Solving Your Adult ADHD Puzzle — The Physical Strategies

Solving Your Adult ADHD Puzzle optimizing medication, sleep, nutrition, exercise (1)

Feel like something’s missing in your ADHD care? It’s probably not just your high expectations – there typically are gaps in the puzzle. Sometimes gaping ones. Whether it’s lackluster medication responses or ongoing sleep struggles, it’s time to rethink what’s possible.

You aren’t asking for too much. You just might not know the path to optimal care. Even your well-intentioned therapists and healthcare providers might be in the dark. That includes psychiatrists and other prescribers. But it also includes medical specialists in sleep, diabetes, obesity, addictions, and other physical challenges more highly associated with ADHD. It definitely includes the field of Alzheimer’s.

The truth is, most people involved with ADHD don’t know these details, either—but should.

Odds are good that you can solve those puzzling pieces, the ones that are holding you back from the optimal ADHD care you deserve.

As participants have put my online training to the test, I’ve seen again and again it makes a difference – renewed optimism, restored relationships, and revitalized health. It’s time for ADHD care that surpasses expectations and unleashes your extraordinary potential.

As one participant said recently:

Without this base in self-education and self-advocation, trusting therapists/doctors to “take the wheel” is a huge risk, as sadly, so many are under-educated (and over-confident) in their ability to deal with these serious ADHD issues.

Solving Your Adult ADHD Puzzle - Physical Strategies - Adult ADHD Gina Pera Guidance You Can Trust (1)

You Deserve the Best Adult ADHD Treatment Strategies

Raising the bar on treatment standards, helping people to stop settling for sloppy seconds. For 25 years, it’s been my driving mission.

Through my books, blog posts, and online training, I’ve taught research-backed, actionable strategies that can help you feel and function better—as an individual and as a couple. All in practical, relatable language.

My online training is the culmination of 25 years work, synthesizing and detailing the best of ADHD science, clinical excellence, and practical strategies.

I call it Solving Your Adult ADHD Puzzle.  That’s because it’s your puzzle. Not a clone’s. Not a stereotype’s.

People with ADHD are individuals grappling with a highly variable syndrome—with all the rest of personality and background to consider. The same is true for their partners and other loved ones.  Yes, there is a range of predictable, relatable issues. But cookie-cutter assumptions and answers just don’t cut it. It might make for easy marketing, but it doesn’t make for an easy life.

Let's get physical solving your adult adhd puzzle

Let’s Get ADHD Physical — In Four Key Areas

This training focuses entirely on “Physical Strategies”: optimizing medication, sleep, exercise, and nutrition. One at a time.

Does it still need mentioning?  At its core, ADHD is a physical issue, not a behavioral one.  That’s why:

  • The single-most powerful tool in the ADHD toolbox is medication (along with education, of course).
  • Addressing ADHD-related sleep disorders can boost brain function almost as much as medication—and certainly medication works better when it’s not coming up against sleep deficits.
  • Getting a nutritious diet and regular exercise supports your body (including your brain) to function at its best—but ADHD-informed approaches make this more easily do-able.

Increasingly, the science tells us that poorly managed ADHD can affect physiology in countless ways beyond distractibility, hyperactivity, and the like.  Moreover, evidence-based ADHD physical strategies often help these conditions, too. These include:

  • Sleep apnea, Restless Legs Syndrome, and other sleep disorders
  • Eating and exercise patterns
  • Coordination and gait
  • Hearing, Seeing, Feeling…all the senses
  • Gastric motility (how fast food moves through the digestive system)
  • Cardiovascular and respiratory functions
  • Addictions of all types

If your approach to medication is iffy and your sleep worse, it only makes sense: You’ll have a hard time building lasting progress on that shaky foundation.  In addition to being robbed of quality of life, you might lose quantity of life, too.

If you’re ready to check out the details now  (and see free preview topics), click here:  Solving Your Adult ADHD Puzzle — Physical Strategies.

If you’d like to know why I created this training, read on.


Adult ADHD treatment gap (1)

The Gap Between What Works for Adult ADHD—And What We Get

Here’s a little secret about healthcare that might surprise you: It takes about 20 years for the latest medical evidence to reach your average care provider.

Yep, you read that correctly: 20 years. That means current care isn’t always up-to-date with the most effective treatments. To put it mildly. It’s a frustrating reality that I discovered years ago when my scientist-husband,  working then at Stanford Medical School, shared it with me.

Unfortunately, the same holds glaringly true for ADHD treatment. In fact, I’d peg the lag as closer to 50 years! (With so many physicians saying they don’t “believe” in ADHD, you know I’m not kidding. Who would expect competent treatment from someone holding their nose as they write the prescription? I mean, seriously.)

We can find many reasons for the clinical lag.  And true, some physicians manage to out-pace it. Kudos to them! But let’s face it: It’s a numbers game.

As if the lag weren’t challenging enough, skyrocketing Adult ADHD diagnoses has exacerbated the situation. This reached fever-pitch during COVID, but it really hasn’t let up.

Absolutely.  It’s fantastic that more people are finally making sense of their lives. Yet, it also means millions more scrambling for a piece of a tiny pie of expertise. Moreover, many of the early adopters—seasoned physicians who started treating Adult ADHD 30-40 years ago—have retired, leaving a gap in true expertise.

In many ways, we truly are on our own. That’s where I step in to bridge the gap.


ADHD Medical Specialist? Trust But Verify

Let’s add one more piece to this puzzle: Anyone can claim ADHD as a specialty. Anyone.

If you want to be a smart mental healthcare consumer, don’t you want to at least be familiar with the whys and wherefores of evidence-based ADHD treatment? That way, you can recognize it when you’re getting it—or not.

Even knowledgeable care providers, however, can’t always keep up with the rapidly shifting medication landscape.

Case in point: With the ongoing issues with Concerta generics (reported upon here since 2014), many readers learned they could not depend on their prescriber to help them navigate their way to the medications they need.  Physicians wrote to me with thanks for guiding them through the constantly changing morass.  Now it’s happening with Vyvanse. Those were our two revolutionary stimulant choices. Now they are, for the most part, gone. What’s going to fill the void?

I’m walking a tricky tightrope here.

My goal is not casting doubt about your care provider or worse, scaring you off from treatment altogether! My goal is empowering you with first-rate guidance and support. That way,  you can knowledgeably work with your care provider to achieve best results.

Getting better results from treatment is easier than you might think. It’s not rocket science. It’s not even neuroscience—at least in a sense. Rather, it’s simple education and a step-by-step method!

What’s more, it’s laid out in what current course participants say is an engaging manner. I will support you the entire way. If you opt for the group Q&A sessions—a rare, invaluable opportunity—you can trade notes with other adults with ADHD and their loved ones. I facilitate and play Answer Lady.

Can You Wait 50 Years For Better ADHD Care?

If you’re like many adults with late-diagnosis ADHD and their loved ones, you don’t believe that true change is possible.

You’ve  tried this and that over the decades. Nothing lasted beyond a few weeks.  Maybe you put your trust in a random prescriber or therapist. Unfortunately, that means your expectations might now be very low.

For 15 years, it’s been a huge effort with the local Adult ADHD group, convincing folks not to settle for lackluster treatment. I remind them they are the customer, not a beggar.  Its taken even more effort to convince their partners to get engaged in treatment, that it works best as a team. On all levels. The mental-health community typically doesn’t understand the documented importance of this.

My first book detailed medication protocols so you could better self-advocate.  Yes, prescribing was a problem even in  2008.

At that time there were only a handful of medications for ADHD. Now the offerings are dizzying! Moreover, we also find questionable claims about certain medications for ADHD proliferating online—including at sites we believe serve consumers, not advertisers.

In fact, you might have found my blog when you were seeking clarity on the Concerta generics. I provided that clarity—and pointed readers to possible strategies and potential alternatives. I even led the campaign for the FDA to downgrade the first Concerta generics as non-bioequivalen—and we succeeded!

I recently posted on Vyvanse going off-patent in August 2023 and readers are reporting on those new generics.

If you don’t know your options—especially from the limitations placed by your insurance or government health service—how can you have faith in your or your prescriber’s choices and rationales?


For more the details (and preview videos), click here:

Solving Your Adult ADHD Puzzle — Physical Strategies


Related Posts on ADHD’s Physical Strategies:


Vyvanse Generics Roll Out — And Disappoint


Janssen Quietly Ends Concerta Authorized-Generic

ADHD and Sleep: Puzzling The Pieces

ADHD and Obesity: Reviewing the Research

ADHD Poses Risks for Serious Health Conditions and Diseases


—Gina Pera





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