Comic Relief

Today's theme--and hopefully I can keep them on my site this time--is missing deadlines. In some careers, missing a deadline can be a death sentence, but it happens to the best of us every once and a while, and apparently to the smartest of us. At least according to this recent column in the Washington Post.

"A local organization is eager to give out some scholarship money, but its members dozed on the deadline to be included in the publicity done by the national group. Having missed the cutoff, they were afraid no one would know about the $3,000 that's burning a hole in their pocket.
The group that missed the deadline: Mensa.
That's the organization for geniuses."

A word of warning: I am not, I repeat NOT including this to say that people who are geniuses have ADD or vice versa, or even that all people with ADD miss deadlines, just that the column made me laugh. Take a look at the headline: "Even Geniuses Miss Deadlines . . . And Frolic Nude" and tell me you're not smiling. I will pontificate on giftedness and ADD in a bit. But for now, a comic strip from Bill Amend, the writer of Foxtrot when he was nearing retirement from his daily strip:

Some Personal Thoughts

This blog was designed to provide information but I think it's also important to provide personal reactions so that when other people read it it might resonate with people who are dealing with ADD, testing, or diagnosis. So here are some personal thoughts. They are from a longer essay, edited for legnth and identifying features. That's why it sounds disjointed.

I am part of a growing number of students and adults who are diagnosed post-childhood because, growing up, they were the academic super-stars, popular, and more or less well behaved. Their symptoms were overlooked when they were children because they seemed to fare well without medication or therapy.

The first time I remember having a panic attack was in fourth grade. I didn’t call it that. I didn’t call it that until I was a junior in college. But when I was nine, I had the test the next day on the digestive system, and I didn’t feel prepared so I burst into tears, the big back-shaking kind, with liquid coming from everywhere, eyes, nose, mouth. I don’t remember what my mom said. I do remember that she came into my room later that night and took the diagrams of the stomach and intestines and the flashlight from under my blankets. I got an 103 on the test. No one worried, because when the tears dried I was an overachiever....

On the molecular level, Speed—the blanket name given to a group of drugs that produce the stimulant effect—and Adderall are the same drug. Both are Amphetamines—the title that is given collectively to an assortment of drugs with similar molecular structures including Meth, which can be made illegally in secret laboratories. Amphetamines, legal or illegal can be taken orally, or through injection, smoking, or snorting and create the same rush.

When I nervously asked a psychiatrist counseling center what the difference was between Speed and Adderall, he said, “nothing. Molecularly, they are the same. The difference is how you take them. Adderall is prescribed in small, controlled doses.” The illegal counterparts of the drug clearly are not.

It’s of little surprise then, that Adderall is easy to get on college campuses. Students, some joking some not, beg for it when they are faced with pulling an all-nighter. Other students use it as a party drug.

“I snort it sometimes when I'm going out for fun, because it hits you faster if you snort it,” an NYU student identified only as Mary told The Washington Square News.

When I told a friend via an instant message chat that I wasn’t sure if I was going to get a prescription for Adderall, he wrote “WHAT!?!??!...but like, it's speed.”

Which is exactly why I didn’t want to take it. Edward Hallowell, a physiatrist who has ADD himself, treats it and has written multiple books about the subject, listed “[t]endency towards addictive behavior,” as a symptom of adult ADD in his book Driven to Distraction. Later in the book, Hallowell, describing high stimulation ADD, a specific subset of Adult ADD, “he—and it is usually a he—may seek high stimulation through relatively safe avenues [such as] creating tight deadlines to work under.”

I don’t know if I have high-stimulation ADD. I don’t fit all of the descriptors and I am not a risk taker in the most widely accepted form it takes. I am afraid of roller coasters and skiing. But I am addicted to deadlines. Ask the person who sits next to me in the library. I hate the exhaustion that comes with writing on tight deadlines. But I love the rush that comes with them.

I have a tendency to addiction—my dependency of coffee indicates that much. So I am afraid of prescription medication.

News For Thought

Hopefully a reoccurring post with interesting newspaper articles.

I do not have ADD linked with any other disorder. But, because I would like this to be a resource for other people, and because ADD is often linked with anxiety and depression, and because of the recent events at Virginia Tech, I wanted to provide links to two articles that I thought were interesting approaches to mental health.

First from the New York Times, a story about the woman who started the mental health awareness group, Active Minds, after her brother committed suicide while on leave from college.

And, from the Washington Post an Op-Ed that I link to because of the questions of stigma that it brings up, about the panel being formed in the wake of Virginia Tech.

"A Man Walks Down the Street, He Says, Why Am I Short Of Attention? Got A Short Little Span of Attention" - Music and ADD

A while back, the New York Times ran an article about the dangers of multi-tasking. I thought it was ridiculous at the time and I still think it is silly. It contains "news" such as "The findings, according to neuroscientists, psychologists and management professors, suggest that many people would be wise to curb their multitasking behavior when working in an office, studying or driving a car."

I can't imagine that even people without ADD actually think their attention is equally shared among things like talking on the phone and paying attention to the road. It didn't strike me as something scientists needed to study.

But I have been thinking a lot about this line in the article: "Listening to soothing background music while studying may improve concentration. But other distractions — most songs with lyrics, instant messaging, television shows — hamper performance."

I listen to music with lyrics while studying and writing papers. I have been trying to writing papers in a quiet library recently, and it has been a disaster. One of the things about ADD is that people with ADD are more likely to seek out distractions or get distracted by things that are available and interesting but is not the task at hand (O.K. that's essentially a working definition of ADD). For me, that manifests itself as a lot of time on the Internet. (Case and point this blog). But when I am listening to music with lyrics,--I try to choose songs whose lyrics I already know so I won't spend time trying to figure out the lyrics--I am less likely to get distracted by all out time wasters like Internet or random walks. I type more quickly and am more focused. It's choosing the lesser evil and I think it works.

Lyrics in the Title from Paul Simon's "You Can Call Me Al" click play below to hear the song (with a weird video).

Paul Simon - You Can Call Me Al
Uploaded by manon42

Jealousy

The worst part about knowing this is fixable is knowing that there are people who can do their work without getting distracted.

Comic Relief

An occasional post of comic strips that make you say "Haha. I do that," or make you realize it could be worse.

UPDATE 06/27: The comic got take down from its host site, so bear with me while I figure out what to do. Sorry.

UPDATE: 08/19: I found it but now the other comic is down. I think I will have to give up on posting comics for a while.

ADD Books: Part I: Finding The Symptoms That Make You Say "Aha!"

I didn't forget about the promised science posts. It turns out they are a lot more complicated than I thought. I will get to them when I understand more about the science of the medicines. But for now, I want to write about some of the more anecdotal things. I have been doing a lot of reading both online and in books. One book that I plowed through today (skimming the parts that seemed less relevant to me, but reading most of the first 100 pages) is Driven to Distraction by Edward M. Hallowell and John J. Ratey, both doctors with ADD. (They chose to use ADD instead of ADHD because it is more inclusive since hyperactivity is not assumed). It is an easy read full of anecdotes but not skimpy on the real science. There is some of the laughing at ADD that I find annoying (like questions such as "did you have trouble reaching the end of this questionnaire), and some repetitive language that I suppose is helpful for people who read the book in more than two sittings, but mostly it is very well done.

I've found reading about ADD frustrating because often I don't fit the symptoms, and I find myself questioning the diagnosis and saying "this is not me". I have always done well in school. I am good at evaluating myself, and I am not really impulsive, for example. But Hallowell (the book is mostly in his voice) describes enough different cases that I have found symptoms close enough to mine, even though he suggests that someone with ADD would meet 15 of his 20 symptoms where I barely meet 12 of them.

There was one patient he wrote about, Sarah (pages 94-101) an adult with ADD, whose symptoms made me understand more about me and about some of the people in my life. I am just going to block quote here:

"Oh," she answered, "that is about a cough drop someone left on the dashboard of our car. The other day I saw the cough drop and thought, I'll have to throw that away. When I arrived at my first stop, I forgot to take the cough drop to a trash can. When I got back into the car, I saw it and thought, I'll throw it away at the gas station. The gas station came and went and I hadn't thrown the cough drop away. Well, the whole day went like that, the cough drop still sitting on the dashboard. When I got home, I thought, I'll take it inside with me and throw it out. In the time it tool for me to open the car door, I forgot about the cough drop. It was there to greet me when I got in the car the next morning. Jeff [her husband] was with me. I looked at the cough drop and bust into tears. Jeff asked me why I was crying , and I told him it was because of the cough drop. He thought I was losing my mind. 'But you don't understand,' I said, my whole life is like that. I see something that I mean to do, and then I don't do it. It's not only trivial things like the cough drop; it's big things too.' That's why I cried. "
It was such a classic ADD story that I've come to call it the cough-drop sign (Page 95).

This anecdote reminded me of myself in a lot of ways. Though I can't think of any specific incidents, it was familiar. But more importantly, it reminded me of someone I know, who is in her 50's (like Sarah in the story) and on occasion worries that she is developing Alzheimer's disease--like after she read a New York Times Magazine Lives column about Alzheimer's disease, or after she watched an episode of the West Wing where the White House Press Secretary C.J. Cregg spends time with her father who has Alzheimer's. But the symptoms she most worried about were most similar to the cough-drop symptom. Maybe it's not as scary as Alzheimer's. I bet it's ADD.

Sarah provided Hallowell with a whole list of things she thought were relevant that bothered her. Some of them did not apply to me at all. Other ones made my mouth drop in recognition. Those are below. I list them here, in a blog that is supposed to be more informational than personal, because I would never have associated them with ADD, but Hallowell did--calling Sarah's list something that "could serve as a pamphlet on adult ADD" (page 98)--and so I think others would be equally surprised at the links between the symptoms and between the symptoms and ADD.

I am going to list all the ones in Sarah's list that apply to me. Some are more surprising than others. I don't want to give the impression that I am a totally atypical person with ADD I have put stars and notes next to the ones I found jaw-dropping.

CAUTIONARY NOTE: This list makes me seem like a total space cadet. Most, if not all of these things DO NOT CONTROL MY LIFE. I have figured out how to work around them or to use them to my advantage. I am very successful and trustworthy. Also, I am NOT BLAMING ADD. Some of these are things that I am going to work out, ADD or not. It's just cool to see that they might be connected to one another. (There's my fear about someone figuring out who is writing this and using it against me).

With that out of the way, the list:

• "Daydreamed a lot in class as a child."
• "Have lots of ideas but have a hard time structuring things so they actually happen."
• "Desk cluttered."
• "Forgetful."
• "Difficult to walk in a straight line--tend to veer into things or people." *** (My friends used to make fun of me for this. I have one--very close--friend who used to see if he could edge me to the curb to see if I would walk into a telephone pole. It almost always worked. I had NO IDEA this could be ADD related).
  
• "Unless I am involved, usually get very sleepy during lectures.
• "Handwriting: sometimes I wrote things I don't mean to; skip letters or form them wrong." *(I have used this to my advantage in creative writing to come up with unique turns of phrase).
• "Lose what's in my head very easily."
• "Organize my life around projects"
• "Problems with lateness. Even when there is plenty of time, I fill it up and then cut things too close or lose track of time. I don't have a sense of passing time." * (I sometimes have a very acute sense of passing time. But sometimes I have no sense at all. I thought that I just loved working on tight deadlines, but this gave me a different perspective).
  
• "There is something inside that needs to change."* (This was something I just noticed this year as I started talking about ADD).
  
• "Doors and drawers--never close them after myself, then come back and see them and close them."* (I always got yelled at for this. It's cool to see how much of this might be related.
  
• "Get overwhelmed by a large confused mess."
• General problems with distractibility and disorganization."
  

That's a ton of descriptors that I thought matched my life. It was the first time I have actually felt the relief that everyone keeps saying comes with a diagnosis. It was the first time that I actually seriously considered taking meds. I will post soon on meds and fears about them, but I want to do that when I am more informed.