Delivered from Distraction

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Edward M. Hallowell

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 Delivered from Distraction
Unlocking the Potential Within: A Guide to Living
with ADD
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About the book
In "Delivered from Distraction," Drs. Edward M. Hallowell
and John J. Ratey present a groundbreaking guide that
reshapes our understanding of attention deficit disorder
(ADD). Building on the revolutionary insights of their earlier
work, "Driven to Distraction," this book highlights the
extraordinary talents and capabilities of those with ADD,
emphasizing that it is not merely a disorder but a unique
cognitive style. With new research, diagnostic procedures, and
treatment options—including lifestyle changes and
non-pharmaceutical therapies—this comprehensive resource
provides essential strategies for individuals living with ADD.
Packed with compelling patient stories and expert advice,
"Delivered from Distraction" serves as an empowering manual
for anyone impacted by ADD, offering the tools and insights
necessary to unlock their potential and thrive.

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About the author
Dr. Edward (Ned) Hallowell is a distinguished child and adult
psychiatrist, bestselling author, and esteemed speaker,
renowned for his expertise in ADHD. He has penned twenty
influential books, including the groundbreaking 1994
bestseller, Driven to Distraction, which has sparked significant
conversation around ADHD. With over 2 million copies sold,
his works explore a range of psychological topics, offering
guidance on raising happy adults, managing anxiety,
enhancing focus, embracing forgiveness, fostering deep
connections, and motivating employees. His latest memoir,
Because I Come From A Crazy Family: The Making of a
Psychiatrist, showcases his personal journey, while he eagerly
anticipates the release of his upcoming book, ADHD 2.0, on
January 12, 2021. In addition, Dr. Hallowell hosts the weekly
podcast "Distraction," where he shares valuable insights and
strategies for navigating the complexities of our fast-paced,
hyper-connected world.

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Summary Content List
Chapter 1 : A DISTINCTIVE COLLECTION OF TRAITS

Chapter 2 : WHAT’S NEW IN THE WORLD OF ADD?

Chapter 3 : ADD OR ADHD?

Chapter 4 :

Chapter 5 :

Chapter 6 :

Chapter 7 :

Chapter 8 :

Chapter 9 :

Chapter 10 :

Chapter 11 :

Chapter 12 :

Chapter 13 :

Chapter 14 :

Chapter 15 :

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Chapter 16 :

Chapter 17 :

Chapter 18 :

Chapter 19 :

Chapter 20 :

Chapter 21 :

Chapter 22 :

Chapter 23 :

Chapter 24 :

Chapter 25 :

Chapter 26 :

Chapter 27 :

Chapter 28 :

Chapter 29 :

Chapter 30 :

Chapter 31 :

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Chapter 32 :

Chapter 33 :

Chapter 34 :

Chapter 35 :

Chapter 36 :

Chapter 37 :

Chapter 38 :

Chapter 39 :

Chapter 40 :

Chapter 41 :

Chapter 42 :

Chapter 43 :

Chapter 44 :

Chapter 45 :

Chapter 46 :

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 Chapter 1 Summary : A DISTINCTIVE
COLLECTION OF TRAITS

Section Summary

A ADD is seen as a collection of traits with both positive and negative aspects. When negative impacts disable
DISTINCTIVE functioning, it may be classified as a disorder. Diagnosis and treatment aim to turn these traits into potential
COLLECTION assets. Individuals with ADD can experience paradoxical feelings of intense focus and distraction, alongside
OF TRAITS struggles with organization, yet possess creativity and energy. Understanding ADD can restore confidence
and inspire positive change, though many adults remain undiagnosed, missing necessary support.

WHAT’S NEW Since 1994, ADD has gained recognition but still faces myths. The chapter clarifies misconceptions,
IN THE presents new research, and explores treatments for adult ADD and alternative therapies.
WORLD OF
ADD?

Advances in Includes new medications with pros and cons, dietary recommendations (omega-3 fatty acids), the role of
Treatment physical exercise, 12-step programs, the impact of television exposure, and updated resources for support.

Research into Highlights novel diagnostic methods, a new WHO-developed questionnaire for adult ADD,
Diagnosis recommendations for qEEG, and a critical review of SPECT scans in diagnosis.

New Focuses on expanded insights into adult ADD strengths, genetic heritability, brain structure differences
Understanding related to ADD, and new models to understand core challenges.
of ADD
Characteristics

A DISTINCTIVE COLLECTION OF TRAITS

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ADD should be viewed not simply as a mental disorder, but
as a collection of distinctive traits and tendencies. These
traits can have both positive and negative aspects, and when
the negative impacts become disabling, ADD may be
classified as a disorder. The objective of diagnosis and
treatment is to transform this disorder into a potential asset.
Living with ADD can be highly paradoxical: individuals may
exhibit moments of intense focus, yet also become easily
distracted; they can perform excellently while feeling
inadequate; and they may feel deeply connected to others
despite feeling alone. Report cards often reflect struggles
with organization and time management, while
simultaneously highlighting creativity and energy.
Although many view ADD as a problem—sometimes
leading to severe consequences, such as incarceration—there
lies significant potential for harnessing ADD as a blessing.
While this transformation may require effort and might
appear challenging, individuals with ADD can indeed create
fulfilling lives by leveraging their innate qualities.
The journey of self-improvement starts with knowledge and
hope. Most people lack understanding about ADD and may
internalize negative perceptions from the past. Gaining
insight into their unique minds can restore confidence and
inspire positive change.

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Unfortunately, many adults remain undiagnosed and unaware
of their ADD, missing out on the help they could receive.
Effective treatment goes beyond mere medication and
requires a comprehensive approach to understand and
manage the condition.

WHAT’S NEW IN THE WORLD OF ADD?

Since 1994, when ADD was an obscure term, it has gained

widespread recognition; however, myths still persist. This
book aims to clarify misconceptions, provide new research
findings, and discuss evolving treatment methods while
exploring adult ADD and alternative therapies.

Advances in Treatment

- Introduction of new medications, their pros and cons.

- Dietary recommendations, including omega-3 fatty acids.
- Insights into physical exercise as a treatment.
- Application of a 12-step program.
- Lasting impacts of limiting television exposure on ADD
development.
- Updated resources for support.

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Research into Diagnosis

- Novel diagnostic methods.

- A new questionnaire developed with the World Health
Organization for adult ADD.
- Recommendations for qEEG as a diagnostic tool.
- Critical review of SPECT scans in diagnosis and treatment
planning.

New Understanding of ADD Characteristics

- Expanded insights into ADD in adults, focusing on

strengths.
- Exploration of the genetic heritability of ADD.
- Evidence showing brain structure differences linked to
ADD.
- New models to understand the core challenges associated
with ADD.
This chapter lays the groundwork for understanding the
complexities of ADD and the opportunities for those affected
to thrive through knowledge and structured support.

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Example
Key Point:Understanding ADD as a unique
collection of traits can empower individuals to
leverage their strengths.
Example:Imagine waking up each day with a unique set
of challenges and gifts that influence how you navigate
life. You might find yourself easily distracted by the
smallest sounds, yet when you engage in a topic that
truly interests you, you dive deep into it for hours,
producing work that surprises even yourself. While your
friends may struggle to retain the details of your
conversations, you possess a creativity that enables you
to think outside the box, bringing innovative ideas to the
table. Instead of viewing your ADD merely as a
hindrance, you start recognizing its distinctive qualities
as potential assets that can be utilized for success. With
understanding, you embark on a journey of
self-discovery, channeling your energy and creativity
into projects that resonate with your passions,
transforming perceived weaknesses into your greatest
strengths.

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Critical Thinking
Key Point:ADD is not solely a disorder; it
encompasses a spectrum of traits that can be assets
or liabilities.
Critical Interpretation:Hallowell's perspective reshapes
the conventional view of ADD, suggesting it embodies
both strengths and weaknesses. However, this viewpoint
invites scrutiny, as many traditional frameworks often
categorize such traits strictly as disorders. Critics, like
Dr. Allen Frances in 'Saving Normal', argue that
viewing ADD through a pathologizing lens is essential
for recognition and treatment. Moreover, additional
studies (e.g., 'Attention deficit hyperactivity disorder: a
new approach to treatment' in 'The Lancet') challenge
the notion that traits indicative of ADD can simply be
leveraged into strengths. While Hallowell emphasizes
potential benefits, it is essential for readers to
contemplate whether the proposed transformation is
realistic for everyone affected by ADD, or whether such
optimism may oversimplify a complex condition.

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Chapter 2 Summary : WHAT’S NEW IN
THE WORLD OF ADD?

WHAT’S NEW IN THE WORLD OF ADD?

In 1994, attention deficit disorder (ADD) was little known,

but it is now widely recognized. This chapter aims to clarify
misconceptions, provide factual information, and present
recent research findings regarding ADD. The book shares
true stories and discusses new diagnostic methods, treatment
options, and resources, with a strong emphasis on ADD in
adults and alternative treatments.

Advances in Treatment

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- Introduction of new medications for ADD with their pros
and cons.
- Dietary recommendations, including fish oil for omega-3
fatty acids.
- The benefits of physical exercise for treating ADD.
- Application of the 12-step program for ADD treatment.
- Stimulation exercises for the cerebellum as an adjunct
treatment.
- A five-step program to discover and nurture talents in those
with ADD.
- Strategies for better organization and time management.
- Support for transitioning to college.
- Research suggesting that reduced television watching may
decrease ADD risk.
- Updated resource listings.

Research into Diagnosis

- New diagnostic approaches for ADD.

- A screening questionnaire for ADD in adults developed
with the World Health Organization.
- Recommendation for using quantitative
electroencephalogram (qEEG) for diagnosis.
- Critical evaluation of SPECT scans in diagnosing and

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planning ADD treatment.
- Introduction of a self-assessment quiz.

New Understanding of the Characteristics of

Attention Deficit Disorder

- Additional insights into ADD in adults.

- Focus on the strengths and talents of individuals with ADD.
- Case studies illustrating complex ADD situations,
expanding from earlier accounts.
- Evidence of structural differences in the brain associated
with ADD, found through MRIs.
- Genetic research indicating the heritability of ADD.
- A model describing the core issues of ADD and guiding
specific interventions.

ADD OR ADHD?

The book uses the term attention deficit disorder (ADD) as it

remains more familiar to the public, although the official
term is attention deficit hyperactivity disorder (ADHD).
ADD encompasses symptoms of both conditions, including
those without hyperactivity.

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Example
Key Point:Understanding the Importance of Proper
Diagnosis and Treatment
Example:You might find yourself struggling to focus
during meetings or zoning out while reading.
Recognizing that ADD is a nuanced condition can
empower you to seek tailored diagnostic methods that
align with your needs, such as a qEEG or supportive
questionnaires designed to confirm your experiences.
Embracing new treatment strategies—like incorporating
omega-3 rich diets or regular physical exercise—can
significantly enhance your daily functioning and overall
well-being.

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Critical Thinking
Key Point:Understanding the Complex Nature of
ADD
Critical Interpretation:The chapter emphasizes the
evolving understanding of ADD, highlighting that while
advancements in diagnosis and treatment underscore the
disorder's complexity, the author's interpretations may
not encompass all individual experiences. Readers
should remain critical, as the effectiveness of proposed
treatments can vary widely and may not suit everyone's
unique needs. According to research by Barkley (2006)
on ADHD management, some evidence-based practices
may need further scrutiny for their universal
applicability.

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Chapter 3 Summary : ADD OR ADHD?

ADD OR ADHD?

In this book, the term attention deficit disorder (ADD) is

used for familiarity, even though the official term is attention
deficit hyperactivity disorder (ADHD). The use of ADD
encompasses symptoms from both categories, including
individuals who may not exhibit hyperactivity.

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 Chapter 4 Summary :
Section Summary

Introduction to ADD is seen as a collection of symptoms that can hinder or enhance life based on management; it can be
ADD viewed as a trait when managed effectively.

Understanding ADD symptoms include distractibility, impulsivity, and restlessness, leading to underachievement. Positive
ADD traits include creativity and high energy, while negative traits focus on chronic underachievement and
organization difficulties. ADD is different from ADHD mainly due to the lack of hyperactivity.

Diagnosing Diagnosis involves assessing symptom intensity and duration; estimates suggest 5-8% of the population has
ADD ADD, with many undiagnosed. Genetic and environmental factors influence its manifestation.

Differences It's essential to differentiate ADD from disorders like bipolar disorder to avoid misdiagnosis. Common
from Other co-occurring conditions include dyslexia, anxiety, and depression.
Disorders

Treatment Treatment is personalized, focusing on strengths and lifestyle changes, including social engagement, sleep
Approaches hygiene, and exercise, as well as structured support systems like coaching and tutoring, and various
therapies.

Use of Medication should be approached cautiously due to potential side effects. Stimulants are effective but require
Medication careful management; alternatives like Strattera and amantadine are also available.

Conclusion Diagnosis can free individuals from negative labels, emphasizing strengths instead. The authors encourage
personal growth through understanding and tailored support to harness ADD traits.

SUMMARY OF CHAPTER 4: THE SKINNY ON

ADD

Introduction to ADD

Attention Deficit Disorder (ADD) is presented as a collection

of symptoms that can either hinder or enhance life,
dependent on management. The authors emphasize that ADD
is not merely a disorder but can be seen as a trait when

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effectively managed.

Understanding ADD

- ADD is characterized by symptoms like distractibility,

impulsivity, and restlessness, which can lead to
underachievement in various areas of life.
- Positive aspects associated with ADD include creativity,
originality, and high energy, while negative characteristics
include chronic underachievement and difficulty with
organization.
- ADD is sometimes confused with ADHD, but the key
difference is hyperactivity.

Diagnosing ADD

- Diagnostic criteria involve assessing symptom intensity and

duration.
- While roughly 5-8% of the population is estimated to have
ADD, many remain undiagnosed.
- Environmental factors and genetics play significant roles in
its manifestation.

Differences from Other Disorders

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- It’s crucial to distinguish ADD from conditions like bipolar
disorder, as misdiagnosis can lead to adverse treatment
outcomes.
- Common co-occurring conditions include dyslexia, anxiety
disorders, and depression.

Treatment Approaches

- Effective treatment is individualized, emphasizing strength

identification and lifestyle adjustments.
- Key components for managing ADD include:
1. Comprehensive diagnosis and identification of strengths
2. Lifestyle changes (e.g., social engagement, sleep hygiene,
diet, exercise)
3. Structured support systems like coaching and targeted
tutoring
4. Various therapies, including medication when appropriate

Use of Medication

- Medication can be beneficial but must be approached

cautiously, considering potential side effects.

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- Stimulant medications have a high efficacy but should be
managed by experienced professionals to avoid issues.
Alternatives like Strattera and amantadine are also discussed
as potential treatments.

Conclusion

- Being diagnosed with ADD can liberate individuals from

negative labels, focusing instead on personal strengths.
- The authors advocate for personal growth through
understanding, support, and tailored approaches to harness
the unique traits associated with ADD.

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Example
Key Point:Recognizing ADD as a trait leads to
empowerment.
Example:Imagine you're in a brainstorming session at
work. As ideas start flying around, your mind races with
creative solutions, but you also find it challenging to
stay focused on the discussion at hand. Instead of
viewing this as a deficit, you realize that your unique
way of thinking – characterized by spontaneity and
outside-the-box ideas – can significantly enhance the
team’s project. By embracing your ADD traits, you
engage in strategies like jotting down your thoughts
quickly while others speak, allowing you to contribute
effectively without feeling overwhelmed. This shift in
perception transforms how you navigate your
professional life, turning a potential hindrance into a
powerful asset.

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Chapter 5 Summary :

Chapter 2: The Feel of ADD

Understanding ADD

ADD is often misunderstood, with many people focusing

solely on its negative aspects. It comprises various
contradictory traits that can manifest at different times, such
as high energy, distractibility, impulsivity, and creativity. No
two individuals with ADD are alike, making it challenging to
define the condition precisely.

Perception of ADD

The author expresses a personal frustration with the label of

ADD, suggesting that it highlights a disorder of attention
surplus in those who rigidly adhere to rules and details.
ADD, in contrast, is a complex way of experiencing life that
has existed throughout history. Although some question its
validity, the author asserts that ADD is a real and identifiable
condition, comparable in legitimacy to other mental states.

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Metaphors for ADD

ADD can be metaphorically described in various ways:

- Driving in the rain with ineffective windshield wipers
symbolizes the struggle to maintain focus.
- Listening to a static-filled radio represents the difficulty in
concentrating amidst distractions.
- Building a house of cards in a windstorm reflects the
challenges of completing tasks faced with constant obstacles
and frustrations.

Living with ADD

People with ADD may perceive time differently, often

feeling that everything happens simultaneously, leading to
panic and forgetfulness regarding future responsibilities. This
can create tensions in professional settings when deadlines
are underestimated. Such challenges can also lead to anxiety
and depression for individuals with undiagnosed ADD.

Interacting with ADD

Social interactions can be tricky due to impulsivity and

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difficulty in maintaining focus. The author humorously
recounts personal anecdotes illustrating his challenges in
social settings. ADD individuals often need high stimulation,
which can manifest in risky behaviors but also yields
strengths in creativity and innovation.

Positive Aspects of ADD

While ADD is often viewed negatively, individuals may

possess unique insights and intuitive capabilities. With
appropriate treatment and understanding environments, these
strengths can thrive.

Treatment for ADD

Effective treatment involves reducing distractions and

creating supportive structures in daily life, including the use
of lists, schedules, and proper sleep and diet. Finding suitable
work environments, maintaining supportive relationships,
and applying personal limits can also help. Medication can
assist but is not a comprehensive solution.

Conclusion

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Understanding and support are crucial for individuals with
ADD. With the right help, the perceived messiness of ADD
can be transformed into creativity and reason. Awareness of
ADD can lead to positive changes and self-acceptance,
preventing detrimental beliefs from taking root.

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Example
Key Point:ADD is a complex condition that manifests
differently in each individual.
Example:Imagine walking into a bustling café, where
the noise and movement overwhelm your senses. You
feel a sudden rush of excitement, yet as you try to
engage in conversation, your mind wanders to the
myriad of thoughts buzzing around you. This chaotic
experience highlights the contradiction of ADD,
showing that while distractions may surge around you,
there's also a unique creativity bubbling beneath the
surface, waiting for an opportunity to shine through the
clutter.

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 Chapter 6 Summary :
Section Details

Chapter Title THE SEVEN HABITS OF HIGHLY EFFECTIVE ADD ADULTS

Focus Qualities leading to happiness and success in individuals with ADD.

Key Examples

Bob Lobel: Sports anchor exemplifying creativity and spontaneity; developed

strategies to cope with focus issues.
David Neeleman: CEO of JetBlue, open about ADD struggles; utilizes strengths
for entrepreneurial success.

Recurring Habits of Successful

ADD Adults
Focus on strengths rather than weaknesses.
Delegate challenging or draining tasks.
Engage in creative outlets to channel energy.
Maintain organization without aiming for perfection.
Seek and value advice from trusted individuals, dismiss negative feedback.
Nurture relationships with close friends for support.
Operate from a positive mindset while acknowledging challenges.

Conclusion These habits help individuals with ADD create a productive and fulfilling life by leveraging
strengths and managing vulnerabilities.

THE SEVEN HABITS OF HIGHLY EFFECTIVE

ADD ADULTS

Chapter 6 emphasizes the qualities that lead to happiness and

success in individuals with Attention Deficit Disorder
(ADD). The author shares inspiring stories of successful
ADD adults, including Bob Lobel, a sports anchor, and
David Neeleman, the CEO of JetBlue Airways. Both

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exemplify how to thrive with ADD by leveraging their
unique strengths and overcoming challenges.

Key Examples:

-
Bob Lobel
: He showcases creativity and spontaneity in his broadcasting
career. Despite struggling with focus, he developed effective
strategies, such as ad-libbing and connecting with people.
His diagnosis of ADD later helped him channel his energy
positively and embrace it as a gift.

-
David Neeleman
: David is open about his struggles with ADD, including
procrastination and disorganization, alongside his creativity
and ability to inspire loyalty. He attributes his entrepreneurial
success to understanding and utilizing his strengths, despite
facing criticism and struggles.

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ADD Adults: and
Audio
1. Focus on strengths rather than weaknesses.

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 Chapter 7 Summary :
Section Content

Overview of the ASRS

- Developed by experts and WHO to screen for ADD in adults.
- Brief tool indicating need for further evaluation for ADD.
- Positive result suggests further evaluation; negative result does not rule out ADD
(70% sensitivity).

ASRS Questions
1. Trouble completing project details? (N/R/S/O/V)
2. Difficulty organizing tasks? (N/R/S/O/V)
3. Problems remembering appointments? (N/R/S/O/V)
4. Avoidance of thinking tasks? (N/R/S/O/V)
5. Fidgeting while seated? (N/R/S/O/V)
6. Feeling overly active or driven? (N/R/S/O/V)

Scoring the ASRS

- Score 1 point for “S”, “O”, or “V” on questions 1-3; “O” or “V” on questions 4-6.
- A score of 4 or higher indicates need for further consultation with a healthcare
provider.

ADDITIONAL SELF-Assessment
QUIZ Purpose: Informal gauge for ADD traits; enlightening for individuals doubting
ADD's existence.
General Questions:
1. Did you immediately turn to this chapter?
2. Do you feel underachieving despite accomplishments?
3. Are you more generous than others?
4. Do you struggle to stay focused on uninteresting tasks?
5. Do you have regrets about your current state without knowing how to change?

Questions About Work and Home

Life - Work performance questions on motivation, focus, creativity.
- Home life questions on interpersonal relationships, communication, emotional
conflicts.

Final Reflection
- Concludes with queries about focusing, mental processes, and self-perception in
social contexts.
- Encourages deeper self-awareness related to ADD symptoms.

SCREENING TEST FOR ADULT ADD

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Overview of the ASRS

- The Adult Self-Report Scale (ASRS) was developed by

experts and the World Health Organization to screen for
ADD in adults.
- It is a brief tool that effectively indicates whether a full
evaluation for ADD is warranted.
- A positive result suggests seeking further evaluation, while
a negative result does not definitively rule out ADD due to
the test's sensitivity of 70%.

ASRS Questions

1. Trouble completing project details? (N/R/S/O/V)

2. Difficulty organizing tasks? (N/R/S/O/V)
3. Problems remembering appointments? (N/R/S/O/V)
4. Avoidance of thinking tasks? (N/R/S/O/V)
5. Fidgeting while seated? (N/R/S/O/V)
6. Feeling overly active or driven? (N/R/S/O/V)

Scoring the ASRS

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- Score 1 point for “S”, “O”, or “V” on questions 1-3; “O” or
“V” on questions 4-6.
- A score of 4 or higher indicates a need for further
consultation with a healthcare provider.

ADDITIONAL SELF-ASSessment QUIZ

Purpose

- This quiz, while not statistically valid, serves as an informal

gauge for ADD traits and can be enlightening for individuals
doubting the existence of ADD.

General Questions

1. Did you immediately turn to this chapter?

2. Do you feel underachieving despite accomplishments?
3. Are you more generous than others?
4. Do you struggle to stay focused on uninteresting tasks?
5. Do you have regrets about your current state without
knowing how to change?
(Continues with numerous questions addressing various
aspects of ADD experience and self-reflection.)

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Questions About Work and Home Life

- Questions regarding performance at work, such as

motivation, focus, and creativity.
- Home life questions address interpersonal relationships,
communication, and emotional conflicts.

Final Reflection

- The quiz concludes with queries about focusing, mental

processes, and self-perception in social contexts, encouraging
deeper self-awareness related to ADD symptoms.
This summary captures the essence of Chapter 7, detailing
the ASRS and an additional self-assessment quiz for adults
concerning ADD.

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 Chapter 8 Summary :
Section Summary

Understanding The struggle to focus is common, influenced by physical, emotional, and external factors; it's not just a
Attention matter of willpower.

Conditions ADD significantly impacts attention, leading to deeper distractions unlike typical temporary lapses in
Affecting Attention focus.

Illustrative Case: Hank, a bus driver and poet, illustrates how ADD can cause individuals to lose track of tasks, as he
Hank the Poet became so focused on composing a poem that he missed stops.

Shifting The term "attention deficit" is misleading; individuals with ADD struggle to direct their attention,
Perspectives on which can also foster creativity through their mental diversions.
ADD

Goals of Treatment Treatment for ADD should enhance attention control and support creativity instead of simply urging
individuals to "try harder."

CHAPTER 5: WON’T PAY ATTENTION, OR

CAN’T? THE CRUX OF THE MATTER

Understanding Attention

The struggle to pay attention is common, and the belief that

focusing is purely a matter of willpower is a misperception.
Various factors, such as physical discomfort, emotional
states, and external distractions, can influence one’s ability to
focus.

Conditions Affecting Attention

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Attention Deficit Disorder (ADD) is a significant condition
that impacts attention, often in ways that are misunderstood.
While some people can maintain focus temporarily, those
with ADD experience a more profound level of distraction.

Illustrative Case: Hank the Poet

A case study of a man named Hank, a poet who drove a

school bus, exemplifies how ADD can disrupt everyday
tasks. During a routine bus drive, Hank became absorbed in a
poem he was crafting, neglecting to make his designated
stops. This incident underscores the idea that for individuals
with ADD, attention can wander involuntarily, rather than
being absent or lacking.

Shifting Perspectives on ADD

The term "attention deficit" is misleading; individuals with

ADD do not lack attention but instead have difficulty
directing it. This exploration of attention can lead to
creativity, as these mental excursions can yield valuable
insights.

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Goals of Treatment

Effective treatment for ADD aims to help individuals gain

better control over their attention while appreciating and
nurturing their natural creativity, rather than suppressing it.
Simple admonishments to "try harder" are inadequate; a
comprehensive approach is necessary for meaningful change.

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Chapter 9 Summary :

CHAPTER 6: AN EVIL, AN ILLNESS, OR A

KIND OF MIND? FROM STIGMA TO SCIENCE

Historical Perspectives on Mental Health

- Historically, understanding of the mind was limited and

often metaphoric.
- Simplistic moral diagnoses categorized individuals as
smart/stupid, good/bad, and strong/weak, with harsh
ramifications for severe cases.
- Severe mental disturbances were met with brutal
treatments, leading to a culture of stigma around mental
health diagnoses.

Shift from Moral to Medical Diagnoses

- The exploration of mental health made progress in the 20th

century, transitioning from moral to medical assessments,
driven by pioneers like Charles Bradley.
- Bradley’s 1937 experiment with amphetamines on

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disruptive boys revealed that these medications improved
focus rather than causing hyperactivity, marking a significant
advancement.

Evolution of ADD Understanding

- The condition now known as Attention Deficit Disorder

(ADD) had long been misunderstood, historically tied to
moral failings.
- Research revealed that ADD is a legitimate biological
condition often persisting into adulthood, affecting both
genders (though more common in males), challenging
previous assumptions.

Scientific Advances and Stigma Reduction

- The 1990s brought scientific studies, such as PET scans,

revealing biological differences in individuals with ADD,
which further eroded the stigma surrounding the condition.
- Findings indicated genetic influences, suggesting
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biological basis rather thanAudio
behavioral laziness.

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Chapter 10 Summary :

CHAPTER 10: THE ITCH AT THE CORE OF

ADD

Understanding the Itch of ADD

Many individuals with a certain type of ADD experience a

deep, unscratchable itch that often leads to impulsive, risky
behaviors or feelings of dissatisfaction. These expressions of
inner turmoil manifest in various ways, including
self-destructive actions and a constant search for stimulation.

The Nature of Internal Discontent

Individuals with this form of ADD often feel a vague

dissatisfaction regardless of their external circumstances.
This dissatisfaction arises not from depression, but from
internal wiring that makes pleasure harder to achieve. It can
lead to sudden bursts of sadness or impulsive decisions.

Impulsive Behaviors and Recklessness

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This inner itch can escalate quickly, resulting in desperate
attempts to alter their emotional state through reckless
behaviors—such as substance abuse, gambling, or impulsive
anger—because the normal avenues for pleasure feel
insufficient.

The Brain Chemistry Perspective

The concept of Reward Deficiency Syndrome (RDS)

suggests that individuals with ADD may share a genetic
predisposition affecting their ability to derive pleasure from
ordinary experiences. They may need extraordinary methods
to obtain satisfaction, contributing to addictive behaviors.

Addiction and Creativity

There is a notable correlation between ADD, creativity, and

addiction. Many creative individuals with ADD struggle to
find pleasure in everyday life, which drives them to seek
more intense experiences or become deeply invested in their
creative pursuits as a means to scratch their itch.

The Dual Itch: Creative and Emotional

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The itch experienced by those with ADD is compounded by
the creative impulses they feel. These individuals constantly
seek new ways to express their creativity, which can generate
excitement but also frustration when the ideas compete for
attention.

Navigating the Itch

To manage this itch, individuals with this type of ADD can

engage in creative activities as a healthy outlet. Instead of
succumbing to compulsive behaviors, they should embrace
their discomfort and transform it into productive creativity or
meaningful conversations.

Establishing Supportive Structures

Creating supportive environments, whether through

relationships or career choices, is crucial for those with
ADD. Establishing routines and healthy outlets can help
prevent descending into maladaptive patterns of behavior
when the itch arises.

Adaptive Strategies for Satisfaction

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Exercise, meditation, and creative expression are effective
strategies for addressing the itch. When faced with feelings
of boredom or discontent, engaging in these activities can
lead to fulfillment and satisfaction without resorting to
harmful behaviors.

Conclusion: Embracing the Itch

Ultimately, recognizing and transforming the itch of ADD

into creativity can lead to profound personal achievement
and happiness. By leveraging their unique perspectives and
embracing creative outlets, individuals with ADD can find
healthier ways to satisfy their internal needs.

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Example
Key Point:Transforming Discontent into Healthy
Outlets
Example:Imagine feeling a constant itch for stimulation,
where everyday experiences seem dull. Rather than
acting on impulsive desires, you can take a moment to
channel that restless energy into creativity. You decide
to paint, play music, or write, turning internal
dissatisfaction into vibrant personal expression. Each
brush stroke or note you create helps to soothe that itch,
transforming your restlessness into something beautiful
and meaningful, making you realize that your unique
challenges can lead to profound achievements.

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Critical Thinking
Key Point:Understanding the deeply-rooted
dissatisfaction in ADD individuals
Critical Interpretation:While the chapter emphasizes that
individuals with ADD experience a persistent,
unscratchable itch leading to impulsive behaviors and
emotional turmoil, this perspective should be critically
examined. Not all experiences of individuals with ADD
are defined by this inner dissatisfaction; many may find
contentment through structured environments or
medication. A narrower definition of ADD, focusing
primarily on impulsive behavior and addiction, risks
overlooking the broader spectrum of human emotion
and experience. Studies like those found in 'Attention
Deficit Hyperactivity Disorder: A Handbook for
Diagnosis and Treatment' by Russell A. Barkley
highlight that the lived experiences of ADD individuals
can greatly vary and may not uniformly center around
an unfulfilled itch. Thus, while Hallowell's insights
provide an important lens, it is vital for readers to
consider diverse perspectives on ADD.

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 Chapter 11 Summary :
Section Summary

Chapter Title CHAPTER 8: THE BENEVIANS - HOW THIS DIAGNOSIS CAN CHANGE YOUR LIFE FOR
THE BETTER—AT ANY AGE

Family Overview The Benevian family includes Paul, Nan, Sophie, and Lucas, who deal with ADD's impact on their
lives.

The Early Years Sophie was initially strong academically but struggled after seventh grade; Lucas was introverted
and also faced social and academic challenges.

The Downward Spiral As Sophie’s grades dropped, Nan and Paul sought help after noticing behavioral issues, leading to a
diagnosis of ADD after therapy suggestions.

Seeking Answers Communication breakdown prompted Sophie to consider ADD, resulting in further evaluation and
ultimately a new diagnosis.

The Impact of Sophie’s use of medication led to improved focus and academic performance, changing the family's
Medication understanding of her struggles.

Lucas's Journey Lucas was also evaluated for ADD and benefited from medication, improving his behavior and
academic focus as well.

Family Dynamics and ADD affected all family members, leading to Paul's recognition of his ADD tendencies; the
Lessons Learned experience highlighted the importance of diagnosis and family support.

Conclusion The Benevian family's journey emphasizes compassion and understanding of ADD, illustrating that
accommodating children's needs improves overall family dynamics.

CHAPTER 8: THE BENEVIANS - HOW THIS

DIAGNOSIS CAN CHANGE YOUR LIFE FOR
THE BETTER—AT ANY AGE

This chapter presents the real-life story of the Benevian

family as an illustration of how ADD can manifest and be
addressed effectively. The family consists of Paul, an
environmental planner, and Nan, a research consultant, who
are parents to two children, Sophie and Lucas. Despite both

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children being strong academic performers initially, they
faced significant struggles as they transitioned into high
school.

The Early Years

Sophie, the eldest, was extroverted and academically driven

until her seventh-grade year when her performance began to
decline. Simultaneously, Lucas, who was naturally
introverted, spent hours focused on solitary play but
struggled socially and academically in school.

The Downward Spiral

Nan and Paul sought help when Sophie's grades dropped and
behavioral issues arose, including arguments and defiance.
Despite concerns from teachers about Sophie's homework
performance, the family attributed her challenges to peer
influence rather than considering ADD. After a series of
intense conflicts, Sophie’s therapist suggested that she might
have ADD, which was a revelation for the family.

Seeking Answers

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After facing a breakdown in communication and escalating
tensions at home, Sophie herself acknowledged the
possibility of having ADD, which prompted her mother to
seek further evaluation. With a new diagnosis of ADD, the
family considered medication, which Paul and Nan initially
hesitated to pursue.

The Impact of Medication

Sophie began her medication, leading to significant

improvements in her focus and academic performance. The
family learned to understand her struggles as a result of her
condition rather than a lack of motivation or willpower.

Lucas's Journey

Lucas exhibited signs of ADD as well and was evaluated

subsequently. After starting on his medication, he also
experienced improvements in his behavior and academic
focus.

Family Dynamics and Lessons Learned

The chapter illustrates the impact of ADD on every family

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member, including Paul's struggle with alcoholism and later
recognition of his own ADD tendencies. The family's
journey emphasizes the importance of proper diagnosis,
communication, and support to foster a better understanding
of ADD.
Nan reflects on the lessons learned, including the need for
compassion within the family, and the realization that ADD
often runs in families. The Benevian family’s experience
underscores that understanding and accommodating different
needs in children can lead to their betterment and the overall
health of family dynamics.

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Example
Key Point:Understanding ADD leads to compassion
and transformation within family dynamics.
Example:You may recognize moments in your own life
when loved ones struggled with focus or motivation,
which left you feeling frustrated or helpless. Imagine
now that instead of blaming them for their behavior, you
discovered they had ADD. This revelation would
empower you to provide the support they need, fostering
better communication and reducing conflicts. Just like
the Benevian family, addressing the diagnosis with
compassion could change your understanding and
strengthen your relationships, enhancing both your
loved ones' lives and the family dynamic as a whole.

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Critical Thinking
Key Point:The importance of proper diagnosis and
acceptance of ADHD's impact on familial dynamics.
Critical Interpretation:The chapter uses the Benevian
family's experience to argue that understanding and
diagnosing ADD can drastically improve lives,
particularly through medication and communication.
However, it's important to recognize that this viewpoint
is not universally agreed upon; some experts argue
against over-medication in children. Research indicates
that while medication can help some, it carries risks of
side effects and doesn't address underlying issues of
education and environment (see books like 'The
ADD/ADHD Book of Lists' by Sandra F. Rief for
alternative perspectives). Thus, while the Benevian's
story is compelling, readers should critically evaluate
the notion that diagnosis alone is a panacea for familial
or personal struggles, considering various approaches to
ADHD management.

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 Chapter 12 Summary :
Section Summary

Introduction to Joey's Joey's story illustrates the difficulties parents encounter in obtaining comprehensive services for
Journey children facing multiple challenges, leading to confusion and frustration.

The Struggles of Joey's Joey's parents, both psychologists, invested significant time in navigating the mental health
Parents system, gaining insights beyond their formal education.

Importance of the Dr. Peter Jensen established the CACMH to help parents like Joey's, simplifying the journey of
CACMH finding effective treatment.

Joey's Early Diagnoses Initially diagnosed with sensory integration disorder, Joey underwent successful occupational
and Treatment therapy, later receiving speech therapy and testing for auditory processing disorder.

Educational Challenges Joey faced reading challenges, which improved with the Orton Gillingham method, but was later
and Interventions diagnosed with ADHD and prescribed medication.

Emerging Anxiety and As his anxiety developed, Joey began taking Luvox and explored further methods for his noise
New Treatments sensitivity, finding success with the Tomatis method.

Finding the Right School Hannah sought a school for Joey that would embrace his strengths, ultimately finding the Corwin
Russell School, which supports diverse learning styles.

Ongoing Treatments and Joey is still receiving treatment adjustments and educational support, emphasizing the vital role
Adjustments of persistent advocacy by his parents.

The Cost of Care and Despite advancements, the financial burden on families underscores the need for systemic
Need for Systemic change, ensuring equitable access to resources for every child.
Change

CHAPTER 9: JOEY - WHEN THERE’S MORE

THAN ADD

Introduction to Joey's Journey

Joey's story highlights the complexities parents face while

seeking services for children with multiple challenges. One

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diagnosis often fails to encompass the full spectrum of
issues, necessitating visits to various specialists, leading to
confusion and frustration for families.

The Struggles of Joey's Parents

Joey’s parents, both psychologists, spent countless hours

navigating the system to find adequate help. They eventually
learned much more about child mental health than their
formal education had provided.

Importance of the CACMH

Dr. Peter Jensen founded the Center for the Advancement of

Children’s Mental Health (CACMH) to streamline the
process for parents like Hannah and Peter, reducing the
burden of self-education in seeking treatment.

Joey's Early Diagnoses and Treatment

Initially diagnosed with sensory integration disorder, Joey

Installoccupational
underwent Bookey App to Unlock
therapy, Full Text and
which successfully
Audio
diminished his biting behavior through sensory integration
techniques. He later received speech therapy and was

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Chapter 13 Summary :

CHAPTER 10: THE O’BRIEN FAMILY: A

HOUSEFUL OF ADD

Overview of Nancy O’Brien’s Journey with ADD

Nancy O’Brien’s life illustrates the challenges and triumphs

of living in a family where every member has Attention
Deficit Disorder (ADD). Her experience highlights that
overcoming these challenges is possible with determination,
knowledge, and support, transcending beyond mere
medication.

Nancy’s Early Life and School Struggles

Raised in a large family, Nancy struggled significantly in

school, describing it as “pure hell.” Early experiences of
feeling misunderstood and overwhelmed by school tasks
exemplified classic ADD difficulties. Despite having a high
IQ, she faced academic underachievement and emotional
distress, largely due to a lack of understanding of her

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condition during those times.

The Impact of Parenting and Untreated ADD

After becoming a young mother, Nancy faced severe

depression and stress with her children, particularly with her
hyperactive son, Warren. The lack of knowledge about ADD
at the time left her without effective coping strategies or
support from family or educational authorities.

Path to Diagnosis and Understanding

Eventually, through persistence, Nancy sought help and

learned about ADD, which also presented an explanation for
her children’s difficulties. This journey to diagnosis provided
relief and a new perspective, though it was met with
skepticism from educators.

Transition to Treatment and Medication

Nancy explored the use of stimulant medication for her son,

which yielded positive results, prompting her to evaluate her
own potential need for treatment. Initially hesitant about
taking medication herself due to fears of addiction, she

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gradually learned to integrate it into her life.

Supportive Networks and Educational Advocacy

Shifting times allowed Nancy to better advocate for her

children’s educational needs. She leveraged the knowledge
available and built extensive support systems to navigate the
educational bureaucracy more effectively, ensuring that her
children received the necessary help.

The Importance of Growth and Adaptation

Every family member’s journey continued as they faced their

individual challenges with ADD. Nancy mirrored her
resilience through her children’s development and advocated
for understanding and supportive environments that cater to
their unique needs.

Conclusion: Embracing the Complexity of ADD

Nancy O’Brien’s story conveys that living with ADD, while

often complicated, can be met with hope, determination, and
a team of supportive individuals. The understanding and
acknowledgment of ADD’s effects can lead to meaningful

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interventions and a fulfilling life, emphasizing the continued
need for advocacy and education surrounding the condition.

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Chapter 14 Summary :

CHAPTER 11: THE STEPS TO DIAGNOSIS

Understanding ADD Diagnosis

Diagnosing Attention Deficit Disorder (ADD) requires

professional evaluation; self-diagnosis is discouraged due to
the disorder's prevalence and symptom similarity to everyday
life experiences. Diagnosis means to understand thoroughly,
which necessitates consultation with a qualified expert.

Finding Qualified Professionals

- Child psychiatrists and developmental pediatricians are the

most trained but often scarce.
- Alternatives for children include pediatric neurologists,
general pediatricians, child psychologists, or family
physicians. Always ensure the healthcare professional has
experience with ADD.
- For adult evaluations, adult psychiatrists, psychologists, or
primary-care physicians can provide assistance, but expertise

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in adult ADD is less common.

Evaluation Process

The process may vary but generally includes:

1.
Patient History:
Gathering information from the individual regarding
strengths and weaknesses, with emphasis on educational
history.
2.
External Observation:
Collecting input from family members or significant others,
as ADD individuals often lack self-awareness.
3.
Teacher Feedback:
Important for children, focusing on qualitative insights
rather than checklists.
4.
Medical History Review:
Necessary to rule out other conditions that may mimic or
complicate ADD.
5.
Neuropsychological Testing:

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 Provides insights into cognitive styles but is not an absolute
test for ADD.
6.
Medical Tests:
May include assessments for sleep disorders and
environmental sensitivities.
7.
Additional Tests:
New diagnostic methods like qEEG and SPECT scans may
assist in more complex cases.

Key Aspects of Effective Evaluation

- A comprehensive understanding of the individual is vital;

the history often serves as the best diagnostic tool.
- Diagnosis hinges on the presence of impairment caused by
symptoms, categorized into inattention and
hyperactivity/impulsivity across various life domains (home,
school, work).
- A thorough diagnosis assesses not only problems but also
personal strengths, fostering a pathway to effective treatment.

Concluding Thoughts on Environmental Factors

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There is an increasing acknowledgment of environmental
toxins potentially influencing ADD symptoms. Consideration
of chemical exposure, dietary habits, and the presence of
unexplained symptoms is recommended for a comprehensive
evaluation.
For additional resources, consulting specialized medical
associations can provide further guidance and information.

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Chapter 15 Summary :

CHAPTER 12: THE QEEG AND THE SPECT

SCAN: TWO USEFUL NEW TESTS NOT
WIDELY USED

Introduction to Brain Function Tests

The qEEG and SPECT scan are two brain function tests not
widely adopted in psychiatry, but they offer valuable
diagnostic and treatment insights.

Understanding qEEG

-
Definition
: The quantitative electroencephalogram (qEEG) measures
brain-wave patterns to aid in diagnosing Attention Deficit
Disorder (ADD).
-
Evolution
: Early tests were not effective; however, advances post-1997

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identified a characteristic underarousal pattern in individuals
with ADD, particularly a higher presence of slow (theta)
waves compared to fast (beta) waves.
-
Diagnostic Accuracy
: The qEEG now shows up to 90% accuracy in diagnosing
ADD, with recommendations for its use by the American
Academy of Pediatrics.

Clinical Application of qEEG

-
Utility
: While not mandatory, the qEEG enhances diagnostic
reliability in hurried primary-care settings, reducing
misdiagnosis risks.
-
Treatment Selection
: The test correlates with treatment responses, particularly in
patients likely to benefit from stimulant medication.

Install Bookey App to Unlock Full Text and

Audio
Introduction to SPECT Scan

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Chapter 16 Summary :

Summary of Chapter 13: How Do You Tell a Child

About the Diagnosis of ADD?

Introduction

- After diagnosing a child with ADD, parents often worry

about how to communicate this to their child to avoid
feelings of labeling or isolation.

Presenting the Diagnosis

- A typical approach to informing a child (e.g., an

eight-year-old named Jed) involves a relaxed setting with
parents present.
- The clinician emphasizes the child’s strengths and frames
ADD in a positive light using relatable metaphors (e.g.,
comparing the brain to a turbocharged engine).

Reassuring the Child

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- Key elements of the discussion include acknowledging the
positives of having ADD and how management can help the
child thrive.
- The clinician reassures the child that having ADD is a part
of who they are, not a defining label.

Common Questions Children May Ask

- The clinician provides simple, reassuring answers to

common questions that children might have about ADD,
addressing stereotypes, feelings of inadequacy, and the
realities of medication and treatment.

Concluding Guidance

- It is important for parents and caregivers to remain open to

questions and keep explanations straightforward. They
should not push the child to become an expert on ADD but
instead focus on living a fulfilling life.

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Chapter 17 Summary :

CHAPTER 14: CONDITIONS THAT COEXIST

WITH ADD

Understanding Comorbidity

The term comorbidity refers to other conditions that often

coexist with Attention Deficit Disorder (ADD), such as
depression. The author rejects this terminology, believing it
emphasizes pathology instead of health, and highlights the
importance of recognizing the coexistence of various
problems with ADD.

Common Coexisting Problems

Several issues frequently accompany ADD, including:

-
Mood Disorders
: About 25% of individuals with ADD may experience mood
disorders such as depression and bipolar disorder.
-

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Substance Abuse
: Approximately 40% of adults with ADD struggle with
alcohol consumption, while around 20% may abuse drugs.
-
Antisocial Personality Disorder
: This condition develops in about 15% of individuals with
ADD, often related to childhood behaviors like oppositional
defiant disorder.
-
Learning Problems
: Dyslexia affects roughly 20% of those with ADD,
characterized by reading and spelling difficulties.
-
Anxiety Disorders
: Many adults with ADD suffer from anxiety, particularly
post-traumatic stress disorder (PTSD), stemming from
experiences related to their untreated ADD.

Treatability of Coexisting Conditions

All coexisting conditions are treatable, and effective ADD

treatment can improve or even resolve these issues. For
instance, treating ADD may alleviate associated depression
as individuals achieve their goals. Conversely, treatment of

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ADD may sometimes exacerbate existing conditions,
necessitating simultaneous treatment for both ADD and the
coexisting issue.

Encouragement for Treatment

With proper treatment, improvement in symptoms related to

both ADD and coexisting conditions can be expected over
time. Approximately 75% of individuals with ADD may
have one or more other conditions, highlighting the
importance of awareness and comprehensive treatment
approaches.

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Example
Key Point:Understanding Comorbidity in ADD
Example:Imagine you're juggling multiple balls, each
representing a unique challenge in your life. With ADD
as a constant presence, you may also find yourself
struggling with anxiety that keeps you up at night, or
battling feelings of depression that cloud your
achievements. These overlapping difficulties remind
you that ADD isn't an isolated struggle; your journey is
intertwined with mood disorders, substance abuse
issues, or learning difficulties. However, recognizing
these connections is crucial, as addressing each
condition simultaneously can lift your burdens and
enhance your overall well-being.

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 Chapter 18 Summary :
Section Summary

Introduction to Bipolar Dr. Janet Wozniak's 1995 paper recognized bipolar disorder in children, challenging the
Disorder in Children belief it only affected adults.

Misdiagnosis and The emergence of childhood bipolar disorder diagnosis led to confusion, with some children
Overdiagnosis misdiagnosed as clinicians learned to differentiate symptoms.

Challenges of Diagnosing Peter Metz noted many labeled as bipolar were facing social issues rather than psychiatric
Bipolar Disorder disorders, emphasizing the need for thorough evaluations.

Distinguishing Bipolar Bipolar disorder involves significant mood swings and manic episodes, while ADD primarily
Disorder and ADD in Adults involves attention disturbances without mood cycling.

Bipolar Disorder in Children In children, mania often presents as intense irritability rather than elevated mood, which can
vs. Adults be more dangerous than the irritability associated with ADD.

Concerns of Misdiagnosis and Dr. Papolos cautioned that many children diagnosed with ADD might actually have bipolar
Treatment disorder, which may lead to inappropriate stimulant treatments.

Diagnostic Factors and Diagnosis can be informed by family history and sleep issues. Treatments include atypical
Medication Options antipsychotics and mood stabilizers; stimulants are contraindicated.

Conclusion Careful evaluation and understanding of symptoms are essential for distinguishing between
bipolar disorder and ADD for better treatment outcomes.

BIPOLAR DISORDER OR ADD? HOW TO TELL

THE DIFFERENCE

Introduction to Bipolar Disorder in Children

Historically, bipolar disorder was not recognized in children

until Dr. Janet Wozniak’s 1995 paper highlighted its
existence in younger populations, challenging the prevailing
belief that it only affected adults. This shifted the clinical

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lens, allowing for a better understanding and diagnosis of
childhood bipolar disorder.

Misdiagnosis and Overdiagnosis

With the emergence of the diagnosis, confusion arose

regarding the symptoms that overlap with various disorders,
including ADD and oppositional defiant disorder. While
some children were accurately diagnosed with bipolar
disorder, others were misdiagnosed, as many clinicians were
still learning to differentiate between these complex
conditions.

Challenges of Diagnosing Bipolar Disorder

Peter Metz, a seasoned child psychiatrist, noted that many

children labeled as bipolar actually faced social issues rather
than psychiatric disorders. He emphasized the importance of
thorough evaluations, as the easier diagnosis of bipolar was
sometimes used as a catchall for a range of behavioral
problems.
Install Bookey App to Unlock Full Text and
Audioand ADD in Adults
Distinguishing Bipolar Disorder

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 Chapter 19 Summary :
Section Summary

Personal The author shares his experience as a struggling reader in first grade, crediting his supportive teacher, Mrs.
Anecdote Eldredge, for helping him embrace his dyslexia and achieve academic success.

Understanding Dyslexia is defined as a reading and spelling difficulty affecting 15-20% of the population, unrelated to
Dyslexia education or intelligence. Many individuals with ADD may also show dyslexia symptoms, highlighting the
need for accurate diagnosis and treatment.

Treatment
Approaches
Specialized Tutoring: Effective in building phonemic awareness and reading fluency.
Additional Methods: Cerebellar exercises suggested but lack solid research support compared to
traditional tutoring.

Importance of Focus on individual strengths and interests is vital in treating dyslexia or ADD. Accommodations like
Strengths-Based audiobooks can help leverage the creativity of dyslexic individuals.
Approach

Role of A supportive and optimistic guide is crucial for dyslexic individuals, recognizing their potential and
Guidance fostering an environment of positive reinforcement to help them thrive.

Summary of Chapter 19: ADD, Reading Problems,

and Dyslexia

Personal Anecdote

The author recounts his experience as a struggling first-grade

reader in 1955, highlighting the pivotal role of his supportive
teacher, Mrs. Eldredge. Her nurturing approach eliminated
his fear of learning, allowing him to embrace his dyslexic
brain. This emotional support contributed to his academic

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success, ultimately leading him through college, medical
school, and into a writing career.

Understanding Dyslexia

The chapter defines dyslexia as a reading and spelling

difficulty that is not due to lack of education, poor eyesight,
or low intelligence, affecting 15-20% of the population.
Many individuals with ADD also display dyslexia
symptoms, emphasizing the need for proper diagnosis and
treatment from specialists trained in dyslexia interventions.

Treatment Approaches

-
Specialized Tutoring:
Effective in developing phonemic awareness and reading
fluency.
-
Additional Methods:
Dr. Roy Rutherford suggests cerebellar exercises to address
broader skills beyond phonemic awareness; however, this
approach lacks solid research backing compared to
traditional tutoring methods.

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Importance of Strengths-Based Approach

When treating dyslexia or ADD, it’s crucial to focus on

individual strengths and interests. Providing
accommodations, such as audiobooks and keyboarding, can
help harness the creativity that many dyslexics possess,
preventing feelings of inadequacy.

Role of Guidance

The chapter stresses the importance of a compassionate and

optimistic guide in the journey of a dyslexic individual. This
guide should recognize and cultivate the unique potential and
creativity in the individual, fostering an environment of
support and understanding. Emphasizing positive
reinforcement can empower the person with dyslexia to
overcome challenges and flourish.

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Chapter 20 Summary :

CHAPTER 17: GENETICS OF ADD

Inheritance and Environment's Role

ADD is highly heritable, but it is not directly inherited;

rather, individuals inherit a susceptibility to developing ADD
symptoms, with environmental factors playing a critical role
in whether this predisposition manifests. For example,
excessive television watching in early childhood could
increase the likelihood of ADD expression, whereas less
screen time might prevent it.

Probability of Inheritance

If one parent has ADD, each child has about a 30% chance of
inheriting it, which increases to over 50% if both parents
have the condition. Sibling dynamics also show that if one
child has ADD, there is a 30% chance that a sibling will also
have it, with this probability rising to over 40% for adult
siblings.

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Complex Genetics

Current understanding of ADD genetics goes beyond simple

Mendelian principles. Even identical twins raised apart show
differences, highlighting the significant impact of
environmental influences alongside genetic similarity.
Heritability estimates for ADD range from 70% to 80%,
indicating a strong genetic component, though environmental
factors also play a role.

Research on Genetic Markers

Research into genetic markers, particularly those linked to

the dopamine system, shows promise for identifying
predispositions to ADD. Notably, the DRD4-7 allele is
associated with dopamine-related challenges that can result
in ADD symptoms. Genetic testing for markers like these is
anticipated in the near future, which could enhance diagnosis
and treatment strategies.

Implications for Counseling and Diagnosis

While genetic tests can indicate probabilities rather than

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certainties, they can aid in counseling individuals on
managing environmental factors to help mitigate the
potential development of ADD. Strategies may include
lifestyle changes, nutrition, and education about risks
associated with ADD.

Future Directions in ADD Understanding

NeuroMark and other companies are developing genetic

screening tools and diagnostic tests that could revolutionize
ADD understanding and management. Through brain
imaging techniques, researchers are exploring the role of
dopamine transporter levels in diagnosing ADD and its
connection to addiction risks. This insight could lead to
proactive measures in addressing and managing ADD risk
before symptoms surface.

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Chapter 21 Summary :

Chapter 18: Are We Training Our Children to Have

ADD?

The Rise of ADD in Contemporary Society

The chapter discusses how modern environmental factors

may be promoting not just attention deficit traits but also true
Attention Deficit Disorder (ADD). While ADD is heritable,
it is crucial to note that it is not directly inherited; it requires
a combination of genetic predisposition and environmental
triggers to manifest fully.

Diagnosis Increase and Environmental Influence

The chapter highlights the significant increase in ADD

diagnoses since 1974, attributing this rise partly to enhanced
public and medical awareness. However, the author suggests
that the actual incidence of ADD could be increasing due to
modern life's unique cultural factors, creating an environment
conducive to the disorder.

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The Impact of Technology

The chapter points to the overwhelming influence of

electronic communication and entertainment technologies in
daily life. Increased screen time is linked to a decrease in
face-to-face interactions, leading to diminished skills in
conversation and frustration tolerance, particularly among
children.

Chemical Exposures and Their Consequences

In addition to technological impacts, the extensive use of

chemicals in everyday life—from pesticides to
preservatives—may play a significant role in rising ADD and
related disorders. The author expresses concern about the
pervasive chemical exposure affecting air, water, food, and
personal products.

Emerging Health Concerns

TheInstall
chapter Bookey
observes aApp to Unlock
simultaneous Full
rise in Text
other and
health
Audio
issues, such as asthma, autism, and Asperger’s syndrome,
suggesting a broader concern about environmental toxins and

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Chapter 22 Summary :

CHAPTER 19: ADD, ADDICTIONS, AND A NEW

USE OF THE 12 STEPS

Introduction to the Dilemma

Adults with ADD often grapple with addiction or

near-addiction, facing challenges in finding pleasure in safe,
healthy ways. This struggle can stem from a physiological
predisposition where ordinary pleasures are elusive.

Path to Recovery

The safest method for managing addiction is abstinence from

harmful substances and behaviors. Finding safer alternatives
for pleasure is crucial, despite the difficulty inherent in
achieving moderation or abstinence. The search for relief
from life's pains is a significant motivator behind addictive
behaviors.

Understanding the Pull of Addiction

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People often choose fleeting moments of pleasure through
addiction, driven by a desperate need to escape the "pain of
being a man." Many with ADD combine great talent with
struggles, necessitating a balance between leveraging their
abilities and managing addictive behaviors.

The Role of Human Connection

Healthy connections through friendships and support groups

serve as potent alternatives to self-destructive behaviors.
Engaging in communities, such as 12-step programs, offers
invaluable fellowship, which can be a powerful antidote to
feelings of unworthiness and shame.

12-Step Programs and ADD

12-step programs can assist not only those with conventional

addictions but also those whose ADD symptoms lead to
habitual negative emotions. For instance, individuals may
feel addicted to feelings of guilt, conflict, or procrastination,
mirroring true addiction patterns.

Examples of ADD-Like Addictions

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1.
Perpetual Unworthiness
: Inability to accept achievements, leading to a cycle of
shame.
2.
Conflict Addiction
: A relentless pursuit of arguments, risking personal
relationships.
3.
Procrastination
: Chronic delays that result in last-minute chaos.
4.
Promise Breaking
: A tendency to forget commitments, resulting in
self-reproach.

Exploring Solutions

Individuals struggling with persistent negative feelings can

turn to 12-step programs to break free from these cycles. The
steps emphasize community support and moral inventory that
can help identify personal strengths and areas for growth.

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Understanding the Effectiveness of 12 Steps

While not everyone may identify with a traditional 12-step

program, many have found transformative success through
them. The core principles focus on removing shame,
fostering trust, and ultimately leading to constructive change
in life through fellowship and community support.

The Twelve Steps of Alcoholics Anonymous

1. Admitted powerlessness over addiction.

2. Believed in a higher power capable of healing.
3. Made a decision to surrender to that power.
4. Conducted a moral inventory of oneself.
5. Admitted flaws and successes.
6. Became ready to let go of defects.
7. Asked for help in overcoming shortcomings.
8. Made amends to those harmed.
9. Continued the healing process with direct amends.
10. Took personal inventory regularly.
11. Sought connection with the higher power or positive
energy.
12. Aimed to share the message and principles with others.

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Conclusion

The principles of 12-step programs can be adapted for those

with ADD, offering a roadmap to transform life challenges
into opportunities for growth. Emphasizing the importance of
connection and support can lead to healing and fulfillment.

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Chapter 23 Summary :

CHAPTER 20 THE TREATMENT OF ADD:

WHAT WORKS BEST

The treatment for ADD, whether in children or adults, must

be comprehensive and multifaceted, extending beyond mere
medication. Here’s a summary of the key steps in creating a
robust treatment plan.

1. Diagnosis

A thorough diagnosis is crucial, identifying not only ADD

but also accompanying strengths and talents, which is
therapeutic in itself.

2. Implementation of a Five-Step Plan

A specific plan that highlights and nurtures individual talents

should be developed (details in Chapter 22).

3. Education

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Understanding ADD and its implications for both the
individual and their family is essential. Education of all
involved parties (family, educators) can aid this process.

4. Changes in Lifestyle

Key lifestyle adjustments include:

-
Sleep:
Ensure adequate rest to combat ADD symptoms.
-
Diet:
Nutrition plays a significant role in brain function.
-
Exercise:
Regular physical activity has shown benefits comparable to
medication.
-
Prayer or Meditation:
These practices can help improve focus and calmness.
-
Positive Human Contact:
Seeking regular positive interactions is vital for emotional
well-being.

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5. Structure

External structures and habits can help compensate for

organizational challenges inherent in ADD. Employing
reminder systems and organizational devices is
recommended.

6. Counseling

Different forms of counseling, such as family, couples, and

group therapy, are effective based on individual needs.
Coaching is particularly beneficial for older adolescents and
adults.

7. Various Other Therapies

Consideration of complementary therapies like targeted

tutoring, nutritional therapy, or experimental treatments can
enhance overall effectiveness.

8. Medication

While medication is highly effective when combined with

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other strategies, it should always be a part of a broader plan
and not the sole focus. The choice to medicate should rest
with the individual.
In summary, comprehensive treatment for ADD should be
personalized, ongoing, and incorporate a variety of tools or
therapies to ensure the best outcomes.

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Example
Key Point:Comprehensive treatment is essential for
managing ADD effectively.
Example:Imagine you’re planning a road trip. You
wouldn’t just fill up your gas tank and hope for the best;
you’d check your map for the best routes, pack snacks,
ensure your tires are inflated, and maybe even download
some entertaining podcasts to accompany your journey.
Similarly, managing ADD requires a well-rounded
approach that includes medication, but goes far beyond
it. Engaging with various strategies—such as
maintaining a structured schedule, ensuring proper
nutrition, and incorporating regular exercise—creates a
roadmap that guides you through daily challenges. This
multifaceted strategy not only addresses the disorder but
also promotes your unique strengths, making the
journey toward managing ADD less daunting and more
empowering.

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Critical Thinking
Key Point:Holistic Approach to ADD Treatment
Critical Interpretation:The author emphasizes a
comprehensive treatment approach to ADD that
integrates medication with lifestyle changes and
counseling.
Key Point:Individual Variability in Needs
Critical Interpretation:The effectiveness of these
strategies can vary greatly among individuals, hence
caution is needed.
Key Point:Critique of Reductionist Viewpoint
Critical Interpretation:The book argues against viewing
medication as the sole solution, yet some may prefer
focusing on pharmacological interventions alone.
Key Point:Questioning Comprehensive Needs
Critical Interpretation:The need for a multifaceted
approach may not align with everyone's experience, as
some individuals find success with simpler, more
straightforward methods.
Key Point:Potential Ignoring of Personal Preferences

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Critical Interpretation:The preference for structured
treatment plans might overlook personal or cultural
variances in ADD management.
Key Point:Limitations of Broad Strategies
Critical Interpretation:Skeptics may point out that
generalized strategies could fail to address specific
individual contexts, reflecting the complexity of ADD.
 Chapter 24 Summary :
Section Summary

Overview of Treatment Treatment for ADD should focus on discovering and nurturing personal strengths and enjoyable
Approach activities, rather than just addressing problems, akin to uncovering hidden treasures.

The Importance of An ADD diagnosis should be viewed as an opportunity for optimism, shedding light on past
Positive Diagnosis struggles and promoting a scientific understanding rather than moral judgment.

Identifying Hidden It's crucial to identify and develop personal talents despite fears associated with an ADD
Talents diagnosis. Treatment should aim to "mine" these talents, fostering empowerment.

Critique of Traditional Traditional diagnostic terms often highlight deficits, leaving individuals feeling overwhelmed.
Diagnostic Terminology Recognizing and utilizing strengths is essential for recovery and self-improvement.

Encouraging a Positive Creating a positive atmosphere during diagnosis is important; it can empower patients, enhance
Frame of Mind treatment engagement, and encourage the development of personal strategies.

CHAPTER 21: THE KEY TO TREATING ADD:

FIND THE BURIED TREASURES

Overview of Treatment Approach

To enhance life satisfaction, individuals must discover

activities they enjoy and excel in. Treatment for ADD should
focus on identifying and nurturing the positive aspects of a
person's life, rather than merely addressing the problems
associated with ADD. Just as the gold rush was characterized
by the pursuit of hidden treasures, the goal is to uncover the
strengths and potential talents in every individual with ADD.

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The Importance of Positive Diagnosis

Receiving a diagnosis of ADD should signal a shift towards

optimism rather than despair. Unlike other medical
conditions that forewarn challenging times, an ADD
diagnosis can be a turning point, illuminating past struggles
in a scientific light instead of moral judgment.

Identifying Hidden Talents

Despite fears that often accompany an ADD diagnosis, it is

essential to seek out and develop personal talents. The
specific strengths one possesses can vary widely, and the
treatment process should be oriented towards discovering and
enhancing these attributes. Viewing treatment as "mining"
talent rather than merely a therapeutic process can foster a
more empowering mindset.

Critique of Traditional Diagnostic Terminology

Install diagnostic
Traditional Bookey App terms to Unlock
often Fulldeficits,
emphasize Text andleaving
Audio
individuals to feel overwhelmed by their weaknesses. This
approach neglects the importance of recognizing and

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Chapter 25 Summary :

CHAPTER 25: HOW TO FIND THE BURIED

TREASURES: FIVE STEPS THAT LEAD TO
LASTING JOY

Lifelong Joy is Accessible

Lifelong joy is attainable for everyone, except for those in

extreme conditions. Many individuals are unaware of the
mental tools available to them that can transform their lives
into joyful ones. The key difference between those who find
satisfaction and those who don’t is that satisfied individuals
pursue what they love.

Recognizing and Pursuing Joy

Most people abandon the pursuit of joy due to practicality

concerns or a lack of passion, often settling into life by their
twenties or thirties. However, it’s never too late to pursue
joy, regardless of circumstances such as having ADD. The
universal advice for finding happiness is to do what you love.

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Internal Qualities Over External Factors

Enduring joy is less about external factors like wealth or

fame, and more about internal qualities including optimism,
control over life, and a proactive attitude. Life experiences
shape the expression of one's genetic predispositions toward
happiness.

Five-Step Method to Joy

The five-step method, originally designed for children, is

equally relevant for adults seeking joy. This cyclical
approach aids individuals in recognizing and amplifying their
strengths while fostering joy in their lives.
1.
Connectedness

- Establishing a sense of belonging to something larger is

crucial for joy. Connections can come from family, friends,
work, activities, nature, pets, and the spiritual realm. A
connected life contributes significantly to long-term
happiness and health.
2.

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Play

- Engaging in imaginative activities leads to joy and can

produce a state of flow where individuals lose their sense of
self and become wholly involved. Finding such activities
often requires trying out diverse interests.
3.
Practice

- Consistent engagement in activities embraced during play

naturally evolves into practice. This step fosters a desire to
improve and develop lifelong disciplines.
4.
Mastery

- Achieving a sense of progress in a chosen activity

enhances self-esteem and motivation. Mastery does not relate
to being the best but involves noticeable improvement.
5.
Recognition

- Receiving acknowledgment from others strengthens

self-esteem and creates connections within a community.
Feeling recognized helps individuals avoid destructive

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behaviors often born from disconnection.

Conclusion: The Cycle of Joy

The cycle of connectedness, play, practice, mastery, and

recognition creates a sustainable foundation for joy,
particularly beneficial for those with ADD. Focusing on steps
1 and 2 forms the groundwork upon which joy naturally
emerges over time.

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Chapter 26 Summary :

HOW TO FIND THE BURIED TREASURE IN

SCHOOL: ONE SHINING EXAMPLE THAT ALL
SCHOOLS SHOULD FOLLOW

Introduction to Strength-Based Education

The chapter emphasizes the importance of fostering joy and

identifying strengths in children, especially those with ADD
and learning differences. It critiques traditional school
systems for focusing on weaknesses instead of nurturing
children’s interests and strengths.

Case Study: Rye Neck Union Free School District

The Rye Neck Union Free School District, led by

Superintendent Peter Mustich, serves as an exemplary model.
The school adopted Joseph Renzulli's School-wide
Enrichment Model (SEM) to recognize and promote the
giftedness in all students, rather than a select few identified
as "gifted."

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Transitioning from Traditional Models

Previously limited to a small group of high-achieving

students, the reform aimed to include all children as gifted.
This shift encouraged a curriculum that relates to real-life
situations to sustain student interest and motivation.

Examples of Individualized Success

-
Bernie's Transformation:
A shy fifth-grader, Bernie, was encouraged to explore his
interest in solar-powered cars. This project not only
improved his self-esteem and reading skills but also made
him a leader in his class.
-
Tom's Engagement:
Sixth-grader Tom, who felt disconnected, became motivated
when appointed as the editor of a newspaper, showcasing
how leadership roles can spark interest and initiative.
-
Henry's Revival:
Once showing signs of disengagement, Henry regained

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passion for learning through a film project that validated his
talents and reignited his love for school.
-
Louis's Breakthrough:
A first-grader with dyslexia found success by dictating
stories into a tape recorder, highlighting the potential for
creativity and expression in alternative learning methods.

Collaboration and Inclusion

Rye Neck emphasizes collaboration between special services

and general education staff, resulting in a mainstreaming
approach for students with learning differences. The school
celebrates all achievements with events like the Special
Education Awards ceremony, fostering a sense of pride.

The Impact of High Expectations

The school’s philosophy centers on expelling fear and shame

from the learning process, instilling high expectations and a
belief in capability. Teachers actively promote an
environment where differences are accepted, which cultivates
excitement and engagement among students.

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Conclusion: A Model for All Schools

Through innovative practices and an unwavering belief in the

giftedness of every child, Rye Neck demonstrates that
education can be transformative. This example serves as a
call for schools everywhere to adopt a similar,
strengths-based approach to education.

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Chapter 27 Summary :

CHAPTER 24: MAJOR DANGER ALERT:

COLLEGE AND ADD

Introduction to Eric's Experience

Eric, a high school graduate with ADD, excitedly approached

college, seeking independence and new experiences. Initially
enamored with social life and relationships, he overlooked
the importance of academics.

The First Semester Dilemma

Despite enjoying socializing and forming connections, Eric’s

academic performance suffered as he stopped attending
classes. He relied on friends and a note-taking service for
exams, ultimately failing every course with a GPA of 0.00.

The Impact on Family

Eric's failure was a shock to his supportive family, who could

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not comprehend how things had gone wrong. The realization
of his situation led to initial anger and despair, followed by a
constructive re-evaluation of strategies for success.

Constructive Plans for Improvement

With guidance from specialists and newfound determination,

Eric returned to college and improved his GPA, eventually
graduating successfully and enjoying a fulfilling life.

Parent and Student Preparation

This narrative illustrates the essential preparation needed for

students with ADD transitioning to college. Awareness of
significant changes in independence and supervision is
crucial to avoid similar pitfalls.

Key Differences Between Home and College

1.
Lack of Daily Supervision:
Install
Unlike Bookey
home, App to Unlock
where guardians Full Text and
ensure accountability, college
Audio
lacks this constant oversight.
2.

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Chapter 28 Summary :

CHAPTER 25 NUTRITION AND ADD: A

CORNERSTONE OF GOOD TREATMENT

The Role of Nutrition in Mental Health

Food is a powerful tool for treatment and prevention of

diseases, including ADD. A poor diet can mimic ADD
symptoms and disrupt treatment. It's crucial to consider diet
in managing ADD and health.

Navigating Nutritional Advice

The field of nutrition is evolving, with conflicting advice

making it challenging to determine best practices. Despite
being trained, the author finds themselves confused by the
plethora of information available.

Personal Experiences with Supplements

The author shares experiences with various nutritional

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products, including Juice Plus+ and Reliv, expressing
skepticism but also openness to their potential benefits. They
highlight the challenge of discerning valid nutritional
information in the current information age.

Value of Dietary Supplements

Taking multiple supplements, including omega-3 fatty acids,

has resulted in improved health for the author. However, it's
difficult to pinpoint specific causes for these health benefits,
underscoring the complexity of nutrition.

Proven Dietary Recommendations

1.
Vitamin C
: Eat whole foods rich in vitamin C to support dopamine
function.
2.
B Vitamins
: Ensure adequate vitamin B-12 and folic acid intake for
cognitive health.
3.
Antioxidants

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: Incorporate vitamin E and selenium for brain function.
4.
Zinc and Magnesium
: Consult a doctor before altering intake.
5.
Multivitamins
: Consider a daily multivitamin that covers essential
nutrients, with caution on fat-soluble vitamins.
6.
Blueberries and Grape-Seed Extract
: These are suggested for brain health due to their antioxidant
properties.
7.
Blue-Green Algae
: This may enhance cognition.
8.
Hydration
: Drink sufficient water daily, while monitoring kidney
health.
9.
Ginkgo Biloba
: Evidence does not support its regular use.
10.
Balanced Diet

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: Evolving understanding leads to recommendations of less
starch and more fruits/vegetables.

Avoiding Harmful Dietary Practices

Individuals should be cautious about elimination diets and

heavily processed foods. Avoid trans-fatty acids, and refrain
from self-medicating with food, advocating for healthier
mood-boosting alternatives.

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Chapter 29 Summary :

OMEGA-3 FATTY ACIDS: A

NUTRITION-BASED TREATMENT FOR ADD

Key Discoveries in Nutrition

The discovery of omega-3 fatty acids is considered one of the

most significant advancements in nutrition and medicine in
recent times, with potential implications for various diseases
including diabetes, heart disease, Alzheimer’s, depression,
and cancer. The shift from whole foods to processed diets
since the 1950s has led to a significant drop in omega-3
intake among Americans.

The Importance of Omega-3 Fatty Acids

Modern diets have contributed to a drastic reduction in

omega-3 fatty acid consumption, with average intake being
about 5% of historical levels. This deficiency is linked to
chronic inflammation, which increases the risk of severe
health issues. Supplementing with omega-3s aims to

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counteract this inflammation and reduce the risk of diseases.

Potential Benefits for ADD

Omega-3 fatty acids may have a positive effect on dopamine

levels, potentially offering a nutritional treatment for
Attention Deficit Disorder (ADD). While research is
ongoing, it's suggested that they could complement existing
treatments for ADD.

Sources of Omega-3s

Omega-3s can be found in fish (such as wild salmon,

sardines, and tuna), fish oil supplements, and certain plant
sources like flaxseed. Due to the inability of the body to
synthesize these fatty acids, regular intake is essential for
maintaining health, particularly brain health.

Balancing Omega-3 and Omega-6

The balance of omega-3 and omega-6 fatty acids in the diet is

crucial. Most diets are disproportionately high in omega-6s,
which can exacerbate health issues. A standard blood test can
measure the ratio of specific omega-6 and omega-3 fats,

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providing a guideline for supplementation.

Supplementation Guidelines

For those unable to get a blood test, it's generally safe to

recommend up to 2.5 grams of omega-3s per day for children
and up to 5 grams for adults, ensuring the products are
pharmaceutical grade and free from toxins. Notable resources
for quality products include independent testing
organizations.

Current Research on Omega-3s and ADD

A study is being conducted to explore the effects of fish oil

on ADD, with early data suggesting a correlation between
low omega-3 levels and ADD. Despite the need for further
research, omega-3s are recommended not only for ADD
patients but for the general population due to their multiple
health benefits.

Recommended Brands and Resources

Prominent figures, including Dr. Barry Sears and Dr. Andrew

Stoll, have developed omega-3 supplements and written

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guides on their use. Individuals are encouraged to explore
reputable sources for omega-3 supplementation as part of
their daily diet.

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Chapter 30 Summary :

PHYSICAL EXERCISE: A GREAT TREATMENT

FOR ADD AND A MAGIC TONIC FOR YOUR
BRAIN

Introduction

Physical exercise is likened to flossing teeth: it may be

tedious and challenging, but its benefits are invaluable. The
author shares personal struggles with exercise, particularly
after a hip replacement, but emphasizes its importance for
overall health.

Benefits of Exercise

Exercise is crucial for both physical and mental well-being.

The health benefits include improved cardiovascular health,
increased bone strength, better cholesterol levels, and
reduced risk of diseases such as diabetes and stroke. Its
mental benefits are enormous but often overlooked.

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Brain Function and Exercise

When individuals exercise, blood flow and oxygen to the

brain increase, promoting the release of nutrients and
hormones essential for brain function. Exercise stimulates the
production of brain-derived neurotropic factor (BDNF),
which aids in the growth of new neurons. Proper nutrition,
especially omega-3 fatty acids, is necessary to fully leverage
these benefits.

Exercise as a Treatment for ADD

Regular exercise acts as an antidepressant and enhances

cognitive function, making it particularly beneficial for
individuals with Attention Deficit Disorder (ADD). It boosts
mental focus and endurance, serving as an effective treatment
during moments of distraction or mental fatigue. Quick
bursts of exercise can refresh the mind and improve
concentration.

Encouraging Exercise in Children and Adults

Install Bookey App to Unlock Full Text and
Children with ADD shouldAudio
be encouraged to engage in
physical activities rather than being restricted as a form of

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Chapter 31 Summary :

POWERFUL EXERCISES FOR THE BRAIN

THAT IMPROVE ATTENTION

Exercising the brain is essential for maintaining mental

fitness, similar to how physical exercise benefits the body.
While it is possible to overexert oneself mentally or
physically, regular mental stretching can help prevent
cognitive decline associated with aging.

Mental Exercise Techniques

These exercises were adapted from methods developed by

physical trainers in Russia and focus on enhancing attention
and organizational skills. They are provided by Simon
Zaltsman, a Russian-born physical trainer. Zaltsman
emphasizes overcoming self-imposed mental limits.

Exercises Outline

The following challenging exercises should be performed

daily for optimal results. Expect some frustration initially,

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but persistence will lead to improvement in attention span,
focus quality, and impulse control:
1. Draw a vertical line with one hand and a circle with the
other on separate sheets of paper.
2. Alternate between drawing a triangle on one sheet and a
square on the other.
3. Repeat with a circle and a triangle.
4. Draw two circles on one sheet and a square on the other,
then switch.
5. Draw two squares on one sheet and a triangle on the other,
then switch.
6. Draw a triangle and a square while tracing a circle on the
floor with one leg, then switch hands and legs.
7. Draw a circle and a triangle while tracing a square on the
floor with one leg, then switch.
8. Draw a triangle with one hand and two squares with the
other, while tracing a circle on the floor with one leg, then
switch.
9. Draw a triangle and a square while nodding your head and
tracing a circle with one leg.
10. Draw a triangle and a square with foot and hand
coordination, then switch.

Concluding Thoughts

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These exercises may be difficult, but consistency is key.
Performing them for ten to fifteen minutes daily will lead to
gradual improvements in attention, organizational skills, and
coordination.

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Chapter 32 Summary :

CHAPTER 29: CEREBELLAR STIMULATION: A

SPECIFIC KIND OF PHYSICAL EXERCISE
THAT CAN BE USED TO TREAT ADD

Introduction to Jack's Journey

- Jack, the author's son, born with ADD and reading

difficulties, exhibits creativity and humor.
- His struggle with reading led to emotional battles,
prompting the author to seek help.

Seeking Expert Advice

- The author consults Priscilla Vail, an expert in learning

differences.
- Under the guidance of Dr. Lynn Meltzer, Jack receives
tutoring, which improves his organization and
comprehension but does not foster a love for reading.

Exploring New Treatment Methods

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- The author is introduced to Wynford Dore and Dr. Roy
Rutherford, who propose cerebellar stimulation exercises as a
method for treating ADD and dyslexia.
- These exercises stimulate the cerebellum and aim to
improve reading, organization, confidence, and coordination.

Understanding the Concept of Cerebellar

Stimulation

- Initial skepticism about the exercises evolves into intrigue

as the author learns more about their potential benefits.
- Research reveals that physical exercise positively impacts
brain function and emotional well-being.

Personal Experience with Cerebellar Stimulation

- After evaluating Jack for treatment, the author opts for the
Dore method, which includes fun exercises that Jack enjoys.
- Remarkably, Jack transitions from hating to loving reading
within months of starting the program.

The Broader Impact and Anecdotal Evidence

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- While the author acknowledges the need for more scientific
research, he highlights numerous positive anecdotes from
others who have undergone similar treatment.
- Success stories from England showcase significant
improvements in children's learning and confidence.

Skepticism and the Need for More Research

- Despite promising results, established experts and

organizations express caution, urging a focus on proven
methods.
- The author recognizes the importance of balancing new
treatments with traditional approaches like tutoring and
medication.

Conclusion and Future Perspectives

- The potential of cerebellar stimulation as a complementary

treatment approach is underscored.
- The narrative concludes with the author’s personal
satisfaction in Jack's newfound love for reading, reflecting
hope for continued exploration in the field of learning
challenges.

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Chapter 33 Summary :

SUMMARY OF CHAPTER 30: TO TRY

MEDICATION OR NOT: SOME REASSURING
GUIDELINES

Decision-Making Process

Patients, especially parents, often struggle with the decision

to incorporate medication into the treatment of ADD. Despite
being an expert, the author, Dr. Hallowell, experienced doubt
when deciding on medication for his own children. The
choice is challenging due to concerns about the unknowns of
medication and its impact on loved ones.

Medical Perspective

From a clinical standpoint, stimulant medications, which

have been used since 1937, are seen as safe and effective.
Extensive research supports their efficacy as the best
treatment option for ADD. Understanding the medical facts
is critical before making the decision.

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Exploring Emotions and Conversations

It’s essential for individuals or parents to express their

feelings about medication. Discussions with trusted partners
or knowledgeable doctors are encouraged to gain a
comprehensive understanding. Misinformation about these
medications is prevalent, so professional guidance is vital.

Personal Comfort and Control

Patients should never feel pressured to take medication.

Comfort and understanding of the treatment are paramount.
Decisions should align with one’s feelings; otherwise,
medication efficacy may diminish and feelings of resentment
could arise.

Safety Considerations

Long-term use of stimulant medications has been

well-studied, and significant unforeseen risks are unlikely.
Install Bookey
Comparatively, App to Unlock
risks associated Full Text
with commonly and
accepted
Audio
medications, like aspirin, are documented and may even be
higher. Analyzing the potential benefits versus risks is

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Chapter 34 Summary :

Chapter 31: Medication Options for Treating ADD

Introduction to Medication for ADD

- Medication aims to reduce symptoms of Attention Deficit

Disorder (ADD) without causing side effects.
- It's essential to work with a knowledgeable doctor to
optimize treatment.
- Medication should not be seen as a last resort; it may be
most effective at the beginning of treatment.

Stimulant Medications

- Two primary categories: methylphenidate and

amphetamines.
- Stimulants work by enhancing the brain's inhibitory
circuits, helping individuals with ADD control distractibility
and impulsivity.
- Benefits include improved focus, executive functions, mood
regulation, and creativity.

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- Important stimulants include Ritalin (methylphenidate) and
Adderall (amphetamine).

Long-Acting Stimulants

- Introduced advancements such as Concerta, Ritalin LA, and

Adderall XR allow once-daily dosing.
- Long-acting formulations reduce the need for multiple
doses, minimizing side effects and enhancing consistency.
- They can stabilize mood and attention, improving reliability
in daily tasks.

Non-Stimulant Medications

- Not everyone wants to use stimulants; several

non-stimulant options exist:

Amantadine:

- Initially an antiviral; found to help with ADD by boosting

dopamine levels with minimal side effects.

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Bupropion:

- An antidepressant used as a second or third-line treatment

for ADD.

Strattera:

- A norepinephrine reuptake inhibitor approved for adults

with ADD; non-controlled and smoother in effect.

Modafinil:

- Prescribed for narcolepsy but can aid cognitive function

and calmness; useful in combination with other medications.

Alpha Agonists:

- Clonidine and Guanfacine: Used for hyperactivity and sleep

issues; effectiveness for ADD is less researched.

Beta-Blockers:

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- Effective for anxiety and impulsivity, these can be used
alongside stimulants for better control of symptoms.

Tricyclic Antidepressants:

- Originally for depression, low doses can help ADD

symptoms and address coexisting conditions.

Managing Coexisting Conditions

- Depression often accompanies ADD; treating ADD first

may alleviate depressive symptoms.
- Common co-treatments include SSRIs or mood stabilizers
when bipolar symptoms are present.

Conclusion

- A variety of medication options are available for treating

ADD, both stimulants and non-stimulants.
- Individual responses vary, making a tailored approach
essential for effective management.

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Critical Thinking
Key Point:Medication for ADD may not be
universally effective for all individuals or considered
the only solution.
Critical Interpretation:While Hallowell emphasizes
medication as a cornerstone in managing ADD
symptoms, readers should critically evaluate this claim.
Medications, particularly stimulants, can have varying
effects across individuals, with some experiencing
significant improvements while others may encounter
side effects or limited effectiveness. It's important to
consider that non-pharmacological approaches, such as
behavioral therapy or lifestyle changes, could also be
beneficial and should be explored as alternatives or
complements to medication. This perspective is
supported by research such as that published by the
American Academy of Pediatrics, which advocates for a
comprehensive treatment plan tailored to the individual,
incorporating both medical and non-medical strategies.

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Chapter 35 Summary :

CHAPTER 32: DON’T SPIN

The ADD Mind as Energy

The author compares the ADD mind to Niagara Falls,

emphasizing the need for direction and organization
("building a hydroelectric plant") to harness its energy
effectively. Treatment for ADD may include periods of
frustration and stagnation, particularly for older adolescents
and adults.

The SPIN Concept

The chapter introduces an acronym, SPIN, which outlines

common barriers to progress:
-
S: Shame

-
P: Pessimism and Negativity

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-
I: Isolation

-
N: No Creative, Productive Outlet

Overcoming Shame

Shame can be a significant barrier, especially when ADD

goes undiagnosed. It can stem from feelings of inadequacy
and can heighten stress, impair memory, and obstruct
personal growth. The author suggests that discussing these
feelings with a supportive person can reveal that perceived
failures are not as severe as imagined. Encouragement to
surround oneself with acceptance and positivity is crucial to
reducing shame and fostering pride in one’s achievements.

Addressing Pessimism and Negativity

Pessimism can block personal growth and hinder success.

Strategies to combat pessimism include cognitive therapy
techniques and embracing philosophical perspectives, such as

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those offered by Epictetus. The author advocates for
recognizing what is within one’s control and focusing on
positive thoughts to break free from negative cycles.

Combating Isolation

Isolation often arises from shame and negativity, leading to

further difficulties. Maintaining connections is vital, and the
author encourages reaching out to friends or professionals to
counteract feelings of isolation. Regular social interactions
can provide essential support.

Finding Creative, Productive Outlets

Engagement in creative or productive activities is critical for

personal fulfillment. The author encourages viewing
everyday tasks as opportunities for play and creativity, which
can lead to a state of "flow," where one is fully immersed and
happy. Finding and engaging in a creative outlet can help
individuals with ADD regain momentum in their lives.
By addressing the components of SPIN, individuals can
connect their inner energy to productive endeavors,
overcoming stagnation and finding fulfillment.

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Chapter 36 Summary :

CHAPTER 36: AND DON’T SLIDE

Understanding SLIDE in ADD

Individuals with ADD often face unique obstacles despite

their potential for success. The author introduces the concept
of SLIDE, which can hinder progress, akin to the previously
discussed SPIN.

Common Misconceptions

The author reflects on the initial treatment phase for ADD,

noting that while some experience significant improvements,
many encounter setbacks later. These challenges are normal
and should not be seen as failures.

Defining SLIDE

SLIDE represents a process with five components:

1.

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Self-Attack
: Feeling disappointment leads to negative self-talk, where
individuals berate themselves.

2.
Life-Attack
: This self-criticism transitions into blaming life, creating a
pessimistic outlook.
3.
Imagining the Worst
: Individuals dwell on past miseries, reinforcing a sense of
doom.
4.
Dread
: This accumulated negativity results in feelings of depletion
and hopelessness.
5.
Escape
: In an effort to cope, individuals may engage in destructive
behaviors, further entrenching themselves in negativity.

InstalltheBookey
Stopping SLIDE App to Unlock Full Text and
Audio
To combat SLIDE, the author emphasizes the importance of

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Chapter 37 Summary :

CHAPTER 37: THE BIG STRUGGLE

REVISITED: ADD IN FAMILIES

Introduction to Family Dynamics with ADD

Stephen, a twelfth-grader with ADD, presents the realities of

family dysfunction stemming from his condition during a
therapy session with his parents and sister. Despite
improvements in his academic performance, conflicts within
the family intensify, underscoring the complex nature of
relationships in families affected by ADD.

Understanding the Big Struggle

The "big struggle" is a common phenomenon in families

dealing with ADD, manifesting as interpersonal conflict and
misunderstandings. Each family member feels hurt, creating
a cycle of blame and discord. Recognizing this dynamic as a
typical issue is crucial for addressing it constructively.

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Key Elements of ADD Impacting Family Relations

ADD introduces a volatile mix of traits into family

dynamics: high energy levels, impulsivity, resistance to
authority, and difficulties with conflict resolution. This mix
often leads families into crisis situations, although most
conflicts remain simmering rather than explosive.

Fostering Family Connectedness

To prevent conflicts from escalating, strengthening

connectedness among family members is vital.
Connectedness can be nurtured through shared activities like
family dinners, reading together, or participating in events,
fostering a sense of belonging and understanding.

Effective Conflict Resolution Strategies

When conflicts arise, a proactive approach is essential. A

method advocated by Ross Greene called Collaborative
Problem Solving (CPS) emphasizes negotiation over mere
obedience. This strategy involves categorizing conflicts into
three baskets: demands for obedience, negotiable situations,
and conflicts that can be dropped altogether.

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Practical Applications of CPS

The CPS framework can help shift family dynamics from

struggle to cooperation. Establishing special one-on-one time
with children and engaging in negotiation can significantly
improve relationships. The goal is to engage the higher
reasoning abilities of family members to collaboratively find
solutions to conflicts.

Conclusion: Moving Towards Solutions

Stephen's therapy session reveals the potential for change. By

adopting new strategies, families can reduce conflict and
improve their relationships. The chapter encourages families
facing struggles to seek help, practice these techniques, and
maintain hope for improvement.

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Chapter 38 Summary :

Summary of Chapter 35: Living Through the Pain

of ADD

The Challenge of ADD

Experiencing feelings of futility is common among those

with ADD, but help can improve one's life significantly.
Each person's journey differs, yet hope remains vital. The
darker aspects of ADD can evoke feelings of hopelessness,
making daily life a Sisyphean struggle.

Understanding the Struggle

An illustrative email from a woman, Leslie, highlights the

overwhelming chaos that can accompany ADD: managing
her children's needs, household chores, and personal
responsibilities becomes a daunting task. Despite her
intelligence and determination, Leslie feels trapped in
despair, unable to meet her responsibilities or seek proper
help due to financial constraints and a lack of understanding

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from those around her.

The Limitations of Trying Harder

Leslie's situation emphasizes that simply trying harder is not

a solution for those with ADD. Despite her efforts, she faces
insurmountable tasks that lead to frustration and
hopelessness. Proper treatment is essential, but it doesn't
erase all challenges; improvements occur alongside ongoing
struggles with symptoms and the emotional toll from past
experiences.

Coping with the Dark Side of ADD

Recurring feelings of insecurity, pessimism, and despair can

persist post-treatment. Individuals may still feel disconnected
from their achievements and trapped by self-doubt. However,
there are strategies to manage these feelings:
1.
Find an Ally:
Establish a supportive relationship with someone who can
offer encouragement.
2.
Expect Down Times:

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 Acknowledge that periods of depression will occur and seek
connection during these times.
3.
Avoid Isolation:
Stay connected with positive influences, especially in tough
periods.
4.
Maintain Medical Support:
Regularly consult with a healthcare professional to adjust
treatment as needed.
5.
Use Healthy Mood Changers:
Engage in activities such as exercise instead of resorting to
harmful substances.
6.
Trust Temporary States:
Understand that dark moments will eventually pass.
7.
Create a Crisis Plan:
Have a strategy to connect with uplifting people during
difficult times.
8.
Write for Future Encouragement:
Document supportive thoughts to reread in tougher

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moments.
9.
Avoid Major Decisions:
Refrain from making significant life choices during periods
of despair.
10.
Challenge Negative Thoughts:
Recognize that feelings of hopelessness are often distorted;
seek distraction instead.
11.
Endure the Pain:
Stay connected with others and adhere to recommended
treatments, allowing time to heal.

Conclusion

Living with ADD involves managing both the bright and

dark sides of the condition. While challenges persist,
engaging support systems and practical strategies can
facilitate coping and improve quality of life.

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Chapter 39 Summary :

CHAPTER 36: HOW TO GET RID OF PILES:

THE KUDZU OF ADD

Understanding the Problem

Adults with ADD often create "piles" as a way to organize,

but these can escalate into overwhelming clutter that affects
self-esteem and overall well-being. It’s important to
recognize the seriousness of this issue, even if it seems
trivial.

Regaining Control

Starting to take the issue seriously can involve finding humor

in it. Overcoming the piles is a battle that can be won, as they
often start small and grow incrementally like kudzu,
spreading throughout living spaces.

Strategies to Combat Piles

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1.
Mindset Shift
: Acknowledge the piles as a formidable foe that can be
conquered. Avoid shame and blame, and view the process as
nurturing your space back to health.
2.
Create a Simple Filing System
: Designate a space for files, gather folders and labels, and
invest in a label maker to help organize documents
effectively.
3.
Physical Action
: Begin moving piles to a designated area that isn’t cluttered.
The act of relocating piles can psychologically sever their
association with the mess, fostering a sense of
accomplishment.

Setting a Routine for Maintenance

Adopt a system like OHIO (Only Handle It Once) to manage

papers and items as they come in. This proactive habit
Install
prevents theBookey
recurrenceApp to Unlock
of piles and keepsFull Text and
organization in
check. Audio

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Chapter 40 Summary :

Summary of Chapter 37: Worry and ADD

Introduction to Worry with ADD

- The author, Edward M. Hallowell, shares his personal

experiences with worry as someone with ADD. He highlights
that writing about worry stems from his own tendency to
worry extensively and emphasizes that excessive worry is
controllable.

Understanding Worry

- Worry is a natural state, akin to blood pressure; some worry

is necessary, but excessive worry is harmful. The goal should
be to eliminate unnecessary worry while accepting that some
worry is beneficial.
- Individuals with ADD tend to worry more due to their
heightened imagination and smartness, which can produce
many negative possibilities. Other factors, including constant
reminders of potential disasters or forgetfulness, also

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contribute to their propensity to worry.

Managing Worry

- Proper management of ADD includes learning to utilize

worry as a constructive signal rather than a paralyzing force.
Vigilance and constructive action are crucial in addressing
worries.

The Nature of Worry in ADD

- People with ADD may find themselves drawn to worry as a

source of mental stimulation, often seeking out worries when
they desire a change of focus.

Keys to Combating Toxic Worry

1.
Never Worry Alone
: Engage with someone trusted to gain perspective and avoid
isolation.
2.
Get the Facts
: Seek accurate information to address your worry;

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misinformation fuels anxiety.
3.
Make a Plan
: Taking action fosters a sense of control over the situation,
even if the plan fails.
4.
Change Your Physical State
: Exercise alters brain chemistry, helping to reset your mental
state.
5.
Let It Go
: Practice the difficult skill of releasing unnecessary worries
over time.
6.
Consult a Professional
: If worries persist, seek help from mental health
professionals to explore treatment options.

Conclusion

- The chapter concludes by emphasizing that worry, while

often considered negative, can serve a purpose when
managed wisely. The keys presented can help individuals
with ADD overcome toxic worry and use it to foster
constructive actions in their lives.

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Critical Thinking
Key Point:Worry and its management are presented
as critical themes in dealing with ADD.
Critical Interpretation:Hallowell asserts that while worry
can be detrimental, it should not be entirely eliminated
since some degree of worry is natural and even
beneficial; however, this perspective may oversimplify
the lived experiences of those struggling with ADD.
Critics might argue that minimizing worry’s negative
impacts through a rational approach overlooks the
complex emotional dimensions of anxiety, particularly
for individuals with ADD who may experience worry
differently than neurotypical individuals. For further
insight, one might consult sources such as 'Anxiety and
Attention Deficit Hyperactivity Disorder (ADHD)' by
the Anxiety and Depression Association of America,
which explores the interconnectedness of these
conditions and suggests that not all worries can be easily
dismissed or managed through sheer will or structured
approaches.

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Chapter 41 Summary :

SEX AND ADD

Introduction

- Sexual problems in adults with ADD are not widely

discussed, but many individuals experience issues related to
this condition.
- Evaluators must inquire about sexual experiences since
patients often do not connect their sexual issues with ADD.

Difficulty Lingering

- A common issue is the lack of sexual intimacy due to the

partner with ADD's inability to linger or focus during
intimate moments.
- This behavior may lead to dissatisfaction in romantic
relationships as the person with ADD often seeks quick
stimulation and lacks patience.
- Their distractibility can result in a failure to engage fully in
sexual intimacy, leading to boredom or dissatisfaction for

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both partners.

Education and Treatment

- Treatment begins with educating the individual about ADD.

Understanding the neurological basis can help them learn to
focus and manage their tendency to rush through
experiences.
- The author shares a personal journey toward learning to
linger, emphasizing realistic goals and support from partners.
- Gradual exposure to "lingering" in non-sexual situations
can help improve intimacy over time.

Parent-Child Dynamics

- Sexual intimacy issues may result from an unacknowledged

power struggle within the relationship, where the non-ADD
partner unconsciously assumes a controlling role.
- This dynamic can lead to frustration and dissatisfaction,
with the non-ADD partner feeling neglected and the ADD
partner feeling parented rather than desired.
- Diagnosing ADD and addressing responsibility-sharing can
rekindle romance, requiring open communication and a
therapeutic approach to relationship dynamics.

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Time Management

- Poor time management can also hinder sexual intimacy, as

partners may find themselves out of sync regarding sexual
availability.
- The couple may misinterpret scheduling issues as a lack of
desire, while the underlying problem is often disorganization
related to ADD.
- Establishing agreements and reminders regarding intimacy
can help meet both partners' needs.

Hypersexuality and Self-Medication

- Some individuals with ADD may experience

hypersexuality, often resulting in frustration for their partners
due to an imbalance in sexual desires.
- Finding compromises and other engaging activities can
provide a healthier outlet for individuals with heightened
sexual desires.
- ADD can lead some individuals to use sex as
self-medication, seeking sexual encounters for focus or
pleasure, similar to how others might use caffeine or
gambling.

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- Proper diagnosis and treatment of ADD can significantly
reduce these unhealthy behaviors by providing alternative
means of focus.
In summary, the interplay between ADD and sexual intimacy
can create complex issues within relationships.
Understanding the underlying problems, educating partners,
and seeking appropriate treatment can lead to healthier, more
fulfilling intimate connections.

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Critical Thinking
Key Point:The Relationship Between Sexual Issues
and ADD
Critical Interpretation:This chapter emphasizes that the
sexual difficulties faced by individuals with ADD are
often overlooked in therapeutic contexts. However, this
perspective may not encompass all experiences, as
sexual problems can stem from a variety of social,
psychological, and individual factors beyond attention
deficit disorders. Readers should be cautious in
generalizing the author's conclusions, as various studies,
such as those by Rimehaug et al. (2015) and Kessler et
al. (2006), suggest that factors like relationship
dynamics and background experiences also significantly
impact sexual intimacy.

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 Chapter 42 Summary :
Key Insights Description

Relationship and Career Marry a supportive partner and find a job that values your strengths; avoid controlling
Choices relationships and jobs.

Managing Daily Life Organize belongings, establish routines, accept mistakes, and maintain a clean environment.

Personal Strengths and Focus on strengths, maintain a balanced diet, consider supplements, and exercise regularly.
Health

Utilizing Support and Employ trusted advisers and delegate tasks to prevent overwhelm.
Delegation

Learning and Adaptation Be flexible and open to change; listen to trusted friends and family for guidance.

Mental and Emotional Acknowledge post-project letdowns, engage in social activities, and celebrate small
Well-Being achievements.

Practical Reminders Use visual, auditory, and tactile reminders in your environment.

Self-Awareness Understand personal strengths and weaknesses, and commit to ongoing self-reflection.

CHAPTER 39: Hallowell & Ratey's Top Tips for

Adult ADD

Over the years, John Ratey and Edward Hallowell have

compiled valuable tips for adults living with ADD. These
pieces of advice range from the trivial to the significant, and
while not all will be applicable to everyone, they offer a
robust toolkit for managing ADD effectively.

Key Insights:

1.

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Relationship and Career Choices

- Marry a supportive partner and find a job that values your

strengths.
- Avoid relationships or jobs with controlling individuals
who undermine your self-worth.
2.
Managing Daily Life

- Organize personal belongings and adopt routines to avoid

losing items like car keys.
- Accept that mistakes are part of life; don't strive for
perfection.
- Address clutter and maintain a clean, organized
environment.
3.
Personal Strengths and Health

- Focus on what you excel at rather than trying to improve

weaknesses.
- Maintain a balanced diet and consider supplements to
Install
enhance Bookey
brain health. App to Unlock Full Text and
Audio
- Exercise regularly for both physical and mental benefits.
4.

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Chapter 43 Summary :

Chapter 40: What Kind of Mate is Best if You Have

ADD?

The quest for an ideal romantic partner for individuals with

ADD is complex, as ADD does not define a person's worth
or capabilities. The key to finding a fitting mate lies in
mutual enjoyment and respect for each other's individuality.

Common Mistakes in Relationships

Adults with ADD often gravitate towards controlling or

demeaning partners, mirroring past negative experiences
rather than seeking supportive relationships. They frequently
fear their own potential and mistakenly believe they need
supervisorial figures in their lives.

The Need for Supportive Relationships

It's essential for individuals with ADD to find partners who

appreciate and nurture their true selves rather than attempting
to change them. This fosters personal growth and enhances

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the relationship.

Overcoming Personal Fears

Many fears, such as feeling unlovable or inadequate, prevent

adults with ADD from pursuing healthy romances. Solutions
include:
1. Avoiding negative influences.
2. Ending harmful relationships.
3. Being selective with non-family connections.
4. Recognizing genuine kindness in others.
5. Being authentic in interactions.
6. Embracing vulnerability as a strength.
7. Keeping supportive relationships in mind.
8. Desiring mutual respect in partnerships.
9. Taking risks in dating.

The Ideal Partner

The best partner for someone with ADD is one who

appreciates them for who they truly are, celebrates their
strengths, and educates themselves about ADD without
taking mistakes personally. Characteristics such as
organization or common interests are secondary to love and

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acceptance.

A Testament of Love

A poem by Cherie Dawn Mills illustrates the transformative

power of love, emphasizing acceptance and understanding in
a relationship, which elevates and empowers both partners.

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Critical Thinking
Key Point:The Nature of Romantic Partnerships for
Individuals with ADD
Critical Interpretation:Hallowell suggests that the ideal
partner for individuals with ADD must prioritize mutual
respect and individuality, yet this perspective can be
critiqued. It may oversimplify the complex dynamics of
relationships, as truly supportive partnerships can
manifest in diverse forms and may not always align with
conventional notions of acceptance and individuality.
Additionally, the author appears to discourage personal
growth through criticism, potentially leading to a
situational dependency that some may find limiting.
Critics may refer to research by Dr. John Gottman,
which emphasizes the importance of conflict resolution
in maintaining healthy relationships. Thus, while the
call for understanding and appreciation in relationships
is valuable, the assertion of a singular ideal partner
could mislead individuals about the multifaceted nature
of romantic partnerships.

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Chapter 44 Summary :

Summary of Chapter 41: What Can You Do If Your

Mate Has ADD?

Introduction

This chapter discusses the challenges faced by couples when

one partner has Attention Deficit Disorder (ADD) and offers
practical advice for navigating these difficulties.

Diagnosis and Awareness

- Getting a diagnosis is crucial to prevent breakdowns in

relationships. Many couples struggle because one partner
may have undiagnosed ADD, leading to unbalanced
responsibilities and emotional distress.
- Common signs include uneven division of labor, infrequent
intimacy, pent-up resentment, and financial instability.

Seeking Help

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- Outside help, like couples therapy, can provide the
necessary support and facilitate better communication
between partners.
- An example is presented through a couple named Jim and
Hope, who experience considerable conflict due to Jim's
ADD.

Hope's Observations

- Hope expresses her feelings of being more like a caretaker

than a partner and outlines her frustrations with Jim's
behavior, including impulsivity and poor organization.
- She acknowledges minor improvements but is frustrated
with the overall dynamic and the emotional stress of living
with ADD.

Spirit of Cooperation

- Hope emphasizes her hope for growth in Jim's behavior,

aiming for adult-like responsibility and teamwork in their
relationship.
- Hope's detailed plan for Jim includes a list of dos and
don'ts, focusing on behaviors that would enhance their
partnership.

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DOs and DON’Ts for Couples with ADD

-
DO
: Behave like an adult, take responsibility, communicate
effectively, manage time and tasks, and approach life
positively.
-
DON’T
: Shift blame, make empty promises, act defensively, or
disregard mutual responsibilities.

Healing and Moving Forward

- The chapter underlines the importance of understanding

ADD not as an excuse but as an explanation. This fosters
forgiveness and healing.
- It encourages couples to establish routines and structures,
such as scheduled date nights and clear divisions of labor.

Coping Strategies

- When conflicts arise, partners should give each other space,

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seek humor to diffuse tension, and remain mindful of each
other’s conditions.

Conclusion

- The chapter concludes by asserting that while living with

someone who has ADD can be challenging, through work
and understanding, couples can thrive rather than merely
survive. It emphasizes that ADD is treatable and should not
be the reason for a relationship's end.

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Critical Thinking
Key Point:Understanding ADD is crucial for
relationship dynamics.
Critical Interpretation:The chapter highlights the
significance of diagnosing ADD to prevent relationship
breakdowns, yet this notion could be debated. One
might argue whether understanding ADD truly
transforms relational dynamics or if it could
inadvertently lead to pathologizing personal behaviors
too heavily. Critics might suggest that framing ADD as
an explanation could excuse personal responsibility
among individuals, and resources like "Over diagnosed:
Making sense of ADD" by Dr. John McCrory provide
insights into potential overdiagnosis in society,
questioning the implications for relationships.

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Chapter 45 Summary :

CHAPTER 42: GETTING WELL ENOUGH

ORGANIZED: THE HALLOWELL APPROACH

Introduction to Organization Challenges

Many people struggle with organization, especially those

with ADD. Despite the abundance of resources available,
from books to online advice, disorganization is a pervasive
issue that can lead to feelings of overwhelm and
incompetence.

Entropy and Disorganization

The natural tendency of disorder, illustrated by the law of

entropy, affects everyone. The chaos in one’s environment
often reflects internal struggles, particularly for individuals
with ADD who find organizing thoughts, time, and physical
spaces especially challenging.

Responding to Disorganization

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When seeking help, advice from others often centers around
the simplistic "just do it" mentality. However, effective
organization is not universally applicable; different
techniques work for different individuals. Acknowledging
the unique nature of personal disorganization is critical.

Value of Personalization in Organization

The book “How to Get Organized Without Resorting to

Arson” emphasizes humor and practical advice while
recognizing individual differences in organizational styles. It
highlights the importance of adapting techniques to one's
personal chaos rather than following one-size-fits-all
solutions.

Community and Support in Organization

People with ADD benefit significantly from companionship

and encouragement. It's often not merely about methods but
also about having someone to share the burden of organizing
Install
tasks. Bookeyand
Understanding App to Unlock
empathy FullinText
are crucial and
combating
negative energy associated Audio
with shame from clutter.

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Chapter 46 Summary :

WHAT THE BEST TREATMENT MUST

INCLUDE

Introduction to Treatment Challenges

Disconnection is detrimental to treatment effectiveness, akin

to a "poisonous gas." Many treatments for ADD exist, with
varying degrees of success. The essential aspect of treatment
is the connection between the patient and the healthcare
provider.

Components of Effective Treatment

The most validated treatment program for ADD includes

medication combined with education, coaching, structure,
and lifestyle changes. However, not all treatments require
medication, and ongoing research continues to evolve the
understanding of ADD treatments.

Importance of the Patient-Provider Connection

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The quality of the connection with the healthcare provider is
crucial. Patients need to feel understood and heard
throughout the diagnostic and treatment process. Many
practitioners overlook the human aspect, often prioritizing
diagnosis over the individual.

Current Deficiencies in Psychiatry

Modern psychiatry risks becoming overly mechanistic,

prioritizing efficiency over empathy. This shift has led to
impersonal patient interactions, where the focus is on
symptom lists rather than the patient as a person.

The Role of Understanding

Psychiatry faces challenges from increasing pressure for

quick diagnosis and treatment, leading to confusion and
feelings of being unheard among patients. The hurried
appointments often neglect the empathetic conversation
necessary for healing.

Legal Pressures and Their Impact

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Concerns about lawsuits create a defensive atmosphere in
mental health, further distancing practitioners from genuine
patient connections. This impersonal approach detracts from
effective treatment and may lead to overly cautious practices.

Human Connection in Treatment

Despite systemic issues, many mental health professionals

strive to maintain a human connection in their work. Patients
should seek providers who genuinely care, can listen, and
create a comfortable atmosphere, even in brief interactions.

Conclusion: The Need for Human Interaction

Visiting a doctor who prioritizes dialogue and understanding

is crucial for ADD patients. The therapeutic relationship
forms the foundation of effective treatment, highlighting the
importance of retaining human connections in mental health
care.

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Critical Thinking
Key Point:Importance of the Patient-Provider
Connection in Treatment
Critical Interpretation:While Hallowell emphasizes the
necessity of the patient-provider connection for effective
ADD treatment, it’s essential to consider that the depth
of this relationship may vary significantly from one
practitioner to another. Critics argue that the
complexities of ADD and individual patient needs
demand more than just a strong interpersonal
connection; they require evidence-based approaches
tailored specifically to biological, psychological, and
social factors. Some may posit that relying too heavily
on personal connections may lead to overlooked
medical evidence and diverse treatment modalities,
which are also vital for patient outcomes. For example,
a study published in the Journal of Attention Disorders
(2018) highlights the effectiveness of a multi-faceted
approach that includes behavioral therapies alongside
any perceived emotional connections with healthcare
providers.

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Best Quotes from Delivered from
Distraction by Edward M. Hallowell with
Page Numbers
View on Bookey Website and Generate Beautiful Quote Images

Chapter 1 | Quotes From Pages 49-59

1.The best way to think of ADD is not as a mental
disorder but as a collection of traits and tendencies
that define a way of being in the world.
2.Most people regard ADD as a problem, which it can indeed
be. The prisons are full of people with undiagnosed ADD.
But I look at ADD as a potential blessing—with emphasis
on the word potential.
3.You need knowledge and you need hope. Most people do
not know much about their minds or about ADD.
4.Learning not just about the mind in general but about your
own particular mind excites almost anyone who does it.
5.You can thrive if you have ADD.
Chapter 2 | Quotes From Pages 60-66
1.In 1994 attention deficit disorder was an obscure

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 medical term, understood only by a small number
of specialists. Now the problem has changed.
2.We need to help people understand what ADD is, what it
isn’t, what we know about it, and what we don’t know.
3.New evidence from brain scans, particularly MRIs, that
ADD is associated with slight but significant anatomical
differences in specific regions of the brain.
4.Emphasis on talents and strengths.
5.A five-step program designed to identify and promote
talents in people who have ADD.
Chapter 3 | Quotes From Pages 67-68
1.ADD refers to a different way of thinking and
functioning, not a disorder that needs to be fixed.
2.The challenge for people with ADD is not about having a
deficit, but about managing the attention they do have.
3.Creativity often flourishes in minds that struggle to focus
on conventional tasks.

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Chapter 4 | Quotes From Pages 71-100
1.Having ADD is like having a turbocharged
race-car brain.
2.When you get the ADD diagnosis, you can finally shed all
those accusatory, 'moral' diagnoses, like lazy, weak,
undisciplined, or, simply, bad.
3.The identification of talents and strengths is one of the
most important parts of the treatment.
4.Everyone has the seed of a talent.
5.The best approach to treating ADD is to follow an
individualized, comprehensive plan specifically designed
for you.
6.Positive human contact is as important as, if not more so
than, a good night’s sleep or a proper diet.
Chapter 5 | Quotes From Pages 101-116
1.'Just because there can be no clear line drawn
between night and day, yet no one would deny
there is a difference.'
2.'If you had to call one a disorder, wouldn’t you vote for the

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 surplus? Who wants to pay attention to the myriad details
for very long? Is it really a sign of mental health to be able
to balance your checkbook, sit still in your chair, and never
speak out of turn?'
3.'Having ADD is also like listening to a ball game on a radio
station that’s coming in with a lot of static.'
4.'In the world of ADD, there are only two times: there is
now, and then there is not now.'
5.'Once the ADD has been diagnosed, and the child or the
adult has learned how to take care of whatever was wrong,
the brain offers up an untapped realm.'
6.'People with ADD often have a special “feel” for life, a
way of seeing right into the heart of matters, while others
have to reason their way along methodically.'
7.'A comprehensive treatment plan, one that takes into
account many and varied interventions, is the best
treatment plan.'
8.'We who have ADD need help and understanding from
others. But, then, who doesn’t?'

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Chapter 6 | Quotes From Pages 117-137
1.Having ADD is one of my greatest assets. Looking
back, I couldn’t have done it without ADD. What
makes me unique comes straight from my ADD.
I’m like the cutup in sixth grade. I thrive on chaos.
I love to ad-lib. I think outside the box.
2.Just realizing that there was a name for this really helped.
Just knowing that ADD existed helped me a lot. Instead of
thinking I was the odd man out, that I was different in a bad
way, I realized that I was different, but in a good way.
3.When you went to work for her she just had a travel
agency? Yeah, and then we became Morris Air and nine
years later we sold the company for one hundred thirty
million dollars.
4.My ability just to know what’s important, to cut right
through all the crap and get to that nugget, and say, ‘Okay,
this is the most important thing we’ve got going.’ And
that’s my greatest talent today.
5.Go with your passion, but know your limits and surround

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yourself with strong people. Don’t surround yourself with
yes men, but surround yourself with people who can tell
you no...

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Chapter 7 | Quotes From Pages 138-153
1.Do you feel that you are underachieving in your
life, even though you may have achieved a great
deal so far?
2.Do you find that you focus better in the midst of a crisis or
an emergency than when all is peaceful and calm around
you?
3.Do you feel that the positives you have accomplished in
life you did by accident, by smoke and mirrors, almost as if
someone else achieved them, not you?
4.Do you often offend people without meaning to?
5.If you read all the questions in this quiz, and you made it
all the way to this question, question 128, let me ask you,
was there a point at which you said to yourself, 'Wow. How
does he know this? This is me!'?
Chapter 8 | Quotes From Pages 154-160
1.Attention behaves this way for people who do not
have ADD. For people who have ADD it is the
same, only more so. They pay attention even more

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 inconsistently than non-ADD people do.
2.In ADD, you can get so wrapped up in one project that you
all but forget who and where you are. You do not suffer
from a deficit of attention but a wandering of attention.
3.We wouldn’t want to eliminate them; it is during these
mental excursions that some of our best ideas appear.
4.To tell a person who has ADD to try harder is about as
helpful as telling someone who is nearsighted to squint
harder.
Chapter 9 | Quotes From Pages 161-170
1.The only way to make sure he stayed on task
would be for the person holding the gun to remind
him it was there every ten seconds or so. But if the
person were willing to do that, the gun would be
unnecessary. Reminders alone would do the trick.
Structure is a far more effective tool than fear is in
dealing with ADD.
2.My thoughts are like butterflies. They are beautiful, but
they fly away. After treatment he said, 'Now I can put a net

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 around the butterflies.'
3.It no longer makes any sense to think of ADD as a moral
failing; it clearly has a biological basis to it.
4.But, like most great discoveries, this one disturbed many
people. The idea of a medication being able to help the
brain where willpower couldn’t threatened some people’s
world view as deeply as Copernicus stating that the earth
was not the center of the solar system.

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Chapter 10 | Quotes From Pages 171-186
1.Right in the middle of talking to someone I don’t
even know or care about I’ll sometimes get this
urge out of nowhere to toss my drink in his face.
2.No, it doesn’t always have to be that way.
3.They all have an itch they can’t ever quite scratch.
4.When you feel the itch you should try to bear with the pain,
instead of suppressing it, and allow it to lead you through a
labyrinth.
5.Creativity is your gift. Use it.
Chapter 11 | Quotes From Pages 189-219
1.You must do your homework!’ I commanded. But
she didn’t do her homework. Instead, all sorts of
acting up started that we’d never seen before.
2.By now she didn’t have that thirteen-year-old smirk on her
face. With real clarity in her eyes she replied, ‘I don’t know
why I don’t do it. I honestly don’t know.’
3.Knowing what’s going on makes such a huge difference.
Life is much, much better for us all.

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4.I think I have ADD.
5.If you don’t have such a teacher, move heaven and earth to
get one.
6.The diagnosis of ADD in one member of a family leads to
the diagnosis in another member.
7.It is just who he is. And then maybe he’ll get a job
someday that perfectly suits him and his circuitry.
8.It’s been a year of rebuilding.
Chapter 12 | Quotes From Pages 220-237
1.What I have learned raising Joey ought to earn me
a second Ph.D.
2.Finding the right help is the key to obtaining the best
results.
3.What Joey needs…is to know that he is not less than the
students at, say, Rosemary Hall, just different.
4.It is even more about identifying and promoting strengths.
5.No one matters more than our children.
6.Only then will no child be left behind.

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Chapter 13 | Quotes From Pages 238-275
1.Just my good Irish luck," she says with an ironic
smile.
2.I had to learn about ADD myself; I had to wrestle with the
dismissive skepticism of many people, including doctors;
above all, I had to raise seven children who had ADD, even
as I discovered and coped with my own ADD and that of
my husband.
3.It’s that slanted, perfect writing. Most of the Catholic
schools around here, if not all of them, made you learn that
method.
4.Finding a form of exercise that you love can work wonders.
5.The relief of knowing I wasn’t stupid, the insight, the
diagnosis, plus the medication, turned things around for
me.
6.My brother was running an educational foundation, so I got
him and one of his teachers, who was a specialist in
learning disabilities, to come with me.
7.It’s not over in a week or a month or a year. It’s never over.

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Chapter 14 | Quotes From Pages 278-292
1.The word diagnosis literally means “to know
through and through.
2.It is upon your strengths and talents that you build a happy
life.
3.The history is more valuable than any paper-pencil test or
neuropsychological test or brain scan.
4.Unless there is impairment, ADD is just a trait, not a
disorder.
5.The evaluator will be trying to understand the entire
person, both strengths and weaknesses, talents, and areas of
trouble.
Chapter 15 | Quotes From Pages 293-300
1.The qEEG... has shown that the qEEG is accurate
up to 90 percent of the time in making the
diagnosis.
2.It is certainly not 100 percent accurate, and it most
definitely cannot replace the history as the core of the
evaluation, but we think it is good enough that we now

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 recommend it as a standard part of the evaluation.
3.It is obviously helpful to be able to look at the brain before
you try to treat it.
4.I resolve this dilemma with Hippocrates’s advice, 'First do
no harm.'
5.If your doctor needs more help, look to the other tests I
mentioned. However, most of the time the correct diagnosis
resides in the history, waiting to be found.

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Chapter 16 | Quotes From Pages 301-308
1.You have an awesome mind. You are one cool
dude. Your brain is just spectacular.
2.Having ADD is like being left-handed; it is part of who you
are, not who you are.
3.You know what ADD is? ADD means you have a race-car
brain.
4.You can be absolutely anything you want to be when you
grow up. ADD does not have to hold you back as long as
we take care of it now.
5.One of my grown-up patients calls ADD his ADD-vantage.
Chapter 17 | Quotes From Pages 309-314
1.I hate the term. I don’t think ADD is morbid;
therefore, whatever comes with it can’t be
comorbid.
2.However, each one of them is treatable. As long as your
doctor and you know about and look for these conditions,
they are not difficult to find, nor need they cripple you.
3.Take heart. This can be done. All of the coexisting

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 conditions improve with proper treatment.
Chapter 18 | Quotes From Pages 315-331
1.It is a truism that we see what we are looking for
and thereby often miss what we don’t expect to
see.
2.Once you know what childhood mania looks like, it is not
that hard to diagnose.
3.We still have a lot to learn, but we have come a long way
from when these kids were diagnosed as having, in Dr.
Wozniak’s words, ‘ADHD with a mean streak’.
4.The danger in making the wrong diagnosis is not only that
stimulant medication will not help, it might hurt.
5.Disconnectedness. They don’t have enough sustaining,
supportive relationships with people who care about
them… Over time, a disconnected child—or adult—can
become a difficult child—or adult.

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Chapter 19 | Quotes From Pages 332-341
1.Her arm took fear out of my learning to read. Her
arm made it so I felt no shame in having the kind
of brain I have.
2.If a person is born with a brain that has dyslexia, I would
say, 'Lucky her!' That person has untestable, unmeasurable
potential.
3.She needs a good guide. She needs someone who will see
to it that she never, ever gives up.
4.The strength-based approach is vital. Whatever treatment a
person receives for either dyslexia or ADD, promoting
talents and strengths will invigorate the treatment and make
it far more valuable.
5.The dyslexic person needs a guide who knows that with an
arm around him he can soar.
Chapter 20 | Quotes From Pages 342-354
1.All a person can inherit is a proclivity for
developing the symptoms of ADD—a greater
susceptibility to ADD than other people have. Life

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 experiences determine how the genes a person
inherits gain—or do not gain—expression.
2.No, it is a hardy sapling that will grow anywhere, even
when opposed. All the more reason not to try to remove it,
but to help it grow into the glorious, unusual tree it can be.
3.The great advantage of being able to do such counseling,
though, is that we can then advise people on how to modify
the environment—by watching less television early on, or
eating more family dinners—to reduce the chances of a
child’s developing a dangerous symptom—like drug
addiction or violent behavior.
4.We can help people set up environments that bring out the
strengths of ADD, environments that provide structure,
stimulation, opportunities for physical exercise, and other
factors we know bring out the best in people who have
ADD.
5.But while the tests will be available, they will not be
definitive; the genotype still cannot predict the phenotype.
Chapter 21 | Quotes From Pages 355-361

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1.Our modern world could be the driving force.
Distinctive elements of modern life, arising from
quite disparate sources, could conspire to create a
sort of cultural “perfect storm,” perfectly designed
to induce ADD.
2.The electronic moment is supplanting what I call the
human moment. Without meaning to, we are losing touch
with one another.
3.ADD—as well as asthma, autism, and Asperger’s—may be
canaries in the mine shaft of modern life.
4.It would not be terribly difficult to make some changes in
our individual lives.

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Chapter 22 | Quotes From Pages 362-399
1.They drink in order to forget the pain of being a
man.
2.Most people think of the 12 steps in terms of what you give
up. But the truth is, you get back much more than you give
up.
3.Fellowship is the best and safest ‘drug’ we have.
4.You could say I allow God to carry me, or I allow my prior
school training to carry me, or my unconscious, or good
luck, or an angel.
5.The spiritual awakening lies at the heart of the most
dramatic changes in the lives of adults who get diagnosed
with ADD.
Chapter 23 | Quotes From Pages 402-408
1.Making the diagnosis opens the door to treatment.
2.You need to learn what ADD is and what it isn’t.
3.One of the best treatments for ADD is physical exercise.
4.Daily prayer or meditation helps to focus and calm the
mind.

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5.The more you put your imagination to it, the more you can
think of various structures—reminder systems, habits that
you train into yourself—that can dramatically help.
Chapter 24 | Quotes From Pages 409-415
1.There’s gold in them thar hills.
2.Once the diagnosis is made, the next step is to find and
develop your talents.
3.Whatever you do, don’t stop looking.
4.When this diagnosis is made, right on that very day, right at
the moment of diagnosis, the diagnosis shifts the bad that
has happened into the light of science and out of the
darkness of moral condemnation.
5.You build a life on your talents and strengths—what is
right and good about you—not on your weaknesses,
however skillfully they might be corrected.
6.It is important to get into a positive frame of mind. Without
positive energy, treatment fails.

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Chapter 25 | Quotes From Pages 416-426
1.People who feel deeply satisfied with their lives
and find enduring joy are people who do what they
love and love what they do.
2.But it is never too late to find joy. Whether you have ADD
or XYZ, you can create a joyful life—at any age. There is
always, always hope.
3.To thrive in life you need to find out what you’re best at,
then build upon those talents and skills.
4.Creating a connected life takes time, and it requires work to
maintain it over a lifetime.
5.The connected individual—of any age—naturally feels safe
and secure enough to go to step 2 in the cycle, which is
play.
6.It is on these islands of competence, as psychologist Robert
Brooks calls them, that self-esteem, confidence, and
motivation take root and grow.
7.A balanced, connected life leads to a sturdy kind of joy that
hard times cannot easily strike down.

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Chapter 26 | Quotes From Pages 427-437
1.People build joyful, fulfilling lives not on
remediated weaknesses but on developed
strengths.
2.We believed all the kids could do it. We just had to figure
out how, for each student.
3.No matter what the age of a child, or the learning style or
so-called disability, the first priority in this school system
is to look for talents and strengths.
4.We say you can do this, we expect you to do it, now do it,
and the students do it!
5.My first principle in working with all learners is to expel
fear and shame from the learning environment.
Chapter 27 | Quotes From Pages 438-459
1.If you do not prepare in advance, the chances are
good that you will stumble.
2.But if parents and the soon-to-be college student take some
basic steps, they can drastically reduce the chances of a
disaster like Eric’s befalling them.

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3.Going from home to college means going from a place of
dependence and high supervision to a place of
independence and low supervision.
4.Since the colleges really do not act in loco parentis, in the
place of parents, parents should not assume that the college
will keep a close eye on their child.
5.Research done by Richard Light at Harvard shows that one
of the key determinants of a successful undergraduate
career at any college or university is the student’s finding a
senior faculty member she can make a close, mentoring
relationship with.
6.Looking back, I shudder at what trouble I could have
gotten into, at what bad decisions I could have made,
decisions that would have haunted me for the rest of my
life, had Josselyn and Tom not intervened and Professor
Alfred not agreed to take me on.

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Chapter 28 | Quotes From Pages 460-475
1.The most potent medication we have is also our
most dangerous and abused drug. It is called food.
2.Food rarely comes up when we talk about the mind and
brain, which is a mistake, because what you eat determines
how effectively your brain operates.
3.If you do not eat properly, you can become distracted,
impulsive, and restless, not to mention develop all sorts of
other symptoms.
4.In this Information Age, it is impossible for any doctor to
keep up with everything that is known.
5.The truth is, I don’t know exactly what is happening with
all that I ingest.
6.Make sure you get vitamin B-12 and folic acid, either in
your diet or as a supplement. They improve cognition and
help prevent cell death in the brain.
7.Eat a balanced diet, of course. The meaning of balanced
changes as we learn more.
8.Don’t self-medicate with food. Avoid binging on

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 carbohydrates.
Chapter 29 | Quotes From Pages 476-482
1.One of the most important specific
recommendations doctors are starting to make
today is to supplement the daily diet with omega-3
fatty acids.
2.We started to take nutrition seriously and see food as the
remarkable 'drug' that it is, carrying with it enormous
potential to make us well—or make us sick.
3.Our epidemic of heart disease and cancer may be the result
of a fish oil deficiency so enormous that we fail to
recognize it.
4.Dopamine is the neurotransmitter that the medications we
use to treat ADD also act to increase.
5.Even before the research is complete, because of the good
chance that omega-3 fatty acids will help ADD, and
because they are good for you in many other ways, I
recommend that they become a daily dietary supplement
for people who have ADD—as well as everyone else.

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Chapter 30 | Quotes From Pages 483-489
1.Sure. Just exercise the parts of your body and
brain you want to keep.
2.Exercise is one of the true 'smart pills' we have.
3.A quick burst of exercise is like pushing the reset button on
your brain.
4.To treat ADD, to maintain optimal brain function, and to
maintain good physical health, all people should get regular
physical exercise.

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Chapter 31 | Quotes From Pages 490-494
1.The most significant limits we have are the mental
limits we impose on ourselves.
2.If I ever tell him that I can’t do a certain exercise, he smiles
and says in his rich Russian accent, 'Do it. You can. You’ll
see.'
3.But, as Simon tells me, you can do them! Just persist.
4.Gradually you will see results. Your attention will improve.
Chapter 32 | Quotes From Pages 495-524
1.Look what I’ve made!” he proudly proclaimed.
2.She knew, before most people did, that kids with school
problems often were the most talented kids of all.
3.He loved stories and words.
4.As I began to explore, I learned that other people had
devised methods similar to Dore’s long ago.
5.People say that life begins at forty. I feel that life began at
eighty-six for me.
Chapter 33 | Quotes From Pages 525-537
1.Most important, never forget that you are the one

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 who has control.
2.But never go against your basic feelings or beliefs.
3.The greatest danger associated with stimulant medication
relates to how it is prescribed.
4.Remember, you are in control. Until you feel comfortable,
do not take any medication.
5.The medications we use to treat ADD, primarily the
stimulant medications like Adderall, Concerta, Ritalin, and
Dexedrine, are very safe when they are properly used.
6.If you can’t find a doctor who knows about these
medications, call the nearest medical school to you and ask
for the department of psychiatry.
7.Whatever the medication does—good or bad—it will not
last more than twelve hours.
8.The risk/benefit analysis must always take into account the
risk of not taking the medication, as you pursue
nonmedication treatments.

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Chapter 34 | Quotes From Pages 538-584
1.Think of medication as eyeglasses. You wouldn’t
try a year of squinting or doing eye exercises
before you tried eyeglasses.
2.When stimulants work—when any medication used to treat
ADD works—they improve mental focus and bolster
executive functions.
3.Now you could take one pill that would last all day. You
didn’t have to remember to take the pill that was supposed
to remind you to take the pill.
4.Now, you can get what you seek: the even and balanced
states of attention, vigilance, mood, and arousal.
5.It can also be stopped abruptly without causing symptoms
of withdrawal.
6.John Ratey describes Provigil as a ‘Zen drug,’ in that it
allows a person to feel awake without the feeling of being
pushed, revved, or directed to a certain task.
Chapter 35 | Quotes From Pages 585-598
1.I often compare the ADD mind to Niagara Falls,

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 both wonders of gargantuan movement and
energy. The trick to making use of the energy in
Niagara Falls, and to doing well in life with ADD,
is building a hydroelectric plant.
2.Shame is toxic. It is also traumatic. It raises your
stress-hormone levels and eventually corrodes your
memory and executive functions.
3.To detoxify his shame, he needs to engage in a deliberate,
prolonged process. It will take some time. But it can and
should be done.
4.Pessimism and negative thinking create a roadblock that
conscious intent can actually dislodge like a battering ram
if properly aimed.
5.The doorway to flow is play. You can play at anything you
do.
6.If you hook up to a creative outlet you can’t stay stuck.
Chapter 36 | Quotes From Pages 599-606
1.If you slide back, don’t despair. It does not mean
that you’re one of the unlucky ones or that there is

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 no hope.
2.The trick to stopping the SLIDE is to intercept it at step 1
or step 2.
3.Try to train yourself to recognize the trigger points in steps
1 and 2, the points when some negative stimulus leads you
to react by attacking yourself or attacking life.
4.Keep your kryptonite handy. Maybe it is religious belief.
Maybe it is the image of someone you love or someone
who loves you.
5.You should make up your own kryptonite. Try this, try that.
But it is best to be active, not passive, in these precarious
moments.

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Chapter 37 | Quotes From Pages 607-626
1.'There is no good guy in what I call “the big
struggle,” just many people who feel hurt.'
2.'Connectedness is the word I use to refer to a feeling of
belonging.'
3.'Instead of using defiance as a means of making life
interesting and getting what you want, try thinking. Use the
higher parts of your brain.'
4.'If you are struggling in your family, please don’t give up
hope.'
Chapter 38 | Quotes From Pages 627-638
1.If you get the right kind of help, your life will
certainly improve.
2.Never give up. There is always hope.
3.You can’t believe you have achieved what you’ve achieved,
which means you can’t fully own it, enjoy it, and feel
nourished by it.
4.Make sure you have an ally…who knows you well enough
to point out to you what’s good about you and your life

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 when you start to feel in the grip of what’s bad.
5.Know that however bad the dark period is, it will pass.
6.Just don’t believe what you’re telling yourself. It is all
subjective.
Chapter 39 | Quotes From Pages 639-644
1.If you can laugh at your piles, you are regaining
control.
2.Shame and blame only make the problem worse.
3.You created this adversary. You can uncreate and
deconstruct it.
4.Do it little by little so you won’t feel overwhelmed.
5.You own the piles, they don’t own you. You win, they lose.

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Chapter 40 | Quotes From Pages 645-650
1.The goal in dealing with worry is not to get rid of
it entirely—indeed, the absence of worry is a
dangerous state itself, called denial.
2.Learning to worry wisely is really a key to success in life
for everyone.
3.Don’t think so much that you get lost in what I call “the
infinite web of what-if” as you contemplate the ominous
core of life.
4.Never worry alone. This is by far the most important
principle.
5.Toxic worry is usually based on lack of information or
wrong information.
6.Even if we never fully achieve the goal, at least we can
head in that direction.
Chapter 41 | Quotes From Pages 651-695
1.Unless he learns about ADD and his attendant
troubles with pausing, lingering, and listening, he
may lose his chance at sexual intimacy with

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 anyone.
2.The inability to linger can ruin a romance. People with
ADD are bottom-liners. They are impatient.
3.I urge my patients who have this problem of being unable
to linger during lovemaking to practice lingering in other
situations first.
4.Gradually, I started to enjoy lingering. I compare it to
running a distance long enough that you reach the point
where you feel the 'runner’s high.'
5.You can solve the problem by diagnosing the ADD,
treating it, helping the non-ADD spouse begin to share the
responsibility and work of organization, time management,
money management, child care, and so forth.
Chapter 42 | Quotes From Pages 696-707
1.Marry the right person: someone who loves you
for who you are.
2.Keep a basket next to the front door where you always put
your car keys.
3.Don’t expect perfection.

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4.Don’t repeat the same failed strategy.
5.Most important: Know thyself.

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Chapter 43 | Quotes From Pages 708-713
1.The best way to find a mate is to find someone you
enjoy being with so much that you’re willing to put
up with the hassles of cohabitation.
2.What they really need is someone who sees the best in
them and helps to bring it out.
3.The fundamental obstacle that people who have ADD put
in their way is their own fear.
4.Vulnerability is good. Vulnerability is what leads to the
deepest, best kind of love. Don’t hide your vulnerability;
let it show.
5.Remember, no is just the first step on the way to yes.
6.You ever see in me the wondrous possibilities that my sins
and sorrows and daily concerns have caused me to forget.
Chapter 44 | Quotes From Pages 714-729
1.The diagnosis of ADD can save your relationship.
2.Understanding moves in to take its place, and with
understanding comes forgiveness. You can fall in love
again.

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3.It takes work. And for some couples, divorce truly may be
the best option.
4.Once you understand what’s been happening in terms of
neurology instead of morality, forgiveness will come more
easily.
5.Don’t let ADD split you up. If you are to split up, let it be
for some other reason.
Chapter 45 | Quotes From Pages 730-744
1.Becoming well enough organized is a realistic goal
for even the most disorganized ADD-er.
2.Instead, I urge you to adopt my approach. Become well
enough organized to reach your goals.
3.I can find a way to succeed in spite of all my
disorganization.
4.Life would be easier for her if she were a neat freak, but
it’s no big deal.
5.I learned how to be well enough organized to reach my
goals.

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Chapter 46 | Quotes From Pages 745-756
1.The poison of disconnection.
2.Above all else, you need to see a doctor who will naturally
regard you as a person first.
3.We have replaced doctrinaire psychoanalysis with a process
equally impersonal, unhearing, and demeaning.
4.Even if you are an impatient adult who has ADD, you owe
yourself a visit with a doctor who can sit back and listen
just a bit, or get you to talking more than just a bit.
5.Whatever it is that gets people better, whether they have a
cold, cancer, or ADD, the human relationship is at the core
of it.

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Delivered from Distraction Questions
View on Bookey Website

Chapter 1 | A DISTINCTIVE COLLECTION OF

TRAITS| Q&A
1.Question
How can understanding ADD change one's perspective on
its challenges?
Answer:Understanding ADD as a collection of traits
rather than a disorder allows individuals to see the
potential within its challenges. It emphasizes the
idea that the negative aspects can be sculpted into
strengths, leading to a more positive and hopeful
outlook on life.

2.Question
What is the primary goal of ADD diagnosis and
treatment?
Answer:The primary goal is to transform ADD from a
potential disorder into an asset, focusing on accentuating
useful traits and managing the less helpful ones.

3.Question

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Why is 'knowledge' emphasized as essential for
individuals with ADD?
Answer:Knowledge about one's own mind and the nature of
ADD can restore confidence, inspire hope, and empower
individuals to engage in practical techniques that enhance
their effectiveness and quality of life.

4.Question
What myths surround ADD that people need to be aware
of?
Answer:One of the prevalent myths is the overdiagnosis and
over-medication of ADD, while the more pressing issue is
that many individuals, especially adults, are unaware they
have ADD and thus do not seek help.

5.Question
What is the significance of personal stories in
understanding ADD?
Answer:Personal stories provide a relatable context that
illustrates ADD's impact across various settings, age groups,
and severity levels, helping to demystify the condition and

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promote empathy and understanding.

6.Question
What two essential components does Hallowell suggest
one needs to sculpt a fulfilling life with ADD?
Answer:One needs both knowledge about ADD and hope for
improvement in order to sculpt a fulfilling and joyful life
despite the challenges it presents.

7.Question
How can ADD be viewed as a potential blessing?
Answer:When managed effectively, the traits associated with
ADD — such as creativity, energy, and drive — can be
harnessed and transformed into significant strengths, thus
offering a unique advantage.

8.Question
What is meant by 'the itch' in relation to ADD, and how
can it be addressed?
Answer:The 'itch' refers to the restlessness or desire that
individuals with ADD may feel. Understanding it involves
recognizing the unique thought patterns associated with
ADD, enabling strategies to cope with or channel these

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feelings effectively.

9.Question
How have new treatments and understandings
contributed to the management of ADD?
Answer:Advances in treatment including innovative
medications, dietary changes, exercise regimes, and effective
organizational techniques have expanded the options
available for managing ADD, making it possible to thrive
despite its challenges.

10.Question
What does Hallowell suggest is a common misconception
about the diagnosis of ADD?
Answer:A common misconception is that ADD is
overdiagnosed and treated only with medication, while many
adults with ADD remain unaware of their condition and
therefore do not receive effective assistance or treatment.
Chapter 2 | WHAT’S NEW IN THE WORLD OF
ADD?| Q&A
1.Question
What significant change has occurred regarding

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awareness of ADD since 1994?
Answer:In 1994, ADD was an obscure term known
only to a few specialists. Today, it has become almost
a household term, indicating a significant increase in
public awareness and understanding of the
condition.

2.Question
What are some new treatment methods discussed for
ADD?
Answer:The book outlines various new treatment methods
for ADD, including new medications and their pros and cons,
dietary recommendations such as using fish oil rich in
omega-3 fatty acids, promoting physical exercise, and
utilizing a modified 12-step program for ADD treatment.

3.Question
How does the book suggest to manage ADD in adults?
Answer:It provides new material focused on adults with
ADD, emphasizes their talents and strengths, and introduces
novel organizational and time management approaches

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specifically tailored for them.

4.Question
What role does exercise play in treating ADD according
to the book?
Answer:The book introduces new findings that physical
exercise can be an effective treatment for ADD, highlighting
its potential benefits in helping manage symptoms.

5.Question
What is the importance of understanding the genetics of
ADD?
Answer:New evidence from genetics indicates that ADD is
highly heritable, which underscores the need for
understanding its biological underpinnings and may lead to
more tailored treatments.

6.Question
What insights does the book provide regarding diagnosis?
Answer:The book discusses new diagnostic approaches,
including a new screening questionnaire developed with the
World Health Organization and the recommendation of using
quantitative electroencephalogram (qEEG) as a diagnostic

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tool.

7.Question
How does the book address misconceptions about ADD?
Answer:It focuses on dispelling myths about ADD and
providing accurate facts, helping readers to understand what
ADD truly is and what it is not.

8.Question
What resource does the book provide for the transition to
college?
Answer:It contains a special section dedicated to strategies
and guidance for individuals with ADD as they transition to
the college environment.

9.Question
Can reducing television time impact ADD risk?
Answer:Yes, the book presents new research findings
suggesting that reducing children's television viewing may
lower the risk of developing ADD.

10.Question
Why does the book use the term ADD rather than
ADHD?

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Answer:The book uses the term ADD because it is more
familiar to most people, as it encompasses both attention
deficit disorder and attention deficit hyperactivity disorder.
Chapter 3 | ADD OR ADHD?| Q&A
1.Question
What is the difference between ADD and ADHD as
mentioned in the text?
Answer:ADD refers to attention deficit disorder,
which is a broad term that includes symptoms of
both ADD and ADHD. ADHD, or attention deficit
hyperactivity disorder, refers specifically to those
who also display hyperactivity. In this book, ADD is
used to encompass both conditions.

2.Question
Why does the author choose to use the term ADD instead
of ADHD?
Answer:The author chooses to use the term ADD because it
is the term most people are familiar with, making it easier to
connect with readers' understanding of the condition.

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3.Question
How does the terminology reflect the evolution of
understanding regarding attention disorders?
Answer:The terminology reflects an evolution in
understanding as medical professionals have recognized the
spectrum of symptoms associated with attention disorders,
leading to a more refined diagnosis with ADHD now
encompassing both hyperactive and non-hyperactive
presentations.

4.Question
What impact does the terminology have on the perception
of the disorder in society?
Answer:Using the familiar term ADD helps demystify the
condition and encourages a broader discussion about
attention disorders, allowing those affected to feel more
included and less stigmatized.

5.Question
How can recognizing the differences between ADD and
ADHD help individuals and families?
Answer:Recognizing the differences can help individuals and

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families seek appropriate resources, support, and strategies
tailored specifically to their needs, ultimately leading to
better management of symptoms and improving quality of
life.

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Chapter 4 | Q&A
1.Question
What is the core understanding of ADD according to the
book?
Answer:ADD (Attention Deficit Disorder) is not just
a disorder, but rather a unique way of perceiving
and interacting with the world. Individuals with
ADD possess distinctive strengths like creativity and
originality, and these can be harnessed positively if
the disorderly aspects are managed effectively.

2.Question
How might someone with ADD view their own abilities?
Answer:People with ADD often have a heightened awareness
of the challenges they face, making it easy for them to
identify their weaknesses. However, they frequently overlook
their own talents and strengths, which can lead to a
diminished self-perception.

3.Question
What are the key characteristics of individuals with ADD,
both positive and negative?

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Answer:Positive traits include creativity, charisma, and a
unique perspective on life. Negative traits may involve
distractibility, impulsivity, and challenges with organization
and time management.

4.Question
Why is understanding the difference between ADD and
ADHD important?
Answer:The distinction helps avoid confusion in diagnosis
and treatment. ADHD encompasses both hyperactive and
non-hyperactive symptoms, while ADD traditionally refers to
non-hyperactive presentations, particularly common in
females.

5.Question
What lifestyle changes are crucial for managing ADD?
Answer:Key lifestyle adaptations include fostering positive
human interactions, reducing screen time, ensuring adequate
sleep, following a balanced diet, exercising regularly, and
incorporating practices like prayer or meditation.

6.Question
How can the identification of talents and strengths impact

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someone diagnosed with ADD?
Answer:Identifying talents provides an opportunity to pivot
from a focus on shortcomings to celebrating strengths. This
shift can foster fulfillment and a more positive self-image,
which is instrumental for individuals dealing with ADD.

7.Question
What is the five-step plan mentioned in the book for
promoting talents and strengths?
Answer:The five-step plan involves: 1) Connect with others,
2) Play to explore and discover strengths, 3) Practice those
strengths, 4) Achieve mastery, and 5) Gain recognition for
accomplishments.

8.Question
What role does education play in the treatment of ADD?
Answer:Education enables individuals to understand their
condition, learn how it manifests in their lives, and identify
their own strengths, fostering greater self-awareness and
equipping them to manage ADD more effectively.

9.Question
How should one approach the possibility of medication

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for ADD?
Answer:Medication should be considered with due
diligence—based on knowledge and comfort level—while
also recognizing that when used correctly, medications can
be highly effective for most individuals with ADD.

10.Question
What advice does the book offer regarding finding the
right professional for ADD diagnosis?
Answer:Seek referrals from trusted sources who have had
positive experiences, focusing on a doctor's experience with
ADD rather than solely on their qualifications.

11.Question
How does the book suggest addressing the potential for
mood and emotional issues alongside ADD?
Answer:It encourages vigilance for comorbid conditions and
understanding how emotional states can impact performance,
suggesting a multidisciplinary approach to treatment that
includes therapy and support networks.

12.Question
Why is it important to maintain a supportive social

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environment for individuals with ADD?
Answer:A nurturing interpersonal environment enriches
mental well-being, countering feelings of isolation and
disconnection, which are prevalent in individuals with ADD.

13.Question
What are the potential dangers associated with stimulant
medications for ADD?
Answer:Stimulant medications can lead to side effects such
as appetite suppression and insomnia, necessitating careful
monitoring, but they can also be effective when managed
correctly.

14.Question
How can someone with ADD turn seemingly negative
habits into positive career pathways?
Answer:Identifying the core skills behind unproductive
habits—like risk-taking associated with high-speed
driving—can lead to constructive pursuits in environments
that thrive on excitement and stimulation.

15.Question
What does the book imply about individuals with ADD

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and their unique ways of thinking?
Answer:ADD often grants individuals a distinctive and
creative lens through which to view situations, allowing for
original solutions and ideas, and this capacity should be
nurtured rather than suppressed.

16.Question
How significant is the role of community connection in
managing ADD?
Answer:Community connection serves as a critical
counterbalance to the isolation experienced by many with
ADD; fostering relationships is essential for emotional
support and stability.

17.Question
In what ways can structure aid someone with ADD?
Answer:Implementing external structures—like routines or
organization tools—can compensate for internal challenges,
aiding memory, focus, and overall functionality.

18.Question
What can individuals with ADD expect throughout their
lives regarding their symptoms?

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Answer:While symptoms may ease with maturity for some,
many adults continue to experience ADD traits. Recognizing
and adapting one's life around these traits is crucial for
long-term success.

19.Question
What should be the central focus in the treatment plan
for someone with ADD?
Answer:The central focus should be on individualizing the
treatment to balance medication, educational strategies,
lifestyle changes, and the promotion of strengths, ensuring
that the unique needs are addressed effectively.

20.Question
What message does the book convey about labeling
individuals with ADD?
Answer:The authors emphasize moving away from negative
labels like ‘lazy’ or ‘problematic’ by providing a diagnostic
framework that promotes understanding and celebrates the
gifts associated with ADD.

21.Question
How can the insights from the book improve one’s life

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with ADD?
Answer:By applying its principles, individuals can shift their
perspectives, focus on strengths rather than weaknesses,
engage in supportive communities, and manage their
symptoms in constructive, fulfilling ways.
Chapter 5 | Q&A
1.Question
What is a common misconception about ADD that needs
to be addressed?
Answer:Many people misunderstand ADD by
focusing solely on its negative aspects, failing to
recognize its complexity, which includes traits like
creativity, high energy, and the ability to superfocus
under certain conditions.

2.Question
How does the author of 'Delivered from Distraction'
perceive the term 'Attention Deficit Disorder'?
Answer:The author resents the term 'Attention Deficit
Disorder' and suggests that it might be more appropriate to

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define a 'disorder' as the inability to see beyond trivial
details, contending that those who conform excessively
might actually exhibit an attention surplus.

3.Question
In what ways can ADD manifest differently in different
individuals?
Answer:No two people with ADD experience it in the same
way; the condition includes a range of behaviors and traits,
such as moods of high intensity and fogginess, forgetfulness
balanced with extraordinary recall, and spontaneous decision
making.

4.Question
What metaphor does the author use to explain the
challenges of having ADD?
Answer:The author compares living with ADD to driving in
the rain with malfunctioning windshield wipers, illustrating
the struggle to see clearly while moving at high speed
without slowing down.

5.Question
What are some positive traits associated with ADD

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mentioned in the chapter?
Answer:The chapter highlights traits such as creativity, an
original way of thinking, high mental and physical energy,
the ability to superfocus on tasks when engaged, and a
unique perspective that often leads to innovative ideas.

6.Question
How can understanding and diagnosing ADD benefit
individuals experiencing it?
Answer:Proper diagnosis can alleviate feelings of guilt and
self-recrimination. It marks the beginning of recognizing
strengths and potentials, allowing individuals to implement
strategies that transform their lives.

7.Question
What types of interventions and treatments are
recommended for managing ADD?
Answer:Interventions include creating structured
environments, using lists and planners, seeking
companionship from supportive individuals, employing
medication when necessary, and developing personalized

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strategies that reduce chaos.

8.Question
What is one vivid example given to illustrate the chaotic
experiences related to ADD?
Answer:The author's experience in a museum reflects how
someone with ADD interacts with their environment—they
may skip around and get distracted easily, akin to thrifting
through a bargain bin, which can be misinterpreted as
ignorance.

9.Question
How does the author's experience with waiting reflect a
common challenge for individuals with ADD?
Answer:The author describes a strong aversion to waiting,
stating how he tends to act impulsively when required to do
so. This underscores the lack of an intermediate reflective
step between impulse and action typical for many with ADD.

10.Question
What is the importance of the social environment for
someone with ADD according to the author?
Answer:A supportive social environment that nurtures the

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unique ways of thinking common to those with ADD can
significantly enhance their ability to harness their intuition
and creativity, as opposed to suppressing it through rigid
conformity.
Chapter 6 | Q&A
1.Question
What qualities do successful adults with ADD commonly
exhibit?
Answer:Successful adults with ADD often
demonstrate creativity, strong interpersonal skills,
resilience, and the ability to adapt to chaotic
environments. They often focus on their strengths
rather than weaknesses, delegate tasks they are not
good at, and connect their energies to creative
outlets.

2.Question
How did Bob Lobel utilize his ADD to excel in his career?
Answer:Bob Lobel embraced his ADD by using his
creativity and ability to ad-lib, making him popular and

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effective as a sports anchor. He focused on his strengths
instead of trying to conform to traditional expectations,
turning what could be viewed as a liability into an asset that
defined his unique approach to broadcasting.

3.Question
What lesson can be learned from David Neeleman's
experience with education and his career?
Answer:David Neeleman's story illustrates that traditional
educational environments can be challenging for those with
ADD. However, real-world experiences, passion for one's
work, and the ability to think outside the box can lead to
extraordinary success, as demonstrated by his journey from
struggling in school to leading a major airline.

4.Question
What is the significance of recognizing one’s ADD
diagnosis according to Bob Lobel?
Answer:For Bob Lobel, understanding his ADD diagnosis
was empowering. It allowed him to change his perspective
from feeling like an outcast to realizing he was unique,

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leveraging it as a strength rather than a weakness. This
realization helped him better channel his energy and
creativity into productive endeavors.

5.Question
How did both Bob and David reflect the theme of
humility in their success?
Answer:Both Bob Lobel and David Neeleman exhibit
humility despite their successes. Bob is unassuming about his
status in Boston media, while David, despite his
achievements, doesn’t celebrate personal milestones in
conventional ways, showing a commitment to responsibility
and a focus on the collective rather than individual accolades.

6.Question
What practical advice do successful ADD adults give for
managing challenges?
Answer:Successful adults with ADD advise focusing on
personal strengths, delegating tasks that are difficult, seeking
advice from trusted individuals, maintaining friendships for
support, and choosing to operate from a positive mindset

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despite the challenges.

7.Question
What can teens with ADD learn from the success stories
of Bob Lobel and David Neeleman?
Answer:Teens with ADD can learn that their condition does
not define their abilities. They should embrace their unique
strengths, pursue their passions, and understand that with the
right mindset and support, they can achieve significant
success in diverse fields.

8.Question
Why is it important for adults with ADD to maintain
social connections?
Answer:Maintaining social connections provides emotional
support and encouragement, helping adults with ADD
combat feelings of isolation and self-doubt. Close friendships
are essential for sharing experiences and gaining constructive
feedback.

9.Question
How can the creative outlet influence the effectiveness of
adults with ADD?

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Answer:Creative outlets channel the spontaneous energy and
chaos that often accompany ADD, allowing individuals to
express themselves and achieve clarity. Engaging in
creativity enhances focus and satisfaction, leading to greater
effectiveness in their personal and professional lives.

10.Question
What overarching message does Chapter 6 impart about
ADD and success?
Answer:Chapter 6 emphasizes that ADD is not merely a
disorder but can be a source of unique strengths and
capabilities. By understanding and embracing their
differences, individuals with ADD can find success and
happiness in ways that align with their authentic selves.

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Chapter 7 | Q&A
1.Question
What is the purpose of the Adult Self-Report Scale
(ASRS)?
Answer:The ASRS serves as a brief screening tool
developed to help identify adults who may have
ADD, providing them a means to assess whether
further diagnostic evaluation is worthwhile.

2.Question
What does a positive score on the ASRS indicate?
Answer:A score of 4 or higher indicates the need to consult
with a health-care provider for a potential further evaluation
of ADD.

3.Question
Why shouldn’t one solely rely on a negative ASRS result?
Answer:A negative result does not definitively rule out ADD,
as the sensitivity of the ASRS is only 70%, meaning it may
miss some cases.

4.Question
How are the ASRS questions structured and scored?

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Answer:The ASRS consists of six questions answered with
'N', 'R', 'S', 'O', or 'V'. Points are allocated based on
responses, specifically for problems with wrapping up
projects, organization, and memory.

5.Question
What does a high number of 'yes' answers on the
additional quiz suggest?
Answer:It indicates a higher likelihood of having ADD, as
the quiz is intended to capture various aspects and
experiences related to ADD.

6.Question
How does the author suggest using the additional quiz?
Answer:The additional quiz can be used to help adults who
doubt the reality of ADD recognize their traits, particularly if
they find many questions resonate with them.

7.Question
What personal reflection does the quiz encourage for
individuals suspecting ADD?
Answer:It pushes individuals to reflect on their experiences,
struggles, and patterns of behavior that might align with

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characteristics of ADD.

8.Question
What sort of behaviors or feelings might the quiz
illuminate for someone with ADD?
Answer:Behaviors such as constant distraction, feelings of
underachievement despite successes, and the tendency to feel
overwhelmed or disorganized might be highlighted.

9.Question
What are the compensations mentioned for those with
ADD?
Answer:Many individuals with ADD exhibit strengths like
creativity, generosity, and a unique perspective, which can be
overshadowed by their challenges.

10.Question
How might understanding the traits of ADD benefit an
adult diagnosed with it?
Answer:Recognizing these traits can foster self-acceptance,
steering individuals towards strategies that harness their
strengths while mitigating challenges.
Chapter 8 | Q&A

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1.Question
What are the main factors that can impact one’s ability to
pay attention?
Answer:Many factors can detract from attention,
including preoccupation with problems, physical
hunger, illness, noise, emotional distress (like
breakups), mental health issues (like depression and
anxiety), physical pain, and sleepiness.

2.Question
Why do people with ADD experience attention differently
from those without it?
Answer:People with ADD have a tendency for their attention
to wander even more drastically than those without ADD.
They become engrossed in one thought or project, losing
track of their surroundings, which is often mistaken for a lack
of attention when in fact it is a wandering of attention.

3.Question
What is the key misconception about attention in relation
to ADD?
Answer:The term 'attention deficit disorder' is misleading

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because it suggests that individuals with ADD have a deficit
of attention when, in reality, their attention is often fully
engaged elsewhere—it's in a different place, not absent.

4.Question
Can mental excursions be beneficial for people with
ADD?
Answer:Yes, these mental excursions can lead to creativity
and innovative ideas, as they often happen unpredictably and
can result in significant creative insights, such as poetic
inspirations, though they may interfere with daily tasks.

5.Question
What is the goal of treating ADD according to the text?
Answer:The goal of treating ADD is to manage and bring
these mental excursions under more voluntary control while
preserving the creativity that often accompanies them, rather
than eliminating them altogether.

6.Question
How do people without ADD struggle with attention?
Answer:Even individuals without ADD find it difficult to
maintain focus on boring tasks in the long run; their minds

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wander when they become uninterested, similar to those with
ADD but with possibly less intensity.

7.Question
What does the anecdote of Hank the bus driver illustrate
about ADD?
Answer:Hank's story emphasizes how someone with ADD
can become so engrossed in a creative thought (his poem)
that they lose awareness of their immediate responsibilities
(stopping to let children off the bus), highlighting the nature
of attention in ADD.

8.Question
What comparison does the author make to illustrate the
difficulty of focusing attention?
Answer:The author compares the difficulty of forcing oneself
to pay attention to boring tasks to the impossibility of
holding one’s breath indefinitely, implying that attention can
only be sustained for limited periods.

9.Question
What is the significance of effort in relation to attention?
Answer:While effort can aid attention, the author asserts that

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mere willpower is often insufficient for sustaining attention,
especially under challenging conditions, just like it doesn't
help a nearsighted person see without corrective lenses.
Chapter 9 | Q&A
1.Question
How has society historically viewed individuals with
mental health issues, particularly those with conditions
like ADD?
Answer:Historically, individuals with mental health
issues were viewed through a moral lens, often
labeled as stupid, bad, or weak. Severe cases were
subjected to harsh treatments, with the mentally ill
being blamed for their condition, leading to stigma
and misunderstanding.

2.Question
What groundbreaking discovery did Dr. Charles Bradley
make in 1937 regarding the treatment of behavior
problems?
Answer:Dr. Charles Bradley discovered that administering
stimulant medication to boys with behavior issues led to

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increased focus and control, contrasting with previous moral
interventions which had failed.

3.Question
How did the perspective on ADD evolve from the 20th
century to the present?
Answer:The perspective on ADD evolved from a moral
failing to a scientifically recognized biological condition,
with research uncovering significant biological and genetic
factors involved, thus diminishing the stigma surrounding it.

4.Question
What was the effect of using stimulant medication on
children with ADD, according to Dr. Bradley's
observations?
Answer:Stimulant medication acted as a 'brake' for the boys'
hyperactive and impulsive behaviors, enabling them to focus
and control their actions effectively, marking a significant
shift from punitive moral treatment.

5.Question
Can discipline and hard work completely compensate for
the challenges faced by individuals with ADD?

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Answer:No, while discipline and hard work are important,
they are not enough to address the underlying neurological
issues in ADD. Structure and reminders are more effective in
managing attention distractions.

6.Question
How did advancements in brain imaging and genetic
research impact our understanding of ADD?
Answer:Advancements in brain imaging revealed structural
differences in the brains of individuals with ADD, while
genetic research highlighted a strong hereditary component,
reinforcing that ADD is a biological condition rather than a
moral failing.

7.Question
What metaphor did a child with ADD use to describe his
thoughts, and how did treatment change that?
Answer:The child compared his thoughts to butterflies that
flew away. After treatment, he felt empowered to 'put a net
around the butterflies,' symbolizing the newfound ability to
control his attention and thoughts.

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8.Question
What role does societal stigma continue to play in the
perception of ADD, despite advancements in
understanding?
Answer:Despite advancements in understanding ADD as a
biological condition, stigma persists, with some people still
viewing it as a moral failing rather than recognizing it as a
legitimate and treatable disorder.

9.Question
What are some observable differences in brain structure
associated with ADD?
Answer:Research has shown slightly decreased brain volume
in areas like the frontal lobes and the corpus callosum of
individuals with ADD, which are associated with attention
and behavioral regulation.

10.Question
What does the comparison of ADD to other psychological
conditions suggest about its classification?
Answer:As our understanding of ADD grows, it suggests that
ADD may be part of a spectrum of related conditions rather

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than a single disorder, indicating that it encompasses
multiple underlying issues.

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Chapter 10 | Q&A
1.Question
What is the underlying issue that many individuals with
this form of ADD face, according to the text?
Answer:Individuals with this form of ADD often
experience an 'itch' deep inside, leading them to feel
bored or dissatisfied, compelling them to seek
stimulation in ways that can sometimes be
dangerous or self-destructive.

2.Question
How does creativity play a role in managing the feelings
associated with this type of ADD?
Answer:Creativity can serve as a channel for transforming
the discomfort associated with the 'itch' into productive
outcomes. Engaging in creative activities provides an
adaptive way to cope with the feelings of boredom or
despair, effectively allowing individuals to 'scratch' their itch
positively.

3.Question
What are the implications of having 'Reward Deficiency

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Syndrome' (RDS) as mentioned in the chapter?
Answer:People with RDS struggle to experience pleasure
from ordinary activities and may resort to excessive
behaviors, both positive and negative, to feel satisfied. This
means they often hunt for intense stimulation, which can lead
to addictions and compulsive behaviors.

4.Question
What strategies are suggested for people with ADD to
navigate their 'itch' effectively?
Answer:The text suggests using creative outlets, establishing
supportive connections, setting up structures and habits,
engaging in regular exercise, and cultivating mindfulness
practices like meditation to effectively manage the itch and
avoid maladaptive behaviors.

5.Question
In what way is the perception of individuals with
addiction or compulsive behaviors often
mischaracterized, according to the author's perspective?
Answer:The author argues that instead of viewing these

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individuals through a moral lens, society should understand
their behaviors as potentially stemming from biological
differences in brain chemistry that affect their ability to feel
pleasure.

6.Question
What steps can individuals take to prevent negative
behavior cycles when they first experience the 'itch'?
Answer:Recognizing the moment of discomfort can prompt
individuals to either engage constructively (e.g., through
creative activities or conversations) or distract themselves.
Having a plan in place for such moments can lead to
healthier choices rather than succumbing to impulsive
actions.

7.Question
How can establishing the right relationships and
environments benefit those with ADD?
Answer:Being in the right relationships and environments
allows individuals with ADD to thrive creatively, providing
them the structure and support they need to avoid

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self-destructive tendencies and instead focus on fulfilling
activities that can alleviate their inner struggles.

8.Question
Can you give an example of a healthy way to 'scratch the
itch' in daily life?
Answer:One healthy way might be when feeling restless in a
meeting, instead of zoning out or acting out impulsively,
individuals could lean into the discomfort by initiating a
thought-provoking discussion or brainstorming creatively
with colleagues.
Chapter 11 | Q&A
1.Question
What are the initial signs of ADD in Sophie that her
parents overlooked?
Answer:Sophie initially showed no signs of
hyperactivity or behavioral issues; she was a strong
student with good grades. However, as she
transitioned to high school, her grades dropped, she
commented she wasn't good at math and science,

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and she began to exhibit signs of social withdrawal
and issues with authority, which her parents
misattributed to peer influence.

2.Question
How did the Benevian family react when they first
learned about Sophie potentially having ADD?
Answer:Initially, they were in disbelief, as they thought
ADD only affected boys and could not see the signs in
Sophie, who had been an excellent student. It was only after
much conflict and struggling that they considered this
possibility when a therapist pointed it out to them.

3.Question
What pivotal moment led Sophie to self-diagnose with
ADD?
Answer:After experiencing significant academic and
emotional struggles, Sophie expressed to her mother that she
thought she had ADD, realizing she had trouble focusing in
class and often found herself staring at the clock, unable to
sit still.

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4.Question
What did Sophie’s teachers report that indicated she
might have ADD?
Answer:Teachers noted Sophie was smart but not performing
to her potential; they highlighted her inconsistent homework
completion and variability in test scores as signs of
underperformance.

5.Question
How did the diagnosis of Sophie’s ADD impact her
family's perspective on their own behaviors?
Answer:Once diagnosed, Nan began reflecting on her own
parenting and Paul recognized his own behaviors that might
indicate ADD. They realized that understanding ADD could
help them navigate their familial challenges more effectively.

6.Question
What role did medication play in Sophie’s improvement?
Answer:After starting medication, Sophie experienced
immediate positive effects, reporting higher engagement and
completion of assignments at school, indicating that the
medication helped her pay attention and perform

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academically.

7.Question
How did Lucas’ educational experience differ once he was
diagnosed with ADD?
Answer:Once diagnosed and treated for ADD, Lucas thrived
in school; he could stay on task and interact positively with
peers, contrasting his previous struggles with social and
classroom dynamics.

8.Question
What lesson does the Benevian family's journey teach
about seeking help for ADD?
Answer:It emphasizes the importance of persistence in
seeking a correct diagnosis and appropriate treatment,
highlighting that understanding the condition can lead to
significant improvements in the lives of those affected.

9.Question
What family dynamics improved after understanding and
addressing their ADD?
Answer:The family experienced a reduction in conflict,
increased understanding of each other's struggles, and a

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better home environment as they learned to support Sophie
and Lucas through their challenges.

10.Question
What final thoughts does Nan have about parenting after
their experiences?
Answer:Nan reflects on the guilt she feels for not recognizing
the signs of ADD sooner but is committed to moving forward
as a better, more informed parent, seeing the value in
understanding and addressing her children's needs.
Chapter 12 | Q&A
1.Question
What does Joey's story teach us about the challenges
parents face when navigating treatment options for
children with complex needs?
Answer:Joey's story illustrates the overwhelming
difficulty parents encounter while seeking
appropriate services for children with multiple
issues. Despite having a strong educational
background in psychology, Joey's parents spent
countless hours researching, evaluating, and

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implementing treatments, highlighting that even
knowledgeable parents struggle in a fragmented
system. This reflects the broader reality that many
parents, especially those without such training, face
a confusing maze in managing their children's
needs.

2.Question
How does Joey's journey reflect the importance of
parental advocacy in securing proper treatment for
children with ADD and related disorders?
Answer:Joey's journey emphasizes that parental advocacy is
crucial for obtaining the necessary treatments and services.
His mother, Hannah, tirelessly researched various
interventions, navigated multiple specialists, and eventually
found tailored therapies that significantly improved Joey's
abilities. This showcases that dedicated advocacy can bridge
gaps in services, especially when traditional avenues fall
short.

3.Question
What role do specialized schools, like the Corwin Russell

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School, play in helping children with unique learning
needs?
Answer:Specialized schools like the Corwin Russell School
provide an environment tailored to children with varying
learning styles and needs. For Joey, this school not only
acknowledged his unique abilities but also nurtured them in a
supportive setting that understood his challenges. This type
of educational environment is vital for fostering the growth
of children whose needs are not met in mainstream public
schools.

4.Question
How does the treatment process for children like Joey
highlight the concept of individualization in education
and therapy?
Answer:Joey's treatment plan was uniquely tailored to fit his
specific needs. From occupational therapy to speech therapy,
and later specialized reading instruction, each step was
chosen based on ongoing assessments of Joey's development.
This showcases that effective therapy and education require

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personalized approaches that consider each child's
individuality—emphasizing that 'one size fits all' solutions
often fall short.

5.Question
What does the story suggest about the importance of
understanding and addressing not just the symptoms but
the underlying strengths of children with ADD?
Answer:Joey's progression throughout his various treatments
shows that focusing on alleviating negative symptoms is only
part of the solution. The emphasis on identifying and
nurturing his strengths was crucial for his overall
development. By enhancing his natural creativity and
abilities, treatments not only aimed to reduce discomforts
like anxiety and noise sensitivity but also aimed to celebrate
and cultivate his inherent talents.

6.Question
In what ways does the story of Joey reflect societal needs
for improved support systems for children with learning
differences?
Answer:Joey's experiences underscore a systemic need for

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more accessible support systems that provide adequate
resources and funding. His family's journey reveals the
struggles many face in affording necessary treatments and the
importance of community and school support. For society to
truly embrace 'no child left behind', there must be a
commitment to ensure all families can access the quality help
their children require, regardless of socioeconomic status.

7.Question
How do Joey's experiences shed light on the evolving
understanding of ADD and related conditions in modern
psychology?
Answer:Joey's case illustrates the advancements in
understanding ADD and associated disorders, reflecting a
shift from viewing these conditions as merely deficits to
recognizing the potential for strengths and talents within
them. The story highlights ongoing research, evolving
treatment methods, and a better grasp of the complexities of
children's emotional and cognitive needs, indicating a move
toward more holistic and informed approaches in mental

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health care.

8.Question
What message does Hannah convey regarding the
importance of perseverance in the face of adversity when
seeking help for a child?
Answer:Hannah's steadfast dedication to finding the right
resources for Joey conveys a powerful message about
perseverance. Her continual search, even in the face of
setbacks or overwhelming challenges, exemplifies the
resilience required from parents navigating systems to
advocate for their children. It highlights that unwavering
commitment can lead to positive outcomes, despite the
arduous journey involved.

9.Question
How can Joey's story inspire parents of children with
special needs to advocate for their children?
Answer:Joey's story can inspire parents by demonstrating
that active involvement and persistent advocacy can lead to
significant changes in their child's life. It highlights the
importance of seeking out the right treatments, being open to

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new methods, and not settling for inadequate solutions
because of the challenges presented. By showcasing
Hannah's journey, it empowers parents to take charge of their
child's care and trust in their ability to make a difference.

10.Question
What broader societal changes are implied to achieve true
equity in educational and medical support for children
like Joey?
Answer:For true equity in education and medical support,
society must advocate for comprehensive funding and
resources directed toward children's mental health and
learning needs. This means fostering an environment where
innovative therapies, specialized schooling, and parental
support are widely accessible, ensuring that every child,
regardless of their background, can thrive. It implies a
collective responsibility from policy-makers, educators, and
communities to recognize and act on the diverse needs of
children.

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Chapter 13 | Q&A
1.Question
What can we learn from Nancy O’Brien’s story about
overcoming challenges with ADD in a family setting?
Answer:Nancy O’Brien’s journey exemplifies
resilience and determination. Despite having ADD
herself and raising seven children who also had
ADD, she navigated various difficulties with grace.
Her story teaches us that understanding the
condition is crucial, and that with significant effort,
proper support, and a commitment to finding
solutions, it’s possible to thrive. It emphasizes the
importance of education, seeking help, and
advocating for oneself and loved ones in settings like
schools.

2.Question
How does Nancy’s experience highlight the
misconceptions surrounding ADD during her early life?
Answer:Nancy faced an educational environment that

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dismissed her struggles as laziness or lack of effort. This
illustrates the broader societal misconceptions of the time,
where ADD was poorly understood, leading to punitive
measures rather than supportive interventions. Her
experience reflects how individuals with ADD were often
misjudged and how societal awareness has improved since
then.

3.Question
What role did Nancy’s ability to memorize play in her
educational success despite her challenges?
Answer:Nancy’s exceptional memorization skills provided
her a crucial advantage in school, allowing her to pass classes
despite not fully understanding the materials. This highlights
how individuals with ADD may excel in certain areas even
when struggling academically, underscoring the need for
educational systems to recognize and build upon students'
strengths rather than focusing solely on their weaknesses.

4.Question
What strategies did Nancy adopt to cope with the
challenges of being a parent with ADD?

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Answer:Nancy utilized several strategies, such as seeking
knowledge about ADD, advocating for her children’s
educational needs, and using support systems effectively. She
formulated plans, set a dedicated study schedule, and found
help from professionals and family members, showcasing the
importance of perseverance and teamwork in managing
family dynamics impacted by ADD.

5.Question
How does the importance of a strong support system
come across in Nancy's journey?
Answer:Nancy’s journey illustrates that a strong support
system—comprising family, friends, educators, and mental
health professionals—was vital to her success. She actively
built a network to advocate for her children’s needs and to
better navigate the educational system, emphasizing that
collective effort can lead to better outcomes for individuals
with ADD.

6.Question
In what ways should society continue to evolve in its
understanding of ADD according to Nancy’s story?

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Answer:Society should continue to improve its
understanding of ADD by educating both professionals and
the public about its complexities. There is a need for
sensitivity toward the experiences of those with ADD,
validating their challenges, and emphasizing the importance
of tailored support systems and treatment options that
acknowledge individual differences.

7.Question
What message does Nancy’s experience send about the
potential for growth and success in individuals with
ADD?
Answer:Nancy’s experience sends a powerful message that
individuals with ADD can achieve remarkable success
despite their challenges. Her journey reveals that, with the
right tools, determination, and support, people with ADD can
lead fulfilling lives, pursue careers, and overcome obstacles
that seem insurmountable.

8.Question
How did Nancy’s perspective on medication change
throughout her journey?

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Answer:Initially apprehensive about medication, fearing
addiction, Nancy's perspective evolved as she recognized its
potential benefits. After witnessing positive changes in her
own life and her children's with the right treatment, she
embraced medication as a valid and necessary tool to manage
ADD, reflecting a shift towards a more balanced view of
treatment.

9.Question
What lesson does Nancy’s story provide regarding
self-advocacy for individuals with ADD?
Answer:Nancy’s story emphasizes the significance of
self-advocacy for individuals with ADD, encouraging them
to speak up about their needs, seek out information, and
engage with educators and healthcare providers. Her
experiences show that assertiveness and persistence can lead
to better understanding and accommodations in various
aspects of life.

10.Question
In what ways does Nancy’s story empower others facing
similar challenges?

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Answer:Nancy’s story empowers others by demonstrating
resilience and the possibility of creating a fulfilling life
despite the challenges of ADD. Her journey encourages
individuals to seek help, embrace their strengths, and
recognize that ADD does not define their potential for
success.
Chapter 14 | Q&A
1.Question
What is the importance of consulting with a professional
for an ADD diagnosis?
Answer:Consulting with a qualified professional
ensures a thorough understanding of an individual's
unique strengths and weaknesses, rather than
self-diagnosing based on symptoms that are common
in many people. Professionals are trained to identify
potential issues and offer appropriate guidance.

2.Question
How can one find a good professional to evaluate for
ADD?

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Answer:To find a reliable evaluator, ask others for
recommendations, trust your instincts about the doctor's
demeanor, and ensure they have experience diagnosing
ADD. If unable to find one locally, contact medical schools
for referrals.

3.Question
Describe the significance of taking a comprehensive
history during the ADD evaluation process.
Answer:Taking a comprehensive history is critical as it
captures the individual's unique experiences, showcasing
strengths and weaknesses. This narrative is often more
indicative of ADD than standardized tests, which may not
reflect a person's true capabilities or struggles.

4.Question
Why are comments from teachers essential in evaluating
children for ADD?
Answer:Teacher comments provide insight into a child's
behavior and capabilities in an educational setting, helping to
identify patterns of behavior that may not be observable at

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home or elsewhere.

5.Question
What environmental factors should be considered when
evaluating for ADD?
Answer:Environmental toxins, dietary habits, and exposure
to allergens should be evaluated as they may contribute to
ADD symptoms. This includes considering what is present in
one’s living and working spaces that may affect overall
health.

6.Question
How does the diagnosis of ADD differ between children
and adults?
Answer:While children’s ADD is often observed in school
and home, adult ADD can be more challenging to identify
and is frequently overlooked, as its symptoms may manifest
differently in adult life, such as through difficulties in a work
setting or in maintaining relationships.

7.Question
What might indicate the need for additional medical tests
during an ADD evaluation?

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Answer:If specific symptoms or a detailed patient history
suggest potential underlying medical issues, such as thyroid
dysfunction or sleep disorders, further medical tests may be
required to rule out or confirm these contributing factors.

8.Question
What role does neuropsychological testing play in the
evaluation of ADD?
Answer:Neuropsychological testing helps assess various
cognitive functions and may clarify the presence of
additional learning disabilities, although it is not always
necessary for a diagnosis of ADD.

9.Question
What is the author's stance on commonly held
misconceptions about ADD diagnosis?
Answer:The author emphasizes that many people mistakenly
believe there is a definitive test for ADD, while pointing out
that a thorough history often provides the clearest insight,
making it the most crucial part of the diagnostic process.
Chapter 15 | Q&A

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1.Question
What is the significance of the qEEG in diagnosing ADD?
Answer:The qEEG (quantitative
electroencephalogram) is significant in diagnosing
ADD because it has shown to be accurate up to 90%
of the time in identifying ADD by measuring the
brain's wave patterns. It specifically highlights areas
of cortical hypoarousal associated with ADD,
helping link diagnosis with potential treatment
options, particularly stimulant medications.

2.Question
How can the qEEG improve the reliability of ADD
diagnoses by primary-care physicians?
Answer:The qEEG can improve the reliability of ADD
diagnoses by providing a quick and objective measure that
assists busy primary-care physicians who might lack the time
for comprehensive evaluations. This could reduce
misdiagnosis rates and enhance diagnostic accuracy in their
typically fast-paced practice.

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3.Question
What role does the SPECT scan play in the field of
psychiatry according to Hallowell?
Answer:The SPECT scan, while primarily used in
cardiology, has potential applications in psychiatry,
particularly in offering visual insights into brain function.
Hallowell emphasizes its educational value in helping
patients understand their brain condition, even as its
widespread acceptance and application in psychiatry remain
under debate and require further validation.

4.Question
How does the author suggest we approach new diagnostic
tools?
Answer:The author suggests a cautious, evidence-based
approach to new diagnostic tools, advocating for a thorough
cost/benefit analysis to determine their value. It’s important
to rely primarily on comprehensive patient history while
using additional diagnostic tools like the qEEG or SPECT as
supplementary aids.

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5.Question
What is the central takeaway regarding the process of
diagnosing ADD?
Answer:The central takeaway is that the most accurate
diagnosis of ADD typically lies in a careful history taken
from the patient and someone who knows them well. This
foundational step is paramount before considering additional
diagnostic tests.

6.Question
What does Hallowell recommend regarding the reliability
of new tests?
Answer:Hallowell recommends that while new tests like the
qEEG have shown promise and research supporting their use,
it is crucial to continue seeking more studies and validations
to firmly establish their efficacy in clinical practice.

7.Question
How does Hallowell relate his personal experience with
SPECT to its clinical value?
Answer:Hallowell shares that after having his own brain
scanned with SPECT, he gained critical insights into his

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potential health risks, reinforcing the tool's clinical value in
personalizing treatment and preventative strategies while
simultaneously acknowledging the need for more empirical
research.

8.Question
What philosophical principle does Hallowell invoke in
discussing the potential risks of SPECT and other new
techniques?
Answer:Hallowell invokes Hippocrates's principle of 'First
do no harm' to highlight the need for careful evaluation of
any new diagnostic or treatment approach, weighing
potential risks against benefits before proceeding.

9.Question
In what ways can the community contribute to the
reliability of new diagnostic tests?
Answer:The community can contribute to the reliability of
new diagnostic tests by supporting research initiatives,
participating in studies that validate or refute these
innovations, and fostering an environment where empirical
evidence is prioritized in clinical practice.

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10.Question
Why might some experts hesitate to support SPECT in
psychiatry?
Answer:Some experts might hesitate to support SPECT in
psychiatry due to a lack of consensus on its validity, the
variability of its use, and the need for more comprehensive
studies to firmly establish its role in mental health diagnosis.

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Chapter 16 | Q&A
1.Question
How should a child be informed about their ADD
diagnosis to ensure a positive outcome?
Answer:The child should be informed in a way that
emphasizes their strengths and reassures them. For
instance, explain ADD positively—like describing it
as having a 'race-car brain'—which provides them a
sense of pride and helps them understand it is part
of who they are, not a defining label.

2.Question
What common misconceptions do children have about
ADD, and how should parents address them?
Answer:Children often believe that having ADD means they
are weird or stupid. To address this, assure them with simple
comparisons: having ADD is not unlike having blonde
hair—it does not define them. Emphasize that ADD reflects
their quick mind and potential for unique skills.

3.Question
Why is it important to avoid keeping the ADD diagnosis a

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secret from the child?
Answer:Keeping the diagnosis a secret can instill feelings of
shame and confusion. Transparency helps normalize their
experience and reinforces that ADD is simply part of their
identity, much like being left-handed.

4.Question
What advice is given for children who face teasing
because of their ADD?
Answer:Encourage the child to talk to their parents about the
teasing. Suggest a family meeting to discuss ADD and clarify
misunderstandings, as the sibling may be vying for attention
rather than intending to hurt.

5.Question
How can children view their ADD as an advantage rather
than a hindrance?
Answer:Children should be guided to understand that ADD
can lead to unique abilities and creativity. Engaging them in
discussions about how to manage it can transform their
perception, allowing them to see it as an 'ADD-vantage'

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rather than a disorder.

6.Question
What is a healthy approach for children to share their
ADD diagnosis with friends?
Answer:Children should only share their ADD diagnosis
when they feel comfortable, as it is personal information.
Discussing it with trusted friends could foster understanding,
but it is important to respect their privacy.

7.Question
How can a child prepare for the future while living with
ADD?
Answer:Reassure the child that they can pursue any career
they desire, as long as they learn effective ways to manage
their ADD. Highlight successful individuals with ADD as
examples to inspire them.

8.Question
What role do parents play in helping children with ADD?
Answer:Parents should educate themselves about ADD to
appropriately support their child, provide guidance in
managing symptoms, and reinforce their child’s strengths to

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foster a positive self-image.
Chapter 17 | Q&A
1.Question
What is the author's perspective on the term
'comorbidity' in relation to ADD?
Answer:The author rejects the term 'comorbidity'
because he believes that ADD itself is not a morbid
condition. He emphasizes the importance of focusing
on health and the positive qualities of ADD rather
than viewing it through a pathological lens.

2.Question
What are some common coexisting conditions with ADD,
according to the author?
Answer:Common coexisting conditions include mood
disorders (like depression and bipolar disorder), substance
abuse, antisocial personality disorder, learning problems
(such as dyslexia), and anxiety disorders (including PTSD).

3.Question
How can treating ADD impact coexisting conditions?
Answer:Treating ADD can often lead to improvement in

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coexisting conditions, as untreated ADD may contribute to
the development of issues like depression or addiction.
However, in some cases, treating ADD may intensify
symptoms of comorbid conditions, such as depression.

4.Question
What message does the author convey about the
treatability of coexisting conditions with ADD?
Answer:The author assures readers that all coexisting
conditions are treatable. With proper treatment of ADD,
associated conditions often improve. Although progress takes
time and may not be immediate, improvement is expected
within months.

5.Question
What is the importance of identifying coexisting
conditions if you have ADD?
Answer:Recognizing coexisting conditions is crucial, as
approximately 75 percent of individuals with ADD will have
one or more additional issues. By identifying these
conditions, individuals can seek appropriate treatment to

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enhance their overall well-being.

6.Question
Why does the author believe that people with ADD face a
high risk of trauma-related anxiety disorders?
Answer:People with ADD often endure episodes of
humiliation, rejection, and failure due to undiagnosed and
untreated ADD. This ongoing struggle can create situations
that lead to trauma, which predisposes them to anxiety
disorders like PTSD.

7.Question
What does the author suggest for someone experiencing
worsening symptoms after starting treatment for ADD?
Answer:If someone experiences worsening symptoms,
particularly of depression, after starting ADD treatment, it is
essential to also address and treat those symptoms
simultaneously with a healthcare provider.

8.Question
What encouragement does the author provide regarding
treatment outcomes for ADD and its coexisting
conditions?

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Answer:The author encourages patience and optimism,
stating that with proper treatment, individuals should see
improvements not only in ADD symptoms but also in any
coexisting conditions, thus leading to a better quality of life.
Chapter 18 | Q&A
1.Question
What major breakthrough in understanding childhood
mental health is discussed in this chapter?
Answer:In the mid-1990s, Dr. Janet Wozniak
published a paper recognizing that bipolar disorder
can occur in children and adolescents, challenging
the long-held belief that it only affected adults. This
recognition paved the way for correct diagnoses and
appropriate treatments for affected children.

2.Question
How does the chapter explain the difference between
bipolar disorder and ADD in children?
Answer:Bipolar disorder in children is characterized by
distinct episodes of mood swings, often appearing as periods

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of mania or irritability that can shift rapidly. In contrast,
ADD primarily involves chronic issues with attention and
executive functioning without the clear mood cycling seen in
bipolar disorder.

3.Question
What are some symptoms of childhood bipolar disorder
as discussed in the text?
Answer:Symptoms of childhood bipolar disorder include
intense irritability or elevated moods, uncontrollable
outbursts, rapid cycling of moods throughout the day, and
possibly aggressive behaviors, differing significantly from
the frustration-based irritability found in children with ADD.

4.Question
What caution does the chapter advise regarding the
diagnosis of bipolar disorder in children?
Answer:The chapter emphasizes the need for careful
evaluation to avoid misdiagnosis. Many children with social
or behavioral problems may be wrongly labeled as bipolar,
underscoring the importance of thoroughly understanding

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each child's unique situation.

5.Question
What potential risks do stimulant medications pose for
children diagnosed with bipolar disorder?
Answer:Stimulant medications can exacerbate symptoms in
children with bipolar disorder, potentially triggering manic
episodes or worsening depression, leading to serious
consequences such as suicide.

6.Question
How has the understanding and treatment of bipolar
disorder in childhood evolved according to this chapter?
Answer:Since Dr. Wozniak's findings, there has been
increased recognition of bipolar disorder in children, leading
to more accurate diagnoses and tailored treatments. Medical
professionals are now more aware of differentiating bipolar
from other disorders like ADD.

7.Question
What should practitioners and parents consider when
treating a child suspected of having bipolar disorder?
Answer:They should consider the child's family history,

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social environment, the presence of coexisting conditions,
and the potential impact of medications on the child's overall
mental health, collaborating closely with trusted medical
professionals.

8.Question
What role does 'disconnectedness' play in a child's
behavioral issues as mentioned in the chapter?
Answer:Disconnectedness can lead to feelings of insecurity
and can exacerbate behavioral issues, making children more
difficult to manage. This highlights the importance of
supportive relationships in a child's emotional and
psychological wellbeing.

9.Question
What are some treatment options for children diagnosed
with bipolar disorder?
Answer:Effective treatments include atypical antipsychotic
medications and mood stabilizers, while stimulant
medications should generally be avoided. Attention should
also be given to concurrently treating any other underlying

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conditions like depression or anxiety.

10.Question
How does the chapter encourage a response to the
complexities of childhood bipolar disorder and ADD?
Answer:It advocates for a thorough and compassionate
approach to diagnosis and treatment, emphasizing the
necessity for time and effort from clinicians to understand
each child's unique struggles rather than applying quick,
blanket diagnoses.

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Chapter 19 | Q&A
1.Question
What does the story of the boy struggling to read teach us
about the importance of supportive guidance in
education?
Answer:The story illustrates that supportive
guidance, like that provided by Mrs. Eldredge, can
transform a child's learning experience. It highlights
how a nurturing approach can alleviate fear and
shame, fostering resilience and encouraging
personal growth, even in the face of challenges like
dyslexia.

2.Question
How can dyslexia be viewed positively, according to the
author?
Answer:Dyslexia can be viewed positively as it represents
untapped potential and unique talents that might not be
immediately evident. The author suggests that individuals
with dyslexia often possess abilities that are invaluable and
rare, making them capable of achieving extraordinary things.

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3.Question
What role does optimism play in treating dyslexia and
ADD?
Answer:Optimism is crucial in the treatment of dyslexia and
ADD. An optimistic guide or therapist can significantly
enhance the effectiveness of treatment by creating a
supportive environment that celebrates strengths and
potential, rather than focusing solely on limitations.

4.Question
What is the significance of specialized tutoring for
individuals with dyslexia?
Answer:Specialized tutoring is vital for developing phonemic
awareness and reading fluency, which are critical skills for
overcoming dyslexia. It provides personalized support
tailored to the individual's needs, enabling them to progress
at their own pace and build confidence.

5.Question
How does the author suggest that individuals with
dyslexia should be encouraged to express their creativity
and talents?

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Answer:The author suggests that individuals with dyslexia
should be provided with accommodations such as books on
tape, keyboarding, and opportunities to explore their
strengths. By nurturing their creativity and unique ideas, we
help them develop a strong sense of self-worth and
capability.

6.Question
Why does the author emphasize the need for a 'good
guide' for individuals with dyslexia?
Answer:A 'good guide' is emphasized as someone
experienced who can navigate the challenges faced by
individuals with dyslexia. This guide provides reassurance,
support, and direction, helping them to recognize their
potential and cope with the difficulties of dyslexia.

7.Question
What does the author mean by 'breaking the code' in
relation to dyslexia?
Answer:'Breaking the code' refers to developing phonemic
awareness, which is the ability to identify and manipulate the

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sounds in words. This skill is fundamental for learning to
read and spell, and it represents a critical aspect of
overcoming dyslexia.

8.Question
In what ways can treatment for dyslexia improve beyond
standard tutoring, according to some experts mentioned?
Answer:Some experts propose that treatment can improve by
incorporating cerebellar-stimulation exercises alongside
traditional tutoring. This approach aims to enhance overall
cognitive abilities such as focus, coordination, and working
memory, thereby addressing underlying issues beyond just
reading difficulties.

9.Question
How does the author's personal experience with dyslexia
inform his perspective on the potential of individuals with
learning challenges?
Answer:The author's personal journey highlights that despite
struggles with dyslexia, he achieved significant academic
success due to the support he received. His experience fuels
his belief in the inherent capabilities of individuals with

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dyslexia, encouraging a view of them as 'surprise packages'
full of potential.

10.Question
What is the overarching message of the chapter regarding
the treatment and perception of dyslexia?
Answer:The overarching message is that individuals with
dyslexia should be treated with compassion and supported
through effective interventions. By focusing on their
strengths and providing adequate guidance, they can thrive
and achieve greatness despite their challenges.
Chapter 20 | Q&A
1.Question
What does the heritability of ADD suggest about its
development?
Answer:The heritability of ADD, estimated at about
70-80%, indicates that there is a strong genetic
component to the disorder. However, it also
emphasizes that environment plays a crucial role in
whether those genetic predispositions manifest into

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actual symptoms. This means that while genetics
provide a likelihood of developing ADD, external
factors can either trigger or mitigate its expression.

2.Question
How do genetics and environment interact in the case of
ADD?
Answer:Genetics provide the susceptibility to ADD, but
environmental factors such as family dynamics, education,
and lifestyle choices (like excessive television watching) can
either exacerbate or alleviate the symptoms. This interaction
illustrates that ADD is not purely inherited but is a complex
condition influenced by both inherited traits and life
experiences.

3.Question
What implications do genetic markers for ADD have for
future diagnosis and treatment?
Answer:The identification of genetic markers associated with
ADD, such as the dopamine receptor genes, holds the
potential for more precise diagnostic methods and tailored

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treatments. As tests become available, they can help in
assessing an individual's risk level for developing ADD and
shape early intervention strategies that modify the
environment to enhance positive outcomes.

4.Question
Why is it said that if one child in a family has ADD,
siblings still have a chance of having it?
Answer:If one child has ADD, there's about a 30% chance
that each sibling may also have it due to the familial links in
genetic predisposition. This acknowledges the probabilistic
nature of inheritance, akin to a coin toss, where each child is
an independent outcome even though genetic factors increase
the odds within that family context.

5.Question
How can understanding genetic influences on ADD help
parents?
Answer:Understanding the genetic influences on ADD can
empower parents to proactively create supportive
environments that counteract potential risks. For instance, if

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genetic testing indicates a higher likelihood of a child
developing ADD, parents can implement strategies like
structured routines, healthy diets, and limited screen time to
nurture their child's development positively.

6.Question
What research developments may influence the future of
ADD diagnosis?
Answer:Recent advancements in understanding the dopamine
system have led to the potential for biologically based
diagnostic tests, such as measuring dopamine transporter
levels through brain scans. This could allow for more
objective and accurate diagnoses, moving beyond
observational assessments to physiological markers linked to
ADD.

7.Question
How does the heritability of ADD compare with other
behavioral traits?
Answer:The heritability of ADD, estimated at 75%, is on the
higher end compared to many other behavioral traits, which

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typically range from 50-60%. This suggests that ADD has a
notably stronger genetic foundation than many psychological
or personality-related conditions.

8.Question
What is one potential downside to genetic testing for
ADD?
Answer:One significant downside is that genetic testing
alone cannot predict a definitive outcome regarding whether
a person will develop ADD. The complexity of the
syndrome, the heterogeneity of its presentation, and the
influence of environmental factors mean that such tests only
provide probabilities, not certainties.

9.Question
What role do dopamine and its transporters play in
ADD?
Answer:Dopamine and its transporters are central to
understanding ADD as they influence the brain's reward and
attention mechanisms. Disturbances in dopamine levels can
manifest as the symptoms associated with ADD, and

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treatment often involves medications that help regulate these
systems.
Chapter 21 | Q&A
1.Question
How can our modern environment contribute to the rise
in ADD diagnoses?
Answer:The modern environment contributes to the
rise in ADD diagnoses primarily through electronic
overstimulation and chemical exposure. Children
today are exposed to numerous electronic devices
and media that promote passive consumption rather
than interactive engagement, leading to diminished
attention spans. This electronic culture can hinder
their ability to focus and develop social skills.
Additionally, the pervasive use of chemicals in our
food, air, and household products could interact
with genetic predispositions, exacerbating the risk of
developing ADD.

2.Question

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What role does technology play in the development of
ADD traits?
Answer:Technology plays a significant role in fostering
ADD traits by conditioning children to expect rapid
stimulation and instant gratification. As children engage with
multiple screens and quick media content, they may struggle
to concentrate for extended periods, thus reducing their
capacity to engage in deeper, more meaningful interactions.

3.Question
What practical steps can families take to mitigate the risk
of ADD in children?
Answer:Families can take several practical steps to mitigate
the risk of ADD, including reducing screen time,
encouraging outdoor play, and nurturing face-to-face
interactions. Prioritizing quality family time, engaging in
activities that require patience and focus such as reading or
playing board games, and fostering a healthy lifestyle with
nutritious food and regular exercise can significantly support
children’s mental health and developmental needs.

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4.Question
How does the rise of ADD relate to broader issues in
society?
Answer:The rise of ADD can be seen as a symptom of
broader societal issues, such as increased reliance on
technology and environmental pollution. Just as ADD is on
the rise, so too are other health concerns like asthma and
autism, indicating that our modern lifestyle may be
problematic. It highlights the urgent need for societal
reflection and a collective effort towards healthier living not
just for children with ADD, but for all individuals navigating
our increasingly complex environment.

5.Question
Why is it important to recognize the environmental
factors contributing to ADD?
Answer:Recognizing the environmental factors contributing
to ADD is crucial because it allows us to understand that it is
not solely a genetic issue, but rather a condition shaped by
our lifestyles and surroundings. By identifying these factors,

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we can implement changes at the individual, family, and
societal levels to create a healthier environment and
potentially reduce the incidence of ADD and related
disorders.

6.Question
What is meant by ADD, asthma, autism, and Asperger’s
syndrome being 'canaries in the mine shaft'?
Answer:The phrase 'canaries in the mine shaft' implies that
ADD, asthma, autism, and Asperger’s syndrome serve as
early warning signs of deeper, systemic issues within our
environment and way of life. Just as miners once used
canaries to detect toxic gases, these health conditions indicate
that there may be harmful factors at play in our society that
need to be addressed for the well-being of future generations.

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Chapter 22 | Q&A
1.Question
What is the dilemma faced by adults with ADD who
struggle with addiction?
Answer:Adults with ADD often find it challenging to
derive pleasure from ordinary activities, leading
them to seek out substances or behaviors that
provide a temporary escape from their mental and
emotional pain. This creates a cycle of addiction
where they may prioritize fleeting moments of
pleasure from harmful substances over stable,
healthy enjoyment.

2.Question
How does Samuel Johnson's quote relate to addiction and
the experience of individuals with ADD?
Answer:Johnson's quote illustrates a profound insight into
the human desire to alleviate the pain of existence. For
individuals with ADD, who might have fewer means to
relieve that pain through healthy channels, this longing can

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manifest in addictive behaviors, as they attempt to find
solace in substances that ultimately harm them.

3.Question
What role do human connections play in combating
addiction for those with ADD?
Answer:Human connections, including friendships and group
memberships, serve as alternatives to the fleeting pleasures
found in addictive behaviors. The support and understanding
gained from relationships can provide lasting fulfillment and
serve as an antidote to feelings of isolation and unworthiness,
which often accompany ADD.

4.Question
Why should individuals not dismiss 12-step programs
lightly?
Answer:12-step programs have proven effective for many
individuals, including those with ADD, as they offer a
structured approach to recovery and personal growth.
Dismissing these programs without consideration might lead
one to overlook a potential source of valuable support and

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transformative change.

5.Question
How can the weaknesses associated with ADD resemble
addictive behaviors?
Answer:Weaknesses stemming from ADD, such as chronic
procrastination, unworthiness, and conflicts, can create
habitual negative feelings similar to those found in addiction.
Individuals may find themselves caught in patterns that lead
to emotional pain, demonstrating how their condition can
mirror addictive cycles.

6.Question
What insights about personal responsibility and
forgiveness does the 12-step program provide individuals
with ADD?
Answer:The 12-step program emphasizes the importance of
recognizing one's shortcomings and taking responsibility for
past actions. It also encourages self-forgiveness and healing
by making amends and accepting imperfection, thereby
promoting emotional growth and resilience for individuals
with ADD.

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7.Question
What is the significance of ‘fellowship’ in the recovery
process according to the text?
Answer:Fellowship is highlighted as a core element of
recovery through 12-step programs because it fosters
connection, support, and mutual understanding among
participants. This social aspect not only helps in coping with
addiction but also provides a deeper, more satisfying sense of
community and belonging that replaces the temporary highs
of addictive substances.

8.Question
How can an acknowledgment of a higher power help
individuals with ADD?
Answer:Acknowledging a higher power, or even a positive
force, allows individuals with ADD to trust in something
beyond themselves, reducing feelings of isolation and the
burdens of self-management. This perspective can alleviate
anxiety and promote a sense of hope in overcoming their
challenges.

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9.Question
What transformation does the ‘spiritual awakening’
represent for individuals with ADD?
Answer:The spiritual awakening signifies a profound
realization of one's potential and possibilities. It shifts a
mindset from frustration and underachievement towards
creativity and fulfillment. This transformation often inspires
individuals to share their journey with others, solidifying
their gains and encouraging communal support.

10.Question
In what ways can individuals with ADD benefit from
reassessing their life choices through the lens of the 12
steps?
Answer:By reassessing their choices in the context of the 12
steps, individuals with ADD can identify areas of
unmanageability in their lives, embrace accountability, and
redefine their relationships with themselves and others. This
process enhances self-awareness, encourages positive
change, and replaces toxic habits with healthier alternatives.

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Chapter 23 | Q&A
1.Question
What is the essential first step in treating ADD according
to the author?
Answer:Diagnosis is the first essential step, which
should include identifying a person's strengths and
talents.

2.Question
Why is education considered important in the treatment
of ADD?
Answer:Education is important because it helps individuals
learn about their condition, dispel myths, and teach family
members, teachers, and others about ADD, fostering better
understanding and support.

3.Question
What dietary changes are recommended for individuals
with ADD?
Answer:Dietary changes should be focused on nutritional
interventions, as what a person eats can have significant
effects on ADD symptoms.

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4.Question
How does physical exercise serve as a treatment for
ADD?
Answer:Physical exercise is one of the best treatments for
ADD; it enhances focus and cognitive function, providing
immediate benefits comparable to medications.

5.Question
What role does structure play in managing ADD?
Answer:Structure helps compensate for the often chaotic
mental organization that individuals with ADD experience by
creating external systems, like reminders and lists, to aid
memory and task management.

6.Question
What types of counseling are beneficial for individuals
with ADD?
Answer:Counseling types like family therapy, couples
therapy, group therapy for adults with ADD, and coaching
are beneficial as they provide support and practical strategies.

7.Question
Can medication be used alone to treat ADD?

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Answer:No, medication should not be used alone; it should
be part of a comprehensive treatment plan coupled with other
therapeutic strategies.

8.Question
How can positive human contact influence ADD
treatment?
Answer:Positive human contact is vital because individuals
with ADD often face negative feedback; nurturing
relationships can create supportive and uplifting
environments that promote healing.

9.Question
In what way does sleep impact individuals with ADD?
Answer:Sleep is crucial, as many people with ADD struggle
with sleep disorders, which can exacerbate symptoms;
establishing good sleep hygiene can help improve overall
management of ADD.

10.Question
What is the author’s view on alternative treatments for
ADD?
Answer:The author acknowledges various complementary or

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alternative treatments but emphasizes that established
therapies and educational support should be prioritized for
effective management.
Chapter 24 | Q&A
1.Question
What is the main focus of treatment for individuals with
ADD according to Chapter 21?
Answer:The main focus of treatment should be to
identify and develop the strengths and talents in
individuals with ADD, rather than solely
concentrating on their weaknesses.

2.Question
How can the diagnosis of ADD be perceived positively?
Answer:The diagnosis of ADD can be seen as a starting point
for better times, transforming past misfortunes into
opportunities for growth and self-discovery, rather than
merely a label of deficit.

3.Question
What metaphor does the author use to describe the
potential within individuals with ADD?

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Answer:The author uses the metaphor of 'gold in them thar
hills' to describe the hidden talents and strengths within every
person with ADD, suggesting that just like gold, these
potentials need to be discovered and mined.

4.Question
Why does the author believe that recognizing strengths is
crucial in the treatment of ADD?
Answer:Recognizing strengths is crucial because it
empowers the individual, providing them with a positive
foundation to build upon, ultimately enabling them to get
better and live fulfilling lives.

5.Question
What suggestion does the author make for individuals
receiving an ADD diagnosis?
Answer:The author suggests that individuals should actively
seek out and acknowledge their strengths, and if their
healthcare providers do not mention these strengths, they
should advocate for themselves or find someone who will.

6.Question
How does the author propose to change the perception of

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ADD from 'disorder' to something more constructive?
Answer:The author suggests renaming ADD to 'attention
variability syndrome,' emphasizing a focus on how
individuals with ADD may approach tasks and think
differently rather than focusing solely on deficits.

7.Question
What impact does a positive mindset have on the
treatment of ADD?
Answer:A positive mindset is crucial for successful
treatment, as it increases the likelihood that patients will
engage with and make the best use of the strategies suggested
during their treatment.

8.Question
What personal experience does the author share about
being diagnosed with ADD?
Answer:The author shares his own experience of feeling
disheartened when diagnosed with ADD, as the focus was on
problems and weaknesses without recognizing his talents,
leading to feelings of weakness and helplessness.

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9.Question
What can be done to create a more effective and
supportive treatment environment for those with ADD?
Answer:To create a more effective treatment environment,
practitioners should adopt a balanced approach that
highlights both vulnerabilities and strengths, ensuring that
individuals feel empowered and optimistic.

10.Question
What is the author's ultimate goal for patients visiting
him regarding their feelings about their diagnosis?
Answer:The author's ultimate goal is for patients to leave his
office feeling better than when they arrived, instilling hope
and positive energy to facilitate productive treatment.

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Chapter 25 | Q&A
1.Question
What is the key to lifelong joy according to Chapter 25?
Answer:The key to lifelong joy is to do what you
love and love what you do, focusing on building
upon your talents and strengths rather than just
fixing weaknesses.

2.Question
Can joy be achieved at any age, and why?
Answer:Yes, joy can be achieved at any age because it is
never too late to pursue what you love and create a fulfilling
life. Hope remains available to everyone.

3.Question
What is the most important aspect of establishing a
connected life?
Answer:Creating a feeling of connectedness to something
larger than oneself is essential, as this connection fosters
happiness, health, and a sense of belonging.

4.Question
How do play and flow contribute to finding joy?

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Answer:Play involves deeply engaging activities that ignite
passion, often leading to a state of 'flow' where one loses
track of self and time, which is crucial for discovering joy.

5.Question
What are the five steps that create a cycle leading to joy?
Answer:The five steps to joy are: 1) Connectedness, 2) Play,
3) Practice, 4) Mastery, and 5) Recognition. These steps
build upon each other to promote enduring joy.

6.Question
What role does connectedness play in preventing negative
behaviors?
Answer:Connectedness helps individuals feel a part of a
larger community, reducing the likelihood of immoral
behaviors as it fosters a sense of belonging and moral
responsibility.

7.Question
What often happens when people skip to step 3 (practice)
without first establishing connectedness and play?
Answer:Skipping to step 3 often leads to short-term
compliance but tends to fizzle out over time, highlighting the

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importance of laying the groundwork with connectedness and
play.

8.Question
What internal qualities correlate strongly with enduring
joy?
Answer:Internal qualities such as optimism, interpersonal
connections, a sense of control over one’s life, and a positive
attitude strongly correlate with enduring joy.

9.Question
Why should one focus on strengths rather than just
remediating weaknesses?
Answer:Focusing on strengths promotes joy, confidence, and
self-esteem, providing a more fulfilling path to personal
development than simply trying to fix what is wrong.

10.Question
What is the significance of the arts in developing a
connected life?
Answer:The arts enrich our lives by providing connections
that engender joy and creativity, acting as vital points of
connection in building a fulfilling life.

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Chapter 26 | Q&A
1.Question
What is the primary philosophy of the Rye Neck Union
Free School District for educating children, especially
those with ADD or learning differences?
Answer:The primary philosophy is to build on
strengths rather than focusing solely on weaknesses.
It emphasizes treating every child as gifted and
includes all children in the community of learners,
promoting their interests and unique talents.

2.Question
How did the Rye Neck school system change its approach
to gifted education?
Answer:They shifted from a limited program for a select few
'gifted' students to a school-wide enrichment model that
recognizes the giftedness in every child, believing all
students can achieve at high levels with appropriate guidance
and support.

3.Question
Can you provide an example of a student whose

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experience illustrates the effectiveness of the Rye Neck
school's approach?
Answer:Yes, a fifth-grader named Bernie, who struggled with
reading and social isolation, was encouraged to explore his
interest in solar-powered cars. With support from the school,
he built a solar car, which not only improved his reading
skills but also helped him gain confidence and connect with
his peers.

4.Question
What role do teachers play in fostering a positive learning
environment at Rye Neck schools?
Answer:Teachers are encouraged to differentiate instruction
and engage with students to find their individual interests,
ensuring a relevant and motivating curriculum. They create
an inclusive atmosphere where fear and shame are expelled,
facilitating participation and success.

5.Question
How does the school celebrate the achievements of all its
students?

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Answer:The school hosts a Special Education Awards
ceremony at the end of the year, where each child receives
recognition for their accomplishments, reinforcing their
progress and value within the educational community.

6.Question
What impact does the school’s approach have on students
with learning differences?
Answer:Students who were once deemed unlikely to succeed
often go on to excel. The school's commitment to high
expectations, flexibility, and personalization leads to
significant improvements in both academic performance and
self-esteem.

7.Question
What is one specific innovative solution mentioned in the
chapter that helped a child with dyslexia?
Answer:In the case of a first-grader named Louis, who
struggled with dyslexia, the school suggested his parents
provide him with a tape recorder so he could dictate stories.
This led him to create a five-page book, showcasing his

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potential beyond traditional learning methods.
Chapter 27 | Q&A
1.Question
What can parents do to prepare their child with ADD for
the transition to college?
Answer:Parents should begin by discussing what
college will really be like during the senior year of
high school. This includes addressing both the
positive aspects of freedom and the potential pitfalls
of independence without supervision. Encourage the
child to develop practical life skills, set specific goals
for college, and establish a support system, including
finding a coach or mentor to help keep them on
track.

2.Question
How did Eric’s experience in college illustrate the risks
for students with ADD?
Answer:Eric's experience demonstrated that without proper
preparation and support, students with ADD can struggle

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significantly in the unstructured environment of college. He
initially found enjoyment in socializing and ignored his
academic responsibilities, ultimately resulting in failing
every course during his first semester, which emphasizes the
potential for disaster in a college setting.

3.Question
What strategies did Eric's family implement after he
failed his first semester?
Answer:Eric's family sought help from a specialist in ADD
and established a structured routine for him. They ensured he
received supervision and guidance while he undertook a
more manageable academic load, which helped him
gradually improve his grades and successfully complete
college.

4.Question
Why is it important for students, especially those with
ADD, to have a mentor in college?
Answer:Having a mentor can provide crucial guidance,
accountability, and encouragement, helping students navigate

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the complexities of college life. This relationship can
empower them to stay focused on their studies, develop a
sense of accountability, and explore their academic and
career aspirations.

5.Question
What are some warning signs that a college student,
particularly one with ADD, is struggling?
Answer:Warning signs include a drastic drop in academic
performance, withdrawal from social activities, neglect of
personal hygiene, increased substance use, and a general
sense of confusion or unhappiness about their college
experience.

6.Question
How can parents maintain involvement in their child’s
college life effectively?
Answer:Parents can maintain involvement by establishing
regular communication, making periodic visits, and staying
informed about their child's academic life and emotional
well-being. They should approach this involvement as

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supportive rather than intrusive, enabling their child to
navigate challenges while still feeling their parents' support.

7.Question
What is the importance of planning and organization for
college students with ADD?
Answer:Planning and organization are critical for college
students with ADD because they help establish structure in
an environment that typically lacks parental supervision. By
having strategies in place for daily routines, studying, and
self-management, students can better cope with the
challenges of college life and avoid potential pitfalls.

8.Question
Can you share an example of a practical step parents can
take to help their child transition to college?
Answer:One practical step is to simulate college life at home
by gradually reducing supervision and allowing the child to
take responsibility for daily tasks, such as managing their
own wake-up schedule, finances, and study time. This
gradual transition prepares them for the independence they

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will face in college.

9.Question
How can seeking accommodations for ADD at college be
managed effectively?
Answer:Parents should proactively contact the college to
understand the requirements for accommodations and ensure
that any necessary evaluations are completed well in
advance. This includes arranging for neuropsychological
assessments and preparing documentation that supports their
child's needs.

10.Question
What role does self-advocacy play in a student’s college
success, especially for those with ADD?
Answer:Self-advocacy is vital for success as it empowers
students to recognize their needs, seek help, and utilize
available resources like tutoring or counseling services.
Developing this skill helps students take charge of their
education and life, fostering independence while ensuring
they get the support they need.

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Chapter 28 | Q&A
1.Question
Why is nutrition considered a cornerstone of good
treatment for ADD?
Answer:Nutrition directly impacts brain function,
and poor dietary habits can mimic or exacerbate
ADD symptoms, making it essential to incorporate
diet into treatment plans.

2.Question
What are the consequences of skipping breakfast
according to the chapter?
Answer:Skipping breakfast can lead to increased
distractibility, impulsiveness, and restlessness, negatively
affecting overall cognitive function.

3.Question
What approach does Dr. Hallowell suggest regarding
dietary supplements for ADD?
Answer:He recommends consulting with a doctor for
personalized advice and emphasizes the importance of a
balanced diet while cautioning against blind acceptance of

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every new supplement.

4.Question
What is the significance of omega-3 fatty acids as
discussed in this chapter?
Answer:Omega-3 fatty acids are deemed essential for brain
health and cognition, and are recommended as part of a
balanced diet and supplement regimen.

5.Question
How should carbohydrates be consumed to mitigate
health risks?
Answer:Carbohydrates should be eaten in moderation and
never in excess, ideally balanced with protein to avoid spikes
in insulin and subsequent health issues.

6.Question
What role does hydration play in overall health according
to the author?
Answer:Staying well-hydrated supports numerous bodily
functions and cognitive performance, with a recommendation
of about eight glasses of water per day.

7.Question

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Why is the idea of self-medicating with food discouraged?
Answer:Self-medicating with food can lead to unhealthy
coping mechanisms, such as binge eating or relying on
sugars and fats to elevate mood, instead of healthier
alternatives like exercise or meditation.

8.Question
What advice does Dr. Hallowell give about food allergies
and sensitivities?
Answer:He suggests addressing food allergies carefully and
under medical supervision to avoid harmful dietary
imbalances.

9.Question
What common foods should be avoided to maintain brain
health?
Answer:Foods high in trans-fatty acids and those with overly
complex ingredients should be avoided for better brain
health.

10.Question
What foods are indicated to support prostate health,
according to the chapter?

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Answer:Tomatoes, rich in lycopene, are recommended for
supporting prostate health.

11.Question
What is Dr. Hallowell's personal approach to dietary
supplements?
Answer:Dr. Hallowell experiments with various
supplements, combining them based on his research and
anecdotal evidence of their benefits, while acknowledging
the lack of universal medical endorsement.

12.Question
What is one of the key vitamins that Dr. Hallowell
recommends for improving cognition?
Answer:Vitamin B-12 is highlighted as important for
improving cognition and preventing cell death in the brain.

13.Question
What conclusion does Dr. Hallowell reach about dieting
amidst conflicting advice?
Answer:He emphasizes the blessing and curse of information
overload in nutrition, recommending scientifically sound and
proven dietary habits while remaining skeptical of unverified

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supplements.
Chapter 29 | Q&A
1.Question
What is the significance of omega-3 fatty acids in modern
diets?
Answer:Omega-3 fatty acids are crucial for
preventing and treating serious health conditions
such as diabetes, heart disease, Alzheimer’s,
depression, and certain types of cancer. They play a
major role in reducing chronic inflammation in the
body, which can significantly lower the risk of these
diseases.

2.Question
How has the American diet changed since the 1950s?
Answer:The American diet shifted dramatically away from
whole foods towards processed and fast foods following the
introduction of convenience meals like TV dinners. This
change has contributed to an increase in diet-related diseases.

3.Question
What contemporary dietary issues are linked to omega-3

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fatty acid deficiency?
Answer:Many Americans are severely lacking in omega-3
fatty acids, consuming only about 5% of the intake from a
century ago, leading to widespread health issues like heart
disease, cancer, and diabetes due to chronic inflammation.

4.Question
What are some sources of omega-3 fatty acids?
Answer:Omega-3 fatty acids can be found in fatty fish such
as wild salmon, sardines, and tuna, as well as in flaxseed,
flaxseed oil, and specific fish oil supplements.

5.Question
How does omega-3 supplementation relate to ADD
treatment?
Answer:Omega-3 fatty acids increase dopamine levels in the
brain, which may provide a nutritional treatment for ADD, as
many medications for ADD also work through dopamine
modulation. While not conclusively proven yet, there is
logical speculation that omega-3 supplementation could
improve symptoms in individuals with ADD.

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6.Question
What is the recommended daily dosage of omega-3 for
children and adults?
Answer:It is generally recommended that children take up to
2.5 grams and adults take up to 5 grams of omega-3
supplements daily, ensuring that the product is free from
toxins.

7.Question
Why is the balance between omega-6 and omega-3 fatty
acids important?
Answer:The proper balance between omega-6 and omega-3
fatty acids is essential for health. An imbalance, particularly
with excessive omega-6 from common diets, can worsen
chronic inflammation and lead to an increased risk of various
diseases.

8.Question
What is being researched regarding omega-3 fatty acids
and ADD?
Answer:Current research is being conducted to explore the
effects of omega-3 supplementation specifically on ADD

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symptoms, focusing on how these fatty acids can help correct
deficiencies typically seen in affected individuals. Early data
suggest that individuals with ADD are particularly low in
omega-3s.

9.Question
Where can individuals obtain high-quality omega-3
supplements?
Answer:High-quality omega-3 supplements can be found in
health food stores or online, recommended brands include
OmegaBrite and products from Barry Sears. It is crucial to
choose pharmaceutical grade supplements tested for
contaminants.

10.Question
What common wisdom supports the use of omega-3 fatty
acids for health?
Answer:Beyond scientific research, traditional
wisdom—such as the use of cod liver oil by past
generations—suggests that omega-3 fatty acids provide
significant health benefits, indicating a long-standing

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recognition of their importance.
Chapter 30 | Q&A
1.Question
Why is physical exercise likened to flossing in the text?
Answer:Both are activities that may seem boring or
difficult, and both require a commitment of time, yet
they provide essential benefits. Just like flossing is
important for dental health, exercise is crucial for
physical and mental well-being.

2.Question
How does physical exercise specifically benefit those with
ADD?
Answer:Exercise promotes mental focus, enhances sustained
attention, increases mental endurance, and reduces mental
fatigue, making it an effective treatment and preventive
measure for ADD.

3.Question
What is the significance of brain-derived neurotropic
factor (BDNF) in relation to exercise?
Answer:BDNF is critical for stimulating the growth of new

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neurons in the brain, enhancing cognitive function, and
improving overall brain health, which is particularly
beneficial when paired with the blood and oxygen flow
produced by exercise.

4.Question
What kind of exercise is recommended and how much is
sufficient?
Answer:Brisk walking for at least thirty minutes a day is
sufficient for maintaining health. Any form of physical
activity is encouraged, as long as it is consistent and
engaging.

5.Question
How should parents approach exercise in relation to their
children’s discipline in school?
Answer:Parents should advocate for physical activity as a
form of discipline rather than deprivation. Instead of
removing children from recess or sports due to behavioral
issues, they should engage them in productive physical tasks.

6.Question
What overarching message does this chapter convey

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about exercise and health?
Answer:Regular physical exercise is essential for
maintaining optimal brain function and overall physical
health, especially for those with ADD. It should be integrated
into daily routines like a necessary part of life.

7.Question
What should adults do to prioritize exercise in their busy
lives?
Answer:Adults should schedule exercise as a vital part of
their daily routine instead of allowing work and meetings to
take precedence over their physical health.

8.Question
Explain the analogy of the mason and bricks in the
context of brain health.
Answer:The mason represents BDNF, which organizes and
constructs new neurons (the bricks) in the brain. The
availability of omega-3 fatty acids from one’s diet provides
the essential building blocks necessary for brain
development.

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9.Question
What emergency use of exercise does the text describe for
managing ADD symptoms?
Answer:In moments of mental overwhelm, like when
studying or working, quick bursts of physical exercise (such
as jumping jacks or running stairs) can provide a reset for the
brain, helping to improve focus and refresh mental energy.

10.Question
Why is denying children sports due to academic
performance considered counterproductive?
Answer:Denying sports can hinder overall development;
sports contribute to physical and mental well-being, which
can, in turn, enhance academic performance. Both sports and
academics are vital for holistic growth.

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Chapter 31 | Q&A
1.Question
What is the relationship between mental exercise and
attention span?
Answer:Mental exercise is crucial for improving
attention span, much like physical exercise is vital
for physical fitness. Regularly challenging the brain
with specific tasks can lead to longer attention spans
and improved focus.

2.Question
How can one overcome frustration encountered during
mental exercises?
Answer:Frustration is a common experience when tackling
new mental exercises. Embrace Simon's advice: maintain a
persistent attitude and remind yourself that with practice, you
will eventually succeed.

3.Question
What is the significance of Simon Zaltsman’s perspective
on mental limits?
Answer:Simon Zaltsman's perspective highlights that the

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most significant limitations we face often originate from our
own beliefs. By pushing beyond these self-imposed limits,
we can unlock greater potential and abilities.

4.Question
How can daily mental exercise affect a person's overall
cognitive well-being?
Answer:Daily mental exercises can enhance cognitive
abilities by improving attention, sharpening focus, and
boosting organizational skills. This consistent practice can
also help offset mental decline associated with aging.

5.Question
What should one keep in mind while performing these
challenging exercises?
Answer:While engaging in these challenging exercises,
remember that it's normal to struggle at first. Persistence is
key—just like physical training, mental training requires
repeated effort to yield results.

6.Question
What benefits can be expected from regular practice of
the recommended exercises?

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Answer:With regular practice, one can expect significant
improvements in attention span, organizational skills,
impulse control, and overall coordination, similar to the
physical gains experienced from consistent workout routines.

7.Question
What role does variety play in mental exercises for the
brain?
Answer:Variety in mental exercises is essential as it
challenges different aspects of brain function, ensuring a
well-rounded approach to mental fitness. This diversity keeps
the brain engaged and strengthens its capabilities.

8.Question
Can you explain why it is essential to combine mental
exercises with physical movement?
Answer:Combining mental exercises with physical
movement not only enhances cognitive function but also
improves coordination and overall brain-body connection.
This holistic approach reinforces learning and retention.

9.Question
How might someone assess their progress over time with

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these exercises?
Answer:To assess progress, individuals should note changes
in their ability to focus on tasks, reduced levels of frustration
during exercises, and any improvements in organizational
skills or impulse management over time.

10.Question
What mindset should you adopt when starting mental
exercises?
Answer:Adopt a growth mindset, believing that effort and
persistence will lead to growth and improvement. Trust in the
process and recognize that initial struggles are a part of your
brain's adaptation.
Chapter 32 | Q&A
1.Question
What lesson can we learn from Jack's experience with
reading and the cerebellar stimulation exercises?
Answer:Jack's transformation from hating to love
reading illustrates the importance of finding suitable
and engaging methods for learning. It shows that

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conventional strategies might not work for everyone,
and looking outside traditional paths can yield
unexpected and valuable results.

2.Question
How does the story of Jack reflect the broader challenges
faced by children with learning differences?
Answer:Jack's struggle with reading despite his innate
creativity and intelligence highlights the complexities of
learning differences. Many children face similar struggles
that may not align with traditional educational methods,
revealing the need for more personalized and holistic
approaches to education.

3.Question
Why is it significant to consider emotional responses
when addressing learning challenges, as mentioned in the
chapter?
Answer:Emotional responses to learning challenges, like
Jack's aversion to reading, play a crucial role in a child's
development. Positive emotional experiences associated with
learning can enhance engagement and foster a love for

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reading, which is vital for academic success.

4.Question
What does the concept of 'conundrum kids' signify in the
context of education and learning differences?
Answer:The term 'conundrum kids' reflects the idea that
children with learning differences often possess unique
talents and capabilities, making them complex individuals
whose potential may be overlooked by rigid educational
labels.

5.Question
How can physical exercise impact cognitive function
according to the chapter?
Answer:Physical exercises, particularly those targeting the
cerebellum, can lead to improvements in cognitive functions
such as attention, reading, and overall confidence. They
stimulate areas of the brain essential for learning, helping to
bridge gaps in traditional educational strategies.

6.Question
What role does parental involvement play in addressing
learning difficulties, as highlighted in the narrative?

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Answer:Parental involvement is essential when addressing
learning difficulties, as they are often the ones who advocate
for their children and seek alternative methods of support.
Their love and determination can drive exploration beyond
conventional treatments.

7.Question
What is the significance of the statement 'emotion: The
On/Off Switch for Learning' in the context of Jack's
story?
Answer:This statement underscores the vital connection
between emotion and learning. Positive emotional
associations with reading, cultivated through enjoyable
practices, can drastically improve a child's willingness and
ability to engage with reading materials.

8.Question
Why is it crucial to maintain skepticism and critical
thinking when exploring new treatments for learning
differences?
Answer:Skepticism and critical thinking ensure that
individuals do not fall prey to unproven methods while also

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remaining open to innovative approaches, like cerebellar
stimulation, which may provide benefits when used
alongside established treatments.

9.Question
What does Jack's story signify about the potential for
personal growth and change in children with learning
challenges?
Answer:Jack's positive change illustrates that children with
learning challenges can experience significant growth and
development when provided with the right tools and
supports, reinforcing the notion that progress is possible
regardless of past difficulties.

10.Question
How does the intersection of traditional and innovative
therapies play a role in supporting children like Jack?
Answer:Combining traditional therapies with innovative
approaches, such as cerebellar exercises, can create a more
comprehensive treatment plan that addresses both symptoms
and underlying causes, thereby improving outcomes for
children facing learning challenges.

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Chapter 33 | Q&A
1.Question
What should you consider before deciding to take
medication for ADD?
Answer:It's crucial to weigh the risks and benefits
carefully. Understand the medical facts about the
medication, discuss your feelings with someone you
trust, and ensure you feel comfortable before
proceeding with the decision.

2.Question
How does the fear of medication affect decision-making
for ADD treatment?
Answer:Fear can cloud judgment, leading parents or
individuals to avoid medication despite its proven
effectiveness. It's important to distinguish between fear based
on misinformation and the actual medical facts.

3.Question
What are the safety records of stimulant medications for
treating ADD?
Answer:Stimulant medications, used since 1937, are

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considered safe when used correctly, with a long history of
research backing their effectiveness. They do not typically
have unforeseen serious side effects like some other
medications.

4.Question
How do stimulant medications compare in risk versus
common over-the-counter medications?
Answer:Stimulant medications have a lower risk profile for
severe side effects compared to common medications like
aspirin, which can lead to serious complications, including
death. This context helps reassure patients about taking
stimulant medications for ADD.

5.Question
What is the psychological aspect of taking medication for
ADD?
Answer:If anyone perceives stimulant medications as 'stupid
pills' or 'smart pills', it can lead to negative psychological
effects. It's important to frame medication use as a tool for
better focus, like wearing eyeglasses for vision.

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6.Question
What role do parents play in the decision to medicate a
child with ADD?
Answer:Parents should gather credible information, discuss
their feelings, and ultimately decide when they feel fully
comfortable with the idea of medication for their child,
ensuring it aligns with their beliefs and values.

7.Question
What should one understand about the reversibility of
stimulant medications?
Answer:The effects of stimulant medications are reversible;
if the individual does not like the effects, they can stop taking
the medication and return to their baseline state within a few
hours.

8.Question
How does stimulant medication impact the likelihood of
drug abuse in the long run?
Answer:Research indicates that children who take stimulant
medications for ADD actually have lower rates of drug abuse
compared to those who do not, countering the belief that such

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medications may lead to addiction.

9.Question
Why is it crucial to understand the comprehensive
treatment plan for ADD?
Answer:Medication is most effective when part of a broader
treatment strategy that includes education, lifestyle changes,
and support systems. This holistic approach fosters better
outcomes for individuals with ADD.

10.Question
What should individuals do if they feel pressured
regarding medication for ADD?
Answer:They should prioritize their own comfort and
decision-making autonomy, resist coercive pressure, and take
the necessary time to evaluate their feelings and beliefs about
medication.

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Chapter 34 | Q&A
1.Question
What is the primary goal of using medication for ADD?
Answer:The primary goal of using medication for
ADD is to reduce or eliminate the target symptoms
that bother the individual while inducing no side
effects.

2.Question
Why should medication for ADD not be viewed as a
last-resort option?
Answer:Medication for ADD should not be viewed as a
last-resort option because these medications are highly safe
and effective, making them appropriate for initial treatment
rather than as a desperate measure.

3.Question
How do stimulants work to help those with ADD?
Answer:Stimulants work by stimulating the brain's inhibitory
circuits, essentially enhancing the brain's braking system to
help individuals with ADD manage distractibility and
impulsivity.

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4.Question
What are some potential benefits of stimulant medication
for individuals with ADD?
Answer:Potential benefits of stimulant medication include
improved mental focus, enhanced executive functions such
as planning and organization, as well as greater patience,
reduced irritability, and a boost in productivity.

5.Question
What is the effect of long-acting medications compared to
short-acting medications in treating ADD?
Answer:Long-acting medications provide a smoother and
more consistent effect throughout the day, preventing the ups
and downs associated with short-acting medications, leading
to greater reliability and fewer rebounds of symptoms.

6.Question
What is amantadine, and what are its benefits in treating
ADD?
Answer:Amantadine is a dopamine agonist that can alleviate
ADD symptoms without the side effects common with
stimulants. It offers smooth therapeutic effects that last

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longer, supports executive functioning, and has no abuse
potential.

7.Question
What makes Strattera unique among ADD medications?
Answer:Strattera is unique as it is not a controlled substance,
has a smooth and even effect, and while it takes longer to
reach a therapeutic dose, it does not have an abuse potential
and can be stopped abruptly.

8.Question
How does Provigil (Modafinil) operate differently than
stimulants for ADD treatment?
Answer:Provigil enhances alertness without the intense drive
toward action that stimulants can induce, providing an awake
state that feels more calm and less pressured.

9.Question
Why is Clonidine sometimes used to treat ADD
symptoms?
Answer:Clonidine can be effective in treating hyperactivity
and aggression by producing a calming effect, making it
useful particularly in conjunction with other medications.

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10.Question
Why should individuals with ADD prioritize stimulant
medications before considering antidepressants?
Answer:Individuals with ADD should prioritize stimulant
medications first because they often alleviate symptoms
effectively, which might lift associated depression that arises
from untreated ADD frustrations.
Chapter 35 | Q&A
1.Question
What is the significance of comparing the ADD mind to
Niagara Falls?
Answer:The comparison illustrates the powerful but
chaotic energy of the ADD mind, much like the
tumultuous waters of Niagara Falls. Just as we can
harness the energy of the falls through a
hydroelectric plant to produce electricity,
individuals with ADD can channel their energy into
productive outlets, enabling them to thrive rather
than feel overwhelmed.

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2.Question
What does SPIN stand for, and why is it important in
understanding ADD?
Answer:SPIN stands for Shame, Pessimism, Isolation, and
No creative, productive outlet. These elements represent the
common causes of feeling 'stuck' in managing ADD.
Understanding these components is crucial because
addressing them can help individuals move forward in their
treatment and life.

3.Question
How does shame affect adults with ADD according to the
chapter?
Answer:Shame leads to self-doubt, decreased self-worth, and
the inability to recognize or celebrate one's achievements. It
creates a negative feedback loop where individuals feel
unworthy and may hide their true selves, preventing them
from experiencing joy and pride in their accomplishments.

4.Question
What practical steps can individuals take to combat
feelings of shame associated with ADD?

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Answer:Engaging in open conversations with supportive
friends, therapists, or support groups can help process
feelings of shame. Recognizing that one's struggles are not as
harshly judged by others as they are by oneself, and
surrounding oneself with accepting and positive people can
foster healing and self-acceptance.

5.Question
How can one overcome pessimism and negativity as
described in the text?
Answer:The text suggests using cognitive therapy techniques
to change negative thought patterns, focusing on what one
can control, and seeking small successes to build confidence.
Reading inspirational literature, such as 'Learned Optimism'
by Martin Seligman, can also provide tools to combat
lingering pessimism.

6.Question
What is the relationship between isolation and ADD
symptoms?
Answer:Isolation often intensifies feelings of shame and

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negativity, leading to further depression and a decline in
overall well-being. It is essential to counteract this isolation
by staying connected with others, even when there’s a
tendency to withdraw.

7.Question
What role does engaging in creative activities play in
managing ADD effectively?
Answer:Engaging in creative activities helps individuals
bypass feelings of stagnation and provides a sense of
flow—where time ceases to matter, and one feels fully
immersed in their task. Creative outlets are particularly
important for those with ADD, as they can convert energy
into fulfilling work and productivity.

8.Question
Why is play considered essential for individuals with
ADD?
Answer:Play fosters creativity and engagement, making even
mundane tasks enjoyable. It serves as an entry point to
achieving a state of flow, enhancing productivity and

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happiness. For individuals with ADD, play not only eases
stress but also helps connect to their inherent skills and
potential.

9.Question
How can one start finding their 'hydroelectric plant' or
productive outlet?
Answer:By actively seeking opportunities, brainstorming
ideas with supportive individuals, experimenting with
different activities, and maintaining an open mindset. One
should challenge negative thoughts about their capabilities,
recognizing that exploration can lead to discovering fulfilling
pursuits.

10.Question
What is the ultimate message regarding treatment and
management of ADD from this chapter?
Answer:The chapter emphasizes the importance of
recognizing and addressing the barriers created by shame,
negativity, and isolation while finding creative and
productive outlets. With the right mindset and support,

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individuals with ADD can harness their unique energy and
talents to lead fulfilling lives.
Chapter 36 | Q&A
1.Question
What is ‘SLIDE’ and how does it manifest in individuals
with ADD?
Answer:SLIDE represents a pattern of negative
thinking and behavior that can derail individuals
with ADD. It consists of self-attack, life-attack,
imagining the worst, dread, and escape. It starts
with self-attack, where a person reacts negatively to
a setback, leading to life-attack where they project
their frustration onto life as a whole. This then
spirals into imagining the worst scenarios, resulting
in dread and finally an urge to escape through
unhealthy coping mechanisms.

2.Question
How can one interrupt the cycle of SLIDE before it
escalates?

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Answer:To interrupt SLIDE, it is crucial to identify trigger
points early on, specifically during the first two steps:
self-attack and life-attack. Developing preset responses or
actions can help mitigate the spiraling thoughts. For instance,
if stepping on a scale triggers negative self-talk, one could
have a comforting thought or action ready, like visualizing a
loved one or engaging in a physical activity to redirect focus.

3.Question
What role does practice play in managing SLIDE?
Answer:Practicing awareness of one’s triggers and
establishing countermeasures is essential. By rehearsing
responses to common triggers when feeling good, individuals
can be better prepared to handle emotional crises when they
arise, thus minimizing the risk of sliding deeper into negative
thought patterns.

4.Question
Can you provide an example of a personal ‘kryptonite’
that could help someone avoid SLIDE?
Answer:An effective kryptonite might be a specific song that

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uplifts someone’s mood. For instance, if someone finds
themselves spiraling after receiving negative feedback, they
might develop a habit of listening to a favorite empowering
song immediately after to shift their mindset and provide a
sense of comfort and motivation.

5.Question
What should you do if SLIDE persists for an extended
period?
Answer:If SLIDE lasts for days, weeks, or months, it’s
important to consult a specialist rather than waiting for more
significant issues such as job loss or relationship problems to
arise. Seeking professional help can provide the necessary
support to navigate through prolonged periods of difficulty.

6.Question
How does the metaphor of ‘kryptonite’ help in dealing
with SLIDE?
Answer:Kryptonite symbolizes a strong, positive force that
counteracts the negative thoughts and feelings associated
with SLIDE. By having personalized actions, memories, or

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beliefs ready to draw upon, individuals can effectively
combat the detrimental effects of negative thinking and
regain control over their emotions.

7.Question
What message does the chapter convey about
experiencing setbacks with ADD?
Answer:The chapter emphasizes that experiencing setbacks
and challenges with ADD is normal and does not signify
failure or a lack of hope. It encourages individuals to
recognize these periods as a typical part of their journey and
to seek help or employ strategies to navigate through the
difficulties effectively.

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Chapter 37 | Q&A
1.Question
How can families with ADD cultivate better relationships
during struggles?
Answer:Families need to recognize the commonality
of struggles associated with ADD and foster
connectedness within the family. Regular shared
activities, honest communication, and appreciating
each member's unique perspectives can help ease
tensions and build stronger bonds.

2.Question
What is the significance of connectedness in families
dealing with ADD?
Answer:Connectedness fosters a sense of belonging and
value amongst family members, which is vital for emotional
well-being. It helps prevent conflicts from escalating and
promotes a supportive environment where individuals feel
cared for and understood.

3.Question
What is collaborative problem solving, and how can it

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benefit families?
Answer:Collaborative problem solving is a method where
families work together to address conflicts through
negotiation instead of obedience. This approach encourages
independence, enhances communication, and builds valuable
life skills while reducing the likelihood of explosive
situations.

4.Question
What advice does Dr. Hallowell give to a parent
struggling to connect with a child?
Answer:He suggests setting aside twenty minutes each week
dedicated solely to that child, during which the child decides
the activity. This uninterrupted time strengthens bonds and
creates a positive, trusting relationship.

5.Question
How can families prevent conflicts from escalating into
serious struggles?
Answer:By bolstering connectedness through regular family
interactions and establishing clear guidelines that

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differentiate between situations that require obedience and
those that allow negotiation, families can manage and
de-escalate conflicts.

6.Question
What does Dr. Hallowell mean by 'the big struggle' in
families with ADD?
Answer:The big struggle refers to the inherent conflicts and
tensions that arise in families where one or more members
have ADD, often characterized by misunderstandings,
unpredictable behaviors, and emotional turmoil.

7.Question
Why is using physical punishment discouraged in
managing a child's behavior?
Answer:Research has shown that physical punishment is
ineffective, often leading to damaging emotional and
psychological effects. Instead, fostering communication and
negotiation skills is crucial for effective discipline and
problem-solving.

8.Question
What example illustrates a common crisis in families with

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ADD as discussed in the text?
Answer:An example provided was a phone call from a frantic
mother whose son with ADD was chasing his father around
the house with a hockey stick, encapsulating the volatile and
sometimes dangerous nature of conflicts in ADD families.

9.Question
How can humor play a role in resolving family conflicts?
Answer:Humor can lighten tense situations and help reframe
conflicts into manageable discussions. It allows for
engagement rather than defensiveness, making it easier to
approach problems collaboratively.

10.Question
What is the ultimate takeaway for families facing
struggles and conflicts?
Answer:Families should not lose hope; instead, they should
actively seek methods like collaborative problem solving,
maintain connectedness, and consider professional help to
create healthier dynamics.
Chapter 38 | Q&A

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1.Question
What can individuals with ADD do to cope with feelings
of despair and hopelessness?
Answer:They can seek support from trusted allies
such as friends, family, or therapists who
understand their struggles and can offer
encouragement. Additionally, they should stay
connected with others and not isolate themselves
during difficult times. Engaging in physical exercise,
creative outlets, or play can also serve as effective
mood changers.

2.Question
How does the author describe the emotional struggles
faced by Leslie, the woman with ADD?
Answer:Leslie experiences overwhelming chaos in her daily
life, feelings of hopelessness, and a perception that her best
efforts are insufficient. Despite her intelligence and
creativity, she feels trapped in a cycle of despair and
inadequacy, which reflects the broader emotional challenges

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many individuals with ADD face.

3.Question
What importance does the author place on having an ally
for individuals dealing with ADD?
Answer:The author emphasizes that having a trusted ally is
crucial for individuals with ADD, as they often struggle to
reassure themselves. An ally can provide vital
encouragement and remind them of their strengths when they
feel overwhelmed by negativity.

4.Question
What is the significance of assuming a proactive
approach when dealing with dark periods associated with
ADD?
Answer:It is important to have a pre-determined plan for how
to cope with dark periods, such as identifying supportive
people to reach out to. Anticipating these periods helps
individuals be better prepared to manage their moods and
avoid isolation.

5.Question
How does the text suggest individuals should handle their

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thoughts during particularly dark times?
Answer:Individuals should not trust their negative thoughts
during dark periods, as they stem from a poisonous state of
mind. Instead, they should seek connection with others or
distractions to help pass through the tough time.

6.Question
In what way can writing a letter to oneself be beneficial
for someone struggling with ADD?
Answer:Writing a letter to oneself when feeling good
provides reassurance during dark times, as it contains
positive affirmations that can be referred back to when
negative thoughts arise.

7.Question
What role does treatment play in the lives of individuals
with ADD according to the author?
Answer:Though treatment helps alleviate many symptoms of
ADD, the author notes that it does not completely eradicate
issues like procrastination, poor organization, and feelings of
inadequacy. Continuous effort and maintenance of treatment

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are necessary.

8.Question
Why does the author discourage making big decisions
during dark periods?
Answer:The author discourages making significant decisions
during dark times because individuals are often clouded by
negative feelings and may make choices that they will later
regret or find difficult to undo.

9.Question
What overall message does the author convey about living
with the challenges of ADD?
Answer:The author stresses that while living with ADD can
be fraught with challenges, it is essential to not lose hope.
Individuals must persist through their struggles, seek help,
and remember that better days are possible with the right
support.
Chapter 39 | Q&A
1.Question
What emotional impact do piles have on adults with
ADD?

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Answer:Piles can leave adults with ADD feeling
defeated, dispirited, and inept. They transform from
small, manageable stacks into monstrous,
overwhelming collections that invade living spaces
and can make individuals feel completely
overwhelmed.

2.Question
How can one regain control over their piles?
Answer:Regaining control starts with recognizing the
problem and reframing the situation. You can begin to laugh
at your mess, viewing it as a challenge rather than a failure.
This shift in perspective can empower you to take actionable
steps to tackle the issue.

3.Question
What metaphor is used to describe the growth of piles?
Answer:Piles are likened to kudzu, a fast-growing invasive
weed, symbolizing how quickly small stacks can transform
into overwhelming chaos that invades every corner of life.

4.Question
What strategies are suggested for dealing with piles

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effectively?
Answer:Creating a simple filing system is key. You should
designate a specific area for your files, purchase necessary
supplies like folders and a label maker, and physically
remove piles from cluttered surfaces to a new, designated
area.

5.Question
What mindset should one adopt while tackling piles?
Answer:View yourself as a gardener managing weeds.
Acknowledge the work ahead but believe in your ability to
succeed. Each small victory over a pile will contribute to a
growing sense of control and accomplishment.

6.Question
How can one maintain a clutter-free environment after
addressing their piles?
Answer:Developing a 'pile-control' strategy is essential.
Adopting the principle of 'Only Handle It Once' (OHIO)
encourages immediate action on items that enter your life,
whether that means responding right away, filing, or

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discarding.

7.Question
What is the emotional benefit of addressing your piles?
Answer:The emotional benefit is significant; as you clear
away piles, you will feel increasingly empowered and in
control. Each cleared pile brings a sense of relief and
triumph, contributing to improved self-esteem and a less
stressful environment.

8.Question
What advice is provided for people who frequently
travel?
Answer:For those who travel often, a practical method is to
take a single pile with you on each trip, utilizing free time to
address it and return home only with things that are
significant. This approach helps in gradually reducing the
number of piles.

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Chapter 40 | Q&A
1.Question
What is the main purpose of learning how to worry wisely
according to Edward M. Hallowell?
Answer:The main purpose of learning how to worry
wisely is to use worry as a danger signal that leads to
constructive action rather than letting it paralyze
you. Effective worry transformation can enhance
your life and success by guiding you to make
necessary corrections instead of getting lost in
endless negative thoughts.

2.Question
How can ADD impact a person's tendency to worry?
Answer:People with ADD often worry more than others
because they tend to be smart and imaginative, which allows
them to conceive multiple negative possibilities.
Additionally, the nature of ADD leaves individuals
constantly facing potential dangers or mistakes, leading to
increased anxiety about missed tasks or responsibilities.

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3.Question
What is one of the crucial principles for combating toxic
worry?
Answer:Never worry alone. It is vital to connect with
someone you trust and share your concerns to avoid losing
perspective and potentially making poor decisions through
isolation.

4.Question
How does exercising help alleviate worry?
Answer:Exercising changes your physical state and brain
chemistry, effectively resetting your mind. Physical activity
can distract from toxic thoughts and provide a natural way to
reduce anxiety and stress.

5.Question
Why is it important to get the facts when dealing with
worry?
Answer:Getting the facts is crucial because toxic worry often
stems from misinformation or lack of information. By
educating yourself about the truth of a situation, you can
dispel unfounded fears and take informed actions.

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6.Question
What should one do if their worrying persists despite
trying self-help strategies?
Answer:If worrying persists, it is advisable to consult a
professional such as a psychologist or therapist who can help
identify and treat underlying issues related to worry, using
approaches and insights from medical science.

7.Question
What is the difference between healthy worry and toxic
worry as described in the chapter?
Answer:Healthy worry can serve as a motivating force that
leads to action and problem-solving, while toxic worry is
excessive and unproductive, causing paralysis and distress
without leading to constructive outcomes.

8.Question
How does Hallowell suggest one can 'let go' of worry?
Answer:Letting go of worry involves recognizing the false
sense of security that worry provides and actively practicing
the act of releasing thoughts without feeling that doing so
puts you at risk. Gradual, deliberate practice can help in this

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process.

9.Question
What metaphor does Hallowell use to emphasize the
necessary balance of worry in our lives?
Answer:Hallowell compares worry to blood pressure, stating
that a certain amount of worry is essential to
survive—similar to needing a healthy blood pressure level.
However, excessive worry becomes toxic and harmful, which
needs to be managed effectively.

10.Question
How can one transform their approach to worry for
greater productivity?
Answer:One can transform their approach to worry by
viewing it as a signal to take action—turning negative
feelings into constructive planning and responses. This
involves not brooding over problems but actively seeking
solutions and taking tangible steps towards resolving the
worry.
Chapter 41 | Q&A

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1.Question
What are some common sexual problems associated with
ADD in adults?
Answer:1. Difficulty lingering during intimate
moments, often leading to a lack of sexual intimacy.
2. Poor time management, resulting in couples not
being synchronized for sexual encounters.
3. Hypersexuality or an unusually intense desire for
frequent sex, causing frustration if needs are
mismatched.
4. Using sex as a form of self-medication, leading to
excessive flirting or affairs.

2.Question
How can partners improve their sexual intimacy if one
has ADD?
Answer:1. Practice lingering behaviors outside the bedroom
to develop the skill.
2. Schedule specific times for intimacy and provide
reminders as the time approaches.

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3. Foster open communication about sexual needs and desires
to understand each other better.
4. Seek professional guidance to navigate relationship
dynamics and responsibilities.

3.Question
Why is it crucial for the ADD partner to understand their
condition?
Answer:Understanding ADD can help the individual realize
that their difficulties with intimacy and focus are
neurological rather than emotional, leading to better coping
mechanisms and treatment options.

4.Question
How can the concept of lingering enhance sexual intimacy
for those with ADD?
Answer:Lingering can create deeper connections and more
fulfilling experiences by teaching the ADD partner to savor
the moment, which can lead to heightened pleasure and
intimacy in relationships.

5.Question
What role does medication play in addressing sexual

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intimacy issues in ADD?
Answer:Medication, such as stimulants, can improve focus
and help the ADD individual linger longer during intimate
moments, potentially enhancing overall sexual experiences.

6.Question
What should couples do when one partner feels neglected
sexually and emotionally due to ADD?
Answer:They should communicate openly about their
feelings, seek a diagnosis, and work together to share
responsibilities, aiming to re-establish intimacy without a
parent-child dynamic.

7.Question
How can a couple address poor time management
contributing to lack of intimacy?
Answer:By creating a structured schedule where both
partners can agree on designated time for intimacy,
incorporating casual reminders, and eliminating distractions
to foster connection.

8.Question
What is one approach to deal with hypersexuality in

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relationships where one partner has ADD?
Answer:The partner with the higher sexual desire should find
alternative activities to channel their energy and stress while
the couple agrees on a realistic frequency for intimacy.

9.Question
How can partners balance the workload in their
relationship to enhance intimacy?
Answer:Both partners need to articulate their responsibilities,
aiming for a balance where neither feels overburdened, thus
reducing frustration and rekindling romance.

10.Question
What are some alternative activities to compensate for
sexual imbalances in desire?
Answer:Engaging in hobbies, exercise, or self-care activities
can provide a healthy outlet for sexual energy, helping both
partners feel fulfilled while respecting each other's
boundaries.
Chapter 42 | Q&A
1.Question
What are the key elements of finding happiness and

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success according to Hallowell and Ratey?
Answer:Hallowell and Ratey emphasize that finding
happiness in love and work are fundamental. They
suggest marrying someone who appreciates you for
who you are and finding a job that aligns with your
strengths and passions.

2.Question
How can adults with ADD combat the belief that they are
not worth good treatment in relationships or workplaces?
Answer:Adults with ADD can reverse this belief through
self-discovery aided by diagnosis, education, and therapy. By
learning about their condition and embracing their strengths,
they can approach relationships and job interviews with
newfound confidence.

3.Question
What practical advice is given for managing the details of
everyday life for individuals with ADD?
Answer:Important advice includes creating designated spaces
for items like car keys to minimize forgetfulness, as well as

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keeping multiple wastebaskets to declutter and organize
living spaces.

4.Question
Why is it important not to expect perfection, especially
for adults with ADD?
Answer:The text encourages adults with ADD to accept that
mistakes are a natural part of life and learning. By not
holding oneself to an impossible standard, individuals can
avoid excessive self-criticism and focus on progress instead.

5.Question
What is the significance of physical exercise for adults
with ADD?
Answer:Regular physical exercise is crucial as it boosts
neurotransmitters like dopamine and serotonin, which can
help manage ADD symptoms, serving as a natural alternative
to medication like Ritalin or Prozac.

6.Question
How can adults with ADD learn to celebrate their
victories?
Answer:Celebrating victories involves taking a moment to

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acknowledge accomplishments rather than rushing to the
next task. This helps in internalizing the success, which can
provide motivation and encouragement for future challenges.

7.Question
What strategies are recommended for dealing with the
letdown that often follows completing a major project?
Answer:Adults with ADD should prepare for post-project
letdowns by staying connected with others and engaging in
physical activities to mitigate feelings of depression and
prevent self-destructive behaviors.

8.Question
How can one effectively use reminders to cope with ADD?
Answer:Creating reminders can take many forms—visual
cues like calendars, auditory signals like alarms, or tactile
reminders like objects in a pocket. These prompts help
maintain focus and ensure important tasks are not forgotten.

9.Question
What role does self-knowledge play for individuals with
ADD?
Answer:Self-knowledge is paramount; understanding one's

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strengths and weaknesses allows for creating an environment
that fosters success. Regularly reminding oneself of positive
attributes can help combat the tendency to forget personal
insights.

10.Question
Can fidget toys be beneficial for adults with ADD? How?
Answer:Fidget toys, such as Silly Putty, provide stimulation
that can enhance focus during lectures or meetings. They can
be integrated into daily tasks without being distracting,
allowing individuals to concentrate better.

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Chapter 43 | Q&A
1.Question
What is the key to finding the right partner when you
have ADD?
Answer:The key to finding the right partner is to
seek someone who truly enjoys being with you,
respects you for who you are, and sees the best in
you. This partner does not try to change you but
instead supports and encourages your authentic self.

2.Question
How do fear and self-perception affect adults with ADD
in relationships?
Answer:Adults with ADD often struggle with fear of
inadequacy, leading them to believe they need someone
controlling to keep them in line. This fear can cause them to
gravitate towards partners who are demeaning or
manipulative because they doubt their own worth and
capabilities.

3.Question
What role does vulnerability play in building meaningful

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relationships for individuals with ADD?
Answer:Vulnerability is essential for deep and meaningful
love. It allows individuals to showcase their true selves
without pretense, thereby attracting partners who love them
for who they genuinely are, rather than an act.

4.Question
What practical steps can someone with ADD take to
improve their chances of finding a loving partner?
Answer:1. Stay away from people who regularly bring you
down or make you feel bad. 2. Avoid putting on an act; let
your true self shine. 3. Remember that it's okay to be
vulnerable. 4. Cultivate relationships with people who
respect you and see your strengths.

5.Question
How can one maintain a positive mindset when
navigating relationships as someone with ADD?
Answer:A positive mindset can be fostered by keeping in
mind individuals who love you unconditionally, filtering out
negative influences, and actively seeking relationships that

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affirm and celebrate your worth.

6.Question
What does a supportive and loving partner look like for
someone with ADD?
Answer:A supportive partner is someone whose face lights
up when they hear your voice, who understands the dynamics
of ADD, and who does not take your mistakes personally.
This person appreciates your unique qualities and helps you
navigate challenges rather than exacerbate them.

7.Question
What deeply rooted needs do individuals with ADD have
in love and relationships?
Answer:Individuals with ADD deeply need validation,
acceptance, and encouragement. They thrive when someone
recognizes their potential and helps them overcome feelings
of inadequacy that stem from past experiences.

8.Question
What message does the poem 'Treasured Friend' convey
about love?
Answer:The poem conveys that true love is about acceptance

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and support, meeting someone where they are without
judgment, and helping them realize their strengths amidst
difficulties. It emphasizes the power of love to inspire and
uplift.
Chapter 44 | Q&A
1.Question
What is the first step recommended for couples dealing
with ADD?
Answer:Get a diagnosis for ADD, as many couples
are troubled due to one partner being undiagnosed.

2.Question
How can understanding ADD change a couple's dynamic?
Answer:Understanding ADD shifts the perspective from
judgment to empathy, allowing each partner to see the
challenges not just as personal shortcomings but as part of a
neurological condition.

3.Question
What particular signs indicate distress in couples when
one partner has undiagnosed ADD?
Answer:Signs include an uneven division of labor, infrequent

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intimacy, pent-up resentment by the non-ADD spouse,
broken promises by the ADD spouse, and constant financial
issues.

4.Question
Why is outside help important for couples where one
partner has ADD?
Answer:An outside referee, like a therapist, can facilitate
discussions, helping each partner understand the other's
perspective without escalating conflict.

5.Question
What are some of the 'Dos' that non-ADD spouses should
communicate to their partners with ADD?
Answer:Some 'Dos' include asking the ADD partner to
behavior like an adult, take responsibility for tasks, and try to
motivate themselves for the business.

6.Question
What are some strategies to better manage conflict in
these relationships?
Answer:Strategies include giving each other space during
arguments, looking for humor as a diffuser, and avoiding the

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parent-child dynamic.

7.Question
How can couples maintain a healthy relationship
post-diagnosis?
Answer:Establish routines such as date nights, clear division
of labor, and consistent treatment for ADD to enhance
mutual understanding and cooperation.

8.Question
What emotional challenges might the non-ADD spouse
face?
Answer:They may feel fatigued, like a caretaker rather than a
partner, experience resentment, and struggle with feelings of
loneliness and being overwhelmed.

9.Question
What are the potential outcomes if both partners commit
to working on their relationship?
Answer:With commitment and understanding, couples can
improve their relationship, developing new paths to
communicate, handle responsibilities, and find joy together.

10.Question

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Can humor play a role in relationships affected by ADD?
Answer:Yes, humor can help diffuse anger and tension,
allowing couples to navigate conflicts more smoothly.

11.Question
What is the overarching message regarding marrying
someone with ADD?
Answer:Despite the challenges, with dedication and the right
support, couples can thrive and build a strong, loving
partnership.
Chapter 45 | Q&A
1.Question
What is the main message about organization for
individuals with ADD?
Answer:The main message is that individuals with
ADD do not need to strive for complete
organization. Instead, they should aim to be 'well
enough organized' to achieve their goals.

2.Question
How can humor play a role in overcoming
disorganization according to the text?

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Answer:Humor can help defuse the negativity associated
with disorganization. It allows individuals to cope with their
struggles and view their messes as part of their creative
process, rather than as failures.

3.Question
Why is the concept of 'well enough organized' important
for those with ADD?
Answer:This concept is crucial because it acknowledges that
perfection isn't necessary for success. People with ADD often
struggle with organization, so focusing on achieving a
functional level of organization that allows them to
accomplish their goals is more realistic and beneficial.

4.Question
How did the author learn organizational skills despite a
challenging home life?
Answer:The author learned basic organizational skills at
Fessenden, a structured school. Teachers there taught
essential tools like list-making and assignment tracking,
transforming organization into a game that made it engaging

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and manageable.

5.Question
What anecdote from Sharon illustrates the shareability of
struggles with disorganization?
Answer:Sharon left her disorganized office door open during
an open house, which inspired others to embrace their own
mess and disorganization. Her bravery in exposing her
workspace encouraged others to feel less ashamed of their
own struggles.

6.Question
What is the significance of discussing the author's
experiences with disorganization?
Answer:The author's experiences show that even successful
individuals face challenges with organization. He emphasizes
the importance of persistence and adaptation, rather than
expecting perfection in organizing one's life.

7.Question
What strategies does the author mention that individuals
with ADD can use to improve their organization?
Answer:Strategies include seeking help from others, using

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tools like assignment books and flashcards, and employing
various adaptive techniques that cater to their personal needs
and style.

8.Question
What emotional response do individuals with ADD often
have towards their disorganized spaces?
Answer:Individuals with ADD often feel overwhelmed,
ashamed, and sad in front of their disorganized spaces,
leading to negative energy that can hinder their motivation to
clean up.

9.Question
In what way does societal perception of organization
affect those with ADD?
Answer:Societal perception often equates neatness with
competence, leading individuals with ADD to feel shame and
inadequacy when they cannot meet those standards, despite
their abilities in other areas.

10.Question
What is the author's advice for those feeling overwhelmed
by their disorganization?

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Answer:The author advises them to focus on achieving a
level of organization that is functional and serves their goals,
rather than trying to conform to unrealistic standards of
perfection.

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Chapter 46 | Q&A
1.Question
What is the most significant factor in the treatment of
ADD according to the author?
Answer:The feeling of connection between the
patient and the provider is the most significant
factor.

2.Question
How should a mental health practitioner view their
patient during treatment?
Answer:A mental health practitioner should see their patient
as a person first and foremost, treating them with empathy
and connection.

3.Question
What does the author criticize about modern psychiatric
practices?
Answer:The author criticizes the impersonal and hurried
nature of modern psychiatric practices that often prioritize
diagnosis and medication over human connection.

4.Question

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What common mistake do mental health professionals
make according to this chapter?
Answer:A common mistake is focusing too quickly on
diagnosing instead of establishing a connection with the
patient.

5.Question
How might the pressure of insurance influence
psychiatric visits?
Answer:Insurance pressures often lead to shorter visits where
empathic conversation is sacrificed for efficiency.

6.Question
What should patients seek in their mental health
professionals when dealing with ADD?
Answer:Patients should seek professionals who take the time
to listen, understand their concerns, and foster a genuine
connection.

7.Question
Why does the author believe a human connection is
essential in treatment?
Answer:The author believes that the human relationship is at

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the core of healing, as it facilitates a deeper exploration of the
patient's thoughts and feelings.

8.Question
What does the author suggest about the fears faced by
psychiatrists?
Answer:Many psychiatrists operate in fear of lawsuits and
are pressured into impersonal and defensive practices, which
detracts from patient care.

9.Question
What does a visit with a caring mental health professional
provide, especially for those with ADD?
Answer:A visit with a caring mental health professional
provides an opportunity for patients to express more of
what’s on their minds, leading to better treatment outcomes.

10.Question
What does the author imply by contrasting psychiatry
with psychoanalysis?
Answer:The author implies that modern psychiatry has
become overly mechanical, while psychoanalysis has
evolved to emphasize understanding the patient as a person.

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Delivered from Distraction Quiz and Test
Check the Correct Answer on Bookey Website

Chapter 1 | A DISTINCTIVE COLLECTION OF

TRAITS| Quiz and Test
1.ADD should be viewed simply as a mental
disorder.
2.Individuals with ADD can exhibit both intense focus and
easy distraction.
3.Effective treatment for ADD only involves medication.
Chapter 2 | WHAT’S NEW IN THE WORLD OF
ADD?| Quiz and Test
1.Attention deficit disorder (ADD) was widely
recognized before 1994.
2.The book emphasizes physical exercise as beneficial for
treating ADD.
3.The official term for ADD is attention deficit disorder
(ADD).
Chapter 3 | ADD OR ADHD?| Quiz and Test
1.The official term for attention deficit disorder is

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 ADD.
2.ADD is used in this book for familiarity, though it is not
the official term.
3.Individuals with ADD must exhibit hyperactivity to be
diagnosed.

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Chapter 4 | Quiz and Test
1.ADD is solely a disorder that negatively impacts
individuals without any potential benefits.
2.The estimated prevalence of ADD in the population is
between 5-8%.
3.ADD and ADHD are identical conditions with no
significant differences regarding symptoms.
Chapter 5 | Quiz and Test
1.ADD is solely defined by its negative aspects and
traits.
2.People with ADD may face challenges in social
interactions due to impulsivity and difficulty focusing.
3.Medication is the only treatment necessary for managing
ADD effectively.
Chapter 6 | Quiz and Test
1.Successful adults with ADD should focus on their
weaknesses to achieve happiness and success.
2.David Neeleman attributes his entrepreneurial success to
understanding his strengths despite facing struggles with

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 ADD.
3.Maintaining perfect organization is essential for ADD
adults to reach their goals.

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Chapter 7 | Quiz and Test
1.The Adult Self-Report Scale (ASRS) was
developed by experts and the World Health
Organization to screen for ADD in adults.
2.A score of 4 or higher on the ASRS indicates a full
diagnosis of ADD.
3.The ASRS is considered a statistically valid tool for
assessing ADD.
Chapter 8 | Quiz and Test
1.The struggle to pay attention is solely a matter of
willpower.
2.Attention Deficit Disorder (ADD) can impact a person's
daily tasks and is often misunderstood.
3.Individuals with ADD completely lack attention.
Chapter 9 | Quiz and Test
1.Historically, severe mental disturbances were
often treated with brutal methods, reinforcing a
culture of stigma.
2.Charles Bradley's 1937 experiment indicated that

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 amphetamines caused hyperactivity in disruptive boys.
3.ADD is recognized as a legitimate biological condition that
often persists into adulthood and requires structured
support for management.

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Chapter 10 | Quiz and Test
1.Individuals with ADD often experience an
unscratchable itch that can lead to self-destructive
actions. Is this statement true or false?
2.The dissatisfaction felt by individuals with ADD is
primarily due to depression. Is this statement true or false?
3.Creative expression can be a healthy outlet for managing
the inner itch experienced by those with ADD. Is this
statement true or false?
Chapter 11 | Quiz and Test
1.The Benevian family believed Sophie's academic
challenges were solely due to peer influence before
considering ADD as a possibility.
2.Sophie and Lucas's struggles with ADD had no impact on
the family dynamics or Paul and Nan's understanding of
their own behaviors.
3.The Benevian family found that after proper diagnosis and
treatment, both Sophie and Lucas showed significant
improvements in their behavior and academic performance.

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Chapter 12 | Quiz and Test
1.Joey was initially diagnosed with dyslexia, which
led to the use of the Orton Gillingham method for
reading improvements.
2.Dr. Peter Jensen founded the CACMH to help streamline
the process for parents seeking services for children's
mental health.
3.Joey's parents had no prior knowledge about child mental
health before navigating the system for Joey's treatment.

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Chapter 13 | Quiz and Test
1.Nancy O’Brien faced academic success from a
young age despite struggling with ADD.
2.Through her journey, Nancy learned that overcoming ADD
challenges requires knowledge and support, beyond just
medication.
3.Nancy's son Warren received no help for his hyperactivity
due to a lack of information about ADD at the time.
Chapter 14 | Quiz and Test
1.Self-diagnosis is a recommended method for
diagnosing Attention Deficit Disorder (ADD).
2.Child psychiatrists and developmental pediatricians are the
most trained professionals for diagnosing ADD.
3.Teacher feedback is not considered important in the
evaluation process for children with ADD.
Chapter 15 | Quiz and Test
1.The qEEG is known to provide up to 90%
accuracy in diagnosing Attention Deficit Disorder
(ADD).

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2.The SPECT scan is widely adopted in psychiatry for
diagnosing mental health disorders.
3.A detailed patient history is often less reliable than tests
like qEEG and SPECT for diagnosing ADD.

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Chapter 16 | Quiz and Test
1.Parents should inform their child about their ADD
diagnosis in a relaxed setting with the parents
present.
2.It is essential for parents to emphasize that having ADD is
a defining label for their child.
3.Clinicians should provide complex answers to children's
questions about ADD to ensure understanding.
Chapter 17 | Quiz and Test
1.About 25% of individuals with ADD may
experience mood disorders such as depression and
bipolar disorder.
2.Approximately 40% of adults with ADD struggle with drug
abuse, while around 20% may abuse alcohol.
3.All coexisting conditions associated with ADD are
treatable and effective treatment for ADD can improve
these issues.
Chapter 18 | Quiz and Test
1.Bipolar disorder was historically recognized in

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 children before Dr. Janet Wozniak’s paper in 1995.
2.Symptoms of mania in children often present as elevated
mood rather than irritability.
3.The use of stimulant medications is contraindicated in
treating children with bipolar disorder.

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Chapter 19 | Quiz and Test
1.Dyslexia affects 15-20% of the population and is
defined as a reading and spelling difficulty that is
not linked to education level, eyesight, or
intelligence.
2.The author believes that treating dyslexia should only focus
on addressing weaknesses and shortcomings in reading
skills rather than on individual strengths.
3.Effective specialized tutoring for dyslexia helps develop
phonemic awareness and reading fluency, which are
essential for academic success.
Chapter 20 | Quiz and Test
1.ADD is directly inherited from parents to children.
2.If one parent has ADD, each child has about a 30% chance
of inheriting it.
3.Genetic tests can provide certainties about whether a
person will develop ADD or not.
Chapter 21 | Quiz and Test
1.ADD can be directly inherited from parents to

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 children without any environmental influences.
2.The rise in ADD diagnoses since 1974 is attributed to
increased awareness and cultural factors in modern life.
3.Increased screen time has no effect on children's social
skills or frustration tolerance.

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Chapter 22 | Quiz and Test
1.Adults with ADD often face challenges in finding
pleasure in safe, healthy ways due to a
physiological predisposition.
2.The safest method for managing addiction is through the
regular consumption of harmful substances to achieve
moderation.
3.12-step programs can only assist individuals with
traditional addictions and not those with negative emotions
stemming from ADD.
Chapter 23 | Quiz and Test
1.The treatment for ADD should only focus on
medication to be effective.
2.Understanding ADD and its implications for families is
essential for effective treatment.
3.Lifestyle changes such as nutrition and exercise have no
significant impact on managing ADD symptoms.
Chapter 24 | Quiz and Test
1.Treatment for ADD should focus primarily on

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 addressing the problems associated with the
disorder.
2.An ADD diagnosis can be a turning point that leads to a
more optimistic outlook on past struggles.
3.Traditional diagnostic terms mostly highlight strengths and
potential talents in individuals with ADD.

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Chapter 25 | Quiz and Test
1.Lifelong joy is inaccessible for individuals with
ADD.
2.The five-step method for finding joy is only relevant for
children.
3.Internal qualities are less important than external factors in
achieving lasting joy.
Chapter 26 | Quiz and Test
1.The Rye Neck Union Free School District follows a
traditional model focusing on the weaknesses of
students.
2.Peter Mustich is the Superintendent of Rye Neck Union
Free School District and advocates for recognizing
strengths in all students.
3.Leadership roles, such as being an editor of a newspaper,
do not positively impact student engagement and
motivation.
Chapter 27 | Quiz and Test
1.Eric successfully maintained a high GPA during

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 his first semester of college despite having ADD.
2.Students with ADD need to learn responsibility for
self-care without parental guidance in college.
3.It is unnecessary for parents to prepare their children with
ADD for the transition to college, as they are fully
independent after high school.

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Chapter 28 | Quiz and Test
1.A poor diet can mimic ADD symptoms and disrupt
treatment.
2.The author believes Ginkgo Biloba is recommended for
regular use.
3.Individuals should be cautious about elimination diets and
heavily processed foods.
Chapter 29 | Quiz and Test
1.The average intake of omega-3 fatty acids in
modern American diets is about 5% of historical
levels.
2.Omega-3 fatty acids can be synthesized by the body, so
there's no need for regular dietary intake.
3.Current research suggests a direct correlation between low
omega-3 levels and Attention Deficit Disorder (ADD).
Chapter 30 | Quiz and Test
1.Exercise has no significant benefits for mental
well-being.
2.Regular exercise can improve brain function by increasing

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 blood flow and stimulating the production of BDNF.
3.It is advisable to restrict children with ADD from engaging
in physical activities as a form of discipline.

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Chapter 31 | Quiz and Test
1.Exercising the brain is essential for maintaining
mental fitness just like physical exercise benefits
the body.
2.Mental exercises can be performed less frequently than
daily for optimal results to improve attention.
3.Physical trainers in Russia developed the exercises
designed to challenge attention and organizational skills.
Chapter 32 | Quiz and Test
1.Cerebellar stimulation exercises are suggested as a
method for improving reading and organization in
children with ADD and dyslexia.
2.The author expresses complete confidence in cerebellar
stimulation exercises without any skepticism or need for
further research.
3.Jack experienced a remarkable change from hating to
loving reading after starting the Dore method exercises.
Chapter 33 | Quiz and Test
1.Stimulant medications have been shown to be

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 effective and safe for treating ADD since their
introduction in 1937.
2.Patients should feel pressured to take medication to ensure
its efficacy.
3.Research shows that children taking stimulant medications
have higher rates of drug abuse compared to those who are
not medicated.

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Chapter 34 | Quiz and Test
1.Medication for ADD should always be seen as a
last resort treatment option.
2.Stimulant medications like Ritalin and Adderall work by
enhancing the brain's inhibitory circuits.
3.Non-stimulant medications are not available for treating
ADD.
Chapter 35 | Quiz and Test
1.The SPIN concept includes shame, pessimism,
isolation, and lack of a creative outlet as barriers
to progress.
2.Addressing shame does not require discussing feelings with
a supportive person.
3.Engaging in productive activities is unimportant for
individuals with ADD.
Chapter 36 | Quiz and Test
1.SLIDE represents a process with five components
including Self-Attack and Life-Attack.
2.According to the author, all individuals with ADD will

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 experience significant improvements in their condition.
3.The author suggests that it's important to create coping
strategies when feeling good, to use during challenging
times.

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Chapter 37 | Quiz and Test
1.The 'big struggle' in families with ADD manifests
primarily as interpersonal conflict and
misunderstandings.
2.Families affected by ADD should avoid engaging in shared
activities as this may increase tensions and conflicts.
3.The Collaborative Problem Solving (CPS) approach
focuses on strict obedience rather than negotiation.
Chapter 38 | Quiz and Test
1.Experiencing feelings of futility is uncommon
among those with ADD.
2.Simply trying harder is a well-accepted solution for
overcoming ADD challenges.
3.Creating a crisis plan can help individuals cope with the
dark side of ADD.
Chapter 39 | Quiz and Test
1.Adults with ADD often create 'piles' as a way to
organize, which can lead to overwhelming clutter.
2.Finding humor in clutter significantly delays the ability to

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 overcome 'piles'.
3.The OHIO system stands for 'Only Handle It Once' and is
beneficial in preventing the recurrence of piles.

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Chapter 40 | Quiz and Test
1.Excessive worry is harmful but some worry is
necessary.
2.Individuals with ADD worry less than those without ADD
due to their heightened imagination.
3.One of the keys to combating toxic worry is to never worry
alone.
Chapter 41 | Quiz and Test
1.Sexual problems in adults with ADD are
commonly discussed in medical literature.
2.Unacknowledged power struggles within a relationship can
lead to sexual intimacy issues when one partner has ADD.
3.Individuals with ADD do not experience hypersexuality or
use sex as a means of self-medication.
Chapter 42 | Quiz and Test
1.Marrying a supportive partner and finding a job
that values your strengths are both important for
managing ADD effectively.
2.It is best to avoid organizing personal belongings and

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 maintaining a clean environment when living with ADD.
3.Exercising regularly has no benefits for individuals with
ADD, either mentally or physically.

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Chapter 43 | Quiz and Test
1.Individuals with ADD should seek controlling or
demeaning partners according to Chapter 40 of
'Delivered from Distraction'.
2.Having a supportive partner is essential for personal growth
in individuals with ADD.
3.The best partner for someone with ADD is primarily
someone who is organized and shares common interests.
Chapter 44 | Quiz and Test
1.Getting a diagnosis for ADD is not important for a
successful relationship.
2.Couples therapy can help partners communicate better
when one has ADD.
3.ADD should be seen as an excuse for behavior that can
harm the relationship.
Chapter 45 | Quiz and Test
1.People with ADD often struggle with organization
due to various challenges and the abundance of
resources available is enough to tackle these issues.

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2.The law of entropy suggests that disorder is a natural
tendency that affects everyone, and this is particularly
evident in those with ADD.
3.Effective organization techniques are one-size-fits-all
solutions that work universally for everyone with ADD.

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Chapter 46 | Quiz and Test
1.The essential aspect of treatment for ADD is the
connection between the patient and the healthcare
provider.
2.All ADD treatments require medication for them to be
effective.
3.Modern psychiatry has remained focused on providing
empathetic and human interactions with patients.

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