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The Basics

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People often ask me if neurofeedback is an effective treatment for ADHD. Given that the expert consensus is “maybe” or “sometimes,” I try to answer along those lines, pointing out that many factors should be considered. For example:

  • How quickly do you need results (is a child about to fail a grade or an adult about to lose a job or relationship)?
  • How plentiful are your resources (if you try neurofeedback and it doesn’t work, is there money left in the budget for traditional treatment)?
  • What are the credentials and reputation of the clinician providing the neurofeedback?

Some people assume that neurofeedback is safer than medication, but the fact is that potential for its side effects has never been studied.

Thanks to David Rabiner,  Associate Research Professor at Duke University’s Department of Psychology  Neuroscience, I can share with you (below) a sophisticated analysis of the research.  Dr. Rabiner has long performed the excellent service of parsing the research around ADHD in his newsletter, Attention Research Update. You can subscribe to his free newsletter here, and read through the substantial archives once you are subscribed

As a layperson, I appreciate his clear writing style, but research terminology can be complex and this analysis might be “too much information” for some of us. Please consider that clear-cut answers aren’t always easy to give on complex subjects.

The bottom line, as Dr. Rabiner writes below:

“The research reviewed here indicates that if parents obtain high quality neurofeedback treatment for their child there is a reasonable basis for expecting that benefits will occur. The decision to do so should be made with the knowledge that medication treatment and behavioral therapy would be regarded as having stronger research support at this time.” Read the rest of this entry »

At least weekly since my book was published, I receive an e-mail asking when the audio version will be available. Thank goodness I can finally say NOW.

Seeking a unique gift for yourself or loved ones this holiday season? How about a comprehensive spoken-word guide to understanding the broad strokes and small nuances of ADHD as well as its treatment strategies (step-by-step medication guidelines, the types of therapy to seek/avoid, and more), with three chapters devoted to the effect on relationships when ADHD goes unrecognized. And lots of first-person stories, advice from top experts, and much more. Perfect for listening to on those long commutes, working out at the gym, taking a walk……

Tantor Audio published the audio version this month (featuring an award-winning narrator), and you can access it in several formats (downloadable Mp3 files, two CDs with Mp3 files, and a case of 12 CDs) and through several outlets:

  • Tantor Audio’s website: (NOTE: All Tantor selections are 50% off this December.) To download the free chapter (my author introduction), register with Tantor and click back to the book’s page and click on the link at the top of the page.  You can also listen to a sample on the book’s page; look below the cover image.
  • Amazon.com
  • Barnes&Noble.com

A new friend has graciously agreed to share his Success Story story with ADHD Roller Coaster readers:

The Rugged Reality of ADD, by Dylan Rosen

Do not read this if you are looking for a “Happy ADD Story.” I do not have the gold medals of Michael Phelps or the arm of Terry Bradshaw. My life has been a struggle from the time I walked into first grade to my current age of 30. If you want something real and authentic to someone’s experience with ADD, however, I hope you will read on.

My silent struggle

When I was in elementary school, my ADD symptoms were as classic as the Rolling Stones were to Rock ‘n Roll. However, I did very well. Teachers always said I was bright.

I did well in middle school too, even making the president’s list one marking period.

As I moved from middle school to high school, a couple things changed. My grades went from A’s and B’s to C’s and D’s. My relationships changed too. I grew apart from old friends and was not able to make new ones. I viewed myself as a loner, a recluse. My confidence was slipping, and I had begun to experience the awful taste of depression.

The pressure from my school’s academic standards became unbearable. I did not do well under that pressure, coupled with the negativity I always received at home. My parents expected high academic performance from me. After bringing home a poor interim report one semester, I was threatened to be sent to technical school, which frightened me. Going to trade school, growing up where I lived, was a sign of absolute failure. Read the rest of this entry »

A quick note to let you know that my book, Is It You, Me, or Adult A.D.D.?, is available as a download from Amazon.com for Kindle devices and Kindle applications for iPads, iPhones, PCs, and so forth.  Just click on the book title above to go directly to the product page.

Please tell your friends in Germany, France, Spain, Italy, and the United Kingdom that the Kindle is available on Amazon.com in those countries. (This is the English version.)

Thank you for spreading the word.

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After advising caution regarding generic medications for ADHD here and here, I’m now hearing that Concerta is recently available in a generic form in the United States. (A generic has been available in Canada for some time, but it is a different type of generic.) The question: Does this generic perform as reliably as Concerta? Maybe. In fact, it might be the exact same medication.

Original Concerta, 54 mg

The details are hard to come by in a field swimming with lingo: co-licensed product, single-source generic, authorized generic, bioequivalent and clinically equivalent. My conversations with pharmacists and the manufacturer’s scientific liaison leave me thirsting for straight talk with no tricky qualifiers. Internet searches and first-person reports in online forums are made murky by the apparently marked difference between Canada’s generic Concerta and that in the U.S.. (Forum participants seldom specify where they live, presumably because most don’t realize there is a difference between the two countries’ generic versions of Concerta.)

The U.S. generic for Concerta is  methylphenidate hydrochloride extended-release tablets.  It is a co-licensed product by exclusive agreement — that is, a deal between the original manufacturer (Ortho-McNeil) and the pharmaceutical marketing arm of Watson Laboratories. Read the rest of this entry »

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I owe a huge debt of gratitude to Daniel Amen, M.D., so I was happy to see him at the opening of his newest Amen Clinic, just south of San Francisco, and welcome him to Silicon Valley, my backyard. 

If I hadn’t lucked upon his book Change Your Brain, Change Your Life more than 11 years ago, it might have taken me far longer to discover the impact of Adult ADHD not only on society but also on my personal life. Thanks to that book, my husband was diagnosed with ADHD and I went on to help further this critical message: ADHD is real and ignorance of ADHD has real consequences for all of us.

Thanks to a subsequent book by Dr. Amen, Healing A.D.D., I learned even more and gained tremendous validation about the tough relationship issues I was experiencing (along with hundreds of people in the online support group that I lead for the partners of adults with ADHD). As far as I know, he was among the first (if not the first) to detail these interpersonal challenges, including those around sexual intimacy. Moreover, Amen balanced this validating narrative with compassion and optimism about our ability to take better care of our brains and, in so doing, elevate our lives. Read the rest of this entry »

We’ve seen the headlines and read the stories regarding a recent study on ADHD and diet.  But what is the real story behind the research? You’ll find out below. But first, a brief examination of the situation.

Increasingly, even legitimate news outlets lift stories verbatim from the press release, without bothering to ask important questions of experts not associated with the study or explaining the limitations of the study and its relative importance.

Read the rest of this entry »

I invite you to join me in the coming weeks at Northern California CHADD meetings (Marin, 4/21; Sacramento, 5/3) to explore this topic: “Adult ADHD Symptoms or Poor Coping Strategies? Clarifying the Confusion for Adults with ADHD and Their Partners.” The public is welcome; the suggested donation for non-CHADD members is $5.

Here is an excerpt from my book (Is It You, Me, or Adult A.D.D.? Stopping the Roller Coaster When Someone You Love Has Attention Deficit Disorder) that explains why we even ask the question, “Symptoms or poor coping strategies?”

There’s a whole lot more to understanding ADHD and its broad effects on behavior than reeling off the list of symptoms. “I used to think, what kind of disorderly disorder is this?” Grace recalls. “Just when I thought my husband would zig, he’d zag.” She couldn’t understand what was ADHD and what was personality or family conditioning—or, for that matter, where ADHD ended and jerk began. “It took a few years to piece together the puzzle, but I’m glad we did,” she concludes. “Our relationship and our family life is one thousand percent better now.”

It’s true. Trying to understand ADHD can feel like trying to nail Jell-O to a wall. Even within one person, the traits can appear slippery and shape-shifting over time or in different circumstances. Read the rest of this entry »

This morning, I had the pleasure of fielding some great questions from Totally.com community members in this webinar.  (Note; there are a couple of commercials during the hour-long session, but they are pretty short!)

Watch live streaming video from totallyadd at livestream.com

When I asked Australian writer Matthew Bush to contribute a guest column on his experiences with sleep and ADHD (below), I expected a well-written and engaging piece. What I didn’t expect was a happy ending, too, and perhaps a blueprint to help others.

ADHD’s potential challenges to sleep include the behavioral (putting off sleep because anything is more interesting than lying in the dark waiting for nothing to happen) and the physiological (Restless Legs Syndrome, Sleep Apnea, dysregulated circadian rhythm, etc.). Here is a post from my other blog on ADHD and sleep. Look to the latest issue of CHADD’s Attention Magazine for my article on the topic, a prelude to a short upcoming book: The ADHD Roller Coaster Guide to Sleep. Now to Matt’s guest column!

Sleep, Finally.

By Matthew Bush

I was the 11 year old ninja master.

I had to be awake for school in six hours.

The creaking kitchen floorboards raised the hair on the back of my neck. The house was dark. I could hear snoring.Good. Dad was a heavy sleeper and that meant mum had her earplugs in. Still, there was risk.

The adrenaline pacified me. I inhaled slowly, my pulse pounded through the swell of blood in my ears. I opened the cabinet door slowly and clicked the torch on. I was on a mission.

If I was successful, I’d take my bounty back to my room and quietly self-medicate with caffeine and carbohydrates. Then I’d curl up on my beanbag and read.

My official bedtime was 8:30. I was allowed to read for half an hour, then my dad would tell me to go to sleep. I rarely did. Eventually, my lamp and torch batteries got confiscated. That just added another objective to my mission dossier. Read the rest of this entry »

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