
For those of us who 1) don’t qualify for being clinically diagnosed with ADD or ADHD based on the DSM criteria (which I listed below), and 2) definitely have enough traits to feel like we do, can joke or have a sense of humor about it, and can also see how it sometimes gets in our own way of achieving our potential, let’s talk.
I’d like to share a recent personal example to illustrate what this might look like, and because it made my girlfriend and me laugh so hard when I told her about it as we were exercising. Scenario: I had the house to myself for a few hours during the day, as my husband and son went out. My thought/behavior process went something like this:
Woohooo!! Ok, first I’m going to tackle a certain section of the dining area where papers, binders, books, notebooks, baskets of ‘stuff’, mail, my son’s schoolwork and school materials, etc, are in messy piles. Yes, I’m determined to organize this area, finally! Not only because I want things to look nice for friends from out of town who will be coming by in a few days, though that sure helps, but because I’m determined to clear all clutter by summer and create a more calm-inducing, feng shui environment for all of us. I want to clear the space to clear the mind, or at least try it and see if it works. Ok, here goes.
I get some music on, start my tea, begin with the half of the dining table that’s always covered, and start to make some progress there. Feels good. My tea’s ready. How nice and relaxing it is to sit with a book and chocolate, or a cookie (or 2), while sipping my hot tea. And the only time that happens in the day is when I’m alone. Plus, I have some books that I really want to read (I’m never only reading 1 book, of course). I begin reading. Then my mom calls long distance, and we talk…and talk… and she reminds me it was her birthday yesterday, which I totally forgot!! I had remembered 2 nights ago, but somehow woke up the morning of and forgot to call her the whole day. I KNEW I should have put a note on the kitchen counter instead of going back to sleep while trying to tell myself, and my half-asleep husband, that I can’t forget to call my mom tomorrow. OMG! I’m such an idiot! Of course I feel terrible and keep telling myself how stupid I was to not take that little extra effort of getting out of bed to put a note on the counter that I knew I needed to do in order to make sure to not forget. Ughh…. Anyway, as we continue to talk, I work on tidying up that messy area (multitask) and make no more than a small dent. Then we get off the phone and I need to go to the bathroom. In the bathroom, I decide I want to take a hot shower and wash my hair, because I’ll feel better. I undress, realize I should probably do a little cleaning in the bathroom, which turns into a frenzied scrubbing of the whole room. While I’m at it, what the heck, the kitchen floor needs mopping, and I want to try my new mop anyway. I try to take the plastic wrap off the sponge part, which I struggle with and can’t get off completely because the sponge doesn’t seem to come off (who designed this stupid thing anyway?). I’m still completely naked, because I’m planning to take a shower, and I was just going to quickly clean the bathroom and kitchen floor so I could get back to my project. I’ve never mopped my house in the nude before, but what the heck, as long as no one can see me or comes to the door. Hey, this is actually kind of freeing and fun, the way skinny dipping compares to swimming in a bathing suit. It’s a whole other experience, right? Woohoo!!!
I finish mopping the upstairs, take my shower, the boys return, and oh, whaddaya know? it’s time for dinner. Another day goes by without completing a project that I had wanted to work on. Then again, I know I’ll get it done by the “deadline” of our friends arriving (which I did, along with other areas of the house), because that’s how I’m wired, and I know it. Great with a deadline, not so much without one.
I have to admit, now that it’s been neat and tidy for a few days, I’m really liking it a lot, and my husband and son like it too. It feels good to hear my husband say how soothing it is. (When I told him about the mopping in the nude, he said, “you should have called me!”).
Now I’m motivated to continue this momentum, which I hope I can keep up, though it does have to be in my own time and in the way that works for me. Everyone is different as far as what works for them, whether you have ADD, ADHD, traits of ADD, or not. It’s just a matter of figuring it out.
That day, each time I let myself get distracted – which allowed me to avoid something that seemed overwhelming – I was very conscious of the choices I was making and why. I joked with myself the whole time about how ADD it all felt, yet I was ok with it too. I might not have felt like I was productive in one area of the house, but I was productive in other ways that I did feel good about, which was rewarding.
There’s a difference between being conscious and ok with certain behaviors, and being unconscious and then not ok. This is part of what we want to distinguish. After many hours of working with some great Life Coaches, I highly recommend it. It was helpful to me to have someone who understands me and could help me distinguish what I say I’m wanting from what I’m doing/not doing that keeps me from achieving that, and that helped uncover what I was actually more committed to (my freedom and flexibility! surprise, surprise!!). I was then in a better position to practice raising my awareness in those moments, so I could be more at choice, which is what empowerment is all about. I also like to think of it as a spiritual practice, because whatever challenges us is actually a gift. When we figure out the lesson it’s supposed to be teaching us, it leads to personal and spiritual growth. When we stop seeing challenges as opportunities to learn, we stop growing. My Life Coaches were great with helping me identify those challenges every 1-2 weeks to see how I was handling them, and then helping me choose practices to turn them into opportunities to grow myself in the ways that I was wanting. For me, it also helped to have someone to be accountable to other than just myself. Even the psychiatrist Edward Hallowell, M.D, nationally recognized expert in ADHD and author of the book Driven to Distraction, suggests in the book that people with ADD work with a coach. The 3rd tip in his 50 Tips to the Management of Adult ADD:
“3. Choose a coach. It is useful for you to have a coach, for some person near to you to keep after you, but always with humor…. Your coach can help you get organized, stay on task, give you encouragement, or remind you to get things done, exhorts you as coaches do, keeps tabs on you, and in general stands in your corner. A coach can be tremendously helpful in treating ADD.” (p. 245-246)
Whether you have ADD or ADHD, or just a few traits, like me, or not, if you’re interested in your own personal and spiritual growth, I think it’s incredibly beneficial to find a good Life Coach that you can connect with, who can help you on your journey.
I might be that person for you. To find out, I invite you to call me for a FREE 30-minute consultation at 415-246-8282, or email me at here2therecoaching@gmail.com.
Here are some resources to learn more about ADD/ADHD:
• CHADD (Children and Adults with Attention-Deficit/Hyperactivity Disorder)
www.chadd.org
• ADDA (Attention Deficit Disorder Association): www.add.org
• NIMH (National Institute of Mental Health): www.nimh.nih.gov/
• National Resource Center on ADHD: www.help4adhd.org
As far as what one would need for an official diagnosis of ADD/ADHD, here’s the criteria from the DSM-IV. I’ve highlighted the ones that I kind of have and can relate to. There are many techniques for overcoming most, if not all, of the symptoms, as I can attest to. However, if you believe that you meet enough of the criteria for a diagnosis, I would recommend that you first visit a psychiatrist or psychologist to get an assessment, which is the only way to be sure and find out if therapy and medication is helpful, even if you only need it temporarily. It is not uncommon for people to work with both a psychotherapist and a Life Coach at the same time, or work with a psychotherapist for a while and then a Life Coach.
DIAGNOSTIC CRITERIA FOR ADD/ADHD
According to the DSM IV-TR (Diagnostic & Statistical Manual of Mental Disorders, pp.92-93), the following is the diagnostic criteria for Attention-Deficit/Hyperactivity Disorder.
To qualify, you must have A (either 1 or 2) and B through E.
A. Either (1) or (2):
(1) six (or more) of the following symptoms of inattention have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level:
Inattention
(a) often fails to give close attentions to details or makes careless mistakes in schoolwork, work, or other activities
(b) often has difficulty sustaining attention in tasks or play activities
(c) often does not seem to listen when spoken to directly
(d) often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions)
(e) often has difficulty organizing tasks and activities
(f) often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)
(g) often loses things necessary for tasks or activities (e.g., toys, school assignments, pencils, books, or tools)
(h) is often easily distracted by extraneous stimuli
(i) is often forgetful in daily activities
2) six (or more) of the following symptoms of hyperactivity-impulsivity have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level:
Hyperactivity
(a) often fidgets with hands or feet or squirms in seat
(b) often leaves seat in classroom or in other situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness)
(c) often has difficulty playing or engaging in leisure activities quietly
(d) is often “on the go” or often acts as if “driven by a motor”
(e) often talks excessively
Impulsivity
(a) often blurts out answers before questions have been completed
(b) often has difficulty awaiting turn
(c) often interrupts or intrudes on others (e.g., butts into conversations or games)
B. Some hyperactive-impulsive or inattentive symptoms that caused impairment were present before age 7 years.
C. Some impairment from the symptoms is present in two or more settings (e.g., at school [or work] and at home).
D. There must be clear evidence of clinically significant impairment in social, academic, or occupational functioning.
E. The symptoms do not occur exclusively during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder and are not better accounted for by another mental disorder (e.g., Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder).
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