FYI
Nowell Neuropsychological Services, Inc. - David D. Nowell, Ph.D.
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Recent Posts

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

diagnostic

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.

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.

Ritvo Autism and Asperger Diagnostic Scale

I ran into my colleagueDr Van Kleecktoday while doing a consult at a local hospital and had a conversation about self-report checklists for adult Aspergers symptoms.  

I returned to my office and ran across a checklist another colleague had passed on to me awhile back.  Are any of you familiar with the Ritvo Autism and Asperger Diagnostic Scale?  At that link you'll find an article with the instrument itself towards the end.

I find this2011 article, and this PowerPointpresentation.

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: What is a neuropsychological evaluation?

Amber, who connected with me onLinkedIn, is thinking of a career in neuropsychology and had a few questions for me.  I'm sharing my responses to her questions here.



Q: What education/training is involved to become a Neuropsychologist?  

A neuropsychologist's training includes academic and supervised clinical placement experiences in graduate school, and then continues with a predoctoral internship focused on evaluation and treatment of brain-behavior disorders.  A postdoctoral fellowship (1-2 years) or residency in neuropsychology provides the additional supervised clinical experience, brain labs, and directed reading necessary for independent practice.

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