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What are Your Favorite Lies?

Ari Tuckman, PsyD, MBA

West Chester, PA

Ari@TuckmanPsych.com adultADHDbook.com

Life is Hard Sometimes

Little lies make life easier—at least in the moment.

 They enable us to avoid pain in the moment and hopefully in the future, too.

We all tell little lies.

 To ourselves and others.

 About what we did and didn’t do (past).

 About what we will and won’t do (future).

Ari Tuckman, PsyD, MBA 2

Life is Harder with ADHD

 ADHD gives you more to lie about.

 Distractibility, impulsivity, forgetfulness, poor time management, etc. make it harder to convert intentions into actions.

 Past: More missteps to cover-up.

 Not again. . .

 Future: Less predictability about what you will do later.

 Fingers crossed!

Ari Tuckman, PsyD, MBA 3

The Future is Harder with ADHD

Reduced self-activation—harder to get going (procrastination).

Shorter time horizon—tasks need to be closer in time to be visible.

Greater temporal discounting—the present feels (much) bigger than the future.

Ari Tuckman, PsyD, MBA 4

Present vs Future

 We always have many options, but can only act on a small number at a time.

 All these desires and priorities constantly compete with each other for attention and action.

 We have opposing drives to maximize the present vs the future.

 Our present self sometimes ignores our future self and therefore is angry at our past self.

 Executive functions help us resist the present and maximize the future.

Rationalizations for a Tempting World

We all rationalize less than optimal decisions.

 When temptation trumps willpower (e.g., McDonalds).

We use semi-plausible reasons to feel better about what we know is a bad decision.

Integrity and actions: have our cake and eat it, too (sort of).

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Lies Work (Except Sometimes)

 Little lies sometimes prevent suffering.

 Sometimes it works, so it’s believable.

 Little lies sometimes delay suffering.

 Future suffering is more acceptable (temporal discounting).

 And maybe we’ll get lucky!

 The inconsistency of ADHD means that sometimes things really do work out well.

Ari Tuckman, PsyD, MBA 7

Payment Comes with Penalties

Even if lies work, we may feel bad about it.

 Imposter syndrome if too many lies.

Things are often worse when we have to deal with them later.

Perhaps fewer options.

Social consequences, if others find out.

 Often the cover-up is worse than the crime.

Ari Tuckman, PsyD, MBA 8

Integrity is Hard

 Almost by definition, integrity involves making the harder choice.

 Otherwise it’s just convenient.

 Integrity involves taking the hit in the moment.

 But the reward is being one’s better self.

 And less worry about getting caught in the future.

Ari Tuckman, PsyD, MBA 9

Choices Spill Forward

Bad situations make bad decisions more likely.

 We don’t have enough options, none of which are great.

But yesterday’s bad decisions create today’s bad situations.

 So, manage that first step well.

 Or get yourself back on track ASAP.

Ari Tuckman, PsyD, MBA 10

Make the Future Bigger

 Because of temporal discounting, the present too often wins over the future.

 Make it a fair fight by pausing to really consider the future.

 Imagine the future as vividly as possible.

 How will your future self feel about this decision?

Manage Your ADHD

Insufficiently managed ADHD puts you into more bad situations.

 More frequent.

 More problematic.

This requires extreme willpower and honesty to manage with integrity.

 More than most people can muster.

 And more than anyone should have to.

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ADHD’s Favorite Lies

Some Lies are More Likely

The difficulties of ADHD make certain situations more likely—which make certain lies more likely.

 There is a logic to this.

Different difficulties, different situations, different lies.

 Human fallibility is universal.

Ari Tuckman, PsyD, MBA 14

It’s a Short List of Favorites

 Most of us have a handful of favorite lies.

 Used most often.

 Cause the most problems.

 You don’t have to look for every lie—just your favorites.

 Look for and notice them.

 Even small improvements can make a big difference.

Ari Tuckman, PsyD, MBA 15

“I’ll get to that in a minute.”

When we don’t want to switch gears, usually from a more desirable task.

But we then lose track of it and it doesn’t get done.

Folks with ADHD are more likely to get stuck in one task and also to forget the next one.

 Delays are risky.

Ari Tuckman, PsyD, MBA 16

“I’ll get to that in a minute.” Strategies

 Pause to actually assess the relative importance of the two tasks.

 Be honest with yourself about the likelihood of remembering.

 How much else is going on?

 How absorbing is the current task?

 If it’s quick to do or a big problem if forgotten, then just do it.

 Create a reminder.

“I can do that tomorrow.”

May be more true in theory than in practice if there is too much going on tomorrow.

 Or it squeezes tomorrow’s tasks.

 The future involves more uncertainty, and therefore risk, than the present.

Especially tempting at night, when tired, or when there are too many other demands.

Options sometimes go away over time.

(4)

“I can do that tomorrow.” Strategies

 Pause to consider tomorrow’s actual schedule.

 Is there enough time to add this in, including possible unexpected events?

 Can less important tasks be delayed?

 Think about how you will feel about it tomorrow.

 Address things earlier to minimize end of the day burnout.

Ari Tuckman, PsyD, MBA 19

“I don’t need to write that down.”

Stopping to write something down in a schedule, to-do list, or reminder can break the flow.

Unfortunately, prospective memory can get wiped clean very quickly.

 Most people over-estimate their ability to remember.

 Some folks with ADHD feel self-conscious writing things down.

Ari Tuckman, PsyD, MBA 20

“I don’t need to write that down.” Strategies

 If it deserves to be done, then it probably deserves to be written down.

 Shows others that it’s important to you.

 If you can remember everything you need to do, then you don’t have enough going on.

 Writing things down means you have a big, interesting life.

 A small pause saves a big headache.

 Very likely to forget and/or big consequences.

Ari Tuckman, PsyD, MBA 21

“This will just take a minute.”

When we want to do something that we really don’t have enough time to do.

 We rationalize the activity with best case scenario of how long it will take.

Tasks take two different times:

 The actual time for just the task.

 The additional time when you get distracted onto other tasks (slippery).

Ari Tuckman, PsyD, MBA 22

“This will just take a minute.” Strategies

 Nothing takes a minute. Nothing.

 Make an honest assessment of the likely time, especially with slippery tasks.

 If doing it anyway, admit that it will take longer and therefore delay the next task.

 If not doing the task, perhaps create a reminder.

 Makes it easier to let it go.

“I’ll start after a quick break.”

Starting fresh is a good idea but can be taken too far.

ADHD folks’ tendencies towards

procrastination can make for long breaks.

Some break activities are stickier than others.

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“I’ll start after a quick break.” Strategies

 Set a definitive point to start the task.

 Avoid sticky break activities.

 Think beyond the task—if you delay starting, how does that affect what comes next? How will that feel then?

 Generally manage your energy: sleep, exercise, diet, stress, etc.

 Feel good about deserved breaks.

Ari Tuckman, PsyD, MBA 25

“I’ll put that away later.”

Being busy or running late makes it easy to rationalize not putting things back.

This can get easier and easier the more things are left out.

This can have social consequences if others feel that it falls to them.

Ari Tuckman, PsyD, MBA 26

“I’ll put that away later.” Strategies

 Plan in some time to clean up afterwards.

 Avoid having to scramble to the next task.

 Think about the extra effort and frustration when you later can’t find things.

 Circle back around later to put things away.

 Think about the social impact and how others will feel.

 Acknowledge the impact when unavoidable.

Ari Tuckman, PsyD, MBA 27

“I don’t need to get more organized—I can remember where everything is.”

Many folks with ADHD have trouble following a good organizational system, making it easy to tell themselves that they don’t need one.

But memory is limited and doesn’t work as well as we like to think.

 Death by a thousand cuts in time lost looking.

 Out of sight, out of mind.

Also, others can’t easily find things.

Ari Tuckman, PsyD, MBA 28

“I don’t need to get more organized—I can remember where everything is.” Strategies

 Unless you are a total minimalist, everyone needs an organizational system.

 Purge—the less you have, the easier it is to organize the rest.

 Remember the frustration of not being able to find something.

 Think about how great it feels to know where things are.

 Others may make judgments about the mess.

“I don’t need to go to bed now.”

Many with ADHD have trouble shutting off and getting into bed on time.

May also result from procrastination or losing track of time.

Feels like bonus time.

But sleep deprivation makes performance and mood worse.

 With chronic sleep deprivation, it’s “normal”.

(6)

“I don’t need to go to bed now.” Strategies

 Remember that long nights make for more difficult mornings and days.

 Compare performance and mood after good sleep vs bad.

 Use your day more effectively so you don’t have to stay up late.

 Avoid stimulating activities.

 Except sex (yay!).

 Go to bed together.

Ari Tuckman, PsyD, MBA 31

Be Your Best Self

Look for and notice your shortcuts.

Hold yourself to a higher standard—what kind of person do you want to be?

 Even if no one else will know, you will.

Cut yourself some slack when necessary.

Tomorrow is another day—make it a good one.

Ari Tuckman, PsyD, MBA 32

Be good to your future self.

S/he will thank you for it.

Ari Tuckman, PsyD, MBA 34

Executive Functions Workbook

Dr. Tuckman continues to do an exceptional job of distilling the essence of theory and science about ADHD into a very practical guide for the adult with ADHD.”

—Russell Barkley, Ph.D.

Book for Clinicians

“… it is a real pleasure to read Tuckman's superbly rendered book on ADHD in adults, for it is so well-reasoned, science- based, information-rich, to the point, and finally—useful!

Apart from wishing I had written it, I sincerely wish that you will read it.”

—Russell A. Barkley, Ph.D.

Book for Adults

“Written in a clear and easy-to- understand style, the book brings together a vast amount of information, ideas, suggestions, and research. All adults with ADHD can benefit from this book, as well as all people who care about them. Superb!”

—Ned Hallowell, M.D.

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Ari Tuckman, PsyD, MBA 37

adultADHDbook.com

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