Completing Those Projects that Just Never Get Done!
By Leslie Rouder, LCSW

 

People with ADD very often complain that they have a problem with starting and/ or completing projects. This is often a great source of stress in one’s life, in light of the many projects that just never seem to get done. Some of the reasons Adder’s seem to struggle so much in this area has to do with their inability to begin a project, no less follow through to completion. Sometimes individuals with ADD suffer from chronic procrastination, over commitment, and the inability to focus one’s attention long enough to see a project through to the end. Since Adder’s have problems planning and prioritizing, beginning a project can often feel overwhelming. The following is a list of steps one can take in alleviating this problem and creating an action plan that helps:

 

• Put your goals in writing.
Research has shown that people who write their goals verses those who do not, get them accomplished far more often. Remember you can’t hit a target that you can’t see. Make your project concrete and realistic. Keep it simple and don’t bight off more than you can chew.
• Establish the Action Steps you will need to take in order to complete the project.
Break down the project into small action steps and write each step down on your goal list.
Determine how long each action step will take and put a time frame next to each step.
• Determine what materials will be needed to complete each action step.
Make sure that you have all the materials that you will need to complete the project before beginning. That way, you will not have to stop once you get started and lose your focus.
• Give yourself a time frame in which to complete the goal or project.
Now that you have determined each step and the approximate time each step will take, you can set a realistic time frame to complete the project. If, while working on the project, you realize that you miscalculated the time it would take to complete each task, go back to your action plan and modify the time frame given this new information.
• Continue to review your action plan every day until completion.
Not only is important to write your goals, but it is also important to keep them in your sights and review them daily. The more you keep them in your mind, the faster you will complete them.
• Keep going!
If you have gotten this far, you have done most of the hard work. Now race to the finish!

 

Always take the time to acknowledge and appreciate the hard work you have done. This will re-enforce the great feeling of knowing that you can complete a project and achieved your goals. The more positive experiences you have like this, the more confidence you will develop in achieving your goals. This will make it easier for you the next time a project comes along. Remember that believing that you can is half the battle.

 

Leslie Rouder is a licensed therapist and ADD coach. She can be reached through her web site at www.ADDadults.net.

The Use of ADHD Drugs on College Campuses to Enhance Academic Performance
 

The Use of ADHD Drugs on College Campuses to Enhance Academic Performance

By Leslie Rouder, LCSW

 

A large number of students with ADHD attending Universities around the country are taking medication to assist them in leveling the playing field and achieving their academic goals.  However, there is a growing concern regarding the illegal use of these ADHD medications by students who do not have an ADHD diagnosis.

 

In response to these concerns, a recent study was conducted by researchers at Duke University, the University of North Carolina at Greensboro and the University of Michigan with the support of the National Institute on Drug Abuse.  The study, which was published in the Journal of Attention Disorders,  surveyed 3,407 students to determine the most important factors cited by students for using the ADHD drugs without prescriptions  and if the students achieved the desired effect of enhancing their academic abilities through the use of ADHD medications.

 

Most of the drugs being taken without prescriptions were either sold or given to the students by other students on campus who were prescribed the drugs and were rarely stolen.   Of the 3,407 students surveyed, 8.9% of them stated that they had used ADHD medication without a prescription.  Most of these students were Caucasian, had lower grade point averages, were members of fraternities or sororities, used other illegal drugs and admitted to engaging in other risky behaviors.

 

The key motivating factor cited by the students using these drugs was academic performance, although there were some who used the medication for recreational or social reasons. The majority of students (89%) stated that they used these drugs to assist with concentration and noted that they were able to study for longer periods of time while feeling less restless while studying.  The majority of these students using these drugs to assist in achieving their academic goals felt that the drugs were effective. In addition to the 89% who stated that they were able to achieve better concentration while studying, 89% stated that they were able to study for longer periods of time, felt less restless  while studying (81%),  had better concentration in class (87%),  were less restless in class (74%), and kept better track of assignments (74%) .  In addition to the academic enhancements, 64% said that they used these drugs to “feel better”, 59% said they used them to get high, and 38% said they use them to lose weight. 

 

Discouraging students to stop using drugs illegally to enhance academic performance is further complicated by the lack of adverse reactions to the use of these ADHD drugs.  Most of the negative side effects indicated in the study were reduced appetite (in about 24%) and difficulty sleeping (in about 20%).  The other side effects such as headaches, stomach aches, irritability, sadness, dizziness and social difficulties were reported rarely, if ever.  Given the large percentage of perceived benefits of using these kinds of drugs for enhancing ones academic performance, and the minimal perceived negative side effects, it seems unlikely that these students would feel motivated to stop using them.  In my opinion, until our culture rethinks what it truly means to learn and achieve in our society, it seems even far less likely. 

 

Leslie Rouder is a licensed therapist and ADD coach. She can be reached through her web site at www.ADDadults.net.

When your Partner’s ADD is Driving You Crazy

When your Partner’s ADD is Driving You Crazy

By Leslie Rouder, LCSW

 

Many people are attracted to individuals with ADD for their zany sense of humor, imagination, creativity, charm and “out of the box” thinking.    But for many couples those attractive qualities can sometimes fade in the light of untreated ADD.  I receive hundreds of calls and e mails from frustrated partners of individuals with ADD (POADD’s) asking if I could please work with their partner in assisting with the various aspects of ADD that are affecting the quality of their lives and relationships.  Sadly, untreated ADD is a large factor in many divorces and break ups between couples.  The following is a list of some of the most common problems affecting these couples: 

 

Rage and/or uncontrollable anger: Many individuals with ADD have difficulty controlling their anger and (what’s more) can provoke their partner’s anger as well.   The POADD’s are often overwhelmed and exhausted with all the fighting and feel badly that they are unable to control their temper.

 

Financial Problems:  People with ADD often having problems with impulsive spending, problems keeping a job, and/or underemployment.  There is often a lot of debt and hoarding of items purchased on a whim that may be stashed away in closets, drawers, under the bed or in disarray around the home.  Online spending is also often a big problem as well.

 

Career Stagnation:  Due to their partner’s inability to hold a job, the POADD’s often do not feel that they can take risks in their professional lives due to the sense that theirs' is the only stable source of income.  In addition, they often underperform at work due to (what feels like)  ongoing “crises” and stress caused by their home life.

 

Sexual Problems: Very often I will hear complaints that the ADD partner will either lose interest in sex or will expect to have sex all the time.  Sometimes this occurs because Adder’s get bored easily or (paradoxically) sex may be used as a stimulant.  I often hear that the POADD’s loss of interest in sex with their partner is due to the feeling of having sex with their child (since they often take on the role of parent) and the partner with ADD  often loses interest in sex because he or she may feel like they are having sex with their parent. (Due to their partner having taken on the parental role in the relationship very often)

 

Traffic Violations:  People with ADD frequently have car accidents that cause worry about the Adder’s safety and/ or the safety of the passengers, who are very often their children.  They often have very high insurance rates and costly traffic violations, which put further financial strain on the couple.

 

Lack of Support and Self Esteem: POADD’s often tell me that they feel that the bulk of most decisions rest on their shoulders.  If they have children, they feel that they are the one single parent raising their children alone.  They do not feel supported by their partner.  Even if they were thinking of getting a divorce, they are too frightened for their children’s well being to ever leave, so they often feel locked in a hopeless partnership staying for the sake of providing stability for their children.

 

Health Problems:  POADD’s often develop illnesses that are caused by the effects of living in a stressful environment.  Sometimes these illnesses are chronic, such as chronic fatigue and sometimes they are manifested as frequent bouts with common viruses, such as colds. This further impairs their ability to function effectively in the world and can create further isolation.

 

Problems Getting Help:  Very often couples do not know where to turn for help.  They may speak to a family doctor, pastor or clinician that is not well versed in the area of ADD and miss the diagnosis, causing more damage to the relationship. It is not until the diagnosis is clearly understood and applied to the individual’s lives in a way that is integrated through that understanding that it is possible for healing to occur.

 

There is hope for those who seek out effective support systems. Couples can learn to communicate and find ways to bridge these gaps.  They can learn about effective ways to set boundaries, share responsibilities, develop talents and goals, strive for healthy intimacy and gain self esteem and confidence.  I encourage anyone who feels stuck to actively look for clinicians that specialize in working with individuals with ADD and their families.  Find support groups in your area that work with adults with ADD and or their partners.  If you need help finding support groups in your area you can contact your local CHADD chapter (www.CHADD.org) and ask for assistance. Never give up until you have all the answer. Positive change does happen with the proper information and support.

 

Leslie Rouder is a licensed therapist and ADD coach. She can be reached through her web site at www.ADDadults.net.

Treating ADD with Brain Boosting Nutrients

Treating ADD with Brain Boosting Nutrients

By Leslie Rouder, LCSW

 

Although it is believed that treating ADD with proper medication and some form of counseling is the most effective treatment modality that we know of, it is also true that medication is not effective for all people.  According to Edward Hallowell, MD, medication may not be effective for as much as 20% of the population.  In addition, medication is not a cure for ADD and should be used in conjunction with other natural treatment modalities such as exercise and nutrients.  This article will focus on several of the most recommended nutrients in the management of ADD and its symptoms. Remember to always check with your physician before starting any treatment modality in which you are ingesting natural herbs or supplements to avoid any conflicts with other supplements or medication you may be taking.

 

Food and the ADD Brain
Always eat balanced meals that include protein, fruits, vegetables, and fiber rich carbohydrates such as whole grain and wheat products.  Eating protein in combination with these other nutrients reduces surges in blood sugar levels which lead to hunger, inattention and hyperactively. Protein rich foods include fish, lean beef, pork, eggs, dairy and soy and are vital in the production of neurotransmitters, which are the chemicals used by the brain’s cells to communicate with each other.  

 

Vitamin Supplements

 

Multivitamin/mineral supplement
 I personally believe that eating a healthy balanced diet is the best way to get all the necessary nutrients that one needs, but if you are unsure if you or your child are eating a fully balanced diet, supplementing with a good multivitamin/mineral can help. If you are giving chewable vitamins to your child, make sure they don’t have artificial ingredients or sugars in them, since this may increase levels of hyperactivity in some individuals.  Hero’s Yummy Bears Multi-Vitamin and Mineral is an example of one such product that you might try.

 

Omegas -3s
Omega-3s are one of the most important supplements in treating the ADD brain. I recommend fish oil to all of my clients and take NKO Krill oil every day myself. Omegas -3s are found in cold water fatty fish such as salmon, tuna, and sardines and studies have shown that individuals who lack this nutrient show deficits in cognitive functioning and ability to focus.  Other good products recommended by various experts in the field include Nordic Naturals, OmegaBrite and Zone Labs.  Barleans Omega Swirl smoothie is recommended for children or individuals that have difficulty swallowing pills.

 

B Vitamins
According to Richard Brown, M.D., associate clinical professor of psychiatry at Columbia University, dopamine levels in the brain are increased with the use of vitamin B-6.  It is believed that increased levels of dopamine in the brain assist in higher levels of attentiveness.  Supplement with B-6 or a high quality B vitamin formula (such as B-complex) that has adequate levels of B-6.  Bio-Strath is one formula that is available both in liquid and pill form and Enzymatic Daily Energy B complex is another excellent product that I recommend and take on a daily basis.

 

Picamilon
Picamilon is a supplement that has shown to improve blood flow to the brain and acts as a mild stimulant.  It is a combination of niacin and gamma-aminobutyric acid and B-vitamins and is shown to improve alertness in both children and adults according to Dr. Brown. 

 

Minerals
Once again I would like to emphasize that a good balanced diet is the most beneficial and safe way to increase levels of vital minerals, however taking a good multi vitamin/mineral supplement can help if needed. Magnesium, zinc and iron are the three most important minerals in relationship to ADD. Magnesium has been shown to have a calming effect on the brain, while low levels of zinc have shown to decrease alertness and the ability to focus.  This is due to the correlation of lower dopamine levels and adequate amounts of zinc.  In addition, it has been determined that the effects of methylphenidate (also known as Ritalin) are increased by the supplementation of zinc. Increased levels of dopamine are also affected by adequate amounts of iron. There have been several studies that indicate deficits in cognitive functioning and increased ADHD symptoms associated with low iron levels.

 

Herbs
I will caution anyone before using herbal remedies to check with their physician, as herbs are more potent than vitamin or mineral supplements and should be used under supervision. That having been said, the herbs most recommended by Dr. Brown are Ginkgo and Ginseng (which act as stimulants), Pycnogenol (which improves hyperactivity, focus, and visual-motor coordination according to several double blind studies) and Rhodiola Rosea (shown to improve alertness, attention and accuracy).  Caution should be used with young children in regard to Rhodiola Rosea due to its highly stimulating effects.  However, it is recommended for students attending junior high school and up to college who need help in focusing for long periods of time while performing academic tasks such as studying and/or writing term papers.

 

Pycnogenol can be purchased at Nature’s Best.  Rhodiola Rosea is available from Ameriden International and Swedish Herbal Institue-ProActive.  When purchasing Ginkgo and Ginseng, the brands most recommended are Ginkoba and Gingold and can be purchased by mail order at Hsu’s Ginseng.

 

Leslie Rouder is a licensed therapist and ADD coach. She can be reached at Leslie@addadults.net or through her web site at www.ADDadults.net.