My Blog: ADHD Since 1978-

Teaching sequencing

Many ADHD children struggle with getting up to speed in terms of executing regular every day correctly. I find this particularly applies to handling the morning and evening routines. I don’t know if my five year old has ADHD or not, but I often realize that I am teaching him things in a way that would work for me. (I think there is an older post about how I give our weekend structure by letting him know what’s coming next.) Another way that I realize I have taught him something by giving it structure is getting dressed independently in the morning. As soon as he was old enough to get dressed on his own (with supervision,) I started laying his clothes out the way you see in the picture. That taught him the right order of putting stuff on. Now (on his cooperative days) he can go in to his room pick out his outfit and get dressed completely on his own. Of course this isn’t every day and sometime it seems to take him 3 hours to do it. But we haven’t had any days where he comes down with his undies on the outside on not wearing any at all. I’d say that’s pretty good!

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Generic Medication Primer

If you are not familiar with how generic medications work, here are the basics: It often cost hundreds of millions of dollars to develop a new drug. As a result, new drugs are protected from competition for a period of time after development. (Currently 12 years.) They are the only game in town and the company who owns the patent can charge top dollar to make back the investment they made developing the drug. Once that period of time expires other companies are permitted to offer competing “generic” drugs that are deemed equivalent to the original.  Those generic drugs are required to have the same active ingredients and be “bioequivilent” to the original, meaning that that active ingredient is delivered and works in the same way. I will tell you from personal experience that this is not always exactly true. I respond differently to some generics versus the name brand original and in some cases I respond differently to the generics made by different companies. This can present a problem for many of us.  The insurance companies don’t recognize that the generics don’t always work the same. In fact, pharmacies are mandated to substitute a generic when available unless the doctor specifically writes “no substitution” on the prescription. In the larger picture this makes sense and helps keep our healthcare cost down. Though, in many cases, even with the doctors authorization the name brand will be prohibitively more expensive. In fact, there is one medication that I take to counteract stimulant induced insomnia that the insurance won’t cover at all, even at a tier 3 price. Luckily there is one generic that works pretty well and I can have my pharmacist get it. So, you’re not necessarily crazy if you think your generic doesn’t quite feel like the original, or you don’t think it is working quite the same since it “changed” shape…

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Thankful

If you had told me, when I was 14, that you had a magic lamp with a powerful genie and that he (or she) would let me change one thing about myself I would not have hesitated a second. I would have wished away my ADHD without a second thought. School was hard… harder than it should have been knowing how smart I was. Being organized was nearly impossible. Impulsivity was still sometimes an issue. And I didn’t feel awesome about myself.  Over time I taught myself strategies to compensate. I learned to be successful. I survived school and found things I was good at. Eventually, I learned to like myself and recognize all the great qualities that I have, even if there hadn’t been any credit for those things in school. Not coincidentally, I found a great partner in my wife once I learned to love myself.  Now I recognize that me and my ADHD are one and the same. I think of them like a sapling growing through a chainlink fence. Eventually they become inseparable. I know now that I wouldn’t be the me that I am with my ADHD and all that comes with it, both good and bad. My empathy, love, creativity, problem solving, passion, sense of humor are all intertwined with my ADHD. So in that sense, I am thankful for my ADHD. It has shaped who I am. And who I am is pretty great, if you ask me. On this Thanksgiving, it is my hope that we can all be thankful for out total packages, ADHD and all. Happy Thanksgiving to all.

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Can I feel the meds work

Clients and parents often ask me if I can feel the medication work. I can’t remember if I’ve posted about this before or not. Here’s the short answer: I don’t feel like a switch has been flicked, but there is a noticeable change in how I feel and my behavior. My Concerta takes 41 – 44 minutes to kick in. (No guff! It is that precise.) I’ve a sluggish morning… not really. I’ve already had one client, sorted laundry and run two load, and done the dishes. But after my client when my alarm for my pills went off, I wasn’t feeling doing more work. I crashed on the couch to watch a little Walking Dead. (Don’t tell me what happens. I’m a few episodes behind on the DVR.) I said to myself that I would watch few segments until I “felt like” working. Despite not being able to see the clock in the living room, when I got up to come back in the office and start working, it read 11:41. (41 minutes post-Concerta.) Coincidence? I think not.  In addition to the fact that the medication does allow me to concentrate, I think the most important take away is that I wasn’t exactly sitting at my desk “not concentrating” until I was able to concentrate. I knew I wasn’t going to be able to concentrate. So I didn’t even try. Call it a break if you want. But, it wan’t avoidance or procrastination. From outside it might have looked like those things. The point is that if you are always avoiding sitting down to do your concentration heavy stuff… it’s probably because you know you can’t concentrate. Attention it self is probably the issue.  I”m not going to edit this. No time! I hope is makes sense…

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You will have regrets, I promise!

So, I always tell my clients that they will, inevitably, regret getting rid of between 1 and 5 items after their organizational purge. My last two postings about getting rid of my T-Shirts and organizing dry storage reminded me that I have been meaning to post on this. When I was organizing “Dry Storage” I wished I still had extra fish boxes that I recently got rid of. Fish boxes are the plastic containers that are labeled with masking tape in the picture. I was annoyed that I got rid of them after years of keeping them in the basement just recently.  But, we have to weight the possibility that we won’t have something that we might need against the net positives that are brought to our life by getting rid of what we don’t need. That’s just part of life. We can not be infinitely prepared for all possibilities. To try to be is a fools errand. Live your life being prepared for now and having what you need for now, and you will always have the opportunity to adapt in the moment. If you life your life for the “what if’s” you miss the moment you are in and rob yourself of the life you could be living now. By the way… by the time I got rid of the stuff I didn’t need, I actually had an extra fish box that I could use to fill another need somewhere else in the house. Witness the power of the purge!

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When to organize?

One thing that I feel the need to impress upon my organizing clients is that organizing is not a one time thing. As much time and energy we as we put in to the initial organizing project to get your home where it needs to be, that is not the end of it. Any system needs upkeep. You don’t expect to buy a car or a house and never have to fix anything, right? Well, you organization is the same way. Lives change, needs change, better systems evolve or are discovered. And, at the very least, we need to do some upkeep on our system. Now, if any system needs to be reorganized every few weeks, it’s probably not the best system. But the best systems need to be “touched” once in a while. Some systems work best when that system is… systematized in terms of how often you do. Most function best when we find the time to spruce them up when they need it. I’ll give you some examples of both from my life. I actually put on my calendar (schedule with myself!) every January to go through my files in my office. I weed out the old, make files for new categories that have been born in the last year, and gather all of my tax documents to be ready for that favorite time of year. I go through my receipts and save the ones that I need to keep for larger ticket items and toss the rest. When I started doing this, I was in the habit of keeping too much stuff, so it took a long time. Now, even with my personal and business stuff it takes less than half a day in the office of listening to my punk rock favorites and sorting papers.…

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Bad Ass Quilts

I tough an organizing class last night at Brookline Adult & Community Ed. It was a small group of six women. They were a sassy bunch with lots of questions, stuff to add, and some of giving me “the business.” I am super psyched to have been made aware of one of the things that was brought up by one of the students.  Apparently, you can have all those sentimental T-shirts made in to a bad ass quilt at  The ultimate solution for all those old souvenir shirts without an extra project for you! I love it. I just wish I knew about it before I got rid of that last round of old band T-shirts.

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Punk Rock Philosophy

I’m  a punk rock kid at heart. I noticed a specific lyric from Social Distortion’s latest album. Seems relevant to the clutter prone… I’ll tell you something, baby, that’s a factNever see a hearse with a luggage rackAll your money, your hard earned payIt don’t mean shit, babe, at the end of the dayCan’t take it with you, can’t take it with youCan’t take it with you, can’t take it with you

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Don’t let your list get you down

As I am finishing up one of my most productive days in a while, it occurred to me that I’m probably going to end up with only slightly fewer things on my List Of Things To Do than when I started the day. There was a time when I would have been stressed out by that. Today I was finally able to articulate why it doesn’t stress me out anymore.  I recognize that it is the cycle of life As I plowed through the things that had become slightly more urgent, other things came up. So, even if I replaced all the things on my list for all new things, that is still progress. The newer things don’t have the same sense of urgency. I still got to cross off the old stuff and feel great about that. And, by reloading my list, I have a clear idea of where to go from here.  If you are busy, it doesn’t matter how productive you are. There will always be stuff on your list. That’s okay. As long as the list helps you get it done, you are in good shape.

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My New Garden as an Executive Function Victory, Part III

The fixing of the soil ended up being a total demo and recreation of the yard. That was a huge EF project of it’s own. I’ll do another post on that some time. The garden part was again about planning. I decided to make raised beds to grow my veggies and fruits. That seems to be the best option based on my research. But that just added another project and more stuff to learn about… and more money to spend. Ultimately I ended up deciding to focus on the landscaping project during the spring/summer of 2013. I figured that the soil safety was the most important. Plus, once I saw what the new yard was like, I could better plan the beds. Of course that meant a whole ‘nother year of being patient… and it nearly killed me. But I used that year well. I did research on raised beds, reread my gardening books, took a wood working class, watched videos on making raised beds on YouTube, learned about garden covers, irrigation, rain barrels, compost and measured my new front yard about 30 times. Then when the spring of 2014 was on the horizon… we had our second child due on April 10th. It didn’t seem possible to build a garden from scratch with a newborn at home. I certainly didn’t have the time or energy to start seeds inside in April. To be honest, I was already a bit overwhelmed with all that I wanted to do but had no experience doing. Add in a baby, and it seemed impossible. I was super bummed out to have to wait a whole year more. And, that is when I realized that I was at that moment of having planned as much as I could and that I was defeating myself.…

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