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

Experience Auditory Processing Disorder for Yourself!
Catching up with the conversation about DSM-5
Procrastination: Inquiring Students Want to Know...
"Walk Me Up" app makes you get up and move in the morning
"Shot Note" app - digitize and organize handwritten notes

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FYI

executive functioning

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  

Stimulant Medications with Pediatric TBI Survivors

I was doing some research last week for a talk I gave at theannual conferenceof the Brain Injury Association of Massachusetts (thanks to the survivors, family members, and clinicians who attended!).  Thought I'd share with you something I found regarding efficacy of stimulant medications with brain injury survivors.  

While use of these agents is a fairly common practice with both adult and pediatric TBI patients, these "ADHD medications" have not been FDA approved for this use, and clinical implementation relies heavily on anecdotal data.

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.

If It’s Harder Than a “Three out of Ten," Find Some Way to Make it Easier


If you are asking a student with ADHD to do a task which is harder than a three out of ten on a ten-point scale (where one is “super easy” and ten is “the most difficult thing in the world”), you might be asking too much.   Many times, our frustrations with students or family with executive challenges are related directly to our expectations that they complete a task which is simply harder than a three on a ten-point scale.   

Don't Expect Me To Do What's Typical If I'm Not "Typical"

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.

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.

Tips That Just Might Change Your Life: Bartering Social and Practical Support

It’s the first day of February and a good time to consider another“tip that just might change your life”!

Many of my adolescent and adult clients with ADHD will at some point seek the services of an ADHD coach.  A coach is a professional trained in strategies for blasting through obstacles at work or school.  A coach can be a great addition to my clients’ support system.  But these services aren’t cheap, and they’re not covered by health insurance.  

So what are other ways of getting the support you need now?

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.