Category Archives: Find Treatment and Support

The ADD Journey

Living successfully with ADHD. Help for the road ahead.by Cynthia Hammer, M.S.W.

Stage I: “The Journey Begins” (Discovery and Diagnosis)

Relief: “Finally, an explanation!

For many adults, discovering they have ADD, usually by reading an article, a book or seeing something on television, is a very emotional moment. People at this point in time are usually very excited. They want to talk. They want to tell their story. They want to be understood now that they are starting to understand themselves. Most want to immediately seek a professional diagnosis so they can move forward with treatment.

Stage II: “Wandering in the Wilderness” (Increasing Awareness)

This stage is marked by a variety of feelings and questions.

  • Denial: “How do I know this is a valid disorder?”
  • Flickering Optimism: “Maybe there is hope.”
  • Fear, anxiety, and more anxiety: “What if I follow through with treatment, but nothing changes? All that effort and for what?” Another failure?” “Is medication safe? If I use it, will I have to take it for the rest of my life?”
  • Grief, Anger, and Resentment: “Why wasn’t this diagnosed and treated sooner?”

Stage III: “Up and Over the Mountain Top” (Restructuring)

At this stage, the ADDult no longer puts his energy into “What might have been ….” She moves forward with her life, focusing on what works and minimizing the impact of what does not. Some ADDults go to bed in Stage II and wake up in Stage III. It is hard to predict when or why the transition occurs, but it does, and it feels good! In Stage III, ADDults feel less shame about their disorder. They feel more empowered and more comfortable with telling others about their condition. Stage III involves:

  • Accepting: “I’m ready to let go of the past. I want to get on with my life.”
  • Delegating; Using Strategies and Accommodations: “Could some else more easily do this task?” “What strategies can I use, what accommodations can I request to accomplish my goals?”

Stage IV: “Enjoying the Peaceful Valley”(Self-Acceptance)

Along your journey you have enjoyed the occasional oasis…the moments when you recognize and praise yourself for new behaviors, small accomplishments, and completed tasks. You note where you started and how far you have come. The journey has been difficult, (and often you wanted to quit or turn back), but you realized you were making progress toward your destination. By noting the oases along the way, you confirm for yourself that you are traveling in the right direction, on the right road and keep you nourished for continued travel.

Eventually, you reach a point in your journey when you are traveling light. You no longer carry baggage from your past. You are a seasoned traveler, good at figuring out how to pass through this rough landscape. You are confident in your abilities and strong in your knowledge of having survived. You know your journey will get easier–that you will even start to enjoy it. You continue to journey, but now you travel without needing guides and fellow travelers. You journey down the open road of life, sometimes skipping, sometimes trudging, sometimes limping, but now there is usually a song in your heart, a twinkle in your eye, and a smile on your face. It is good to notice another oasis just ahead. Your journey of life has become the adventure you have always looked for.

Everyone on an ADD JOURNEY needs guides and fellow travelers to show the way and provide support when we weaken and falter. Our guides and fellow travelers provide the six essentials of multi-modal ADD treatment.

  1. Diagnosis
  2. Education
  3. Support
  4. Medication
  5. Counseling
  6. Coaching

Just as the wise backpacker carries the ten essentials when out trekking, the journeying ADDult needs to have the ADD treatment essentials at hand. Whether or not all treatments get used during the journey depends on the traveler. Some need to employ all treatments; others, only a few. Below is a chart showing which Guide or Fellow Traveler is most suitable for each stage of the journey

TREATMENT GUIDE/FELLOW TRAVELER STAGE
Diagnosis Psychologist, Psychiatrist, Counselor or Primary Care Physician I
Education and Support Education and Support Groups Self-education Self-Help Groups Friends and Family I and II,
I and II,
II and III
Medication (and/or Alternative Treatments) Psychiatrist, Primary Care Physician (and/or Alternative Health Care Providers) II, III, and IV
Counseling (and Therapy Groups) Counselor, Psychologist or
Psychiatrist
II and III
Coaching Professional Coach or Coaching Partner III

WHO ARE YOUR GUIDES FOR STAGES I AND II?

Psychiatrists are medical doctors who specialize in helping people with mental health problems. Their training includes medical school and usually a three-year postgraduate residency. One advantage of their training is that it enables them to understand, use, and prescribe medications. With respect to ADHD, this is a definite advantage, since ADD treatment usually includes medication. In addition to psychiatrists, other medical doctors along with physician assistants and some nurse practitioners have prescriptive authority. However, none of them do psychological testing.

Sometimes psychological testing is recommended–not to make the ADD diagnosis–but to gain other information on the person’s functioning. Only psychologists do this kind of testing. So, at times, an adult seeking an ADD diagnosis may see several different professionals. Some adults see several experts for another reason. They cannot find a knowledgeable helper. Sadly, many mental health professionals are not knowledgeable about adult ADD. They may look at it as either a “made up” or an over-diagnosed problem. Since mental health professionals are not used to working with adult ADD patients, it is likely that they may believe another problem is dominant.

Professionals in any field tend to “see” only what they know. If they don’t know or understand something, they can’t see or treat it. For example, the psychologist may see your problem mainly as depression or anxiety (especially if you are a woman), not recognizing the ADD as the underlying concern. How you feel about your life because of your untreated ADD may cause you to be depressed or anxious. ADD may be your primary problem, but other problems may need treatment as well.

In evaluating a mental health professional’s knowledge about ADD in adults, many of the following questions could be asked. Most of these questions could also be asked of ADD counselors and ADD coaches.

  1. Do you accept my insurance? Do you diagnose ADD/ADHD?
  2. How long have you been diagnosing this disorder in adults?
  3. How many ADD/ADHD adults have you diagnosed in the past five years. What percent of your practice has a primary diagnosis of ADD/ ADHD?
  4. How familiar are you with the day to day tribulations of having ADD? (You’re trying to learn if they or someone they are close to has this condition. How intimate is their understanding of ADD on a daily basis?)
  5. What is your treatment philosophy? (Will the clinician work with you and be open to suggestions or will he/she call all the shots. Is their treatment of ADD the same for everyone or is it individually tailored?)
  6. In a subtle way, learn what they do to keep current in their knowledge about adult ADD and its treatment protocols.
  7. How do you make a diagnosis? How many visits will it take and how much will it cost?
  8. How long will I have to wait for an appointment?
  9. Ask psychologists how they handle the medication part of treatment.
  10. Ask physicians (and other medical personnel with prescriptive authority) what medicines they use to treat ADD/ADHD.

YOUR GUIDES FOR STAGES II AND III – Therapists and Coaches

Counselors/Therapists: Often, after being diagnosed with ADD, it is a good idea to find a therapist with you whom you can work. Many times adults with ADD have become so mired in negative feelings about themselves that the first thing they need to do is to face these feelings directly and learn how to let them go. Besides dealing with the ADD symptoms themselves, there may be depression, anxiety, or other problems that need to be addressed.

A good therapist can help you develop practical ways to deal with your daily life based on your own problems and circumstances. You will develop insights into how your ADD symptoms have interacted throughout your life, which is likely to help you understand why your life has taken a certain direction. It is our belief that a good therapist will educate you thoroughly about ADD.

Individual therapy is the most likely choice because most people prefer the privacy of a one-to-one relationship with a mental health professional. In individual therapy you and your therapist talk about your particular problems and develop ways in which you can deal with them more effectively. You will probably see your therapist once each week, although the schedule may later change. Visits usually last about forty-five to fifty minutes. After the initial screening is completed, you and the therapist will spend your visits talking about specific challenges, developing coping strategies, sharing new insights, and whatever concerns are on your mind.

The therapy will vary according to the therapist’s orientation. For example, one therapist may help you listen to your negative thoughts and get you to actively challenge them. This method is central to cognitive therapy. Another therapist may help you develop strategies for actively confronting and, hopefully, overcoming the ADD symptoms that make your life less than optimal. Often you will gain insight as therapy proceeds. You may have misunderstood your ADD and thought that you were just “lazy, crazy, and stupid.” You may have many misconceptions that you built up over the years that you can now interpret in the light of your new understanding of ADD.

This does not in any way release you from doing the necessary work to get your life in order. Yes, you will develop insights. But you will also need to work at developing skills you have never had before.

A good therapist will teach the ADD adult to acknowledge the importance of small steps in making progress. Often people don’t continue along the road of self-improvement because they don’t acknowledge their small steps of Progress. The person with ADD often expects a difficult problem to be solved rapidly. “I want it yesterday.” If it can’t be solved soon, the person gets frustrated and gives up. The adult with ADD who learns the value of taking small but positive steps toward a goal learns a very valuable lesson. The good therapist keeps the client on track and helps the client maintain a positive perspective.

Coaches can be therapists, although coaching is not therapy. Coaches can also be another ADD adult, a friend or someone in your family. ADD coaching focuses on practical issues confronting the ADD adult, such as organization, managing time and setting and reaching goals. Coaching could help ADD adults to develop routines and daily habits which will simplify and make their lives more manageable. Some coaches are very forceful and offer lots of suggestions while others prefer coaches who mostly listen and then offer ideas.

A coaching relationship could last any length of time, but a typical relationship lasts at least six months. Sometimes coaching is done in person, one hour a week. It can be done over the phone, 10-15 minutes a day, or even done through e-mail. Hiring a trained person to be your coach is called professional coaching while getting someone else to work with you is called peer or partner coaching.

A coach works with you to improve your results and your successes. A coach will:

  1. help you set better goals and then reach those goals
  2. ask you to do more than you would have done on your own
  3. get you to focus your efforts better to produce results more quickly
  4. provide you with the tools, support, and structure to accomplish more

How does coaching differ from consulting? …therapy? ….sports coaching? …Having a best friend?

Coaching is a form of consulting as coaches provide advice and expertise in achieving personal change and excellence. However, unlike the consultant who offers advice and leaves, a coach stays to help implement the recommended changes, making sure they really happen and ensuring that the client reaches his goals in a lasting way.

In most therapies, patients or clients work on “issues,” reflect on their past experiences and try to understand the psychodynamic causes of their behaviors. Coaching focuses only on the here and now, looking at the problems in the present needing solutions. In this way, it is like solution-focuses therapy. Coaches work with their clients to gain something, such as new skills, not to lose something, such as unhealthy thought patterns. The focus is on achieving personal and professional goals that give clients the lives they want.

Professional coaching includes several principles from sports coaching, like teamwork, going for the goal, and being your best. Unlike sports coaching, professional coaching is non-competitive. You develop your own way to achieve your goals. There is not one best way to do it. It is not focused on outdoing someone else. It is focused on strengthening the client’s skills, such as a trainer might do.

Having a best friend is always wonderful, but you might not trust your best friend to advise you on the most important aspects of your life and/or business. A best friend might not be able or willing to provide the consistency in monitoring and feedback that coaching demands. The relationship with your coach has some elements of a good friendship in that a close relationship evolves. The coach knows when to be tender or tough with you, is willing to tell you the truth, and keeps your best interests foremost in the relationship.

“A coach is your partner in achieving professional goals, your champion during a turnaround, your trainer in communication and life skills, your sounding board when making choices, your motivator when strong actions are called for, your unconditional support when you take a hit, your mentor in personal development, your co-designer when developing an extraordinary project, your beacon during stormy times, your wake-up call if you don’t hear your own, and most importantly: Your coach is your partner in living the life you know you’re ready for, personally and professionally.” —Thomas Leonard, President of Coach University

People hire coaches because they want more to their life; they want to grow as individuals, and they want to make achieving their goals easier. When using a coach, people take themselves and their goals more seriously. They immediately start taking more effective and focused actions. They stop focusing on thoughts and behaviors that drag them down. They create a forward momentum to their lives and they set better goals for themselves than they would have without a coach.

COACH SELECTION RECOMMENDATIONS

Rapport is very important. Your relationship with your coach is important to your professional and personal growth. The effective coaching relationship is an effective model for all your other relationships: inspiring, supporting, challenging and productive. Choose someone you will be able to relate to very well.

Experience in your field is less important, although knowledge of A.D.D. is important. Coaching technology works for a wide variety of people, professions, and situations. A coach with experience in your personal or professional situation may understand you more quickly. However, much of your work with a coach will involve encouraging you to use and develop your personal skills and your expanding network. Therefore, the specific business experience of your coach is not as important as you might think. Coaching technology works independently of the business or professional environment.

Location is normally not important. While some coaches do offer on-site coaching, it is normally not necessary nor efficient. You will get the same or better results with telephone coaching at a fraction of your investment with on-site coaching.

Interview more than one coach before you decide. Most coaches are happy to speak with you for several minutes in order to get to know you and your situation. You can use this time as an opportunity to gather information and an impression about the coach’s style. Compare two or three coaches and select the one who seems most helpful to you. Trust yourself to know what you need.

Ask the prospective coach good questions. Great coaches are willing to answer your questions directly and forthrightly. Consider asking questions about their depth of experience, qualifications, skills, and practice. For example:

  1. “How many clients have you coached, and how many are presently active clients?”
  2. “What is your specialty and how long have you been practicing in that specialty?”
  3. “What is your knowledge of Attention Deficit Disorder? (expand this to be lots of questions–modify those suggested earlier for evaluating a mental health professional’s knowledge of ADD)”
  4. “How many clients have you had with A.D.D.?” What percentage of your clientele has this diagnosis?”
  5. “What qualifies you to coach people in my situation and how many people with my concerns have you coached?”
  6. “How do you typically work with a client?”
  7. “What are the names and numbers of some of your clients so that I may ask about your coaching?”
  8. “How long do clients usually work with you?”
  9. “What are your fees?”

RESOURCES

Find Treatment and Support for ADHD

Find an ADHD coach

The inspiration for this article and some of the information on the journey, its stages, (stage IV is my addition), guides and fellow travelers came from a self-published booklet, “Coaching Partners,” by Lisa F. Poast

Material on therapy and therapists was adapted from  Do You Have Attention Deficit Disorder? by Lawrence Thomas, Ph.D. It is published by Dell Books

Information on coaching was obtained from the International Coaching Federation.

*About the author

0 1 CynthiaHammerEarlyCynthia Hammer, MSW, ACSW, an adult with ADHD and the parent of three sons, two with ADHD. At age 49, she learned that she had ADHD and realized she knew very little about the disorder. Cynthia founded ADD Resources in 1994 and went on to become a nationally recognized advocate for the understanding of ADHD among both those who have it and those who treated it.  Cynthia is now retired and lives in Tacoma with her husband.

Original Source https://web.archive.org/web/20040207085617/http://www.addresources.org/newsletter_sample.php#journey

(Image courtesy of Stuart Miles/ FreeDigitalPhoto.net) Modified on Canva 

Treatment for ADHD and Addiction

New treatments combine medication for ADHD, drug detox and therapy.

by Trey Dyer

About 4.4 percent of American adults — 10 million people — have ADHD. And roughly 8 million children have been diagnosed with the disease, making it one the most commonly occurring mental health disorders in the United States.

 

The rate of co-occurring substance use disorders is high among those with ADHD. Individuals with this diagnosis are 2.5 times more likely to develop a substance use disorder. A study by researchers at Massachusetts General Hospital found that 15 to 25 percent of adults who have a substance use disorder also have ADHD.

 

For co-occurring ADHD and substance abuse disorders, the best treatment programs combine medical treatment for ADHD, drug detox and therapy that addresses both disorders. Additionally, proper ADHD treatment during childhood can prevent further development of the disorder that may lead to a substance use disorder during adulthood.

 

The risk for substance abuse is often higher for people with ADHD. Compared to the general population, people with ADHD are:

  • Three times more likely to develop a nicotine use disorder
  • Two times more likely to develop an alcohol use disorder
  • Two times more likely to develop a cocaine use disorder
  • 5 times more likely to develop a marijuana use disorder

 

Research shows that those with ADHD may have lower levels of dopamine — the brain chemical responsible for reward-seeking behavior — and turn to substance abuse or other dopamine-releasing behaviors as a result.

 

Despite the increased risks, those with co-occurring ADHD and substance use disorders are not doomed to struggle with addiction their entire lives. Many rehab centers offer specialized programs for co-occurring disorders that focus on treating the separate disorders concurrently, giving patients a realistic chance of reaching recovery and living a healthy life.

Treatment for Co-Occurring ADHD and Substance Use Disorder

 

Treatment for co-occurring mental health and substance use disorders is most effective when the disorders are treated simultaneously. Addressing them at the same time is preferred to treating them one at a time, which was the generally held practice in the past.
Medication is the most common form of treatment for ADHD, and with proper use, it can greatly benefit those with co-occurring ADHD and substance use disorders. Stimulant and nonstimulant medications can be effective in treating individuals with ADHD with or without a co-occurring substance use disorder. The most common types of medications used to treat ADHD are stimulants.

Stimulant Medications

A study by researchers at Massachusetts General Hospital examining the results of six long-term studies found that stimulant treatment for ADHD during youth leads to reduced risk of developing a substance use disorder during adolescence and adulthood.

 

The two most common stimulants used to treat ADHD are methylphenidate and analogs of amphetamine.

 

Amphetamine medications activate the reward pathway and trigger the release of dopamine in the brain, bringing balance to dopamine levels among those with ADHD. This can help alleviate drug cravings.

 

According to researchers at Columbia University, clinical trials of Ritalin (methylphenidate) have also been effective in reducing symptoms of ADHD and substance use disorder when combined with relapse prevention therapy. The drug has a relatively low risk of abuse under proper medical supervision.

 

Methylphenidate has been used for decades to treat ADHD and has shown to be effective for children and adults. Uncontrolled trials of methylphenidate have shown to have a positive impact in reducing symptoms of ADHD and cocaine use disorders, according to researchers at Columbia University.

 

Nonstimulant Medications

 

Some nonstimulant medications can be used to treat ADHD and may present an alternative to stimulants. While stimulants have a higher abuse potential, nonstimulants are often seen as a less effective treatment option.

 

Atomoxetine is a selective norepinephrine reuptake inhibitor that can be used to treat ADHD. It affects those with ADHD similarly to stimulants, but in a more gradual manner. With no known abuse potential, atomoxetine is an attractive alternative to stimulant medications.
Tricyclic antidepressants have also been used to treat ADHD. However, they are generally less effective than stimulants in treating ADHD.

Problems with Medication Treatment

 

Research from Massachusetts General Hospital shows medications that are effective in treating adult ADHD may be effective for adults with ADHD and co-occurring substance use disorders, but the medical benefits of the medications are hindered if an individual is actively abusing substances.

 

Challenges of treating patients with a substance use disorder include:

 

  • Patients may not take medications reliably.
  • Patients may require higher doses in order for a medication to be effective.
  • The presence of other substances in a patient’s system may make the therapeutic effects of a medication less effective.

Individuals actively engaging in substance abuse are more difficult to treat with medication, with or without a co-occurring disorder.

 

Alcohol and ADHD Medications

 

ADHD medications are associated with high risks when used concurrently with alcohol. Adderall is a medication of particular concern because it is commonly abused by college students who participate in binge drinking culture at parties, bars and nightclubs.

Individuals who abuse Adderall and alcohol together find that the depressant alcohol effects are lessened by the stimulant properties of Adderall, allowing them to drink more for longer periods of time.

Abuse of Adderall or other ADHD medications while drinking may cause people to consume hazardous amounts of alcohol. ADHD medications that block the depressant effects of alcohol may cause individuals to ignore signals from their bodies that they have had enough to drink, which can lead to dangerous health concerns such as alcohol poisoning.

It is crucial for people to consult their doctor about alcohol use while taking any type of ADHD medication.

 

About the Author: Trey Dyer is a writer for DrugRehab.com. Trey is passionate about breaking the stigma associated with drug addiction in the United States. When Trey is not writing, he can be found fly fishing, playing soccer or cooking BBQ.

 

Sources:

 

Adler, L. et al. (2005, March). Long-term, open-label study of the safety and efficacy of atomoxetine in adults with attention-deficit/hyperactivity disorder: an interim analysis. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/15766294

Columbia University. (n.d.). Adderall: Health risks when combined with alcohol? Retrieved from http://goaskalice.columbia.edu/answered-questions/adderall-health-risks-when-combined-alcohol

Levin, F. et al. (1998, June). Methylphenidate treatment for cocaine abusers with adult attention-deficit/hyperactivity disorder: a pilot study. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/9671342

Mariani, J. & Levin, F. (2007). Treatment Strategies for Co-Occurring ADHD and Substance Use Disorders. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2676785/

Michelson, D. et al. (2003, January 15). Atomoxetine in adults with ADHD: two randomized, placebo-controlled studies. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12547466

National Institute on Drug Abuse. (2010). Comorbidity: Addiction and Other Mental Illnesses. Retrieved from https://www.drugabuse.gov/sites/default/files/rrcomorbidity.pdf\

Somoza, E. (2004). An open-label pilot study of methylphenidate in the treatment of cocaine dependent patients with adult attention deficit/hyperactivity disorder. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/15077842

Sottile, L. (2015, October 20). The Disturbing Relationship Between Addiction and ADHD. Retrieved from http://www.vice.com/read/the-disturbing-relationship-between-addiction-and-adhd-511

Wilens, T. et al. (2003, January). Does stimulant therapy of attention-deficit/hyperactivity disorder beget later substance abuse? A meta-analytic review of the literature. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12509574

 

“Image courtesy of stock photos/FreeDigtalPhoto.net” Modified on Canva

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Washington State ADHD Service Providers

0 1 Washington ProvidersDisclaimer: ADD freeSources does not endorse or recommend any of the providers or services listed. Nor should not being included on the list affect your choice of provider.  We have not investigated those listed and do not have the ability to evaluate their competence in providing services to families and individuals living with ADHD.

 

 

ADHD Information and Support  

Washington State Nonprofit and State Organizations  

Adult Support groups meet in Seattle, Tacoma, and Olympia.

CHADD sponsors Parent groups in Bellevue, Kirkland, Renton, University Place, and Silverdale.

Doctors, ARNPs, Psychologists & Therapists

Psychiatrists can diagnose and prescribe medications. Other MDs may or may not diagnose, but all can prescribe. Psychologists can diagnose and refer to a prescribing provider. Many Nurse Practitioners have experience adjusting ADHD medications but may not feel comfortable diagnosing.

 

Seattle, Bellevue and surrounding areas

 

Ted Mandelkorn, MD

Puget Sound Behavioral Medicine

www.psbmed.com/

Mercer island

 

David Pomeroy, MD

ADD Center of Bellevue

 

George Glade, ARNP

1800 Westlake Ave N # 303, Seattle, WA 98109

(206) 938-9580

 

Ross Mayberry, PhD

Seattle

Psychologist
Population Served: Adolescents, Adults, and Seniors

www.rossmayberryphd.com/

 

Angela Heithaus, MD

Seattle

Psychiatrist

www.drheithaus.com/

 

Alan Simons, MSN, ARNP

Bellevue
Psychiatric Nurse Practitioner
 Adults

www.allensimons.com

 

Amen Clinic Northwest  – Bellevue

http://www.amenclinics.com/

Tim Earnest, MD

Kabran Chapek, ND – Naturopathic

Treatment combines medication, supplements and lifestyle changes. SPECT Scans are expensive and may not be covered by insurance. Will diagnose and treat without using a SPECT scan- but hourly rates are quite high and they do not accept insurance. However, if it’s a case that has been difficult to diagnose or treat, it may be worth the price.

 

Vern S. Cherewatenko, MD

www.Drvern.com

27121 174th Place SE Suite 202

Covington, WA 98042

(206)362-1111

 

Robert Brian Noonan, ARNP

Mindfulness, CBT

1405 NW 85th St Ste 4

Seattle, WA 98117 (206)452-6009

https://ballardpsych.com

 

Trina Seligman, ND – Naturopathic

Evergreen Integrative Medicine

11520 NE 20th St, Bellevue, WA 98004

(425) 646-4747

eimed.com/dr-trina-m-seligman/

 

Jackson L. Haverly, M.D.

ADD ADHD Center of Seattle

753 N. 35th St. Ste. 305

Seattle, WA, 98103

(206) 286-8352

 

Russell B. Hanford, PhD

400 E Pine Street Suite 220

Seattle, WA 98122

Phone Number: (206) 409-9613

abhc.com

 

Associated Behavioral Health

3 Seattle locations – ADHD Testing

(800) 858-6702

http://abhc.com/attention-deficit-hyperactivity-disorderattention-deficit-disorder/

 

Mary Lee McElroy, LMHC,CCDCI

Bellevue

(425) 452-9079

 

Clark T Ballard Jr MD.

9725 SE 36th St.

Mercer Island, WA 98040.

(425) 746-2124

 

Jack Reiter, MD

1404 E Yesler Way # 201

Seattle, WA 98122

(206) 328-1366

 

Hallowell Todaro Center
5502 34th Ave NE, Seattle, WA 98105

(206) 420-7345

http://www.hallowelltodarocenter.org/about-us.html

Therapists

Lesley Todaro LMFTA, CDPT
Lynne Hakim, LICSW

Beth Dana LMFTA, CDPT

Erik Schlocker, LICSW

Marci Pliskin, LICSW

Jovana Radovic, LMFT

Psych. Testing

Melissa Huppin Korch, Ed.s

Coaches

Megan Reimann

Kathryn Korch, BA, CDP
Paul Abodeely, BA, RC

Medication

Jason Law, ARNP
Karen Boudour, ARNP

 

Divya Krishnamoorthy, M.D. Child Psychiatrist

1914 North 34th Street
Suite 401
Seattle, WA 98103
(206) 965-0030
dr.divya.krishnamoorthy@gmail.com

Maia S. Robison, M.D. Child Psychiatrist

2800 E Madison St #305, Seattle, WA 98112

(206) 328-5760

Carrie Sylvester, M.D., M.P.H. Child Psychiatrist

6100 Southcenter Blvd #300, Tukwila, WA 98188

(206) 444-7900

Douglas C. Dicharry, M.D. Child Psychiatrist
2025 112th Ave NE
Suite 200
Bellevue, WA 98004-2978
(425) 462-9511

Hower Kwon, M.D. Child Psychiatrist
365 118th Ave SE, Ste 118
Bellevue, WA 98005
(425) 454-2911
Fax: (425) 454-2966

Erika Giraldo, MN, ARNP

Family Psychiatric Mental Health Nurse Practitioner
Population ServedChildren, Adolescents, Adults

19109 36th Ave W #209, Lynnwood, WA 98036

(206) 390-1968

 

Elizabeth MacKensie, PhD and Steven Geller, PhD 

Child & Adolescent Psychologists – Assessment, Psychotherapy, and Consultation – Population Served: Up to 21

www.west-seattle-psych.com/

Suite 202, 746 44th Ave SW, Seattle, WA 98116

(206) 932-2590

 

SeaMar Behavioral Health Centers – King County

http://www.seamar.org/county.php?xestado=56&xcondado=4&xcondado_n=King

 

Andrea Kunwald, MA, LMDTA

http://www.andreakunwald.com/

Psychotherapy, children, adolescents, and adults

3206 W Lynn St, Seattle, WA 98199

(702) 401-3608

 

Kimberly Castelo, MS, LMFTA

Marriage & Family Therapist  

1836 Westlake Ave. N #303

Seattle, WA 98109 – (206) 954-9102

kimberly.castelo.llc@gmail.com

www.healingmomentscounseling.net/

 

Don Baker, LMFTA – Individual, family and relationship therapist

Therapy groups for ADHD in Seattle or online

1836 Westlake Ave N, Suite 303A

Seattle WA 98109.

www.unpackingadhd.com/

 

Cynthia Seager, MA, LMHCA

206-484-9178

cynthia@cynthiaseager.com

 

ADHD Therapy Groups in Seattle, WA
Psychology Today ADHD Groups

 

North of Seattle

 

Robert Small, MD  Psychiatrist

7001 220th St SW, Mountlake Terrace, WA 98043

(425) 918-4573

 

Eastside Psychological Associates

Independent Practitioners – Eastside and greater Seattle area.  Offices in Issaquah Snoqualmie, and Woodinville. Everett Clinic – Search under behavioral health brought up over 25 providers north of Seattle. Referral line is 425-458-5048. info@eastsidepsychologicalassociates.com

 

 

Tacoma

Rainier Associates

George  F. Jackson III,  MD –

James Dale Howard, MD

(Fletcher Taylor, MD is very experienced, but seldom has an opening)

Steve Parkinson, PhD also does ADHD Assessments

Trust the front desk, but be clear about what you need.

5909 Orchard St W

University Place, WA  98467

(253) 475-6021

 

Robert Sands, MD (& Associates)

Child Psychiatrists- will work with adults)

Bellmore Center

3609 S 19th St

Tacoma, WA 98408

253-752-6056

 

Dr. Stephen Schilt, MD- (Child Psychiatrist)

7609 6th Ave

Tacoma, WA 98405

 

Union Ave. Neurobehavioral Clinic

Child Psychiatrists- Will also diagnose and treat parents of the children they treat)

Carl Plonsky and Associates

Dr. Heather Daniels and others

1530 S. Union Suite 13

Tacoma, WA 98405

(253)759-5340

 

Lance A. Harris, PhD – Neuropsychologist

3001 East J Street

Tacoma, WA 98404

Phone: 253) 274-9733

 

Edwin Lawrence Hill, PhD – Neuropsychologist

2013 South 19th Street

Tacoma, WA 98405

Phone: (253) 383-3355

 

Daniel Wanwig, MD – Adult psychiatrist

1901 South Union Avenue Suite A305

Tacoma, WA 98405

Phone: (253) 272-3031

 

Patrick Joseph Donnely. MD – Adult psychiatrist
3609 South 19th Street

Tacoma, WA 98405

Phone: (253) 381-3071

 

Robert Grumer, DO, Ann Marie Branchard, MD and Todd Clemens, MD

Tacoma Behavioral Health Svs – Group Health

4301 South Pine Street Suite 301
Tacoma, WA98409

(253) 476-6500

 

Penny Tanner, ARNP

7424 Bridgeport Way W Ste 302

(253) 581-6106

Deborah Brown, ARNP

Fircrest area (253) 565-1678

 

Robert Kopec, ARNP

4009 Bridgeport Way SW Ste. A

University Place, WA 98466

(253) 503-6761

http://www.pugetmentalcare.com/

 

Allenmore Psychological Associates,

10 Psychologists, 1 prescribing ARNP

1530 South Union Suites 14 and 16

Tacoma, WA

(253) 752-7320

 

Paul DeBusschere, MD FAAP

Belinda Rowe, MD and John Hautala, MD. FAAP

http://www.universityplacepediatrics.com

1033 Regents Blvd, Fircrest

253-565-1115

 

Advanced Behavioral Medicine & Neuropsychology Associates, Inc.

Edwin Hill, PhD, ABDA (Associates- Donna Lidren, PhD; Kathy Brzezinski-Stein, PhD; Barbara Dahl, PhD)

(253) 383-3355   Fax:   (253) 383-3627

Email:   foredhill@msn.com

2013 South 19th Street

Tacoma , WA    98405

 

William Melany, M.A., LMFT, LMHC

(206) 903-9506  Fax:   (253) 759-7129

wmeleney2@earthlink.net

3609 S. 19th St.  – Tacoma, WA     98405

 

CLINICS

Comprehensive Life Resources Adults and Children

http://comprehensiveliferesources.org/

Individual and family counseling, Case management, Group Therapy, Psychiatric services and medication management. Partners with Tacoma schools to offer counseling at schools, Services also available in Gig Harbor. http://comprehensiveliferesources.org/Counseling.html

Must call for information 253-396-5800

1305 Tacoma Ave S Ste 305
Tacoma, WA 98402
(253) 396-5000

 

SeaMar Behavioral Clinics

Tacoma, Puyallup and Gig Harbor

http://www.seamar.org/county.php?xestado=56&xcondado=5&xcondado_n=Pierce

 

 

 

Olympia

 

John Holtum. MD – Behavioral Health Research

4422 6th Ave SE

Lacy, WA 98503

360-403-4437

David Penner MD PLLC
324 West Bay Dr NW
STE 214
Olympia, Washington 98502
(360) 339-8759

Laura Wagner, ARNP

Sound Psychiatric Solutions, LLC
1800 Cooper Point Road SW
Building 12
Olympia, Washington 98502
(360) 633-2819

Edward Case, MD

200 Lilly Road NE, Suite B-3
Olympia, Washington 98506

 

SeaMar Behavioral Health Clinics in Thurston County

http://www.seamar.org/county.php?xestado=56&xcondado=6&xcondado_n=Thurston

 

 

Gig Harbor

 

Eric Luria MD -Family Physician

Harbor Family Health Association

http://www.harbor-family-health.com/

(253) 851-6181

Fax:   (253) 851-6191

Email:   luriaec@aol.com

 

Works with his wife-

Catherine Luria ARNP

Email:   cluriaarnp@aol.com

4402 Hunt St. NW

Gig Harbor, WA (office location) 98335

http://www.harbor-family-health.com/

 

Michael R. Pearson, MD Psychiatrist

5801 Soundview Dr # 251, Gig Harbor, WA 98335

(253) 858-3464

 

Dr. Vanraj C. VaruPsychiatrist
7191 Wagner Way NW – Gig Harbor, WA 98335
(253) 514-8076

 

Munn, Helen, ARNP

4700 Point Fosdick Dr NW Ste 302
Gig Harbor, WA   98335
(253) 851-3808

 

Brace, Melanie, ARNP

6401 Kimball Dr. Ste. 104
Gig Harbor, WA   98335
(253) 853-3888

 

Sara J. Weelborg, ARNP

http://www.saraweelborg.com/

6625 Wagner Way, NE Ste 250

Gig Harbor, WA 98335

360-516-0068

 

Brian O’Connor – Therapist

boconnor@harborwellbeing.com

4700 Point Fosdick Dr. NW #302, Gig Harbor, WA 98335

(253) 851-3808

 

 

Peninsula

Peninsula Psychological Center

4 locations- Silverdale, Poulsbo, Bainbridge Island and Port Orchard

http://www.kitsapcounselor.com/

W. Steven Hutton, M.D.
Pediatrician
1100 Basich Blvd, Aberdeen, WA 98520
(360) 532-1950

 

Puyallup

 

Penlaver and Associates

319 9th Street NW

Puyallup, WA 98371

253-848-0351

 

Woodcreek Behavioral Health

1706 S Meridian # 120

Puyallup, WA 98371

 

 

 

Woodcreek Pediatrics

11102 Sunrise Blvd East

Puyallup, WA 98374

253- 848-8797

 

 

 

Spokane

 

Hi Young Lee, MD  – Family physician

17 E Empire Ave

(509)328-3430

 

Mira G, Narkiewicz, MD – Psychiatrist

140 South Arthur St. Suite 690

Spokane, WA

(509) 462-4567

 

 

Coaches

 

Margit Crane Luria aka Yafa Luria Parent and teen coach –

http:// Margit Crane.com – Blacked to Brilliant – Copy and paste URL

555 116th Avenue NE

Suite 242

Bellevue, WA. 98004

Online classes and coaching – Free presentations for PTAs and sometimes other venues

 

Amy Voros

amy@creativecatapultcoach.com

2226 Eastlake AVE E, #135 Seattle, Washington 98102

(Adults, teens and college students)

 

Pete Terlaak

www.coachforfreedom.com – Copy and paste URL

 

Viveca Monahan

http://coachviv.com/

viv@coachviv.com

 

Noami Zemont, PhD

Mindfulness -Energy coach

www.momentumconnection.com

 

Mimi Handlin, MSW

ADD Family Coaching- Adults, college students, and teens

http://addfamilycoaching.com/

 

Hope Sandler Russell

(Seattle) Group coaching (206) 499-9595 –

hope.sandler@gmail.com –

http://www.coachingadd.net

 

Hallowell Todaro Center

http://www.hallowelltodarocenter.org/about-us.html

Coaches

Megan Reimann

Kathryn Korch, BA, CDP
Paul Abodeely, BA, RC

5502 34th Ave NE, Seattle, WA 98105

(206) 420-7345

 

 

Organizers

 

Denise Allan, CPO, CPO-CD

simplifyexperts.com/

8917 NE 198th St, Bothell, WA 98011

(425) 770-5759

 

Steve’s Organizing LLC

5016 74th Street Court East  Tacoma, WA 98443
(253) 229-1237

www.stevesorganizing.com/

 

Cindy Jobs

Serving Puget Sound and Kittitas County

(206) 707-3458 or (509) 674-6643

cindy@organizetosimplify.com

 

Erica DiMiele

www.katharizoorganizing.com/

 

 

 

Advocates, Tutors, Schools & Speakers

 

Larry Davis – Special Education

www.specialeducationadvocacy.org/

(888) 881-5904 / (206) 914-0975

larrydavis@specialeducationadvocacy.org

 

Barbara Bennett, MA

Educational Therapist/Educational Consultant/ADHD Coach
Population Served: Age 4 – Adult

www.barbara-bennett.com/

 

Kendra Wagner

Tutor, researcher, and teacher of teachers. She advocates for children and parents in and out of the school system. She teaches all ages all aspects of literacy and specializes in Dyslexia and ADD. http://www.readingwritingthinking.net/

(206) 947-4478 kendra9@mindspring.com

 

Margit Crane Luria – Parent and teen coach –

http:// Margit Crane.com – ADHD Unlimited – Stuck but Brilliant

 

Online classes and coaching – Free presentations for PTAs and sometimes other venues

 

New Horizon School – Renton

For students with Learning Disabilities, Attention difficulties and Autism Spectrum disorders – 4th-12th grade

http://www.new-horizon-school.org/

 

Yellow Wood Academy

9655 SE 36th St #101, Mercer Island, WA 98040

http://www.yellowwoodacademy.org/

(206) 236-1095

 

Dartmoor School

http://www.dartmoorschool.org/

(425) 503-9847


Schools for learning disabilities in the Seattle area 
– Try a Google Search.

Private Schools with Programs or Assistance for LD and ADD – From the Learning Disabilities of  Washington LD and ADHD Directory

 

 

 

Search Engines

The Learning Disability Association of Washington online directory helps those affected by learning disabilities find resources within the greater Puget Sound region. The directory lists over 800 resources organized into categories ranging from diagnostic testing, consultants, therapists and support groups to optometrists, ADHD resources, physicians, and psychiatrists.

Psychiatric Nurse PractitionersAssociation of Advanced Practice Psychiatric Nurses – A simple search provides the most results. (Being updated. Offline until August 15, 2016.)

Washington State ADHD Treatment Providers – Note: ADD freeSources does not endorse or recommend any provider or services listed. Nor should exclusion from the listing affect your choice of provider. Many of these were chosen because they were associated with ADD Resources or local CHADD groups at some time.

 

CHADD Resource Directory

ADHD Professional Services, Parent to Parent Teachers, Tutors, Schools and Support groups

 

Psychology Today Look for Find a Therapist page on Menu – Find Therapists, Psychiatrists, and therapy groups.

Our Find ADHD Treatment and Support  page has a fine collection of Directories to help you find a myriad of services you may need to treat ADHD – It includes:

Find Support
ADHD Directories
Professional Medical Directories
Professional Medical directories with ADHD search option
Questions to help find the right Providers

Supplemental Treatment Providers for ADHD – ADHD Coaches, Professional Organizers, Support groups, Lawyers, Educational Consultants, Advocates, Information and Parent support organizations, Private Schools, Tutors,  and Residential Treatment Facilities.
ADHD Treatment: Money Matters
Who can Diagnose?
Diagnosis and Treatment concerns

Additional Advice on Finding Mental Health services

 

“Photo Courtesy of Tuomas_Lehtinen/ FreeDigitalPhoto.com” Modified on Canva

 

 

Maintaining the Brain

Get an accurate diagnosis and consider medication for ADHD symptoms.

I want to change my ADD life. What can I do?

Life Styles for ADHD

Maintaining the Brain

ADHD Coaching Strategies

Celebrating ADHD

 

Maintaining the Brain

Diagnoses

The core symptoms of ADHD are hyperactivity, impulsiveness, distractibility and inattention as evidenced by problems organizing, planning, procrastinating, and time management. But doesn’t everybody have these problems? Yes, but for the diagnosis to be applicable, the doctor will consider the severity and duration and the extent to which your problems interfere with the quality of your life. For a diagnosis, you must see a doctor who is knowledgeable in ADHD and related problems. The principle tool for diagnosis is the interview.

Before seeing your doctor, take some quiet time to think about what is really bothering you and write it down. (People with AD/HD often forget the key things to say). If your office looks like the aftermath of a hurricane and you feel depressed, be sure to tell the doctor both facts. You may be depressed because you can’t deal with the office, or your office may be a disaster because you are depressed. Which came first?

Medication

“Pills? I don’t take pills!”

Well, you aren’t alone. Many people feel that way. Consider for a moment. Do the pills make you a different person? Is it not you, if you take a pill? Who is the real you?

  • That person who loses his temper at the slightest excuse,
  • the nerd who walks past his best friend without saying “Hello”,
  • the wife who is too tired to clean up the mess and greet hubby with a smile and kiss when he comes home?

Or are you the smiling affable, competent person you know is inside trying to get out?

Let’s go back to our car. Do you expect your car to run without oil or gasoline? Would you drive a car that worked on two or three of its four cylinders? Your brain needs fuel.

Ideally, every brain would produce just the right amount of all the ingredients it needs, but there is no such thing as an ideal brain. Some brains are chronically under supplied with the chemicals they need to function properly. Clinical trials have shown that medication is the most effective method of dealing with an under functioning brain

There are a number of medications available. Your doctor may need to try more than one, to find the right one for you. He will probably start with a low dose to see if you tolerate it and then increase the dose to find the most effective dosage and timing. So don’t be discouraged if you don’t get a positive result immediately.

When you start taking the medication it would be a good idea to keep a record of the time you take it and any sensations you may feel and the time when they occur. Be sure to tell your doctor about all the effects. Some unpleasant effects like a headache or dizziness may, in fact, be what are called rebound effects which occur when the medication wears off. The problem can often be resolved by changing the timing of the next dose or even by increasing the dosage. Help your doctor to know what’s happening and he can help you to find the best solution for you.

For information about medication, you must see a doctor who has experience with ADHD.

 

 

Published by Sarah Jane Keyser, Copyright 2006, all rights reserved. Coaching Key to ADD

Permission is granted to forward or post this content in full for use in a not-for-profit format, as long as this copyright notice and full information about the author, Sarah Jane Keyser, is attached intact. If any other use is desired, permission in writing is required.

*** About Sarah Jane *** Sarah Jane Keyser worked for many years with computers as a programmer, analyst, and user trainer, but her struggle with inattentive ADD kept getting in the way of her plans and dreams. Her credentials include ADD Coach training at the ADD Coach Academy. The Newfield Network’s graduate coaching programme “Mastery in Coaching” and a programme “Coaching Kids and Teens” by Jodi Sleeper-Triplett MCC.

“Image courtesy of SalvatoreVuono-FreeDigitalPhoto.net”  Modified on Canva

Follow ADHD / ADD freeSources’ board Diagnosis and Treatment of ADHD on Pinterest.Follow ADHD / ADD freeSources’ board Medications – a valid option for treating ADHD on Pinterest.

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ADHD Video Presentations: 3 Minutes to 1 Hour

0 Video Presentations by ADHD Experts

 

ADHD Experts Speak.

Watch and learn. 

 

 

Dr. Russell Barkley on ADHD Meds and how they all work differently (7-minutes)

This is How you Treat ADHD based on Science – Russell Barkley, Ph.D. – 13-minute clip with powerpoint plus access to the entire 2 1/2-hour lecture for the 2012 Burnett Lecture series at Chapel Hill University

Understanding Emotions & Motivations in High School and College Students with ADHD/LDWith Dr. Thomas E. Brown for the 13th Annual Timothy B. and Jane A Burnett Seminar for Academic Achievement (2014) Parts 1, 2 and 3 with Q&A

CADDAC Conference ina BoxCan’t attend an ADHD conference? You can still learn about ADHD from experts in the field. Best of all, you can view them on your own time and for no charge.

*Best of the Web –CADDAC 2009 ADHD Conference videos – A wonderful gift from – The Centre for ADD/ADHD Advocacy of Canada- (CADDAC) Choose from a number of presentations filmed over both days. You’ll find the list at this link.

The 30 Essential Ideas Every Parent Needs to Know (about ADHD),  by Dr. Russell Barkley
This is the 3-hour video presentation from the CADDAC conference (found above), broken up into 27 manageable parts with an average length of 6 to 7 minutes.  It’s  far easier to watch.  To take a saying from Barkley, “Small Chunks, Frequent Breaks.”

A New Look at the Origins & Healing of Attention Deficit Disorder: A Biopsychosocial View of ADD and its Origins Alternative view of the root causes of ADHD by Dr. Gabor Maté (1-hour) – Note: You’ll find a few good educational presentations here.

ADHD Neurology and Genetic Research 6 short videos with Professor Philip Shaw from NIH (National Institute of Health) – Makes difficult concepts more readily understandable. Our thanks to Mungosadhd.com

You, Me and Adult ADD with Gina Pera – 3 clips containing Gina’s talk for CADDRA’s 2009 Conference. Find on Mungo’s Vimeo Channel

Classroom Interventions for ADHD Video with Russell Barkley (3 ½ minutes)

TedTalks on ADHD

ADHD: Undiagnosed in Millions, Do You Have it? (4 minutes) Alan Brown gives us a call to action to be advocates to bring awareness and attention to ADHD so individuals do not fall through the cracks and have the safety net they need to succeed.


ADHD Multimedia – From DNA Learning Center

Over a hundred short videos with transcripts, ranging from straight-forward to obtuse, depending on the complexity of the topic.

Dr. Russell Barkley’s Continuing Education Courses and Videos 35 hours of lectures on ADHD at ADHDLectures.coms. Available for Free viewing in Spanish.

Dr. Charles Parker’s ADHD Medication Tutorials 8 short videos by Dr. Charles Parker – about ½ hour in total – Matching Article: Finding the Therapeutic Window *TOP tips – Open a regular dialogue with your patients and measure the effectiveness of the medications. See example below. (Acess Dr. Parker’s 2nd edition of Special Report For Predictable Solutions.>>>> Click on it to download it and 7 other complimentary, useful information resources – some audio, some PowerPoint.)

ADHD Medications Don’t Work?

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Find an ADD coach / ADD Coach Training

Find an ADD Coach
ADD coaching focuses on practical issues confronting the ADD adult, such as organization, managing time and setting and reaching goals. ADHD Coaches can be therapists, although coaching is not therapy. See The ADD Journey: Help for the Road Ahead to learn more about ADHD Coaches and how their services differ from those offered by other treatment providers.

Search Tips – Most ADD coaches work over the phone. It’s possible that you won’t find one nearby. It may be more important to find one who deals with your specific needs rather than one close to you. With any site, just choose Coach as the Service Provider Type and the Age Group looking for help. To narrow the search further, make a selection from Coaching Focus. If you prefer someone nearby, your choices will be much more restricted.

Any ADHD Provider Directory will have a number of listings for Coaches.

You’ll find other listings through AD/HD Coach Certification or Training Programs.

AD/HD Coach Certification

The specialized field of ADD Coaching is still largely unregulated. No certification past that granted by the following organizations is required to call yourself an ADD Coach. Most of the Associations seeking to establish standards for ADD Coaching require applicants to have met the training requirements for Life Coaching set up by the International Coach Federation (ICF), International Association of Coaching (IAC), or the ADD Coach Academy (ADDCA)  with David Giwerc.

On the other hand, there are now ADHD Coaching Associations and specific ADHD Coach Training that credit specialized training in working with clients with ADHD.

The Professional Association of ADHD Coaches seeks to advance the field of AD/HD Coaching through the development and delivery of a professional credentialing standard for AD/HD Coaches worldwide. (No training available- instead they rate a coach’s experience and training to ascertain what ranking they should receive.) PAAC Certification requirements


ADHD Coach Training

The ADHD Coaches Organization (ACO)
ACO posts a number of Coach Training opportunities.
They also have a coach referral service. It lists 150 life coaches who have additional training in ADHD.

ADD Coach Academy (ADDCA – with David Giwerc)
Provides coaching accreditation through ICF plus training for ADHD  – Site includes a Coaches Directory

American Coaching Association

ADD in the Spirit ADD Coach Training with Peggy Romundo and Madeline Griffith-Haynie.

Sandy Maynard offers Individual Coach Training

As does Susan Sussman

Additional Coach Training to work with Children and Teens with ADHD

Edge Foundation – Provides coaching for teens and college students as well as ADD coach training to certified life coaches. Find a coach for your teen here.

 

Finding Specialty Coaches or programs

Parent Coaching, Teen Coaching or Group coaching – Most ADD Coaching Groups are offered periodically by a just a few different coaches.

To find them, your best bet may be Google or another search engine. Try ADHD teen or parent coach – ADD Group coaching. I do know of two regular groups.

Parent Group Coaching – Parent Success System from ImpactADHD – Two Group Calls per Month – Workbook – Access to the Audio Library ($147.00 a month)

Coach Marla Cummin’s ADDed Perceptions Mentor Group 3 months for $150.00

Online or phone-based – Parent Support Group or 4-week workshops for Adults with coach Robin Nordmeyer – ($57 a month with 3-month commitment) ($97.00 for session)

Parent Coaching with Margit Crane Luria – http:// Margit Crane.com – Join in her Free weekly group call to get to know her approach.

• “Image courtesy of renjith krishnan/ FreeDigitalPhotos.net” Modified on Canva

Lower Prescription Medication Costs

Medication Enter Key- renjith krishnan-FDP

Articles – Patient Assistance Programs

Best Buys on ADHD Stimulant Medications – (According to Consumer Reports)

Insider tips on lowering ADHD costs by getting your insurance company to pay for medication, treatment, and other therapies by Jane Lehto

Reduce ADHD Costs with Patient Assistant Programs by Kimberly Holland
Find retail prices for the brand name and generic versions of Adderall and other popular ADHD medications. (Be sure to compare costs with your local pharmacies.) Try other cost-saving techniques, such as mail-order prescriptions and coupons.

Comprehensive collection of sources for help with medication costs – Post on Psych Central Forums. – Repeats some of the sources listed below but provides additional ideas especially about generic medications.

Help from Pharmaceutical Companies – Patient Assistance Programs

Eligibility varies program by program. Generally, individuals must have incomes under 200% of the Federal Poverty Level, cannot have prescription coverage from any public or private source and must be a U.S. resident or citizen. Some companies also require that the patient has no health insurance (including Medicare).

Note: These are non-profit sites and do not charge you for their help.

RX Hope has program descriptions and downloadable applications for prescription assistance programs for specific medications including psychotropic medications

Needy Meds – Just enter the name of your medication in the Drug Search box in the upper right corner.

RxAssist – Offers access to PHARMA programs for both doctors and consumers (877) 844-8442

Note: IF you need Vyvanse or Intuniv, Shire Care’s income criteria is significantly higher than the less than the 2x the poverty level required by most Pharma programs. You still need to provide proof of hardship however. Each application will be considered on a case by case basis. See Shire Care for more information and to apply.

Monthly paperwork for stimulant medications too much for you to deal with?
For a small fee, The Medicine Program.com will help you with applying for PHARMA programs and enlisting your physician’s help. – P.O. Box 520 – Doniphan, MO 63935-0520 – (573) 996-7300

Return to: ADHD Treatment: Money Matters

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ADHD Treatment: Money Matters

Money Matters

This article is part of the series: Find Treatment and Support. You may want to start there.

Money Matters – The Affordable Health Care Act and Mental Health – Find Health Insurance – Low-Income Help – Social Security Income and Social Security Disability

Need help paying for medication?
See: Lower costs for Prescription Medications

Money matters

The Cost of Not Treating ADHD by Steven Kurtz – “We’re already paying the cost, and our kids are too.” “Many kids with ADHD, and other conditions, just find their problems compounding as they get older. And they are less and less responsive to treatment. Kids with untreated ADHD often become adults with untreated ADHD, and with that comes a whole host of adult-sized problems.”

How much does it cost to test for ADHD? Consumer Reports – $700 to $1600 was the average assessment cost. – “About one-third of the parents in the survey reported that the costs of treating their child for ADHD were covered completely by their child’s health plan, with two-thirds of respondents reporting half to all treatment costs were covered by insurance.”

Managing the Costs of ADHD – by Chris Taylor – “Many parents are caught in a financial vise. They want to spend whatever it takes to ensure a successful future for their child, but don’t want to bankrupt the family. Some tips: Work the public school system, be an insurance Ninja,  and plan your budget early.”

Lowering ADHD Costs: Health Insurance and Treatment Help by Jane Lehto – “Insider tips on lowering ADHD costs by getting your insurance company to pay for medication, treatment, and other therapies.”

How to Finance ADD/LD Treatment – Expert tips for reducing the financial burden brought on by ADHD by Lois Gilman “Flexible Spending Arrangement (FSA), Use a medical tax deduction, Thoroughly analyze insurance plans…”

The Affordable Health Care Act and Mental Health

The Affordable Care Act has new regulations to make sure that mental health treatment is covered to the same extent as physical care. Therapies for depression, anxiety, and substance abuse — which often come along with ADHD — are among a core set of 10 services called “essential health benefits” that must be covered with no out-of-pocket limit. Included in these are prescription medications, which are usually a major component of ADHD treatment. Knowing that a pre-existing condition won’t exclude you from getting affordable insurance is also a bonus. So is the option of keeping children on their parents’ policies until they’re 26. (1)

Before health reform, one out of five people who bought their own insurance had no mental health benefits. This change is long overdue. One drawback may be that by placing the primary care physician is at the center of treatment, Doctors may decide to treat ADHD themselves by just prescribing medication, rather than referring to a specialist. With the high rate of mental health issues and Learning Disabilities so commonly associated with ADHD, however, a complete diagnosis and a holistic treatment plan may be beyond the expertise of primary providers. (2) They may not appreciate the value of parent training to managing behavior or family therapy to educate and help all members of the family.

The news for low-income families is not as good. “In 2012, the Supreme Court gave states the choice of whether to join the Medicaid expansion or not. Unfortunately, almost half of the states have decided not to do so. That means that 6 to 7 million Americans won’t enjoy this enhanced access.”(3) Even with Medicaid, finding a physician will be difficult. “Under the present Medicaid reimbursement rates, physicians are paid only about $45.00 for a basic visit, while $75 per visit is the break-even point for most private practices. So the physician has to take a $30 loss for every Medicaid patient that he or she sees and has increased paperwork to even get the reimbursement.” (4)

Find Health Insurance

Find Health Insurance at HealthCare.gov – You may qualify for Medicaid or lower subsidized rates.

Find Insurance for young adults – May be covered under parents’ plans or be subsidized.

Enroll in Medicaid or
Are you eligible for Children’s Health Insurance Program (CHIP)? Note: Make sure to enter your state for correct information.

Low-Income Help

Find low cost and or government sponsored clinics
– Nationwide
A searchable directory of mental health treatment facilities and support services from SAMHSA.gov

Alternatively, let your fingers do the walking. Check the Community Pages in your local phone book under Mental Health for local federally funded clinics. They accept Medicaid, Medicare, most insurances and will adjust their rate according to your income. (Note: Some areas do not consider adults with ADHD (alone) as qualified for treatment. Others will treat if it’s in combination with another mental disease or disorder). Children’s clinics, however, deal with ADHD concerns on a regular basis.

Or, use Google. I had good results using the words community mental health with city, county, and/or state

The Department of Vocational Rehabilitation is another possible way to go. You do, however, have to prove you are not employable or under-employed due to your ADHD or combination of disabilities. I know quite a few people who got a lot of help through DVR a number of years ago (including paying for a diagnosis for ADHD,) but their funding has been hit. – Find your state’s Voc-Rehab services

Clinical trials don’t cost a thing and you may even be reimbursed for your time.
(There’s no guarantee you’ll get the drug being tested, but you can often get a free evaluation for ADHD.) For a listing of current studies, see the National Institute of Mental Health.

2-1-1 is an Information and Referral service to help people connect with important community services and help them find help in their community more easily. Call 2-1-1 or Search for a 2-1-1 Call Center. Available in many states, 2-1-1 can help you find organizations that may assist with a broad range of needs. You may find help paying for medications or financial assistance with other essential needs such as food, clothing, rent and utility assistance, child care, employment supports, services for older adults, etc.

Social Security Income and Social Security Disability Income

Supplemental Security Income, or SSI, provides monthly income for those who cannot work due to a disability such as depression, bipolar disorder or other mental disorders. You must meet strict eligibility criteria to qualify.

SSI benefits- ALL Mental Illnesses

The basics of SSDI – “Social Security Disability Insurance (SSDI) is available to any worker who has a “disability” as defined by the federal government and who has paid into the Social Security system for a specified amount of time, depending on their age. In order to qualify as “disabled,” an SSDI applicant must show that he is almost completely unable to work at any job whatsoever.”

Apply for SSDI

Social Security Disability and ADHD – This article focuses primarily on children. – They need to show a MARKED inability to succeed in school and strong documentation is required. Adults must be unable to earn more than $960 per month gross (with that inability also caused by MARKED impairments. Most importantly, to win disability benefits from the Social Security Administration based on attention deficit, or ADHD, a person must have measurable functional deficits, in the context of school or work performance.


SSI / SSDI Outreach, Access and Recovery – SOAR

Help for the homeless with mental illnesses, a process where eligible individuals can have their disability case expedited. SOAR’s online training course is about 16 hours long, but it leads you through all the steps to help clients apply for SSI or SSDI. – To be eligible you must be at least 18, diagnosed with a serious mental illness, and homeless or at risk of becoming homeless. The SOAR process is designed to have a decision for disability claims within 90 days.

• “Image courtesy of Luigi/FreeDigitalPhotos.net” Modified on Canva.com

References

(1) “The Affordable Care Act: Good for ADHDers”
by Katherine Ellison – www.additudemag.com/adhdblogs/19/10545.html
(2) “An Update on How the U.S. Affordable Care Act Impacts Mental Health Care”
By John M. Grohol, PSY.D. – http://psychcentral.com/blog/archives/2013/11/01/an-update-on-how-the-u-s-affordable-care-act-impacts-mental-health-care/
(3) “Affordable Care Act : Will It Impact Your ADHD Child’s Treatment?” http://newideas.net/adhd-affordable-care-act-impact
(4) “One of the Best Things to Happen to People With ADHD? Obamacare” by Dennis Thompson Jr. http://www.everydayhealth.com/news/obamacare-best-thing-happen-people-with-adhd/

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Find an Organizer

I love clutter
sindesign / Foter / CC BY-SA

This article is part of the series: Find Treatment and Support. You may want to start there.

What to look for – Try a Local search – Online Directories – Hoarding – FREEBIES and For Professionals

It is not uncommon for someone with ADHD to be overwhelmed by a chronic lack of organization of their space and poor time management skills. At some time, it may be necessary to call in an organizer. Most can help with both issues. Traditional organizing techniques, however, often need to be adjusted when working with clients with ADHD. Most of us know what to do, but struggle to initiate action, evaluate the importance of our stuff and begin to de-clutter our space.

Organizing what is left so you can find it later is problematic and keeping everything in its place an on-going chore. You’ll need to develop and refine new organizing systems. Maintaining your organized environment will probably not come naturally. Creating new habits takes time and you may need additional help to keep things up. Remember, the goal is NOT perfection. Getting through the day with less frustration and being able to accomplish your work more efficiently is good enough.

Choose your organizer carefully and move on if you are feeling judged or shamed. Most organizers have worked with ADHD clients. Some have developed successful techniques that work with our wiring or even pursued specialized training through the Institute for Chronic Disorganization. Make sure that there is a good “fit” between you. Ideally, you will find one who is sensitive enough to your needs, but firm enough to do you some good.


Local Search
: Another problem with finding a suitable organizer is, of course, that they work locally. You may need to let your fingers do the walking in your local Yellow Pages under organizers. Also, try a Google or Bing search. Whoever you contact, ask them questions about their expertise and what their experience in working with clients with ADHD has been like. If you can, try an introductory meeting.

There are also online Directories that can help you find an appropriate organizer.

National Association of Professional Organizers Directory Choose # 3- Optional – Special Populations – ADHD

The Institute for Chronic Disorganization trains organizers and awards certificates for different degrees of training. They maintain a List of Graduates.

You might get lucky using ADHD Directories . Many will contain a few listings

Note: Hoarding issues signal a need for specialized treatment, and often require both therapy and a highly skilled organizer. See the IOCDF Hoarding Center for photos on different stages of hoarding. Compare these with the state of your home. You can also find providers to work with you here. You may also assess your stage of clutter by choosing from the Clutter Hoarding Scales from the Institute for Challenging Disorganization. You can also find highly trained professional organizers who work with hoarding there.

FREEBIES

Free Fact Sheets for the general public on a wide variety of issues from Challenging Disorganizaton. Includes: Time Management, Overcoming Procrastination, Readiness for Change, Should I Work with an Organizer or a Friend and more!

For Professionals

Institute for Challenging Disorganization offers specialized information for Professional Organizers. Fact Sheets, Reading Recommendations, Family Organization Modules and more. They also provide training and certification for helping clients with Chronic Disorganization. Also see their Clutter Hoarding Scales.

Go back to Find more Treatment services

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ADD-ADHD Directories

AD-HD-keneyeam-bucket

This collection of exclusively ADHD Directories is part of the series: Find Treatment and Support. You may want to start there.

CHADD’s Professional Directory –www.chadd.org – For more results and less frustration, don’t use the professional sort, just choose a state. (ADD coaches work over the phone, so leave the state box empty.

ADDA’s Professional Directoryhttp://www.add.org/ For better results and less frustration, just choose a state. (For ADD coaches, however, leave the state box empty.)

Find Hospital and University AD/HD Centers from the National Resource Center for ADHD – Some listing are out of date.

ADDitudeMag.com – Find professionals, schools, camps, products, services, and support groups. Offers Free listings for support groups and maintains a Calendar of ADHD events. Attractive paid listings, but free listings are also available. (Note: Free listings are very basic and contain no contact information, but Google helped a lot)

Washington State

Washington State ADHD Service Providers

Learning Disability Association of Washington online directory

Other Directories to try

Professional Medical Directories with ADHD Search Options can be a good choice. They all have good geographical searches and may provide a search option for insurance coverage. Most also offer a broad description of the providers services. But do your research! Although many providers claim to treat ADHD, far fewer express an interest, let alone a level of expertise.

Professional Medical Directories without an ADHD search option absolutely have the most listings and excellent geographical sort options.

Quick Links:
Find Treatment and Support
Find Support

If you know of any other ADHD Directories and you’ve had good luck with them, please let us know so we can add them to the list.

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