Women With Attention Deficit Disorder: Embrace Your Differences and Transform Your Life

Women With Attention Deficit Disorder: Embrace Your Differences and Transform Your Life
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Women with Attention Deficit Disorder, psychotherapist Sari Solden&#39;s, groundbreaking book, explains how every year, millions of withdrawn little girls and chronically overwhelmed women go undiagnosed with Attention Deficit Disorder because they don&#39;t fit the stereotypical profile: they&#39;re not fast-talking, hyperactive, or inattentive, and they are not male.<br><br>This pioneering book explores treatment and counseling options, and uses real-life case histories to examine the special challenges women with AD/HD face, such as the shame of not fulfilling societal expectations. Solden explains that AD/HD affects just as many women as men, and often results in depression, disorganization, anxiety, and underachievement.<br><br>Included in this revised edition is a brand new chapter on friendship challenges for women with AD/HD. Three empowering steps &mdash; restructuring one&#39;s life, renegotiating relationships, and redefining self-image &mdash; help women take control of their lives and enjoy success on their own terms.<br><br>&quot;Sari Solden has used her personal and professional experience to shine some light into the dark closet inhabited by far too many ADD women… She empowers ADD women by validating their experience as worthwhile human beings who struggle with serious organizational problems in many areas of their lives.&quot; (Kate Kelly and Peggy Ramundo, authors of You Mean I&#39;m Not Lazy, Stupid, or Crazy&quot;)

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Sari Boone's Solden. Women With Attention Deficit Disorder: Embrace Your Differences and Transform Your Life

INTRODUCTORY SECTION. FOREWORD TO THE NEW EDITION by Edward T. Hallowell, M.D. (2005)

ORIGINAL FOREWORD by John J. Ratey, M.D. (1993)

INTRODUCTION TO THE NEW EDITION by Peggy Ramundo and Kate Kelly

ORIGINAL INTRODUCTION by Peggy Ramundo and Kate Kelly

BEGINNINGS. AUTHOR’S PREFACE

Why I Chose to Write a Book on Women with AD/HD

Perspective

The Scope and Focus of this Book

The Characters in the Book

Overview

AUTHOR’S INTRODUCTION TO REVISED EDITION

A Pocket Guide to AD/HD

Defining AD/HD

Diagnosing AD/HD is Complex

The Information Highway in Your Head

Seeing is Believing

The Many Faces of AD/HD

AD/HD by Any Other Name . . The Names Change, but the Facts Remain the Same

Different Types of AD/HD (as of this writing) AD/HD Hyperactive/Impulsive Type

AD/HD Inattentive Type

Detailed Breakdown of What AD/HD is and What It’s Not. AD/HD Does NOT = A Deficit of Attention

AD/HD Does NOT = Hyperactivity

AD/HD Does NOT = Impulsive Troublemaking

A Deeper Dive into the Complexities of AD/HD

Can You Have These Symptoms and Not Have AD/HD?

Other Reasons for Symptoms that Mimic AD/HD

Effects of AD/HD

The Impact of AD/HD on Lives

Basic Treatment

Take Away Message

The Buried Treasure

PART I: SURVIVING. CHAPTER ONE. Coming Out of the (Messy) Closet. Introduction to My Personal and Professional Story

Personal Discovery

Living Successfully as a Woman with AD/HD

CHAPTER TWO. An Equal Opportunity Disorder. Girls and AD/HD

AD/HD (Minus the Hyperactivity)

AD/HD GIRLS (with the hyperactivity and impulsivity) Lucy as a Girl

Why AD/HD Goes Undiagnosed Longer in Little Girls

Twelve Years Old and Still Undiagnosed . .

Teenage Years: Lucy in the Sky (without protective factors)

The Seeds Of Self Doubt

CHAPTER THREE “Dance with the Lady with the Hole in Her Stocking” A Portrait of Women’s Lives before Diagnosis. The Secret World

The Good News Is . .

All Grown Up and Still Undiagnosed

“We’ve Only Just Begun”

Let’s Look At Lucy’s Young Adult Years

The Many Roads Taken . .

“Hey, Jod . . . Take a Sad Song and Make it Better . . .”

Married without Children

Married with Child

School Daze

The Mother of Child with AD/HD

Choice of Partners

Chaotic Partners

Unavailable Partners

Caretaking Partners

Controlling Partners

Summary

CHAPTER FOUR “Who Am I?” and “What’s the Matter with Me?” The Impact on a Woman’s Developing Self-Image

The Inside and the Outside Don’t Match

What’s the Matter With Me?

I Am Incompetent

I Am Immature

I Am an Impostor

Unsolved Mysteries

Trying Harder

To Tell or Not to Tell

To Be or Not To Be

CHAPTER FIVE. The Disorder of Dis-order. Understanding Disorganization

Disorganization Affects Cognitive Abilities as Well as the Physical Environment

Do You Suffer from TMS—Time, Money, and Stuff?

Why Do People With AD/HD Have Organizational Difficulties?

Executive Functioning

Activation

Sequencing, Prioritizing, Planning, and Categorizing

Visual Memory: Loose, Shifting Mental Images

The Traditional Triad

Attention

Impulsivity: Excessive Shifting of Attention or Activities

Activity Regulation

Cognitive Challenges

Synthesizing Ideas

PART II: HIDING. CHAPTER SIX. The Job from Hell. A Woman’s Job Description

Why AD/HD Impacts Women Differently Than Men

The Ideal Candidate

Summary of a Woman’s Basic Job Description

Feelings of Failure

Feelings of Failure to Perform and Conform to Role Expectations

Feelings of Failure in Feminine Identity

Feelings of Failure as Partner or Mother

Women’s Basic Job Description at Work

Women’s (Unspoken) Job Descriptions at Work

Summary

CHAPTER SEVEN. The Emotional Legacy. Shame and Guilt

Culturally Transmitted Messages

General Messages to All Women

Guilt

Shame

The Rhodes Scholar

Personal Maligning Messages

“You” Messages

“She” Messages

Hiding the “Shameful” Secret

Summary. Going With the (Emotional) Flow

CHAPTER EIGHT. Secondary Effects. Underachievement and a Depressed Mood

Underachievement

Getting Stuck

The Assertion Blues

The Mask of Competency

Depressed Mood

Overwhelmed

Overloaded from Not Saying No

Overworked

Negative Self-talk

Reactivity: The Pressure Points

Quickly Changing Moods

“So tired, tired of waiting . . .”

Summary

CHAPTER NINE. A Third Secondary Effect. Relationships and Self Protection

The Tangled Web We Weave

Self-Protecting

Fear of Being Unmasked

Feeling Misunderstood

Other Communication Struggles that Make You Feel Misunderstood

Being Misunderstood Because You Are Not Explaining Yourself

Misinterpretation (Creating the Problem You Were Trying to Prevent)

Summary

CHAPTER TEN. Are You Friendship Challenged? Getting Back on the Road to Relationships

As Time Goes By

Disconnecting

Activation

Quick Loss of Energy

Becoming Distracted

Memory Issues

Disorganization

Cognitive Confusion and Difficulty

Feeling Overwhelmed

Problems with Expression

Fear of Feeling Overwhelmed

Fear of a Negative Response

Fear of Not Knowing What to Say

Fear of Not Being Able to Protect Yourself

Fear of Differences

Fear of Feeling the Pain of Underachievement and Failure

Steps to Help with Activation

Steps to Help with Loss of Energy

Steps to Help with Memory Issues

Steps to Help with Disorganization

Steps to Help with Feeling Overwhelmed

Steps to Help with Problems of Expression

Steps to Help with Fears

Fearful Forms of Communication

Emotional Reasons for These Behaviors

Taking the Next Step

Summary

PART III: EMERGING

CHAPTER ELEVEN. Finding Your Way. Self-Assessment and Paths to Diagnosis. Self-Screening. First Steps

Screening Tool

Solden Self-Screening for Women with Attention Deficit Disorder

After Self-screening: Now What?

Paths to Diagnosis. Short Circuiting the Process

Which Professional Should You Start With?

The Quality of the Experience

Before You Go to a Professional

Your First Visit with a Professional

Potential Aspects of the Evaluation Process. The Interview

Testing

Benefits of a Comprehensive Evaluation

Downsides of a Comprehensive Evaluation

The Reporting Session

Summary

CHAPTER TWELVE. Cases of Mistaken Identity. Diagnostic Difficulties for Women

Preview of This Chapter

Why A Woman’s AD/HD May Get Misdiagnosed or Missed Altogether. She Doesn’t “Look” Chaotic

Many Mental Health Professionals Aren’t Trained to Identify AD/HD

A History Lesson

Childhood Histories without Hyperactivity

Childhood Protective Factors

Compensation Blurs the Picture

Cases of Mistaken Identity

1. Cause or Effect

2. Look Alikes

Summary

CHAPTER THIRTEEN. Solden’s “MESST” Model of Treatment. Medication, Education, Strategies, Support, and Therapy

AFTER THE DIAGNOSIS: AN OVERVIEW OF THE PROCESS

The Grief Cycle

Denial

Anger

Bargaining

Depression

Acceptance

Solden’s MESST Model. THE “MESST” MODEL

CHAPTER FOURTEEN. The Beginning of the “MESST” Medication. Running on Empty

Not in Kansas Anymore

Overview

My Take on Taking Medication

A Balanced Approach?

The Decision Making Process

What if You Can’t Take Medication or Don’t Want to

What Kinds of Doctors Prescribe AD/HD Medication

Before You Go to the Doctor

Working with Your Doctor Who Is Working with Your Brain

Why Do All the Experts Have Different Approaches?

Where to Find the Right Doctor for You

Overview of Medications Used for Adults with AD/HD. Stigma, Suspicion, and Safety

What Are the Goals of Using AD/HD Medication?

How Medications Work for AD/HD

Types of Medications Used for Adults with AD/HD. Stimulants

Types of Stimulants

Non-Stimulant Medication Sometimes Used for AD/HD Symptoms

Other Medications That Target Accompanying Conditions

Antidepressants: SSRI (Selective Serotonin Reuptake Inhibitors)

Your Experience of Being on Medications. Dosing and Side Effects

How to Monitor the Effectiveness of Your Medication

Range of Feelings You May Experience When Using Medications

Summary

CHAPTER FIFTEEN “Let’s Get Physical” Women’s Treatment Issues

The Cycle of Changes

Women, Hormones, and AD/HD

PMS

Perimenopause and Menopause

Pregnancy

Eating Disorders

Substance Abuse and Addictions

Summary

CHAPTER SIXTEEN. The Middle of the “MESST” Education and Strategies

Education

Gathering Information

Emotional Education

Strategies

“TMS” and the Four Different Types of Strategies

Time

Money

Stuff

One Size Does Not Fit All!

Life Style Changes: Body and Soul

Helpers for the Messy Internal World

Extra Strategies

Conclusion

CHAPTER SEVENTEEN. The Rest of the Middle of the “MESST” Support

Support Groups

Support Services

Do Not Try This at Home Alone

The Right Kind of Help

Personal Assistant

Professional Organizers

Emotional Issues Related to Getting Support Services

Keeping Pace with Success

Spring Cleaning the Internal World

Coaching for AD/HD

Different Focuses

How Coaching Can Help

Self-check to Determine if Coaching Is for You

Possible Roadblocks

Summary

CHAPTER EIGHTEEN. The End of the “MESST” Therapy

Internal Barriers that May Prevent You from Moving Forward

Common Themes Addressed in Counseling for Women with AD/HD

Counseling Goals

What Happens When You Make Changes in the Family System

Power Shifts

Effective Approaches and Pitfalls in Counseling

What to Look for in Individual Counseling

Couples Counseling

Goals for Couples Counseling

Effective Approaches

Balance

Calming Things Down

Communication and Empathy

Attributions and Wounding

Positive Relationships

Help for “Mixed” Marriages

Group Counseling

Summary

PART IV: EMBRACING. Diamonds in the Rough

CHAPTER NINETEEN. From Chaos to Creation. Learning to Embrace Disorganization. Embrace Disorganization?

The Three R’s to Successfully Living with AD/HD

Restructuring

Renegotiating

Redefining

CHAPTER TWENTY. Are You Staying or Going? Restructuring Your Work Life

Balancing Your Work Life

Strengths and Deficits

Your Needs vs. Other’s Needs

Balancing Personal Life and Work Life

Examining Your Current Work Life. If You Aren’t Currently Working Outside the Home: Time and Space

Thinking About Jobs

Roadblocks to Career Information Gathering

Strategies for Successful Information Gathering

If You Are Currently Working

Reasonable Changes in Your Physical Environment

Structure and Stimulation

Activity/Energy Levels

External Barriers to an Effective Working Environment

Knowing When it’s Time to Leave and Preparing for This Change

Internal Barriers to Change

A Work Decision Tree

SOLDEN’S AD/HD WORK DECISION TREE

Summary

CHAPTER TWENTY-ONE. Shake, Rattle, and Roles. Restructuring Your Personal Life

A Balancing Act

Balance of Strengths and Deficits at Home

Your Needs vs. Other’s Needs at Home

Balance in Home Life

Examining The Division of Labor

Meeting of the Minds: Eight Talking Points

Taking a Fresh Look at Rules and Roles Within the Family

Too Many Tasks

TASK DIVISION CHART

Summary: And Now, For the Rest of Jodi’s Story . .

CHAPTER TWENTY-TWO. Yours, Mine, and Ours. Renegotiating Relationships

Renegotiating In Your Personal Life. Toxic Help

Setting Limits

Globally Dismissed

Dominance, Dependency and Other Fears

Four Steps to Renegotiating Relationships

Validation

Negotiation

Appreciation

Reciprocation

Putting the Four Steps Together

~ ~ ~ ~ ~ ~ ~ ~ ~ Woman with AD/HD. Validation

Negotiation

Appreciation

Reciprocation

~ ~ ~ ~ ~ ~ ~ ~ ~ Partner without AD/HD

Validation

Negotiation

Appreciation

Reciprocation

~ ~ ~ ~ ~ ~ ~ ~ ~ Looking for Common Ground

Renegotiating Social Obligations with Friends, Family and Other Groups

Staying Over with Friends or Relatives

But I’m No Good in the Kitchen

Social Gatherings

Committees, Boards, and Other Volunteer Groups

Renegotiating At Work and College

Positive Communication

Ways to Get Coaching at Work

More Formal Assistance

College: Open Lines of Communication

Before You Go to College

CHAPTER TWENTY-THREE. One of a Kind. Redefining Your Self-Image

REDEFINING YOUR CORE SELF-CONCEPT

Self-Talk

Redefining at Work. Changing Your Image

Self Image for Young Women

Redefining In Your Personal Life. Partnerships

Grief Cycle for Non-AD/HD Partners

When Your Partner Feels Stuck

A Whole New Cycle Begins

AFTER WORDS. Women’s Voices

Question – September 2002

Sari’s response:

Question – August 2002

Sari’s response:

Question – June 2002

Sari’s response:

Question – July 2002

Sari’s response:

Question – May 2002

Sari’s response:

Dear Sari – April 2002

Sari’s response:

Dear Sari – March 2002

Question – March 2002

Sari’s response

Question – Nov 2001

Sari’s response

Dear Sari – September 2001

Dear Reader,

Question – May 2001

Dear Reader,

Dear Sari – January 2001

Sari’s response

Dear Sari

Sari’s response

Dear Sari

Sari’s response

Question

Sari’s response

Question – January 2000

Sari’s response

Question

Sari’s response

Question – December 1999

Sari’s response

Question – November 1999

Sari’s response

RECOMMENDED RESOURCES

FOR MENTAL HEALTH PROFESSIONALS WORKING WITH ADULTS WITH ADD

BIBLIOGRAPHY

ACKNOWLEDGMENTS TO THE REVISED EDITION

ACKNOWLEDGMENTS FROM ORIGINAL EDITION (1993)

ABOUT THE AUTHOR

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Sari Solden opened up the field of women who have ADD almost single-handedly when the first version of this book appeared a decade ago. I remember how enthusiastic I was to read it back then, and I am equally enthusiastic to read this new, updated version.

Women with ADD had an immediate impact upon the many readers who were eager to know about the particulars of female life with ADD. Sari’s book filled a large void and it did so beautifully. Before Women with ADD, many people thought that no woman could have ADD. The many who did were misdiagnosed as depressed, anxious, or just “ditsy.” I have had the pleasure of treating many women, and seeing their lives change dramatically for the better, who came to see me because they had read Women with ADD.

.....

•A neurochemical condition (not a psychological one) that affects behavior on various levels:

– attention

.....

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