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Saturday, October 22, 2016

Diagnosed with ADHD: Now What?

You or your child have been diagnosed with ADHD.  Now the question is, what next?  Many people are overwhelmed with volumes of information about ADHD, especially when they first start out, so I’m going to try to break this down into only the most essential bits, and you can click on the links to other articles as needed.

Confirm diagnosis.  The diagnosis of ADHD is generally made after observer questionnaires, discussion with the doctor about your symptoms, and maybe a short examination of ears, eyes, and general health, if you haven’t had one recently.  If these raise a question about whether it could be something besides ADHD, there could be other tests.  If you feel comfortable with the diagnosis and seem to fit the profile well, then you don’t need to do anything more.  But if some things just don’t seem to fit, it’s ok to seek a second opinion. 

Learn more about ADHD.  ADHD affects many areas of life besides those listed in the diagnostic questionnaire.  Depending on what stage of life you are in, it will probably help you to understand more about the ways it is affecting your life and those around you.  Some of my favorite basic books on ADHD are:
Learning to Slow Down and Pay Attention (a book for kids with ADHD, and a great way to explain the diagnosis to kids ages 7-12)

Get treatment.
Find a treatment professional.  There are many professionals who treat ADHD, all with different kinds of expertise.  In some cases, the doctor who diagnoses you will do just fine in treating you.  In other cases, you may want to see someone with more or different expertise.  If you want to try medication, you need to see a doctor.  If you need more help with coping mechanisms, like getting more organized, or anger management, you may do better with a coach or counselor.  Read more about treatment professionals in :  Doctor, Psychologist, Psychiatrist:  Who’s Best for ADHD?
Learn about medicines.  Before you talk to a doctor about treatment, it’s important to learn the basics about medication.  Most of the books I listed above have sections about medication, or you can read the following articles from this blog:
Learn about Self Care.
Kids and Discipline.  ADHD kids require a different kind of discipline than most of us grew up with.  The most common issue I hear about discipline is that “spanking, yelling, and taking things away don’t work”.  And they don’t, so you may as well spend your energy learning something that will.  Start off with the article: 

Sleep.  Lack of sleep makes ADHD symptoms worse, yet many people with ADHD have difficulty getting regular sleep.  Sometimes this is from a sleep disorder, or simply being unable to slow down.  Most typical sleep medicines actually make the problem worse, so it’s better to practice good sleep hygiene.  Relaxation techniques and, if needed, a little melatonin, may also be helpful.

Diet. Most ADHD diets, including the Feingold diet, probably only work for a minority of patients.  However, a healthy diet low in artificial ingredients and saturated fats probably won’t hurt anyone and seems to be better than the average American diet for academic function. 

Consider Accommodations.  Students with ADHD are entitled to reasonable accommodations in public schools in the United States. If your child has ADHD and it affects them at such a school, it is worthwhile to learn about 504 and IEP plans

Adults may also be entitled to accommodations under the Americans with Disabilities Act, however, disclosure of your condition can backfire and result in more problems or even termination if you aren’t careful.  Typically adults with ADHD who are struggling in the workplace do better if they try to create their own accommodations (perhaps with the help of a coach)  rather than formally ask their employer, unless something like a different office or permission to tape meetings is required.

Find Support.  It’s natural to want to tell everyone about your ADHD, don’t do it.  Not everyone will be understanding, and some people can be downright mean.  As with any other health condition, you don’t want to share your personal information unless the person really needs to know to help you (or your child).

On the other had, it is often helpful to find a support network.  You can do this by reaching out to families with similar issues (such as at school), by joining CHADD, or by participating in online forums (where you should guard your identity carefully). 


Embrace who you are.  A diagnosis of ADHD can be a relief, or it can be devastating, or it can be anything in between.  If it is your child, it's normal to feel some grief.   But don't stay there.  Choose a positive response.  Be a problem solver when it comes to challenges.  Take advantage of your ability to hyperfocus and to think outside of the box.  The world needs you, so do your best to fulfill your potential! 

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