Evaluation for spouse who may have ADD

My spouse has many symptoms that match Attention Deficit Disorder -- short attention span, easily distracted, temper flare-ups when patience is required in normal life situations (this has led to some very dangerous situations and accidents in the car), not hearing things he is told, inability to keep a calendar or otherwise organize his obligations, loses things easily, etc. The unexpected rage episodes are shocking and hurtful for me and I have growing concerns about their impact on our 2 year old. We are also considering having a second child, so we really want to resolve whatever we can now. Can someone recommend a caring, competent doctor that evaluates adult ADD, and that is neutral on the issue of medication as treatment? Any other recommendations from people who have investigated this situation would be appreciated. I looked on the CHADD website but the two Bay Area centers do not focus on adults. Thanks. Seeking answers

'' Multi-modal treatment'' is the most effective approach, according to current research. One mode is psychotherapy, to deal with the emotional issues that arise from a lifetime of coping with an undiagnosed neurobiological condition, as well as the rollercoaster ride that comes with adult diagnosis. Another is coaching, to help develop new approaches and habits and/or educational therapy, which is treatment specifically organized to address the cognitive processing issues that are a challenge in daily life (and diagnose possible comorbid learning disabilities through psychoeducational assessment). Medication is the mode that is the most widely recognized treatment.

In my experience, medication is not the simple silver bullet that some think it is. There are several types of medication. They work differently in different brains, and are tolerated to different degrees by each body. Dosing takes a little while to get just right. Medication has gotten a bad reputation in some circles, but it is informative to read some of the remarkable responses to it on ADD websites or in books. As an adult, you always have the choice to try it and not use it. It's a little different decision when an adult chooses it for a child. Some people have no choice about medication because they can't tolerate it, some people feel it isn't necessary. I see clients who are medicated and who are not, and those who wish they could be.

I am not for or against medication, but for considering ADD as a serious neurobiological condition. One of the consequences of ADD is a higher incidence of automobile accidents. In deference to safety and wellbeing, it is important to be open to the most effective treatments for the individual. The stress that ADD puts on individuals and families is ongoing and can be intense. It is invisible, but real, 24-7. It even affects sleep. ADD never goes away, though it can be managed, much like a condition such as diabetes or a more visible physical disability.

The upside of ADD isn't discussed nearly as much as the downside. The ability to see connections that others don't, the mental gymnastics and creativity that often come with the package, the innovative problem solving abilities...Look at a list of famous people who have or are believed to have had ADD. It's impressive. There are lots of web resources and books to read. It's a fascinating subject. Good luck in your search. Linda Lawton

Adult ADD evaluation

I would appreciate some help in findiing a good doctor to evaluate an adult for ADD. The doctors recommendations on file seem to be for pediatric ADD/ADHD.
Currently Anonymous, probably ADD

I think my brother has ADD

After attending a seminar on neurotransmitters, which included an overview of ADHD and ADD, I realized that my twin brother has most likely been suffering from ADD all his life. I won't go into symptom details here, but I was astounded at the miriad of typical ADD behaviors which seem to run (ruin) my brother's life. He has never received any type of medical assistance/diagnosis. Can anyone recommend how to go about getting help for an adult with ADD? At the age of 46, his life patterns are very ingrained and he tends to be extremely obstructionist when ever he perceives the hint of criticism.

Has anyone ever been diagnosed with ADD as an adult? How is the diagnosis done? What worked/didn't work for you? Any advise from someone who has 'been there' would be helpful. I love my brother and want him to have a happier life. helpless on the sidelines

ADD Diagnosis for college student

Can anyone who has been diagnosed with ADD or ADHD as an adult give me some idea of what kind of professional you approached to arrive at the diagnosis? and what kind of help was recommemded? drugs, strategies, etc. I have checked all the web sites, heck I wrote one for my young child who has ADHD, inattentive type. I need help for a young adult now who just feels unable to concentrate for long periods of time and just feels she doesn't "get it" the way others do because she somehow misses key info. She skated through BHS, now college is proving a serious challenge and she sees the difference close-up (dorm living) between what she can do and what the other kids seem capable of.

My husband has been on medication since he was diagnosed and says they help him focus somewhat better (meds don't work for everyone). He also has seen a counselor, in conjunction with his medication. I think combining counseling and medication has the greatest impact on ADHD, or so I've read, but it is a personal decision the individual must be comfortable with.

As I understand ADHD, a consistent daily routine is the best approach for stabilizing the symptoms. Any change in lifestyle makes daily tasks more difficult. I'm guessing your friend is a freshman, which in itself is enough to make you feel like you "don't get it"! We also have a daughter in college (sophmore), so I know the experience can be very overwhelming. Please tell her she's not alone! If your friend would like to talk more, she's welcome to call or email me. Sue