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The Context Shift

Dr Ketan Bhatt

From 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.

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Substack
PricingOnly free issuesPublishesWeekly
Issues36Foundeda year agoLast Issue7 days ago
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Latest Issues

The Gap Between Recognising a Pattern and Interrupting One

Andrew came back to clinic six weeks after his initial assessment. He’d been reading the newsletter. He knew, he said, that he was a Ruminator: the argument that ends at 10pm but continues internally until 3am, the emotional backlog that do...

7 days ago
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The Anticipator

Claire didn’t come to her appointment with a story about what had happened. She came with a story about what hadn’t.

“We were supposed to go to his parents for dinner on Saturday,” she said. “Nothing had gone wrong. He hadn’t said anything...

9 days ago
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3

The ADHD argument your partner thinks ended at 10pm

It is 2:47am and Jessica is not asleep.

The argument ended hours ago. She and her partner talked it through in the kitchen, agreed on something, said goodnight. He is asleep. She can hear him. She is lying in the dark running the conversat...

16 days ago
16
4

The shutdown your partner calls stonewalling

Jamie didn’t come in to talk about emotional dysregulation. That wasn’t the presenting problem.

The presenting problem was the word “stonewalling.”

Their partner had been reading a relationship book — one of the Gottman ones, the kind you...

23 days ago
38
10

The Reactor


Adam came to his six-month follow-up looking, by most external measures, like someone who had found his footing. The medication was working. His focus had improved. His productivity at work was better than it had been in years.

He s...

a month ago
28
10

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  • Dr Ketan Bhatt

    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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