Smart But Stuck

THOMAS E. BROWN, PhD, is a Clinical Psychologist, Assistant Clinical Professor of Psychiatry at Yale University School of Medicine, and Associate Director of the Yale Clinic for Attention and Related Disorders. He is the author of several books including the award-winning Attention Deficit Disorder: The Unfocused Mind in Children and Adults (Yale University Press, 2005), which has been published in seven languages. Visit him at www.drthomasebrown.com.

• The Author ixAcknowledgments xiIntroduction 11 ADHD and the emotional brain 7A new understanding of ADHD and emotions; why emotions can be so troubling in the lives of those with ADHD; how the ADHD brain processes emotions differently; the influences of temperament and experiences on emotions and motivations.2 Eric 43“I’m in a great university where I want to do well, but I just can’t get myself motivated to do the work. I did really well in high school; now my grade shave tanked. I’ve been spending too much time hanging out with my girlfriend and smoking weed. I’ve tried some ADHD medicines, but they make me too jittery.”—20-year-old university student3 Karen 65“My parents always taught me that I have an obligation to behave and achieve in ways that would not bring shame on my family. When I failed out of college, they helped me prepare to try again. I wanted very much to do it, but on that critical day when I was supposed to start the last two courses I needed to get readmitted, I was too afraid to walk in the classroom door.”—22-year-old university student4 Martin 81“I’m in Mensa, but I earned no credits in my first two years at college—I was too baked to get myself to class. Now I’m doing well in a few courses where the professors are really interesting, but I can’t get started on writing papers and often skip class. With my miserable academic record, what’s the use in my trying to graduate?”—23-year-old university student5 Sarah 103“I’ve been married twenty-five years, have three great kids, and had a decent career as a journalist, but I just got fired because I couldn’t prioritize and keep up with my work. Since menopause I’ve had trouble keeping track of things and getting work done. I’ve always had some trouble with these things, but it’s recently been getting worse.”—50-year-old homemaker and mother6 Mike 119“My dad always said that I’m smart but just lazy; maybe he’s right. I got put on academic probation, and now I have to drop out. I’m always spacing out and can’t get myself started on anything until the last minute. I tried my friend’s ADHD medicine and it helped alot, but my dad doesn’t want me getting evaluated for ADHD because he says the meds are like steroids.”—21-year-old university student7 Lisa 137“Other kids don’t seem to get my jokes and aren’t interested in who I am. I try to make friends, but no one ever calls me back when I call them. I try to talk with my parents about it, but my dad doesn’t understand kids and my mom’s always yelling at me. ADHD meds help me get schoolwork done, but they don’t help with social stuff.”—15-year-old high school student8 Steve 155“My wife divorced me three months ago, and then a month later I got fired from my job—both because of my ADHD! Meds help some, but not enough. I get stuck doing some things and don’t get around to doing what’s really important. I procrastinate, and everything takes me way too long. I’m good at programming computers, but not at programming myself.”—32-year-old computer programmer9 Sue 169“Until I got into middle school, I always got really good grades and never got into trouble. Now everybody thinks I’m hopeless just because I dress Goth and don’t do much homework. My parents and teachers all look down on me just because of the friends I hang out with. They don’t really know me or my friends!”—14-year-old high school student10 Matt 185“When I was in high school, I had friends. When I got to college, I didn’tknow anyone and was too shy to make friends. I just kept to myself and almost never left my room except to go to class or get meals. I got pretty depressed, and after a while my sleep got messed up. I’ve stopped going to some of my classes.”—18-year-old college student11 Lois 203“I teach special education, so I’ve taught a lot of kids with ADHD, but never realized I have it. I have trouble organizing my stuff and finishing paperwork on time, and sometimes I’m forgetful. I got through college and I’ve been teaching for ten years, but over the past year I’ve had a harder time, and those ADHD problems are getting worse—especially since difficulties at home began.”—37-year-old school teacher12 James 219“If I don’t finish four papers this month, I’m going to be put on probation at school. Ijust can’t get myself to finish. I’ve had this problem for a long time, but now it’s worse than ever before. I’ve done the research for most of my papers, but I can’t get myself past the first paragraph in any one of them. I’m stuck!”—20-year-old college student13 Getting Unstuck 235How do the emotions of these teens and adults affect their education, work, family interactions, and social relationships? What treatments are useful for helping people with ADHD get unstuck from these difficulties? What can family members, friends, teachers, clinicians, and counselors do to help?Questions for Discussion 243Notes and Additional Reading 251Index 267