Better with Humans

ADHD at Work, Late Diagnosis: Nick Silverstone

• Episode 12

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0:00 | 49:35
A Mac and a PC do 90% of the same things. Different code underneath, same end goal. We've just built a workplace that only ships with one operating system. My guest this episode is Nick Silverstone, an award-winning fractional MD and ADHD coach for senior leaders, co-founder of Creative Minds Alliance ADHD, and someone who left school with no qualifications before building multi-million pound companies. The line that stayed with me wasn't about neurodiversity at all. It was about masking. Nick spent years doing 12 and 13 hour days, not because the work needed it, but because he didn't want to be seen failing at things he thought he should find easy. Then came a diagnosis in his mid-50s, and suddenly the effort made sense. Not a deficit. A different set of instructions. We talk a lot about reasonable adjustments in the abstract. Nick makes them concrete. Someone turns up late. The usual response is to tell them to stop. His response is to ask why. Maybe the start time moves. Maybe the routine changes. Most of the adjustments he comes across cost nothing at all. They just require someone to be curious before they're annoyed. Then we get into the technology. Nick automated a week's worth of admin so he could spend his time on the coaching that actually matters to him. That's the honest version of the AI productivity story. Not time saved in the abstract, but attention moved to where it belongs. He also lost the best part of a week building it, hyperfocused on getting it perfect, and he's clear-eyed that next time he'd pay a specialist. Both things are true. But here's the question we kept circling. How do you know what's good? I can ask AI for a graphic and think it looks brilliant. A designer looks at it and sees the composition is wrong. I once picked a builder because the front of the job looked solid. The bits behind the walls told a different story. If you're the one asking, are you also qualified to judge the answer? Which leads somewhere uncomfortable. AI is eating the entry-level work. That's the rung people used to climb to become the experts who know what good looks like. If nobody's climbing, where does the next generation of judgement come from? We don't fully solve it, but we agree the answer isn't to stop training people. Nick brings up something Jeff Bezos said years ago. Don't ask what's going to change. Ask what isn't. In a year like this one, that's the more useful question. If you take one thing from this conversation, make it curiosity. Ask why before you ask someone to change. It costs nothing and it changes everything. Connect with Nick Silverstone: LinkedIn: https://www.linkedin.com/in/nicksilverstone Website: https://www.fractional-md.com

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Editor: Glen Boswell
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Original music composed and produced by Brokli - https://youtube.com/@iambrokli

Original logo illustration and in video podcast graphics by Jesse Rist - https://instagram.com/jesse_rist


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