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Internet resources

Sep 23, 2016

Finding answers on the internet is super easy...
...finding accurate answers about ADHD on the internet is not so easy.

when I'm looking for specific information online I know enough to sort through the garbage and find the answers I'm looking for. You may or may not have that level of expertise. Here are a few links to sites that explain ADHD and/or depression related medication stuff accurately and clearly. 

Anti-depressants:

Good list of medications with details:

I have a great graph that I found online with durations and effects of stimulants. But, I can't seem to find it again. Shows how hard it is to find the good stuff sometimes...

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A Rich and Well-Rounded LIfe

Sep 16, 2016

(Always Grinding? Post continued…) I have always talked about the importance of not just working. Even if you really, really enjoy your work, it’s not healthy to hyper-focus on just one aspect of your life. That was another reason that my restaurant career burnt me out. It didn’t allow for the time to keep my life well rounded. I wasn’t able to have the social life I wanted and needed. I didn’t have the intellectual stimulation that I craved. Nor did I have the athletic and competitive outlets that are important to me.


When I left cooking I was able to start playing Ultimate Frisbee again and get back into shape over a course of years. I was able to see my wife more and we often have friends over for dinner as a social outlet. Then my business got busier and child no. 2 came along. And, I fell back into a pattern of always “grinding.” Work, family, sleep. Lather, rinse, repeat. Even my hobbies became burdens. I have a huge garden that just felt like a chore this spring and brought me tons of stress.


I would tell myself that I would work my ass off Monday through Thursday and then do “nothing” on Friday. And, I would either still work all day on Friday or get to Friday and still be so revved up from the week that couldn’t enjoy any down time. At that point I realized that something had to change. But what was that something?


Turns out it was more than one thing. One of my first epiphanies was that I don’t actually like to do “nothing.” I usually require more stimulation than that. So I was setting myself up for failing at relaxing when I was assuming that relaxation meant doing nothing. I also realized that I was putting more on my plate than was necessary. I chose to take on some huge projects in the garden this spring that needed to be completed before I could plant. Big mistake. I’m not going to do that again. I’ve worked this summer to complete any “infrastructure” upgrades to the garden for next year. That’s made the garden much more enjoyable. AND that’s what I’ve been doing during my down time this summer. Instead of feeling like a failure for not doing nothing, I’ve been out in the yard digging, edging, raking, planting and planning.


The funny thing is that I find being in the yard/garden for two hours in the morning more restful, relaxing, and restorative than I would lying on the couch and watching TV. Then the time I do spend in the office is more productive and the time I spend with the kids is of higher quality too. Who knew?

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Always "Grinding?"

Sep 9, 2016

So, I’ve obviously taken much of the summer off from posting. But, I’m hoping to post on a more regular schedule this fall, perhaps once a week… We’ll see. To get back into the swing of things I’d like to share what I focused on this summer. I really tried to learn how to relax. That probably seems like a strange thing to work on, but it’s what I needed.


I grew up in Newton MA, a nice Boston suburb. Newton has excellent schools and a pretty intense academic environment. I pushed myself to take advanced classes and do well in them. With my level of attentional challenges and the fact that I’m not the fastest reader, this meant working very, very hard. Not that other kids, even the neuro-typical ones, don’t work hard. But what it meant for me was that I felt like I was always “grinding.” I took my sciences during the summer. No camp for me. I spent most of my vacations catching up on writing papers, except for the years that the stress of getting to the break left me super sick for my week “off.”


Also, in typical ADHD fashion, even when I wasn’t working, I was stressed about what I wasn’t doing. I took this mindset into an harsh, demanding, and unforgiving career as a professional chef. If you’re not “grinding” in the kitchen, you’re not going to get anywhere. For much of my restaurant career 14 or even 16 hour days were not unheard of. Not surprisingly, I ended up totally burnt out. So I started my own business. More “grinding.” There is always more to do when you work for yourself, especially when you are building that business.


I don’t say the following to toot my own horn. I build a successful business that started to “pay the bills” in two years and has become self sustaining in less that four years. I guess you can say that “I’ve made it.” So, my question to myself this spring/summer was, “now what?” How do I enjoy the place that am, where I worked so hard to get? I had the realization that I was still “grinding” and in my ways, unnecessarily. But I couldn’t seem to relax. The first important step was realizing that.


I use my own example because I find that many of my clients have similar stories. They’ve worked so damn hard to get where they are, they don’t know how to downshift and enjoy it. Is that you? More in the next post about how I spent my summer trying to teach myself to stop and smell the roses.



Standard Disclaimer:


In an effort to foil my own perfectionist tendencies, I do not edit my posts much… if at all. Please and typos, mistakes, grammatical errors, or awkward phrasing. I focus on getting my content down. An imperfect post completed is better than a perfect post that goes unposted.


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It take a village. Do we have one?

Jun 24, 2016

Great article a client forwarded to me. 

I disagree slightly that this is a burden born solely by the women of your society. I feel much of it acutely myself. But the premise and the observations about our society are spot on, in my opinion.


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Barriers to care

Jul 1, 2016

I have a client who has been struggling for some time, not just with ADHD but with pretty severe depression and anxiety. Despite being in a difficult place, he was fighting to get better. He had sought out a large local medical group. (I won't name them.) Just to make an intake appointment he had to fill out an informational packet that was I don't know how many pages thick and took him over two hours to complete. 

I find this disturbing. Make a young man who is struggling jump though such hoops just to have the option to access care is unconscionable and embarrassing. He was able to use my as a resource to help him complete the paperwork. But imagine how many people just get overwhelmed by the packet, don't fill it out, and consequently don't get the help they need.

Ultimately, this medical establishment continually cancelled his new patient appointments to a point that was also unprofessional and embarrassing. Ultimately they strung him along for months and then didn't deliver the care he needed. At this point, there were concerns about his safety. And, I was unable to speak to his primary care physician who also practiced at the same location. I was told by a surly nurse that I was only allowed to get a message to the doctor, not speak to her or even leave a voicemail. And, she wouldn't even do that because she couldn't find my client in the computer. (Because he didn't use his full name with me.)

Ultimately, I figured out what name to use and a message went... somewhere. And, the client got a vague and ham-handed reach out by some underling. The physician never contacted me to address the concerns or find out what information I had to offer. Nor did she ever contact the client, her patient, directly.

Deplorable! And, sadly this is the direction that much of our mental health system is going.

I will say that I recently had an issue with another client. His prescribing physician reached out to me directly. And, after a bit of phone tag, we had a very helpful and productive conversation about what we both saw in this young man's behavior and how could both best help him. I was very grateful to have that kind of interaction with a clients doctor. I've had a few other such interactions. But I will say that they are few and far between.

Standard disclaimer: I don't edit much if at all. This is a deal I have made with myself. It keeps me from being frozen in the metaphorical carbonite of perfectionism or falling into the "Sarlacc" of avoidance behavior. A new post done is always better than a perfect post undone.



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Ride the Tiger & Pi

Jun 16, 2016

Recently saw an amazing documentary on bipolar disorder on PBS.


I won't go into to much detail, as I think everyone who has any diagnosis or takes any meds should watch it. But it did give me a new insight into mania.

One of my favorite movies when I was younger was the black and white Darren Aronofsky film from the mid/late 90's. I watched it again for the first time in years shortly after watching Ride the Tiger. It is still a great film, but has a very different feeling if you consider the possibility that at is about a mentally ill guy having a manic episode... Either way, you should check it out if you haven't.

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