“I felt a Cleaving in my Mind –
As if my Brain had split –
I tried to match it – Seam by Seam –
But could not make them fit
The thought behind, I strove to join
Unto the thought before –
But Sequence ravelled out of Sound –
Like Balls – upon a Floor.”
This time I report on a non fiction book about the little understood neuro biological condition of ADHD. This report is two days overdue by the deadline I set myself. The only good thing I can say about missing the end of month to post this is that such behaviour is perfectly in synch with the book I am reporting on.
ADHD, or Attention Deficit Hyperactivity Disorder (earlier known as ADD) is a controversial and complex issue about which doctors, psychologists, educators, counselors, neuroscientists and researchers are still figuring out the finer points of origin, causes, treatment and control. Not just that, even the existence of this, the validity of a diagnosis with ADHD and the various current modalities of coping are subject to conflicting views and support or the lack of it. I recently met a noted cardiologist friend and shared with him my son’s diagnosis and the casual way he told me not pay attention to it was astoundingly shocking, coming as it did from the medical profession.
Needless to say, the attitude towards the often common sounding traits of ADHD complicates the situation for those thus diagnosed or unable to access a diagnosis and those who live with ADD in their family or in close relationships. In this simple to read and easy to understand book two doctors give a very detailed overview of the basket of traits and behaviours that show up in ADD, through sharing a series of extremely detailed case stories, explanations and decades of clinical experience.
They describe and define, and explain the diagnostic criteria and the treatment methods. They delve into the different manifestations of ADHD in children and adults, and how it impacts other aspects of one’s life and relationships and performance and self worth. All of this is done with graphic, vivid, engaging write ups of cases, of correspondence from patients and their families, and the authors’ own life.
Through compelling and compassionate accounts of diagnosis and progress of treatment of their patients, the authors make a convincing and comprehensive case for the need for early diagnosis and consistent multi-pronged interventions.
The authors have extensive experience in working and researching ADD/ ADHD and also personally live with the condition, so everything in the book comes from close experience of their cases and personal life. The case studies used are wide ranging, and each case is unique yet typical in its specificities. The three key components of ADHD- impulsivity, distractibility and hyperactivity are displayed in minute detail and all shades of manifestation. The distinction between various similar seeming psychiatric and behavioural conditions is explained and made clear.
There are checklists and guidelines, making the book a helpful practical manual besides a great introduction to ADHD. There are references to other researches and books that cover the history and latest findings in the field throughout the text, for those who want to explore the topic further. In that sense this is also a great reference resource.
In their approach to ADD the authors are categorical in approaching it as a neurological, biological phenomenon but they also stress the need for a comprehensive treatment plan that goes beyond mere medication, and at times need not include medication at all. To quote, they stress ”how important a comprehensive treatment plan is, a plan that incorporates education, understanding, empathy, structure, coaching, a plan for success and physical exercise as well as medication. …how important human connection is every step of the way…see the human connection as the single most powerful therapeutic force in the treatment of ADHD….Human connection is indispensable..the other Vitamin C, Vitamin Connect. “
What worked for me particularly in this book was the straightforward and detailed descriptions of the many ways the ADHD presents in the lives of people, and the numerous helpful checklists and resources included. It is a highly empathetic work of professionals, aimed at making the general public and those directly affected by the condition approach the idea of ADHD with open minds and and hopeful hearts. The authors seek to go beyond merely identifying something as a pathology, to acknowledging the issue as a composite of its problems and strengths. Instead of fear and stigma and misunderstanding, they advocate for acceptance and action.