Wednesday, April 18, 2012

ADD and focus

Everyone in my family has "special needs." (I know that term has a specific meaning, but hate it. Because . . . don't we all? I have friends who are allergic to dairy and I attend to this when I cook for them. And friends who are introverts and won't enjoy a large group. Friends who are afraid of heights or elevators. Cello, we all have things, yeah?) Although my father had the kind of singular focus that all engineers do (in my experience), he also had some pretty apparent hyperactivity. And for those who think hyperactivity is the same as kids being boisterous and that people "outgrow" this, well, umm, no. You'd need only to meet my brother who is still the most ADHD person I know, now in his 30's, to see the incredible effort it is for him to sit in one seat for more then 10-15 minutes. While strong leanings towards math, science and mechanically complex knowledge as well as allergies and diabetes are traced on my mother's side of the family, strong leanings towards creativity, art and writing, nurturing and teaching, OCD, and ADD/ADHD cascade through my father's side of the family. (Both sides have poor vision and asthma, so, there was just no way out there.)

Growing up in house full of talented, smart (if not always conventionally so) people the expectations were high. (And no, this doesn't impact me at all now; I have no idea what you could be talking about! ) We were all expected to work hard, do our homework, get good grades (really good grades), as well as participating in other activities with dedication and some success. Swim lessons were not an option, and taking a musical instrument was strongly promoted. We all played soccer, for various lengths of time, and we all had at least one sport each year all through high school (My brothers typically had three or four, while I switched to music, writing, and what can only be described as the busiest high school drama program EVER). This on top of speech therapy and other kinds of assistance for me for years, and some early intervention for my brothers as well.

My mom's attitude was always, "Oh, that's harder for you. Hmmm. Too bad, you still have to do it." She wasn't unwilling to help, to try and strategize ways to make life more functional, or to be an advocate for us at school. But she was unwilling to let us make excuses. Spelling was surprisingly hard for me, considering my large and growing vocabulary in elementary school and my high school reading comprehension by grade 4. This was probably because of the delay in my hearing (my ears were blocked until I was about 5 or 6), which in turn probably caused my speech difficulties in addition to some weakness in phonemic awareness . . . which we now know through reading readiness research is linked to spelling. My mom fought for a speech therapy IEP for me, but she also wasn't going to let me off the hook. Whatever lists of words I was practicing for speech, she adamantly inserted into our conversations at home. And I was drilled on spelling words every night.

Much the same was true for my brothers who were identified early as struggling with focus and concentration. She wasn't unwilling to adjust the daily schedule to include laps around the house to burn off energy before homework or dinner . . . or both. There was never any blame or lack of understanding. My brothers weren't berated for their struggles and I was never made to feel badly about my spelling or mushy speech, but I was expected to work on it and consistently get better. My brothers weren't excused from acting like human beings, but there was often plans on how to best make things work for them so they could function. There is a subtle but important difference there that I've come to appreciate as an educator who heard over and over, "Well he has _____ and that means he can't ______." Ahhhhhhhhhh!!

In my house it never meant "s/he can't" but instead: it might take longer, you might have to work harder at it, or we might have to do that a different way to make it feasible.

So, I have of course carried this view into the world. Differences in what is easy or hard for me about a task aside, I should just do it and find the way that makes it work. (Case in point: who thinks it's a good idea for an asthmatic with two bad knees to run? ME!) I look down on no one who medicates their ADD kids, but know that it's not necessary for all ADD kids. I also think that whatever intervention or therapy is used or not used, environment and expectation management at home bears huge relation to successful management of learning differences and challenges.

All of this has been on my mind for the last month as I have, alarmingly, noticed the marked increase in my own ADD tendencies. I was never diagnosed as a kid - I certainly rarely exhibit any hyperactivity, and I would add that this is why so few girls are diagnosed with ADD. But two therapists in my adult life have remarked on it. I CAN focus, but I don't always PREFER to focus on one thing at a time. Our current societal norms of texting, while I check my FB status and send an email, while drinking coffee and making a grocery list of course, do nothing to disuade this. The interestingly unanswerable question is: am I genetically wired to multi-task to the point of dissipating my focus or ability to concentrate on one thing? Or is it learned behavior from being surrounded by a family who rarely did one thing at a time, and never did it without fidgeting? Or both?

Whatever the case, it has always been true that even when it looks like I am doing one thing, it only looks that way - with a couple of important exceptions. By this I mean, I can do a very good impression of total focus, but when I'm taking a test, I'm also managing a panic attack, and when I'm on an important phone call, I'm probably also folding laundry or making a to-do list. When I'm running, I'm doing interview prep.

But there were always exceptions. It has always true that I could sit quietly and read or write. This was importantly true in my family of loud, chaotic, bouncing-off-the-walls-climbing-the-bookshelves (Literally - when my brother was less than 3 he was found sitting atop high things frequently having scaled his way to get there) people. If I needed to not be part of that, I could throw my legs over the side of an arm chair and read . . . for hours. I could escape to my room and write, and write, and write. Now, well, it's been months since I could read for more than 30 minutes at a time, which rings the alarm bell for me since that's the measure my brother used to pace himself in getting through college - study or read in 30 minute blocks and then go do something and start again. And I was doing fine on writing (maybe because I had so, so many feelings in so, so many directions as I go through all of this?) but the last month it's been harder and harder for me to gather myself together to sit in one place and collect my thoughts on one topic. I find myself, even when I don't mean to, avoiding it. Or sitting down to write, and then as I get up to pour coffee, drifting off through a series of actions I don't even realize are taking me farther and farther from the keyboard - coffee, mug, mugs are in dishwasher, dishwasher needs to be unloaded, unload, did I fold laundry?, check dryer, drink coffee and plan interview outfit, wash coffee cup and then all other dishes in sink . . .  and before I know it I'm multi-tasking four other things and a half an hour has gone by.

I have been struggling with focus since November when things got very hard and emotional on the job. I had a brief reprieve of peace and quiet in my brain when it looked like two or three job options were shaping up in February, but now . . . It's been four months and ADD is rearing it's head so much that I realized last night that I'm basically not watching TV because the thought of sitting in one place to watch something for 30-60 minutes sounds massively unappealingly uncomfortable to me unless I'm already exhausted, in which case I've found myself falling asleep to the three things I've tried to watch in the last couple of weeks. I mean, come on, unemployment is when you're supposed to sit around and watch TV!

Filling my days through only my own initiative was something I had to do every day for close to four years working as a remote, solo office here. But, of course, I was guided by deadlines, things that needed to get done for my instructors or supervisors, and the tasks involved in the work I was doing. Now, I have to generate not just the initiative and motivation, but the tasks themselves and the structure to do them in. It's been really tiring, if I'm being honest, and it has meant that I go to bed almost every night exhausted, ready to turn my brain off from this constant process. Not to mention, of course, staving off panic, anxiety, disappointment, and at times, depression.

Being tired and emotionally worn is definitely not helping with the ability to concentrate, but it also can't be entirely blamed since I've been tired and emotionally worn in the past and, you know, written 100 page thesis papers. More, I think, I feel ungrounded. And I need my feet to be a little more planted to sit quietly and read or write - it's hard to lean into only one thing when you're running in six directions, I think.

Here are some other strategies I'm thinking of:

  • My mom made my brothers run around the house. Not as in "go out and play" but as in, "I think you should do eight laps tonight - I'll count and wave when you run by the window!" I probably need to run or walk every day, even when it's my "day off" from working out. Burn off some of the anxiety or whatever it is coursing through my veins these days.
  • Conversely, my family never had much of the just sitting quietly and being going on. And this is something that I struggle with. I was so much better at it when I was walking as one of my two primary forms of transportation (see above), and had weekly practice from my attendance at Quaker meetings. But, when I do it I feel better. I feel like I know who and where I am. I feel . . . resolved and strong. So, I've decided to try the same thing I used to advocate to parents who asked me why Kumon work for their child started from such an easy point. I told them that the idea of doing something every day is actually hard - how many things could they say they do EVERY DAY without fail, after all (It's a short list for most adults. Something I became keenly aware of when I did a 365 days photo project in 2009-2010). I asked them to think about, if they wanted to do pushups every day - should they start with 50 pushups tomorrow having done none for the last several weeks? No, then they'd be too sore the day after to do any and the psychological process of building a new daily habit would have been disrupted. Start easy, build up to 50. Seems logical.

    So, for my meditation practice I'm following this suggestion of starting small - at first, 2 minutes a day. 
  • Caffeine has helped me eat less and let's just be honest, I make some killer good coffee . . . but it is probably not helping me focus. I may not need to go all the way back to my 2 cups a month standard, but probably would do well to do less than coffee every day. And let me just own up - I love me some Diet Dr. Pepper but it has no redeeming value other than it being yummy. So, there's another source of caffeine I should let go of.
  • Getting enough sleep is crucial - I will work to keep that out of all of this. It's been great to sleep 7-9 hours a night instead of calling 5-7 hours of broken a sleep a win, as I was in 2011.
  • I probably need to make myself sit and read daily if I want to relocate that capacity.
  • Similarly, I probably need to write some every day. Cover letters don't count, but this blog, my creative writing, and my journal do.
  • I probably need to acknowledge that part of happy for me is having creative pursuits. In 2008 - 2009 a creative writing group, in 2009-2010 it was photography, every day, without fail, for 365. In 2010- 2011 it was all about performing and singing. Right now I'm putting so much towards staying afloat that I can't afford (literally) to sing, and I'm missing it. Writing is cheaper, but also complicated since it uses the same part of my skills that are being tapped to try and sell my wares to potential employers (write cover letter, adjust res, apply, lather, rinse, repeat.) I'm thinking the first thing on the list is to do some tutorials for the new (free!) photo tool someone awesome directed me to recently. It's also spring in Colorado, which, you know, is just the worst time to get out the fancy cam. (sarcasm)
  • I also probably need to acknowledge that the times in the last 10 years when I was most grounded and focused, I was also pretty unhappy. Despite the stress of really-really NEEDING to find a job now, I'm pretty happy. I don't think this means that I can only be grounded when I'm grimly determined to beat tasks that are unsatisfying into submission, or that being content equals being all over the place. But it does probably mean that there's some renovation going on and that finding out what happy AND grounded looks like will likely be a process for awhile.


Now, one other thing. Diet. Both of my brothers (and I will proudly mention that they came to this conclusion after investigation that was instigated by a conversation with me) have determined they are "glutarded." I had seen the enormous health benefits of reducing or eliminating gluten when my Jewish family was able to resolve not just skin, celiac, and allergy concerns by taking it out of their kitchen, but were also seeing major improvement in their two children who had sensory based learning differences and/or hyperactivity. I mentioned it to my brothers, and though the notion was initially rejected, they both have become avid gluten-free eaters and have felt better for it. I have been "gluten-reduced" for 4 years now, and have always done full gluten cleanses at least twice a year to try and re-set my system. I may never trip the scales on the incredibly expensive test that medically diagnoses gluten allergy, but I know this: when I limit myself to one serving of gluten a day my energy level and concentration level go up, my skin issues and allergies are decreased. Not eliminated - it's not magic. But I'm less reactive.

It is harder to eat gluten free on a budget - fact. I do better than many because Boulder is pretty much the gluten-free (GF) capitol of the world, but replacing normal every-day items with GF ones is often expensive. I do my best to just take bread out of the equation most days, and have found a good source of oatmeal and rice cakes, that are not certified GF, but hav no wheat products or "natural flavorings" (the bane of anyone trying to track down hidden sources of gluten) in them. But when it comes to things like pizza, waffles, beer, bagels, and my person mainstay - low calorie snack bars (think nutri-grain or cliff bar type items) a person can easily spent $6 - $8 on the GF equivalent of something that for everyone else costs $2.99. So, I admit it - although I'm basically not a bread eater anymore and there is plenty of rice at my house, I need to meter my other carbs a little better. Or, you know, get a job and start being able to put the 8 GF items I enjoy back on my grocery list.

And, now, for the first time in the illustrious history of this blog (ha!) I will make an inside joke for my bestest friend everst's benefit. Rob, I need some FOCUS.