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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

adult adhd

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: The threat of my dad chewing me out used to keep me motivated...would behavioral support help someone like me?

Q:  Hi Doc. I have been treated for ADHD for over 15 years through medication, but I've never sought behavioral treatment. And I'm getting to the point where personal projects and lifelong dreams are being undermined by anxiety-fueled porn binges and video games which is ironic, because I want to become a video game designer and a trailblazer in the field. I know I have the skills to make my dream a reality, but I suck at the discipline.  It was easier when in high-school, because the immediate threat of my dad chewing me out always kept me motivated.

Q: How do I explain my ADHD symptoms to close friends?

Q:  I'm having trouble explaining my "ADHD-Primarily Inattentive Subtype" problems to my two very close friends. The problem is that as we initially got to know each other I never explained my condition to them, so they view my  'ADHD problems' as simple 'quirks'. They think I'm just silly and weird when I get distracted, or go off on a weird tangent, or forget to call them back, or forget to do an assignment (I'm a senior in college). I think part of the problem is that I don't show stress easily and can shrug off the stress/problems with jokes.

Tips That Just Might Change Your Life: Use Evernote or Catch

Quick notebook apps
EvernoteandCatchapplications arecloud-basednotepad systems which can be accessed easily from your phone or laptop.  Both of them look gorgeous on your phone and have remarkable capabilities.  

Briefly, these are systems for catching thoughts on the fly.  Both Catch and Evernote allow for text entry, voice entry, or photo notes.  One easy and creative way to make a shopping list is just to take pictures of all the stuff you need.        

Personally, I use the Catch application for my daily journaling (the iJournal app -

Q: Is ADHD Inherited?

Q:  Is ADHD inherited? 

A: One of the key risk factors for ADHD is parental diagnosis of the condition. In fact among mental health conditions, ADHD is one of the more heritable.

Other risk factors include psychosocial adversity of mom/infant, low birth weight, and prenatal exposure to alcohol or tobacco.
















Q: What's the relationship between ADHD, giftedness, and addiction?

Q: What is the relationship among giftedness, ADHD and addiction?


A: Some of us are really skillful with attention and focus, while for some of us those are areas of weakness – there’s a spectrum of ability.  And the attention/executive spectrum is entirely separate from the intelligence spectrum.
  

So a person can bebright+ADDornormal+ADDorbelow-average+ADD.  


On the other hand, ADHD and risk for addiction are not independent – people with the condition are at higher risk for “

Q: How can you provide the best support to both yourself and your ADHD partner?

Q:  If you're romantically involved with someone who was recently diagnosed, how can you provide the best support to both yourself and your partner?

A:  The great things about your ADD partner might include spontaneity, creativity, humor, and seeing things that others miss.  The great things about a non-ADD partner might include attention to detail, good time management, and good ability to shift back and forth between big-picture thinking and feet-on-the-ground action.  

Pretty much a complete overhaul of the ADHD workshop

"Trust us," she said
I had this little epiphany at a workshop in late 2012.  An attendee said "David can you move on more quickly to some practical tips and strategies?"  I replied that I would - but first I wanted to provide some context, some framework for making sense of when and how to use these strategies.  

And she said,"David, just trust us.  Trust our clinical skills and training and our ability to make good choices about implementing strategies.

Free this weekend - Dr Lynne Kenney's "Family Coach Method"

There are several books which I frequently reference at myADHD and Processing Disorders workshops.  These include:


  • this one (for clinicians) andthis one (for clinicians and parents) by Dr Barkley
  • "Smart but Scattered" is another of my go-to books for parents of kids with executive dysfunction
  • Dr Lynne Kenney's "Family Coach Method" presents her whole-family approach to supporting and coaching kids to success, and I love her emphasis on relating family rules to familes' values and goals and hopes for developing children.

Q: What does time feel like for people who don't have ADHD?

Q:  It has been repeatedly pointed out to me that I have problems with time management.  In my mind, I'm doing everything right, using phone apps as a planner and recording as much as possible, taking meds. How does it feel for people without ADHD?  What does it feel like to have that part of the executive functioning system that allows people to arrive on time or to estimate how much time a task takes? 

A;  Sorry to hear about how you’ve been struggling.  Y'know, time is not a real thing that actually exists.