Smart but Stuck · Emotions in Teens and Adults With ADHD by Brown, Thomas E. -- Read -- Imperial Library of Trantor

Index

More Praise for Smart but Stuck Title Page Copyright The Author Acknowledgments Introduction

The missing link: emotions learning from patients and research what you'll find in this book notes and additional reading

Chapter 1: ADHD and the emotional brain

“attentional bias” the unacknowledged role of emotions in ADHD the problem of ignition and motivation immediate or delayed “payoffs” in the ADHD brain emotions, ADHD, and executive functions a critically important hub in the brain “hot” and “cool” executive function it's all about context: situational influences the profound importance of memory the role of unconscious emotions how do ADHD impairments of the brain affect processing of emotions? structural and chemical brain impairments that underlie ADHD additional psychiatric difficulties common problems with emotions in people with ADHD notes and additional reading

Chapter 2: Eric

fear of being alone changes in context fears of being embarrassed or rejected inability to relax to go to sleep inability to get up and start the day insensitivity to fear of causing a driving accident lack of motivation to work for longer-term goals impatience with waiting changing the time frames for incentives notes and additional reading

Chapter 3: Karen

problems with reading comprehension and recall extended time accommodations for examinations social and performance anxiety linked with guilt family worries and family roles destructive avoidance and denial inadequate modulation of anxiety desperate efforts to cope notes and additional reading

Chapter 4: Martin

risks of high IQ with ADHD avoidance of social contacts initial assessment new start in a new context struggles with excessive privacy and fears of dependency burdens of perfectionism and poor planning social insensitivities and unrecognized emotions immobilizing emotions and avoidant behavior renewed marijuana use and increased social interaction recognizing missed opportunities and adopting a new attitude notes and additional reading

Chapter 5: Sarah

ADHD-like symptoms not emergent until midlife onset of symptoms of ADHD a co-occurring disorder menopause and midlife onset of ADHD-like symptoms role of estrogen in cognitive impairments of menopause treatment for midlife-onset cognitive impairments notes and additional reading

Chapter 6: Mike

conflicting hopes and fears possible selves persistent social anxieties illusion of transparency anxiety, marijuana, and medications reconsidering vocational goals covert binding in family loyalties notes and additional reading

Chapter 7: Lisa

triangular family conflict stimulant “rebound” and late-afternoon irritability unraveling family polarization and conflict stresses of social ineptness problems of asperger's syndrome in people with ADHD impact of delayed pubescent development recognizing strengths and increasing hope a fresh start in a new school shame, anger, and self-cutting overcoming rejection from school administrators determination to show her strengths notes and additional reading

Chapter 8: Steve

impact of ADHD impairments on employment difficulties in recognizing others' feelings complications from compulsivity loss of medication effectiveness lack of empathy in a marriage frustrations of ADHD impairments in marriage overlap of ADHD and autism spectrum impairments limited capacity for sustained intimacy carrying on despite losses notes and additional reading

Chapter 9: Sue

problems emerging in middle school parental worry and frustration distinguishing between person and behavior undiscussed family stressors disappointing response to medication reassurance of love despite frustrations gathering evidence of strengths and difficulties reducing parental micromanaging of homework accommodations in school a shift in appearance and attitude combining medications for ADHD progressive improvement benefits of identifying strengths and interacting problems benefits of providing support without excessive confrontation nurturing hope notes and additional reading

Chapter 10: Matt

stresses of transition from high school to college inadequate sleep covert social anxiety combined medications for ADHD, anxiety, and depression efforts to hide shame failure as an unwitting avoidance strategy fragile efforts to overcome social anxiety more and less intimidating settings resistance to making changes in behavior change of ineffective medication failure repeated structure and monitoring for behavior change notes and additional reading

Chapter 11: Lois

persistent grief and continuing disappointment depression co-occurring with ADHD compulsive buying and hoarding adding ADHD medication to the antidepressant medication rekindling grief exacerbation of depression by additional life stresses shattered dreams and ending a marriage gradual decline in functioning intensive day treatment and efforts to rescue someone else impulsive efforts to find stability difficulties in sustaining treatment notes and additional reading

Chapter 12: James

struggling to translate oral fluency into written text impact of impaired executive functions on written expression using a graphic organizer as preparation for writing excessive perfectionism as an impediment to writing “booster doses” of medication “addiction” to playing video games social anxiety and avoidance conflicting feelings about continuing with intensive treatment revising priorities in treatment gradual progress notes and additional reading

Chapter 13: Getting Unstuck

strategies that help now but hurt later works in progress variety in levels of difficulties, resources, and strengths getting unstuck cultivating realistic hope notes and additional reading

Questions for Discussion Index