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Posts Tagged ‘ADHD’

Time (3/25, Cloud) reported that, according to a study scheduled to be published in the Journal of Abnormal Child Psychology, “a better approach for” schoolchildren with attention-deficit/hyperactivity disorder (AD/HD) “is to let them move all they want,” because “many kids use their movements…to stay focused. In other words, it may be that excessive movement doesn’t prevent learning, but actually facilitates it.” For the study, researchers at the University of Central Florida in Orlando followed “23 boys ages eight to 12” over “four years.” Twelve of the children “had an AD/HD diagnosis. The other 11 were developing normally.” After analyzing data based on a series of tests given to the children, the team concluded that youngsters with AD/HD may “have a hard time with working memory because they lack adequate cortical arousal,” and theorized that “their squirms and fidgets help stimulate that arousal.” The authors suggested “a classroom technique for AD/HD kids: Don’t overly tax their working memory.”

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Buckeye Psychiatry, LLC (Dublin, Ohio), the psychiatric practice of Adam Brandemihl, M.D., Board Certified Psychiatrist, offers tips on how to keep your job while battling Adult ADD. He discusses ten ways of coping with adult ADD in the workplace.

Dublin, OH (PRWEB) March 8, 2009 — With the continued recession and struggling economy, keeping your job is a priority.  With increasing budget cuts, employee “productivity” has become more important to businesses.  The “P” word, or lack of it, is often used to determine which employees are fired or laid off.  Many newly unemployed Americans with adult ADD (Attention Deficit Disorder) have been forced into jobs they would normally not accept in order to preserve their financial security.  Unfortunately, these jobs are often a poor fit for the employee’s strengths and can magnify their weaknesses.   Increased demands at current jobs can also “expose” some adults with ADD who were just getting by through extra effort and time. 

Dr Brandemihl has noticed an increasing number of adult ADD patients seeking medical treatment for the common disorder.  Dr Brandemihl notes that in the past, “many adults with ADD would have been able to find jobs that were a better fit for their unique skill sets. Ideally the patient wants to find a job that plays to their strengths such as the ability to multitask, think outside of the box and expend short bursts of intense energy.  However, with the poor economy many of these adult ADD sufferers have been forced into jobs that they are not suited for because of financial desperation.   The increasing job stress can lead to unhappiness, depression, anxiety, worsening productivity and ultimately, termination from the job.”

Dr Brandemihl says that the first step in treatment is “getting diagnosed by a mental health professional, preferably a board certified psychiatrist.”  Once the diagnosis of ADD is established, medication can be discussed as a possible option and behavioral changes that can help counter ADD can be implemented.  Dr Brandemihl offers the following tips for dealing with ADD in the workplace:

1. Make sure any additional psychiatric conditions are being addressed through therapy and/or medication.  Anxiety and depression can affect focus, concentration, motivation and energy, mimicking ADD.

2. Utilize an electronic planner or phone to keep a schedule and set alarms to remind you of appointment times, due dates, break times and meetings.

3. Set all of your clocks ten minutes ahead.  This way you are at least on time, if not early, for scheduled meetings.

4. Separate large assignments into smaller, more manageable assignments.  If possible, give yourself short breaks every fifteen to thirty minutes.  Use an egg timer or alarm to remind yourself of “break times” (even if they are only for one to two minutes).

5. Take care of yourself.  Get at least eight hours of sleep a night.  Eat several small meals a day and try to exercise at least thirty minutes per day.  This can make a huge difference in energy, motivation and concentration levels.

6. Make your work environment work for you.  You may consider an MP3 player or earplugs to block out noisy distractions.

7. Organize your work area.  Labels and folders are your friends.  Everything should have its own place.  Only have one assignment in front of you at a time.

8. Keep the momentum going at home.  Structure, routine and repetition are crucial.  Ask family members for help.  It is important to utilize and practice your new coping skills both before and after work.

9. Ask your supervisor or boss for feedback.  Tell him or her you are aware of the issue and ask for their opinions on your progress.

10. Reward yourself with a special treat for progress.  Positive reinforcement is crucial to help encourage any new behaviors.

Buckeye Psychiatry, LLC is located at 5060 Parkcenter Avenue, Suite F in Dublin, Ohio, just north of the Mall at Tuttle Crossing.  Psychiatric Appointments may be made by calling 614-766-5205 and are generally available within 1-2 weeks. Additional information can be found on Buckeye Psychiatry’s website at www.BuckeyePsych.com or blog at https://buckeyepsych.wordpress.com.

 

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UPI (3/4) reports that a study in the journal Sleep links “sleep to attention-deficit/hyperactivity disorder.” For the study, Canadian researchers monitored “15 ADHD children and 23 controls controlled for many confounding factors” and found that “average total sleep time was 33 minutes shorter in ADHD children than in controls. Average rapid eye movement sleep time was also reduced in children with ADHD by 16 minutes.” Lead author Reut Gruber of the Douglas Mental Health University Institute said, “I do not believe that sleep per se is the cause of ADHD but it may make the symptoms worse in children with sleep problems.” Gruber added, “There are reports in the literature in which treating sleep problems led to improvement in ADHD symptoms but I suspect that these results were seen in children with sleep apnea. More research needs to be done in order to determine if sleep affects ADHD children with no primary sleep disorder.”

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The Los Angeles Times (1/10, Shaikin) reported that, according to a report released last week by Major League Baseball’s (MLB) drug-testing administrator, “the number of” baseball “players approved for” attention-deficit/hyperactivity disorder (AD/HD) “medication rose last year.” Specifically, the report found that “106 therapeutic use exemptions for” AD/HD medications “were issued last year, up from the 103 exemptions reported to Congress in 2007.” Physician Gary Walder, M.D., advisor to the World Anti-Doping Agency, was “dismayed” by the fact that “eight percent of players would require” such medications, particularly when “the disorder is diagnosed in three to five percent of children, and a smaller percentage of adults.”
        But, according to the AP (1/11, Blum), Rob Manfred, MLB’s executive vice president of labor relations, “said it would be a mistake to compare AD/HD in baseball with statistics for the general population.” Manfred stated, “We are all male. We are far younger than the general population, and we have far better access to medical care than the general population.” Meanwhile, Rep. Henry Waxman (D-CA), “who chaired hearings into drug use in baseball, said he remained concerned about the large number of exemptions.” The AP noted that MLB “toughened its testing program after the 2007 season following recommendations by former Senate majority leader George Mitchell (D-ME), who spent” about eighteen months “investigating performance-enhancing drugs in baseball.”

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In the Well column in the New York Times (11/25, D5), Tara Parker-Pope writes that Olympic swimmer Michael Phelps, who has attention-deficit/hyperactivity disorder (AD/HD), “is emerging as an inspirational role model among parents and children whose lives are affected by attention problems.” His emergence, however, “has revealed a schism in the community of patients, parents, doctors, and educators who deal with the disorder.” The propensity for some children with AD/HD to “have boundless energy and a laserlike focus on favorite things — qualities that could be very helpful in, say, an Olympic athlete” — is causing some doctors to push “for a new view that focuses on the potential strengths of the disorder.” Other experts “say that while such success stories can be inspiring, parents need to know that their children face real risks.” They note research suggesting that children with AD/HD “have different brain patterns from other children, and that they are more likely to drop out of school, be involved in car accidents, and use illicit drugs.”

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Researchers say AD/HD may hamper teenagers’ efforts to drive.*

UPI (11/6) reports, “Researchers at Tel Aviv University in Israel caution
that attention-deficit/hyperactivity disorder (AD/HD) may hinder a
teenager’s effort to drive.” They suggest that “youth who fail their
drivers’ tests over and over may be suffering from AD/HD. Even if they
eventually pass these tests, they’re still more likely than others to become
involved in car accidents.” In addition, the researchers “devised a
therapist-supervised approach to retrain AD/HD teens on how to drive.”
Study indicates insomnia in some adults may be linked to neurochemical
abnormalities.
UPI (11/5) reports, “US researchers say they have linked neurochemical
abnormalities to insomnia in young and middle-age adults,” according to a
study published in the journal Sleep. The investigators “used proton
magnetic resonance spectroscopy to non-invasively determine the 16
participants suffering insomnia for more than six months had 30 percent less
of the most common inhibiting transmitter in the brain — gamma-aminobutyric
acid (GABA) — than a well-matched control group.” The authors said that
“GABA decreases overall activity in many brain areas, helping the brain to
‘shut down,’ and point out that having a ‘racing mind’ and an inability to
shut down at night is a common complaint of people with primary insomnia.”

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Study suggests children who suffer injuries as infants may have a higher
risk of AD/HD later in life.
The UK’s Press Association (11/7) reports, “Children who develop”
attention-deficit hyperactivity disorder (AD/HD) “in later life may have
been more likely to suffer injuries as an infant,” according to a study
published in the BMJ.
Lead author Heather Keenan, M.D., of the University of Utah, and
colleagues, “collected data on 62,088 children who were registered in a
British health improvement network database,” HealthDay (11/6, Reinberg)
added. The authors “compared the children with head injuries to two other
groups: children with a burn/scald injury before the age of two, and all the
other non-injured children.” They “found that children with early head
injury did have a 90 percent higher incidence of AD/HD diagnosis before they
were 10, compared with children in the general population.” But, “children
with a scalding injury also had a higher risk of being diagnosed with AD/HD,
70 percent to be exact.” Based on these findings, the researchers concluded
that “the head injury did not appear to cause the AD/HD.” Dr. Keenan also
suggested that “this finding may mean that some very young children are
already showing behavioral traits that are the hallmarks of AD/HD.” The UK’s
Telegraph (11/7, Devlin) also covers the story.

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Three additional dosages strengths of Shire’s Adult ADHD drug “Vyvanse” have been introduced in the U.S.

http://www.pharmaceutical-business-review.com/article_news.asp?guid=47DD5436-E104-43E3-88B9-C358294750B0

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