I am glad that I read this book. It’s pretty great and I don’t see many things wrong with it. I disagree about it being a super power but they do not deny the negatives. There is a lot more that I agree with them than I disagree. They aren’t trying to rebrand ADHD, VAST is a trait not a diagnosis.
This is a pretty basic easy to digest book. The only issue is that it does not really offer any new information besides VAST. It’s a good starter book.
- Paddy, 1/25
ADHD 2.0
By Edward Hallowell & John Ratey
- [ ] The second book about ADHD this year
- [ ] Race car brain with bicycle brakes - the more I think about that, the more it hits home. I am going so fast but also so slow. My brain hits the brakes right after I have done something dumb
- [ ] ADHD is a public health concern. It leads to lower life spans, more frequent injuries, and often jail time. People with ADHD on average have a shorter life span by 13 years and as high as 21 years
- [ ] ADHD is serious, harmful, and painful. It causes hardship and stress. It is treatable and the most treatable mental health disorder. It responds better to medication than any other disorder
- [ ] I will reading this as I read Barack Obama’s book. I want to make sure that I devote full attention to this book and I take extensive notes
Chapter 1
- [ ] We are the unfulfilled potential, the inventors, the criminals, the artists, the bankrupt, the lawyers, the doctors, and everything in between. We are the success stories and the failures. We are not crazy, lazy, and stupid but it often appears that way.
- [ ] I think about my unfulfilled potential and wasted life. All of the years that I have wasted. I feel like such a loser. Geez I am about to cry
- [ ] We have to learn how to make ADHD work for us, we can harness it for success
- [ ] ADHD can be treated when professionally addressed
- [ ] He goes through the symptoms and signs of ADHD; time management, impulsivity, inattention, etc
- [ ] Lightening rod - we are the only person that gets in trouble, the one that causes the disruption. If everyone else is doing something wrong, we are the one that will get in trouble. Geez I relate to this so deeply
- [ ] Impulsive speech and poor social skills - this follows us into adulthood. Another symptom that I deeply relate to
- [ ] Seeking stimulation and boredom - the ADHD mind craves stimulation and despises boredom. We jump from one thing to the next constantly seeking stimulation. This is a symptom that I forget about
- [ ] Addiction - it can often lead to sex, drug, alcohol, shopping, and other addictions
- [ ] Time blindness - it is either now or not now
- [ ] Rejection sensitivity
- [ ] Poor self awareness - this is a huge issue of mine and one of my biggest fears
- [ ] Inability to see ones part in situations
- [ ] Distorted negative perception of self. Attention deficient distorter. We are blind to the upside and we only see the downsides and negativity. Shame, fear, misunderstanding, hold back in relationships and opportunities because of the negative perception of self - I deeply relate to this. This a deep root of my ADHD experience and my experience of losing my job. I want to know more about this and how to resolve it
VAST
- [ ] Variable attention stimulus trait
- [ ] The plus and minuses of the traits. Each negative has a positive and each positive has a negative
- [ ] Can take a life time trying to get good at what they are bad at - that’s me
Chapter 2
- [ ] The obsession, brooding, negative thoughts
- [ ] Epigenetics
- [ ] Ugh I don’t want to be here in a year, I want to move on with my life and be the person that I know I am. I hate having unfulfilled potential
- [ ] It is never too late to change, your life is not fixed. You can and will change
- [ ] Unlock your strengths
- [ ] Intractable rumination
- [ ] DMN - default mode network
- [ ] The angle and demon of the ADHD brain
- [ ] There is a reason why our brains ruminate in the negative
- [ ] Faulty connections and circuits of the brain, DMN v TPN
- [ ] The addiction connection. The ADHD brain often looks to be settled down and manifests itself in addictions. Not many studies have been done on this, most of it is anecdotal evidence. It os why many artists have addictions, the creative mind is looking to be calmed. I can deeply relate to this section
- [ ] They keep talking about the creative mind, entrepreneurs, and alluding to hyper focus - three things I have never experienced
- [ ] The DMN has you obsess over the negative, going over every little thing. Picking apart every interaction. It is destructive. You can use this obsession and focus on the TPN, focus on the positive and make that real
- [ ] The DMN is my demon, it is the part of my brain that I go to war with. It is what I despise, but it can be battled. The reoccurring thoughts and feelings are not representative of dismal truth but artifacts of your prolific imagination. They are negatives of the thoughts and imaginations and doom that holds you back. - I find this hard to believe because the worst blows have come when I was thinking of the positive and the rejection came out of nowhere
- [ ] Turn to the TPN and make your thoughts work for you. Meditation, medication, exercise, human connection
- [ ] Stop going to battle with it
Chapter 3
- [ ] The cerebellum
- [ ] Balancing exercises
- [ ] Love, encouragement, human connection, using your strengths
- [ ] Shame is rehabilitating
- [ ] The power of connection, support, love, and using ones strengths
Chapter 4 - the healing power of connection
- [ ] Loneliness, negativity, isolation, are detrimental to ones health
- [ ] Trauma in childhood often leads to addiction, unfulfilled potential, negative actions in adulthood
- [ ] The diet study that asked overweight women when their first sexual experience was - leading to identifying the obesity to sexual abuse/trauma
- [ ] Human connection is healing
- [ ] The behaviors of ADHD, impacts, and results can be traumatizing. The rejection, impulse, addiction, emotional, mental, and physical abuse/impacts. It puts in dangerous situations, we behave dangerously, and others respond in traumatic ways. Others become impatient, tired, intolerant, etc. It is not their fault but they act in ways that harm the ADHDer, as a result of of behavior
- [ ] The rejection, isolation of ADHD is intense. Human connection, love, acceptance is healing
- [ ] The single most important factor in professional, mental, emotional, spiritual, physical health - love
- [ ] One must be able to receive love. Learn how to take love in, not push it away
- [ ] ACE Test
- [ ] Many people with ADHD feel misunderstood, left out, alienated, on the outside looking in - this is me
- [ ] The solution is connection
- [ ] Never worry alone
- [ ] I do better when I have strong connections. I do badly when I have low connection
- [ ] Fear, shame, the belief you can’t do it - the real learning disabilities
- [ ] Build a life around connection, have meals with people, regularly keep up with close friends
- [ ] Close relationships are vital to a healthy life
- [ ] Forgive yourself and others, connect with nature, write gratitude list, stick with winners, commit to self improvement, join clubs, find meaning/purpose
Chapter 5 - find the right difficult
- [ ] Connect with your creativity/outlet
- [ ] Find your super power
- [ ] Find what you are good at. Find something difficult that you enjoy doing and get better at it
- [ ] Strength based approach
- [ ] Strengths assessment
- [ ] The zone of: what you are good, what you enjoy doing, what you can get paid for
- [ ] Colbi test - how we exert effort, a strength based personality test
- [ ] Finding your best fit
- [ ] Don’t waste your time on the self defeating. Running towards your weaknesses compounds the problem
- [ ] We reject help and it harms us. Don’t fail doing it your way, succeed with help
- [ ] I can relate to this and I need to run towards my strengths
- [ ] Our biggest fear is that we are more powerful than we know
Chapter 6 - create stellar environments
- [ ] Creating a safe, supportive, structure is essential for success
- [ ] Daily structure
- [ ] Use reminders
- [ ] Work/school structure
- [ ] Be cautious of electronic devices. Limit of screen use, turn it off and keep it away as much as possible
- [ ] Regular and clear expectations
- [ ] Encourage self assertion
- [ ] Laughter, humor is healing
- [ ] Never worry alone
- [ ] Structured but not strict, routine but not boring
- [ ] Clear lines of authority, clear lines of work and responsibility
- [ ] Promotes honesty but not bullying
- [ ] Promotes mediation between coworkers and not the immediate involvement of HR. High use of working things out directly and privately, less use of HR
- [ ] Build in little rewards
- [ ] Plenty of support and positivity. The ADHDer responds infinitely better to positive comments than they do negative comments. They need to hear what they are doing well. Strength based work/learning environment
- [ ] Feedback needs to be specific and prompt
- [ ] Work environment that encourages connecting with others
- [ ] Low fear, high trust
- [ ] Clearly stated policies on a variety of topics, handbook
- [ ] Place to be who you are - within reason
- [ ] Management has clear expectations and tasks - I needed more structure and clarity in what my role was
- [ ] Sleep
- [ ] Don’t eat in your bed
- [ ] Close screens down at night, keep them out of the bedroom
- [ ] Good sleep is the ability to wake up without the use of an alarm clock
- [ ] Nutrition
- [ ] Whole Foods diet, free from preservatives and junk. Don’t eat junk food
- [ ] Fruits, vegetables, etc. Eat real foods, if you can’t say what it is, don’t eat it
- [ ] Severely limit or abstain from sugar. Sugar is a dopamine kick and negative for the ADHD brain
- [ ] High protein diet
- [ ] Use of supplements - multi vitamin, zinc, magnesium, vitamin D & C,
- [ ] Get essential/complex fats, these are hard to obtain naturally, get them in supplements
- [ ] One of the bigger changes that I have tried to make since the incident, is to eat better, cutting out sugar, eating less junk, and eating real foods
- [ ] Populate your world with positivity
- [ ] Be your best friend
- [ ] Be around people that love you
- [ ] Avoid toxic or unhealthy relationships. People with ADHD can end up in relationships where they are trying to save their partner or their partner is not accepting of them - I am lucky that I have been with loving and supportive partners
- [ ] Read the book ‘why won’t anyone play with me’ - it is for adults too
- [ ] These two can help you learn better social skills but are from two different schools of thought.
- [ ] Applied behavior analysis, ABA - change habits and develop new routines. Develop a set of skills that will help individuals be successful
- [ ] ABA is about behavior change, it is pavlovian, it tends to be robotic. It is surface level, it is the notecards and finding the correct thing to say at the time.
- [ ] Social learning - it shows how to understand their behavior, not just change it. It shows how to read a social situation
- [ ] Social learning is deeper, it is understanding why you behavior in a certain and why to behave another way. It is not, insert behavior from x response, it is pulling back the layers more
- [ ] I have not been doing social learning, this is what I need to be doing. This is a therapist, coach, occupational therapist, doctor, or it’s own thing? Hallowell says social learning specialist or coach
Chapter 7 - exercise
- [ ] This is Ratey’s chapter
- [ ] Exercise can work as well as medication
- [ ] Meditation - there are plenty of apps and tools that can assist you with meditation
- [ ] Yoga, cardio, strengths training
- [ ] 35-45 minutes at least three times a week. 70% heart rate
- [ ] Ensure that exercise is part of your treatment
Chapter 8 - medication
- [ ] One of the most valuable tools in the tool box
- [ ] I am a huge supporter of medication and this reinforces my beliefs
- [ ] Use the science
- [ ] It works 70%-80% of the time
- [ ] The destruction of unmanaged and unmedicated ADHD is huge. HR see it in their practice often. They see abject human suffering
- [ ] Medication does not work for all people but it does work for most, find the medication that works best for you
- [ ] Medication prevents abuse. Most people that abuse medication are undiagnosed or don’t have ADHD. They kind of ruin for those of us that do
- [ ] Rejection sensitivity disorder - the understanding, diagnosis, and treatment of it is growing, although it is probably more of a symptom. Clonodine is used address it, I take that
- [ ] Discussion about the different kinds of meds and effects
- [ ] Don’t be forced into taking medication, only take it when you are ready, you are willing, and you understand your own goals. Ask yourself the three questions, make sure that you have tried other treatment options and that medication is not the only thing you are doing
- [ ] Vyvanse is effective from 10-12 hours, is water soluble, because guy enzymes break it down it can not be abused through snorting or injection
- [ ] Methyl v amphetamines v non stimulant
- [ ] The advent of longer acting medications has been helpful to the community to cut down on taking so many pills and so often
- [ ] Great chapter, I am missing many of the technical details but that is alright
Conclusion
- [ ] Medication, exercise, human connections, creating stellar environments, meaning and purpose - these are your treatments tools
- [ ] This is a short and fantastic book. Not overly complicated, not a full introduction, but accessible and easy to understand. It covers most of the disorder and gives a clear treatment plan
- [ ] This is one of the first books I would give people
- [ ] Yet again it is clear that Ratey and Hollowell are some of the top minds in the field
- [ ] I don’t have an opinion on VAST, it seems like they are just rebranding ADHD
- [ ] Find your feel and make it real
- [ ] This ends hopeful, you can do this. Don’t let the demon rule you. You can live a wonderful life
- [ ] Go forward and live a beautiful life - manage your ADHD, don’t let it manage you