Janetta Boshoff Occupational Therapist in Mental Health

Janetta Boshoff Occupational Therapist in Mental Health I qualified as an Occupational Therapist 2002,UOFS. I worked in different fields of OT, and a wellness counselor.

I currently run my private practice working in general mental health with a special interest in neurodiversity.

https://www.facebook.com/share/p/175iGewaij/
26/01/2026

https://www.facebook.com/share/p/175iGewaij/

"Neurodiverse individuals have had to adapt all their lives and are excellent problem solvers, which makes them a huge asset to any team'

I'm proud of this piece in The Times talking about the importance of neurodiversity in the workplace.

https://www.facebook.com/share/p/1D3zVdKd34/
24/01/2026

https://www.facebook.com/share/p/1D3zVdKd34/

I received an e-mail today that stopped me dead in my tracks. I’m sharing it here with permission and names changed.

‘Dear Alex,

I’ve been trying to find the right words for a while now, and I’m not sure they’ll ever feel big enough, but I needed you to know this.

When I came across your posts about Rejection Sensitivity Dysphoria, I was at one of the lowest points of my life. I didn’t have the language for what I was experiencing, only the constant ache of feeling like I was too much, too broken, and fundamentally unlovable. Every perceived rejection felt like confirmation that the world would be better without me in it.

Listening to you speak, something shifted. For the first time, I didn’t feel weak or dramatic or defective. I felt understood. You gave a name to a pain I had carried silently for years, and in doing so, you gave me permission to breathe. To stay.

You didn’t just explain a concept, you reflected my inner world back to me with compassion. You interrupted a spiral I wasn’t sure I would survive. I truly believe that hearing your words saved my life, not because they magically fixed everything, but because they reminded me that what I feel has a reason, and that I am not alone in it.

Because of you, I chose to reach out instead of shutting down. I chose to be curious instead of cruel to myself. I chose to live.

Thank you for speaking openly about something so many of us are ashamed to admit. Thank you for using your voice in a way that reaches people you may never meet. And thank you for giving me one more day, which turned into another, and another.

I finally understand that I’m not ‘too sensitive’, I have Rejection Sensitive Dysphoria and I’ve always been enough.

I’m still healing, but I’m here. And that is because of you.

I can’t wait for your new book.

With more gratitude than I can fully express,

A woman whose life you helped save

Sarah ###’

https://www.facebook.com/share/1Gm4XqahT9/
17/01/2026

https://www.facebook.com/share/1Gm4XqahT9/

**The ADHD Workflow No One Teaches You How to Explain**

There is a version of productivity that most people are taught to expect. Sit down, start the task, work steadily, finish on time, feel satisfied. When someone does not follow that pattern, the assumption is usually simple. They must be lazy, distracted, careless, or inefficient. The image you shared quietly challenges that assumption, because for many people with ADHD, productivity does not look linear. It looks delayed, intense, misunderstood, and emotionally expensive.

This is not a joke about poor time management. It is a lived reality.

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# # # The Long Stare That Looks Like Doing Nothing

For many people with ADHD, the hardest part of any task is not doing it. It is starting it. Sitting in front of a screen for hours does not mean the mind is empty or disengaged. In fact, it often means the opposite. Thoughts are racing. The task feels too big, too vague, or too heavy to grab hold of. Every possible way to start competes for attention at the same time.

From the outside, it looks like avoidance. From the inside, it feels like being stuck at the edge of a diving board, knowing you can swim, but unable to jump.

This is not procrastination caused by comfort or indifference. It is executive dysfunction. The brain knows what needs to be done but cannot access the switch that turns intention into action. During this time, guilt builds. Anxiety builds. Self-criticism grows louder. The person is not resting. They are loading.

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# # # Why Starting Feels So Overwhelming

ADHD affects task initiation, not intelligence or capability. When a task lacks urgency, novelty, or immediate consequence, the ADHD brain struggles to engage. The brain does not release the chemicals that support focus until something shifts emotionally.

This is why staring at a screen feels so painful. The brain is waiting for a signal strong enough to activate. Without that signal, effort feels pointless and exhausting. The longer this state lasts, the more pressure builds, and the more impossible starting feels.

People often ask why someone does not just begin slowly. For an ADHD brain, slow beginnings are often harder than fast finishes.

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# # # The Sudden Burst That Looks Like Magic

Then something changes. A deadline gets close. The stakes become real. Time pressure kicks in. Adrenaline enters the system. Suddenly, the same task that felt impossible becomes manageable. Focus locks in. Decisions happen quickly. The brain becomes sharp, efficient, and deeply engaged.

This is not because the person suddenly decided to care. It is because the brain finally received the stimulation it needs to activate.

In those final minutes, people with ADHD often work at an intensity that surprises others. They connect ideas rapidly. They solve problems creatively. They complete in minutes what took hours to start. Outsiders see speed and assume inefficiency before that moment. What they miss is the cost of reaching that state.

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# # # Why This Does Not Mean the System Works

Many people with ADHD are told, “You always get it done, so you’re fine.” This statement ignores everything that happens before the final burst. It ignores the hours of stress, self-doubt, and emotional exhaustion. It ignores the toll on the nervous system.

Relying on panic and adrenaline is not a healthy productivity strategy. It is a survival response. Over time, it leads to burnout, anxiety, sleep problems, and a fragile sense of self-worth that depends on crisis performance.

Just because someone can work under pressure does not mean they should have to live that way.

---

# # # The Long Loading That No One Sees

The image ends with an unfinished sentence for a reason. “I’m not inefficient. I just have a very long loading…” That loading phase is invisible labor. It is the mental processing, emotional regulation, and internal negotiation that happens before action is possible.

During that time, the brain is organizing, prioritizing, and trying to reduce overwhelm. It may not look productive, but it is part of the process. The problem is that most systems only value visible output, not internal effort.

So people with ADHD grow up believing their loading time is a flaw instead of a feature of how their brain works.

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# # # The Shame That Grows Around This Pattern

When someone repeatedly experiences this cycle, they often develop shame. They compare themselves to others who start tasks easily. They wonder why something so simple feels so hard. They hide their process to avoid judgment. They work late, rush deadlines, and push themselves past exhaustion to compensate.

They may hear comments like, “If you can do it in 12 minutes, why didn’t you just do it earlier?” Those comments miss the point entirely. The ability to finish quickly does not mean the task was accessible earlier. It means the conditions finally aligned.

Without understanding ADHD, this pattern is misinterpreted as carelessness or lack of discipline. With understanding, it becomes clear that the issue is not effort, but access.

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# # # Productivity Does Not Have to Look the Same

The biggest harm comes from forcing ADHD brains to fit systems designed for different nervous systems. Expecting steady, linear productivity ignores how ADHD motivation actually works. It assumes everyone has the same internal tools, which simply is not true.

Supporting ADHD productivity means creating environments that reduce the need for panic. Breaking tasks into clearer steps. Adding external structure. Using accountability. Allowing flexible timelines when possible. Valuing outcomes without punishing non-linear processes.

When these supports exist, people with ADHD do not become less productive. They become sustainable.

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# # # You Are Not Broken for Needing a Trigger

If this image feels uncomfortably familiar, it is important to say this clearly. You are not lazy. You are not inefficient. You are not irresponsible. Your brain needs a stronger activation signal to engage, and that is not a moral failing.

Your long loading time is not wasted time. It is part of how your mind prepares to work. The problem is not that you work differently. The problem is that most systems do not recognize that difference.

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# # # Redefining What Efficiency Means

Efficiency is not just about how fast something gets done. It is about how much it costs the person doing it. If a system requires constant stress to function, it is not efficient. It is harmful.

True efficiency for ADHD brains comes from understanding, accommodation, and compassion. It comes from working with the brain instead of against it. It comes from replacing shame with strategies.

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# # # You Are Allowed to Work the Way Your Brain Works

You do not need to justify your process to be worthy of respect. You do not need to prove your struggle by failing. You do not need to wait until burnout to deserve support.

Your workflow makes sense once your brain is understood.

You are not inefficient.

You are loading.

And with the right support, that loading does not have to hurt.

Qhttps://www.facebook.com/sharea/1Rtf4mKkTe/
12/01/2026

Qhttps://www.facebook.com/sharea/1Rtf4mKkTe/

You Can’t Treat ADHD With Medication Alone — And Here’s the Part No One Told Me

I still remember the day I thought medication would finally fix everything.

I sat there holding that small prescription like it was a finish line. After years of struggling to focus, forgetting things that mattered, starting strong and burning out fast, I believed this was the missing piece. I told myself that once I started medication, life would finally feel manageable. Tasks would stop feeling heavy. My mind would slow down. I would become the version of myself everyone kept expecting me to be.

What I did not realize back then was this simple truth: medication can help open the door, but it cannot walk the path for you.

That realization did not come quickly. It came through frustration, disappointment, and slowly learning what ADHD actually is, instead of what I had been told it was.

The Illusion of a Single Solution

ADHD is often explained like a problem with focus, but living with it feels much deeper than that. It touches how you start tasks, how you finish them, how you regulate emotions, how you experience time, and how you speak to yourself when things go wrong.

Medication can support attention and impulse control, but ADHD does not exist in isolation. It lives inside habits, environments, routines, relationships, and years of learned shame. Expecting one pill to untangle all of that is not realistic, and when we believe it should, we end up blaming ourselves when it does not.

I remember thinking something was wrong with me because I was still overwhelmed. I could focus better, but I still avoided tasks. I could think more clearly, but I still felt exhausted by everyday demands. That confusion slowly turned into guilt, and guilt has a way of quietly eroding self-worth.

Why Skills Matter as Much as Chemistry

One of the biggest shifts came when I learned that ADHD requires skills, not just treatment.

Therapy, especially approaches focused on behavior and structure, teaches something medication never can. It teaches how to break tasks down in a way your brain can actually process. It teaches how to externalize reminders instead of relying on memory. It teaches how to create systems that work with your brain instead of constantly fighting against it.

For someone with ADHD, knowing what to do is rarely the problem. The problem is knowing how to do it consistently. Therapy helps bridge that gap. It gives language to experiences that were once only frustration. It replaces self-blame with understanding, and understanding changes how you respond to yourself when things fall apart.

Behavioral Changes Are Not About Discipline

There is a harmful idea that behavioral strategies are about trying harder or being more disciplined. That belief keeps many people stuck.

Behavioral interventions are not punishments or rules. They are supports. They are about adjusting the world around you so your brain does not have to work overtime just to function. This can mean changing how tasks are scheduled, how transitions are handled, or how expectations are set.

For me, it meant accepting that my energy does not follow a traditional pattern. It meant allowing flexibility instead of forcing productivity at times when my brain was already depleted. It meant designing my days with recovery built in, not added as an afterthought.

Once I stopped treating these changes as personal failures and started treating them as accommodations, something shifted. Life became less about survival and more about sustainability.

Lifestyle Is Not a Side Note

Sleep, movement, food, and stimulation are often mentioned as optional extras, but for ADHD they are foundational.

A tired brain struggles more. An overstimulated brain shuts down faster. A deprived brain searches harder for relief. Lifestyle changes are not about perfection or control. They are about reducing unnecessary strain on a nervous system that already works differently.

I learned that protecting my energy mattered more than maximizing output. I learned that rest was not something to earn after productivity, but something that made productivity possible in the first place. These changes did not happen overnight, but each one added stability where chaos used to live.

The Emotional Layer No One Talks About

ADHD is not just about attention. It is about emotion.

Years of being misunderstood, corrected, rushed, or labeled careless leave marks. Medication does not erase those experiences. Without addressing the emotional weight that comes with ADHD, people often continue to carry a quiet belief that they are failing at something everyone else finds easy.

Healing that layer requires compassion, not correction. It requires space to unlearn the idea that struggle equals weakness. When therapy and support address this emotional side, people stop fighting themselves and start working with who they actually are.

A Whole-Person Approach Changes Everything

Medication can be life-changing, but it works best when it is part of a bigger picture. ADHD is not something that exists only in the brain. It exists in daily life, and daily life needs multiple forms of support.

When skills, environment, emotional health, and medication come together, something powerful happens. Life stops feeling like a constant uphill climb. Not because everything becomes easy, but because you finally have tools instead of just expectations.

The Truth That Deserves More Space

ADHD does not mean you are broken. It means your brain processes the world differently. Treating it fully requires more than chemistry. It requires understanding, flexibility, and support that respects the complexity of how you think and feel.

Medication can help you see more clearly, but learning how to live well with ADHD is what allows you to move forward. And that journey is not about fixing yourself. It is about finally giving yourself what you needed all along.

10/01/2026

Food for thought

(disclaimer: I did not watch the whole talk_only this small part)

Pls speak to a professional to support and guide you how as the way of memory can be a very strong force.

https://www.facebook.com/share/v/19U1KhvaxU/

09/01/2026

Good advice for raising any teenager (not just boys like in the clip)

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