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ADHD and social interaction

Apr 15, 2014

ADHD and social interaction
I'm back after a few weeks off for the birth of our beautiful baby girl, Delia. There's nothing like bringing a life in to this world to get you thinking about the big picture.  Life is a funny thing in that we all have our own joys, pains, triumphs, and tragedies. Especially in todays social media world of faux-friends and pretend social interaction, it can be far too easy to forget what lies beyond the walls of our own little world. Not to say that our worlds are insignificant.  On the contrary.  The beauty is that they are all significant. 

It has been my experience that, even if we struggle in social situations, most of us with ADHD have a need to be social.  We need to find balance in our lives. This struck me as I looked out the window of our hospital room while my daughter was "on her way."  I was struck by how seminal that moment was for me.  Yet there were thousands of people out my window who knew nothing of it.  In fact, they all had their own seminal moments: births, deaths, weddings, divorces, accidents, close calls, stunning achievements, bitter disappointments.

I guess, looking out that window could make anyone feel small and isolated. But, the love of my wife and my children makes me feel connected to something bigger. The good thoughts and well wishes of friends and family that streamed in that night by text and email, the flowers that waited at the house when we got home a few days later, the gifts that have come in the mail, the offers of help from neighbors, the meals brought over, the love we have received from others has made me feel more connected than ever. We can only make our lives richer by letting our lives touch others.



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#ADHDignorance

Mar 26, 2014

I alway considered my self lucky that I'm only dealing with ADHD.  There is no prescription for ignorance.  I get a weekly special ed newsletter from http://specialedpost.org/  It is impressively presented.  But about 40% of the articles/links are totally bogus and downright damaging to those of us with ADHD. Last week there was a link to a Jacksonville local new report about parents treating their eight year old's ADHD with coffee.  Do I even need to say what's wrong with that?

This really just underscores the importance of knowing where you information comes from.  I don't think that there could possibly be a topic in the American popular consciousness right now that is more often or more thoroughly misrepresented than is ADHD.  You can't believe how careful you have to be.  Places you would go for reliable information on any other topic may be suspect when it come to ADHD.  We all know we can't trust the New York Times anymore.  Their bias is appalling.  

That brings me to todays special ed post.  There is a link to an OPINION piece by an actual doctor who is clearly against the diagnosis and treatment of young mothers.  In Dr. Gold's own words:

I have concerns about this trend of diagnosing and treating ADHD, particularly in this population of young mothers. If we label this behavior as a disorder and prescribe a pill, we are not placing responsibility (blame) squarely on the mother? 

It was always my understanding of the hippocratic oath the the first rule was do no harm.  Is the second rule to judge and blame the patient? Why does so much of our society (including many in the medical field,) insist on punishing instead of treating?  Disturbing!


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Protein Shake

Mar 25, 2014

This is an update to an older post.  I'm not sure the old one was easy to find being an older post and filed under "World's Yummies Protein Shake."

ADHD kids are often hit with a substantial appetite suppression when on stimulants.  This is a challenging but manageable side effect.  Recent research suggests that kids on long term stimulant therapy eventually reach their ultimate hight and are only a few percentile points behind in ultimate weight.  This is provided their basic nutritional needs are met and you are willing to be patient.  (It can be with as much as a two year lag that they eventually get where they were going.)

Here's the updated recipe:
  • 8 oz Whole Milk (I'm trying not to gain weight, so I use Almond Milk)
  • 1 sm squeeze real chocolate syrup*
  • 1 heaping scoop Vanilla flavored Whey Protein powder**
  • 1/2 a banana, fresh or frozen***
  • 10-15 Blueberries, depending on size, fresh or frozen
  • 2-3 Strawberries, quartered, fresh or frozen***

Method:  Put it all in a blender until it is smooth!

*I like Alaskah organic that I get at Whole Foods.  Good flavor, consistency, ingredients.

**I like the Whole Foods 365 brand.  Dissolves well, subtle vanilla flavor, and you can’t beat the price.

****Don’t think you need a $500 Vita Prep to make a shake.  That’s one of the biggest scams going.  I have a retro model Waring 2 speed with a class caraffe that will always do my bidding and is silly easy to clean.  (They run about $100)  I’m sure you could do even better if making a shake is your only criterion.

HAPPY SHAKING!



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Spelling does not equal intelligence

Mar 25, 2014

I was glancing at an article in attention by Dr. Hallowell.  It was about "Atentiv."  Apparently it is a new brain training system.  I don't know.  LIke I said... I was glancing at it.  The first line was something to the affect of "Not your father's brain training.  And, yes it is missing the "e" and one of the "t"s..."  

I literally started at it for at least a minute trying to figure out how it was missing a "t."  If not for spell check, I would still be in my sophomore year in high school.

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Stimulation seeking behavior, Part 1

Mar 21, 2014

ADHD, when examined through a particular lens can be said to be a disorder of under-stimulation.  As ADHDers we often wander around the world seeking stimulation.  Unfortunately, stimulation can be found in many places that are unhealthy.  I think it is particularly important to be aware of this tendency and to teach our kids to be aware of it as they grow in to teens and adults.

I divide stimulation seeking behaviors in to two catagories;

1.  Things that we do not need to do and can effectively manage by not having in our lives at all.
  1. Drugs
  2. Alcohol
  3. Nicotine
  4. Gambling
  5. Video Games
2.  Thing that we have to do in our lives but need to learn how to do in moderation:
  1. Sex  (In all forms including porn.)
  2. Shopping
  3. Being online/ Using electronic devices
  4. Food
  5. Interpersonal relationships
All of these things occupy a place in our lives that is necessary and important.  But they can all become problems if they are not managed in appropriate ways.


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We are killing our children!

Mar 21, 2014

My son is starting kindergarten next year.  I am terrified.  I don't know if he has ADHD or not.  I do know that he is a wonderful, loving, intelligent, amazing kid who still views the world with a sense of wonder I envy.  I'm pretty sure that school will beat that out of him.  So many really, really smart kids end up in my office having been destroyed in one way or another by the traditional educational system in this country.  If you think I'm overreacting, find a way to see the movie "Race to Nowhere."  http://www.racetonowhere.com/

I firmly believe that there is a strong bias in many corners of our society against the understanding, diagnosis, and treatment of ADHD.  This is terrible and I fight against it everyday.  I could not be further from one of the people who deny ADHD and it's impact.  However, over the past year or so, I have taken note of several things that are going on in our schools that I find tremendously alarming.  Kids are simply asked to do things that they are not developmentally ready for.  A child who is not ready to learn a given thing or has developed to the point where there brain is ready to manage complex tasks will look like they have a disability.  

When I was in elementary school a mere 25 years ago, at the beginning of our societal awareness of ADHD, kids were often diagnosed with ADHD around age 10 or 12 when the demands of school increased.  Now I find many many more kids diagnosed between five and eight.  In many cases, this should be lauded.  We are identifying things earlier and treating them better.  However, I think it is incredibly important to be open to the idea that it is not that these kids aren't neurotypical, but that they just aren't ready.

A five year old boy should not have to sit still for 6 hours.  A kindergartener should not have homework.  I think of the example of learning to read.  If you expect every child to read at age four, you will get lucky with some of them.  But, mostly you will fail.  Does that mean that all of these kids have reading, processing, or attention issues?  No.  It just means they are not developmentally ready to read.  Furthermore, we have to recognize the variation in levels of readiness in children.  Just like potty training, they are ready when they are ready.  

My Dad really struggled with learning to read.  I want to say it was not until second or third grade when he go the special attention of a teacher and neighbor that he got it.  He went on to go to Brown, graduate with a degree in classics, have a play produced off Broadway, and teach high school English for 35 years.  I'd say he did fine.  He was just ready late.

Our educational system is broken.  In typical American fashion, we focus only on quantity and not quality.  We are falling behind other nations, so we push harder and younger.  In essence we try to "super-size" our children's educations.  It doesn't work.  Eliminating recess for 5th and 6th graders is moronic.  Failing a 3rd grader because he/she did the homework but didn't pass it in because the teacher refused to remind the kids to hand it in is bordering on cruel.  Making a middle school kid suffer though a block schedule where hey have math one day a week for 90 minutes straight without a break, is insane.  Allowing high school kids to not schedule a lunch so than can take an extra class to impress colleges means we are not doing our jobs as adults in teaching our children to have balanced, healthy, productive lives.  

We have completely stopped emphasizing (if we ever did) problem solving, creativity, intellectual diversity, people skills, and many of the qualities which many so many of us successful in the real world.  When we don't acknowledge so many things that so many of us are good at and only emphasize the strict academic disciplines that exist in school we doom many smart, capable kids to lives of disappointment and stress. 

Much like the diagnosis issue with ADHD, depression is becoming a bigger and bigger problem in children.  As with ADHD, I applaud the fact that we are more aware and will treat kids with depression.  For from saying that the increase doesn't exist, I ask, are we causing it?  I came across a statistic about a year ago the average age of initial diagnosis of depression has dropped from somewhere in the twenties to somewhere around 12 in less than a generation.  (I will effort to find the exact stat and post it.)  

I'm totally sure what to do.  I feel like a spec of foam floating on the ocean.  The problem seems so big.  But, if we all speak out.  If fight for what we really know our children need, perhaps we can stem the tide.  



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