An ADHD Coach’s Response to Ritalin Gone Wrong

Image courtesy of Vichaya Kiatying-Angsulee / FreeDigitalPhotos.net

Image courtesy of Vichaya Kiatying-Angsulee / FreeDigitalPhotos.net

In last Sunday’s New York Times (January 28th, 2012), author L. Alan Sroufe wrote an article questioning the effectiveness of drugs like Ritalin and Adderall for children with ADHD (click here). He feels these drugs are being used way too often and the side-effects including stunted growth aren’t worth the short-term benefits achieved by the medication. Dr. Sroufe continues to support his opinion with examples that show how medication just isn’t working as well as people are lead to believe. While he is very critical of the intended results, he doesn’t criticize the intended purpose of the medications or those that use it as an intervention for ADD and ADHD.

When I was around seven years old (I am almost now 38), I remember that I was given a pill to help me control some behaviors that my parents, teachers and other professionals had a difficult time managing. That pill was Ritalin. I was one of the first children in the Chicagoland Area to receive medication to treat my ADHD. Very little was understood about the disorder, but this medication was a promising breakthrough in its treatment. As I got older, I became more frustrated with the side-effects of the medication including a lack of appetite, difficulty sleeping and general moodiness. Eventually, my family decided that the medication just wasn’t worth the side-effects. In my late 20s, I tried the medication again and still had difficulty with the side-effects. This does not mean I am anti-medication. It just means it was a personal choice for me to seek alternative treatments.

This is one of the reasons I decided to become an ADD and ADHD coach. Even when I was medicated, I noticed that I still struggled with some of the same ADHD traits. This is because while the medication helped slow down my world, it didn’t help improve the skills that weren’t in my toolkit. When I work with a family, my job is to help my clients understand what tools they need to be successful. This just isn’t achieved with medication alone. Anyone that feels that medication is a cure needs to further evaluate the concerns presented with ADD and ADHD.

When I read Dr. Sroufe’s article, it certainly hit home with me both as someone that took medication as well as a professional that works with clients that are medicated. While I believe he sensationalized some aspects of the medication, I am glad he published his piece. We’ve needed a good reevaluation of medications for ADD and ADHD and this article opens the door for better dialogue. The most important thing that people can do is educate themselves about medication, and this article will have parents, professionals and individuals with ADD and ADHD ask better questions.

For more information on my ADD, ADHD and Executive Functioning coaching, please visit www.adhdcoachchicago.com. To learn more information about some of the other services I provide, please visit www.carrolleducationalgroup.com and www.iepexperts.com. I can be found on Twitter at ADHDEFCoach. You can also find me on Facebook and Tumblr. My good friend and fellow ADD/ADHD Coach Tara McGillicuddy invites me as a regular guest on ADD/ADHD Support Talk Radio. Tara does many wonderful things and you should check out her website here. Feel free to email me at jonathan@adhdefcoach.com or call 773.888.ADHD (2343) with any additional questions.

ADD, ADHD and Executive Functioning Tip of the Week…Medication

Image courtesy of dusky/ FreeDigitalPhotos.net

Image courtesy of dusky/ FreeDigitalPhotos.net

One of the most common questions I get is about medication. These include my feelings and usage of pharmaceutical interventions. I have taken medication in the past, don’t currently take medication and feel that medication is a huge help for ADD and ADHD.

When I tell clients that I don’t take medication, the response is mixed. Some will ask if I’m against it (as you already read this isn’t true) while others are amazed that I have ADHD and can get through the day without it. There’s no specific reason why I don’t take medication except my doctors feel it’s not needed for me at this time.

That leads me into my tip-of-the-day…be proactive when it comes to medication monitoring and management. Keep track of how the your body reacts to the medication. If you don’t like the way you feel at certain points of the day, this is valuable information for your doctor. It could be a slight adjustment that will make all the difference in the world.

It is also important not to view the medication as the only intervention. Use medication along with other professionals to help you improve performance. Just because the medication helps slow things down doesn’t give you better skills. You need to learn different skills and how to apply these to your everyday life.

I can be found on Twitter at ADHDEFCoach. You can also find me on FacebookDigg and Tumblr. For more information on my work, check out www.carrolledu.com and www.iepexperts.com. Feel free to email me at jonathan@adhdefcoach.com if you have any additional questions.

ADD/ADHD & Executive Functioning Coaching Moment…Procrastination

Image courtesy of imagerymajestic / FreeDigitalPhotos.net

Image courtesy of imagerymajestic / FreeDigitalPhotos.net

Mary is a bright young lady that attends one of the areas top private schools. She’s a middle school student with an ADD and Executive Functioning diagnosis that I’ve been working with for around a month.

Mary spends around five hours per night working on her homework. After conversations with her teachers, it turned out that the work wasn’t being very well done. So, where is the disconnect? Why is Mary not working up to her abilities? I dislike the word potential because everyone has potential. Ability is much more appropriate.

It turns out that Mary may “work” for five hours, but her definition of “work” and her parents’ definition of “work” don’t exactly click. I’m sure you’ve probably guessed by now that Mary spends her time distracted while she works. This would include a laptop computer, cell phone and iPod all within her grasp. Additionally, she will drift off and lose focus on the task at hand.

So how would you solve this? I decided the first intervention would be to have all distractions turned into her parents before starting work. If the laptop is needed for homework, it should only be available when needed. The other items just aren’t helping the situation.

The second intervention was to have Mary fill out a chart on how long she though an assignment would take and how long it actually takes. This helps put her in the mindset of budgeting time and learning from her mistakes. If too much or too little time is budgeted, this helps her see how long things should take.

The third intervention was to identify a good work area for Mary. She was working at the dining room table and too much was going on around her. While her folks wanted to monitor the amount of time she spent working, it was creating a larger distraction with the chaos of the family all around. We decided it would be best to let her work in her room with regular checks by her parents. I’m a little concerned about the drifting off, but she’ll be less distracted.

The fourth area has to do with diet and medication. Mary’s medication wears off by six. She’s hungry and can crash from the dosage wearing off. So, I want her to eat before doing any work and either work while the medication is still in her system or out of it. Being on the fence is very distracting. It is important that she isn’t hungry because that throws everyone’s motor off. One additional thing is that she feels more comfortable in sweats…so comfort is king.

For more information on my ADD, ADHD and Executive Functioning coaching, please visit www.adhdcoachchicago.com. To learn more information about some of the other services I provide, please visit www.carrolleducationalgroup.com and www.iepexperts.com. I can be found on Twitter at ADHDEFCoach. You can also find me on FacebookGoogle Plus and Tumblr. My good friend and fellow ADD/ADHD Coach Tara McGillicuddy invites me as a regular guest on ADD/ADHD Support Talk Radio. Tara does many wonderful things and you should check out her website here. Feel free to email me at jonathan@adhdefcoach.com or call 773.888.ADHD (2343) with any additional questions.