodivergent
Speaker:or are, um, kind of who have a secret, have their diagnosis a
Speaker:secret, and that's perfectly valid.
Speaker:But if you have organization, you know, you have authority, it's worth considering
Speaker:whether you can use that authority to make your life and other people's lives easier.
Speaker:Mm-hmm.
Speaker:And so talking about the experiences of it, sharing those
Speaker:experiences are really important.
Speaker:And advocating for your own needs and other people's needs from that experience.
Speaker:One of the big reasons that it's so important that neurodivergent people
Speaker:are given better access to work and to the professions is because when we are
Speaker:fully represented, it actually makes those services much, much better for us.
Speaker:Unfortunately, the history of psychiatry is not great in terms of
Speaker:its treatment of neurodivergent people.
Speaker:And one of the big things that improves that and has has improved
Speaker:that is making sure that people are represented and that people understand
Speaker:and can advocate for those experiences.
Speaker:So being willing to advocate for, you know, the needs of people around us,
Speaker:um, is, is another major part of this.
Speaker:And I think there's just one more question I'd like to ask you, because
Speaker:that first point about getting curious about yourself and if you think that
Speaker:might be helpful, getting a diagnosis.
Speaker:I think a lot of people get stuck on that.
Speaker:Where can you go that's really helpful to get a diagnosis?
Speaker:And I, you know, I'm asking this, you know, having worked as a GP
Speaker:and it's not always really obvious where people can, can find this out
Speaker:for themselves, even as doctors.
Speaker:First of all, if you are female, if you are twice exceptional, if you
Speaker:are autistic and hd ADHD, all of those are risk factors for not being
Speaker:diagnosed, because you don't present.
Speaker:Stereotypically.
Speaker:Also, as I mentioned, that having a particular interest in people
Speaker:is a risk factor for not being diagnosed because you're not
Speaker:supposed to be interested in people.
Speaker:You're not supposed to be.
Speaker:I might be making eye contact cuz I'm interested in what's going on in
Speaker:someone's head rather than, cuz I'm paying attention to them in the convention,
Speaker:but I'm, but that reads to another person as, oh, they're not, they're not
Speaker:artist artistically, kind of like not making eye of a averting eye contact.
Speaker:So if we're un stereotypical in our presentation, unfortunately we are
Speaker:going to have to put together a case.
Speaker:It's not gonna be spotted for us.
Speaker:And I think working on that experience, like where, where something is feels
Speaker:off, feels strange, following that.
Speaker:Having a look at other people's experience and seeing where you
Speaker:resonate with that strongly.
Speaker:It's like, are there any people out there who you are like, oh
Speaker:yeah, that, that, that's me.
Speaker:And seeing who else resonates with that?
Speaker:The other thing I'd say is following up any kind of mysteries.
Speaker:In your experience, do you have pervasive, like low energy?
Speaker:Do you have migraine stress, migraine when there isn't a, uh, a really
Speaker:obvious external cause you're not going through a particularly high
Speaker:number of life stressors at the moment?
Speaker:You know, do you have any other differences in experience anomalies
Speaker:in your experience being like, well, okay, what, what could explain those?
Speaker:And just that, that, that's that curiosity I think.
Speaker:Also looking at the things that you really enjoy, like really enjoy being like, okay,
Speaker:where do those point, what strengths do those point to, and what situations are
Speaker:those potentially associated with as well?
Speaker:And I think, you know, one of the things is if you are wondering about
Speaker:this and it's a regular wonder, it's definitely worth following up.
Speaker:There is a saying in the community that neurotypical people
Speaker:don't tend to go through life wondering if they're autistic.
Speaker:So it is definitely worth following up.
Speaker:And even if you don't, you know, it doesn't meet a specific criteria
Speaker:or a specific diagnosis, the, the experience of exploring it is worth it.
Speaker:The knowledge about yourself is worth it.
Speaker:The knowledge about how your experience and your, your, your kind of way
Speaker:of being in the road differs from others, which can be incredibly
Speaker:useful in explaining and kind of triangulating against all of this stuff.
Speaker:And then having a, having a label kind of can help, but it, it's
Speaker:really that journey of understanding that's the most valuable thing.
Speaker:One, one of the challenges around this is actually there are very few support
Speaker:options for neurodivergent professionals.
Speaker:We are starting to see the emergence of neurodiversity groups within,
Speaker:um, various large organizations and professional bodies.
Speaker:So if you're a member of a professional body, I, I'm chair of Neurodiverse
Speaker:IT within BCS, the Chartered Institute of It, for example.
Speaker:So, you know, check out whatever professional accreditations you have and
Speaker:see whether there's a community group run by and for neuro veg people within that.
Speaker:Similarly, if you work for an organization, there are an increasing
Speaker:number of NHS trusts I know who have staff neurodiversity groups.
Speaker:So head along to that.
Speaker:See whether it feels like you.
Speaker:See whether you meet people there who you are like, oh, yeah, okay,
Speaker:we are experiencing the work there, there is something here
Speaker:There are a number of different tests online.
Speaker:Don't take any single tests seriously too seriously.
Speaker:But if a lot of them point in a similar direction, it's probably worth exploring.
Speaker:One of the interesting things, a lot of neurodivergent people, when
Speaker:they tell people close to them that they have the condition is people
Speaker:go, yeah, you're like, I think, I think I've been like, mask it for.
Speaker:So I was like, I've got ADHD and autism.
Speaker:People are like, yeah.
Speaker:it can be quite a relief, can't it?
Speaker:I remember when I was diagnosed just a couple of years ago now with ADHD,
Speaker:it's a bit of a shock, first of all.
Speaker:I had to go through a bit of a process with it, but actually in terms of helping
Speaker:me understand what made me tick, going, oh, that's why, that's why, it was act
Speaker:absolutely brilliant, and so, so helpful.
Speaker:So I would encourage people, like you said, just start to explore it.
Speaker:And I do know that there is a Facebook group for neurodivergent doctors,
Speaker:and so that might be worth joining.
Speaker:We'll have to dig out the link to that.
Speaker:And I guess then you can just say to people, well, I think I might
Speaker:need to go and see a specialist.
Speaker:Who would you recommend?
Speaker:Do you know anyone?
Speaker:And there are all types of coaches and psychologists and doctors out there who,
Speaker:who do specialize in this sort of thing.
Speaker:So it's, it's a matter of finding the right professional, but you need to do
Speaker:a bit of research, don't you, for that.
Speaker:And absolutely.
Speaker:And I, I, I work with people around this navigating the, the, the
Speaker:diagnosis process because there are so many pathways and so many options,
Speaker:and it's not actually a necessarily a desirable thing for everyone.
Speaker:So having, having someone who understands the, the world, if, if it's helpful
Speaker:to you to kind of have someone to talk to, yeah, there are people out
Speaker:there, myself included, who can, who can talk you through, so you can
Speaker:weigh up all of the different stuff and work out whether it's wor what's
Speaker:worth doing and in what priority.
Speaker:And I think in the knowledge that what a diagnosis or what more
Speaker:understanding is gonna mean is that you just understand yourself a bit more.
Speaker:It doesn't change who you are, it doesn't make you a different person.
Speaker:All it does is just connects you with other people that experience life in
Speaker:the same way, and give you some tools probably that other people have used
Speaker:that we know work, that you can then.
Speaker:Use just to, like I said before, move through life with
Speaker:a bit more ease, hopefully.
Speaker:Absolutely.
Speaker:So Matthew, you've already mentioned this, but I know that you do a lot of
Speaker:work coaching and supporting people with neurodivergency who or who are
Speaker:exploring whether they have it or not.
Speaker:If people want to get hold of you, how, how can they do that?
Speaker:The main things, uh, yeah, Neurodiverse IT, I also run a community called Curious
Speaker:Being, which is intended as a space really for this discovery and exploration.
Speaker:I do, uh, one-to-one work.
Speaker:Yeah.
Speaker:With people really around finding, navigating this whole process, getting
Speaker:the support that, that you need, using the technology and the tools and the
Speaker:knowledge that we have from psychology to be able to really play to your strengths
Speaker:and more develop those capacities.
Speaker:And I work with organizations who want to be better places for neurodivergent people
Speaker:and who want to really benefit from this.
Speaker:If an organization is interested in improving its support for neurodivergent
Speaker:people, then I'm always very happy to work with them either in facilitation,
Speaker:one-to-one with their staff, or, uh, I do talks and write as well.
Speaker:So should I do one-to-one work with, um, with people who are
Speaker:supporting neurodivergent people, whether they, they think of
Speaker:themselves as neurodivergent or not.
Speaker:People can go to, um, matthewbehringer.com/links to get all
Speaker:of that stuff and other publications and articles and bits and bobs.
Speaker:So, uh, anything that you'd like, you can find me on LinkedIn as well on that link.
Speaker:Thanks so much Matthew.
Speaker:We'll put all of those links in the show notes so people can get a hold of you.
Speaker:Uh, thank you so much for being on the podcast and you know,
Speaker:this was really in response.
Speaker:I had a lot of, um, emails in saying, please can we talk about it?
Speaker:So if people have been listening, have got any specific questions or anything
Speaker:else that they'd like to explore around this topic, please let us know.
Speaker:And Matthew, would you come back again to talk to us in the future?
Speaker:I'd love to come back and ask some, answer, some questions.
Speaker:The questions are always my favorite bit anyway.
Speaker:Love to.
Speaker:Okay.
Speaker:There we are.
Speaker:Challenge.
Speaker:If you guys listening, will email in with your q and a, then we'll
Speaker:get Matthew back on to answer them.
Speaker:So thank you Matthew.
Speaker:Have a good rest of day and we'll speak with you soon.
Speaker:Thanks very much.