ADHD Through the White Coat: An Autoethnographic Account from MBBS to DM Through the Lens of Self-Determination Theory

This study examines the lived experience of an adult psychiatrist with attention-deficit/hyperactivity disorder (ADHD) through the lens of self-determination theory, exploring how neurodevelopmental challenges interact with the demanding environment of medical training and practice. A case report using autoethnographic methodology, analyzing 16 years of personal diary entries and illustrations from ages 17 to 32 years (2008–2023), documenting the author’s journey from medical school through speciality training. Thematic analysis was conducted through the lens of self-determination theory to identify recurring patterns related to autonomy, competency, and relatedness. Three major domains of challenge were identified: Autonomy (excessive curiosity, incomplete plans, compensatory lethargy), competency (fear-based motivation, difficulty with mundane tasks, recognizing dysfunctional patterns), and relatedness (gradual development of self-acceptance). ADHD symptoms created persistent conflicts with professional demands, presenting unique obstacles to motivation and self-determination. “Radical acceptance” of neurological differences, coupled with personalized adaptive strategies and strong foundational values, enables individuals with ADHD to navigate medical careers through unconventional means. This account provides insights into the complex intersection of ADHD and professional development in healthcare environments.