Therapies Are Expensive Quotes

Movies are like an expensive form of therapy for me.

Life is like therapy - real expensive and no guarantees.

Have your boyfriend add therapy bills to my expense tab.

I have no right to be sad about anything. No right to have therapy from expensive doctors like you for losing children who never existed. There is real grief in the world. There are real mothers losing real children.

most cherished desires of present-day Westerners are shaped by romantic, nationalist, capitalist and humanist myths that have been around for centuries. Friends giving advice often tell each other, ‘Follow your heart.’ But the heart is a double agent that usually takes its instructions from the dominant myths of the day, and the very recommendation to ‘follow your heart’ was implanted in our minds by a combination of nineteenth-century Romantic myths and twentieth-century consumerist myths. The Coca-Cola Company, for example, has marketed Diet Coke around the world under the slogan ‘Diet Coke. Do what feels good.’ Even what people take to be their most personal desires are usually programmed by the imagined order. Let’s consider, for example, the popular desire to take a holiday abroad. There is nothing natural or obvious about this. A chimpanzee alpha male would never think of using his power in order to go on holiday into the territory of a neighbouring chimpanzee band. The elite of ancient Egypt spent their fortunes building pyramids and having their corpses mummified, but none of them thought of going shopping in Babylon or taking a skiing holiday in Phoenicia. People today spend a great deal of money on holidays abroad because they are true believers in the myths of romantic consumerism. Romanticism tells us that in order to make the most of our human potential we must have as many different experiences as we can. We must open ourselves to a wide spectrum of emotions; we must sample various kinds of relationships; we must try different cuisines; we must learn to appreciate different styles of music. One of the best ways to do all that is to break free from our daily routine, leave behind our familiar setting, and go travelling in distant lands, where we can ‘experience’ the culture, the smells, the tastes and the norms of other people. We hear again and again the romantic myths about ‘how a new experience opened my eyes and changed my life’. Consumerism tells us that in order to be happy we must consume as many products and services as possible. If we feel that something is missing or not quite right, then we probably need to buy a product (a car, new clothes, organic food) or a service (housekeeping, relationship therapy, yoga classes). Every television commercial is another little legend about how consuming some product or service will make life better. 18. The Great Pyramid of Giza. The kind of thing rich people in ancient Egypt did with their money. Romanticism, which encourages variety, meshes perfectly with consumerism. Their marriage has given birth to the infinite ‘market of experiences’, on which the modern tourism industry is founded. The tourism industry does not sell flight tickets and hotel bedrooms. It sells experiences. Paris is not a city, nor India a country – they are both experiences, the consumption of which is supposed to widen our horizons, fulfil our human potential, and make us happier. Consequently, when the relationship between a millionaire and his wife is going through a rocky patch, he takes her on an expensive trip to Paris. The trip is not a reflection of some independent desire, but rather of an ardent belief in the myths of romantic consumerism. A wealthy man in ancient Egypt would never have dreamed of solving a relationship crisis by taking his wife on holiday to Babylon. Instead, he might have built for her the sumptuous tomb she had always wanted. Like the elite of ancient Egypt, most people in most cultures dedicate their lives to building pyramids. Only the names, shapes and sizes of these pyramids change from one culture to the other. They may take the form, for example, of a suburban cottage with a swimming pool and an evergreen lawn, or a gleaming penthouse with an enviable view. Few question the myths that cause us to desire the pyramid in the first place.

My favorite flower lost its voice, and through aroma therapy and the assistance of both my nostrils, I’m trying to help it get it back.

I’M SORRY I am developing a new board game. It’s called “I’m Sorry.” It’s also a form of “Self-Help Psychological Therapy!” You take turns moving around the board like Monopoly. But if you land on a Yellow or Green “I’m Sorry Space”… you have to make a Phone call. Both green and yellow cards are labeled- the same with things like: Your Ex, Parental figure, friend, co-worker, boss, children, etc. You get the point… If you land on the yellow space, the game stops, everyone gets quiet and you have to call that person up – on speakerphone. You apologize for something you’ve done in your past. Come on you know you are not perfect and you probably screwed up, hurt or disappointed everyone in your past at one time or another. So you call and you apologize. You explain what you did to them wrong if they forgive you, you move forward 10 places and everyone cheers! No forgiveness back- you move back to the beginning. If you land on the green space- it’s similar. But you call the person up and you try to explain to them how, in someway, they hurt you in the past. If they apologize… cheers and you move forward 10 spaces. No apology… move backward ten spaces. They curse at you- game over. In the original packaging of the yellow and green cards, are mixed in a set of “I’m Sorry Cards.” If you are lucky enough to get to pick up an “I’m Sorry Card,” it’s like a Get Out of Jail Free Card, and you don’t have to make the call. The only catch is that the cards come hermetically sealed. After opening up the package, and the cards are exposed to air, all of the “I’m Sorry Cards,” magically turn into “Deal With it Cards!” And so, you really never get a free ride. In reality, every time you pick up a yellow or green card, you have to- Deal with It! Of course you can always order a new factory set of sealed of “I’m Sorry Cards.” But they only last about 30 minutes and are very expensive, so you’ll have to play fast. Cute Game? Hey, don’t steal my idea!!!

Since my symptoms began 13 years ago, I’ve tried every form of pain management I could access — NSAIDS, nonopioid analgesics, neurologic medications, acupuncture, laser therapy, physical therapy, prolotherapy, massage, and trigger-point injections. Most of these have been unhelpful; others provide temporary relief, often at great expense. At the end of the day, when my body is fully depleted of its resources and in the most pain, a single dose of Percocet is the only tool that silences the pain enough for me to fall asleep. I honestly don’t know what I’d do if Percocet became unavailable to me, and the very thought scares me. I’ve been taking it for five years. To avoid any chance of addiction, I only take it at night and have stayed on a consistently low dose.

The playground song in my head went, First comes love, then comes hideous betrayal, then comes endless regret requiring expensive therapy. It was a terrible song. It didn’t even rhyme. But it was mine, and I hadn’t made a family, even though I’d wanted one

Another, related issue is that longevity itself, and healthspan in particular, doesn’t really fit into the business model of our current healthcare system. There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed. Similarly, there’s no billing code for putting a patient on a comprehensive exercise program designed to maintain her muscle mass and sense of balance while building her resistance to injury. But if she falls and breaks her hip, then her surgery and physical therapy will be covered. Nearly all the money flows to treatment rather than prevention—and when I say “prevention,” I mean prevention of human suffering.

Being physically healthy is not expensive! Being injured is.. So prevent injuries!

Another relevant factor is money. In the United States and many other countries, health care is partly a for-profit industry.21 Consequently, there is a strong incentive to invest in or promote treatments such as antacids and orthotics that alleviate the symptoms of diseases and that people have to buy frequently and for many years. Another way to make lots of money is to favor costly procedures like surgery instead of less expensive preventive treatments like physical therapy. Preventive

But the worst of the expense lies with the medications, and there is no reason for their high and fluctuating prices: the drugs have been off patent for decades, and we know that the same companies sell the same drugs at wildly different prices in different countries. Drug prices should not constitute the chief barrier to effective therapy for all patients... With less complaining, and more coordination, international public health authorities could have brought these prices down rapidly, as we have learned by our efforts to do so.

As for Resistances! They are almost an item of dogma in the current secular religion. Persons who would never dream of going to the time, expense, or trouble of a full analysis will tell you complacently that they have “a resistance” to this or that, and feel that they have done all and more than can be asked of them by admitting their handicap. Remarkable cures of resistances, however, have been observed in those who took solemnly the advice to replace that word with our ancestors’ outmoded synonym for the same thing: “bone-laziness.” It is not quite so much fun, nor so flattering, to be foolishly lazy as it is to be the victim of a technical term, but many are crippled for knowing an impressive word who would have had no such trouble if they had lived in a simpler and less self-indulgent society. Those who are genuinely, deeply, and unhappily in the grip of a neurosis should turn at once to one of the well known therapies. Unless one is willing to do so, it should be made a matter of social disapproval to refer technically to such difficulties.

Being traumatized is not just an issue of being stuck in the past; it is just as much a problem of not being fully alive in the present. One form of exposure treatment is virtual-reality therapy in which veterans wear high-tech goggles that make it possible to refight the battle of Fallujah in lifelike detail. As far as I know, the US Marines performed very well in combat. The problem is that they cannot tolerate being home. Recent studies of Australian combat veterans show that their brains are rewired to be alert for emergencies, at the expense of being focused on the small details of everyday life.43 (We’ll learn more about this in chapter 19, on neurofeedback.) More than virtual-reality therapy, traumatized patients need “real world” therapy, which helps them to feel as alive when walking through the local supermarket or playing with their kids as they did in the streets of Baghdad.

Group Therapy Group therapy has been very successful for treating social anxiety, and there are many benefits to it. Members are a source of support for each other and the group allows you to address your fears in a safe environment. Listening to others’ experiences helps you realize the ways in which social anxiety affects you. Group therapy also helps you become more comfortable speaking in front of people and sharing your thoughts. Moreover, it is typically less expensive than one-on-one therapy because group members share the cost. There are also disadvantages to group therapy. You’ll spend less time talking about your own problems than in one-on-one therapy. You might also worry about confidentiality. It is often difficult to trust that strangers aren’t going to talk about your problems outside of the group. If you have this fear, it can be difficult to open up, thus lessening the effectiveness of group therapy.

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Despite the objection from his mother he had decided to visit a clinic with the woman. He knew, he would forever be obliged to her. He had found a job, but he could not keep it because of his addiction. He had no money. The woman paid the expenses. She introduced him to people who would understand his problem and help him deal with it. She made him join Sex Addicts Anonymous. She helped him deal with his urges. He had started to believe that sexual addiction was real. Suddenly, everything made sense. He was not a freak, he had a serious problem. He suffered from a disorder. He had the option to set things straight. He underwent Cognitive Behavioral Therapy, which he benefited from. A prostitute had set him free. - from story 109 of You Me & Stories

DEFENDING A RAPIST What is the character of a person who becomes a sexual enabler? We get an early glimpse into this question from 1975, when Hillary Clinton defended a man, Thomas Alfred Taylor, who was accused of beating and raping a twelve-year-old girl. A virgin prior to the attack, she spent five days in a coma, several months recovering from her injuries, and years in therapy. Even people who are accused of heinous crimes deserve criminal representation. Hillary’s strategy in defending Taylor, however, was to blame the teenage victim. According to an affidavit filed by Hillary, children who come from “disorganized families such as the complainant” sometimes “exaggerate or romanticize sexual experiences.” Hillary suggested the girl was “emotionally unstable with a tendency to seek out older men and engage in fantasizing.” Here Hillary seems to be echoing what Bernie Sanders wrote in his rape fantasy essay. In this case, however, the girl certainly didn’t dream up the assault and rape. There was physical evidence that showed she had been violated, and she was beaten so badly she was in a coma. Prosecutors had in their possession a bloodied pair of Taylor’s underwear. But fortunately for Hillary and her client, the forensic lab mishandled the way that evidence was preserved. At the time of trial, the state merely had a pair of Taylor’s underwear with a hole cut in it. Hillary plea bargained on behalf of Taylor and got him released without having to do any additional time. A tape unearthed by the Washington Free Beacon has Hillary celebrating the outcome. “Got him off with time served in the county jail,” she says. Did Hillary believe that, in this case, justice was done? Certainly not. On the tape, Hillary admits she never trusted her client. “Course he claimed he didn’t, and all this stuff.” So she decided to verify his story. “I had him take a polygraph, which he passed—which forever destroyed my faith in polygraphs.” Clearly Hillary knows her client is guilty, and this fact doesn’t bother her. The most chilling aspect of Hillary’s voice is her indifference—even bemusement—at getting a man off after he raped a twelve-year-old. The episode is a revealing look into the soul of an enabler. In fact, it reminds me of Alinsky protesting to Frank Nitti about the wasted expense of importing an out-of-town-killer. Hillary, like Alinsky, seems to be a woman without a conscience.9

I'm saying the structure and f the entire culture is flawed, chip said. I'm saying the bureaucracy has arrogated the right to define certain states of mind as 'diseased.' A lack of desire to spend money becomes a symptom of disease that requires expensive medication. Which medication then destroys the libido, in other words destroys the appetite for the one pleasure in life that's free, which means the person has to spend more money on compensatory pleasures. The very definition of mental health is the ability to participate in the consumer economy. When you buy into therapy, you're buying into buying. And I'm saying that I personally am losing the battle with a commercialized, medicalized, totalitarian, modernity right this instant.

I’d always fantasized about indulging in a nervous breakdown. I watched Girl, Interrupted with a twisted, jealous fervor, felt envy when I saw celebrities enter rehab. What entitlement. What privilege, to just let life fall to the wayside, to stop working and pretending and just fall apart. To let my grief-swollen brain split at the seams and spend my days crying and sitting in therapy and drinking lemonade in meditative silence on a manicured lawn. And what impossibility. Because rent. I didn’t have the money to enter some elite facility with groomed grounds and full-time therapists. But after ten years of constant work, buying the least expensive entrées, and thrift-store shopping, I had finally saved enough money to not work for several months. At last, a burnout of my very own.

Despite the severest deprivation in early childhood, these people are neither living a greedy, me-first style of life, nor are they seeking gain at the expense of others. None express the idea that the world owes them a living for all they have suffered. On the contrary, most of their lives are marked by a compassion for others” (p. 233).

The case of Tamiflu is another example of medical reversal, a therapy adopted into widespread use that is later found to be no better than our previous less expensive and safer therapy

therapy is predicated on honesty: on confessing weird symptoms and self-destructive habits, dredging up distant memories and old traumas. The expensive, time-consuming irony is that patients lie. In a survey of more than five hundred people undergoing therapy, almost everyone—an astonishing 93 percent—admitted to having lied in session. (They most often hid suicidal thoughts, drug use, and disappointment in the therapeutic process.) No matter how much patients trust therapists to suspend judgment, to keep their secrets, to take their side, they can’t help but lie to elicit the response that they want; to elude censure or punishment; to save face or shield the doctor from discomfort.

Most schools fulfill this legal obligation by providing services that won’t involve a perpetrator, such as academic accommodations or healing resources. At Western University, victim advocates would broker agreements between survivors and their professors to get extensions on assignments or excused absences. They would also help survivors submit paperwork to receive refunds for classes they dropped or failed due to the strains of their traumatic symptoms. To improve survivors’ mental health, the Counseling Center hosted group therapy for sexual assault survivors and offered one-on-one counseling at a cheaper rate than the insurance co-pay at most private practices. Advocates also had a small fund available to cover survivors’ trauma-related expenses. Overwhelmingly, survivors who received these resources benefited from them. Some called them life-changing. However, few survivors felt comfortable actually using them. Especially more than once.

The Book of Ecclesiastes in the Holy Bible was written more than two thousand years ago, just before I was born. Chapter III contains the famous verses about there being a time, a season, and a purpose for everything. Who needs modern self-help books and expensive therapy when this astute advice explains it all?

Prescribing a drug results from clinical judgment based on a thorough assessment of the patient and the patient’s environment, the determination of medical and nursing diagnoses, a review of potential alternative therapies, and specific knowledge about the drug chosen and the disease process it is designed to treat. In general, the best therapy is the least invasive, least expensive, and least likely to cause adverse reactions. Frequently, the choice is to have nonpharmacological and pharmacological therapies working together.

immunotherapy making use of Lymphokine Activated Killer Cells. These LAK cells, as they became known, were derived from a patient’s own blood. When grown in the laboratory with some special proteins, they had the ability to selectively attack solid tumor cancers, regardless of type, and destroy them with only minimal side effects. In short, it was the ideal treatment for persons afflicted with this terrible disease. “Unfortunately, there were two problems; only thirty-nine percent of the patients treated responded to the therapy, and the process of collecting and growing the killer cells in the laboratory was time consuming and incredibly expensive. Then, with Doctor Steinberg’s death, and the drying up of government funding, this work at NIH ceased.

History had taught her that getting a good drunk on was excellent therapy, and less expensive than actual therapy.

the bureaucracy has arrogated the right to define certain states of mind as ‘diseased.’ A lack of desire to spend money becomes a symptom of disease that requires expensive medication. Which medication then destroys the libido, in other words destroys the appetite for the one pleasure in life that’s free, which means the person has to spend even more money on compensatory pleasures. The very definition of mental ‘health’ is the ability to participate in the consumer economy. When you buy into therapy, you’re buying into buying.

(Mutt, a mentally ill brother who is setting fire to a load of expensive things from the house he grew up in and was physically abused and neglected in) "Tuck (mutt's brother is being asked), aren't you going to stop him?" 'Why?' 'Well' - she waved her hand across the house - 'couldn't you two do something good with all this?"...... "Yeah, but the money we earned wouldn't buy as much therapy as that fire....

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This is a familiar scenario in therapy. A patient’s boyfriend doesn’t want to stop smoking pot and watching video games on weekends. A patient’s child doesn’t want to study harder for tests at the expense of doing musical productions. A patient’s spouse doesn’t want to travel less for work. Sometimes the changes you want in another person aren’t on that person’s agenda—even if he tells you they are.

Therapy is expensive, and often the best facilities and practitioners are not covered by insurance, and so mental health becomes a luxury.

Listening, true deep listening—when someone takes your words in deep—that kind of listening is rare and healing, and when you go to buy some, it’s expensive. The going rate for therapy is $190 an hour. And up. But some listening is free or has a put-a-dollar-in-the-basket fee. So far, the best treatment for alcoholism we know of is a room full of drunks listening to one another, listening without offering advice or argument—cross talk is forbidden—so that whoever speaks is truly heard. Laughter fills these meetings. The great, knowing, soul-gusting laughter of shared experience . . .

Western society doesn't make it easy to increase our longevity potential. Our youth-driven culture and our neglect of the aged promote a wholesale denial of the realities of aging. The marketplace is full of products and devices promising to make us look and feel younger. In addition, conventional Western medicine focuses on treatment and replacement therapy, prescribing expensive drugs, removing a failed organ and transplanting a new one, or replenishing a depleted hormone. Very little emphasis has been placed on preventing disease and maintaining a vigorous state of health day to day.

Gather six to 12 months of checking, savings, and credit card statements, and break your income and expenses down into categories and then line items. I have suggested some here, but add your own as needed. Check to see if your bank or credit card company provides reporting that categorizes charges or lets you assign categories—your work may already be almost done for you: •Income—paychecks, interest, dividends, rents, royalties, business income, pension, social security, child support, spousal support •Housing—mortgage/rent, property taxes, HOA dues, insurance •Utilities—gas, electric, propane, phone, TV/Internet, trash, water/sewer •Food—groceries, dining out •Auto—car payments, gasoline, repairs, insurance •Medical—health insurance, doctor/dentist visits, prescriptions, physical therapy •Entertainment—travel, concerts/shows, sports •Clothing—personal purchases, dry cleaning, uniforms •Personal care—hair/nails, gym/yoga, vitamins/supplements •Miscellaneous—gifts, pets, donations •Children—education, activities, school lunches, childcare You can use a spreadsheet or pen and paper to take note of income and expenses as you go through statements, then calculate a monthly average for each item.

There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed. Similarly, there’s no billing code for putting a patient on a comprehensive exercise program designed to maintain her muscle mass and sense of balance while building her resistance to injury. But if she falls and breaks her hip, then her surgery and physical therapy will be covered. Nearly all the money flows to treatment rather than prevention—and when I say “prevention,” I mean prevention of human suffering.

What to Do Tonight Spend private time with your child, ideally without electronics. Take turns with each child if you have more than one, so that the ratio is one-on-one. It is remarkably healing for kids and will help you to enjoy them. It also makes them feel like they are your number one priority. If you’re highly anxious, do something about it. Treating anxiety is one of the best things you can do for yourself and your family. Consider participating in cognitive behavioral therapy: you can learn very effective strategies for identifying and “talking back to” the distorted and unproductive thoughts that contribute to high anxiety. Learn to meditate. Take a yoga class. Be very regular in your exercise routine. Spend time in nature. Get more sleep. Socialize more with friends if it helps you feel calm. Avoid making decisions for your child based on fear. If you find yourself thinking, “I’m afraid if I don’t do this now, then—” stop. Do what you feel is right now, not what you feel you have to because of what you’re afraid will happen if you don’t. If your child is struggling, schedule a short time every day for you to worry about his or her problems. Literally write it into your planner. This will let your brain know that it is safe not to worry all day long. Remember who’s responsible for what. It cannot be your responsibility to see that everything goes well for your children at all times. If you are very worried about your teenager and have talked through the issues together many times, write your child a short letter summarizing your concerns and offering any help the child might need. Then promise that you will not bring the issue up again for a month. When you break your promise (because you will) apologize and recommit to it. Get out a piece of paper and draw a vertical line in the middle. In the left-hand column, write statements such as the following: “It’s okay for Jeremy to have a learning disability,” “It’s okay that Sarah doesn’t have any friends right now,” “It’s okay for Ben to be depressed right now.” In the right-hand column, write down the automatic thoughts that come to your mind in response (likely rebuttal) to these statements. Then question these automatic thoughts. Ask questions such as, “Can I be absolutely sure that this thought is true?” “Who would I be if I didn’t believe this?” This kind of self-questioning exercise, developed by author and speaker Byron Katie and others, can serve as a useful tool for discovering the thoughts that trap you into negative judgments.18 Create a stress-reduction plan for yourself. Can you get more exercise? More sleep? What calms you down and how can you do more of it? Don’t make yourself available to your kids at the expense of your own well-being. Wall off some “me” time. Model self-acceptance and tell your kids what you’re doing.

OM’S RELATIONSHIP-COACHING STYLE seemed reminiscent of getting hit on at a bar. Not by a yoga teacher, as his name would suggest, but by an unneutered therapy animal. He was short, furry, and attentive, with the most soulful brown eyes Greta had seen in years, eyes that put you instantly at ease, even as he was humping your leg. Greta had experienced this firsthand during their initial interview, which had taken place at an abandoned-church-turned-expensive-cocktail-bar on the edge of town.

Every American should be able to expect certain standards, freedoms, benefits, and opportunities form a twenty-first-century health system. If they are willing to participate and be responsible, they will gain: •Improved health; •Longer lives with a much better quality of life; •A more convenient, understandable and personalized experience -- all at a lower cost; •Access to the best course of treatment for their particular illness and their unique characteristics; •A system that fosters and encourages innovation, competition, and better outcomes for patients; •A system that truly values the impact that medical innovation has on patients and their caregivers as well as on society as a whole; •A government that facilitates and accelerates extraordinary opportunities to improve health and health care; •Continuous but unobtrusive 24/7 monitoring of their general health, chronic conditions, and acute health problems; •Access to the most modern medical knowledge and breakthroughs, including the most advanced technologies, therapies and drugs, unimpeded by government-imposed price controls or rationing; •The chance to increase their personal knowledge by learning from a transparent system of information about their diagnosis, costs and alternative solutions; •A continuously improving, competitive, patient-focused medical world in which new therapies, new technologies, and new drugs are introduced as rapidly and safely as possible -- and not a day later; •Greater price and market competition, innovation and smarter health care spending; •A system of financing that includes insurance, government, charities, and self-funding that ensures access to health and health care for every American at the lowest possible cost without allowing financing and short-term budgetary considerations to distort and weaken the delivery of care; •Genuine insurance to facilitate access to dramatically better care, rather than the current system, which is myopically focused on monthly or annual payments; •A health system in which third parties and government bureaucrats do not impede the best course of treatment that doctors and their patients decide on; •A health system in which seniors, veterans, or others under government health programs receive the same quality of care as their children in private markt systems. Big reforms are required to transform today’s expensive, obsolete health bureaucracy into a system that conforms to these principles.

Ironically, the devaluation of parenthood coincides with a belated movement to return to the family functions it has surrendered to the apparatus of organized therapy and tuition. Rising rates of crime, juvenile delinquency, suicide, and mental breakdown have finally convinced many experts, even many welfare workers, that welfare agencies furnish a poor substitute for the family. Dissatisfaction with the results of socialized welfare and the growing expense of maintaining it now prompt efforts to shift health and welfare functions back to the home.

In his book-length review of the executive functions, Dr. Russell Barkley (2012) explored the reasons that these skills evolved in humans in the first place. He makes the compelling case that it was the selection pressures associated with humans living in larger groups of genetically unrelated individuals, which made it selectively advantageous to have good self-regulation skills. That is, these abilities became more important to survival as humans became more interdependent with and reliant on dealings with people who were not family. Attention-Deficit/Hyperactivity Disorder (ADHD) and executive dysfunction continue to have effects on the myriad relationships and social interactions in daily life. These connections include romantic and committed relationships/marriage, relationships with parents, siblings, children, and other relatives, friendships, and interactions with employers, coworkers, and customers. The executive functions in relationships also figure in the capacity for empathy and tracking social debt, that is, the balance of favors you owe others and favors owed to you. The ability to effectively organize behavior across time in goal-directed activities gains you “social collateral.” That is, the more you deliver on promises and projects, the more that you will be sought out by others and maintain bonds with them. Some of the common manifestations of ADHD and executive dysfunction that may create problems in relationships include: • Distractibility during conversations • Forgetfulness about matters relevant to another person • Verbal impulsivity—talking over someone else • Verbal impulsivity—saying the “wrong thing” • Breaking promises (acts of commission, e.g., making an expensive purchase despite agreeing to stay within a household budget) • Poor follow-through on promises (acts of omission, e.g., forget to pick up dry cleaning) • Disregarding the effects of one’s behavior on others (e.g., building up excessive debt on a shared credit card account) • Poor frustration tolerance, anger (e.g., overreacting to children’s behavior) • Lying to cover up mistakes • Impulsive behaviors that reduce trust (e.g., romantic infidelity)