ADHD Grownup

出版者:W W Norton & Co Inc

作者:Young, Joel

页数:240

出版时间:2007-1

价格:187.00元

装帧:HRD

isbn号码:9780393704686

具体描述

Yet despite this awareness, many clinicians as well as the general public continue to under-appreciate the significance of ADHD as it manifests itself in adults. What happens to all these ADHD kids when they grow up? ADHD isn t like a cold or the flu it doesn t just go away all of the time. As a child grows and matures, it is possible that the symptoms lessen, and in some cases adults are able to overcome the disorder, but it doesn t usually just vanish on its own. At least 40-70% of those diagnosed with this disorder as kids will have it persist when they are adults; however, mental health professionals often overlook ADHD symptoms and continue calling their adult patients who suffer from it anxious or depressed, or diagnose them with a personality disorder. Family members may also consider adults with procrastination issues, inattentiveness, and distractibility lazy or malingering, when in fact they are suffering from ADHD. Here Joel Young MD, who has been treating and researching ADHD for more than15 years, takes a comprehensive look at ADHD in adults. As an accurate diagnosis is essential to a patient s successful treatment, the book begins by detailing how clinicians can provide the most accurate ADHD diagnosis. Once established, the basic diagnostic process begins. This includes obtaining a careful medical history to rule out medical problems that may mimic the symptoms of ADHD, taking a psychiatric history and carefully considering any family or genetic history of medical and psychiatric problems. Some helpful tools used to evaluate quickly and comprehensively distressed patients are presented. Comorbidities are extremely common among patients with ADHD. Emphasis in the book is placed on the most common ADHD comorbidities, including mood and anxiety disorders, bipolar disorder, oppositional defiant disorders, eating disorders and learning disabilities. The book also details the different types of ADHD that clinicians may encounter: ADHD (predominately hyperactive/impulsive subtype) is manifested in people who are hyperactive, and experience serious problems at work and at home. They are fidgety and impatient and may be the most commonly diagnosed adults. ADHD (predominately-inattentive subtype) manifests itself in patients who are typically, but not exclusively, female. As children, these women were inattentive and distractible, underperforming but not demonstrating overt behaviors typical of their hyperactive brethren. Their conditions may be complicated by factors like anxiety, depression, and fatigue. Even as adults, most clinicians overlook their symptoms. Other chapters focus on diagnostic and treatment issues in specific populations: adolescents and common adolescent mindsets; women with ADHD; substance abuse; psychotherapy and coaching as treatments and medications. The medications chapter will review the use of antidepressant and mood stabilizing medications taken in concert with stimulants or non-stimulants, and other medication combinations need for conditions comorbid with ADHD. Finally, the author concludes by presenting findings that self-referred patients with fibromyalgia and chronic fatigue syndrome have high rates of ADHD. Young proposes that extreme distractibility may intensify the patient s pain perception. Overall this book provides clinicians and family members with a concise yet comprehensive overview of the many issues associated with ADHD throughout adolescence and adulthood.

用户评价

这本书的叙事风格非常引人入胜，简直像是在听一个经验丰富的朋友分享他的“生存指南”。它没有那种居高临下的说教感，反而充满了真诚和同理心。我最欣赏的一点是，它没有试图把我“治愈”成一个“正常人”，而是鼓励我接纳自己的大脑特质，并学会与之共舞。书中描述的那些“执行功能障碍”带来的日常困境，比如时间管理黑洞、任务启动困难、情绪调节失控，每一个场景都让我拍案叫绝——“天哪，这不是我吗！”。最让我醍醐灌顶的是关于“过度专注”（Hyperfocus）的讨论。我以前总因为沉迷于某个不重要的事情而耽误正事，被家人指责不务正业。这本书帮我重新定义了这种特质，指出只要引导得当，它就是一种强大的超能力。我开始有意识地将我的“沉迷”导向那些对我职业发展有益的项目，效果立竿见影，工作质量和完成度都得到了质的飞跃。

这本书的结构安排得极其巧妙，逻辑性非常强，但又不像教科书那样刻板。它循序渐进地引导读者从“认识障碍”到“管理障碍”，再到“优化生活”。我特别喜欢它关于“外部化”概念的阐述。对于我们这种内部组织系统不稳定的群体来说，把所有事情都依靠“记住”来完成，无疑是灾难性的。书中详细介绍了如何利用视觉工具、便利贴、自动化提醒等外部资源来弥补内部执行力的不足。我照着书里的建议，把我的数字日历和物理白板结合起来使用，效果简直是天壤之别。以前我的待办事项列表长得吓人，每看一眼就想逃避；现在，通过分层和视觉化处理，清单变得可控且不那么令人焦虑。这本书不是那种读完一次就束之高阁的“快餐读物”，它更像是一本需要时常翻阅的“操作手册”，每一次重读都能发现新的启发点。

坦白说，刚翻开这本书的时候，我有点担心它会是另一本充斥着学术术语和冰冷理论的指南。然而，它的文字力量超乎我的想象。作者的文笔流畅，情感丰富，读起来完全没有压力。我尤其喜欢书中穿插的那些真实案例和自我反思。这些故事让我产生强烈的代入感，仿佛有人正在我的大脑里进行了一场细致入微的“内窥镜检查”。通过阅读这些经历，我开始明白我那些看似“怪异”的行为模式——比如为什么我总是在深夜效率最高，为什么我需要不断地换工作环境才能保持新鲜感——都有其生理基础。这本书最大的贡献是，它提供了一种新的“身份认同”框架。不再是“我有毛病”，而是“我的操作系统是独特的”。这种思维的转变，让我对未来充满了建设性的希望，而不是被无尽的自我批判所消耗。我强烈推荐给那些正在为自我认知挣扎的成年人。

我必须承认，市面上关于注意力缺陷的读物太多了，很多都大同小异，讲的都是老生常谈。但这一本，绝对是脱颖而出的佼佼者。它深挖了成人ADHD人士在人际关系、职业发展和情感维护中面临的深层挑战，这些内容往往是其他指南所忽略的。比如，它探讨了如何向伴侣解释那种“明明在听，但就是没听进去”的沟通困境，提供了一些实用的对话脚本，这对我改善家庭关系帮助极大。这本书的深刻之处在于，它不仅仅关注于“做什么”，更关注于“如何感受”以及“如何调整自我对话”。它教会我如何用更温和、更具建设性的声音与自己相处。当我终于停止鞭策自己去适应一个不适合我的节奏时，我发现自己反而更有精力去建立真正属于我的、可持续的生活模式。这是一本真正意义上的赋权之书，它把知识转化为力量，让我能够更自信、更有条理地掌控自己的生活航向。

这本书真是个宝藏，我最近发现它简直就是为我这种“老糊涂”量身定做的。我一直觉得自己脑子里像塞满了棉花糖，思绪像断了线的风筝，到处乱飘，工作效率低下，生活也一团糟。读完这本书后，我才恍然大悟，原来我不是懒惰，也不是不够聪明，只是大脑的工作方式和别人不一样。作者用非常接地气的方式，把那些复杂的神经科学概念讲得明明白白，让我这个非专业人士也能听懂。尤其是一些小技巧，比如“番茄工作法”的变体，还有如何设置“环境提示”来提醒自己完成任务，这些对我来说简直是救命稻草。我尝试着在家里设置了几个“锚点”，专门用来放需要处理的邮件和文件，效果出奇地好，出门前再也不会手忙脚乱地找钥匙了。这本书没有给我空洞的口号，而是提供了实实在在的工具箱，让我这个成年ADHD患者终于有了一套可以循序渐进操作的方案。它让我感到被理解，不再那么孤单和挫败，这本身就是一种巨大的解脱。