Created September 2013
ADD in Adults
Presented by NAMI PA, Main Line,
an affiliate of the National Alliance on Mental Illn...
Who is a family member of an adult with ADD?
 What questions do you come with?
What is ADD?
 Biologically based
 Genetic component
 Deficit in “executive functioning”: a basic capacity
that includes...
Diagnosis
 More difficult to diagnose in adulthood
 Disorganized, forgetful, loses things
 Unable to complete tasks (ea...
Problems and Strengths
 Impulsive
 Disorganized
 Difficulty starting and completing tasks
 Job difficulties
 Higher d...
Co Occurring Problems
 Learning differences
 Depression
 Anxiety
 Substance abuse (commonly alcohol and marijuana)
 B...
Overlap bipolar and ADD
 ADHD: poor follow through, poor listening skills,
easily overwhelmed, inconsistent, forgetfulnes...
Late Teenage and Launching
 High use of substances
 Difficulty studying, structuring life tasks in non-
structured situa...
Relationship Issues in Adulthood
 Forgetfulness/inability to stay on task or remember
agreements
 Hyperfocus on issues a...
Work Issues
 Inability to complete tasks
 Procrastination
 Anger management
 Trouble reading social cues
ADD and Parenting
 Difficulty following through with routines or
consequences
 Time management difficulties make day to ...
Treatment
 Accept the diagnosis and get treatment!!
 Work arounds ; do what you’re good at, delegate
what you’re bad at
...
The Non ADD Partner
 Frustrated and confused
 Tired of doing most of the routine work
 Worried about money
 Feels as i...
How can the Partner/Family Help
 Accept the diagnosis in your loved one.
 Choose your battles; stay as calm as possible....
Suggested reading and websites
 Driven to Distraction: Recognizing and Coping with Attention Deficit Disorder
from Childh...
Created September 2013
Presented by NAMI PA, Main Line
an affiliate of the National Alliance on Mental Illness
www.NAMIpaM...
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NAMI PA Main Line Forum on ADD in Adults

Here is deck from discussion at this Forum that occurred on September 7, 2013
Published on: Mar 3, 2016
Published in: Health & Medicine      Education      
Source: www.slideshare.net


Transcripts - NAMI PA Main Line Forum on ADD in Adults

  • 1. Created September 2013 ADD in Adults Presented by NAMI PA, Main Line, an affiliate of the National Alliance on Mental Illness Presenter: Ellen Berman MD EllenBermanMD.com 610 667 4617 Please view the final slide for NAMI PA, Main Line contact information.
  • 2. Who is a family member of an adult with ADD?  What questions do you come with?
  • 3. What is ADD?  Biologically based  Genetic component  Deficit in “executive functioning”: a basic capacity that includes inhibition, planning, working memory and set shifting.  Does not imply decreased intelligence  Level of impairment very variable  Generally responsive to treatment
  • 4. Diagnosis  More difficult to diagnose in adulthood  Disorganized, forgetful, loses things  Unable to complete tasks (easily bored, procrastination, indecisiveness)  Racing thoughts or wandering thoughts  Misses social cues, difficulty collaborating  Hyperactive: Impatient, constantly moving  Symptoms must be present from before age 12  Symptoms must be severe, persistent, pervasive, impairing
  • 5. Problems and Strengths  Impulsive  Disorganized  Difficulty starting and completing tasks  Job difficulties  Higher divorce rate  BUT  Can be creative and fun  Hyperfocus can get things done  Often very good at spatial relationships, hands on work, athletics
  • 6. Co Occurring Problems  Learning differences  Depression  Anxiety  Substance abuse (commonly alcohol and marijuana)  Bipolar disorder  Increased rate of accidents (especially driving), arrests and antisocial behavior
  • 7. Overlap bipolar and ADD  ADHD: poor follow through, poor listening skills, easily overwhelmed, inconsistent, forgetfulness  Bipolar-ADHD shared: hyperactivity, difficulty maintaining attention and focus (during highs), mood swings  Bipolar only: enduring dysphoric or euphoric mood, insomnia, delusions, decreased or increased sleep related to moods
  • 8. Late Teenage and Launching  High use of substances  Difficulty studying, structuring life tasks in non- structured situations, such as college  Often one to two years behind socially  Driving accidents frequent  Impulsive sexuality, unsafe sex  Does not learn quickly from failures; may repeat same destructive behavior several times before changing
  • 9. Relationship Issues in Adulthood  Forgetfulness/inability to stay on task or remember agreements  Hyperfocus on issues appears as disinterest in partner  Easily bored, hard to “linger”, high need for stimulation  Impulsiveness  Time management problems  Messiness; difficulty organizing home environment  Intent vs. ability to carry through  Sexual issues
  • 10. Work Issues  Inability to complete tasks  Procrastination  Anger management  Trouble reading social cues
  • 11. ADD and Parenting  Difficulty following through with routines or consequences  Time management difficulties make day to day activities difficult  Impatience/easily frustrated  May have difficulty reading child’s cues or emotions  Particular struggles when child is ADD as well  Parental arguments about strategy common and stressful for the child
  • 12. Treatment  Accept the diagnosis and get treatment!!  Work arounds ; do what you’re good at, delegate what you’re bad at  Get well enough organized to function at work and at home. ADD coaching. Cognitive therapy.  Go with the positive but don’t avoid the problems.  Practice good communications and problem solving with your partner  Medication usually helps. Try it.  Reaching for strengths
  • 13. The Non ADD Partner  Frustrated and confused  Tired of doing most of the routine work  Worried about money  Feels as if partner is not listening  Feels as if they have another child in the house
  • 14. How can the Partner/Family Help  Accept the diagnosis in your loved one.  Choose your battles; stay as calm as possible.  Do not suggest person is stupid, lazy or “just not trying”.  Look for and appreciate the positives.  Practice good communication skills .  Do the budget/child pickup/clean-up yourself if you are seriously upset by the difficulties. Trade for tasks the ADD person is good at.
  • 15. Suggested reading and websites  Driven to Distraction: Recognizing and Coping with Attention Deficit Disorder from Childhood Through Adulthood. by Ed Hallowell and John Ratey  Delivered from Distraction: Getting the Most out of Life with Attention Deficit Disorder by Ed Hallowell and John Ratey  The ADHD Effect on Marriage: Understand and Rebuild Your Relationship in Six Steps. by Melissa Orlov  Is it You, Me or Adult ADD? Stopping the Roller Coaster When Someone You Love Has Attention Deficit Disorder. by Gina Pera  ADD-Friendly Ways to Organize Your Life. by Judith Kolberg and Kathleen Nadeau  The Disorganized Mind: Coaching Your ADHD Brain to Take Control of Your Tasks, Time and Talents. by Nancy A. Ratey  CHADD: www.chadd.org/. Children and Adults with Attention Deficit Disorder. Excellent website for everyone  Local coaching for ADD adults: www.americoach.org/
  • 16. Created September 2013 Presented by NAMI PA, Main Line an affiliate of the National Alliance on Mental Illness www.NAMIpaMainLine.org info@NAMIpaMainLine.org All information is current as of publication date; please let us know if you encounter broken hyperlinks.

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