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Taking Charge of Adult ADHD (Anglais) Broché – 16 août 2010
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For adults with ADHD, problems with attention, planning, problem solving, and controlling emotions can make daily life an uphill battle. Fortunately, effective help is out there. No one is a better guide to how to get the best care—and what sufferers can do for themselves—than renowned ADHD researcher/clinician Russell A. Barkley. Dr. Barkley provides step-by-step strategies for managing symptoms and reducing their harmful impact. Readers get hands-on self-assessment tools and skills-building exercises, plus clear answers to frequently asked questions about medications and other treatments. Specific techniques are presented for overcoming challenges in critical areas where people with the disorder often struggle—work, finances, relationships, and more. Finally, an authoritative one-stop resource for adults with ADHD who are ready to take back their lives.
See also Dr. Barkley's bestselling resource on childhood ADHD, Taking Charge of ADHD, Third Edition: The Complete, Authoritative Guide for Parents.
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I was a bright child and didn't start doing poorly in school until high school. I don't drive aggressively. I am capable of planning, it just takes me longer than most and sometimes the system breaks down. I don't get "bored" doing repetitive tasks (in fact I tend to enjoy them because it means I can daydream). According to Dr. Barkley, this means it is less likely that I have adult ADHD.
In fact, at the little mention Dr. Barkley makes of primarily inattentive ADHD, he actually spends more time explaining his newly ideated disorder "sluggish cognitive tempo," which shares a lot of characteristics with ADHD-PI but seems to involve a more hypoactive personality than a "flighty" one. From other sources, there doesn't seem to be a lot of evidence that this is actually a separate disorder. Above all, he can offer no advice about how to deal with this nor the case of when you're in a gray area between ADHD and not-ADHD -- a sidebar implies that if you don't fit his criteria perfectly, you must be ascribing your normal failure to meet very high standards to a mental disorder you do not have.
However, other sources indicate that ADHD of a significant impairment level in women can look different from that of men -- and they tend to have ADHD-PI -- and Dr. Barkley does not ever mention this, as far as I can tell. Dr. Barkley says that there is no evidence hormones outside of menopause (such as during menstruation) can affect ADHD symptoms, and leaves it at that, but many women have reported noticing a difference during their periods of the efficacy of their ADHD drugs, and scientists are currently researching this question. One of Dr. Barkely's checklists indicates you should have seen significant impairment by middle school, but The National Center for Girls and Women with ADHD has indicated that many women don't experience a significant problem until as late as college.
Above all I resent his statement that "Saying that a person functioning as well as or even better than the average or typical person can still be considered impaired makes a mockery of the concept of 'disorder' and does a disservice to those struggling with really not being able to function as well as the norm." There is some truth in this statement, but an attitude like this would ignore the suffering of many women, where research has shown that many external observers would rate those women as not having a problem, when they do and ADHD treatment makes their lives easier and often also makes secondary depression and anxiety go away. To quote one review of scientific studies, "Knowledgeable informants (eg, families, teachers, colleagues) may be more likely to overlook ADHD symptoms in women and girls and are therefore less likely to refer them for diagnosis or treatment. "
Nothing I can find in this book seems to mention how much of the research he relies on was done on adult women. I'm going to look into this further as well as report back later on whether I find his suggested coping mechanisms helpful, still. In the meantime I hope to find a different resource that will reflect my own experience better.
In short, this book may help you -- but don't be discouraged if you don't match it perfectly. I didn't let myself get discouraged, and now I have a diagnosis and my life has improved considerably with treatment.
I also point out to them Dr. Barkley's exceptional standards for his own research and for the evaluation of the research of others. His care in presenting results is refreshingly old fashioned, almost quaint in this age of overblown self promotion, such as when he shared his adult ADHD criteria that were eventually published in his master work, "ADHD in Adults: what the science says", at a Cape Cod workshop in 2006. The results were preliminary at the time and he cautioned us that they had only been validated on a population of males from western Mass., or something like that. We all had to chuckle a bit and at the same time time appreciate how rare and refreshing it was to see such conscientiousness in a researcher; first and foremost Russ Barkley is a scientist and the reader can be confident that this book is based on real research, not just someone's opinions.
Lastly, I like the layout of the book. It follows a format that's similar to the 'for dummies' series in that it is well organized with a detailed table of contents and index, as well as visual highlights such as boxes of bullet points, highlighted tips, etc. I tell my patients that it's very 'ADD-friendly' - that they don't have to read it front to back in a linear fashion, but that they can skip around and still get a ton of useful information from it.
I bought the kindle version of this but I think it would have been more user friendly to have the physical book. There are a lot of places to answer questions and give your thoughts and it was a bit tedious to keep opening up a note to type them out. It would also be nice to be able to flip though later and just glance at your answers without having to go into the notes themselves and open them one at a time. I just bought a copy for a family member in paperback and I’m going to suggest that he fill out the answers in pencil or better yet on a post it so he can use more space or if his answers change as he gets older. He’d a teen now and I thing this would really have helped me out in high school.