Pre Order Download PDF Driven to Distraction (Revised): Recognizing Book details Author: Edward M. Hallowell M.D. Pages: pages. Drs. Hallowell and Ratey, authors of Driven to Distraction, list twenty common symptoms in a person with ADD or ADHD. Suggested Diagnostic Criteria for. I have been reading a wonderful book, DRIVEN TO DISTRACTION: from Childhood through Adulthood by Edward M. Hallowell, M.D., and John Ratey.
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Editorial Reviews. musicmarkup.info Review. This clear and valuable book dispels a variety of musicmarkup.info: Driven to Distraction (Revised): Recognizing and Coping with Attention Deficit Disorder eBook: Edward M. Hallowell, John J. Ratey . 2 driven to distraction at work hostile to the emotional well-being of a majority of Americans. Schulte is fighting SEAL Team Six with a pair of fingernail scissors.”1. Groundbreaking and comprehensive, Driven to Distraction has been a lifeline to the approximately eighteen million Americans who are thought to have ADHD.
I had to answer "Yes" to 19 of the A few pages later, he described a successful, but unhappy professional as having a study littered with piles. Had he been peeking at my study and my basement work space? I always feel like I've wasted opportunities, blown chances, irresponsibly cadged together inadequate work just before deadlines, and more. I've always blamed myself. And now, I realize that there is a reason. In fact, not only is there a reason, but there is much that can be done about it.
The symptoms of ADD disappear during puberty in 30 to 40 percent of children, and the symptoms stay gone.
ADD therefore persists into adulthood 60 to 70 percent of the time. As the brain matures, it changes in ways that may cause the negative symptoms to abate. Then ADD becomes a trait rather than a disorder. In addition, sometimes the child learns how to compensate so well for his ADD during puberty that it looks as if the ADD has gone away. However, if you interview that child closely, you will discover the symptoms are still there, but the child is struggling mightily -- and successfully -- to control them.
These people still have ADD and would benefit from treatment. Q: Is ADD overdiagnosed among children? A: Yes, but also no. It is overdiagnosed in some places, underdiagnosed in others. There are schools and regions where every child who blinks fast seems to get diagnosed with ADD. At the same time, there are places around the country where doctors refuse to make the diagnosis at all because they "don't believe in ADD.
It is important that we educate doctors, as well as teachers, parents, and school officials, about ADD, so that we can solve the problems of both overdiagnosis and underdiagnosis.
Q: What is the proper procedure to diagnose ADD? A: There is no surefire test. The best way to diagnose ADD is to combine several tests. The most powerful "test" is your own story, which doctors call your history. As you tell your story, your doctor will be listening for how your attention has varied in different settings throughout your life.
In the case of ADD it is important that the history be taken from at least two people, such as parent, teacher, and child, or adult and spouse, since people with ADD are not good at observing themselves.
To supplement the history, there is a relatively new physical test called the quantitative electroencephalogram, or qEEG, that is quite reliable in helping to diagnose ADD. It is a simple, painless brain-wave test, and it is about 90 percent accurate.
Though well worth getting, it is not definitive by itself. In complex cases where the diagnosis is unclear or there is a suspicion of coexisting conditions, especially if there is a history of head injury or other brain trauma, a SPECT scan can help. The SPECT brain scan is not widely available, though we believe it could help a great deal in psychiatry if it were.
Your doctor can tell you about these tests. None are necessary, but all are helpful. Finally, neuropsychological testing can help pin down the diagnosis as well as expose associated problems -- such as hidden learning disabilities, anxiety, depression, and other potential problems.
Practically speaking, if you are going to see a busy primary-care doctor for your evaluation, the time available to take a history may be brief, and access to neuropsychological testing nonexistent. The best diagnostic procedures also include a search for talents and strengths, as these are the key to the most successful treatments.
A: All three can be helpful, but no, none is absolutely necessary, unless the diagnosis is in doubt, or you suspect associated learning disabilities such as dyslexia, or other coexisting conditions, like brain damage due to an old head injury, or bipolar disorder, or hidden substance abuse.
Q: Whom should I see to get a diagnosis? A: The best way to find a doctor who knows what he is doing is to get a referral from someone you know who has had a good experience with that doctor. We have provided a list of specialists at the end of this book. The degree the person has is much less important than his experience.
People from diverse disciplines may be capable of helping you. Child psychiatrists have the most training in ADD, and keep in mind that most child psychiatrists also treat adults. However, child psychiatry is an underpopulated specialty; therefore, child psychiatrists are hard to find.
Developmental pediatricians are also good with ADD, but, of course, they do not treat adults and they are also in short supply. Some regular pediatricians are excellent at diagnosing and treating ADD, while others -- those who have not had much experience with ADD -- are understandably less skilled.
Some family practitioners and some internists are good. Adult psychiatrists tend not to have training in ADD. However, most psychologists do. If you cannot get a referral from someone you know, ask your primary-care doctor if she is expert in ADD, and if not, to whom would she recommend that you go.
It is worth the hassle to look around. I see patients every day who wasted years because they went to see the wrong person.
Q: What are the most common conditions that may occur along with ADD? A: Dyslexia and other learning differences, depression, oppositional defiant disorder, conduct disorder, antisocial personality disorder, substance abuse, post-traumatic stress disorder, anxiety disorders, bipolar disorder. Q: What other problems should one be on the lookout for?
A: Trouble in school, at work, or at home. Underachievement, even if there are no signs of what others consider to be trouble. Sometimes when the ADD is diagnosed and treated, the trouble, whatever it is, or the underachievement remit. But often they need special attention in their own right.
Tutoring, career counseling, family therapy, couples therapy, individual therapy, or coaching can all help. Q: What else should one watch out for regarding the diagnosis of ADD and getting treatment?
A: Many people in the United States today -- including those who have ADD and those who do not -- suffer from what I call disconnectedness.
They do not have the close, sustaining relationships that they need. While we are elaborately connected electronically in modern life, we are poorly connected interpersonally. Studies have shown that such disconnectedness leads not only to anxiety, depression, and underachievement but also to substance abuse, disruptive behavior, and a host of medical problems in both children and adults.
Try to develop a connected interpersonal life for you and your family as seriously as you strive to maintain a proper diet or an exercise program. Q: What about bipolar disorder in children?
Does it look like ADD? How do you tell them apart? A: It is important to keep bipolar disorder in mind whenever the possibility of ADD arises in a child. Some experts believe that if you give a child who has bipolar disorder stimulant medication, you run the risk of doing serious harm. These children can become violent, depressed, even suicidal. This is just another reason why you must see a well-trained professional for a proper diagnostic evaluation.
Several items help distinguish between ADD and bipolar disorder. First of all, in bipolar disorder there is usually a family history on both parents' sides of bipolar disorder, alcoholism, major depression, or all of these. Second, in bipolar disorder the leading symptom is rapidly fluctuating moods independent of what is going on in the environment. In ADD the leading symptom is fluctuating attention. Third, the child with bipolar disorder often has a daily variation: he becomes highly active at night and in the morning he is like a hibernating bear, all but impossible to get out of bed.
You can see this in ADD too, but it is more accentuated in bipolar disorder. Q: What is the best treatment for ADD? A: It varies. The best approach to treating ADD is to follow an individualized, comprehensive plan specifically designed for you, based upon your particular situation and needs. One size does not fit all. Work with your doctor to create the best approach for you or for your child, or for whomever has the ADD. This plan should always be open to revision.
If it doesn't work, change it. Q: What are the most common, key ingredients of such a comprehensive plan? A: I divide the best plan into eight areas, as follows: 1.
Diagnosis, as well as identification of talents and strengths 2. Implementation of a five-step plan that promotes talents and strengths detailed in chapter 22 3. Education 4. Changes in lifestyle e. Structure 6. Counseling of some kind, such as coaching, psychotherapy, career counseling, couples therapy, family therapy 7.
Various other therapies that can augment the effectiveness of medication or replace the use of medication altogether, such as an exercise program that stimulates the cerebellum, targeted tutoring, general physical exercise, occupational therapy, and nutritional interventions 8.
Medication Q: In what ways are diagnosis, identification of talents and strengths, and implementation of a plan that promotes talents and strengths part of the treatment?
A: Getting a name for what's been going on with you usually brings relief. When you get the ADD diagnosis, you can finally shed all those accusatory, "moral" diagnoses, like lazy, weak, undisciplined, or, simply, bad. The identification of talents and strengths is one of the most important parts of the treatment. People with ADD usually know their shortcomings all too well, while their talents and strengths have been camouflaged by what's been going wrong.
The moment of diagnosis provides a spectacular opportunity to change that. The best way to change a life of frustration into a life of mastery is by developing talents and strengths, not just shoring up weaknesses.
Keep the focus on what you are, rather than what you are not. The older you get, the more time you should spend developing what you're good at. Work with someone who can help identify what you're good at.
In the long run that's where you will find fulfillment. Q: What is the five-step plan that promotes talents and strengths? A: The first step is to connect -- with a teacher, a coach, a mentor, a supervisor, a lover, a friend and don't forget God or whatever your spiritual life leads you toward.
Once you feel connected, you will feel safe enough to go to step 2, which is to play. In play, you discover your talents and strengths. Play includes any activity in which your brain lights up and you get imaginatively involved.
When you find some form of play you like, you do it over and over again; this is step 3, practice. As you practice, you get better; this is step 4, mastery. When you achieve mastery, other people notice and give you recognition; this is step 5.
Recognition in turn connects you with the people who recognize and value you, which brings you back to step 1, connect, and deepens the connection. No matter what your age, you can use this five-step process to promote talents and strengths. Beware, however, of jumping in at step 3. That's the mistake many parents, teachers, coaches, and managers in the workplace make: they demand practice and offer recognition as the reward. This leads to short-term achievement but fatigue and burnout in the long run.
For the cycle to run indefinitely and passionately, it must generate its own enthusiasm and energy, not be prodded by external motivators.
To do that, the cycle must start in connection and play. Q: Why is education part of the treatment? A: Treatment really means learning how to fit the brain you have into the world most enthusiastically and constructively. The diagnosis becomes therapeutic through education -- learning what ADD is in your case. Diagnosis means "to know through.
The more you know about the kind of mind you have -- whether or not you call it ADD -- the better able you will be to improve your life. Furthermore, the process of education will help identify your talents and strengths, or your potential talents and strengths. Take time, look hard, and get help in identifying these. You may not be able to see them yourself. People who have ADD often don't think they have any talents or strengths.
If there were but one rule for treating ADD it would be this: Find out what you're good at, and do it. Or, as my brother-in-law who is a teaching golf pro says, "Forget what the books say. Just do what you need to do to put the ball in the hole. A: Everyone has the seed of a talent. Everyone has some interest that can be turned into a skill that is legal, reasonably safe, and has value both to that person and to society.
The work of treating ADD is to find that talent or interest. It may be hidden or camouflaged.
For example, if the activity you're good at is selling drugs, well, that means you have entrepreneurial and sales talents and interests that could be plugged into some legal venture. If the activity you're good at is driving down the highway at mph, then you may have a career in some risk-filled, highly stimulating arena like investing on the commodities exchange or being an investigative reporter. If what you're good at has no social value, like playing Nintendo, you might want to get a job at a computer-game store, or you might want to take a course in designing computer games.
The germ of a great career often lies hidden in the illegal, dangerous, or useless activities we love.
Look for that germ cell. If you can't find it, get someone else to help you look. Q: What do you mean by "structure"? Now the bestselling book is revised and updated with current medical information for a new generation searching for answers. Through vivid stories and case histories of patients--both adults and children--Hallowell and Ratey explore the varied forms ADHD takes, from hyperactivity to daydreaming.
They dispel common myths, offer helpful coping tools, and give a thorough accounting of all treatment options as well as tips for dealing with a diagnosed child, partner, or family member. But most importantly, they focus on the positives that can come with this "disorder"--including high energy, intuitiveness, creativity, and enthusiasm. From the Trade Paperback edition. Knopf Doubleday Publishing Group Imprint: Anchor Publication Date: Hallowell, M.
Author Edward M. He lives with his wife, Sue, and children, Lucy, Jack, and Tucker. John J.