Attention Management not Time Management

For me, the Take-Home tip from this podcast – was the “Do Not Disturb” on your phone. Usually when writing, I leave my phone downstairs but today I didn’t by mistake – and I was tempted by the constant boings of push-notifications to read emails half way through. Damn, I then lost my thread.

Her idea to turn on the Do Not Disturb mode on the I-phone (if you swipe up from the bottom as if using the Torch, it is a “crescent moon” shape on the tool bar) is genius.

Continue reading “Attention Management not Time Management”

Is ADHD a disease? And are novelty-seeking jobs really a cure?

From the NY Times article
From the NY Times article

When a piece like this comes out in the NY Times  it doesn’t always help the cause of seeing ADHD as a real issue, that people struggle with daily, and that those that are affected by it do deserve help. We don’t tell the short-sighted to try and manage without glasses, so why assume that the ADHDer has to settle down to difficult daily tasks without medication (or drugs, as the piece annoyingly calls them)?

First, is the author, a professor of Clinical Psychiatry Richard A. Friedman right to call it a disease? Not really. It confuses what it is, and it is already confusing enough – as disorders go. Disease is something one contracts, or that one gets over or rid of – like malaria or typhoid. Because ADHD is neurodevelopmental, ie the brain can develop and grow out of it, or at least many of the symptoms can be helped, it is better seen as a bundle of traits or a different brain wiring than a disease. You can’t give ADHD to anyone else after all, only your offspring because of the genetic link.

Secondly, are novelty-seeking jobs really a natural cure? Or small classes in school? Not really, not when inattention means that that adult or child will underachieve in any environment, unless some accommodation can be made to assist them to keep on task and pay attention – medication, coaching, teacher’s tricks. They aren’t going to learn or perform well in any environment, if they can’t stay focussed.

Finally – the jump in diagnoses does seem scary when you put it into percentages, but it is obvious really. Neuroscience is new science – a generation ago, people were just told to shape up,  mental health was seen as a shameful area of the medical profession, people were stuck in psychiatric institutions and the key was thrown away.

Given the genetic component of the condition, if a child has a positive diagnosis – it doesn’t take very long until one of the parents looks back at the difficulties in their life, and realises that they may have ADHD, too, ad that it’s just they were branded naughty, wrong, undisciplined, or are reading this in jail (expert Dr Ned Hallowell estimates that 20% of the US prison population have it – much of it undiagnosed). This then leads them to seek a diagnosis and medication (some of which is not apparently that different from caffeine – another Dr Ned observation) which then leads to what the author calls an “epidemic”.

Remember, in the UK, up until 2006, after the age of 18 it wasn’t even possible to get further medication for ADHD because it was deemed to have disappeared overnight, and adult ADHD did not even exist. Of course, if you take this as the base point, statistics and percentages are going to go off the Richter scale as people come forward to ask for help.

So, before suggesting that all ADHDers find a natural “cure” by following the path of our most famous UK ADHDer Sir Richard Branson, and become entrepreneurs ( hopefully without too much of the novelty-seeking risk taking associated with the condition, complete with pilots dying in test runs to space), let’s look at what the  new brain science is teaching us about this complex condition first. The more we learn about it, and the better we treat it and support those that have it (think of those unnecessarily locked up prisoners, who might have take a different course if not branded “wrong”, disobedient or dangerous at an early age) the better we might harness their human potential.

Only then will we have something approaching a natural “cure”.

 

 

Mastering ADHD for adults – Dr Hallowell’s Game-changing Workshop in London on 30 September

adhdcartoonAnyone who has been touched by ADHD considers US-based Dr Hallowell as something of a guru. And, on the eve of ADHD Awareness month, the Crossley Family managed to persuade him across the pond to talk to those affected by ADHD in the UK. An author of 20 books, a self-professed ADHDer himself, with dyslexia, and a father to two ADHD boys – Ned Hallowell also runs a psychiatry practice in New York, and advocates what he calls a “strength-based” or positive approach to the condition.

At 64, he has some 25 years of experience under his belt, he refuses to see the complex neurological “disorder” as a disability – instead insisting that if he had a choice to have ADHD or not have it, then he’d keep it. Despite dishing out scripts for medication Continue reading “Mastering ADHD for adults – Dr Hallowell’s Game-changing Workshop in London on 30 September”

From Concerta via Ritalin to Elvanse & Strattera, a month’s journey in meds

UnknownI wonder how families who have only the NHS to fare cope when it comes to “Child and Adolescent Mental Health“?  Our initial meeting with the NHS pyschiatrist left me holding some Concerta 12-hour stimulant medication – and a date for a follow up meeting IN A MONTH. A Month was too long, too long by 28 days almost, as the daily rollercoaster of keeping our son on track began. Continue reading “From Concerta via Ritalin to Elvanse & Strattera, a month’s journey in meds”

Countdown to Meds for my 12 year old ADDer

IMG_0671On Tuesday, we give up with the year’s experiment of keeping our ADHD  son unmedicated, and head for the pharmacy. Despite the promises of the NHS with their NICE guidelines suggesting Cognitive Behavioural Therapy, Social Skills training, group and individual therapy and parenting classes – it’s clear that NONE of it is available. There is only medication on the NHS, and the rest is down to you the parents to sort. Mental health is appalling in the UK, we just don’t get it.

Of course medication is no silver bullet, I have read too many chat room posts and message boards where adult ADDers talk Ritalin, Strattera, Concerta, Medikenet, dosages, availability – like drug addicts swapping tips. It may or may not work, but the alternative (nothing) doesn’t work either. Continue reading “Countdown to Meds for my 12 year old ADDer”