widespread pain – WannaBeNormal

Tonight lets talk about something that affects me in each one of my health issues, and many others, chances are if you are reading this it will resonate with you deep down, and all I can say is ‘I feel ya’.

Executive dysfunction refers to the brain’s delightful way of screwing up the cognitive processes that let you plan, focus, remember instructions, and juggle multiple tasks without losing your mind. These processes are crucial for, you know, actually getting stuff done and functioning like a semi-competent human being. When executive dysfunction kicks in, it can manifest in all sorts of fun ways, like having the working memory of a goldfish, the cognitive flexibility of a brick, the inhibitory control of a toddler, and the decision-making skills of a squirrel on caffeine.

(I know, I’m sorry George, just trying to make other people understand what its like to be you. I know you are a good boy and stay away from caffeine)

Fibromyalgia patients often get the short end of the stick with executive dysfunction, which can royally fuck up their daily lives. Studies show that folks with fibromyalgia perform about as well as a drunk turtle on tasks that measure executive functions like updating, shifting, inhibition, decision-making, and planning. Imagine trying to switch between different sets of rules or stop automatic responses when your brain feels like it’s been run over by a truck. This cognitive impairment is often linked to the severity of pain, psychiatric comorbidities, and other delightful variables like body mass index (BMI) and sleep disturbances. Basically, the brain areas involved in both pain processing and executive functions decide to throw a party, but forget to invite cognitive resources.

Individuals with autism spectrum disorder (ASD) also get to enjoy the rollercoaster of executive dysfunction. This can show up as difficulties with planning, flexibility, and inhibitory control. Picture an autistic person trying to switch tasks or adapt to new routines—it’s like asking a cat to take a bath. They might also struggle with organizing their thoughts and actions, which can turn completing tasks into a Herculean effort. Executive dysfunction in autism can add a lovely layer of complexity to the social and communication difficulties that are already part of the package, making it even harder to understand and respond to social cues.

Executive dysfunction is basically the middle name of attention-deficit/hyperactivity disorder (ADHD). Individuals with ADHD often have the working memory of a sieve, the inhibitory control of a sugar-high kid, and the cognitive flexibility of a rusty hinge. This can lead to a spectacular mess of disorganized tasks, half-finished projects, and impulsive decisions that make you wonder if they have a death wish. For instance, someone with ADHD might start a dozen projects but finish none, or act on a whim without considering the fallout. These executive function deficits can turn academic, occupational, and social functioning into a daily struggle, making it a challenge to meet the demands of life without constant chaos.

During manic episodes, individuals with bipolar disorder can experience executive dysfunction on steroids. This might include making decisions that are about as well-thought-out as a drunk text, poor impulse control, and planning skills that make you question their sanity. For example, someone in a manic state might blow their life savings on a whim or engage in risky behaviors without a second thought. They may also have the attention span of a gnat, making it impossible to focus on tasks or follow through with plans. These executive function impairments can turn managing bipolar disorder into a circus act, with stability being the elusive tightrope walker.

Executive dysfunction is the brain’s way of throwing a wrench into the lives of those with fibromyalgia, autism, ADHD, and bipolar disorder. It screws with their ability to plan, organize, and execute tasks, leading to a daily struggle to function. Understanding the specific ways executive dysfunction manifests in these conditions can help in developing targeted interventions to improve cognitive functioning and overall quality of life. Because let’s face it, everyone deserves a fighting chance to get their shit together. We need to help each other out, especially reach out if you are struggling, we’re all swimming against the current. Til next time gang, take care of yourselves, and each other!

Hi gang! I have some stuff to say about other topics but since its Fibromyalgia Awareness Month lets try and keep the Fibro convo going. Fibro’s a tough nut to crack when it comes to diagnosis because there’s no one-size-fits-all test that gives you a clear-cut answer. I totally get the frustration there. It’s crucial to team up with a doc who really knows their fibro stuff, one who listens to what you’re going through and doesn’t just slap everything under the fibro label. Sure, fatigue might be tied to fibro, but it could also signal something else lurking in the shadows. What if it’s a whole other issue that can be managed? It’s worth digging into. If your doc brushes off any of your worries, it’s time to find someone who takes you seriously. Seriously, advocate for yourself! Start by getting clued up on what you’re dealing with, arm yourself with info on what treatments are out there, what to watch out for, what might be red flags for other conditions. Sure, docs should be up to speed on all this stuff, but they’ve got a million and one things on their plate. You knowing your stuff gives you a leg up, at least you can point them in the right direction. Bring along logs of your symptoms, stuff you’ve tried, and hey, if you’ve found some golden nuggets of wisdom online, make sure they’re from a legit source. Doctors ain’t gonna take your brother’s buddy’s Facebook rant as gospel, and it just makes it tougher for the rest of us.

Ah, fibromyalgia, the mystical unicorn of medical conundrums, where symptoms are as clear as mud and diagnosing it feels like playing a round of medical bingo. Let’s paint the picture, you stroll into your doctor’s office armed with a laundry list of symptoms that could make even the most seasoned hypochondriac turn green with envy. But instead of the understanding you anticipated, you’re greeted with the classic eye-roll and the timeless response: ‘It’s probably just Fibro.’ Making you feel like its normal to hurt this way and you should just buck up and take it. You must be weak if you can’t handle it. Because, of course, who needs medical expertise when you’ve got stress to conveniently blame for every twinge and throb, am I right?

And when your doc finally has enough of your complaints they do the next predictable thing, referral so you are no longer their problem. The notorious medical dance – you know, where you hop from one specialist to another like a pinball in a machine, each one looking more perplexed than the last. “It’s just in your head,” they proclaim, as if that magically diminishes your pain, making it more… ethereal? Because obviously, feeling like you’ve been steamrolled by a freight train is just a whimsical creation of your imagination, not a serious condition worthy of genuine concern.

But fear not, dear patient, for there’s always the ever-popular misdiagnosis game to keep things interesting. Is it chronic fatigue syndrome? Is it rheumatoid arthritis? Is it just your body’s way of telling you that it’s time to invest in a better mattress? Who knows! It’s like playing medical roulette, except instead of winning a jackpot, you get a lifetime supply of confusion and frustration.

So, here’s to you, fibromyalgia warriors, bravely battling through the medical maze armed with nothing but your pain and a healthy dose of sarcasm. After all, if laughter is the best medicine, then you’re practically immortal.
Til next time gang, take care of yourself, and each other!

I forgot to add, George says ‘hey whats up?’ He’s off tearing shit up at the moment but he’s not going away lol.

Tag: widespread pain

Anything executive does NOT sound like something I’d say… though the DYSfunction, yeah that tracks…

Doctors who are helpful with Fibro, thats the real treasure to find…