My Blog: ADHD Since 1978-


Stress does weird things to you

I’m 43 years old. I have been taking stimulants since I was 10, more or less. Most people experience stimulant related insomnia based on the size of their dose and when they take their last dose during the day. I am at the extreme end of the scale. If I were to lick a ritalin at 10:00 a.m. I would not sleep that night. And it just so happens that I take about 160 mg of Ritalin derive stimulants every day because I’m not quite human. As a result, I did not take a nap for any reason other than…

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meet yourself where you are.

It’s a principle of management. It’s a principle of parenting. It’s probably a good principle of conflict resolution. It’s a cornerstone of good teaching. You have to meet people where they are. But I find that my clients consistently forget to meet themselves where they are. As ADHD adults, we tend to be harder on ourselves than anybody else’s. Which is funny because the rest of the world often thinks that we don’t care and we’re not trying that hard. But the reality is that every little failure, mistake, misstep, or faux pas, whether real or imagined, it’s just another…

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More thoughts on ADHD and decision making

I have this weird analogy that I’ve always used to explain decision making. Imagine you’re on a river floating down in a raft. On one side is a sheer cliff. You’re not going that way. On the other side is the jungle. It may be dangerous. It may be your salvation. And then there’s the river. Better things could lie ahead. Or you could be headed straight for a waterfall. I imagine most people who are reading this blog wouldn’t have much of a frame of reference for deciding whether or not the jungle is a good idea or whether…

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IEP’s

it’s IEP review season in my house. We just did my younger son’s and are going to do my older sons in a little bit. We put that off because he’s got a little bit on his plate right now. And so do we as parents. But it made me think that it might be a good idea to cover the topic briefly on my blog. IEPs are a wonderful and mysterious thing. They allow your children with neurodiversities, mental or physical health issues, learning differences, and other issues to get a more fair and equal playing field when it…

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The Cost of Ownership

As ADHDers we are clutter prone. There is no denying it. There are many reasons why. I think I’ll probably cover that in another post. But, as you move through life and accumulate things, think about this: everything you bring in to your life has some cost after the initial cost of purchase. Even if the acquisition is free, you have to store said item. You may have to maintain it. You may have to clean it. If you move, you’ll have to move it. I am not a proponent of not having things. I have plenty of things. But…

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the cost of caring for children with mental health issues

first a note. It came to my attention that when my website change over to a new host, my blog no longer got sent out to subscribers. I think I have that situation fixed. So, if you are a long time subscriber and get this post, and it’s the first one you’ve gotten in a while, please please go back and read all of the stuff that I’ve been writing for the last 6 months. I’ve been doing it for you! Also, if you wouldn’t mind shooting me an email and letting me know that you’re getting it now, that…

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Procrastination is not a real thing

When new clients come to me, almost all of them list procrastination as an issue that they would like to work on. I don’t believe in procrastination I think it is a word that we use to describe a behavior that we don’t understand. It’s a throwaway term that damages us by labeling us as somehow inferior and maladaptive. Nobody gets up in the morning and says to themselves, “I have a really important thing to do today and if I don’t do it I’m going to be totally screwed. But you know what, I’m not going to do it…

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ADHD and decision making

How do account for decision making in your productivity? Do you account for it? Perhaps you should. Here’s the case for why. In my experience, when my clients are struggling with something on their to-do list and avoiding it, one of the biggest contributors is that there is a decision that needs to be made. How can you do a thing, if you haven’t decided how to do it? How can you do a thing if you’re not sure what the steps are? And how can you do a thing if you haven’t really decided if you want to do…

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psychiatry IS medicine

today’s topic is a bit of an opinion piece. In my opinion, psychiatry has always been a grab bag. Often referred to as part of the “soft sciences,” even though it’s a medical discipline. I don’t know if it will ever be the hard science that many medical disciplines are. We’re certainly a very long way off from blood tests, genetic testing, DNA testing or anything like that to diagnose or guide treatment for most psychiatric disorders. Those technologies are really in their infancy and are only of use and very specific cases if at all. and in a discipline…

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“Treating” ADHD

Here a couple of quick thoughts about treating ADHD. my former doctor who is amazing, and just retired, said something once that has always stuck with me. He said, in medicine we don’t only treat the worst cases. I think that’s a pretty profound statement when applied to psychiatry and pharmacology. It’s a little more obvious when we’re talking about physical ailments. But one of the biggest problems we have in this country is not viewing mental health as real health. You break your arm, you go to the doctor. Both my sons have had a cast once in their…

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Family planning… Not the kind they have on the back wall at CVS

Our society has not caught up with the idea of two parent working families. In this country we don’t have enough time off, we don’t have enough vacation, we work too many hours, and we don’t value the family nearly enough, even though we say we do. And as you know from my previous writings, it’s not just you. It’s really hard to raise kids with issues. It’s also not so easy to manage a family and household if one or both of the adults have ADHD. The single greatest piece of advice I can give you, which I give…

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managing depression in the context of ADHD… Or in general

so you can probably tell it’s been a while since I posted. It is always a challenge for us ADHD folks to be consistent. I think of success as not being about falling off the horse, but about how fast we can get back on the horse. This tendency of ours to fall away from consistency is exacerbated by depression. if you don’t know, 85% of people with ADHD have at least one comorbidity, or co-occurring condition. Depression and anxiety are by far the most common. Those of you who read me regularly know that I’m open about my own…

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