Smart but Stuck: Mysteries of ADHD and Motivation. Thomas E. Brown, PhD
|
|
|
- Archibald Robinson
- 5 years ago
- Views:
Transcription
1 Smart but Stuck: Mysteries of ADHD and Motivation Thomas E. Brown, PhD Associate Director, Yale Clinic for Attention and Related Disorders Department of Psychiatry Yale Medical School
2 The Mystery of ADHD: Situational Variability of Symptoms Why focus for this, but not that? If it really interests me (attraction) Why focus then, but not now? If I feel the gun to my head (fear) TE Brown, Ph.D., Yale Medical School
3 2 hypotheses re: motivation in ADHD Willpower vs Erectile Dysfunction of the Mind TE Brown, Ph.D., Yale Medical School
4 How does brain determine motivation to ignore or attend, to do or not do now? Motivation is not a unified variable; it is not just gas in the tank It is idiosyncratic and specific to particular tasks and settings. Each perception, thought or task is instantly screened by the brain s google search that pulls up relevant, unconscious memories throughout cortex; these compete to activate approach, avoidance and/or disinterest TE Brown, Ph.D., Yale Medical School
5 Cognition & Emotion are Integrated in learning history of each individual Emotion and cognition cannot be dissociated in the brain affective significance determines how the amygdala helps separate the significant from the mundane (L. Pessoa, 2013) Strictly speaking, there is no cognition without affect and emotion. (J. Fuster, 2008) All information processing is emotional emotion is the energy level that drives, organizes, amplifies and attenuates cognitive activity. (K. Dodge, 1991) TE Brown, Ph.D., Yale Medical School
6 Amygdala is a major hub for connecting perceptions, thoughts, images to rest of the cortex Amygdala outputs to 64 of 72 regions In cortex. More recent studies show 1K separate cortical & Amygdala Schematic Graph of Amygdala Output by Young, et all. (1994) subcortical pathways. (Petrovich,
7 Amygdala s googling is filtered for context Amygdala responses are strongly context dependent Amygdala flexibly integrates stimulus valence with current goals, motivations, and contextual demands. Attar, H. et al (2010) TE Brown, Ph.D., Yale Medical School
8 Context Matters! Where we are and who we re with shapes which of our emotions are most intense in the moment: A clinical example: Would you like a cookie? TE Brown, Ph.D., Yale Medical School
9 Emotions May Shift as Context Shifts A student who works hard to get every term paper in on time may suddenly not care about a paper because his girlfriend broke up with him and is dating someone else. A student whose interest in completing papers is generally lukewarm may suddenly intensify interest and work hard on paper so he can maintain eligibility to stay on his team. TE Brown, Ph.D. Yale Medical School
10 Motivational Output The rapid-fire calculus of the amygdala and related networks sorts competing priorities emergent from the individual s learning history to mobilize, shape or defer action. Output from the amygdala reaching multiple brain regions quickly alters functional connectivity that activates (or doesn t) both body and brain. TE Brown, Ph.D., Yale Medical School
11 How and why do those with ADHD have more problems with motivation? Children & adults with ADHD experience similar emotions to others of similar age Yet they have more difficulty in: recognizing, responding to, and managing their emotions This causes impairments in motivation. TE Brown, Ph.D., Yale Medical School
12 Problems with Emotions in ADHD: brakes & ignition Much discussion about problems of emotion in ADHD focuses solely on putting the brakes on excessive expression of anger/frustration (Barkley & Fischer, 2010; Spencer, Faraone, Surman, et. al., 2011: Shaw, Stringaris, Nigg & Leibenluft, 2014) But many with ADHD have greater difficulty with ignition getting started on doing things they need to do, keeping other relevant goals in mind (Brown, 2013) TE Brown, Ph.D., Yale Medical School
13 How ADHD can affect emotions: Reactions to small frustrations or transient wishes can gobble up all the space in your mind like a computer virus frustration/anger hurt feelings got to have it now what if? à Emotional flooding: too much of one emotion TE Brown, Ph.D. Yale Medical School
14 Flooding with one emotion While flooded with one emotion, persons with ADHD tend to forget about other relevant facts or emotions -may forget their love & wish to protect the person friend, parent, child, coworker who frustrated or angered them and say or do things that are too hurtful TE Brown, Ph.D. Yale Medical School
15 Too Little Emotion Some with ADHD report that they have too little emotion for tasks that are actually important to them; they can t get started! Usually this involves getting stuck in the concerns of the moment and not responding to the bigger picture, the longer term.
16 Examples of Too Little Emotion for the Bigger Picture Tired when waking up, snooze alarm repeats while forgetting recent warning from boss Impulsive purchase using funds needed for an important upcoming expense
17 ADHD Hyperfocus can bias and impair motivation Focused too intensely on one goal or task, you may forget other goals you have or how actions of the moment may affect your bigger picture like one who is watching a basketball game through a telescope, you may miss other relevant aspects of the situation TE Brown, Ph.D. Yale Medical School
18 ADHD Working Memory Impairments can bias and impair motivation Is important for holding in mind multiple thoughts and emotions, relevant to any specific situation or task Impairment in working memory is a key aspect of ADHD Often people with ADHD are unable to keep multiple emotions in mind at same time so they can prioritize TE Brown, Ph.D. Yale Medical School
19 Sue 14 year-old high school student Until I got into middle school I always got good grades and never got into trouble. Now everybody thinks I m hopeless because I dress Goth and don t do much homework. My parents and teachers look down on me just because of the friends I hang out with. They don t really know me or my friends! TEBrown, Yale Medical School, 2013
20 Sue Transition into middle school Reciprocal confrontations Documenting abilities Validating for accommodations Frustrations, hope and reassurance Risks of micro-managing
21 Mike 21 year-old university student My Dad always said I m smart, but just lazy; maybe he s right. I got put on academic probation, now I have to drop out. I m always spacing out and can t get started on anything until the last minute. I tried my friend s ADHD med; it helped a lot, but my dad doesn t want me evaluated for ADHD; he says meds are like steroids. TEBrown, Yale Medical School, 2013
22 Mike Social anxiety Family skepticism Possible Selves Hidden concerns Sexuality Unacknowledged burdens
23 Sarah 50 year-old homemaker & mother I ve been married 25 years, have 3 great kids, and had a decent career as a journalist, but I just got fired because I couldn t prioritize and keep up with my work. Since menopause I ve had trouble keeping track of things and getting work done. It s been getting worse. I m scared I may be getting Alzheimers. TEBrown,Ph.D., Yale Medical School
24 Sarah Empty nest & re-entry to job Fears of dementia Estrogen and executive functions Demoralization Medications TE Brown, Ph.D. Yale Medical School
25 Cultivation of Hope Plant seeds: individualized dreams Fertilize strengths with encouragement nurturing of personal dreams, possible selves, realistic, but not too pessimistic Keep at this time perspective Utilize fine-tuned medication & additional support when needed Recognize the limits of our powers
26 Realistic & Unrealistic Hope Unrealistic Hope: ignores reality of what it takes to meet challenges and suggests you can do anything you want as though just wanting does it. Realistic Hope: recognizes realistic requirements and utilizes resources to select realistic goals and to support efforts needed to meet challenges in short-term and longer term.
27 Key Points 1. Those with ADHD often have chronic difficulties with motivation in many, but not all situations 2. Motivation is shaped by complex processes that integrate idiosyncratic emotion-laden memories that shape how we see and think about things 3. Working memory & focusing impairments characteristic of ADHD may impair motivation by causing emotional flooding or constricted focus TE Brown, Yale Medical School, 2013
28 Books by Thomas E. Brown, Ph.D. ( Smart but Stuck: Emotions in Teens and Adults with ADHD 2014 A New Understanding of ADHD in Children and Adults: Executive Function Impairments 2013 ADHD Comorbidities: Handbook for ADHD Complications in Children and Adults 2009 Attention Deficit Disorder: The Unfocused Mind in Children and Adults
New Understandings of ADHD:
New Understandings of ADHD: Role of Emotions Thomas E. Brown, PhD Associate Director, Yale Clinic for Attention and Related Disorders Department of Psychiatry Yale Medical School 3. The Mystery of ADHD:
Executive Functions and ADHD
Image by Photographer s Name (Credit in black type) or Image by Photographer s Name (Credit in white type) Executive Functions and ADHD: Theory Underlying the New Brown Executive Functions/Attention Scales
An Overview of The New Brown Executive Function/Attention Scales (Brown EF/A Scales) Presenter and Author. Change in Understanding ADHD
Image by Photographer s Name (Credit in black type) or Image by Photographer s Name (Credit in white type) An Overview of The New Brown Executive Function/Attention Scales (Brown EF/A Scales) Presenter
Kids Booklet 5 & on Autism. Create an autism awareness ribbon! Tips for parents & teachers. Activities puzzles
Kids Booklet on Autism Create an autism awareness ribbon! Tips for parents & teachers 5 & Activities puzzles Take a look at what s inside! Questions and Answers About Autism page 2 Brothers and Sisters
Treatment Approaches for Individuals with Brain Injury. Welcome!
5/10/16 Treatment Approaches for Individuals with Brain Injury www.ndbin.org 855-866-1884 Help for Today, Hope for Tomorrow. Welcome! Todays training is the last in a four part series on brain injury.
Healthy Coping. Learning You Have Diabetes. Stress. Type of Stress
Healthy Coping Learning You Have Diabetes Learning you have diabetes changes your life forever. You may feel scared, shocked, angry or overwhelmed. You may not want to believe it. These are normal reactions.
For more than 100 years, extremely hyperactive
8 W H A T W E K N O W AD/HD Predominantly Inattentive Type For more than 100 years, extremely hyperactive children have been recognized as having behavioral problems. In the 1970s, doctors recognized that
Stress is different for everyone While what happens in the brain and the body is the same for all of us, the precipitating factors are very
1 Stress is different for everyone While what happens in the brain and the body is the same for all of us, the precipitating factors are very individual. What one person experiences as stressful might
TTENTION IS AN INCREDIBLY COMPLEX, MULTIFACETED FUNCTION of the mind. It plays a crucial role in what we perceive, remember, think, feel, and do.
TTENTION IS AN INCREDIBLY COMPLEX, MULTIFACETED FUNCTION of the mind. It plays a crucial role in what we perceive, remember, think, feel, and do. And it is not just one isolated activity of the brain.
Information on ADHD for Children, Question and Answer - long version
Information on ADHD for Children, Question and Answer - long version What is Attention Deficit Hyperactivity Disorder or ADHD? People with ADHD have brains that may function a little differently in some
Nuts and Bolts of Creative Hopelessness (CH)
Nuts and Bolts of Creative Hopelessness (CH) Think of CH as part of acceptance work. The aim of it is to open people to the agenda of acceptance. CH is an optional part of the ACT model. We use it if we
Managing Your Emotions
Managing Your Emotions I love to ask What s your story? (pause) You immediately had an answer to that question, right? HOW you responded in your mind is very telling. What I want to talk about in this
Understanding Emotional TRIGGER. What are triggers?
What are triggers? We all have emotional triggers. Perhaps someone makes an off-hand comment about how you look, your new project at work, how you seem a little tired lately, or a comment about someone
Depression Care. Patient Education Script
Everybody has the blues from time to time, or reacts to stressful life events with feelings of anxiety, sadness, or anger. Normally these feelings go away with time but when they persist, and are present
The Phoenix/New Freedom Mental Health Programming
The Phoenix/New Freedom Mental Health Programming Phoenix/New Freedom Mental Health Programming Orientation/Introduction to Programming The following model represents a program designed for 14 mental health
QUESTIONS ANSWERED BY
Module 16 QUESTIONS ANSWERED BY BERNIE SIEGEL, MD 2 Q How do our thoughts and beliefs affect the health of our bodies? A You can t separate thoughts and beliefs from your body. What you think and what
Executive Functioning
Executive Functioning What is executive functioning? Executive functioning is a process of higher brain functioning that is involved in goal directed activities. It is the part of the brain that enables
NOT ALONE. Coping With a Diagnosis of Facioscapulohumeral Muscular Dystrophy (FSHD)
NOT ALONE Coping With a Diagnosis of Facioscapulohumeral Muscular Dystrophy (FSHD) FOR THE NEWLY DIAGNOSED AND THEIR LOVED ONES, FROM THOSE WHO HAVE TRAVELED THIS ROAD BEFORE YOU We re not alone. We re
Kids Chapter. The ADHD e-book. Hey, What Is this ADHD Thing, Anyway?
Kids Chapter The ADHD e-book Hey, What Is this ADHD Thing, Anyway? Martin L. Kutscher, M.D. Assistant Clinical Professor of Pediatrics and Neurology, New York Medical College, Valhalla, N.Y. Pediatric
AN INFORMATION BOOKLET FOR YOUNG PEOPLE WHO SELF HARM & THOSE WHO CARE FOR THEM
SeLf- HaRM AN INFORMATION BOOKLET FOR YOUNG PEOPLE WHO SELF HARM & THOSE WHO CARE FOR THEM SELF HARM // An Information Booklet 4 SELF HARM An Information Booklet For Young People Who Self Harm And Those
Paul Figueroa. Washington Municipal Clerks Association ANNUAL CONFERENCE. Workplace Bullying: Solutions and Prevention. for
Workplace Bullying: Solutions and Prevention for Washington Municipal Clerks Association ANNUAL CONFERENCE Paul@PeaceEnforcement.com 206-650-5364 Peace Enforcement LLC Bullying described: Why people do
SHARED EXPERIENCES. Suggestions for living well with Alzheimer s disease
SHARED EXPERIENCES Suggestions for living well with Alzheimer s disease The Alzheimer Society would like to thank all the people with Alzheimer s disease whose photos and comments appear in this booklet.
Why does someone develop bipolar disorder?
Bipolar Disorder Do you go through intense moods? Do you feel very happy and energized some days, and very sad and depressed on other days? Do these moods last for a week or more? Do your mood changes
Take new look emotions we see as negative may be our best friends (opposite to the script!)
Tony Robbins - emotions Take new look emotions we see as negative may be our best friends (opposite to the script!) How do people deal? 1. They avoid them try not to feel them. a. Rejection 2. I ll endure
ADD/ADHD: REAL or IMAGINED?
Author: Becky MacKenzie, 2006 ADD/ADHD: REAL or IMAGINED? Is ADD/ADHD a legitimate mental disorder? The subject of ADD/ADHD came up in class the other night. A student asked if ADD/ADHD was a real disorder
2/8/ List three homework assignments to give anxious families. 2. Describe three ways that families strengthen anxious patterns.
1. List three homework assignments to give anxious families. 2. Describe three ways that families strengthen anxious patterns. 3. Describe the difference between content and process when treating anxiety.
I m NOT Interested in Anything I m NOT Interested In!!
I m NOT Interested in Anything I m NOT Interested In!! A Teenager s Guide to ADHD Booklet 1 In a Series Chesterfield County Public Schools I don t want to hear anymore about this ADHD junk!!! People won
Hope Begins with You. Jeff Morris, Presenter
Hope Begins with You. Jeff Morris, Presenter What do you want to learn? How to help someone who is depressed. How to help family members of a depressed person. How to identify students who are high-risk.
SOS Signs of Suicide. Some Secrets SHOULD be Shared
SOS Signs of Suicide Some Secrets SHOULD be Shared Let s talk for a moment about Depression True or False? Depression is more than just feeling sad. True! Feeling depressed means you might feel some or
Functional Analytic Psychotherapy Basic Principles. Clinically Relevant Behavior (CRB)
Functional Analytic Psychotherapy Basic Principles Clinically Relevant Behavior (CRB) CRB1: In-session instances of daily-life problems CRB2: In-session instances of daily-life improvements CRB3: Client
Beyond Lazy and Unmotivated
Beyond Lazy and Unmotivated Why Parents and Teachers Need to Know About Executive Skills Peg Dawson Center for Learning and Attention Disorders Portsmouth, NH dawson.peg@gmail.com smartbutscatteredkids.com
Depression Fact Sheet
Depression Fact Sheet Please feel free to alter and use this fact sheet to spread awareness of depression, its causes and symptoms, and what can be done. What is Depression? Depression is an illness that
Chapter 1. Dysfunctional Behavioral Cycles
Chapter 1. Dysfunctional Behavioral Cycles For most people, the things they do their behavior are predictable. We can pretty much guess what someone is going to do in a similar situation in the future
b. often a result of ineffective or neutral interventions c. when the client deeply ponders the helper s intervention*
CHAPTER 8: STEPS FOR WORKING WITH FOUR TYPES OF ACTION Multiple-Choice Questions 8.01. Circling is all of the following except: a. staying at the same level b. often a result of ineffective or neutral
Problem Situation Form for Parents
Problem Situation Form for Parents Please complete a form for each situation you notice causes your child social anxiety. 1. WHAT WAS THE SITUATION? Please describe what happened. Provide enough information
Psychological wellbeing in heart failure
Patient information Struggling to cope? Can trelax? Psychological wellbeing in heart failure Stressedout? Trouble sleeping? Feelinglow? i Living with heart failure can be challenging mentally as well as
Warning Signs of Mental Illness in Children/Adolescents. Beth Confer, MA, LPC Director, Community Relations Clarity Child Guidance Center
Warning Signs of Mental Illness in Children/Adolescents Beth Confer, MA, LPC Director, Community Relations Clarity Child Guidance Center Identify At least 5 warning signs of mental illness in children
Letter to the teachers
Letter to the teachers Hello my name is Sasha Jacombs I m 12 years old and I have had Type 1 Diabetes since I was four years old. Some of the people reading this may not know what that is, so I had better
This is an edited transcript of a telephone interview recorded in March 2010.
Sound Advice This is an edited transcript of a telephone interview recorded in March 2010. Dr. Patricia Manning-Courtney is a developmental pediatrician and is director of the Kelly O Leary Center for
It still is, but in a different way since dementia joined our family.
You can picture the cheerleader and the football player who became high school sweethearts. She had the pom poms and he had the shoulder pads and the tough guy scowl. Well that was us, but it was so totally
Bipolar Disorder in Children and Teens
Bipolar Disorder in Children and Teens Does your child go through intense mood changes? Does your child have extreme behavior changes? Does your child get much more excited and active than other kids his
3/10/14. Executive Functions
Minimize the Madness- Taking the Mystery out of ADHD Medications Class #2 The Executive Function: The Source of ADHD Symptoms Presented by Laurie Dupar, Certified ADHD Coach and Nurse Practitioner Executive
How to Motivate Clients to Push Through Self-Imposed Boundaries
How to Help Clients Overcome Their Most Limiting Fears, Part 2 McGonigal, PhD - Transcript - pg. 1 How to Help Clients Overcome Their Most Limiting Fears, Part 2: Kelly McGonigal, PhD How to Motivate Clients
Why Is It That Men Can t Say What They Mean, Or Do What They Say? - An In Depth Explanation
Why Is It That Men Can t Say What They Mean, Or Do What They Say? - An In Depth Explanation It s that moment where you feel as though a man sounds downright hypocritical, dishonest, inconsiderate, deceptive,
Controlling Worries and Habits
THINK GOOD FEEL GOOD Controlling Worries and Habits We often have obsessional thoughts that go round and round in our heads. Sometimes these thoughts keep happening and are about worrying things like germs,
Learning Objectives. Neuroscience of Learning. How can Neuroscience help understand the process of learning?
Supporting the Special Needs of Gifted Children: Neuroscience Implications for Regulating Emotions and Behavior MCGT CHAT, Prior Lake April 3, 2013 Anne Tyler, MS, LMFT Tyler Institute Learning Objectives
An Update on ADD/ADHD for Educators. Thomas E. Brown, Ph.D.
An Update on ADD/ADHD for Educators Thomas E. Brown, Ph.D. As a new school year begins, many parents of children or adolescents with ADD/ADHD will discover that teachers educating their children lack updated,
Section 4 - Dealing with Anxious Thinking
Section 4 - Dealing with Anxious Thinking How do we challenge our unhelpful thoughts? Anxiety may decrease if we closely examine how realistic and true our unhelpful/negative thoughts are. We may find
Why Is Mommy Like She Is?
Why Is Mommy Like She Is? A Book For Kids About PTSD Deployment Edition Patience H. C. Mason Patience Press High Springs, Florida PP Patience Press 2010 by Patience Mason All rights reserved. No part of
Dream in Gold. If you had the opportunity to meet the one person who inspires you most; what would you say?
Dream in Gold If you had the opportunity to meet the one person who inspires you most; what would you say? What does it mean to be a Keeper? Being a Keeper comes with a lot of responsibility. You must
Sexual Intelligence: A New View of Sexual Function & Satisfaction
Sexual Intelligence: A New View of Sexual Function & Satisfaction Marty Klein, Ph.D Entrepreneurs Organization February 23, 2017 What do most people say they want from sex? 1) Pleasure 2) Closeness But
Test Anxiety. New Perspective Counseling Services Dr. Elyse Deleski, LMFT
Test Anxiety New Perspective Counseling Services Dr. Elyse Deleski, LMFT What is Test Anxiety? Excessive worry about the test. Fear of being evaluated. A sick feeling you get when you are about to take
Bipolar Disorder in Children & Adolescents: Script of Podcast for Youth
Bipolar Disorder in Children & Adolescents: Script of Podcast for Youth By Anita R. Gornati Over the next few minutes, we are going to talk about what it s like to have a family member with Bipolar Disorder.
MANAGE YOUR MANAGE MANAGE YOURBRAIN YOUR LIFE. JERRY MUNGADZE, PhD
BRAIN LIFE JERRY MUNGADZE, PhD D A L L A S, T E X A S PART ONE GOD AND OUR BRAIN For you created my inmost being; you knit me together in my mother s womb. I praise you because I am fearfully and wonderfully
Helping Your Children Learn to Handle Their Own Anxiety Winter 2015
Helping Your Children Learn to Handle Their Own Anxiety Winter 2015 Daniel G. Shapiro, M.D. Developmental and Behavioral Pediatrics drdanshapiro@gmail.com www.raisingyourchallengingchild.com Aristotle
The Next 32 Days. By James FitzGerald
The Next 32 Days By James FitzGerald The CrossFit OPENS are here again. It seems like a few months ago we were all making the statements - THIS will be the year of training Only to see those months FLY
Worksheet # 1 Why We Procrastinate
Worksheet # 1 Why We Procrastinate Directions. Take your best guess and rank the following reasons for why we procrastinate from 1 to 5 starting with 1 being the biggest reason we procrastinate and 5 being
Understanding Your Own Grief Journey. Information for Teens
Understanding Your Own Grief Journey Information for Teens Grief is a natural response to love and loss. People who are grieving experience a variety of feelings, sometimes in succession, sometimes at
All Work and No Play - Avoiding Burnout. Presented by Carmen Afghani Seminole State College of Florida
All Work and No Play - Avoiding Burnout Presented by Carmen Afghani Seminole State College of Florida Objectives Define Burnout Learn the differences between stress and burnout Identify the causes of burnout
Mental Health Information For Teens, Fifth Edition
Teen Health Series Mental Health Information For Teens, Fifth Edition Health Tips About Mental Wellness And Mental Illness Including Facts About Recognizing And Treating Mood, Anxiety, Personality, Psychotic,
Recognizing Alzheimer's Disease at the Earliest Stages: Key Signs and Symptoms
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/alzheimers-disease-towards-earlier-detection/recognizing-alzheimersdisease-earliest-stages-key-signs-and-symptoms/8319/
Difficult Conversations
Difficult Conversations Corban Sanchez Academic Advisor NACADA Conference 2011 Douglas Stone, Bruce Patton, and Sheila Heen of the Harvard Negotiation Project Moving Toward a Learning Conversation Normal
Depression: More than just the blues
Depression: More than just the blues August 2011 Knowing When to Get Help Is it depression? How do you know if you re depressed? That s a good question! Depression can be a byproduct of stress and anxiety.
QPR Staff suicide prevention training. Name Title/Facility
QPR Staff suicide prevention training Name Title/Facility email Learning Objectives Explain what QPR means Identify risk factors and early warning signs of suicide Apply QPR principles to help save a life
Worries and Anxiety F O R K I D S. C o u n s e l l i n g D i r e c t o r y H a p p i f u l K i d s
Worries and Anxiety F O R K I D S C o u n s e l l i n g D i r e c t o r y H a p p i f u l K i d s Contents What is anxiety? Types of anxiety What does anxiety look like? Top tips for tackling worries Asking
THE 5-MINUTE PERSONALITY TEST L O G B
THE 5-MINUTE PERSONALITY TEST Below are ten horizontal lines with four words on each line, one in each column. In each line, put the number 4 next to the word that best describes you in that line; a 3
Detective Work & Disputation Contents
Detective Work & Disputation Contents Page Moving on to D: Challenging Our Unhelpful Thoughts 2 Thought Diary 5 Module Summary 7 Psychorapy Research Training Page 1 Moving on to D: Challenging Our Unhelpful
Relational Skills That Heal and Restore Joy In Communities
Relational Skills That Heal and Restore Joy In Communities Rev. Chris M. Coursey Jen Coursey 9:10am 10:30am 2017 ACTheals Conference My focus is building and strengthening a community cluster around you,
Attention Deficit Disorder (ADD/ADHD) Test Based upon the DSM-5 criteria and other screening measures for ADD/ADHD Reviewed by John M. Grohol, Psy.D.
Attention Deficit Disorder (ADD/ADHD) Test Based upon the DSM-5 criteria and other screening measures for ADD/ADHD Reviewed by John M. Grohol, Psy.D. Use this quiz to help determine if you need to see
Some Town, YY Phone: (111) Fax: (111)
Date: May 21, 2012 Location: Any County Jail CM met with Collette at the County Jail. She presented with flat affect and depressed mood. She spoke slowly and she required re-direction back to the conversation
Psychology - Mr. Duez Unit 3 - Part I Consciousness 3 - Dreams
Psychology - Mr. Duez Unit 3 - Part I Consciousness 3 - Dreams Dreams A sequence of images, emotions, and thoughts passing through a sleeping person s mind. Manifest Content: the remembered storyline of
DEAF CHILDREN WITH ADHD AND LEARNING DIFFICULTIES
DEAF CHILDREN WITH ADHD AND LEARNING DIFFICULTIES Scott R. Smith, MD, MPH Developmental-Behavioral Pediatrician University of Rochester Medical Center Common Complaints about Children with Problems Your
CBT+ Measures Cheat Sheet
CBT+ Measures Cheat Sheet Child and Adolescent Trauma Screen (CATS). The CATS has 2 sections: (1) Trauma Screen and (2) DSM5 sx. There are also impairment items. There is a self-report version for ages
Sexual Feelings. Having sexual feelings is not a choice, but what you do with your feelings is a choice. Let s take a look at this poster.
Sexual Feelings It may be your first instinct to deny that your child will ever have sexual feelings. You may even do everything in your power to suppress those feelings if they do surface. You won t succeed
What You Need to Know. Self-Regulation: 5 Domains of Self-Reg
What You Need to Know. Self-Regulation: 5 Domains of Self-Reg The Shanker Self-Reg Framework Self-regulation refers to the manner in which an individual deals with stress, in all its many forms, and then
A patient s journey. Can you describe your struggle with addiction? Nathan Patient, US
A patient s journey Nathan Patient, US Nathan s journey I had reached rock bottom, but through determination and humility I worked my way back up. I attended meetings. I found a job where I started cleaning
Student with Hearing Loss Inspiring Story
Student with Hearing Loss Inspiring Story Tena McNamara, President-Elect of the Educational Audiology Association, had the opportunity to interview a very unique young woman about her perceptions of her
ADD / ADHD in Children
ADD / ADHD in Children SIGNS AND SYMPTOMS OF ATTENTION DEFICIT DISORDER It s normal for children to occasionally forget their homework, daydream during class, act without thinking, or get fidgety at the
Handout on Expectations, Transitions and Overcoming Imposter Syndrome
Handout on Expectations, Transitions and Overcoming Imposter Syndrome Expectations It is important that we have ideas about the future to provide motivation to engage in the challenges of life and achieve
Nonjudgmentally and Cognitive Therapy
Nonjudgmentally and Cognitive Therapy See, but don t evaluate. Take a nonjudgmental stance. Just the facts. Focus on the what, not the good or bad, the terrible or wonderful, the should or should not.
g o o d f e l l o w u n i t. o r g
g o o d f e l l o w u n i t. o r g FACT: Radical change is possible for patients in brief primary care visits Kirk Strosahl g o o d f e l l o w u n i t. o r g Ask a question 1. 2. 3. FACT in Primary Care
The ABCs of Dementia Diagnosis
The ABCs of Dementia Diagnosis Dr. Robin Heinrichs, Ph.D., ABPP Board Certified Clinical Neuropsychologist Associate Professor, Psychiatry & Behavioral Sciences Director of Neuropsychology Training What
Mourn the Past, Create the Future: Adjusting to the Diagnosis
Mourn the Past, Create the Future: Adjusting to the Diagnosis Ari Tuckman, PsyD, MBA West Chester, PA Ari@TuckmanPsych.com adultadhdbook.com Your Life Has Been Harder ADHD creates additional struggles
Awareness of Borderline Personality Disorder
Borderline Personality Disorder 1 Awareness of Borderline Personality Disorder Virginia Ann Smith Written Communication Sarah Noreen, Instructor November 13, 2013 Borderline Personality Disorder 2 Awareness
FREE LIFE COACHING KIT
Feel free to share with family and friends! www.itakeoffthemask.com FREE LIFE COACHING KIT What Can Life Coaching Do For Me? The International Coach Federation defines coaching as follows: Coaching is
Driven To Distraction (Revised): Recognizing And Coping With Attention Deficit Disorder PDF
Driven To Distraction (Revised): Recognizing And Coping With Attention Deficit Disorder PDF Groundbreaking and comprehensive, Driven to Distraction has been a lifeline to the approximately eighteen million
The 5 Key Ways Your Emotions Can Support (Or Damage) Your Fertility
The 5 Key Ways Your Emotions Can Support (Or Damage) Your Fertility by Sarah Holland, Fertility EFT Coach and creator of the Fertile Mindset Sanctuary www.fertilemindset.com When you had been trying to
Keeping Home Safe WHAT CAN YOU DO?
Keeping Home Safe or dementia may have trouble knowing what is dangerous or making safe decisions. By helping him or her feel more relaxed and less confused at home, you can help stop accidents. trip because
My ADHD Child Doesn t Seem Motivated to Get Good Grades Richard Lougy, LMFT/School Psychologist & David Rosenthal, MD, Psychiatrist
My ADHD Child Doesn t Seem Motivated to Get Good Grades By Richard Lougy, LMFT/School Psychologist & David Rosenthal, MD, Psychiatrist All children at times find school work boring and not a high priority
Changing Behavior. Can t get up. Refuses to get up for school. I like school. Sad Poor sleep Angry Thoughts of self harm.
Changing Behavior I like school Can t get up. Refuses to get up for school. Mostly happy Larry Burd, PhD North Dakota Fetal Alcohol Syndrome Center 501 North Columbia Road Grand Forks ND, 58203 larry.burd@med.und.edu
More Praise for Smart but Stuck
More Praise for Smart but Stuck Smart but Stuck will help you get unstuck! Drawing upon a lifetime of clinical experience, Tom Brown once again strikes gold in this practical, authoritative, and, above
PRISM SECTION 15 - STRESSFUL EVENTS
START TIME : PRISM SECTION 15 - STRESSFUL EVENTS Statement I.1: These next questions are about difficult or stressful things that can happen to people. It may be hard to remember everything about these
Module 3 - How Pain Affects You
Module 3 - How Pain Affects You You have learned that pain is produced as a result of all of the incoming electrical or danger signals which reach your brain. Example: Mum Watching Her Son Play Footy Think
Cognitive Self-Change: Thinking Controls Behavior THINKING REPORTS
Cognitive Self-Change: Thinking Controls Behavior THINKING REPORTS August 2015 Thinking Controls Behavior Thoughts / feelings control the way we act We can control how we act by controlling our ways of
Attention and Concentration Problems Following Traumatic Brain Injury. Patient Information Booklet. Talis Consulting Limited
Attention and Concentration Problems Following Traumatic Brain Injury Patient Information Booklet Talis Consulting Limited What are Attention and Concentration? Attention and concentration are two skills
The Role of Executive Functions in Attention Deficit Hyperactivity Disorder and Learning Disabilities
Journal April 2000 Volume 10, No. 2 (Reprinted with permission of Editor) Attention Deficit Hyperactivity Disorder (ADHD) appears to be a disorder of self-control or executive functions. The executive
Managing ADHD. Strategies and Modifications for Counselors and Teachers
Managing ADHD Strategies and Modifications for Counselors and Teachers F Russell Crites, Jr., M.S., L.P.C., L.M.F.T, L.S.S.P. Director Crites Psychoeducational Consultants www.critescounseling.com 972-506-7111
Compassion and Assertion
chapter 9 Compassion and Assertion If we could read the secret history of our enemies, we should find in each [person s] life sorrow and suffering enough to disarm any hostility. Henry Wadsworth Longfellow
Anxiety and problem solving
Anxiety and problem solving Anxiety is very common in ADHD, because it is diffi cult to relax with a restless body and racing thoughts. At night, worry may keep you awake. What physical sensations do you
Section II: Tool Box Chapter 3: Thinking Tools
18 Section II: Tool Box Chapter 3: Thinking Tools How do we change the way we think? An important part of cognitive-behavioral therapy is knowing that our unhelpful thoughts create negative emotions. Yet,