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Updated: 05/15/15

 

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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 59-to-65.
 

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.

The meaning of DUAL DIAGNOSIS

Depressive 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.

ETOH (alcohol0) 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 relapse.  

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 diagnosis. Both conditions are addressed and treated separately.

A very 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 usually lifelong. 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 completely changed. Yes, believe in 'rainbows!'

 

   

follow your dream

     

WHAT ARE THE HEIGHTENED RISKS OF UNDERDIAGNOSED AND UNDERTREATED ATTENTION AND RELATED DISORDERS?

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:
bullet Inability to listen to directions and follow them
bulletUnfinished tasks
bullet Forgetful
bulletOut-of-seat, wandering
bullet Restlessness, fidgety
bullet Difficulty follow directions especially oral directions
bulletProblems with boundaries
bulletNot accepting limits
bulletDisruptive behavior
bulletPoor memory
bulletDistractibility, inattentiveness
bulletInability to sustain focus on tasks
bulletSloppy work, messy desk, disorganized
bullet Messy desk and surroundings
bulletLow or poor grades
bulletGrade retention
bulletSpecial education placement
bulletSchool suspension
bullet Early dropping out

Social problems occur, and some are:
bulletAdjustmental difficulty
bulletImpulsivity, poor listening skills
bulletAnger control problems
bulletIntrusiveness
bulletSmoking, other drug experimentation
bulletRisky behaviors, seeks thrills, excitement
bulletBoredom, pursues new and novel activities
bulletIndulges in early sexual activity
bulletJuvenile delinquency
bulletManipulativeness, incorrigibility
bulletStays out past curfew, runs away from home
bulletSeeks out other ADDers - AD/HDers
bulletHangs out with social misfits (often older)
bulletJoins cults / gangs
bulletEarly pregnancy
bulletDrug abuse / dependency / police involvement
bulletReckless driving, speeding tickets, other traffic violations
bulletProne to accidents / DUIs / motor vehicle accidents
bulletPoor job skills, job hops
bulletMinimum wages, unemployment
bulletWelfare recipient
bulletRelationship problems, divorce
bulletFamily violence: child / partner abuse
bulletAccidental 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.

Many 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 treated...

 

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 worsen.

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 treatment. 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 stress management.

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 "happier you".  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 comprehensive evaluation. 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 affectivity. 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 Disorders. 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 website is: www.CHADD.com 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 ADDRESS?

The Attention Disorder & Related Disorders Clinic addresses the following disorders:
bulletAnxiety disorders
bulletPanic disorder and agoraphobia
bulletObsessive-compulsive disorder
bulletSchool phobia (school refusal)
bulletSeparation anxiety
bulletSocial phobia
bulletSelective mutism
bulletADD, AD/HD
bulletAsperger's Disorder/Syndrome
bulletTourette syndrome, disruptive behavioral disorder
bulletEarly onset pediatric Bipolar Disorder
bulletBipolar Disorders
bulletBorderline Personality Disorder
bulletDysthymia
bulletCyclothymia
bulletAnger management problems
bulletOppositional defiant disorder (ODD)
bulletConduct disorder (CD)
bulletProblems involving juvenile justice system
bulletInvolvement with the criminal justice system, court related problems
bulletCustody evaluations
bulletFamily violence
bulletSpousal abuse
bulletDepression, dysthymia
bullet(manic depressive) now know as Bipolar Disorder (Cyclothymia - mild form)
bulletMood disorder
bulletPersonality disorders
bulletRelationship problems
bulletPartner relationship dysfunction
bulletMarital difficulties
bulletFamily dysfunctions
bulletPost-Traumatic stress disorder (PTSD)
bulletDevelopmental delays
bulletDevelopmental disorders
bulletLearning disabilities
bulletSchool adjustment problems
bulletDementia
bulletAlzheimer's disease
bulletSchizophrenia (follow up / maintenance follow through / counseling
bulletSchizoaffective disorder
bulletFollow up / maintenance counseling)
bulletSubstance abuse
bulletSubstance dependency
bulletAlcohol (ETOH) abuse/dependency
bulletDrug abuse/dependency/addiction