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When it comes to conversational styles, do you or someone you love tend to blurt or bore? How about boss or even bleed (oversharing a litany of woes)? In this guest post, Seattle therapist Tanya Ruckstuhl-Valenti summarizes these four “Bs” as social bloopers we all want to avoid.

By Tanya Ruckstuhl-Valenti, LICSW, MSW

Given my profession as a therapist, I talk with very many people; or rather I listen to very many people.  I’ve noticed that folks with ADHD diagnoses, as well as folks with anxiety and/or depression, often suffer from social isolation.  Social isolation compounds mental-health issues by removing the normalizing effect of being in the company of other imperfect beings who are, like us, doing the best they can.  This loss of beneficial feedback further reinforces the sense of shame of imperfection that many mental-health issues share as a root fallacy. So it’s my passion to talk about social skills because I think they are both simple and transformative.

Good conversations, like a good relationships, require both an intersection of interest as well as a departure from familiarity because what use is there in having someone in your life who thinks and acts exactly like you?  As such, we never need to worry about not having enough in common with another person.  Our differences are flavoring and our similarities are the underlying basic ingredients we are all made from.

For now, let’s focus on Conversation Killers, which all involve failing to think about the other person. I like to summarize them as four Bs: Boring, Bleeding, Blurting and Bossy. Read the rest of this entry »

Patrick McKenna, left, and Rick Green, stars of ADD & Loving It?! and ADD & Mastering It!

You are invited to join me and my friend Rick Green (who created and starred in the PBS smash-hit documentary ADD & Loving It?!) for a webinar on ADHD and Aging. The date is Tuesday, April 2, 5 pm PDT, 8 pm EDT.

Rick and I will have a conversation online, and you can ask questions. This webinar will be fun and informative.  Note: You will need to register as a premium member at TotallyADD.com (more about those benefits below; the free membership is a great deal, too!).

Here is the description of the show on ADHD and Aging:

Join Gina Pera, author of Is It You, Me, or Adult ADD?, for straight talk about the challenges confronting seniors who have, or live with someone who has, ADHD.

Many issues will be familiar to ADHD adults of any age: medication; memory; getting a reliable diagnosis. More and more adults are getting the diagnosis later in life. And, Gina is quick to emphasize, it’s never too late.

A journalist by trade, Gina is relentless about finding the truth, cutting through the non-sense, exposing the ‘bad science’, and ending people’s suffering.

Since learning about ADHD she has dedicated her life to educating others, busting myths, and crusading for the cause. In the process she has accumulated more knowledge about both the neurology and personal suffering than most experts. Read the rest of this entry »

As I sit at this desk, day after day and week after week, working hard on my next book (a professional guide for couples therapists treating ADHD-affected couples), I’m encouraged to see that my first book is #1 today in Amazon’s ADHD category and #8 in counseling. Not bad for a book published in 2008, after many years of work and asking my husband, “Do you really think anyone will read it?”  (Bless him, the answer was always “Of course!”)

One of the topics covered in the new book is the importance of helping adults with ADHD to build incremental rewards into their goals. This is helpful not just for people with ADHD but for their partners—and everyone else. Even Dr. Russell Barkley wrote in Taking Charge of Aduilt ADHD that he sometimes rewards himself one Hershey’s Kiss after completing a page of writing. (That is a great book, by the way, full of down-to-earth strategies for getting real traction in your life.) So, this morning as I tangle with a chapter whose unwieldy parts are defying my executive function’s capacity to organize, it’s nice to have this bit of encouragement.

 

A new study offers good news about the cumulative benefits of ADHD medications taken over time:

Results showed that adult ADHD patients who received drug treatment for more than two years had fewer symptoms and less psychological distress compared to those treated for two years or less.

Just yesterday, a consulting client asked me, “How long will it take after starting medication for my ADHD to start seeing the benefit?” My answer was the same as given in my book:

  • Symptoms tend to get better within weeks.
  • Functioning gets better within months.
  • Perhaps most important, careful observation may identify changes in development taking place over years. For example, the individual who never had a friend now makes and keeps them. Another who could not keep a job has now kept one for a year.

In other words, this study seems to confirm that the “higher-order” functioning does not happen immediately after starting medication, even if you miraculously happen upon the best type of medication for you in the early days of treatment. Rather, it happens more gradually over time. Of course, some symptoms can be alleviated immediately — suddenly, you “see” that sock lying on the floor or how to clear that garage of longstanding clutter. But the more complex Executive Functions? Those connections might take longer to develop. Read the rest of this entry »

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A friend who has ADHD and is also very gluten-sensitive recently has been suffering with one inexplicable malady after another. Finally, an explanation: the gluten in the generic medication she has been taking. Here is some information from the Celiac Disease & Gluten Sensitivity page at About.com:

For both the consumer and the pharmacist, unless a medication is specifically labeled as gluten-free, calling the manufacturer is the only way to confirm the medication’s gluten-free status.

How Is Gluten Hidden In Medications?

In prescription and over-the-counter medicines, fillers (also called “inactive ingredients” or “excipients”) are added to the active drug. Fillers provide shape and bulk for tablets and capsules, aid in water absorption (helping the tablet to disintegrate), and serve other purposes as well. Fillers can be derived from any starch source, including corn, potatoes, tapioca and wheat.

Unfortunately, very few medications are labeled as gluten-free. Inactive ingredients may be listed on the box or the package insert, but it is difficult if not impossible (even for pharmacists) to tell if these are derived from gluten. [continued at About.com]

Yesterday, given a back-channel tip, I steeled myself for the next anti-ADHD screed from the The New York Times, fully expecting yet another stigma-producing attack on the diagnosis itself and the medications so often successful in treating it. Yet, last night, when I read online the story by reporter Alan Schwarz (“Drowned in a Sea of Prescriptions”), my reaction was both grief and relief.

Grief that yet another person fell victim to a medication that, even though helpful for many people, can create severe reactions in many others. Relief that finally The New York Times got it right: The manner in which medications for ADHD are prescribed in this country largely resembles a giant game of “Pin the Rx on the ADDer” or even worse — a “test the spaghetti” equivalent of throwing chemicals at someone’s brain and seeing what sticks. (Below, I offer an excerpt from my book‘s chapter on medication, written precisely to help people avoid such tragic and unnecessary outcomes; there is also a sidebar on the important distinctions between the two classes of stimulants: methylphenidate, or MPH, and amphetamine, or AMP).

Yes, I am angry, and I’ve been angry for a long time about the medication I’ve come to call “Madderall.” For 15 years, I’ve collected first-person stories about the potential dangers of Adderall, including the fallout from prescribing physicians who view it as the “go to” medication for people with ADHD without knowing to be watchful for its potential side effects. If they did as they should do and gathered reports from family or close friends as to how the medication seemed to be affecting the person, they might know about these side effects. But most don’t bother or even deem it important.

Because Adderall so often can cause problems, I encourage people to consider it only after trying the methylphenidate class stimulants (Ritalin, Focalin, Concerta, Daytrana, etc.) and some newer delivery systems in the amphetamine class (such as Vyvanse). (Ideally, a trial should be given of both the amphetamine and methylphenidate classes, to see which works best. Sometimes even a combination of the two proves optimal.) Yet, so many physicians prefer starting new patients with Adderall, even though it is mostly an old and outdated option, given superior delivery systems available today that release the medication more evenly, creating less of a “rollercoaster” for neurotransmitters. Still, the ignorance around Adderall is only one piece in a very problematic and often tragic puzzle: Read the rest of this entry »

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If you live in the San Francisco Bay Area and want to learn more about Adult ADHD, including success strategies for living a healthier and happier life, I invite you to join me and others in the ADHD community for a free presentation Monday, February 11, 2013, at 6:30 to 8:45 pm. The Mission and 10th St. location is convenient to mass transit and has plenty of free street parking after 6 pm.

To attend, RSVP is required through my SF Meetup.com page. (You might need to already be enrolled in Meetup.com. If you have trouble, please Email Gina Pera

More details:

“Success Strategies for Adults with ADHD and Their Loved Ones”

with International ADHD Expert and Author Gina Pera

This entertaining, informative 1.5 hour presentation has been a hit at international ADHD conferences. Now Gina brings it home to audiences in the Bay Area.

This event kicks off a monthly series  of dynamic and practical evening workshops for adults with ADHD and their loved ones. Also welcome: mental-health professionals and students.

The goal: Learning and sharing solid information that leads to happier, healthier lives.

Note: This talk is not about “relationships” per se; it’s about adult ADHD, including its potential effects on relationships, and its treatment strategies. Both singles and couples will find the information helpful as will the mental-health professionals who help these adults and couples. Read the rest of this entry »

“The good news is that there has never been a better time to have ADHD,” I said last night to a client consulting with me about her new diagnosis. Yes, I sought to boost her optimism about making the life changes she desired. But it’s the truth. Never has there been such a huge number of ADHD-related published studies, of evidence-based strategies, of support sources, and of medications.

Case in point: I mentioned to her a new medication I learned about at the CHADD conference exhibit hall: Quillivant XR. It is based on the oldest, most well-studied medical treatment for ADHD: the stimulant called methlyphenidate. (Other methylphenidate medications include Ritalin, Concerta, and the Daytrana patch.)

With the recent introduction of Quillivant XR, we now have a liquid, extended-release formulation designed to last 12 hours (as always, your mileage may vary, given your unique neurochemistry). Basically, it comes as a powder that your pharmacist will mix for you into a liquid. You will be given 1 bottle (containing the liquid), 1 oral dosing dispenser, and 1 bottle adapter. The question-and-answer page on this product is here.

One obvious appeal for this liquid stimulant option is for children who have a hard time swallowing pills or capsules. But a liquid also enables more  precise and individualized dosing – for children, teens, or adults. After all, sometimes a person’s ideal dose lies somewhere between the available dosage strengths of the pills or capsules. This isn’t the first liquid-stimulant formulation, but it’s the most sophisticated in its extended-release profile. Read the rest of this entry »

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Oh yes it’s garbage night
And the feeling’s right
Oh yes it’s garbage night
Oh what a night (oh what a night)

People who know my husband only as a serious-minded scientist could hardly imagine, come Tuesday trash-taking-out night, his jaunty rendition of Kool & the Gang’s Ladies Night.

Ten years ago, neither my husband nor I could have imagined it, either. He’s actually happy to be taking out the garbage and recycling instead of working himself up into a Klingon-warrior-inspired snit about it? Yes, it’s true. Just one of the miracles of medication. And a few attitudinal adjustments.

I was reminded of that remarkable transformation today. In talking with some adults who have ADHD, I mentioned the importance of establishing treatment targets before starting to take medication; otherwise, how will you know if it’s working? Meg agreed: “The first big clue I had that my meds were working was when, instead of thinking about how much I hated taking out the trash and recycling, I just took out the trash and recycling.”  A woman after my husband’s heart! Read the rest of this entry »

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Translation from the Turkish: Attention Deficit Hyperactivity Disorder

The e-mail had me at the subject message: “about translating your book into Turkish.” Six months later, the Turkish version of Is It You, Me, or Adult A.D.D.? is almost ready to meet the public. It is all thanks to Dr. Mehmet Akif Ersoy, a Turkish psychiatrist possessing a keen appreciation for the dramatic difference that proper ADHD diagnosis and treatment can make in a person’s life. He is devoted to increasing public awareness and professional expertise in his home country. Making my book available is a big step in that direction, and I am honored to be a part of it.

Sure, I was a little leery at first. Dr. Ersoy and I had never met, and yet the translation process would require turning over my “baby” (files and all!) to this far-flung stranger. His credentials weren’t in question, and I could no doubt find mutual contacts. I was more interested in the human factor. That is, could I trust this person to understand the heart of my book and compassionately translate it? Fortunately, Dr. Ersoy immediately understood my hesitation and responded in a way that absolutely put me at ease: He sent three photos (one of him with his family, one of his two absolutely darling young sons, and one of him in a London wax museum’s “Oval Office” with President Obama). The combination of which, to my mind, depicted a smart, empathic professional with kind eyes and a sense of humor:  Perfect! The deal was sealed! Read the rest of this entry »

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