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Sari's
Words of Wisdom with ADHD
Q &
A "Ask Sari" Advice Column for Women with AD/HD
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September
2002
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Dear Sari:
A woman asks if I still struggle with ADHD symptoms and discusses
her own good relationship with her husband.
Sari's
response:
Yes, I still struggle with the same primary symptoms as anyone else
but I don't have the worthless part that you asked about. That is
the place where you have to work in order to meet the goals you
mentioned. You need to get the support you need in order to be able
to focus on what your good at so that you can continue to build
your self worth. In terms of having a great relationship with your
husband for so long, that is a great plus as Ed Hallowell, states,
"The best treatment for one with ADD is to marry the right person."
(c) 2001
Sari Solden.
Unlawful to duplicate without expressed permission.
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August 2002
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Dear Sari:
A man writes in about what to do in a family where everyone has
AD/HD.
Sari's
response:
Since you have online capabilities you may want to contact a resourceful
and reputable site www.addconsults.com for books on couples
with ADD. My advice is to hold on tight. You need support, both
emotional and physical and may find it with friends, relatives,
professionals, coaches, tutors, or household help. Figure out exactly
what is the great need. You probably will need some coaching or
counseling to figure out a plan. Please don't try and do it alone.
Laugh a lot and value your differences. Make sure everyone is doing
something they are good at some of the time. Protect your time together
as a couple away from the areas of chaos and conflict. Work on accepting
that you will be different than non-add families. Find other like
minded people.
(c) 2001
Sari Solden.
Unlawful to duplicate without expressed permission.
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June 2002
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Writer:
A woman writes to say she still loses her temper even after medication.
She would like to laugh instead of getting upset and learn other
ways to handle frustrations such as being logged off her computer
just as she was about to win a game.
Sari's response:
Here are some suggestions:
1.
Share these kinds of stories with other people with ADD and have
a joint laugh, in order to gain perspective, which is easy to
lose with ADD. Listen to other people's stories. This could be
in online groups, or my discussion forum - www.sarisolden.com.
You might write an article, read what others have written, go
to support groups or conferences such as CHADD (www.chadd.org)
or ADDA (www.add.org).
2.
Protect yourself as much as possible from what you know causes
these sudden losses of perspective. Minimize the potential frustrations
by using for example sound blocks or notes on your door telling
people not to enter during a certain time period. Operate your
brain like a fragile rare instrument that needs proper care and
delicate handling.
3.
Make sure your medications are working optimally and you are on
the right ones.
4. Watch your self talk, such as "that's the ADD again" instead
of for example "what a loser I am". This way you won't add to
the frustration barrage of self blame.
5. Program yourself to laugh every time you find your dog looking
as you say he does after one of your outbursts
6.
Make sure you have enough to do in your life that is meaningful
and important to you to counteract these difficulties.
(c) 2001
Sari Solden.
Unlawful to duplicate without expressed permission.
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July
2002
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Writer:
Question was whether any women feel better before learning they
have ADHD. This woman is going on 40 and has been diagnosed for
four years and feels worse about it now.
Sari's
response:
If you have not been diagnosed until adulthood and then get a diagnosis
without the kind of treatment that can help you sort out and come
to terms with this kind of experience then it makes sense that you
would feel worse. That is why I have written my new book, "Journeys
Through ADDulthood". This unfortunately is a common
experience although most people don't talk about it. Even though
many feel relief and hope at first, months and years later many
are not feeling better. Medication is critical and I don't know
if you've found anything helpful. Beyond that you need to find a
therapist or coach that can help you sort through your self image
feelings about your differences, your choices, relationships, etc.
These are complex issues that you need to confront in order to make
this transition. Investigate help in your area, such as support
groups and conferences.
(c) 2001
Sari Solden.
Unlawful to duplicate without expressed permission.
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May 2002
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Writer:
I am a 30 year old mother with ADD. My 11 1/2 year old daughter
is starting to realize my inefficiencies and unorganized traits
that so many of us with ADD have. I can't remember dates, names,
appointments, etc, unless I write them down on the BIG calendar
in the kitchen. I keep a daybook, but often forget to look at it.
She is at that age where she is asking a lot of questions about
anything! She also talks a lot and she notices when she looses me.
(my mind wanders) I often say "I don't know" and "huh?" and she
gets frustrated and angry at me and thinks I am uninterested in
what she has to say, and I think she thinks I am stupid! She knows
our house is not as organized as her friends' with they're supermoms.
And she wonders why I never make it on time to appointments and
why the laundry rarely gets completely finished. Since I was only
recently diagnosed, I haven't told many people. And those who do
know act like they don't believe me. Even my sisters, mom, dad,
everyone doubts it. They think I am just playing some sort of game.
A lot of therapists even look at me strange when I mention it. I
am on medication and it helps but it is not the "cure all." I am
still very forgetful. I seem to be getting a lot more done but am
still very forgetful. Anyway ... because of all the negativity surrounding
my diagnoses, I am not very apt to tell people. Should I tell my
daughter about it? I think she should know, but I don't know how
to explain it to her. And I am afraid she may be ashamed of me.
And also, since she shows some of the signs of ADD, I don't want
her to think there is something wrong with her as well. Al though
I am watching her closely, I don't want to put anything into her
head. What can I do? Its embarrassing when she has to remind me
about things all the time. (doctor appts, school activities, signing
off on homework, conferences etc.). Any suggestions would help.
Sari's
response:
I too am the mother of a preteen daughter. I think it is so difficult
for any mother of a girl this age because they frequently meet with
disapproval from their daughters at a stage in their life when they
are often faced with the loss of their own ideal images. On the
other hand, how valuable it can be to be a role model for your daughter
at a time when she is struggling with the pain of feeling different
or that she doesn't fit in or does not match some perfect image
she is trying to live up to. You can model that having differences
or difficulties even though painful is something to be coped with
but not crippled by and that the goal for each of you is to strive
to be a whole person. You can join with her in this way or at least
convey your own personal efforts and challenges. Model the struggle
of someone living with differences without letting them color your
self concept in a negative way. In order to do this you must first
work internally to really feel strong and whole despite your difficulties.
When you are able to feel whole in any way you won't feel so vulnerable.
You will be able to get support such as a coach or organizer. People
take cues from you and remember all moms feel stupid and vulnerable
around preteens who recognize our imperfections, ADD or not.
(c) 2001
Sari Solden.
Unlawful to duplicate without expressed permission.
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April 2002
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I
received this email but I found it so helpful that in addition to
answering it, I asked for permission to print the writer's comments
as well.
Writer:
I feel acutely uncomfortable when I am having company at my home
and my female guests try to help me in the kitchen.
Some
women are considerate enough to ask if they may help, and if I discourage
it, will say, "Let me know if there's anything I can do," and go
back to the living room to chat with the others. I do have a few
friends who are determined to help, and that is where my problem
is.
I
have a hard time doing certain tasks with others present. Some kitchen
tasks are like that for me. Also there is a sense of real "stimulus
overload" with another woman in the kitchen who is asking "where
do you keep your (name of kitchen implement or food) which impedes
me no end in doing my own tasks. I don't know if other ADD women
do this, but some of my kitchen items don't have a "place" - it
is wherever I have room to stash them when I unload the dishwasher.
It's those infrequently used items that I bring out at parties,
such as the chip and dip dish, that tend to get put away any old
place I have room. I feel like I am constantly being pulled off-task
by these questions. The kitchen help would be easier to manage if
I didn't have the distraction of the questions.
Some
women can prepare food for guests and chat at the same time. I have
trouble with this, unless it is a simple snack. I find that having
to hold a conversation and do complex jobs in the kitchen with several
dishes demanding my attention at once to be really difficult to
handle.
I
would really like to be like other women and function well with
others in the kitchen. Do you think it would be help to plan in
advance what people could do to help me, put the required materials
where they can find them easily, and give them these jobs to do?
Another thing I could do would be to have help in the kitchen with
tasks that gradually increase in difficulty for me, and work up
to the dinner party kitchen help.
Or
should I just be frank and tell people that having someone try to
help me in the kitchen for more than a short period of time just
distracts me and gets in my way and I would prefer them not to?
I don't have this problem with cleaning up - it is very helpful
for people to stack plates and silverware in the dishwasher and
throw out trash. The only problem there is when people try to put
away the food and ask me various questions regarding that.
My
ADD affects me mostly in the areas of distractibility and stimulus
overload. I feel like I am about to "short-circuit" when I would
like to enjoy my company. I am reasonably well-organized. I am not
particularly impulsive (except sometimes under stress). I tend to
tire easily and have little energy. I also can tune out when something
doesn't interest me, or shut down with too much sensory overload.
I
would normally try to have a simple snack rather than a whole meal,
but I have several friends who live more than an hour away, and
I feel like I should at least offer a meal.
I would appreciate any advice you could give about how I should
handle this problem.
Sari's
response:
You have explained the problem beautifully that so many women face
as well as you have offered great alternatives for handling this
situation including alternatives such as direct communication to
advance preparation for a situation that you know will need special
handling. You obviously know your brain well and are handling your
ADD challenges as best as can be expected. The goal is not to get
over your challenges but to handle them in this kind of experimental
way. You are moving more and more toward accepting yourself obviously
and this is what is allowing you to brainstorm so well.
(c) 2001
Sari Solden.
Unlawful to duplicate without expressed permission.
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March 2002
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What is your
advice on whether to inform your employers that you have ADD? I
am a customer care consultant and sometimes I just want to tell
them but on the other hand I don't want to jeopardize my position.
I have been doing the same job for 8 years and believe me my ADD
could explain to them a lot of my shortcomings.
An answer to
this question was provided by ADD Coach Nancy Ratey.
Thank you Nancy for your input!
Generally
speaking I always advise people not to disclose unless it is done
with a very specific purpose in mind, meaning if you need an accommodation.
If not, then it is not advisable. It sounds to me your employer
values your work despite your own feeling about your performance
since they have kept you on for 8 years! Maybe setting some time
aside to brainstorm some ideas with your boss about how you could
improve your performance would help? That way it will show initiative
on your part and involve him/her in the process.
(c) 2001
Sari Solden.
Unlawful to duplicate without expressed permission.
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January
2002 |
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A
woman writes to ask what a non-ADD husband might expect to notice
in his ADD wife. She was the inattentive type in the back of the
class. She has also struggled with depression. Things are coming
together now that she is in her 20's and married but she thinks
her husband has trouble understanding her.
It is difficult for people to really understand a woman who was
inattentive instead of acting out as having ADD since the difficulties
are often so internal especially when combined with depression.
I don't know what your particular kind of ADD looks like but in
general these things are common among adult married women with the
inattentive type ADD:
Difficulty getting up and getting started in the mornings.
Overwhelmed
easily by too many demands or variables even though it might not
seem like a lot or very difficult to the outsider given a woman's
level of abilities in other areas or education or intelligence.
Because of this she may over react easily to one more even simple
request because it might put her over the top emotionally. Having
to do simple tasks which may seem to be stress reducing actually
may increase her difficulty because it may reduce needed stimulation
and structure. For instance a woman might be better off at a demanding
job in an area of skill than at home with no structure or stimulation
because she might not know how to prioritize or organize even a
very simple day. It is the executive function or management function
of the brain that make it hard.
Socializing
may be difficult, making small talk going to parties with a lot
of background noise or where her attention is pulled in many directions.
Shopping or cooking are often difficult although not always. So
basically, simple, everyday living may be demanding. This may include
organizing the house, difficulty with laundry, incoming papers and
information. She needs support and structure and to find ways to
spend more times in areas of strength.
(c) 2001
Sari Solden.
Unlawful to duplicate without expressed permission.
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November
2001
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A
woman writes that she was diagnosed a few months ago and put on
medication but her family, parents, relatives urge her to keep it
a secret ands are ashamed of it. She is looking for guidelines to
deal with relatives.
Shame
is a big part of growing up undiagnosed with ADD and unfortunately
your parents are feeding into this. You need to be with other people
with ADD so you feel supported and break this feeling of shame.
Hopefully, you can attend a conference here at some point or connect
with people on line, for example in a discussion forum or through
ADDvance for Women www.addvance.com or just reading about
other women. Join organizations such as ADDA, www.add.org.
You
must have information and support from people who are familiar with
the medications that can help you. At first it's not always possible
to get understanding from your family at a time when you need it.
This is another important reason to connect up with other women
or men who have had similar experiences. Your family will probably
come around later once you feel more sure of yourself and are no
longer feeling bad about your difficulties. When you are less vulnerable
you can explain without apologizing or defending.
You
cannot do this alone. You must first come to see yourself in a non-defective
way. Then join support groups or online groups, attend conferences
or read about others like you. Go to counseling if available and
if very isolated you must focus on this first before spending all
your energy trying to convince others. Good luck. Let me know if
you have trouble finding resources for connection.
(c) 2001
Sari Solden.
Unlawful to duplicate without expressed permission.
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September
2001
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Are there any
suggestions as to what to look for in a couple’s counselor when
one partner (me) has ADD?
Dear
Reader,
This is a good question. Suggestions as to what to look for in a
couple’s counselor where one person has ADD. In this case it was
a woman.
1.
The counselor should not focus all the attention on your problems
as the ADD partner.
2.
The counselor should remain balanced and appear to both of you
to be on both your sides, i.e. the side of the couple not one
or the other.
3.
By the same token the counselor shouldn’t expect the non-ADD partner’s
feelings to all disappear with the explanation that the partner
has ADD. This will just breed resentment. The partner has a lot
of feelings built up. They must learn to deal with them in a constructive
way, of course, but will continue to feel frustration even after
the explanation.
4.
The counselor might do well to explore the meaning the ADD behaviors
have to each partner, what kind of emotions are generated, and
what triggers them. Examples: being ignored may trigger someone
to feel abandoned; To be interrupted may trigger someone to feel
invisible or discounted as they were in their family of origin.
Each person brings a history to the ADD mix.
5. Is the ADD focus covering up for any other problems in the
partner or in the marriage? Are we focusing on who left the dirty
dishes when there are other bigger problems not being dealt with?
Are the ADD problems causing the couple problems or are the couples
individual problems or issues making it much harder to work together
to restructure the ADD part of their lives together. These are
all fruitful to explore. Communication skills are very important.
As my associate, therapist Ellie Payson, ACSW, describes at workshops,
“Imago therapy, when working with an Imago therapist who understands
ADD, combines the best of both worlds as it addresses the neurological,
psychological, and behavioral issues in the relationship’s dynamics."
6.
The therapeutic goals must be reinforced and modeled not to get
cured, get over it, get responsible, or grow up, but to find a
way for each partner to lead satisfying lives together and separately.
They do this by focusing on strengths and getting help and needed
support, and understanding what is and isn’t a luxury. Sometimes
it’s the non-ADD partner who resists this but often it is the
person with ADD who has more difficulty getting needed help because
it makes them feels too vulnerable.
7.
In couples counseling the goal is often to get to a point where
the power dynamics are not skewed by the ADD difficulties, where
each is treated with respect and views themselves that way as
well, even with the ADD difficulties.
8.
Another goal is to come to acceptance that the family is a different
kind of one with an ADD member, and to change deeply internalized
messages that lead to blame and shame.
9.
To understand that medication can often bring changes to a relationship
when a partner is not so overwhelmed anymore and can see and articulate
problems. Medication may cause couples issues to arise and often
the partner is uncomfortable with these changes. A counselor can
help stabilize this period of change while the couple finds a
new healthy balance. A counselor can predict, prevent, mediate,
and educate in order to guide the couple into a safe environment.
(c) 2001
Sari Solden.
Unlawful to duplicate without expressed permission.
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May 2001
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A
woman writes to inquire how she can tell the difference between
ADD and depression.
Dear
Reader,
This is a very good question and one that is very often difficult
to distinguish without careful analysis even for professionals.
First,
I would recommend that you go to a doctor or psychologist who is
experienced in telling these apart or understanding the relationship
between them because indeed you could have both ADD and depression.
What you want to sort out is whether the depression is a reaction
to the ADD that will improve when the ADD is properly diagnosed
and treated or is it a separate condition that needs treatment along
with the ADD. Often when you have ADD, you become depressed because
you are so overwhelmed and depleted and your choices are leading
you nowhere. You may feel stuck and trapped.
What
complicates making this distinction is that when you have ADHD inattentive
type or depression, both can manifest difficulties with activation.
Making an effort requires too much energy. Being disorganized in
your behavior is also a manifestation often of both.
What
you want to understand and sort out is the chronic nature of the
symptoms and the severity. Often a person becomes disorganized after
a major life change like a death or a divorce. At these times of
depression or normal grieving even symptoms like ADD can appear
and they can be severe but they CAN STILL BE TRACED to an event
rather than ongoing ADD. Or a person can have low levels of depression
or attention problems chronically but that donât interfere with
their lives enough for the ADD diagnosis and requirement of severity.
As
you see these need to be sorted out by an open minded and experienced
mental health professional with whom you feel like a partner in
sorting through these issues. Good luck.
(c) 2001
Sari Solden.
Unlawful to duplicate without expressed permission.
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January 2001
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These
questions were sent to me from ADDvance magazine for women from
their readers and will also appear there in my column Ask Sari-January
Issue
(1001 Spring St. Suite 206 Silver Spring, MD 20910 888-238-8588)
Question
#1
From everything I read, I strongly believe that I have ADD. I talked
to my doctor about it and he doesn't seem to put much stock in the
idea of ADD in adults. What should I do now? How do I know I have
it and where do I find the help I need?
Answer
#1:
First of all, I would follow your instincts. That doesn't mean you
definitely have ADD since you can have the same severe and chronic
symptoms from a different cause. But you have something going on
that is impacting you for which you need diagnosis and treatment
so I wouldn't be deterred by your doctor's skepticism. ADD in adults
is very real!
At
this point I would ask around in your area for a therapist, psychologist
or doctor who has experience with ADD in adults. It doesn't matter
which kind of professional you start with just find someone experienced
and knowledgeable and they will be able to steer you to other professionals
you may need to round out diagnostic and treatment services. Keep
reading, attend conferences, seminars, join on-line groups or local
CHADD (Children and Adults with ADD) group meetings. You
can call CHADD National at (301) 306-7070 www.chadd.org
or ADDA (Attention Deficit Disorder Association) (484) 945-2101
www.add.org. You can email me or ask the discussion forum
on this web site for recommendations in your area. A good source
is also ADDconsults.com who can help you find resources in your
area. Just put that inquisitive ADD mind that loves to search to
work for you and keep going. Good luck!
Question
#2:
I am sure that I have ADD, from everything that I've read. I've
tried to talk to my husband about it, but he's just not interested.
He thinks that ADD is just a fad and I’ve gotten caught up in it.
He won't read about it and won't really listen to me and why I think
I have it. How can I get him to take this seriously? I think that
ADD has really impacted me and explains why I am so disorganized
and have trouble keeping up with things. My husband just thinks
I'm looking for excuses. What should I do?
Answer
#2:
First of all it is not unusual at all to have a spouse or family
who does not believe ADD is real at first or thinks it is just another
fad. Often adults with ADD have been searching for a long time to
discover what is going on with them and may have previously looked
into a number of other labels or self-help measures. This tends
to put their partners in a mind set that views ADD as just another
quick fix. Don't wait for your husband to believe in ADD. That will
come later. Just find other support, help and validation now and
don't be too hard on him. The best thing you can do is to keep lines
of communication open with him. If you change your expectations
at this early part of the journey, you won't build up so much resentment
and will be more effective later after you are more sure yourself.
If you think you have the symptoms of ADD you need to get support
from other sources at this point. Don't wait for and don't expect
your husband to come around first. He will be more apt to "take
it seriously" when you do. It will take a while for you to get to
the point where you have enough inner sureness to convey this to
your husband. In the meantime get diagnosed and treated, and get
connected with other women who have the same difficulties. This
will help you feel less isolated. Continue to become more educated,
find help through the same sources listed in the answer to Question
#1.
Question#3:
I have been diagnosed with ADD several years ago, and have also
struggled with depression. Things were going fine for a while. I
left NYC, where things were very stressful, and returned home to
the small community where I grew up. I met and married my husband
about three years ago. Now, we have a 15 month old son and it feels
as if my life is coming apart and I can't stand the mess and confusion
everyday. It doesn't seem to bother my husband. Also, I've gone
back to work, only two short days a week - but even that is overwhelming.
When I get home from work I just feel like crying when I face the
cereal spilled on the kitchen floor and the dishes I didn't have
time to do before I left for work. What's wrong with me? I can't
even manage this very part time job, and I feel overwhelmed all
the time, trying to keep up the house and keep up with my daughter.
Answer
#3:
You are discovering the overwhelming situation that so many women
with ADD find themselves in at some point. You need to come to terms
with the fact that you have a more delicate kind of balance point
than many others do which requires more careful planning. Unfortunately,
that's another problem for people with ADD! Especially when overloaded,
your ability to strategize and plan in these circumstances is severely
challenged.
In
addition, you are back in the small community where you grew up.
This might be putting more domestic expectations on you than you
had in NYC where things may have been over stimulating but maybe
more anonymous. Often our gender role expectations of ourselves
increase and our estimation of ourselves grows more negative after
we have children. Women with ADD put themselves down at this point
because household and domestic work is often the most difficult
for them and the stimulation of all the mess and the baby's demands
often leaves them feeling no control. This often leads to depression.
I
don't know where you are located now but you have to find help.
You are drowning and overloaded and so you just need to find one
professional or support place to help guide you through this ADD
world - to help get you to start to breath again and to help you
think through some of following questions and make a plan.
It
doesn't sound as if you have anyone helping out at home. What kind
of support do you need? Examine your feelings about asking for support
from friends or family or trading if you can’t afford to hire help.
You may need to renegotiate with your husband for which jobs are
better suited to each of you at home rather than splitting directly
along gender lines. If you have difficulty with this you may need
some counseling to communicate about this.
You
also need to look at the kind of job you have and see if that's
where the stress is coming from as well. Is your job a good fit?
You may find it was too early to take on something new like a job
after the move and marriage and the baby and ADD diagnosis. Don't
quit your job if it is providing the right kind of stimulation and
makes you feel good. If that is the case I would up the support
at home rather than quit the job. If its the job that is putting
you over the top, and it is not a good fit, I would maybe consider
a different one or take a class that might lead you to a more interesting
and fulfilling career later.
Are
you on medication? It sounds as if the right medication might help
block out some of the stimulation and stress. It sounds as if you
are already approaching that point when the resulting depression
takes over and causes a double whammy for you that you have trouble
getting out of. Call the same resources that I have listed above
or at least get help for the depression which should be easier to
find from your doctor or referrals he or she can make.
A
good book that to start reading is "Moms with ADD",
by Chris Adamec, Taylor Trade Publisher Dallas, TX 2000. Don't try
and tackle everything at once. Just remember to start a new positive
cycle you may need medication and support. You need to start doing
just one thing, taking one step, making one call.
(c) 2001
Sari Solden.
Unlawful to duplicate without expressed permission.
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Friday, January
28, 2000
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Well
I'm off for the next month for some family time and travel. I won't
be writing until March. I hope you will use the bulletin boards
to start a conversation with each other. I hear from so many of
you who want to talk to other adults about your experiences. So
here's your chance.. Now for this week's questions and answers...
Q.#1.
Does my toddler ahve ADD? [Guest responder!]
I
had a question from a woman about how young you can tell if a toddler
has ADHD. This woman believes her 3 and half year old is a likely
candidate but wants to know when he can get formally tested and
treated. -and how to handle the excessive chatter and activity in
this interim period when she says meds aren't appropriate and symptoms
aren't dangerous but merely disruptive. She wanted thoughts and
advice on early detection and behavioral techniques. This woman
is also recently diagnosed as well as her teenage daughter.
I turned this one over to an expert, Dr. Roger Lauer, PhD, a child
and adult clinical neuropsychologist here in Ann Arbor who has great
expertise in this area. He was kind enough to make this response.
A.#1.
"Diagnosing younger children is a challenging task and it should
be carried out by a clinician who is familiar with typical development
in children. Most importantly, one should recognize that children
have a smaller repertoire of behaviors compared to adults, but a
larger range of tolerance for their deviant behavior. It is possible
to diagnose ADHD in young children, but a comprehensive assessment
would be recommended. Knowing that the diagnostic criteria for ADHD
suggests an onset before age 7 would indicate that many children
who eventually receive this label show signs earlier in life.
The
majority of these children do not come to the attention of professionals
until they reach school age. To be identified so early in life (age
3) would mean that the behavior was quite obvious (or in the case
of the person who wrote to you, their awareness was raised possibly
due to their own diagnosis). I would recommend an assessment by
a pediatric neuropsychologist who will examine many possible reasons
for the described behavior. If ADHD is found, then behavioral intervention
is most helpful. This typically involves helping the child and his
family to alter their behavior, with an emphasis on anticipating
situations where difficulties will arise and proactively intervening.
Also, developing a reward system to help foster new behavior and
responses is suggested. Given that a parent may also have this diagnosis,
I would recommend parent guidance work to assist the parents in
developing more effective parenting strategies. On this same note
(and connected to my point above), we would want to insure that
the parent was not misinterpreting typical behavior in children
as problematic due to their own struggles.
Lastly,
an evaluation by a child psychiatrist could be suggested, to explore
possible medication intervention. I typically do not suggest this
avenue for intervention at such a young age unless all other treatment
has failed to change the behavior, or if the child has multiple
deficits that need remediation and it would be helpful to eliminate
excessive inattention and overactivity as a hurdle to achieving
success with other therapies (e.g., a child with a severe speech
and language disorder who cannot benefit from language therapy because
of their inattention or hyperactivity). I would caution that my
response to this question is based on generalities and not on a
specific case. As in my own practice, every child is unique and
each case requires a comprehensive evaluation with possibly different
recommendations depending on developmental history, medical history,
family history, school history, and social history (to name a few
areas of importance)."
Roger Lauer,
Ph.D.
Child Clinical Neuropsychologist
Thanks
Dr. Lauer!
Q.#2.
ADD and spirituality A woman wonders why she doesn't hear more about
ADD and affiliations with religious organizations since she recognizes
that adults with ADD often don't feel connected to other people
and don't take the time for this. She wonders if anyone has addressed
this possible important spiritual affiliation in the lives of those
with ADD.
A.
#2.
The person who addresses the need for "connectedness" in most depth
is Dr. Edward Hallowell, known in the ADD field for "Driven
to Distraction". Now, the noted psychiatrist has addressed
this issue for everyone in his book "Connect"
(Pantheon Books, N.Y.1999) in which he certainly includes the
need for spiritual connectedness.
In
my experience, adults with ADD have a great deal of trouble keeping
up their important connections. Time just passes by, they are overwhelmed
with other commitments. Many adults with ADD have told me how badly
they feel when people mistake this for not caring, when really the
opposite is in their hearts. They feel so ashamed usually when they
miss an important occasion to connect, that they withdraw more.
An accepting supportive place as the writer of this question suggests,
where they could gather and re-group, sounds like a wonderful way
to try and put more balance into their lives as well as find that
much sought after connection that could give them something to hold
on to in the middle of chaos.
See you
in March!
Warm Regards
- Sari
(c) 1999
Sari Solden.
Unlawful to duplicate without expressed permission.
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Friday, January
7, 2000
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Happy New
Year!
I hope you
had a great holiday.
One of my favorite events each year is the conference put on for
adults by the National Attention Deficit Disorder Association (ADDA)
This
year, ADDA 2000 will be held May 5-7 in Atlanta, GA. I encourage
you to attend this event that is always informative, empowering
and just plain fun! The list of presenters this year looks great.
The conference is called "Tapping the Potential, Fulfilling Life's
Dreams."
You
can find out more information by looking at ADDA's web site
http://www.add.org or calling them at 484-945-2101.
I
will be doing a presentation at the conference with material from
my book due out in 2001 to be published by Walker Books, NY. The
working title is " Passages of Adult ADD".
The book and the workshop at ADDA is for men and women and their
search for meaning and identity in the life long journey of living
with ADD, long past diagnosis and early treatment. I will also lead
a session during the special day for women that is being planned.
Hope to see you there!
Speaking
of ADDA, Donna Soldano, a board member of ADDA, who
I had the pleasure to meet at last year's conference wrote us a
response about Andrea Little's article on couples. Thanks Donna.
Donna
writes:
I just want to comment on Andrea Little's
article "Odd Couple." It is an excellent article. Here
is the part that hit me: " Laugh! ADD folks see humor everywhere.
They not only do funny things; they think funny thoughts too. Non
ADD partners are often attracted to them because they admire this
light-hearted attitude toward life. Join in and laugh with your
partner. Encourage each other to laugh at yourselves and share amusing
experiences."
Just last night when my husband and I were in my Jimmy going somewhere,
he asked me, "where did your trash bag go?" I have a trash bag hanging
in the front seat, otherwise the trash ends up all over my car.
I said it was full and I haven't gotten another one yet. With a
smirk on his face he asked, where did you put it? I smirked back
at him, and he immediately responded -Is it in the way back where
you put the last filled trash bag? We both looked at each other
and burst out laughing!!! It used to be that he would get angry
about these things I did, now he can sere the humor in them and
we both can laugh about it. He has learned to laugh at crazy things
that I do, which attracted him to me in the first place 25 years
ago! Sincerely, Donna Soldano
Now
for this week's questions and answers
Q.#1.
Overwhelmed after diagnosis
Someone wrote that she is very overwhelmed after being diagnosed.
She says she has my tape and sees a therapist but finds it a real
struggle to discuss what she is experiencing. She wants to know
where to go from here.
A.
# 1.
It may take a while before you find someone with whom you can
share your feelings and difficulties about ADD and whom you feel
can understand you and act as a partner. This person doesn't have
to be a specially trained ADD therapist even though that would be
great. A therapist who is willing to learn the additional issues
around ADD and is open to reading what you bring her and is open
to what you tell her, who takes it seriously, may be able to help
you a great deal. I would supplement that therapy by going to support
groups, going on line for chat groups for women with ADD and attend
conferences like the one I discussed above. You need to connect
with other women! Start a thread on this website for others to communicate
with you.
Q.#2.
ADDer social skills
This was a question from a man about social skills in adults
with ADD. He wondered what kinds of problems adults often have,
how it affects relationships, and what suggestions I had for them.
A.#2
Some of the social skills difficulties leave adults with ADD sometimes
hesitant to participate in important situations at work and in their
social life. These often lead to anxiety and withdrawal since you
don't know if today will be a good or bad brain day. You may not
be able to think of as single thing to say during small talk or
be able to answer a direct question. You may simply go blank, unable
to retrieve information you know. You may not be able to tell a
story in a linear way and people may start to stare at you several
minutes into the story and you know they aren't following you.
You
may find yourself interrupting, wanting to get to the bottom line,
and finishing people's sentences for them (because you know what
they are going to say!). You may mentally wander off in conversations,
not following what is being said which is especially difficult in
groups.
Because
of an impressionistic understanding of some of the current topics
in the news not feeling confident in these kinds of discussions.
Because
of your slow processing, by the time you figure out what you want
to say the conversation has moved on and you just say it anyway
even if it doesn't make sense any more. Or you may be afraid you
will forget what you want to say and so you blurt it out prematurely.
All sorts of things like this can lead to insecurities that affect
relationships.
Some
suggestions- Write down what you want to say in a group discussion
if possible, especially in a work situation. Make little notes to
yourself until the right time to add them.
Create
situations that work better for you with one on one conversation
without distractions.
Often
volunteering to be in charge of a group keeps you in control of
the agenda.
Talk
from your heart rather than your head. This often is easier than
trying to recall facts.
On
the other hand, try and be with people as much as possible with
whom you feel comfortable, with whom you can be yourself. These
would be people with the same interests, who value the kind of person
you are. Be in situations where you can display your strengths.
Spend time in places where other fascinating "eccentrics" may more
likely be. Then, even though you will have to sometimes be in these
other more awkward situations. You will be developing confidence.
Kate
Kelly and Peggy Ramundo, pioneers in the field of adult ADD talk
about social skills in their book "You mean I'm not Crazy,
Stupid or Lazy?"
They
say that when selective attention gets in the way in social situations
a person with ADD's perceptions may be flawed by incomplete or inaccurate
information.
They
say that we watch people in social situations for clues as to how
to act and we gauge their reactions to our behaviors. Because we
may have an inability to process information efficiently, we can
fail to assimilate the new rules quickly enough. This, combined
with impulsivity, can lead to numerous social mistakes
They also say that we may have difficulties taking the time to making
deep connections, even if we talk to a lot of people in a social
setting.
They
advise -just concentrate on making a few close friends instead of
worrying about creating a large social network.
They
also encourage us by saying that many of these quirks that seemed
weird as children now often work for adults who are seen as interesting
or special. Also adults with ADD they point out often have creativity,
special talent, humor, or zest for life that can be a social magnet!
That's
it for today. I want to encourage you to try out and use our new
bulletin board capability to talk to me and to talk to each other
about topics of interest to you. It is a way I can more directly
interact with you as well. I am trying them out for a while to see
if they are of use to you. I am going to hold off on the weekly
Dear Sari column for a couple of weeks and try and start some conversations
on the boards. Look for the conversation there. Please join in and
tell your friends. I look forward to the opportunity to have more
contact.
Warm regards
- Sari
(c) 1999
Sari Solden.
Unlawful to duplicate without expressed permission.
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Friday, December
17, 1999
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Holiday Greetings
and Gratitude!
I'm
not going to be writing for the next couple weeks because of the
holidays. So let me take this opportunity to wish you a wonderful
New Year and a new millennium where we, who have wonderfully unique
(although often exasperating) brains, will continue to pour richness,
warmth, and excitement into the world.
As
I look back on the last decade, I am filled with gratitude for the
entire ADD community. I want to thank the readers of my book who
have been incredibly supportive, the professionals in the field
who have become such close and special friends, and all the wonderful
men and women with ADD I have worked with during the last 10 years.
You've all made this last decade of the millennium an incredibly
rich and rewarding one for me.
Now
for this week's questions and answers
Q.#1.
OCD vs. ADD
This is a question about a difficult diagnostic distinction between
OCD (obsessive compulsive disorder) and ADD. A woman writes she
has been treated for several years for OCD with no results and now
she thinks that instead she may have ADD. Her doctor insists that
she have a full neuropsychological battery of tests before he prescribes
stimulant medication. She wants to know what I think and whether
she needs to do this as it is expensive and she would need to wait
before beginning treatment.
A.
#1.
There are psychiatrists who are experienced in this differential
diagnosis and in prescribing medications who will diagnosis you
and prescribe without the full battery of tests. If they are experienced
in treating adults with ADD this is certainly one way to go. This
might be a quicker route and it might be a very effective route.
OCD
and ADD can look alike since the compensation for ADD sometimes
takes on compulsive tones. You may have a combination of both and
it may be complicated to tease out. I would certainly recommend
when you have a complicated profile like this that at some point
it may be very helpful to you and to your doctors to invest in a
battery of tests with a psychologist experienced in adult ADD. What
you want for the long term, remember, is not just a simple yes or
no diagnosis or only medication, but also an in-depth understanding
of how your brain works- what difficulties you may confront and
how to approach them, what strengths you have so you can focus on
them
Q.#2. College
student seeks structure!
A question from a woman who says she is "desperate" because her
husband thinks ADD is a "crutch and excuse to mess things up and
be careless." He says before he believes she has ADD he wants positive
proof. She asked if the test called the Tova would provide this
absolute truth.
A. #2.
Dear desperate,
There is no blood test for ADD and no one test that provides this
level of absolute "proof" but there are tests and assessments which
when given by experienced professionals are very accurate in making
this diagnosis.
I
would encourage you to get help right away for yourself from one
of these people, either a therapist first who can give you the support
you need to take this next step if you are hesitant to proceed without
your husband's full support, or to a psychologist who can give you
a battery of tests to show you in-depth how your brain operates.
Once
a partner sees these kinds of reports in black and white, and speaks
to the psychologist if possible about the results, the reality often
breaks through their initial resistance. Because of this, in your
situation I would recommend if possible that you have this kind
of testing and go through this process. It also sounds as if you
and your husband need some professional guidance or counseling about
these ADD issues but also your relationship in general. If your
husband doesn't want to proceed, you can't wait to prove it to him.
Get support for yourself so that you can come to understand your
diagnosis and accept yourself. Good luck.
Talk with
you all again on January. 7th!
Happy Holidays
Warm Regards,
Sari
(c) 1999
Sari Solden.
Unlawful to duplicate without expressed permission.
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Friday, December
9, 1999
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I
hear from so many people with such good information about the challenges
and gifts of living with ADD as an adult! If any of you have some
good information about events or services or articles you want to
pass along please send them in and I may be able to use them when
they apply to situations that come up in this column or when I am
making other kinds of suggestions or recommendations. Look forward
to hearing from many of you
Q.#1.
Good articles for couples?
I had a request this week for references for good articles on couples
with ADD. This week the subject is "mixed marriages" whereas last
week the question was about relationships where both individuals
both had ADD. (See Dear Sari for Dec 3, 1999)
A.#1.
One article that came to mind immediately was an article called
"ODD COUPLES: Finding Peace and Respect
in Marriages where one of you has ADD and the Other Doesn't"
by Andrea Little. I called her and asked her if we could
share it here and she has sent it to us. Thanks Andrea! I think
it's a classic.
If
anyone has any others they like please send them in.
Another
piece of writing on the subject I find helpful is in a book by Lynn
Weiss called "ADD in Adults", 1992, Taylor publishing,
Dallas TX, chapter 11 And of course, "Driven to Distraction",
Hallowell and Ratey, 1994, Pantheon books, NY has a good chapter
on couples -chapter 4.
Q.#2.
College student seeks structure!
This from a very distressed college student. She describes a very
common but not often discussed severe problem with writing papers
or starting projects that are completely open ended, without structure.
This young woman is on stimulant medication but it is not enough
to solve the writing problems.
A.#2.
The stimulants might help her stick with the project longer or start
the project but they often don't work to completely address this
part of the ADD difficulty. An expert doctor in working with medications
with adults with ADD may be able to combine the stimulant with another
kind of medication such as an SSRI to smooth out the effects of
the stimulant and may actually help in this area. This is something
I've seen be helpful for some people in this area but you would
need to discuss this with a doctor.
Medication
is only one part of the approach, however. These writing difficulties
are another manifestation of the disorganization many adults with
ADD experience in other parts of their lives for example, with clutter
or with organizing their speaking a linear manner.
Often
this becomes incredibly discouraging to those in school or those
needing to write for work. These individuals often have big ideas,
good ideas, lots of ideas to express but cannot find a way, despite
of endless and tiring effort, to express their ideas in an orderly
fashion, to make them known and understood to others. They often
go off in many different directions, following every interesting
connection or thread. For each idea they come up they may generate
several more. They often hunt down every bit of information on a
subject and related subjects and are left then with a huge amount
of material to organize which even makes it more discouraging.
It
is extremely frustrating when you know the subject, when you actually
have a lot of ideas, when you are putting forth tremendous effort
and you are continually getting incompletes or failing classes as
this young woman reports .For most people, effort brings rewards.
No wonder so many young adults with ADD who have the opposite experience
become so discouraged.
It
is often difficult for these students to ask for help at school
or for adults to get help with their writing. Often, though, this
is essential because there are gaps in the writing process that
are just so troublesome for you and time consuming that you aren't
able to get to the good stuff -your ideas. Sometimes you may need
someone just to get you over particular hurdles or provide structure
for your ideas or to just get you to stop expanding!
I
experience these difficulties in my own writing when working on
certain kind of material. I have found that having help at critical
points is essential. You may need to have someone else involved
in the process. I know that's a big hurdle for many of you to get
over, but once you accept it and get the help you need in this area,
you will be on the way to letting your ideas come out, letting yourself
be known, and moving on toward a more satisfying way of life. Good
luck !
Well, that's
all for this week! I look forward to answering more of your
questions next Friday!
- Warmest
regards.
- Sari
(c) 1999
Sari Solden.
Unlawful to duplicate without expressed permission.
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Friday,
December 3, 1999 |
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Hello,
Here are the answers to some of the questions this week. If you
don't see yours answered look again next week. I will get to them
all! Your questions are of interest to many people who share many
of the same concerns. I appreciate your writing in
Q.#1.
This from a woman who was just recently diagnosed with inattentive
type of ADD. She says her husband also has ADHD. She wants to know
of any articles that talk about issues that arise when both people
in a couple have ADD.
A.
#1.
I know that Hallowell and Ratey address this at the beginning of
their chapter (chapter 8) on couples in "Answers to Distraction".
Pantheon Books, New York, 1994.
My
experience is that this kind of partnership has plusses as well
as special challenges. On one hand, the partners might be more accepting
and understanding of each other and agree on non-traditional modes
of living one's life. On the other hand, they may not always have
the ability to compensate for each other as in a "mixed marriage"
so there may be more disorder with which to cope.
In
addition, sometimes your ADD may be so different that your partner's
more hyperactive style that he might completely overwhelm you. Again,
on the other hand, it is possible your partner may help activate
you while you slow him down a bit.
Because
you may have very different styles, you may need some professional
facilitation to help you both learn to communicate and to protect,
accept and respect your differences.
Q.#2.
This from a woman in her 30's who is a mother and wife beginning
to suspect she has ADD. She's wondering if she will ever want to
stay in a relationship with any one man. She feels always feels
pulled toward other relationships.
A.
#2.
This could have its roots in a wide variety of sources, including
the high stimulus seeking of ADHD. It is essential before you decide
that it is a result of ADHD alone, though, that you seek out professional
diagnosis and treatment to explore whether there are other reasons
for this long standing pattern.
Q.#3.
This from a 33 year old mother with ADHD and a 9 yr. old daughter
with both ADHD and ODD. (Oppositional Defiant Disorder) She wants
to know what she can do since her child needs the structure that
she has such difficulty providing. She says she doesn't want to
make her daughter's difficulty worse.
A.#3.
This would be a challenge for anyone, let alone a woman with ADHD.
Many mothers who have ADHD also have challenging children and face
this dilemma. The first thing you must learn to is not berate yourself.
You need all your mental and physical energy to cope with this.
That means taking care of yourself, taking time for yourself. It
means plenty of respite from this demanding situation so that you
can come back replenished instead of continually growing more depleted.
That means finding both physical and emotional support and filling
in your structuring gaps for your daughter with other people such
as a coach or tutor.
You
need to also think about what positive messages you can give her
as a result of some of the challenges you both share. Remember,
you are modeling to her how one can value themselves in spite of
special challenges and how you can ask for help, an invaluable lesson.
Good luck.
Well, that's
all for this week! I look forward to answering more of your
questions next Friday!
- Warmest
regards, Sari
(c) 1999
Sari Solden.
Unlawful to duplicate without expressed permission.
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Friday, November
19, 1999
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Hello,
Well, it’s getting close to that time of year that often strikes
fear into the hearts (and brains, of course) of those with ADD.
How to cope with the all the demands, plus the addition of all those
extras- shopping, choosing and buying just the right presents, more
social events! Thinking about so many extra things and trying to
fit in even more than usual, divides our attention and puts demands
on it, that can easily overload our systems
I
won’t be writing next week, since I’m off for Thanksgiving myself.
I thought that since I, just like my clients, try each year to face
the challenges presented by holiday gatherings in new ways, I would
share a helpful hint.
Instead of letting all the noise and confusion bombard you, until
you just withdraw or suddenly disappear without an explanation,
this year try making a simple short statement before withdrawing.
For example, "I need a little space, so I’m going for a walk and
I’ll be back in a few minutes." Just briefly describe your needs,
for instance, "I find I’m getting a little overloaded with all the
commotion. I’ll be back in a few minutes." Or even just " I’m going
to take the dog for a walk."
Otherwise,
people often misinterpret this need to get away as selfishness or
standoffishness. So in advance, think through what your particular
holiday family gathering challenge is. Write down your strategy,
put in your pocket, and pull it out when you need to remember it,
in the middle of the next endlessly long family discussion when
you are ready to pull your hair out. The goal is to protect yourself
but also to stay connected. It is a delicate balance but well worth
it.
I’ll
talk to you in a couple of weeks. Keep on writing, I love reading
and hearing from all of you. And please remember to check out the
archives for past answers. Answers to questions for this week. I
was glad to hear from so many men.
Q.#1.
Someone wanted to clear up her confusion about the difference between
stimulants and amphetamines and how Ritalin fits in to those..
A.#1.
I asked an expert. Dr. Edward Hallowell says that
stimulants are the class of medications to which both the amphetamines
(Dexedrine and Adderall) and Methylphenidate (Ritalin) belongs.
Hope that helps clear up some of the confusion.
Q.#2.
Someone writes in that they are "underwhelmed and overwrought."
(I love that phrase!) He says he is looking for ways to put his
good intentions and good ideas to work.
A.#2.
This is a serious problem for those with low activation. Individuals
with ADD usually are full of great ideas and the discrepancy between
their ideas and ability to put them into action and follow through
to fruition, causes great emotional pain and frustration. That combination
results in "underwhelmed and overwrought", that you described. You
need outside triggers to help get you started. You need something
or someone to appear -- a coach, a friend, a class. Something has
to be in place to serve as a support, structure and trigger.
Q.#3.
A man writes that he can’t function unless he frequents several
coffeehouses a day. He describes what he’s like after the sixth
or seventh cup of coffee bouncing off the walls. He thinks that
he should cut back on coffee, but then is afraid he would get too
depressed.
A.#3.
Sounds as if you need a diagnosis and a treatment for ADD with stimulants.
That would give you the boost you need without the side effects
of drinking that much coffee. Sounds as if you’re possibly self-medicating
for untreated ADD. Getting treated might help your depression as
well.
Q.#4.
One writer says she is an adult female diagnosed at 38 year of age
and also has a teenage daughter who has mild ADD and is gifted as
well. She also has a 3-year daughter she suspects may also be ADD
and wonders about various symptoms and sources.
A.#4.
Often girls with ADD are disorganized more than acting out. They
can be shy, withdrawn, internalize problems and feel depressed and
anxious instead. Also, giftedness is often mistaken for ADD and
this is something else a careful diagnosis can help sort out.
1
First of all, look at my symptom checklist for girls and women
on this Web-site. That should help you. Also here are some additional
resources.
2.
You could read my book "Woman with ADD"
that has excerpts posted on this Web-site or listen to my audiotape
also advertised here. They both address the issues in ways that
your daughter or yourself might identify with.
3
I recently wrote the foreword for a new book: "Understanding
Girls With ADD" by Ellen Littman, Kathleen Nadeau
and Patti Quinn. You can reach them at Addvantage Books by calling
1-888-238-8588.
4
There are lots of on-line group supports as well for women with
ADD. Here is one you could try on AOL: Go to: People Connection-click
on CHAT NOW-click on PRIVATE CHAT-TYPE IN ADD WOMEN-click on GO
CHAT. Mondays 10:00 p.m. ET/ 7p.m.PT. Hosts are TerryM2442
and Annie 12345. This chat for women with ADD is held in
a private room.
5
Also for reading on the gifted, ADD connection try http://www.concentric.net/~skiplac/gifted.html
Well, that's
all for this week! Have a great holiday -- I look forward to
answering more of your questions a week from next Friday!
- Warmest
regards, Sari
(c) 1999
Sari Solden.
Unlawful to duplicate without expressed permission.
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Friday, November
12, 1999
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Greetings
to this new on-line community.
Its a pleasure for me to be able to connect with you in this way-and
without all the disorganization involved in traveling! It is a wonderful
way for me to be able to give back to all of you who have given
me such support since the publication of my book, Women with ADD.
I also hope men will use this site as a way of addressing their
own journey through life with ADD as well as questions you men might
have as a partner of a woman with ADD.
Some
of you have expressed concern about confidentiality. I will never
print your exact question or your e-mail address attached to the
question. So watch for your question- it may be disguised and summarized
or combined with other questions that fit into same category. Later
I also plan to add a feature to the web site where I can individually
consult with you.
At
this point I plan to answer some questions each Friday and then
to have them stored in the archives for you to look up if you miss
it at the time it is posted. I also might occasionally ask colleagues
who have expertise in specific areas to help me out or act as guest
responders. I might also refer you to other experts or resources
that can address your concerns.
But for now
lets answer some of this week's Dear Sari questions.
Q.#1.
Can you talk about subtle put downs from the non-ADD partner and
the power shifts that occur in relationships with the growth of
the ADD partner.
A.#1.
Before treatment, many individuals with ADD put themselves in a
one down position with their partner because they feel they have
already caused too many problems and so don't feel as if they have
the right to assert their desires or wishes. They agree on some
level with the negative view held by their partners of them and
their ADD. In treatment, hopefully, they grow to a point where they
are able to separate these core feelings about themselves from their
ADD. This internal shift allows them not to accept these negative
attributions from their partners. When they change internally there
is often a shift in the power dynamics in a relationship. Also,
when an individual takes medication they are less overwhelmed, more
clear and able to know and to express what isn't working for them
as well and to make their wishes known. All this can lead to an
upheaval in the family system even though the changes are healthy.
It's important to know these are expected changes and that if you
stay with it you and your partner may reorganize at a healthier
level of functioning. You may need professional support to handle
the anxiety that these kinds of changes sometimes bring.
Q.#2.
What else can I do to help myself with my great organizational difficulties
if I have a history of amphetamine use that make me unable to take
stimulants?
A.#2.
First of all an individual with this kind of history would want
to consult an expert in psycho- pharmacology. You amphetamine use
might have been an effort to self-medicate your untreated ADD. There
may be other medication, certain anti depressants like Wellbutrin
or stimulants like Cylert may be things to ask a doctor about in
a case like this. But even if you do take medication or you don't
it wont be enough to take care of all the organizational difficulties.
It may be more difficult, though, to get going on looking for other
support and employing other strategies without the medication to
give you a jump start and so it is even more critical for you who
aren't using meds to employ some other outside trigger, support,
or structure like a coach or a professional organizer. Even a friend
who can sit with you while you balance your checkbook each month
might work to keep you on track.
Q.#3.
What can I do with the constant bombardment from noise and activity
in my world that is compounded by a very open workspace and living
space. The worse problem is that my husband is a loud snorer. I
have used all sorts of ways to try and block it out but I just can't.
Is this a common complaint from people with ADD?
A.#3.
It is a common complaint for individual with ADD to have great difficulty
blocking out the world around them to different degrees and especially
I imagine to block out a loud snorer! First of all, it sounds as
if you need a place other to find some place and time for yourself,
for pleasure and relaxation and to get away from the noise even
if its locked up in the bathroom in a tub. You might need to re-consider
all the open space and come to terms with whether you may need to
adjust your environment to bring you more time in your day where
you are not exposing those raw ADD nerves to such bombardment. I
am no expert in sleep problems like snoring but I think there have
been some improvements in helping snorers and I would check with
your doctor or a sleep clinic or a pharmacy, as well as the web
to see what new devices are out there to address this problem
Q.#4.
A man who has married into a step family situation with a wife and
a stepchild with ADD wants to know how to help when his wife won't
see a counselor or take medication. He is confused by her inconsistent
reactions to him and frustrated in his attempts to help even though
he sees her other wonderful qualitites. He wants to know how to
start.
A.#4.
Her inconsistent behavior toward you can be coming from many different
sources and when someone has ADD its easy to attribute it all to
that when you have to consider all the other possibilities as well.
For instance, ADD or not, beginning a stepfamily is incredibly challenging
and I would not overlook the anger and resentments and frustrations
related to that. I would encourage you to read some books on that
as well and to look into support groups that address that issue.
You may want to look up the organization StepFamilies of America.
I
also wonder if your wife is getting out enough and away from her
ADD difficulties. You talk about her being "Suzy homemaker" one
minute and very angry the next. She might be feeling the pressure
of being home every day and having the responsibility of a small
child with ADD, especially now that the child is probably going
to school and she may have lost the only focus she had. She has,
it sounds like, gone through an extremely disorganizing time with
a divorce, a remarriage, while coping with the demands of a young
child, all while she has been living with untreated ADD. She has
probably been spending the majority of her time in her areas of
deficits. This wears a person down eventually and becomes demoralizing,
especially when someone is coming home at the end of the day all
full of his latest accomplishments. This may be triggering a whole
host of issues for her. In addition, she may still be feeling the
effects of the dissolution of her first marriage.
I
think it's great how you are able to see all the gifts she has to
give. But it sounds as if she needs more opportunities to use those
gifts every day. You might look into a holiday present of extra
household help if she doesn't have it or extra baby-sitting so she
may have chance to start exploring some outside activities and regain
or gain a new sense of competence. I wouldn't give this help as
if she is hopelessly incompetent but because you want her to have
time for herself. I would also get help for myself from local ADD
adult groups or support groups for spouses. You might contact Chadd
(Children and Adults with ADD) to find one near you or take a trip
to a conference together like ADDA (National Attention Deficit
Disorder Association's annual meeting in May in Atlanta. This event
is always fun and empowering. And remember don't take on more than
you can yourself without resentment but instead think about support
for yourself and your wife.
I'm
glad you are reading my book. It might be helpful for your wife
if she could listen to my audiotape.
ADDA
(National Attention Deficit Disorder Association)
Website: http://www.add.org
Chadd
(Children and adults with Attention Deficit Disorder)
Website: http://www.chadd.org
Phone: 301 306-7070
Q.#5.
This question was about the price of hyper focus that it creates
such disorder even though an individual may accomplish a great deal.
This letter asks how to clean up as she goes along.
This
is a common problem. Many adults with ADD have a lot to express
and create and the only way they find to do it is to hyper focus
on it to the exclusion of all else. When they are done, even if
they have accomplished their goal, they look around with dismay
to see the chaos this process has left behind. You may need to increase
your level of support while you are working. It may be too much
to ask right now to break your hyper focus habit and I don't know
what kind of projects you are doing, but I would definitely recommend
the addition of support for regular filing or processing of materials.
This doesn't have to be from an expensive organizer - just a teenager
or college kid once a day or a few times a week. Just knowing they
will be coming will help keep part of your attention on what you
are doing organizationally as you go along. Sometimes instead of
fighting your problems, it is more useful to predict them and prevent
them by knowing how you operate, filling in the gaps, and enjoying
your success. You will have to analyze things for a while and see
where things break down for you, where is your need. You may need
a professional organizer to help you set up a system that you can
maintain. In addition you might look into a couple books by organizers
who understand ADD and creativity. Dorothy Lemkuhl's book called
Organizing for the Creative Person available at bookstores and Judith
Kolberg's book "Conquering Chronic Disorganization".
To order call 404 289-1622
Well, that's
all for this week! I look forward to answering more of your
questions next Friday!
- Warmest
regards, Sari
(c) 1999
Sari Solden.
Unlawful to duplicate without expressed permission.
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