ADHD Treatment Targets Need Clarification – Reality Changes
If you wonder why you can’t get the meds right. If you wonder about diagnosis and the question: “Is it hyperactive, inattentive or combined?” – Consider this elemental perspective of context – the reality, the real world context where the ADHD problems occur.
Checkout this video on context – then review the additional explanation below. If you aren’t thinking this way, you are missing some important treatment targets – and will remain in a quandary of fixed ADHD thinking and fixed diagnostic labels.
Characteristics of Reality and Context
Consider these elemental characteristics of reality:
1. Reality is always changing – so context becomes relevant for working memory
2. Reality frequently changes at a rate not in keeping with our preference at the moment: Too fast or too slow.
3. The Prefrontal Cortex is constantly sorting reality and remembering previous experiences to adjust correctly with good executive function – working memory.
4. Effective working memory has improved our relationships with nature, and with our fellow humans. Working memory provides some protection from previously unpredictable changes – and helps make reality more predictable.
5. ADHD slowing of working memory causes functional disarray of the two main prefrontal cortical functions: Thinking and Acting. [Feeling is most often mediated through deeper brain connections with the PFC.]
6. If the rate of change is not in keeping with our preference and is characterized by too rapid an increase in variables associated with diminished structure, absent a focus – ADHD symptoms proliferate. Think: 6th grade, Freshman year in HS, Freshman year in college.
Do see this other video on the subject of Thinking, Acting and Brain Function, – and the importance of counterproductive reaction patterns in the context of changing reality.
Many more details are in my new book: ADHD Medication Rules – Paying Attention To The Meds For Paying Attention. Stay tuned for more videos on ADHD diagnostic and treatment details…
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