My Blog: ADHD Since 1978-

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! 

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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.…

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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…

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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,…

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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.

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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…

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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…

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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…

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Food Prep #2 – Prepping Perfect Peppers… with a sharp knife

Salad stuff can also be prepped many days in advance. However, now would be a good time to mention how important it is to have a sharp knife. First of all, if it far safer to use a sharp knife. Most people are afraid to use a sharp knife because it seems more dangerous. But, when you use a dull knife you have to exert far more force, which makes it much more likely for your knife to slip and more likely for the knife to be substantially out of control when you do slip. So have a sharp knife! The other reason to have a sharp knife is that it allows you to prep food that will last longer. When cutting vegetables the goal is to have a nice, clean cut which damages as few of the cells as possible. A dull knife rips the cells open, leaves a jagged edge, and spills the cells contents (mostly water) out which dramatically decreases shelf life. With a sharp knife, a fresh pepper will likely last 7-10 days if you place a paper towel underneath them in the container or bag.  There are tons of ways to cut a pepper, I find the following the easiest. I take the top and bottom off, pull the insides out, slice down the side to open it into a flat rectangle, then slice off any extra ribs of “pith.” Then it’s just a matter of slicing or dicing.

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Food Prep #1 – Prepping Ahead

I’m a busy guy. I own my own business. My wife works full time, often on nights and weekends too. I have a relatively high maintenance 8 year old and a maniac of a three year old. I own a home… with the accompanying yard and manage a rental property with it’s own set of demands.  Did I mention that I have ADHD too?  Bottom line: I don’t have time to F*** around. I am all about efficiency! I’m also the person in the house who does the cooking every night. Partly because I’m a classically trained chef, partly because I work from home, it makes sense for me to be the chef at La Casa di Reid. But I certainly don’t have to time to make anything epic Monday thru Friday. My goal is always to have a healthy, delicious meal on the table in less than 1/2 hour, while doing the dishes as I go and making my son’s and my wife’s lunches for the next day. Though 30 minutes may be ambitious for the not-former-professional-chef among you. Easy, quick, simple, healthy, delicious is not unreasonable for anyone.  But, the pork & brussel sprouts that are going on the table tonight are do not begin their journey tonight at 5:40 when I get home from picking up my son. They started their path to our table last Friday. That’s when I make the shopping list, often with the help of my wife. (And, actually that list starts as soon as the shopping is done the previous Saturday. If you have a running list on your fridge or on your phone, you can add things throughout the week as the run out or run low.) The next step is food shopping which happens at a more or less predictable day…

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Kitchen Organization #5: Misc. Vertical Space

I would also suggest thinking outside the box in terms of how to use your vertical space. I’ve used the ‘item’ in the first picture for years. It holds things that I use semi-regularly like spice blends, black pepper, and specialty vinegars. And it fits perfectly on one of our weird small walls between doors in 1920’s kitchen.  As for the mug hooks… that’s one of my favorite out of the box solutions ever… if I do say so myself. I use multiple mugs daily to mix a medicine I have to take for my stomach. Having them right on above the sink hanging from the valance (if that’s even the right word) makes it so easy.  I guess the bottom line is a somewhat complex matrix of what you use most often, the space you have, the layout of the space, and how creative you can get.

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Pan rack no. 2

I have two pan racks. Thought I’d show you the second one too. This one is over the dishwasher, several paces away from the stove. So it is the home to many things we don’t use every day.  Also, you’ll notice that you can use the top level to store things as well. In this one I have an old “grizwald.” (vintage cast iron pan) In the other picture you can see that I have finally found a home for that one really large bowl that I use 4 times a year that doesn’t fit in any of the cabinets. AND… I hang herb and garlic to dry from the middle of the rack. Can’t find a picture from last year. I’ll take one this summer and post later.

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