Learning to Work Around “Spacing Out”


Honey, you’re not listening
ADDvanced Listening & Languaging

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
from the Memory & Coaching Skills Series

Spacing out – when attention wanders

We’ve all had times when our mind goes off on a short walk-about as someone seems to go on and on and on.

But that’s not the only arena where attention wanders off on its own.

Have you ever gone into another room only to wonder what you went there to do?

I’ll bet you have little to no awareness of where your attention went during your short trip to the other room, but if you’re like me (or most of my clients and students), you’ve sometimes wondered if doorways are embedded with some kind of Star Trekkian technology that wipes our minds clean on pass-through.

Awareness is a factor of ATTENTION

Has your mate ever said “Honey, I TOLD you I would be home late on Tuesday nights!” — when you honestly couldn’t remember ever hearing it before that very moment, or only dimly remember the conversation for the first time when it comes up again?

Most of the time, when that happens, we are so lost in our own thoughts, we have little to no awareness that we spaced out while someone was speaking to us.

What do you do DO on those occasions where you suddenly realize that you have been hearing but not really listening?

Don’t you tend to attempt to fill in the gaps, silently praying that anything important will be repeated? I know I do.

It is a rare individual who has the guts to say, “I’m so sorry, I got distracted.  Could you repeat every single word you just said?” 

And how likely are you to ask for clarification once you are listening once more?

  • If you’re like most people, you probably assume that the reason you are slow to understand is because you missed the explanatory words during your “brain blip.”
  • If the conversation concludes with, “Call me if you have any problems,” I’ll bet you don’t reply, “With what?!”

That’s what the person with attending deficits or an exceptionally busy brain goes through in almost every single interchange, unless they learn how to attend or the person speaking learns how to talk so people listen.

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Why we hate to change our minds


The Greater our Investment
The greater the likelihood
we will hold on to ideas that don’t serve us

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Foundational Concept of the Intentionality Series
Opinions vs. Facts

Sometimes people hold a core belief that is very strong.  Presented with conflicting information, accepting the new evidence would create a feeling that is extremely uncomfortable (called cognitive dissonance)

And because it is so important to protect that core belief, they will rationalize, ignore, and even deny anything that doesn’t fit with the core belief.~ Franz Fanon, Free Your Mind and Think

Confirmation Bias

There has been a great deal of research and writing on the implications of the concept of confirmation bias. I have often referred to the concept here on ADDandSoMuchMORE.com, so many of my regular readers are already familiar with the expression.

Given today’s political climate, I believe it is time to review a few ideas
as we all attempt to make sense of what’s going on.

Some of you will recall seeing the information in the box below – but I believe it will be useful to take a moment to reread it as an introduction to this particular article.

NOnoYESConfirmation bias is a term describing the unconscious tendency of people to favor information that confirms their hypotheses or closely held belief systems.

Individuals display confirmation bias when they selectively gather, note or remember information, or when they interpret it in a way that fits what they already believe.

The effect is stronger for emotionally charged issues, for deeply entrenched beliefs, when we are desperate for answers, and when there is more attachment to being right than being effective.

How it tends to work

Human beings will interpret the same information in radically different ways to support their own views of the themselves. We hate to believe that we might have been wrong — especially when we have invested time and energy coming to a decision.

Studies on fraternity hazing have shown repeatedly that, when attempting to join a group, the more difficult the barriers to group acceptance, the more people will value their membership.

To resolve the discrepancy between the hoops they were forced to jump through and the reality of whatever their experience turns out to be, they are likely to convince themselves that their decision was, in fact, the best possible choice they could have made.

Similar logic helps to explain the “Stockholm Syndrome,” the actions of those who seem to remain loyal to their captors following their release.

©Dogbert/Dilbert by Scott Adams — Found HERE

Adjusting Beliefs

People quickly adjust their opinions to fit their behavior — sometimes even when it goes against their moral beliefs overall. We ALL do it at times, even those of us who are aware of the dynamic and consciously fight against it.

It’s an unconscious adaptation that is a result of the brain’s desire for self-consistency. For example:

  • Those who take home pens or paper from their workplace might tell themselves that “Everybody does it” — and that they would be losing out if they didn’t do it too.
  • Or they will tell themselves, perhaps, “I’m so underpaid I deserve a little extra under the table – they expect us to do it.”

And nowhere is it easier to see than in political disagreements!

When validating our view on a contentious point, we conveniently overlook or “over-ride” information that is at odds with our current or former opinions, while recalling everything that fits with what is more psychologically comfortable to believe – whether we are aware of it consciously or not.

We don’t have to look further than the aftermath of the most recent election here in America for many excellent examples of how difficult it is for human beings to believe that maybe they might have been wrong.

BUT WHY?

To understand why, we need to look briefly at another concept that science has many studies to support: cognitive dissonance.

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Smoking: Additional reasons why it’s SO hard to quit


Nicotine and
self-medication

NOT what you think this post is going to be about!

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Another post in the Walking A Mile in Another’s Shoes Series

It’s National Cancer Prevention Month!
American Institute for Cancer Research

A relatively new study on nicotine and self medication (linked below in the Related Content) prompted me to revisit the topic of smoking.

Why do so many of us continue to do it?

WHY does it seem to be so difficult to put those smokes down — despite the black-box warnings that now come on every pack sold in the USA?

Science rings in

The link between self-medication and smoking really isn’t news to me, by the way, but some scientific validation is always reassuring.

An article I published early-ish in 2013 can be found HERE – where I discussed the relationship between nicotine’s psycho-stimulation, the brain, and the concept of “core benefits.”

For those of you who enjoy a bit of sarcasm with your information, it’s written in a rah-ther snarky tone toward the self-righteous – who, because of the way the brain responds, actually make it more difficult for people who need to quit with their nags and nudges.

Even if you don’t, you’ve probably never come across this particular point of view anywhere else as an explanation for why it can be such a struggle to quit — especially for those of us who are card-carrying members of Alphabet City.

I’ll give you just a little preview of what I mean by “snarky” below
(along with Cliff Notes™ of most of the info, for those of you with more interest than time).


HOLD YOUR HORSES!!

Sit on your hands if you must, but do your dead-level best to hear me out before you make it your business to burn up the keyboard telling me what I already know, okay?

I PROMISE YOU I have already heard everything
you are going to find it difficult not to flame at me.

There is not a literate human being in the United States (or the world) who hasn’t been made aware of every single argument you might attempt to burn into the retinas of every smoky throated human within any circle of influence you are able to tie down, shout down, argue down or otherwise pontificate toward.

NOW – can you listen for once?  I’m not going to force you to inhale.  I’m not even trying to change your mind. I would like to OPEN it a crack, however.

If you sincerely want to protect your friends and loved ones while you rid the world of the deleterious effects of all that nasty second-hand smoke, wouldn’t it make some sense to understand WHY your arguments continue to fall on deaf ears?

Unless you truly believe that saying the same thing for the two million and twenty-second time is going to suddenly make a difference —

or unless you don’t really care whether people stop smoking
or not as long as you get to rant and rave about it

 — wouldn’t it make some sense to listen for a moment to WHY some of the people are still smoking?

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Can Eating Grapes Improve Your Memory?


Pilot study highlights role of grapes
in preventing Alzheimer’s disease
Implications for Memory & Attentional Struggles in Alphabet City

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Edited Reblog from the ClinicalNews blog
Ralph Turchiano on February 3, 2017

Brand New Study suggests Good News!

Grape-enriched diet prevents metabolic brain decline,
improves attention and memory
Public Release: 3-Feb-2017: California Table Grape Commission FRESNO, CA

Consuming grapes twice a day for six months protected against significant metabolic decline in Alzheimer-related areas of the brain in a study of people with early memory decline.

Low metabolic activity in these areas of the brain is a hallmark of early stage Alzheimer’s disease. Study results showed a grape-enriched diet protected against the decline of metabolic activity.

Alzheimer’s disease. as most people know, is a brain disease that results in a slow decline of memory and cognitive skills. Although it’s cause is not yet fully understood, it is believed result from a combination of genetic, environmental and lifestyle factors.

Currently 5.4 million Americans are living with Alzheimer’s disease — and the numbers continue to grow.

Study implications for EFD

Scientists noted that the group that was given the grape-enriched diet also exhibited increased metabolism in other areas of the brain that correlated with individual improvements in attention and working memory performance, compared to those on the non-grape diet.

That’s encouraging news for those of us with Executive Functioning Disorders.

EFD, remember, is the term used to describe problems with cognitive abilities that most adults take for granted as products of intelligence, education and maturity — items like planning, problem solving, concentration, mental flexibility, and controlling short-term behavior to achieve long-term goals.

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Mental Health Awareness for February 2017


Special days & weeks in February

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

It takes one person to make a difference —
just think of what thousands can do.

~ Psychology Today 2016 Awareness Calendar

Online Marketing Gurus extol the effectiveness of piggy-backing posts,
onto particular events – how about one or several of the ones below?

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.

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.

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 issues.

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.

Google Find – suspicious link to source not included here

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).

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Friday Fun: Memory


I know we’ve met many times,
but what was your name again?
Let’s laugh the whole thing off

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

Quick Intro before we get to the Funnies

What we can and cannot recall at any particular time depends on a lot of factors . . .

our generation … our cultural imperatives … what sticks out among the familiar … the time of day and how much sleep we’ve had lately … whether we are well-hydrated — even what we ate for breakfast.

Unfortunately, the mechanics of human memory still remain a mystery to the science crowd.

They now know a great many more things, however, for example:

* THAT memories are not stored in one part of the brain alone – nouns, names & faces are stored in different areas (and some brains have trouble with ALL of them)

* THAT bits of memories are distributed — each time they are recalled they are reconsolidated anew

* THAT how we feel and think when we recall them changes memory’s bits and bytes — which is why eye-witness testimony is not reliable

* THAT more recent memories become tougher to recall as we age, even when we can vividly remember what happened much earlier in great detail, and

* THAT attention and focus (and sleep) are essential for effective long-term storage. If we are paying attention elsewhere, storage for recall is iffy (and when we don’t sleep, brain filing is a crapshoot) — even our own promises to our significant others

But that is ALL little consolation when they can’t help us with CRS:
that disabling “disorder” when we
Can’t Remember Stuff.

Related ComicWinter Food Storage

All is not lost

Source: Wrong Hands

Fortunately, there are quite a few brain-based explanations and work-arounds for memory’s glitches.

I continue to share a great many coaching tips and tricks to help with more reliable storage and recall (and I’ve included links in this post to some of my longer, more serious articles on memory).

Today, however, we’re going to temper our frustrations with a quick bit of humor.
How many of the situations below have you experienced in YOUR life?

Oh, and after today, Funnies post only occasionally

Reminding you of what I disclosed in last Friday’s introduction to this series, Funnies about Perspective: unlike the ongoing Sunday Smiles and Monday Funnies you’ll find on Chris The Story Reading Ape’s Blog, my Friday Funnies will show up only occasionally, usually clustered around a theme.

If I get the feeling that things have gotten a tad serious here in the world – or on ADDandSoMuchMORE.com – get ready for another hit of humor, most likely another Friday Funny.

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.

AND NOW for some more humor . . .

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ABOUT the Mental Health Writers Guild


A new badge on my sidebar
and one more item I can cross off my to-do list

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

No longer languishing undone

I’m doing my happy dance to be able to announce, finally, that ADDandSoMuchMORE.com is now included among the many other wonderful blogs on the membership roster of the Mental Health Writers Guild.

For those who are not already aware, The Mental Health Writers’ Guild is a voluntary, non-profit, non-professional community.

It exists to encourage positive, informative, inspirational writing supporting Mental Health Awareness, advocacy, encouragement, information and help.

It seeks to provide and promote a community open to all bloggers and writers who write articles which are either directly or indirectly related to mental health and mental well-being in an affirming – and non-commercial – manner.

Gettin’ A Round Tuit at last

It has been my intention to submit ADDandSoMuchMORE.com for membership seemingly forever, but something always jumped in front of it on my to-do list.

  • When I finally had the time and focus last year, the life of the site creator and administrator wasn’t in a place where he could keep up with the administration required, so was unable to respond to requests for membership for a time.
  • BoldKeven (also blogging at Voices of Glass) checks out every blog personally, to make sure that member sites reflect positively on one another and on the Guild, then adds a link to blog of the newly approved member on the Guild’s Membership Page.

All’s well that end’s well, right?

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Emotional Mastery to help us move forward


Upgrading how you feel
to help you change what you DO

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

UPDATE: This article was written to support the mood challenges of most readers here.  The blog of one reader reminded me to be SURE to say that some of you are dealing with issues that are more complex, and that other articles I’ve written might be more helpful to you.  Click to the PTSD/TBI LinkList for links to a selection of those.

Riding herd on runaway emotions

I recently found an emotional resiliency blog post by PsychCentral blogger Athena Staik, Ph.D. that fits right in with my focus on change-management in 2017.

She begins with four important points to keep in mind:

  1. Emotion mastery is a built-in capacity, often ignored yet always available.
  2. It is a learned ability to respond in a conscious manner that short-circuits our body’s survival-system to keep it from controlling us and our lives with ineffective automatic reactions and unconscious defensive strategies.
  3. It involves developing an awareness of and connection to our thoughts, emotions and body sensations — so that we are able to, step by step, cultivate a practice, or lifestyle habit of making conscious, informed decisions that will keep us on course toward achieving our goals
  4. In the process of cultivating emotion mastery, we will build the confidence and resilience we need to handle upcoming challenges more effectively.

Emotional Mastery

She continues by using the acronym M-A-S-T-E-R-Y to outline a system she recommends to help us tame our emotional reactivity.

The article seems to have been written from a neuro-typical point of view, so I don’t agree completely with every single thing she has to say about them.

I do agree with her on their importance, however – and I’m sharing in the hopes that her “MASTERY” mnemonic will help us all keep them in mind.

Mnemonic devices are techniques a person can use to help them improve their ability to remember something — a memory technique to help your brain better encode and recall important information.

You can jump over to Staik’s article to see what she has to offer in response to each letter.  My own thoughts will be found in the posts I’ve linked within or below each of her mnemonic assists.

 So lets take a look at them!

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Happy New Year’s Life Upgrades to YOU


Resolutions? Affirmations? Intentions?

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
An edited reposting of an earlier idea

Drawing of a hand, arm, quill pen and paper, under the words New Year Resolutions - as if in handwriting.

A therapist I know has this to say about change:

“Everybody wants things to be different,
but nobody wants anything to change.”

He doesn’t add, “especially anything about THEM” – but I have always believed that’s what he was really talking about: the devil you know, and all that.

What IS it about change that makes us cringe?  

Never one to ask a rhetorical question without some kind of an answer gnawing at the edges of my mind, I’ll tell you what I’m thinking it is – at least where those of us with ADD/EFD brain wiring are concerned: it’s so darned disorienting.

  • JUST when we get a few processes on autopilot so that we can finally avoid the dreaded decision-making horror with every step of the process, and . . .
  • Just as we get things systematized, automated to the point where short-term memory deficits are no longer as likely to trip us up . . .
  • Some idiot updates the software and nothing works the same way anymore. (Those of us in the WordPress.com blogging community know I’m not JUST speaking metaphorically here!)

It’s beyond frustrating – it makes us feel stupid. It’s salt in an ADD/EFD wound that’s barely scabbed over to begin with.

Our only alternative is to revise and adjust, which sometimes feels like beginning anew — and often is exactly like beginning anew.

It seems that ever since the recently deceased futurist Alvin Toffler first published his only-constant-is-change Future Shock in 1970, nothing holds still for very long at all.  And, forced to adapt, we are absolutely powerless to do anything else about that but bitch.

Is it any wonder that we want to dig in our heels whenever and wherever we have a bit of power and change doesn’t seem absolutely necessary?

  • RESOLVE to change something we’re used to?
  • Change something about US?

When pigs fly, and not one moment sooner!

And yet . . .

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Mental Health Awareness for January 2017


January Mental Health Awareness

Along with Advocacy & Awareness
for other 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

It takes one person to make a difference —
just think of what thousands can do.

~ Psychology Today 2016 Awareness Calendar

A bit early for January

I am using the lull between Christmas Day and New Years Eve to post January’s Awareness list.

I’m pretty sure that nobody will be in any kind of shape to pay attention to it on New Year’s Day (nor am I likely to be in any kind of shape to get it up on January first myself!)

Mark your blogging calendars anyway

Every month and many days of the year have been set aside to promote awareness or advocacy of an illness, disability, or other special-needs-related cause. Scroll down to use this January index to make sure you mark those special occasions this month.

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

May 2017 be the year
when EVERYONE becomes aware of
the crying need for upgraded mental health Awareness.

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

Attention Bloggers: If you write (or have written) an article that adds content, feel free to leave a link in the comment section and I will move it into it into the Related Content on this post.

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

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.

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How to navigate those “Home Alone” Holidays


The Single Person’s Holiday Playbook

(Putting an end to those awkward holidays!)

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
An edited reblog of a previously published article

ENOUGH with the questions from well-meaning others!

Whether we are alone by choice or circumstance, holidays can be, at best, awkward.

Found on: Lolsnaps

“Have any plans for the upcoming holiday?” can be asked at any moment – even by total strangers trying to be friendly in grocery lines.

ANY version of, “Not really,” is something they do NOT, actually, want to hear.

Nor is it something that most of us who are already feeling marooned are eager to utter aloud.

No Mom, s/he won’t be coming

As any single person who’s ever gone “HOME for the holidays” can probably tell you, being “unpartnered” during special family events can present a unique set of challenges, especially the first time.

It runs the gamut:

  • from feeling awkward, maybe a bit defensive about your [lack of] relationship status this particular holiday,
  • all the way to feeling that you must either “ruin everyone’s holiday with a display of pique” -or-
  • grit your teeth, grin and bear it as you attempt to find a way to politely field unintentionally rude inquiries about why you happen to be alone.

The Formerly Familied

Far too many individuals who are divorced, widowed, separated (or outliving their families and many of their friends) can find solo-holidays sad and depressing.

A friend of mine, an emotionally healthy, extremely self-reliant, empty-nest single parent says her married kids “make other plans” for major holidays — at the very least every other year.

She really doesn’t resent the reality that the kids have their own lives, hope to start their own family traditions, and deserve to feel unconflicted about making holiday plans that won’t always include her,  BUT . . .

She says that she can’t face cooking a holiday meal for one OR going to a restaurant alone when everyone but her seems to have somebody celebrating WITH them.

She also finds it unbearably depressing to fuff around in her pajamas and slippers ALL day, even though she feels like she is “all dressed up with no place to go” if she doesn’t.

Reaching out to help others?

Even singles who volunteer at soup kitchens and so on have to make it through at least a portion of the day totally alone, at a time that was once known for family get-togethers.

People who never drink anything stronger than root beer have confessed that the idea of becoming a regular at their town’s version of the Cheers bar crosses their minds more than a few times, just to have somewhere to go and a few people to talk to on Thanksgiving, Christmas and New Years Eve.

Different ways to make it work . . .

Since I have spent most of the major holidays alone for many years now, I’m hoping that I will be able to help you look at things in ways you haven’t already thought of, tried and rejected.

In any case, I’m not planning to rehash the holiday survival tips already found all over the internet (but in case you have missed a few bloggy ideas, check out the articles under the Related Articles ’round the net heading in the links below the original post.)

Don’t forget that you can always check out the sidebar
for a reminder of how links work on this site, they’re subtle ==>

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My 2016 Birthday Prayer


Today is my birthday
but, awakening from a nightmare,
I’m not feeling very happy right now

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

First, my birthday prayer:

The personal story behind both the prayer and my recurring nightmares follows below.

PLEASE God, we seriously need to upgrade the health-care system in this country. We need a clean sweep of the Mammon-worshipping insurance industry, God, clearing out everyone who is getting rich off the health challenges of the citizens of this country.

Please make everyone aware that, most importantly, we desperately need to FIX America’s woefully inadequate mental health care system, as we vastly improve mental health awareness in the entire country – including empathy for the poor, the homeless and every single one of our veterans.

Lay it on the heart of every single American with breath enough to speak, God. Let them know it like *I* know it, feel it like *I* feel it

Make them realize that action can no longer be procrastinated, regardless of whether America’s new administration is willing to understand or is otherwise uninspired to take effective steps toward solutions that are more than sound-bites and cronyism.

Let the world finally understand that jails and prisons are no place for those who are mentally ill, God, and that Law Enforcement without in-depth mental health training has NO place dealing with the mentally ill.

Amen

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Procrastination’s link to kludgy Executive Functioning


Getting a Round Tuit
CUTE — but not very helpful

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Reflections from posts in the Challenges Series

Oh those clever seminar leaders!

We all love the little gifties that are passed out at a great many seminars we have attended, seminars designed to help us fashion lives that are more productive and enlivening.

Most of us have a list of things we intend to do when “we get around to it” — but I can’t imagine how being gifted with a little round reminder that we need to STOP “procrastinating” and “just DO it” is going to make one whit of difference.

In most cases it’s shaming, actually, regardless of how positive the humorous intent – and shame rarely works well as a motivational technique.

Related Post: The Top Ten Reasons to Reframe Procrastination

We need to look clearly at what’s going on

Follow through to completion is a linear process modulated by the prefrontal cortex [PFC], the brain’s “conductor” that keeps us on track and in action, step after step.

Our vanilla-flavored friends rarely appreciate the fact that they have an unconscious advantage in the linear processing department – what is frequently referred to as “declarative memory.”  That makes certain kinds of information retrieval, organization and task completion, and – well, just about everything else – a heck of a lot easier for them.

With the ADD/EFD brain-style (and others with attentional spectrum dysregulations – all of us with Executive Functioning glitches), we seem to process sequential information in a fairly disjointed manner — the pieces somehow jumbled together — sometimes not recorded at all, even when we do our very best to keep our attention on matters at hand.

Too many guests at the EFD Table

Because the brain is soft and sloshes around in fluid inside a hard skull with bony protrusions – especially in the front area where the PFC is most vulnerable – any appreciable hit on the head is likely to result in a few problems with Executive Functioning.

Because the PFC is connected to almost every other part of the brain, it’s not much of a stretch to believe that strokes or medications that affect one one part of the brain are likely to have an effect on PFC connectivity as well.

Implication: any individual with a disorder, stroke or other brain damage affecting the prefrontal cortex is highly likely to experience brain-based executive functioning challenges of one sort or another.

In a nutshell, “Executive Function” is the mental ability to organize, prioritize, and accomplish tasks. It is figuring out what to do first, second, third, and so on, to see a task through to completion. Executive function involves things like being able to realistically determine, in advance, how long and how difficult a particular task will be to accomplish.
~ from a great 1st person article by PTSD advocate Linda Lee/LadyQuixote, Impaired Executive Function, My Invisible Disability

Connectivity challenges are experienced by individuals with mood disorders, autistic spectrum disorders, TBI/ABI, and more than a few neurological conditions such as sensory integration disorders, Parkinson’s, dyslexia — in fact, almost all of what I refer to as the alphabet disorders.

Due to the way the brain ages, even individuals who were born with the neurotypical brain style will begin to notice increasingly more Executive Functioning struggles as they get older.

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Living within the boundaries of TIME


Why TIME can be so hard to track
MOST of us battle it – but some of us lose more often

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

If you want to know the truth about TIME, ask a kid

Kids know that, even on December 24th, the time between now and Christmas morning is MUCH longer than the time between the now of the last day of summer vacation and the first day of school.

How long those “golden rule days” last is open to debate in kid-courts everywhere.

Kids who enjoy learning and have great teachers
are positive that the school-day is short,
as the kids who don’t will swear it is interminable.

On this they can agree

Most kids beg for “just one more minute” to watch TV or play computer games – as if a measly 60 seconds is going to give them what they really want: to continue doing something that engages their attention and avoid doing something they find difficult or don’t want to do.

Science tells us that the perception of time is a function of interest and effort.
I say: only partly.

  • NO extra time eases the transitions, for kids or adults – which is a huge part of the problem for anybody who isn’t strictly neurotypical and linear beyond belief.
  • And it takes a lot of work to learn to work with and around hyperfocus – that “trapped in the NOW” state that brains challenged with attentional struggles use to compensate for kludgy focus.

What’s a poor time traveler to do?

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Sleeping with the Enemy: Mom’s N-24


How N-24 affects the rest of us
With a special take on the topic from Guest Blogger TinkerToy

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

“When you hear hoof-beats,
think horses not Zebras”

Most doctors are repeatedly exposed to that little ditty from their earliest days in Med School, encouraging them to always consider the simplest explanations first.

It’s not bad advice for many of the disorders and diseases they’ll come across in the patients who will walk through their office doors seeking diagnosis and treatment.

It just turns out to be exactly wrong when it comes to recognizing chronorhythm disorders – disorders of sleep TIMING.

November 24th is N24 Awareness Day

As explained in last weeks post, N-24 Awareness Day is almost upon us:

N24 Awareness Day was first organized in 2012 to help raise awareness of chronorhythm disorders – those affecting sleep TIMING – and particularly to increase awareness of one of its lesser known manifestations: Non-24-Hour Sleep-Wake Syndrome.

It is also known as hypernychthemeral syndrome, N24, N-24, or free-running sleep disorder.

It is a severe, chronic and disabling neurological disorder that causes an individual’s “brain clock” to be unable to stay in sync with “nature’s clock,” the 24-hour cycle of light and dark on our planet.

For many years it was believed to be rarer than those of us who live with it know it to be, and to affect only the blind – supposedly the only individuals unable to “rephase to light.” SIGHTED sufferers were excluded from the studies, and are still today.

How can medical science expect to find what they fail to seek?

N24 Awareness Day – or N24 Day – is now observed annually, gathering participants as increasingly more people become aware of sleep timing disorders, recognizing their own sleep-struggles when they read about the symptoms.

Many have been MIS-diagnosed with insomnia, narcolepsy, or “simple” sleep apnea, because MOST doctors, therapists and coaches remain shamefully unaware — unable to recognize clear symptoms of an entire class of sleep disorders: those that are the result of chronorhythm dysregulation.

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N-24 Awareness Day is almost upon us


I wonder if I’ll be awake for it?
Don’t laugh – “days” are always a crapshoot

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

Even though I’m scurrying to finish everything I need to do to be able to announce Open Enrollment for the upcoming Group Coaching, I simply must take a bit of a break to let you know of something coming up in less than one week: N-24 Awareness Day.

An Explanation, not an excuse

In addition to my personal Challenges as THE ADD Poster Girl, anyone who knows me well at all knows about my life-long struggles as the result of a bodacious disorder of sleep TIMING.  (If you don’t you can read all about it in JetLagged for LIFE!)

If YOU or someone you love has been known to be “up all night,” sleeping away much of the day, put it on your must read list.

Depending on how closely you can relate, it just might change your life to learn what just might be going on.

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Beyond the Limitations of a Post-It Note™ Brain


 

TIME Perception is a factor of Awareness

The more conscious the process,
the longer it seems to take

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Reflections post from the Time & Task Management Series
Part THREE (Part I HEREPart II HERE)

According to Dr. David Eagleman, we humans are more than passive observers where time is concerned. And he should know. The author of Incognito: The Secret Lives of the Brain, has studied Time perception for well over a decade.

According to his research, we are not merely watching the river of time flow by as if time happened TO us, or we happened IN time. Science is learning that our brains are actively constructing time.

Re-engineering Brain Resources

In Eagleman’s words, It turns out that it has everything to do with novelty, and with how much energy your brain has to expend.

So, when you can predict something, not only does your consciousness not come online, but [the event] feels like it goes by very fast.

In other words, driving to work may seem relatively fast eventually. The first time you had to do it, however, it seemed to take longer because of the novelty, as well as the amount of brain-power you had to burn the first time you did it — before your brain was able to predict much of anything about the trip.

Essentially prediction means that if it’s something you’re doing repeatedly, you’re actually “rewiring” — reconfiguring the circuitry of the brain.

You’re actually moving things into your sub-conscious circuitry, which gives you speed and efficiency, albeit at the cost of conscious access.

So you have to pay a lot of conscious attention if you’re learning to do something new, like playing golf or driving a car.

After a while it’s not necessary, because you’ve changed the circuitry of your brain — no longer at the effect of the conscious awareness of what you’re doing.

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Sherlocking for Task Completion


Looking at the details
of any problem with follow-through

How do YOU need to proceed?

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Reflections post from the Time & Task Management Series
Part TWO (Part I HERE)

Follow my process as you Sherlock your own

As I continue to remind you: ONLY when we take the time to Sherlock the details of how and why we get stuck are we able to figure out what might work to help us get UNstuck!

And I promise you that it is RARELY as simple or straightforward as the self-help books might lead you to believe, neurotypical or otherwise.  Everything depends on how any particular task intersects with your particular Challenges Profile™.

As you examine some of the details of my own particular problem example below, think about some of the areas in your life that might look like one type of problem but are actually the result of something else entirely. 

The Leaning Tower of Crockery

Creative Commons, Wikipedia

Creative Commons, Wikipedia

There is no room for a dishwasher in my current apartment. I’m stuck with the task of washing everything by hand.  As much as I hate it, it’s nothing compared with the struggles I faced in my last apartment.

During a hateful period of several weeks there was a faucet drip, compounded by a sink-drainage problem for at least two.

During this particular period, it could take hours for the sink to drain completely. Increasingly powerful drain cleaners did little to clear the clog effectively. Water backed up in my kitchen sink and my dishes piled up unwashed while I waited for my landlady’s follow-through skills to kick in.

Since water in that particular first-floor dwelling always took several minutes of running before it approached a temperature anyone might consider warmish, the sink filled with cold water before I had a shot at getting water delivery hot enough to clean anything.

It made me increasingly furious to have to boil water like a pioneer before I could wash my dishes, so I stopped.  Cold.

Calming myself down

Getting my shorts in a knot about the drainage problem wasn’t going to make it go away. Emotional upset would only increase the difficulty of getting anything ELSE accomplished.  It made sense to stay busy elsewhere so I wasn’t constantly aware of the problem building in the kitchen.  Some distractions are actually helpful!

Except for nightly applications of drain cleaner and cleaning out the goop in the sink – a process that seemed to be undone by morning – I tried to avoid using the kitchen sink at all. I waited for my landlady to find and fix the problem, calling her every day or so with a reminder message. Day turned into day after day.

Even though the resulting mess was beyond hateful in many ways, and even though I could not FORCE myself to handle it “in real time,” waiting was more of a choice than a problem with procrastination.

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Predicting Time to Manage Tasks


Beating Back Task Anxiety

by understanding your relationship to TIME

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Reflections post from the Time & Task Management Series
Part ONE

What’s YOUR Tendency?

As regular readers already know, I tend to put my faith in what science crowd refers to as “anecdotal evidence”  — learning from what I have observed in my clients, myself, and what I have heard from thousands of ADDers who have attended conferences and participated in my support groups and workshops in the twenty five years I have been in the field.

As I expanded my evidence collection to include the experiences of the other citizens of Alphabet City (TBI, PTSD, OCD, EFD, AS, etc.), I began to mentally record their experiences as well, and factor them in to my techniques and theories.

When the science supports what I see in the population, I quote it.  When it doesn’t, I ignore it or argue with it. It makes no difference if 98 out of 100 people studied tend to do xyz if my client and I happen to be among the 2% who do abc.

It doesn’t matter.  Your job is the same either way: check your gut to see what makes the most sense to you and try it on.  Tweak from there. Check out another tool when something doesn’t work for you.

But hang on to the first!!  Just because you need a hammer NOW doesn’t mean you won’t need a lug-wrench later!

My take on Anecdotal

  • For years I struggled valiantly attempting to adopt “majority rules” norms — with little to no success and a lot of wasted life.
  • It took a long time for me to develop even a rudimentary feeling of entitlement to my own process, learning to close my ears to the words of the “experts” and neurotypical Doubting Thomases who kept telling me that I was only kidding myself or making excuses.

I coach, train and share here on ADDandSoMuchMore.com hoping to help others avoid some of the wilderness-wandering that has characterized much of my own life. And to remind myself of what I’ve learned.

Trying something different

I want to encourage you to find what works, not what is supposed to work

So, in the first part of this multi-part article, let’s take a look together at how people relate to time and tasks, and how that affects our ability to plan our schedules and run our lives.

Let’s examine the real stoppers to OUR forward progress to see if we can figure out how to work around them, independent of the “standard” assumptions and techniques – a process I refer to as Sherlocking.

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TIME to think about Group Coaching


Time Troubles and Coaching
For people who are “ALWAYS” running late and rushing around
— and the people who love them —
(who would like to understand how to change that sad fact)

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
from the Time & Group Coaching Series

BEFORE  I tell you about the upcoming start of an affordable new Coaching opportunity designed to help you with A-WHOLE-LOT-MORE than time-management, let’s take a moment to chat about time itself.

Time can be MANAGED?

For over a quarter of a century now, I have been fascinated with anything related to the topic of the awareness of the passage of time. It has always been a mystery to me – and I now know that I’m not the only one with that peculiar problem.

Personally, I can’t recall a time when time made sense, except in the context of NOW and not-now.

Even when I explain it to someone who thinks they understand, it seems that nobody gets the implications. I am frustrated beyond belief when they continue to ask me time-based questions.

My secret fascination with the mechanics of time’s awareness began long before I first learned that I seem to be one who was born without that internal tic-tic-tock with which most people DO seem to have been equipped, part of the standard package.

I’ve been told I can’t get one now, even as an after-market upgrade.

Oddly, I have a great sense of rhythm – which is time-based – so I can change time-ING, but predicting how long something will take or how long ago a life landmark occurred is always beyond me.

Back in my acting days, when I had to do a 30-second spot and I was over or under by a few seconds, I understood how to tweak the cadence to end “on time.” But I never could stay tracked attempting to “time” much of anything for much longer than a minute (or “time” a dance number — I simply stayed in step with the music until it stopped).

Are YOU one of the time challenged?

None of us know what we don’t know . . . so how can we frame a question another will understand? It seems like magic when others are able to manage something in arenas where we are totally at sea.

The best analogy I’ve been able to come up with for a lack of time-sense is that it’s like trying to teach the tone-deaf to sing.

Friends who aren’t able to sing on pitch can’t tell when they wander away from the tune, and I have never been able to help them learn to do so.  They simply can’t hear it.

Unlike those who can’t match a pitch, however, I always knew there was some “secret” that others knew and I didn’t (and therapists have had a field day with this, by the way – “Madelyn, I don’t have answers for you!”)

I simply couldn’t imagine how to frame a question beyond, “How do you DO that?” or “What am I missing?” – which, I suppose, seemed more like feigned ignorance or an unwillingness to take personal responsibility to others. So I stopped asking. I hated the look on their faces, even when their responses weren’t cruel, and even though I understood they didn’t MEAN to be cruel.

Making sense of a lack of sense

I found out that there was such a thing as “a sense of time” in the same article I found out about adult ADD, published years ago in the New York Times magazine section – Frank Wolkenberg’s now landmark, “Out of a Darkness.”  I was 38.

My reaction to that particular aha! was, “Well, NO WONDER every one else can get places on time — they’re cheating!” (as if “a sense of time” was like having an exam crib sheet stuffed up their sleeves.)

Once I understood that some inner chronometer allowed others to somehow feel that time was passing (and how much time was passing, for most of them), I understood immediately that I had to stop attempting to “figure it out” and focus on easy-to-set alarms (one to STOP, to get ready for the next thing, another to begin walking out the door — etc.) That’s how I did it — and how I have to do it still.

I found it fascinating to hear that some people LOST their sense of time following a head injury. I know it must be frustrating for them, but at least they know how to explain what’s missing — not that it helps others to understand what they’re talking about or the extent of the resulting struggle one whit better.

Related Post: Lessons from the TBI Community

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Mental Health Awareness in November


November includes N-24 Awareness Day

Along with Advocacy & Awareness
for many other mental health (and related) issues

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

It takes one person to make a difference —
just think of what thousands can do.

~ Psychology Today 2016 Awareness Calendar

Mark your blogging calendars

Another month of many days designed to remind us all to spread awareness and acceptance to help overcome the STIGMA associated with “invisible disabilities” and cognitive challenges — as well as to remain grateful as we prepare for the upcoming holidays. Start drafting your own awareness posts now.

Each month is peppered with a great many special dates dedicated to raising awareness about important emotional, physical and psychological health issues. Scroll down for the November dates, highlighting important days and weeks that impact mental health — as well as those remaining active for the entire month.

Also included on the list following the calendar below are awareness and advocacy reminders for health problems that intersect, exacerbate or create problems with cognition, mood and attention management. (The calendar is not my own, btw, so not all mental health awareness events linked below it are included.)

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

Attention Bloggers: If you write (or have written) an article that adds content to any of these categories — or other mental health related days in November — please leave us all a link in the comment section. I will move it into its appropriate place on the list in the article, or into the Related Content section.

And please feel free to reblog this post if time runs short.

Jump over to Picnic with Ants to read her first post following a prompt from WEGO’s Health Activist Writers Month Challenge.

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The Wisdom of Compensating for Deficits


Brain-Change vs. Compensation
TIME is of the Essence

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
from the Self-Help Series – Part I

Arguing with YouTube

I have been watching a lot of brain-based TED Talks of late – talks from notables like the following:

I added links to those videos above so you can click to watch them too.

Their Advice for Us

Each of them hopes to direct the focus of the world to healing the problem rather than working at the level of symptoms.

That makes A LOT of sense, right?
I LIKE these experts, and applaud their efforts.
I have known about the things they espouse for many years now,
and I think each is a great idea.

HOWEVER, something about each of their talks left me with a sense that something was off, or missing — or that, in the way they came up with their advised solutions, they devalued or overlooked a point of view that was important.

It took me a bit of noodling, but I finally figured out what was bugging me.

Three things:

  1. The advice was presented in an either/or, better/worse, black and white fashion that, in some subtle manner, left me with an uneasy feeling. I was left with an impression that they each believed that their way of working was the best way for ALL individuals to proceed — and that we would be somehow foolish to approach finding a solution to compensate for our challenges instead of “fixing” the root cause.
  2. They seemed oblivious to the reality that, for a great many of us, some of their solutions are absolutely out of reach financially (Do you have any idea how much it costs to get a brain scan for diagnostic purposes, for example?)
  3. They left out the TIME factor altogether – and didn’t quite explain who was going to support us while we set about changing our brains by getting more sleep, changing our diets for optimal brain health and healing, or working through exercises that will improve short term memory (for example).

Few of us can afford to take a year or more OFF while we take advantage of the miracle of neuroplasticity to give our brains a fighting chance at “normalizing.”

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Nick: A Personal Triumph over Brain Damage


He’s come back from so much
– proof that nothing is impossible with hard work
and a dream

a hand-crafted reblog adding to the What Kind of World Series
Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC

Autonomy implies Independent motion

In 2009, the 25 year old son of one of the most positive lights in the blogging community, Sue Vincent, had his youthful potential cut short. He was stabbed through the brain in an unprovoked attack and left for dead in an alley.  The prognosis was grim.

He was not expected to survive at all – and not expected to have much of a life worth living if he did.  They were told that if he woke, it would probably be to a vegetative state. At best, he might have the mind and abilities of a two-year-old. The damage was extensive and irreversible. He would need constant care for the rest of his life.

The triumph of will

Over the past couple of years, many in the blogging community already know he did survive, defying all the odds, fighting his way back to achieve wonderful things in spite of the physical challenges with which he lives still, wheelchair bound.

Sue’s article describes even more about his inspiring story, and links to posts about his courage in the face of subsequent challenges, as well as his incredible adventures since that day.

She blogs of the magic of May Day, his skydive… the London to Brighton cycle ride (raising funds for Headway, a charity supporting brain injury victims and their families) … and the Triathlon — all of which raised thousands of pounds for charity.

More than I would attempt, for SURE!

The London to Brighton cycle challenge was a ride of some 54 miles (87km).

It included the ascent of Ditchling Beacon, which climbs nearly 500 feet in less than a mile… all, according to Sue, carrying a bag that weighs as much as a small county on the back as well.

It was made possible with help — others who donated time and the strength of their own bodies to make sure the equipment that supported Nick’s goal was packed and transported so that Nick was able to start and complete the ride.

But Nick dreams of still MORE.

Autonomy enough to travel

Sue explains in her article that Nick’s dream of autonomy with travel is currently hampered by a plethora of problems accepted as “normal” with his current “trike” – in a manner that some angel on earth has found a way to overcome with the Mountain Trike, a cross between a mountain bike and a wheelchair.

More than the smooth terrain necessary for most wheelchairs, this trike can go off-road and up mountains. It can handle sandy beaches, ford streams and cope with muddy tracks and cobbles. It even has a luggage rack.

More important, it is a manual wheelchair with an innovative propulsion system that Nick can use, even with reduced mobility and struggles with coordinating both sides of his body.

It doesn’t need batteries, can be fixed by most bike shops in an emergency and, crucially, doesn’t need anyone to push it. He can go out into the wild places alone for the very first time in seven and a half years.

Source: Independent motion – can you help?

Meet Nick

A few of you may follow Nick’s blog and may already have read about his recent preparations for his biggest adventure yet — looking forward to accomplishing the impossible once again, proving that ‘impossible’ really isn’t, if you set your mind and heart to something.

If you are new to Nick’s story, I hope you will give yourself the gift of reading about it – and that you will take the time to watch the video he has included on THIS post – especially those of you who are close to giving in and giving up.
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October 10th is World Mental Health Day


Take a moment to think about it
You can change somebody’s world with a moment of reflection

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

Somebody YOU know is struggling

How you respond and how you speak to them can – literally – make the difference between life and death.

  • A kind and respectful comment at the right time can make ALL the difference.
  • An unthinking comment at the wrong time can kick somebody over the suicide edge.

The problem is that we can’t really distinguish
those right and wrong times.

The following infographic is “reblogged” from the Courage Coaching site.  The accompanying article includes a list of things that many people say that don’t help and can easily harm.  It’s a quickie. Hop over to read it.

“This years’ theme ‘Dignity in Mental Health-Psychological & Mental Health First Aid for All’ will enable us to contribute to the goal of taking mental health out of the shadows so that people in general feel more confident in tackling the stigma, isolation and discrimination that continues to plague people with mental health conditions, their families and carers.” ~ World Mental Health Day 2016 | World Federation for Mental Health

Don’t forget that you can always check out the sidebar
for a reminder of how links work on this site, they’re subtle ==>

 

But wait! There’s more . . .

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When Depression Comes Knocking


Depression:
NONE of us can count on immunity
when life kicks us down

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
A Mental Health Awareness Month Post

Today, the first Thursday of October, is National Depression Screening Day.

I have written relatively little about my own struggles, and don’t intend to focus there. Nor do I consider myself a poet; I rarely share my amateur attempts. However, a brave post by writer Christoph Fischer touched me in a manner that an informational article would not have. I decided to risk pulling back the curtain on a bit of the struggle in my own life for just a moment, hoping that it will touch someone else in a similar manner and encourage them to reach out. 

We are more alike under the skin than we realize.  NONE of us are really alone.

Nethersides of Bell Jars

I have been wrestling with PTSD along with struggles sleeping when it is dark out since a friend and I were gang mugged at gunpoint between Christmas and New Years Day, 2013 – only a few steps from the house where I rented an apartment.

My friend was pistol-whipped and almost abducted. After they robbed her, they turned their attention to me.

Among other things, my brand new iPhone, keys, datebook, all bank cards, checking account, and the locks on my van each had to be replaced – and everything else that entails.

Since the hoodlums smashed my dominant hand, I had to do it all encased in a cumbersome cast, one-handed for three months.  I wasn’t able to drive – or even wash my face, hands or dishes very well.  Zippers and can openers were beyond me.

Practically the moment my cast came off, I was informed that my landlord wanted her apartment back.  Apartment hunting, packing, moving and unpacking with a hand that was still healing – along with retrofitting inadequate closets, building shelves to accommodate my library and my no-storage kitchen, arranging for internet access and all the other details involved in a move  – took every single ounce of energy I could summon.  Eventually, I hit the wall.

Unpacking and turning a pre-war apartment into a home remains unfinished still.

In the past 2-1/2 years I’ve dipped in and out of periods of depression so debilitating that, many days, the only thing that got me up off the couch where I had taken to sleeping away much of the day was empathy for my puppy.

He needs food, water, love and attention, grooming, and several trips outside each day – and he just started blogging himself.

I’ve frequently had the thought that taking care of him probably saved my sanity – maybe even my life, but many days it took everything I had to take care of him, as the isolation in this town made everything worse.

The words below

I’m sharing the words I wrote the day the psychopharm I have visited since my move to Cincinnati decided not to treat me anymore.  When I called for an appointment, her receptionist delivered the news as a fait accompli, sans explanation.

  • It might make sense to be refused treatment if I attempted to obtain medication too often.
  • The truth is that, for quite some time, I hadn’t been able to manage the scheduling details that would allow me to visit her at all — even though that was the only way to obtain the stimulant medication that makes it possible for me to drive my brain, much less anything else that might give me a leg up and out of depression’s black hole.
  • I would have expected any mental health professional to recognize and understand depression’s struggle. I hoped that she would be willing to help once I contacted her again. Nope!

One more thing I must jump through hoops to replace, costly and time consuming.

Related Post: Repair Deficit

And so, the words below, written upon awakening the day after I was turned away . . .

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Depression and ADD/EFD – one or both?


Increased Risk for Depression –
and for being diagnosed with depression in error

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
An ADD Awareness Month Post

Because of the pervasiveness of the co-existence of these 2 diagnoses, it is vital to understand the differences between the two and to also treat both . . . when appropriate . . . to develop the most effective treatment plan and outcome.

[It’s] important to treat the primary diagnosis first, in order to achieve the best treatment outcome. ~ from Attention Research Update by Duke University’s David Rabiner, Ph.D. (whose article on ADD and Depression was the genesis of this article)

ADD/EFD, depression or both?

Found HERE

Everybody has shuffled through a down day or a down week. Most of us occasionally experience feelings of sadness, grief or depression as the result of a difficult life event.

We don’t qualify for a diagnosis of depressive disorder, however, unless these feelings are so overwhelming that we cannot function normally — generally characterized by the presence of sad, empty or irritable moods that interfere with the ability to engage in everyday activities over a period of time.

It’s not Unusual

Depression is one of the most common disorders to occur in tandem with ADD/EFD.  In fact, it has been determined that, at one time or another, close to 50% of all ADD/EFD adults have also suffered with depression.  Studies indicate that between 10-30% of children with ADD may have an additional mood disorder like major depression.

The overlap of the symptoms of ADD/EFD and depression, however, can make one or both disorders more difficult to diagnose — poor concentration and physical agitation (or hyperactivity) are symptoms of both ADD and depression, for example.  That increases the potential for a missed differential diagnosis – as well as missing the manner in which each relates to the other.

The chicken and egg component

Found HERE

Many too many doctors don’t seem to understand that serious depression can result from the ongoing “never enough” demoralization of ADD/EFD struggles. In those cases depression is considered a secondary diagnosis.

In other cases, depression can be the primary diagnosis, with ADD/EFD the secondary.

Treatment protocol must always consider the primary diagnosis first, since this is the one that is causing the greatest impairment, and may, in fact, present as another diagnosis.

It is essential for a diagnostician to make this distinction correctly to develop an effective treatment protocol.

  • Untreated primary depression can be debilitating, and suicidal thoughts might be acted upon.
  • If primary ADD is not detected, it is highly likely that treating the depression will not be effective, since its genesis is not being addressed.

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Mental Health Awareness in October


October is ADD/ADHD Awareness Month

Along with Advocacy & Awareness
for many other mental health issues

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

It takes one person to make a difference —
just think of what thousands can do.

~ Psychology Today 2016 Awareness Calendar

Mark your blogging calendars

Each year is peppered with a great many special dates dedicated to raising awareness about important emotional, physical and psychological health issues. Scroll down for a list highlighting important days and weeks (and for the entire month) that impact mental health.

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

Attention Bloggers: If you write (or have written) an article that adds content to any of these categories, feel free to leave a link in the comment section and I will move it into its appropriate category.

Also included on the list below are awareness and advocacy reminders for health problems that intersect, exacerbate or create problems with cognition, mood and attention management.

Read more of this post

Don’t Drink the Kool-ade


Choice vs. Fear-mongered Reaction

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Another Reflections post

 

“Ritalin, like all medications,
can be useful when used properly
and dangerous when used improperly. 

Why is it so difficult for so many people
to hold to that middle ground?”

~ Dr. Edward Hallowell

As I wrote in a prior article, in response to one of the far too many opinion pieces made popular by the soundbite press:

  • You don’t have to believe in medication.
  • You don’t have to take it.
  • You don’t have to give it to your kids.

You don’t EVEN have to do unbiased research before you ring in with an opinion on medication or anything else having to do with ADD/ADHD/EFD.

HOWEVER, when you’re writing a piece to be published in a widely-read paper of some stature, or a book that presents itself as containing credible expertise, it is simply unprofessional — of the writer, the editors, and the publications themselves — to publish personal OPINION in a manner that will lead many to conclude that the pieces quote the sum total of scientific fact

It is also incredibly harmful.

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Balance Balls for On-Task Classroom Focus?


Does sitting on a balance ball help children with ADHD in the classroom?

Guestpost from David Rabiner, Ph.D.
Dept. of Psychology & Neuroscience, Duke University
©
ATTENTION RESEARCH UPDATE; September 21, 2016

Let’s NOT discount the science

Could sitting on a balance ball help children with ADD/ADHD/EFD be more focused and on-task in the classroom?

While the idea may strike many as implausible, several small but interesting studies conducted since 2003 suggests there may be something to this.

Really?

Dr. Rabiner recently received a question from a long-time subscriber and teacher about whether there was any research to support a practice in her school of having children with ADHD sit on fidget cushions when seated on the floor or chair.

The idea behind this approach is that children with ADHD may benefit from more movement in the classroom because being in motion allows their brains to be more fully engaged.

He was not immediately aware of any research on this issue, and it initially struck him as a bit far fetched. When he searched the literature, however, he came across several small but interesting studies that yielded promising results.

Scroll DOWN for his excellent summary
of this small body of work.


Please feel free to forward this content to others you know who may be interested. If you would like to receive Attention Research Update on a regular basis, visit http://www.helpforadd.com for a no-charge subscription.

ABOUT:  I have been a huge fan of Dr. David Rabiner’s ATTENTION RESEARCH UPDATE since its inception in 1997. Not only do I count on his comprehensive, plain-English explanations of up-to-date research trends and developments as key resources in my drive to keep my information base current, I also archive them for future reference.

I urge any professional working with individuals with Attentional Spectrum deficits and struggles — whether teachers, counselors, coaches, therapists or physicans — to sign yourself up before the idea falls through the cracks.  (Parents and ADD/EFDers themselves can benefit too!)

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September 2016: Focus on Suicide Prevention


Articles ’round the ‘net
Depression, PTSD and more – the importance of kindness & understanding

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
September is National Suicide Prevention Awareness Month

World Suicide Prevention Day – Saturday, September 10, 2016 – every year, since 2003. I deliberately choose to wait a day to post my own article of support for two reasons:

  1. So that I could “reblog” and link to the efforts of others, offering some of the memes and articles they have created to give you both a quick hit and an overview of the extent of the problem.
  2. So that I could honor September 11th – another anniversary of loss and sorrow, as many Americans mourn the missing.

The extent of the mental health problem

Nearly 44 million American adults alone, along with millions more children and adults worldwide, struggle with “mental health” conditions each year, ranging from anxiety, depression, bipolar disorder, schizophrenia, ASD, OCD, PTSD, TBI to ADD/EFD and more.

One in five of those of us living in first-world countries will be diagnosed with a mental illness during our lifetimes.  It is estimated that more than double that number will continue to suffer undiagnosed.

Many of those individuals will teeter on the brink of the idea that the pain of remaining alive has finally become too difficult to continue to endure.

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One kind comment can be life-saving, just as a single shaming, cruel, unthinking remark can be enough to push somebody over the suicide edge.
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It is PAST time we ended mental health stigma

Far too many people suffering from even “common” mental health diagnoses have been shamed into silence because of their supposed mental “shortcomings” — and every single person who passes on mental health stigma, makes fun of mental health problems, or fails to call out similar behavior as bad, wrong and awful when they witness it has locked them into prisons of despair.

We can do better – and we need to.

According to the World Health Organization, suicide kills over 800,000 people each yearONE PERSON EVERY 40 SECONDS. STILL there are many too many people who believe that mental health issues are not real – or that those who suffer are simply “not trying hard enough.”

This is STIGMA, and this needs to change.

I’m calling out mental health stigma for what it is:
SMALL MINDED IGNORANCE!

(unless, of course, you want to label it outright BULLY behavior)

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