Main content

'I've lost thousands because of my ADHD'

From lost glasses to misinterpreted credit card conditions...

Impulse spending, losing glasses and misinterpreting conditions on credit cards can mean a great deal of unnecessary expense for people with ADHD. Within
the community some refer to it as the "ADHD Tax". Rach Idowu from the Adulting with ADHD newsletter and Prof Amanda Kirby from the University of South Wales who is also chair of the ADHD Foundation Charity, join us.

Convicted murderer and Paralympian Oscar Pistorius has left prison on parole. The 麻豆社's South Africa correspondent Daniel De Simone speaks to Access All
from Pretoria about how the focus of the news locally is on violence against women and girls.

Is There Anybody Out There? Ella Glendining went looking for someone who has the same rare impairment as she does, and made a film about it. Find out what discoveries she made along the way.

Presented by Emma Tracey and Nikki Fox.
Recorded and mixed by Dave O'Neill.
The producers were: Beth Rose, Alex Collins and Niamh Hughes.
The editor is Damon Rose,
Senior Editor Sam Bonham.

Email
accessall@bbc.co.uk
or find us on X.

Release date:

Available now

37 minutes

Transcript

听

8th January 2024

bbc.co.uk/accessall

Access All 鈥� episode 85

Presented by Nikki Fox and Emma Tracey

听

听

EMMA-听听听听听听听听听听 I am going to give you lovely lot a little lesson on braille, okay. Think of a dice and think of the six on a dice, and you鈥檝e got two dots at the top, two tops in the middle, and two dots at the bottom, so that鈥檚 six dots. And that鈥檚 the way a braille cell works; that鈥檚 the way each character in braille is a combination of those six dots, okay. So, the top left dot, that鈥檚 an A, or a one if you put another symbol before it, just to make it complicated. If you put another dot, the one in the middle on the left down beside it, that is a B, okay. And if you just put all six dots down together it is not a C, it is not a Z, it is actually the word for, F-O-R. I love to use my really old Perkins, which is like a typewriter type thing; it's metal and it鈥檚 plastic and it鈥檚 heavy and it crunches the dots out onto paper using pins that make little holes in the paper. And you might think that that鈥檚 really, really primitive, but actually they鈥檝e brought in lots of new technology which means that you can read it on your computer. I鈥檝e got braille in front of me right now, that鈥檚 what I use to help me read my script. It鈥檚 electronic braille. And it can be really modern and really helpful, as young Eryn in Northern Ireland told us on the news this week:

[Clip]

ERYN-听听听听听听听听听听听听 It鈥檚 made a big difference in my life because without it I wouldn鈥檛 be able to read, I wouldn鈥檛 be able to write, I really wouldn鈥檛 be able to do much. But I can still access braille in hard copy and I have a selection on books on this device. 听

[End of clip]

EMMA-听听听听听听听听听听 She loves braille. I鈥檓 so pleased. And it鈥檚 so nice to hear really young people coming up and talking about braille, because I am a huge braille fan and a huge braille advocate; it鈥檚 so, so helpful. It鈥檚 on medicine packaging; it鈥檚 on all of my spices, so I get the brailler out and I braille all of those, so I don鈥檛 have to use any technology in the middle, I can just put my fingers down and know whether I鈥檓 using cinnamon or paprika, because it鈥檚 kind of good to know the difference between those two. So, the reason I鈥檓 talking about braille today is that it is 200 years since Louis Braille invented braille. And he was only 15 when he did it. Louis Braille lived in the 1800s and he is a legend. I鈥檓 very pleased with Louis for doing that for me. It鈥檚 changed my life. And only 10% of blind people read braille, for various reasons. And lots of people think that blind people don鈥檛 need braille because we can listen to audio books and screen reading software etc etc. But you cannae beat having the dots under your fingers and being able to get from finger to brain.

MUSIC-听听听听听听听听听听 Theme music.

EMMA-听听听听听听听听听听 This is Access All, a weekly podcast from the 麻豆社 about disability and mental health. I鈥檓 Emma Tracey and I鈥檓 in Edinburgh. And on this week鈥檚 show: people with ADHD can be impulsive and they can easily lose things as well. It means they sometimes end up spending more money than your average person; and this is known in the ADHD community as the ADHD tax, and we鈥檙e going to be talking about that a little bit later on.

听听听听听听听听听听听听听听听听听听听听听听听听 Former Paralympian and convicted murderer, Oscar Pistorius, has left prison. We鈥檒l be speaking to our correspondent in South Africa to see what people are saying locally.

听听听听听听听听听听听听听听听听听听听听听听听听 And you will get your Nikki Fox fix later when Nikki and I interview Ella Glendining, a documentary maker who went about finding someone with the same extremely rare impairment that she has. Did she find them? And did she get to talk to them? And how did it feel? We鈥檒l find out later on.

听听听听听听听听听听听听听听听听听听听听听听听听 And if you鈥檙e listening on 5 Live and only catch us from time to time, I invite you to make a permanent connection with us, because we are a podcast. You can subscribe to us on 麻豆社 Sounds or wherever you get your podcasts from. Why not join our club?

听听听听听听听听听听听听听听听听听听听听听听听听 The weeks after Christmas can be tricky for all of us when it comes to managing our finances. But for many disabled people it can be a never-ending experience of extra cost. I鈥檓 blind and I do things like take more taxis, which is more expensive for me. But one group that I hadn鈥檛 really considered were people with ADHD. So, they might have poor attention to detail when filling out forms, might lose things and break things. And that extra cost associated with those things is known in the community as the ADHD tax. And here to give us their take on how the ADHD tax has affected is Rach Idowu. Rach was diagnosed back in 2020 at the age of 26, and they鈥檙e behind the successful newsletter Adulting with ADHD. Rach how many thousands of pounds do you reckon that you鈥檝e lost because of your ADHD?

RACH-听听听听听听听听听听听听 Oh, this is a painful question. But I would estimate around 鈥� to caveat I am turning 30 so this is over a lifetime 鈥� I would say over around 拢4,000 probably on ADHD tax unfortunately.

EMMA-听听听听听听听听听听 Right, 拢4,000. And what kinds of things was that on?

RACH-听听听听听听听听听听听听 I would say one was getting a credit card and not reading the terms and conditions, so again the lack of attention to detail, and not realising how much interest I would have to pay them back.

EMMA-听听听听听听听听听听 Wow. Our producer Alex has ADHD and he was telling me that he鈥檚 lost countless earbuds and can鈥檛 manage with wired earphones, and has also lost lots and lots of pairs of glasses, probably, like, ten pairs. What sorts of things have you lost? Or is that something that happens to you as well?

RACH-听听听听听听听听听听听听 Yes, I feel his pain. From keys to bus passes. I used to lose my bank card quite a lot, surprisingly, to the point where I tried to order another one and my bank told me I can鈥檛 get another one because it鈥檚 suspicious that I keep on losing my cards and requesting a new one. So, I actually have to go down to my local branch with my passport and ID to show them that it is me, and explain why I kept on losing my cards. And it鈥檚 simply because I didn鈥檛 have a wallet; I would just have my card in a pocket.

EMMA-听听听听听听听听听听 Yeah. Another issue is impulse spending.

RACH-听听听听听听听听听听听听 I think I have such shiny object syndrome, so I see something, I like it, and I want to try it out. So, this could be like a new hobby idea or an interest, and I go on the good old Amazon and I just buy a bunch of things that I clearly don鈥檛 need. And then when it gets there it sits in a box or I try it out and I don鈥檛 return it. And that鈥檚 where I鈥檇 say a lot of the ADHD tax derives from is ordering things, not using them or it doesn鈥檛 fit, and I don鈥檛 return it because it鈥檚 so mentally taxing to fill out the forms, go to the post office and package it up and return it. So, yeah, that鈥檚 the impulsive purchasing.

EMMA-听听听听听听听听听听 And how does all this affect you emotionally, all this hassle, admin, cost? What sort of effect does it have on your mental health?

RACH-听听听听听听听听听听听听 I would say firstly the physical space, clutter. So, having a cluttered environment can be quite demotivating. It can cloud your thinking when you don鈥檛 have a clear space. So, I would say that has been an issue for me. And then mentally it鈥檚 feeling like the guilt and shame and feeling like a failure because not being able to have this under control. So, it can be quite disheartening when you鈥檙e continuously doing something as a result of the condition that I have, but then not being able to come up with immediate solutions. So, that鈥檚 something I鈥檝e struggled with over time. But again I鈥檝e found a few workarounds.

EMMA-听听听听听听听听听听 With me also is Professor Amanda Kirby from the University of South Wales. And she鈥檚 also chair of the ADHD Foundation which advocates for people with ADHD. Hi, Amanda. Thank you for joining me.

AMANDA-听听听听听 Hi, thank you for inviting me.

EMMA-听听听听听听听听听听 Oh, you鈥檙e very welcome. You鈥檝e been listening to Rach and you鈥檝e been hearing her story. Why do so many people struggle with this who have ADHD?

AMANDA-听听听听听 So, ADHD is the impulsivity, it鈥檚 often the prevarication: so I know I need to send this stuff back but I just can鈥檛 get organised to box it up and send it. It鈥檚 the impulsivity of I like the shiny, I like that. And Instagram and Amazon, and we have a card that you just tap, there鈥檚 not cash that you鈥檙e spending, so that you鈥檙e not feeling that you鈥檙e spending money 鈥� that鈥檚 often a difficulty because we don鈥檛 carry cash around 鈥� so it鈥檚 often very easy and quick to make those impulsive purchases which really cost a lot of money, and also wound you at the end of it when it doesn鈥檛 work, you don鈥檛 want it, but you don鈥檛 have the planning to send it back and organise yourself. So, it covers a lot of different areas really.

EMMA-听听听听听听听听听听 And what about dopamine levels?

AMANDA-听听听听听 Well, that鈥檚 the hit. So, why we make those purchases, and if you鈥檝e ever gone and bought yourself something new and it gives you a lift, often we have a lack of dopamine that鈥檚 driving some of this behaviour that鈥檚 allowing us to make those impulsive purchases, gives you a quick hit, but then it鈥檚 not got that lasting impact. The other thing about it is not just hidden taxes in terms of buying things, also we鈥檙e losing things or having accidents, we鈥檝e heard that. I dropped my passport the other day inadvertently when I was coming back from somewhere, and you think cash, key things, keys, things that are costly to replace time-wise but also money. And we鈥檙e more likely to have more accidents as well. So, all of those things a real pervasive impact on day-to-day living.

EMMA-听听听听听听听听听听 So, let鈥檚 go onto solutions now I think would be a good idea. And I鈥檓 told that banks are starting to think a lot about this. Is that right, Amanda?

AMANDA-听听听听听 That鈥檚 right. So, some of the banks are really thinking about how do we make sure we鈥檙e putting money away, we鈥檙e squirreling money away in different pockets so we don鈥檛 just spend everything on something shiny and then realise we don鈥檛 have enough for bills. So, you can segregate your savings quite effectively and they say, do you want to put this amount of money into this particular bit so you鈥檝e got a rainy day fund; or you鈥檙e putting money in your taxes or you鈥檙e putting money into saving for something. So, they can put it into the separate pockets, and they鈥檒l prompt you to do that. So, that鈥檚 quite useful.

听听听听听听听听听听听听听听听听听听听听听听听听 And then things like with direct debits, we鈥檝e heard direct debits can really make a difference that we make sure that the payments of the things that you have to pay is automatically done, so we鈥檙e not having to think about it. And that really helps quite a lot.

听听听听听听听听听听听听听听听听听听听听听听听听 And then I think not having the shiny opportunities, so maybe not linking your cards to Apple Pay that you can quickly click and spend may just give you a couple of minutes to go, should I do that.

EMMA-听听听听听听听听听听 Yeah, a bit of breathing space.

AMANDA-听听听听听 Exactly. That can help quite a lot as well.

EMMA-听听听听听听听听听听 We spoke to Monzo Bank and we spoke to Natalie Ledward there who鈥檚 the head of vulnerability, access and inclusion, and we asked her what they鈥檙e doing:

[Clip]

NATALIE-听听听听听听 Monzo is designed to give people clear visibility over their spending behaviour. So, to highlight a few features: instant notifications, they show in real time where your money is going. Spending categories prevent impulse spending by creating limits in specific areas. And Pots is a great budgeting tool because money spent comes out of a particular pot rather than your overall balance, for example bills.

[End of clip]

EMMA-听听听听听听听听听听 Rach, you鈥檝e been listening to that message and to what Amanda was saying about other banks. You鈥檝e had some tricky relationships with banks in the past; do you think they鈥檙e doing better nowadays?

RACH-听听听听听听听听听听听听 So, one of the things that I should mention that I struggle with when it comes to ADHD tax is subscribing to so many different things to try it out for, let鈥檚 say, a one-month free trial period, and then forgetting to cancel or just not being aware of when the money leaves my account. And I find that it鈥檚 just visually pleasing in terms of the app. It鈥檚 almost for me like a financial planning because you have the different categories and you can, kind of, keep on top of your spending. It鈥檚 just easy for me to find things.

EMMA-听听听听听听听听听听 So, visually at a glance you can just look and say, right that鈥檚 that, oh that came out. Visual ways of looking at something really quickly are they useful when it comes to managing stuff around ADHD?

RACH-听听听听听听听听听听听听 Yes to me. If I鈥檓 not interested or excited at something I鈥檓 looking at my brain switches off, so it almost doesn鈥檛 pick it up. Maybe I could have dyslexia and I don鈥檛 know about it, but the way certain colours and even the way certain things are written and with fonts clicks with my brain a bit more. And I find that with the Monzo app just how it is visually and how it鈥檚 designed, the UX/UI design is really helpful for my brain to, kind of, plan and stay organised and stay on top of things.

EMMA-听听听听听听听听听听 What other solutions have you put in place?

RACH-听听听听听听听听听听听听 I鈥檝e got a wallet. But I also have this thing at home called an important box. It鈥檚 actually an old knitting kit box where I put my keys, my wallets, my AirPods or anything that鈥檚 important, because I know it should be there and it will be in there. And that鈥檚 mainly because I have different jackets and different bags and I may forget to transfer something from one bag to another, which happens. I have ADHD, I鈥檓 forgetful. So, just having everything in the important box will enable me to remember to put it back there or pick it up when I鈥檓 heading out, and I won鈥檛 have to worry about did I take something out of a different pocket, or did I leave my wallet in a different bag. So, yes.

EMMA-听听听听听听听听听听 So, it鈥檚 having a routine of just walking in and putting it all into that box?

RACH-听听听听听听听听听听听听 Yes, and then my brain registers it and it just becomes second nature, so I won鈥檛 have to stress about organising, planning or remembering things because I鈥檝e just made it so easy for my brain to remember this is where it鈥檚 always going to be.

EMMA-听听听听听听听听听听 Sure. So, one option maybe for getting some financial support is Personal Independent Payments or PIP. And that鈥檚 a welfare benefit which is designed to cover or try and meet the extra cost of being disabled. And here鈥檚 a couple of facts around PIP and ADHD 鈥� we鈥檝e got all the alphabet acronyms going on here, haven鈥檛 we.

听听听听听听听听听听听听听听听听听听听听听听听听 In 2023 there were 52,989 PIP claimants with ADHD listed as their main disabling condition. This makes it actually the 14th most common condition being awarded PIP. 79% of those听 claimants were in their 20s. Do you get PIP, Rach?

RACH-听听听听听听听听听听听听 Well, no, I actually knew that people with ADHD could claim PIP and there鈥檚 quite a few people have used it. I wish more people knew about it because that sounds super helpful, and I know lots of people will benefit from using PIP.

EMMA-听听听听听听听听听听 Yeah. So, will you be applying now?

RACH-听听听听听听听听听听听听 What I鈥檝e thought about applying to is actually Access to Work. So, it鈥檚 a grant for people who are working and who may need special aids. So, if you are neurodivergent or disabled you can apply to, let鈥檚 say, have an ADHD coach through the Access to Work scheme, and your employer or the Access to Work grant will fund it. So, I am thinking about looking at things that will make it easier for me to navigate life with ADHD in different spheres, whether it鈥檚 in the workplace or just in daily life.

EMMA-听听听听听听听听听听 Amanda, do you get PIP?

AMANDA-听听听听听 I get Access to Work, and that鈥檚 helped me with coaching and supporting me. A lot of the things that we鈥檝e talked about, Rach talked about this morning, I recognise those in myself. However, it鈥檚 interesting 79% of the PIP payments are people in their 20s. We鈥檝e really got to think about those people in their 40s, 50s, 60s who may well be not so digitally literate and getting into huge financial troubles because they鈥檙e not so adept with some of the IT that exists. And I think we do need to reflect that ADHD is a lifelong condition, not just in young people as well.

EMMA-听听听听听听听听听听 So, do you think older people are maybe less aware of ADHD and there鈥檚 maybe more stigma around it then?

AMANDA-听听听听听 Many women are only getting diagnosed in their 40s, 50s and 60s now, because we thought it was all these things. I think that鈥檚 been missed along the way. And I think there are a lot of people who were missed when they were younger, might have had anxiety and depression, and only now recognising that it could well have been ADHD and been living with stigma, shame and the consequences of ADHD. So, that tax might be hidden because people don鈥檛 want to talk about it, and ADHD until recently has been a stigma. People have thought of deficit and disorder and avoided really sharing that information with other people, especially if you鈥檙e in employment it鈥檚 something people didn鈥檛 feel confident telling their employers.

EMMA-听听听听听听听听听听 And that鈥檚 why they don鈥檛 claim?

AMANDA-听听听听听 And that鈥檚 why they don鈥檛 claim.

EMMA-听听听听听听听听听听 Rach Idowu, Professor Amanda Kirby, thank you so much for joining me.

听听听听听听听听听听听听听听听听听听听听听听听听 Now, you will remember the case of Oscar Pistorius, the Paralympian who was convicted of murdering his girlfriend, Reeva Steenkamp after he shot her multiple times through a bathroom door at his home in Pretoria. The gold medallist and double amputee, nicknamed Bladerunner, later claimed he had mistaken her for a burglar. It shocked the world. He was freed on parole from a South African jail on Friday, nearly 11 years after Reeva鈥檚 fatal shooting. Reports so far say he鈥檚 staying with an uncle and, along with other restrictions, he鈥檚 not allowed to speak to the media. On the line from Pretoria is the 麻豆社鈥檚 Daniel De Simone who鈥檚 been following the story.

听听听听听听听听听听听听听听听听听听听听听听听听 So, Daniel, you鈥檙e the South African correspondent with the 麻豆社, you鈥檝e been working a lot on this story over the last few days, talk me through what happened on Friday. I think for us in the UK what鈥檚 quite interesting is why he was released now when there are so many years left on his tariff?

DANIEL-听听听听听听听听 Well, in South Africa offenders who鈥檝e committed a crime, like Oscar Pistorius has committed, do have the right to apply for parole at the halfway point of their sentence, with conditions. So, that means that although he鈥檚 come out of prison and he鈥檚 sort of, if you like, free, he鈥檚 walking around freely, he is under conditions. So, the hearing took place in November; it wasn鈥檛 public, so although we were outside the prison we weren鈥檛 allowed in the hearing, so we don鈥檛 know exactly everything that was said. His victim Reeva Steenkamp who he murdered her mother, she didn鈥檛 formally oppose his release, but she did express concern about him, very much she had a lot of doubt about whether he鈥檚 reformed, whether he鈥檚 rehabilitated.

EMMA-听听听听听听听听听听 He can walk around freely! Is that right?

DANIEL-听听听听听听听听 Well, they鈥檝e not actually published the official list of the conditions. They鈥檝e said what some of them are, the authorities. There would be no reason why he can鈥檛 walk around freely, why he can鈥檛 go to the shops. There would be limits, just as there are often for people in the UK who are released from prison on licence or perhaps are on bail, that they鈥檙e often required to be at a particular address. Beyond that and beyond him having to attend mandatory programmes on gender-based violence, on anger management and he鈥檒l have to do community service, he鈥檒l have to do other things, he would be able to walk around.

EMMA-听听听听听听听听听听 In terms of him getting out and about, how are local people reacting to the release? How is local media reporting this?

DANIEL-听听听听听听听听 Well, it was a huge story on Friday and the day before, where there was coverage before his release, on the day of his release, and subsequently over the weekend and into this week. It鈥檚 really all over all of South Africa media. When we were at the prison and the house where we know he was taken to live, which is his uncle鈥檚 house nearby, there were large numbers of South African journalists, different South African television networks. But there was considerable effort really placed to get him out of the prison and into the other house without him being seen. So, he wasn鈥檛 seen by any of the media, despite the fact there was really a very large amount of media.

EMMA-听听听听听听听听听听 And what are they saying? What are they writing? What are they talking about?

DANIEL-听听听听听听听听 So, the issue of gender-based violence, so violence against women and girls, is a big issue in South Africa. Where his case is so well-known, and is easily the best known case of gender-based violence of a man murdering a woman in South Africa, there鈥檚 a real concern amongst campaigners on the issue and others that his early release on parole sends a message of weakness on this issue, that someone who鈥檚 murdered a woman less than 11 years ago and to be already walking around just is a terrible signal.

听听听听听听听听听听听听听听听听听听听听听听听听 I should say that Reeva Steenkamp鈥檚 mother, June, did release a statement on Friday, on the day of his release, expressing some reassurance Oscar Pistorius was being made to do mandatory programmes on gender-based violence and anger management. And saying she felt that that showed that the issue was taken seriously within the criminal justice system in South Africa. But that鈥檚 a big issue really.

听听听听听听听听听听听听听听听听听听听听听听听听 And thinking about murders generally, so all kinds of murders, we鈥檙e actually at a 20-year high at the moment in South Africa with regards to the murder rate. There were over 27,000 people murdered in a year. In the UK, which is a larger population in the UK, I think there鈥檚 700 murders in a year.

EMMA-听听听听听听听听听听 Wow.

DANIEL-听听听听听听听听 So, you can get a sense of how many murders there actually are. And a lot of them are not solved; I think most of them are not solved. If you are convicted of murder in the UK you will get a life sentence; you鈥檙e likely to get a minimum term rather than a whole life order, but you鈥檙e going to have a life sentence if you commit murder. That means you can always be recalled to prison. Oscar Pistorius hasn鈥檛 got a life sentence, despite being convicted of murder. There will come a point in late 2029 where the conditions will expire and he would then be a free person, there will be no conditions after that. And campaigners on crime who feel that crime isn鈥檛 dealt with seriously enough and severely enough here feel also that this case does highlight that to some extent, because he is a convicted murderer who is already out and is then going to be off all conditions in late 2029.

EMMA-听听听听听听听听听听 There has been speculation around what Oscar Pistorius will do next. There鈥檚 been speculation that he might become a pastor and different things like that. Have you any idea?

DANIEL-听听听听听听听听 I鈥檝e heard a lot of things, but a lot of it is basically speculation. As part of his parole conditions he will be encouraged to work. This isn鈥檛 a case of being under house arrest where you鈥檙e not allowed to go out and do anything. I think the speculation about听 him becoming some kind of pastor is sort of generated by some comments that his father made to a paper some years ago now about him taking an active role within a Christian community in prison. But that was some years ago now, so I don鈥檛 know how well-founded that is. I don鈥檛 know, it鈥檚 very interesting, he鈥檚 so well-known that when the licence conditions, when the parole conditions do expire in late 2029 he鈥檒l inevitably be able to find a platform. There will be people that will want to talk to him. He鈥檚 only 37, he鈥檚 out, and by the time the conditions expire he鈥檒l be in his early 40s, so he鈥檚 actually still young. And because he鈥檚 so well-known and so famous he will still be a focus of attention, and he will still find a platform.

EMMA-听听听听听听听听听听 Because this is a disability podcast it is interesting to talk about Oscar Pistorius鈥檚 time in prison. Is it felt that he was given any special treatment because of his fame or disability? And was his prison time accessible?

DANIEL-听听听听听听听听 We actually know very little officially about his time in prison. Latterly the prison he was released from, which is just outside Pretoria, it鈥檚 quite near to his family; it鈥檚 about 20, 25 minutes鈥� drive from the house where he鈥檚 now believed to be staying. He would have been able to get around. He would have been able to get outside. The authorities have been at pains to make it clear he鈥檚 just treated like anyone else.

EMMA-听听听听听听听听听听 Daniel De Simone thank you very much for talking to me about Oscar Pistorius and his release from prison.

MUSIC-听听听听听听听听听听 Access All.

NIKKI-听听听听听听听听听听听听 Award winning documentary, Is There Anybody Out There? has been praised by screenwriter Jack Thorne, who we all love Jack Thorne, and it鈥檚 making waves on the festival circuit as well. now, in it Ella Glendining, whose disability is really rare, films herself on a search for someone with a body that looks like hers. And she explores what it takes to love yourself fiercely as a disabled person in a non-disabled world.

[Clip]

ELLA-听听听听听听听听听听听听听 Being disabled in this ableist world is brutal.

MALE-听听听听听听听听听听听听 Growing up it鈥檚 definitely a struggle. No one wants to be like me. Not even I want to be me.

FEMALE-听听听听听听听 I get a lot of doubt everywhere I go.

FEMALE-听听听听听听听 Is there ever going to be a point where it鈥檚 not going to matter?

ELLA-听听听听听听听听听听听听听 I used to imagine myself in the future as better. And at some point you just realise this is it.

DR PALEY-听听听听 People want to improve aesthetics, and with surgery we could lengthen the limb.

[End of Clip]

NIKKI-听听听听听听听听听听听听 There is so much more to this doc. Emma and I both loved watching it. So, let鈥檚 meet the one and only Ella. Hello Ella.

ELLA-听听听听听听听听听听听听听 Hello. Thank you so much for having me. I鈥檓 really, really excited to be doing this.

NIKKI-听听听听听听听听听听听听 Thank you so much for coming on. We don鈥檛 tend to ask people, we don鈥檛 do it at all actually on the podcast, directly all the time about their impairment. But in this case obviously it is an important aspect of your brilliant film. So, are you all right, just for listeners that don鈥檛 know, to tell us a bit about your rare disability and why you wanted to find someone who was, like, in the same boat as you or a bit like you?

ELLA-听听听听听听听听听听听听听 Yeah, sure. So, I have a really rare condition. I don鈥檛 tend to tell people the name, mostly because it just doesn鈥檛 feel that relevant to me. It鈥檚 difficult to explain why I think to non-disabled people, but I guess we鈥檙e talking to lots of disabled people here. It feels private, and I think as soon as you tell people the name of your condition people are super nosey. And it鈥檚 just a bit dehumanising, isn鈥檛 it? We鈥檙e so used to being medicalised and all that stuff.

EMMA-听听听听听听听听听听 Yeah.

ELLA-听听听听听听听听听听听听听 I have a rare condition which means I鈥檓 short in height and I use a wheelchair for long distances. And my legs they look very unusual, they鈥檙e small and I walk kind of crouched. It was never this tragic thing; I鈥檝e always been disabled and proud, certainly for as long as I can remember. But I also have always been so aware of feeling like the only one in the room, even in disability spaces and stuff. But yeah, I always had this longing, like I say in the film, like a missing puzzle piece that I鈥檇 never seen anyone remotely like me before.

EMMA-听听听听听听听听听听 And was your search successful, Ella, when you went searching for somebody?

ELLA-听听听听听听听听听听听听听 It was really interesting the kinds of similarities that I noticed between us all. I think the biggest one was that we were all class clowns, we all had this very strong desire to prove ourselves 鈥� which isn鈥檛 necessarily healthy, and I think is very common within the disability community more broadly. But yeah, there was just like this resilience that felt really rare and I really recognised in everyone I met.

听听听听听听听听听听听听听听听听听听听听听听听听 The most illuminating thing was that it made me realise I already had what I was looking for, as cheesy as that sounds, I already have it in my disabled friends and the disability community generally. I didn鈥檛 need to find someone with a body exactly like mine.

NIKKI-听听听听听听听听听听听听 We鈥檝e got a clip of you meeting Dr Paley, who鈥檚 a leading surgeon for kids with your kind of impairment. And you鈥檙e talking about procedures here:

[Clip]

DR PALEY-听听听听 The best option if you have the type 3 is what鈥檚 called a rotationplasty, and that is where you turn the whole leg around and you convert the remnant of the knee into a hip joint, and you convert the ankle, which is usually pretty normal, into a knee joint, and you put on a prosthetic. The whole idea is that you can stand at normal height. But you鈥檙e just not a great case at this age and stage. Usually we do that at age three.

[End of clip]

NIKKI-听听听听听听听听听听听听 Just explain a bit more about that clip that we just heard there, Ella.

ELLA-听听听听听听听听听听听听听 So, that鈥檚 when I go and meet with, as you said, the lead or a very specialist surgeon. He specialises in limb lengthening mainly, so not just my condition but kids with different types of dwarfism and stuff. So, sometimes it鈥檚 just aesthetic, and then in cases like mine he would argue it鈥檚 to, I think what he said was to improve aesthetics and function. But of course these surgeries are really major. There鈥檚 no fixed result because, I mean, these are really major operations. I found this meeting really, really difficult. I had to have two large glasses of wine before going to meet with him [laughter]. And I knew I didn鈥檛 want to go in all guns blazing as well, because what does it really achieve going to yell at people who think differently to you. I knew I was not going to change this man鈥檚 mind. And I wanted to hear him out as well, because of course it鈥檚 a really complex issue and I鈥檓 not by any means anti-surgery or anti-treatment. But I think my mum sort of says it best in the film, she says, 鈥業f it ain鈥檛 broke don鈥檛 fix it鈥�. And I think that鈥檚 exactly how I feel. And I think it鈥檚 rooted in ableism this sort of operation that he鈥檚 describing, it鈥檚 just why?

NIKKI-听听听听听听听听听听听听 I have to say I love your mum. She鈥檚 incredible, isn鈥檛 she?

ELLA-听听听听听听听听听听听听听 Yes, my mum is a wonderful, wonderful person. But it was really, really important for me not to kind of perpetuate that, like, oh saintly figures that care for disabled people, the saintly parents, the saintly long-suffering partner, carer figure, whoever. That鈥檚 why I 鈥� with her permission of course 鈥� I talk about her alcoholism in the film.

NIKKI-听听听听听听听听听听听听 Yeah, so honest.

ELLA-听听听听听听听听听听听听听 Yeah, really honest, and I鈥檓 really grateful that she was happy for me to share a bit of that stuff.

NIKKI-听听听听听听听听听听听听 I loved the part when you were talking to her about, you know how people say to you, do you have a sibling, you鈥檙e an only child, and you think well their thought must be well, your mum didn鈥檛 want to have another one just in case of the same condition or whatever.

[Clip]

ELLA-听听听听听听听听听听听听听 How does that make you feel?

MUM-听听听听听听听听听听听听听 Oh god no, if I could have another one like you that鈥檇 be fine. That had nothing to do with your condition whatsoever. That鈥檚 something I鈥檇 never even thought of, but yeah, I guess.

ELLA-听听听听听听听听听听听听听 People ask it all the time, and it鈥檚 so obvious what they鈥檙e thinking [laughs].

[End of clip]

ELLA-听听听听听听听听听听听听听 She said, 鈥楯ust tell them that mum was too messed up to have any other children鈥� and it鈥檚 true. But she鈥檚 also wonderful. I think what my parents did amazingly though, and I think what comes across in the film, is that they accepted me. That鈥檚 all. They鈥檙e very human, they messed up in the way that all people do, they are not saints, but they鈥檙e wonderful people. But what they did amazingly well is just accept me. And it shouldn鈥檛 be rocket science to accept your disabled child and not immediately, like desperately try to make them non-disabled or as close to non-disabled as possible. It鈥檚 just so tragic I think.

NIKKI-听听听听听听听听听听听听 You had quite a few things chucked at you as well, didn鈥檛 you, during filming. Because COVID for one, not good.

ELLA-听听听听听听听听听听听听听 Yeah.

NIKKI-听听听听听听听听听听听听 Baby, amazing. You had a baby.

ELLA-听听听听听听听听听听听听听 Yeah, I did.

NIKKI-听听听听听听听听听听听听 I mean, how did that all change the story and where you were going with the film when you first initially thought of it?

ELLA-听听听听听听听听听听听听听 I think it adds a whole new depth for the story, in the way that I can鈥檛 even imagine what the film would be without the pregnancy now, because I鈥檓 reflecting so much on my own childhood and also my mum鈥檚 experience of being pregnant.

EMMA-听听听听听听听听听听 I realised that in the documentary friendship was very important to the story too, and your friend, Naomi, who鈥檚 autistic. What did the big chats with lots of gin that you had with Naomi in the film what did that bring to the story? It feels like it was sort of identity and disability politics etc.

ELLA-听听听听听听听听听听听听听 Yeah, Naomi she鈥檚 my favourite part of the film really.

[Clip]

ELLA-听听听听听听听听听听听听听 I used to imagine myself in the future and I imagined myself as better, you know. And at some point you just realise it鈥檚 not going to happen and this is it. But, um, that鈥檚 incredibly freeing at the same time. That鈥檚 so freeing because it鈥檚 like this is it [laughs] and it鈥檚 fine, it鈥檚 wonderful.

NAOMI-听听听听听听听听听 That is so powerful.

ELLA-听听听听听听听听听听听听听 Yeah.

[End of clip]

ELLA-听听听听听听听听听听听听听 The scenes with Naomi I鈥檓 so proud of because I think you never seen on screen two disabled friends hanging out and chatting about disabled stuff in a way that, you know, is perhaps not鈥eah, it doesn鈥檛 include non-disabled people; it was about us and our experience. And I think what鈥檚 so interesting about our chats is that we have really opposing experiences of disability physically 鈥� she鈥檚 got a neurological disability, she鈥檚 autistic; I鈥檓 not autistic but yeah, look incredibly different and I鈥檓 physically disabled 鈥� but we experience ableism and feel about ableism exactly the same way, which I just think is so interesting. She鈥檚 really, kind of, yeah definitely a soulmate.

NIKKI-听听听听听听听听听听听听 What鈥檚 next for you? What do you want to do after this brilliant doc?

ELLA-听听听听听听听听听听听听听 I鈥檓 in the process of writing my first fiction feature at the moment, which is a historical drama about the life of a court dwarf in the 1600s. And, yeah, it鈥檚 a disabled character at its core. It鈥檚 about his journey to overcoming his internalised ableism, and finding community with the court fools of the palace.

NIKKI-听听听听听听听听听听听听 Wowzers!

ELLA-听听听听听听听听听听听听听 Yeah, I鈥檓 writing that and will also direct it, so that鈥檚 what鈥檚 next. And I鈥檓 so excited it.

NIKKI-听听听听听听听听听听听听 And that鈥檚 for screen, is it? Is that for TV or is it a film?

ELLA-听听听听听听听听听听听听听 It鈥檚 a film, it鈥檚 a feature film, yeah, for the BFI.

NIKKI-听听听听听听听听听听听听 You can watch Ella鈥檚, it鈥檚 just a brilliant film 鈥� I鈥檝e got captivating here on the script but I鈥檓 searching for an even better word than that because it is just so watchable 鈥� it鈥檚 called Is There Anybody Out There?听 and it鈥檚 online via the BFI Player. And there鈥檚 also optional audio description too. Definitely check it out, it鈥檚 brilliant. And come back, Ella.

ELLA-听听听听听听听听听听听听听 Thank you, I鈥檇 love to. And I feel very starstruck; you鈥檙e both totally amazing and I love Access All.

EMMA-听听听听听听听听听听 A big thanks to Ella there. It was absolutely great talking to her. And Nikki will be back soon. She鈥檚 off on assignment at the moment, as they say. And that鈥檚 it for our first show of 2024. And we have some good news to end on though. Remember the York City Council Blue Badge ban in all pedestrian areas of the city? Well, that was brought in in 2021 and there was a big disabled-led campaign to reverse it. We found out late last year that it was reversed, but this week was the first time that residents were able to come into the city and park with their Blue Badges. Just in time for the sales as well. Brilliant.

听听听听听听听听听听听听听听听听听听听听听听听听 Let us know what you think of Access All. You can get in touch with us on X, formerly known as Twitter, and on Instagram @麻豆社AccessAll. And our email is accessall@bbc.co.uk. We鈥檙e all about disability and mental health, so if you do know someone who think would particularly enjoy the podcast please do tell them about it. And do share us on your own social media, that would be great as well. Thanks for listening for another week. See you.

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