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Comment by karpierz

1 day ago

Here's an analogy that might make it clearer:

Alice is in a wheelchair.

Bob has a broken leg.

Charlie is unfit, but otherwise a healthy adult.

Alice, Bob, and Charlie would all say "I find getting up the hills of San Francisco difficult". But "doesn't everyone find that hard" conflates the causes and severity of the difficulty for the three of them in a way that isn't useful for making their complaints feel heard, or addressing the complaints such that they don't have that issue.

For example:

Alice could get an electric wheelchair.

Bob could take public transit / Ubers up, or get rides from their friends.

Charlie could take up running with friends.

Right. But then when someone says "I see the symptom of broken legs everywhere now. When the blog author said they had trouble getting up the hills of San Francisco, I just knew they must have an undiagnosed broken leg", it's fair to be more than a little skeptical.

  • It seems silly because a broken leg is obvious and easy to diagnose. So the idea that someone has an undiagnosed broken leg is absurd.

    A lot of illnesses are not as easy to spot. Even illnesses that have clear diagnostic factors might be undiagnosed if no one has done the right tests. For instance, gallbladder disease. Easy to test and diagnose, but only if someone has gone to the doctor and the doctor has done the right tests. If you've experienced gallbladder disease, you know the symptoms. So you might start noticing them in other people who just think its indigestion or a pulled muscle or whatever.

That analogy ignores what was actually confusing about this topic. A better analogy would be:

Alice has a medical problem related to hill walking so she walks up the hill wearing sneakers, Bob also had a medical problem related to hill walking so he uses a handkerchief to wipe off his sweat while walking up the hill, and Charlie, the out of shape adult, also uses sneakers and a handkerchief but not in a medical way even though his feet hurt without sneakers and he does sweat.

ADHD-I has a range of symptoms where the person needs 5 or more that are significantly disruptive to their life for at least 6 months.

So when someone reads the first paragraph and immediately thinks the author has to be ADHD because they talk about 1 of these symptoms that in isolation the majority of the world has, I ask "but aren't we all like this?"