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MessageFrom the Clinical Director

Expert Advice via the phone when in Crisis! Launch of a Brand new expert advice Crisis Line Page 3& 4

Diagnosis Corner - Adult ADHDWhat do the doctors look for? Page 4

Testimonial of RecoveryGeorgia who has a daughter with Adult ADHD page 7

May 2012

CBT in the City

MessageFrom the Clinical Director

The CBT for schools project is doing well in these troubled economic times and I hope it continues to flourish to fulfill the vision of aiding the growth reflection in the classroom for our future generation. Also new and exciting is the new Crisis helpline which will be provided by me at first but later our other experts will join as there is a wealth of experience within the team. In the next months issue I will deliver a special feature on the delivery of therapy to people with mild learning disabilities and the exiting results found from a pilot study undertaken in which I was one of the treating consultants. This is with the aim of providing pure CBT treatment following tools developed during the pilot study. This month is featuring the problem of adult ADHD and again CBT is a big help in this area, so if you have any questions or wish to self refer then use facebook or twitter or the main number 0207 467 1508

• Website: www.cbtinthecity.com• Join Our Facebook Groups: CBT in the City - CBT in the City for Schools - Mindfulness and the City• Follow us on Twitter: CBTDaily  -  SchoolsCBT  -  MindfulnessCB

2CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited 2012

2CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited 2012

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GWguest writer

Crisis line for immediate contact within the hour An email system to obtain expert advice using the latest technologies

An on call system to meet the needs of the people and ensure expert advice in the time of need

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Adult attention deficit hyperactivity disorder (also referred to as Adult ADHD, Adult ADD) is the common term used to describe the neurological condition Attention Deficit and Hyperactive Disorder (ADHD) when it is present in adults. Up to 60% of children with symptoms from early childhood continue to demonstrate notable ADHD symptoms as adults.[1] Current convention refers to this condition as adult ADHD, according to the Diagnostic & Statistical manual for mental disorders DSM-IV-TR, 2000 revision. It has been estimated that 15% of the global population has ADHD (including cases not yet diagnosed).Successful treatment of ADHD is usually based on a combination of medication, behaviour therapy, Cognitive therapy, and skills training.

Signs and symptoms of adult ADD / ADHD

In adults, attention deficit disorder often looks quite different than it does in children—and its symptoms are unique for each individual. The following categories highlight common symptoms of adult ADD/ADHD. Do your best to identify the areas where you experience difficulty. Once you pinpoint your most problematic symptoms, you can start to work on strategies for dealing with them.

Common adult ADD / ADHD symptoms: Trouble concentrating and staying focusedAdults with ADD/ADHD often have difficulty staying focused and attending to daily, mundane tasks. For example, you may be easily distracted by irrelevant sights and sounds, quickly bounce from one activity to another, or become bored quickly. Symptoms in this category are sometimes overlooked because they are less outwardly disruptive than the ADD/ADHD symptoms of hyperactivity and impulsivity—but they can be every bit as troublesome. The symptoms of inattention and concentration difficulties include:“zoning out” without realizing it, even in the middle of a conversation.extreme distractibility; wandering attention makes it hard to stay on track.difficulty paying attention or focusing, such as when reading or listening to others.struggling to complete tasks, even ones that seem simple.tendency to overlook details, leading to errors or incomplete work.poor listening skills; hard time remembering conversations and following directions.

Common adult ADD / ADHD symptoms: HyperfocusWhile you’re probably aware that people with ADD/ADHD have trouble focusing on tasks that aren’t interesting to them, you may not know that there’s another side: a tendency to become absorbed in tasks that are stimulating and rewarding. This paradoxical symptom is called hyperfocus.Hyperfocus is actually a coping mechanism for distraction—a way of tuning out the chaos. It can be so strong that you become oblivious to everything going on around you. For example, you may be so engrossed in a book, a TV show, or your computer that you completely lose track of time and neglect the things you’re supposed to be doing. Hyperfocus can be an asset when channeled into productive activities, but it can also lead to work and relationship problems if left unchecked.Common adult ADD / ADHD symptoms: Disorganization and forgetfulness

When you have adult ADD/ADHD, life often seems chaotic and out of control. Staying organized and on top of

Attention Deficit and Hyperactive Disorder ADHDWhat do the doctors look for?

DCdiagnosis corner

6CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited 2012

things can be extremely challenging—as is sorting out what information is relevant for the task at hand, prioritizing the things you need to do, keeping track of tasks and responsibilities, and managing your time. Common symptoms of disorganization and forgetfulness include:poor organizational skills (home, office, desk, or car is extremely messy and cluttered),tendency to procrastinate, trouble starting and finishing projects, chronic lateness, frequently forgetting appointments, commitments, and deadlines, constantly losing or misplacing things (keys, wallet, phone, documents, bills)underestimating the time it will take you to complete tasks

Common adult ADD / ADHD symptoms: ImpulsivityIf you suffer from symptoms in this category, you may have trouble inhibiting your behaviors, comments, and responses. You might act before thinking, or react without considering consequences. You may find yourself interrupting others, blurting out comments, and rushing through tasks without reading instructions. If you have impulse problems, being patient is extremely difficult. For better or for worse, you may go headlong into situations and find yourself in potentially risky circumstances. You may struggle with controlling impulses if you:frequently interrupt others or talk over them, have poor self-control, blurt out thoughts that are rude or inappropriate without thinking, have addictive tendencies, act recklessly or spontaneously without regard for consequences, have trouble behaving in socially appropriate ways (such as sitting still during a long meeting)

Common adult ADD / ADHD symptoms: Emotional difficultiesMany adults with ADD/ADHD have a hard time managing their feelings, especially when it comes to emotions like anger or frustration. Common emotional symptoms of adult ADD/ADHD include:sense of underachievement, doesn’t deal well with frustration, easily flustered and stressed out, irritability or mood swings, trouble staying motivated, hypersensitivity to criticism, short, often explosive, temper, low self-esteem and sense of insecurity

Common adult ADD / ADHD symptoms: Hyperactivity or restlessnessHyperactivity in adults with ADD/ADHD can look the same as it does in kids. You may be highly energetic and perpetually “on the go” as if driven by a motor. For many people with ADD/ADHD, however, the symptoms of hyperactivity become more subtle and internal as they grow older. Common symptoms of hyperactivity in adults include:feelings of inner restlessness, agitation, tendency to take risks, getting bored easily, racing thoughts, trouble sitting still; constant fidgeting, craving for excitement, talking excessively, doing a million things at once

You don’t have to be hyperactive to have ADD / ADHDAdults with ADD/ADHD are much less likely to be hyperactive than their younger counterparts. Only a small slice of adults with ADD/ADHD, in fact, suffer from prominent symptoms of hyperactivity. Remember that names can be deceiving and you may very well have ADD/ADHD if you have one or more of the symptoms above—even if you lack hyperactivity.

DCdiagnosis corner

6CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited 2012

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7CBT in the City Ltd Registered company in UK:6709268. CBT in the City is a registered Trademark copyright 2010 and all work produced and published is the property of CBT in the City Ltd. Any reproduction is prohibited 2012

Testimonial of Recovery

TR

cognitive behaviour therapy made a difference!....with my daughter’s ADHDthe human conditionBy Georgia

'I just want to say a big thankyou for helping my daughter. She is more organised and I did not believe that she would be able to organise her life like she has. She has also maintained it and I believe I owe a big thank you to you and I hope you enjoy the present. It is just a small token for all your hard work and to just say that she has completed her studies at University and she is so proud to be a junior doctor.

CBTMONTHLY10 Harley Street

London W1G 9PF

CBT in the City Wellbeing Clinic 1 10 Harley Street, Central London, W1G 9P

for more information contact +44 (0) 207 467 1508

• Website: www.cbtinthecity.com• Join Our Facebook Groups: CBT in the City - CBT in the City for Schools - Mindfulness and the City• Follow us on Twitter: CBTDaily  -  SchoolsCBT  -  MindfulnessCB

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