FYI
Nowell Neuropsychological Services, Inc. - David D. Nowell, Ph.D.
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Could brain scans have clinical utility for ADHD diagnosis?
Q: Dr Nowell could you share that Journaling Template with me again?
Changes to ADHD diagnosis in the DSM-5
Experience Auditory Processing Disorder for Yourself!
Catching up with the conversation about DSM-5

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FYI

Could brain scans have clinical utility for ADHD diagnosis?

Okay this is actually very interesting.  Until now, there was little reason to be super optimistic about the use of brain imaging to facilitate ADHD diagnosis.  Group differences, yes, but at the individual level not so much - just too much variability.  


But thisrecent studyby researchers in London and Singapore suggests we may be turning a corner.  Using a procedure known as voxel-based morphometry the researchers found they could reliably distinguish (with correct classification of 75.

Q: Dr Nowell could you share that Journaling Template with me again?

Q:  Dear Dr. Nowell. I really enjoyed your talk last Tuesday. I did think about the journaling practice you recommended, but I have seem to misplaced the template handout your provided. Can you please e-mail me another copy?

A:  Yup (email sent).  Also, for anyone else who might be interested in starting a regular journaling practice,here's a linkto a journaling template which includes some of the best practices from Positive Psychology research.  Practices like kindness, goal-setting and optimism, and gratitude.

Changes to ADHD diagnosis in the DSM-5

For a few months now in theADHD workshopswe've been anticipating possible changes to the DSM-5 specific to the ADHD diagnosis.  Well, thenew editionhas finally dropped, and some of those changes we anticipated are in fact included (hello,age of onset) while others are not (Inattentive Subtype Restrictive, we barely knew ya!)

Page 809 of the DSM-5 offers a summary of changes in the current revision, and  in this pdf.    Changes specific to the ADHD diagnosis are as follows:

Experience Auditory Processing Disorder for Yourself!

WGBH has a great series called "Misunderstood Minds" which includes a unique activity to experience what Auditory Processing Disorder might "feel like."

Check it outhere.

Did you notice the irritating noise at the beginning of the activity, like someone was bumping the microphone?  And the multiple competing conversations going on around you?  Really an effective and quick illustration of the challenges of "bottom up" auditory processing.

The site includes activities which simulate

Catching up with the conversation about DSM-5

Well I did it.  I was resisting it, telling myself I wouldn't do it this time.  Telling myself "I won't buy the new edition of the DSM, I'll just make use of a staff copy somewhere."  

But of course I was always going to do it - I was always going to buy the DSM-5.  I believe my first one was the light blue one - the III-R.  I had professors who still used the green one and I was like "how old are you?"  Then we all bought the maroon one.

Procrastination: Inquiring Students Want to Know...

In the past several weeks I've received inquiries from two high school students preparing reports on the theme ofprocrastination.  And even though you might have heard me suggest atADHD workshopsthat "there's no such thing as procrastination," I actually do think that making the right choice (moment by moment by moment....) about exactly how we use our time is a really big deal.  Here are the students' really good questions, along with my responses.


Q: Do you think that procrastination is truly an issue and that it may be  

"Walk Me Up" app makes you get up and move in the morning

The snooze button was a great addition to an already super invention (the alarm clock), but one which allows for an easy way out of actually getting up.  At theADHD workshopwe review a number of other practical solutions for those who have a difficult time getting up in the morning.  Check some of those solutions out -right here.

I read this morning of a phone-based solution to the wake-up challenge:  an alarm which requires the user to actually get up and take a number of steps (you can determine how many steps, and you can determine the step sensitivity if you're not a heavy stomper in the morning).

"Shot Note" app - digitize and organize handwritten notes

Thanks to professional organizerSusan Terkanianfor turning me on to this cool application calledShot Note.

TheiPhoneorAndroidapp coordinates with specially marked paper (looks like any other notebook paper but with markings at the corners) and allows you to savesketchesornotes.

Here'sinfofrom the company including a quickvideo.  And here's a review atWired.


I just ordered a pad of paper fromAmazonand we'll see how this works out. 


Hope to see some of you in Hawaiinext weekat either the

Gratitude and a ritual around tax preparation time

That particular time in April is upon us again.  I'm setting aside some time this morning to gather some final documents for tax preparation.  And if you're like me there's a murky blend of stress and resentment about how much we're paying or how we imagine these funds will be used.  

I was reminded of the possibilities for gratitude and even celebration when I ran across following letter to the editor ofNew York Timesthis past Sunday.  Enjoy, and happy tax celebration to you and your family!

Q: What about adults diagnosed with ADHD at midlife?

Q:  So many courses of treatment seem to be skewed towards children and young adults. As a 50-year-old who was undiagnosed until my forties, the standard recommended changes in lifestyle/habits are themselves overwhelming.  Is there anything that is being done to address mid/late-life diagnosis and treatment, especially on compensating for reduced learning plasticity and deeply ingrained habits? 

A: You sound understandably discouraged, in a way that I’ve particularly heard from adults diagnosed with ADHD later in life.