A Woodworker’s Approach to ADHD (mostly)

My wife said I should write about the most recent disaster, but no, I’m not going to describe the incident where I merely sat down on the sofa next to the bowl of popcorn and somehow it ‘exploded’ and the popcorn went, as my wife says “everywhere.” We sure had a good time trying to get it all up, not.


Don’t sit down next to popcorn?

That seems just too trivial; I want to share something profound from James Clear:

Charles Hayward, a cabinet maker and editor of The Woodworker magazine, offers some advice on how to succeed in woodworking (and in life):

“One thing is certain: that, even though the craft is a lifetime’s study, the application of a few simple principles will assuredly bring success in woodworking. In the first place, never start a job until you know precisely how you are going to do it. Pass its construction step by step through your mind, so that you may hit upon the snags and mentally smooth them out.

Don’t work hurriedly. Your very keenness may prompt you to rush, but to do so is fatal. Curb your desire to see the thing finished, and always concentrate intently upon the particular bit of the job you have in hand.

In all you do be accurate. No measurement, no cut, no squaring, should be “near enough.” It must be right. For often one inaccuracy becomes the seed of others, and reproduces trouble as the work proceeds.

Finally, don’t worry about an honest mistake. Ponder the reason for it and so learn from it. Progress at your own speed from simple job to something more difficult, but never force the pace. At the same time, be just as ambitious as your previous work warrants.”

Source: The Woodworker 

Note: This quote lightly edited for clarity.

Think about how we can apply this (it won’t be easy).



Various Articles

My Crusades

Personal Note O the Day:

My wife says that things happen when I’m around.  

Karma? Or ADHD?

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error correction

last post Cindy’s Comment

it should read that diagnosis of ADHD should NOT take more than one or two sessions.

I’ve tried to correct the post, but it didn’t work everywhere.


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A Comment from Cindy

This is a different perspective, helping people understand that maybe they don’t have ADHD.


Doug,You nailed it. I’ve found others just can’t comprehend what it means unless they have ADHD as well. I’m kind of sick of friends saying (with sincerity) they must also have it because of whatever. Not saying they don’t but I explain to them that being overwhelmed with life can also cause a person (who doesn’t have ADHD) to have a few ADHD symptoms until they get their life back in balance. No one believes me, though. So, I then encourage them to see a specialist (stressing that they should pick a mental health professional that specializes in ADHD) to assess and diagnose them. It’s in their best interest and it helps them understand what all this really means. I suspect some are just convinced if they got a prescription, they’re life would revert back to normal for them. This is another thing they never believe me on (when they ask me about meds) – truth is meds are a tool but not a solution. It’s a lifelong condition due to (basically) the way our brains are wired. We have periods in our lives where the symptoms become mild and years when they get unmanageable. Usually because our brain is overwhelmed by chronic pain, major life stressors, or just trying to exist in today’s world. But it never just disappears forever. Thank you for those strategies.

Advisory Note O the Day:

Diagnosis should not take more than one or two sessions, and does not require imaging, genetic testing, or neuropsychological testing, and should not be extremely expensive.

Personal Notes O the Day:

Managing Your ADHD is coming along.  And I got a good cover from Phyllis Ngo.  Working on formatting.  Maybe the end of March?

Quote O the Day;

If 100 is the average IQ, then half of the population is below that. Think about it.



Diagnosis – more

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Happy New Year, even with ADHD

Welcome to the new year, to you and to your ADHD, which certainly came along with you.

If you can, read the NY Times opinion piece from

Nicholas Kristof  12/31/2022: Summary:  The world is in terrible shape.  The world is improving – there are advances in clean energy, the troublesome essential batteries, vaccines for various diseases, treatments for cancer, and childhood mortality.  The world desperately needs to continue to improve.

I’ve been reading lots about New Year’s resolutions and why we can’t keep them. There are many reasons:  we expect it to be easy to change, distractions, our situation changes after we make them, and many more.  The strategies suggested are the same as the ones I recommend:  make sure you really want to do it, think small and realistically, small steps, turn it into a contest or a game, make it fun, use rewards, etc.

Question O the Day: Are you sure you really need to improve?  Maybe you’re good enough just the way you are.

Personal Note O the Day:

I’ve made a habit of editing five pages early every morning.  This is easy, doesn’t take long, and leaves the work up on my computer screen where it’s easy to resume later.  Plus I often do more than five pages once I get started.  So Managing Your ADHD is coming along. Now I’m searching for a formatter. 


Recent Washington Post Headline:

“How to Cure and Prevent a Hangover”

My Response:

How to Cure:  very difficult

How to Prevent: Duh!

Self Esteem with ADHD
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A New Year with ADHD – What could go wrong?

There’s not a lot new from 2022, other than transcranial magnetic stimulation. This treatment is done by placing electrodes on the scalp. It takes treatments 5 times a week, for 4-8 weeks and is at least somewhat effective for ADHD.  I don’t know the cost or if it is covered by insurance, but it can be done at home. (see Links below)

 2022 studies confirm previous ones:

Methylphenidate ( Ritalin) does not improve performance for vanillas (non ADHDers).

“But with no significant improvement in overall performance, all drugs were associated with a significant reduction in efficiency.” (David Cogill, MD, PhD)  This study included modafinail, a “wakefulness-promoting drug.”

80% – 87% of adults with ADHD have at least one comorbid psychiatric condition:

depression 60%, substance abuse 57%, anxiety 56%.

28% respond best to amphetamines, 16% best to methylphenidate, and 41% an equal response to either stimulant.  Thus in the Adderal shortage, 57% will do fine on methylphenadte (Ritalin).

Best Strategy for Making New Years Resolutions: 


A Compliment for 2022 As It Exits: 

Well, it wasn’t as bad as 21.

Personal Note O the Day: 

I hate to see anything wasted.  I save things that I might use some day.

I call this “saving.”

My wife refers to it as “hoarding.”





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ADHD and the Holidays – A bad mix?

Happy holidays!

Happy holidays????

Happy holidays!  Arghhhhhhh!!!!!

OK, are you clear now that it’s pretty normal not to enjoy the holidays, and probably more so with ADHD.  It’s just all too much.

There are so many blog posts on how to handle the stress that I won’t really go into that and I’ll just post some links below.  They all seem pretty much the same.

My Holiday Tip O the Day:

Make taking care of yourself your top priority and don’t feel pressured to do things that are gonna mess you up.  Well, you will feel pressured, but just don’t do them.  Do things the easy way, not the great way or the expected way.

My gift to you:

Extra memes – enjoy

Personal Notes o the Day:

        I find the holidays pretty stressful.

        Managing Your ADHD  is in  the nineth draft.  I think the tenth will get published.  But when?  Just be patient please.

Best wishes




Relationships can be especially stressed during the holidays

Holidays and stress

Even more stress

Oh, Well.

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Living with ADHD

I appreciate the great comments.  They motivate me to keep posting.  In case you missed it, I’m using Cindy’s comment for this post.

Cindy Bahl says:

November 8, 2022 at 8:22 pm (Edit)

You nailed it. I’ve found others just can’t comprehend what it means unless they have ADHD as well. I’m kind of sick of friends saying (with sincerity) they must also have it because of whatever. Not saying they don’t but I explain to them that being overwhelmed with life can also cause a person (who doesn’t have ADHD) to have a few ADHD symptoms until they get their life back in balance. No one believes me, though. So, I then encourage them to see a specialist (stressing that they should pick a mental health professional that specializes in ADHD) to assess and diagnose them. It’s in their best interest and it helps them understand what all this really means. I suspect some are just convinced if they got a prescription, they’re life would revert back to normal for them. This is another thing they never believe me on (when they ask me about meds) – truth is meds are a tool but not a solution. It’s a lifelong condition due to (basically) the way our brains are wired. We have periods in our lives where the symptoms become mild and years when they get unmanageable. Usually because our brain is overwhelmed by chronic pain, major life stressors, or just trying to exist in today’s world. But it never just disappears forever.
Thank you for those strategies. Very well articulated and I’ll sure to pass them along to others.
Doug, thanks again for an amazing blog.

ADHD film – this is what it’s like

Thank you, Cindy!

Quote O the Day:

Marriage, childbirth, ADHD – you had to have been there.


More Links:

A Typical ADHD Day

ADHD and the Holidays

“ADHD Does Not Exist”

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Merry Christmas and Happy Hannukah, etc. (even with ADHD)

Please don’t feel sorry for me, but I have had better days.

I had my day pretty well organized for a change, but:

I had to try to clear up a unauthorized charge on my credit card.

Martha‘s laptop was infected with a repeating scam message.

Documents from my job were messed up.

Martha was struggling with very hard daily crossword puzzle.

Strategy:  expect the unexpected.

Message on the doctor’s answering machine:

“If this is an emergency call 911.
Otherwise, suck it up.”

Quote O the Day

“It’s always something.”

Rosanna Rosannadanna (Gilda Radner)

Personal Note O the Day:

I think I have all my Christmas shopping done.

I think.


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ADHD Medicines – A Warning!

Warning: in this situation of Adderall shortage, some pharmacists are filling prescriptions with formulations of the medication other than that prescribed, and sometimes without notifying the doctor or the patient. The patient may begin to get new side effects or less efficiency without understanding why. Always check the label on your prescription.

At least 57 % of adult ADHDers will respond as well to methylphenadite (Ritalin et al) as to the amphetamines (Adderal et al), so maybe you can just try switching.

Added Information O the Day:

Checking the label and the pills is a good idea for any prescription.

Generic forms of any medication are almost always cheaper than the brand names (methylphenidate, Ritalin).  They are supposed to be just as good and usually are, but not always.  For example, they may contain the same medication but a different filler which can affect the rate of absorption.  Further, the generic versions may be different from different companies.  Pharmacies often change the company they are dispensing from to obtain the lowest price, and you may have problems from that change.  Fortunately, these various difficulties are uncommon.


Quotes O the Day:

If I did all the things I’m supposed to do for my health I wouldn’t have time to do anything else.

Doug (tired and in a negative mood)

“It’s always something.”
Rosanna Rosanna Danna

Questions O the Day:

Or was it Rosanna Rosannadana?

Or Roseanne Roseannadanna

Or does it matter?  How much time do I need to spend researching this question?


Adderall Shortage

ADHD Medicines

More Adderall Shortage

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Understanding ADHD

You just have to experience it for yourself:
   1. Marriage
   2. Childbirth
   3. ADHD

Some people don’t believe ADHD exists.  Some people think we can just try harder, or drink lots of cabbage juice, or watch where we put our feet, or or or —.

The supply of advice and opinions about ADHD from people who don’t have it is enormous;    the demand is quite small.

Trying to convince someone whose mind is made up is like trying to give medicine to a dead man.

Some people are toxic.


  1. Learn all you can about ADHD.  Become an expert.
  2. Keep your BS indicator set on high sensitivity.
  3. Keep identifying problems and making strategies.
  4. Be kind to yourself
  5. Avoid toxic people.

Quote O the Day:

Being a grown-up is not all it’s cracked up to be.

            An ADHDer

Where was I when the executive functions were being passed out?

Posted in adhd | 11 Comments

An ADHD Melange

I hope you’re reading the comments; they are often better than the post. They make my day, inform me,  and encourage me to keep posting.  I love the comments.

Observation O the Day:

Some days just come unraveled.

Conversation O the Day:

Q: How ever did you manage to drop your phone into the toilet?

A: Well, it requires a certain amount of skill and a good bit of luck.

Quote O the Day:

I’m so far behind that I’m about to catch up with myself and it could look like I’m ahead.

Definition O the Day:


a mixture; a medley:

“a melange of tender vegetables and herbs”


mixture · medley · blend · variety · mixed bag · mix · miscellany · diversity · collection · selection · assortment · assemblage · combination · motley collection · pot-pourri · conglomeration · jumble · mess · confusion · mishmash · 

Book Note O the Day:

I just signed up to get a professional cover.  This was way premature but I was concerned and eager and have no patience.  I’m excitedly waiting to see it.  The new working title is Managing ADHD.  Do you like this or is Managing Your ADHD better or do you have another suggestion?  Comments will be most appreciated.

Links O the Day:


Free Program


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Screwed Up Again

OK, I did it again and my wife says my excuse of not thinking and then apologizing is getting old.

I scheduled something on top of something routine I’m supposed to do with her, and it was going to be hard to reschedule it.

I said I’d try to be more careful.  She wasn’t impressed.

Suddenly the light bulb went on!!!  We’re scheduled to take groceries to the church on the 2nd  and 4th Friday every month and I’d just scheduled taking our priest fishing on the 4th Friday.  I hadn’t noticed the conflict.  But!! – I suddenly realized the strategy – put it in my appointment book for each of those dates!  All the way thru December.  No more problem.

The thing is, I used to do that and somehow I’d stopped.

The principle:  once we find something that works, the next thing we do is stop doing it.

Quotes O the Day:

“If I can’t see it, it doesn’t exist.”
One of my favorite quotes.

“It can’t all be in the front.”
One of my wife’s favorite quotes, regarding the refrigerator.


Executive functioning

Delusional Optomism

Next apology O the Day:

Last post I put a link to a great post from James Clear and later saw that it didn’t work and I couldn’t find it to replace it and now I can’t figure out how to correct something once it’s posted anymore.  Working on that.  I tested these two links and think they work ( I hope.)


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Just Do a Little

 I’m on the eighth draft of the new book, doing grammar and spell checking with Grammarly, the grammar and spell checking app. Tedious. Grammarly keeps wanting me to put commas in. I see no point in adding a comma unless it helps make the sentence clearer so I rebel. But overall Grammarly is very helpful. I wish I’d used it on my previous books.  It’s amazing that you can read the same sentence ten times and not see the error.

My guess is it’s the 10th draft that will get published, but I’m not guessing when. I think I have a really good idea for the cover, and I need to start working on that.
Keep plugging away. Try to do some every day, and usually once I get started I keep going for a while. No pressure, no rush, but I would like to get it finished. (You realize that this is a good strategy for lots of tasks? Just commit to doing a little and then see what happens.)


Grammarly is also much more fond of hyphens than I am. 


Wisdom from James Clear

Small Steps




ADHD is not easy.
ADHD is not easy.
I really meant to post this post in time.
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ADHD and Clumsy


I’ve always been clumsy, uncoordinated.

When I’m putting a clean dish up on the shelf, I often hit the edge of the dish on the shelf. It’s the same if I’m taking a dish off the shelf; I’ll hit it on the shelf or on another dish.

When I reach for a glass, I often nearly knock it over rather than grasping it.

This seems to be a difficulty with spatial perception. It could be that with the bad eye I have no depth perception, but also with ADHD miswiring, and the basal ganglia and cerebellum are involved in making smooth movements. Clumsiness is often associated with ADHD.

It’s always something.

Strategy: be aware of these specific problems, the dish, the glass, and learn to be extra cautious at that time. This is not the same as “be more careful!“ , but needs to be aimed at small specific problems in order to have any effect.

Personal Notes O the Day:

I’m still trying to remember how to do the images on these posts.




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Weight Control? Control??

I have reached a goal!
I’ve wanted to get my weight down to 166 pounds for years and only occasionally came close. Now, I got it.
The trick of course, is to keep it off. Weight is easy to put on,  very hard to lose and much much harder to keep off. I will try to stick to my program but that hasn’t been that effective so far.
For this accomplishment, I have to give credit to Covid. I haven’t lost my sense of taste thank goodness, but I’ve had no appetite at all. So that’s a side benefit of Covid. It’s effective for weight loss, but I do not recommend it.
It will be interesting to see if I can keep it off now.


Weight 1

Weight 2

Weight 3

Weight 4


I’m way out of practice on this posting thing.  It’s complicated.  Hopefully, it’ll come back to me.

Nearly done on draft seven of the new book.  Starting to worry about getting a good cover.

Quote O the Day:

Nothing’s every easy.


Posted in adhd | 4 Comments

ADHD Doesn’t Stop

In case you’re wondering, yes, I do still have ADHD. Recent examples:I knocked the laptop off the table top. It didn’t break, but the plug for the adapter did.

I needed to order a new adapter. When it came, it was the wrong size.  I blame the ad..I need to order the right size, and send in the wrong one for a refund. More hassle.

I am editing draft seven of the new ADHD book, intermittently. Each time I restart, I need to relearn the tricks for making word to work right. More about that later

Strategies: listen to the little voice.If it’s important, read it carefully instead of skimming.If you will need to remember it, write it down.




Maybe I could use a little help?
ADHD at work

ADHD is not easy.
ADHD is not easy.
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An Update

My friends – I hope you’re still my friends. I miss you.

I gave up the blog, and poker, chess, and Spanish because I just didn’t have enough time and my life felt over pressured and out of control. And I gave up writing on the new book. I became obsessed with fishing, and I’ve learned a lot about new techniques and I started catching more fish. That was great.

Then the New Mexico fires came and fishing has been almost impossible, nowhere to fish within a reasonable distance. I was grieving; still am.

But, I now have time available that I’d been spending fishing and I’ve restarted the book and Spanish.

I plan to post an occasional blog here, not on any schedule so I won’t feel any pressure.

There are several ADHD strategies implied in this posst if you want to dig them out.

best wishes, and keep living well

hasta luego


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ADHD Key Points — ADHD Tip O the Day 1000

Just a few of the key ADHD points.  There are so many, so many ways to make our lives better, so that we are managing our ADHD and it’s not in control.Sadly, this is my last post. I want to leave you all with some key points to remember that will be helpful to you.Science:

  1. Science is not perfect, but it’s better than anything else.
  2. Correlation is not causation.
  3. Unproven is not proven not.
  4.  One scientific study does not prove anything.


  1. Your ADHD is not your fault. It is not a weakness or a moral flaw.ADHD is a neurodevelopmental disorder that you were born with.
  2. But you are responsible for educating yourself about ADHD, seeking appropriate help, and learning how to cope.
  3. If it is expensive or promises a cure, avoid it.
  4.  Many professionals do not understand ADHD, and many of them do not know they do not understand.
  5. Everyone deserves a trial of medication, which works for 80% of people with ADHD. If you get any side effects, they can usually be managed; if not, they will go away when you stop it.
  6. Genetic testing to decide on medication and brain imaging to diagnose ADHD are not yet ready for clinical use.
  7. Living Well with ADHD should be coming out in about a year (“should be”).
  8. Your Life Can Be Better.I will occasionally post something about ADHD on my Facebook page,      and probably will post there and here about the new book as it gets ready     I appreciate your comments and support over the years and wish you the best of luck.


Grumble O the Day:

For some reason, it seems you now need to clik the view button to see the full comments.  Technology- ugh!  But it’s worth it.


All about ADHD

You don’t believe in AHD.  Really???

First Tip O the Day


Bye bye, now.


Your Life Can Be Better

Untreated ADHD

The End.










#ADHD, #adultADHD, @dougmkpdp,  @addstrategies, @adhdstrategies
Posted in add, ADD problems or symptoms, ADD strategies, adhd, adhd controversies, ADHD problems, adhd science, ADHD strategies, adhd studies, controversies, controversy, controversy, controversy, diagnosis, educate yourself, educate yourself, medication, medication, medicine, medicine, research, science, stimulants, strategies, tips | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | 12 Comments

Decrease the Pressure – ADHD Tip O the Day 999

With my ADHD, I tend to feel pressured all the time.  I don’t like that. I work to avoid that feeling.

1. Limit your to-do list to five items.

2. Cut everything into small steps.

3. Spread your tasks out.

4. Ask “Is this necessary?”  If so, is it urgent?

Additional Tidbits O the Day:

20% of ADHDers hoard.

Other comorbidities:

depression, anxiety, dyslexia, dyspraxia (clumsiness), insomnia,bipolar,dyscalcula, dystechnologica, rejection sensitive dysphoria. Just to name a few.

(meaning, I think, these occur often along with ADHD, and more often than in vanillas.)

A miswired brain is a miswired brain.


Writer Doris Lessing on how to choose what to read:

“There is only one way to read, which is to browse in libraries and bookshops, picking up books that attract you, reading only those, dropping them when they bore you, skipping the parts that drag – and never, never reading anything because you feel you ought, or because it is part of a trend or a movement. Remember that the book which bores you when you are twenty or thirty will open doors for you when you are forty or fifty-and vise versa. Don’t read a book out of its right time for you.”

Source: The Golden Notebook


How to change a habit

Strategies and habits




Quotes O the Day:

“You can’t go wrong with flowers, gold, or diamonds.”

my wife

“Bigger pile, smaller shovel.”

Someone who is getting older.

Personal note O the Day:

This is my next to last post.  I’m trying to think of what to post for Tip number 1000.  It ought to be special, spectacular.  I considered posting a nude selfie but my wife said she didn’t think it would go over well.

Too Much Pressure!


Ha ha ha!


Short Term Goals


The ADHD Mind












#ADHD, #adultADHD, @dougmkpdp,  @addstrategies, @adhdstrategies
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More ADHD Research and Etc.— ADHD Tip O the Day 998

On ADHD and relationships, medications, comorbidity, statistics, and etc.: 

My wife said I should post about the most recent disaster, but no, I’m not going to describe the incident where I merely sat down on the sofa next to the bowl of popcorn and somehow it ‘exploded’ and the popcorn went, as my wife says “everywhere.” We sure had a good time trying to get it all up, not.

Tip:  Don’t sit down next to popcorn?

More Damn Statistics:

8% of children have ADHD. Half of those no longer meet criteria after adolescence, but will still have some symptoms and some brain abnormalities, which have moved towards normalized. So 4% of adults have ADHD, ie.  meet criteria.

8% of people with ADHD have bipolar. 16% of people with bipolar also have ADHD (fortunately and surprisingly, treating these people with stimulants does not appear to be unstabilizing for their bipolar). Can we calculate how many ADHDers have both? Can we calculate what percentage of the population have both? (Actually, not “we,” but “you”.  I can’t.  Plus, note that these percents vary in different studies.)

40% of ADHDers do well on either methylphenidate or amphetamines. 40% will do well on one but not on the other. 20% will not do well on either but might respond to a non-stimulant medication, which tend to be less effective than the stimulants. (If someone does not do well on stimulants, I always want to recheck the diagnosis.)

To illustrate combinations, as discussed in the previous post:
You have an apple, a pear, and an orange. You say I may have any two of them.
I could choose an apple and a pear, or an apple and an orange, or a pear and an orange. Three possible combinations out of a group of three.

OK, we’re all clear on that now. Right?


Personal Note O the Day:

I always wanted to be on the fast track, and now, finally, I am.
I just never realized that the fast track runs downhill.

My wife says that things happen when I’m around.  ADHD?  Karma?

From James Clear:

“Marrying well makes everything easier.”

“Charity can be a lifestyle, not merely a gift.

Read charitably. Give the author your most favorable interpretation.

Listen charitably. Donate your undivided attention.

Work charitably. Be generous with your expertise.

In this way, you make charity a daily habit.”



 ADHD and Marriage (adhdmarriage.com)

ADHD and Comorbidity

Note O the Day:  I first published this with the title of 988 instead of 998.  More of the same?


And another year passed.

ADHD Ain’t Easy

Aging is a booger.

Aging is a booger.

#ADHD, #adultADHD, @dougmkpdp,  @addstrategies, @adhdstrategies
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Combinations and ADHD Symptoms — ADHD Tip O the Day 997

I’ve been “putting off” doing this post for years now because it’s confusing to me.  But it’s time, now or never.

Ever wonder why we ADHDers look so much alike?-Procrastination, distraction, impulsive, etc, but also we can look so different.

Well, we can blame it on genetics; so many different genes can contribute to ADHD so there are many different possible combinations of different genes with somewhat different effects.

Or we can blame it on the DSM, which says we can one of three different types, and combinations of different symptoms, that will qualify us for the official diagnosis- out of 16 possible symptoms, 5 of hyperactive or 5 of inattentive required for adults (6 for children)(you  have the mixed type if you qualify for both types. We all have some hyperactive or some inattentive symptoms, and most of us have some of both)

Or we can blame it on statistics.  Statistics are a booger.


Below is the formula for calculating the number of possible different combinations of a number of items (such as the symptoms in a list.)

For either the hyper active or inattentive types, there are 4368 possible combinations  (IF I did it right)

C = n!/r! (n-r)!

n =total number   r = number of each group  ! means factorial   (4! = 1 x 2 x 3 x 4)

n = 16  r = 5  for our diagnosis

To summarize, there are 4368 different groups of symptoms that can meet the criteria for ADHD diagnosis.

I am so glad to finally get this post done.  I welcome any corrections or other comments.



Wisdom from James Clear


combinations and permutations

Personal Notes O the Day:

Just a few more of these blogs; ADHD Tip O the Day1000 will be the last.  I’m pulling the best of them together in the next ADHD book and I might occasionally post a tip on my facebook page.

It’s hard to cut out things I like to do so I can have some free time, and it’s hard not to immediately find new ways to fill up the free time.  Working 0n it.

Quote O the Day:

There are three kinds of people, those who can count and those who can’t.


Who, me?


I just retired!

See, math isn’t so hard.

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Taking It Easy? — ADHD Tip O the Day 996

An ADHD Strategy:

When you need to get something done but can’t dig up the energy, see if you can find an easy way out.

Here’s a bunch of quotes for today.

“Your first step is just that: the first of many steps. For so long I would stand still, afraid to move in any direction because I wasn’t sure which was the course I wanted to follow for the rest of my life. Finally, someone explained to me that my first steps did not necessarily determine one path for all my tomorrows. There would be more decisions, and more opportunities to make a shift should I need to do so.”

Writer Ashley C. Ford


“It is important to remember that the viciousness and wrongs of life stick out very plainly but that even at the worst times there is a great deal of goodness, kindness, and day-to-day decency that goes unnoticed and makes no headlines.”


I’m not gonna worry about it.


-and before I decided to slow down.

I’m taking it easy.

#ADHD, #adultADHD, @dougmkpdp,  @addstrategies, @adhdstrategies
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Pain and ADHD — ADHD Tip O the Day 995

We ADHDers tend to be hypersensitive. For example, to certain noises, to feelings of rejection, etc. So it makes sense that we might be hypersensitive to pain. I just wasn’t aware of this before. But I have had struggles with pain.

I’ve found the following helpful:

Alternating heat and cold.

CBD creams – very effective

tylenol plus ibuprofin.  (Cox 2 selective NSAIDs have lower 

 incidence of side effects, but expensive)

Bengay, Icey Hot, or other heating salves.  (caprision reported to have good effect)

Lidocaine patches

I was extremely reluctant to have back surgery but it was extremely successful. 

Epidural steroid injections, but only when I was younger.

Try to avoid narcotics except short term after surgery or injury.



Long study – we have more pain and more fatigue


Personal Notes O the Day:

I took a break after publishing Alma Means Soul, my first novel.   I’ve started writing again, partly because many days it’s too cold to fish.  My working title is Living Well with ADHD.  Suggestions are welcome.

I reluctantly and sadly plan to make Tip 1000 the last on this website.  I do not have the time and am pruning several activities.  I probably will post an occasional tip on my face book page.  I’m grateful for your support and participation over the years.



People are incredible.


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



Who’s in charge here?

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Marriage/relationships and ADHD follow up — ADHD Tip O the Day 994

Relationships are very complicated, especially if someone has ADHD

I love pens.
I have a lot of pens.
My wife says I hoard pens.

She says I should go through all of my pens and throw away the ones that don’t work.

I have two to do lists, the short one of five, and the long one at 24.

Testing all of my pens and throwing out those that don’t work has not yet reached the level of importance to make it onto a to do list. For example, it can’t compete with the need to pay the taxes, to clean the aquarium, to set up my new fishing rod, to do my blog for the week, to write one of my children, or to vote.

But maybe someday.

My wife finds this hard to understand.



Strategies Of the Day:

  1. Set priorities
  2. Marry someone with patience, tolerance, and flexibility
  3. Share The ADHD Effect on Marriage, by Melov       Link

Quotes O the Day:

Marriage is one of the chief causes of divorce (which has a very high rate if there’s ADHD).

Unknown Cynic

Love is state of temporary insanity, easily cured by marriage.


Links:  (clik on title, then on address)

Webinar on motivation Feb 9      

From Melov – emotions

Relationships and ADHD

ADHD and Other Kind of Relationships

The Challenge of Relationships


True Love Can Be Complicated by ADHD



A Complaint


From Secrets of a Successful Marriage


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Oh my! Life with an ADHDer.


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


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New Year’s Resolutions — ADHD Tip O the Day 993

Belated Happy New Year to each of you (happy in spite of our ADHD).

I don’t like making resolutions; they just set me up for disappointment and shame.

But this year I made some:

  1. Lose weight (right, sure) and this time, keep it off (uh huh).
  2. Keep my blog posts short (but I have so much to say).
  3. Be nicer and more attentive to my wife ( I hope she doesn’t throw this back at me later).
  4. Relax more.  I don’t need pressure.

Personal Note O the Day:

I may have procrastinated a little on this one.


Goals and Failing

ADHD and Goals

ADHD and Self Esteem

Declutter Your Brain – free class


It’s Gotta Be Better!

More resolutions

And because you never know what’s going to happen.



I really meant to post this post in time.





#ADHD, #adultADHD, @dougmkpdp,  @addstrategies, @adhdstrategies
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An Important ADHD Strategy — ADHD Tip O the Day 992


Small steps explained ( I don’t think the recent review was adequate)

We have A Project to do.

We feel overwhelmed, not up to it, defeated before we start, and we procrastinate.

The strategy is Small Steps.  Break the project or task into small steps and focus on one at a time – basically forget about the project, just focus on the one step.  If it’s still too much, break that step into smaller steps and start over again.

Start with the logical first step, or with the hardest.  Once the hardest one is done, it won’t seem overwhelming anymore.

Any time you finish a small step, you feel empowered, successful, capable, and it’s easier to go on to the next step.

Success breeds success.



One step at a time

Get unstuck



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




Just adjust.

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Were you waiting on me?

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Life with ADHD

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Three Most Important ADHD Principles —ADHD Tip O the Day 991

Enough Already!

New Year: time for a brief review

Three most important ADHD Principles:

  1. Identify a Problem, devise a strategy, make it a habit.

  2. Small steps.

  3. Do it now, do it right, do the hard part first. (After you break it into small steps.)

Have a great New Year – it’s gotta be better.



Identify A Problem

Small steps

Do the hard part first      

Free program- help to manage your time  Jan 3

Free Webinar – overwhelmed?  Jan 6 and Jan 8

Webinar on inattentive type ADHD   Jan 10


Note: A new Facebook ad says, “ADHD is hard to diagnose.”  I comment, ” ADHD is not hard to diagnose.”  They keep deleting my comment.  I missed a lot of ADHD diagnoses because I wasn’t looking for it, not because it’s hard to diagnose.

Enough already!

Let’s forget the past two years anyway.


Starting fresh


And another year passed.

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



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Constructive Arguing— ADHD Tip O Day 990

Constructive Arguing:

Arguments are a normal and unavoidable part of almost all marriages (intimate relationships).  The trick is to make them productive instead of destructive, and to have them not too often nor too intensively, and to get over them fairly rapidly.  These principles will help achieve that.  They’re not easy to apply but with determined effort can become new habits.

The very best arguments start, “We have a problem that we need to work on so that we can find a solution that will work for both of us.” At best, this doesn’t ever actually become an argument.

  1. Keep on the topic, one topic at a time. – if your SO (significant other) says, “But you’re so selfish.”—, you might reply, “That may be so and we may need to discuss it, but right now we’re discussing —-.”
  2. Keep the focus on the present instance — not “You always—”, or “For years you have –”, but “When you did x this morning, —–“, instead of bringing up a list of past offenses.
  3. That is a good formula for bringing up issues : “I feel x when you y, because z”.  This is a bit artificial but well worth it.
  4. Avoid bringing up you SO’s family, unless that is the issue under consideration (Yes: “I do not want to go visit your mother with you this weekend.”  No: “You are acting just like your mother.”       No: “Your mother is a x, y, and z, and she’s ugly, too.”  In general, it’s best to avoid saying anything negative about any of your SO’s family; that’s your SO’s prerogative.
  5. Avoid name calling or labeling –lazy, stubborn, etc. instead, “I don’t like it when you—“ versus labeling it.
  6. Speak in paragraphs and not chapters. Try not to interrupt.
  7. Do not psychoanalyze your SO.
  8. Have an agreed upon safe word, to temporarily disengage if the discussion is getting too hot.  Use it before it gets too hot.

Relationships are difficult, and of course, more so with AHD.  Hope this helps.


Note of the Day:  The holidays stress relationships, so this may be good timing.  Hope you all had a great christmas or whatever and wish you the best of a new year- honestly, it looks shaky I fear.

Quotes O the Day:

I’d agree with you, but then we’d both be wrong.

I’m not arguing with you, I’m just trying to help you see why you’re wrong.


Living together with ADHD

How to Stop Losing Things with ADHD: 6 Expert Tips (additudemag.com) – this will reduce stress in your life and in your relationship

Perfectionism – is common with ADHD and also adds to the stress

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

Marriage and ADHD. Even Possible?

Marital Conversations

An ADHD Marriage


Having a good argument

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messed up web site

Posted in adhd | 10 Comments

Marriage- Part Three — ADHD Tip O the Day 988

I need ADHD help! Now!

With ADHD , everything is much harder, especially relationships.

We disappoint, forget, let down. We get preoccupied, don’t finish, don’t get started.  We blurt out, do and say socially inappropriate things.  We run into things, knock things over, drop things. Whew!

Do you think we might be hard to live with? 

Out of date stero types:  man brings home the bacon, woman takes care of the house and raises the children, (all by herself).  This is changing and the men in recent generations do much better.  (Way to go, Will!)

If you got along well before marriage, that doesn’t mean you’ll get along well after marriage.  If you didn’t get along well before marriage, it’s highly unlikely you’ll get along well after.  If you marry thinking the person will change you may be right, but it’s unlikely to be for the better.

Once we end a marriage or relationship, we often find someone else who turns out to be pretty much like the one we just left, and we have the same problems.

If it bothers your partner, it is a problem even if it doesn’t make sense. You do not want your partner to be bothered.Try to remember to treat your partner with kindness and respect. Even when it is difficult.

Get counseling. A neutral third-party can be can make the difference.


Story O the Day:

TV show years ago: Host interviewing couple with many years of marriage, “What’s your secret?”

Husband:  “When we first married, we agreed that I would make the big decisions and she’d make the small decisions. We haven’t had any big decisions yet.”

Constructive arguing rules – very important.  “Plan” to post next time.

Three Quotes O the Day:

We’re all crazy, except me and you, and sometimes I’m not so sure about you.

The main thing is to keep the main thing the main thing.

       Ann LamottThe only thing worse than being married is not being married.

Personal Notes O the Day:

It was actually my wife who suggested my first strategy, “Always put your keys on the front table,” which started off my understanding of and devising of strategies. She was tired of finding them for me.

If I did all the things I’m supposed to do for my health I’d have no time to do anything else.

Help!  Mrs. P is requesting suggestions for funny books, movies, etc.  Any suggestions would be welcome.


If you love me,–

“How RSD affects my marriage”

Is it possible?





The ADHD Mind



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Adult ADHD Revisited — ADHD Tip O the Day 987

My ADHD Brain at Rest

A break from the relationship posts, but more to come.

The Am. Psychiatric Assoc. is revising the DSM V, including the criteria for diagnosing ADHD.  Many changes are recommended.  The current criteria were written for children and tweaked to apply to adults.  The new edition, DSM V TR, is scheduled for release in March, 2022.

Using current criteria, research still shows about 8% of children have ADHD, half of whom no longer meet criteria after adolescence, but still have some symptoms and abnormal brain imaging and neurochemistry.  So we members are the tribe are different, but there are a lot of us, 4 % of the population.  If the criteria are changed, these numbers will probably change but I doubt if by much. 

The link below addresses the inadequacy of current criteria for adults and suggested changes.


Suggestions for  ADHD Criteria

Welcome to the new members to the tribe!


Other Links:


Adult ADHD

Comprehensive Review of ADHD in Adults


“No, I don’t like to put medicines into my body.”

-and before my ADHD medication.

Untreated ADHD










#ADHD, #adultADHD, @dougmkpdp,  @addstrategies, @adhdstrategies
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Marriage/Relationships? Part Two— ADHD Tip O the Day 986

Marriage part two

Throughout this series, I use “marriage” “to stand for “marriage and/or relationships.” I understand that marriage is becoming increasingly rare.

ADHD and marriage: 

Marriage is hard.  With ADHD it’s much harder, especially for the non ADHD partner.  Read Orlov’s book, The ADHD Effect On Marriage, and discuss it together.  How can your partner help you?  Problem solve and devise strategies together.

Effects of Marrying (or committing I guess?):

It’s amazing how many couples do well until they get married.

People are on their best behavior before marriage, then boom! Expectations and behaviors dramatically change.

In love, we project our image of the ideal mate onto the other, like putting a suit of clothes on a dummy.  When later we see the real person, we feel swindled, cheated, and resentful.,

We marry with expectations, and when they’re not met, we immediately think of divorce.  We did not expect that marriage would be hard work or that there would be conflicts.

An intimate relationship stirs up our old issues and gives us the opportunity to work them out. Or causes us to bail if we don’t know how to deal with conflicts.

Marriage counseling can be very helpful, and sometimes leads to individual therapy, which can be very helpful.  So can an ADHD coach.

Men and women are different. The stereotypes have variable accuracy but tend to be true.  If your partner doesn’t fit the stereotype, learn their style.

Understanding the different styles  gives you a foundation for learning how to have successful relationships.

Men tend to work on logic, competition, and problem-solving.  They retreat and think until they think they have a solution.Women tend to work on emotions and relationships. They express their thoughts to try them out.

Emotions are as valid as logic or facts. “I don’t want to” is a legitimate reason.  Do not try to refute emotions with facts. If she says, “You always do X,” don’t point out that you’ve only done it twice in the last ten years; she is expressing her reality.

She probably didn’t want advice; she just wanted you to listen. If you want advice, specifically ask for it before you tell him the problem.

Women usually have to teach a man how to be married, don’t expect him to know.

Safe Word:

This from Ram:  It is useful to agree on a safe word, and either person can use it to temporarily pause a conversation that is getting too hot.  But you need to agree to return to the conversation when things are cooler.

Surprise O the Day:

Marriage is hard work.  Most people expect automatic marital bliss.  Ha!

A Course in Relationships: these books will give you a huge advantage in having successful relationships.

Real: I Don’t Want to Talk About It – explains men. It’s about abused men, but he says all men in our culture are abused.

Lerner: The Dance of Anger – addressed to women, but appropriate for us all. Lerner has several other helpful books.

Tannen: You Just Don’t Understand – explains the differences in how men and women communicate.

Gray: Men Are from Mars, Women Are from Venus – explains the differences and how they cause many of our relationship problems.

again: Orlov: The ADHD Effect On Marriage


Marriage, relationships, and ADHD

Coming Next:

How to argue constructively


Quote O the Day:

The only thing worse than being married is not being married.


You’re getting married!!

Oh my!

A Complaint

ADHD Marriage

#ADHD, #adultADHD, @dougmkpdp,  @addstrategies, @adhdstrategies
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Marriage and Other Strange Relationships, Part 1 — ADHD Tip O the Day 985

Relationships are so complicated, even without ADHD, that this will take two or more posts.  And with ADHD – Whew!!

We marry with expectations of what our marriage will be like.  Generally, we expect our marriage to either be like our parents’ marriage or very unlike it.  These expectations need to be examined before the marriage, because they are likely very different for each partner..

I recommend the essential discussion before marriage, covering money, spare time, relatives, children, religion,  and sex.

Also, discuss how  decisions will be made and disagreements handled. Avoid the  zero sum game, where there’s a winner and a loser.  Instead, use a problem solving model – ‘How can we make this work for both of us?’

When it’s hot, stop.  Agree we will talk about this later, but just not right now.  Give it time to cool off, and then discuss it rather than just letting it go.

Many conflicts and arguments are simply a problem of communication.  Often a word doesn’t mean the same thing to us.  Ex: “Yes, I’m ready to go now” means something very different to my wife than to me. 

Another common source of conflict is both parties being sure their memories are accurate, although our memories are notoriously inaccurate.

It is common for a woman to marry a man, expecting to change him. Not a good idea.  It is common for a man to marry a woman, expecting to be pampered.  Not a good idea.

Quote O the Day:

“You can’t be married and be right.”

Frank Pitman MD

Note: In this series, I’m using “marriage” to mean both marriage and other relationships.  I’m aware that traditional marriage is becoming obsolete.

Follow up on How to Be Happy:

Never expect someone else to do what they’re supposed to do, should do, or said they would do. This will save you a lot of disappointment and yield  you an occasional happy surprise

Bonus Quote O the Day:

“Love is a state of temporary psychosis, easily cured by marriage.”



Orlov on Detachment

ADHD and Relationships

The Challenge of ADHD Relationships

Dr. Wm. Dodson on ADHD and Relationships

Personal Notes O the Day:

  1. Thank you to all the subscribers, and especially to those of you who contribute your comments.  So helpful.
  2. Thank you to Martha for sticking with me all these years in spite of my ADHD.


The wedding is only the beginning.

An ADHD Marriage

Marriage and ADHD. Even Possible?

Marital Conversations

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How to Be Happy — ADHD Tip O the Day 983

It can be hard to be happy, especially these days, and harder with ADHD.  But-

Affirmations:  Every morning, state, “I choose to be happy today.”

Learn  to cope with your ADHD.

Minimize contact with toxic people.

Help someone else.

Get outdoors.

Laugh a lot, even if you have to force it.

If you work, find a job that you enjoy.  This may take some time.  The pay, if adequate, may be less important.

If you have an actual depression, get treatment.  It is quite effective.

Practice basic self care: sleep, exercise, healthy eating, meditation.

Ask for help when you need it.

Counter negative self talk.

Set reasonable goals.

There are many other tips in the links below.  Try them. Find the ones that work for you.


Personal Notes O the Day:

  1. My father was a very simple man, with very simple wants.  All he wanted was a whole lot of money.
  2. FYI, I am happy.  Hope you are too.
  3. My spiritual life is an important happiness factor for me.
  4. Perception is an important tool.  You have some control over how you label or define a situation (see reframing.)


Be Happy – free course

25 Tips to be happy

10 Scientifically Proven Tips



Be happy even with ADHD.

I need ADHD help! Now!

Sometimes ADHD confuses me?

Shame and ADHD

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How to Make Decisions — ADHD Tip O the Day 982

With ADHD we have trouble making choices and decisions.

  1. Do I really need to make this decision?
  2. Does it matter?- is it worth the the time and effort?
  3. Does it have to be me?
  4. Gather data
  5. List pros and cons
  6.  Consult with others- not to follow their advice, but ask them their reasoning, to get another viewpoint
  7. If you still don’t know, then there is no right answer.  Flip a coin.


Note: if things turn out badly, it doesn’t mean you were wrong (if you followed the steps).  It means there was no way to know.

#ADHD #ADD @dougmkpdp


Why I can’t sleep

An ADHD question – What????

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Many ADHD Links, Many Choices — ADHD Tip O the 981


We ADHD ers have difficulty making choices.

I’ve collected too many links, so I’m going to dump them now.  You pick and choose.  It’s up to you now.




Outgrow ADHD?


Ages and stages of ADHD


Struggles of ADHD




Math anxiety and dyscalcula


Touch when words won’t come


More ADHD struggles


ADHD Impulsitivity

5 Most Important ADHD Tips


Personal Notes O the Day:

  1. I was 64 years old when I realized that I have ADHD, and of course, had had it all my life. That explained so many things. I also realized that many of the things I did out of habit or routine were actually strategies to help me cope with my ADHD. Since then, I’ve focused on making new strategies and refining the old ones. It’s a continuing process and  has made my life much better. Also, after trying Ritalin and having some mild side effects, I switched to Daytrana, Ritalin in a skin patch, and it works very well for me.

I’m a big fan of strategies and have written two ADHD books: Your Life Can Be Better, using strategies for adult ADHD, and Living Daily With Adult ADD or ADHD: 365 Tips O the Day

An ADHD expert, Dr. William Dodson, says that the purpose of the medication is to help us focus enough to use the strategies.

2. I’ve said it  before, multiple times in fact, but it bears repeating:

Our whirlpool refrigerator works fine.  The only thing wrong with it is the ice system.  The only thing wrong with the ice system is that it’s a total piece of crap.

3. Ventilating is said to be helpful in dealing with frustration.

Question O the Day:

Do any members want an explanation about DSM?

Helpful Note O the Day:

The memes are all there below the big DSM ad.  You can just scroll down.


Bonus Note O the Day:

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR™)

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), is the most comprehensive, current, and critical resource for clinical practice available to today’s mental health clinicians and researchers. DSM-5-TR includes the fully revised text and references, updated diagnostic criteria and ICD-10-CM codes since DSM-5 was published in 2013. It features a new disorder, Prolonged Grief Disorder, as well as codes for suicidal behavior available to all clinicians of any discipline without the requirement of any other diagnosis.

With contributions from over 200 subject matter experts, this updated volume boasts the most current text updates based on the scientific literature. Now in four-color and with the ability to authenticate each printed copy, DSM-5-TR provides a cohesive, updated presentation of criteria, diagnostic codes, and text. This latest volume offers a common language for clinicians involved in the diagnosis and study of mental disorders and facilitates an objective assessment of symptom presentations across a variety of clinical settings—inpatient, outpatient, partial hospital, consultation-liaison, clinical, private practice, and primary care.

Stay current with these important updates in DSM-5-TR:

  • Fully revised text for each disorder with updated sections on associated features, prevalence, development and course, risk and prognostic factors, culture, diagnostic markers, suicide, differential diagnosis, and more.
  • Addition of Prolonged Grief Disorder (PGD) to Section II—a new disorder for diagnosis
  • Over 70 modified criteria sets with helpful clarifications since publication of DSM-5
  • Fully updated Introduction and Use of the Manual to guide usage and provide context for important terminology
  • Considerations of the impact of racism and discrimination on mental disorders integrated into the text
  • New codes to flag and monitor suicidal behavior, available to all clinicians of any discipline and without the requirement of any other diagnosis
  • Fully updated ICD-10-CM codes implemented since 2013, including over 50 coding updates new to DSM-5-TR for substance intoxication and withdrawal and other disorders
  • Updated and redesigned Diagnostic Classification

This manual is a valuable resource for other physicians and health professionals, including psychologists, counselors, nurses, and occupational and rehabilitation therapists, as well as social workers and forensic and legal specialists. The new DSM-5-TR is the most definitive resource for the diagnosis and classification of mental disorders.

Coming March 2022!


My ADHD mind




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Non Stimulant ADHD Meds — ADHD Tip O the Day 980

While stimulants are  the first choice of medication used to treat attention-deficit/hyperactivity disorder (ADHD), there are many non-stimulant medications that may be used.

Statistically, stimulants are more effective, 85 % of ADHD ers. Straterra (atomoxetine), has the best response rate of the non-stimulants, 50%.  In my opinion, the non-stimulants have a higher rate of side effects than the stimulants (this is controversial).

Non-stimulants may be used if:

  • You do not respond to stimulants
  • Side effects of stimulants are too great.
  • You have a history of drug abuse. (Some lists include heart conditions and Bipolar, but this is not supported by the evidence. The anti depressant non-stimulants are contraindicated in Bipolar.)

Non-stimulant medications include antidepressants -Strattera, tricyclic antidepressants (TCAs), Effexor, Wellbutrin – and some high blood pressure medicines. Of these, Strattera has been studied most extensively. The antidepressants can improve overall concentration and impulse control, but must be taken daily and may take 3-6 weeks to notice effectiveness. Some also have a problem with withdrawal, sometimes even if a dose is missed.

In 2021, the FDA approved another non-stimulant for the treatment of ADHD in children and adolescents called Qelbree (viloxazine). 

Qelbree and Strattera are both antidepressants, selective norepinephrine reuptake inhibitors.

In my opinion, the anti-hypertensives work mostly by reducing anxiety, which can make ADHD symptoms worse.


  1. Every person is unique, and may respond differently to any medication or other treatment.
  2. The non medication treatments, including supplements, have very low response rates for ADHD, are not regulated in their manufacture and therefore can be dangerous, and help some people somewhat. They can supplement the more effective medications.
  3. A  list of “side effects” for any medication is actually a list of possible side effects.  You probably won’t get them with most medications, and if you do, they can be managed or you can simply stop the medication.

Below is detailed information on the various non-stimulants. But first, the cartoons.


-and before my ADHD medication.


“No, I don’t like to put medicines into my body.”


I do better on my meds. Somewhat.


Strattera (atomoxetine) is the first non-stimulant medication to be approved by the FDA for the treatment of ADHD in adults and children over the age of 6. Studies have found that this drug improves symptoms of ADHD and reduces oppositional and defiant behavior and anxiety. Strattera differs from stimulant medications in several ways:

  • It’s not classified as a controlled substance. It does not seem to have a potential for abuse and thus is not classified as a controlled substance.
  • It takes longer to start working. It also appears to have a longer onset of action as compared to stimulants, which work on the day they are taken. Therefore, the therapeutic effect of stimulants may be noticed more quickly than Strattera.
  • It must be taken daily. Strattera must be taken every day, whereas doses of stimulants may be skipped—over the weekend, for example.
  • and it’s very expensive.

Side effects of atomoxetine may include:

  • Stomachaches
  • Weight loss due to decreased appetite
  • Nausea
  • Vomiting
  • Dizziness
  • Fatigue
  • Dry mouth
  • Increased heart rate and blood pressure
  • Agitation
  • Irritability

Tricyclic Antidepressants

Tricyclic antidepressants may be used off-label in the treatment of ADHD. The most frequently used for this are:

  • Norpramin (desipramine)
  • Tofranil (imipramine)
  • Pamelor (nortriptyline)
  • Amitriptyline

These antidepressants  may also be prescribed if you have symptoms of depression or anxiety in addition to ADHD.  They have a higher incidence of side effects.

TCAs, like stimulants, are thought to increase the amount of norepinephrine in the brain. Unlike stimulants, it may take several days or even weeks to see the therapeutic benefits of TCAs.

Tricyclic antidepressants need to be taken daily. Missing a dose or stopping the medicine abruptly may cause aches and flu-like symptoms, so if you’re going to go off the medication, you should be tapered off gradually over a period of time.

Common side effects of TCAs may include:

  • Drowsiness
  • Dry mouth
  • Constipation
  • Blurred vision
  • Stomachaches
  • Headaches
  • Vivid dreams
  • Insomnia

More serious side effects of tricyclic antidepressants may include problems with heartbeat or heart rhythm and  may also increase the risk of seizures in patients with a history of seizure disorder.

Anti-Hypertensive Drugs

In addition to the above drugs, Catapres (clonidine) and Tenex (guanfacine) are sometimes used to help manage ADHD symptoms. While these short-acting forms of each drug are not FDA-approved to treat ADHD, the long-acting versions, Kapvay (clonidine) and Intuniv (guanfacine) are. Both these medicines were originally used to treat high blood pressure, but they have also been found to be helpful in reducing hyperactivity and impulsive symptoms. These medicines do not appear to be as effective in improving symptoms of inattention. 

Side effects of clonidine and/or guanfacine may include:

  • Drowsiness
  • Fatigue
  • Dizziness
  • Nausea
  • Decreased blood pressure
  • Stomach pain
  • Insomnia
  • Dry mouth 


Common side effects of Qelbree include:

  • Somnolence, or tiredness
  • Decreased appetite
  • Fatigue
  • Nausea
  • Vomiting
  • Insomnia
  • Irritability


Wellbutrin (bupropion) is a different type of antidepressant that has been found to reduce symptoms of ADHD and depression in many patients. Wellbutrin is not approved by the FDA to treat ADHD but may be prescribed off-label. It’s considered a third-line option. Unlike the other antidepressants, it also affects dopamine.

Side effects of Wellbutrin may include:

  • Irritability
  • Weight loss due to decreased appetite
  • Insomnia
  • Worsening of existing tics
  • May make some individuals more prone to seizures


Effexor (venlafaxine) is an antidepressant sometimes used off-label to treat ADHD.10 It helps with concentration and mood.  It has a high incidence of side effects and a more serious withdrawal problem.

Side effects of Effexor can include:

  • Tremor
  • Sleep issues
  • Dry mouth
  • Sexual problems 
  • Nausea
  • Anxiety


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




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“New” ADHD Science — ADHD Tip O the Day 979

ADHD research continues. That’s good. 

There’s actually not much that’s very new, but:

The new DSM V Tr is due out March 2022.  I’ll try to find out what it will change about ADHD diagnosis, but that’s probably not available yet.

New Research:

Do children outgrow ADHD?  

A lot depends on your definitions of “have” and “outgrow”.  I don’t agree with everything in the above article, but most of it.

About 8% of US kids have ADHD, about half of those will no longer meet the criteria for the diagnosis after adolescence, but many of those adults will still have some symptoms, and their brains have become more normal but not entirely so.

Can we predict the best choice of treatment for a given person?

41% respond to both amphetamines (Adderall and others), 28 % respond better to amphetamines, 16% better to methylphenidate (Ritalin and others), and 15% to neither (which suggests the diagnosis needs to be reaffirmed). We can’t yet predict who will respond best to what. Methylphenidate has better acceptability and is the first choice. The stimulants statistically work better than the non stimulants (atomoxetine, guanfacine, clonidine, viloxazine) although every person is different.

The recommendations are before age six, use behavioral therapy and family counseling, then add medications at or after age six, with Ritalin being the best choice.  I believe that every child (and every person) with ADHD deserves a trial of medications.  It can make a huge difference.

White Matter   White Matter #2

White matter (the connecting “wires” in the brain) abnormalities were similar in ADHD and in autism.  Variation in these abnormalities were thought to explain the variation in symptoms among us.

Certain networks (areas of the brain all connected by white matter) become more normal with stimulant treatment.  The less abnormal they were, the better the chance of a good response.

Sluggish cognitive tempo

I never heard of this before.

Personal Notes O the Day:

  1. Welcome to the new members of our tribe.
  2. That’s enough for today.  There’s more to come.
  3. Also, I keep planning to do a post on the non-stimulant medications.
  4. I don’t always wind up doing what I plan to.


The ADHD Mind

ADHD Brain

Off my med.




















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What to do about my forgetfulness and absentmindfullness? — ADHD Tip O the Day 975

Answering this question about ADHD:

This is an example of accepting that you can’t change something, but you can make strategies to help you cope with it. (But medication might help somewhat.)

1. Write everything down on a card, folded paper, or notebook, that you have with you at all times, and never leave it in another place. Or put it in your smartphone.                  (Write legibly.)

2. Use smartphone apps – calendar, alarms,etc.

3. Post colored stickeys on mirror, cabinet, refrigerator, etc. Move them often.

4. For very important things, also ask someone to remind you. (Someone without ADHD.)

good luck.



Get Organized (??)

ADHD Toolbox

ADHD and Self Talk


Personal Note O the Day:

“Oh, I’ll remember that.”

ha, ha, ha, ha, ha.


Poem of the day:

I stopped what I was doing

and stood and looked out the window.

That’s when I saw the hummingbird.


Being Productive with ADHD


I forgot!!!!











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





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Frustrated and Overwhelmed — ADHD Tip O the Day 974

A couple of weeks ago, I just gave up, just for the week.  I didn’t post, and lots of other things I let go.  Some weeks are like that with ADHD, although fortunately, it’s usually just a day, not a week.

My wife’s i phone stopped working.  Then the internet connections on her i pad and mine got all mixed up together.  

I tried to fix them, in spite of my dystechnologica.  I finally did. After lots of time and frustration.

Then my pc and my laptop went kerfluey, both at the same time. After a lot of time and frustration, I gave up and took them to the shop ($$$).  Two days later they said the lap top was irreparable and the PC problem was a microsoft glitch that was being fixed.  I was four days without a connection – it was hard.

Spent twice as much on a new laptop as I  intended, good saleswoman.

Now the xfinity tv programming isn’t working right.  Haven’t been able to fix it.

My novel, Alma Means Soul, isn’t selling well.  I wasn’t expecting a runaway bestseller, but still –.  Then I noticed that Amazon shows it with the categories of children’s books and religious books.  Arggghh!!  I’ve been bouncing back and forth for a week between Amazon support and KDP support – guess what.  Time and frustration and they tell me it can’t be fixed.

Took a break and went fishing.  Not a single hit, just a lot of algae on my hook with every cast.

Poor me. But when I stop and think about it, we don’t have covid, we’re not trapped in Afghanistan, I can pay for the laptop.  It’s not so bad.


  1. It’s important to know when to give up.
  2. Sometimes you need to just take a break.



It’s all wrong!


,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.


Personal Note O the Day:  I cleaned the river 9/2 2021!  Yea, me! 


Clean River



ADHD Song    (start at :50, i don’t have the patience for 50 seconds of crap).

Good summary of ADHD, maybe share with the uninformed.  by thomas perth.

Bad ADHD Day













#ADHD, #adultADHD, @dougmkpdp,  @addstrategies, @adhdstrategies
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Procrastinating or Pushing Ahead? — ADHD Tip O the Day 971

Overwhelmed is common with ADHD but strategies can help.

The same is true for procrastination.

I took on the task of clearing the trash in our stretch of the Santa Fe “river“ (even calling it a creek is an exaggeration but I love it).  Every week or two I put on my big rubber boots and go down there and fill up  a trash bag.

Last week this was on my to do list, but I was feeling overwhelmed. There’s no deadline, requirement, or obligation for this task so I just pushed it ahead. I haven’t gotten to it yet, but it looks like I can soon. This helped with the overwhelmed feeling. It’s not procrastination, because I don’t dread doing it and I’m not avoiding it, I just don’t have the time for it right now.

Sometimes there are things to do that just don’t need to be done right now.


Personal Notes O the Day:

1. You maybe noticed that I didn’t do a post last week either. Or maybe you didn’t.  Same issue.

  1.  If you scroll all the way down there’s a big bonus post about procrastination from somebody who deserves credit, but I can’t remember who.

3. Last week was a booger.  We need to take care of ourselves.


An expert with ADHD

Helping Children with ADHD webinar 

Avoidance or Procrastination?

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Let’s actually do it! Now!

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One style of procrastination.

Continue reading

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Truths About ADHD Medications — ADHD Tip O the Day 970

There are many misconceptions about ADHD medications.

The two classes of ADHD meds are the stimulants and the others.  The following truths primarily apply to the stimulants:  methylphenidate – Ritalin, et al, and amphetamine – Adderall, et al.  70% of ADHDers will respond well to either type of stimulant, 20% will respond to one but not the other, and 10% either won’t respond (which indicates the diagnosis needs to be reevaluated to be sure it’s accurate) or are bothered by side effects even after adjustments.


These meds are not addictive (possibly very rarely?) in people who have ADHD.

They are misused at times, especially in colleges.  Patients may be pressured to share them or may sell them.

They don’t help students to study or perform on tests unless they have ADHD.

Thus, they have a different effect on people with ADHD and people without.

They work quickly.  Unless you’re started on a low dose, you’ll probably know in twenty four hours whether they’ll be helpful to you and if you’ll get any of the possible side effects.

You are statistically unlikely to get side effects.  If you do, they can be managed or you can just change meds or stop altogether.

It may take a while to get the best med, best dose, and best schedule for you. It probably won’t.

The stimulant meds will not make anyone a zombie nor change anyone’s personality.

They should help with focus, motivation, inertia, and many other ADHD symptoms, but not all. They are unlikely to help with irritability, losing things, memory, patience, or sleep.  However, Dr. Goodwin states that the purpose of the medication is to help you focus enough to use strategies, and strategies can help with each of those problems.

The meds are not medically dangerous; even people with heart or problems can use them, though  I would  with low doses and monitor carefully.

I believe that anyone with ADHD aged six or over deserves a trial of medication.  They can sometimes have miraculous benefit, sometimes help somewhat, and sometimes don’t help (ten %).  I see no rational reason to not try medication.


Quote O the Day:

They told me, “When you get older, you’ll understand.”

They lied.

Bonus Tip O the Day, from James Clear

“When choosing a new habit many people seem to ask themselves, ‘What can I do on my best days?’

The trick is to ask, “What can I stick to even on my worst days?”

Start small. Master the art of showing up. Scale up when you have the time, energy, and interest.”


Understand Side Effects

Trying ADHD Medication

Meds in other words and more links

Bonus Links  O the Day:

Math Phobia

Upcoming ADHD Conference

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

Could use a little med?

I need ADHD help! Now!

Untreated ADHD

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ADHD and ODD, REVISED— ADHD Tip O the Day 969.1

Morwen made an excellent comment on my original ODD post which leads me to revise the  post and also add new links: 

Hello Doug, I feel as though the information you presented above lacks critical engagement with diagnosis or disorder. There are many important critiques of ODD, particularly in it’s overuse as a label for children of color. There is serious concern that ODD diagnoses also hide other struggles, such as trauma and neurodevelopmental conditions, making the focus behaviour rather than situation or neurology.

Your line about feeling as though you should just say “May god bless you” and move on also plays into the narrative that these children (again disproportionately children of color) aren’t savable, and that they are inherently and irrevocably destined for violence or anti-social behaviour. Considering that less than 30% of diagnosed ODD children progress to having a conduct disorder, and only a minority of diagnosed CD children progress to APD, your glum, hopeless tone of your post is distressing to me.

Note: CD conduct disorder; APD antisocial personality disorder

Revised Post:

“About forty percent of kids with ADHD have or will develop ODD, Oppositional Defiant Disorder. “

I think 40% is too high.

What is ODD?

“A disorder in a child marked by defiant and disobedient behavior to authority figures. The cause of oppositional defiant disorder is unknown but likely involves a combination of genetic and environmental factors. Symptoms generally begin before a child is eight years old. They include irritable mood, argumentative and defiant behavior, aggression, and vindictiveness that last more than six months and cause significant problems at home or school. Treatment involves individual and family therapy.”

When I see a post that starts, ” My son is diagnosed with ADHD and ODD, and —“, my heart sinks.  The parents are having a hard time, as is the child, and I don’t have good advice to give and so I feel inadequate and helpless and unhelpful and pessimistic.  I’m trying to get more information.

There is a support group, and the parents do need support.   The parents need knowledgeable professional help, and to be consistent with a good behavior management program , and to stick with it for a while even when it doesn’t seem to be working.  (This is different from most situations, where if what you’re doing isn’t working, try something else.)

There are successes, but these kids tend to develop serious problems – school drop out,  drugs, incarcerations.  The parents need to learn to protect themselves, and to  avoid enabling. The worst outcomes I’ve seen were where parents kept bailing the kid out of the trouble they were in.

The main point from Morwen is that if  the diagnosis of ODD is being considered, there needs to be a careful look at what else might be going on – truama, dyslexia, depression, etc.  Also that we cannot just give up one these kids and write them off.


Stimulants for ODD

“For co-occurring ODD and ADHD, clinicians often prescribe stimulants to treat ADHD first. Typically, the ADHD stimulant medications greatly reduce ODD symptom severity and frequency. One study also found that patients with ADHD who consistently took medication significantly lowered their risk of developing ODD or CD in later life compared to patients with lower drug adherence3. In practice, clinicians often use liquid formulations to avoid having the patient potentially dispose of tablets.”

Personal Notes O the Day:

  1. Did I have ODD too?  Only a touch.  I was too afraid of consequences, but I tended to automatically  disobey any rule or direct order if I could, even when I realized it was in my best interest.  But, I was a “bad kid.” A bully, lots of fights, and convicted of a serious offense I hadn’t done.
  2. Sometimes parents are, or were, fined if their kid was too much truant. But what if they were just not able to  force the kid to go to school?

Quote O the Day:

“If you tell me I can’t do something, I’ll do it twice, video tape it, and post it on all the social media.”

ODDer?  That was me.

Question O the Day:

Did you have ODD?


Support group for parents

Comorbid ADHD and ODD



Webinar on ADHD kids



Mightier – commercial program for ODD?


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


You are stressing me.