Presented by the National Resource Center on ADHD

Transcription

1 Presented by the National Resource Center on ADHD

2 Craig Surman, MD Scientific Coordinator Adult ADHD Research Program at Massachusetts General Hospital

3 Why Join CHADD? Attention magazine National Network of Support Groups CHADD Exchange online Community Professional Directory Parent to Parent: Family Training on ADHD Teacher to Teacher Training National Resource Center on ADHD Advocacy Annual Conference & Regional Conferences

4 Nov. 7-9, 2013 Hyatt Regency Crystal City Get more information at

5 Craig Surman, MD Scientific Coordinator Adult ADHD Research Program at Massachusetts General Hospital Disclaimer: The information provided here is supported by Cooperative Agreement Number CDC-RFA-DD from the Centers for Disease Control and Prevention (CDC). The Ask the Expert webinars contents are solely the responsibility of the invited guest Expert and do not necessarily represent the official views of CDC. Neither CHADD, the National Resource Center on ADHD, nor the CDC endorses, supports, represents or guarantees the accuracy of any material or content presented in the Ask the Expert webinars, nor endorses any opinions expressed in any material or content of the webinars. CHADD and the National Resource Center on ADHD offer webinars for educational purposes only; the information presented should not be regarded as medical advice or treatment information.

6 To Ask A Question:

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8 Send us your feedback about today s webinar! An will arrive shortly with a link to take the survey. Thank you for helping us plan future webinars that meet the interests of the ADHD community!

9 Craig Surman, MD Scientific Coordinator Adult ADHD Research Program at Massachusetts General Hospital

10 Lifetime Disclosures Speaking / Education McNeil, Janssen, Janssen-Ortho, Novartis, Shire and Reed/ MGH Academy (funded by multiple companies) Consulting McNeil, Nutricia, Takeda, Shire, Somaxon Research Support, MGH Adult ADHD Program National Institutes of Health, Abbot, Cephalon, Hilda and Preston Davis Foundation, Eli Lilly, Magceutics, J & J / McNeil, Merck, Nordic Naturals, Nutricia, Pamlab, Pfizer, Organon, Shire, and Takeda

11 Dr. Surman also receives royalties from the following publications:

12 You may have to educate a provider on how they can help you Here are some high-yield tools:

13 ADHD Medication Helps Simple ADHD I have trouble getting around to, sticking with and finishing things

14 Therapy, medication, self-help improves mental health My feeling, thinking or behavior keeps me from thriving

15 Strategies/Habits Help Organizational Skill, Other Skill Challenges I don t do the right things at the right time or keep healthy routines

16 Explore these patterns with a professional Did traits start in childhood? Do traits burden you in multiple rolls? Are there particular states or situations where you have suffered or struggled? Are there times in life when things went better?? Does that tell you what environments, strategies help you? What is the future opportunity cost of your traits? How have past treatments helped? Hurt?

17 Use a symptom scale! Use to: Determine current symptoms and their history Track past or current medication effects Know if medication is working as expected from clinical trials Eg: ASRS at

18 You are uncomfortable You are not yourself on it You can t be yourself without it (dependence) You have side effects part of the day Your doctor may not know that: Other major disorders may need to be treated first Side effects differ between medications & release patterns Nonstimulants can take several weeks to work, may help other traits Methylphenidate is approx. 50% potency of amphetamine Taking breaks from medicine can tell you if you still need it

19 Know what legal reasonable accommodation is - Copy of class notes, extra time and quiet for tests - Format, not core responsibilities, of job Design effective environments - use what rewards you (group work; mentoring; reward schedules) - limit distraction - maximize interest Outsource to peripheral brains - devices + people - note taking - reminders - planning, prioritization, decisions - schedule management - capturing information (recording pens; alarms to head for class)

20 Figure out high-yield habits and foolproof their practice Surman, Bilkey & Weintraub: FASTMINDS, 2013

21 From: FASTMINDS, 2013.

22 Others with similar challenges may be your best resource -CHADD, other ADHD groups -12 Step programs -Blogs, chat rooms, meet up groups

23 Craig Surman, MD Scientific Coordinator Adult ADHD Research Program at Massachusetts General Hospital

24 To Ask A Question:

25 Craig Surman, MD Scientific Coordinator Adult ADHD Research Program at Massachusetts General Hospital

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27 The information provided in this episode of Ask the Expert is supported by Cooperative Agreement Number CDC-RFA-DD from the Centers for Disease Control and Prevention (CDC). The Ask the Expert webinars contents are solely the responsibility of the invited guest Expert and do not necessarily represent the official views of CDC. Neither CHADD and the National Resource Center on ADHD, nor the CDC endorses, supports, represents or guarantees the accuracy of any material or content presented in the Ask the Expert webinars, nor endorses any opinions expressed in any material or content of the webinars. CHADD and the National Resource Center on ADHD offer webinars for educational purposes only; the information presented should not be regarded as medical advice or treatment information.