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ADHD Symptoms | Adult ADHD Los Angeles|ADHD Treatment For Adults| Help With Adult ADHD|ADHD Relationship Coaching
ADHD Symptoms

The ADHD “Rebound” Effect – part 2


Robert Wilford, Ph.D. and Sarah Ferman, Psy.D., L.M.F.T.

Do you ever get ADHD Rebound Effect? Frustrating?

The rebound effect can seem worse to those who aren’t prepared for it, partly because they don’t understand what’s happening, and partly because they don’t have the necessary knowledge to treat their symptoms with the proper response. It’s even worse when you consider the fact that the effect occurs when the person’s medication is wearing off, since this on its own lessens the patient’s ability to think clearly and organize thoughts. Fortunately, there are some strategies to employ if you’re feeling what you think might be the rebound effect.
For one thing, have some fruit juice handy when you feel the onset of the rebound effect. If you’re feeling bad because of low blood sugar, fructose will work to raise your blood sugar within 15 minutes. If this is not available for whatever reason, a good second option is ice cream or something with some sugar in it to get that blood sugar up quickly. Following a spike in blood sugar, it is helpful to eat something with protein in it, because this will stabilize your blood sugar for a longer period of time at that level. While you’re waiting to recover, it is sometimes a good idea to rest or listen to some soothing music. This strategy will help to calm your mood and make you feel more at ease.
There’s also another little secret ADHD trick that can help you. If you are feeling the rebound effect and you no longer have to take medication that day because it’s late in the evening, try about four ounces of Mountain Dew. It just so happens that Mountain Dew contains the right combination of sugar and caffeine to help overcome agitation or irritability as a result of low blood sugar, dehydration, etc. If you want to eyeball it, pour the Mountain Dew into half of an average-sized coffee cup. That should help relieve your symptoms.
These are good ways to help if you happen to get the rebound effect unexpectedly, but if it’s a consistent occurrence, it’s a good idea to figure out why it keeps happening. Other things to look into are the type of medication you are taking, and your dosage. Sometimes, if you’re not taking enough medication, a higher dose can eliminate the rebound effect.
In other instances, the specific medication you’re taking is to blame, and a different medication will fix the problem and serve as a better fit for you. If your doctor agrees, you might also try a smaller dose of immediate release medication near the end of the first dose’s duration to help smooth over the effects that you get when the medication is wearing off.
It’s not uncommon to have the rebound effect hit very quickly, resulting in unexplained feelings of irritability, impatience, distraction, unclear thinking, frustration, and anger. The important thing to remember is that it’s not your fault, and it’s not necessarily the medication’s fault either. With a methodical approach, you can try to narrow in on what is causing the rebound effect and eliminate it. Hopefully with some of the above suggestions, you will be better equipped to handle the ADHD rebound effect if it should occur, and minimize the incidence of it in the future.
If you missed part one of this article, click here to read
The ADHD “Rebound” Effect – part 1

ADHD Symptoms

The ADHD “Rebound” Effect – part 1


Robert Wilford, Ph.D. and Sarah Ferman, Psy.D., L.M.F.T.

Do you ever get ADHD Rebound Effect? Frustrating?

Life can be daunting when you or someone you love has Attention Deficit Hyperactivity Disorder (ADHD). The symptoms and manifestations of ADHD can vary in different individuals, with some persons leaning more toward symptoms of inattention, and others more towards hyperactivity, and a third group having characteristics of both. In General, ADHD makes it difficult for people to direct sustained attention on activities that are dull and mundane. ADHD also can cause problems with memory and mood such as forgetfulness and temper outbursts that seem to come from no where, and this decreases the capacity to listen to others.
For these reasons, treatment is often recommended to those who have ADHD. Many doctors will prescribe treatment in the form of medications like Adderall or Ritalin. These drugs help stabilize moods, increase the ability to concentrate, and alleviate other problems caused by ADHD. For many people, these medications––as prescribed by their doctor––are the key to living a vibrant and productive life. Yet medication is not the total answer to symptom relief from ADHD.

There is a delicate balance of medication, hydration, and stable blood sugare levels that need to be maintained in order to avoid the ADHD Rebound Effect.

In most cases, this “rebound effect” occurs when the medication is wearing off after several hours, and frequently coincides with low blood sugar or dehydration. This ADHD rebound effect is not a phenomenon that occurs in the vast majority of ADHD cases, and this fact makes it sometimes difficult to diagnose. Common symptoms include sudden negative feelings like depression, moodiness, anger, hyperactivity, or agitation. In fact, if you have witnessed someone suffering from low blood sugar, he or she might have exhibited similar symptoms.
One of the issues is dehydration. With most medications, dehydration can occur, and this is particularly true with stimulants like those used to treat ADHD. Staying hydrated is a good practice no matter what, but be particularly aware of your water intake if you are taking stimulants and you ever feel something resembling the ADHD rebound effect. Also, if you have been taking medication and have not eaten for a while, the combination of dehydration and low blood sugar can result in the ADHD rebound effect. Many people don’t realize how quickly the body breaks down food, but in general, dairy and fruit sustain you for only about an hour, complex carbohydrates for about two hours, and protein three or four. It is recommended that you try to eat something every three hours to keep acceptable blood sugar levels.
All about ADHD Rebound effect to be continued in part two, please come back.

ADHD,ADHD Symptoms,Adult ADHD,Overwhelm

Why is my ADHD Life so Damn Hard?


Dr. Richard Ferman, Robert Wilford, Ph.D. and Sarah Ferman, Psy.D., L.M.F.T.

Having treated thousands of people with ADHD, I find one question that comes up over and over again. That question is “Doc, why is my ADHD life so damn hard?” Now there are variations of this question, such as “I thought the medication would take care of all of this ADHD stuff” or “Shouldn’t I have outgrown all this?” This is when I remind my patients that ADHD is a life long condition.  It requires a lifetime of learning and managing from many different angles in order to be successful.  Just because we get some relief from our medication, we still will always have to battle against those three primary traits of ADHD we have been dealing with all of our lives.

The good news is you’re probably familiar with the “Big 3” ADHD traits.  You have just probably forgotten how they look when you are older.   Remember those of us with ADHD tend to be: 1) Impulsive, 2) Inattentive and/or 3) Hyperactive

If you think you are going to outgrow these traits, or they are going to disappear now that you are taking medication, that just is not the case for most of us with ADHD.  I usually find that most of what is making ADHD life hard falls into three categories:

Being too impulsive:

“The Inability to Hold back, or think before making a decision…”

-We tend to make quick decisions.  Later those quick decisions only come back to “haunt” us.

-We make quick decisions without giving ourselves adequate time to carefully consider the possible effects or results of our actions.

-We sometimes don’t think about the possible alternatives which could serve us better.

Inattentiveness or Zoning out of life:

“Difficulty staying present and focused on what is right in front of us…”

-Inattentiveness can cause us to act on a quick decision without taking adequate time to look at possible negative results of our quick decisions.

-To some people it looks like we “just don’t learn from our mistakes.”

-We tend to operate on the principle:  Ready – Fire – Aim!

If, all your life, you have been told that you underachieve, sometimes it just feels better to shoot the gun now and aim later. This is akin to “acting without thinking”.  So, we miss our designated target and set in motion, a series of results that we did not foresee and do not want. This is where our impulsivity, not paying attention to what is around us or thinking about other positive possibilities or options becomes really clear. Often those of us with ADHD prefer to just spring into action without thinking.  This causes us to miss out on other aspects of the situation. Not taking a minute to think about those other possibilities means we miss out on many less obvious options.  That is the rub about ADHD. We may have wished we could have taken the time to think things through, but without some sort of assistance, like that which medication and proper nutrition provide, that option is simply not a possibility.

Battling our own inner Hyperactivity

“That feeling that we just need to keep moving, or are driven by our own motor that just won’t turn off. “

-As kids, we ADHD hyperactive kids got into heaps of trouble for being so hyper and impulsive. We did not see ourselves as others saw us. We felt excessively criticized and put down for just being who we were. Inside we felt happy and “normal’, and in a rush. The constant criticism took its toll on our self-esteem. We saw others as “too slow”. We felt very unique, loving and happy, but often our teachers and parents did not appreciate us for who we felt we were.

-We tend to grow out of the gross, physical, hyperactivity.   This obvious hyperactivity changes into more fine motor hyperactivity: i.e., jiggling our legs, swinging one leg over the other, tapping or drumming etc.  Adult hyperactivity can evolve and make an appearance in a more subtle way such as blinking, raising eyebrows, shrugging our shoulders, etc.  It’s as if the childlike hyperactivity moves more into a feeling of inner restlessness.

This is what I remind myself and my patients to be reminded of anytime they ask the question “Doc, why is my life so hard?”  These core traits are part of the hardwiring of the ADHD brain.  They require monitoring and management even when you just want to give in and let everything in your already overwhelmed brain just fall apart.  Resist that urge, as it usually just makes things worse. Instead, there are things that we can do to offset these “Big 3” ADHD traits.  Here are just a few suggestions to help get your ADHD life back in control:

  1. Give yourself a break and expect to feel overwhelmed and plan for it. The question is not if you get overwhelmed, but when you get overwhelmed. If you know that it is just a natural part of a brain that is built like a Ferrari, then you can go easy on yourself.  Setbacks and misfires are just a part of what makes us human. Even people without ADHD feel overwhelmed sometimes. Give yourself a “get out of jail free card” every own and again. You might find it is just what the doctor ordered to help you stay on track.
  2. Get enough rest. Sounds simple, but those of us with ADHD know just how difficult this can be.  Your ADHD brain just needs all the energy it can get. A sleepy ADHD brain is a useless ADHD brain.  Try to limit the amount of stimulation you have the 2 hours before you go to bed. This means no heavy talks, no super activating television shows, or thought provoking discussions two (2) hours before bedtime.
  3. Eat enough protein!!  The same chemicals that your ADHD brain craves and gets in medication are made from the building blocks found in the protein you eat.  Without enough protein in your diet, all the medication in the world won’t help.
  4. Drink enough water. Did you know that people who are dehydrated actually look a lot like those of us with ADHD? Dehydration can really cause you to not be able to think clearly.  If you find yourself heating up during the day, or have a dry mouth, reach for the H2O. As much as soda and coffee may taste good, soda leaches precious calcium from your body and coffee actually dehydrates you. So remember to drink two waters for every soda or coffee you drink.
  5. Take your medication and your supplements. Many of us with ADHD think we are better or more free when we are off our medication. That may be how we “feel”, but that’s not usually the time when we make our best decisions and are in fact least effective.  If you are supposed to take medication or you are able to take supplements like Omega-3 fatty acids, do it! Omega -3 fatty acids really do impact the way in which our brains work. Anything that we can do to improve our ADHD brains is usually a good thing.

Next time you find yourself chasing after a life of what feels like out of control ADHD, remember that you can get control of your mind, and you can get control of your ADHD.  Take a minute and remember to keep an open mind. If something feels too extreme and out of balance—move on and look elsewhere. Find that place where your mind and your heart guide you to your best choices.

Take a moment to post a comment and tell me about how hard your ADHD life is and share any tips or strategies you found that have worked for you.

Till then—God bless.

ADHD,ADHD Symptoms,Adult ADHD

ADHD May Not Be Real in Teenagers and Seniors

Before you assume that your inattention, lack of motivation and inability to stay focused are actually caused by Attention Deficit Disorder, you must first ask yourself about the quality and quantity of your sleep.  Insomnia or even a few nights of poor or too little sleep can be a serious problem.  Lack of sleep can lead to increased risk for depression and/or anxiety, substance abuse, and yes, symptoms that look like ADHD.

Of particular interest to me, as an ADHD Doctor, is the similarity in symptoms that ADHD and Insomnia have in common.  Both cause (more…)

ADHD,ADHD Symptoms,Adult ADHD,Time Management

ADHD Power Bursts: Miracles in 10 minutes or Less!

Prorastinating, Putting off doing things, wasting time, etc. well try ADHD Power Bursts – Miracles in 10 minutes or Less!
For people with ADHD there is a very real sense of dread that comes over us when faced with a daunting or big task!! Today I looked at my messy home office today and thought to myself,  “I don’t know where to begin”, followed by,  “I will never be able to get that done!”.  Some people with ADHD steer that dread right into avoidance,  or disinterest.  It is as if something takes over my thinking, and before you know it, I am mesmorized by some small part of the task, and then it is two hours later and Im still no closer to getting started on the real task at hand”, says a friend of mine who also has ADHD. (more…)

ADHD Symptoms,Adult ADHD,Time Management

ADHD Adults Los Angeles – Plan Twice As Long As You Think You Will Need

ADHD Adults Los Angeles  – Plan twice as long as you think you will need

You will probably just make it

Any adult who has ADHD will not be surprised when they hear someone say that their life is in turmoil. That is often a good description of someone with the condition, an ADDer or ADHDer. They find the following types of behavior or words to be commonplace in their life – procrastination, impulsive, poor time-management, easily distracted and inattention (actually-surplus attention). In fact those words are par for the course with many who have ADHD.

And of course if you do keep putting things off, if you tend to rush into things or find yourself running late or going overtime, your life can be pretty frustrating at those times. But there is a way through the difficulties.

The good thing about being an adult with ADHD is that you can (more…)

ADHD Symptoms,Adult ADHD

ADHD Symptoms Los Angeles – The ADHD Mind Has No Internal Clock

ADHD Symptoms – How 5 minutes quickly turns into 2 hours

When we face a task or a chore at home say like painting the fence, mowing the lawn or baking a cake, we should know approximately how long that chore will take. And this is especially so if we have baked that cake many times before or mown the lawn fifty times a year. But what if we were to get our timing wrong? What if we thought we could paint the fence in two hours and six hours later we were still not through?

Well as crazy as that sounds, guessing the time it takes to do something is a major problem for many people who suffer from ADHD. Their brain simply doesn’t compute the same way a non-ADHD brain computes.

People have what is called an internal clock. They are able to (more…)

ADHD,ADHD Children,ADHD Symptoms,Adult ADHD,Time Management

Adults ADHD in California – Being Late is one of the chief complaints of Adults with ADHD


Sarah Ferman, Psy.D., L.M.F.T.

Adults ADHD in California – what is the main complaint?

Attention Disorder Hyperactivity Disorder or ADHD is believed to affect about 8% of children and about a half of these sufferers will continue with the disorder when they grow into adults. So ADHD is a significant part of the life of millions of people and of course their disorder will impact on their family, friends, teachers, fellow workers, etc.

In recent years rapid progress has been made particularly in dealing with adults who have ADHD. Professionals are better at diagnosis, understanding the full spectrum of the disorder, as well as treatments be it with medication, psychotherapy, coaching or other alternatives.

With adults, one of the major signs of their disorder is their inability to (more…)

WHY ARE WE DIFFERENT?

Most medical doctors who treat ADD/ADHD do so as part of a larger practice. ADHD Specialists focuses primarily on only treating ADD and related conditions. This intense focus allows us to continually sharpen our clinical skills, attend specialized training, utilize the latest therapies, and build our process to meet the specific needs of our clients.

Often medical, testing and counseling services are all separately owned and located practices. It just does not make sense to have to travel from one location to another to treat the same condition. Besides the issue of time and travel, how cohesive and effective is care being delivered in multiple locations by multiple, unrelated providers who don’t have time to talk to each other?

We Are Conveniently Located

in the Northern area of Los Angeles, the San Fernando Valley, in the City of Encino, near the 405 and 101 freeway interchange.
15720 Ventura Blvd. #503

Encino, CA 91436