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

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

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

I wasn't sexually abused, I wasn't neglected, I wasn't wanting of love. I was however often scolded to a point where I felt horrible about myself. Scolded to a point where I didn't even feel like I could exist without disrupting the world. At times yes, physically scolded but nothing so extreme as to leave a mark.

To be fair to my parents I was a very high energy and "difficult" child. Big emotions. I was always the problem.

Obviously compared to some upbringings this was a walk in the park. But it really did have an impact on me and who I grew up to be. In some ways it was likely a good impact. I learned that my energy had no place in the world. I learned that my emotions would likely cause more problems than they would solve. I learned to shut up, and sit down, and follow the rules, even when every ounce of my inner being wanted to do the opposite.

I've had a myriad of mental health issues throughout my adult life, ranging from low severity to medium, and on some rare occasions high. Genetics? Upbringing? Modern life? All of the above?

This is definitely a factor for me when I tried to get diagnosed (which failed lol), because my parents whom caused my trauma would obviously refuse to blame themselves for my emotionally stunted development

Couple that with just plain generational trauma - physical punishment that ND people are more sensitive to, the high prevalence of CSA, and a world that doesn’t even try to make any accommodations and you find it more rare to find neurodivergent people who are untraumatized.

One result mentioned here but worth highlighting is the capacity to dissociate and the existence of dissociative disorders. Many people in this cohort also find they have the ability to structurally dissociate as a coping mechanism of last resort - an outsized percentage of people diagnosed with OSDD, DID, and DDNOS are neurodivergent, and among social groups of neurodivergent people often dissociative people will tend to attract - it’s nearly to the point that “capacity to dissociate” could itself be a neurotype. Anyway it’s a fascinating line of study, and if I didn’t have folks w dissociative disorders in my life I might doubt their existence.

Any apparent disorder in a person or persons has to be decomposed into the innate parts that existed prior to birth and the environmental experiences that happened afterwards as a prerequisite for any kind of theorising to give useful results instead of noise. They call this the diathesis-stress model and it's easily overlooked.