My Blog: ADHD Since 1978-

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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My New Garden as an Executive Function Victory, Part II

So, I’m stuck with dangerously bad soil, it’s too late to plant anyway, and I don’t know where I get good sun. When confronted with this sort of situation, most ADHDers (my past self included,) would have done one of two things. Felt overwhelmed by what needed to be done and given up on the garden all together or ignored these pesky details and charged right ahead with a garden anyway. Believe me, both options crossed my mind. Here’s what I did instead. I set to work figuring out what I needed to do to fix the soil, did research on when to plant in New England for the following year, and started a self-designed “sun study.” The sun study was the easiest, so I’ll start with that. I am up early with my son on Saturdays anyway, so I set an alarm to go outside once an hour and took pictures around the house to see where I was getting sun. I did this two or three times about a month apart until I got a sense of where and when the sun was shining.  The what and when to plant was a little tougher. The books I read suggested that I started most of what I wanted to plant inside weeks before I could bring them out. That seemed like a lot of pressure to then get everything in the ground at the right time, to harden them off appropriately, etc. I made a decision that the book probably represented the absolutely perfect way to grow stuff. I was willing to compromise and see what happened.  I feel like this is a really important side point. As ADHDers who try to plan, we can very often get overwhelmed by try to plan to perfection. And as many of…

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My New Garden as an Executive Function Victory, Part I

When we bought our house just over a year ago all I wanted to do was start a garden. Having been a chef for over a decade, I love food and have always wanted to grow my own. Of course being the pain in the a$$ that I am, I wanted to grow all sorts of specific varieties. I had big ideas.  But, as ADHDers we often have big ideas that either don’t get launched or turn into serious boondoggles without the proper planning. I like to think I’m a pretty together cat at this point in my life. So I set to my garden dreams by planning, planning, and planning some more. I got two books on gardening, one specific to the North East. (We live just outside Boston in Milton.) The other was about vertical gardening which maximizes the yield per square foot of garden space. I read most of these books pretty thoroughly and realized that just plopping a garden down when we moved in would be a classic “rush into the doing stage” ADHD mistake. I learned three things that June. One, I needed to check my soil to see if it was right for what I wanted to grow. Two, I needed to understand where I could get full sun (at least 6 hours a day during the growing season.) And, three, it was too late to plant in June anyway. Maybe that last fact was a blessing? It forced me to delay my gratification until the next year at the earliest, and that gave me plenty of time to plan anyway. So, step one was a soil sample. I followed the instructions on the UMass Agriculture site and sent it off. It only took about a week to get the horrible news. Our soil…

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Interesting Medication Tidbit

I came across a very interesting tidbit at my monthly CHADD meeting early in June. One of the parents had noticed over the months that her 9-year-old son was seemingly under-medicated. Her suspicion was that the change had happened when he switched to longer acting formulation of Methylphenidate (Ritalin.) She wasn’t sure if it was that the dosing didn’t translate or if he just wasn’t responding as well.  Despite the doctor’s reluctance, she pushed to have her son put back on three times daily of short acting Methylphenidate. To the great surprise of many, this was much, much more effective. He seems like he is a whole new kid. (Of course the parents are doing a ton of behavioral stuff with him. But now that he’s appropriately medicated, they are really seeing results.) Pharmacologically, there is no difference in the active ingredient in Ritalin, Methylphenidate (generic name and the actual ingredient,) Metadate, Ritalin LR, SR, ER, Concerta, Daytrana, and even Focalin. But most patients will tell you that they respond better to one or more than others. The conventional wisdom is that the longer lasting more sophisticated delivery systems are more beneficial. Clearly, as in this boy’s case, that is not always true. I think the take away here is that it is important to think outside the box and not assume anything when it comes to trying stimulants. It really is trial and error. But, when we get it right, it can be life changing. More on meds coming up.

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Fighting “overwhelm”

When we get overwhelmed our functioning becomes radically diminished. I would imagine that is the same for most people. Maybe it is just that as ADHD’rs we are more prone to overwhelm? When I was going through coaching school I developed a coaching model about the many different causes of overwhelm. I think there were 12 or 13. However, my experience working with clients since then has taught me that there are three main causes. The first main cause is our lack of effective executive function as it relates to decision making. But that is a whole other post. More on that later. The second is anxiety which is usually rooted in negative thought patterns, projecting negative outcomes. I think I’ll tackle that in another post too. The third, which I want to write about today it the idea of missing information. This is also a way in which our negative thought patterns can effect us. Often we become overwhelmed when we are missing a key piece of information that then doesn’t allow us to proceed. Add in the fact that our tendency is to project the worst possible outcome when mentally filling in the blank, and we can become paralyzed and not even seek an answer to our question. For example, I have a client who is working toward getting in to a very specific grad school program for a specific career. She became overwhelmed by the process of getting accommodation for taking the GRE’s. She expressed anxiety about getting a formal diagnosis, what would be accepted, how to find this out, does she even need to take the GRE’s to get in to this specific program, will she be qualified to get into this program anyway…  I think you get the picture. She had lots of blanks to…

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