Reasonably good article in my in box this morning from ADDitude. Most of which I’ve covered in previous posts. But, if you wanted to hear it from a doctor, here’s the link and some important take aways (if you don’t feel like reading the whole article.) Whole Article Some take aways: You don’t have to wait forever to go up. When closely monitored by an experienced physician, you can begin go up on your dose as quickly as 3 – 7 days. The ONLY way to know what meds will work for you is trial and error. It is highly likely you will need to try more than one. Stimulant dose is not based on age, gender or body mass. It’s really about how your body metabolizes it. I’m 5′ 6 1/2″ and take more Ritalin than anyone I know. It is what it is. How long it lasts is unique to you. (I have many clients who say that Vyvanse, for instance, only lasts them 7-8 hours, not the 12 – 14 that it is touted as lasting.)

I find that often one of the biggest sticking points in getting rid of things is what to do with them. For those of us ADHDers who struggle with clutter, getting rid of things can be very difficult. Not only are there usually psychological underpinnings to why we struggle with the part of getting organized, there are also very practical reasons too. In order to decide what to get rid of, we need to be attentive, persistent, and use multiple executive functions. And of course there is decision making… which many of us struggle with.  So, what I often see is that a person can’t decide what to do with an item(s) so their default is to keep it… which is a total bummer. After examining and assessing an item and considering what to do with it, you’re stuck putting it back in the keep or maybe or I don’t know pile. And, there is no reason to believe that it will be easier to decide what to do with said item later. This can definitely contribute to a sense of not making progress, partly because it might mean you aren’t actually making progress.  So, what’s the solution? Give yourself only one decision to make. When evaluating every item simply ask yourself, “Is this item staying in my life of leaving it?” That minimized your executive function burden as much as possible. And, this is a great place to have your significant other, helpful friend, daughter, grandson, etc. help you. Let them take care of getting rid of the stuff that you decide that is going to leave your life. And let go of controlling that end destination. 

It has been my experience that, as ADHDers, we tend to get overwhelmed by simple but tedious tasks… like doing the dishes. The underlying brain chemistry reason is that we are tortured by boredom due to our lack of inherent dopamine in our prefrontal cortex. And, beyond that, we have a history of these things being unpleasant and seeming to take forever. But… we aren’t so good with time, right. I would suggest an experiment. And, to practice what I preach, I executed said experiment today. Being the former chef that I am, I took my morning off today to make sausage and duck confit from scratch. The picture below was the result of the preparation. (Bear in mind that I do clean while cooking to not leave a huge mess, but I was essentially using all of this at once while multitasking.) I found the kitchen overwhelming. Do you? But my experience told me two things. One, it wasn’t actually that bad. Two, go the the gym first then clean up when I have more dopamine, serotonin, and a sense of accomplishment on board. So I did that.  But here’s the real experiment. When I got back I made a sandwich, which was delicious but slightly added to the mess. Then I started a timer. In fact, this overwhelming task of cleaning the kitchen, wiping the surfaces, doing the dishes, and making myself a quesadilla for lunch, pt. II took a grand total of 14 minutes and 13 seconds. My reaction to this is: No big deal! I can handle 14 minutes of boring to have the clean kitchen. 14 minutes is concrete and not overwhelming. It is doable for me.  I will admit that I have the benefit of knowing that it wouldn’t be as bad as I thought it…

Good article in ADDitude about ADHD and emotions. I’ve always just referred to it as emotional dysregulation and thought of it as a symptom of whatever ails our prefrontal cortex. But is definitely a real thing. https://www.additudemag.com/slideshows/adhd-emotions-knock-off-our-feet/?utm_source=eletter&utm_medium=email&utm_campaign=adult_june_2018&utm_content=062618

My son brought home this super addictive fidget toy the other day. Of course he got it as some sort of craft in after school. But I promptly appropriated it for fidgeting purposes. Play foam.  Pros: It apparently stays sticky and moldable… forever! It’s super fun to smush up. It doesn’t get stuck to anything except itself. Cons: I have noticed that after a week of so the color starts to come off a bit in my hands. It is, believe it or not, a bit noisy. Not great for super quiet environments.  Sticky Foam Link

So, I usually like to do a series of posts over the summer. I think I’ll start this summer with some quick tips on how to get organized… or more specifically, how to get rid of the clutter. It has been my professional experience that most people who have disorganized homes don’t struggle as much as they think with how to be “organized.” Rather, they usually struggle with how to get rid of things. Once we get rid of the excess, it is so much easier to organize what’s left. So, here’s tip number one.  Most people with substantial clutter have tried many times to get that clutter under control. That usually means boxes, bags, crates, shelves, drawers, or piles of stuff. Often those boxes haven’t even been looked through in months or years. Those boxes become sources of stress and anxiety. They feel impossible to go through or deal with in any way. Well, here’s a quick tip to make it much easier.  There are two ways to look at that box of old stuff. First is to think, “That box is full of great stuff. I’ll look through it and see if there is anything I can get rid of.” Second is to think, “This is a box of junk. Let me check quickly to see if there is anything worth keeping.” You might think this is a semantic argument. But it makes a big difference how you approach that box. It’s all about the burden of proof. Make those things in the box prove to you that they deserve to stay in your life, rather than keeping them being the default state. This applies even more the longer that box has been sitting around. If you haven’t touched it in over a year, consider taking it right…

I am not a doctor. But I have tremendous experience with taking medication and with working with my clients to help them understand how their meds are working… or not working. What I have found is that individuals often experience effects or side effects that are not listed in the literature. Some doctors poho-pooh these unreported side effects. But, my experience has been that, unless you are a legit hypochondriac, you’re probably right if you think you’re having a specific effect. And, over time, it’s pretty easy to figure out if it is related to the meds. But sometimes it’s hard to tell until you change dosages, take the med for a period of time, or go change. It’s also tough if you are a person who is not particularly attuned to you how your body works on a daily basis.  I’m lucky that I’ve got a pretty good level of self awareness. Always have. It was a real benefit when I was first trying meds at age 10. And, it continues to be as I continue to manage my brain chemistry with my amazing doctor. I’m going to use my current antidepressant as an example. It is called Trintellix (Vortioxetine.) It’s a pretty new drug. As far as I know it is in it’s own category. It is not a trycyclic, SSRI, or SNRI. The following the latest chapter in my antidepressant journey.  My most recent depressive episode began about 3 1/2 years ago. It was my third and I caught it quickly. I had had success with Zoloft (Sertraline) in the past. But this time it actually made me worse. That is strange thing number one. Just because something worked once, doesn’t mean it will now. My doctor wanted to go right to Trintellix after that, but the insurance…

I’ve posted before about the idea that we sometimes work better doing more than one thing than we do doing a single thing. And that we can use that as a strategy to get through boring stuff. I listen to music, podcasts, or sports radio… in the shower, doing chores, cooking dinner, getting the kids ready in the morning, doing dishes, working in the garden, driving, laundry, and pretty much whatever else you can think of.  Having something stimulating to occupy my mind while I’m doing something boring or routine help me get through it. Podcasts in particular have been a great resource for me in the last half dozen years. I’m using them more than anything else lately. So, I like to post once in a while about my current favorites. Here are some of them. I’ll try not to include ones that I’ve mentioned before. If you like true crime/mysteries: Casefile True Crime. This is my all time favorite. Great story telling with no fluff. Isn’t too graphic about the details. Accused. Season one and two are very different but both are excellent. Done by an actual newspaper reporter. Great reporting. Hollywood & Crime. Great series about Hollywood murders. Young Charlie (by Hollywood & Crime) All about Manson.  Dirty John (by Hollywood & Crime) Story of a master manipulator.  Up and Vanished. Amazing story of woman gone missing. Shit town. Is he crazy or not? If you are into less crime-y stuff… Business wars. Nike vs. Adidas, Netflix vs. Blockbuster, Sony vs. Nintendo. Great stuff American innovators. Really interesting and new. Currently the history of DNA. Stuff you should know. A bit rambley sometimes. Full disclosure. The rest of my family hates it and refers to it as, “the boring podcast.” But it’s safe for kids. Episodes vary. Try…

I like problem solving. It pisses me off when something I want to work doesn’t. It brings me great satisfaction when I figure out how to make it work. So maybe I get an inherent dopamine buzz when I solve a problem? Either way, it has served me well. Here’s a small example that happened recently to use as a template. I have a huge garden. It is my primary hobby, brings me great enjoyment, but is a lot of work. And, by definition, is a seasonal endeavor. This is my fifth year doing it. When I started, I had read a few books and knew, essentially, nothing about gardening. Five years later, I know slightly more than nothing. But it is an improvement. The problem is that what I do know, I tend to forget over the winter. When do I start the seeds indoors? When should I transplant? How much do I harden them off first? What diseases happen and when? What do I need to order? How long will it take for everything to germinate? How much yield am I getting? How many of each plants should I plant? Since I don’t necessarily remember the answers to all of these questions… or any of them, I need to take notes. I’ve always had a nice little 4x6ish leather notebook that I keep in my gardening dry sink (see picture) on the porch. The problem is that I basically never used it. This year I asked myself why I never used it. The best answer I could come up with was that it wasn’t visual enough and felt like it was way too much work to find the info I was looking for. Really it was just a blank book that I wrote a date on the top…

Hey. I’m doubling up on my ADHD wisdom today. (I’m posting them for different dates so it looks like I faithfully post every Friday. Shhhh. Don’t tell anyone.) While printing my copy of the mind map in the last post, I ran out of black ink in my printer. Yet, since I’m near the ball, if not on it, there was a backup cartridge in my in my office closet. And, endeavoring to be present in the moment, I checked to see if this was my last black cartridge. It was. So, ‘buy new black ink’ went directly onto my to do list. I happened to be at my computer, so I ordered 3 new ones right away. But putting it on the list is key. That way it would have happened no matter what before I ran through this cartridge in the next few months. This sort of ordering a backup before I’m out of something is very much a skill mastered in the restaurant industry where you just can run out of stuff… but also can’ have too much of the perishable stuff. But I promise that it is worth doing in your everyday life. 

As usual my garden has presented me with many challenges, lots of work, some serious figuring out to do, and not a ton of time or attention with which to do it. But, when times are most overwhelming, it is always the best time to fall back on our systems. So, I made a mind map. Check it out. Now everything is organized. My next step is to assign time estimations to everything and start plugging tasks into my schedule

First one is tonight! Sorry for the late notice. Dr. McDonnell is one of my most referred to. She’s great. Here’s a link to the flyer: