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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

adhd evaluation

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:

Q: Is it possible to have both ADHD and Bipolar Disorder?

Q:  Hi Dr. Nowell, I have symptoms of both Bipolar Disorder Type II as well as ADHD.  My "baseline" is very ADD. Then, every 3-4 months, I seem to have 2 weeks where I cycle through hypomania/depression, and I am very different from my baseline self. I am being treated for both via medication. So, is it possible to be both? Are there any recommendations or resources that you feel are especially helpful for those who might have both conditions?

A:  Any two conditions can be co-occurring.

Q & A: Daydreaming, Asperger's, and ADHD

Q:  How common is daydreaming with ADHD?The reason I ask is that I've heard that daydreaming is more common with Asperger's Syndrome than with ADHD. With ADHD the problem is more distractibility than with daydreaming. So -- if a person demonstrates excessive daydreaming would we say it's more consistent with Asperger's than ADHD?

A: You've described a difficult clinical distinction, but this might help: There exists the emerging concept of Sluggish Cognitive Tempo, which has at points gone by the awkward moniker "pathological mind wandering.

Your Questions for Dr Lucy Jane Miller

It was my pleasure to spend some time yesterday at theSTAR CenterinDenver, and to speak to the staff there about ways we address the ADHD-SPD symptom overlap.  

In advance of that meeting, I'd asked for your questions forDr Lucy Jane Miller, clinical director of the program and author ofSensational KidsandNo Longer a Secret- either of which would be a great place for parents or clinicians (including non-OTs like me!) to begin to understand sensory challenges in children.

So, here are your questions for Dr Miller, followed by my best recollection of her responses.

Tips that Just Might Change Your Life: Look for the Exceptions

Happy New Year - one week into 2013, I hope everything's going to plan.  No?  Great, you get to start over today!

Over the course of next 12 months I'll be sharing tips and strategies for managing time and focus and passion. 

Look for the Exceptions

A really useful question for clinicians in the ADHD evaluation is"these problems with focus and attention that we've been talking about....where do you NOT see these?" And that question is also worth considering by parents, spouses, and adults with attentional and organizational challenges.

Do you know the 4 new symptoms of ADHD considered for inclusion in the DSM-5 ?

In arecent articleby scientists at Shiraz University of Medical Sciences (Iran), authors note support for the 2-factor (inattention and hyperactivity) model of ADHD. Many ADHD symptom checklist items load strongly onto one factor or the other.  For example, the symptoms "talks excessively" and "is on the go" load heavily onto thehyperactivefactor but not theinattentivefactor.  And the symptoms "difficulty sustaining focus" and "difficulty organizing tasks" load heavily onto the

Is Everybody a Little Bit ADHD?

DesignerJon Winebrennerposted yesterday at the design blogcore77  his thoughts about ADHD ascontinuum disorder- that is, a disorder which may be present to at least some degree in many of us, even those without the diagnosis.  He notes that

every time I describe typical symptoms of ADHD to someone, they claim that they show signs of the same problems. I mean, seriously, who doesn't forget their lunch on the counter or misplace their keys every now and then? I am sure you can't point a finger at a single person and have them deny that they've gotten so engrossed in a task that the world melted away and time warped.

See you in Minneapolis?



It's over a week off, but I'm already looking forward to theADHD/Processing Disorders workshopsin Minneapolis and St. Cloud. 




One unique element of the workshop is a review of the "Big 5" - five daily practices that can make a big difference for children and adults with ADD/ADHD.  How much do you know about your own needs for daily quiet time, nutrition, interpersonal connection and exercise?  Can you identify your key values and passions?  Take theonline assessment here

ADHD Not 'Hard-Wired" Says Vandy Professor

In a recent letter to the editor of the New York Times, aVanderbiltpsychology instructor suggests that we simply "face up to the fact " that ADHD is not a "hard wired" condition (he was responding to a previous Timesarticle).  

If you've attended the ADHDworkshop, or are familiar with the condition, check outhis letterand see whether you can spot the errors before reading any further......



Okay, what'd you notice?  For example:  

ADHD is not "either/or"...is it?

A reader of a recentblog postat PsychologyToday offers this comment about formal ADHD diagnosis:

The ability to pay attention is a sliding scale and not binary. Unlike pregnancy, you can be more-or-less ADHD depending on how you live your life.For example, someone who might have a little difficulty focusing can decrease their ADHD potential by meditating.

This is such a good point!  Because the DSM is a medical-model approach to mental health and developmental disorders it makes use of an "either/or" (binary) approach to diagnosis.