The Context Shift
Dr Ketan BhattFrom diagnosis to action: because your ADHD isn't a variation of someone else's. Written by someone with twenty years of clinical practice — and their own late diagnosis.
| Platform |  | Pricing | Only free issues | Publishes | Weekly |
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| Issues | 43 | Founded | a year ago | Last Issue | 7 days ago |
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I had the whole conversation planned. It didn’t get past the first line.
Thomas had written the script out the night before. DEAR MAN, the way his DBT group had taught it: Describe the situation, Express how you feel, Assert what you need, Reinforce why it matters, staying Mindful, Appearing confident, Negotiati...
I counted to ten. It was already too late.
Priya had done everything the last clinician told her to do. When she felt the heat climbing, she was going to count to ten. She was going to take the slow breath. She was going to step back before she said the thing she would regret.
She...
The ADHD got better. I thought the rest was just me.
Ralph came back to clinic about six weeks into treatment and told me the medication was working. He could read a report to the end. He had cleared a backlog that had followed him from job to job for the best part of a decade. Meetings held...
The window was already shut
Mark came to our second appointment with a notebook.
He had been doing a mindfulness practice for six months, daily without exception. He could describe what the window of tolerance was; he had been to a psychoeducation group, read around...
The Cost of Composure
Daniel came to see me three weeks after what he described as a manageable fortnight. The meetings had gone smoothly enough. He had kept it together through two difficult conversations at work. He had replied to emails, met his deadlines, ma...
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Authors
The writers behind this newsletter.
Dr Ketan Bhatt. Twenty years of diagnosing ADHD. Then I got the diagnosis myself. Clinical knowledge and lived experience are different things. From understanding your ADHD to working with it. Your version isn’t a variation of anyone else’s.
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