Monday, March 16, 2009

Local ADD Coaching

I mainly do local coaching of AD(H)D adolescents and adults in Atlanta. The usual method of coaching is to arrange a first appointment, and set up regular phone calls to provide strategies and goals, and to track the rate of progress. Because many clients live in the Atlanta area, they can easily come to my office and make periodic visits. The face to face visits are invaluable, because, as a clinical psychologist, information is given to me in person. I can read the nonverbal cues, and learn about other serious problems affecting the ADDer's status.

As an example, I was coaching a man who began to talk about his lack of intimacy with his wife and his resulting loneliness. As clinicians, we usually talk about the impact ADD has on the relationship with others. But equally important is the impact that the significant other's problems have on the ADDer's life. I intend to meet the spouse of this man to better understand the whole system, so as to help sort out ADD from other issues.

Do you feel that coaching by phone, without face to face interactions, is sufficient to provide information about the ADDer's clinical picture, including factors in his present context impacting him?

Tuesday, March 3, 2009

ADHD AND ACADEMIC SKILLS

I have adult clients who tell me that they have trouble with reading, spelling or math because they have ADHD. Years ago, when I started giving workshops to parents with ADHD children, many reacted angrily because their child was taking stimulant medication for ADHD, and focused well, but still didn't read. Often, stimulant medication helps a child become more alert and read, spell and do math because of better focus. But more often ADHD children and adults have difficulty reading per se and can't concentrate because of this difficulty.. They may have ADHD as well, but in the case of reading, they need a reading tutor. I have found that some adults with ADHD were doing well at their jobs. But, when they changed to another job requiring higher level math or more complex reading, they had difficulty. Fortunately, nowadays, there is technology to enhance academic skills.

We all have learning strengths and weaknesses. I have ADHD, but I also have poor spatial skills. If I was asked to put together a box or table, I couldn't do it. Though I can read well, I have poor spatial abilities. Regardless of how long I take. I still need someone else to show me, or just do the task without me. I've accepted my limitations, and realize that while, as an ADDer my patience is short, I still lack s kills in certain areas.

Therefore, as a child or adult with ADHD, you need to check out whether your difficulties are due to ADD or some kind of learning problem.