What are the Attention Disorders?
Adults / Children with ADHD or ADD:
There are four (4) types of
AD/HD (attention disorder):*
314.01 Attention-Deficit/Hyperactivity Disorder, Combined Type
314.00 Attention-Deficit/Hyperactivity Disorder, Predominately Inattentive Type
314.01 Attention-Deficit/Hyperactivity Disorder, Predominately Hyperactivity / Impulsivity Type
314.9 Attention-Deficit/Hyperactivity Disorder, Not Otherwise Specified
Please refer to the DSM-5™, (Diagnostic and Statistical Manual of
Mental Disorders, 5th Edition. 2013) published by the
American Psychiatric Assn., Washington D.C. pages
WHAT ARE RELATED DISORDERS?
Related disorders are those which accompany attention impairments.
When depression, Dysthymia, bipolar, PTSD, cyclothymia, Aspergers, anxiety, and a number of other
disorders coexist with an attention disorder, the term "comorbid"
or "concurrent" is used.
Sometimes a disorder is listed as primary and another related disorder associated
with the primary disorder is listed as the secondary disorder.
Both are addressed and treated separately.
There is much to learn about attention disorders and their related disorders.
Becoming educated, engaging in counseling / psychotherapy and benefiting from medical
treatment is considered state-of-the-art practice.
meaning of DUAL DIAGNOSIS
Disorder (Depression) or milder form of known as Dysthymic
Disorder, Bipolar Disorder, (Cyclothmic Disorder, milder form of
Bipolar Disorder), and / or
anxiety disorders often underlie substance abuse / dependency
problems. One of these disorders may accompany substance
abuse. When someone is dually diagnosed, the
psychological symptoms need to be addressed and treated
concurrently with the substance abuse / dependence problems.
abuse/dependency and other drug abuse/dependency can induce
Bipolar Hypo Mania or even full blown Psychotic Mania,
delusions, and visual or auditory hallucinations.
Addiction is a serious disorder which is characteristic of
The Attention Disorder & Related Disorders Clinic
is careful to address both the addiction and the psychological
symptoms in dually diagnosed individuals.
Often adults with AD/HD or ADD are battling
a substance abuse disorder. This is an example of dual
Both conditions are addressed and treated separately.
many number of adults with AD/HD also have Post-traumatic Stress
Disorder (PTSD) which compounds the AD/HD.
I THOUGHT ADD/ADHD WAS A CHILDREN'S DISORDER WHICH KIDS
OUTGREW DURING ADOLESCENCE.
This is a very common myth. The truth is that ADD/ADHD are
Some adults are diagnosed for the very first time when they are in their 20s,
30s, 40s, and even older.
The symptoms appeared in childhood, but were underdiagnosed and untreated.
It is likely that many adults who have come before the justice system or have been
incarcerated have underlying ADD/ ADHD and / or related disorders.
IS THERE HELP FOR ATTENTION AND RELATED DISORDERS?
Moderate and moderate-to-severe attention disorders and related
disorders are real handicaps which affect millions.
These disorders impact all aspects of a child's or adult's life (physical, social,
emotional, psychological, family life, and school / work opportunities).
With a correct diagnosis, a carefully constructed treatment plan, and ongoing
monitoring, most children and adults can lead a relatively symptom-free life.
ISN'T ADD/ADHD JUST A PHASE THAT CHILDREN OUTGROW?
ADD - AD/HD is a real medical condition.
It is not a fad or a "Yuppie Flu".
ADD or AD/HD has been
documented by empirical scientific research studies.
In fact, AD/HD (ADD) is the most widely researched disorder in the archives of
children's research literature.
AD/HDers need help in understanding and managing their disorder.
With supportive counseling / psychotherapy and medical treatment, lives are
Yes, believe in 'rainbows!'
follow your dream
WHAT ARE THE HEIGHTENED RISKS OF UNDERDIAGNOSED AND UNDERTREATED ATTENTION AND
Children may be overdisciplined, sometimes severely and cruelly.
Rejection by teachers, school personnel, and peers is common, such children are often the family scapegoat
or bullied by peers.
School problems occur, and some are:
Inability to listen to directions and follow them
Difficulty follow directions especially oral directions
Problems with boundaries
Not accepting limits
Inability to sustain focus on tasks
Sloppy work, messy desk, disorganized
Messy desk and surroundings
or poor grades
Special education placement
Early dropping out
Social problems occur, and some are:
Impulsivity, poor listening
Anger control problems
Smoking, other drug
Risky behaviors, seeks
Boredom, pursues new and novel
Indulges in early sexual
Stays out past curfew, runs
away from home
Seeks out other ADDers
Hangs out with social misfits
Joins cults / gangs
Drug abuse / dependency /
Reckless driving, speeding
tickets, other traffic violations
Prone to accidents / DUIs /
motor vehicle accidents
Poor job skills, job hops
Minimum wages, unemployment
Relationship problems, divorce
Family violence: child /
Accidental death, suicide
All of the above cost taxpayers billions of dollars to maintain safety for citizens
and to provide rehabilitative services for the offenders.
There has been an increase in the numbers of individuals sentenced to
jail / prison time.
More jails and prisons are being constructed.
More probation officers are being hired.
Substance abuse / dependency / rehabilitative centers have a high recidivism
rate; that is, the probability of relapse is very high: 85 to 90 percent.
Substance abuse / dependency should be considered
"diseases of relapse".
These services are not only costly but heartbreaking to families.
Where children are involved, a poor example is often being modeled.
This is why many of the attention disorders and related disorders seem to run
in families, in which the same disorders or related disorders can be traced
back (genograms) to previous generations.
WHAT IS A GENOGRAM?
A genogram is a diagram constructed in therapy to depict family relationships
extended over at least three generations.
In the diagram, critical events, such as death, divorce, remarriage,
alcoholism, mental illness, etc., reveal recurring patterns of behavior
which help to determine how behaviors or psychological problems are handed
down from generation to generation.
disorders are inherited. Often never diagnosed but characteristic of
poor social adjustment, social 'misfit' lifestyle, alcohol (ETOH)
abuse/dependency, child abuse, spouse abuse (violent outbreaks)
(rages, raging), unemployment, jail... prison.... There was an
underlying diagnosis which was never identified and never
WHOM DOES THE ATTENTION DISORDER & RELATED DISORDERS CLINIC SERVE?
The Attention & Related Disorders Clinic
offers counseling / psychotherapy for adults, adolescents, and children, including
preschool-aged children who are depressed, mood-disordered, oppositional defiant,
ADHD, hyperactive, timid, fearful, or otherwise troubled.
I CAN'T AFFORD TO GET HELP!
In this day
and age, you cannot afford not to get help....seek to find out what is going on,
what is the diagnosis and what is the treatment!!!!
Here at The
Attention Disorder & Related Disorders Clinic practically everyone
and anybody can get an appointment (I even work with you online via
email) I have over 65 insurance companies, do sliding scale to
reduce costs to fit your income level and even do some pro bono
services to especially help children who are failing in school
Sometimes one has to say
"You cannot afford NOT to get help".
Dr. Hughes' concern is that many individuals go without services because
clinician's fees are not affordable.
The Attention Disorder & Related Disorder Clinic aims to set fees and to
provide quality service which are realistic and affordable.
Individuals who go without treatment are at
heightened risk because they may develop additional problems which
"piggy-back" on to existing problems and in time usually
Attention and related disorders interfere with school / work success and
cause severe relationship problems.
These problems are often neurobiochemical (caused by brain deregulation
or imbalance) and can be corrected.
Usually counseling / psychotherapy is advised to complement any medical
One without the other is like a cart without the horse!
IS THERE HELP FOR ATTENTION AND RELATED DISORDERS?
Absolutely! Moderate and moderate-to-severe attention disorder and related
disorders are real impairments (handicaps) which affect millions.
These disorders impact on all aspects of a child or adult's life (physical,
social, family, emotional, psychological) and school / work opportunities.
With proper diagnosis and a carefully designed treatment plan, most children
and adults can lead a relatively symptom-free life.
"There is hope at the end of a rainbow!"
WHAT DOES THE ATTENTION DISORDER & RELATED DISORDERS CLINIC OFFER?
The Attention Disorder & Related Disorders Clinic offers creative,
supportive counseling and psychotherapy to individuals of all ages with
attention and / or related disorders by helping them to develop awareness of
what these disorders are, an understanding of how the brain is involved
(not your fault), knowledge of the mysteries of medication, time management,
behavioral management, cognitive thinking, conflict resolution and
IT'S NOT MY FAULT TO HAVE BRAIN DEREGULATION . . .
Yes, that is partly true.
One day you discover that you are unhappy and that life "sucks"!
You've even thought that you would like to end your life!
Waking up to the causes helps you to take responsibility for dealing with a
disorder which lands you in predicaments that give you second thoughts
about how you are living your life.
You try to change by yourself and find that you can't!
It's like having myopia (near-sightedness) where you must wear a corrective
lens to see at a distance.
Driving without wearing your corrective lens makes you highly-at-risk for
injuring yourself and others.
After the fact, you cannot say that you forgot your lenses or that you didn't
think you needed them! (denial is big!).
Once you are diagnosed with an emotional / mental / behavioral disorder, it
becomes your responsibility to be in control.
Medication is a huge help when it is complementary to your system, but a lot
of the real work to improve your life is up to you!
The Attention Disorder & Related Disorder Clinic
This clinic pledges an attempt to ensure that you receive reinforcement (strength) through regular
counseling / psychotherapy sessions - that you can develop new energy to think differently.
Learning new ways to cope with problems, taking well-thought-out steps to
recovery, reduction of stress, increased self-esteem, self-empowerment,
independence, and self-confidence are a few examples of what the Clinic's
objectives will be for you.
In some ways, you will be developing a "new you," a
You will begin to believe in "rainbows" and develop
self-esteem, self-confidence, and self-competency in order to live a
meaningful and happier life.
WHAT ABOUT DIAGNOSIS... HOW DOES ONE EVALUATE?
In addition to her qualifications and many years of experience, Dr.
Hughes believes in using empirical, normal evaluative instruments which
closely depict and support her diagnosis.
A considerable amount of research has been accumulated to arrive at a
Depression and moods such as bipolar (manic depressive) disorder and ADD
- AD/HD are
serious and often misdiagnosed or underdiagnosed conditions, which require specific
consideration and efficacious treatment.
The Attention Disorder & Related Disorders Clinic pledges to make a difference,
and will accept individuals who otherwise could not afford psychological
/ mental health services.
ADD - AD/HD Comorbid Anxiety
Recent research from NIMH (National Institute for Mental Health) indicates
that it is important to assess for the presence of comorbid anxiety and negative
It is important to assess for coexisting anxiety, depression, oppositional
defiant, and conduct disorders.
This is going to be found more often with adults, teens, and children who exhibit
the hyperactivity and impulsivity type of attention disorders.
They are likely to have poor social skills.
WHAT IS CH.A.D.D. ????
CH.A.D.D. stands for Children and Adults with Attention Deficit
It is a wonderful organization! and is Florida-based.
A support organization for ADDers, AD/HDers, parents, significant others, teachers,
school personnel, and mental health professionals; you may be able to benefit from
their extensive networking.
CH.A.D.D. is nationwide, with local groups in all states.
The Fort Myers Chapter meets regularly at Lee Memorial Hospital, and their
It is a highly influential organization which has been instrumental in making
America wake up to ADD / ADHD.
WHAT DISORDERS DOES THE ATTENTION DISORDER & RELATED DISORDERS CLINIC
The Attention Disorder & Related Disorders Clinic
addresses the following disorders:
Panic disorder and agoraphobia
School phobia (school refusal)
Tourette syndrome, disruptive behavioral disorder
Early onset pediatric Bipolar
Anger management problems
Oppositional defiant disorder (ODD)
Conduct disorder (CD)
Problems involving juvenile justice system
Involvement with the criminal justice system, court related problems
(manic depressive) now know
as Bipolar Disorder (Cyclothymia - mild form)
Partner relationship dysfunction
Post-Traumatic stress disorder (PTSD)
School adjustment problems
Schizophrenia (follow up / maintenance follow through / counseling