ADD

Mar. 26th, 2014 05:37 pm
vaneramos: (Default)
[personal profile] vaneramos
This may or may not surprise people who have known me well, but I was recently diagnosed with Attention Deficit Disorder, the inattentive rather than hyperactive mode. I have recognized problems going back to grade school.

It probably escaped detection forty years ago because I was a straight-A student who hated to attract unpleasant attention. I day-dreamed constantly and learned everything from books. I was good at understanding abstractions but not listening, remembering or imitating. At university poor study habits manifested. I was disappointed to realize I was not cut out for academia, but didn't understand why. I battled depression from my early teens but it was not diagnosed until a severe episode when I was 31. Then I went through traumatic experiences that led to generalized anxiety and panic disorder. With these more serious mental health issues, nobody considered my difficulties with concentration, memory and learning new skills as more than a symptom.

But they became more obvious than ever during the past two years when I finally received support and opportunity to pursue the freelance writing career I had wanted for 25 years. For the first time I thoroughly enjoyed my work, yet encountered the same inability to focus that had plagued me in every other job.

Last year I learned that frequent car accidents are a classic indicator of ADD. Between 1984 and 2000 I had too many car accidents to count, at least 10, mostly minor, all my fault. I totaled three of my cars. Incredibly, no one was ever injured or killed. The last accident in 2000 traumatized me so that I had nightmares and flashbacks and could not even ride in a car for weeks. Fortunately it flicked a switch in my brain: I have not had trouble driving mindfully or caused another accident since.

This insight led to my inquiry and referral to a specialist. Some controversy surrounds ADD. Many believe that it is over-diagnosed. My family doctor told me psychiatrists will not consider referrals for ADD in "high-functioning adults."

"I get along," I said, "but how can I be high-functioning if I haven't had a sustainable income in 19 years?"

Ultimately, I saw a psychiatrist who agreed.

I hate taking another prescription drug, particularly one that acts on my brain, but at this point in life I will try anything that helps me work. Beginning in January, we started experimenting with Concerta, a psychostimulant also known as Ritalin. I only need the lowest of doses. Anything higher causes uncomfortable agitation. The psychiatrist said I can use it on a discretionary basis, which I prefer. I only use it on work days. Unless I'm actively thinking, creating or working, the sensation is mildly unpleasant.

It is helping. I could record endless observations about how it affects me. But to put it simply, a second channel has opened in my brain. I am used to the strong current of thoughts, ideas and emotions pulling me like a swimmer. This allows me to focus long hours on something, but can be overwhelming. Now the second channel lifts me slightly above the flow. It improves my awareness, willpower, judgment and short-term memory. I can choose where to turn my attention.

This is only an approximate description. It isn't easy. I turned 50 last week. It's going to take this old dog a while to learn how to use these new tricks.

But I'm pleased with how much writing I've done the past 10 weeks, and how I am able to persist at a few projects. In the past I would be more likely to keep starting new things and forgetting about them.

ADD

Date: 2014-03-27 01:40 am (UTC)
From: (Anonymous)
Hi Van, I am sorry that you are plagued with this but glad you now have some answers that can help. I also can ditto everything you said about stages of your life; daydreaming, good grades, car scrapes & accidents; never staying in long-term employment so became self-employed 30 years ago. tried a full-time position for a year & lost my "humanity" I have been using concerta for 6 months. Don't want to turn your blog into an advert for the drug but it has helped a bit. Good luck on the rest of your journey! turning 51 this year tlm

Re: ADD

Date: 2014-03-27 01:59 am (UTC)
From: [identity profile] vaneramos.livejournal.com
Thanks for adding your story and good luck to you as well.

Date: 2014-03-27 12:44 pm (UTC)
From: [identity profile] e-musings.livejournal.com
My husband and son both have ADHD. And so do my sisters and my father had it, too. I guess it is rampant on both sides of my family!

Son and husband diagnosed at the same time. It explained so much! Like why he was unable to complete tasks from beginning to end. I am linear, he is serpentine. It's just different once I understood the process he works with. One time he left a half wrapped gift on the floor. In the past, I would have been annoyed, but I just left it alone. My daughter walked past it, and commented that that must be Dad's doing...eventually he finished. I would *never* do that. It's just not how I am wired.

Once we figured out we are wired so differently, life became easier. I do admire his energy!

Date: 2014-03-28 04:56 am (UTC)
From: [identity profile] vaneramos.livejournal.com
I am not so bad about leaving things unfinished, but I'm bad about leaving them lying around because if I don't need it I don't see it. Things usually only get put away because I need use of a clear surface, or to make a room hospitable (i.e. tidy) for a guest. In my own office I can step over an object on the floor for weeks and not know it is there.

And I probably would not seem like an energetic person -- quite the opposite. People with the inattentive mode tend to be quiet and dreamy rather than restless and disruptive. Unfortunately my untidy and sedentary habits have been misunderstood as laziness rather than a cognitive issue.

Fortunately my partner and I are very similar in many ways, so my eccentricities don't usually annoy him. He remembers where I leave things and I remember were he (less often) leaves things. I think we both manage better having somebody to work with. So we share responsibility for important things like keeping the kitchen clean, which has become a nightly ritual. It's one of life's great lessons, I think, learning how to work together with someone, whether they are very like you or a complete opposite.

Date: 2014-03-28 09:40 pm (UTC)
From: [identity profile] e-musings.livejournal.com
Living with someone w ADHD has been a valuable asset for doing couple counseling-I use a framework of change vs acceptance. What can change, what do you have to accept? ADHD is one of those acceptance things.

That said, I can become very annoyed if the scissors are not in their designated place because someone forgot to return them. Don will trash our guest room with stuff-papers/things/clothing, etc but will take clean it up if we need to use it. I'm not fussy about that.

Sometimes, it is hard to live with him, but most of the time, it works pretty well!

I wonder what my eccentricities are...blind to those!

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