My Blog: ADHD Since 1978-

Dynamy Open House

See attached flyer for info about Dynamy’s open house. They are a gap year program that I think sounds pretty good. Not cheap, but so is failing out of college because you’re not ready.

Read MoreDynamy Open House

Subscription option!

Hey everyone. I know there are at least a few of you who read the blog regularly. So I had my web guy add a subscription option. I generally try to post every Friday, but if you’d rather get an email to remind you to check in when I post a new entry, sign up now!

Read MoreSubscription option!

Workout tip #3: Don’t slip into all or nothing thinking

I’ve always felt that as ADHDers we often feel completely at the mercy of inertia. The ADHDer in motion tends to stay in motion. The ADHDer on the couch tends to stay on the couch. If you take this as given, and add in our difficulties with self regulation, initiation, and transitioning… Let’s just say that it’s not always as easy at is looks for us to get off the couch, and go work out. Bearing this in mind, there is some “psychological Kung-Fu” that you can use to get yourself moving. One of the best ways to insure that you won’t go work out is to get in a mindset that a certain amount of time, distance, reps, etc is the only way to have a successful workout. For example, if you frame success as only 40 minutes, or 5 miles, or so many suicide runs, you’ve set a high bar. That effort level might not feel worth it enough in the moment to get you moving.  Try encouraging yourself to exercise with no expectations of how long you will go for. (Of course, you should budget enough time for fit in your best case scenario.) Look at it as a victory if you just get into your workout clothes and get on the bike or to the gym. Because, believe it or not, that’s the hardest part. Once you are at the gym, or on the bike you are in motion and it’s not so hard to keep going. If your best case is a 5 mile run, a 4 mile run is great, a three mile run is more than enough, and a two mile run is a great “easy day.”  Simply by going you are establishing good habits and a routine. Consistency if far more important in…

Read MoreWorkout tip #3: Don’t slip into all or nothing thinking

Workout tip #1 & #2: Do what you enjoy & Mix it up

So, even if you don’t love exercise, there has to be something that you wouldn’t hate to do to get yourself moving. I will admit that I have somewhat of an advantage in that I’m an athlete and was also the hyperactive type when younger. But even for me, if I don’t like it, I won’t do it.  I have come to a place in my life where I almost enjoy running. And, I certainly enjoy the feeling after a good run. Until recently I still played Ultimate Frisbee semi regularly. One of the best investments I ever made was buying a spin bike. (See attached picture.) It has been my experience that you should get a sturdy durable one in the $500 – $700 range. They don’t take up much space and get you a great low impact workout. Great if you are just working your way back. And, you can watch TV while you ride. So, I can run, do one of my two lifting routines, use the rowing machine at the gym, or spin. That give me 5 different workouts to mix up if I need variety. I have clients who are  rock climber,  bikers,  martial artists,  tennis players,  crossfit people, runners, gym rats, hikers, squash players, and boffers (Foam sword fighting – Yes that’s a thing!)  Don’t fall into the trap of thinking there is only one way to work out. Doing something is always better than doing nothing. Get out there. It’s good for you!

Read MoreWorkout tip #1 & #2: Do what you enjoy & Mix it up

Loneliness strikes suburban dads!

My Dad sent me this article from the Globe a week or two ago. (Yes, he’s old school and actually rips out the article, puts in in an envelope, licks it, uses a stamp, and mails it to me.) I’m going to post the link for your digital consumption: This article stood out in several ways to me. One, I read the whole thing. Two, I really identified with it so much so that I kept thinking about it for days, like when you see a good movie and it sticks with you. And, when talking to friends and clients over the subsequent days, it became even more clear how dead on it was.  I already make an effort. But much of that effort involves having whole families over for dinner. My effort to carve out time for my own social life is there, but not nearly as robust. So, I’m going to redouble my efforts to get my buddy Russell out of the house. I’m going to make it a point to go to Mike’s horseshoe Thursdays this fall. I’m going to try to revive my monthly poker night. And, yes, ask new guys on platonic “man dates.” (Gulp!) Nothing ventured, nothing gained.  Get out there and get social guys! 

Read MoreLoneliness strikes suburban dads!

Workout tips #1

Now that I’ve spent the summer talking about food prep and kitchen organization, I think it might be a nice change to talk about workout strategies. I’ll start with the overview and then do smaller posts on each aspect of the overview. Why exercise? Because it’s good for you, dummy! Just kidding. You should exercise because it is one of the best ways to help manage your ADHD! It’s true. There’s research to prove it. Getting your heart rate up of a substantial period of time, (let’s say 20 to 40 minutes) directly produces dopamine, which allows you to concentrate better, and serotonin with positively affects mood and anxiety. All the research indicates that the best thing you can do to affect a positive outcome for ADHD is medication intervention. The second best thing you can do is behavioral intervention. In my opinion, the next best things to do are get enough sleep and exercise regularly. So, in case you need to see it in black and white, let’s review the positives of exercise for us humans with ADHD: Better attention. Less anxiety and better, more stable mood. Better sleep. (See how those tie in!) Less stimulation seeking behavior, especially by eating. You will be healthier. You will probably look better. And there’s no downside or nasty side effects. I will note that I’ve never known anyone with substantial ADHD who could manage it solely through exercise, but it is definitely part of the solution. Here are some of my top workout tips for ADHDers: Pick activities that you enjoy. (Or at least not hate it.) Have a variety of activities so that you don’t get into a rut. Don’t fall into black and white thinking. For example, don’t convince yourself that the only good workout is a 40 minute run.…

Read MoreWorkout tips #1

Planning a big project

Planning a big project is always a challenge, especially for those of us with executive function issues. Most ADHDers are so “planning averse” that they just dive right in. Occasionally this works, but most of the time it results in a variety of mis-steps, including:  avoiding starting because there isn’t a clear beginning middle or end, not finishing on time,  not finishing at all,  inconveniencing other due to the project being “in process” when it shouldn’t be,  having to redo things that weren’t done correctly,  realizing that the project is beyond one’s capabilities,  wasting time wasting money making a mess not leaving time to clean up and general inefficiency  Of course there are things you can’t plan for, but I’ve found that most of life requires a good deal of planning. I always think about the invasion of Normandy by the Allies. That assault was planned down to the smallest detail for over a year. In fact they even planned for the exact time of day, tides and weather. The landing was almost put off for an additional day due to cloud cover. (Apparently it lifted just in time.) Not that any of us are invading Nazi held France. But, on a smaller scale, we have our own D-Days. My current project is the updating of my office, our dining room, living room, and front entryway. I’ve been going a room at a time this summer with painting etc. Now it’s time to think about electrical, scraping the popcorn ceiling, and refinishing the floors. I was hoping to get all this done before the week after labor day. But, things haven’t been as light as I thought they would be work and family -wise this week. So, I was literally lying awake at night, stressed about when/if I would get…

Read MorePlanning a big project

Neuropsychological Evaluations

I recently received an email from a parent about getting a neuropsych. for her daughter. I thought it was important enough to post as a blog entry, not just respond to her directly. So here’s my 2 cents… A comprehensive neuropsychological evaluation is not the only way, and generally not the best way to diagnose ADHD. The “gold standard” for diagnosis of ADHD is an in depth clinical assessment by a qualified MD or PhD. For kids this involves a thorough history, evaluation scales, parent surveys, and often teacher surveys.  I rarely recommend a neuropsych. for adults. I very often recommend them for kids though, especially in cases where it is important to ascertain whether or not the child is dealing with comorbidities. 80% of ADHDers have at least one co-occurring condition. However, there can be as much as a 30% false negative for attentional issues because the test is delivered one on one in an environment that is designed to be minimally distracting. Also, particularly bright kids will often not fully demonstrate their weaknesses in such on such a test because their intelligence compensates in some ways. And, there always is the issue of whether the test administer/evaluator is adept enough to see more subtle deviations from the norm. Plus they are really expensive and very often not covered by insurance.  So, if you are primarily concerned with ADHD and there doesn’t seem to be any other issues, seeing a competent clinician for an evaluation and (potentially) medication treatment is probably the best place to start. If medication gets complicated, the symptoms aren’t adequately addressed, or the clinician thinks there may more going on, that would be the time to seek further testing. Or, if the school system demands it in order to allow accommodations. Though, then you can usually get them to administer and pay for it. But,…

Read MoreNeuropsychological Evaluations

Quick Calendar Keeping Trick

Just a quick note this week.  I’ve had many clients recently have scheduling SNAFU’s because they put an event on their digital calendar (on their phone) but accidentally put it on the wrong week. The advantages to keeping your calendar digitally are numerous and worthwhile. However, there is a very real hurdle that everything looks exactly the same. Next week looks like next month, which looks like next year. Most apps will reopen the calendar exactly where it was when you closed it. But wherever you are looks just like this week. For example, I have one doctor who I see for a follow up once a year. So, when I saw her a few weeks ago, I put next year’s appointment into my phone calendar. Then I switched out of my calendar app. So next time I opened the app, I was in August of 2018… I have screwed up my calendar because of this in the past. I accidentally kept adding events to the next year.  My tip is to get in the habit of always hitting the “Today” button on your calendar app to bring you back to this week before flipping to whenever you want to make a new appointment.

Read MoreQuick Calendar Keeping Trick

Mise en Place – (Food Prep #4)

My career as a professional chef and my education at the Culinary Institute of America was crucial to my achieving the level of organization that I have now. In fact there is a single phrase that encompases the all facets of organization in the kitchen that I thought it was worth sharing while doing this summer series about kitchen organization and food prep.  That phase is Mise en Place. Roughly, it translates from French as “everything in it’s place.” Believe it or not, this is actually the motto of my alma mater. That’s how important it is to the method and madness of a good chef. Practically, it means that you need to have everything set up and planned before you start cooking. Otherwise chaos (more than is necessary) likely will ensue.  Of course as a trained chef I can sometimes overlap preparation with production. I can start sauteing the veggies while I prepare the meat for a stew. But, the reality is that the ability to do that effectively has come from years of practice and mastering the timing of cooking and of my own prep speed… and I still don’t always get it right. Personally, I find Mise en Place most applicable in the kitchen for me in regards to baking. I’m a good baker. I trained for a time with Joanne Chang of Flour and Meyers + Change. However I am a very careful baker. It doesn’t not come easily or naturally the way cooking does at this point. I am slow, methodical, and detailed. Because otherwise I will make a mistake…. …timer just went off to check my Blueberry Buckle… …the Buckle needs 5 more minutes… …As you can see from the picture, I go into pastry battle fully prepped. My oven is preheated, my pans are greased, I’ve read…

Read MoreMise en Place – (Food Prep #4)

Food Prep #3 – Brussel Sprouts

First of all, let’s talk about how awesome Brussel Sprouts are… Very awesome! They are one of the things that I never liked but forced myself to keep trying when I was a chef. And, it really didn’t take too long to start liking them and then really liking them. How to buy: Pick sprouts that are medium sized, not much bigger than a quarter in circumference. The bigger they are the tougher and less flavorful they are. Small ones are delicious, but they take more time to prep. Also try to pick ones that are all roughly the same size. That way they will cook evenly. If you don’t like Brussel Sprouts I think there is a good chance you’ve only had them either overcooked or undercooked. If they are radically different sizes, you might get both in the same plate.  How to cook them: There are many ways to cook Brussel Sprouts. I had an amazing bowl of Buffalo-style Sprouts at the East Coast Grill many years ago. But my go to on a Tuesday night is… 1. (When prepping) Cut the bottom off and cut in half lengthwise.  2. (Optional.) I like to toss them in a bowl with just enough oil to coat and season with salt and pepper. I think you get a nice even seasoning that way. 3. Sear them, flat side down in a hot pan with olive oil until golden brown on the flat side. 4. Add a small handful of Craisins. (Golden raisins would work too and if you wanted to get crazy throw some pignoli (pine nuts) in too.) 5. Toss, add a little bit of water, maybe 3 T if you’re working with a 14″ pan, then cover with a lid. (or the bowl you tossed the Sprouts in.) The goal…

Read MoreFood Prep #3 – Brussel Sprouts

Six Pane Window Picture Frame

Quick break from the kitchen storage and food prep series to talk about something that happened, or should I say finished happening today. I don’t bring this up to toot my own horn, but rather to celebrate a personal success in perseverance and planning. I hope it doesn’t come off as purely self congratulatory, as that is not my intention. There were certainly many “learning experiences” and frustrations before achieving this level of “planning zen.” So… it all started in Milton MA in the fall/winter of 2014. When the original window from the 1927 house next door were being replaced, I got my hands on what turned out to be dozens of 6 and 4 pane window. I had a vision of turning them into picture frames for our house. But there were so many questions to answer to get them from crappy old windows to the image I had in my head. Such as… Do they have lead paint on them? How do I test for that? (Answer: home lead test kit and Yes, they do.) How do I get rid of the lead paint safely? Do I need to repair the windows first? (There are about 12 sub-questions about how to do that.) How do I attach the pictures? Do I mount them on the front of the back of the glass? How do I get the paint to look right? Is it worth spending the time taping the windows before painting? How do I secure the pictures to the glass in a non-permanent way? What size pictures should I use? Do I want to frost the glass around the pictures? Once I decide on the size of the pictures, how do I get my digital images to be that size? How to I hang the frame securely without being…

Read MoreSix Pane Window Picture Frame