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      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
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    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
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      • Job Accommodation Network on Executive Functioning Deficits
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      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
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  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
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  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
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  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System



















                 








​                  NEURODiversity          Wednesday

The ISOLATION of "SENSING," "PERCEIVING," "KNOWING" MORE* than Most of the People Around You

5/22/2023

 
And having Intense Emotions and Executive Functioning Challenges

*MORE --- Not Everything

Conjecture

The approach to the right is a very different approach than --- "Let me help you to change or get better coping mechanisms" ----
  • for an ENVIRONMENT that may be BLISSFULLY IGNORANT that it is DESTROYING YOU.

On the other hand, we're often ignorant of how our Intense Emotions and Executive Functioning Challenges affect OTHERS ---
  • even as we're very aware of how the CHALLENGES OF OTHERS AFFECT US.

Ultimately, this isn't about Neuro-Typical vs. Neuro-Diverse ---
  • As the psychologist recognizes in the video above --- Most people are OUTLIERS in some respect.

Further, the Standards of Danger to Self, Others or Gravely Disabled are probably pretty good  ----
  • our ability to keep people out of those danger zones has not been that great.
  • more UNDERSTANDING regarding managing INTENSE EMOTIONS and EXECUTIVE FUNCTIONING could HELP.

[As an Aside: 

On a Macro Level it's not letting people with PARKINSON'S engage in INTERNATIONAL ACTS OF AGGRESSION.]

The Counselling Channel (UK)
What is Neurodiversity?

Paraphrasing at 11:48 : 

The Temptation of the Therapist if THEY WEREN'T ALIVE TO THIS could be to say there is nothing wrong with you.

Obviously, there is a problem with saying there is something wrong with someone and I'm not saying there is something wrong --


What I'm saying is you have significant differences from other people that can make life more difficult than it is for most people.


WHAT ARE WE GOING TO DO ABOUT IT?

Public Health, Time & Executive Functioning

5/9/2023

 
Conjecture

Challenges in TIME MANAGEMENT and other Executive Functioning Issues for People with an IQ over 70 are often not perceived as "REASONABLE."

Further, those TIME MANAGMENT ISSUES are often related to GREATER NOT LESS SENSORY and EMOTIONAL PROCESSING.


There are absolutely GIFTS that come with these Differences --- but some of it can be quite difficult to manage and we need better STRATEGIES & TREATMENTS.

Additionally, a lot of the HELPERS have their own LIMITS --- and our DYSFUNCTIONAL SYSTEMS have a habit of exposing those LIMITS.

Picture
I'm highlighting this British Medical Journal Cover for its Observation that we need a NEW DEAL on Disease Definition.

Our current categories are breaking down and nowhere is that more evident than in the outdated DSM 5.

We are needing to integrate Physical, Neuro-Developmental & Mental Health --- just so we can understand what is going on.

Picture
'I can't cope with multiple inputs': a qualitative study of the lived experience of 'brain fog' after COVID-19 (2022)
Affiliations
  • 1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
  • 2 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
  • 3 Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Picture
Associations between executive function impairment and biochemical abnormalities in depressed adolescents with non-suicidal self-injury. (2022)
Affiliations
  • 1 Department of Psychiatry, First Affiliated Hospital of Jinan University, Guangzhou 510630, China.
  • 2 Department of Psychiatry, First Affiliated Hospital of Jinan University, Guangzhou 510630, China; The Department of Child and Adolescent Psychology Xiamen Xianyue hospital, Fujian 361012, China.
  • 3 Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou 510630, China.
  • 4 School of Management, Jinan University, Guangzhou 510316, China.
  • 5 Department of Psychiatry, First Affiliated Hospital of Jinan University, Guangzhou 510630, China. Electronic address: [email protected].
  • 6 Department of Psychiatry, First Affiliated Hospital of Jinan University, Guangzhou 510630, China.
Conclusions:   Depressed adolescents with NSSI may have executive dysfunction and NAA and Cho metabolism abnormalities in the thalamus. And the NAA/Cr ratios of the right LN could distinguish NSSI from depressed adolescents. Further, the executive dysfunction may be associated with the abnormal NAA metabolism in the left thalamus and ACC.
Picture
Executive Functions, Time Organization and Quality of Life among Adults with Learning Disabilities

Affiliation
  • The Laboratory of Complex Human Activity and Participation, Department of Occupational Therapy, Haifa University, Haifa, Israel.
Conclusions:   Deficits in initiation and emotional executive functions as well as organization in time abilities and emotional responses to impairments in organizing time affect the QoL of adults with LD and thus should be considered in further research as well as in clinical applications.
20/20
Carly Fleischmann

Most people are NOT experiencing exactly what Carly Fleischmann is --- BUT many of us are getting various levels of sensory and emotional input that are difficult to manage.

Understood
ADHD & Dyslexia --- Working Smarter Not Harder

Click to set custom HTML

ADHD, Conduct Disorder and Anti-Social Personality Disorder  ---- What Might Be Going On?

5/7/2023

 
Picture
Does ADHD Cause Antisocial Personality Disorder?
Can You Have ADHD and ASPD?

Studies suggest that as many as 90% of adults with ADHD have other mental health disorders.

ASPD [Anti-Social Personality Disorder] is one of the most common mental disorders that happens with ADHD.

One study showed that men with ADHD were more likely to have antisocial personality disorder than women with ADHD.

Other common mental conditions you can have with ADHD are:

  • Anxiety disorders
  • Mood disorders
  • Substance use disorders
  • Behavior disorders
  • Learning disabilities
  • Language disorders
[These Disorders are BLURRED --- Colorado Researchers are finding that as well as researchers around the world.  See Shared Genes & Psychiatric Disorders.]
Academic Proposal that Anti-Social Personality Disorder is a Neuro-Developmental Disorder
I think in many cases the BOTTOM LINE is that some Neuro-Diverse person has limits that are NOT FALLING WITHIN Neuro-Typical Ranges ---
  • and we've decided that is NOT REASONABLE ---
  • and we won't take "NO" for an answer.

AND  we're often making a DIFFICULT SITUATION --- MUCH WORSE.

For many Neuro-Diverse people --- we may have been on BOTH SIDES OF THIS --- and be painfully aware both of how we wished we were treated and how we wished we would have treated others.

Conjecture

The "BLINDERS" of US vs. Them Thinking.
  • The time it takes to bring things into "CONSCIOUS AWARENESS" to reach a "CRITICAL MASS"

"HIERARCHY" has really "MANAGED" a lot of disordered human behavior ---
  • That is becoming less and less true.

One way of looking at this is to say ---
  • We need more fair systems --- we need to PUNISH MORE PEOPLE.

I am definitely not saying anyone, including the Society at large, should IGNORE --- human behavior that is:
  • a danger to others
  • a danger to self or
  • gravely disabled

BUT we really have to UNDERSTAND that BEHAVIOR on a much DEEPER and CELLULAR LEVEL than we have.

If all you have is "Conduct Disorder" or "Anti-Social Personality Disorder" ---
  • Maybe you do go with that --
  • BUT at some point it's becoming painfully obvious MORE IS GOING ON

Many of the people we're most concerned about --- are very open to "TREATMENT":
  • We just need to know more about what we're doing ---
  • And ethically address those situations -- where we don't have the best answers.
    • Further, if we don't have great treatments don't expect people to want sucky treatments.

To me this is very much about MATERNAL IMMUNE ACTIVATION and HYPER-CONNECTED BRAINS:
  • that often have SOME STRENGTHS, but
  • come with weaknesses in TRADITIONAL EXECUTIVE FUNCTIONING.

When we think about "NEURO-PLASTICITY" --- we often think of it as something that somehow hasn't already been going on.
  • I think that is a CRITICAL MISTAKE.

Not that NEURO-PLASTICITY can't maybe help in some cases ---
  • BUT for many people with NEURO-DEVELOPMENTAL DIFFERENCES --- it's more about DISCOVERING what NEURO-PLASTICITY has already done.
    • AND Work within those Limits.

It's fine to try and extend those LIMITS ---
  • But at least some people are already MAXXED OUT using TRADITIONAL MEANS.
  • If we're going to EXTEND THOSE LIMITS IN EXECUTIVE FUNCTIONING:
    • We're going to need PRECISION MEDICINE, and
    • In the meantime, we need a lot more PUBLIC EDUCATION about ACCOMMODATIONS & WORK AROUNDS for EXECUTIVE FUNCTIONING CHALLENGES

Neuro-Diversity --- Super powers, Disability, both or a matter of perspective

5/5/2023

 
Picture
“ADHD Superpowers:”

Toxic Positivity vs. Celebration of Strengths
(2023)


When we refer to ADHD superpowers, are we dismantling ADHD myths or perpetuating toxic positivity? Could it be both? . . . ADDitude readers reflect on their ADHD traits and how they view them.
Autism from the Inside
Am I Disabled?

The Counselling Channel (UK)
What is Neurodiversity?

    Neuro-Diversity
    Wednesday

    (with variable spellings of Neurodiversity)


    NEURODIVERSITY  is BLURRED. 

    What people are keying off of is:  EXECUTIVE FUNCTIONING DIFFERENCES or DEFICITS --- and saying "Hey, that's me."

    BUT they are also saying:  "Hey, I've got some BIG TIME STRENGTHS and I need those recognized too." 

    ​
     

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System