Healing ADD

1. ADD is a neurobiological disorder with six distinct types, each requiring targeted treatment

ADD affects approximately 6 percent of the population, while less than 2 percent receive treatment.

Six types of ADD. Dr. Amen identifies six distinct types of Attention Deficit Disorder:

1. Classic ADD: Inattentive, distractible, disorganized, hyperactive, restless, and impulsive
2. Inattentive ADD: Inattentive, sluggish, slow-moving, low motivation
3. Overfocused ADD: Trouble shifting attention, stuck in negative thoughts or behaviors
4. Temporal Lobe ADD: Inattentive, irritable, aggressive, mood instability
5. Limbic ADD: Inattentive, chronic low-grade depression, negativity, low energy
6. "Ring of Fire" ADD: Inattentive, extremely distractible, angry, irritable, overly sensitive

Importance of targeted treatment. Each type of ADD requires a specific approach to treatment, as interventions effective for one type may exacerbate symptoms in another. Understanding the nuanced differences between types allows for more precise and effective management strategies, leading to better outcomes for patients.

2. Brain SPECT imaging reveals underlying neural patterns in ADD, guiding effective interventions

SPECT studies can be displayed in a variety of different ways. Traditionally the brain is examined in three different planes: horizontally (cut from top to bottom), coronally (cut from front to back), and sagittally (cut from side to side).

SPECT imaging technology. Single Photon Emission Computed Tomography (SPECT) is a sophisticated nuclear medicine study that measures cerebral blood flow and brain activity. It provides detailed 3D images of the brain, allowing researchers and clinicians to identify specific patterns of activity associated with different types of ADD.

Clinical applications. SPECT imaging helps in:

• Differentiating between ADD types
• Identifying comorbid conditions
• Guiding medication choices
• Monitoring treatment effectiveness
• Providing visual evidence to patients, increasing understanding and treatment compliance

By revealing the underlying neural patterns in ADD, SPECT imaging enables more precise diagnosis and personalized treatment plans, leading to better outcomes for patients.

3. Proper diagnosis and treatment of ADD can dramatically improve quality of life

Treatment does not make ADD sufferers different people: It removes the barriers hindering them from being the people they already are.

Comprehensive assessment. Proper diagnosis of ADD involves:

• Detailed patient history
• Behavioral observations
• Neuropsychological testing
• SPECT imaging (when available)
• Ruling out other medical conditions

Multifaceted treatment approach. Effective ADD management typically includes a combination of:

• Medication (when appropriate)
• Behavioral interventions
• Dietary modifications
• Exercise regimens
• Cognitive strategies
• Family and environmental support

When accurately diagnosed and appropriately treated, individuals with ADD often experience significant improvements in academic or work performance, relationships, self-esteem, and overall life satisfaction. The goal of treatment is not to change the person's core identity, but to remove obstacles that prevent them from reaching their full potential.

4. Diet, exercise, and supplements play crucial roles in managing ADD symptoms

Food is a powerful drug. You can use it to help mood and cognitive ability or you can unknowingly make things worse.

Dietary interventions. For most ADD types, a higher-protein, lower-carbohydrate diet is beneficial:

• Increase complex carbohydrates
• Reduce simple sugars and processed foods
• Include omega-3 fatty acids (fish, walnuts, flaxseed)
• Stay hydrated

Exercise benefits. Regular aerobic exercise:

• Increases blood flow to the brain
• Boosts neurotransmitter production
• Improves focus and concentration
• Reduces stress and anxiety

Supplement strategies. Depending on the ADD type, helpful supplements may include:

• L-tyrosine for dopamine production
• Omega-3 fatty acids for brain health
• GABA for calming effects
• B-complex vitamins for overall brain function

These natural interventions can significantly reduce ADD symptoms and, in some cases, decrease the need for medication. However, it's crucial to consult with a healthcare professional before starting any new supplement regimen.

5. Medication, when appropriately prescribed, can be transformative for ADD patients

Medication is an emotionally loaded issue for many people. There is a lot of controversy in this area. After doing brain-imaging work for the past ten years in addition to practicing psychiatry for the past twenty, I have no doubt that medication can be very helpful for many patients.

Types of medication. Common medications for ADD include:

• Stimulants (e.g., Adderall, Ritalin, Concerta)
• Non-stimulants (e.g., Strattera, Wellbutrin)
• Antidepressants (for certain ADD types)
• Anticonvulsants (for Temporal Lobe ADD)

Individualized approach. Medication selection depends on:

• ADD type
• Patient's age and overall health
• Presence of comorbid conditions
• Response to previous treatments

Monitoring and adjustment. Regular follow-ups are essential to:

• Assess medication effectiveness
• Monitor for side effects
• Adjust dosage as needed
• Evaluate the need for continued medication

When appropriately prescribed and monitored, medication can dramatically improve focus, impulse control, and overall functioning for many ADD patients. However, medication should always be part of a comprehensive treatment plan that includes behavioral interventions and lifestyle modifications.

6. Cognitive behavioral strategies and coaching help overcome negative thought patterns

Unless you think about your thoughts, they are "automatic" or "they just happen." Since they just happen, they are not always correct. Your thoughts do not always tell you the truth. Sometimes they even lie to you.

Identifying ANTs. Automatic Negative Thoughts (ANTs) are common in ADD and can significantly impact self-esteem and performance. Common types of ANTs include:

• All-or-nothing thinking
• Always thinking
• Focusing on the negative
• Fortune-telling
• Mind reading

Challenging negative thoughts. Techniques to combat ANTs:

• Recognize the thought pattern
• Question the evidence supporting the thought
• Generate alternative interpretations
• Replace negative thoughts with positive, realistic ones

ADD coaching. Professional coaching can help individuals with ADD:

• Set and achieve realistic goals
• Develop organizational skills
• Improve time management
• Enhance problem-solving abilities
• Build self-confidence and self-awareness

By addressing negative thought patterns and developing practical skills, individuals with ADD can significantly improve their daily functioning and overall quality of life.

7. Family dynamics and school/work environments significantly impact ADD management

ADD is a family problem and needs the support of everyone to be successful.

Family strategies:

• Educate all family members about ADD
• Establish clear rules and expectations
• Use positive reinforcement
• Implement consistent discipline techniques
• Encourage open communication

School interventions:

• Collaborate with teachers to develop appropriate accommodations
• Use organizational tools (e.g., planners, checklists)
• Break tasks into smaller, manageable steps
• Provide a structured, low-distraction environment
• Implement regular progress monitoring

Workplace accommodations:

• Allow flexible work hours when possible
• Provide a quiet workspace
• Use technology for reminders and organization
• Offer regular feedback and check-ins
• Break large projects into smaller tasks with deadlines

Creating supportive environments at home, school, and work is crucial for individuals with ADD to thrive. This often requires ongoing communication and collaboration between family members, educators, employers, and healthcare providers.

8. Self-hypnosis and visualization techniques can reprogram the ADD brain for success

The good news is that your brain and your mind belong to you. You have the right and the power to look at the beliefs, feelings, and behaviors that run your life, and to decide which you want to keep and which you want to change.

Self-hypnosis steps:

1. Enter a deeply relaxed state
2. Use positive affirmations
3. Visualize success
4. Return to normal consciousness

Creating a personalized script:

• Define a clear purpose for the session
• Include relevant positive affirmations
• Describe a "special haven" for relaxation
• Visualize successful future scenarios

Benefits of regular practice:

• Reduces anxiety and stress
• Improves focus and concentration
• Enhances self-esteem and confidence
• Reinforces positive behaviors and thought patterns

Self-hypnosis and visualization techniques can be powerful tools for reprogramming negative thought patterns and behaviors associated with ADD. When practiced regularly, these techniques can help individuals develop greater self-awareness, emotional regulation, and goal-directed behavior.

Last updated: January 25, 2025