Landing station and distraction log are great suggestions. I’m definitely going to implement them in my own life and recommend to patients. Great video
This comment inspired me to get to editing it this week. Hopefully will be done for next week And it's out now: ruclips.net/video/DU50oueTDsw/видео.html
Great video, thanks for making it! One of your other videos (or maybe two?) was suggested in my psychopharmacology class at school, super helpful, you do great work and are helping a lot of people (not just in your practice, which I'm sure is also true).
As a guy what literally went and gone to neuroscience PhD school to try to find the secrets to conquering the inferior ADHD brain, this is all great, and very true. I do versions of all these things (except the sensory deprivation). The problem I'd have had with this list 15 years ago, crashing and burning repeatedly in undergrad, is it would have been way too top-down. This isn't a characterization of the list itself, but the vibe I'd have gotten from it is "starting tomorrow, stop having yourself have ADHD anymore, and become ultra-conscientious. Then, after completing this step, see if your ADHD is at all mitigated." I didn't go to, and still wouldn't make it through, med school, but as one of the few blokes to ever have a law school GPA higher than his undergrad one, the sine qua non for me was (after first being medicated consistently-sometimes a challenge itself) just ensuring I was, as often as possible, DOING something. Or you could emphasize it like-doing SOMEthing. Don't want to study? Great, do the dishes. Don't want to do that? Great, go grocery shopping. Obviously, everything that needs done needs done, so studying, usually the most aversive, I'd say "read one page, then go shopping. If I can read more than one page, great." Reflect, journal, CERTAINLY keep lists/calendars, and try to nudge the course in the right direction based in errors in prediction/outcome etc. in the past, but most of all, just DO something, as often as possible with a sustainable level of discomfort. This is the ENFP route anyway. Or for five-factor, something like: O 95; C 25; E 65; A 75; N 50. That said, even starting with this list where I was then would've been helpful. DOING things requires, and this is a hard first step, apprehending what things there are that should had oughtta be gone and done. Starting with a rubric like this I can see would have saved a lot of trial and error. Thanks for some new ideas on things that possibly can be done!
I do worry people will think these tools are "superficial" or think "my ADHD prevents me from doing this". These little things, done regularly will free up brain space, and will make for less crisis situations. For example the phone-wallet-key. Sounds pretty silly. But if it prevents you from 1 panic mode "WHERE THE F IS MY KEYS" per month.... then that's an incredibly meaningful intervention. Every person is different. There isn't 1 tool or trick that will help everyone. Everybody needs to find the thing that works for them. I do think those with ADHD will be prone to trying to fix a ton of things at once, rather than slow and gradual implementation. It took me about 30 different tries at a Task List before it actually becoming a helpful thing for me. But now that I've implemented it, I'm no longer unreliable. I don't forget important dates, I'm a reliable partner, etc, etc. - I like your "Doing something". The thing that helped me immensely is incredibly similar. Behavioral Activation. The gist: You don't WAIT TO FEEL BETTER before you DO SOMETHING.... rather you DO SOMETHING so that you FEEL BETTER. I probably should've added it to the list. For next time!
@@PsychoFarm Your proposed addendum has been approved. I actually think if broadly apprehended by treating psychiatrists (or GPs, which is fine too) the commentary on feeling good would save a lot of grief and expedite lasting symptomatic relief. It's basically a meme that people first starting medication (or acquiring it illicitly in college etc.) write dissertations about how incredible they feel and how much they got done on reddit or twitter. Understandable. But it's actually a grave error to associate pre-emptive mood lift with productivity, or as necessary for it, and the effective long-term dose should have no to modest, unobtrusive mood lift (but lead to many more mood-lifting accomplishments). Docs should listen but when patients say at every new appt "meds not working anymore," the first step is a conversation about expectation. Keeping a log/journal is great here. An objective record is the surest way to track efficacy. That said, I think there is such a person as actually does best @ 100 mg dex/d. Godspeed them. All applicable to behavioral approaches too. On the phone/wallet/keys, having a FEW, not countless, but a few bedrocks like that, where you walk in the door and put the keys in the key place and the wallet in the wallet place, and you ALWAYS refill the ice cube tray immediately after using the last cube, even if it requires admonishing yourself a little, really, really help set the stage for doing things generally. They help show "oh, I can do things," and if your worst day is one where all you do is follow the rules, and nothing more, that's something to be proud of.
Link to full video explaining the best way to implement these tools: ruclips.net/video/DU50oueTDsw/видео.html
Landing station and distraction log are great suggestions. I’m definitely going to implement them in my own life and recommend to patients. Great video
Thanks! Hopefully will have the second video out soon with a PDF which will be an easier share for patients.
thank you so much for this! so seated for the rest of the series
This comment inspired me to get to editing it this week. Hopefully will be done for next week
And it's out now: ruclips.net/video/DU50oueTDsw/видео.html
Great video, thanks for making it! One of your other videos (or maybe two?) was suggested in my psychopharmacology class at school, super helpful, you do great work and are helping a lot of people (not just in your practice, which I'm sure is also true).
Really appreciate the nice comment!
As a guy what literally went and gone to neuroscience PhD school to try to find the secrets to conquering the inferior ADHD brain, this is all great, and very true. I do versions of all these things (except the sensory deprivation). The problem I'd have had with this list 15 years ago, crashing and burning repeatedly in undergrad, is it would have been way too top-down. This isn't a characterization of the list itself, but the vibe I'd have gotten from it is "starting tomorrow, stop having yourself have ADHD anymore, and become ultra-conscientious. Then, after completing this step, see if your ADHD is at all mitigated."
I didn't go to, and still wouldn't make it through, med school, but as one of the few blokes to ever have a law school GPA higher than his undergrad one, the sine qua non for me was (after first being medicated consistently-sometimes a challenge itself) just ensuring I was, as often as possible, DOING something. Or you could emphasize it like-doing SOMEthing. Don't want to study? Great, do the dishes. Don't want to do that? Great, go grocery shopping. Obviously, everything that needs done needs done, so studying, usually the most aversive, I'd say "read one page, then go shopping. If I can read more than one page, great."
Reflect, journal, CERTAINLY keep lists/calendars, and try to nudge the course in the right direction based in errors in prediction/outcome etc. in the past, but most of all, just DO something, as often as possible with a sustainable level of discomfort.
This is the ENFP route anyway. Or for five-factor, something like: O 95; C 25; E 65; A 75; N 50.
That said, even starting with this list where I was then would've been helpful. DOING things requires, and this is a hard first step, apprehending what things there are that should had oughtta be gone and done. Starting with a rubric like this I can see would have saved a lot of trial and error. Thanks for some new ideas on things that possibly can be done!
I do worry people will think these tools are "superficial" or think "my ADHD prevents me from doing this".
These little things, done regularly will free up brain space, and will make for less crisis situations. For example the phone-wallet-key. Sounds pretty silly. But if it prevents you from 1 panic mode "WHERE THE F IS MY KEYS" per month.... then that's an incredibly meaningful intervention.
Every person is different. There isn't 1 tool or trick that will help everyone. Everybody needs to find the thing that works for them. I do think those with ADHD will be prone to trying to fix a ton of things at once, rather than slow and gradual implementation. It took me about 30 different tries at a Task List before it actually becoming a helpful thing for me. But now that I've implemented it, I'm no longer unreliable. I don't forget important dates, I'm a reliable partner, etc, etc.
-
I like your "Doing something". The thing that helped me immensely is incredibly similar. Behavioral Activation. The gist: You don't WAIT TO FEEL BETTER before you DO SOMETHING.... rather you DO SOMETHING so that you FEEL BETTER.
I probably should've added it to the list. For next time!
@@PsychoFarm Your proposed addendum has been approved. I actually think if broadly apprehended by treating psychiatrists (or GPs, which is fine too) the commentary on feeling good would save a lot of grief and expedite lasting symptomatic relief. It's basically a meme that people first starting medication (or acquiring it illicitly in college etc.) write dissertations about how incredible they feel and how much they got done on reddit or twitter. Understandable. But it's actually a grave error to associate pre-emptive mood lift with productivity, or as necessary for it, and the effective long-term dose should have no to modest, unobtrusive mood lift (but lead to many more mood-lifting accomplishments). Docs should listen but when patients say at every new appt "meds not working anymore," the first step is a conversation about expectation. Keeping a log/journal is great here. An objective record is the surest way to track efficacy. That said, I think there is such a person as actually does best @ 100 mg dex/d. Godspeed them. All applicable to behavioral approaches too.
On the phone/wallet/keys, having a FEW, not countless, but a few bedrocks like that, where you walk in the door and put the keys in the key place and the wallet in the wallet place, and you ALWAYS refill the ice cube tray immediately after using the last cube, even if it requires admonishing yourself a little, really, really help set the stage for doing things generally. They help show "oh, I can do things," and if your worst day is one where all you do is follow the rules, and nothing more, that's something to be proud of.
Love it! Excited for the rest of the series. Thanks!
Thanks! Hopefully will be out by the end of the month!
great video, thank you for sharing
Thanks!