Activities of Daily Living (ADL) - a framework I find useful

Activities of Daily Living (ADL) - a framework I find useful

I came across the concept of Activities of Daily Living when looking up how to assess if an elderly relative should go into care or not yet. Then it struck me how relevant they are to people with mental health struggles (as well as people with disabilities).

The UK's NHS defines it as "Activities of Daily Living (ADL), are all the essential, basic self-care tasks that people need to do every day to keep themselves safe, healthy, clean and feeling good: from getting up in the morning, showering, grooming, preparing and cooking meals, shopping and travelling to maintaining the house, garden and taking care of pets". There are several (non-exhaustive) lists online, such as here: https://my.clevelandclinic.org/health/articles/activities-of-daily-living-adls and here: https://www.nhslanarkshire.scot.nhs.uk/services/occupational-therapy/learning-disability/activities-of-daily-living/ as they pertain to different contexts.

I personally find it quite grounding and calming at this stage of my C-PTSD recover, a useful framework to draw on for basic functionality when I mentally need a bit of support, e.g. when I've reverted to freeze (my default!) due to overwhelm. It can be like a mental "checklist" on low energy days or when I feel like I have stretched myself a bit too much (usually in positive ways!) - I mentally check in, and think "okay let's get up and shower, have breakfast and fold the laundry. Let's book that appointment. Let's go for a walk. Let's clean the cat's feeding station".

It's a bit like inner child work (which I found tremendously helpful when going through healing, years ago!) but coming at it from the other side, almost like future-proofing for my older self. As I have a family history of dementia and Alzeimhers, I'm particularly keen to make sure I can be as independent for as long as possible.

Hope someone else finds it useful, or at least interesting.

"Acrivities of Daily Living" - a framework that's helping me

Here's the definition from the UK National Health Service (NHS):

"Activities of Daily Living (ADL), are all the essential, basic self-care tasks that people need to do every day to keep themselves safe, healthy, clean and feeling good: from getting up in the morning, showering, grooming, preparing and cooking meals, shopping and travelling to maintaining the house, garden and taking care of pets.

Most people manage these daily tasks without any difficulties. However, for [some individuals] these activities can be challenging and can impact on their functional and independent living skills."

So the context I learned this in was for elderly people, particularly those with dementia. But it made me think of those of us who struggle with mental health, sadly reminding me of myself and loved ones who have gone through times when "ADL" has seemed very far out of reach.

Equally, I think it's a nice framework to work with on the low energy days. Can I strive to at least do ADL? Okay, then that's good. Can't I? Well that signals a bigger problem, maybe I need more rest, less 'heaviness', more care, etc.

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NSV: went ice-skating for the first time in my life

Okay, well, more like slowly dragging myself around the walls on the rink with my husband cheering me on, than fully skating but wow! What a lovely experience!

I am still obese but 7kgs away from a BMI of 30. I am really starting to feel lighter so although I was very very scared, and felt like a baby giraffe learning how to walk, I did it.

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u/OccasionallyMyself67 — 12 days ago

Nature is slowly being recognised as a legal entity in countries around the world

Here's a very good article on the subject: https://www.lrb.co.uk/blog/2026/june/rights-for-gods

It focuses on the Thames (river) in England, and the proposed bill to grant it legal status and rights, but mentions the progress made in other countries so far:

"Ecuador was the first country to set nature’s rights into law, amending its constitution in 2008 to recognise Pachamama (Nature) as a right-bearing entity, followed by Bolivia in 2009. Five years later, New Zealand settled a decades-long Māori tribal lands dispute by recognising the Whanganui River as an entity ‘with all the corresponding rights, duties and liabilities of a legal person’. The Ganges and Yamuna rivers in India were granted legal personhood in 2017 by the High Court of Uttarakhand state to tackle serious pollution (though the Supreme Court of India then overturned this); in 2022, Spain gave legal personhood to the Mar Menor, Europe’s largest saltwater lagoon."

More of this please!

u/OccasionallyMyself67 — 17 days ago

6 kgs lost from microdosing only

That's the whole story in the title.

I have taken a third of the starter dose 2.5mg x 5 weeks in a row and lost on average 1 kg a week. I've done this by counting clicks.

I'm now on a half a dose of 2.5mg (so, 1.25mg).

The appetite suppression and sense of satiety is perfect. I am able to eat 3 healthy meals a day and only suffer indigestion if I eat too much at night. I could feel the dose increase to 1.25mg this week and actually had my first "bad day" with diarrhea, indigestion and nausea, but it was fleeting and I'm fine again now.

Backstory: I think I'm highly sensitive to whatever is in Mounjaro, so my first attempt was back in February and I started on 2.5mg. I could barely eat, had terrible nausea, diarrhea and indigestion from hell. I still took the next week's dose and that's when trouble really started - I started vomiting nonstop, couldn't even keep water down. Had to take time off work. Appetite suppression lingered for 2 weeks after that and I obviously stopped after that dose and gave it a rest until May.

I've microdosed medication to great effect in the past, so with research and the validation of two doctor friends and husband, I decided to start VERY low and slow. It's working well!

Just my story in case anyone else is considering it.

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u/OccasionallyMyself67 — 23 days ago