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By Esme G, AXA Health Insurance


Processing Change (10 min read)


Change is something that many people struggle with, whether you are neurodivergent or not. For someone who is ND, this can be extremely difficult and distressing, even when it’s a positive change. It can sound negative to people around us and is often mistaken for complaining. It is understandably hard to appreciate if you are not someone who struggles with change or processing information and are able to “go with the flow”.


For me, if I experience a change, whether that’s a change in routine, location, plans, food ingredients (I did not deal with the new Haribo star mix flavours well at all!), I MUST verbally process it. The verbal aspect is extremely important to me and if I don’t speak it out loud, it will take me much longer to process (like years potentially). I am a vocal person and a lot of my stims* are verbal so being unable to speak or make sound is very difficult for me. It took me decades to realise this and now I know, I can try to avoid the fall out of how my attitude can be perceived. Ideally, I will talk to someone about it but if that’s not an option, sending myself voice notes to verbalise it can help.


For instance, last Christmas I made the effort to plan family visits to reduce stress of the holiday (massive family!). I made an itinerary, and once I had confirmed everything, I sent it to everyone involved. A few days before festivities started, my husband told me plans had changed. This normally would have led to an argument (and nearly did actually), but since I’d learned about my processing needs, I was able to reiterate to my partner before things got heated. This meant that he was able to respond appropriately by hearing me out without his own narrative to cloud his responses.

Basically, what it sounds like to anyone on the receiving end, is me complaining and getting angry and frustrated. It sounds negative purely because I cannot control my tone when I am feeling any overwhelm, confusion or overstimulation. I may not be angry by the change, but I will sound it, which can be hard to take for others. I often ask people I am speaking with, to ignore my tone as I have very little (if any) control over it.


The change in office location in Tunbridge Wells is a huge change! It has likely been quite an experience for many like me. You may have noticed people “complaining” on the lead up to and during the transition. This is us just trying to process the move, verbalising our anxieties, go through the process of change and figure out how to adapt. It’s a transition which is something Autistic and ADHD people find notoriously challenging.


Change for a neurodivergent individual is a process, like grief, it has steps:


  1. Denial – try to stop the change/dispute whether it’s needed.

  2. Anger/Frustration –Anger often isn’t the emotion we are experiencing, but many of us use it subconsciously as a defence mechanism for fear, disappointment, anxiety or irritation.

  3. Bargaining –This part is where compromise will likely occur. We are trying to find a way to make the change either not happen or adapt it to our needs.

  4. Sadness – if we are unsuccessful in bargaining, we will experience sadness or disappointment or regret. We are effectively grieving the loss of the situation before it was changed.

  5. Acceptance – This is where we explore our options, make new plans, get on board with the change and implement alternative coping strategies. This can also include relief and excitement because we are not always upset about the situation being different to what we expected, it is more about struggling with the transition from one plan to another (especially if you are someone who needs to plan things to every minute detail).


The issue we often come up against, even when those around us do seem to understand, is that “change” is not easy to define. Well, actually it is, if you think about it literally, but many people don’t think this way.


When most people think of change, they will think about the bigger, more obvious life events (moving house, marriage, bereavement, going to big school etc). Some less obvious examples are:


  • Having a haircut (whether you like it or not) – change in texture and weight, how it sits on your neck etc.

  • Going to the shop and being asked to make a detour last minute or having to add something new to your shopping list.

  • Supermarket layout change.

  • Having plans with a friend and being joined by someone unexpected.

  • A food you like changes ingredients or packaging resulting in a changing to the texture and or flavour (yes some of us can taste the packaging flavour).

  • Any routine change, no matter how small can really throw us off.


The worst one for me (and I think many) is where I have made plans in my own head and forgotten that no one knows because I never communicated them. It can be quite funny sometimes, but it is ultimately quite stressful for both parties when it’s related to a change in “plans”. The ND is upset and frustrated and going through the change process (above) and the NT (Neurotypical) is unaware there was ever a plan in the first place. No one is at fault, it’s hard to process for both people and we don’t even realise we are doing it. I assume there is a more scientific explanation, but for me there is just too much going on in my brain, I can’t keep track of what I have and have not communicated sometimes. (Hence why you also may hear the same story or interesting fact over and over from someone who is ND)


The reason why we don’t like change and love predictability, is because of how our brains work. Here’s a good analogy I heard recently:


Imagine we are all computers, designed to take in information constantly from all sources about everything. A Neurotypical computer has a program that filters through all the information, archiving or deleting the small insignificant details that don’t seem necessary and finally sends the information that is needed. This computers input is not overwhelming because the filter has done its job.

  A Neurodiverse computer doesn’t discriminate, there isn’t a filter, all the information is absorbed at the same time and sent as a whole. This causes the ND computer to have to work harder to identify significant details in new scenarios and means it will work better in familiar situations, it also means the ND computer is often at full capacity, meaning any additional information could cause it to overheat and need a reboot or stop working completely.

In context, this explains the need for familiarity and planning for those who struggle with change. It is why we also watch the same shows, listen to the same music/songs, eat the same foods, wear the same clothes and stick to the same routine, it also explains why we burn out so easily. There is a lot less work for us in familiar and predictable situations.

 

The behind the scenes work that is done by ND’s is grossly underestimated for the most part. If you hear lots of complaining when things change at work (or in your everyday lives), take it with a pinch of salt, and if you can, support the person by talking it through with them. Unfortunately, the way we process change can come across very challenging to Neurotypical people so we get shut down frequently which effectively delays the process of acceptance and prolongs the “complaining” aspect, so the more support we get in processing it out loud, the quicker we can get on board.


Asking too many questions (5 minute read)


I can tell when someone is getting frustrated with my barrage of questions. I often have to say, “I am not challenging you, I just don’t understand”.

Sometimes our questions are heard with a harsh narrative (not our own narrative), sometimes our questions are unwelcome or seen as us undermining.

Either way, as an autistic person, I need to understand my situation fully so that I can adapt to it, otherwise I don’t know how to behave. We don’t understand things the same way others do, we make less assumptions and take things literally a lot of the time, so the way things are explained to us sometimes, just doesn’t cut it.


As an ADHDer, I also need to know what’s in store for me with any new task or scenario because otherwise I can’t start the task. This is related to task paralysis*, executive dysfunction* and task avoidance*.


Most people in general tend to hesitate when asking questions in a classroom setting, just in case they are viewed as stupid (something an ND person has likely heard and felt a thousand times already), but sometimes these questions are what we need to ask in order to just, be. Being embarrassed or feeling silly is something I had to overcome, I would rather be embarrassed by asking a “silly” question than not be able to do my job or potentially make a mistake. Taking risks isn’t something I am at all comfortable with.


The challenge we get when we ask questions, is that we are so unbelievably often, misunderstood. If I had a £1 for every time I asked a question or made a statement, and the person I was speaking to heard something completely different, I’d be retired.

Example: if I say, “why did you do it that way?”, I don’t think the way it was done is wrong or inefficient or that I know more than the person I am speaking to. I am literally asking for clarity. ND’s often struggle to read between the lines, and we rarely have any narrative between the lines of what we say, so assuming, isn’t normally in our nature. We spend double the time thinking about how to word something to not cause offence and spend even more time explaining and repeating ourselves once we have been misunderstood. This is probably one of the most relatable and frustrating social interactions autistic people come up against.


Similarly frustrating, is how we are perceived when we are challenged. So, let’s say I understand fact a. You believe it to be fact B. You are totally sure of yourself and tell me I am not correct.


I will need to clarify what you mean, how you worked it out, and what evidence you have to back it up. This almost always comes across as though I am getting upset because I may not be right. It only comes across that way because asking questions is taken badly in general. I am not angry, and my tone is normal, but because I am not accepting your answer yet, I am perceived as “needing to be right”.

I heard this explained recently in the absolute best way:” I don’t need to be right; I need to be correct!” I want this on a t-shirt. If you disagree with me and you are correct, so long as I can understand your point of view, I am happy. I don’t care if you are right or I am right, I care that I have the correct information. But you will need to come with serious evidence if you are telling me I am wrong about one of my special interests.


So, if you are confused by why someone is asking questions that seem irrelevant, or they are asking what seems like too many questions, try not to assume this is a challenge and be patient. An excessive number of questions can mean someone is concerned or anxious, so even trying to clarify what they are not understanding, can be a quicker way to support them. You could ask what it is that they are not connecting with or talk you through their current understanding (kindly of course) as this will help you support them in future too.


Not paying attention (8 minute read)


I remember an instance when I was about 7 years old where my teacher was firing questions around the classroom. Back then I was shy, quiet, and not one to get involved in a discussion (the opposite of me nowadays). So, I did my usual head down doodling routine while listening to what was going on around me. I wasn’t diagnosed with ADHD or ASD back then, so my behaviour came across as though I wasn’t listening. The teacher called me out and repeated her question which I answered without hesitation. She was so shocked, she thought she had a gifted kid and turned into Miss Honey for a minute. She asked me about whether I like numbers, maths and started firing more maths questions. She soon realised that, while I was good at maths, I wasn’t the genius she was hoping for, I just looked like I wasn’t paying attention. I noticed this and masked it. Meaning that I absolutely did not achieve my potential at school, I was focused on looking focused instead of absorbing information.


This is common in NDs. We doodle, write notes, play games on our phones, fidget, stim etc. to help us regulate and focus. Physical movement helps to dispel some of energy we might have, otherwise our brains are unconsciously concentrating on the impulse to use that energy rather than focus on the important content (remember our brains don’t discriminate, we focus on everything around us).


Having subtitles on a video or the TV, gives me something to read while I listen, meaning my energy is not trying to escape elsewhere and I am able to pay attention. Otherwise, I need to fidget or play a game on my phone (killer sudoku is something I have played for years whilst watching TV, so it’s like autopilot now).


  In meetings at work, if I can have my camera off, I will play games so I can absorb the content of the meeting, I haven’t done this publicly yet though as experience tells me that this isn’t deemed very professional. In person, I will doodle if I can, rock on my chair or play with various fidget toys.


Without the distraction of stimming or fidgeting, focus just isn’t achievable for many ND’s, especially those with ADHD. Doing the things that allow us to regulate and focus, often comes off rude, and we have all experienced being shamed or chastised for it at some point, so we try to mask it and end up being disadvantaged. Not getting to absorb as much of the information as others (ironic considering we actually absorb too much) or having to spend double the time and effort re-learning whatever the subject was, its exhausting. We also have the disadvantage of having that pent up energy, overwhelm and frustration building up over a period of time, which is never a good thing.


This is why many of us need silence and space when we get home from work, why our kids have huge meltdowns after school.


Lack of eye contact has a similar effect to fidgeting in professional and social settings. Lack of eye contact is “weird”, forgetting stuff is “scatty”, neither of those are nice comments to hear constantly, but scatty is less likely to get you bullied. I chose to make eye contact, forget everything, and be described as scatty rather than avoid eye contact and be isolated as a “weirdo”. This was before I understood myself.


Making eye contact is extremely uncomfortable for a lot of us. I have never had anyone comment on my lack of eye contact, but I am not afraid to say that I am exceptional at masking (not a good thing by the way), and I am not looking into your eyes. I am looking at your nose, forehead etc. If I do look you in the eyes, you wouldn’t know, because I won’t do it when you are looking into mine. Some people find it physically painful, I personally feel my “fight, flight, freeze or faun” response, jump to action if I am forced into eye contact, and I hear nothing that’s being said to me. I think many of us would love to not feel societal pressure to make eye contact, because even pretending is a lot of mental effort.


Masking, holding it in, and accepting continuous negative feedback over years and years, will seriously take its toll on your mental health and self-worth. In an ideal world, we would not have to carry this mental load for the comfort of those around us or, to avoid further shame. But unfortunately, for the vast majority of us, we do, and will continue to, because society is not made for us.


So, if you have someone in your meeting who is not making eye contact, seems to be playing with a toy or rocking their chair, don’t assume they aren’t paying attention or they’re being disrespectful. Just know that it is possible for someone with ADHD to hear what you are saying whilst listening to music, playing a game on their phone, stimming, and be thinking about their grocery list all at once (and probably more to be honest). You don’t want us to look like we are paying attention (unless you are genuinely speaking about one of our special interests), you want us to look busy if you want productivity rather than performative professionalism. ADHD is a dopamine deficiency. An NT has enough dopamine to get through the mundane and the non-thrilling, we don’t, so we have to get our dopamine hits from other stimuli, hence the fidgeting and stimming.


Try not to assume anything about a neurodivergent persons behaviour (we really don’t like it because its nearly always wrong). Most of us are happy to answer questions and we are the type of people who will ask “why are you doing that?” and want a genuine answer, so its probably ok for you to ask a ND person questions like that without offending them. Try to understand that if we can do the things we need to do in order to be present, our performance will DRAMATICALLY improve.


Side note: useful tip if you have a kid that does meltdown after masking all day, put some silly music on and dance like idiots for 10 mins together or something similar that releases energy and anxiety and hopefully gets a belly laugh or two. This also works for transitioning from one place to another (shared custody etc). My 3 year old and me have a setlist now, we start with Cherry Bomb by the Runaways, followed by anything by System Of A Down and then a calm down dance to Tiny Dancer by Elton John. But anything silly works, you don’t have to dance.



Thank you to Esme G for sharing this insightful piece.

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by Esme G, AXA Health


15–20-minute read

 

This is a big question, and anyone who is diagnosed later in life will have been asked this numerous times. Many of us who are diagnosed late, struggle to answer this question as we are likely asking it ourselves too.


There are a few ways to answer, and everyone’s experience is different so I will explain as best I can from my own experience:

 

I was diagnosed with ADHD* at 32 after a sibling who already had their diagnosis, pointed out that I should consider getting a referral due to how much I could relate to her own experience. She was more obvious in her symptoms, and I had/have excellent masking* skills. But before her suggestion, I never even considered it. After my ADHD assessment, I had an occupational health assessment with Lexxic who spotted some traits and referred me for an Autism* and Dyspraxia (DCD)* assessment. I was diagnosed with both at 33. Again, I had never considered any of these things (although, I can’t believe I didn’t know I was dyspraxic, considering I struggle with my laces, cannot ride a bike and am pretty well known for being clumsy).

 

Before this, I was your classic “work hard, play hard” character who never stopped to breath. Not having a list of things to do the size of my arm was unheard of for me and if I didn’t feel rushed off my feet, I felt uncomfortable. I was a top performer in school and at work, climbing the career ladder quicker than most of my colleagues, and I was the go-to person for help and advice from colleagues, friends and families. If there was an event, I planned it/helped plan it, if there was a problem, I would solve it. You get my drift, I was a machine.

 

Effectively, what I was doing was not allowing my brain to slow down enough to even gauge my surroundings properly and I was pushing past any discomfort or sensory issues I had. After I had my daughter and was no longer able to keep up with the fast-pace I had set for myself, my mask wasn’t as powerful, and symptoms of ADHD (and autism) became clearer.

 

I didn’t know what my limitations were, I pushed through them and subconsciously ignored them. A good example of this is my aversion to strobe lights. My mother had epilepsy when she was young, so I assumed the unreasonable feeling of pure rage that I felt whenever I saw flickering or strobing, was down to that. Maybe I felt angry that my surroundings were unsafe for someone like my mum? Turns out I have light sensitivity issues as part of my autism, so this was one of my unidentified sensory processing difficulties*. People with ADHD tend to have emotional regulation* issues, so my overreaction makes more sense to me now. It was not a “normal” response to lights; it was my limitation on regulating my emotions.

 

The reason my sensory issues were not clear to me was because I had undiagnosed ADHD. If you have ADHD then you may be able to relate to the ability to basically go into your own world in hyperfocus*, therefore, having no sense of physical needs, time, or the environment around you. In hyperfocus, I can go all day without eating, drinking, or going to the toilet (especially if you have interoception* issues). I won’t hear anyone speaking with me and I won’t notice that I am either overheating or freezing cold and I won’t see/hear important notifications for entire days at a time.


Before I burnt myself out, I was on constant hyperfocus or overworking due to how much responsibility I piled on my own plate. So, of course, I didn’t notice my sensory issues most of the time. Now, I am much more aware and know that I do actually have extensive sensory issues (a lot of which are pretty obvious to me now).

 

Another explanation is quite specific to AuDHD*, and its partially theoretical as there are very limited studies around this, but there is supporting information out there if you want to check it out.


It is suggested that someone with both ADHD and Autism may appear less autistic due to ADHD symptoms masking their autistic traits. Once someone has started to manage/treat their ADHD, Autistic traits emerge. I can say I agree with this theory and notice it in myself.

It makes sense and I think its transferable for many conditions (mental/physical) that the less hyperactive, impulsive, and distracted your mind is, the more you will start to be yourself, and if your true self is autistic, then that’s what you and others will start to see. This transition can cause major skill regression.

  

Skill regression is something that is mainly only described in young children and there isn’t a huge amount of information about it with late diagnosed individuals (shocker!), but effectively, the behaviours you start to remove (masking, tolerating sensory issues, people pleasing etc), can often overlap the skills that you are also losing as shown in my example below. Another potential cause of skill regression is; once someone is diagnosed, they are likely to start listening to their body and mind more. No longer ignoring impulses, sensory issues, or overwhelm. Now that person is going to notice the input of information into their brain is much bigger, so the focus on the skill is diminished.

 

We are also in a different state to what we were before (mentally and physically). The context of the situation is different in the sense that last time we did said skill, we were overwhelmed, overstimulated*, unaware of our triggers*, and/or masking. Now the context is different so we can actually forget the details/skill, and many of us have to literally re-learn it.

Skill regression is a bigger issue for those who are experiencing an autistic burnout* and if someone is diagnosed later in life, they are almost guaranteed to be in burnout for a lengthy amount of time (several years for some people).


It’s not as simple as forgetting, and many people take their ability to remember skills for granted. I know when I was learning to drive for the second time, everyone I spoke with said “it’s like riding a bike, you can’t forget it”. Well, you can! I had to explain to my instructor that even though I had been a confident learner in my teens and gotten to test stage, I had forgotten literally everything (classically, he didn’t believe me and was surprised when I asked him to explain how to start the car and what each of the peddles were for). It took me a very long time to get anywhere close to the skill level I had previously gotten to. I was not being reminded; I was literally re-learning something I was pretty good at before.

 

Another explanation is our motivations. People pleasing* is really common in Neurodivergent* (ND) individuals as it’s a way for us to control a situation as well as “make-up for” the way we view ourselves. So, before diagnosis, someone might be a good cook, they considered themselves skilled, as did other people. They loved to please the people around them by cooking great meals.


Post diagnosis they may find their cooking results are inconsistent and they make mistakes they didn’t used to make. This is confusing to everyone including the ND individual as it’s not something that gets explained to us in advance, especially for adults and women as there is little support or information relevant to us, still!


Ultimately, the theory is that the motivator has changed (the motivator is especially important for those of us with ADHD or PDA* when it comes to completing a task) so if you are no longer in a people pleasing place (this is often a trauma response rather than a personality trait), then your ability to do that thing you only did for others, will dramatically diminish, destroying your focus.

 

It’s important to know that skill regression is quite distressing for us and can be really upsetting to feel like you have lost a skill. So, bare this in mind if you are noticing it in someone before you comment on it as we likely have already mentally beaten ourselves up over it.

 

Finally, and in my opinion most importantly, consequences are a huge factor. We don’t want to have meltdowns* or burnouts or any other adverse reactions to over stimulation or overwhelm by doing the things we did before that caused us distress. I am sure you can agree that this is pretty reasonable, especially if you have ever experienced a meltdown as they are most definitely not fun.

 

If any of this has resonated or piqued your interest and you would like to join our individual membership and chat with others please visit at Supporting Neurodivergent Individuals in Insurance, Investment & Financial Services (gaintogether.org)

 

Thank you to Esme G for sharing this insightful piece for Neurodiversity Celebration Week

 

If you notice any accessibility issues with this post, please feedback to the AXA Able team so we can continue to improve where we can!

 

Glossary:

  • ADHD – Attention Deficit Hyperactivity Disorder

  • AuDHD – ADHD and Autism

  • Masking – Hiding your authentic self in effort to gain social acceptance. This can be hiding symptoms of a mental health condition or hiding neurodiverse traits. Masking aims to achieve “fitting in” rather than belonging.

  • Autism or Autism Spectrum Disorder (ASD) - refers to a broad range of conditions, genetics  and behaviours affecting how people communicate and interact with the world. The spectrum is extremely diverse making it very hard to define.

  • DCD – Developmental Coordination Disorder – Fancy word for Dyspraxia

  • Sensory processing – The different ways your body and brain collects external and internal information. Vestibular (balance and spatial orientation), sight, smell, sound, taste, touch, proprioception (physical pressure gauge), interoception. The brain takes this information and tries to make sense of it/respond to it.

  • Meltdowns – normally result of overstimulation, overwhelm, sensory overload, emotional distress etc. Individual to each person but involves loss of control in behaviour and emotional regulation. Sometimes this can present as a shutdown where the person cannot communicate or move, they may cry uncontrollably, or it can be more explosive with screaming, shouting, breaking and throwing things. There is little to nothing that can be done to stop a meltdown (in fact trying can prolong it) so prevention is the best method of control here. Meltdowns normally result in a mild burnout and intense feelings of shame afterwards.

  • PDA – Pathological Demand Avoidance – a profile on the Autism spectrum - avoidance of everyday demands and the use of ‘social’ strategies as part of this avoidance. Demands can cause the brain to mimic a reaction to being attacked and spark the fight, flight, freeze, faun response.

  • Neurodivergent - differing in mental or neurological function from what is considered typical or normal. Some examples are, Autism, ADHD, Dyslexia, Dyspraxia, Dyscalculia, Tourette’s, BPD (Borderline Personality Disorder).

  • People pleasing – adapting your interests and skills in order to please and be accepted by those around you. This can be a faun trauma response in the sense that someone may adapt themselves in order to avoid further distress.

  • Autistic burnout – intense physical, emotional, exhaustion often accompanied with skill regression. Caused usually by masking and/or overstimulation and can be so severe it lasts years. Presents similarly to and can cause depression.

  • Triggers – stimuli that effects someone’s mood, wellbeing or ability to function. i.e flashing lights may trigger overstimulation in someone with light sensitivity issues.

  • Overstimulated – indication that a person is experiencing too much external stimulus to be able to process it. E.g someone may get overstimulated on a train due to the lights, the sounds from the train and the people, the feeling of the seat cover, the temperature, being touched often etc.

  • Hyperfocus - clinical phenomenon of “locking on” to a task making it extremely hard/impossible to focus on anything else, especially if the task is a special interest.

  • Interoception – essential element of our sensory system. Some with ND conditions have interoception issues making it hard to identify physical and mental triggers like feeling hunger, thirst, pain, fatigue, and the need to use the toilet. They may also find it hard to identify what emotion they are feeling.

  • Emotional Regulation – The ability to self-regulate your own emotions. This includes being able to recognise when you are feeling overwhelmed or out of control and taking steps to bring yourself back to a more manageable state.

 

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GAIN members Phoenix Group are one of the first companies in the industry to provide their employees with BUPA's Neurodiversity Benefit as part of a suite of employee benefits designed to improve employee wellbeing and help attract and retain top talent in a competitive industry.


We spoke to Bryony Owtram, Phoenix’s Benefits, Pension and Wellbeing Manager, who shared with GAIN details of what this new benefit will provide their employees.

 

Though this latest addition to the Private Healthcare policy Phoenix colleagues (plus partners/children covered under the policy) will be able to seek referral for assessment and diagnosis for ADHD, ASD, Dyslexia, Dysgraphia and Dyscalculia:

 

  • Available to individuals aged 6+

  • For 6-15,  Bupa accept SENCo referral and consultant referral

  • For 16+, Bupa accept referrals from GPs and other healthcare professions

  • The benefit will be funded from the outpatient mental health allowance

  • They pay for one assessment or combination of assessments per lifetime


Every GAIN corporate member company is at a different stage of their neurodiversity journey, but all are committed to finding ways to create a more neuroinclusive work environment for their current and future employees. Including specific employee benefits that provide support to neurodivergent individuals is one excellent way to help lower barriers to career opportunities for our community.


You can learn more about Phoenix Group at their website.

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