May 24, 2017

Stress Busters Part 1 – The Power of “Estar”

 

Stress Busters Part 1

The Power of “Estar”

change-1539658

I.                   So, this one time in the emergency room…

About a year ago, I found myself in the emergency room with my daughter.  She was really ill…the last time this happened she ended up  hospitalized for the better part of three months (the year prior).  I could tell my daughter was really nervous…it was palpable.  Truth be told, I was equally scared.  It’s a terrible feeling when your kid is hurting and you can’t make it better.  All I could do was try to ease her anxiety.  I remember looking at her and saying “It’ll be ok.  This is just temporary.  We’ll get through this and be back on track befor you know it.”  It wasn’t exactly stirring speech I know, but it was pretty much all I had at the time.  After I said that, she looked at me, she smiled, and then she said the most remarkable thing.

“It’s ok Dad.  We’ll just use Estar from now on.”

Estar?  Huh?  What’s that?  That’s pretty much what I said to her.  She went on to explain that in the Spanish Language (did I mention my daughter has been taking Spanish classes since she was in Kindergarten and is very much in love with the language?) the verb “To Be” can be expressed in two different ways.  “Ser” which is for things that are permamanent and aren’t expected to change and “Estar” which refers to things that are going to and are expected to change.  As I never really studied Spanish (and posess a miserable facility for learning languages) this was a revelation to me.  What a marvelous concept…a language that has a verb to address things that are changeable!  What a help for situations like the one we were in….if we think of it as not changeable (Ser) then we’re stuck.  What’s the point of fighting on?  It’s not going to get better.  Sounds like the thought processes of somebody stuck in depression or overwhelmed by stress and anxiety.  On the otherhand, by labeling it as temporary (Estar) it has to change…get better….automatically, with this one linguistic shift, there is hope.  It’s optimism at it’s finest.  Also…props to my daughter…that was a fine bit of wisdom on her part.

The days and months that were to follow that moment in the emergency room were tough to say the least.  Crazy highs and lows.  Unexpected twists and turns.  However, no matter how tough things were…my daughter and I could look at each other and just say “Estar” and we’d feel better.  Over time, things DID get better.  Now, when we look back a year ago it seems a lifetime.  So much has changed, so much is better….but it was hard to see the way out back then.  We needed a little faith and we prompted that faith by remembering “Estar”.  By a little creative use of language, we’d found a great way to manage stress.

II.                 Everything is temporary

A.                Bad times end eventually

Everything is temporary.  Nothing lasts forever.  So, when you are going through hard times.  It helps to think “Estar.”  Eventually, the hard times will ease up and end.  Sadly, it is often very hard to see how things will change and get better.  In fact, the more your resources are consumed by stress the harder it is to see past one’s expectations.  It’s a weird kind of tunnel vision that makes it more likely for you to focus on all the stuff that is overwhelming you today.  It obscures and hides options.  This can lead to a feeling of helplessness that feeds hopelessness.  In short, it sucks.

So, by adopting this language of “Estar” you can remind yourself that everything is temporary.  Then, you can hold onto the idea that even though you might not be able to see a way out or see the end of the hard times….the hard times willI end.  Solutions will present themselves.  By adjusting your thinking slightly you can give yourself a little bit of positive energy and keep hope alive.  This energy can help you deal with those things in your bad situation that you can manage.

B.                 Good times don’t go on forever

So, if the bad times don’t last forever then it stands to reason the good times don’t last either.  “That’s terrible Erik!  Why would you bring me down like that?” I hear you say.  Well, it means that you need to cherish the good times when they are happening.  Don’t take them for granted.  No mater how small the positive moment may seem….enjoy it to its fullest.  When you are feeling bad, take time out to remember and savor the good moments.  In this way you cultivate happiness within yourself and inoculate yourself against negativity.  Use the good times while they last to buffer and prepare yourself for the hard times.

C.                 All you have is this moment (the art of Mindfulness)

To do that, practice mindfulness.  Simply put, be in the moment.  Don’t spend energy worrying about what may come (that’s just anxiety projected into the future where you can’t do anything about it) or staying stuck in the past (the past can’t be changed).  Be in the moment.  I will talk more about mindfulness and discuss some ways to practice it and use it manage stress in future articles.

III.              How to model/teach this to your children

For you parents out there, you can teach your kids how to think like “Estar.”  This is especially important for children on the spectrum or with ADHD who tend to be more ridged in their thinking and see situations as being more permanent than they really are.

A.                Talk it out

Talk to your kids.  When you notice they are getting stuck…tell them about and encourage them to see the temporariness of bad situations and to appreciate the good things when they have them.  Better yet, talk out loud about ways you might be using this for yourself in your life.

B.                 Act it out

Walk the walk,  Don’t just say it but do it.  When your kids see you doing the same things you tell them to do that means more to them. They are more likely to internalize things they experience than things that are seem more hypothetical.

C.                 Reward and praise it

Make a point of commenting on, praising and rewarding your child for their efforts to be mindful, appreciate the good things and accept the bad things as temporary.  Children really respond to things that they experience and then are rewarded for doing.

 

I hope this article has been helpful.  The way we use words influences the way we think.  Language and thinking style are your biggest assets in managing stress.  I would love to hear about ways you have used tricks like this to manage your stress.  Also, if you would like a stress consultation, please call (484-693-0582) or email (erik@erikyoungcounseling.com) to schedule an appointment.

 

Share

3 tips to ease the back to school transition

ID-10049009

 

It’s been a good summer.  You’ve had some fun.  Everyone is (hopefully) feeling pretty relaxed. But, now, it’s time to get ready to return to school.  For you, the parent, you are probably looking forward to a little more time to get stuff done without having to manage child care duties.  However, for your exceptional child, back to school means a change in routine and can be a potentially stressful transition.  Bearing this in mind, here are some things you can do to help make things a little easier.

1.     Gradually adjust bedtime.

For many families, summer break is a time of decreased or changed structure. For many of my clients, bed times get a little more lax and are often pushed back.  Try to start nudging that bedtime up a few minutes a night before the school starts.  Shoot for having your child going to bed and getting up for at least a few days (if not a week) before the first day of school.  This will make the transition a little more gradual and help your child to start the first day of school more rested and ready to go.  Starting school is enough of a change without being sleep disrupted on top of everything.

2.     Be positive

Your child may be experiencing some anxiety as they think about starting up school.  This may be heightened if they are making a big jump (say from grade school to middle school or from middle school to high school).  Encourage your kid to talk about and process these feelings, but focus on the positives.  Focus on your child’s strengths and how they are ready to do well.  Remind them of good things to look forward to with the start of a new school year.

3.     Reach out to the teachers

Consider reaching out to the teachers before or at the start of the school year.  Send a brief email introducing yourself and your child. Let the teachers know your child’s likes and strengths.  Don’t count on an IEP or 504 plan to give them the important information they need to work with your child.  Most importantly, stay positive and present yourself as a resource to help them and support them in working with your child.  Make a positive connection and this will aid collaboration as the school year unfolds.

 

I hope these simple tips help you out. Please feel free to share your helpful back to school tips in the comments section below. Also, please share this article with any friends you think might find it helpful.  If you would like to schedule a consultation you can email erik@erikyoungcounseling.com or call 484-693-0582.

 

Share

The Punishment Spiral (and how to get out of it)

ID-10062097

courtesy of freedigitalphoto.com

How it starts… a familiar story?

Your child does something you’ve told him not to do. In fact, you’ve him not to do this thing many times before.  Frustrated, you snap at your child “how many times do I have to tell you?!  Cut that out!!”  Maybe you ground them for a year… because time out and losing video game privileges hasn’t helped.  Maybe you start ranting like a crazy person about how the child is irresponsible, disrespectful, etc.  Maybe you even engage in corporal punishment with a spanking.  Then, you look at yourself and how you are acting.  You realize that should things go any further, there’s going to be a visit from child protective services in your near future.  Your kid is in all likelihood experiencing a full on meltdown by this stage.  You are too.  You feel helpless to get your child to listen and you don’t know what else to do.

Welcome to the punishment spiral.  As a parent, I’ve been there…. more than once.  In fact, it’s at this stage that many parents seek out my counseling services.  They’ve gotten stuck in a repeating cycle of punishing “bad behaviors”, the child getting “used” to the punishment, and then having to escalate the punishments to maintain their effectiveness.  The end result, like those Bugs Bunny cartoons where he and Marvin Martian get bigger and bigger weapons until they are ready to blow up the moon with their planet busting bombs, is that things get quickly out of control.  Thankfully, with a little knowledge and planning, this situation can be changed for the better.

Punishment vs reinforcement

First off, it’s important to note the difference between punishment and reinforcement.  From a technical point of view, punishment is anything that happens after a behavior that decreases the chances of seeing that behavior in the future.  Reinforcement is anything that happens after a behavior that increases the chances of seeing that behavior in the future.  Thus, for practical purposes, when you deliver a consequence with the goal of trying to get your child to stop or decrease a behavior you are technically punishing him.  This also means that your intent is less important than the outcome.  You might intend something to be reinforcing or but unless it increases the behavior it is not a reinforce.  Also, if it goes so far as to decrease a behavior, your reinforcer is actually a punisher.

Here’s the thing bout punishment.

  • It works, and it tends to work fast.
  •  It’s also the cultural norm in western society.

However, there is a cost to using punishers.

  • They tend to leave both the person delivering the punishment and the person receiving it feeling poorly.
  • Over use of punishers strains and damages relationships.
  • They only teach a child what not to do in a specific situation…. thus you need to punish every possible behavior that you don’t want to see if you go strictly with punishment as a consequence.
  • Punishment only works when the threat of punishment is imminent (the child knows they will get caught right then).
  •  Finally, kids tend to get used to punishment so they lose effectiveness over time.  This leads to the need to escalate punishments. Over time, this can quickly get out of hand, leading to a punishment spiral.

Personally, I tend to prefer using reinforcement strategies when I deliver consequences.

  • Reinforcers really teach your child what you want them to do and thus eliminate most other possible outcomes you don’t want to see.
  •  For example, I can punish my child every time he hits.  He might stop hitting, but he can kick,he can bite, etc.  If I teach my child to use gentle hands and feet or something along those lines…I’m focusing on rewarding the behavior I want to see and this basically gives no incentive to engage in all those other negative behaviors.
  •  Giving rewards ends to make the recipients feel more kindly and connected to you.
  • The downside with reinforcement strategies is that they often take a little bit longer and require a little more finesse.  You might have to teach a behavior or skill as you start to reinforce it.
  • You have to stop reinforcing the negative behaviors… and this might mean changing parenting tactics.

 

Also, a lot of parents often feel that reinforcement strategies look a lot like bribery.  The thing is, bribery is a money given to someone as an incentive to engage in illegal or illicit behavior.  It’s given BEFORE the behavior (so is not reinforcement) and I don’t know about you, but I’m not rewarding my kids for doing illegal and illicit things. Just keep the big picture in mind.  We want our kids to learn how to behave “properly.”  If a system of rewards will help them be motivated to behave, then that’s a good thing.  Over time, extrinsic rewards (money, toys, food, etc.) give way to intrinsic rewards (praise, doing it because it’s the right thing to do and it feels good) as the child grows and matures.

Break the cycle… Competency Based Parenting

What to do if you find yourself in a punishment spiral with your kids?  How do you get them to listen without killing a child?  First, take a deep breath.  Second, it’s simply time for a reset.  Look at the behavior and try to figure out what your child is getting from it.  Whatever that is, we need to provide that to your child, but only for displaying the behavior you want to see.  Once you’ve figured that out, you need to set the stage to elicit and reward those desired behaviors.

There are some assumptions that go along with this.

  • First, if your child is struggling with behaviors around certain items or activities (I often hear this in reference to computers and video games) then he is not competent or ready to handle the responsibility and privilege for access to that item or activity.  Access needs to be eliminated or cut back to something more manageable until your child has demonstrated the skills and competency to handle that situation.

 

  • The next assumption is that you, as a parent, have everything that the child wants and the child has absolutely nothing you want (thank you to Terry Levy and Michael Orlans for that concept!).  This means that everything you child takes as a given (video games, TV, etc..) is a privilege you ALLOW them.  That xbox isn’t your child’s…you paid for it.  You paid for the electricity to run it.  You pay for the wifi for it to connect to the internet.  When your child gets to play it… it’s because you are choosing to let them do it.

 

  • Your child should only have access to privileges that they have demonstrated the ability to manage.  So, if your child won’t do their chores because they are busy playing video games or get irritable or angry and act out around access to video games, then they are clearly not ready to handle the responsibility of video games.

 

So, to avoid going into a punishment spiral (which often starts with taking away “stuff” after kid acts out), we simply restrict access to activities to only those things the child can manage.  Give the child access to a limited number of activities and then as the child demonstrates responsible behavior over time (weeks and months… not hours and days), gradually add more privileges.

  • Add privileges slowly.  For example, don’t just give free access to the video games.  Maybe give them 10 minutes a day to a select few games (if they do their chores and get homework done).
  • Do not add privileges until you, as a parent, are dead certain your child will be able to manage it responsibly.
  • Don’t let your child guilt you with the “my friends get to do it” card. Your child is not his or her friends.
  • Your child will hate this at first, but will generally show improved behaviors very quickly under these boundaries.
  • By focusing on earning privileges for demonstrating positive behaviors and adding privileges slowly… you focus on looking for positive behaviors, rewarding instead of punishing, and you are teaching your child what to do (rather than what not to do).

I hope these tips help you live more harmoniously with your kids.  If you have further questions or would like to schedule a consultation, please feel free to contact me at erikyounglpc@verizon.net or call me at 484-693-0582.

Copyright 2014 Erik Young, M.Ed., LPC

Share

A Love Letter to my Autistic Boys

A Love Letter to my Autistic Boys

I remember when a colleague, a psychiatrist no less, asked me if  loved my autistic foster boys as much as my biological children.  When I said, “absolutely!” he looked at me skeptically and said “there’s no way…it’s got to be different.”  At that moment, two things happened, I lost a little respect for this guy and I KNEW deep into my soul that I loved you both with all my heart.

It’s a love that some people struggle to understand.  Some look at us and say “Erik, what you do for those boys…you’re a saint!”  I hate that.  I’m no saint.  Don’t put what we have up on some pedestal.  It’s just farther for us to fall.  I’m just being a Dad.  A Dad loves his kids. Kids love their Dad.  It really is that simple.  Nothing saintly about it.  Others just shake their heads and wonder why I would take on the stress and craziness that can come with parenting autistic boys.  Again, they just don’t get it.  Why WOULDN’T I?  Sure, it gets crazy…but is wonderful too.  Jeremy and his belly laughs and shares his secret smile. Julian with his hugs and giggle fits.  These are the gifts that make it all worth it.

As much as people say I’ve done for you boys…you’ve done so much more for me.  Every day you teach me.  Every day you help me to grow even as I help you.  When I look upon my success both personally and professionally, you two are very much at the heart of it.  I’m the luckiest Dad ever.

 

Happy Valentines Day Jeremy and Julian.

 

Love,

Your Dad

Share

Want your child to listen better? Try the prompting hierarchy

ID-10067170

       I.            Does this sound familiar?

“Johnny, put on your shoes.”

“Put on your shoes Johnny.”

“Johnny!  Pay attention!  Put on our shoes!”

“Put on your shoes!”

“ARRRGGGHHH!!!”  (parent loses mind… Johnny is still shoeless)

If you have kids then you’ve probably had this interaction (or one like it).  Repeating the same command over and over as your child blissfully ignores you until you lose your mind.  Why does this happen?  They say that the definition of insanity is repeating the same behavior over and over expecting the same results.  So, parents MUST be crazy because we insist on repeating ourselves to our kids ad nauseum hoping they will suddenly listen to us.

Ok, so we aren’t crazy even if our kids sometimes make us look that way.  There must be a solution to though to what to do to get kids to listen when we want them to do something.  One answer is using prompts.  Prompts are assists that help someone to display a behavior we want to see. For example, demonstrating a behavior for your child and then having them copy you would be an example of a modeling prompt (you modeled the behavior).  If you make your prompts progressively more assistive, you can ultimately guarantee your child will do what you want.  More importantly, this makes sure that the child receives praise and reinforcement  from you for displaying the behaviors YOU want to see.

     II.            The different kinds of basic prompts

There are four basic kinds of prompts I like to use with my kids:

Gesture – some sort of non-verbal movement that will elicit the desired behavior. In the above shoe example, pointing the shoes could be a gesture prompt.

Verbal – a brief verbal statement meant to bring about the behavior. That’s all that was used in he above example.

Model – demonstrating the desired behavior.  In the above example, I might pick up the shoe and then put it down while saying “Like this, now you try.”

Physical – helping the child to physically do the behavior. So, hand over hand helping the child pick up his shoes and put them on.

  III.            Putting the prompts to use

Putting everything together is pretty simple.  After the child is told to do something, you wait a bit for them to process and comply.  Then, if they don’t do what you want, you give them a prompt.  Personally,  like to start with the gesture prompt as it is the least intrusive.  Wait a bit, then go to the next level of prompt (verbal) if the behavior doesn’t happen.  Keep working up the hierarchy until you get the behavior you were looking for.  As soon as the behavior occurs, make sure to deliver reinforcement in the form of praise.  With this system, you guarantee you don’t repeat yourself forever trying to get your child to listen,  Also, you guarantee that the child gets praised for doing the behavior.  Finally, you only give as much help as the child needs to do what you want.  So, you might start out having to physically assist but over time that will naturally fade to verbal, gesture and hopefully with no prompts (child does the behavior when first directed to do so).

If you wish to learn more about prompting strategies or to schedule a free consultation with me, call 484-693-0582 email erikyounglpc@verizon.net or press the schedule appointment button to the right.

©Erik Young, M.Ed., LPC

Share

New Year’s Resolutions versus The Stages of Change

ID-10095101

The Christmas holiday is over.  Surrounded by the carnage of torn wrapping paper and mangled boxes, we look to the future.  Soon, it will be New Year’s eve.  Maybe because it’s a “natural” transition…or maybe because it’s tradition, we tend to start thinking about the past and looking to the future.  From this has arisen the idea of the New Year’s resolution…the promise of change that we make to ourselves to hopefully make the next year a little better than the one that just passed us by.

Truth be told, I’m not a big fan of the resolution.  Well, that’s not true…I’m all about making resolutions and change for the better.  I just don’t see why we should only do it once a year.  I figure if you need to change…then change.  Don’t wait for an arbitrary date to do so.  However, that’s not the point of this article.  No…I want to speak to you about HOW to change…not when or why.

I.                   Ever struggled with making changes?

If you answered “no” to that question, you are either the luckiest, most enlightened person in the universe…or a total liar.  Everyone struggles with change.  Change is difficult.  It’s stressful.

I can’t tell you how many times I’ve decided to make a change in my life.  Committed to the process…only to fall on my butt.  Sometimes it’s because life got in the way.  Other times I wasn’t really ready.  Still other times I changed, but it just didn’t “stick”

I tell you this now because I often reflect on how ironic it is that I as a mental health professional whose job it is to facilitate change in others struggle personally with making changes myself.  In fact, all my colleagues seem to have the same dilemma.  However, in my studies I have learned a thing or two about change…things that have helped me personally and certainly helped my clients to change.  So, in the spirit of making changes for the new year, I offer you this look into the theory of “stages of change.”

II.                 Prochaska and DiClemente — Stages of change

I came across this change model while I was finishing up my degree.  I’ve found it to be incredibly helpful in my own efforts at change as well as those of many of my clients.  Here it is in a nutshell:

  1. “I don’t have a problem…YOU have a problem”– (Precontemplation) – Not considering change.  Doesn’t recognize there’s a problem.  “Ignorance is bliss.”  You probably won’t recognize if you are in this stage…but you will know if a loved one is here.  If your child, spouse, friend, etc is here, then your goal is to raise awareness.  Make connections between the person’s behaviors and the problem at hand.  I often find myself saying “How’s that working for you?” to clients stuck at this stage.
  2. “I know I have a problem, but what can I do about it?”—(Contemplation) – Recognizes there may be a problem or a need to change, but doesn’t know what to do about it.  Most of us become aware at this stage.  We often try to force a change here but this is a mistake.  Because we don’t know everything about the problem any solution we come up with is liable to be inadequate. It’s like trying to bake cookies without reading or understanding the recipe.  The goal here is to be patient and really understand the problem thoroughly.  Once you understand it, then you can change it.
  3. 3.       “I know what’s wrong, just need to figure out what to do about it.” – (Preparation) – Recognizes a need for change and is starting to explore the problem and come up with a plan to address it.  Here we start putting together a plan for change.  We draw on all our resources to get ready to change. 
  4. 4.       “I’m working my plan!” – (Action) –  Recognizes a need for change.  Understands what needs to be done, has a plan and is “working” that plan.  Pretty straight forward.  This is where most of want to be but try to get here too soon.
  5. 5.       Maintenance – Has achieved the desired change and is now actively maintaining that change for the long haul.
  6. 6.       Relapse – Due to unforeseen circumstances, has reverted to old patterns of behaviors and regressed.

It is important to note, while most people go through the stages in order, one does not have to go through ALL the stages.  One might go from precontemplation to action in a short period of time if a plan comes together.  One might also move backwards through the stages if bad things happen.  Also, one can be in different stages of change with different problems all at the same time.  The bottom line is, change can be complicated and messy (no surprise there, right?).

III.              Match the intervention to the stage

What does this have to do with you and your New Year’s resolution?  Everything!  If what you are trying to change does not match up with your readiness to change (the stage you are in) then you are most likely doomed to fail from the get go.  So, take a good long look at what you are planning to do.  Examine where you are at…be honest with yourself.  What stage are you at?  Once you figure out that, then the next steps become easier to figure out.  Match what you are going to do with the stage you are in and work towards the next stage your chances for success are increased.

So, let’s say you are in the contemplative stage.  You know that you need to change but are not sure what to do.  Your task then is to understand the whats, whys and wherefores of your desired change.  How did the problem come about?  What are the resources you bring to bear?  Once you gain enough understanding, then you can move towards preparation and make a plan.

Let’s say you are at the action stage.  Great!  Work your plan…but how are you going to maintain the change?  What are you going to do if things go off the rails?  Figuring that stuff out ahead f time can increase your chances of success.

What if you are in maintenance?  You’ve made that change and are successful?  What happens if you relapse?  How are you going to view yourself?  Do you have a plan to get back on track? If you do, then your chances of overcoming a setback are much greater.

I hope you’ve found this information helpful.  If you want help in navigating a life change, then please contact me for a free consultation. erikyounglpc@verizon.net  or 484-693-0582

 

Share

ADHD: Disorder or Super Power? Part Four

       I.            Succeed from your strengths!

Partially because I didn’t receive formal therapy, but also because I needed to grow up, I did not get a handle on my ADHD until I was in my 20’s.  What happened is that I became a father.  All of a sudden I was motivated.  I looked at my son and thought “he deserves better than a slacker parent.”  I enrolled in college and started to apply all the study and organizational strategies I’d been taught but stubbornly refused to use in high school.  A funny thing happened, I started getting straight A’s.  In fact, I maintained a 4. GPA for 6 straight semesters in my undergraduate program.  It was hard work at first and I had to be very disciplined, but I didn’t want to let my baby son down.  Over time though, it got easier as I got habituated to doing these things.  Pretty soon I could tap into my super focus whenever I wanted.

Today, I’m still hyperactive (I cannot sit still).  I can be impulsive.  I talk too fast.  I procrastinate.  BUT I can control that when the circumstances call for it.  I run a successful private practice.  I pay the bills.  I have a good life.  As long as I have goals that motivate then my ADHD brain works FOR me rather than against me.

Here’s the bottom line.  If you have ADHD or think you might have ADHD, then here is what you need to do to be successful:

  1. Stop internalizing the bad messages from the world around you.  Stop internalizing the daily little failures as a measure of your self-worth.  It’s not necessary and it just drags you down. You may be forgetful at timesbut so what?  Focus on the positives.  Celebrate your strengths.
  2. Find your passion! Figure what things engage your focus and then work them into as much of your day-to-day life as possible.  This will help make boring activities more engaging.
  3. Always have a goal with firm deadlines.  This will help stave off procrastination.  Don’t just say “I’ll do _____ someday.” Or “I will get to it later.”  Set a day and time and then get it done.  You might do it last-minutethat’s ok as long as you meet your goal.  When you meet your goalset a new goal.  Never be without a goal.
  4. Look for new passions so you can change things up.  Remember, boredom is the enemy!  Keep it fresh.  It’s ok to rotate through interests.  Going through two or three things then returning to the first thing as you feel like it.
  5. Learn how to organize and engage your focus even in low-stim situations.  It’s difficult.  It takes time.  But, sometimes we just have to gut through the boredom.

If you want to schedule a free consultation please call 484-693-0582 or press the “schedule appointment” button to the right.

Share

ADHD: Disorder or Super Power? Part Three

       I.            Hidden gifts

Having ADHD confers some distinct advantages.  First, lets do away with the myth of the attention-deficit.  The name of this condition is a misnomer.  It’s not that we can’t pay attention, quite the contrary.  We have super, laser-like focus and attention.  The problem is that the cost of entry is very high to engage that focus.

I explain it to my private practice clients like this.  Everyone has a “goldilocks” zone of stimulation.  When the environment stimulation is in this zone then we feel comfortable.  For neurotypical people, the world generally puts us in this comfort zone.  However, for those of us wired for ADHD, our need for stimulation is very highmuch higher than the norm.  Most of the time the world is not giving us what we need.  We are under-stimulated.  So, our brains seek out stimulation to make us feel normal. So, we seem distracted because we are constantly going “whats that!  What’s that!  What’s that!”  seeking normalcy.  Our existence is one long battle with extreme boredom.  However, when our need for stimulation is met, then our focus kicks inand it is much stronger than that of mere mortals.  When I’m doing something that stimulates me and I get in the zone….I lose track of time.  I can get more done in a couple of hours than most people do all day!  The problem is that it can be difficult to access that focus when others expect that of us.

Other good things that come with ADHD:

  • Creativity
  • Energy
  • Sociability
  • Independence
  • Fun
  • Quick thinker
  • Decisiveness
  • Passionate

So, ADHD shouldn’t be considered a disorder.  It’s a rough descriptor of neurology.  We don’t pathologize shorter than average people.  We don’t say they’re broken.  We give them access to stools to reach the top shelf.  Whether or not you need meds.  No matter what behavioral/organizational strategies you need to get through the daythese are simply “stools”tools to help us adapt.

Go to Part Four.

If you would like to schedule a free consultation, please call 484-693-0582 or press the “schedule appointment” button to the right.

Share

ADHD: DISORDER OR SUPER POWER? Part two

       II.            The problems with the diagnosis

The DSM-V is the official manual of mental disorders.  If you have a formal diagnosis of ADHD (or any other mental health disorder), then it should flow from the criteria laid out in that book.  Here is what the DSM-V says about ADHD.

DSM-5 Criteria for ADHD

People with ADHD show a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development:

  1. Inattention: Six or more symptoms of inattention for children up to age 16, or five or more for adolescents 17 and older and adults; symptoms of inattention have been present for at least 6 months, and they are inappropriate for developmental level:
  • Often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or with other activities.
  • Often has trouble holding attention on tasks or play activities.
  • Often does not seem to listen when spoken to directly.
  • Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (e.g., loses focus, side-tracked).
  • Often has trouble organizing tasks and activities.
  • Often avoids, dislikes, or is reluctant to do tasks that require mental effort over a long period of time (such as schoolwork or homework).
  • Often loses things necessary for tasks and activities (e.g. school materials, pencils, books, tools, wallets, keys, paperwork, eyeglasses, mobile telephones).
  • Is often easily distracted
  • Is often forgetful in daily activities.
  1. Hyperactivity and Impulsivity: Six or more symptoms of hyperactivity-impulsivity for children up to age 16, or five or more for adolescents 17 and older and adults; symptoms of hyperactivity-impulsivity have been present for at least 6 months to an extent that is disruptive and inappropriate for the person’s developmental level:
  • Often fidgets with or taps hands or feet, or squirms in seat.
  • Often leaves seat in situations when remaining seated is expected.
  • Often runs about or climbs in situations where it is not appropriate (adolescents or adults may be limited to feeling restless).
  • Often unable to play or take part in leisure activities quietly.
  • Is often “on the go” acting as if “driven by a motor”.
  • Often talks excessively.
  • Often blurts out an answer before a question has been completed.
  • Often has trouble waiting his/her turn.
  • Often interrupts or intrudes on others (e.g., butts into conversations or games)

In addition, the following conditions must be met:

  • Several inattentive or hyperactive-impulsive symptoms were present before age 12 years.
  • Several symptoms are present in two or more setting, (e.g., at home, school or work; with friends or relatives; in other activities).
  • There is clear evidence that the symptoms interfere with, or reduce the quality of, social, school, or work functioning.
  • The symptoms do not happen only during the course of schizophrenia or another psychotic disorder. The symptoms are not better explained by another mental disorder (e.g. Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder).

Just take a look at that.  Pretty dismal huh?  Can’t sit still.  Can’t pay attention.  Can’t control oneself.  Totally out of control.  What a mess!  This is the only picture the mental health community uses to diagnosebut it is a very incomplete picture.  The diagnostic criteria focus on the “negative” aspects of ADHDwhich really revolve around the struggles with school and “typical” work environments (where sitting still and doing seat work are prized).  The definition neglects to look at the positives of being wired for ADHD.  It totally misses the amazing strengths we have.  Thus, we are pathologized and often made to feel inferior when we are simply different.  Allow us to capitalize on our strengths and we can do amazing things and be very successful.

Go to Part Three.

If you would like to schedule a free consultation, please call 484-693-0582 or press the “schedule appointment” button to the right.

Share

ADHD: DISORDER OR SUPER POWER? Part one

       I.            A confession

My name is Erik and I have Attention Deficit Hyperactivity Disorder.  Like many people my age (the “wrong” side of forty) I wasn’t ever diagnosed as a child and never received treatment.  As a child I was always on the go.  I learned to run before I could walk… I even have a small calcium deposit bump on my forehead from falling on my face so much during that time.  I had a terrible anger from being hypersensitive.  The most mild name calling would send me into full-out temper tantrums.  By the time I was in middle school, my straight A grades started to suffer due to poor organization, an overwhelming sense of boredom and my insistence that I read my favorite books rather than what my teachers wanted me to read.  I was the poster boy for “he can do the work…”

It wasn’t until I was well into my adulthood and was struggling to make sense of life, the universe, and everything that I finally figured out what was “wrong” with me.  Soon after, I realized that NOTHING was wrong with meI was simply wired a certain way and as long as I was aware of that and made the appropriate adjustmentslife could be amazing.  As a result, I am well-educated, successful and reasonably happy.  In fact, I attribute much of my success to my ADHD.  For me, today, life IS amazing.  I am so blessed.  Let me tell you why…

Go to Part Two

To schedule a free session, call 484-693-0582 or press the “schedule appointment” button to the right.

Share
%d bloggers like this: