Attention-Deficit/Hyperactivity Disorder (ADHD)

Summary

Recently, and I think that this is a good thing, there seems to be a lot more awareness of Attention-Deficit/Hyperactivity Disorder (ADHD). If you do have ADHD you might be experiencing constant restlessness, find it hard to focus, or have trouble with organization and follow-through on tasks. Living with ADHD can make everyday responsibilities challenging and can affect relationships, work, and self-esteem.
One thing I have noticed in talking with people is that there is frequently an important misunderstanding about ADHD and this misunderstanding means that people are not recovering as much as they could from ADHD nor getting the right types of help.
What is this misunderstanding?
Well, it is important to know what ‘having ADHD’ means. If you have ADHD it means that you experience things like difficulty with attention, difficulties with focus, restlessness, difficulty staying organised and so on. ‘Having ADHD’ does not tell you why you have these symptoms. The diagnosis of ADHD just means that you have a set of symptoms (it is just a description), it is not an explanation for why you have the symptoms.
People are often very confused by this because there is a lot of information out there that will say things like “ADHD affects the brain and the nervous system”. This is partially incorrect and partially correct. Typically it is an interaction between your biology, psychology and environment that impacts on the brain and results in ADHD. Does having ADHD have secondary effects? Absolutely, ongoing difficulties with difficulty focusing, concentration and just doing things makes relationships harder, work harder and can leave you feeling really beaten down.
But critically, having a diagnosis of ADHD does not tell us if the symptoms are a permanent condition that have to be managed or if, with the right treatment, they might resolve. For example, fairly frequently I see people who have experienced an invalidating emotional environment growing up and they meet criteria for ADHD. But working through their emotions the symptoms of the ADHD resolve. However, I also see other people for whom psychological therapies don’t do anything. In this situation we work on managing the symptoms of ADHD.
I am not saying that ADHD can be cured or cannot be cured, rather that it is still not well understood (or to put it another way, the diagnosis of ADHD might actually cover multiple diagnoses some quite neurological and some quite psychological). Unfortunately, some people, after spending a bunch of money on a formal ADHD assessment, get told that because they have ADHD then all they can do is manage their symptoms even though this might not be the case.
Don’t get me wrong, having a formal assessment can be incredibly validating, it can also help you get the right support from family, friends, school or work (sadly a lot of people have been told that they’re just “lazy” or “not smart enough”, which could not be further from the truth) and it can also be crucial for applying for certain types of support.
However, if your main interest is trying to best manage or resolve the symptoms of ADHD that you are experiencing, an expensive assessment might not be needed. And because having a formal diagnosis does not explain why you have the symptoms of ADHD it can lead to people going down the wrong track with treatment.
So what do I think is the right course of action with treatment?
I think, ideally, if a person meets criteria for ADHD there should be fewer barriers to try medications (in my experience some GPs are happy to prescribe while others will ask you to go and get an assessment done with a psychiatrist or psychologist). For some people medication helps a lot. For other people medication does nothing or has negative side effects. To me (as long as you monitoring and support with a medical practitioner and there are no issues taking the medication) medication is a relatively quick, straight-forward and cheap treatment to try and a good place to start.
If you think there could be any sort of psychological factor contributing to the symptoms you are experiencing I would recommend seeing a psychologist and working on these factors. Working through any psychological factors might do a lot or very little, you won’t know until you try unfortunately.
If you don’t think there are any psychological factors contributing to your ADHD symptoms it can still be helpful to see a psychologist if you need help developing management strategies. Some people call this ADHD coaching.
ADHD is one of the conditions I help people with, so if you think you might have ADHD or are struggling with symptoms, please feel free to book a session with me to explore options that may work for you.

ADHD Symptoms

With all of the above out of the way, let’s get back into what ADHD is and how you can get help.
ADHD is more than occasional restlessness or forgetfulness. It’s a condition that can cause a variety of challenges that may interfere with day-to-day life.
ADHD symptoms can include:
Symptoms of ADHD can vary greatly from person to person, with some experiencing primarily inattentive symptoms, while others may struggle with hyperactivity, impulsivity or hyperfocus. Many adults may have grown up with undiagnosed ADHD, finding coping mechanisms but still facing difficulties.

Getting Help with ADHD

As per everything I have written in the first section, deciding how to approach ADHD treatment depends on the specific challenges you’re experiencing and what you hope to achieve. For some, medication may be beneficial, while others may benefit from behavioral strategies, lifestyle changes, or therapy to improve organization, attention, and emotional regulation.
If it’s helpful, talk with someone (like a friend, your GP, or a psychologist) to help clarify your goals for treatment.
I’ve listed resources below, these are not recommendations nor endorsements but rather some ideas for things to check out to help you figure out what might help you.

Self-Help and Community-Based Treatments for ADHD

Books

Professional Treatments for ADHD

Seeing a General Practitioner (GP)

A GP is often the first step in exploring professional treatment options for ADHD. They can assess your symptoms, provide referrals to psychologists or psychiatrists, and discuss potential treatment plans, which may include medication or therapy.

Seeing a Psychologist

Psychologists specializing in ADHD can offer strategies and behavioral interventions tailored to managing ADHD symptoms. Cognitive-behavioral therapy (CBT), mindfulness techniques, and organizational skills training can be beneficial in building coping strategies. I’m a psychologist so by all means click my booking button set a time for us to chat.

Seeing a Psychiatrist

Psychiatrists can prescribe medications commonly used to manage ADHD, such as stimulants, and offer ongoing management and monitoring.

Programs at Private Clinics

Public Mental Health Services

In my experience public mental health services will not take you on if your primary difficulty is ADHD. If you have other difficulties and also have ADHD then they may offer you support.

Community Health Services

Some local councils and community health centres in Melbourne may offer low-cost support programs and resources for ADHD. Checking with your council’s health services can be a helpful starting point.
I hope this information provides you with insights into the support available for managing ADHD. If you’re looking for more personalized help, I’m here to support you through your journey.
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