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Dr Hallowell ADHD and mental and cognitive health

A resource about ADD, ADHD, and mental health
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Common Symptoms of ADD


  • Easily distractible
  • Low tolerance for frustration
  • Low tolerance for boredom
  • Impulsiveness
  • Forgetfulness
  • Restlessness
  • Learn more in Delivered From Distraction
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ADD/ADHD Overview (Click on the arrow above to start the video)

ADHD OVERVIEW

What is ADHD?

Attention deficit hyperactivity disorder (ADHD) is the official name used by the American Psychiatric Association, with or without hyperactivity.

ADHD is a neurological condition that is usually genetically transmitted. It is characterized by distractibility, impulsivity and restlessness or hyperactivity. These symptoms are present from childhood on, and with a much greater intensity than in the everyday person, so that they interfere with everyday functioning.

ADHD is a neurological condition that is usually genetically transmitted. It is characterized by distractibility, impulsivity and restlessness or hyperactivity. These symptoms are present from childhood on, and with a much greater intensity than in the everyday person, so that they interfere with everyday functioning.

Adult ADHD: 50 Tips of Management by Edward M. Hallowell, M.D., and John J. Ratey, M.D.
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In my opinion, ADHD is a terrible term. As I see it, ADHD is neither a disorder, nor is there a deficit of attention. I see ADHD as a trait, not a disability. When it is managed properly, it can become a huge asset in one’s life. I have both ADHD and dyslexia myself and I wrote the book Positively ADD with Catherine Corman to profile a collection of fabulously successful adults with ADHD.

As I like to describe it, having ADHD is like having a powerful race car for a brain, but with bicycle brakes. Treating ADHD is like strengthening your brakes–so you start to win races in your life.

In my work as a psychiatrist who treats ADHD, I see myself not as a doctor who treats a disability, but rather as a doctor who helps people, adults and children alike, identify, develop, and celebrate their talents. That’s why I love my work!

Most people who discover they have ADHD, whether they be children or adults, have suffered a great deal of pain. The emotional experience of ADHD is filled with embarrassment, humiliation, and self-castigation. By the time the diagnosis is made, many people with ADHD have lost confidence and blame themselves. ADHD is a neuropsychiatric condition. It is genetically transmitted. It is caused by biology, by how your brain is wired.  It is NOT a disease of the will, nor a moral failing.  It is NOT caused by a weakness in character, nor by a failure to mature.  Its cure is not to be found in the power of the will, nor in punishment, nor in sacrifice, nor in pain. ALWAYS REMEMBER THIS.

Visit Dr. Hallowell’s  Dr Hallowell Authors Page on Amazon   for a complete list of his notable books.

Watch video clips of Dr Hallowells views on ADHD!

Unmasking ADHD: An In Studio Diagnosis

Watch this video about the characteristics of ADHD – The featured expert is Lesley Todaro who runs The Hallowell Todaro Center in Seattle.

What’s It Like to Have ADHD? by Dr. Hallowell in the Huffington Post

Dr. Hallowell offers advice to parents on explaining ADHD to a child on KidsintheHouse.com

ADHD Diagnosis

Diagnosis is made primarily by reviewing one’s history; there is no foolproof “test” for ADHD (the preferred abbreviation for both disorders). In arriving at an accurate diagnosis it is important to look for other problems that may occur along with ADD, such as low self-esteem, depression, substance abuse or family turmoil. While the following lists may give you an idea if an evaluation for ADHD is appropriate, we strongly recommend getting diagnosed by a mental health professional if you suspect that you or your child may be ADHD.

ADHD in Adults

ADHD in Children

 Self-Assessment ADHD Quiz

iPhone 5S ADHD

Updated for iOS 8 including new content from Dr. Hallowell!

Do you or someone you know have trouble focusing, remembering things, and completing tasks? Is there a child in your life that has more difficulty than others staying on track? If this sounds familiar, it could be ADHD.
Dr. Hallowell’s ADHD Quiz app helps you understand whether you or someone you love might have ADHD.  Detailed questions help you understand ADHD along with a wealth of ADHD information, resources, and next steps.

Clinical Definition of ADHD

The following are some of the criteria for diagnosis listed in the Diagnostic and Statistical Manual of Mental Disorders for ADHD, which is the standard reference among mental health professionals. While this definition is not perfect, I include it as it is the most commonly accepted definition.

DSM-IV Criteria for ADHD

I. Either A or B:

A) Six or more of the following symptoms of inattention have been present for at least 6 months to a point that is inappropriate for developmental level:

Inattention

  • Often does not give close attention to details or makes careless mistakes in schoolwork, work, or other activities.
  • Often has trouble keeping attention on tasks or play activities.
  • Often does not seem to listen when spoken to directly.
  • Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions).
  • Often has trouble organizing activities.
  • Often avoids, dislikes, or doesn’t want to do things that take a lot of mental effort for a long period of time (such as schoolwork or homework).
  • Often loses things needed for tasks and activities (e.g. toys, school assignments, pencils, books, or tools).
  • Is often easily distracted.
  • Is often forgetful in daily activities.

B) Six or more of the following symptoms of hyperactivity-impulsivity have been present for at least 6 months to an extent that is disruptive and inappropriate for developmental level:

Hyperactivity

  • Often fidgets with hands or feet or squirms in seat when sitting still is expected.
  • Often gets up from seat when remaining in seat is expected.
  • Often excessively runs about or climbs when and where it is not appropriate (adolescents or adults may feel very restless).
  • Often has trouble playing or doing leisure activities quietly.
  • Is often “on the go” or often acts as if “driven by a motor”.
  • Often talks excessively.

Impulsivity

  • Often blurts out answers before questions have been finished.
  • Often has trouble waiting one’s turn.
  • Often interrupts or intrudes on others (e.g., butts into conversations or games).

II. Some symptoms that cause impairment were present before age 7 years.

III. Some impairment from the symptoms is present in two or more settings (e.g. at school/work and at home).

IV. There must be clear evidence of clinically significant impairment in social, school, or work functioning.

V. The symptoms do not happen only during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder. The symptoms are not better accounted for by another mental disorder (e.g. Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder).

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000, via the CDC

Types of ADHD

There are three variations of ADHD, depending on which symptoms are strongest in an individual. These descriptions are taken from the CDC:

Predominantly Inattentive Type: It is hard for the individual to organize or finish a task, to pay attention to details, or to follow instructions or conversations. The person is easily distracted or forgets details of daily routines.

Predominantly Hyperactive-Impulsive Type:The person fidgets and talks a lot. It is hard to sit still for long (e.g., for a meal or while doing homework). Smaller children may run, jump or climb constantly. The individual feels restless and has trouble with impulsivity. Someone who is impulsive may interrupt others a lot, grab things from people, or speak at inappropriate times. It is hard for the person to wait their turn or listen to directions. A person with impulsiveness may have more accidents and injuries than others.

Combined Type: Symptoms of the above two types are equally present in the person.

Next Steps

1) Keep learning about ADHD! Some good places to start:

2) If you believe that you or your child or spouse may have ADHD, get a professional diagnosis:

  • The Hallowell Centers specialize in the diagnosis and treatment of ADHD, for those in or near Massachusetts, New York, Seattle, and San Francisco.
  • For those not near a Hallowell Center, we have a page to help you find a referral to someone qualified who can diagnose ADHD
  • Ask your doctor about getting tested for ADHD

3) Remember that you are not alone! There is a tremendous community to support and help you. A few places to look, depending on your needs:

4) Book Dr. Hallowell to speak to your school or organization about ADHD

“Those of us with ADHD need your support! We are not “lazy,” “stubborn,” “willful,” “disruptive,” “impossible,” “tyrannical,” “a space shot,” “brain damaged,” or “stupid.”

– Dr. Hallowell

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