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Answers: A. Shifting gears rapidly, Running out of gas, and Setting the cruise control for mega-speed. B. Written Rules, Unwritten Rules, Communication, and Managing ADD Symptoms. C. Manipulation and Blaming. D. “What Can I Do Well?”, “What Can I Do Adequately?”,and “What Can’t or Shouldn’t I Do?” E. Acquisition, registration, storage, access, and transfer. F. Working too hard and having too much intensity. G. The One Channel Operational System, the Locking In and Blocking Out Phenomena, the Defective Filter, and the “I Hate Details” Dynamic. H. Rebellion and Perfectionism I. Anger, Denial, Bargaining, Depression, Acceptance. J. Write down and rehearse what you are going to say; make the call from a quiet, distraction-free place; keep your notes in front of you; and stick to the script. K. Sixty-five percent. L. Work vs. Play, Your Needs vs. Others’ Needs, Overstimulation vs. Understimulation, Hyperactivity vs. Hypoactivity, Detailed vs. Global Thinking, and Depression vs. Euphoria. M. The “Message Center.” N. The Intense Emotional Roller Coaster, the Bottomless Pit of Needs and Desires, and the Time Tyrant.
A. Initiating a dialogue, mirroring, validating, empathizing, and exchanging roles. B. Because ADHD is conceptualized as a developmental disability, target symptoms must be age-inappropriate relative to peers. Adult sufferers, who may still have relative deficits and show many ADHD-based problems but do not fully meet criteria because they may have “outgrown” the normative sample, but not the disorder. C. She was self-referred, complained of chronic disorganization and problems with attention, had a history of diagnostic ambiguity, and sought help because of an acute problem in school or the work world. D. Extensive analysis of cognitive and psychological issues as well as a detailed knowledge of the multiple workplace considerations. E. Have the client set his alarm for a half-hour earlier than he needs to get up. When the alarm goes off, the client takes his first dose of stimulant medication, and then goes back to sleep for half an hour. F. Diagnosis of ADHD has been reported to be delayed if an individual has protective influences such as a high IQ, a supportive family, relatively good social skills, and no symptoms of conduct disorder. G. Assess current level of symptoms. Assess degree of functional impairment. Establish childhood history. Perform general psychological evaluation. Obtain developmental history. Obtain family psychiatric and neuropsychiatric history. Institute specialized psychological or neuropsychological testing. Be mindful of medical mimics. H. Their symptoms, such as forgetfulness, disorganization, low self-esteem, anxiety, and demoralization, are all considerably less overt than the disruptive behaviors typically seen among males, and hyperactivity in females is more likely to manifest as hyper-talkativeness or emotional reactivity than excessive motor activity. I. Research suggests a 50% comorbity between ADD and substance abuse disorders. J. Poor communication skills, impulsive behavior, and executive dysfunction. K. Control, desire, goal orientation, reframing, persistence, and learned creativity. L. Reduce ADD symptomalogy, improve organizational skills, reduce anger, and improve self-esteem.
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