November 10, 2024

Live updates: Em Rusciano to spotlight ADHD at National Press Club as our experts answer your questions

National Press Club #NationalPressClub

Got a question about ADHD, or attention deficit hyperactivity disorder? Join our expert panel as they answer your burning questions following Em Rusciano’s National Press Club address.

Follow our live blog for the latest updates. 

Just nowWed 24 Aug 2022 at 3:40am

By Jessica Riga

How did Em Rusciano find life growing up with undiagnosed ADHD?

What was it like for you in your early years of schooling and how could your teachers have helped improve the situation? – Eddy

Here’s Em Rusciano’s reply:

“It was hard, I felt misunderstood and harshly judged. It was like I spoke a different language to a lot of my teachers.

“I wish they would have told me how I was really good at hard stuff. I was only ever given the negative feedback, around how badly I did at the basic parts of school.”

1m agoWed 24 Aug 2022 at 3:39am

By Jessica Riga

How do I get a loved one on board with my ADHD diagnosis?

How do I get loved ones on board with my diagnosis? It’s much harder than I expected. Even with a formal diagnosis they still don’t believe it. – Nicole

Hi Nicole, thank you for your question. Here’s what Professor Mark Bellgrove recommends.

It can be challenging, but from my perspective providing people with the evidence and doing a bit of myth busting can help. You can print some published articles and ask them to read them. You can refer to websites and blogs. It might take a while but they will hopefully come around.

The Australian ADHD Professionals Association has just prepared an evidence-based guidelines for ADHD in Australia, which has all the facts and figures. It might be useful. You can register to receive a copy here.

4m agoWed 24 Aug 2022 at 3:36am

By Jessica Riga

What is the ‘correct’ form of assessment for ADHD here in Australia?

What is the ‘correct’ form of assessment for ADHD here in Australia.Ie, to be considered officially diagnosed by other medical professionals, what assessment needs to be done and by whom. I have found it very hard to find current information regarding this. Thanks!:) –Kayla

Hi Kayla, thanks for your question.

We’ve put it to Dr Madelyn Derrick. Here’s what she had to say:

Psychiatrists, psychologists,  paediatricians (for people under 18) and even some GPS can assess and diagnose ADHD, however only if they sufficient ADHD-specific expertise themselves.  Not all will do their assessments the same way, and it would usually take several sessions to complete.  It is fairly safe to say that an assessment should:

  • always include gathering some information from at least one other person who knows you well (e.g a parent or partner)
  • always include discussion about your experiences from as early as you  can remember up until the present day
  • never be based on questionnaire responses alone
  • Where the confusion often comes in about who can diagnose ADHD, is if you are seeking medication for ADHD.  The prescribing professional would then need to do their own assessment to confirm any pre-existing diagnoses made (but are likely to take any assessment reports or referral letters you have into consideration)

    6m agoWed 24 Aug 2022 at 3:34am

    By Jessica Riga

    What was the biggest challenge Em Rusciano faced when getting diagnosed for ADHD?

    What was the biggest challenge when getting diagnosed? – Jess

    Here’s Em Rusciano:

    “GETTING DIAGNOSED! It is literally the least ADHD friendly process imaginable.

    “It seems like every psychiatrist is booked out until the year 3000, and you have to hope that first your doctor and then the person who is testing you actually believe in Adult ADHD — yes, believe it or not some don’t…”

    7m agoWed 24 Aug 2022 at 3:33am

    By Jessica Riga

    What are some of the best ways I can help a neurodivergent friend?

    What are some of the best ways a neurotypical person can best support their neurodivergent friend? – Amy

    Hi Amy, thanks for writing in.

    Here’s what Professor Mark Bellgrove recommends:

    Educate yourself to understand ADHD and its symptoms and how it presents. Be careful with your language so that you don’t unwittingly use stigmatising language. Be yourself and relax around them.

    You can check out an ADHD language guide here.

    10m agoWed 24 Aug 2022 at 3:30am

    By Jessica Riga

    Why is it so expensive to get an ADHD diagnosis?

    Why is it so expensive to get a diagnosis? I had to pay over $500 for a 15 minute session with a psychologist, just to be told to wait 3 months before I can see a psychiatrist to get any treatment. I can afford it as I work full time but I fear for those more disadvantaged than me. – Oscar

    Hi Oscar, thanks for your question. Here’s what Professor Mark Bellgrove had to say.

    This is an ongoing problem. Psychiatrists and pediatricians and psychologists are all highly qualified professionals, so the fees are similar to what you might pay to see any other professional for a medical or psychological appointment. The waittimes are due to there being too few qualified professionals to keep up with demand. This is particularly true of adult psychiatry. This is something we are looking to address across the board, including upskilling GPs.

    11m agoWed 24 Aug 2022 at 3:29am

    By Jessica Riga

    What advice would Em Rusciano give to someone who has just been diagnosed with ADHD?

    What is the best piece of advice you would give to someone who has just been diagnosed with ADHD? – Lisa

    Em Rusciano says to “be really curious about it.”

    “For me if I don’t stay curious I get anxious. Research it, find others people like you online and in your life.”

    13m agoWed 24 Aug 2022 at 3:27am

    By Jessica Riga

    Right, let’s start our Q&A!

    We’ve got heaps of questions so far (thanks everyone!) so we’ll get to those now.

    You can keep submitting your questions using the big blue button above.

    And just as a reminder, here’s who is making up our expert panel:

  • Dr Madelyn Derrick, a clinical psychologist and the director of an ADHD specialty clinic in Hobart, who also lives with ADHD herself.
  • Dr Tamara May, who is a psychologist in private practice, research affiliate at Monash University, and lecturer. 
  • Dr Karuppiah Jagadheesan, who is a consultant psychiatrist in public and private psychiatric services in and around Melbourne. He is the Chair of the Royal Australian New Zealand College of Psychiatrists’ Bi-national ADHD Network Committee and a member of Australian ADHD Professionals Association (AADPA).
  • Mark Bellgrove, who is Director of Research at the Turner Institute for Brain and Mental Health, and a Professor in Cognitive Neuroscience in the School of Psychological Sciences, at Monash University. He is also the President of the Australian ADHD Professionals Association.
  • 20m agoWed 24 Aug 2022 at 3:20am

    By Jessica Riga

    Em Rusciano has performed to bigger audiences. Why was this speech so confronting?

    Em is now answering some questions from the media in the room.

    “This was terrifying, because when I am doing stand-up and on stage, people pay to be there. They have chosen me, these people haven’t!” she laughs.

    “I hope today that perhaps it has reached one or two people that maybe work with some person with autism or ADHD or anything under that umbrella of neurodivergent people and maybe it will change the perspective of them and see the strengths and make things kinder and easier.”

    23m agoWed 24 Aug 2022 at 3:17am

    By Jessica Riga

    Some thoughts from you on Em Rusciano’s speech

    Sitting here crying while watching this. Thank you. – Marcus

    Thank you so much Em for shining a light on what ADHD really looks like. It’s so important to have public voices like yours normalising it neurodivergence. – Corrine

    I’m in tears. Having someone telling this story – her story, but also my story and the story of so many women – at the National Press Club is giving me all the feels. ADHD is such a stigmatised and often dismissed condition; this sort of event validating and making public our struggles is such a gift. Thank you Em, and the rest of the team. – Elissa

    This is just a joy to watch. – Claire

    I am so lost for words. Em ThankYou .this was beautiful, messy, honest, raw and I’m so grateful. After a diagnosis for a teen girl at 16 ( you are so right about health system, support and schools). To say it’s tough is so simplistic. At 52, my diagnosis now makes so much sense but the grief for loss is so profound. Just ThankYou. – Michelle

    25m agoWed 24 Aug 2022 at 3:15am

    By Jessica Riga

    ‘I wanted to make sure you get it’

    “The reason that I eventually agreed to give the speech was that I wanted to make sure that all of you here today, and everyone watching from wherever you are, I wanted to make sure that you get it. That more people get it,” Em says.

    “I have learned systems and strategies to survive in the world as it is, but my son and other kids like him cannot yet learn the same strategies. And maybe there never will.

    “I ask you all, the next time that my son or another kid comes up to you and roars, don’t be alarmed on the ground to help. Don’t treat them like there is something wrong with them.

    “Be bigger than that, be better than that.”

    That’s it for Em Rusciano’s National Press Club speech, but she’s now going to take a couple questions from the media in the room.

    THEN we’ll get into YOUR questions for Em and our experts.

    So, what did you think of Em’s speech? Let us know!

    28m agoWed 24 Aug 2022 at 3:12am

    By Jessica Riga

    Lots of you are relating to Em’s speech in our comments

    Em, are you in my brain?

    – Lee

    Thanks for your comment, Lee!

    30m agoWed 24 Aug 2022 at 3:10am

    By Jessica Riga

    If you think it’s hard getting an ADHD diagnosis, Em Rusciano gets it

    Em Rusciano says getting diagnosed with ADHD is the least friendly ADHD process you can possibly imagine.

    “Finding a doctor that you can actually get an appointment with, I had to ring three weeks in advance to see my GP. And what if your GP doesn’t necessarily believe in ADHD for adults?

    “And then you have to try and get an appointment with a psychiatrist!”

    She says in Australia it’s “nearly impossible” to get an ADHD diagnosis.

    “I could have given a whole lot of speech about how broken our mental health system is,” she says.

    33m agoWed 24 Aug 2022 at 3:07am

    By Jessica Riga

    Key Event

    Em Rusciano on the grief of her ADHD diagnosis

    “Speaking publicly about my postnatal depression in Perth certainly set me in the right path but up until my diagnosis, I always had the general feeling of being out of place and not in control of the way I walk through life.

    She says being diagnosed with ADHD at 42 profoundly changed her core beliefs.

    “I was forced to peel back a carefully constructed layer after layer times, it revealed the terrifying fragility.”

    She also says she experienced grief.

    “I felt a deep sadness. For that precocious, curious, and chaotic 10-year-old girl who desperately wanted to get things right, the girl who tried hard all the time.”

    36m agoWed 24 Aug 2022 at 3:04am

    By Jessica Riga

    Em Rusciano discusses her experience with postnatal depression

    There’s been A LOT of laughter throughout Em Rusciano’s speech, but discussing her experience with postnatal depression is where Em has started to choke up.

    She says announcing she had postnatal depression on breakfast radio was one of the biggest turning points in her life.

    “I was met with so much love and support from our listeners. And I told the absolute truth. I was radically honest about how I was feeling. I was completely myself and the sky hadn’t fallen in,” Em says.

    “The person who been told to play a smaller version of herself on air, who have been told that she was too loud and too opinionated, the one who spent her entire life asking her true self, stop existing that day.”

    40m agoWed 24 Aug 2022 at 3:00am

    By Jessica Riga

    Key Event

    Why did so many people realise they might have ADHD during lockdown?

    Em Rusciano says she can only speak for herself, but she says she was forced to face it because her usual routine had been taken away, which exacerbated her undiagnosed ADHD symptoms.

    “I had built a house of cards of coping mechanisms that got smashed to the ground, and I took myself off to my doctor.”

    She says lockdown forced a lot of us to turn to social media as our only means of connection.

    “A lot of us started talking about our super-niche weird symptoms, exhausting things, and then when we found a whole community of other like-minded individuals, we flocked together and we made TikToks and Instagrams. Let us have that! And if some of you are so sick of seeing it, oh, imagine living with that.”

    43m agoWed 24 Aug 2022 at 2:57am

    By Jessica Riga

    In case you’re wondering what AFAB means…

    Em Rusciano has been using the term AFAB, so if you’re a bit confused, it stands for assigned female at birth. 

    Which means AMAB is assigned male at birth.

    45m agoWed 24 Aug 2022 at 2:55am

    By Jessica Riga

    Em Rusciano addresses claims that ADHD is just ‘a fad’

    Some of you might really relate to this next part.

    Em Rusciano says when she told one friend she had ADHD he replied along the lines of: “Oh, God! Why does everyone I know suddenly have that. Eurgh! It’s all over Insta and TikTok. I’m so sick of it.” 

    “Are you, mate?” Em replies.

    “There has been an uptick in late diagnosis of ADHD in women and the AFAB community in the last couple of years, so much in fact that many people have referred to it as a fad. To my face.”

    To her face! Can you believe it.

    48m agoWed 24 Aug 2022 at 2:52am

    By Jessica Riga

    Em Rusciano addresses the ‘symptom recognition bias’ of ADHD

    Em Rusciano says “girls and people assigned female at birth are chronically underdiagnosed with ADHD.”

    “Certainly when I was at school, it was only the boys who would get picked up and diagnosed.

    “There was a symptom recognition bias that developed towards the hyper, disruptive behaviour which boys with ADHD tend to exhibit. Girls and AFAB people typically have different symptoms, those associated with the inattentive subtype of ADHD, like shyness, inattentiveness, day-dreaming, perfectionism, pleasing.”

    She adds that people of colour and other marginalised communities are also underdiagnosed as they don’t fit the stereotypical ‘white hyperactive schoolboy disrupting the class.’

    52m agoWed 24 Aug 2022 at 2:48am

    By Jessica Riga

    Em Rusciano on being considered ‘not neurodivergent enough’

    Em Rusciano says when she was first diagnosed, she was accused of not being “neurodivergent enough”

    “Because I, apparently, appeared to be living a life in an unimpaired way,” she says.

    “If only people could see what went on in my head. People are very good at masking. It’s why we’re exhausted all the time.”

    She says the term is complex and nuanced.

    “I certainly don’t understand the challenges that other neurodivergent people go through, but I just want to remind everyone it’s not a competition and it’s not a race, any of us asked to be in.”

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