Attention Deficit Hyperactivity Disorder (ADHD)

Photo by Tara Winstead:

What does it feel like to have ADHD?

“I may look just like everyone else, but I know I’m different. I feel the most disconnected and dissimilar when I try — and fail — to communicate my  unique perspective. No one understands what I’m talking about; it’s almost as if I’m speaking a foreign language. At these times, I either feel as if I am the only sane and observant person present, or I feel isolated and misunderstood. Or both, especially when I see their eyes rolling as I speak. They don’t say anything, but I know what they’re thinking.

I love people. Conversation is like an indulgent dessert — most days. But on bad days, my racing brain drowns out all sound and paralyzes my brain and my tongue. When I sit among friends engaged in conversation on those bad days, my body is there, but my mind is elsewhere. You think I hear what you're saying, but all I hear is mumbling. I try to focus on your words, but my darting mind sabotages me. When my emotions are this strong, I have no words. It’s hard to speak; it’s even harder to listen.

The imagination is a wonderful trait when used for good. But my ADHD imagination has a habit of running wild, meandering down harmful paths filled with negative thoughts that stick like Velcro. Catastrophic images appear. Every situation is accompanied by a what-if, worst-case scenario; and that’s when the spiraling cycle begins. How could the same imaginative power that allows some people with ADHD to compose symphonies, paint masterpieces, and develop computer programs, be so crippling? I beat myself up over this some more.” (Silny)

 Silny, June. “What Does ADHD Feel like on a Really Bad Day?” ADDitude, 28 Nov. 2016, www.additudemag.com/slideshows/what-does-adhd-feel-like/.

ADHD Symptoms

  • The primary features of ADHD are inattention and hyperactive-impulsive behavior. ADHD symptoms typically begin before the age of 12, with some children displaying noticeable signs as early as 3 years old.

    The severity of ADHD symptoms can vary; they may be mild, moderate, or severe and can persist into adulthood. ADHD is more commonly diagnosed in males than in females, and the manifestations of the disorder can differ between boys and girls. For instance, boys often exhibit more hyperactive behavior, while girls may display quieter forms of inattention.

    There are three subtypes of ADHD:

    1. Predominantly Inattentive Type:
    The majority of symptoms are characterized by inattention.
    2. Predominantly Hyperactive-Impulsive Type:
    The majority of symptoms are hyperactive and impulsive.
    3. Combined Type:
    This subtype includes a mix of inattentive symptoms and hyperactive/impulsive symptoms.

  • Identifying signs and symptoms of ADHD in adults can be a complex process. However, it's important to recognize that core symptoms often arise early in life—typically before age 12—and can continue into adulthood, potentially leading to significant challenges. To get an accurate diagnosis, the following constructive steps are usually taken:

    1. Physical Examination:
    This is an essential step to eliminate other possible causes of your symptoms, ensuring a focused approach to your health. Information Gathering:
    This involves engaging in a thoughtful discussion about your current medical issues, your personal and family medical history, and the progression of your symptoms. This information is crucial for a comprehensive understanding of your situation.

    2. ADHD Rating Scales or Psychological Tests:
    Utilizing these tools allows for a thorough collection and evaluation of your symptoms, helping to create a clearer picture of how ADHD may be impacting your life.

    By following this process, you can work collaboratively with healthcare professionals to achieve a more accurate diagnosis and pave the way for effective management strategies.

Diagnosing Adult ADHD

Identifying signs and symptoms of ADHD in adults can be a complex process. However, it's important to recognize that core symptoms often arise early in life—typically before age 12—and can continue into adulthood, potentially leading to significant challenges. To get an accurate diagnosis, the following constructive steps are usually taken:

1. Physical Examination:
This is an essential step to eliminate other possible causes of your symptoms, ensuring a focused approach to your health. It is essential to seek out a medical provider with experience in diagnosing and treating ADHD.

2. Information Gathering: This involves engaging in a thoughtful discussion about your current medical issues, your personal and family medical history, and the progression of your symptoms. This information is crucial for a comprehensive understanding of your situation.

 3. ADHD Rating Scales or Psychological Tests: Utilizing these tools allows for a thorough collection and evaluation of your symptoms, helping to create a clearer picture of how ADHD may impact your life. 70 West Counseling offers Adult ADHD Assessments by a certified clinician.

By following this process, you can work collaboratively with healthcare professionals to achieve a more accurate diagnosis and pave the way for effective management strategies.

How Can Therapy Help?

  • If you’re navigating life with adult ADHD, know that you’re not alone, and there is support available to help you thrive. Counseling for adult ADHD often includes psychotherapy, education about the condition, and the development of practical skills to foster your success.

  • Through psychotherapy, you may find support in:

  • Improving your time management and organizational skills, which can make daily life feel more manageable

  • Reducing impulsive behaviors that may create challenges in various situations

  • Developing stronger problem-solving skills to tackle obstacles that arise

  • Coping with past academic, work, or social setbacks, allowing you to move forward with confidence

  • Building your self-esteem and recognizing your strengths

  • Strengthening relationships with family, co-workers, and friends, as communication can often become strained

  • Finding effective strategies for controlling your temper, contributing to more peaceful interactions.

 Some common types of psychotherapy that may be beneficial include:

1. Cognitive Behavioral Therapy (CBT):

This structured approach provides you with specific skills to manage your behavior while helping to shift negative thinking patterns toward a more positive outlook. It’s designed to help you address the unique challenges you face in work, school, or relationships and can also provide support for other mental health concerns, such as depression or substance misuse.

 2. Marital Counseling and Family Therapy:
This type of therapy not only supports you but also your loved ones. It helps family members understand the impact of living with someone who has ADHD and fosters better communication and problem-solving skills within the household. Engaging in therapy can be a powerful step toward a more fulfilling life, where you can embrace your unique journey and build a brighter future. Remember, seeking help is a courageous and positive decision.