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it helps to think of ADHD as a complex set of contradictory or paradoxical tendencies: a lack of focus combined with an ability to superfocus; a lack of direction combined with highly directed entrepreneurialism; a tendency to procrastinate combined with a knack for getting a week’s worth of work done in two hours; impulsive, wrongheaded decision making combined with inventive, out-of-the-blue problem solving; interpersonal cluelessness combined with uncanny intuition and empathy; the list goes on.
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Edward M. Hallowell (ADHD 2.0: New Science and Essential Strategies)
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helps to think of ADHD as a complex set of contradictory or paradoxical tendencies: a lack of focus combined with an ability to superfocus; a lack of direction combined with highly directed entrepreneurialism; a tendency to procrastinate combined with a knack for getting a week’s worth of work done in two hours; impulsive, wrongheaded decision making combined with inventive, out-of-the-blue problem solving; interpersonal cluelessness combined with uncanny intuition and empathy; the list goes on.
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Edward M. Hallowell (ADHD 2.0: New Science and Essential Strategies)
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Women with AD/HD want to connect but because of their difficulties with executive functioning, they often develop emotional barriers. The combination of cognitive struggles and emotional barriers or the intersection of these makes them avoid relationships even more which decreases the likelihood of starting or maintaining relationships or of reconnecting after a break in the connection. Many fears, negative expectations, and much pain surround these areas. They key for these women to take stock of their barriers and make a plan to slowly start getting back on the road to relationships.
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Sari Solden (Women With Attention Deficit Disorder: Embrace Your Differences and Transform Your Life)
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Caffeine has a calming effect on the ADHD brain. The theory is that the brain of people who suffer from the disorder has an overabundance of dopamine transporters, or re-uptake inhibitors. They carry away dopamine too fast, creating a shortage of it. In turn, that affects serotonin and norepinephrine. The combined effect is a reduced ability to focus, especially on tasks that the person doesn’t enjoy, a lesser ability to control impulsivity, and it even messes with the awareness of time. Caffeine stimulates dopamine production in the brain, temporarily filling up the gap created by the rapid
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I.T. Lucas (Dark Memories Submerged (The Children of the Gods, #53))
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It is impossible to get what you want out of life through indiscriminate action. This is where some honest self-assessment combined with SMART goals comes in, both of which will serve to inspire motivation upon demand, give you a direction to direct your energy towards, and translate impulsivity into creativity.
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Grant Weherley (Tame Your ADHD Brain: 50 Tools and Tricks for Inspiring Motivation, Achieving Maximum Productivity, and Upgrading Your Brain (Awesome ADHD Books Book 1))
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Even today with most women working, even women without AD/HD have issues around money and taking care of their financial affairs. They aren’t as knowledgeable about financial matters as they’d like to be and often have control, power, and dependency issues. Combine this with AD/HD and feelings of being overwhelmed, and it creates an even greater tendency to shut down and tune out in this area.
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Sari Solden (Women With Attention Deficit Disorder: Embrace Your Differences and Transform Your Life)
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I first discovered this unusual combination in culinary school. The benefits of black pepper and the strawberries with their antioxidants, vitamin C, and folate make these a perfect snack. Juice of ½ lemon ½ teaspoon honey 1 cup sliced fresh strawberries Pinch of black pepper In a small bowl, combine the lemon juice and honey. Stir. Add the strawberries and toss to combine. Sprinkle with the black pepper. Allow the strawberries to macerate for 10 minutes before serving.
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Uma Naidoo (This Is Your Brain on Food: An Indispensable Guide to the Surprising Foods that Fight Depression, Anxiety, PTSD, OCD, ADHD, and More (An Indispensible ... Anxiety, PTSD, OCD, ADHD, and More))
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Most of my housemates had ADHD, PTSD, bipolar, autism, or some combination of those. I might have been the only one who didn’t realize I was neurodivergent—that is, not neurotypical. In that house, for the first time since childhood, I didn’t feel like an introvert. I got energy from being around people, because I didn’t feel the need to play a role—I could just be. Stimming was common and accepted. People dressed however they liked. Meltdowns were an occasional part of life, not a big and scary event.
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Annie Kotowicz (What I Mean When I Say I'm Autistic: Unpuzzling a Life on the Autism Spectrum)
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Time management also involves energy management. Sometimes the rationalization for procrastination is wrapped up in the form of the statement “I’m not up to this,” which reflects the fact you feel tired, stressed, or some other uncomfortable state. Consequently, you conclude that you do not have the requisite energy for a task, which is likely combined with a distorted justification for putting it off (e.g., “I have to be at my best or else I will be unable to do it.”).
Similar to reframing time, it is helpful to respond to the “I’m not up to this” reaction by reframing energy. Thinking through the actual behavioral and energy requirements of a job challenges the initial and often distorted reasoning with a more realistic view. Remember, you only need “enough” energy to start the task. Consequently, being “too tired” to unload the dishwasher or put in a load of laundry can be reframed to see these tasks as requiring only a low level of energy and focus.
This sort of reframing can be used to address automatic thoughts about energy on tasks that require a little more get-up-and-go. For example, it is common for people to be on the fence about exercising because of the thought “I’m too tired to exercise.” That assumption can be redirected to consider the energy required for the smaller steps involved in the “exercise script” that serve as the “launch sequence” for getting to the gym (e.g., “Are you too tired to stand up and get your workout clothes? Carry them to the car?” etc.). You can also ask yourself if you have ever seen people at the gym who are slumped over the exercise machines because they ran out of energy from trying to exert themselves when “too tired.” Instead, you can draw on past experience that you will end up feeling better and more energized after exercise; in fact, you will sleep better, be more rested, and have the positive outcome of keeping up with your exercise plan. If nothing else, going through this process rather than giving into the impulse to avoid makes it more likely that you will make a reasoned decision rather than an impulsive one about the task.
A separate energy management issue relevant to keeping plans going is your ability to maintain energy (and thereby your effort) over longer courses of time. Managing ADHD is an endurance sport. It is said that good soccer players find their rest on the field in order to be able to play the full 90 minutes of a game. Similarly, you will have to manage your pace and exertion throughout the day. That is, the choreography of different tasks and obligations in your Daily Planner affects your energy. It is important to engage in self-care throughout your day, including adequate sleep, time for meals, and downtime and recreational activities in order to recharge your battery. Even when sequencing tasks at work, you can follow up a difficult task, such as working on a report, with more administrative tasks, such as responding to e-mails or phone calls that do not require as much mental energy or at least represent a shift to a different mode. Similarly, at home you may take care of various chores earlier in the evening and spend the remaining time relaxing.
A useful reminder is that there are ways to make some chores more tolerable, if not enjoyable, by linking them with preferred activities for which you have more motivation. Folding laundry while watching television, or doing yard work or household chores while listening to music on an iPod are examples of coupling obligations with pleasurable activities. Moreover, these pleasant experiences combined with task completion will likely be rewarding and energizing.
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J. Russell Ramsay (The Adult ADHD Tool Kit)
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look at your trauma and see it for what it is - a combination of thoughts and feelings.
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Instant Relief (Neurodivergent Friendly DBT Workbook: Coping Skills for Anger, Anxiety, Depression, Panic, Stress. Embrace Emotional Wellbeing to Thrive with Autism, ADHD, Dyslexia and Other Brain Differences)
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EXCESSIVE TALKING and TALKING OVER PEOPLE This one makes us very unpopular! While Inattentive adhd people are often quiet and withdrawn, your Combineds and Hyperactives rarely shut up! Our brains are going full speed and we can’t get the info out of our mouths quick enough. adhd people speak over others and interrupt primarily because if they don’t say their thought immediately, it’ll be forgotten. Our short-term memory is so poor, we can’t hold a thought long enough for you to finish speaking.
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Sarah Templeton (How Not to Murder your ADHD Kid: Instead learn how to be your child's own ADHD coach!)
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Clutter and chronic disorganization combine to create a virtual hellhole for women with ADHD, a seemingly endless abyss that threatens to suck them down on a daily basis. The compromised executive functioning of the ADHD brain makes all things weigh in as equally important, thereby making sorting, selecting, and tossing a real challenge.
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Terry Matlen (The Queen of Distraction: How Women with ADHD Can Conquer Chaos, Find Focus, and Get More Done)
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To put it simply, emotional dysregulation creates intense emotions. This, paired with our ADHD, can trigger an impulsive reaction. This combination can present itself as bouncing off the walls with joy or crying our eyes out. Thus, it creates a display of emotions that is unfitting for the situation. It is one of the most prevalent and demanding symptoms of ADHD.
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Abigail Shepard (Chaos to Calm: Cleaning and Organizing with ADHD: Simple Ways To: Boost Productivity, Eliminate Clutter, Harness your Hyper-Focus, Create Lifelong Habits and Empower your ADHD Mindset)
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On June 7, 2010, Ms. Ruenrurng began serving a twenty-five-year prison sentence for bringing into Thailand from Laos one and a half pills of methamphetamine, worth about five dollars. Combined, the pills contained, at most, 35 mg of the drug, which is a low to moderate dose. To put this in perspective, this amount of methamphetamine is less than the maximum daily approved dose (60 mg) given to children in the United States as part of their treatment for ADHD.
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Carl L. Hart (Drug Use for Grown-Ups: Chasing Liberty in the Land of Fear)
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Having ADHD, for me, is a constant struggle between aiming to be as normal as possible and knowing that I’m not. So one minute, I’ll be like, nothing’s wrong, I can do this, I’m more than a letter combination, don’t you dare define me by my medical chart. And the next, when I stumble upon something that scares the life out of me, I make up excuses for myself and use them as a weapon under the guise of protecting others from me.
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Cara Dee (Prowl (The Game, #12))
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Some people just aren’t meant for the grind. I was in one of those huge public middle schools, taking seven different classes a day. I couldn’t keep up. I couldn’t even remember my locker combination! So I started shutting down—figuratively and literally, during classes. I’d been fully alert at ten years old; then I turned eleven and suddenly I couldn’t keep my eyes open. I’d fall asleep right there at my desk. And not because I wasn’t totally well rested; I totally was! It was so weird. And in the next class, I’d nod off again, at a different desk.
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Cat Marnell (How to Murder Your Life)
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People with combined type ADHD may: •Like to stand rather than sit •Fidget and squirm •Talk a lot •Speak fast •Be very curious •Interrupt •Blurt out answers •Have trouble controlling themselves •Have trouble following directions •Have difficulty staying on task •Have trouble concentrating •Be disorganized •Lose things •Be forgetful
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Kelli Miller (Thriving with ADHD Workbook for Kids: 60 Fun Activities to Help Children Self-Regulate, Focus, and Succeed (Health and Wellness Workbooks for Kids))
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Flow is a rush like no other. If you want grounds for comparison, consider the current use-abuse rates for mood-altering, mind-altering, and performance-enhancing drugs: In America, over 22 percent of the population has an illicit drug problem; one out of ten take antidepressants; 26 percent of kids are on stimulants, purportedly for ADHD, anecdotally for performance enhancement. And prescription drugs? They’ve just surpassed car accidents as the number one cause of accidental death. Add this up and you’ll find a trillion-dollar public-health crisis. Now consider what these abused drugs do. The primary illicit drug of choice is marijuana—that triggers the release of anandamide. Antidepressants are some combination of dopamine, norepinephrine, and serotonin; tobacco and ADHD drugs affect dopamine and norepinephrine; and prescription drugs of abuse are opioids like Oxycontin—meaning they affect the endorphin system. In other words, Americans are literally killing themselves trying to achieve artificially the same sensations that flow produces naturally. Of course, as a perfect endogenous combination of these drugs, flow is also a major rush. But unlike the dead-end highs currently plaguing public health, flow doesn’t sidetrack one’s life; it revitalizes it.
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Anonymous
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In a study published in 2005 psychologist Steven A. Safren of Mass General and his colleagues showed that 12 training sessions, focused on adopting organizational strategies, combined with medication, was more effective for ADHD symptoms than medication alone in 31 adults with ADHD. In a followup study published in 2010 Safren found that 12 weeks of training in organizational techniques relieved the burden of ADHD in 79 adult patients more than relaxation therapy of the same duration did. Therapy can also curtail impulsive decision making. In our own clinical practices, we ask clients to pick “critical moments” in which they tend to stray from their intended course. Such a moment might be deciding to play one more video game instead of going to bed on time or hitting snooze on the alarm clock, until a person is so rushed that gym clothes are forgotten and the planned exercise never
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Anonymous
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4 cups (940 ml) homemade Chicken Stock (see page 198) or ready-to-eat chicken broth with 1 envelope (1 tablespoon, or 7 g) plain gelatin added ½ cup (80 g) yellow onion, chopped ½ cup (65 g) carrot, chopped 1 tablespoon (4 g) minced fresh parsley ½ teaspoon minced fresh thyme 1 bay leaf ½ teaspoon black pepper 4 ounces (115 g) uncooked GF macaroni or small pasta shells 2 cups (about ¾ pound, or 340 g) cubed cooked turkey 1 cup (180 g) chopped tomatoes In a large sauce pot over medium heat, combine broth, onion, carrot, parsley, thyme, bay leaf, and pepper. Bring to a boil. Stir in macaroni, cover, and reduce heat. Simmer for about 6 minutes. Stir in turkey and tomatoes. Cook until heated through and macaroni is tender. Discard bay leaf before serving.
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Pamela Compart (The Kid-Friendly ADHD & Autism Cookbook, Updated and Revised)
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1 tablespoon (6 g) ground black pepper 4 medium potatoes, quartered 1 small head cabbage, cut into bite-size pieces 1 large carrot, sliced into thick coins 1–2 tablespoons (15–30 ml) GFCF soy-free fish sauce Combine the first 5 ingredients in a large saucepan or stockpot. Cooked (uncovered) on medium-high heat until beef is tender. Simmer (covered) for about 3 hours. Add potatoes for the last 30 minutes. Add cabbage and carrot for the last 15 to 20 minutes. Add fish sauce to taste. (This is quite salty but does add to the taste.)
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Pamela Compart (The Kid-Friendly ADHD & Autism Cookbook, Updated and Revised)
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These really cook up well the next day too. They are light and fluffy. 1 large egg ¾ cup (175 ml) milk substitute (rice, soy, almond, or coconut) 1 tablespoon (20 g) honey ½ teaspoon vanilla 1 cup (140 g) GF flour ¼ teaspoon xanthan gum ¼ teaspoon salt 1 tablespoon (5 g) baking powder Combine egg, milk substitute, honey, and vanilla in a bowl. In a separate bowl, combine flour, xanthan gum, salt, and baking powder. Add the dry mixture to the wet mixture and blend well. Cook on a hot, greased griddle, using about ¼ cup of batter for each pancake. Cook until brown on one side and around edge; turn and brown the other side. VARIATION: Fold ½ cup (75 g) fresh or frozen (thawed) blueberries into the batter.
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Pamela Compart (The Kid-Friendly ADHD & Autism Cookbook, Updated and Revised)
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Compared to other killers from a public health standpoint, ADHD is bad. Smoking, for example, reduces life expectancy by 2.4 years, and if you smoke more than 20 cigarettes a day you’re down about 6.5 years. For diabetes and obesity it’s a couple of years. For elevated blood cholesterol, it’s 9 months. ADHD is worse than the top 5 killers in the U.S. combined. Having ADHD costs a person nearly thirteen years of life, on average. Barkley adds, And that’s on top of all the findings of a greater risk for accidental injury and suicide….About two-thirds of people with ADHD have a life expectancy reduced by up to 21 years.
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Edward M. Hallowell (ADHD 2.0: New Science and Essential Strategies)
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ADHD treatment is a combination of pills and skills
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Faigy Liebermann (Organise Your Home Like A Pro: Declutter Your Life)
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Schedule a comprehensive evaluation to not only provide a formal diagnosis, but to also delineate a clear picture of your strengths and weaknesses. You will then be ready to participate in designing a total treatment plan that meets your unique needs. Get Treatment An effective, total treatment program is essential to future success. Such programs usually include a combination of medication, psychotherapy, coaching, alternative treatments, and necessary related services (support groups, counseling, family therapy, etc.). ADHD can have serious consequences, but it is treatable with safe and effective medications that can change people’s lives. (See Question 35 for a more in-depth discussion of medications used to treat ADHD.)
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Patricia O. Quinn (100 Questions & Answers About Attention Deficit Hyperactivity Disorder (ADHD) in Women and Girls)
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While the former is overwhelmingly found in children, the latter can persist well into adulthood, and is basically an excessive difficulty with following rules, and persistently behaving in a socially unacceptable way, such as showing aggression towards people and animals, destroying property, stealing, lying and breaking laws. These conditions don’t appear in many mainstream media conversations about ADHD, but according to the DSM-5 are really quite common, with conduct disorder affecting about a quarter of children and teens with ADHD-C (combined).
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Matilda Boseley (The Year I Met My Brain: A travel companion for adults who have just found out they have ADHD)
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Combined Type The difference between the inattentive and the hyperactive/impulsive type of ADHD in children is poorly understood. A child with a combination of the two may be particularly distracting and challenging to manage. This is the most common type, with symptoms that combine the other two. People with combined-type ADHD may have inattentive symptoms early in the day but become hyperactive and impulsive as the day continues and may be restless sleepers at night. Also, people with combined-type ADHD may be fidgety during the day but become very calm at night when relaxed and ready to go to bed.
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Leila Molaie (ADHD DECODED- A COMPREHENSIVE GUIDE TO ADHD IN ADOLESCENTS: Understand ADHD, Break through symptoms, thrive with impulses, regulate emotions, and learn techniques to use your superpower.)
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Florida, known for its vibrant cities, beautiful coastlines, and diverse population, also offers a wide and growing range of psychiatric services designed to meet the mental health needs of people from all walks of life. From bustling metropolitan areas like Miami, Orlando, and Tampa to quieter towns and rural regions, psychiatric care in Florida has expanded significantly in recent years. This growth is driven by increased awareness around mental health issues, evolving societal needs, and a stronger commitment to destigmatizing psychological conditions. Today, psychiatric services in Florida encompass everything from traditional in-person visits at clinics and hospitals to cutting-edge telepsychiatry platforms that offer remote consultations. Services are offered by licensed psychiatrists—medical doctors who specialize in diagnosing, treating, and managing mental illnesses through a combination of medication, therapy, and other therapeutic interventions—as well as by psychiatric nurse practitioners, psychologists, therapists, and counselors who work together to provide integrated care. Whether someone is struggling with anxiety, depression, bipolar disorder, PTSD, ADHD, substance use disorders, or more complex psychiatric conditions like schizophrenia, Florida's mental health infrastructure is equipped to provide comprehensive and personalized support.
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