
‘Am I just an asshole?' Time blindness can explain chronic lateness - some of the time
'I really felt like I could just not crack the code,' Shepard said. 'I worried: am I just an asshole? Is that why I'm always late? No matter how hard I wanted to be on time, it was a struggle.'
When Shepard learned about time blindness as a symptom of ADHD, which she has, it all clicked. Russell Barkley, a former clinical psychologist and expert on ADHD, coined the term in 1997 to describe what he calls 'the serious problem people with ADHD have with governing their behavior relative to time intervals and the passage of time more generally'. Time blindness can be a symptom of ADHD or other conditions such as anxiety or autism spectrum disorder.
Shepard now frequently talks about time blindness and other mental health struggles on TikTok, where she has 1.5m followers. The term has become something of a buzzword on certain corners of the video-sharing app, with some pointing to its legitimacy as a symptom of a medically recognized disorder to explain why they can't get out of the door in the morning. Others use it to vent about their 'chronically late' friends. You know the type: you say 'let's have lunch at 1pm' but make the reservation closer to 2pm, because you've learned to factor in their perpetual tardiness.
Everyone has their slow days, but some TikTokers argue that people who are habitually 30 or 45 minutes late are claiming time blindness when in reality they're being inconsiderate. As one person posted in a video liked over 125,000 times: 'I think that being chronically late is a character flaw, and I think that it's disrespectful across the board … I know people are like, 'time blindness' – no, you need to figure out how to be on time for things.'
Some people are bad planners. But others, like Shepard, do live with time blindness. 'We all sort of have this internal clock that we use to estimate how much time has passed,' Shepard said, 'but people with ADHD tend to not have as good of an internal clock.'
On social media, those who have time blindness share examples of their inability to gauge how long a task might take. For instance, one woman created a timetable for waiting for freshly brewed coffee to cool down, so she doesn't burn herself. (At 30 seconds: 'very hot - ouch!' One minute: 'Hot but could drink if urgent.' One minute 30 seconds: 'Ideal drinking temp').
Dr David W Goodman, an assistant professor of psychiatry at Johns Hopkins, clarified that time blindness as a symptom of ADHD or other conditions refers to a difficulty with the perception of the passage of time. He said it is different than poor time management, or when someone can successfully perceive how long it takes to do something but fails to plan accordingly. (So-called 'time optimists', or people who constantly underestimate how long it takes to get somewhere or complete a task, fall into the latter category.)
The popularity of the phrase does seem to point to the proliferation of 'therapy speak', or how psychobabble has made its way into the mainstream to excuse poor behavior with fancy sounding clinical explanations. Could 'time blindness' be a get-out-of-jail-free card for anyone strolling into work 45 minutes late, toting an iced coffee?
According to the Attention Deficit Disorder Association, it is possible for people with ADHD to receive disability accommodations at work via the Americans with Disabilities Act, provided they have proper documentation of their condition from a medical provider. Shepard also noted that the rise of remote or flexible work has eased the strain people with time blindness feel, since it eliminates the need for a traditional commute.
Still, one TikTok user sparked a mini-meltdown on the app in 2023 after suggesting that employers should allow for disability accommodations for people with time blindness. 'They exist actually!' one user commented. 'They're called watches and clocks and alarms.'
On Reddit, professors have voiced frustrations that more universities are allowing students extra time to get to class or submit assignments due to time blindness. 'Any student, regardless of ability, who does not learn what they need to do to show up and turn work in, is not prepared for a job in most fields,' one wrote on r/Professors in 2022. 'We are setting these students up for failure.'
Shepard has written accommodation letters for people with time blindness, but she'll also work with those patients on strategies to help them be more prompt. Many are common-sense solutions, such as setting alarms in the morning to denote it's time to start a new task (wake up, brush teeth, shower, get dressed, eat breakfast).
Some are less obvious: Shepard said that people with time blindness do better working with old-fashioned, analogue clocks that have hands, as it's easier to physically see the passage of time that way.
Goodman said it's 'cloudy' whether or not time blindness constitutes a disability for which someone should get accommodations at work or school. 'You really do need to have a formal diagnosis in which that would fit,' he said. 'Not just that you didn't plan or anticipate. You have to make a decision: is time blindness an explanation or an excuse?'
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The Guardian
an hour ago
- The Guardian
‘Am I just an asshole?' Time blindness can explain chronic lateness - some of the time
Dr Melissa Shepard has a problem with managing her time. She had always been a high achiever, making it through medical school to become a psychiatrist and assistant professor at Johns Hopkins School of Medicine. But no matter how hard she worked, she struggled with one of life's simplest expectations: being on time. 'I really felt like I could just not crack the code,' Shepard said. 'I worried: am I just an asshole? Is that why I'm always late? No matter how hard I wanted to be on time, it was a struggle.' When Shepard learned about time blindness as a symptom of ADHD, which she has, it all clicked. Russell Barkley, a former clinical psychologist and expert on ADHD, coined the term in 1997 to describe what he calls 'the serious problem people with ADHD have with governing their behavior relative to time intervals and the passage of time more generally'. Time blindness can be a symptom of ADHD or other conditions such as anxiety or autism spectrum disorder. Shepard now frequently talks about time blindness and other mental health struggles on TikTok, where she has 1.5m followers. The term has become something of a buzzword in certain corners of the video-sharing app, with some pointing to its legitimacy as a symptom of a medically recognized disorder to explain why they can't get out of the door in the morning. Others use it to vent about their 'chronically late' friends. You know the type: you say 'let's have lunch at 1pm' but make the reservation closer to 2pm, because you've learned to factor in their perpetual tardiness. Everyone has their slow days, but some TikTokers argue that people who are habitually 30 or 45 minutes late are claiming time blindness when in reality they're being inconsiderate. As one person posted in a video liked over 125,000 times: 'I think that being chronically late is a character flaw, and I think that it's disrespectful across the board … I know people are like, 'time blindness' – no, you need to figure out how to be on time for things.' Some people are bad planners. But others, like Shepard, do live with time blindness. 'We all sort of have this internal clock that we use to estimate how much time has passed,' Shepard said, 'but people with ADHD tend to not have as good of an internal clock.' On social media, those who have time blindness share examples of their inability to gauge how long a task might take. For instance, one woman created a timetable for waiting for freshly brewed coffee to cool down, so she doesn't burn herself. (At 30 seconds: 'very hot - ouch!' One minute: 'Hot but could drink if urgent.' One minute 30 seconds: 'Ideal drinking temp.') Dr David W Goodman, an assistant professor of psychiatry at Johns Hopkins, clarified that time blindness as a symptom of ADHD or other conditions refers to a difficulty with the perception of the passage of time. He said it is different than poor time management, or when someone can successfully perceive how long it takes to do something but fails to plan accordingly. (So-called 'time optimists', or people who constantly underestimate how long it takes to get somewhere or complete a task, fall into the latter category.) The popularity of the phrase does seem to point to the proliferation of 'therapy speak', or how psychobabble has made its way into the mainstream to excuse poor behavior with fancy-sounding clinical explanations. Could 'time blindness' be a get-out-of-jail-free card for anyone strolling into work 45 minutes late, toting an iced coffee? According to the Attention Deficit Disorder Association, it is possible for people with ADHD to receive disability accommodations at work via the Americans With Disabilities Act, provided they have proper documentation of their condition from a medical provider. Shepard also noted that the rise of remote or flexible work has eased the strain people with time blindness feel, since it eliminates the need for a traditional commute. Still, one TikTok user sparked a mini-meltdown on the app in 2023 after suggesting that employers should allow for disability accommodations for people with time blindness. 'They exist actually!' one user commented. 'They're called watches and clocks and alarms.' On Reddit, professors have voiced frustrations that more universities are allowing students extra time to get to class or submit assignments due to time blindness. 'Any student, regardless of ability, who does not learn what they need to do to show up and turn work in, is not prepared for a job in most fields,' one wrote on r/Professors in 2022. 'We are setting these students up for failure.' Shepard has written accommodation letters for people with time blindness, but she'll also work with those patients on strategies to help them be more prompt. Many are common-sense solutions, such as setting alarms in the morning to denote it's time to start a new task (wake up, brush teeth, shower, get dressed, eat breakfast). Some are less obvious: Shepard said that people with time blindness do better working with old-fashioned, analog clocks that have hands, as it's easier to physically see the passage of time that way. Goodman said it's 'cloudy' whether or not time blindness constitutes a disability for which someone should get accommodations at work or school. 'You really do need to have a formal diagnosis in which that would fit,' he said. 'Not just that you didn't plan or anticipate. You have to make a decision: is time blindness an explanation or an excuse?'


The Independent
an hour ago
- The Independent
New NHS plan shows ‘future already looks better' under Labour
The 'future already looks better for the NHS' under Labour, Sir Keir Starmer has said, as he published a radical plan to transform the health service. The new 10-year plan for the NHS sets out a series of shifts to bring care much closer to people's homes, reducing the reliance on hospitals and A&E. Under the changes, there will be fewer staff working in the NHS than previous projections said were needed, with far more providing care closer to home and fewer working in hospitals. Key reforms include a greatly enhanced NHS app to give patients more control over their care and more data at their fingertips, new neighbourhood health centres open six days a week and at least 12 hours a day, and new laws on food and alcohol to prevent ill health. The Prime Minister was accompanied by Chancellor Rachel Reeves as he set out the plans on Thursday – she was making her first appearance since she was seen crying in the Commons on Wednesday. Speaking in east London, Sir Keir said: 'It's all down to the foundation we laid this year, all down to the path of renewal that we chose, the decisions made by the Chancellor, by Rachel Reeves, which mean we can invest record amounts in the NHS. 'Already over 6,000 mental health workers recruited, 1,700 new GPs, 170 community diagnostic centres – really important – already open. 'New surgical hubs, new mental health units, new ambulance sites. Record investment right across the system.' Sir Keir acknowledged improvements were needed in the NHS but said the situation was better than when Labour first took power. 'I'm not going to stand here and say everything is perfect now, we have a lot more work to do and we will do it,' he said. 'But let's be under no illusions: because of the fair choices we made, the tough Labour decisions we made, the future already looks better for our NHS. 'And that is the story of this Government in a nutshell.' Health Secretary Wes Streeting told NHS staff gathered at the event that Labour rejected the 'pessimism' which says the 'NHS is a burden, too expensive, inferior to the market'. Ms Reeves embraced Mr Streeting as he came away from the podium and told those at the launch event: 'Our 10-year plan will get the NHS back on its feet and make it fit for the future, led by our fantastic NHS staff, and a huge thank you to every single one of you.' Ms Reeves smiled and was upbeat as she added: 'I want to be clear, we are spending money on taxpayers' priorities, but that wouldn't have been possible without the measures that we took in the budget last year. 'We fixed the foundations and we've put our economy back on a strong footing.' The new health plan sets out how the NHS will move from analogue to digital, treatment to prevention, and from hospital to more community care. The 'status quo of hospital by default will end' and by 2035, the intention is that the majority of outpatient care will happen outside of hospitals. New neighbourhood health services will give people access to a full range of services, leaving hospitals to focus on the sickest. New services will also include debt advice, employment support and stop smoking or obesity services – all of which affect people's health. Community outreach, with people going door to door, could also reduce pressure on GPs and A&E. The plan sets out: – By 2028, the NHS app 'will be a full front door to the entire NHS' and act as a 'doctor in my pocket' for patients. A new part of the NHS app called My NHS GP will 'help patients better navigate the health service', powered by artificial intelligence (AI). Those who do not have an urgent or emergency need, but who are struggling to find an alternative to A&E, will be signposted to places they can get care. The app will use AI-algorithms to take a patient's symptoms, ask follow-up questions and provide guidance. The app will also help patients book a remote consultation if they need one, or a face-to-face appointment if they prefer. – Patients will be given more app support to book their own urgent appointments rather than facing long waits in A&E. Clinical professionals will also be able to triage patients in advance. – In order to make the move 'from bricks to clicks', the plan said people will have a single patient record combining their health records plus personalised information to help improve their health. – Patients will be able to use the app to choose their preferred provider, see whether it delivers the best outcomes, has the best feedback or is simply closer to home through a section called My Choices. The app will also show data on clinical teams and clinicians. – Wearable technology will become the 'standard in preventative, chronic and post-acute NHS treatment by 2035'. All NHS patients will have access to these technologies, which will be part of routine care. The NHS will provide devices for free in areas where health needs and deprivation are highest. – People will be able to use the My Consult area of the app to hold consultations, or book directly into tests where clinically appropriate through My Specialist. – My Medicines will help people with drugs and prescriptions, while My Vaccines will provide clear information of current jabs. – Parents can manage their children's health through My Children, or co-ordinate the care of a loved one or relative through My Carer. – New mental health emergency departments will be created so people do not end up in A&E. Over the next five years around 85 will be established – close to or inside half of major A&Es. – Over time, hospitals will get less of the NHS budget as it is redirected to community care, which means 'less acute space, fewer emergency staff based in hospitals and fewer outpatient departments in future'. The process of booking appointments will become automatic rather than involving lots of staff. – An end to the 8am scramble for GP appointments by training thousands more GPs and building online advice into the NHS app. AI will be used for notes and letters to free up GPs' time. – A new 'moonshot to end the obesity epidemic'. The Government will restrict junk food advertising targeted at children, ban the sale of high-caffeine energy drinks to under 16-year-olds, and reform the soft drinks industry levy. It will introduce mandatory health food sales reporting for all large companies in the food sector and introduce a 'mandatory requirement for alcoholic drinks to display consistent nutritional information and health warning messages'. More support will be given to the no and low-alcohol market. – Dentists could be forced to work for the NHS for at least three years if they have been trained at taxpayer expense. – Hospital patients will not be booked in by default for follow-ups, with 'patient-initiated follow-up a standard approach for all clinically appropriate pathways by 2026'. – A new campaign will motivate millions of people to move more on a regular basis. – Expansion of mental health support, including in schools. – Lung cancer screening for those with a history of smoking will be fully rolled out across England. – An end to the 'disgraceful spectacle of corridor care' and ensuring 95% of people wait no longer than 18 weeks for routine care. – Higher standards will be set for NHS leaders to reward good performance and penalise poor work. – Patients to be given more say on whether the full payment for the costs of their care should be released to the provider. – Efforts to cut the NHS sickness absence rate and more power to managers 'to reward high performing staff, and to act decisively where they identify underperformance'. – Priority given to UK medical graduates and an ambition to reduce international recruitment to less than 10% by 2035. Nuffield Trust chief executive Thea Stein said she did not agree with the 'prophecy of extinction' in the report, which says the NHS is at an 'existential brink'. She added: 'This plan contains a litany of initiatives and the belief that they will be the NHS's saviour, with little detail on how the ailing health service is to deliver these changes.' Sarah Woolnough, chief executive of the King's Fund, said: 'There are more than 150 pages of a vision of how things could be different in the NHS by 2035, but nowhere near enough detail about how it will be implemented.' Royal College of Nursing (RCN) general secretary, Professor Nicola Ranger, said: 'Nursing staff are crying out for change and we stand ready to get behind this plan. 'Modernising services, bringing care closer to home and helping people to lead healthier lives couldn't be more necessary… 'Nursing staff are identified today as the expert leaders to deliver a neighbourhood health service and that should be truly empowering. As the professionals delivering the vast majority of care, we know what keeps patients safe and well.'


Daily Mail
an hour ago
- Daily Mail
Top expert reveals shocking first sign of type of dementia that hits in your 30s - 'patients think it's normal'
If someone close to you has become a heavy drinker since they hit their thirties, check in with them—a top expert has warned that it might be a sign they have dementia. While dementia is most often associated with the elderly, it can affect people of all ages. One type in particular, frontotemporal dementia (FTD), is most often diagnosed in men and women aged between 45 and 65, but there have been confirmed cases of it in people decades younger. The first signs of FTD are often related to changes in behaviour; people can become rude or violent, struggle with their words or communication, or start to behave in impulsive or risky ways. But as these behaviours are often mistaken for another health condition, or simply written off as an unpleasant blip in someone's usually calm and collected demeanour, people can end up very, very unwell before they get the help they need. Paul Little, CEO of Vesper Bio, a biotech firm working to improve the lives of people diagnosed with FTD, said that a misdiagnosis can have serious repercussions. Speaking to the FT, he explained: 'There are patients as young as 29 that's not uncommon, who get frontotemporal dementia (FTD). 'Often times it's misdiagnosed as bipolar disorder or some form of midlife crisis, because in some cases, there's a behavioural component. View this post on Instagram A post shared by FT Partner Content (@ftpartnercontent) 'The patient may start drinking heavily, may get into trouble with the police and end up in the wrong form of help.' He added that there is no cure for FTD, and that tragically it is never just the person who is diagnosed who suffers—it has massive ramifications which ripple outwards, destroying the lives and dreams of everyone close to them. Mr Little continued: 'It's invariably fatal when you get the disease, it's catastrophic for families, because you will see changes in behaviour and changes in language that mean that the patient themselves is unable to work. 'It means that caregivers also have to give up jobs, and these are the most fruitful, best parts of life for earning money and building families.' Figures released by the Alzheimer's Society reveal that there are around 70,800 people in the UK living with early-onset, or young-onset, dementia, which is defined as when symptoms start before the age of 65. The causes of dementia in younger people are essentially the same as for older patients. In the case of Alzheimer's, proteins build up in the brain, forming plaques and tangles. With vascular dementia, this is caused by problems with the blood supply to the brain, and might be the result of heart disease. FTD is a rarer form of the condition, and affects 16,000 people in the UK. It leads to a loss of cells in the front and side of the brain which are the areas that control behaviour, hence why it might cause changes to how people interact with others, or care for themselves. Although it can progress slowly, survival time after an FTD diagnosis is between just two and 12 years. Concerns have been raised about a rise in cases of young-onset dementia in the UK. A study of GP practice records in England in 2022 revealed an alarming 69 per cent increase since 2014 (from 28,800 cases).