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ADHD
TRICKS TREATS
& TREATMENT
I N N O VAT I V E I D E A S A N D I N T E RV E N T I O N S
10/22/2019
WiseHeartWellness.ca
1
WHAT IS ADHD?
DISORDER?
DISABILITY?
DIFFERENCE?
DISREGULATION
?
DEVELOPMENTA
L?
10/22/2019
WiseHeartWellness.ca
2
• 1800 Minimal Brain Dysfunction/Damage
• 1902 An abnormal defect of moral control in
children
• 1968 hyperkinetic impulse disorder
• 1980 ADD with and without hyperactivity
• Currently commonly referred to as a
neurodevelopmental disorder
• There is also the consideration of the
consequences of untreated ADHD as it contributes
to or increases symptoms that then look like
comorbitities that may or may not be part of the
original problem, which is hard to tell in adults.
WHAT IS ADHD? DISORDER?
WiseHeartWellness.ca
10/22/2019
3
In the Psychiatric
“Bible” DSM 5 ADHD is
classified as a
DISORDER
Past research has consistently
revealed neurochemical
irregularities
Emerging research is now
revealing further concrete
organic physical causes.
but….. it is still debated
hotly, because it is
describing a collection of
behavioral and cognitive
symptoms without
specified organic causes
Dopamine is the most
studied, but it turns out
that there are specific types
of attentional troubles from
imbalances in specific
neurochemicals.
There are clear developmental
delays in neural network
development, blood volume
differences and more than 12
specific genes associated with
ADHD
WHAT IS ADHD?
DISABILITY?
10/22/2019
WiseHeartWellness.ca 4
• People that live with untreated ADHD often end up
classified as DISABLED for other reasons
• Canada Revenue says it is a
DISABILITY…sometimes
• 45-50% of ADHD persons ALSO have specific
learning DISABILITIES in addition to the ADHD
• Basic definition of DISABILITY: preventing “normal”
participation in life but where is the line
• ADHD as a DISABILITY is much harder to prove,
due to the nature of ADHD; variable engagement,
performance, motivation, emotional instability,
concurrent conditions and responses to treatment.
WHAT IS ADHD?
DIFFERENCE?
• This represents a new and fundamentally
different way of looking at conditions like
ADHD and Autism that were traditionally
pathologized.
• For some people being neurodiverse is a good
thing, that they have been able to capitalize on.
• For most navigating a society that isn’t
accepting of much of the divergent behavior;
like impulsive blurting out in conversation to
being late and disorganized, this idea of
“celebrating” it just leaves them with another
failure. So this is an important evolving
concept
10/22/2019
WiseHeartWellness.ca
5
WHAT IS ADHD?
DYSREGULATION
?
WiseHeartWellness.ca 6
10/22/2019
WHAT IS ADHD?
DEVELOPMENTAL?
WiseHeartWellness.ca
7
10/22/2019
• Neurodevelopmental delays such as network
development and cortical thickness
• Cortex development motor before master
• Motor and speech development
• Clear developmental delays/deficits in cognition
and behavior
• Learning to understand and operate time
• Social skills, impulse control and learning writing
• Confounds between delayed or suppressed. Up to
2/3 of adults had childhood symptoms.
DOES ADHD
EVEN EXIST
?
CONDITIONS BEHIND ADHD SYMPTOMS
Vison>Hearing>Sleep>Substance Abuse>Sensory Processing
Disorder>Mood>Disorders>Learning>Disabilities>Giftedness>
Seizures>OCD>Tourette’s>Asperger’s>Brain Chemistry
Imbalances>Schizophrenia>FAS>Fragile X Syndrome>Endocrine
Conditions-Vitamin and Mineral Deficiencies>
Tumor>Hormones> Metal poisoning>
Prematurity>Concussion>Trauma>Allergies>
Food Sensitivities> Severe Neglect> Ongoing unmitigated stress>
English as a Second Language>Bullying>Eating Disorders>Diet
Dr. Richard Saul
author of
ADHD
Does Not Exist
10/22/2019
WiseHeartWellness.ca 8
The point he makes is, that ASSESMENT and investigation
of possible causes and clarification of symptom etiology
is the key to effective treatment!
TREATING ADHD
WHAT ARE WE
TREATING?
Specific Performance
or Function Related
Problems
10/22/2019
WiseHeartWellness.ca
9
TREATING
ADHD
WHAT ARE
WE
TREATING?
GENERAL ORIENTING
PERCEPTIONS
COGNITIVE CORRECTIONS
DANI DONOVAN HUMOR HELPS!
WiseHeartWellness.ca
10
10/22/2019
TRICKY
TREATING ADHD
EMOTIONAL
DYSREGULATION
10/22/2019
WiseHeartWellness.ca
11
Emotional processing and regulation
problems had been a integeral part of
the problem of ADHD from the start.
BUT it was taken out of the description
because scientists couldn’t cope with
measuring and clarifying the variations
people experienced with this facet of
ADHD
Think about emotionally dysregulated
people facing the difficulties of ADHD
with no assistance to face the emotional
impact of the experience of ADHD!
TREATING ADD
CONSEQUENCES OF
HAVING ADHD
WiseHeartWellness.ca
12
• FAILURE breeds negative emotions, guilt
over the failure, feelings of
disappointment, even rejection, from
yourself and others as a result of the
failure. These smaller emotions become
stronger feelings of shame, fear about
initiating new tasks, worry about one's
ability, even loneliness if you are
repeatedly rejected due to your mistakes.
• Daily dealing with this before anything!
10/22/2019
WALL OF AWFUL
NEUROCHMEIC
AL IMBALANCES
WiseHeartWellness.ca 13
The Brain Boys
• Dr. Joel Robertson
Robertson Brain Health
• Dr. Eric Braverman
The Edge Effect
• Dr. Daniel Amen
Healing ADD: The
Breakthrough Program That
Allows You to See and Heal the
7 Types of ADD,
10/22/2019
GENERAL ORIENTING
PERCEPTIONS
COGNITIVE CORRECTIONS
DANI DONOVAN HUMOR HELPS!
WiseHeartWellness.ca
TREATING ADHD WHAT ARE WE TREATING
14
10/22/2019
• People not conditions
• Families
• Communities
• Organizations
• Systems
• Countries
Creating understanding,
ease and growth around
the ADHD experience
requires far more that just
treating the identified
person their supports and
environments need
“treatment” too.
Honest patient feedback is
vital to evolving solutions!
TREATMENT TRAILS & TRIALS
• Education Station
• Substance Solutions
• Body Basics
• Activity Alignments
• Cognitive Corrections
• Emotional Evolution
• Environmental Engineering
• Practical Paths to Persistence
10/22/2019
TREATMENT:
SUBSTANCE SOLUTIONS
MEDICATION
• Stimulants
• Non-stimulants
• Other conditions
ONCE YOU HAVE YOUR
SYMPTOM PROFILE YOU
CAN TRACK WHAT
WORKS!!
Medication Is An Art
As Much As A Science
Different people
Different attitudes
Different needs
Different experiences
10/22/2019
WiseHeartWellness.ca
16
NUTRIENTS
• Omegas DHA/EPA 2:1 2000UI
• BRAIN MULTINUTRIENTS True
Hope
• Aminos depending on your levels
• Herbs
TREATMENT: EDUCATION & AWARENESS
10/22/2019
WiseHeartWellness.ca
17
INFORMATION is the most important piece of initiating treatment
 RESOURCES – investigate available resources, public, private, professional, self help
 What is ADHD? do a little research and see what resonates with your experience
 ASSESSMENT investigate possible causes, conditions and current symptom profile
 TREATMENT OPTIONS take time to investigate, prioritize and plan
 TALK TO OTHERS 2 opinions and perspectives - real people have real experience
• Attitudemag.com
• How to ADHD YouTube
• Russel Barkley
• Alberta Access Mental Health
PREPARATION FOR TREATMENT
Personal Performance Perimeter
• Realistic! understanding of what I
can do and cannot do
• Inside the perimeter – can do pretty
consistently and comfortably
• Outside the perimeter – can do it
sometimes but not usually easily
• What supports and resources do I
have
10/22/2019
WiseHeartWellness.ca
18
Personal Symptom Profile
• What am I trying to address
• How does the symptom show up
What, when, how, how often?
Sensation, Image, Feeling, Thought
Triggers, Tamers
• How long have I had this symptom?
• How did it start?
TREATMENT: BODY BASICS
SLEEP
• #1 target to improve
ADHD
• Sleep Assessments
• Naturopaths
10/22/2019
WiseHeartWellness.ca
19
EAT
• Unprocessed simple food
• Sufficient healthy protein
• Adequate healthy fats
• Address disorderly eating
Overeaters Anonymous
• Address obesity (Vyvanse)
BREATHE
• Consciously Deeply Slowly
• Resets ALL body systems
• Fuels and calms the brain
• HEARTMATH Biofeedback
• Breath physiotherapy
TREATMENT:
THERAPY FOR COGNITIVE CORRECTIONS & EMOTIONAL EVOLUTION
Adjust
Open to
change
Think about
acting
differently
Act
differently
Assess
feelings
Integrate
experience
COGNITIVE BEHAVIORAL THERAPY
Change thoughts < > Change Actions
DIALECTICAL BEHAVIOR THERAPY
Regulate thoughts and behavior
SOMATIC THERAPY
Recognize and release body discomfort
RELATIONSHIP THERAPY
Recognition and Reconnection
EXPRESSIVE THERAPY
Utilizes creative avenues to evolve
ACCEPTANCE THERAPY
Mindful occupation of how it is
10/22/2019
WiseHeartWellness.ca
20
TREATMENT:
ENVIRONMENTAL
ENGINEERING
• Bring things into the here and now making
internals external
• Make mental info physical – externalize
information and problem solving
• Make time physical and real – externalize and
compartmentalize
• Dependent on the environment for motivation
and cues – organize and externalize tasks and
rewards
• Executive function has limited willpower
resources, small tank and bad mileage –
requires constant refueling.
10/22/2019
WiseHeartWellness.ca
21
TREATMENT: PRACTICAL PATHS TO PERSISTENCE
TARGETED SELF CARE
Do things that fill your tank not drain
it!!
Setting an appointment, taking a class,
joining a group and repeating the
behavior decrease the will power
necessary to take it
I’ll do it when I can or have time
makes it harder and less rewarding to
do so we default to RELIEF like
eating, media and isolation, instead of
REPLENISHING
*EF – executive function
SR – self regulation
10/22/2019
WiseHeartWellness.ca
22
TREATMENT: PRACTICAL PATHS TO PERSISTENCE
SUPPORT GROUPS
• ADHD groups
• Therapy groups
• 12 Step Groups
• Church groups
• Activity groups
10/22/2019
WiseHeartWellness.ca
23
MEDITATION
• Required for brain upkeep
• Constant exploration and
experimentation
• Reconnection
• Regulation
• Restoration
THE END WHEW!THANKS FOR COMING
AND SPENDING YOUR ATTENTION WITH ME
NOW GO DO SOMETHING NICE FOR YOUR BRAIN
scientistsage@gmail.com
https://www.facebook.com/wiseheartwellnessworldwide10/22/2019
WiseHeartWellness.ca
24
OBESITY AND ADHD
10/22/2019WiseHeartWellness.ca
25
Kentucky: 14.8% >30-34 % Obesity
Arkansas: 14.6% >30-34 % Obesity
Louisiana: 13.3% >30-34 % Obesity
Indiana: 13.0% >30-34 % Obesity
Delaware : 11.7% >30-34 % Obesity
South Carolina: 11.7% >30-34 % Obesity
Nevada: 4.2% <25-29 % Obesity
New Jersey: 5.5% <25-29 % Obesity
Colorado: 5.6% <25 % Obesity
Utah: 5.8% <25 % Obesity
California: 5.9% <25 % Obesity

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Adhd tricks and treats

  • 1. ADHD TRICKS TREATS & TREATMENT I N N O VAT I V E I D E A S A N D I N T E RV E N T I O N S 10/22/2019 WiseHeartWellness.ca 1
  • 2. WHAT IS ADHD? DISORDER? DISABILITY? DIFFERENCE? DISREGULATION ? DEVELOPMENTA L? 10/22/2019 WiseHeartWellness.ca 2 • 1800 Minimal Brain Dysfunction/Damage • 1902 An abnormal defect of moral control in children • 1968 hyperkinetic impulse disorder • 1980 ADD with and without hyperactivity • Currently commonly referred to as a neurodevelopmental disorder • There is also the consideration of the consequences of untreated ADHD as it contributes to or increases symptoms that then look like comorbitities that may or may not be part of the original problem, which is hard to tell in adults.
  • 3. WHAT IS ADHD? DISORDER? WiseHeartWellness.ca 10/22/2019 3 In the Psychiatric “Bible” DSM 5 ADHD is classified as a DISORDER Past research has consistently revealed neurochemical irregularities Emerging research is now revealing further concrete organic physical causes. but….. it is still debated hotly, because it is describing a collection of behavioral and cognitive symptoms without specified organic causes Dopamine is the most studied, but it turns out that there are specific types of attentional troubles from imbalances in specific neurochemicals. There are clear developmental delays in neural network development, blood volume differences and more than 12 specific genes associated with ADHD
  • 4. WHAT IS ADHD? DISABILITY? 10/22/2019 WiseHeartWellness.ca 4 • People that live with untreated ADHD often end up classified as DISABLED for other reasons • Canada Revenue says it is a DISABILITY…sometimes • 45-50% of ADHD persons ALSO have specific learning DISABILITIES in addition to the ADHD • Basic definition of DISABILITY: preventing “normal” participation in life but where is the line • ADHD as a DISABILITY is much harder to prove, due to the nature of ADHD; variable engagement, performance, motivation, emotional instability, concurrent conditions and responses to treatment.
  • 5. WHAT IS ADHD? DIFFERENCE? • This represents a new and fundamentally different way of looking at conditions like ADHD and Autism that were traditionally pathologized. • For some people being neurodiverse is a good thing, that they have been able to capitalize on. • For most navigating a society that isn’t accepting of much of the divergent behavior; like impulsive blurting out in conversation to being late and disorganized, this idea of “celebrating” it just leaves them with another failure. So this is an important evolving concept 10/22/2019 WiseHeartWellness.ca 5
  • 7. WHAT IS ADHD? DEVELOPMENTAL? WiseHeartWellness.ca 7 10/22/2019 • Neurodevelopmental delays such as network development and cortical thickness • Cortex development motor before master • Motor and speech development • Clear developmental delays/deficits in cognition and behavior • Learning to understand and operate time • Social skills, impulse control and learning writing • Confounds between delayed or suppressed. Up to 2/3 of adults had childhood symptoms.
  • 8. DOES ADHD EVEN EXIST ? CONDITIONS BEHIND ADHD SYMPTOMS Vison>Hearing>Sleep>Substance Abuse>Sensory Processing Disorder>Mood>Disorders>Learning>Disabilities>Giftedness> Seizures>OCD>Tourette’s>Asperger’s>Brain Chemistry Imbalances>Schizophrenia>FAS>Fragile X Syndrome>Endocrine Conditions-Vitamin and Mineral Deficiencies> Tumor>Hormones> Metal poisoning> Prematurity>Concussion>Trauma>Allergies> Food Sensitivities> Severe Neglect> Ongoing unmitigated stress> English as a Second Language>Bullying>Eating Disorders>Diet Dr. Richard Saul author of ADHD Does Not Exist 10/22/2019 WiseHeartWellness.ca 8 The point he makes is, that ASSESMENT and investigation of possible causes and clarification of symptom etiology is the key to effective treatment!
  • 9. TREATING ADHD WHAT ARE WE TREATING? Specific Performance or Function Related Problems 10/22/2019 WiseHeartWellness.ca 9
  • 10. TREATING ADHD WHAT ARE WE TREATING? GENERAL ORIENTING PERCEPTIONS COGNITIVE CORRECTIONS DANI DONOVAN HUMOR HELPS! WiseHeartWellness.ca 10 10/22/2019 TRICKY
  • 11. TREATING ADHD EMOTIONAL DYSREGULATION 10/22/2019 WiseHeartWellness.ca 11 Emotional processing and regulation problems had been a integeral part of the problem of ADHD from the start. BUT it was taken out of the description because scientists couldn’t cope with measuring and clarifying the variations people experienced with this facet of ADHD Think about emotionally dysregulated people facing the difficulties of ADHD with no assistance to face the emotional impact of the experience of ADHD!
  • 12. TREATING ADD CONSEQUENCES OF HAVING ADHD WiseHeartWellness.ca 12 • FAILURE breeds negative emotions, guilt over the failure, feelings of disappointment, even rejection, from yourself and others as a result of the failure. These smaller emotions become stronger feelings of shame, fear about initiating new tasks, worry about one's ability, even loneliness if you are repeatedly rejected due to your mistakes. • Daily dealing with this before anything! 10/22/2019 WALL OF AWFUL
  • 13. NEUROCHMEIC AL IMBALANCES WiseHeartWellness.ca 13 The Brain Boys • Dr. Joel Robertson Robertson Brain Health • Dr. Eric Braverman The Edge Effect • Dr. Daniel Amen Healing ADD: The Breakthrough Program That Allows You to See and Heal the 7 Types of ADD, 10/22/2019
  • 14. GENERAL ORIENTING PERCEPTIONS COGNITIVE CORRECTIONS DANI DONOVAN HUMOR HELPS! WiseHeartWellness.ca TREATING ADHD WHAT ARE WE TREATING 14 10/22/2019 • People not conditions • Families • Communities • Organizations • Systems • Countries Creating understanding, ease and growth around the ADHD experience requires far more that just treating the identified person their supports and environments need “treatment” too. Honest patient feedback is vital to evolving solutions!
  • 15. TREATMENT TRAILS & TRIALS • Education Station • Substance Solutions • Body Basics • Activity Alignments • Cognitive Corrections • Emotional Evolution • Environmental Engineering • Practical Paths to Persistence 10/22/2019
  • 16. TREATMENT: SUBSTANCE SOLUTIONS MEDICATION • Stimulants • Non-stimulants • Other conditions ONCE YOU HAVE YOUR SYMPTOM PROFILE YOU CAN TRACK WHAT WORKS!! Medication Is An Art As Much As A Science Different people Different attitudes Different needs Different experiences 10/22/2019 WiseHeartWellness.ca 16 NUTRIENTS • Omegas DHA/EPA 2:1 2000UI • BRAIN MULTINUTRIENTS True Hope • Aminos depending on your levels • Herbs
  • 17. TREATMENT: EDUCATION & AWARENESS 10/22/2019 WiseHeartWellness.ca 17 INFORMATION is the most important piece of initiating treatment  RESOURCES – investigate available resources, public, private, professional, self help  What is ADHD? do a little research and see what resonates with your experience  ASSESSMENT investigate possible causes, conditions and current symptom profile  TREATMENT OPTIONS take time to investigate, prioritize and plan  TALK TO OTHERS 2 opinions and perspectives - real people have real experience • Attitudemag.com • How to ADHD YouTube • Russel Barkley • Alberta Access Mental Health
  • 18. PREPARATION FOR TREATMENT Personal Performance Perimeter • Realistic! understanding of what I can do and cannot do • Inside the perimeter – can do pretty consistently and comfortably • Outside the perimeter – can do it sometimes but not usually easily • What supports and resources do I have 10/22/2019 WiseHeartWellness.ca 18 Personal Symptom Profile • What am I trying to address • How does the symptom show up What, when, how, how often? Sensation, Image, Feeling, Thought Triggers, Tamers • How long have I had this symptom? • How did it start?
  • 19. TREATMENT: BODY BASICS SLEEP • #1 target to improve ADHD • Sleep Assessments • Naturopaths 10/22/2019 WiseHeartWellness.ca 19 EAT • Unprocessed simple food • Sufficient healthy protein • Adequate healthy fats • Address disorderly eating Overeaters Anonymous • Address obesity (Vyvanse) BREATHE • Consciously Deeply Slowly • Resets ALL body systems • Fuels and calms the brain • HEARTMATH Biofeedback • Breath physiotherapy
  • 20. TREATMENT: THERAPY FOR COGNITIVE CORRECTIONS & EMOTIONAL EVOLUTION Adjust Open to change Think about acting differently Act differently Assess feelings Integrate experience COGNITIVE BEHAVIORAL THERAPY Change thoughts < > Change Actions DIALECTICAL BEHAVIOR THERAPY Regulate thoughts and behavior SOMATIC THERAPY Recognize and release body discomfort RELATIONSHIP THERAPY Recognition and Reconnection EXPRESSIVE THERAPY Utilizes creative avenues to evolve ACCEPTANCE THERAPY Mindful occupation of how it is 10/22/2019 WiseHeartWellness.ca 20
  • 21. TREATMENT: ENVIRONMENTAL ENGINEERING • Bring things into the here and now making internals external • Make mental info physical – externalize information and problem solving • Make time physical and real – externalize and compartmentalize • Dependent on the environment for motivation and cues – organize and externalize tasks and rewards • Executive function has limited willpower resources, small tank and bad mileage – requires constant refueling. 10/22/2019 WiseHeartWellness.ca 21
  • 22. TREATMENT: PRACTICAL PATHS TO PERSISTENCE TARGETED SELF CARE Do things that fill your tank not drain it!! Setting an appointment, taking a class, joining a group and repeating the behavior decrease the will power necessary to take it I’ll do it when I can or have time makes it harder and less rewarding to do so we default to RELIEF like eating, media and isolation, instead of REPLENISHING *EF – executive function SR – self regulation 10/22/2019 WiseHeartWellness.ca 22
  • 23. TREATMENT: PRACTICAL PATHS TO PERSISTENCE SUPPORT GROUPS • ADHD groups • Therapy groups • 12 Step Groups • Church groups • Activity groups 10/22/2019 WiseHeartWellness.ca 23 MEDITATION • Required for brain upkeep • Constant exploration and experimentation • Reconnection • Regulation • Restoration
  • 24. THE END WHEW!THANKS FOR COMING AND SPENDING YOUR ATTENTION WITH ME NOW GO DO SOMETHING NICE FOR YOUR BRAIN scientistsage@gmail.com https://www.facebook.com/wiseheartwellnessworldwide10/22/2019 WiseHeartWellness.ca 24
  • 25. OBESITY AND ADHD 10/22/2019WiseHeartWellness.ca 25 Kentucky: 14.8% >30-34 % Obesity Arkansas: 14.6% >30-34 % Obesity Louisiana: 13.3% >30-34 % Obesity Indiana: 13.0% >30-34 % Obesity Delaware : 11.7% >30-34 % Obesity South Carolina: 11.7% >30-34 % Obesity Nevada: 4.2% <25-29 % Obesity New Jersey: 5.5% <25-29 % Obesity Colorado: 5.6% <25 % Obesity Utah: 5.8% <25 % Obesity California: 5.9% <25 % Obesity