Understanding Neurodiversity: A Shift in Awareness Post-Pandemic

 In recent years, the awareness and discussions around neurodiversity have surged, with many wondering if it’s becoming an overused buzzword. But behind the headlines and social media conversations lies a critical shift in how we understand human brains and the diversity of cognitive functioning. Neurodiversity isn’t just a trendy topic – it’s a deeply ingrained part of the human experience that has been misunderstood for centuries. And, as this podcast conversation reveals, the pandemic era helped bring these differences to the forefront of people’s awareness, with many realizing how their brains truly operate outside the traditional hustle and bustle of everyday life.

The Pandemic's Role in Unveiling Neurodiverse Traits

 Pre-pandemic, many of us were immersed in lives full of constant external stimulation: the daily commute, the office chatter, the impromptu social interactions, and the fast-paced activities that filled our days. While this level of stimulation was overwhelming for some, others relied on it to maintain a sense of balance. However, the lockdowns and isolation of the pandemic made many realize that their challenges weren’t necessarily linked to their busy schedules, but rather their internal wiring.

For example, the abrupt shift to a quieter, more predictable life at home allowed many individuals to confront their struggles head-on. Without the usual distractions, it became clear that their difficulties stemmed not from their fast-paced lives, but from their brains processing information and emotions differently. For others, the newfound calm was a relief. Free from constant interactions and the unpredictability of social situations, they found comfort in the predictability of working from home. It was a revelation for many: perhaps what they were dealing with wasn’t a product of modern life’s demands, but rather a manifestation of neurodiversity.

Neurodiversity Has Always Been Here – We Just Called It Something Else

One of the most profound realizations is that neurodiversity isn’t a new phenomenon. It’s always been here, but we’ve labeled it differently throughout history. Social anxiety, emotional sensitivity, introversion, and even certain mental health diagnoses may have been linked to neurodivergent traits all along. As awareness grows, many are rethinking how conditions like depression, anxiety, and even bipolar disorder might intersect with neurodivergent conditions like ADHD and autism.

For example, ADHD’s emotional aspect is often overlooked in clinical diagnoses, even though it significantly impacts many individuals. One prominent feature of ADHD, known as rejection-sensitive dysphoria (RSD), showcases how deeply emotions can affect neurodivergent people. RSD can manifest as intense emotional reactions to perceived rejection or criticism, often showing up as physical pain in the brain. While this isn’t something a doctor will diagnose, it resonates with many individuals, offering a new lens to understand their emotional struggles.

RSD and ADHD: Unpacking Emotional Responses

Rejection-sensitive dysphoria, or RSD, is a term that’s gained traction in conversations about ADHD, though it’s not an official diagnosis. Studies have shown that individuals with ADHD experience 10 times more brain activity, particularly in the pain receptors, when exposed to rejection or criticism. This intense reaction can feel like a visceral, physical pain – what many describe as a “hurting heart” or a stomach ache. While no one enjoys rejection or failure, the ADHD brain feels it far more deeply, often leading to emotional overwhelm and a sense of paralysis.

For people experiencing this, the emotional rollercoaster can be exhausting. They might appear to be managing well, only to be triggered by a small event that sends them into a deep emotional spiral. And because these emotional reactions can look similar to conditions like bipolar disorder, it’s easy for ADHD symptoms to be misdiagnosed or misunderstood.

A New Language for Understanding Neurodiversity

As we continue to unpack the features of neurodiversity, it becomes clear that we’re developing a new language to describe experiences that have been with us for centuries. From rejection sensitivity to emotional dysregulation, these terms are helping people put words to the struggles they face daily. And for those navigating neurodiverse relationships – whether with a partner, child, or colleague – understanding these features can make all the difference in building empathy and providing support.

Midlife women, in particular, are a growing demographic of individuals being diagnosed with ADHD and other neurodivergent conditions. Hormonal changes during perimenopause and menopause can exacerbate symptoms that may have been present but unnoticed earlier in life. These women often look back and realize that certain traits – forgetfulness, emotional swings, difficulty concentrating – may have always been part of their neurodivergent profile, but were dismissed or minimized.

Hormonal Changes and Neurodiversity: The Estrogen Link

One fascinating aspect of ADHD and other neurodiverse conditions is their connection to hormonal fluctuations. For women, estrogen plays a critical role in neurotransmitter function, especially for those with ADHD. Estrogen acts as a secondary neurotransmitter, aiding dopamine in reaching its target destinations in the brain. When estrogen levels fluctuate – as they do during menstruation, after childbirth, and during menopause – ADHD symptoms can worsen.

For example, many women report increased ADHD symptoms during the luteal phase of their menstrual cycle, when estrogen drops significantly. Similarly, women may struggle with executive function and emotional regulation postpartum or during perimenopause, as estrogen continues to decline. This can manifest as heightened emotional sensitivity, forgetfulness, and difficulty focusing – all hallmarks of ADHD.

Next Steps: Seeking Diagnosis and Support

For those listening and feeling a sense of recognition, it’s important to know that you’re not alone. The path to diagnosis and support can be long, particularly as awareness grows and waiting lists for evaluations increase. However, understanding your neurodivergent traits – whether through self-awareness, community support, or seeking a formal diagnosis – can be a game-changer.

If you suspect you might be neurodivergent, there are several ways to move forward. Start with screening tools available online to get a sense of whether you meet the criteria for ADHD or other conditions. Then, if you choose to pursue a formal diagnosis, approach your GP for a referral. Keep in mind that waiting lists for NHS assessments can be lengthy, sometimes up to four years, depending on your location. For faster results, you can explore private diagnostic options, though these come with additional costs for assessments, medication, and ongoing care.

The Importance of Community and Understanding

One key takeaway from this conversation is the importance of community support and practical understanding. Many people may feel hesitant to seek a diagnosis after years of managing on their own, but that doesn’t mean they haven’t been struggling. Living with undiagnosed neurodivergence can take a toll on mental and physical health, and recognizing these traits is the first step towards finding healthier ways to cope.

In the meantime, building awareness and understanding within your community – whether it’s your family, workplace, or social circle – can make a significant difference. Creating spaces where neurodiverse individuals feel supported and seen is crucial as we continue to evolve our understanding of what it means to think, feel, and process the world differently.

Conclusion: Neurodiversity Is Not a Trend, It’s a Reality

As we grow in awareness, it's clear that neurodiversity isn't a passing trend. It’s a vital part of the human experience that we’re only beginning to fully comprehend. The surge in diagnoses and conversations around ADHD, autism, and other conditions post-pandemic isn’t just a fad – it’s a reflection of the fact that these differences have always been with us. By learning more about neurodiversity and embracing the different ways our brains function, we can create a world where everyone feels understood and supported, no matter how they process the world around them.