tag:blogger.com,1999:blog-21027134233192583882024-03-14T04:06:51.689-04:00 Primarily Inattentive ADD<center>Learn about Inattentive ADD, ADHD Inattentive (ADHD I ,ADHD-PI). Find Information on ADD Medicines and Supplements, ADD Tests and the Diagnosis of Inattentive ADD in Adults and Kids.</center>Unknownnoreply@blogger.comBlogger424125tag:blogger.com,1999:blog-2102713423319258388.post-81905285280062914762016-10-05T11:22:00.001-04:002016-10-05T11:22:34.929-04:00UPDATE ON US AND Check Out Psychiatrist Michiel Bosman's Website<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-Epzo9YBmlco/V_UXJ3qjlCI/AAAAAAAAEQI/ivwGi61wgJAzW8cJTAlRUTCabDY0rwECACK4B/s1600/updating-1208137__180.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img alt="Update Primarily Inattentive ADD" border="0" height="200" src="https://2.bp.blogspot.com/-Epzo9YBmlco/V_UXJ3qjlCI/AAAAAAAAEQI/ivwGi61wgJAzW8cJTAlRUTCabDY0rwECACK4B/s200/updating-1208137__180.png" title="Update Primarily Inattentive ADD" width="200" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Primarily Inattentive ADD: An Update</td></tr>
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<span style="background-color: white; color: #222222; font-family: "arial" , sans-serif; font-size: 12.8px;"></span><span style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8px;">Soooooo, I have not posted in a while. I went back to almost full time work and have not had much time to keep up with the blog but I wanted to post an update. My sons are doing well. My son with ADHD-I is a senior in high school. He has many tools he uses to get his work done and you can find them all by trolling through my previous posts. He is now captain of both the Robotics team and the Cross Country team. He spent the last two summers in California working with a Financial Tech company and this past summer he worked for 12 weeks earning $15 a hour. They loved him, it was a great experience and he feels really rich. He still religiously drinks his coffee every morning and another cup if a long night of studying is ahead.</span><br />
<br style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8px;" />
<span style="background-color: white; color: #222222; font-family: "arial" , sans-serif; font-size: 12.8px;">My younger son, the one with ADHD-C, has switched schools and he is no longer in the private prep school that my eldest son attends. He is doing as well as can be expected at the public school. He hates school but enjoys playing LaCrosse. He is on Vyvanse which he finally admits helps him and which he now tolerates well. He is thinking about perhaps attending an academy to be trained and get a certificate in movie, film and television production. We live in Georgia and the state has made a large push to attract movie and TV production companies to film here.</span><br />
<span style="background-color: white; color: #222222; font-family: "arial" , sans-serif; font-size: 12.8px;"><br /></span><span style="background-color: white; color: #222222; font-family: "arial" , sans-serif; font-size: 12.8px;">Nothing else to report. We have been busy at home with College Applications for my eldest son. Talk about needing checklists, reminders and spreadsheet help... Please keep in touch. It is always good to hear from you!!</span><br />
<span style="background-color: white; color: #222222; font-family: "arial" , sans-serif; font-size: 12.8px;"><br /></span>
<span style="background-color: white; color: #222222; font-family: "arial" , sans-serif; font-size: 12.8px;"><br /></span>
<span style="background-color: white; color: #222222; font-family: "arial" , sans-serif; font-size: 12.8px;"><br /></span><span style="background-color: white; font-size: 12.8px;"><span style="color: #222222; font-family: "arial" , sans-serif;">Oh, by the way, I Wanted to give you guys a heads up on Psychiatrist Michiel Bosman's e</span></span><span style="background-color: white; color: #222222; font-family: "arial" , sans-serif; font-size: 12.8px;">vidence-based mental health self-help website Open Forest (</span><a data-saferedirecturl="https://www.google.com/url?hl=en&q=https://openforest.net&source=gmail&ust=1475765102373000&usg=AFQjCNHhLih0GmvNcnP3WDVdVq9Q61Ah8g" href="https://openforest.net/" style="background-color: white; color: #1155cc; font-family: arial, sans-serif; font-size: 12.8px;" target="_blank">https://openforest.net</a><span style="background-color: white; color: #222222; font-family: "arial" , sans-serif; font-size: 12.8px;">; </span><span style="background-color: white; color: #222222; font-family: "arial" , sans-serif; font-size: 12.8px;">He has a articles on his site with overviews of some of the hottest ADHD topics today. He updates the post regularly with new posts. I recommend you check it out. </span><div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2102713423319258388.post-38427523373847918492015-11-23T19:44:00.000-05:002015-11-23T19:45:21.464-05:00Additude Magazine Article on "Boosting Your Brain Activity".<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-Z5g0PuiSY-U/VlOw-J3QV2I/AAAAAAAAEEE/poS2BtbrDZw/s1600/ADDitude_win2015cov_500px__88040.1446486037.1280.1280.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://1.bp.blogspot.com/-Z5g0PuiSY-U/VlOw-J3QV2I/AAAAAAAAEEE/poS2BtbrDZw/s320/ADDitude_win2015cov_500px__88040.1446486037.1280.1280.jpg" width="243" /></a></div>
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<span style="font-size: large;">The Winter 2015 edition of ADDITUDE magazine has a bunch of cool ideas (including two of mine for folks with Inattentive ADD) for "Boosting your Brain Activity. They asked a bunch of folks how they keep their ADHD brains in shape and the responses are helpful. If you do not subscribe, buy a copy!</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">My life is busy. I am pretty much working full time now. This does not leave much time for anything except family responsibilities and enjoyment.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">The family is all fine and my kids are doing well. They have very different strengths and weaknesses but now that they are both in high school, I feel that they are well on the road to managing their ADHD symptoms on their own.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">My eldest is in the midst of his Junior year in high school and is knee deep in testing, AP classes, clubs and practicing learning to drive. He is doing well in school.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">The little one is a freshman in high school and is happy to be at a new school where the sports he loves are played. Academics continues to be a struggle for him but the new school is a much better fit. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Keep your letters coming. I always answer though I have been very neglectful with regards to posting regularly. Have a great holiday season!</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><br /></span><div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2102713423319258388.post-55792188226959071322015-08-18T19:43:00.003-04:002015-08-18T19:43:50.607-04:00Inattentive ADHD is Different<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right; margin-left: 1em; text-align: right;"><tbody>
<tr><td style="text-align: center;"><img alt="Umbrella, leader, unique, boss, individuality, original, special. stock photo" src="http://i.istockimg.com/file_thumbview_approve/51861354/5/stock-photo-51861354-umbrella-leader-unique-boss-individuality-original-special.jpg" style="margin-left: auto; margin-right: auto;" /></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Inattentive ADHD is Different</td></tr>
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<div style="margin-bottom: .0001pt; margin: 0in;">
<span style="font-family: "Arial","sans-serif";"><br /></span></div>
<div style="margin-bottom: .0001pt; margin: 0in;">
<span style="font-family: Arial, sans-serif;">Those
of us who have Inattentive ADD or have children with Inattentive ADD know that
we and our kids behave fundamentally differently from people who have
Hyperactive or Combined type ADHD. To me, ADHD Inattentive feels
different to the core but until fairly recently not everyone even believed the </span><a href="http://www.primarilyinattentiveadd.com/2010/11/inattentive-adhd-symptoms-causes-and.html" style="font-family: Arial, sans-serif;">symptoms
of Inattentive ADHD were different from the symptoms of Combined Type or
Hyperactive Type ADHD.</a></div>
<div style="margin: 0in 0in 0.0001pt;">
<br /></div>
<div style="margin: 0in 0in 0.0001pt;">
<span style="font-family: "Arial","sans-serif";">Fifteen years ago <a href="http://www.primarilyinattentiveadd.com/2009/11/russell-barkley.html">Russell
Barkley</a> was the first ADHD researcher to speak of the difference between
the three types of ADHD and in the last few years other ADHD researchers have
taken a deeper look. Scientists are
finding biological, even cellular differences between the ADHD types.<o:p></o:p></span></div>
<div style="margin: 0in 0in 0.0001pt;">
<br /></div>
<div style="margin: 0in 0in 0.0001pt;">
<span style="font-family: "Arial","sans-serif";">The researchers of a new study that
was published last month in the Journal <i>Frontiers
in Molecular Neuroscience</i> found chromosomal differences between
ADHD children of different types. The
researchers performed a study where they looked at a piece of genetic material
called a telomere in nine year old kids with ADHD. What they found was that the length of the
telomere was shortened in the Combined type kids but not in the Inattentive
kids. <o:p></o:p></span></div>
<div style="margin: 0in 0in 0.0001pt;">
<br /></div>
<div style="margin: 0in 0in 0.0001pt;">
<span style="font-family: "Arial","sans-serif";">You have maybe heard of telomeres.
What are they? In short, telomeres are chromosomal
"caps". Like a the plastic cap
at the end of our shoe laces, our telomeres keep our DNA filled chromosomes from unraveling. .<o:p></o:p></span></div>
<div style="margin: 0in 0in 0.0001pt;">
<br /></div>
<div style="margin: 0in 0in 0.0001pt;">
<span style="background: white; font-family: "Arial","sans-serif";">To further the
biology lesson... Our DNA contains the codes that make our bodies work. Our
Chromosomes are made of DNA molecules that are wrapped<span class="apple-converted-space"> </span> with proteins<span class="apple-converted-space"> </span>and then capped with telomeres to keep the DNA from
unraveling. <span class="apple-converted-space"> </span>The cap or
telomere is important because unraveled DNA does not work properly. </span><span style="background-color: white; font-family: Arial, sans-serif;">Telomeres shorten as we age but stress,
depression, illness, poor nutrition, lack of exercise and other life style
factors </span><span style="background-color: white; font-family: Arial, sans-serif;"> </span><span style="background-color: white; font-family: Arial, sans-serif;">(drug and alcohol use, smoking),
speed up their shortening.</span><span style="background-color: white; font-family: Arial, sans-serif;"> </span></div>
<div style="margin-bottom: .0001pt; margin: 0in;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0in;">
<span style="background: white; font-family: "Arial","sans-serif";">I always wonder when I read studies such as this one about
the "chicken and the egg" questions.
Do kids with Combined type ADHD have shortened telomeres because they
were born that way or does the stress of having Combined type ADHD (and all the
co-conditions that go along with that diagnosis such as depression, etc) cause
their telomeres to shorten?<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin: 0in;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0in;">
<span style="background: white; font-family: "Arial","sans-serif";">I also wonder about nutrition and exercise. Lots of studies have shown that we can
protect the length of our telomeres by eating better, being at a normal weight
and exercising. Might this be the reason that diet and exercise have been found
to be beneficial for the treatment of ADHD?<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin: 0in;">
<span style="background: white; font-family: "Arial","sans-serif";"><br /></span></div>
<div style="margin-bottom: .0001pt; margin: 0in;">
<span style="background: white; font-family: "Arial","sans-serif";">Genetics plays a huge role in ADHD. We know that ADHD is very inheritable and
that other genetic components also contribute to the condition. I have written a post on one of these
components, <a href="http://www.primarilyinattentiveadd.com/2010/01/epigenetics.html">Epigenes,
that gives further insight on the importance of genetics and the environment as
it relates to ADHD symptoms.</a><o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin: 0in;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0in;">
<span style="background: white; font-family: "Arial","sans-serif";">There is much more to learn about the differences between the ADHD types. Any study or research work
that furthers our knowledge of this condition is helpful to our overall
understanding. It is exciting to me that
the pace of research into this topic appears to be quickening!<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin: 0in;">
<span style="background: white; font-family: "Arial","sans-serif";"><br /></span></div>
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<span style="background: white; font-family: "Arial","sans-serif";"><br /></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.4pt; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.4pt; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: Arial, sans-serif; font-size: 10pt;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/26217174" title="Frontiers in molecular neuroscience."><span style="color: #660066; mso-bidi-font-size: 11.0pt;">Frontiers in Molecular Neuroscience.</span></a></span><span style="font-family: Arial, sans-serif; font-size: 10pt;"> </span><span style="font-family: Arial, sans-serif; font-size: 10pt;">2015 Jul 10;8:28..<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 4.5pt 0in; text-align: center;">
<b><span style="font-family: Arial, sans-serif; font-size: 15pt;">Telomere length is
highly inherited and associated with</span></b><b><span style="font-family: Arial, sans-serif; font-size: 15pt;"> hyperactivity</span></b><b><span style="font-family: Arial, sans-serif; font-size: 15pt;">-impulsivity in children
with</span></b><b><span style="font-family: Arial, sans-serif; font-size: 15pt;"> attention deficit</span></b><b><span style="font-family: Arial, sans-serif; font-size: 15pt;">/</span></b><b><span style="font-family: Arial, sans-serif; font-size: 15pt;">hyperactivity disorder</span></b><b><span style="font-family: Arial, sans-serif; font-size: 15pt;">.<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: Arial, sans-serif;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Costa%20Dde%20S%5BAuthor%5D&cauthor=true&cauthor_uid=26217174"><span style="color: #660066;">Costa Dde S</span></a></span><sup><span style="font-family: Arial, sans-serif; font-size: 9.5pt;">1</span></sup><span style="font-family: Arial, sans-serif;">, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Rosa%20DV%5BAuthor%5D&cauthor=true&cauthor_uid=26217174"><span style="color: #660066;">Rosa DV</span></a></span><sup><span style="font-family: Arial, sans-serif; font-size: 9.5pt;">1</span></sup><span style="font-family: Arial, sans-serif;">, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Barros%20AG%5BAuthor%5D&cauthor=true&cauthor_uid=26217174"><span style="color: #660066;">Barros AG</span></a></span><sup><span style="font-family: Arial, sans-serif; font-size: 9.5pt;">1</span></sup><span style="font-family: Arial, sans-serif;">, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Romano-Silva%20MA%5BAuthor%5D&cauthor=true&cauthor_uid=26217174"><span style="color: #660066;">Romano-Silva MA</span></a></span><sup><span style="font-family: Arial, sans-serif; font-size: 9.5pt;">1</span></sup><span style="font-family: Arial, sans-serif;">, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Malloy-Diniz%20LF%5BAuthor%5D&cauthor=true&cauthor_uid=26217174"><span style="color: #660066;">Malloy-Diniz LF</span></a></span><sup><span style="font-family: Arial, sans-serif; font-size: 9.5pt;">1</span></sup><span style="font-family: Arial, sans-serif;">, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Mattos%20P%5BAuthor%5D&cauthor=true&cauthor_uid=26217174"><span style="color: #660066;">Mattos P</span></a></span><sup><span style="font-family: Arial, sans-serif; font-size: 9.5pt;">2</span></sup><span style="font-family: Arial, sans-serif;">, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=de%20Miranda%20DM%5BAuthor%5D&cauthor=true&cauthor_uid=26217174"><span style="color: #660066;">de Miranda DM</span></a></span><sup><span style="font-family: Arial, sans-serif; font-size: 9.5pt;">1</span></sup><span style="font-family: Arial, sans-serif;">.</span></div>
<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2102713423319258388.post-38707870007594858562015-05-18T14:36:00.002-04:002015-05-18T19:00:37.804-04:00INATTENTIVE ADHD, REFLECTIONS FROM MY MAILBOX<div style="text-align: center;">
<img alt="Image result for free images email mailbox" src="https://encrypted-tbn1.gstatic.com/images?q=tbn:ANd9GcQp0QWaskR_1zVbwMZHCcyTAYnQiq_lPi2Hn6HvbtZlei-3HSaWRw" /></div>
<div style="text-align: center;">
<b><span style="font-size: large;">INATTENTIVE ADHD, REFLECTIONS FROM MY MAILBOX</span></b></div>
<div style="text-align: left;">
<br /></div>
<div style="text-align: left;">
<span style="font-size: large;">I receive emails from parents regularly. I often get emails regarding inattentive symptoms in very young school age children. The parents of these 4-6 year old children are writing to ask if the fact that their child does not pay attention when he/she is sitting "criss-cross applesauce" during story time, while writing his/her alphabet letters endlessly on a worksheet or while doing various math or reading drills is normal.</span></div>
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<span style="font-size: large;"><br /></span></div>
<div style="text-align: left;">
<span style="font-size: large;">I want to scream at my computer. 'YOUR CHILD DOES NOT HAVE INATTENTIVE ADHD, YOUR CHILD IS <u><b><span style="color: red;">FIVE</span></b></u> YEARS OLD', but I do not. The sad fact is that many of these spaced out five year olds, will be space out 4th graders and the parents that are writing me are doing so because they know their child and they know that the child's level of spaciness goes beyond an inability to write the letter 'C' on lined paper, 30 times.</span></div>
<div style="text-align: left;">
<span style="font-size: large;"><br /></span></div>
<div style="text-align: left;">
<span style="font-size: large;">I could go on an on about the stupid demands that most school's place on Kindergartners but instead I want to address the fact that most parents know well before there is an official diagnosis, that their child's inattention is a problem and that. as a parent, once you become concerned about your child's inability to focus, it is time to:</span></div>
<div style="text-align: left;">
<span style="font-size: large;"><br /></span></div>
<div style="text-align: center;">
<b><span style="font-size: large;">A. Figure out how out of the normal range your child's lack of attention is.</span></b></div>
<div style="text-align: center;">
<b><span style="font-size: large;"><br /></span></b></div>
<div style="text-align: center;">
<b><span style="font-size: large;">B. Alert the child that focus an attention are skills that take practice but that can be learned (before a teacher or anyone else decides that they are nothing but an inattentive mess).</span></b></div>
<div style="text-align: center;">
<b><span style="font-size: large;"><br /></span></b></div>
<div style="text-align: center;">
<b><span style="font-size: large;">C. Forge a plan to teach attention skills.</span></b></div>
<div style="text-align: center;">
<b><span style="font-size: large;"><br /></span></b></div>
<div style="text-align: center;">
<b><span style="font-size: large;">D. Be your child's biggest fan and love them for all the other great skills and talents that make them who they are.</span></b></div>
<div style="text-align: center;">
<b><span style="font-size: large;"><br /></span></b></div>
<div style="text-align: left;">
<span style="font-size: large;">To give you an example of what might happen to an inattentive five year old once they get to a kindergarten classroom, I would like to post part of a letter I received (the writer has granted me permission to do so), and my response.</span></div>
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<span style="font-size: large;"><br /></span></div>
<div style="text-align: left;">
<span style="font-size: large;"><i>"My five year old son just started Kindergarten. He went to a small preschool where there were only 10 kids to a classroom and though he was shy and quiet, he was a favorite of the teachers as he just loved to quietly observe everything around him and they found him easy and smart. He learned to read, in preschool, when he was four and he now reads better than most first graders... </i></span></div>
<div style="text-align: left;">
<span style="font-size: large;"><i><br /></i></span></div>
<div style="text-align: left;">
<span style="font-size: large;"><i>He is a dawdler and it often takes him 3 hours to complete a chore that could have been done in 5 minutes. He is obedient at home and at school and despite the fact that he is slow, spacey and a procrastinator, he is otherwise a creative, funny, insightful and delightful kid.</i></span></div>
<div style="text-align: left;">
<span style="font-size: large;"><i><br /></i></span></div>
<div style="text-align: left;">
<span style="font-size: large;"><i>I am writing because my problem is his new school. Since he started Kindergarten his teacher has been calling me almost weekly to report that he does not pay attention, that he wonders around the classroom when he should be sitting "criss-cross applesauce", that he is slow to complete assignments and that they are worried about him socially because, for example, when he is on the playground he does not play, he just sits and watches the older kids play and the teachers talk...</i></span></div>
<div style="text-align: left;">
<span style="font-size: large;"><i><br /></i></span></div>
<div style="text-align: left;">
<span style="font-size: large;"><i>I have started using a timer to make him aware of his dawdling and I have started to try to make him understand the 'new rules of Kindergarten'...</i></span></div>
<div style="text-align: left;">
<span style="font-size: large;"><i><br /></i></span></div>
<div style="text-align: left;">
<span style="font-size: large;"><i>I am concerned with all the teacher calls, can you give me some advise as to what else I might do?"</i></span></div>
<div style="text-align: left;">
<span style="font-size: large;"><br /></span></div>
<div style="text-align: left;">
<span style="font-size: large;">I get a variation of this letter at least once a month. My response:</span></div>
<div style="text-align: left;">
<span style="font-size: large;"><br /></span></div>
<div style="text-align: left;">
<span style="background-color: white; color: #222222; font-family: inherit; font-size: large;"><i>Thanks for your email. Your son sounds like a sweetheart and it sounds as though you are doing all the right things. With your continued support and guidance his procrastination, dawdling, organization and attention will improve. </i></span></div>
<div style="background-color: white; color: #222222;">
<span style="font-family: inherit; font-size: large;"><i><br /></i></span></div>
<div style="background-color: white; color: #222222;">
<span style="font-family: inherit; font-size: large;"><i>My suggestions would include having him start walking or doing some kind of daily exercise, having him set some of his own goals to accomplish something HE wants and show him how the steps of that goal get performed in a timely way.</i></span></div>
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<span style="font-family: inherit; font-size: large;"><i><br /></i></span></div>
<div style="background-color: white; color: #222222;">
<span style="font-family: inherit; font-size: large;"><i> He is only 5, at this point you have to teach timeliness. I used timers a lot because my son had no internal clock and needed an external one to help him.</i></span></div>
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<span style="font-family: inherit; font-size: large;"><i><br /></i></span></div>
<div style="background-color: white; color: #222222;">
<span style="font-family: inherit; font-size: large;"><i>He will continue to need lots of organizational support and charts, cues, routines, etc will be more and more important as he ages. </i></span></div>
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<span style="font-family: inherit; font-size: large;"><i><br /></i></span></div>
<div style="background-color: white; color: #222222;">
<span style="font-family: inherit; font-size: large;"><i>His classrooms and teachers will need to have in place written and accessible assignments and deadlines. Many schools are using Schoology a program that keeps students and parents abreast of upcoming projects and homework. Some system, such as that, will be helpful so that you can help him help himself.</i></span></div>
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<span style="font-family: inherit; font-size: large;"><i><br /></i></span></div>
<div style="background-color: white; color: #222222;">
<span style="font-family: inherit; font-size: large;"><i>He will do great. Ages 5 to 7 are tough as are the start of middle school and high school. The good news is that once they reach middle school you will have been coaching him so long, the two of you as a team will be seasoned pros and will know exactly how to tackle the rising challenges.</i></span></div>
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<span style="font-family: inherit; font-size: large;"><i>Keep the faith and keep me posted.</i></span></div>
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<span style="font-family: inherit; font-size: large;"><i><br /></i></span></div>
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<span style="font-family: inherit; font-size: large;">Have a great summer,<i> </i></span><span style="font-size: large;">Please keep your letters coming! I love hearing from you.</span><span style="font-size: large;"> </span></div>
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<div style="background-color: white; color: #222222;">
<span style="font-family: inherit; font-size: large;">BTW, I wanted my readers to know that I have two articles in the Summer edition of <a href="http://www.additudemag.com/adhd/new-issue.html">Additude Magazine</a> which I hope you will read and enjoy!</span></div>
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<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2102713423319258388.post-26365926458993276792015-03-21T15:17:00.002-04:002015-04-21T09:14:39.236-04:00Inattentive ADD, Coordination and Sensory Processing<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="http://3.bp.blogspot.com/-XLTd_AiK65U/VQ3DTjUzBaI/AAAAAAAAEA4/UclFEJ8Q4Yw/s1600/coord.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="http://3.bp.blogspot.com/-XLTd_AiK65U/VQ3DTjUzBaI/AAAAAAAAEA4/UclFEJ8Q4Yw/s1600/coord.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Inattentive ADD, Coordination and Sensory Processing</td></tr>
</tbody></table>
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</v:shape><![endif]--><!--[if !vml]--><!--[endif]--></span><span style="font-family: Arial, sans-serif; font-size: 15pt;">A study just posted in a Chinese medical
journal and cited below confirms what I have observed in boys with Inattentive
ADD. Children with Inattentive ADHD are less likely to engage in
sports, more likely to have problems with motor coordination and more likely to
have <a href="http://www.primarilyinattentiveadd.com/2009/12/visual-therapy-and-adhd.html">visual
processing issues</a>. These problems
are bad enough but unfortunately, they also cause brain organization
problems. <o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 15pt;">I have posted in the past about the
connection between</span><span style="font-family: Arial, sans-serif; font-size: 15pt;"> </span><span style="font-family: Arial, sans-serif; font-size: 15pt;"><a href="http://www.primarilyinattentiveadd.com/2011/03/sensory-processing-and-adhd-bigger.html">Inattentive ADHD and Sensory Integration
problems</a> and I have also posted about</span><span style="font-family: Arial, sans-serif; font-size: 15pt;"> </span><span style="font-family: Arial, sans-serif; font-size: 15pt;"><a href="http://www.primarilyinattentiveadd.com/2010/11/fine-motor-skills-and-inattentive-adhd.html">Inattentive ADD and motor and coordination
difficulties</a>. <o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 15pt;">Coordination difficulties are problematic
in sports but there is a growing body of evidence that suggest that children
that are not coordinated also have problems with brain development.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 15pt;">Optometrist believe that the brain,
through balance and coordination organizes itself. As the body develops and practices tasks such
as crawling and walking, a process called brain "lateralization"
occurs.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 15pt;">Lateralization eventually leads the brain
to establish a dominant side. Developing
a dominant side is important for brain organization and the importance goes WAY
beyond the ideas first introduced by psychologist who wrote about right sided
versus left sides brain dominance.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 15pt;">Through studies on brain mapping, we now
know that the entire brain works together to accomplish both artistic and
analytic tasks but that having a dominant side or lateralizing is important for
writing, reading and math as well as for sports.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 15pt;">It is through physical activity ,
specifically activities that <a href="http://www.primarilyinattentiveadd.com/2011/01/mixed-dominant-adhd-and-midline.html">"cross
the midline"</a> or that use both the left side and right side of the body,
that the two sides or hemispheres of the brain learn to work together. <o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 15pt;">Coordinated children learn to use both
sides of their bodies together to do things like crawling, pushing, pulling or
walking. This coordinated body practice help the brains of these children
become better organized for doing the tasks that will later be required at
school and in life. Uncoordinated children get less practice at doing these
things and are slower to develop a lateralized and well organized brain.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 15pt;">What the Chinese study confirms is that
Inattentive boys (the study was performed on boys but likely applies to girls
as well) are less coordinated that their non-inattentive peers and also less
coordinated than their combined type peers.
So, are the brain organization problems in inattentive boys the result
of the motor and sensory coordination problems or vice versa? Well who knows. What we do know is that
treating the coordination, motor and sensory problems with <a href="http://www.primarilyinattentiveadd.com/2011/09/we-know-exercise-helps-adhd-so-lets-get.html">exercise</a>
and <a href="http://www.amazon.com/COMMANDING-ATTENTION-PATIENT-TREATMENT-ebook/dp/B00AHDF1I6/ref=sr_1_1?ie=UTF8&qid=1354792542&sr=8-1&keywords=tess+messer+commanding+attention.">other
modalities</a> can help treat the brain organization issues that ultimately
contribute to inattention.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<b><span style="color: #1f497d; font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt; mso-themecolor: text2;">Postural control
and sensory information integration abilities of boys with
two subtypes of attention deficit hyperactivity disorder: a
case-control study.</span></b><span style="color: #1f497d; font-family: "Times New Roman","serif"; font-size: 13.5pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;"><o:p></o:p></span></div>
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<span style="color: #1f497d; font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Ren%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=25533821"><span style="color: #1f497d; mso-themecolor: text2;">Ren Y</span></a></span><span style="color: #1f497d; font-family: "Arial","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">1</span><span style="color: #1f497d; font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Yu%20L%5BAuthor%5D&cauthor=true&cauthor_uid=25533821"><span style="color: #1f497d; mso-themecolor: text2;">Yu L</span></a></span><span style="color: #1f497d; font-family: "Arial","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">2</span><span style="color: #1f497d; font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Yang%20L%5BAuthor%5D&cauthor=true&cauthor_uid=25533821"><span style="color: #1f497d; mso-themecolor: text2;">Yang L</span></a></span><span style="color: #1f497d; font-family: "Arial","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">1</span><span style="color: #1f497d; font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Cheng%20J%5BAuthor%5D&cauthor=true&cauthor_uid=25533821"><span style="color: #1f497d; mso-themecolor: text2;">Cheng J</span></a></span><span style="color: #1f497d; font-family: "Arial","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">1</span><span style="color: #1f497d; font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Feng%20L%5BAuthor%5D&cauthor=true&cauthor_uid=25533821"><span style="color: #1f497d; mso-themecolor: text2;">Feng L</span></a></span><span style="color: #1f497d; font-family: "Arial","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">3</span><span style="color: #1f497d; font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Wang%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=25533821"><span style="color: #1f497d; mso-themecolor: text2;">Wang Y</span></a></span><span style="color: #1f497d; font-family: "Arial","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">4</span><span style="color: #1f497d; font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">.<o:p></o:p></span></div>
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<b><span style="color: #1f497d; font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2; text-transform: uppercase;">CONCLUSIONS:<o:p></o:p></span></b></div>
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<span style="color: #1f497d; font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: text2;">ADHD boys
had a poorer static postural control ability and impaired function of
processing visual and vestibular information compared with the normal control.
Boys with ADHD-I showed particularly severe defect of static postural
control and vestibular function integrating conflict information than normal
boys. These deficits may be an important contributor to the clinical
presentation of ADHD children and their cognitive deficits.
Assessment and training of postural control function would be suggested during
the diagnosis and treatment of ADHD children.<o:p></o:p></span></div>
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<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2102713423319258388.post-71404838053909203962014-11-15T11:36:00.005-05:002014-11-17T13:13:41.493-05:00Could This be Inattentive ADD?<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-7uWbcYJYgRI/VGeAstfi1nI/AAAAAAAAD9o/PqU2TI8eVRM/s1600/what.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-7uWbcYJYgRI/VGeAstfi1nI/AAAAAAAAD9o/PqU2TI8eVRM/s1600/what.jpg" /></a></div>
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<b><span style="font-family: Helvetica, sans-serif;"><span style="font-size: large;">Could This be Inattentive ADD?</span><span style="font-size: 10.5pt;"><o:p></o:p></span></span></b></div>
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<span style="font-family: Arial, sans-serif; font-size: 12pt;">Recently I have received
several questions from parents with young children with symptoms of:<o:p></o:p></span></div>
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<ul>
<li><span style="font-family: Arial, sans-serif; font-size: 12pt;">Inattention</span></li>
<li><span style="font-family: Arial, sans-serif; font-size: 12pt;">Disorganization</span></li>
<li><span style="font-family: Arial, sans-serif; font-size: 12pt;">Procrastination</span></li>
<li><span style="font-family: Arial, sans-serif; font-size: 12pt;">Plodding Work Pace</span></li>
<li><span style="font-family: Arial, sans-serif; font-size: 12pt;">Lethargy</span></li>
</ul>
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<span style="font-family: Arial, sans-serif; font-size: 12pt;">The parents of these
kids want to know if these symptoms are Inattentive ADD symptoms and they want
to know what to do. They often are
concerned about the “labeling” of their kids and this is a legitimate concern
and they are concerned about not acting on these issues as they fear that the
symptoms will only become more of an issue as their children age.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 12pt;">As an aside, I am always
heartened by the fact that 95% of the parents who write me, describe their
children as poor students but “delightful people”. I always ask parents if their children are
“good company” and they almost always say “yes”. I mention this because, at the end of the
day, a person who is “good company” has a lot more potential than a person who
is not. Excellent, A+ students, can be
obnoxious, arrogant and “bad company” and I like to point this out to parents
who are despairing about their children’s academic performance.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 12pt;">Anyway... back to the
topic. The above symptoms may or may not
be Inattentive ADD symptoms. It does not really matter as these children need
help. In children who are ten and
younger, the plan should be to help them establish life and academic skills
that will support them in years to come.
These skills include:<o:p></o:p></span></div>
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<ul>
<li><span style="font-family: Arial, sans-serif; font-size: 12pt;">Regular Exercise</span></li>
<li><span style="font-family: Arial, sans-serif; font-size: 12pt;">Healthy Diet Habits</span></li>
<li><span style="font-family: Arial, sans-serif; font-size: 12pt;">Healthy Sleep Habits</span></li>
<li><span style="font-family: Arial, sans-serif; font-size: 12pt;">Good Parent/Teacher Communication</span></li>
<li><span style="font-family: Arial, sans-serif; font-size: 12pt;">Organizational Aids such as wall charts, Big
visible task calendars,</span></li>
<li><span style="font-family: Arial, sans-serif; font-size: 12pt;">Appropriate Incentives</span></li>
</ul>
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<span style="font-family: Arial, sans-serif; font-size: 12pt;">For older kids, the
support plan should include all the above plus:<o:p></o:p></span></div>
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<ul>
<li><span style="background-color: white; color: #222222; font-family: Arial, sans-serif; font-size: 12pt;">Having a spare set of school books (a whole extra set) at
home to help eliminate the issues of not having the right books to do whatever
assignment is due. </span></li>
<li><span style="background-color: white; color: #222222; font-family: Arial, sans-serif; font-size: 12pt;">Engaging the help of a high school student, paid minimum
wage, to be your child’s "homework helper". Communicating teachers
and asking that assignments be put online or available in such a way that you,
the Homework Helper and the student know what it due, when it is due and what
is required to complete the assignment.</span></li>
<li><span style="background: white; color: #222222; font-family: Arial, sans-serif; font-size: 12pt;">In addition all the recommendations in this</span><span style="font-family: Arial, sans-serif; font-size: 12pt;"><a href="http://www.primarilyinattentiveadd.com/2010/11/universal-interventions-for-inattentive.html" target="_blank"><span class="apple-converted-space"><span style="background: white; color: #1155cc;"> </span></span><span style="background: white; color: #1155cc;">post talks about classroom changes that help all students and especially
helps students with memory and organization problems.</span></a></span></li>
</ul>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">To find
more of my suggestions, you can use the search bar in the top right hand corner
of my blog<span style="background: white; color: #222222;"> and search under the
terms "teacher" and "classroom". This will bring up posts with more
recommendations. </span><o:p></o:p></span></div>
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<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2102713423319258388.post-24207680953665504022014-08-19T11:12:00.000-04:002014-08-19T11:12:22.146-04:00The Difference Between Sluggish Cognitive Tempo and Inattentive ADD<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-aEEltZPfXqw/U_No6233IHI/AAAAAAAAD8A/iuTGIbsW_pk/s1600/the%2Bdifference.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="http://2.bp.blogspot.com/-aEEltZPfXqw/U_No6233IHI/AAAAAAAAD8A/iuTGIbsW_pk/s1600/the%2Bdifference.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">The Difference Between Sluggish Cognitive Tempo and Inattentive ADD</td></tr>
</tbody></table>
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<span style="font-size: 13.5pt;">I have been posting to
'Primarily Inattentive ADD' very infrequently. The main reason for this
is that I found about a year ago, after I finished my second book,<span class="apple-converted-space"> </span><i><a href="http://www.amazon.com/COMMANDING-ATTENTION-PARENT-PATIENT-TREATMENT-ebook/dp/B00AHDF1I6">Commanding
Attention</a></i>, that I had written about most of what I had to say. At
that time I decided I would only post if some new Inattentive ADD news story
warranted coverage.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-size: 13.5pt;">I do not have any amazing new discoveries
to post about but I wanted to address a question that I get emailed a lot.
The question of the difference between Inattentive ADD and Sluggish
Cognitive Tempo (SCT). These conditions are different but they are equally
difficult to treat as they both often fail to respond to stimulants. New
studies suggest that Strattera, a non-stimulant ADHD medication, may help SCT
as well as helping Inattentive ADD but the amount of benefit that any
individual ADD or SCT patient may get from Strattera is still highly variable.<o:p></o:p></span></div>
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<span style="font-size: 13.5pt;">My short answer to,<span class="apple-converted-space"> </span><i>What is the difference between SCT
and Inattentive ADD?<span class="apple-converted-space"> </span></i>has
always been this, Children and adults with Inattentive ADD are normally active.
Not hyperactive, not hypo-active. The difficulty in diagnosing
children with either condition (and with hyperactive ADHD for that matter) is
that many children under the age of 12 have a normal development lag in their
ability to regulate their activity levels. To make matters more
complicated, teenagers can be perpetually tired because of all sorts of normal
developmental issues (sleep deprivation, anxiety, depression, etc) and these
same issues can cause some teenagers to be hyperactive.<o:p></o:p></span></div>
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<span style="font-size: 13.5pt;">There is no doubt in my mind that there
are adults and children who are legitimately and concernedly sluggish but I
believe that we are only now in the infancy or our medical understanding of the
cause and possible solutions to this sluggishness. Until we understand
better the causes of mental sluggishness, we cannot begin to treat it.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-size: 13.5pt;">I am in classrooms a lot. In every
third Kindergarten through 12th grade classroom there is at least one student
who appears unable to stay awake. Teaching a child like this is obviously
impossible but does every child who is half asleep have a diagnosis of SCT.
I do not think so. Inattentive ADD is, in my opinion, more
prevalent. You can find a Inattentive ADD kid in<span class="apple-converted-space"> </span><i>every</i><span class="apple-converted-space"> </span>K-12 classroom if you know what to
look for. That kids is not falling asleep. That kid looks like
he/she even may be paying attention. The problem is, that Inattentive ADD
kid is paying attention to something going on in their head, NOT to what is
going on in the classroom.<o:p></o:p></span></div>
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<br />
<div style="margin: 0in 0in 0.0001pt;">
<span style="font-size: 13.5pt;">In an April article on<span class="apple-converted-space"> </span><a href="http://www.nytimes.com/2014/04/12/health/idea-of-new-attention-disorder-spurs-research-and-debate.html">SCT
in the New York Times</a>, Alan Schwarz reported that Psychiatrists and drug
companies are "claiming to have identified a new disorder that could
vastly expand the ranks of young people treated for attention problems".
In his article, Schwarz reports that Steve S. Lee, an associate professor
of psychology on the editorial board of The Journal of Abnormal Child
Psychology, is concerned that SCT may be diagnosed in children with common
behaviors that are the result of common youthful problems such as lack of
sleep." Of course, the same concerns can be said of the diagnosis of
both hyperactive ADHD and ADD. <o:p></o:p></span></div>
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<span style="font-size: 13.5pt;"><br /></span></div>
<div style="margin-bottom: .0001pt; margin: 0in;">
<span style="font-size: 13.5pt;">So there is a difference but the take home message here is this. There are hyperactive kids and adults, there are inattentive kids
and adults and there are sluggish (and usually inattentive) kids and adults and we know a lot more about the former two than we know about the latter.</span><o:p></o:p></div>
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<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-2102713423319258388.post-5904166977533088692014-05-13T09:44:00.000-04:002014-05-13T09:44:42.420-04:00 Media Review of Coffee and Inattentive ADHD<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="http://pixabay.com/static/uploads/photo/2014/03/21/19/51/coffee-292241_640.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="http://pixabay.com/static/uploads/photo/2014/03/21/19/51/coffee-292241_640.jpg" height="200" width="132" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Coffee Bean Image By: https://www.facebook.com/pixabay</td></tr>
</tbody></table>
I am not posting much these days as my work schedule has been a bear. I, however, wanted to post today about an interesting article that I read in the Atlantic about caffeine. Regular blog readers will know that I am a regular coffee drinker and that I use caffeine to help me focus, to motivate me and to keep me on track throughout my day.<br />
<br />
The <a href="http://www.theatlantic.com/health/archive/2014/03/how-athletes-strategically-use-caffeine/283758/">Atlantic article</a> focuses on the use of caffeine in Athletics. They come to the conclusion that caffeine helps performance but, as we all know, caffeine is also addictive. Their recommendation is that it be used carefully and purposefully. I would have to totally agree.<br />
<br />
My 15 year old son is now making his own morning cup of coffee. He drinks it black. He seems to do fine with just that one cup though he just went through finals week and I did notice that on a few days he made himself a cup at 3:30 pm as well. He always has trouble falling asleep so it is unclear if the coffee kept him awake. <br />
<br />
As you will remember, I am also a devout believer in exercise for ADHD. My younger son has taken up Lacrosse which thankfully he loves. My eldest is walking home from school every day now so he is getting 2.5 miles of exercise a day as well. <br />
<br />
The road is always a bit bumpy when you are watching kids with ADHD mature and find their way. It seems that their lives are filled with periods of clear sailing, periods of dead winds and periods of hurricane winds. Well, come to think of it, that is probably true of all of our lives...<br />
<br />
You can find more information on <a href="https://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=9201077328003771464;onPublishedMenu=posts;onClosedMenu=posts;postNum=26;src=postname">why caffeine may help A<u>DHD</u></a> in this post about caffeine and the brain and I briefly address <a href="https://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=6441993212592969544;onPublishedMenu=posts;onClosedMenu=posts;postNum=2;src=postname">caffeine and Sluggish Cognitive Tempo </a>is this other post.<br />
<br />
I hope you are having a happy Spring!<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com3tag:blogger.com,1999:blog-2102713423319258388.post-79124372586294320442014-02-24T09:58:00.003-05:002014-02-24T09:58:48.236-05:00Inattentive ADHD Treatment Questions From the Primarily Inattentive ADD Mailbox<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-_kaOKORwUVc/Uwtdq0-OigI/AAAAAAAAD3Q/F_tKe7wihDg/s1600/images.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="http://1.bp.blogspot.com/-_kaOKORwUVc/Uwtdq0-OigI/AAAAAAAAD3Q/F_tKe7wihDg/s1600/images.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Inattentive ADHD Treatment Questions From My Mailbox</td></tr>
</tbody></table>
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<span style="font-family: Arial, Helvetica, sans-serif;">As many of you have likely gathered, I am posting only very sporadically now. With one of my sons in middle school and the other in high school, I am finding that I am spending more time supporting them both by being at home for them and by working more to be able to afford their very expensive private school.</span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;">I am answering emails and lately I have had some good questions that I wanted to share with you. None of these questions have pat answers but if you are a regular reader of this blog, you know that there are no "one size fits all" answers. This question is kind of a composite of the questions that I have answered of late.</span><br />
<span style="background-color: white;"><span style="color: blue;"><br /></span></span>
<span style="color: blue; font-family: Arial, Helvetica, sans-serif;"><i><span style="background-color: white; font-size: 13px;">Hello Tess,</span></i></span><br />
<span style="color: blue; font-family: Arial, Helvetica, sans-serif;"><i style="background-color: white;"><br style="font-size: 13px;" /></i></span>
<span style="color: blue; font-family: Arial, Helvetica, sans-serif;"><i><span style="background-color: white;"><span style="font-size: x-small;">I recently came across your website as I was searching for info on how to help my son. He is 12 years old and was diagnosed at age eight with inattentive ADD. He is on a very lose dose of Ritalin SR (10 mg) daily and this does seem to help him a little bit. </span></span></i></span><br />
<span style="color: blue; font-family: Arial, Helvetica, sans-serif;"><i><span style="background-color: white; font-size: 13px;"><br /></span></i></span>
<span style="color: blue; font-family: Arial, Helvetica, sans-serif;"><i><span style="background-color: white; font-size: 13px;">He is really struggling at school despite having a tutor (since the beginning of the year) twice weekly. The tutor is charging us $80 per hour and our family can barely afford her. More importantly, I am not sure that she is making any difference. His grades have not changed, he is still really struggling in school and cannot seem to focus on his schoolwork for any real length of time and homework time is always "meltdown" time at our house.</span></i></span><br />
<span style="color: blue; font-family: Arial, Helvetica, sans-serif;"><i><span style="background-color: white; font-size: 13px;"><br /></span></i></span>
<span style="background-color: white;"><span style="color: blue;"><span style="font-family: Arial, Helvetica, sans-serif;"><i><span style="font-size: x-small;">I am sure that, like you, I had this going on as a kid – teachers couldn't believe that I was actually smart and I had an amazing imagination and daydreamed all the time – still considered “spacey” by many. </span></i></span><span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><i>My son is me times 10. When he was tiny, I knew we were kindred souls, and we are very similar in many ways.</i> </span></span></span><br />
<span style="color: blue; font-family: Arial, Helvetica, sans-serif;"><i><span style="background-color: white; font-size: 13px;"><br /></span></i></span>
<span style="color: blue; font-family: Arial, Helvetica, sans-serif;"><i><span style="background-color: white; font-size: 13px;">We struggle with this diagnoses as you know very few people know the distinction of ADHD and ADHD-I. We are constantly looking at schools where we might qualify for financial aid and that might be a better fit but have not succeeded in finding one that we are willing to take the leap of faith with.</span></i></span><br />
<span style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><i style="background-color: white;"><br /></i></span>
<span style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><i style="background-color: white;">Any suggestion that you might have that could help our son would be greatly appreciated!</i></span><br />
<span style="color: #222222; font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><i><br /></i></span>
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<u style="color: #222222; font-family: Arial, Helvetica, sans-serif;"><b>My Answer</b></u></div>
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Hi, Thanks for your questions. I guess, before I can make any suggestions, I have a few questions about your son.</div>
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What does he love to do?</div>
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Does he focus when he plays sports?</div>
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Does he have any other medical, emotional, psychological (anxiety, depression, hearing, Celiac...)?</div>
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What subjects in school are the most difficult?</div>
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Does he like school?</div>
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Does he have friends?</div>
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Does he ever focus on something?</div>
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How is your relationship with the school?</div>
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<br /></div>
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The reason I ask all these questions is that all these factors matter. If he loves sports and focuses during sports, he should continue to do them. ANYTHING that teaches an inattentive kid to focus (not counting hours of video games) will help them in the long run. </div>
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Melt downs over homework are really common. Forging a plan as a team (it sounds as though you are doing this) helps. Breaking down the tasks into pieces and interjecting fun activities, snacks, breaks all help. If you can meet with the teacher and have her make sure he stays on task at school, this would help. Sometimes asking the teacher for a recommendation of a kid who could do the homework with him (not for him but with him) with you out of the picture helps inattentive kids focus as they tend to "sync" better with someone their own age (Or slightly older. In the 4th grade my son had a neighbor in 7th grade who I paid $7 an hour to be a "homework" helper. Later, I got him a High School senior to be a homework helper for $10 an hour-my son never melted down with the homework helpers and they are cheap!!). </div>
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If he likes school, that is a real plus. I do not know what you do but if you could help out at school, that often makes kids feel more like school is a family event rather than somewhere they are "sent off to". Since you had ADD as a kid, try to draw on your own experiences of what helped you. Kids with ADD/ADHD (as I am sure you know) often have other medical/emotional/psych things going on. They all do better if these things are treated.</div>
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Let me know if any questions that you might have.</div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><i><br style="background-color: white; color: #222222; font-size: 13px;" /></i></span><div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2102713423319258388.post-17964413236549309602013-11-15T09:06:00.000-05:002013-11-15T09:07:20.427-05:00Music and Inattentive ADD<br />
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<tr><td class="tr-caption" style="text-align: center;">Music and Inattentive ADD</td></tr>
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<span style="background-position: initial initial; background-repeat: initial initial; font-family: Arial, sans-serif; font-size: 14pt;">Recently I was asked by a reader if there was a
connection between music and performance in kids with inattentive ADHD.
This reader was a parent who had found that her ten year old daughter
could do her math problems faster and with more accuracy if a certain type of
music was playing. It seemed that music helped her attention.<o:p></o:p></span></div>
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<span style="background-position: initial initial; background-repeat: initial initial; font-family: Arial, sans-serif; font-size: 14pt;">As it turns out there is a</span><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman";">
correlation between math and music. Many composers have been found to
have amazingly advanced mathematical minds and neurobiologist have found that music
can stimulate the part of the brain that is used for</span><span style="background-position: initial initial; background-repeat: initial initial; font-family: Arial, sans-serif; font-size: 14pt;">
memory and higher brain functions<span class="apple-converted-space"> </span></span><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt;">such as reasoning and
spatial problem solving<span style="background-position: initial initial; background-repeat: initial initial;">. <o:p></o:p></span></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman";">It may be that music also helps kids
with ADHD do better in school. In one
study (see below) boys with ADHD were tested on classroom performance with
music on and off. Some, but not all of
the boys, benefitted from having music playing while studying. <o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman";">The differences in performance and
the reason why some boys benefited from the music and others did not might be
related to genetics. The second study listed
below seems to point to the fact that music can act beneficially because it
acts on some of the genetically determined pathways that are amiss in ADHD.
<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman";">Not all music helps. It seems as though the tempo of the music
makes a difference. Rock, Rap and some
types of classical music seem to help more than say folk music. In my family, my son studies wearing ear
phones and he listens to classical type music. He really feels that it helps
him stay focused.<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman";">As I mentioned, it may not help
everyone with Inattentive ADD but what the heck, if you have not tried working
while listening to music, give it a try!<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";"><a href="http://www.ncbi.nlm.nih.gov/pubmed/21695447" target="_blank" title="Journal of abnormal child psychology."><span style="color: windowtext;">J
Abnorm Child Psychol.</span></a> 2011 Nov;39(8):1085-98. doi:
10.1007/s10802-011-9529-z.<o:p></o:p></span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Music and video as distractors for
boys with ADHD in the classroom: comparison with controls, individual
differences, and medication effects.<o:p></o:p></span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";"><a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Pelham%20WE%20Jr%5BAuthor%5D&cauthor=true&cauthor_uid=21695447" target="_blank"><span style="color: windowtext;">Pelham WE Jr</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Waschbusch%20DA%5BAuthor%5D&cauthor=true&cauthor_uid=21695447" target="_blank"><span style="color: windowtext;">Waschbusch DA</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Hoza%20B%5BAuthor%5D&cauthor=true&cauthor_uid=21695447" target="_blank"><span style="color: windowtext;">Hoza B</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Gnagy%20EM%5BAuthor%5D&cauthor=true&cauthor_uid=21695447" target="_blank"><span style="color: windowtext;">Gnagy EM</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Greiner%20AR%5BAuthor%5D&cauthor=true&cauthor_uid=21695447" target="_blank"><span style="color: windowtext;">Greiner AR</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Sams%20SE%5BAuthor%5D&cauthor=true&cauthor_uid=21695447" target="_blank"><span style="color: windowtext;">Sams SE</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Vallano%20G%5BAuthor%5D&cauthor=true&cauthor_uid=21695447" target="_blank"><span style="color: windowtext;">Vallano G</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Majumdar%20A%5BAuthor%5D&cauthor=true&cauthor_uid=21695447" target="_blank"><span style="color: windowtext;">Majumdar A</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Carter%20RL%5BAuthor%5D&cauthor=true&cauthor_uid=21695447" target="_blank"><span style="color: windowtext;">Carter RL</span></a>.<o:p></o:p></span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Abstract<o:p></o:p></span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">This study examined the effects of
music and video on the classroom behavior and performance of boys with and
without attention deficit hyperactivity disorder (ADHD) and examined the
effects of 0.3 mg/kg methylphenidate (MPH or Ritalin). In one study, 41 boys
with ADHD and 26 controls worked in the presence of no distractor, music, or
video. Video produced significant distraction, particularly for the boys with
ADHD, and MPH improved the performance of boys with ADHD across distractor
conditions.There were individual differences in response to the music such that
some boys were adversely affected and others benefited relative to
no-distractor.In a second study, music and MPH were assessed in an additional
86 boys with ADHD to examine further the music results. In the presence or
absence of music, MPH improved performance relative to placebo. Similar
individual differences were found as in Experiment 1.<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";"><a href="http://www.ncbi.nlm.nih.gov/pubmed/19914781" target="_blank" title="Medical hypotheses."><span style="color: windowtext;">Med
Hypotheses.</span></a> 2010 Mar;74(3):513-20. doi:
10.1016/j.mehy.2009.10.008. Epub 2009 Nov 14.<o:p></o:p></span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Do dopaminergic gene polymorphisms
affect mesolimbic reward activation of music listening response?
Therapeutic impact on Reward Deficiency Syndrome (RDS).<o:p></o:p></span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";"><a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Blum%20K%5BAuthor%5D&cauthor=true&cauthor_uid=19914781" target="_blank"><span style="color: windowtext;">Blum K</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Chen%20TJ%5BAuthor%5D&cauthor=true&cauthor_uid=19914781" target="_blank"><span style="color: windowtext;">Chen TJ</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Chen%20AL%5BAuthor%5D&cauthor=true&cauthor_uid=19914781" target="_blank"><span style="color: windowtext;">Chen AL</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Madigan%20M%5BAuthor%5D&cauthor=true&cauthor_uid=19914781" target="_blank"><span style="color: windowtext;">Madigan M</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Downs%20BW%5BAuthor%5D&cauthor=true&cauthor_uid=19914781" target="_blank"><span style="color: windowtext;">Downs BW</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Waite%20RL%5BAuthor%5D&cauthor=true&cauthor_uid=19914781" target="_blank"><span style="color: windowtext;">Waite RL</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Braverman%20ER%5BAuthor%5D&cauthor=true&cauthor_uid=19914781" target="_blank"><span style="color: windowtext;">Braverman ER</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Kerner%20M%5BAuthor%5D&cauthor=true&cauthor_uid=19914781" target="_blank"><span style="color: windowtext;">Kerner M</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Bowirrat%20A%5BAuthor%5D&cauthor=true&cauthor_uid=19914781" target="_blank"><span style="color: windowtext;">Bowirrat A</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Giordano%20J%5BAuthor%5D&cauthor=true&cauthor_uid=19914781" target="_blank"><span style="color: windowtext;">Giordano J</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Henshaw%20H%5BAuthor%5D&cauthor=true&cauthor_uid=19914781" target="_blank"><span style="color: windowtext;">Henshaw H</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Gold%20MS%5BAuthor%5D&cauthor=true&cauthor_uid=19914781" target="_blank"><span style="color: windowtext;">Gold MS</span></a>.<o:p></o:p></span></div>
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<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2102713423319258388.post-59241659529668527392013-07-26T08:22:00.005-04:002013-07-26T08:22:47.538-04:00Research Update: BPA and ADHD behaviors<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-7iQPlA1K-y4/UfJpUUELwLI/AAAAAAAADiM/lFaGPAqk7RA/s1600/bpa+free.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-7iQPlA1K-y4/UfJpUUELwLI/AAAAAAAADiM/lFaGPAqk7RA/s1600/bpa+free.jpg" /></a></div>
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<span style="font-size: x-large;">Research Update: BPA and ADHD behaviors</span></div>
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<span style="font-size: 12.0pt; mso-bidi-font-family: Helvetica; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Truth be told, there is not much new being
reported about Inattentive ADHD in medical research journals these days but I
did find a new report on bisphenol A (BPA)
and ADHD like behaviors in the Environmental Research journal that confirms what researchers have suspected about the link between ADHD behaviors and BPA.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; mso-bidi-font-family: Helvetica; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">The report, cited below, concluded that,
"Childhood urinary BPA concentrations were associated with increased
externalizing behaviors, including conduct problems, in girls at age 7 and
increased internalizing behaviors and inattention and hyperactivity
behaviors in boys and girls at age 7."<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; mso-bidi-font-family: Helvetica; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">This is not new information. The dangers of bisphenol A have been reported
on for years and researchers have had concerns about the associations of BPA
exposure in early life with ADHD and conduct problems as well as with problems such as
anxiety, depression, and hyperactivity in children. <o:p></o:p></span></div>
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<span style="font-size: 12.0pt; mso-bidi-font-family: Helvetica; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Many manufacturers such as the Coca-Cola
company are now using BPA free containers and most companies that make baby
bottles do the same but the Mayo Clinic recommends that you should avoid the
use of plastic containers when storing hot foods and ligquids. They recommend the use of
glass, porcelain or stainless steel containers instead.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; mso-bidi-font-family: Helvetica; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Some plastics with BPA have the recycling
symbol 7 on them. These are rigid
plastics used in certain food containers and used to store three- and
five-gallon water bottles. <a href="http://www.breastcancerfund.org/reduce-your-risk/tips/avoid-bpa.html">You
can read more tips about avoiding BPA containers at this link.</a><o:p></o:p></span></div>
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<br /><br /><br /><br /><br />Prenatal and early childhood bisphenol A concentrations and behavior in school-aged children.<br /><a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Harley%20KG%5BAuthor%5D&cauthor=true&cauthor_uid=23870093">Harley KG</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Gunier%20RB%5BAuthor%5D&cauthor=true&cauthor_uid=23870093">Gunier RB</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Kogut%20K%5BAuthor%5D&cauthor=true&cauthor_uid=23870093">Kogut K</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Johnson%20C%5BAuthor%5D&cauthor=true&cauthor_uid=23870093">Johnson C</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Bradman%20A%5BAuthor%5D&cauthor=true&cauthor_uid=23870093">Bradman A</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed/23870093#">Environ Research.</a> 2013 Jul 16. pii: S0013-9351(13)00112-6. doi: 10.1016/j.envres.2013.06.004.<a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Calafat%20AM%5BAuthor%5D&cauthor=true&cauthor_uid=23870093"> AM</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Eskenazi%20B%5BAuthor%5D&cauthor=true&cauthor_uid=23870093">Eskenazi B</a>.<div>
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<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-2102713423319258388.post-73806916105978320322013-07-02T09:47:00.003-04:002013-07-02T09:54:35.154-04:00Guest Post by George Glade, Breakfast and Inattentive ADDToday I am thrilled to share a guest post by George (Woody) Glade, ARNP. Woody is the Author of the new e-book<a href="http://www.amazon.com/Eating-for-Cognitive-Performance-ebook/dp/B00BGE5C98/ref=sr_1_1?s=books&ie=UTF8&qid=1372773054&sr=1-1"> Eating for Cognitive Performance</a>. He was named as one of the Top Doctors and Nurses by Seattle Metropolitan Magazine in 2012. He blogs at <a href="http://stimulusdrivenbrain.com/">The Stimulus Driven Brain</a> and his <a href="http://stimulusdrivenbrain.com/radio_program.php">Stimulus Driven Brain podcasts </a>can be found on iTunes. Woody's post explains why Diet and especially breakfast is so important for people with ADD.<br />
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Breakfast and Inattentive ADD</div>
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<span style="font-family: Arial, sans-serif;">The jury is back and with a review of
scientific information, they have rendered an absolute verdict.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 16.0pt;">Breakfast Matters!<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif";">We of all
heard the expression “You are what you eat”. While this phrase has risen almost
to the point of being cliché, at least as far as our brain is concerned, it is
absolutely true. The brain places extraordinary demands on the body. While it
represents only 2% of the body weight, it demands 25% of total body glucose
utilization. The brain also receives 15% of the cardiac output and 20% of total
body oxygen consumption. To work at its best, this metabolic powerhouse needs
fuel, and plenty of it. We have all heard the advertisements for a particular
energy drink as a way of dealing with the afternoon slump in energy. This
simply does not happen if you provide what your brain needs in terms of energy.<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif";"> So what happens when we don’t
provide our brain the energy that it needs? The following is a list of many of
the cognitive effects from low blood sugar. The irony is we do not even need to
be fully “hypoglycemic” to experience these. <o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif";">Reduced
declarative memory or the ability to have both immediate and delayed recall <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif";">Decreased
spatial memory <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif";">Impaired
decision-making and reaction time <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif";">Reduced
fine motor skills and ability to divide attention <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif";">Reduced
verbal fluency <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif";">Less
efficient visual processing <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif";">Diminished
auditory processing <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif";">Reduced
ability to sustain attention <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif";">Increased
reaction time and/or decreased accuracy <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif";">Reduced
ability to drive measured by steering, braking, and speed control.<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif";"> For people who have the need to utilize
medications, food plays another very important role. It provides the raw materials
to form neurotransmitters. People with poor nutrition are much harder to treat
what it comes to depressive disorders.<o:p></o:p></span></div>
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<span style="color: #262626; font-family: "Arial","sans-serif"; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"> <o:p></o:p></span></div>
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<span style="color: #262626; font-family: "Arial","sans-serif"; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"> Think about how you feel when you load
yourself with particularly simple carbohydrates? These are fast release into our system. A sudden burst of energy followed is then by
an inevitable "crash". This crash ultimately leaves you feeling even
more sluggish than you were before you ate.
There are some who have theorized that believe that this endless cycle
of carb binging and carb crashing is strongly associated with chronic
depression. People will actually crave
carbohydrates when they are depressed. <o:p></o:p></span></div>
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<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2102713423319258388.post-33547364516026635722013-06-28T17:17:00.000-04:002013-06-28T17:17:14.968-04:00Suicides in Teenagers with ADHD & Inattentive ADHD<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-fi9dMm8d-ck/Uc39Uz0rDZI/AAAAAAAADho/9zG3lPR4OuM/s333/RESEARCH.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="145" src="http://3.bp.blogspot.com/-fi9dMm8d-ck/Uc39Uz0rDZI/AAAAAAAADho/9zG3lPR4OuM/s320/RESEARCH.jpg" width="320" /></a></div>
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<span style="color: red; font-family: Bookman Old Style, serif; font-size: large;">RESEARCH REVIEW</span></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; color: #222222; font-family: 'Bookman Old Style', serif;"><span style="font-size: large;"><b>Suicides in Teenagers with Inattentive ADHD</b></span><span style="font-size: 11.5pt;"><o:p></o:p></span></span></div>
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<span style="background: white; color: #222222; font-family: "Bookman Old Style","serif"; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Many studies have shown that teenagers and
college students with a history of depression are at higher risk for suicide. A
study just published has found that teenagers and college students with ADHD
and depression have an even higher risk of suicide than students
with depression without ADHD symptoms. Boys and men appear to be at
a higher risk for suicide completion than girls and women.<o:p></o:p></span></div>
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<span style="background: white; color: #222222; font-family: "Bookman Old Style","serif"; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">These facts are alarming but the good news
is that suicide is preventable. Statistics show that 70% percent of
people who commit suicide have visited a medical provider within a month of
their suicide and many mental health providers believe that people with a
suicide plan see these providers in an attempt to get help.
Unfortunately, suicide is rarely a discussion that is brought up by doctors,
counselors, teachers or parents. <o:p></o:p></span></div>
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<br /></div>
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<span style="background: white; color: #222222; font-family: "Bookman Old Style","serif"; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">These conversations are not easy but we need to
have them. Parents, teachers, counselors and physicians who interact with
teenagers with a diagnosis of ADHD should be asking about them about suicidal ideas
and about suicide plans. I would argue that these conversations
should occur even if the kid with ADHD does not appear
depressed. <o:p></o:p></span></div>
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<span style="background: white; color: #222222; font-family: "Bookman Old Style","serif"; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">The study that I am referencing and a
slightly older study on the same topic are listed below.<o:p></o:p></span></div>
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<i><span style="color: #500050; font-family: "Bookman Old Style","serif"; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Clin Psychol. 2013 Jun 17. doi: 10.1002/jclp.21994. </span></i><span style="color: #500050; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<i><span style="color: #500050; font-family: "Bookman Old Style","serif"; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD)
Moderate Suicidal Behaviors in College Students With Depressed Mood. Patros CH,
Hudec KL, Alderson RM, Kasper LJ, Davidson C, Wingate LR.<br />
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<i><span style="color: #500050; font-family: "Bookman Old Style","serif"; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Acta Psychiatr Scand. 2012 Feb;125(2):93-102. doi:<br />
10.1111/j.1600-0447.2011.01798.x. Epub 2011 Nov 25.<br />
Completed suicide, ideation and attempt in attention deficit<br />
hyperactivity disorder.<br />
Impey M, Heun R.<o:p></o:p></span></i></div>
<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2102713423319258388.post-8227385442308437072013-06-27T10:52:00.001-04:002013-06-28T17:18:08.348-04:00Inattentive ADHD New Research Review<span class="Apple-style-span" style="color: #222222; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"></span><br />
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<a href="http://3.bp.blogspot.com/-fi9dMm8d-ck/Uc39Uz0rDZI/AAAAAAAADhs/3eM9WXnzCmE/s333/RESEARCH.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="145" src="http://3.bp.blogspot.com/-fi9dMm8d-ck/Uc39Uz0rDZI/AAAAAAAADhs/3eM9WXnzCmE/s320/RESEARCH.jpg" width="320" /></a></div>
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RESEARCH REVIEWS</div>
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<span class="Apple-style-span" style="color: #222222; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="-webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); -webkit-tap-highlight-color: rgba(26, 26, 26, 0.292969); font-size: 15px; line-height: 22px;">The summer is here and I am in vacation mode. This blog has been up</span></span><br />
<span class="Apple-style-span" style="color: #222222; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="-webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); -webkit-tap-highlight-color: rgba(26, 26, 26, 0.292969); font-size: 15px; line-height: 22px;">and running now for four summers. What I have found from years past</span></span><br />
<span class="Apple-style-span" style="color: #222222; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="-webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); -webkit-tap-highlight-color: rgba(26, 26, 26, 0.292969); font-size: 15px; line-height: 22px;">is that in the summer I keep up with current ADHD research but my blog</span></span><br />
<span class="Apple-style-span" style="color: #222222; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="-webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); -webkit-tap-highlight-color: rgba(26, 26, 26, 0.292969); font-size: 15px; line-height: 22px;">posting diminishes tremendously.</span></span><br />
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<span class="Apple-style-span" style="color: #222222; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="-webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); -webkit-tap-highlight-color: rgba(26, 26, 26, 0.292969); font-size: 15px; line-height: 22px;">In an attempt to remedy this problem I am going to try to periodically</span></span><br />
<span class="Apple-style-span" style="color: #222222; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="-webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); -webkit-tap-highlight-color: rgba(26, 26, 26, 0.292969); font-size: 15px; line-height: 22px;">post very brief summaries of the new research findings that I find</span></span><br />
<span class="Apple-style-span" style="color: #222222; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="-webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); -webkit-tap-highlight-color: rgba(26, 26, 26, 0.292969); font-size: 15px; line-height: 22px;">interesting. Be on the look out for the first of these “New Research</span></span><br />
<span class="Apple-style-span" style="color: #222222; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="-webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); -webkit-tap-highlight-color: rgba(26, 26, 26, 0.292969); font-size: 15px; line-height: 22px;">Update” posts that is coming soon.</span></span><br />
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<span class="Apple-style-span" style="color: #222222; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="-webkit-composition-fill-color: rgba(175, 192, 227, 0.230469); -webkit-composition-frame-color: rgba(77, 128, 180, 0.230469); -webkit-tap-highlight-color: rgba(26, 26, 26, 0.292969); font-size: 15px; line-height: 22px;">Happy Summer!!</span></span><br />
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<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2102713423319258388.post-59973301824629395232013-06-10T11:29:00.000-04:002013-06-10T11:29:11.464-04:00Strattera Does Not Improve Inattentive ADHD as Much as Combined ADHD<div class="cit">
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<a href="http://3.bp.blogspot.com/-sJ0nRjfm7oU/UbXuuxzIcoI/AAAAAAAADhA/qDwit13bMFw/s1600/short+change.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-sJ0nRjfm7oU/UbXuuxzIcoI/AAAAAAAADhA/qDwit13bMFw/s1600/short+change.jpeg" /></a></div>
<b>Short Changed</b><br />
<b>Strattera Does Not Improve Inattentive ADHD as Much as Combined ADHD</b></div>
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Treating the inattention component of Inattentive ADHD (ADHD-PI) is proving more difficult than treating the hyperactive and impulsive symptoms of Combined type ADHD. When <a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=5140988239307439711;onPublishedMenu=overview;onClosedMenu=overview;postNum=3;src=postname">Strattera (atomoxetine) </a>became available, the hope was that this long acting ADHD medication might be a good treatment of the inattentive type ADHD. Initial studies had found that atomoxetine helped anxiety as well as ADHD and since many people with ADHD-PI also had anxiety symptoms (that were made worse, not better, by the stimulants), this seemed like it might be an ideal drug for this subtype.<br />
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Unfortunately, subsequent studies including one just published in the <i>Attention Deficit Hyperactivity Disorder Journal</i>, have found that atomoxetine treats the symptoms of combined type ADHD better than it treats the symptoms of ADHD-PI.<br />
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Russell Barkley recognized almost five years ago that only a subset of people with ADHD would benefit most from Strattera. The subset he identified were people with ADHD symptoms and coexisting:<br />
<br />
Tic Disorders<br />
Substance Abuse Problems<br />
Anxiety<br />
Oppositional Symptoms<br />
Insomnia<br />
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Way back in May of 2009 Barkley published a report in <i>ADHD Report</i>, his monthly newsletter, entitled; <i>What is the role of Atomoxetine in the management of ADHD? </i>In this report he essentially outlined the benefits and limitations of Strattera and advised that this drug would best be used only in certain patients.<br />
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In the 2009 report Barkley made no mention of the benefits of Atomoxetine for the inattentive subtype of ADHD but he did report that it seemed that 25% to 35% of people with ADHD might respond only to Atomoxetine while not responding well to the stimulants. He termed this subset of people "Unique Responders" and speculated that people with ADHD and a combination of the other coexisting problems mentioned might be the ideal candidates to receive treatment with Strattera.<br />
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This new study reports that the "Unique Responders" that Barkley described are likely a subset of people with Combined type symptoms <b>not</b> people with primarily inattentive symptoms. From previous posts you know that <a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=2646015241489524219;onPublishedMenu=overview;onClosedMenu=overview;postNum=1;src=postname">people with Combined type symptoms and oppositional symptoms also get a better response from the stimulants</a> and given that Intuniv, the other non-stimulant ADHD treatment, also appears to be more tailored to those with Combined type symptoms, it is hard, if you are a person with ADHD-PI, to not feel short changed.</div>
<br /><br /><br /><br /><br /><span style="color: black;"><a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Ercan%20ES%5BAuthor%5D&cauthor=true&cauthor_uid=23737214">Ercan ES</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Akyol%20Ardic%20U%5BAuthor%5D&cauthor=true&cauthor_uid=23737214">Akyol Ardic U</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Kabukcu%20Basay%20B%5BAuthor%5D&cauthor=true&cauthor_uid=23737214">Kabukcu Basay B</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Ercan%20E%5BAuthor%5D&cauthor=true&cauthor_uid=23737214">Ercan E</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Basay%20O%5BAuthor%5D&cauthor=true&cauthor_uid=23737214">Basay O</a></span><br />Atomoxetine response in the inattentive and combined subtypes of attention deficit hyperactivity disorder: a retrospective chart review.<a href="http://www.ncbi.nlm.nih.gov/pubmed/23737214#"><span style="color: black;">Attention Deficit Hyperactivity Disor</span>d</a>er 2013 Jun 5. <div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2102713423319258388.post-91355130249545275702013-05-28T09:22:00.002-04:002013-05-30T06:39:28.205-04:00Biased Against Disabiliteis/ ADHD?? Take the Free Prejudice Test.<h2 style="text-align: center;">
<b><span style="color: purple;">Biased Against Disabiliteis/ ADHD?? Take the Free Prejudice Test.</span></b></h2>
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Are you biased against people with ADHD? I get letters often from patients who feel that their doctor have a bias against people with a diagnosis of ADHD. The trust problems caused by these biases are monumental! It is likely that many doctors and teachers are biased against people with ADHD but it is likely that many of us, even those people with ADHD, also have a biases against people with disabilities<i> including</i> biases against people with <a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=528605268490108028;onPublishedMenu=overview;onClosedMenu=overview;postNum=11;src=postname">ADHD disabilities</a>.<br />
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I began to give this some thought because of a study that I just read. This published study looked at the obesity biases of three hundred third year U.S. medical students. The study will soon be published in the <i>Journal of Academic Medicine</i>. The researchers of this study felt that medical student biases against obesity were important to understand since a large number of Americans are overweight and unknown prejudices can affect the way that doctors relate to their patients and this, in turn, can affect how comfortable patients feel with their health care provider. These feelings can also affect how likely these patients are to go to their health care provider for care or advice.<br />
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The Journal of Academic Medicine study found that almost 40% of the third year medical students had a bias against people who were obese and fewer than 25% of these students were aware of this bias. My guess is that if you were to give this test to health care providers across this country, many of us would test in the bias range.<br />
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The specific test that was used to test this bias is called the<a href="https://implicit.harvard.edu/implicit/demo/takeatest.html"> Implicit Association Test</a>. Anyone can take the test and it is completely free. At the link you can chose what biases you would like to test. I have included the link so that you can test yourselves if you like. The test takes about 10 minutes and is a bit difficult to understand at first but once you get the hang of it, it is easy to complete. This test is designed to determine prejudice your prejudice towards people who are overweight, disabled, of certain ethnic backgrounds, etc.<br />
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I found the test pretty eye opening. I took the obesity prejudice test first and scored as being moderately biased against obese people. When I compared my scores to most of the other people taking the test, I found that I was far from alone. My scores on the disability bias test were a bit better in that I was less prejudice but my score still reflected a slight bias against disabilities. I was surprised by my scores. </div>
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Take the<a href="https://implicit.harvard.edu/implicit/demo/takeatest.html"> Implicit Association Test</a>!. You might be surprised by what you find.<br />
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<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2102713423319258388.post-9366920517663154762013-05-21T10:57:00.004-04:002013-05-21T10:57:53.959-04:00Disciplining Inattentive ADHD versus Disciplining Combined Type ADHD<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-d5bFaRkfZEk/UZuKhRx5xDI/AAAAAAAADew/h_Bsz-drsoA/s1600/nightday.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="http://2.bp.blogspot.com/-d5bFaRkfZEk/UZuKhRx5xDI/AAAAAAAADew/h_Bsz-drsoA/s1600/nightday.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Disciplining Inattentive ADHD versus Disciplining Combined Type ADHD</td></tr>
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This is the last in a series of posts that I have been writing about how the inattentive subtype of ADHD differs from the Combined type. In the first post I wrote about<a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=2646015241489524219;onPublishedMenu=overview;onClosedMenu=overview;postNum=5;src=postname"> Inattentive ADD differences in response to ADHD medications</a>. In the next two posts I described<a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=5351217197449626806;onPublishedMenu=overview;onClosedMenu=overview;postNum=3;src=postname"> Inattentive ADD classroom strategy differences</a> and in last week’s post I began a discussion on how <a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=1951812000989190765;onPublishedMenu=overview;onClosedMenu=overview;postNum=1;src=postname">disciplining kids with inattentive ADHD can differ</a> from the disciplining approaches used for combined type kids.<br /> <br />I have written before about how ADHD expert Russell Barkley has described a function of our brain that speak to us about what behavior is appropriate. Barkley has examined this trait in people with attention deficit issues and has found that, in people with ADHD, this internal brain voice is faulty. The internalized speech that Barkley is describing is a key part of the executive function known as ‘Self regulation’. It is Barkley’s belief that this particular executive function is a key problem of the combined type of ADHD. Barkley, however, also believes that this internal voice is partially intact in kids with inattentive ADHD and this is the reason why they are often less impulsive, less positional and more self reflective.<br /> <br />Inattentive kids have trouble regulating their attention and motivation but the “internal voice” that speaks to them about appropriate speech and behaviors is loud and clear. I mention these executive function differences because the number one approach to disciplining my inattentive son involves using his intact internal voice and just reasoning with him.<br /> <br />My combined type son tends to be pretty oppositional and argumentative. Reasoning with him, or just talking out our differences, is not an option. I can go to my inattentive son, however, and ask him about his transgressions, discuss with him how best to improve the problematic behavior, and ask him to come up with an appropriate punishment. Believe it or not, he often is more hard on himself than I would be.<br /> <br />When the above strategy does not work, there are other disciplining tools that we have used at our house that have also worked pretty well. Plain, old fashion punishment sometimes are pretty effective. The negative incentives that have motivated him to behave appropriately include:<br /> <br /><ol>
<li>· Removing or decreasing his allowance</li>
<li>· Removing or decreasing his allotted screen time</li>
<li>· Increased household chores</li>
<li>· Removing dessert (he absolutely loves dessert)</li>
</ol>
<br />Positive incentives have worked less well but on occasion we have used them with success. Examples of positive incentives include:<br /> <br /><ol>
<li>· Increased Screen Time</li>
<li>· Increased Allowance</li>
<li>· Buying him a gift.</li>
<li>· Taking him out to his favorite restaurant</li>
</ol>
<br />The disciplining of kids with inattentive ADHD can be difficult. Strategies such as the removal of social opportunities or the removal from participation in sports activities, as I discussed in my last post, are often not effective. Punishments such as restriction, detention or “Time Outs” are also sometimes worthless because these kids are especially happiest when they are just left alone. Inattentive kids are generally a bit more cooperative than combined type kids however, so reasoning with them often works as do both negative and positive disciplining strategies.<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2102713423319258388.post-19518120009891907652013-05-14T11:49:00.000-04:002013-05-21T10:55:27.587-04:00Parenting Predominantly Inattentive Children vs. Parenting Combined Type Children<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
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<tr><td class="tr-caption" style="text-align: center;">Parenting Predominantly Inattentive Children vs. Parenting Combined Type Children</td></tr>
</tbody></table>
So this is the fourth in a series of posts that I am writing about the differences between <a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=3224886520964399893;onPublishedMenu=overview;onClosedMenu=overview;postNum=3;src=postname">Combined type ADHD (ADHD-C) and Predominantly Inattentive ADD</a> (ADHD-I). In the first post I wrote about the best course of action for<a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=2646015241489524219;onPublishedMenu=overview;onClosedMenu=overview;postNum=4;src=postname"> folks with ADHD-PI who do not respond well to stimulants.</a> In the second and third posts I wrote about <a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=5351217197449626806;onPublishedMenu=overview;onClosedMenu=overview;postNum=1;src=postname">classroom interventions for inattentive ADD</a> and in this and the next post I am going to address ADHD-I parenting advice.<br />
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As many of you know, I have two children with ADHD. One is inattentive and one is combined type ADHD. They are as different as night and day, chalk and cheese and hot and cold, . The combined type child is a fairly typical combined type ADHD kid. He is hyperactive, impulsive, extroverted, very social, lives in the moment, is not a worrier but is also not very reflective and can be pretty oppositional, combative and difficult.<br />
<br />
The<a href="http://primarilyinattentiveadd.com/"> inattentive ADD</a> son is also pretty typical of the inattentive type of ADHD. He is socially awkward, can be hypoactive, tends to be wary and is a worrier. On the other hand, this son is highly reflective, thinks a lot about consequences and is never oppositional or combative.<br />
<br />
At first blush it would seem that the combined type child would be really difficult to parent and the inattentive child easier. Parenting is never easy and I would say that they are both easy and difficult to discipline but they are easy and difficult for completely different reasons. <br />
<br />
As I am sure you have guessed the combined type child will argue with us. If we say fast, he will say slow, if we say yes, he will say no and if you say walk, he is sure to run. Kind of a pain, right? Sure, but the inattentive son sometimes does not move at all no matter what you say. They both get themselves into trouble though. One for being too aggressive and hyperactive and the other for being too passive and inactive.<br />
<br />
What make the disciplining of the combined type sometimes easier than the disciplining of the inattentive child is that the combined type kid has lots of stuff that he loves to do. Even more importantly he really loves to do these things. Because he loves these activities so much, we have an arsenal of punishments that we can propose to him. These include:<br />
<br />
· No sleepovers<br />
· No Laser tag<br />
· No sports<br />
· No paintball<br />
· No movies<br />
· No screen time<br />
<br />
The threat of removing these activites, because he loves them, motivate him to behave.<br />
<br />
The inattentive son hates movies (too loud), laser tag (too fast), paintball (too violent), sleepovers (ruins his sleep habits) and sports (too uncoordinated). He does like screen time but as you can see, our punishment choices are kind of limited when it comes to motivating and disciplining our inattentive son. To make matters even worse, he is not very passionate about much so even removing screen time does not always have the impact that you would hope. He is pretty happy to sit in his room, lost in his "own private Idaho", doing nothing at all.<br />
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Given that inattentive kids can be perfectly happy in “Time Out", what is a parent to do when disciplining and motivation are in order? My next posts will give you suggestions for addressing these problems.<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com4tag:blogger.com,1999:blog-2102713423319258388.post-53512171974496268062013-05-05T10:00:00.000-04:002013-05-21T10:56:53.275-04:00Part Two: Inattentive ADD Classroom Strategy Differences<div class="separator" style="clear: both; text-align: center;">
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<span style="font-size: large;"><b>Part Two: Inattentive ADD Classroom Strategy Differences</b></span><br />
<br />
This is the third in a series of post that I am writing about the differences between Inattentive ADD and the more common type of ADHD, combined type ADHD (ADHD-C). In the last post I started to outline how classroom interventions for Inattentive ADD are different. This is part two of that post. <br />
<br />
You remember that in the last post we described how positive statements by a teacher that were specific to the child with Inattentive ADD made a huge difference in "on task" time in the classroom. In the last post I promised that I would explain why psychologists believe this matters. There are several reasons why a teacher's positive attention might make all the difference in the success of an inattentive student. The two most likely reasons that this type of teacher interaction helps is that we all perform better and more consistently when we:<br />
<br />
1. Perceive ourselves to be part of a group. <br />
<br />
People with <a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=85188071659864907;onPublishedMenu=overview;onClosedMenu=overview;postNum=3;src=postname">Inattentive ADD in a classroom can socially </a>distant themselves from the teacher and the rest of the students. Kids with<a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=4835200233322303017;onPublishedMenu=overview;onClosedMenu=overview;postNum=1;src=postname"> Inattentive ADD can be introverted </a>as well and this type of simple positive teacher attention can bring kids with ADHD-I into the social group. Studies have shown that a phenomena known as social facilitation or the act of being part of a group increases our arousal levels, improves the accuracy of tasks performed and also improves the speed of task performed.<br />
<br />
2. Think we are being watched. <br />
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Psychologists have demonstrated that being observed changes our behavior for the better. Thomas Jefferson knew this. He is quoted as having said, “Whenever you do a thing, act as if all the world were watching.” An interesting study found that even a big poster with pair of eyes improved peoples behavior. Being watched is known to put us all on our best behavior and this likely applies to inattentive kids in a classroom as well. <br />
<br />
The famous ADHD psychologist Russell Barkley has stated that <a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=312962719794604963;onPublishedMenu=overview;onClosedMenu=overview;postNum=2;src=postname">emotional control problems, impulsive acts</a> and problems with an executive function known as "inner dialogue" that allows people to consider the consequence of their own actions is NOT a part of Inattentive ADD. People with ADHD-I often have a very rich inner dialogue and sometimes over think the consequence of their own actions. Teachers need to understand these differences and use the positive benefits of having a rich capacity for inner dialogue, a positive response to belonging to a group, and a positive response to the perception of being watched in their classrooms.<br />
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I would love to hear what you think. Write to me or leave a comment!! <br />
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<span style="color: black; font-size: 13.5pt;"></span><br /><div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2102713423319258388.post-32248865209643998932013-05-03T09:30:00.000-04:002013-05-14T11:46:01.343-04:00Differences in Classroom Interventions For ADHD Inattentive Kids<!--[if gte mso 9]><xml>
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<![endif]--><span style="font-size: large;"><b><span style="font-size: large;">Differe<span style="font-size: large;">nces i<span style="font-size: large;">n </span></span></span>Classroom Interventions For Inattentive Kids</b></span><br />
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This is the second post in a series of posts that I am writing about the differences between combined type ADHD and the inattentive type of ADD. In my first "differences post I wrote about how people with inattentive ADD react to ADHD medications. In this post I will be writing about why ADHD classroom interventions for ADHD Combined type students do not generally help inattentive kids. <br />
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If you go to any medical or educational site and read the list of classroom management suggestions for ADHD kids in kindergarten to 8th grade you will find that some of the suggestions listed at the very top of the list involve controlling a child who is a disciplinary problem, who does consider the consequence of their own actions, or who is hyperactive, impulsive, hostile or aggressive. Further down this list you might find suggestions for improving attention. <br />
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If a classroom had only one ADHD child and that child happened to be inattentive, then teachers would likely start at the bottom of the ADHD classroom management list and implement only those interventions that helped the<a href="http://primarilyinattentiveadd.com/"> ADHD-I</a> child. Unfortunately, most classrooms have at least three ADHD kids and at least two of them are combined type kids. What this means from a practical standpoint is that the teacher controls the most disruptive children in his or her classroom first by implementing the disciplinary, hyperactive and impulsive behavior controls and only when these are working do the interventions for inattention get addressed. <br />
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This is why the<a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=1077717129363998528;onPublishedMenu=overview;onClosedMenu=overview;postNum=2;src=postname"> parenting of Inattentive ADD</a> child is different and why a child advocate is essential. Kids with ADHD-I will happily sit back and focus on their entertaining "inner brain dialogue" while the combined type kids get disciplined. The teacher may not even recognize that they are not paying attention as kids with this type of ADHD (especially as they get older) are masterful at looking like any other non-disruptive kid in the classroom. You as a parent know that your child is spacing out so it is up to you to make sure that your kid's teacher knows this too. <br />
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The very best news about classroom intervention tips for ADHD-I is that these kids respond really well to the attention of a teacher, parent or student mentor. The attention does not even have to be constant as some people would imagine. <a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=531513736435328759;onPublishedMenu=overview;onClosedMenu=overview;postNum=11;src=postname">Students with Inattentive ADD</a> will engage if they have a reason to. Relationships can really make a difference to them. These kids are not combative or uncooperative and they do not even always need to be reminded that they are spacing out. What they do need is an attentive teacher. One really interesting study demonstrated that if a teacher engaged an inattentive child by simply acknowledging them in some way when they entered the classroom, "that shirt looks really nice on you", "I found that doodling you did on your last assignment really fascinating", their "on task" time improved from 15%-30% of the time at the beginning of the seven week study to 40% to 90% of the time by week seven. <br />
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What that study demonstrated is that inattention in a classroom can be improved if the inattentive child perceives that the teacher is paying attention to them. As I have mentioned before on this blog, <a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=8638380983604563770;onPublishedMenu=overview;onClosedMenu=overview;postNum=5;src=postname">this type of intervention does not only help kids with ADHD-I</a>, this type of classroom intervention would help any child. In my next post I will explain to you what the pyshology medical literature reports on why this type of teacher intervention helps kids with Inattentive ADD.<br />
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Shoot me an email or leave a comment. I would love to hear from you!! <div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2102713423319258388.post-26460152414895242192013-05-01T09:24:00.000-04:002013-05-21T10:59:41.045-04:00Inattentive ADD Treatment Differences<br />
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<span style="font-size: large;"><b>Inattentive ADD Treatment Differences</b></span></div>
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I am going to start a series of posts on how Inattentive ADD
(ADHD-I) is different from , combined type ADHD (ADHD-C), the more common form
of ADHD. I get many private messages regarding treatment, medication, classroom
help, work problems, parenting advice, etc and I decided today that it might be
helpful to write some review posts on what happens when:</div>
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<ol>
<li>People with Inattentive ADD do not respond well to ADHD medication.</li>
<li>ADHD classroom interventions for ADHD Combined type do not help inattentive kids.</li>
<li>Parenting advice for a combined type child do not help the Inattentive ADD child.</li>
<li>The overall treatment goals for combined type ADHD do not address the core problems of the person with ADHD-I.</li>
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I answer, on average, one private email a day regarding
medication for Inattentive ADD. I
thought it would be appropriate then for my first review post to be about about
medicating<a href="http://primarilyinattentiveadd.com/"> ADHD-I</a>. First let me say that I learn so much from the emails that I
receive from readers so thank you for asking these questions!! Ninety percent of the emails about medication
come from readers who have had a bad reaction to stimulants. In order of side effects, the most common
complaints from my readers include:</div>
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<li> Anxiety.</li>
<li> "Zombie" like symptoms or depression.</li>
<li>Appetitive problems.</li>
<li>Sleep Problems.</li>
<li>No help for improving attention or focus. </li>
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If you read the side effects listed on the package inserts that come with any Ritalin type medication (Concerta, Focalin, Ritalin SR, etc) or the package insert that comes with any Adderall like preparation (Vyvanse, Adderall LA, etc) you will find that these drugs can commonly cause appetite and sleep problems but that side effects such as anxiety, depression or "zombie" like symptoms are not listed. <br />
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The reason that I get emails and the reason that people with Inattentive ADD have these symptoms is related to the fact that their response to the stimulants is sometimes different from the response of people who are hyperactive/impulsive. Medical studies are being performed to try to figure out how what is happening in the brains of people with ADHD-I is different from what is happening in the brains of people with ADHD-C but the jury is not yet out on the exact neurological similarities and differences between the types of ADHD. So what do people with ADHD-I do when side effects to the stimulants are so bad that taking them is worse than being inattentive??? <br />
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Usually people will give other medications a try. The second medication that is most commonly used is <a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=8776739292526635418;onPublishedMenu=overview;onClosedMenu=overview;postNum=6;src=postname">Strattera or atomoxetine</a>. Atomoxetine has been found to be helpful with focus and attention and it is especially helpful in people with ADHD-I and anxiety. Atomoxetine reaches its full therapeutic potential in about six weeks. Strattera has worked wonderfully for many of my readers but unfortunately, atomoxetine can cause side effects as well. Some of these side effects go away over time and some do not. About ten percent of people will have side effects that are so severe that they will have to stop their medication. Some of the most common side effects that my readers report include dry mouth and sleep disturbances but these often improve over time. The side effects that tend to persist and require stopping the medication can include upset stomach, decreased appetite and nausea or vomiting. <br />
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So what does someone with ADHD-I do when neither the stimulants or atomoxetine can be tolerated? The next non-stimulant medication to try in<a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=2385547497071434549;onPublishedMenu=overview;onClosedMenu=overview;postNum=12;src=postname"> Intuniv or guanfacine</a>. In my experience, Intuniv is really helpful for people with ADHD and impulsive behavior, oppositional behavior or sleep problems and less helpful for inattention though, in theory, it should be really helpful in improving attention. <br />
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What happens when none of these medicines help? I did not really have an answer for the readers of this blog that asked that question and that is the reason why I spent so much time researching and writing <a href="http://www.amazon.com/dp/B00AHDF1I6/ref=nosim?tag=prim03-20&linkCode=sb1&camp=212353&creative=380549">Commanding Attention</a>, a book about non-drug treatments for ADHD. <br />
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Leave a comment or shoot me a message to let me know what medication or treatment is working well for you and thanks for reading!<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2102713423319258388.post-50674964399177635662013-04-16T12:34:00.001-04:002013-04-16T12:40:43.359-04:00Diet, ADHD, Disease, Stroke and Heart Attacks. How Little We Know!<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-IQLTEcCWhPk/UW19YN4ztNI/AAAAAAAADcU/nKDMAqgfntE/s1600/mediterranean.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="http://1.bp.blogspot.com/-IQLTEcCWhPk/UW19YN4ztNI/AAAAAAAADcU/nKDMAqgfntE/s1600/mediterranean.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Diet, ADHD, Disease, Stroke and Heart Attacks. How Little We Know!</td></tr>
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Those of you who have read Commanding Attention: A Parent and Patient Guide to More ADHD Treatment, know that of ALL the interventions available to treat ADHD, diet ADHD treatments reigns supreme in terms of bringing about the greatest symptom improvement.<br /><br />You do not read much about diet for ADHD or for other health conditions because we are only now learning about the specific diet interventions that prevent medical illness. Today, doctors mention diets only in passing (if they mention them at all) and part of the reason for this is that diet studies are notoriously difficult to perform (we lie or forget about what we eat) and diet changes, in our culture, are extremely difficult to stick with. If they were not, less than 74% of us would be overweight. <br /><br />The New England Journal of Medicine just published the results of a study that looked at how effectively the Mediterranean diet prevented heart disease or stroke in people such as smokers who were at high risk of developing heart problems. After five years, the study was stopped and the researchers concluded that a diet rich in either extra-virgin olive oil or tree nuts reduced the risk of having a heart attack or a stroke by 30 percent.<br /><br />This was a huge finding! This simple diet intervention brought about a very large reduction in cardiac and stroke risk. Medicines such as beta blockers that people at high risk for heart attacks are frequently prescribed do not reduce the risks by 30%, not even close. <br /><br />Researchers have known for years that diets that are rich in vegetables, whole grains, beans, seeds, high in fiber, fish and vegetables protect us against obesity, diabetes, heart disease, cancer and some brain disorders. Most nutritionist believe that there are multiple factors in diets such as the Mediterranean diet that makes them beneficial. This study is one of many that in attempting to drill down on the exact reason for these health benefits. While this study was able to single out tree nuts and extra virgin olive oil as being a key component contributing to health benefits, many scientists agree that taking vitamins, mineral or supplements will not replace the synergistic effect of all the antioxidants, vitamins, minerals and micro-nutrients contained in a whole foods diet.<br /><br />It may not only be the nutritious components of foods that affects health, some scientists believe that hidden food sensitivities are making us fat, diabetic, prone to heart disease and prone to ADHD. According to the well respected INCA study, the diet that has proven to be most helpful for ADHD is a diet that is very anti-allergenic and almost Paleo like<span style="font-family: 'Times New Roman', serif; font-size: 13.5pt;">. </span><a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=4688074884102509779;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=5;src=postname" style="font-family: 'Times New Roman', serif; font-size: 13.5pt;"> The INCA ADHD Restricted diet study</a><br /><br /><a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=4688074884102509779;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=5;src=postname"> </a>allowed kids to eat only rice meat, vegetables, pears, and water. After nine weeks, greater than 65% of the kids that consumed the restricted diet had reductions in both oppositional and ADHD symptoms. Some researchers have looked at the<a href="http://www.blogger.com/blogger.g?blogID=2102713423319258388#editor/target=post;postID=4645268999222626577;onPublishedMenu=overview;onClosedMenu=overview;postNum=6;src=postname" style="font-family: 'Times New Roman', serif; font-size: 13.5pt;"> Omega-3 fatty acids</a><span style="font-family: 'Times New Roman', serif; font-size: 13.5pt;"> </span>and have found that this supplement helps ADHD but most studies have found that supplementing with Omega-3 fatty acids without reducing the amount of bad fatty acids consumed, will do little for the symptoms of ADHD.<br /><br />With rates of obesity, diabetes and ADHD skyrocketing, the medical research community is finally taking a very close look at how and what we are eating is effecting our health. We need to know more. This research cannot be completed soon enough!<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-2102713423319258388.post-66001008840849411672013-04-08T10:00:00.000-04:002013-04-08T10:00:01.277-04:00Sluggish Cognitive Tempo is Under Recognized<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-QqIvBr4Cd2c/UVZGNTDfa-I/AAAAAAAADbw/L2WDOuT3ZJQ/s1600/unrecog.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="http://2.bp.blogspot.com/-QqIvBr4Cd2c/UVZGNTDfa-I/AAAAAAAADbw/L2WDOuT3ZJQ/s1600/unrecog.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Sluggish Cognitive Tempo is Under Recognized and Under treated</td></tr>
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I promised to write about other recent studies that have been performed on people with Sluggish Cognitive Tempo (SCT) symptoms. The question that psychiatrists and psychologists are trying to answer relates to the difference between inattention with sluggish symptoms and and inattention without SCT symptoms and if inattention with sluggish symptoms constitutes a new medical condition that is sufficiently different from ADHD to warrant a separate diagnosis.<br /> <br />Most of the studies that have looked at this question, such as the Barkley study that I reported on a couple of posts ago, have found that there is considerable overlap in the symptoms of these two conditions. A study published in the Journal of Attention Disorders almost a year ago reported that kids with inattention and SCT had fewer sustained attention problems than kids diagnosed with ADHD and that they had greater problems with self monitoring, one of the executive functions that gives people the ability to monitor one's own performance and to measure it against some standard of what is needed or expected. The kids in this study, as Barkley’s study also found, seemed to also have more depression related problems.<br /> <br />Self monitoring is a meta-cognition executive function. It requires thinking and monitoring how you think. Recent studies have found that kids and adults with ADHD have a wide variety of executive funtion problems but kids and adults with SCT have specific executive function problems that relate mostly to decreased procession speeds, decreased self monitoring/self regulation skills and decreased arousal levels.<br /> <br />These specific findings have led these researchers to believe that SCT is sufficiently different from ADHD to warrant a diagnosis all its own. People with SCT will not have their symptoms properly addressed and treatment studies will not be initiated unless psychiatrists come to see SCT as a problem that is distinct from ADHD. As more studies are published indicating, as these have, that SCT is not ADHD, researchers will begin their investigations into how best to treat this condition. Until then, people with SCT will go under treated and under-served.<br /> <br /> <br /><a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Capdevila-Brophy%20C%5BAuthor%5D&cauthor=true&cauthor_uid=22653808">Capdevila-Brophy C</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Artigas-Pallar%C3%A9s%20J%5BAuthor%5D&cauthor=true&cauthor_uid=22653808">Artigas-Pallarés J</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Navarro-Pastor%20JB%5BAuthor%5D&cauthor=true&cauthor_uid=22653808">Navarro-Pastor JB</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Garc%C3%ADa-Nonell%20K%5BAuthor%5D&cauthor=true&cauthor_uid=22653808">García-Nonell K</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Rigau-Ratera%20E%5BAuthor%5D&cauthor=true&cauthor_uid=22653808">Rigau-Ratera E</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Obiols%20JE%5BAuthor%5D&cauthor=true&cauthor_uid=22653808">Obiols JE</a>. ADHD Predominantly Inattentive Subtype With High Sluggish Cognitive Tempo: A New Clinical Entity? <a href="http://www.ncbi.nlm.nih.gov/pubmed/22653808">Journal of Attention Disorder.</a> 2012 May 31<br />Becker SP, Langberg JM. Attention-Deficit/Hyperactivity Disorder and Sluggish Cognitive Tempo Dimensions in Relation to Executive Functioning in Adolescents with ADHD. Child Psychiatry Hum Dev. 2013 Feb 27.<br />Langberg JM, Becker SP, Dvorsky MR. The Association Between Sluggish Cognitive Tempo and Academic Functioning in Youth with Attention-Deficit/Hyperactivity Disorder (ADHD). J Abnorm Child Psychol. 2013 Jan 29.<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2102713423319258388.post-30437646172585765412013-04-03T10:00:00.000-04:002013-04-03T10:00:06.377-04:00Lincoln, Darwin and Sluggish Cognitive Tempo<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://4.bp.blogspot.com/-oMAdJw1aE2M/UVZE3QCXDCI/AAAAAAAADbo/KsWwZJeMGZg/s1600/darwin.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="http://4.bp.blogspot.com/-oMAdJw1aE2M/UVZE3QCXDCI/AAAAAAAADbo/KsWwZJeMGZg/s1600/darwin.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Darwin, Lincoln and SCT</td></tr>
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<span style="font-family: Verdana;">In the January 28th, 2013 edition of the New Yorker, the writer Adam Gopnik has written an article on how our brain’s turn music into meaning and on how we come to understand music and sound in general. His article was interesting from the standpoint of understanding auditory perception but it was also interesting to me because he mentions an old professor of his and describes him as being highly intelligent in an unusual way.</span></div>
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<span style="font-family: Verdana;">Gopnik describes two types of highly intelligent people. One type, the most common type, have a ‘sharp’ intelligence. These people have minds that fight and slash and slay. The second type of highly intelligent people are quite different. Gopnik describes the rarer type as having a ‘soft’ intelligence. Darwin and Lincoln had these types of minds. Gopnik describes his old professor as having the Darwin type of mind and describes these minds as ones that, “absorb great quantities of data and opinions, often silently, even sluggishly, and turn them around slowly until a solution appears.”</span></div>
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<span style="font-family: Verdana;">A letter to the editor regarding Gopnik’s article mentioned that Abraham Lincoln said this about his own mind, “My mind is like a piece of steel; very hard to scratch anything on it and almost impossible after you get it there to rub it out.” Darwin was described as a “Trifler” (distracted by insignificant things like bugs and plants) by his teachers and Darwin’s father was so frustrated by his lack of school progress that he is reportedly took him out of school early.</span></div>
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<span style="font-family: Verdana;">You cannot help but think about intelligent people with Sluggish Cognitive Tempo when you read about Gopnik’s old professor and about Darwin and Lincoln. Gopnik seems to suggest (he has written a book on the similarities between Darwin and Lincoln, who happened to be born on the same day and who were similar in other ways, called <i>Angels and Ages</i> ) that this type of intelligence serves a different but important analytic purpose. That the sluggishness of Lincoln and Darwin helped them and is part of what made them great thinkers.</span></div>
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<span style="font-family: Verdana;">Obviously, sluggishness may not always serve such an exalted purpose but I think it is good to remember, every once in a while, that traits like sluggishness are not always as terrible as they sound.</span></div>
<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2102713423319258388.post-22169247646584538542013-04-01T00:00:00.000-04:002013-04-01T00:00:01.156-04:00Paperback edition of Commanding Attention is Now Available<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-XiQsyaGCPK8/UVZDfGmifCI/AAAAAAAADbg/TKa6xVFs9fo/s1600/51yzKrce2RL._SL160_PIsitb-sticker-arrow-dp,TopRight,12,-18_SH30_OU01_AA160_.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="http://1.bp.blogspot.com/-XiQsyaGCPK8/UVZDfGmifCI/AAAAAAAADbg/TKa6xVFs9fo/s1600/51yzKrce2RL._SL160_PIsitb-sticker-arrow-dp,TopRight,12,-18_SH30_OU01_AA160_.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Paperback Edition</td></tr>
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The paperback edition of Commanding Attention: A Parent and Patient Guide to More ADHD Treatment is now available on Amazon and should be available at Barnes and Noble and other book outlets soon. The Amazon link is<a href="http://www.amazon.com/Commanding-Attention-Parent-Patient-Treatment/dp/1482786672/ref=sr_1_3?s=books&ie=UTF8&qid=1364607737&sr=1-3&keywords=commanding+attention"> here</a>.<br />
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Eventually both the paperback and the Kindle edition should be on the same Amazon page but apparently these things happen in stages and as of today, the two editions have their very own page.<div class="blogger-post-footer">http://primarilyinattentiveadd.com</div>Unknownnoreply@blogger.com0