March 19, 2024

A DAY IN THE ADHD LIFE: SCENES FROM A JAKE’S WAYBACK BURGER

True confessions time.  I have attention deficit/hyperactivity disorder.  To my friends and family, I am sure this does not come as much of a surprise.  I am 46 and grew up in a place (Texas, then New Jersey) and a time (the 1970’s and 1980’s) where ADHD wasn’t as well-known as it is now.  Basically, I grew up undiagnosed until well into adulthood.  This is why I like working with kids and families dealing with adhd…it’s something with which I’m intimately familiar with.  Today, I describe a recent event in my life where my adhd brain got the better of me.  I’m hoping this will both amuse and educate you guys about what it’s like to live with this condition.

Let’s set the wayback machine for two weeks ago.  My fiancée and I were out shopping, running some wedding errands, etc.  Truth be told, I’m not huge shopping fan so my interest level wasn’t at 100% (though getting these errands done was important).  Furthermore, I’d not slept well the night before and was not my best mentally.  I could tell it was a bad adhd day.  My mind was bouncing from thought to thought like an overly eager and friendly Labrador retriever.  What I’m saying is from an attention management perspective, I was nowhere near the top of my game.

During our outing, it occurred to us we should eat food.  We decided to treat ourselves by stopping in a Jake’s Wayback Burger.  For those of you not in the know, this place sells incredibly great burgers and awesome shakes.  They’re a little pricey, but very tasty.  Inside, my labrador mind immediately noticed the cool posters in the place.  Each poster represented a decade (from the 30’s to the 80’s) and I found that I had to put a lot of effort and energy to keep my eyes from wandering from my fiancée (who is a lovely woman) to studying the posters.

To make matters worse, the two guys at the table next to us were having a loud, weird and interesting conversation.  Near as I can tell, one guy was starting some sort go video game start up.  He actually said “we’re going to be the next Nintendo.”  He was selling hard to someone who appeared to be associated with some sort of community access cable channel.  They were talking very loudly and the selling was hard.  My fiancée and I both were giving each other silent looks regarding what we were both hearing. We weren’t sure if it was a business meeting or a date. Anyway, this was another thing drawing my attention away from my fiancée and our conversation.

The proverbial camel breaking straw came partway through our meal when from behind me, someone in the kitchen yelled something to someone else in the kitchen.  I had no idea what they said.  I was caught utterly and completely by surprise.  That it happened behind me in my blind spot didn’t help.  Immediately, my attention was pulled behind me.  The Labrador in my head went “HUH??!?!”  I was powerless to stop it for a good couple of seconds.

The result was that I totally didn’t hear what my fiancée said.  As she is an intelligent and observant woman, she totally noticed my attention shift and knew in that moment I didn’t hear her.  I knew that she knew I wasn’t paying attention.  The Labrador tucked his tail between his legs and started to whimper.  I felt terrible because it was clear her feelings were hurt.  This wedding stuff is important and its important I be a part of it.  In that moment, even though I’m totally invested in the wedding and the planning, that’s not how it looked.  Once again, I let someone I cared about down and there was nothing I could have done to avoid it.  Somedays, this adhd thing really sucks.

She called me out on my lack of attention.  I tried to be cool about it at first, but ultimately had to own up to the fact that I missed some of what she said.  Explaining what happened and apologizing, I did the only thing I could do.  Ask her to repeat herself. As her feelings were hurt, she did not want to at first.

We talked some more about what adhd is like for me.  I suspect many of you have had similar conversations with parents, partners and friends.  The neurotypical folks in our lives don’t understand the struggle of how easily our attention gets split.  They don’t see all the ways we must compensate for adhd mind.  They do, however, see the frequent lapses in attention.  When it gets personalized, they get hurt…we in turn, often get defensive.

If you love someone with adhd, understand these important points:

  • ADHD is forever. Don’t confuse an apparent lack of symptoms for a lack of ADHD.  Your loved one has probably learned to cope better.
  • Coping skills only go so far. Lack of sleep, environmental attention grabbers, etc. impact our ability to attend.  If stressors exceed coping, our attention will go bye bye.   Don’t take that personally.  Not to be cliché, but it’s not you, its us.
  • Know that we really want to pay better attention and most of us are trying really hard to stay engaged and attentive.
  • Help us by calling us out on our lack of attention to get us to re-attend. But do so without judgment or ire.  We may need the help, but the other stuff just gets us resentful and defensive.

For those of you, like me, who have adhd, try the following:

  • Be aware of how good or bad your attention might be. Be honest with your loved ones about when you might be struggling.   Help them understand.  Help them to help you.
  • Be honest with yourself when your attention is weak and try to implement appropriate coping skills.
  • When things go awry, don’t personalize it or get down on yourself. Apologize, reset, refocus.  It’s ok.
  • Don’t be afraid to ask for help. We tend to be the kind of people that don’t ask for help or assistance.  We’re often tired of being “failures”.  Failure only happens when you don’t get the support you need.  Doing yourself will ultimately end in the failure you’re trying to avoid.

I hope you found this article helpful.  Please share this with everyone you know.  Spread the positivity!

If you would like to work with me on dealing with your adhd symptoms or the adhd symptoms of a loved one, then call 484-693-0582 or go to www.erikyoungcounseling.com to schedule a consultation.

©Erik Young, M.Ed., LPC

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3 simple things you can do today for a happier family

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3 SIMPLE THINGS YOU CAN DO TODAY FOR A HAPPIER FAMILY

I see a lot of families in my practice. They are all different…different struggles, different needs, different backgrounds…and what seems to unify them all is their desire to simply be happier. Isn’t that what we all want on some level? This article will present 3 simple things that you can do today that will help your family function better and thus be less stressed.

Less Stress = More Happiness!

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TIP #1: MAKE AND POST HOUSE RULES
It seems obvious to this, yet I’m amazed at how often families neglect to do this. Sure, there are usually house rules. They are verbally taught to the children. What doesn’t happen is that the rules get posted up for everyone to see.  Here’s the thing. Kids are great. They’re funny, loving, and we as parents adore them to death. They are terrible at remembering stuff (especially when it’s stuff that might keep them from getting or doing what they want)!  Parents often tell me how they’ve taught the rules to their kids. They fail to realize that in the moment where they want their kid to follow the rules the drive to do whatever it is that the child wants to do might drive rules knowledge right out of their little brains.

A picture is worth 1000 words and kids remember what they see better than what they hear!

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Here are the guidelines for rules:
• Keep them few in number (I try to do no more than five)
• The rules apply to everyone in the house
• State them positively (they should tell you what to do instead of what not to do)
• They should cover about 85 to 90% of what might happen (imagine how great life would be if 85% of the time these rules were followed!)
TIP#2: MAKE A FAMILY MISSION STATEMENT
I got this from the book “The Secrets of Happy Families” by Bruce Feiler and I’ve used it with my family as well as families with whom I’ve worked. How often do families take stock of who they are and then discuss and write it down? Not very often. Having this discussion can really clarify moral and ethical beliefs of your family and negate assumptions and faulty beliefs.
Take a page from the corporate world and have a sit down meeting with everyone in the family. Discuss what you guys, as a family, are all about. What things are important to all of you? What traits define you? Write it up in two or three simple paragraphs.
Once that’s done, post it right next to the rules. Use this document as a teaching tool. Let’s say someone does something that isn’t captured in the rules? Refer to the mission statement and have a discussion as to how what happened did or did not fit in with the mission statement. Instead of a failure you get instant teaching moment.

TIP #3: MAKE A FAMILY MOTTO
This is related to tip #2. Distill the rules and the mission statement down into a simple family motto. For my family, when I did this, our motto became “We take in strays. No one is turned away.” This was based on the fact that we had fostered and adopted kids in the family and every single pet we owned was a rescue. It really summed up what we were about.

You can do these three things in a day or so. Once done, you can do things like tie reinforcement/reward strategies to them. You can know that with these things posted, you don’t have to keep repeating yourself…just point at the posters. This saves argument and aggravation. It decreases miscommunication and misunderstandings.  Besides, these activities can also be really fun.  It’ll help put everybody on the same page as to expectations and help everyone to feel more a part of things.
I hope you found these tips helpful. Please share in the comments section other exercises you have used to help increase your families’ happiness.
If you want to get access to more tips like this and worksheets to help do these exercises, consider joining my Super Parents Team. Go to www.erikyoungcounseling .com/superparent-team to sign up.
If you would like to work with me then call 484-693-0582 or go to www.erikyoungcounseling.com to schedule a consultation.
©Erik Young, M.Ed., LPC

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

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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

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I GET BY WITH A LITTLE HELP FROM MY FRIENDS: THE POWER OF THE “SOCIAL SAFETY NET”

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It’s been crazy at my house lately.  I’m talking off-the-wall chaos.  While I do need to vent a bit, that is not the purpose of this article.  Rather, the experiences of the past couple of weeks have highlighted the importance something I call the social safety net.  So, I wanted to talk both about what we have been going through at “Casa de Chaos” (my house) but also highlight how our “social safety net” allowed us to manage the chaos and deal with stress that would have overwhelmed us at any other time.

I.                   The Social Safety Net Defined

In my new book, The Special Needs Parenting Survival Guide, I discuss ways in which parents of special needs children can manage better and improve their quality of life.  One of the cornerstones of my system is the “Social Safety Net.”

To create a social safety net, parents identify, recruit, train and nurture key people who can provide needed support for them and their child.  The more key people added to the net, the more resources the family has at their disposal.  The more resources at the family’s disposal, the more stress they can manage because the stress gets dispersed throughout the net.  I recently was reminded of just how powerful this can be.

II.                 The crazy 2 weeks at my house

For those of you who don’t know my background, I have five children with special needs.  Two boys with Autism, an adult son with ADHD, a daughter with IDD and another daughter with significant health issues.  About a month ago, my daughter with the health issues had many of her conditions flare up.  We tried everything we knew might work, but to no avail.  Two weeks ago, when she was unable to keep any food down and was losing weight she was admitted to the hospital.

For any family this is a big deal, to have a child in the hospital.  However, with the significant needs of the other 4 children, there are several added degrees of difficulty.  My wife ended up staying at the hospital with my daughter and I stayed home to take care of the kids.  On top of this I had to juggle issues at work, with my practice as well as other medical and school appointments for the other kids.

The situation was terrible.  Each day we figured my daughter would be discharged, but then something else would come up and then stay would get extended.  For a week this happened and then she was discharged.  Unfortunately, after  a couple of days, her symptoms returned worse and she went back in the hospital for another week (this time to get a feeding tube put in).  More juggling of schedules and responsibilities.

With one parent out of the picture (at the hospital) we were unable to engage in our usual parenting teamwork to get things done.  Furthermore, having a parent and a child out of the home added stressors to all the other kids (based on changes in routine and worry).  Let’s face itno matter what‘s gone wronglife goes on.  The laundry needs doing, food needs cooking.  Life doesn’t stop for a crisis (no matter how much you might want it to do so).  If it were just Lorrie and myself, our resources would have been overwhelmed.  I shudder to think what might have happened.

Thankfully, I am a therapist who practices what he preaches.  For years, Lorrie and I have been building our social support network.  When everything went pear-shaped, we were able to draw on the resources of trusted friends and family to help disperse the stress and get things done.  It was still hard… terrible really, but the situation became survivable because of the support of our network.

III.              The key players and why it worked

So, here are some of the people who helped get us through this trying time:

My mom – she helped do laundry (did I mention our washer is broken at this time?  Yeah,when it rains it pours).  With 5 kids, laundry piles up quickly and without Lorrie around, I couldn’t easily get to the laundry mat.  She also was there to just talk and let me vent.  She and my step-father drove supplies or my wife to the hospital (changes of clothes, activities, etc.).  She also wrote some great letters to my daughter to help her deal with her anxiety and worry.

Michele – A good friend of the family and fellow therapist (http://www.michelepaiva.com) not only kept in touch with my daughter through texts and phone calls.  She put together several care packages.  She even gave me a chance to sit and talk, putting the worry aside, for about a half hour in the middle of a particularly bad day which was perhaps he greatest gift of all.  Her thoughtfulness and support were and are outstanding.

Angela – Our foster care social worker.  She helped deal with various scheduling and school issues.  She answered emails and diverted some of the usual BS we have to manage freeing me to focus on what I needed to do.  She came over and sat with the kids when I couldn’t get home in time from work or other obligations. She went above and beyond.

Rand – Another therapist and colleague.  He also let me vent.  He even took over therapy on some of our co-therapy casesfreeing me up to do my parenting thing without guilt.  He was a kind voice of support and reason.

Dr. Chang – Our allergy specialist.  He helped coordinate doctors within various departments to make things run a little smoother at the hospital. He didn’t have to as his specialty wasn’t really needed for what was being done.  Despite that, he stepped up and helped sort things out.

Anthony – A co-worker and friend.  He kept me in the loop with stuff at work and ran some interference as I tried to juggle parenting and work.

My son, Zak – He stepped up and helped with housework and helped keep things stable when I couldn’t be home.  He really stepped up his game and I am grateful.

My sister  — She also let me talk and vent.  When I asked her to run some stuff up to the hospital he immediately said yes. When it turned out she couldn’t do that, she sorted at the situation and arranged for my Mom to do that without involving me (other than letting me know about the change in plans).  She saved  from having to solve yet another problem and helped alleviate a little bit of stress.

These people stepped up and helpedmany without my having to ask.  Why?  Because Lorrie and I have spent time educating them as to our needs and our “reality.” We spend time nurturing and renewing connections with these people (and others) so there is not a sense of “using” them.  They are valued friends.  The work that made things work the past two weeks started years ago and will be on-going (because I am sure there are more crises coming down the pike).

To all the people in my netI am filled with gratitude for all that you do.  Your help and support is invaluable and will be returned someday.

IV.             Make connections and disperse the stress

With “neurotypical” families, the social safety net often naturally develops.  Family, friends, and other people just seem to connect and offer support.  When the family has an exceptional child, these natural supports are often ill-equipped to provide support.  They typically are inexperienced with the child’s needs (much like the new parents).  This can leave the parents isolated and without support when they need it most.

To combat this tendency towards isolation, I counsel my parents to identify their resources and actively train them to be supports.  Once identified and trained, these supports can be nurtured.  The ore people parents can train and nurture, the more help they will have when they need it.

The people with whom you connect, the deeper and sturdier your net.  The effect is when stress hits, bits and pieces of that stress can be sent out into the net for others to manage thus making the load a little lighter on the parents.  More people bring more skills and knowledge to the table allowing for the entire team to be more responsive to a wider variety of situations.

V.                Final Thoughts

If you are the parent of a special needs child and you don’t have a social safety net, then I urge you to start doing the work to create one.  Start fostering those crucial connections. This, more than anything will reduce your stress load and make life more manageable.

Be critical about the people with whom you surround yourself.  Only keep those who will build you up, help you, nurture you.  Distance yourself from users and those who bring you down.

To learn more about how to create a social safety net, check out The Special Needs Parenting Survival Guide. You can also contact me for a free consultation at 484-693-0582 or erikyounglpc@verizon.net

© Erik Young, M.Ed., LPC 2013

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The Importance of Communication

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One common problem in autism and other neurological disorders is difficulties with communication.  Communication problems range from a complete inability to speak to difficulty in interpreting spoken language.  When present, communication problems should be a major focus of treatment because the developmental and behavioral consequences ignoring communication issues can be severe.

In this article published at Goodtherapy.org, I discuss the importance of communication training:

“Erik Young, MEd, LPC – Particularly among children with autism spectrum, learning to 
effectively communicate is key to improving behavioral outcomes.”

 

They also posted my article reviewing Communication Assistance technologies commonly used to facilitate communication.

Erik Young, MEd, LPC – All strategies and technologies for improving communication among 
children with autism and other special needs have their pros and cons. 
Here’s a closer look at five common ones.”

 

If you have any experience with communication training for autistic or other disabled individuals, please share your experiences in the comments below.  I would love to hear from you!

 

Peace,

Erik

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