My Blog: ADHD Since 1978-

I’ve only been inside myself.

When dealing with brain chemistry issues it can be really difficult to know that what we are experiencing isn’t “normal.” After all, we don’t have anything to compare to how we feel. ADHD is particularly hard to identify because it doesn’t develop later in life. Depression, for example has an onset. So there is an opportunity to compare how you feel when you are depressed with how you felt before you were depressed. Not to say that that is always easy. But I feel like we, as a society also have a better vocabulary to talk about depression.  As ADHDers we also get so much negative feedback telling us that we are lazy, unmotivated, not reaching our potential, that it’s hard not to internalize at least some of that. I guess my point is that you should trust yourself. How you feel is unique. Don’t let anyone tell you it isn’t valid. 

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Gaslighting

As I continue to recover, here’s a low hanging fruit post. Great article on ADDitude about Gaslighting… really about how classic abusers operate. I’ve seen it far to often in my practice. Check out the link. https://additudemag.us8.list-manage.com/track/click?u=05c078d02e79a07f64018da62&id=d046363c36&e=56e9d42595

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Scheduling your day

Wrote this before I got sick… hope it’s still topical… and useful. One more important note on last week’s post. Scheduling your day is just a mini version of scheduling your week or month. The only difference is that it is a smaller and more detailed. It is no secret that many of us with ADHD struggle to transition from one activity to another. I have found that one of the best ways to manage this weakness is to have a plan. If you have to stop and think about what’s next everytime you finish a task, that layers additional executive function on top of the difficulty with transitioning.  But if you have a plan/ a schedule for your day that is reasonably detailed and accurate, you always know what is coming next. I think that if you know what is coming next you can get your brain to start the transitioning process earlier. Then you are much more likely to be able to flow from one thing to the next. For example, when I’m with a client, I’m fully focused on that client. Yet, somehow, it still helps me to know if I have another next, or if I’m going to the gym, or if I’m picking up my kids, or if I’m doing office work, or writing a blog post. Somehow my brain can begin the transition and be ready to move to the next thing when I have it planned out. Try it. I bet it will work for you too. Standard Disclaimer:  In an effort to foil my own perfectionist tendencies, I do not edit my posts muh,  if at all. Please excuse typos, mistakes, grammatical errors, or awkward phrasing. I focus on getting my content down. In my humble opinion, an imperfect post posted is…

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Traveling with ADHD meds

Great topic in this week’s ADHD weekly from the NRC. What you need to think about before traveling with your ADHD meds.  It is also very important to think about when you are going to be out of your meds. Don’t want to run our while on vacation. I recently had a client deal with this. It really just required coordinating with the doctor, pharmacy, and insurance… which in her case actually went smoothly.

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Personal Update

Hello everyone. You may have noticed that I haven’t posted and entry in about 2 1/2 months. Well, without going into the gory details, I got really sick. Like, 16 days in the hospital, nine of them in the ICU, kind of sick. I’m expected to make a full recovery. But it has been slow going allowing my body and my brain to recover. My plan is to start posting shorter, less attention intense entries to get myself back in the swing of things as I work toward full health. Just know that I haven’t given up on sharing my thoughts on ADHD and related issue and that I hope to be back to more in depth and more expansive topics as soon as I can. I thank you all for your patience. 

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LIving in the now vs. planning ahead

As ADHDers we are often a mystery to others and to ourselves. Our behavior regularly contradicts itself and as a result can be very difficult to change. We generally have difficulty being mindful in the moment and being aware of what we are doing on some levels. Though sometimes we are so immersed in the moment that the rest of the world might as well not exist. Yet we also struggle with planning for the future and perceiving time. Though at the last minute we can often pull off miracle of focus and planning. But often a great personal cost. I’m sure most of you are familiar with the real estate adage, “Location, location, location.” Well, for ADHD, I always say, “Planning, planning, planning.” That is one of the main skills I’ve worked on over the years and one of the key skills I work on with most of my clients. But the fact is that we can’t only look to the future. We have to learn to be more present in the moment in order to plan for the future and create the future that we want. I like to think of it as having both feet firmly planted in the now but always having one eye on tomorrow through next week.  I guess what I’m saying is that as we attempt to strengthen our execute function skills we also have to manage our attention. We have to balance the attention we focus on today, while also devoting enough focus to what is coming up that we can be prepared for what’s next. Let’s take a very simple example. My wife and I are going to a concert next week, two actually. I have both on the calendar. It’s unlikely that I would forget about either of them. But…

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Mental Mise en Place

It’s been a few weeks. My last post was about the importance of physical Mise en Place. But I’ve always adapted the term and thought about mental Mise en Place. That is the idea of being mentally prepared for what’s coming and mentally organized. I guess, now that I think about it, it is sort of a combination of the executive functions of planning, organization, time management, and working memory along with mindfulness/ presence in the moment.  If I can continue the cooking analogy… when I was a chef, my shift really started at the end of the night the day before. I would do the ordering, make my own prep list, look at everyone else’s prep lists and start to mentally prepare for the next day. What time did I have to come in? Did I need to leave any notes for the morning guys? What do reservations look like for tomorrow? When I come in, what are my priorities for my station? What are the priorities for the kitchen? What’s the staff look like tomorrow and who’s going to need help?  I learned these lessons well in the kitchen. Perhaps I owe the choice of my first career for many of the skills I have. Regardless, I’ve taken those skills into the rest of my life, so I know it’s possible to strengthen those abilities. One obvious place I’ve utilized those skills is in my own kitchen. I’m always thinking about what’s for dinner tomorrow and for the rest of the week. I’m making sure I’m using up ingredients that need to get used. I’m adding things to the shopping list as I get low on them. (Essentially the rule of thumb is that when I no longer have enough of something to get through NEXT week, it…

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Mise en place

According to Merriam Webster: a culinary process in which ingredients are prepared and organized (as in a restaurant kitchen) before cooking. As many of you know I was a professional chef for about a decade before I became a coach and an organizer. I learned many of the foundational principles of organizing while I was a chef. Actually, that learning process began while I was at the Culinary Institute of America (CIA.) They are serious about being organized and prepared. Mise en place is actually the school motto. For me it was a survival strategy. I need to be organized to be successful. But that doesn’t just apply to the kitchen, but to my whole life. Here are some organizational principles that I used in the kitchen that in one way or another translate. Keep the things you use most closest.  If you can achieve the same end goal with fewer steps, do that! Get rid of stuff you don’t use Clean up after yourself constantly so there isn’t big project clean up at the end.  Be 100% prepared with everything you need before starting a larger project. It will save you time and completion will be more likely. That’s off the top of my head. I’ll post more if I think of them. Next week I’m going to discuss “mental mise en place.”

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ADHD life hack: Flossers

I’ve always been underwhelmed by “sliced bread.” I have a knife. I can slice bread. But you want to talk about inventions that blow my ADHD mind. Let’s talk about individual flossers. These things are the best invention ever. I never flossed before these Bad Larry’s. Now I’ve flossed mostly every night for year. I don’t even keep them in the bathroom. I have them in my bedside table so I can floss while hanging out and watching TV with my wife. Tedious task made easy. Boring task made quick and able to be done while doing something else. Win. Win.  I suggest the store brand of the Plaquers brand. I suggest the actual floss, not the “slides.” Great for kids too. Wish I had these in my teens and twenties. I’d have less dental work.

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Scheduling 101

I am going away this weekend. My wife’s friend is getting married in Chicago and we have found fabulous souls to take our children for 4 days, I got a sweet boutique hotel 100% with credit card points, and my wife got the airfare 100% with her credit card points. That’s all good news.  The other (though I won’t call it “bad”) news is how much planing this it taking. Next week I’ll post a redacted copy of the schedule and meds schedule that I wrote for both my kids to confirm all of their movements this weekend. Today I’m going to start really simple. We fly out on Friday at 11:29. I want to get my workout in before that, because sitting still in and Uber, at the airport, on a plane, in an Uber goes much better for me when the exercise happens first. We also need to drop off the kids bags at the houses of the families they are going home with on Friday. Oh… and we need to get the kids to school!  I don’t know about anyone else, but I can’t possibly know if I have time to do all that unless I write it down. So, I did: @5:40: Alarm for pills @6:00: Wife gets up to work out @6:30: I get up and do my morning stuff @7:00: I get kids up and get them showered -> 8:30: the rest of our normal morning routine @8:40: Drop kids off at school -> 9:45: I work out. My wife closes up the house, drops off the kids bags and does any final packing @9:45: She calls the Uber & checks in online @9:55: We depart the homestead 10:20 – 10:30 we arrive at the airport with an hour to get through security for our flight.…

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Why don’t we treat ADHD all the time?

I’ve probably written a similar post in the past, but I’ve recently had a thought that makes me feel it is worth revisiting. Can anyone think of a medical condition that doctors only treat sometimes? Is there anyone with diabetes who only monitors their blood sugar during the work day? Is there anyone who is epileptic who only takes their medication during the school week? Is there anyone with high blood pressure who takes a break from treatment over the summer. Is there anyone who wears glasses or contacts who doesn’t wear them on the weekends? Anyone with depression who stops dealing with that after 5pm? I’m better the answer is NO to all of those questions. So, why is that our societal approach to ADHD? Now, I understand that ADHD meds are complicated and some people can’t take them all the time. But what I see is that many doctors don’t even consider medicating kids and adults in the evening or in the morning before work. And many doctors give up way to easily when side effects get in the way. Again, I’m not saying that there is a 16 hour solution for everyone, but don’t prescribing doctors owe it to their patients to be aggressive in at least trying to find one before giving up? I have ADHD all the time. It has been my experience that other who have it, have it all the time too. We need to get past the notion of medicating for school or work only. I’m raising two kids and can tell you that parenting time and household time is just as demanding, if not more so than my work day. Keeping the house clean, getting dinner ready, staying on top of everyone’s schedules and activities, getting the oil changed, finding the time and…

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The benefits of exercise for ADHD and anxiety

So I started to write last week about exercise and ended up writing more about patience. Let’s get back to the exercise!  Here’s what I noticed when I had to stop doing any cardio: I wasn’t falling asleep as well or staying asleep as well. I was more on edge and generally cranky. I was far less patient with the kids. I struggled to muster the motivation and attention to do more administrative work. But I realized even more when I was able to work out again. There was a definite point in my slow work back up to my previous exercise when I crossed the 30 minute threshold of sprinting on the spin bike when things changed. It was like the clouds parted and sun began shining. All of the above things got almost instantly better. Though some of those things are somewhat nebulous, my sleep improved in a concrete manner and so did my anxiety. I don’t think I’ve take an ativan during the day more than once or twice in the last three weeks. One other really interesting thing that happened related to my learning the drums. I’m a late bloomer. I started taking lessons last year at 39. I am very much a novice. But I enjoy it and focus on getting a little better every week… which I usually think I do. But there was a time about 6 weeks ago when I actually contemplated quitting. I wasn’t making any progress and felt like I was actually regressing. I was struggling very simple counting exercises and basic rudiments. I realized that my attention was the main culprit. But I didn’t realize that it had to do with exercise.  My lesson 3 weeks ago, right before I hit my “feel good point” in my rehab was…

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