Neurodiversity: What Is It and How Life Coaching Can Help

“Don’t start selling yourself short. If you look outside the impairment and work tenaciously, you can find a great and glorious life.” -- Dr. Ned Hallowell, author of ADHD 2.0

Origin of the Term

Judy Singer, an Australian sociologist, first used the term Neurodiversity in her sociology honors thesis in 1998. In that same year, author and freelance writer Harvey Blume (whom Singer had corresponded with) popularized the word in his article titled, "Neurodiversity" (The Atlantic, 1998). There he states, "Neurodiversity may be every bit as crucial for the human race as biodiversity is for life in general." He goes on to question, "Who can say what form of wiring will prove best at any given moment?" For example, the fields of math and computer science may favor non-neurologically-typical minds.

Pathology or Natural Variation?

Writer Jesse Meadows, writer for medium.com, in her article "You’re Using the Word 'Neurodiversity' Wrong" says:

Neurodiversity is a paradigm, a lens through which we look at human neurology, and it stands in opposition to the pathology paradigm.

The pathology paradigm says: there is a normal, healthy brain and an abnormal, unhealthy brain. People with abnormal brains have something wrong with them and need diagnosis and treatment to become more normal.

The neurodiversity paradigm says: there is no such thing as a normal brain. Variation in neurology is natural, and none is more right or wrong than another.

Which Conditions are Included?

Typically, ADHD, Autism, Asperger's Syndrome, Dyspraxia, Dyslexia, Dyscalculia, Dysgraphia, and Tourette syndrome are included in the definitions of neurodiversity. But all authors do not agree and there is no gold-standard definition. Below you will find a "Neurodiversity Table that lists these conditions, with short descriptions and their population frequencies. In that table, you'll also see some information on the term Asperger's Syndrome.

Can Life Coaching Help?

The short answer is yes. At a minimum life coaching can help neurodiverse clients increase their self-awareness, identify their strengths, boost their self-esteem, and adopt strategies that will lead to the best life possible. This article, Managing ADHD Is Hard. These Coaches Want to Help, from the New York Times may provide more insight.

One-to-one education

Evolution of the Pathology Paradigm

Although we are seeing some slow change in attitudes, we, as a society, generally look at ADHD, Asperger's Syndrome, etc., through the pathology paradigm lens. Why is that and how did we get here?

In the early eighteenth century and before, young men and women were taught by their parents or elders. Most of these "teachers" were farmers or artisans. The learning process was either one-to-one or perhaps one-to-a-few. Students learned by doing, which often involved physical movement. Because education was not regimented or standardized, learning style variations were not necessarily problematic.

Then came the Industrial Revolution (1760-1840), which created a huge demand for factory workers. An article on the business website qz.com ("The Modern Education System Was Designed to Teach Future Factory Workers To Be Punctual, Docile, and Sober") describes it this way:

Factory owners required docile, agreeable workers who would show up on time and do what their managers told them. Sitting in a classroom all day with a teacher was good training for that. Early industrialists were instrumental, then, in creating and promoting universal education.
One-to-many education

This led to the creation of "Factory Schools," a concept that originated in early 19th-century Prussia. Regimented education was provided by the state with dozens of students in each class. The classroom atmosphere was standardized and often impersonal.

Imagine the effect that had on learning. Higher numbers of children required rules, standardization, and conformity. Teachers had little time to support individual learning styles and those who were not mainstream thinkers became outliers. Their difficulties with standardized curricula led to diminished self-esteem, feelings of failure, and social ostracization.

What Can Be Done?

The point here is not to bash the teachers or even the administrators, but to recognize what has happened and how it has painfully affected many millions of lives. My personal experience coaching many clients who have either ADHD or Asperger's Syndrome is that they are often very bright or even exceedingly bright and highly creative. Typically they do not see their strengths or believe in their abilities because they received constant negative feedback in their formative years. The negative feedback may have come in the form of low grades on standardized tests, undue focus on their weaknesses instead of strengths, or countless corrections for exhibiting non-conforming behaviors. Regimented education demands academic conformity, which, in turn, encourages students to value social conformity. That is to say, the "Factory School" model creates outliers both academically and socially. This marginalization can and does crush the self-esteem of non-mainstream students to the point they do not value themselves or feel as though their strengths are worth developing -- when instead, these bright and creative people could be flourishing and contributing to society.

Of the neurodiverse conditions described above, I work with clients who have ADHD or Asperger's Syndrome. Below you will find sections for both conditions with my perspectives on each, and how I help my clients create their best lives with new strategies and perspectives.

Interest versus Focus (click image to enlarge)

ADHD

Just as was discussed above, ADHD can be viewed through a lens of pathology or neurodiversity:

  • According to the Center for Disease Control, "ADHD is one of the most common neurodevelopmental disorders in childhood. It is usually first diagnosed in childhood and often lasts into adulthood. Children with ADHD may have trouble paying attention, controlling impulsive behaviors (may act without thinking about what the result will be), or be overly active."
  • The ADD Coach Academy defines ADHD this way, "Attention Deficit Hyperactivity Disorder is a unique brain wiring which requires engaged interest with a clear, purposeful intention in order to activate and access attention so an individual can manage the brain’s executive functioning."
  • Instead of the term ADHD, author Edward Hallowell (in his book ADHD 2.0) uses the acronym VAST: variable attention stimulus trait. He chooses to avoid the words "deficit" and "disorder" and for every problematic trait, he describes a useful counterpart (see the ADHD Traits.

You can see that the CDC description leans toward the pathology lens. Although the second description does not mention the benefits (e.g., heightened creativity and the ability to hyperfocus) it frames ADHD more positively as an issue of "interest" rather than "focus." Tom Brown, PhD., in his book, A New Understanding of ADHD in Children and Adults: Executive Function Impairments, says:

Virtually all persons diagnosed with ADHD have a few domains of activity in which they demonstrate none of the executive function impairments that they suffer in most other situations. Typically these individuals report that they have no difficulty in focusing and working effectively on tasks that interest them. They tend to be unable to mobilize such interest voluntarily or upon direction from others. It is activated spontaneously or not at all.

But regardless of which lens you choose, I help my ADHD clients in the same ways. My coaching model contains eight ways to improve one's life. These are described here: Growth and Transformation Model. By building an awareness of strengths, creating a sense of values, meaning, and purpose, and developing a sense of metacognition and mastery, all in a very structured way, I find my clients feel more organized from the inside out. This leads to increased motivation and development of "wherewithal" to put time-management and organization strategies into place -- strategies that were previously difficult to implement. With regard to "metacognition and mastery," I help my clients develop techniques that make mundane activities more interesting. Increased interest leads to better focus. For example, "How can you gamify this? How can you make it fun? What can you do to put yourself in the manager's seat and do the best job possible?"

And finally, a good place to get started in your understanding of the various ADHD traits, along with their usefulness and associated problems, is by viewing the "ADHD Traits" chart below. The chart will help you to understand the paradoxical opposites ADHD minds contend with. These opposites can be challenging and confusing but also, as ADHD 2.0 authors Hallowell and Ratey put it, "exciting and groundbreaking."

Asperger's Syndrome

According to the Asperger's page on the autism-society.org website,

There are still many professionals who consider Asperger’s Disorder a less severe form of autism. What distinguishes Asperger’s Disorder from classic autism are its less severe symptoms and the absence of language delays. Instead of aloofness, individuals with Asperger’s Disorder usually want to fit in and interact with others, but often they don’t know how to do it.

That is how I see Asperger's Syndrome. Not just a milder form of autism but a set of traits with significant differences. Just as with ADHD clients, I work with Asperger's clients to build on strengths and establish a sense of values, meaning, and purpose. But with more emphasis on breaking out of rigid thought patterns that are not serving them. This requires (on my part) compassion, trust-building, and conveyance of "best possible life" knowledge in a structured and rational way.

ADHD and Asperger's Syndrome

There are differences between ADHD and Asperger's Syndrome but also large degrees of overlap in both the traits and the difficulties they pose. According to CHADD (Children and Adults with Attention-Deficit/Hyperactivity Disorder),

More than half of all individuals who have been diagnosed with ASD also have signs of ADHD. In fact, ADHD is the most common coexisting condition in children with ASD. On the flip side, up to a quarter of children with ADHD have low-level signs of ASD, which might include having difficulty with social skills or being very sensitive to clothing textures, for example.

What is important to me, is not whether there is a formal diagnosis that prefers one label or another -- although that can be both important and necessary when trying to find support services. But for my coaching, I say, "What are your personality traits, both strengths and weaknesses? What can we do to build on the strengths? What can we do to navigate or minimize the weaknesses? How do we boost your self-esteem so you feel like making the effort? What knowledge can I provide to help you grow?"

Neurodiversity – The Key That Unlocked My World - ted talk by Elisabeth Wiklander


Diversity does not necessarily equal disability. In her talk, Elisabeth communicates how it is to be autistic yet lead an independent and successful everyday life. Although parts of her talk about Asperger's Syndrome, it generally applies to all forms of neurodiversity.

Making ADHD Your Superpower - Ted Talk by George Cicci


Neurodiversity Table


Name Population Frequency Clinical Description

ADHD

~10% for 4-17 year olds (CDC, NIH), 4.4% for adults, (National Comorbidity Survey Replication)

ADHD is one of the most common neurodevelopmental disorders of childhood. It is usually first diagnosed in childhood and often lasts into adulthood. Children with ADHD may have trouble paying attention, controlling impulsive behaviors (may act without thinking about what the result will be), or be overly active.

Autism

2.2% (CDC)

A developmental disorder of variable severity that is characterized by difficulty in social interaction and communication and by restricted or repetitive patterns of thought and behavior.

Asperger's Syndrome

0.5-1.5% (Global Burden of Disease Study, et al.

Asperger syndrome, or Asperger's, is a previously used diagnosis on the autism spectrum. In 2013, it became part of one umbrella diagnosis of autism spectrum disorder (ASD) in the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5). However, there are still many professionals who consider Asperger’s Disorder a less severe form of autism.

Dyspraxia

10% (BBC Health Dyspraxia)

Dyspraxia, also known as developmental coordination disorder (DCD), affects movement and coordination. Dyspraxia does not affect your intelligence.

Dyslexia

20% (NIH)

Dyslexia involves difficulty reading due to problems identifying speech sounds and learning how they relate to letters and words (decoding).

Dyscalculia

3-7% (NIH)

Dyscalculia affects an individual's ability to do basic arithmetic such as addition, subtraction, multiplication, and division.

Dysgraphia

10-30% for children, Journal Translational Pediatrics. Studies for adults are mixed but it should be similar to children because it can't be outgrown

Dysgraphia can manifest itself as difficulties with spelling, poor handwriting, and trouble putting thoughts on paper.

Tourette syndrome

3%, (University Of Rochester Medical Center)

Tourette syndrome involves repetitive movements or unwanted sounds (tics) that can't be easily controlled (e.g., repeatedly blinking your eyes or blurting out unusual sounds or offensive words.)

ADHD Traits (from ADHD 2.0 by Edward Hallowell and John Ratey)


Useful Problematic

Passionate; zealous; idealistic; will sacrifice everything for a cause or a friend

Can become rigid in the service of a cause; can become fanatical, strident, irrational; Captain Ahab syndrome

Meticulous at times, especially on projects that matter a great deal

Usually disorganized, even chaotically so; chaos can rule to such an extent that school, job, marriage hang in balance

Can get a lot done in a short amount of time

Fundamentally different sense of time; there is only NOW and NOT NOW in this world, so procrastination rules, and things rarely get done on time

An appreciation of the offbeat, unusual, unconventional

An inability or refusal to conform or get in line when doing so is obviously in his or her best interest

Dreamer par excellence; visionary; lives on wings of imagination, flights of fancy

Sometimes so bored by reality that he or she ignores it and gets into trouble for having done so

Honest to a fault; will say what others don't dare to say; outspoken; blunt

Can hurt feelings and damage self; can unwittingly be cruel, which is last thing he or she wants to be

Intense desire to be free and independent, own boss; master of own fate

Trouble working on teams; trouble taking orders; trouble with intimacy in private life

Naturally creative; ideas pop all the time like in a popcorn machine

Trouble organizing all the ideas and doing something productive with them

Naturally curious; always wanting to know who, what, where, why, and how; never satisfied until he or she gets the answer

Easily distracted by novelty or any puzzle, conundrum, unsolved problem, or beguiling opportunity, however irrelevant it may be

Enormously energetic; seemingly indefatigable

Impulsive; can't sit still or linger over a conversation or ponder an idea with a colleague or a relative

Mind like a steel trap; can remember details from years ago

Forgets what he or she went into the next room to get; forgets where he or she put car keys; forgets wallet, glasses, umbrella; leaves groceries on roof of car and drives off

Full of ideas

So many ideas they choke the growth of any single one

Decisive; can make an important, complex decision in a split second

Impatient; hates to wrestle with ambiguity; shoots from the hip

Initial surge of excitement over new plan, deal, idea, project, relationship

Excitement peters out in the middle phase; trouble sustaining interest

Takes responsibility; gets done what needs to get done

Trouble delegating, trusting that others can do it as well as he or she can

Tenacious; never gives up; will literally collapse before quitting

Stubborn; would rather fail doing it his or her way than succeed taking advice from someone else; can spend a lifetime trying to get good at what he or she's bad at

Can act on the spur of the moment

Procrastination can be a huge problem

Original; sees solutions others do not; comes up with novel ideas

Can seem whacky, eccentric, even crazy; can put people off by being too offbeat and arrogant

Confident; self-assured

Insecure; despite confident exterior feels success was all done by smoke and mirrors

Extremely hardworking

Driven; compulsive; can't let up; maniacal

Lightning-quick mind

Trouble shutting mind down; risk of developing addictions to quiet mind down

Risk taker; focuses and performs best in situations of crisis and danger

Needs danger in order to feel engaged with life and truly alive

Sees the big picture before anyone else

Trouble with implementation and sweating the details

Generous; bighearted; willing to give with no expectation of return

Can give away the store

Funny; the life of the party; can connect with everyone

Secretly lonely; feels no one really knows him

Innovator

Can't/won't follow instructions

Pays close attention when interested

Easily distracted; mind wanders when not interested; frequently on electronic devices and difficult to engage

Supremely talented in several domains

Seriously limited in several domains

A life enthusiast; wants to try everything; can't ever get enough

Overcommitted; about to snap

Strong leader; charismatic

Hates the position of leader; worries he or she will let everyone down; unaware of his or her own charisma

Thrives in highly stimulating situations

Finds contentment too bland and so can disrupt ordinary happiness in order to create high stimulation

Loves debate, conflict, sparring

Intimacy can be difficult unless partner likes these as well

Barriers to Attention from ADDCA.com