Quora Answer: How has the keto diet affected your ADHD symptoms?

Quora Answer: How has the keto diet affected your ADHD symptoms?

The keto diet and ADHD symptoms

Sashimi – keto friendly, full of good fats and protein, good for brain health. (Skip the rice.)

The keto diet and ADHD symptoms and Quora

I try to be active on Quora because I think it’s a good way to position myself as an expert on ADHD. I’ve had several people specifically request my answer to questions. Since the keto diet has helped me manage ADHD symptoms, I felt absolutely qualified to answer the following question in July:

“How has the keto diet affected your ADHD symptoms?”

I have a whole keto series in progress for this blog, but here’s how I answered:

Even before I knew about the “keto” diet, I was following something like it, and have been for over 20 years. The most impactful thing I’ve done to manage my ADHD is to consume more fat. The brain NEEDS fat. For this reason, I recommend that people with ADHD try the keto diet, or something close to it. (Modify as needed. Your mileage may vary.)

A medically-controlled version of the ketogenic diet that involves measuring food and nutrients has been used to treat epilepsy and other neurological disorders for decades.

Some people with ADHD benefit from the intermittent fasting aspect of ADHD too. It’s something worth testing out. We do tend to need regular fuel with fat and protein but if IF works for you, then do it. I think that IF is more for people who do the keto diet for weight-loss, as IF forces the body to use fat for energy.

The key is to experiment, listen to your body and see what works. When you find what works, stick with it.

Worth emphasizing: Essential fatty acids are crucial, which means eating fatty fish and/or taking fish oil. If you’re vegan, then pumpkin seed oil or a marine plant source would work too. Fish is best, though.

Hope this helps.

Driving Stick Shift and ADHD

Driving Stick Shift and ADHD


That’s not me, but it could be. The stock image model is not driving a stick shift, either. Photo by Element5 Digital on Unsplash

This post is an excerpt from a story that I published on Medium. The original was called, “Adventures in Stick Shift Driving: An ADHD story”. The original is a 14-minute read and is about my history of driving; the decades that I avoided driving due to fear doubt and lack of confidence and about recently learning to drive a car with a manual transmission, aka stick shift.

The ADHD brain and driving

People with ADHD could have a higher risk of getting into an accident.

There are some things that I’ve realized during my adventures in learning to drive. I probably should have recognized these years ago, given that I didn’t know that I had ADHD until I was in my early 20s.

  1. My ADD contributed to my driving anxiety in many ways. My spacial awareness and executive function made driving a challenge.
  2. The ADHD brain tends to get stuck on stories. I make one driving mistake, and I obsess over it rather than move on so that I can focus on the rest of the drive.
  3. The anxiety makes me forget things. I panic. When I first started my post-lesson practice, I forgot how to specific steps. My stick shift driving instructor warned me this could happen.

I’ve read a bunch about ADHD and driving, mostly articles for which the parents of teenagers are the target audience.
A lot of the advice makes sense. Some of the usual advice:

Limit distraction. —

  • Don’t listen to music or the radio
  • Don’t make or receive phone calls, even hands-free
  • No texting (it could be against the law where you live anyway)
  • Keep your hands off the GPS.

Limit the number of passengers in the car. 

  • One person can be a helpful co-pilot, but more can be a distraction

Enroll in a defensive driving course. —

  • I’ve now done this twice (age 16 and recently) and honestly, I think that everyone should take one every decade or so as a refresher.

Use cruise control —

  • Use cruise control when driving above a certain speed. I think it makes the most sense on long stretches of highway.

I want to add this piece of advice:

Make sure you’re adequately rested before you drive. If you have an early day, go to bed early. Being tired is a risk to all drivers whether they’re neurodivergent or neurotypical. There’s a reason that rest stops for truckers exist. Tiredness increases the likelihood of losing focus and making mistakes – for anyone.

Driving stick shift

In the months before I got behind the wheel for my formal stick shift driving education and before I decided to take the lessons, I listened to an ADDitude magazine podcast about teaching teenagers to drive.

It was an interview with a psychologist. He advised that people with ADHD shouldn’t drive cars with manual transmission and should only buy cars that are automatic. Although I’d been resisting driving my boyfriend’s car, this statement felt like poor advice. I read this expert’s advice two more times in two different articles. It never felt right.

I’ve known a small number of people who drive stick. A few of those have ADHD and love driving stick shift. I can see why, and I can see how driving stick is better for the driver with ADHD after lots of practice. Several articles that I read after I started driving again (all anecdotal) support this. Here are my observations:

The ADHD brain and driving stick

You need to pay attention. Some might refer to this as a reason to not drive manual. I think it’s a reason to.

It’s too easy to tune out and go on “autopilot” when you’re driving a car with an automatic transmission.

It’s too easy to allow distraction.

Stick shift cars require focus at every moment and every action. It’s not just that you need to watch out for pedestrians and vehicles. You need to learn to drive with two feet. You need to shift up and down, finding the right gears without looking. You stop on hills (even gentle slopes) and maintain the stop by finding the right friction point on the clutch while also lightly pressing the gas.

It’s a lot to remember.

Not listening to the radio is an attention issue; as in, don’t let your attention drift to where it doesn’t need to be.

Silence in the car also makes it easier to hear the engine. With a manual transmission, the engine “talks” to you and helps you drive. It tells you when you need to change gears, when you’re in the correct gear, and when you need to press on or lift the clutch.

I listen to the gear shift: Without looking, I can hear when the shifter has clicked into the gear as opposed to not entirely being locked in. There’s a specific sound that the gear shift makes when it clicks into Reverse, and that sound confirms that I’ve clicked into Reverse gear rather than 4th gear or 1st, depending on where Reverse is located in that car. (In my Honda Fit it’s bottom right, in my instructor’s Mazda it was bottom left.

In a small study conducted in 2006, participants in a simulation study reported that they were more attentive while driving in manual transmission mode but real studies are hard to find.

About a month after completing five lessons (two per week) and then practicing a small handful of times with my boyfriend in the passenger seat, I still tend to turn the wheel to the right a little when I shift as if I’m trying to change gears with the steering wheel. It’s a lot to remember.

I’m retraining my brain. In doing so, I’m giving my brain exercise it needs.

I’ve read in many books that learning a new skill creates new neuro-pathways. Here’s a quote from an article in Fast Company. It refers to Tara Swart, a senior lecturer at MIT, and her book Neuroscience for Leadership:

If you want to keep your brain agile, you’re going to have to hone in on parts of the brain that you use less frequently, says Swart. And this new task has to be so challenging that you’ll feel mentally and physically exhausted after practicing the task because you’re forcing your brain to work in ways it’s unaccustomed to. This is the only way you’ll actually grow new neurons strong enough to connect with existing neurons, forming new pathways.

Mentally exhausted? Yep. Working in a way that my brain is unaccustomed to? Yep.

I’ve experienced these while learning to drive and practicing. After each initial lesson, those in years past, I was done and drained. It’s one of the reasons that I wasn’t keen on more lessons.

I’ve been writing Facebook status updates called “Adventures in Stick Shift Driving.” I share them below.

Read the entire story on Medium to read those status updates and more.

What is executive function?

What is executive function?

What is executive function? The term comes up a lot in the ADHD world. I aim to be a resource, and so I thought I should write a post about it to which to refer people.

What began in the field of neuroscience is now a widely used concept to explain conscious functioning. Executive function is a set of cognitive skills that depends on three types of brain function. These skills are controlled by the part of the brain known as the frontal lobe:

-Working memory governs our ability to retain and manipulate distinct pieces of information over short periods of time. Fact: My long-term recollection is better than my short-term memory. I can recall moments from years ago that seem insignificant or the phone number that I haven’t had in over 22 years. Yet, I often can’t recall what I ate for dinner the day before.

-Mental flexibility allows us to be able to think about something in more than one way. It helps us apply different rules in different settings and it helps us to sustain or shift attention in response to different demands. For example, while cooking or driving or taking care of multiple children.

-Self-control/inhibition control enables us to set priorities, start tasks and stay focused on them. Think schoolwork or work projects. This means that it enables us to ignore distractions and resist temptation. For example, the distraction of Facebook or Netflix instead of writing a blog post about executive function. Right now, executive functioning skills are keeping me in this blog post window.

Really, they come down to mental control and self-regulation.

Self-control includes emotional regulation and control. If we have difficulty regulating our intense emotions, then our executive function is also compromised. To put it in basic terms, when we are upset, it’s more difficult for us to think clearly. Think about times that you’ve been in a heated argument, or when you got frustrated while trying to learn something, or you felt you were in trouble.

Executive function flowchart

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