Advice and Boundaries


Linears and  Holographics
Different strokes for different folks

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Reflections Post to introduce an upcoming Boundary Series

WHY won’t everybody LISTEN?

We humans are funny critters. We want everybody to do everything OUR way.

Secretly, we sincerely believe that whatever we have figured out effectively for our own lives would transfer to anyone else’s — if they’d only DO IT RIGHT, gol-nabbit!

The same advice is meted out to tortoises and hares, linear and holographic thinkers alike, depending on who seems to be currently doing better in the races we like to time.

THEIR problems would magically disappear with OUR solution,
IF ONLY they’d:

  • try hard enough
  • give it enough time to become habitual
  • “want to” badly enough
  • stop resisting
  • or procrastinating

 — or really wanted a solution and not simply a chance to complain!

Read more of this post

Time management tips for better Executive Functioning


EF Management Tips and Tricks – Part IV
Time Management Systems to Develop into Habits

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
PART FOUR: In support of The Executive Functioning Series

Quick Review:

In the introduction to this part of the article, I went over some of the concepts underlying the systems approach and why it works.

Basically, systems and habits help us conserve cognitive resources for when they are really needed. I added the caveat that nothing works for everyone any more than one size fits ALL very well.

For those of you who have the motivation and time to figure out how to make an “off the rack” outfit fit you perfectly, be sure to read for the sense of the underlying principles and tweak from there to fit your very own life.

If you can’t “sew” and are disinclined to take the time to learn (since most of us have trouble keeping up with what we are already trying to squeeze into our days), remember that I offer systems development coaching, and would love to turn my attention to your life.

I am going to warn everyone one last time that few of my clients ever really hear me the first dozen times, so don’t be too surprised when the importance of some of these Basics float right past you too.

The sooner you make friends with the basic concepts – and put them into place – the sooner life gets a lot easier, more intentional, and a whole lot more fun.

FIVE Underlying System Basics

Found in Part-2
1.
Feed Your Head
2. Structure is your FRIEND
3. Nothing takes a minute

Found in Part-3
4. Write it down (any “it”)

In this section:
5. PAD your schedule
PAD-ing: Planning Aware of Details™

Don’t forget, as you read the final principle:

Each of you will, most likely, need to tweak to fit.  However, some version of all five underlying concepts need to be incorporated into your life (with systems and work-arounds in place and habitual) before challenges recede and strengths have more room to present themselves in your lives.

No pressure — let ’em simmer in your brain’s slow-cooker.

As long as you don’t actively resist you will be one step closer to getting a handle on that systematizing to follow-through thing.

So let’s get TO it!

Read more of this post

Executive Functioning Systems


EF Management Tips and Tricks – Part III
Time, Memory & Organization Systems
to Develop into Habits

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
PART THREE: In support of The Executive Functioning Series

The Quick Review:

In the introduction to this 4-part article, I went over some of the concepts underlying the systems approach and why it works.

Essentially, systems and habits help us conserve cognitive resources for when they are really needed.

I added the caveat that nothing works for everyone any more than ONE SIZE FITS ALL very well.  For those of you who have the motivation and time to figure out how to make an “off the rack” outfit fit you perfectly, be sure to skip past the literal interpretation to read for the sense of the underlying principles.

For the REST of you: if you can’t “sew” and are disinclined to take the time to learn (since most of us have trouble keeping up with what we are already trying to squeeze into our days), remember that I offer systems development coaching, and would love to put my shoulder to your wheel.

The quick warning:

I want to warn everyone yet again that few of my clients ever really hear me the first dozen times, so don’t be too surprised when the importance of some of these Basics float past you a time or two as well.

The sooner you make friends with the concepts I’m sharing – and put them into place in a way that works for you – the sooner life gets easier, more intentional, and a lot more fun.

FIVE Underlying System Basics

Found in Part-2:
1.
Feed Your Head
2. Structure is your FRIEND
3. Nothing takes a minute

In this section:
4. Write it down (any “it”)

Concluding in Part-4 with:
5. PAD your schedule
PAD-ing: Planning Aware of Details™

Remember to remember as you read the principles to come:

MOST of you will probably need to tweak to fit as you incorporate the principles into your life (and/or take a second look at systems and work-arounds you already have in place that have now become habitual). If you really want to begin to experience the level of personal effectiveness you say you want, take a close and open-minded look at principles that have a 25-year track record of helping.

If you start to feel resistance,
let ’em simmer in your brain’s slow-cooker for a while.

As long as you don’t actively resist (as if YOU are the exception, fighting the ideas or ruminating over the thoughts that yet another person simply doesn’t get it), you will be one step closer to getting a handle on that systematizing to follow-through thing.

So let’s get right back to it!

 

Read more of this post

EF Management Tips and Tricks


5 Tips for better Executive Functioning
Part II – Systems to Develop into Habits

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
PART TWO: In support of The Executive Functioning Series

Quick Review:

In the introduction to this 4-part article, I went over some of the concepts underlying “the systems approach” and why it works.

I explained how systems and habits help us conserve cognitive resources for when they are really needed.

I went on to add that despite my dislike of articles and books that offer seemingly fix-it-ALL tips and tricks, I still share online tips myself from time to time — and that I was about to share five of them, despite the fact that  I strongly prefer sharing underlying principles, so that anyone reading might be able to figure out how to tweak to fit. 

  • I appended the caveat that nothing works for everyone any more than one size fits all very well, despite what the merchants would like you to believe.
  • I’m sharing the “tips” for those of you who have the motivation (and time to dedicate) to figure out how to make an “off the rack” outfit fit you perfectly.

Since most of us have trouble keeping up with what we are already trying to shoehorn into our days, if you can’t “sew” and are disinclined to take the time to learn, remember that I offer systems development coaching, and would love to put my shoulder to your wheel.

For the rest of you, I’m about to gift you some foundational principles I work on with my private clients, right along with whatever it is they came to “fix” – what I call my 5 System Basics.

I have to warn you again, however, that few of my clients have ever really embraced them the first couple dozen times I brought them up, so don’t be too surprised when the importance of some of these Basics float right past you a few times too.

The sooner you make friends with the concepts I’m about to share – and put some systems into place around them – the sooner life gets easier, less frustrating, and a LOT more fun!

 

Read more of this post

5 Tips for better Executive Functioning – Part 1


EF Management Tips and Tricks
Systems vs. Solutions

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
PART ONE: In support of The Executive Functioning Series

Introduced in an older article, ADD/ADHD and TIME: will ANYthing work?, this is what I remind my students and private clients:

Even though they are not exactly the same thing, most people with Executive Functioning challenges have quite a bit in common with people who have been diagnosed with ADD.

In addition to short-term memory glitches, the things that seem to negatively impact effectiveness most often are problems with activation and follow through.

When I work backwards to figure out what’s going on, I almost always discover foundational problems with time management and/or troubles with transitions.

Both of these struggles are exacerbated when few of life’s details are systematized, which means that very little can be put on auto-pilot.  Every action requires a conscious decision – which not only requires a greater number of transitions (that eat up time), it burns up cognitive resources.

  • “Processing space” in the conscious portion of our brains is not unlimited, at least not in the bottomless well meaning of unlimited. Consciousness is a resource-intensive process – your brain REALLY doesn’t want to burn up those resources making the same decisions over and over again.
  • DECISIONS are prefrontal cortex intensive – using the conscious pathways in your reaction/response mechanism – whether you are making a major decision or one as seemingly inconsequential as to what kind of ice cream you want in your cone.
  • The greater number of day-to-day to-dos you can relegate to unconscious processing, the more cognitive bandwidth you make available for tasks that truly require you to think about them consciously.
  • That means “standardizing” the timing and the steps – developing systems – so that they become HABITS.

Caveat: there are no one-size solutions

Despite my dislike of articles and books that offer seemingly fix-it-ALL tips and tricks, from time to time I still share online tips myself. 

  • I usually add the qualification that nothing works for everyone any more than one size really fits all – at least not very well.
  • I prefer to share the underlying principles, so that readers might be able to figure out how to tweak to fit – kinda’ like some of those fashion sites that tell you how to use a sewing machine to take a nip here and a tuck there.

But many people can’t sew, not everyone wants to take the time to learn, and most of us have trouble keeping up with what we are already trying to squeeze into our days.

That’s why some people make a living doing alterations –
or, in my case, coaching change.

 

HOWEVER, for those of you who have the time and motivation, I’m about to share again what many of my private clients hire me to help them put into place (no matter what “problem” we are working on at the time) – what I call my 5 System Basics.

I have to warn you, however, that few of my clients have ever really heard me the first few dozen times, so don’t be too surprised when the importance of some of these basics float right past you too.

Even when you’re desperate, change is flat-out HARD!

Try to remember as you read:

These aren’t merely a collection of five simple “suggestions.” If you have already noticed a few functioning struggles, try to hold them in your mind as practically absolutes – but lightly.

The five underlying concepts I’m about to share really do need to be accommodated in some fashion — with systems and work-arounds in place — before most of us are able to manage our energy toward follow through that doesn’t leave us endlessly chasing our own tails.

Lack of structure is really not the direction we want to travel if our goal is a life of ease and accomplishment.

Let ’em simmer in your brain’s slow-cooker.

As long as you don’t actively resist the ideas, (nit-picking the concepts or ruminating over the thoughts that yet another person simply doesn’t get it), you will be one step closer to having a handle on that follow-through thing, regardless of your current struggles with Executive Functioning.

Think of the underlying concepts, collectively, as a lever that will allow you to adjust your expectations appropriately, and to help you to figure out where you need to concentrate your time and effort ASAP (accent on the “P”ossible).

Trying to systematize a life without the basics
is like trying to start a car that’s out of gas.

  • Agonizing isn’t going to make a bit of difference.
  • Neither will “voting” – you may hate the idea, they may hate the idea. Sorry Charlie, it is simply what’s so
  • Hearing what a doofus you’ve been for not focusing on that little gas detail (especially hearing it internally) will shut you down and delay you further.
  • Go for the gas.

UNREALISTIC EXPECTATIONS WARNING!

The upcoming five concepts that will begin to put some gas in your car are simply that: FUEL.

Until you make sure your “car” has fuel, you can’t do much about checking to see if the starter is going bad. You may also learn you need to adjust the steering mechanism. Oh yeah, and you certainly won’t get very far on lousy tires.

  • You don’t expect your car to magically transform with a little gas, do you?
  • How about a whole tank full of gas?
  • How about gas and four new tires?

Yeah, right!

Try to remember that the next time the self-flagellation begins, as well as when you feel defensive and become offensive.

You can’t eat an elephant in a day —
EVEN if you take one tiny bite at a time.

Read more of this post

Overcoming the bad to get to the GOOD



The Power of Positive Thinking
Moving past WHAT & WHY to get to HOW

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
In the Executive Functioning Series

Memory and Energy Management

Visiting a few blogs as I begin to populate a brand new Pinterest Board [Our TBR Lists], I clicked over to add one of  D.G. Kaye’s books, “Words We Carry.”  (Some of you may already know that D.G. Kaye is the name under which blogger Debby Gies pens her many books)

I jumped over to read and “like” a few reviews on the Amazon site for this book, and my eyes took note of something that read like what is often referred to as the publisher’s blurb.

Sharing her journey toward overcoming the demons of low self-esteem with the determination to learn to love herself, Kaye’s book allows us to see clearly how hurtful events in our lives can linger, and set the tone for our lives.

I was instantly reminded of an article I posted over three years ago now, on a topic I believe it’s time to revisit: our tendency to collect and carry every stick and stone that has ever broken our bones.  [Are we hard-wired to focus on the bad news?].

I began that article with a question that I think is an important one:
“How come the bad stuff sticks and the good stuff fades??” 

On the way to answering that question I asked another, in response to a comment from one of my virtual friends, essentially this:

I have lived 365 days times my years on this earth.
They can’t all be keepers — and this one wasn’t.

While that’s a wonderful lens through which to look at our occasional experiences of one of those days,  my brain immediately popped in another question:

Why CAN’T all the days be keepers?

I mean, why don’t we just filter out the crummy parts and file away what was good about the day so that ALL of our memories are pleasant and uplifting?

I’m aware, I went on to say, that Pollyanna isn’t exactly everybody’s idea of their favorite role model, but WHY NOT?

I believe I did a good job explaining why our brains tend to hang on to the “warnings” – a memory technique that was extremely pro-survival.

It’s helpful to understand why whenever we are agonizing over yet another of those negative thoughts inspired by some of our earliest experiences.

However, I don’t believe that it is exactly pro-LIFE to allow our brain to continue to have its way with us – especially when we can retrain it.

Life-lessons from my clients

As I continue to say, my clients bring more than a few “juggling struggles” to their coaching calls. They frequently call for their appointments with resolve and hope tarnished by the latest disaster . . . which reminds them of an earlier one, and off we go.

We spend the session in another way entirely, as I practically drag them over to reliving their successes. They hang up with a much better view of themselves — one that empowers them to “get back on the horse” to gallop full speed ahead once more — until the next time something stops them cold and we revisit the process.

We all do it until we train ourselves not to.
And those “positivity” reminders don’t help until we do.
Wrong technique.

Read more of this post

PTSD Awareness Post 2017 – Part II


June was PTSD Awareness Month
Adding to our awareness – Part II

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Updated Refliections Post
Self-Health Series
Part I HERE

“Emotions are very good at activating thoughts,
but thoughts are not very good at controlling emotions.

~  Joseph LeDoux

Since my Sleep Awareness post somehow jumped the queue and was posted at the same time as Part-1 of this article, I decided to wait a bit to give readers a shot at catching up.  Again, my apologies for seeming to inundate with info – it was not intentional.

This Part may seem long, but much of the first half is review — so those of you who read Part-1 will be able to skim through it quickly.

Identifying PTSD

PTSD can present in a variety of ways, with more than a few symptoms in common with depression, in addition to any or all of those characterizing other anxiety disorders.

As I explained in Part I, PTSD is now believed to be caused by a neuro-chemical alteration in the brain in response to exposure to trauma. It holds us prisoner, responding in the moment to threats from the past.

Unprocessed trauma continues to haunt us, eroding our sense of safety and security. As a result, it can keep us stuck in an amygdala-defensive emotional pattern that may induce a variety of symptoms over which we feel we have no control.

In fact, we cannot control them in the moment.  Current therapies are focused on helping us to change our subsequent response to them.

Exposure to trauma physically changes the structure of the brain, upsetting the neurochemical balance needed to respond appropriately, faster than we can over-ride cognitively.

It seems that repeated experience of traumatic events, especially when left to fester unprocessed, can prevent rebalancing, which prevents healing (meaning, allowing the past to remain in the past, confident that you have the strength to handle whatever life throws your way in the future).

In other words, our brains are designed to respond neuro-chemically when our safety is threatened, regardless of what we think about it logically or how we feel about it emotionally.

  • Some of us are able to process those perfectly normal and appropriate fearful responses and move forward.
  • Others of us, for a great many reasons science is still trying to understand, are not.
  • At this point in time, we move forward primarily with statistics.

Statistics explored in Part I

In the previous section of this article we also looked at the prevalence of PTSD compared to the total number of people who ever experienced trauma in their lives.  We took a look at the various risk factors for developing PTSD following exposure to trauma.

You saw that the risk was effectively double for women, and that significantly more women are exposed to trauma in their lives than their male friends and relatives – and that recovery times tended to be longer.

Approximately 50% – five out of every ten women – will experience a traumatic event at some point during their lifetime, according to the The National Center for PTSD, a division of the U.S. Department of Veterans Affairs.

One in ten of those women will develop PTSD as a result.

Inadequate understanding & treatment

Science is still looking for many of the pieces of the PTSD puzzle.

Even though a variety of therapies can help relieve PTSD symptoms, at the current time there is no “cure” – or prevention – nor is there an adequate explanation for how exposure to the same trauma can affect different individuals to different degrees of severity.

We also do not have definitive treatment protocols equally effective for everyone who experiences PTSD.

Brain-based research

Right now it looks like the difference between who recovers from trauma and who is more likely to develop PTSD may turn out to have a genetic component.

It may be also be linked to the size of specific areas of the brain, which could be a product of genetics or epigentics (how your internal and external environments change the expression of your genes).

Related Posts:
Making Friends with CHANGE
A Super Brief and Basic Explanation of Epigenetics for Total Beginners (off-site)

While controversial, the most recent research ties the development of PTSD to the size of an area of the brain called the hippocampus, which is primarily known for its role in the formation of non-disordered memories.

Greater size indicates a greater ability to recover from trauma.

A smaller hippocampus may increase the risk of developing PTSD as well as the severity of its symptoms, and/or lengthen the duration and recovery time.

Some studies suggest that repeated exposure to stress may actually damage the hippocampus, through the repeated release of the stress-hormone cortisol.

Related Posts:
Hippocampal volume and resilience in PTSD
Brain region size associated with response to PTSD treatment

So perhaps PTSD is hormonal?

Cortisol is a mobilizing hormone.  We need it. We might not even get up off the couch without it. However, it is most widely known for its assistance motivating the body for rapid and effective response to a stressful or life-threatening event – our “fight or flight” reaction.

Problems result because our brains and bodies are not designed
to live in a state of persistent and protracted stress.

Scientists have long suspected the role of cortisol in PTSD.  They have been studying it, with inconclusive results, since findings in the 1980s connected abnormal cortisol levels to an increased PTSD risk

A study reported in early 2011 by researchers at Emory University and the University of Vermont found that high blood levels of the hormone PACAP (pituitary adenylate cyclase-activating polypeptide), produced in response to stress, are linked to PTSD in women — but not in men.

PACAP is known to act throughout both body and brain, modulating metabolism, blood pressure, immune function, CNS activity [central nervous system], and pain sensitivity.

Its identification as an indicator of PTSD may lead to new diagnostics and to effective treatments — for anxiety disorders overall, as well as PTSD in particular.

But maybe not cortisol alone

Findings published early this year in the journal Psychoneuroendocrinology point to cortisol’s critical role in the emergence of PTSD only when levels of testosterone are suppressed [April 2017, Volume 78, Pages 76–84 ]

Testosterone is one of most important of the male sex hormones,
but is is also found in women, albeit in much lower concentrations.

According to UT Austin professor of psychology Robert Josephs, the first author of the study:

“Recent evidence points to testosterone’s suppression of cortisol activity, and vice versa.

It is becoming clear to many researchers that you can’t understand the effects of one without simultaneously monitoring the activity of the other.

Prior attempts to link PTSD to cortisol may have failed because the powerful effect that testosterone has on the hormonal regulation of stress was not taken into account.”

PTSD Risk Can Be Predicted by Hormone Levels Prior to Deployment, Study Says

What we think we know for sure

What science does believe it now knows is that PTSD is a result of both the event that threatens injury to self or others, and the emotional, hormonal response to those events that involve persistent fear or helplessness.

At this time, the goal of PTSD treatment is to reduce, if not eliminate, chronic fear-based emotional and physical symptoms to improve the quality of day-to-day life.

Research is ongoing to see if it is possible to chemically block the development of PTSD by blocking the formation of fear memories.

Blocking human fear memory with the matrix metalloproteinase inhibitor doxycycline

Current treatments are limited to psychotherapy, CBT (cognitive behavioral therapy) or other types of counseling/coaching, and/or medication, along with less well-known and less widely accepted attempts at intervention like EFT (Emotional Freedom Technique: “tapping”) and EMDR (Eye Movement Desensitization and Reprocessing).

The value of information

Before we explore the variety of treatments currently available (in a future article), let’s take a look at some of the symptoms associated with PTSD.  It will help you understand your own or those of a loved-one with PTSD.

Understanding, empathy and self-acceptance walk hand in hand – which are healing all by themselves.

Read more of this post

July 2017 Mental Health Awareness


Special days & weeks in July

Along with Advocacy & Awareness
for mental health related issues
(and a calendar for the month!)

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Part of the ADD/ADHD Cormidities series

July is Fire Cracker Month in America

Please be aware that many vets will have flashbacks triggered by those noisy explosions that you think are harmless fun.

If ALL you want is to make a bunch of noise, please think again – or, at least, confine them to ONE DAY – July 4th, when many vets with PTSD go away.

Addendum from a comment from Ray’s dad Colin:

Pet owners will also really appreciate fireworks being restricted to that one celebration day. They can then plan their pet’s outdoor time accordingly. In advance… many thanks to all those who do limit their celebrations to July 4, and are respectful and sympathetic to vets… and pets.

Mark your blogging calendars!

Many days of the year have been set aside every month to promote awareness or advocacy of an issue, illness, disability, or special-needs related cause.

In addition to a calendar for the current month, each Awareness post attempts to offer a list highlighting important days and weeks that impact and intersect with mental health challenges.

Included on every Awareness Month list at ADDandSoMuchMORE.com are awareness and advocacy reminders for health problems that intersect, exacerbate or create additional problems with cognition, mood, memory, follow-through and attention management.

I have NOT lengthened the post by adding text to explain them all – but I have added links to posts and websites with explanations, for those of you who are interested in learning more or blogging about these issues.

If I’ve missed anything, please let me know in a comment so that I can add it to the list below.

I pray that 2017 will be the year
when EVERYONE becomes aware of
the crying need for upgraded mental health Awareness.

Stay tuned for more articles about Executive Functioning struggles and management throughout the year (and check out the Related Posts for a great many already published).

Read more of this post

12 Tips to help you Take Back your TIME


Are you OVER feeling overwhelmed yet?

by Madelyn Griffith-Haynie, CTP, CMC, MCC, SCAC
Reflections Post

Have you taken stock of the items that contribute to your “too much to do and not enough time” life?

If you are anything like my clients, my students – and me! – no matter what the list looks like in detail, it boils down to one single thing.

Unbalanced energy:
too much going out, not enough coming in.

BAD IDEA: Saying no to YOU to say yes to them.

There may well be folks who have figured out how to have it all –
but nobody has unlocked the secret of DOING it all!

It’s an easy trap to fall into – especially when you’re busy. Believe me, I know better than anybody what that fly-paper feels like! And the best way to start rebalancing the scales is simple (but not easy!): get the Time & Energy Vampires off your neck!

Getting over Overwhelm

When we’re overwhelmed, what goes first? Yep! The things that are important to US. We’ve all been well trained to make sure we handle our “responsibilities.”

But when did their to-dos and priorities become OUR responsibilities?

Here’s a reframe: If you don’t have time to do what’s important to YOU,
you certainly don’t have time to do what’s not important to you! ~ mgh

Whose life is it anyway?

Certainly not yours, if you are chronically overwhelmed. Probably theirs.

Wiki – Creative Commons

The most obvious offenders are frequently the people who claim to love us.

And because we love them, we think we always have to say yes: spouses, lovers, parents, children. Those guys.

The worst offenders are the emotional bullies: people who pull any of the following stunts, bullying us into saying yes, usually because we feel like it makes little sense to invoke their immature consequences for saying no.

Only SOME of the nasty tricks they pull to have their way with us include the following. They’ve learned we tend to give in when they:

  • sulk (or cry)
  • play “take-away” (the dreaded silent treatment)
  • get angry or rage all over us – especially when icily controlled
  • shame and should on us for not being able to handle more than we can
  • pitch a fit (retaliating in some overtly aggressive, passive aggressive, or publicly embarrassing fashion).

Even though beginning to set boundaries around bad behavior from people close to us is clearly needed, they are the toughest to retrain, so let’s save how to handle most of them for another article.

Balance other scales to take back your time!

Read more of this post

Sleep Awareness and Health


The importance of  Sleep
to health, cognition and longevity

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
from the Sleep & Sleep Disorders Series

Sleep and Sleep Disorders

A quick gander at June’s Awareness Calendar tells you that the  first week in June is Sleep Disorders Awareness Week.

I have already written a great deal about sleep and sleep disorders, but I couldn’t let the month pass without adding an Awareness post to that Series.

According NSART, the National Sleep Awareness Roundtable, promoting the awareness of the importance of sleep is an extremely worthwhile endeavor.

About SLEEP

NOT the passive state once believed, sleep is a highly active state essential for both physical health and BRAIN health.

Although we all do it, few of us know very much about it – and fewer still make sure we get enough of it to drive our brains and bodies effectively, limping along with chronic sleep debt.

Many of us would LOVE to get more sleep, but struggle falling asleep, staying asleep, or sleeping in sync with norms that allow us to coordinate with the timing demands of our chronically busy 21st Century lives.

NIH, the National Institutes of Health estimates that sleep-related problems affect 50 to 70 million Americans alone, common in both men and women and people of all ethnic groups.

According to the authors of the website Talk About Sleep:

“At least 40 million Americans suffer from chronic, long-term sleep disorders each year, and an additional 20 million experience occasional sleeping problems.

These disorders and the resulting sleep deprivation interfere with work, driving, and social activities.

They also account for an estimated $16 BILLION in medical costs each year, while the indirect costs due to lost productivity and other factors are probably much greater.”

They go on to say that “the most common sleep disorders include insomnia, sleep apnea, restless legs syndrome, and narcolepsy,” which is an indication of how LITTLE research has been done on the chronorhythm disorders – disorders of sleep timing.

But you don’t have to have a diagnostic sleep disorder of any kind to experience the negative effects of sleep debt. In fact, most of us in industrialized societies are chronically under-slept, which means that most of us have racked up sleep debt to a significant degree

Insufficient Sleep is a BIG Problem

The cumulative effects of sleep loss and sleep disorders represent a significantly under-recognized public health concern.

It is associated with a wide range of long-range health problems – all of which represent long-term targets of public health agencies, including the Department of Health and Human Services (HHS):

  • hypertension (abnormally high blood pressure)
  • diabetes
  • obesity
  • depression
  • heart attack
  • stroke, and
  • impulsive, at-risk behaviors

In 2008, an organization called Healthy People 2020 met to begin the process of determining 10-year national objectives for promoting health and preventing disease.

They ultimately targeted four main objectives:

  1. Increase the proportion of persons with symptoms of obstructive sleep apnea who seek medical evaluation (only ONE of two types of sleep apnea, btw)
  2. Reduce the rate of vehicular crashes per 100 million miles traveled that are due to drowsy driving
  3. Increase the proportion of students in grades 9 through 12 who get sufficient sleep
  4. Increase the proportion of adults who get sufficient sleep

And it all begins with awareness.

Read more of this post

2017 PTSD Awareness Post – Part I


June is PTSD Awareness Month
Adding to our awareness and understanding

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
from the Self-Health Series
Refliections Post

“Emotions are very good at activating thoughts,
but thoughts are not very good at controlling emotions.

~  Joseph LeDoux

What We’ve Learned from LeDoux: Mechanisms of Fear

Cognitive neuroscientist Joseph LeDoux is an NYU professor and a member of the Center for Neural Science and Department of Psychology at New York University.

In addition to his work focused on the neural mechanisms of emotion and memory, he is also the director of the Center for the Neuroscience of Fear and Anxiety — a multi-university Research Center in Manhattan using research with rats to explore and attempt to understand the mechanisms of pathological fear and anxiety in humans (which LeDoux prefers to call “extreme emotional reactions to the threat response”)

Essentially, when we are looking at PTSD, we are talking about individuals stuck in a particular type of FEAR response — responding in the present to threats from the past.

PTSD sufferers appear to be at the mercy of the reappearance of memories and resulting emotions because they lack immediate conscious control.

For many years, neuroscientists believed that the cortex, the most recently evolved, wrinkly outer covering of the human brain, was required for the processing of any kind of conscious experience, even those triggered by a sensory input resulting in an emotional response.

Thanks to the work of LeDoux and his colleagues at The LeDoux Lab, we now know that this information can be chemically transmitted through the brain in an additional manner using a pathway that bypasses the cortex, allowing our emotions to be triggered unconsciously, faster than the speed of thought.

In other words, our brains are designed to respond neuro-chemically when our safety is threatened, regardless of what we think about it logically or how we feel about it emotionally.

How traumatic events intensify the threat response

According to current scientific understanding, experiencing traumatic events can change the way our brains function.

PTSD develops when we get stuck in the “ready to act” survival mode as the memory cycle repeats and strengthens the emotional responses to the original traumatic event in reaction to some sort of trigger.

The stress hormone cortisol strengthens memories of traumatic experiences, both while the memory is being formed for the first time, and afterwards.

Every time our brain gathers the pieces of memory’s puzzle and puts them back together – a process known as reconsolidation – cortisol is released anew as we are reminded of a traumatic experience.

Previous studies using scanning technology have shown that people with PTSD have altered brain anatomy and function.

Subsequent research on the connection between PTSD and brain-based disorders — including those associated with dementia and TBI [traumatic brain injury] — indicate that trauma itself actually changes structures in the brain.

In the face of an overwhelming feeling of fear, our lifesaving-in-the-moment set of adaptive responses leave behind ongoing, long-term and brain scan-observable physical residuals that can result in psychological problems as well as attendant physical symptoms.

Trauma upsets the brain’s chemical balance

Synchronization of the activity of different networks in the brain is the fundamental process that facilitates the transmission of detailed information and the triggering of appropriate behavioral responses. The brain accomplished this task through the use of chemical messengers known as neurotransmitters.

Synchronization is crucial for sensory, motor and cognitive processes, as well as the appropriate functioning of the circuits involved in controlling emotional behavior.

Synchronization is a balancing act

Researchers from Uppsala University and the medical university Karolinska Institutet in Stockholm have shown that in people with PTSD there is an imbalance between serotonin and substance P, two of the brain’s neuro-chemical signalling systems.

The greater the imbalance,
the more serious the symptoms.

It seems that repeated experience of traumatic events, especially when left to fester unprocessed, can prevent rebalancing, which prevents healing (meaning, allowing the past to remain in the past, feeling confident that you have the strength to handle whatever life throws your way in the future).

Related Post: PTSD reveals imbalance between signalling systems in the brain

Responding to threats of danger

Our nervous system developed to greatly increase the chances that we would remain alive to procreate in the presence of threats to safety and security. We wouldn’t live long at all if we lacked a mechanism to allow us to detect and respond to danger – rapidly.

When our safety is threatened, a survival response automatically kicks in — before the brain circuits that control our slower conscious processes have had time to interpret that physiological response that is occurring “under the radar.”

Initially, there is no emotion attached to our automatic response to threat. In other words, fear is a cognitive construct.

Our individual perceptions of the extent of the danger we just experienced or witnessed is what adds velocity to the development of fearful emotions, even if our feeling response follows only a moment behind.

Some of us are able to process those perfectly normal and appropriate fearful responses and move forward. Others of us, for a great many different reasons, are not.

Many of those who are not able to process and move forward are likely to develop one or more of the anxiety disorders, while others will develop a particular type of anxiety disorder we call PTSD — Post Traumatic Stress Disorder.

Related articles:
When Fear Becomes Entrenched & Chronic
Understanding Fear and Anxiety

Read more of this post

Executive Functions & YOU


Executive Functioning
for Optimal Functioning™
What’s involved and what can go wrong?

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
another part of the Executive Functioning Series

MORE folks on Team EFD than folks with ADD/ADHD

The executive system is a carefully orchestrated combination of processes that, together, merge and mingle to make us human and to make us, well, us!

These functions continually work together to help us manage hundreds of cognitive and practical tasks of life, day in and day out.

Not only that, they do it in the blink of an eye, and primarily below the level of our conscious awareness. At least, they do it that way when everything is on board and working “normally.”

New here? Read What ARE Executive Functions? for more description & detail.

The area of the brain that makes possible many of the wonderful cognitive abilities differentiating humans from the rest of the mammals is the frontal third of the outer layer of the human brain, referred to as the pre-frontal cortex [PFC], right behind the forehead:

  • the last part of our brains to evolve,
  • the last part of our brains to develop in the womb,
  • and the last part of our brains to mature as we grow up

And it’s fragile

The PFC is especially vulnerable to damage — both before and after birth.

The living brain is soft, floating around inside a fluid filled environment keeping it from bumping up against the inside of a hard skull that, in turn, is protecting the fragile brain itself.

Your PFC can be injured very easily bumping up against that bony skull, even when no direct hit to the head was involved in the original incident.

Anything that makes the brain “slosh around” in the fluid in a manner that causes it to come in contact with the skull results in at least minor brain damage, and the PFC is often involved.

Read: How Do Brains Get Damaged?  Is YOURS?

THAT means that in addition to individuals with disorders, stroke or some type of substance-promoted damage affecting the PFC, anyone who’s been involved in almost any sort of accident is likely to experience brain-based executive functioning challenges of one sort or another.

It also means that most adults have at least a few EF issues, not only individuals with:

  • mood disorders (anxiety & depression included)
  • autistic and attentional spectrum disorders
  • TBI/ABI,
  • Parkinson’s
  • dyslexia & dyscalculia
  • more than a few neurological conditions such as
    sensory integration disorders 

in fact, almost all of what I refer to as the alphabet disorders — as well as, currently, MOST of us over 45, as the memory centers begin to age.

So what does THAT mean?

Read more of this post

Reaching the Boiling Point


We still have some time
but we have to act – NOW

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Reflections from the Executive Functioning Series

The content I am revisiting is an edited & condensed version of
probably the most important information I have ever shared
(in over 500 information-dense articles).
It applies to every single person living.
I hope those of you who missed it on Monday will
take the time to read it all this weekend – and tell your friends.

ABOUT Boiling Frog Syndrome

In a recently posted article from the Executive Functioning Series [How well do you REALLY function?], I explored the tendency to accommodate an accumulation of difficulties until we are struggling to cope and practically desperate — whenever things decline gradually.

UNFORTUNATELY …

The water temperature is perilously close to reaching the boiling point where global health is concerned.

We are ALL likely to be cooked to death if we don’t act together to turn down the heat – no matter how young or old we are currently.

According to U.S. statistics, in 1960 5% of the GDP** was spent on health care.

By 2010, that figure had increased to 18%
  over three and a half times higher —
and continues to increase.

It is projected that by the year 2040 — unless things change significantly — over 40% of the gross GDP** of the US alone will go into health care.

~~~~~~~~~~
**GDP [Gross Domestic Product] is the total value of everything produced by all the
individuals, companies and corporations in a country, citizen and foreign-owned alike.
It is considered to be the best way to measure the state of a country’s economy.

This is obviously a problem we cannot possibly afford

An unusually large portion of our health expenditures come as a result of the chronic, progressive “diseases of old age” — that become exponentially more prevalent the longer we live, and that become increasingly more expensive to manage (vs. cure, since we currently don’t have ways to cure them).

Yet we currently dedicate only a fraction of 1% of our biomedical research budget to the basic biology of aging — and millions of dollars of budget cuts are currently in the planning stages in the US alone.

DAUNTING Statistics Already

100,000 people die of old age-related illnesses every single day.  That’s over THIRTY World Trade Towers, by the way, just to put it in context.

Every single day.

Frailty alone kills 6-7% of the population and leads to many of the other debilitating diseases which increase dramatically in the over-45 population (yes, forty-five!)

The bad news is that if we live long enough — without a drastic change in how we approach health-science research — most of us WILL be challenged by one or more of the debilitating and costly degenerative illnesses.

Getting rapidly worse

According to the UN, the population of elderly human beings is the fastest growing around the world, and the number of elderly people by 2050 will be close to 2 BILLION.

MOST of us reading will be among them – any of us who have not already succumbed to one of the diseases of aging, that is.

We need to turn things around – NOW!

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
By the year 2020 – in the entire world – there will be more people over 65 than under 5 years of age. As the 5 year olds enter the workforce, those who are now 65 become 75 and 85 and begin to become terminally ill.

We won’t have enough people on the planet
to afford this ailing and aging population.

By overcoming the diseases of aging, we can literally save trillions of dollars
— along with millions of lives that are now doomed to suffer as they die.

~ ‪Liz Parrish, CEO of BioViva Sciences USA – Human of the Future‬ (video)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

 

Most of us are suffering from Boiling Frog Syndrome over the issue of healthy aging, refusing to give it the consideration it merits.

That manifests in our lack of willingness to advocate aggressively for resources to address the many challenges of aging that the clear majority of us WILL face before we die.

Our most important health-related goal needs to be applying our resources to solve the global challenge of remaining as healthy as possible for as long as possible – for as many people as possible.

“One of the biggest frustrations for me in my work is that old people don’t complain enough about how GRIM it is to be old — and if they did, maybe something more would be done about it.” ~ biomedical gerontologist ‪Dr. Aubrey de Grey‬.

Read more of this post

Executive Functioning & Diseases of Aging


A Humanitarian Problem
short-sighted at best – unconscionable at worst

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
part of the Executive Functioning Series

This might be the most important post I have ever written
(out of 500+ information-dense articles).
It applies to every single one of us,
so I hope you will take the time to read it all.

A tragic implication of Boiling Frog Syndrome

As I began in an article as part of the Executive Functioning Series, two Mondays ago [How well do you REALLY function?], when things decline gradually we tend to accommodate the accumulation of difficulties until we are struggling to cope and practically desperate for help.

Before I continue with a Series of articles designed to describe and discuss EF struggles, what’s involved, and explain what you can do to mitigate the effects (before, during and after they develop), I want to take just a bit of a side trip to talk about something that WILL affect ALL of us, one way or another — unless, of course, something worse gets us first.

EF challenges as the result of AGING

According to a biomedical gerontologist ‪Dr. Aubrey de Grey‬, what we consider and accept as “normal” aging is far more complex than the accumulation of an increasing number of birthdays — that is, chronological aging.

Biological aging is a different matter entirely, and that is what his organization studies and believes they will be able to impact positively.

Biological aging is what causes the greatest number of functional problems in brain and body, responsible for cognitive struggles as well as the pain and suffering of the degenerative diseases of aging.

So remember that when researchers like de Grey talk about “reversing” aging with restoration therapies, healthy aging is the focus of their desire. Looking and feeling younger for an extended life-span is a beneficial side-effect.

Dr. Aubrey de Grey redefines Aging

“Aging is the life-long accumulation of ‘damage’ to the body that occurs as intrinsic side-effects of the body’s normal operation.  The body can tolerate some damage, but too much of it causes disease and disability.”

DAMAGE: changes in structure and composition that the body cannot – or can no longer – automatically reverse.

Dr. de Grey is the Cambridge educated co-founder and Chief Science Officer of SENS Research Foundation, dedicated to exploring and combating the aging process, a 501(c)(3) public charity that is transforming the way the world researches and treats age-related disease.

Dr. de Grey is also the Editor in Chief of Rejuvenation Research, a bimonthly peer-reviewed scientific journal published by Mary Ann Liebert that covers research on rejuvenation and biogerontology.

Speaking all over the world for many years, to lay as well as professional audiences, he spreads the message that the deleterious effects of aging are not something we need to accept as a given — in other words, they are NOT conditions that are impossible to prevent or reverse.

He presents his cogent explanations and arguments for the need for a drastic change in paradigm in many lectures, debates and discussions available on YouTube.

We do NOT have to accept the idea that the decline and eventual disappearance of the body’s resilience is inevitable.  ~ mgh

Turning things around

“One of the biggest frustrations for me in my work is that old people don’t complain enough about how GRIM it is to be old — and if they did, maybe something more would be done about it.” ~ Aubrey de Grey

  • The desire for healthy aging is an issue that concerns 100% of the people currently living today.
  • Yet most of us are suffering from Boiling Frog Syndrome, refusing to give this issue the consideration it merits — which includes our lack of willingness to advocate aggressively for resources to address the many challenges of aging that the clear majority of us WILL face before we die.
  • It surprises most people to learn that, for example, only a fraction of 1% of the research budget of the U.S. Federal Government goes toward the basic biology of aging.   Other countries don’t allocate appreciably greater funding, and some do much less.  ‘Sup with that?
  • Once enough people begin thinking about the physical and cognitive devastation of aging as medical problems that we can actually prevent and reverse – insisting that our political leaders consider it seriously and fund it appropriately – it will change the way we approach the public health “game” completely, with predictably positive results for every single person reading these words.

Our most important health-related goal needs to be applying our resources to solve the global challenge of remaining as healthy as possible for as long as possible – for as many people as possible.
~ mgh

Read more of this post

June 2017 Mental Health Awareness


Special days & weeks in June

Along with Advocacy & Awareness
for mental health related issues
(and a calendar for the month!)

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Part of the ADD/ADHD Cormidities series

JUNE is PTSD Awareness Month —
June begins with Sleep Disorder Awareness Week
and National Cancer Survivor’s Day

Online Marketing Gurus extol the effectiveness of piggy-backing posts onto particular events – how about one or several of the ones below?
They make GREAT, positive writing prompts!

Mark your blogging calendars!

Many days of the year have been set aside every month to promote awareness or advocacy of an issue, illness, disability, or special-needs related cause.

In addition to a calendar for the current month, each Awareness post attempts to offer a list highlighting important days and weeks that impact and intersect with mental health challenges — reminders for health problems that intersect, exacerbate or create additional problems with cognition, mood, memory, follow-through and attention management.

If I’ve missed anything, please let me know in a comment so that I can add it to the list below.

I pray that 2017 will be the year
when EVERYONE becomes aware of
the crying need for upgraded mental health Awareness —
and FUNDING.

Stay tuned for more articles about Executive Functioning struggles and management throughout the year (and check out the Related Posts for a great many already published).

Read more of this post

How well do you REALLY function?


Soldiering ON with less
than Optimal Functioning™
when we could REALLY have a much easier time of it

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
part of the Executive Functioning Series
May is Mental Health Awareness Month!

Do you suffer from boiling frog syndrome?

You’ve probably already heard the story about cooking frogs by putting them in cold or tepid water, then slowly bringing it to a boil — even though they would have jumped out immediately if they were suddenly thrust into hot water.

Other versions of the story assert that, as long as the temperature increases slowly, the frog is able to adjust its body temperature to remain comfortable — until it ultimately becomes too weak to jump out before it’s cooked.

Just a myth, but apt

According to an interesting article on Wikipedia, neither version is true, but the analogy is perfect: as things slowly but steadily worsen, most of us adjust and accommodate, even when we could find ourselves in much better situations if we’d only react more quickly and reach out for help.

  • In my 25+ year coaching career, only a rare few individuals ever reached out for help or brain-based information until they were practically desperate, and almost all had been leading what I call “limp-along lives” for years.
  • More than a few had been taking pricey vacations or eating lunches in restaurants to get away from the stress of the work environment, or indulging in daily caffeine fixes at several dollars a pop, still convinced that they couldn’t afford coaching fees — until they felt they “had no choice.”

For YEARS it only made sense in the context of Boiling Frog Syndrome.

Even if they were cracker-jack “over-achievers” when they were younger, they contributed their functional and cognitive slow-down to aging
. . .  or the demands of parenthood
. . . or the increasing complexities of modern life
. . . or the rise of social media expectations

. . . or anything other than being flat-out worn down by repeated, unrecognized struggles with Executive Functioning they never understood how to overcome.

So What Goes Wrong?

It’s mentally and physically exhausting to continue to swim upstream.

  • As long as you are swimming with the current you get carried downstream with much less thrashing about on your part.
  • Not only that, when you’re swimming upstream, if you stop stroking for even a minute, your life goes backwards.  Nobody can keep up that kind of effort.
  • Before you realize it you are swimming alone, unhappy that life is so much work, but not really expecting it to be easier because you’ve always had to “work twice as hard for half as much” — or so it seems to you in your most private of thoughts.
  • You begin to believe that everybody struggles in the same fashion, but suspect that the others are somehow better able to cope than you are.

But it doesn’t have to be that way

It recently occurred to me that many people don’t reach out for help, perhaps, because they have forgotten (or have never really known) what effective focus and follow-through look like.

They’re falling victim to “that happens to everybody”
or “this is the best I can expect from myself” thinking
to explain and attempt to accept their various challenges.

Things can get WORSE as time goes by . . .

because each new skill must build on the ones before it.

If you never learned to add or subtract, multiplication and division would remain a mystery.

If you never really mastered basic arithmetic, how could anyone expect you to do well as you moved through school?

Similar to moving from basic arithmetic to higher math, learning how to manage life’s many challenges is also an incremental, multi-stepped process.

So, for the next few Mondays, I am going to detail the problems many of my clients had been putting up with because ““that happens to everybody,” and do my best to explain what’s behind the struggle — in the hopes that I will finally inspire more of you to spend a few months working with me to turn things around before you feel like you are about to crash and burn.

Lets START by taking a look at some of the problems
that are NOT “normal” functioning.
Read more of this post

My Computer has ADD


Stranger than fiction
But maybe more amusing?

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
from the Whimsy Series

Madelyn’s Believe it or Not

What is it about Executive Functioning struggles that has things go wrong JUST at the moment you need everything to go right to stand a prayer of showing up like you have a brain at all?

Or is it just me?

I know that sometimes my Calamity Jane moments are my own darn fault because I procrastinated, or failed to write something down, or use my systems or whatever.  I’m not talking about those times.

I’m not talking about those times when I ADD-out and forget to give somebody an important message — like maybe, they changed the time for his only daughter’s wedding. (not my oops, actually – one from a client)

I’m not even thinking about those times when I say yes to one more request when I am already juggling more than any six humans could accomplish in a single lifetime if they worked together and never slept.

It’s those OTHER times . . .

You know, like when you practically break your arm putting a gun in your own back to keep yourself on task so that you won’t seem flaky, and THEN the universe laughs in your face and you end up looking flaky anyway — for a bizarre reason that nobody would believe really happened, even if you had it on film.

Come to think of it, it seems that even when I am channeling somebody else’s reliable functioning, it doesn’t always work quite the same way for me.  I’m starting to believe that somebody up there doesn’t really WANT me to plan ahead.

Like that time the water gets turned off – through NO fault of my own, btw – before I have a chance to rinse off the dark brown hair dye I was wise enough to apply to my snowy roots two entire days before an important media event, for example.

I end up having to explain why I’m knocking on a strange neighbor’s door in snow boots, head wrapped in plastic and bod in terrycloth.

I need to use his phone, of course.

It’s urgent that I find out when my friend Janet will be coming home.  I need her to unlock the door to my apartment, simply because I spaced one tiny little detail in my haste to run next door to use her bathroom before my hair turned green: KEYS!

OK, I could have called to see if she was home before my mad dash, but I didn’t want to chance getting dark hair dye on my white phone — and Janet has no social life anyway – she’s ALWAYS home! (If anybody figures out who I’m really talking about, PLEASE don’t tell her I said that!)

Oh, and would this kind stranger and new best friend mind if I used his shower to wash out the hair dye so I won’t get it all over his nice living room furniture while I wait with him for Janet to arrive?

Surely he wouldn’t leave me out in the cold with wet hair, even if his wife IS away on a business trip?

And, by the way, I’m going to need towels.

Stuff like that.  Like I said, flaky!  

So I’m sure that you are not going to believe that what’s going on with my computer is really not my fault! But at least it’s not as outrageous as the experience of my friend Steven’s then fiance’s brother-in-law Jeff. THAT story is the stuff of legend!

Read more of this post

Stimulant BASICS: Ritalin and Adderall


Two BRAND names for medications
known for treating ADD/ADHD
GOOD news or bad?

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
in the Diagnosis and Treatment Series – Part I

How much do you really KNOW?

When I first learned about ADD, as it was named when I was diagnosed at 38, years ago now, I was overjoyed to learn that there was a medication reputed to help.  Tearfully so.

Still, it took me over a year to give psychostimulants a trial – the first-line medications for ADD.

Meanwhile, I did my research, and continue to do so.

I am dismayed (often appalled!) by how much myth and misinformation I found and continue to find today — in the media, on the web, and even out of the mouths of doctors, sourcing so much needless fear and struggle.

SO, I have always been inspired to share what I learned
with as many people who are willing to listen
with an open mind.

Stimulant Basics

While I endeavor to share some important overview information in this particular article in the Diagnosis and Treatment Series, I’m going to hit the highlights, and save a great many of the specifics for another time and format.

Let’s begin here by going over the similarities between two medications you hear about most often: Ritalin and Adderall.

The Related Links at the very bottom of this article are there for those of you who want more specifics about the differences NOW.

On to those basics . . .

The psychostimulants you hear about most often (also called stimulants), are amphetamines (ex., Adderall & Dexedrine) and methylphenidates (ex., Ritalin, Concerta, Metadate & Methylin).

They are similar in chemical structure, and ALL can have different effects – including side-effects (true with any substance).

Psychostimulants are a broad class of drugs reported to reduce fatigue, promote alertness and wakefulness, with possible mood-enhancing properties (Orr 2007).

Don’t let that term scare you. Caffeine, nicotine and some of the non-drowsy allergy medications are also psychostimulants.

Since the early 1930s, doctors have prescribed either amphetamines or methylphenidate to treat various health-related conditions and disorders, among them obesity, depression & other mood disorders, impulse control disorders, asthma, chronic fatigue, and sleep disorders characterized by excessive sleep or excessive daytime sleepiness (hypersomnolence).

Addiction and Abuse

According to Wikipedia and despite what you frequently read: it is estimated that the percentage of the population that has abused amphetamines, cocaine and MDMA combined is between .8% and 2.1%.[4]

A study published in the Journal Pediatrics*, showed that individuals with ADD/HD who were treated with stimulant medication had a lower risk of drug abuse than ADD/HD individuals who had not taken medication, and subsequent studies have returned similar findings.

* Biederman et al, Pharmacotherapy of Attention Deficit/Hyperactivity Disorder Reduces Risk for Substance Abuse Disorder, Pediatrics, Vol 104, No 2, Aug.’99.

How they are the same?

Both drugs are in the same medication class: psychostimulants, and it is said that they both work in two ways.  While not exactly accurate, this is basically how they work:

  1. They make neurotransmitters last longer in the parts of the brain that control attention and alertness, and
  2. They increase the concentration of neurotransmitters in areas of the brain believed to be under-aroused or otherwise under-performing.

In other words, stimulant medications increase the release or block the reabsorption of dopamine and norepinephrine, increasing transmission between certain neurons. Each stimulant has a slightly different mechanism of action, and each may have similar or different effects on the ADD/HD symptoms of any given individual.

For anyone new to the blog, neurotransmitters are chemical messengers that send signals from one neuron (brain cell) to another, increasing the activity in certain parts of the brain, in this case helping to focus attention.

WHY they might be necessary

Contrary to what might seem logical if you’ve ever spent much time around a diagnostic Hyperactive Harry or Chatty Cathy, an ADDer’s unmedicated brain is less active than a neurotypical brain in the conscious “supervisory” areas that FOCUS behavior — in particular, the prefrontal cortex [PFC]. 

That leads to an under-performance of the brain-based mechanisms that make it possible for human beings to observe the environment and supervise responses, guiding decision-making and directing subsequent action effectively.

Basically, in a person with an ADD diagnosis, the brain’s filtering & focusing areas are not operating well, so its “juggling ability” is limited by the number of “attentional balls” it is forced to juggle already.  These are elements filtered out automatically by neurotypical brains.

Regular readers of this blog may recall that the PFC has “regulation responsibility” for what we term the brain’s executive functions, which include planning, organization, and critical thinking as well as time management, effective judgment, and impulse control.

The “normal” human ability to sift through options, plan ahead, use time wisely, focus on goals, maintain social responsibility and communicate effectively is heavily dependent on a PFC that is up to the task.

Stimulants do just what they sound like they’d do, and seem to work particularly well on the area that most needs it: they stimulate sluggish neuro-perfomance, waking up the PFC so that it can do its job.

Connecting the Brakes

While ALL stimulants are activating for certain parts of the brain, they often seem to help calm a person with ADHD.

That is frequently referred to as the “paradoxical effect” — leading to erroneous claims that ADD meds are “sedating” kids into compliance.

NOT SO – that’s not how they work!

Whenever the PFC under performs, other areas of the brain, effectively, step up to compensate. You can see the difference on a brain scan.

So the filtering and focusing areas are, essentially, down for the count, and there’s suddenly more activity that needs filtering and focusing.

  • See the problem when the PFC’s “offline”?

No filters, MORE to filter = BRAIN CHATTER, distractibility or hyperactivity, problems with short-term memory – swimming upstream!

  • Once the PFC is stimulated to come back on line, the rest of the brain can relax (filters working better – less to filter). Suddenly, we can get things done – swimming WITH the current!

As soon as the PFC is stimulated into action, the rest of the brain can calm down – leading to a calmer individual.

A study reported in the Jan. 1999 issue of Science* suggested that methylphenidate also elevates levels of serotonin, which may account for some of its calming effects as well. Methylphenidate has never worked that way in my own brain, however, it makes me jittery.

* Gainetdov et al., Role of Serotonin in the Paradoxical Calming Effect of Psychostimulants on Hyperactivity, Science, Jan. 15, 1999: 397-410.

So WHICH medication is better?
Read more of this post

Memory Glitches and Executive Functioning


MEMORY ISSUES:

AGING Executive Functions and Alphabet Disorders
(ADD/HD-EFD, TBI, ABI, OCD, ODD, ASD, PDA, PDD, MDD, MS, etc.)

©Madelyn Griffith-Haynie, CTP, CMC, MCC, SCAC
Reflections from the Memory Issues Series:
Forgetting/Remembering | When Memory Fails

BlankMemoryMEMORY: Movin’ it IN – Movin’ it OUT

With Alzheimer’s getting so much press these days (and with adequate mental healthcare for Americans unlikely for the next four years or more, since extremely short-sighted House Republicans are willing to vote in accord with the unconscionable desires of the billionaire in office) — most of us are likely to be more than a little fearful when our memory slips, even a bit.

Understanding how memory works can help us all calm down —
about at least that much.

As I mentioned in When Memory Fails – Part 2, the process of memory storage is an extremely important part of the memory equation — but if our brain’s librarian can’t find what we want when it comes time to USE the information, what good is it?

 

USB_memorystick 64x64

Human Memory vs. Computer Memory

It would be wonderful if human memory were at least as reliable as those “memory sticks” that allow us to sweep files we need to have with us onto a nifty portable device we can use anywhere we can find a device with a USB port.

Unfortunately, it isn’t.

But before we explore the process of moving information into long-term memory storage, our brains’ version of a “memory stick,” let’s take a look at the ways in which our “neuro-librarians” deliver what we’re looking for once it is stored there.

The “regurgitation” portion of the memory process is a factor of, essentially, three different processes:

  • recognition
  • recall, and
  • recall on demand

Let’s distinguish each of them before we go any further.

Read more of this post

May 2017: Mental Health Awareness


Special days & weeks in May

Along with Advocacy & Awareness
for mental health related issues
(and a calendar for the month!)

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Part of the ADD/ADHD Cormidities series

May is Mental Health Awareness Month!
Online Marketing Gurus extol the effectiveness of piggy-backing posts
onto particular events – how about one or several of the ones below?
They make GREAT, positive writing prompts!

It takes a village to transform a world. ~ mgh

Mark your blogging calendars!

Although May has been set aside to promote ALL Mental Health Awareness issues, many days of the rest of the year have been set aside every month to promote awareness or advocacy of an issue, illness, disability, or special-needs related cause.

In addition to a calendar for the current month, included on every Awareness Month list at ADDandSoMuchMORE.com are awareness and advocacy reminders for health problems that intersect, exacerbate or create additional problems with cognition, mood, memory, follow-through and attention management.

Since I have written prior articles on many of these issues, I have added links to a few posts with explanations, for those of you who are interested in learning more or blogging about these issues yourselves.

If I’ve missed something Mental Health related that you believe needs inclusion, please let me know why in a comment so that I can add it to the list below.  Thanks!

May 2017 be the year
when everyone becomes aware of
the crying need for upgraded Mental Health Awareness.
All the way to the TOP!

Stay tuned for more articles about Executive Functioning struggles and management throughout the year (and check out the Related Posts for a great many already published).

Read more of this post

Friday Fun: Fashion and Shopping


Can’t take fashion seriously?
(or maybe you take it TOO seriously?)
Whatever!
Let’s ALL laugh the whole thing off

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
from the Brain-Based and Friday Funnies Series

Quick Review before we get to the Funnies

Today is Jodie’s last installment of our collaboration exploring fashion as a “change agent.”  So before I send you over to A Touch of Style to finish up the series and read my closing observations, I want to review the point of fashion week before I inspire everybody to exit with a chuckle or two.

Don’t skip this review – it’s vital to everyone who wants to spend his or her “golden years” having fun rather than merely waiting for the inevitable.

Epigenetics and Fashion Week?

In Making Friends with CHANGE, posted  a week ago today, I briefly underscored the miracle of lifetime neuroplasticity — that the brain can change its structure and its function throughout our lifespan, depending on what we do with it.

We’re not stuck with – or blessed with – a lifetime contract on the brain we had when we were born.

Here’s the Good News

Gene expression is dependent upon our environment, the actions to which we commit ourselves, and even upon what we think and imagine.

The genes that shaped our brain in utero are literally capable of being turned on or off in reaction to how we respond to the targets of our focus, actually “rewiring” the brain we were born with with every new and different experience.

Changing anything is healthy-brain-aging friendly.

Change forces the brain to create new “roads” it can use when its usual pathway is damaged by any one of a number of things: stroke, concussion, medication, chronic stress – whatever.

If we change and grow as we go through life, our brain rewards us by creating new connections that will serve us well as we age.

Here’s the bad news: it works both ways

If we allow ourselves to stagnate, comfortable in our same ole’/same ole’ ways, we merely deepen the grooves of those same ole’/same ole’ pathways.

That’s GREAT for habit creation to handle those nattering Treadmill Tasks (distraction insurance that releases cognitive bandwidth for more important endeavors), but not a great strategy for brain-health overall.

For most of us, doing what we’ve always done is a recipe for functional backsliding called age-related cognitive decline – unless we are very, very lucky.

But in order to experience the benefits of brain-change, we must actually CHANGE what we ask it to do, with activities like:

  • studying something completely new to us
  • learning a new language
  • practicing a new musical instrument
  • exploring a new environment
  • taking up a brand new & challenging hobby

WARNING: if we don’t keep it up, the pathways created by our brain-healthy changes actually atrophy and die from disuse.

So, just like physical exercise, it’s important to pick something we actually enjoy to keep us motivated to keep it up — so we keep on making friends with new changes.

Making friends with CHANGE as we change our clothes

Jodie and I decided it would be fun to put our heads together to see if we could come up with a week’s worth of challenges specifically designed to shake things up, forcing change to our SELF-images on the way to helping us become more “change-friendly” overall.

As I commented in Jodie’s first post of this 3-part series . . .

Not only have researchers begun to discover the importance of “play” to healthy brain development and continued health, any time we spend making friends with change is what is called “neuro-protective.”

Together we explored how playing with what we choose to wear – recombining items we already own or adding something inexpensive to alter the look – can be a terrific way of making friends with change.

Stay tuned for more about change and healthy brain aging – including tips, techniques and work arounds. Meanwhile . . .

I’ve left you links to all three of Jodie’s posts at the bottom of the funnies, so be sure to pop over to see how three different challenges were interpreted by three different “real person” models representing three different decades — along with some additional comments from me to underscore the brain- benefits.


AND NOW for some fashion-related humor TODAY . . .

How many of the situations below make YOU nod your head
(or shake it)?

YOU PLAY TOO

If you have something on your website or blog that relates to the theme, especially if it’s humorous, please feel free to leave a link in a comment. (Keep it to one link per comment or you’ll be auto-spammed, but multiple comments are just fine and most welcome).

Read more of this post

Change your Clothes, Change your Brain?


Fashionistas & their Opposites
A brain-based look

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
from the Brain-Based Series
Collaboration with
Jodie’s Touch of Style

Fashionistas First

You’ve seen them on television, on the internet, in the tabloids, maybe even in your own neighborhood, right?

Whatever we think about how they put themselves together, we tend to notice that we see them in a different outfit every time we see them – even if we see them several times on the same day.

Many of us who like to think of ourselves as serious thinkers love to make fun of them.  We frequently believe they’re vapid, self-focused vanity plates wasting time and energy on items that don’t make one whit of difference.

And we’d be wrong.

They might not be changing the world, but they certainly are changing their clothes!  And that’s not such a bad thing, you’ll come to find out as you keep reading.

Frozen Fashionitas

Most of us have met at least one of these ladies.  A perfect example is the college beauty queen who hasn’t changed her style since her heyday, despite the fact that she is now middle aged or older.

Her hairstyle is practically the same, often chemically processed at considerable trouble or expense to remain exactly the same color.  Her wardrobe usually has a slightly “Delta Dawn” feel to it – frozen in time.

Youngsters sometimes point them out in a manner you wish they wouldn’t, and often at the top of their lungs, “Look Mom – that old lady looks just like Aunt Theresa!”

Another example is “Sensible Susie.”

She has decided what is appropriate and what is no longer suitable for any number of reasons: since she’s gained or lost weight, now that she’s older, the kids are in middle school, her husband got a promotion — whatever!

She may well be right, but the problem is that she turns what might have been a good idea into a rule book from which she never varies.

She may be easy to shop for, but nobody would ever accuse her of being “fashion forward,” and she’s often one of the first to point out the supposed flaws in the outfit of a contemporary.

Make way for “Matching Molly”

My own grandmother could have been the Matching Molly poster girl.  If an ensemble was purchased as an outfit, the various items might as well have been sewn together.

Suggesting to her that she could wear the jacket from Outfit A over a dress – or with the skirt from Outfit B – was practically enough to give her apoplexy.

She had a fit if I mixed and matched in my own wardrobe too, especially with items that she had given me as birthday or Christmas presents — there was no such thing as “separates” in my grandmother’s closet or her world view.

Read more of this post

Making friends with CHANGE


Habits, Brain Changes & Brain Aging
Why your brain resists change
and how you can make it do what’s good for it – Part I

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
from the Brain-Based Series
Collaboration with
Jodie’s Touch of Style

“A mind equipped with a wide range of
previously formed
pattern recognition devices
can withstand the effects of neuroerosion
for a long time.”

~ Dr. Elkhonon Goldberg, PhD, from
The Wisdom Paradox 

About the Brain that Changes Itself

It took science a long time to agree that an old idea was not only obsolete, but completely WRONG.

Until 1970, it was generally believed that the brain might as well be carved in stone after a certain childhood window of a great deal of change.

What is practically universally accepted these days is that our brains change and grow throughout our lives.

In fact, learning anything new after a certain age would be impossible unless the brain were capable of forming new pathways, which also involves the ongoing creation of brand new brain cells (neurons) and connections (synapses).

Another way to say it

Dr. Norman Doidge, author of The Brain’s Way of Healing and the New York Times best-seller The Brain that Changes Itself (the all-time bestselling science book in Australia) puts it this way:

Plasticity simply means that the brain can change its structure and its function depending on what it does.

And that means, depending on what we react to when we’re sensing and perceiving, our brains will “rewire” depending on the actions that we commit ourselves to, and most intriguingly, depending on what we think and imagine.

ALL of these things can change the structure of the brain.

More about Doidge here: The Brain Science Podcast Turns TEN!

HOWEVER, since the brain is, essentially, a pattern-recognition organ, most human beings kick and scream when we are forced to change. Many of us who would like to change – maybe even those of us who are eager to change – struggle still.

Change is not easy

Change requires our conscious attention to doing things differently. Consciousness is a resource-intensive process. Your brain REALLY doesn’t want to burn up those resources dealing with the same information and making the same decisions over and over again.

Brains like the easy-to-pattern-match same ole/same ole, despite the fact that it’s not particularly good for them long term.

Even though it’s a huge help to put what I like to call the treadmill tasks on autopilot (like laundry, dishes and dusting) – a practice I highly recommend – that old saw about variety turns out to be an understatement where moving through the rest of life is concerned.

Unless spices are the main ingredients in the meals at your house, you are underestimating the importance of change to healthy brain functioning over your entire lifetime.

And still, we resist

Almost ALL of us, ADD/EFD or not, have a small – perfectly “normal” – part of our personalities that balks unless a new idea or different manner of approaching a change in something familiar is totally appealing in the moment we are “supposed” to take it on.  Why?

As I began in an earlier article, Change, Growth and Decision Dilemmas, it is essential to understand a fundamental, psychological truth about all human beings, ADD/EFD or not.

We are conflicted about growth and change.

At bottom, most of us crave safety as strongly as we crave freedom and adventure, although not in equal measure at all times and about all things.

The fact remains that there is a conflicted relationship between making choices at all – and new choices in particular – and preserving the freedom to do whatever we want.  To escape the discomfort of the conflict, it is all too tempting to fall back on “the devil we know” – and so we usually do.

Read more of this post

10 Simple Coaching Questions to Consider


10-Step Coaching – NOT just for ADD
Things to think about that can give you a Brand New LIFE

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Another coaching article for Counseling Awareness Month
Reflections: edited reposting


Begin with a pen, pencil
(or crayon!) and a pad of your favorite paper — or your favorite software on your computer (whatever you believe works best for YOU – but I promise it will work best for your brain to do it on paper).

Find a comfortable place to perch
while you meander through the ten items below.

I promised you simple – but not easy – so plan on spending 30-45 minutes or longer – as much time as you can spare, but don’t try to squeeze it all in between activities and interruptions. You need to get into a thinking space and stay there, even if that means you take it in segments.

FIRST, gather everything you are going to need
so you’re not tempting to wander away mid-process:

  • Something to write with – and on – or
  • Whatever electronic toy you swear works better for you
  • Something to drink
  • Maybe something to snack on while you work

Adjust your clothing, if you need to.  Unfasten anything that needs to be looser. Kick off your shoes if you feel like it.  Squirm around until you feel comfortable in your own skin.

Take several d-e-e-p breaths, exhaling slowly, while you think about your life as it is RIGHT NOW, before you work your way through the list below.

Read more of this post

April 2017: Mental Health Awareness


Special days & weeks in April

Along with Advocacy & Awareness
for mental health related issues
(and a calendar for the month!)
Posting a day late so nobody shouts, April Fools!

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Part of the ADD/ADHD Cormidities series

Online Marketing Gurus extol the effectiveness of piggy-backing posts
onto particular events – how about one or several of the ones below?
They make GREAT writing prompts!

It takes a village to transform a world. ~ mgh

Mark your blogging calendars!

Many days of the year have been set aside every month to promote awareness or advocacy of an issue, illness, disability, or special-needs related cause.  It has – or will – affect most of us at some point in our lives.

The World Health Organization [WHO] has identified mental illness as a growing cause of disability worldwide.  They predict that, in the future, mental illness – and depression in particular – will be the top cause of disability.

That’s globally, by the way.  There has been an 18% increase in depression alone in the decade from 2005 to 2015.

Awareness Helps

In addition to a calendar for the current month, each Awareness post offers a list highlighting important days and weeks that impact and intersect with mental health issues.

Included on every Awareness Month list at ADDandSoMuchMORE.com are awareness and advocacy reminders for health problems that intersect, exacerbate or create problems with cognition, mood, memory, follow-through and attention management.

There are quite a few events in April, so I haven’t lengthened the post by adding text to explain them all.  Instead, I have added links to related posts, blogs and websites with explanations, for those of you who are interested in learning more – or considering blogging about these issues (make sure you come back and leave a link if you do).

If I’ve missed anything, please let me know
in a comment so that I can add it to the list below.

May 2017 be the year
when EVERYONE becomes aware of
the crying need for upgraded Mental Health Awareness
especially at the top!

Stay tuned for more articles about Executive Functioning struggles and management throughout the year (and check out the Related Posts for a great many already published).

Read more of this post

10 Organizing Principles for the Organizationally Impaired


NOT Your Mama’s Organization

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
In support of the Challenges Inventory™ & ADD Coaching Series
my edited reposting of a five year old article

If at first you don’t succeed . . .

I know.  I’m right there with you.  You’ve read all the books and made a good stab at following their advice, and you still live in what might affectionately be called a pig stye if only it were that neat.

Give it up!

Those books were NOT written for you and me.  They were written for fundamentally organized people with relatively reliable follow-through skills and abilities.

They simply needed a little how-to help and advice.

I don’t work their way.
Do YOU work their way?

How DO you work?

If you don’t get real about how you work, you will never be able to determine what YOU need to do to to keep from spending half your life looking for things that were “right here a minute ago” — and the other half tripping over dirt and detritus.

As I began in an even earlier post (ADD & Organized?) . . .

Yea verily, even YOU can learn to be organized
just as soon as you understand
the reasons why you’ve been stopped in the past.  

Those of us who struggle with any of what are referred to as Executive Functions work a bit differently than those neurotypical folks.  We do not have vanilla-flavored brains.  We’re more like the ice cream with the mix-ins.  Our stoppers are not their stoppers.

HERE’S the KICKER: it’s a different mix of stoppers for every single one of us.  

So much for helpful hints and tidy lists!  

That said, I’m going to go w-a-a-y out on a limb by offering my top ten organizing principles that I now call, collectively, The Executive Functioning Organizing Manifesto — a summary of some basic concepts that need to be embraced and understood if you want to have a shot at working out what you need to do for YOU to be organized.

In future posts in this series, I will expand on some of the points below.
For NOW, print ’em out and hang ’em up and follow them!

Read more of this post

Do you have a minute? Sorry for the Inconvenience.


Tough Love Lessons
from an Empathy Deficit Society

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
from the Walking a Mile Series – Part I

“There, but for the grace of God, go I”

Not my problem, not my business?

Our society seems to be rapidly moving to a state where it is empathy-averse. The next few posts are my attempt at trying to change that sad reality in some small fashion by telling my personal story. It is time

Many who are still able to care what happens to others take the “wait and see” approach, hoping perhaps that some of the problems will resolve without their involvement.

I have noticed it most overtly in response to current political actions of late, but I have always seen it most pervasively in the continuing lack of Mental Health Awareness.

That attitude troubles me greatly.  We need each other, and the quote at the top of this page has never been more apt.

I always planned to speak out about it, once I put my life back together after a horrendous event that all but took it away from me entirely. But there was so much to do in the aftermath that time got away from me.

The attitude I observe, that seems to be increasing since the start of the most recent election cycle, has emboldened me.  I think it’s time to put some polish on a few drafts and publish them.

The Value of Personal Stories

Sometimes hearing the stories of people you know, even a little, makes a greater impact than any urging to step up, speak out and make a difference ever could.

So I will be sharing two personal experiences, one a great many years ago and the other only a few. I plan to divide the article into three parts, mindful of the time many of us lack for reading extremely long posts, even though these will be longer than many.  They will post on consecutive Wednesdays.

I am posting them NOW to underscore the reason we all need to increase our willingness to get involved before the next DSM is forced to add a new category: EDD – Empathy Deficiency Disorder.

Sympathy vs. Empathy

Sympathy is “feeling sorry for” a person in a particular situation. It is a feeling that allows us to be grateful that we are not the ones going through the experience personally. But it also fosters a pull to allow ourselves to sit back and do nothing to ease the burden for another.

Empathy is “putting ourselves in the shoes of another,” allowing us to imagine what we would find helpful and encouraging, and perhaps to step up to extend support – if only a little bit, and maybe more than that.

Talk and Timing

As I said in one of my updates to an article years ago now, NO contact possible: mugged at gunpoint, modern medicine is very different than the first time I had a broken bone but, unfortunately, bones don’t heal correspondingly rapidly.

My first experience was the result of multiple, serious, spiral fractures to my right leg, many years ago.  The damage was the result of a skiing accident that left me unable to get out of bed for a month, in a hip cast for about 8 months, and a leg that was smaller than the diameter of my arm once the cast was finally removed.

The negative impact to my acting career was substantial, but my attitude remained essentially positive – despite a great many challenges – thanks to more than a little help from a small handful of my friends.

This is my story

New York City, where I was living when I broke my leg, was in the middle of a transit strike, and New York cabbies were reluctant to take the time to deal with someone on crutches or in a wheelchair.

  • At that time I lived with a godsend of a roommate who stood at the curb to hail a cab while I was hidden from view, so that I could get where I needed to go.
  • She also emptied my bedpans for that first bed-ridden month. She kept me company, the bills paid and our services on, and food in my belly.
  • At no time – for an entire year – did she display impatience or treat me differently. Nor did she suggest that I pretend that lack of autonomy was less of a struggle for me than it was. She helped me keep my spirits up with conversation and laughter.
  • At NO time did she expect that I pretend my situation could be handled by “thinking positively” about it.  She understood without having to be reminded, that “motivational” talk of that type would have felt belittling.
  • She sat with me patiently during the times I wept over the seeming relentlessness of the situation.

Thank you Janine.  I was extremely grateful at the time but, until the contrast of my more recent experience, I had NO idea how very much your help and your attitude made it possible for me to make it through that time emotionally – and whole.

Read more of this post

Take Me Out to the BALLGAME!


Life gets GOOD

Once you understand
how to drive the very brain you were born with
— even if it’s taken a few hits in the meantime™

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Part of the Diagnosis & Treatment series

A lot of people have ADHD,
but they don’t want to talk about it.
But I am who I am,
and I don’t feel bad about it.
~ Major league baseball player Andrés Torres

Late to the Party

I have to admit that, because I’ve never been the world’s biggest sports fan, I’m more than a bit late to this particular party.

Maybe some of you missed it too?

I just read a heartwarming human interest sports story about Andrés Torres, a ball-playing superstar who couldn’t get to first base until he accepted that he needed to get real about a treatment protocol for his AD”H”D.

As the New York Times article began:

“Discerning a fastball from a changeup is difficult enough; imagine doing it with untethered focus, attention meandering.

This was precisely the obstacle impeding Andrés Torres, who stumbled for a decade through baseball’s minor leagues, working for a break, always falling short.

Only when Torres accepted the extent to which he was debilitated by attention deficit hyperactivity disorder, finally embracing the medication and therapy prescribed five years earlier, did he begin to blossom as a ballplayer.”

And blossom he most certainly did!

In case you don’t follow baseball very closely either, after many disheartening years of limping along, barely functioning in an arena that was incredibly important to him — no matter how hard he worked — his story took a dramatic turn for the better.

In 2010 Torres helped the San Francisco Giants win the World Series —
before moving on to play center field and bat leadoff for the Mets.

If you aren’t already aware of his story, and especially if you are still struggling yourself or are the parent of a child who is struggling, click to read a few of the links in the Related Content section, always at the end of my articles.

Ring me in

As the founder of the ADD/EFD Coach Training field, co-founder of the ADD Coaching field, an ADD/EFD advocate, coach, trainer & speaker for over 25 years now [and the ADD Poster Girl herself], I can assure you that this article was RIGHT ON in terms of their point of view.

Unfortunately, the scientific point of view is under-reported, most likely because the complex nature of Executive Functioning disorders makes them difficult to recognize and harder still for anyone who isn’t highly ADD/EFD-literate to diagnose.

Read more of this post

How do brains get damaged? Is yours?


Even a “little” hit to the head can cause problems that can last for years
But that’s not the ONLY way your brain can be damaged

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
from the TBI/PTSD Brain-based Series

In our attempt to understand ourselves and our environment, we often end up talking about the brain — “that three pound lump of jelly you can hold in the palm of your hand” ~ V.S. Ramachandran

March is Brain Injury Awareness Month
Brain Awareness Week
– March 13-19, 2017

More Common that you realize

Brain Injury can happen to anyone in the blink of an eye, whether it happens as the result of stroke, car accident, playing football, taking a tumble off a bike, or sometimes even when you trip and fall walking down the sidewalk.

After-effects can persist for years in some cases — and you don’t actually have to hit your head to bruise your brain, by the way.

The only brains most of us have ever seen are models, or brains that have been solidified by chemicals, leading us to believe that they are solid structures that are fairly rugged — and that it might take a significant hit to damage a brain.

Nope! The living brain is soft, floating around inside a fluid filled environment keeping it from bumping up against the inside of a hard skull that, in turn, is protecting the fragile brain itself.

The severity of brain damage can vary with the type of brain injury.

  • A mild brain injury is temporary, sometimes barely seeming to cause much of a problem at all, and often limited to headaches, confusion, memory problems and nausea when it does.
  • In a moderate brain injury, symptoms often last longer, can be more pronounced and can result in other challenges and impairments.

In the majority of cases of mild to moderate brain damage your brain recovers completely, as long as you give it time to heal.

Don’t let that encourage you to take brain injury lightly

Your brain can be easily injured bumping up against that bony skull, even when no hit to the head was involved in the original accident — especially the PFC [prefrontal cortex], the executive functioning portion right behind your forehead.

In addition to brain injuries that involve even limited damage to the skull, anything that makes the brain “slosh around” in the fluid in a manner that causes it to come in contact with the skull results in at least minor brain damage.  What frequently follows can be much worse.

Subsequent swelling or bleeding is a big problem with shaken baby syndrome, for example. I also learned from the overnight death of the young brother of a colleague that all children injured in sledding accidents need to be taken to the doctor to be checked out immediately – before you put them to bed.

Closed head injuries frequently result in what is called diffuse brain damage — damage to several areas of the brain — that also can cause a variety of subsequent problems with cognition, speech and language, vision, or difficulties getting other parts of the body to respond.

Anyone who has a head or brain injury needs immediate medical attention. Depending on the extent and location of the damage, brain injury that seems mild can be as dangerous as more overtly serious injuries.

The extent of potential brain damage is determined by neurological examination, usually including X-rays or brain scans, and neuro-psychological assessments that check out reflexes and cognitive abilities. After checking for brain bleeds and swelling, the first goal is to stabilize the patient to make sure that blood pressure is controlled, and that blood carrying oxygen is flowing to the brain to prevent further injury.

With the correct diagnosis and treatment that contains the damage, even more serious brain injuries do not necessarily have to result in long-term disability or impairment, although approximately half of severe injuries require surgery to repair a ruptured blood vessel or to relieve pressure on the brain.

Every brain injury is different – and ALL need time to heal

Found on Pinterest

Regardless of cause, brain injuries can range from mild to severe, with a majority of cases you hear about being concussions.

It can sometimes take many years for brains to heal from certain kinds of damage, but it always takes longer than a day or two for your brain to recover completely from even minor damage – and longer still if you suffer another injury while it’s still healing.

Football players eager to get back on the field aren’t the only ones who fail to understand why and how long they have to take it easy to avoid long-term damage, even when they believe they are ready to hard-charge it again.

You really do have to take it easy afterwards, just as you would if you’d injured an arm or a leg, but even more important.

Brain damage disrupts the brain’s normal functioning, and can affect thinking, understanding, word-retrieval and language skills, and/or memory, sometimes for years afterwards and sometimes not evident until years later.

Other than those who play professional sports, males between 15 and 24 are most vulnerable because they are the population most frequently engaging in risky behaviors. Young children and the aging also have a higher risk, probably because they are most likely to have balance challenges that result in falls.

Symptoms of Brain Injury

There are many, but negative effects cluster in what can be thought of in terms of three functional systems:

(1) intellect, which is the information-handling aspect of behavior;
(2) emotionality, which concerns feelings and motivations;  and
(3) control, which has to do with how behavior is expressed.
Source: Neuropsychological Assessment, 3nd  Ed., 1995,  by Muriel D. Lezak

These commonly include trouble with some or all of the following: 

• attention and concentration 
• short-term memory   • organizing/prioritizing
• impulsiveness   • task switching,
  and occasionally
• poor social skills   and   • mood swings.

EXCELLENT Related Post:
Lost & Found: What Brain Injury Survivors Want You to Know

Causes of Brain Injuries

In this article we won’t be looking at brain damage in the womb as part of a genetic or congenital disorder (fetal alcohol syndrome, for example) or damage to the fetus due to maternal illness or accident.

I also won’t cover in this post what is often referred to as Acquired Brain Injury [ABI] — brain damage due to disease, stroke, medication, alcohol and drug use, or oxygen deprivation. ABIs affect the brain at a cellular level, most often associated with pressure on the brain, or as the result of a neurological illness.

I want to focus on the kind of brain damage most likely to affect most of you who read and follow ADDandSoMuchMore.com — and the most commonly reported source of brain damage is trauma.

Read more of this post

SOAR: Summer Adventures for ADD/LD Kids & Teens


Looking for a Summer Program
perfect for neurodiverse brains?
Check out THIS one – with programs for ages 8-25

Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC

Guestpost from David Rabiner, Ph.D.
Dept. of Psychology & Neuroscience, Duke University
©
ATTENTION RESEARCH UPDATE; March 14, 2017

Building Executive Function Skills at Camp

This just in from David Rabiner, Ph.D., whose guest posts you’ve seen here previously, and who is the creator and publisher of one of the best ADD/EFD Newsletters in the field.

SOARSuccess Oriented Achievement Realized – is a long-time sponsor of Rabiner’s excellent Attention Research Update, enabling him to offer it at no charge to professionals, parents and ADD/EFD individuals.

He informs us that . . .

SOAR offers a variety of outdoor adventure programs that are designed to provide a positive, exciting, and successful experience for children and teens with ADHD and Learning Disabilities.

A brief description of several of the wonderful SOAR programs can be found below, my support for parents and grandparents looking for a program specifically tailored for kids or teens with Learning Disabilities or ADD/EFD struggles.  PLEASE pass it on. [Disclosure: NO compensation has been offered or received for this content]

NOTE: Dr. Rabiner uses the DSM-5 term “ADHD,” rather than “ADD” or ADD/EFD, which I strongly prefer and otherwise use on this site (click HERE for why).

Please remember at ALL times that he uses this term to refer to the Inattentive and Combined subtypes as well as the Hyperactive subtype.

Read more of this post

%d bloggers like this: