ADHD Emotions, Part Two — ADHD Tip O the Day 922

“Rejection sensitive dysphoria is not a formal diagnosis, but rather one of the most common and disruptive manifestations of emotional dysregulation — a common but under-researched and oft-misunderstood symptom of ADHD, particularly in adults.”

I read this article and dismissed it. I hadn’t seen Rejection Sensitive Dysphoria in my patients nor in myself nor read about it elsewhere.  And I’ve learned that not everything I read on the net is true, you know what I mean? Then I noticed that the article was by William Dodson, MD.  He’s an ADHD guru that I respect.  So I read it again.

Guess what?  I have it.

My wife occasionally gets mad at me or frustrated with me, often with good reason (I’ll not try to define “occasionally” nor “often.”)  She usually gets over it in half an hour or an hour.  I’m deeply wounded for a day or two.  Sounds like an example of —– Rejection sensitive dysphoria.

Please clk the link and read the article.  There’s a lot more to it.

Rejection Sensitive Dysphoria – Dodson


Bonus Links:

ADHD and Irritability, Anger


Questions O the Day:

  1. Anyone else have Rejection Sensitive Dysphoria?

2. Can someone help Scott with Android apps for ADHD?   Dinos?

See Scott’s comment:

Thank you for this blog and for your book! I recently got my first smartphone and it is very “Shiny”, as in way to interesting for this ADDer, but I am hoping to use it to help me, as well as be the distraction that it is.
I am wondering if you or any of your readers have any recommendations for an app for an android phone that I can use to make my lists, like the cards in your book with the various lists? I don’t have any real experience with phones like this yet and I figured someone else might have already figured out a good system.

Poem O the Day:

I Was Old for a While

I was old for a while,

And it wasn’t too bad,

then I became old and decrepit.

Decrepit, I don’t care for so much.


Personal notes of the day:

Finished the final draft of Your Life Can Be Better, second edition!!! Whew!  Now it’s with Jo for publishing work.  Have started again on Alma Means Soul, which I really like.

ADHD Emotions

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What can I say?


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ADHD and Emotions — ADHD Tip O the Day 921

There is some interesting new research on emotions in ADHD.         

I plan to do a series on the topic, interspersed with other subjects.

Spoiler Alert: It’s possible this will a little disorganized.  You think?

Definitions:(excerpts from Your Life Can Be Better, 2nd edition):

self esteem – how we feel about ourselves, especially our sense of worth.

self image – the picture of ourselves we carry in our head; who we think we are, what we think we’re like

shame- the emotion we feel when we aren’t measuring  up to our standards, or those of others, and we feel exposed, feeling that others can or soon will see our failure and our flaws. A deep seated basic internal feeling. A common result of ADHD.

We all want to be OK (self image). Related to this is perfectionism.  We tend to move to perfectionism because we mess up so often and we get get so much  criticism, very damaging to our self esteem.  But if I can do this perfectly, then no one can criticize me, and it’ll  prove to them, and to me, that I’m not a total screw up and loser (self image).

Unfortunately, perfectionism only make things worse, because we never can achieve perfect,   so we’ve failed again, and it also fosters procrastination, because the task is impossible.

This stuff is all connected, isn’t it.  A lot of things in life work in feedback loops.

Quotes O the Day:

 “I’m crazy. You’re crazy.  We’re all crazy.”

“I’m not OK.  I’m not not OK. I’m just me.”

       De Mello

Links :

Self Esteem

“Proactivity” – Why we choose the less important task

Extra notes of the day:

Morwen Edhelwen kindly pointed out that “vanilla” is a term widely used in the BDSM community with a specific meaning.  So I’ve  considered not using it anymore, but  it’s widely used for non ADHDers in the ADHD community  and I assume that the ADHD community is larger than the BDSM community (beware of assumptions) so I’ve decided to keep using it.  Besides, I like it.  I will consider any disagreements?

The novel Alma Means Soul and the other ADHD book are on hold while I struggle with the second edition of Your Life Can Be Better.  Making some progress. Some.  Thanks  to Jo for much help and to Dinos for gracious help offer.

Please note Scott’s comment below and see if you can help him.  Android phone?  Tech?  Dinos?

Poem O the Day:

The Plants

Some of the plants in the aquarium
I lifted (borrowed? stole?)from our little pond.

There’s so much foliage there
They certainly won’t be missed.

In my small aquarium, they stand out,

unique, special,

striving upwards towards the light

As I’m sure we all do

Is it ADHD? Or crazy? Or both?

Self Esteem with ADHD

#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp,
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James Clear on Habits – ADHD Tip O the Day 920

James Clear’s excellent book, Atomic Habits, covers the same material I’ve been writing about for years; how you can make good habits and get rid of bad ones. However, since his focus is solely on habits and mine just includes habits in writing about ADHD, he goes into much greater depth.  You may recognize that I frequently include good tips from Clear’s posts here.
I was pleased and surprised to see that his principles are the same that I’ve been promoting, he simply uses different terms.
I highly recommend this book for ADHDer ‘s, as well as for anyone else who would like to improve their life.

Some of the tools for changing habits: spotting, small steps, anchors,  are previously posted.



On Habits

Atomic Habits on Amazon

Quotes O the Day:

“How stupid can they be!?”

       my wife, reading a newspaper headline

“I don’t know.  Maybe there’s no limit?”

        me, in reply

Personal Notes O the Day:

  1. I hope you won’t mind, but I’m going to post some of my poems here. I know it’s irrelevant to AHDD, but where the hell else can I post them?
  2. I’m about through the final draft of Your Life Can Be Better, second edition, and then I can get back to the novel, Alma Means Soul, and then, and t h e n,  and t   h   e   n, the new redo of 365 Days.  Maybe we could have a lottery on guessing the publication dates?  I anticipate all three for this year (!!!!???)
  3.  Maybe the relevance is that it is possible to get things done, even with ADHD, even if it’s not easy, and that one of the common “benefits” of ADHD is creativity?

Poem O the Day:

Our Last Dog

Since we lost Emma, our last dog,

I’ve been reduced to an aquarium.

We’ve firmly decided, once again,

but finally, this time, finally,

not to get another dog,

and we’ve rejected various options,

parakeets, gerbils, hamsters, guinea pigs, cats.

That’s about it.

We never even considered  reptiles.

So now I’m responsible for the lives of two small fish,

two large snails,

and two small cherry red shrimp.

It’s a little like being God.

A very little.

A small catfish I recently purchased abruptly vanished.

That’s one of the mysteries that comes with aquariums.

I refrain from trying to pet the fish.


White Cloud Mountain Fish


#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp
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Why Use Strategies and Habits for ADHD? — ADHD Tip O the Day 919

Insights on living with ADHD:

I finished another retreat and again gained some insights, some of which I’ll share with you.

The purpose of the ADHD strategies and the habits is to make your life easier, to decrease pressure and busyness, and to decrease frustration.   And maybe even the big internal flywheel can slow down. Or maybe even stop? 

The purpose of the strategies and habits approach is  not to make us more productive,  to accomplish more, to get even busier. It’s to make us more efficient, so that we’ll have time to relax, to enjoy life, to practice being  and not just doing.

Books I recommend:

Present Over Perfect -Niequist  (Spiritual, but if you are not, you could still get a lot out of it.)

Atomic Habits  -Jame Clear – I write about habits a lot, but Clear has a whole book about them with great detail.

Maybe You Should Talk with Someone – Lori Gottlieb – about therapy, one particular form. 


#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp,

Busy with ADHD

Too Busy with ADHD?

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Marijuana and ADHD? — ADHD Tip O the Day 918

Does Marijauna help with ADHD?

I recently answered this question about marijuana (weed, pot) on another website. My answer stimulated a lot of controversy. 

My answer began, “I don’t recommend marijuana. “

Apparently some people took this as my being against marijuana, against marijuana users, and against themselves personally. Some were quite passionate. Several said weed really helped them with ADHD.  That’s personal experience and I have no reason to disbelieve them, although I’ve never heard, seen, or read of this anywhere else.

What I meant was, ‘I do not recommend marijuana for ADHD.’

It’s possible that some of the responders are involved in the marijuana business. If so, they’d be more knowledgeable than I am, but is it possible that they might also be a little bit biased?

My view:
1. Marijuana can be helpful for a number of things, chronic pain, for example, where it’s approved for medical use.

2.  I’ve seen no research supporting use of marijuana for ADHD nor any patients who it helped with ADHD. I’ve seen some research against it.  Research reports are based on averages. There are always some exceptions, people at one end or the other of the bell shaped curve.

3.  Research shows that marijuana is harmful to the developing brain, up to around age 25. This is slightly controversial.  Marijuana can cause various problems, can be addictive, can precipitate psychosis in susceptible adolescents. It’s probably not as bad as alcohol. Both are damaging with heavy chronic use.

4. I support legalization of marijuana, for several reasons.

5. I think CBD oil can supply many of the same benefits as marijuana without the drawbacks (and without the high.) I use it to help with leg cramps and sometimes with insomnia. 

6. There are many ways to use marijuana without smoking it. Smoking any substance is bad for your health.

7. Research shows that it can be difficult to know what strain of marijuana you’re buying, and that there may not be much difference between the various strains. This is controversial also.

8. If you’re using pot for ADHD and it helps, great, as long as it’s not causing you problems (check this with someone who knows you well, preferably a non-user) and if you’re not smoking it.  Still, I’d worry about long term effects if you’re a heavy daily user.  Have you tried CBD?  A few people who use CBD for other medical reasons say it works best if there’s a  little THC with it.





About marijuana

Cannabis use disorder

Recreational Use

CBD and med interactions  I haven’t read this anywhere else.

Song O the Day  link

#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp


Does pot help ADHD?



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ADHD and Changing — Tip O the Day 916

Puryear’s Principles of Human Behavior #1

After we struggle and struggle with a problem and finally find some effective way to cope with it, the next thing we do is stop doing it.

Maybe one of the reasons is that the novelty wears off eventually, even tho it’s working? 

I imagined that when I retired, life would be much different.  No more pressure, “too busy,” “too much to do,” not enough time.  The giant flywheel inside constantly turning and saying, “Hurry!  Hurry! ”

But what do you think?  Surprise, surprise!  There wasn’t much difference.

So I started to make some changes:

  1. I no longer record in my evening gratitude booklet the things I got done for the day: guitar, gym, writing, etc.
  2. I’m no longer use my beloved index cards, at least not in the same way. I put my five  to-do list items on a small whiteboard on my desk and I note things like to- do’s, to remembers, on a yellow sticky inside the appointment book that’s always in my pocket.
  3. I’m no longer require myself to do a post every Tuesday. If Tuesday isn’t convenient, I do it some other day.
  4. I no longer require myself to always fix the way wordpress screws my posts up, like these #%%^^$ extra numbers.
  5. And others.

So I’m more flexible and I’m less demanding of myself.

But I think this approach wouldn’t have worked for me before I retired.  I needed the structure, organization, and rules.  I still do, just not so much.

I’m working on spending more time being and less time doing.  I wonder if I could’ve done that before retirement?  I think maybe so.  It certainly would’ve been worth trying.

So my recommendation to you, if you are not retired, is to keep using the tools and strategies that help you get through the day, but try to see if you can schedule in some time for just being.  If you can do that, your life will be better.  You can try it.

Good luck.


#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp


Misunderstandings about ADHD and some new ideas


From Tom Woodard:

snuck up on me!

Image preview

The (used to be ) whiteboard

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Blurting with ADHD— ADHD Tip O the Day 915

People with ADHD tend to be impulsive and lacking in social skills.  Those may be related?  We tend to blurt out, to say inappropriate things.

Can you think of your most embarrassing moment?  Was it related to ADHD?  Mine was.

Think of a boy in junior high school.  What are those boys like?

It was our eighth grade graduation.  I was in the third row, with parents, other relatives, and teachers in the honor seats in front of us.  The dignitaries were up on the stage doing dignitarial things.  It was very boring.

They finally got to the awards part and they got to the Good Citizenship Award.  No one was holding their breath; it was a given that Nikki would win it.

So I was beyond shocked, startled, amazed and totally unprepared when they called my name.

I blurted out a short exclamation. 


At the time that word was in common usage among me and my junior high peers and it also carried much more weight than it does these days.

I doubt if my exclamation carried much beyond the rows of adults in front of me and all the way up to the stage.  I hope not. No one ever said anything about it.

” I been f—–!” 

Then I went up to the stage to get my Good Citizenship Award.

As you may expect, that was not the last time I ever blurted out anything inappropriate, but it was the most outstanding. I have learned that occasionally a small voice in my head will say quietly, “Doug, maybe it would be better not to say that.” Sometimes.  And sometimes I listen to it.  That would be a good strategy.

(I hope you don’t think I’m bragging about my junior high school award.)



Inappropriate Again?


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Misdiagnosed ADHD? — ADHD Tip O the Day 914

Misdiagnosed ADHD?

A friend asked if his bipolar diagnosis could actually be misdiagnosed ADHD.

ADHD has many comorbidities,  other problems that frequently occur with it.
Bipolar (used to be manic depressive) is a major one.

In US adults, 1 to 4% have bipolar; about 4% have ADHD.

Over half of people with bipolar also have ADHD; about 20 % of people with ADHD  also have bipolar. I assume there’s some commonality in genes, miswiring, and brain chemistry.

Some of the symptoms of ADHD and hypomania (mild mania) appear somewhat similar but a good history should make misdiagnosis rare. 

Bipolar usually onsets in the early 20s; ADHD in childhood. ADHD moods fluctuate rapidly with events; bipolar moods last days to months and often have no identifiable precipitant. Bipolar symptoms occur in episodes, with periods of normal in between; ADHD symptoms are always present, although they may wax and wane somewhat. 

Full mania has such severe symptoms that it would be hard to mistake it for ADHD. Bipolar always has depressive episodes; people with ADHD often get a depression. The diagnosis is a little more difficult in someone who’s depressed who might also have ADHD.

If you’re unsure about diagnosis, get a good evaluation from a psychiatrist or psychologist who knows about ADHD; not all do. And take someone with you who knows you, preferably from childhood.  We don’t always see ourselves accurately.


Bonus: from Comments: ADHD app, from Dinos, the tech guy:

“Doug, if you’re curious about using cell phones to maintaining lists check out an app called Microsoft To Do. it’s really simple and doesn’t overwhelm you with features but has this really neat feature/concept called My Day. Check out this lady’s blog post where she talks about it a little more in-depth

I hope you all read the comments; they’re very good.

Question O the Day:

Do you read the comments?

Personal Comments O the Day:

I’m pretty sure we’re not supposed to use three colons in the same sentence.

The ADHD book and the novel are on hold while I’m correcting errors, mostly typos, in Your Life Can Be Better  and publishing a second edition What appeared to be a simple project has turned into a nightmare.  I’m enormously grateful for help from Jo and my son in law or I might’ve given up.

Quote O the Day:

“Nothing is ever easy.”

           doug puryear

More on Bipolar If You Wanted:

Bipolar, used to be manic depressive, has two forms:

Bipolar I has recurrent episodes of mania and depression, usually with periods of normality in between.

Bipolar II is the same except the mania never reaches full mania, just “hypomania.”

books link

#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp

Our ADHD Brains Are Different




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ADHD Changes — ADHD Tip O the Day 913

Puryear’s Principles of Human Nature – Number One:

“If we struggle and struggle with a problem, and we  finally find a solution that works, the next thing we do is to stop using it.”

One of my favorite strategies is the index cards in my pocket, especially the red one for the list of five.  This has been extremely helpful to me.  But I don’t use it anymore.

Since I’ve retired, most of my time is at home.  So it’s convenient to use a small White Board on my desk and keep my list of five on that.  For jotting things down, I keep ayellow sticky in the front of my appointment book.  This is easily replaced when it’s full, and my appointment book is always with me wherever I am.

It is easy to attribute this change to my retirement, but it’s more complicated.  There are other strategies that I’ve dropped.  Some of them are replaced with something better; others, I just forget to use, at least until some problem blindsides me again.

Maybe even when something works, the novelty wears off and we eventually get bored with it?

What do you think?


Extra Note O the Day:

I still have two index cards, a list of all the passwords and another for the list of principles I’m trying to follow.  I keep these in my appointment book.

Quote O the Day:

“Nothing ever stays the same.”

Questions O the Day:

  1. Do normal people, “vanillas,” just automatically never set things on the edge of the counter or the table?  Or do they do it but somehow don’t knock them off?

2. Can you put vodka in a humidifier? — asking for a friend.

3. Don’t most people use their cell phones for lists and everything?  I still don’t.



Index Cards

Tips for Managing ADHD

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Creativity, an ADHD Gift?






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Dystechnologia and ADHD — ADHD Tip O the Day 912

Dystechnologia is not an official part of ADHD. 

But I sure have it, and I think it’s one of the frequently occurring comorbidities.  Could result from our symptoms, lack of focus, etc., or could be related to the same brain miswiring. 

Anyone else have it?


Pros: Supposed make our lives easier (but does it?)

We can do things we couldn’t do without it.

Some things we can do in much less time.

Cons: Can cause major frustration (I never can get a wordpress post to come out just like I want. And my mouse isn’t working right.)

Can be a major time waster.

Gives us many more things to do, so we’re busier.

And so many choices, uses up psychic energy and reduces willpower.


Personal Note O the Day: The saga continues:

Review of previous episode:

Amazon shows errors on Your Life Can Be Better. Finally decide to fix them.  Can’t find manuscript file. Call KDP.  They email manuscript. Fix Amazon’s eight errors. Find over 100 more.  Fix those.  Decide I need to do a second edition.

New episode:

  1. For second edition, need new cover. Can’t find cover file. Call KDP.  Krishna, very knowledgeable, says they will fix it for me.  Long discussion, clear agreement about what’s needed.
    2. They totally screw up cover.
    3. Call KDP.  Lady says there’s nothing they can do, they can’t make changes, I will have to start all over from scratch. I say they can make changes, they screwed it up.  She says can’t help.
    4. Call son-in-law, knowledgeable, says he will redo cover.  Waiting and hoping.             5. Woke up this morning, computer totally screwed up. “We cannot open your account“
    6. Followed their instruction. Doesn’t work.
    7. Googled this error. Many instructions.  They don’t work.  They say try safe mode.
    8 Can’t get into safe mode.  Googled safe mode, got instructions. They don’t work.
    9. Stumble into safe mode. Follow previous instructions for correcting error. They don’t work
    10. Return to save mode. Try system restore. It freezes. Against instructions, fearfully and reluctantly shut down computer. Restart.                                                                        11. It works! For the moment.  Get message that restore was successful (?).      12.Working on this post. Morning shot to hell.

Relevant comments on technology:

from tina:  What you have gone through is absurd. I find technology and the lack of real support obnoxious. i suspect you are fairly young compared to me because you are ok with all of this nonsense. i am in my early 70’s-technology today has nearly forced me to stop using my laptop-it is completely absurd . 9 million steps-everything should be able to be handled with one direct phone call). We need new technology-

(for the sake of honesty I needed to inform Tina that actually I’m a teensy weeny bit older than her, but otherwise she’s right on.)

from ken: The joys of publishing! Doing it for a living, and I know the pain 😊

from anon: It is definitely a learning curve. When Amazon took over from CreateSpace it took me a long and terrifying time to figure out that there’s no actual help from them. You have to get the dimensions exact and locked in for the paperback cover. Good luck with it! If you don’t win soon I’ll be happy to place the text and size it for you to upload.

,facts about ADHD,ignorance about ADHD, denial and ADHD, science, science and ADHD, research and ADHD, ADHD brain, brain, brain dysfunction, stimulants,,#adhd, #add, @dougmkpdp,@adhdstrategies,diagnosis,effects of diagnosis,medication,medicines, myths about ADHD,facts about ADHD,ignorance about ADHD, denial and ADHD, science, science and ADHD, research and ADHD.

Me and my computer – a strange love affair.

Dinos does not have technologia

More Dinos does not have dystechnologia


books link

Strategy: Call someone for help that doesn’t have this problem.

BTW O the Day: Yes, by the way, my Alexa isn’t working either.

#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp,



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Letting Things Slide — ADHD Tip O the Day 911

It’s a long ADHD story, sad but true, and instructional.

I publish my books on KDP, a subsidiary of Amazon. Their authors’ page lists all the books and their status. I looked at it several times, but not carefully. It looked complicated and daunting, especially to someone technologically challenged. I let it slide.

After several years, some of the books weren’t selling well. I forced myself to check again.  Some of the books had never actually been published. I did manage to fix that.

A few years after Your Life Can Be Better was published, Amazon put little yellow warning signs on it, because it had typos. They sent me an email about eight errors. I didn’t know what to do about this, so I let it slide.

I finally decided to do something about it. I couldn’t find their email, so I let it slide.

Then I found a place to clik that would list the errors, so I didn’t need the email. But I couldn’t find the manuscript file.  So I let it slide.

Months later, I realized I could ask for help, not one of my strong points. I called KDP and  a very helpful lady emailed me a copy of the manuscript. KDP listed the error location numbers, but the manuscript didn’t have location numbers. But I was able to use search and find and correct the errors anyway. 

The little yellow signs went away. Yay!

Then I saw many errors in the manuscript that they hadn’t noted. I used Grammarly and went through the whole script and corrected well over 100 other errors.

Now I need to replace the manuscript. That doesn’t look hard. I’ll try not to let it slide.

Then I need to make it a second edition. This involves, among many other steps, changing the book cover. That seems very complicated. I hope I don’t let it slide.

Strategy:  Don’t let things slide.  You’ll regret it.


Personal Notes O the Day:

Got hyperfocused on the novel. Now I’m ready to pick up the new ADHD book again.  I’ve weeded out the duplicate tips; that was a booger. Now draft twelve will be filling in the holes. Hope that’s easier.

The story above drags out over at least five years. Just so you know.

Thank you,  Annette, for your great help on the novel. One or two more drafts and I can publish it. Excited about it.

Laura, did you have some questions?

Questions O the Day:

  1. Anybody understand how to edit a Kindle book cover easily?  I need to change the title and take out ADD/ADHD; it’s just ADHD now.
  2. I’ve been urged to do audiobooks, but my impression is that it’s too complicated, time consuming, and expensive.  Any thoughts?
  3. Anyone have experiences with letting things slide, or is it just me?


Relationships and ADHD


books link

How do I even start?

Does that explain it?

#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp,
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ADHD Time — ADHD Tip O the Day 910

How I spend my time; a typical 24 hours:

Screwing around on the computer.              2.5 hours

Sleeping?                                                              ???

Looking for my cell phone, repeatedly.        1.5 hours

Looking for my glasses.                                      .5

Looking for something else that I just had in my hand.          .75 hours

Asking my wife to find the thing that I couldn’t find, several times.      1 hour

Doing something important that I needed to spend 4 hours on.                             1 hour

Doing something that came up unexpectedly and screwed up my whole schedule.   2 hours

Piddling, accomplishing nothing.                     2 hours

Normal basic activities of life.                          2 hours

Time I cannot account for; God only knows where it went.     3- 6 hours



Novel Idea of the Day:

There are many different kinds of time, for example, regular time, ADHD time, and New Mexico Time.

Quote O the Day:

Time is a booger.

me, ADHDer


Quiz O the Day:

What does mañana mean in Santa Fe?

(Answer below)

The Whole Time Article

James Clear

ADHD Medications

#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp

books link


Answer:  No, in Santa Fe, mañana does not mean tomorrow.  It means ” not today.”

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What Is Your Time Style?


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Does ADHD Medication Help With —? — ADHD Tip O the Day 909

ADHD Medication Helps with Focus, Motivation, Inertia

The medication can be a miracle for some, but it doesn’t seem to help with:


losing things



time management



Too bad; sorry.  But what it does help with is invaluable.

This is my opinion and experience.  If you have different views I would love to hear them.


Extra Note O the Day:

New research show that sleep problems are a part of ADHD, presumably sharing some of the same gene mutations and miswiring.  If we don’t sleep well, our ADHD symptoms are worse the next day, but paradoxically, it’s important not to worry about the insomnia, as that will only make it worse.  So if I don’t sleep well one night, I’ll just accept it, knowing I’ll sleep better the next night.

Bonus Links:

James Clear


Bonnie Mincu

Is your Spouse Always Late?

Book Link

#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp
add,adhd,adult add,adult adhd,attention deficit,living with ADD,living with ADHD,coping with ADD,coping with ADHD,symptoms,problems,ADD problems,ADHD problems,ADHD symptoms,@addstrategies, ADD symptoms,#adhd, #add, @dougmkpdp,@adhdstrategies,strategy,strategies,add,adhd,adult add,adult adhd,attention deficit,strategy, strategies, tips,living with ADD,living with ADHD,coping with ADD,coping with ADHD,symptoms,problems,ADD problems,ADHD problems,ADHD symptoms,@addstrategies, ADD symptoms,#adhd, #add, @dougmkpdp,@adhdstrategies,life with ADHD,add,adhd,adhd and sleep,sleep problems, sleep hygiene,sleeping pills,

There are many alternatives to sleep.




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The Brake and the Accelerator — ADHD Tip O the Day 908

A Little ADHD Science:

We have one amygdala deep in each side of the brain, a small group of nerve cells very involved with emotions.   The frontal lobe is a whole section of the brain, guess where?

Basically, the amygdala is the accelerator.  It’s always on, saying, “Go, go, go! Do it, do it, do it!”

The amygdala is connected to the frontal lobe, the brake, which is not always on, but when it is it says, “Hey, calm down, slow down.  Wait a minute.  Let’s think about this. What are the consequences, the pros and cons of this?” (Note the absence of !’s.)

Ideally, there’s a good connection and a balance between these two, but as we’ve been reading, not all of our ADHD connections, our networks, are in good shape.  This helps understand our impulsiveness.

ADHD Genes:

Recent research says ADHD is about seventy percent heritable. Most cases come from a compilation of a large number of genes with common mutations; the more of these gene mutations  you have the more likely you’ll have ADHD and the more severe it’s likely to be.  Many of these genes are involved in regulating the early development of the brain, including the networks.

To better identify which genes are ADHD involved, the researchers looked at genes involved in the many different types of intellectual impairment (retardation), each of which is usually caused by a rare mutation in a single gene, very different from ADHD.

They found that many of the retardation genes are among those which (with common mutations) are involved in ADHD, and are especially involved in sleep disturbance and hyperactivity.

I think the significance of the gene study is that it specifically identified some of the many genes that contribute to ADHD and opened the door to studying their specific effects on the brain and thus on symptoms.


Personal Notes O the Day:

  1. I’m not sure that I correctly understand anything I’ve said above and I welcome any comments about it.
  2. I’m making progress on both the novel and the ADHD book, creeping along.
  3. Retirement is a lot harder than I’d imagined; I haven’t adjusted to it yet.  I don’t miss the travel, the stress, the burden of responsibility, but I do miss the work itself.  This freedom is what I’d always imagined as heaven, nirvana, bliss, but the time has a tendency to fill up, to get just as busy as before.  It’s hard to balance being and doing, which is my goal now. And it feels like something is missing: zest, color, purpose, significance. Life seems a little bland now; maybe the amygdala is understimulated?  Maybe it’s been somewhat like this for people who’ve been out of work due to the virus?

Possibly Irrelevant Points O the Day:

  1. Sleep problems may be a specific symptom of ADHD. And if we do not get adequate sleep our symptoms get worse.
  2. Some researchers, not these, are using a new definition of intellectual impairment, which includes problems with things like focus and problem solving.  This could lead to interesting effects on research findings and particularly on ADHD.
  3. Many people with intellectual impairment ( the old definition) also have ADHD.  (Life is not fair.)

Coming Up:

I plan to do posts on sleep problems and on which ADHD symptoms are not helped by medication. Any other requests or suggestions?

ADHD Emotions

See in ADHD web sitemany ADHD articles

Ritalin – on, off, on, off

Nature therapy and more

#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp


adult adhd, ADHD, adhd blog, adhs blogs, adhd excuses,

The Amygdala in Action





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Clumsy with ADHD? — ADHD Tip O the Day 907

If ADHD is related to abnormalities of the basal ganglia and the cerebellum, and the circuits connecting them, then what would you expect?  Clumsy.

I pull a cereal bowl off the third shelf and on the way down manage to hit it against a plate on the first shelf and chip it.  Now that takes a special skill.  My wife was not happy.

I reach for my water glass and on the way knock over the wine glass.  MWWNH.

I’m carrying a bowl of beans from the kitchen over to the table.  Suddenly I’m not holding it anymore. MWWNH.

I bump into things, trip over things, stub my toes. This concerns my wife, but doesn’t annoy her as much.

I’m in bed about to go to sleep and my leg starts jerking (Paroxysmal Abnormal Leg Movements, PALM.) MWWNH.


My strategy for the PALM is CBD oil when needed; I haven’t found anything else that helps.  I think that stopping NSAIDS and antihistamines helped my leg problems some, maybe.

The only strategy for the others is to “be more careful.”  Not a very good strategy, but being alert to the problem is a little helpful. I don’t believe there are any medications that help with these.


Questions O the Day:

Anybody know what I’m talking about? 

Any suggestions?

Personal Note O the Day:
I’ve managed to pull away from the siren song of the novel and get back to work on the ADHD book, eliminating the duplicates. This is much more difficult than I’d anticipated so it’s slow going. My strategy is to try to do one duplicate a day.

Quotes O the Day:

  1. Studies show that there is a high prevalence of confirmatory bias, just as I’ve been saying all along.
  2. How old am I? Fifty-five.  Unless, of course, you’re talking about chronological years.
  3. “Reached for the knob, missed the whole damn door.”   from Drunk, a blues song.


ADHD and Dyscoordination

Bonus Links:

Symptom checker

Secrets of the ADHD Brain, Dr. Dodson

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Life with ADHD. Clumsy or inattentive?

#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp
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Oh my! Life with an ADHDer.

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The ADHD Brain — ADHD Tip O the Day 906

An Excellent Article from Dr. Nigg on the ADHD Brain (link is below)

The new focus is on networks, not just the neurotransmitters on which they work.  The networks link different discrete areas of the brain.  I suspect there may also be networks, especially for memory, that link some neurons that are not so specifically in an area?

Warning O the Day: Dr. Nigg uses the term spectrum in a different way, I think meaning that we ADHDers can have different constellations of symptoms (depending on which networks are most impaired.)  The more usual use is to describe the bell shaped curve where some brains are slower in maturing and some faster compared to average, and some people think ADHD is simply the slower end of that curve.  Not me, I think we are on a different curve, off to the left of the normal one.  Research shows that even when our brains reach maturity, they do not reach “normal.”

I generally agree with his ideas, especially that there are many varieties of the ADHD syndrome.

I recommend you read the article:

Nigg ADHD Brain


Bonus Links

Good Links from ADDitude

ADHD and Brain Maturity

ADD,ADHD,attention deficit,adult ADD,adult ADHD,genes,environment,epigenetics,causes,course,brain,cortex,progress,progression

Genes and ADHD: those pesky little boogers!


#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp,
Posted in add, ADD problems or symptoms, adhd, adhd controversies, ADHD problems, controversy, controversy, dysfunctions, educate yourself, research, science | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , | 2 Comments

ADHD Medication — Tip O the Day 905

The Question Was, “What should I expect when I start ADHD medication?”

Between two hours and two days you should notice more focus and more motivation and more follow through.

You probably won’t get any side effects, but if you do, the most likely are insomnia, jitteriness, or indigestion. These might get better in a week or two if you stay on the medication, but they probably won’t.  You would need to adjust the dose and/or the timing. If that doesn’t work, you would need to change the medication. But, you probably won’t get any side effects .

You may start the medication at a low dose and plan to gradually raise it as needed, but if you don’t notice benefit pretty soon, I would question the diagnosis.


Bonus Links:

Bob Clear good stuff

Marriage and ADHD

To overcome a bad mood

Mostly Irrelevant Private Note:

ADHD does have some benefits, including creativity and thinking outside the box.

I just completed my first art piece.  I like it.  Since I have a creative urge but no artistic talent, I needed to find an alternative way to do art. I said I like it; I never said it was any good.


New Mexico Landscape Found Objects Festival 

 Question O the Day:

So was this piece an example of thinking outside the box, or inside the box?


#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp,



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Report on My Retreat —ADHD Tip O the Day 904

I finished my five day spiritual retreat, a success.  I got off track some on day five, next time I’ll do four days.  It wasn’t as difficult as I’d expected. I had a little struggle about how to use my iphone, if at all.  Decided to check messages, emails and phone calls and not use it for anything else.

I got some good insights, some of which I’ll share with you:

  1. I’ve been constantly doing and almost no being. Need to balance.  One strategy is to spread out my to do list.  I’ll keep my basic structure of the things I need to do on a regular basis, usually just one a day, like the gym for example, and try to add only one task to each day.


  1. The importance of the practices of:  sitting, not thinking, breathing tool, awareness, getting out of doors (in addition to my daily quiet time with prayer, meditation, reading, and journaling.)


  1. A lot of things really don’t matter very much.


  1. “You fill up my senses,” song by John Denver, came to me. I’ve been filling up my senses with tasks, reading, music, and even prayer.  All these are good, but I was leaving no space for anything else, such as feelings, certain ideas, insights, etc.  Space and silence are important.


Personal Notes O the Day:

  1. It’s been six days now and it’s working well so far.  A big change for me.
  1. I read excellent books which were very helpful:

Make me an instrument of your peace  – kent nerburn

Hallelujah anyway: rediscovering mercy – Anne Lamott

The name of God is mercy – Pope Francis

The naked now – Richard Rohr

Present over perfect – shauna niequist

I chose these books simply because they were available.  By interesting “coincidence,” they were highly synchronistic.  Whether you are of a spiritual bent or not, I highly recommend the Niequist.

3. With ADHD, we need structure and schedule and strategies to get things done, but we need to make time to be.  And I think just being, and the practices that help, are especially hard with ADHD.  But maybe especially important.



Being – my sister suggested this before.  I’m only now getting it.

Super Comments

Not Thinking – I don’t understand this; need to read it again, slowly.

Not Thinking- This is more clear

#ADHD, @addstrategies, @adhdstrategies, @dougmkpdp




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Living with ADHD and Corona Virus — ADHD Tip O the Day 903

ADHD and Corona Virus, wouldn’t either one be enough?  

I hope you are safe and well and finding some way to make use of this strange time.  Although we’re all waiting for things to return to normal,  I fear that this may be the new normal.

The links below can be helpful to you.

Personal Notes O the Day:

  1. I’m starting on draft 11 of the new ADHD book. This is the one to replace the excess duplicate tips (I think one duplication may be OK; that’s how we learn.) I’ll need a draft 12 to clean up errors from the changes, and maybe a 13 to make sure.  It’s gonna be a while.

         I was procrastinating on this because I hadn’t figured out how to do it; now I have and I’m ready to start.


  1. I just found out that my print books weren’t selling on Amazon – because they were never published on Amazon! I managed to fix that.  (Don’t buy the 365 book there, the new book will replace it.)


  1. I’m going to take a 5 day spiritual retreat (in house) starting Sunday. No computer, iphone, or TV. Will still do things with my wife, and maybe still play guitar.  I think it’s going to be difficult but rewarding.



Procrastination and more

At home and married during virus, or anytime


Jennie – Help Your PWADHD (Person with ADHD)

ADHD Relationships, Not So Easy

#ADHD #ADD #ADHD strategies @dougmkpdp


My ADHD Is Going to 

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Organize? With ADHD? — ADHD Tip O the Day 902

@addstrategies  #adhd #add @dougmkpdp add,adhd,adult add,adult adhd,attention deficit,living with ADD,living with ADHD,coping with ADD,coping with ADHD,symptoms,problems,ADD problems,ADHD problems,ADHD symptoms,@addstrategies, ADD symptoms,#adhd, #add, @dougmkpdp,@adhdstrategies,strategy,strategies,add,adhd,adult add,adult adhd,attention deficit,strategy, strategies, tips,older qpeople with ADHD,aging with ADHD,

An Autobiography

One of my long-term goals is to get organized. After sixty years or so  I have to admit it is either:                                 1. Hopeless or   2. Not really a goal but a process, like controlling my weight.

I’ll never achieve this goal, but if I don’t keep trying, I’ll actually head in the opposite direction.


Set goals, keep them reasonable, don’t expect too much.



Goals 2 – Special Tip

Get Organized


@addstrategies  #adhd  #add  @dougmkpdp




Short Term Goals

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Writing with ADHD — ADHD Tip O the Day 901

We ADHDers are not very good at:  making choices, setting priorities, sticking with a task, saying no to certain wants.

I’m currently “ writing” five books: a novel and an ADHD book, writing both at the same time; a book on gun violence, currently stalled; a book on personal health, only in outline form for now; and a book on marriage, just in the back of my mind.

Currently, the novel has captured me.  I’m a third of the way through on the tenth draft.  I expect at least four more drafts, and wouldn’t be surprised by eight more.

I’m currently on pause on the ADHD book and I’d like to get moving again.  I just finished the tenth draft and hoped there would only be one more, but I see too many similar tips, more or less duplicates, and I need to replace some of them.  Repetition is okay, as that’s how we learn, but there’s too much.  I’m not sure how to go about finding and replacing the duplicates; none of the approaches I can think of seem very efficient nor pleasant, and therefore I’m procrastinating and just working on the novel.

I need a strategy.  I hereby commit to starting work on the duplicates tomorrow.  Possibly even today.  And I can continue with the novel at the same time.


Personal Note O the Day :

I find writing very easy.  I’m flooded with ideas; this is ADHD.  Writing is easy; editing is a booger, and marketing is horrible.

Opportunity O the Day:

If anyone would like to be a beta reader for a draft of either book, I’d be grateful.  I’ll           e-mail you a draft and you can send back your comments, which will be very valuable.  You don’t need to finish it if you don’t like it; just let me know why.


Overdoing with ADHD

Setting Priorities

@addstrategies  #adhd  #add  @dougmkpdp


Busy with ADHD

Busy with ADHD

Posted in add | 12 Comments

Living with ADHD and the Virus: Frustrating — ADHD Tip O the Day 900

ADHD causes many frustrations, and also makes it harder to cope with frustration.  It’s a booger.

These last few days have been frustrating,  and it’s not getting any better. Of course, the main issue is this virus situation, with diminished quality of life, which has lowered my already low frustration tolerance for these other problems, most of which are related to my dystechnologica:

1. It suddenly takes three steps to sign into Outlook.

2.  OneDrive is full, causing red X’s all over my screen, and I can’t find the menu to increase it.

3.  The chronic issue of getting the image the right size for Facebook; Dino’s helped with this but it’s still a problem. And I can’t get in touch with him for more help.

4. Genealogy – I’m addicted again which is a problem, and I’ve found errors and dead ends in what I’ve have done.

5. Can’t get Zoom to work right.

6. I can’t get wordpress to set up this post like I want it.


1. I’ve googled all these things and found various solutions, which look complicated, above my pay grade, and when I tried some,  they didn’t work. 

 2. Wait. I think the one drive menu will show up on its own eventually.

3. Ventilate here.

4. Cope with the virus situation: Order takeout croissants from our French restaurant. See Dr.  Battaglia’s link below.  Count my many blessings: None of us are sick. I live with a good companion. Our residence serves good food. We still can walk daily and the weather is nice.  We get a lot of support from our church. I think I’ve mostly solved the spam problem  (but now I can’t welcome newcomers individually.) We can still go to the gym, although limited.

I could go on, but you get the picture.

Actually, when I look at the big picture, I have no problems.

I pray all is well with you.


Quote O the Day:

ADHD causes problems in focusing, impulse control, persistence,  and motivation.

The things I need to cope with these problems are focus, self control, persistence, and motivation.


Dr. Battaglia


I can hyper focus. i can even do tech stuff. Sometimes.

@addstrategies  #adhd  #add  @dougmkpdp
,facts about ADHD,ignorance about ADHD, denial and ADHD, science, science and ADHD, research and ADHD, ADHD brain, brain, brain dysfunction, stimulants,,#adhd, #add, @dougmkpdp,@adhdstrategies,diagnosis,effects of diagnosis,medication,medicines, myths about ADHD,facts about ADHD,ignorance about ADHD, denial and ADHD, science, science and ADHD, research and ADHD.

Me and my computer – a strange love affair.

Posted in add, ADD problems or symptoms, ADD strategies, adhd, ADHD problems, ADHD strategies, attitudes, strategies | Tagged , , , , , , , , , , , , , , , , , , , , , , , , | 6 Comments



Welcome to newcomers:

Because of my spam flood, I didn’t get the message of your joining us.  So, welcome to the tribe. I hope you find the posts useful and enjoyable, and that you’ll contribute comments.  Love the comments.

best wishes


Posted in add | 3 Comments

Genes and ADHD — ADHD Tip O the Day 899

New ADHD Research

This study is over my head, but I’m trying to summarize it as best I can.  For the many of you more astute than me, the link for the whole study is below.

A new very large genetic study looked at eight psychiatric disorders:

A gene related to the development of the nervous system is a risk factor for all eight. Another gene that regulates splicing is a risk factor in seven.

Some genetic risk factors for psychiatric problems are common in the general population; ADHD and depression share 44% of those genes, which helps understand why we ADHDers have depression more often than vanillas, although clearly there are other reasons also. (We’re talking about gene variants, abnormal or ‘bad ‘ or mutated genes.  We all share the same genes, but sometimes in different flavors.)

This is new scientific evidence that ADHD can persist over life and be present in adults (If there has been any question about that?)

These genes are usually active in the second trimester of pregnancy, a crucial stage in the development of the nervous system. (ADHD is a neurodevelopmental disorder, which begins in the uterus. I don’t believe in adult onset ADHD.)

Strangely, some of the genetic variations that are risk factors in one disorder can be protective in other disorders. (ie: If gene A increases your risk of disorder X, you may be less likely to get disorder Y. Bewildering.)

Alteration in a single DNA nucleotide (SNP) explains less than a third of the genetic effect, the other 2/3 may correspond to other uncommon genetic changes (such as abnormal number of copies, et al.)

ADHD has a 75% genetic load and the other 25% is due to environmental factors. (These genes cause someone to be at increased risk for ADHD, but they might not develop it without being exposed to certain things in the environment, or they might anyway. This relates to epigenetics, where the activity of certain genes is regulated.  Almost all psychiatric disorders are related to a host of genetic risk factors; the chance of developing it increases with the number of those you have. It is a rare psychiatric disorder that is caused by one specific gene, or probably even by just a few.)


Personal Comments O the Day:

All this complicated science is making my brain hurt.

I’m plugging away at the ADHD book, but the novel keeps pulling me away from it, and then I got addicted to doing genealogy again. Still, making progress.

Confused Comments O the Day:

Brain research seems to be shifting away from specific brain regions, over to networks. I may try to explain networks soon.  The concept would be easier to explain if I understood it.

If you have a different opinion than me, or can correct my understanding, or can explain something, please comment and help us out.



Dr. John Battaglia – coping with the quarantine  – excellent.

Gene Article

The ADHD Brain in Crisis



What was I saying?

@addstrategies  #adhd  #add  @dougmkpdp








My brain, oh, my poor brain.

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ADHD and Legs — ADHD Tip O the Day 898

Continuing with Sleep, Science, and ADHD:

As if we didn’t have enough problems, we ADHDers often have leg problems. These include restless legs syndrome (RLS), paroxysmal abnormal leg movements (PALM, aka ‘the jerks’) and leg cramps.

The book says these happen during sleep, and my wife confirms that for the first two, but I also have them as I’m trying to go to sleep.  They do not help.  I also have them if sitting a long time watching TV or at a restaurant.

But I  have them under fairly good control.

1. RLS: one hour before bedtime, two calcium magnesium zinc pills. At bedtime, Achilles tendon stretches. If RLS  during the night,  CALM, a magnesium powder preparation, and any time I wake up, more stretches.

2.PALM: one hour before bedtime,  a quarter of a glass of tonic water, which contains quinine, which is off the market otherwise. If I have the jerks later, CBS oil.

3. Leg Cramps: when I stopped taking ibuprofen, they markedly improved. I happened to find this association on the net.  For cramps during the night,  magnesium lotion.  Stretches may or may not help.

4. For sleep in general: one hour before bedtime,  5  mg melatonin dissolvable and 5 mg delayed release. This usually works. I vary this depending on whatever. (The book says 2 or 3 mgm – I’ve never seen this work.)

If I can’t get to sleep in 20 minutes, either initially or after I wake in the middle of the night, I get out of bed and piddle until I’m sleepy.

Using all of these approaches, I get a good night’s sleep about three out of four nights.

One strategy is to not get upset if I’m having a sleep problem; I know it’ll be better the next night.

I’d be delighted to hear your issues and approaches and nocturnal adventures  (I mean regarding sleep.)





In Kids, Probably Same in Adults 

Legs and ADHD

Techy for ADHD Sleep, from Jerry Bair

Sleep Hygiene

Personal Notes O the Day:

  1. I  highly recommend the general sleep hygiene tips.  

2. I’m a third of the way through draft 10 of Living Well With ADHD, which I thought I would publish. However, although I’ve found only a few errors, I’ve found many places for improvement. With so many changes, I will need a draft 11, which I hope to be the one to publish.  Oh, well.

Maybe I could run a contest to see who guesses closest to the actual date of publication.  I don’t think I’d win even if I were eligible.

3.  Probably wind up this science section on the next ADHD post.








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More ADHD Science —ADHD Tip O the Day 897

We’re all tired of the virus thing. I just ask that you pay attention to the scientific experts, especially those willing to admit they don’t really know, and ignore the blathering and BS.

Here’s more ADHD science:
1. Sleep problems are the most common comorbidities with ADHD. ADHD and sleep problems make each other worse. ‘ADHD is a disorder of self-regulation, circadian rhythm, overstimulation, and motor activity, which manifest both day and  night.’
We have initial insomnia, circadian rhythm disturbance, restless legs syndrome, and periodic limb movement disorder. I think the next blog will be about my problems with sleep and legs.
Many people with ADHD actually require less sleep than vanillas.   Which would be reassuring, except I don’t think I’m one of them.
Consistent bedtimes and wake times are very helpful. I try, but —

2. There’s question about ADHD medications increasing the risk of psychosis in teens and young adults. There is a risk, but the rate is very low; it’s is higher with amphetamines than with methylphenidate ( Ritalin, et al).

3. Many studies suggest things that may be helpful, but most of these studies so far are flawed and only give weak evidence one way or the other: An elimination  diet may help 1/3 of hyperactive children.   It’s difficult to stay on these diets. Biofeedback might be helpful, but expensive. Fatty acids (fish oil) may be helpful, but less so than regular medication.  It’s probably more effective in people who have low blood levels of the fatty acids and the test is probably not expensive. There is some correlation with ADHD and low blood levels of zinc. There may be some benefit from L carnitine in inattentive type, and from saffron, various herbs and vitamins, special kinds of acupuncture, yoga et al, massage. 

Many things show possible benefit, but none of them have received adequate scientific testing. Generally they were possibly helpful when combined with the medications. You might want to try something that is inexpensive and has no side effects. Remember that the supplements are produced without regulations and you can’t be sure what’s in them and they can have side effects and interaction.

Make use of the science and keep safe.


Personal Notes O the Day:

1. Draft nine of the new ADHD book is and I’m ready to start on draft 10. I think it will be the one that gets published. When?

2. I take omega 3 and think it helps some.  Yoga, Tai Chi etc, probably help but I don’t use them. I do try to meditate; it’s hard but inexpensive.


Omega – 3 FA

More FA


@addstrategies  #adhd  #add  @dougmkpdp

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Virus, Science, and ADHD — ADHD Tip O the Day 896

Virus, virus, virus and ADHD

What else is there to talk about?

We are blessed with leadership from someone who was born with innate understanding of science so that, despite his being apparently illiterate, he knows more about scientific things than any of the scientific experts. Thus he is able to discount, refute, and disregard their statements, warnings, and advice.

I, on the other hand, was not born with the blessing of such knowledge; possibly it was displaced by the blessings of ADHD. I prefer to put my bets on the scientific experts, imperfect though they are. I consider myself a semi-expert on ADHD and I hope that my statements don’t sound like the disjointed rantings of an idiot.  I want to share with you some information from the real experts, with my comments in italics:

There appears to be a correlation, dose related, with a pregnant woman’s use of acetaminophen  (Tylenol, etc.) and increased risk of ADHD and AST (autism spectrum disorder), especially in the last six months of the pregnancy. This appears to be a good study, and previous studies had similar findings.  It doesn’t say why the women were taking the medicine, which could be a factor.  Presumably the effect is due to epigenetics, with underlying genetic risk.

A Danish study reported 5.1% of boys had combined type ADHD and  1.1% inattentive; for girls it was 2.4% and 0.9%. ADHD was by far the most common psychiatric diagnosis for boys, and the second highest for girls, far behind anxiety disorders. Interestingly, the number for anxiety disorders in girls was about equal to the number for ADHD in boys.  The Danes keep excellent extensive records of all kinds of things.

More research studies next time, probably, and hopefully, less virus.

Personal notes:
1. I previously reported my entanglement in writing a novel, which has grabbed a lot of my attention, so I’m behind on the ADHD book, Living Well with ADHD. My strategy is to do 10 pages a day on the ADHD book, so maybe I’ll finish draft nine next week.   I’d hoped to publish draft nine in April, but I’ve found so many little changes – typos, errors and opportunities for improvement- that I see the need for a draft ten . So it probably won’t be published in April, but it’ll be better.

2. There’s a flood of new sign ups for the blog which is wonderful! Welcome to all of you.  Until I remembered the same thing happened a few years ago and they all turned out to be spam. But if any of you are not spam, welcome again and thank you for joining.

3. We’re doing well here, with lots of help. mostly confined to home, but able to take daily walks which have been very helpful. Everything’s pretty much shut down, canceled, closed. We’ll see. Take care.



Science or Hash?

Writing with ADHD

Authors with ADHD

Question O the Day:

What is the purpose of the spam????    

Answer O the Day:

Thanks to Irene

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Life with ADHD








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Virus and ADHD, Science, and a Brilliant New Insight — ADHD Tip O the Day 895

Living with ADHD

What was I saying?

The virus and ADHD

It would be strange not to write about the virus today, but I think I mostly said it last time.  How could I connect the virus with the topic of ADHD?

Well, maybe.  We’re under semi quarantine, and everything is pretty much closed, shut down, canceled.  We’ve have been spending a lot of time together in our small apartment and not seeing much of other people.  I haven’t checked with my wife about this, but I thought I detected the beginning of possibly a teensy weensy slight bit of tension and irritability here this morning.  Maybe it’s just me.  I’m an irritable person, which I tend to blame on my ADHD, although that doesn’t really help  much.

Anyway, the weather has been warm for three days and we’ve been able to take an afternoon walk, which we just completed, and I think the negativity has abated.  Hopefully this post won’t cause any offense.  Unfortunately, the prediction for the next three days is a return to below freezing.  Boogers.

A brilliant insight

This occurred on the walk today.  After all these years, I may have gained some understanding of mindfulness, being present in the moment, and living in my head.  I noticed that I was thinking about lots of things: this blog, our finances (OMG!), other things I needed to do, and as almost always, the song running through the back up my mind.  Isn’t thinking about lots of things what we ADHDers do? So what was I missing, unless something striking caught my attention?  The sights, sounds, smells, bodily feelings.  I was able to shift my attention and stop thinking and just notice the sounds: traffic, my wife’s arm rubbing against her jacket, my feet hitting the pavement, the birds, the breeze in the trees; and the different colors of the houses, the interesting signs on various houses, the clouds, the pain in my lower back, the slight breeze on my face, etc. etc. etc.  I wasn’t in my head; I was in the present moment. That’s a very different experience and one that I’d like to keep having.  I’ll see how it goes.

Irrelevant Note O the Day:

I’ve given up on DragonSpeak, sorry Dino, thanks for your efforts, and I’m using the Microsoft word app.  However, it just doesn’t work on WordPress, so I still need to do this on Word and then transfer it.

Quote O the Day:

“ Nothing is ever easy.”


If you’re not sick, see if you can take a walk.  Both exercise and getting outdoors are helpful with ADHD.


Stay well.

Extra Note O the Day

I meant to connect ADHD and the virus by writing about science.  I meant to do a lot of things.  Probably next time.

@addstrategies  #adhd  #add  @dougmkpdp

My ADHD Brain

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Sleep and ADHD, and Now, the Virus — ADHD Tip O the Day 894


I meant this post to be solely about sleep and ADHD.  After all, what does the virus have to do with ADHD? Well, not much, except we’re impulsive and impatient, and prone to take risks.  So, wash your hands often with soap and warm water for at least 2o seconds, which seems like a long time to impatient us.  It’s the time it takes to sing Happy Birthday to You twice, or say one Hail Mary or one Our Father, whatever works for you.

Avoid unnecessary risks.


Latest research increasingly shows the importance of sleep for everyone. Quantity and quality. Poor sleep impairs memory and cognition and mood among other things. I haven’t seen recent specific research about sleep and ADHD but since we already have problems in those areas, it seems that sleep would be especially important for us.

Comments, opinions, and personal notes:

Most Americans are sleep deprived, especially adolescents, who have different sleep cycles and sleep needs than adults or children, and should never be required to start school before 9 AM. Sleep deprivation is a significant cause of accidents. We are each unique and have different sleep requirements and different effective strategies for sleep.  Most medications used for sleep eventually lead to tolerance.  I advise using sleep hygiene principles and ruling out adverse practices before turning to meds.  I use melatonin, which has minimal if any side effects, tolerance, or addictive risk; it is “natural.” The book advises 2 -3 mgm of melatonin.  That’s rarely been effective for my patients or for me.  I  usually take 10 mgm an hour before bedtime. I also need to treat my restless leg syndrome and leg jerks, which are common with ADHD, and leg cramps, which probably aren’t. Daylight savings time stinks and the changes cause many problems, which are unnecessary.

Stay Safe.



Sleep Hygiene

ADHD and Sleep: comprehensive article

Healthy living

Sleep and health and ADHD

Protection from the Virus

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add,adhd,adult add,adult adhd,attention deficit,living with ADD,living with ADHD,coping with ADD,coping with ADHD,symptoms,problems,ADD problems,ADHD problems,ADHD symptoms,@addstrategies, ADD symptoms,#adhd, #add, @dougmkpdp,@adhdstrategies,strategy,strategies,add,adhd,adult add,adult adhd,attention deficit,strategy, strategies, tips,living with ADD,living with ADHD,coping with ADD,coping with ADHD,symptoms,problems,ADD problems,ADHD problems,ADHD symptoms,@addstrategies, ADD symptoms,#adhd, #add, @dougmkpdp,@adhdstrategies,life with ADHD,add,adhd,adhd and sleep,sleep problems, sleep hygiene,sleeping pills,

There are many alternatives to sleep.

add,adhd,adhd and sleep,sleep problems, sleep hygiene,sleeping pills,

Adhd and sleep- are you kidding me?


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Changes. ADHD in Transition — ADHD Tip O The Day 893

I thought that once I retired, life would get easier.  Hah!

“There’s been a change in the weather and a change in the sea

From now on, there’ll be a change in me.

My walk will be different, my talk and my name.

Nothing about me’s gonna be the same.”

From the popular song “There’ll be some changes made” of 1921, by Overstreet and Higgins

I’m tired of always feeling busy and pressured. That’s a part of ADHD.  I’m realizing what I couldn’t see before; there are things I can cut out to simplify my life.  Here’s what I’d been trying to do:


  1. Time with wife
  2. Gym
  3. Quiet time
  4. Clean up desktop
  5. CME (Continuing medical education.  required only if I keep my little job)
  6. Taxes (less work if I give up job)
  7. Take out garbage
  8. Walk the dog

Optional but desirable:

  1. Spanish
  2. Guitar, includes writing music and performing
  3. Memorizing Psalms
  4. Marketing books
  5. Writing books
  6. Little job (two half days a month)
  7. Church
  8. ADHD blog
  9. Gun violence blog
  10.  Men’s group
  11. Fishing


I’ve already given up the stock market and Facebook.

I’m giving up Spanish, Psalms, and book-marketing.  I’ve enjoyed them but it’s time.

I’ll consider giving up the small job, fishing, the men’s group and the blogs, but not any time soon I hope.

I’m being helped by a book, The Way of Transitions.  I’m in a transition period. I’m developing a new life and a new identity.  It is not horribly painful, but it is difficult, and just a little bit exciting.

We’ll see.

Are there things you’re doing that it would helpful to give up, to save time and stress?


Quote O the Day:

“My parents told me that once I got older, I’d understand.

They were wrong.”

Snuck up on me!




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Too Busy? — ADHD Tip O the Day 892

With ADHD, I’m Always “Too Busy”

Since I retired, I figured I wouldn’t feel too busy all the time anymore.


I suddenly had a brilliant insight. Maybe if I didn’t try to do so many things all the time, I wouldn’t feel too busy all the time?

I remade my schedule. Some things that I was doing every week, I could do every other week. Some things I was doing every day, I could do just two days a month. I could schedule only had one main task a day and I could even keep Thursday empty of tasks (except for fishing once a month in season). An empty day. Wow!

I’ve just started this. So far it’s working.

OK, some days I have two things, because gym is three times a week and because I do something extra with my wife on Saturdays, but I’m not counting those things as tasks.

I resigned from Facebook, except for this blog and the gun violence blog.  I hired a money manager for my stocks. It should be easy for him to do better than me and so pay for himself.

I was trying to do the blog every Tuesday, down from twice a week some years ago. But I have a meeting on the second Tuesday of every month so I’m not trying to do a blog on that day anymore. I hope you’ll miss it, but not too much.

Right now I’m not feeling too busy. Wow! Life without this feeling may require a big adjustment on my part.


If you’re trying to do too much, cut down on how much you’re trying to do.



Personal Notes O the Day:

1. I’ve long said that “too busy“ is a state of mind,  not a reality. I promote thinking of only one thing to do at a time and not feeling overloaded by everything else on your list. Maybe  “too busy“ was just a feeling telling me I was trying to do too many things? It took a while for me to get the message.   Maybe “too busy” and “trying to do too many things” are not exactly the same thing?

2. I’m working on three books, have a fourth outlined, and a fifth in the back of my mind. Wanting time to do writing contributed to the feeling. I hope to have more time now. I’m still thinking the ADHD book might get published in April. Maybe.


ADHD Brain

The Revised Schedule

The Too Busy Booger

Living with ADHD

@addstrategies  #adhd  #add  @dougmkpdp


Too Busy with ADHD?



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“It Just Got Away From Me” — ADHD Tip O the Day 891

ADHD is a booger

Mon 2/17/2020 11:36 AM

What I’m about to tell you is true. This is the way it really happened. You can’t make this stuff up.

We were to leave for our trip on Thursday. We’d spend Friday night halfway. Valentine’s Day was Saturday, as you presumably knew. At least most of you did.

I did. Besides that, my wife happened to drop it into the conversation a couple of times earlier in the week. Just by coincidence.

But somehow, when we got here on Saturday  I had no present and no card. It had just gotten away from me.  I can’t explain it any other way A card would’ve been enough. I drew her something expressing my love and she seemed to like it OK, maybe. It made her laugh, which I thought was a good sign.  Maybe.

When you’ve been married as long as we have, you begin to be able to  sense  when a woman is not happy with you. Like, for instance, when she quits speaking to you. That’s a clue right there. Or when you go to hug her and she knocks your arm away. That’s another one.

However, my wife took it remarkably well, although I don’t think she fully accepted my abject apology. She mentioned that  a few years ago she might not have reacted as well, and I didn’t know whether it was prudent to agree with her or better to change the subject. I thought that whatever I did would probably just make things worse

So we spent Sunday afternoon driving around searching for roses, which were to be a belated valentine and a peace offering. We finally found some, but they were either dead or horribly expensive and my wife choose some other nice-looking flowers. Then we drove around some more looking for a flower vase, but we never did find one. My wife seemed to be getting a little frustrated. I, on the other hand, was exhausted and apprehensive.

We got home, and she beautifully arranged the flowers in a kind of bowl and seemed satisfied. She’s been very pleasant ever since. If you do have ADHD, as I happen to have, it’s very good to have a wife with a high level of tolerance, patience, and a good sense of humor.

But I can tell you one thing. I will never miss another Valentine’s Day. Never.

Quote O the Day:

“I’m very, very sorry.”

      Probably from some married man, quite possibly one with ADHD.


Beautiful Flower Arrangement in a Bowl.


Beautiful flower arrangement in a bowl.




@adhd #adhd Doug@adhd






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Another ADHD Moment—ADHD Tip O the Day 890

“I can’t find it.” Living with ADHD

My wife asked me to bring her some pistachios from the cupboard. I was happy to do so. But I couldn’t find them. I looked all through the cupboard. I was pretty sure they were in there, but I could not find them. Finally, I realized that they were in my right hand. I had moved the bag of pistachios out of the way so that I could look for the pistachios.

Quote O the Day:

“I’m very good at looking for things; I’m just not good at finding them.”

doug puryear

Question O the Day:

What else have I lost today?   answer below

The link below is by Dr. Dodson, who I consider one of the real experts on ADHD:

The ADHD Brain etc.

Link for the download (In case I screwed up and the link above doesn’t work.)

Old Link on Lost Keys and stuff, FOFA

FOFA – Find one, find all


@addstrategies  #adhd  #add  @dougmkpdp

Answer O the Day:

I had three very good highly relevant images to put in here.  They have vanished.  Maybe the demon in the computer ate them?

Here’s the best I can do for now:

losing it

Argghhh! ADHD!



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Pause — ADHD Tip O the Day 889

Pause – a help with ADHD

Pause is a simple strategy I’m trying to turn into a habit.  I haven’t figured out what rule to make yet.  But the strategy is just to pause several times a day, or even more.  The simple part is that is all there is to it. you don’t need to try to control your thoughts or focus on your breathing or relax your muscles or pray do anything except pause.

In fact, I’m going to try it right now.




That was 11.61 seconds ( I used the stopwatch).  It felt good.  Maybe it cleared my brain a little?

Reasons to pause:

Pausing stops the giant internal flywheel, the pressure, the “hurry, hurry,” at least for a little while.  And sometimes it gives me the ability to be more aware of what I’m doing, what state of mind and emotion I’m in, and to reassess.  After the pause, not during.


Possible rules to use:

Set alarms, maybe once an hour, for pausing.  Seems awkward and inconvenient.

Pick another anchor, like pause every time I open or close a door.

But right now, I’m just pausing when I feel like it, and that’s working for the time being.  Maybe I won’t need a rule.  We’ll see.


Note O the Day:

You may recall I was practicing sitting for a while, which was a form of pausing. Not right now cause it only seems to work outside, and it’s colder than a booger here, 23 degrees F and snowing at the moment.  I’ll probably pick it up again in the spring.  The only difference from pausing is that sitting takes longer.

Quote O the Day:

My parents kept telling me, “When you’re older, you’ll understand.”

They were wrong.




Who, me?

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ADHD Pathology — ADHD Tip O the Day 887

Here is a long article again documenting the reality of the ADHD diagnosis. I was slightly surprised to see in the final paragraph how much traumatic brain injury can mimic ADHD. Or, does it in fact, produce ADHD? I think not; it is a different disorder with similar symptoms.

I’ve had many blows to the head, but only one real concussion. That was due to a sucker punch. The real fight was only after I recovered some hours later. It was payback time. However, this is all irrelevant, because I clearly exhibited ADHD symptoms starting at least in the fourth grade and had few if any blows to the head before that and none serious.

I believe ADHD is not just one end of a spectrum, but is separate and distinct. I also believe that at least for some of us there’s delayed maturation of the developing brain, which can be partly corrected with time and improved by medication, which apparently can do more than just treat symptoms. However, I can’t tell if this article supports or refute that idea.

I think this is a good article, but it is too long, too detailed, and too complicated for me to easily read or to fully understand. I was very tempted to just scan it. In fact, I did.

For the scientific minded, the article: (Or skip it. Just scroll down for some more good stuff.)


The pathology of ADHD is not clear. Psychostimulants (which facilitate dopamine release) and noradrenergic tricyclics used to treat this condition have led to speculation that certain brain areas related to attention are deficient in neural transmission. PET scan imaging indicates that methylphenidate acts to increase dopamine. [2The neurotransmitters dopamine and norepinephrine have been associated with ADHD.

The underlying brain regions predominantly thought to be involved are frontal and prefrontal; the parietal lobe and cerebellum may also be involved. In one functional MRI study, children with ADHD who performed response-inhibition tasks were reported to have differing activation in frontostriatal areas compared with healthy controls. A 2010 study again indicated the presence of frontostriatal malfunctioning in the etiology of ADHD. [3Although ADHD has been associated with structural and functional alterations in the frontostriatal circuitry, recent studies have further demonstrated changes just outside that region and more specifically in the cerebellum and the parietal lobes. [4Another study using proton magnetic spectroscopy demonstrated right prefrontal neurochemical changes in adolescents with ADHD. [5]

Work by Sobel et al has demonstrated deformations in the basal ganglia nuclei (caudate, putamen, globus pallidus) in children with ADHD. The more prominent the deformations, the greater the severity of symptoms. Furthermore, Sobel et al have shown that stimulants may normalize the deformations. [6]

Adults with ADHD also have been reported to have deficits in anterior cingulate activation while performing similar tasks.

In a longitudinal analysis, Shaw et al used 389 neuroanatomic MRI images to compare 193 typically developing children with varying levels of symptoms of hyperactivity and impulsivity (measured with the Conners’ Parent Rating Scale) with 197 children with ADHD (using 337 imaging scans). [7Children with higher levels of hyperactivity/impulsivity had a slower rate of cortical thinning. This was most notable in prefrontal cortical regions, bilaterally in the middle frontal/premotor gyri, extending down the medial prefrontal wall to the anterior cingulate. It was also noted in the orbitofrontal cortex and the right inferior frontal gyrus. Slower cortical thinning during adolescence is characteristic of ADHD and provides neurobiological evidence for dimensionality.

A PET scan study by Volkow et al revealed that in adults with ADHD, depressed dopamine activity in caudate and preliminary evidence in limbic regions was associated with inattention and enhanced reinforcing responses to intravenous methylphenidate. This concludes that dopamine dysfunction may be involved with symptoms of inattention but may also contribute to substance abuse comorbidity. [8]

Individuals with ADHD have inhibition impairment, which is difficulty stopping their responses. [9]

According to a study of young children, there is evidence of early brain structural chages in pre-schoolers with ADHD. Researchers used high resolution anatomical (MPRAGE) images and cognitive and behavioral measures in a cohort of 90 medication-naïve preschoolers, aged 4–5 years (52 with ADHD, 38 controls; 64.4% boys). Results show reductions in bilateral frontal, parietal, and temporal lobe gray matter volumes in children with ADHD relative to typically developing children. The largest effect sizes were noted for right frontal and left temporal lobe volumes. Examination of frontal lobe sub-regions revelated that the largest between group effect sizes were evident in the left orbitofrontal cortex, left primary motor cortex (M1), and left supplementary motor complex (SMC). ADHD-related reductions in specific sub-regions (left prefrontal, left premotor, left frontal eye field, left M1, and right SMC) were significantly correlated with symptom severity, such that higher ratings of hyperactive/impulsive symptoms were associated with reduced cortical volumes. [10]

Narad et al. explored the relationship between traumatic brain injury (TBI) in children and development of secondary attention-deficit/hyperactivity disorder (SADHD). [11They looked at concurrent cohort/prospective studies of children aged 3 to 7 years who were hospitalized overnight for TBI or orthopedic injury (OI; used as control group). A total of 187 children and adolescents were included in the analyses: 81 in the TBI group and 106 in the OI group. According to the results, early childhood TBI was associated with increased risk for SADHD. This finding supports the need for post-injury monitoring for attention problems. Consideration of factors that may interact with injury characteristics, such as family functioning, will be important in planning clinical follow-up of children with TBI.”


Quote O the Day:

“Happiness is clear nasal passages.”

from a man who had a cold.


ADHD Medication

Science or Hash?

ADHD and Marriage

@addstrategies  #adhd  #add  @dougmkpdp
@addstrategies  #adhd  #add  @dougmkpdp,medicine abuse,medication abuse,misuse,stimulant abuse,stimulant misuse,medication,medicine,stimulant,adderall,amphetamine,meth,add, adhd,adult add,adult adhd,attention ,deficit,myths,ignorance,beliefs,study,college,, @addstrategies #adhd #add @dougmkpdp,

No one is more certain in their views than the one who has no idea what they’re talking about.

Controversies,research,science,theories,causes,dysfunctions, symptoms,causes of ADHD,symptoms of ADHD,denial of ADHD

What is it really, ADHD?


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Ramblings and Ruminations — ADHD Tip O the Day 886

Life with ADHD

I wanted to be sure that the tube was the right length, so I measured it carefully before I cut it. It looked too short.  I measured it again to be sure; it was correct, so I cut it.

It was too short.

I should’ve (I hate to use that word) should’ve listened to the little voice.

And Also Life with ADHD

I am way too busy.  I’ve written that “too busy” is just a state of mind, and I believe it.  But I am too busy.  There are so many things to do; so many things that I want to do.  Life was harder are in the old days.  We did not have so many labor-saving devices, so many effective medical treatments: the lifespan was much shorter and more painful. We also did not have all these options to choose from.  What you needed to do was pretty obvious, and you just did it.

Labor saving devices – dish washers, clothes washers and driers, for example.  Computers.  Computers are wonderful.  We can do so many things that we couldn’t have done before.  Like writing an ADHD blog. Of course, this gives us more options.  All of which take time.  Which I am short of.  And how much time am I spending on computer maintenance?  Dino, I appreciate your help with Dragon, a time saving device which isn’t working- my warranty has expired so I don’t think they’ll help; I haven’t called them yet.  I have tried system restore and reinstall.  Do you notice that doing all of these things to fix Dragon takes time which is what I’m trying to save by using Dragon?

Dystechnologica can accompany ADHD; it sure does for me.

I just finished draft six of the new ADHD book. It’s nearly done;  I  hope to publish in April, and just finished draft seven of my first novel, which still has lots more work to go.  Novels are harder. This is exciting. But in my experience, publishing on Create Space is a very frustrating time-consuming experience. I’m working on a third book, on gun violence, and have a fourth one on health on the back burner. And I have one on marriage, or on relationships anyway, since marriage seems to be going out of style, in the back of my mind.  It’s crowded back there.

All this might keep me busy and off the street corners for a while.

Maybe I could cut back on the writing?  But that doesn’t feel like an option; I need to write.

With ADHD, We Tend to Have Many Interests

I wish I had more time for reading, poker, ping pong, chess, guitar, Spanish, relaxing, fishing.

Spending time with my wife is a big priority, although she may not entirely see it that way.  And time with her keeps me from drowning in all the other things.

So I need strategies, time management, priority setting, organization, and breaks and relaxation; not just work.  I’m working on it.



Where is the Time?

Big Research on ADHD and Time


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Frustrated— ADHD Tip O the Day 885

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ADHD Frustration. I give up!

ADHD is a Natural Recipe for Frustration

Yesterday I fixed my iPhone, got the library book for Martha she’s been waiting for, learned a little bit of guitar, and  lost almost two pounds. I “should’ve” been happy.

But –

OK, here’s more frustration.  I started this post a couple of weeks ago and was saving it.  Now I can’t remember what I was frustrated about that day.  That’s frustrating.

Ken just made a good comment on scheduling strategies.  A good schedule is a big help, but part of his trick is to be gentle with himself, lower expectations; if he gets 80% done, it’s a good day.  This approach will lower frustration.

Today I am pleased that after two days of trying, I finally got the Grammarly app to work again.  But I cannot get my Dagonspeak to work; it will not recognize my microphone, even though Microsoft’s speech recognition does, but is not working well at all. I think I need to reinstall Dragonspeak but I’m not sure I know how or have the right disc or codes or whatever and am afraid I will lose it forever.  Can you see that this could be a little frustrating?

Any suggestions from you less technologically challenged folks will be appreciated, as will just sympathy from the rest of you.

More Personal Note:

I’m still working on the new ADHD book and I think now maybe April would be a realistic target date.  But I’m also working on the novel, which has captured my interest and sidetracked me, and also on a gun violence book, using posts from a blog. And then I have a health book on the back burner.  Maybe it’s a little much??

And I dread the actual process of publishing the book on create space. It’s a booger.

That’s life with ADHD.

Strategies for Dealing with Frustration:

  1. complain and whine, as I’m doing here.
  2. try to be more reasonable, expect less – not doing well at this
  3. take a break and relax – OK, as soon as I finish this post.
  4. Focus on the positives- OK, Grammarly is working.



Get Out of a Bad Mood


Frustration and other emotions that are difficult for us with ADHD to handle.  Who would’ve guessed?

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Natural Treatments for ADHD — ADHD Tip O the Day 884

Treat ADHD without medicines?

I’ve done several posts on this. I use supplements and Daytrana and strive for a healthy life style, a good idea for everyone.  But I do believe the healthy things do specifically help with ADHD : sleep, exercise, meditation, avoiding illegal drugs, and other things.

I’m recommending the links below.  Educate yourself.


Naturarelief – a “natural” treatment

nootropicwatchdog.comCheck anything “natural” out on this site before using.

Bonus Links:

Are Natural Substances Safe?

Medication for ADHD?

Non-Medication Treatment for ADHD- looks reasonable

Living Healthy Helps with ADHD

Quote O the Day:

Exercise nearly every day,

or at least think about it.


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Is exercise a dirty word? 

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Is exercise a dirty word?


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Happy New Year Even with ADHD — ADHD Tip O the Day 883

I hope you have had a good 2019 and that 2020 will be even better for you.  It will as you learn new ADHD strategies and improve your coping.

One of the problems we ADHD folk struggle with is time.  Did Christmas sneak on you again?  Are your days a few hours short of the time you need?  Are you trying to go without sleep so you can get more done? (Hint: That won’t work.)

The new year is a good time to look at what your typical day is like, an evaluation.  Mine, for example:

bathroom, including extensive tooth brushing and taking of many pills — 1.25 hours

quiet/prayer time — .5 hours

walking dog, three times a day — 1 hour

eating — 2 hours

exercise — 1 hour

trying to find the thing I just had in my hand — .75 hour

getting my wife to help me find something — .5 hour

doing things I need to do — 1.5 hours

doing things that have no real point — 1.5 hours

trying to figure out which things I really really need to do — 1 hour

making lists and schedules — .25 hour

time with my wife — 3.5 hours

errands — 1.5 hours

writing books — 2.25 hours

paper work — 1.5 hours

trying to decide what to work on on guitar – .25 hours

practicing guitar — .5 hours

studying spanish — .5 hours

reading books, newpaper, magazines — 1.5 hours

facebook — .5 hours

sleeping — 8.5 hours

(non daily — church, fishing,  writing blog, cleaning up desktop)

You may have noticed that this adds up to more than 24 hours.  That’s part of the problem, isn’t it.

I may need to spend more time on organizing and planning the day.  Where would I get that time?

Have a good new year.


Ed started to plan his day. Eight hours slipped by.

Quote O the Day:

“ADHD: The energy to accomplish anything, the focus to accomplish nothing.”

@addstrategies  #adhd  #add  @dougmkpdp



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An ADHD Christmas — ADHD Tip O the Day 882


Merry Christmas, Happy Hanukkah, and a blessed whatever.

Since Christmas, and everything else, sneaks up on me – “Wait!  That can’t be this week can it?”

But this year i was on top of it.  i ordered my wife’s gift way early. It was only after I submitted the order that they told me it would be delivered mid january. Well, that means they’re behind so it must mean its a very popular gift so it must mean i got the right thing.  Doesn’t it?

OK, but today, the time snuck up on me, and I need to get this out now, so that’s it.

(Living in ADHD time – it’s different.)

Thank you all for following



Link O the Day

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Happy Hanukka

Merry Christmas

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The Scientific Method and ADHD Research — ADHD Tip O the Day 881

Statistics can be confusing.

This is from a report on research  showing that exposure to antibiotics early in childhood did not lead to ADHD (although there is a “but” at the end.):

“Risk of developing ADHD was estimated using Cox proportional hazards regression in a high-dimensional propensity score–matched cohort (n = 69,738) and a sibling cohort (n = 67,671). ADHD risk was not associated with antibiotic exposure in the matched-cohort (hazard ratio = 1.02, 95% confidence interval: 0.97, 1.08) or in the sibling cohort (hazard ratio = 0.96, 95% confidence interval: 0.89, 1.03). In secondary analyses of the matched cohort, ADHD risk increase was observed in those exposed to 4 or more antibiotic courses or a duration longer than 3 weeks. These associations were not observed in the sibling cohort. We concluded that antibiotic exposure in the first year of life does not pose an ADHD risk on a population level.”


A recent journal column questioned the use of the traditional p-value, saying that a low p-value does not mean that the findings are valid, but only that the research was well done.  I could not understand the discussion of this either.

Science can be confusing:

I continue to see, even among scientists, some confusion:

  1. Correlation is not the same as cause.  The incidence of diagnosed ADHD in US children has risen in the past twenty years.  So has the US military budget. It seems unlikely that one caused the other, but there is a correlation.
  2. When there is correlation and it does seem related, it can be difficult to distinguish cause and effect. The US is involved in long term wars; the military budget has been rising.  Which one caused the other?  Think about it.
  3.  Not proven is not the same as proven not.  The new fad for evidence based medicine is a good thing, but it is not the only thing. ( The insurance companies like to use this to deny claims.)
  4. There can be a confusion about objective and subjective conclusions.  Years ago I was bothered by a scientific paper titled “Schizophrenia Has A Poor Prognosis.” I wrote a letter to the editor, and the researchers responded that they were ‘sorry if Dr. Puryear was bothered by our findings.’ I wasn’t bothered by their findings. They had published their data, which was whatever it was – ‘after x years, y percent of patients are still psychotic’.  Then they had made a subjective leap to state their conclusion, in their title.

Sometimes this stuff gives me a headache, but the scientific community is working to correct the problems outlined in these two articles.  Science is better than nonsense.


@addstrategies  #adhd  #add  @dougmkpdp

My ADHD Brain







James Clear – good thoughts

p value – more articles

Bonus Suggestion O the Day:

If you are going to get a massage, you may want to avoid eating a lot of prunes or drinking a lot of coffee beforehand.  Just saying.

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The Scientific Method — ADHD Tip O the Day 880

If you’re very familiar with the scientific method, skip down to part two.

Many of us are interested in research on ADHD. It’s important to understand what’s going on.

Part One: The Scientific Method

1. A researcher states a hypothesis, which could be proven not true.
(For example, “There is no God,” or, “There is a God;” neither statement could be proven not true and therefore scientific research cannot address them. “Medication A gives better results than placebo” could be proven false and so is testable.)

2. The researcher records the plan of the research,  the outcomes are to be measured and the statistics to be used. (Sometimes researchers go back after-the-fact come up with different questions or approaches using the same data  This is a very questionable practice.)

3.  The research is done. For testing medicines, the gold standard is the randomized double-blind placebo-controlled trial, meaning a group of control subjects get a placebo and the experimental group receives the medicine to be tested. Double-blind means that neither the researchers nor the subjects know which the subject is receiving.

Randomized means the subjects are assigned to either the control or active group at random. In good studies, after this is done, the two groups are compared with each other to see that their characteristics are about the same, that no big differences in the groups, like ages, for example, had occurred by chance.

The gold standard is not always possible. For example, one study of school children at risk for dropping out compared a group  who received one hour a week help from a mentor with a control group who did not. Couldn’t be double-blind, but the researchers who measured the results could be unaware of which group each child was in. The hypothesis that the mentored group would do better was proven.

4. For good studies, to reduce the chance of getting a result purely by chance and not a true result, large groups are needed. When using statistics, the larger the group, the more powerful the statistics will be. 

4. The statistical method is chosen before the research is done. There are many different statistical approaches and different ones are more appropriate for different kinds of studies. The most common is the p-value, which indicates the chance that the result could’ve been totally due to chance. If the p  is less than .05,  the result can be called “statistically significant,” but most people prefer less than .01, which means that less than once out of a hundred times the results could have been due to chance.   The smaller the p-value, the more likely the findings are to be valid.

Again, there are many different ways of calculating results, such as “number needed to treat, “meaning the number of patients who would need to receive the medicine before one patient would do better than someone on placebo. Obviously, you want a small number.

5. The paper is written with a description of the research method, the statistics used, and the findings. It is submitted to a reputable scientific journal and then peer-reviewed, reviewed by several experts in the field who indicate if it is valid, worth publishing,  or needs improving.

6. If published, the research or experiments need to be repeated by different researchers in different laboratories using the same approach to see if they come out with the same results.

6.  If the results are duplicated then “science” generally will accept the findings as accurate – “science says'” or “research shows.” We don’t put much stock in a single study finding, not duplicated.

Part Two: Problems with the scientific approach

There are many ways science can go wrong, as illustrated by the varying year-by-year changes in dietary recommendations. Experiments need to be properly designed, properly run, honestly reported, peer-reviewed and duplicated.

  1. In many medication trials, the average benefit for all the experimental group is not significant enough and the medication is dropped, but there may be a small group of people who did benefit but usually these are not tested further.
  2. Doing studies is expensive, and many are funded by drug companies, which seems to risk some bias in the designing, the interpretation and possibly even in the results and in which studies are published.
  3.  For many studies the results are negative, meaning not statistically significant, and these are rarely published although they could be scientifically useful.
  4. Statistically significant does not always mean clinically significant.
  5. In recent years, the number of people who respond to placebo has risen, making it harder to prove a medication effective, and some that might be are dropped.  The reasons for this are not clear.  Could it relate to #6? (The placebo effect is powerful, but benefits tend not to last. )
  6. Some people fake their information to get into studies for the money or other benefits.
  7. For many trials, it is difficult to recruit enough subjects to get good results.  
  8. Some studies use a placebo group in problems, like schizophrenia, where this can be harmful to the subjects.  I think this is unethical.
  9. All of these problems are being addressed in recent years, and the science is improving.


Part Three: Comments

I have mostly used medication testing as the example in this post, but the scientific method applies to all research.

I find the statistics complicated and confusing, I don’t understand them, and some of what I have just told you may be wrong, but the general idea is correct anyway.

I view most scientific results with a certain degree of skepticism, and some of them I don’t believe even if they seem to have gone through this process properly. This is presumably an example of confirmatory bias, the logical fallacy where we collect data that agree with our preconceived notions and reject those that go against them. It is hard to avoid or to shake.

Overall, I think it is much wiser and safer to go with properly done scientific findings, even though they may turn out to be wrong, rather than intuition, hunches, prejudices, biases, or conspiracy theories. The odds are in favor of the science.

In my posts, I try to make clear when I’m stating my opinion versus when I’m stating accepted scientific findings or fact. Please catch me and comment when I fail to do this.


Heads Up O the Day:

I plan for the next post to expand on this, but this one is already too long (right, Martha?)

I think it will be interesting.

Request O the Day:

Some of you surely know more about this, especially statistics, than I do.  Please comment, correct me, or argue.


The Scientific Method


Confirmatory Bias

Mr Bean

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Too Busy with ADHD — Tip O the Day 879

Why Am I “Too Busy?”

Ram is on a roll; this comes from comments and discussion:

Too Busy, part one:

With ADHD –
1. It’s hard to set priorities.
2. I want to do it all.
3. I set good rules but it’s hard to follow them.
4. Life is complicated.

Report O the Day:

I had a good list today and was gonna make a lot of progress. Yeah, right. So of course, my printer broke down. It won’t recognize the network.  It’s a stubborn son of a gun and I think it has a mean streak.  After I’ve spent most of the day messing with it, I called my son in law for help.  He’s on his way.  The universe seems to be working against me.  And it’s bigger than I am.

Too Busy, part two:

I still contend that “too busy” is a state of mind, not a reality.  In fact, I only have one thing to do now.  Do this post.  And post it, of course. Oh, yeah, and wait for my son in law. But if I get this post done, and posted, and my printer fixed, I can call the day a success and save the rest of the list for tomorrow.  Nothing is that urgent or critical.  Urgent and critical are mostly ADHD feelings, rarely a valid picture.


Focus on doing this post and take my own advice from above; nothing is urgent and critical.



Way Too Busy


Teaser O the Day:

I do have a little bit of new ADHD research and I’ve decided to do a post on the scientific method just in case a few of you are not entirely familiar with it.  Of course, science has fallen out of favor in some quarters as some people are sure that their gut instincts are more valid than the results of research in spite of their lack of education and knowledge but since I am not, like them, a genius, I still pretty much go with the science, although with caution and a little bit of skepticism.

Yikes! O the Day:

My son in law just called. He took the dogs for a walk prior to coming here and they were attacked and two are at the animal hospital.  The wounds don’t look critical.  I don’t think the printer will get fixed today.  Glad the son in law and the dogs are OK.  See, I told you.

@addstrategies  #adhd  #add  @dougmkpd
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I need all the help I can get.




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Ram’s Comment —ADHD Tip O the Day 878

Ram makes good comments, and this one raises issues about structure and routine, skimming instead of reading, and our ADHD difficulty of picking one thing.

Great post! I laughed out loud at your “skimming” comment. I did read your whole list, but only because I forced myself to. I was skimming and I forced myself to start from the top when I caught myself skimming, thinking “No, you might miss something important! This is Doug’s blog and you came here deliberately”. Then I reached your comment about skimming. HA! :p   (I had commented that I would not have read my whole list; it was too long and I skim.)

My personal insight: I’m a person who thrives on routine. For example: once I went to work in Spain for 14 days, and I had to create a morning routine for myself for breakfast. Luckily there was a nice café in front of the hostel, so I quickly settled into dropping in at the same hour every day for the same breakfast meal and a quick chat in broken Spanish with the waitress. 🙂
My routines do tend to change a lot. I wish I could set things in stone, but sometimes a routine stops working for me (for whatever reason), so I change it and quickly set into a new routine. But I DEFENITELY need routine and, as I mentioned, thrive on it.

On a side note: I think it’s cool you play the guitar. I don’t know if I ever mentioned it, but I picked up guitar playing about 2,5 years ago with a teacher – a great dude who is VERY patient – and I enjoy it. But I sometimes find myself not practicing enough. I think it’s a settled deep and inconscious fear of failing – affraid of getting frustrated and losing interest… :/ It’s such a weirdly counter-productive take on it…


In reply to rammkatze.

Ram- as always, thank you for your contributions. I appreciate your endorsing the skimming and the routines. I think we change routines, and strategies, even if they’re working, because they are no longer novel and we lose interest or get bored?
you are a good writer. if you ever are ready to write another post, doubtful since your ordeal, just pretend you are writing a comment and it should be easy.
the guitar, i dont practice enough, but its important not to make it a chore. i am struggling to settle down on what i want to do – learn ONE song or technique and then move on. hard to choose one, easier to just piddle and do what i already know. that’s enjoyable but i would like to improve and learn new things.
i might make this a post, maybe.
best wishes,


James Clear on Picking One and other ADHD Matters

Setting Priorities : Hard to do with ADHD

Too Busy- Partly because it’s hard to set priorities

Complaint O the Day:

If you say yes to one thing that means you are saying no to something else.  But I want to do it all.  Nobody told me that life would be fair.

@addstrategies  #adhd  #add  @dougmkpdp

That’s ADHD

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ADHD Research — ADHD Tip O the Day 877


There is new ADHD research, but nothing that new.

The stimulants sometimes cause insomnia. (This can usually be fixed by changing dose, schedule, or medication. I need to get my Daytrana patch off by 5:10 PM and I usually do.  I need two different alarms, 5:10 and 5:20, to manage it.  If I have insomnia, the first thing I do is check to see if the patch is still on.)

Adolescents with ADHD sometimes stop taking their medication (Surprising, because it should be helping them.  Not sure why they do this, but then, they are adolescents.)

The stimulants are abused in college, generally not by kids who actually have ADHD, but kids with ADHD  may share them or  sell them and may get pressured to do so.

The idea that the stimulants will help with study or grades is generally a myth.

There is not one specific ADHD gene, but a number of (single nucleotide) mutations, each with small effect but additive. (Copy variants or deletions might have a more powerful effect?)  ADHD runs in families, especially on the male side.

Our ADHD brains mature more slowly than vanillas’ and some parts are smaller. And adults who have “outgrown” their ADHD ( 50% of us, not me) still show the brain abnormalities. The basal ganglia still seem central to the relevant brain networks.

Pollutants, during  pregnancy or early childhood, may contribute somewhat to developing ADHD (presumably through epigenetics, altering the activity of genes without altering the gene.)


Personal Comments O the Day:

Some studies suggest that ADHD is just one end of a spectrum, and while I tend to respect the science, although with caution, I don’t believe this.  I think that we are different, a different tribe (not just one end of a bell shaped curve.) I do not pretend to understand the genetics; please feel free to correct my errors on those.  There are still some people who do not believe in ADHD in spite of all the evidence; I do not find it useful to try to convince them but just allow them to wallow in their ignorance and wrongness -“My, that IS an interesting viewpoint.  So, do you think it might rain tomorrow?”


Great link from Dinos

Personal Note O the Day:

Last Sunday I courteously held the door open for a very elderly couple to exit the church. I felt quite good about myself, being so gentlemanly,  until they turned to thank me.  They were both younger than me.

  • #adhd #add  @dougmkpdp  @adhdstrategies

Snuck up on me!


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Structure, Schedule – The Secret to ADHD?— ADHD Tip O the Day 876

Flopping around with ADHD

Retired.  Again. Haven’t found my groove yet. Too busy.

Writing two books, one on ADHD, Living Well with ADHD, and a novel, Alma Means Soul, both about ready to publish, which I dread;  Create Space has not been that user-friendly for me.  Studying guitar and Spanish, writing songs, a little performing, gym three times a week, more time going places with my wife – lots to do in Santa Fe and in New Mexico, traveling to see three new great-grandchildren (lots of fun!), and the usual bills and incorrect charges, and the blog, and facebook, and stocks (I’m getting out of that soon.), walking the dog, men’s group, working against gun violence (lots of research, very illuminating), more spiritual quiet time. And I still have a small job, although it’s only a few hours twice a month.

Did you read all that long list?  I wouldn’t have; I tend to skim.

I am making schedules, one for the typical week and one for this week.  It’s hard to follow them but I’m trying. Obviously, I’m too busy, although I claim that is a state of mind more than a reality.  Still, we with ADHD are blessed and cursed with a wide variety of interests and we have trouble setting priorities or saying No to anything.

And the church and gym are set in stone, so no decision to make and that is structure.  I think I need more structure in each day.  Get up and bedtime and mealtimes at the same time would help.  And starting to make a morning routine: breakfast, walk the dog, quiet time, every morning before I do anything else.

With ADHD, structure and schedule reduce the number of choices and decisions to make and help us stay organized and be more effective.  Life is good.



Bonus Links:

Schedule from Amy

Orluv on Marriage – take time to enjoy

I Don’t Need Structure

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Life with ADHD





Life with ADHD

Living Well with ADHD

Living Well with ADHD

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A New Use for Index Cards — ADHD Tip O the Day 875

ADHD index card

Index Cards and Manila Folders (and smartphones?)   God’s Gifts to ADHDers

I keep the stack of index cards on my desktop just to the right of center, where I can’t miss it.  Each one has a “Saying O the Day” on it, although I don’t change them daily.  When one saying has outlived its timeliness, I shuffle through the stack until I find another one that fits the occasion.  It took a while to make this many; I can make a new one whenever needed, but that’s rarely now. The same issues keep coming up.

Since they do change frequently, I don’t get the usual habituation where you don’t see something after its been there a while.

It helps.


ADHD index cards




Personal Note O the Day: 

Bonus Links: A Smorgasborg

James Clear Good Ideas


Married with ADHD: an oxymoron?


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Ram’s Saga-Writing with ADHD — ADHD Tip o the Day 874

I asked for volunteers to write posts for the ADHD blog and Ram stepped up. This started a journey with a long period of correspondence, some of which is lost, which looks like the makings of a novel. I’ve recreated our journey together as best I could. Great appreciation to Ram for courage, perseverance, and contribution.           Score: Ram 1, ADHD 0

2019/06/06 at 9:00 am

ram –
eagerly awaiting some posts from you. your comments are so good.
send to(email address). 
appreciate it

True, I’m not a blogger. And I still insinuated myself as an option: maybe because I like the idea of being a blogger and keep putting it off, so it’d be a nice chance for me. Maybe because I have ADHD and before we use a strategy to learn how to delegate, we get sidetracked by the next new shiny thing and overreach. It would definitely make a good post. :p

Also: while I have your attention, I’m dying to share something with you (unrelated). I could show you the fotos, if you want. 🙂 Or a make a post about it! 😀  [Here ram gave a thorough description of the game. This would’ve been a fine post if we had just stopped there and posted it.  Would’ve saved a lot of distress.I could show you the fotos, if you want. 🙂 Or a make a post about it! 😀Ram

ram – you’re not a blogger, but your comments often make a good post, like this one. if you would like to expand on it, and maybe add an example, maybe this if you’d like. best wishes

Sure thing! I’m pretty busy with work now (half the people on vacation, the other half on sick leave), but I’m off work on Monday evening, and I’ll mock a couple of posts up. Just tell me where to send it.

[Unfortunately, Ram ran into some kind of writer’s block and sounded like she was suffering, struggling and getting down on herself.  I kept trying to help.]

ram-thank you for contributing, and for your forthcoming post. strategies will help. can you identify the block?
do you think it needs to be perfect? do you not have enough information? something else?
if you just get something down i could help you with it if you’d like?

ram – good for you , coming up with a strategy. you might want to consider deciding how much time you want to devote to this. one hour? two hours? certainly no more than four. if its not done by then, you could just send it to me or just forget it.
are you trying to make it too good? if you just get something done, anything, I can do any editing needed.
are you trying to edit as you go? most writers recommend just getting something down on the paper, and then editing. the great writer, Ann Lamott says, “the first draft is always crap.”
thank you for your efforts – remember, the perfect is the enemy of the good, ‘always do your best’ is nonsense, and some things are not worth the trouble. and think about how good you will feel when you either get it done or say to hell with it, either one.

Ram -welcome back.
congrats on the vacation. we all need breaks
again, any thing you can send i’ll be happy to edit if it needs it.


2019/09/23 at 8:31 pm     ram – please no shame. if its that hard you can let it go, the benefit is not worth it. or you can keep working on it if you want, there is no hurry.
is it possible you are being a little bit perfectionistic?
but please, no shame. some things are hard for us.
best wishes

On Oct 14, 2019, at 1:49 AMHello, Doug!
I did it! I wrote it! I decided I was afraid of writing too much and too unnecessary stuff, and that I’d just write it as I pleased and leave all editing to your discretion. I hope you have fun reading it. 🙂
Don’t feel pressured to publish it, though. It is entirely up to you. I just really wanted to share it with at least one person who has ADHD and it would be too long for a reply on the blog. 😉   Warm regards

Mon, Oct 14, 2019 at 3:15 PM    Boogers. I can’t open it in this form. Please resend. I am so glad you are done. I hope you didn’t misunderstand. I was hoping you dropped it because it seemed to be torturing you. I am eager to read it.  That was a good strategy to just get it out there and let me worry about editing

I was afraid that might happen… I saved it as a PDF, let me know if it works!   ram

Mon, Oct 14, 2019 at 4:00 PM  Great! Got it.  It’s good.

Two editing things. I would like to move the paragraph about anecdotal evidence to the end. If you wanted, I could edit it to make it shorter, but I think that would leave out some things you’d like in and it is good as it is.  I think it may need a final summarizing sentence, which I will do myself as a comment from me. Thank you so much


Great! Good to know! Please, edit it as you see fit 🙂 Warm regards


Thank you so much for sharing! I hope it’s of interest for your followers. 🙂
And congratulations on posting the fotos I included so nicely fitting! I know you sometimes struggle to get it right. They’re spot on!


Follow up:  Ram’s post has 51 likes so far on Facebook Psychiatry and Clinical Psychology, not to mention others.  Ram’s post


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Do something!





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Ram’s Mindball Post — ADHD Tip O the Day 873

This Post Is  Gift From Ram on One Aspect of ADHD

Last Spring I took a trip to Portugal to visit my family. While we were there, one of my sisters (a pharmacist with a college degree and a deep interest in all things health-related) took the opportunity to finally go see an exhibit about the human brain and dragged me along.

We had lots of fun in that interesting exhibit, that was actually quite interactive, but the best part was the one-on-one competition they had available for anyone who was willing to give it a try. (Note: I’m in no way associated with Mindball(registered mark) )
I had to sit around for a while because there was a school class of little kids, eagerly taking each other on under supervision of an exhibition guide, challenging among themselves and challenging their teachers. The goal of the game: two people sit in front of each other at two ends of a table and in the middle of the table, there is a ball. This ball is connected to a magnet under the table that responds to the EEG readings of the meters connected to each of the players’ heads. When a player is more focused and calm than the other player, the ball moves away from him. Whoever manages to push the ball away from himself and all the way to the other player, wins. During the whole game, two graphs on a big screen display the level of focus of each player.

Because I have ADHD and my sister is a “vanilla”, I was eager to take her on, desperate to see how my graph would compare to hers. While watching two of the teachers of the field-trip taking each other on, I noticed how high their levels of focus were (I don’t have pictures of their graphs, sadly).They both kept their eyes closed and they were almost flatlining on top of the graph, the ball between them barely moving: an exciting mental tug of war.

My sister, who had been still wandering elsewhere in the exhibit, finally joined me and I told her to wait until the kids were gone – which would prove to be a test of my patience, because the kids were having so much fun and wouldn’t let go. Eventually, two kids were playing and while one of them had a more or less constant graph-line of focus, the other one showed big spikes of focus that almost immediately let down. I quietly told my sister “Look at those focus spikes and how they drop! I’d bet you anything that kid has ADHD…”

Finally, the exhibition guide – who had noticed me a while back – told the little kids it was time to move on, because “there’s a couple of ladies here who also want to give it a go”. They frowned but moved on, my sister and I were finally ushered to the table and I gave the guide my cell phone and asked him to take pictures – which he gladly did at all the right moments. I decided to not close my eyes. I was afraid my mind would start wandering and decided to focus my gaze on the ball. The ball was still on my side – from the last pair who played the game – and started resetting by moving towards the middle of the table. Suddenly I was unsure of myself: was the game already on? It looked as if the ball was moving farther away from me than the center of the table would be? I had to ask and, after getting an affirmative answer, I stared at the ball. The ball was jerkily but steadily moving in the direction of my sister – meaning I was winning – so that for a
moment, I was unsure and looked at her in disbelief.

Ram and Sister

She was starting to break down in laughter and saying “I’m gonna lose!”. It startled me so much that, for a second, I lost focus and the ball took a big leap at me. I intently focused my eyes on the ball and gave my best. All the while thinking “focus, focus on the ball, deep breaths, be calm, focus on the ball” almost like a mantra. In a matter of seconds, I won.

The guide took a snapshot of the comparing graphs in the end, I thanked him and then we checked and analyzed the graphs.

Now, this is what you’d call anecdotal evidence, of course. But as I predicted, my brain focus worked in big jerks that constantly dropped if I wasn’t careful. To add further information: I had taken my meds (a compound like the one you’d find in Ritalin but under a different name in Europe) about 3h previously, so I was at the peak of my performance. Which makes sense: I could force myself to focus, but it was a conscious effort, and a jagged one at that.

My sister, being a vanilla, had a constant focus, though she didn’t focus very well because she felt put on the spot and unsure of herself.

Mindball Graphs

It really gave me a tickle to see the difference of our brains displayed in graphs and I wanted to share it with other ADHD fellows, so I offered myself to write a guest post for Doug, although I’m no blogger myself. I do hope it is of interest for all of you!

Doug’s Comments:

I only edited a few typos.  Ram struggled to get this done.  She deserves a lot a credit. More about that later.  Thank you, Ram.

It show that we can surprise ourselves with what we can do.

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ADHD Strikes Again! — ADHD Tip O the Day 872

ADHD continues its devious works to screw up our lives.

You all know my friend Tom, who missed three straight appointments with me? The good news is that this stimulated him to look at how he was managing his calendar and to make new strategies, which seem to be working.

He emailed me an apology and I used it as a post, Number 870. I asked him, as a penance, to make a comment on post 871 or 872. Tom has ADHD. We ADHDers do not always read everything  c  a  r  e  f  u  l  l  y.  So Tom wrote a comment, and put it on 870, where it was somewhat redundant.

However, since he has been so helpful with my books, I am not asking him to post another comment, not unless he really really wants to.  But if he does, not on this one please, where it again would be redundant. Save it for 873 or 874.

One step forward, one step back.

Strategy: We need to slow down, and when we are reading something, actually read it. I always feel in a rush and I generally skim things instead of reading them.  And if it is long and/or has multiple points to make, well, forget it.

Bonus Strategy: As a corollary, when I write a note to myself, I always need to stop and read it, to be sure that it’s legible and that it’ll make sense to me later. Especially in my appointment book; I hate it when I have an appointment noted in my book on a certain date but have no idea what it is.


Note O the Day: Amazingly, the new book, proposed title, Living with ADHD: Tips to make your life better, is almost ready to publish. I’m not looking forward to that part. Getting it correctly on the page can be very frustrating.  But I am eager to get it done.  Tom has been a huge help editing it.  Using strategies to avoid procrastinating.  One is to post this here.

Question O the Day: Do you have any suggestions about the book title?  They would be very welcome.  Thanks.


Struggling with Appointments

Natural treatments for ADHD 

I do have some questions about this one. Fish oil (omega 3 fatty acid) has been proven to be somewhat helpful sometimes.

October is ADHD Awareness Month!

I wasn’t aware of this.

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@addstrategies #adhd #add @dougmkpdp


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Distracted, Derailed, Off the Track — ADHD Tip O the Day 871

Distractable = ADHD

I’ve been working on a revision of the 365 Tips O the Day book and I got about 65% finished on the final draft, number 11.  When it’s done I can publish it.

Well, writing is the easy part, editing is hard, and the publishing is a booger.   A set up for procrastination.

We went on a lovely two week vacation and a novel popped into my head.  That had never happened before.  I had no intention of writing a novel. But these characters were suddenly living in my head and I was recording their lives and adventures.   I finished the first draft in two weeks.

My wife read part of it and didn’t like it.  A friend read it and also didn’t like it because she didn’t like the main character, Alma.  I can see that Alma is not all that likeable although I like her.  My friend also said I needed more dialogue  so I’m putting that into the second draft.  The characters are allowing me to hear their conversations.  Putting the conversations in  follows the writing principle of showing, not telling.

I wonder, “Is this the best use of my time?”  I think not, but – “Why do writers write?”  “Because they have to.”

Since we got back the El Paso shooting happened and I’ve been very involved in a program about gun violence. (You can check us out on facebook, Too Many Deaths. We’re trying to get organized.)


I haven’t really come up with one but I’ve decided not to worry about it.  I’ll probably finish the novel first because it has a stronger motivation right now. I’ll finish them both anyway, so what difference does it make?


Double check to see if what you’re concerned about really needs that concern. 


Quote O the Day:

“Don’t worry; be happy.”

Bonus Quote O the Day:

BREAKING NEWS!! Man adjusts to society after two decades of being raised by family!

Personal Note O the Day:

I’m retiring at the end of the month. I hope to finish the books, maybe start another one, or not; do a blog a week, fish more, learn more guitar and more spanish, and especially spend more time doing things with my wife.


Marriage and other similar relationships

Bonus Tip O the Day:

Ram on finding the lost i phone using a tracker:

“Hi Doug! I use a Garmin Vivofit. I just checked: it works even if the phone is set to silent + Do Not Disturb mode. 🙂”

My ADHD Mind

Snuck up on me!

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