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: 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.
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.
Quick notebook apps
notepad 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.
I use the Catch application for my daily journaling (the iJournal app -
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
Other risk factors include psychosocial adversity of mom/infant,
low birth weight, and prenatal exposure to alcohol or tobacco.
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
So a person can
On the other hand, ADHD
and risk for addiction are not independent – people with the condition are at
higher risk for “
Q: If you're romantically involved with someone who was recently
diagnosed, how can you provide the best support to both yourself and your
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
"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.
- 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: 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.