Would you like to:

• remember better what you have read?
• hold onto more information in your head?
• be better at figuring out multiple-step math problems?
• remember where you place items?
• recall what you wanted to say earlier in a conversation?
• not forget what to get from a room you just went into?
• stay mentally focused better during conversations or lectures?
• not be so easily distracted by noises and actions around you?

If so, then welcome to the field of cognitive training (or “brain training”, as it is called by the popular media.)

This weekend I had the opportunity to attend a conference in Austin, Texas for a gathering of international experts (from the U.K., Sweden, Japan, Canada, and the U.S.) on one form of cognitive training — that which focuses on a core skill called working memory.

Working memory (as compared to short-term memory or long-term memory) is the ability to hold onto information while you are using it.  It is the combination of short-term memory and processing information.

So working memory is utilized when you:

• read instructions for installing a new garbage disposal in your kitchen and you try to remember the first three steps.
• are downstairs and make a list in your head of the things to remember to get from your basement.
• are running errands and you have a list of places to remember where to stop.
• try to figure out in your head what a 15-20% tip would be on a meal costing $45.00 .

This weekend we were exposed to new, and exciting research on how children’s, adolescents’ and adults’ working memory can be improved through computer-based training and its practical impact on their lives.

For example, we heard about:

  children survivors of brain tumors and leukemia. These children often lose significant cognitive, intellectual and academic abilities as a result of the chemotherapy and radiation therapy they receive.  Research being conducted at Duke University Medical Center is finding that working memory training appear to be able to reverse the losses previously experienced.

  autistic spectrum children and adolescents who also have problems with attention and poor mental focus. A multi-disciplinary outpatient treatment facility in Michigan is finding that, in addition to treatment by medication, computer-based working memory training often has positive effects on the social and emotional functioning of these students.  Parents report fewer “emotional meltdowns”, more awareness about their feelings, and better impulse control.

  elementary school ADHD students.   A group of researchers in the U.K. have found that after completing a working memory training program for five weeks, students’ academic abilities improved in reading comprehension, math reasoning, and being able to follow multiple-step classroom instructions.

Additionally, researchers are finding that:

 -working memory ability is a better predictor of academic success than students’ IQ scores.

 -deficits in working memory are highly common for children with genetic disorders.

 -traditional classroom instruction requires high levels of working memory for students.

 -students with low working memory: a) forget crucial information; and b) fail to successfully complete tasks.

To learn more about working memory, what it looks like in daily life, and to take a brief working memory assessment, go to www.aboutworkingmemory.com . 

There is a fascinating website that shares individual’s stories (preschoolers, school-age students, adolescents, and adults) who have been helped by receiving training for their working memory abilities.  And for those of you who would like to find out more about the training itself, visit www.workingmemorysolutions.com or www.cogmed.com . 

These are exciting times in the area of brain training and its impact on our daily lives!

Given the multiple “hats” that I wear professionally, some people know only about certain areas of service I provide (for example, consulting with successful business families) and not with other areas (evaluating individuals with ADD / ADHD and learning difficulties).  So I thought I would share some about the ADD / ADHD side of my work.

Although many people talk about “Adult ADD”, from a professional point of view there is no “ADD” anymore.  It all falls under ADHD, even for those individuals who are not hyperactive nor excessively fidgety.  There are actually three subtypes of ADHD:

• the hyperactive - impulsive type (sort of the classic “wild boy” that many people think of when they think of “hyperactivity” — on the go non-stop, high energy, difficult to control, loud (often), accident-prone (because they move or do things before thinking about them), etc.
• the inattentive type.  This used to be called ADD without hyperactivity.  These individuals primarily have a hard time focusing, concentrating, are easily distracted, lose their train of thought.  In girls, they were sometimes referred to as “airheads” or “space cadets”.  Guys were referred to as the “absent-minded professor-type”.  These people aren’t hyper or fidgety but they lose things easily, and are pretty disorganized.
• the combined type — that has some aspects of both.  This individual could be a “full-blown” ADHD person who is hyper, impulsive and distractible.  Or they could just be inattentive, distractible and impulsive.

A key point to note is that the person does not have to be hyperactive to be ADHD.  This is often confusing to people — I frequently hear “Well, he can’t be ADHD because he isn’t hyperactive — maybe ADD, but not ADHD.”  And I understand what the parent is saying. It is just that (from a professional’s use of the term) really no one is just ADD anymore.  [But parents and teachers still frequently use the term.]

I have been evaluating individuals with ADHD for over twenty years now, and have seen 4,000 plus students (from 5 years old to senior adults).  And frequently, after evaluating a school-aged child, the parent (often the father) says — “You know, J.D. reminds me of me as a child.  I really struggled with the same issues — and still do.”   This then can lead to an evaluation of the parent and, lo and behold, they also are ADHD (research shows that about 50% of fathers of ADHD students are ADHD themselves.) So let’s talk a little about Adult ADHD and what it looks like.

1. First, it is important to note that many very successful people are ADHD.  Some of the characteristics of ADHD (high energy, being socially outgoing, a risk-taker) help individuals become successful entrepreneurs, salespersons, entertainers, athletes, and law enforcement officers.  (You don’t tend to find too many ADHD accountants or actuaries!)  But it is also important to know that these same character qualities limit these professionals success — risk-taking in moderation (with appropriate judgment, due diligence, and risk management) can be good.  But excessive risk-taking — without the necessary ability to “wait and see”, investigate further, etc. — can lead to poor decisions with damaging results.
2. Secondly, just like ADHD students vary tremendously in their individual profile of ADHD characteristics, so do ADHD adults.  Having said that, there are some common daily life symptoms:

*Great starters. Poor finishers.  ADHD adults are often imaginative and creative.  They come up with great ideas, and even start out on the new path with lots of energy.  But they quickly can become distracted, discouraged, or overwhelmed with the details to make the project work.

*Struggle with managing paperwork.  ADHD adults can do some paperwork, for a while.  But too much paperwork overwhelms them.  And they have a hard time keeping on top of a lot of paperwork over time.  They build piles on and around their desk.  And they usually need the help of a very effective adminstrative assistant (or spouse) to clean up their piles.

*Forgetful.  An ADHD adult would “forget their head if it wasn’t connected”.  They lose their keys, their wallet, their glasses, their checkbook, important paperwork, . . . One of their most used phrases is “Has anyone seen my ….?”

*Time management issues.  Some ADHD adults tend to be chronically late to appointments, not having a good sense of time.  Others, because of their struggles in this area, overcompensate and leave early for appointments — so that they won’t be late.  A large number of ADHD individuals tend to underestimate how long it takes (or will take) to complete a task — and so they are always running up against the deadline to complete the project.

*Impulsive behaviors.  Think about doing or saying things “on impulse” — and that is the struggle many ADHD adults have.  They speak they mind bluntly.  They interrupt others.  They make quick decisions without thinking through all of the issues.  They spend money quickly and easily.  They can be impatient with others (or circumstances).  They can be easily frustrated and have a quick temper (especially when they are tired, hungry or stressed.)

*Struggle with focus and concentration.  Many ADHD individuals complain about not liking to read (they rarely read the assigned books in high school or college).  They can’t remember what they just read.  Sitting through lectures is torture for them.  They can just sit and watch TV or a movie — they have to be doing something else at the same time.  They forget what they were just going to say, or why they came into the room (it is probably a different issue if you are 50+).

There are lots of other common symptoms of Adult ADHD; these are just a few, but they give you a start.  For more information go to this website on diagnosing ADHD in adults.

So what to do if you think you, your spouse, your boss or your business colleague is ADHD?

First, find out some more.  A couple of good books are Driven to Distraction and Delivered from Distraction, written by two ADHD doc’s, Hallowell & Ratey.

Second, see what resources are available.  www.addwarehouse.com has numerous books and videotapes on Adult ADHD, including ones specifically for women.

Third, it is important to know what treatments are available.  Most people jump to the conclusion that treatment by medication is the only alternative.  Although medication can be helpful, there are other ways to help ADHD adults.  Coaching for ways to manage their primary problem areas can be effective.  Also, there is a relatively new computer-based cognitive training program that has been shown to be highly effective as well.

I could say a lot but more, but for those who really need this, I’ve already pushed the limits of their ability to focus this long.  Have a great week!