Documente Academic
Documente Profesional
Documente Cultură
GROWS
[UP]
Newly recognized, adult
ADHD threatens the
success and well-being
of 4 percent of adults.
A combination of
treatments can help
the afflicted lead a
more productive life
G E T T Y I M AG E S
64
miq114Bilk3p.indd 64
J a nu a r y/Fe b r u a r y 2 014
11/5/13 5:33 PM
miq114Bilk3p.indd 65
11/5/13 5:33 PM
FAST FACTS
REMEDY FOR THE DISTRACTED
Only one in 10 adults in the U.S. who is afflicted with attention-deficit hyperactivity disorder
(ADHD) receives that diagnosis.
The latest edition of the American Psychiatric Associations diagnostic manual is the first to
explicitly recognize adult ADHD.
ADHD can limit professional success, strain relationships and diminish well-being. Yet medication, along with therapy that teaches patients better habits and attitudes, can help individuals
meet their goals, stay healthy and maintain friendships.
66
miq114Bilk3p.indd 66
J a nu a r y/Fe b r u a r y 2 014
11/5/13 5:34 PM
I R O M AYA G e t t y I m a g e s
M in d . S c i e nti f i c A m e r i c an .c o m
miq114Bilk3p.indd 67
THE AUTHORS
TIM BILKEY is an adult psychiatrist specializing in adult ADHD in Canada. He has produced two films
on adult ADHD and started one of the worlds first clinics for women with ADHD. CRAIG SURMAN is
assistant professor of psychiatry at Harvard Medical School and Massachusetts General Hospital.
He studies and treats adult ADHD. KAREN WEINTRAUB is a freelance health and science journalist
based in Cambridge, Mass. Surman and Bilkey are co-authors of FAST MINDS: How to Thrive If You
Have ADHD (or Think You Might) (Penguin/Berkley, 2013), written with Weintraub.
67
11/5/13 5:34 PM
68
miq114Bilk3p.indd 68
G E T T Y I M AG E S
surfs the Web or compulsively checks eAdults with ADHD also often need
mail at work, they might download an
help setting up an organizational strucapp that turns off Internet and e-mail acture typically, a consistent location
cess for hours.
for important objects and pieces of inTechnology such as computer reformation. House and car keys should
minders, distraction blockers or planning
have a home rather than being tossed in
tools can serve as peripheral brains to
various places. Appointments and phone
support the human brain in completing
numbers should similarly be entered into
challenging cognitive tasks. People can
a calendar or contact list that is readily
play a similar role. An assistant might
accessible rather than scribbled on the
back of an envelope that could get
lost or tossed in the trash. People
may program an alarm to remind
them of an appointment or to pick
up the kids or use an electronic
calendar that synchs with e-mail
and their cell phone so they can
easily enter a meeting or event as
soon as they learn about it.
In a study published in 2005
psychologist Steven A. Safren of
Mass General and his colleagues
showed that 12 training sessions,
focused on adopting organizational strategies, combined with medication, was more effective for
ADHD symptoms than medication
alone in 31 adults with ADHD. In
a follow-up study published in
2010 Safren found that 12 weeks of
Identifying impulsive decisions, such as hitting the
training in organizational tech- snooze on the alarm clock, that derail your day can
niques relieved the burden of lead you toward better choices in the future.
ADHD in 79 adult patients more
than relaxation therapy of the
keep a calendar for you; a spouse might
same duration did.
protect family time; a colleague might reTherapy can also curtail impulsive
mind you of a regular meeting. Profesdecision making. In our own clinical
sionals, such as mental health therapists,
practices, we ask clients to pick critical
rehabilitation specialists and ADHD
moments in which they tend to stray
coaches, can also keep people on track
from their intended course. Such a moand accountable. Coaches may suggest
ment might be deciding to play one more
adaptive strategies, teaching clients to
video game instead of going to bed on
prioritize and set realistic goals, among
time or hitting snooze on the alarm
other skills.
clock, until a person is so rushed that
Many adults with ADHD use supgym clothes are forgotten and the
port groups, such as those organized by
planned exercise never happens. Once
Children and Adults with ADHD or the
patients become aware of the moments
Attention Deficit Disorder Association,
they go astray, we help them craft a plan
to meet and confer with others struggling
for making a better choice. For example,
with similar challenges. In these gathera patient may decide to read rather than
ings, group members can discuss their
play games before bedtime or set aside a
new habits and own up to their failings,
time for gaming as a reward for hard
a conversation that may help them stick
work that does not disrupt their ability
to the strategies they have learned. In
to wind down from the day. If someone
J a nu a r y/Fe b r u a r y 2 014
11/5/13 5:34 PM
M in d . S c i e nti f i c A m e r i c an .c o m
miq114Bilk3p.indd 69
Very Often
Often
Sometimes
Rarely
Never
Add the number of checkmarks that appear in the darkly shaded areas.
Four or more checkmarks indicate that your symptoms may be
consistent with adult ADHD. It may be benefi cial for you to talk with
your health care provider about an evaluation.
SOURCE: ADULT ADHD SELF - REPORT SCALE -V1 .1 (ASRS -V1 .1) SCREENER, FROM WHO
COMPOSITE INTERNATIONAL DIAGNOSTIC INTERVIE W, WORLD HE ALTH ORGANIZ ATION
FURTHER READING
Are Doctors Diagnosing Too Many Kids with ADHD? Scott O. Lilienfeld and Hal Arkowitz;
May/June 2013.
69
11/5/13 5:34 PM