Thriving with Adult ADHD Summary

Thriving with Adult ADHD

Skills to Strengthen Executive Functioning
by Phil Boissiere MFT 2018 157 pages
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Key Takeaways

1. Recognize ADHD as a neurodevelopmental disorder affecting executive functions

Your executive functions and their associated skills are critical to succeeding in all aspects of your life—period.

ADHD impacts core skills. Adults with ADHD struggle with executive functions housed in the prefrontal cortex, affecting attention, organization, and emotional control. These deficits stem from insufficient dopamine and norepinephrine production, crucial neurotransmitters for goal achievement and focus.

Understanding leads to management. Recognizing ADHD as a neurological condition rather than a character flaw is essential. This shift in perspective allows individuals to approach their challenges with compassion and seek appropriate strategies for improvement. Common symptoms include:

  • Difficulty finishing projects
  • Struggles with organization
  • Problems remembering appointments
  • Avoiding or delaying tasks
  • Feeling overly active or compelled to do things
  • Making careless mistakes
  • Hard time focusing on boring or repetitive tasks
  • Regularly misplacing items
  • Getting easily distracted
  • Feeling restless or fidgety

2. Strengthen working memory and focus through targeted exercises

To get your skills into CEO-level shape, you'll need to do some workouts to build your strength.

Train your brain. Improving working memory and focus is crucial for managing ADHD symptoms. Regular practice of specific exercises can strengthen these cognitive abilities, much like physical workouts build muscle.

Practical techniques:

  • Create a narrative: Before starting a task, tell yourself a story with a beginning, middle, and end that includes all the steps.
  • Use the Pomodoro Technique: Work in focused 25-minute intervals, followed by short breaks.
  • Practice mindfulness: Regular meditation can improve attention and reduce distractibility.
  • Utilize mnemonics: Create memory aids to help retain important information.
  • Implement the "distraction log": Keep a notebook nearby to jot down intrusive thoughts, allowing you to return to them later without losing focus.

3. Develop effective organization and planning strategies

If it's not written down, it doesn't exist.

Structure breeds success. Adults with ADHD often struggle with organization and planning, leading to missed deadlines and increased stress. Implementing effective strategies can significantly improve productivity and reduce anxiety.

Key organizational methods:

  • Use a consistent planner or digital calendar
  • Break large tasks into smaller, manageable steps
  • Prioritize tasks using the "must do," "should do," and "would be nice to do" categories
  • Implement the "two-minute rule": If a task takes less than two minutes, do it immediately
  • Create dedicated spaces for important items (keys, wallet, phone)
  • Regularly declutter and organize work and living spaces
  • Utilize visual aids like color-coding or mind maps

4. Cultivate cognitive flexibility to enhance problem-solving skills

Cognitive flexibility is the ability to shift from one task to another, move from an old idea to a new one, or hold more than one idea or concept in your head at the same time.

Adaptability is key. Cognitive flexibility allows individuals to approach problems from multiple angles, leading to more creative and effective solutions. For those with ADHD, improving this skill can significantly enhance daily functioning and problem-solving abilities.

Techniques to improve cognitive flexibility:

  • Practice brainstorming without judgment
  • Engage in improvisational exercises
  • Seek out new experiences and perspectives
  • Use the "What would [blank] do?" exercise to approach problems from different viewpoints
  • Challenge assumptions and explore alternative explanations
  • Play strategy games or solve puzzles regularly
  • Practice mindfulness to increase awareness of thought patterns

5. Master emotion regulation techniques for improved well-being

No emotion lasts forever. If they did, you would still be riding high from your first birthday party!

Emotional balance. Adults with ADHD often experience intense emotions that can be difficult to manage. Learning to regulate these feelings is crucial for maintaining relationships, performing well at work, and achieving overall well-being.

Emotion regulation strategies:

  • Practice mindfulness and meditation
  • Use the 3x3 Method: Identify three objects, name them, and take a deep breath for each
  • Implement cognitive reframing to challenge negative thought patterns
  • Engage in regular physical exercise
  • Maintain a consistent sleep schedule
  • Practice self-compassion and positive self-talk
  • Utilize deep breathing exercises during stressful moments
  • Seek support from friends, family, or a therapist when needed

6. Enhance impulse control to make better decisions

Before every behavior, there is a thought and a feeling.

Pause and reflect. Impulsivity is a hallmark symptom of ADHD that can lead to poor decision-making and regrettable actions. Developing stronger impulse control allows individuals to make more thoughtful choices and improve their overall quality of life.

Impulse control techniques:

  • Implement the STOP method: Stop, Think, Observe, Plan
  • Practice delayed gratification through small daily exercises
  • Use visualization to imagine potential consequences of actions
  • Create a "pause button" ritual, such as taking three deep breaths before responding
  • Develop and stick to routines to reduce impulsive deviations
  • Utilize accountability partners or systems
  • Practice mindfulness to increase awareness of impulses
  • Identify and avoid personal triggers for impulsive behavior

7. Embrace lifestyle changes to thrive with adult ADHD

Sleep like a baby.

Holistic approach. Managing ADHD effectively requires a comprehensive lifestyle approach that addresses sleep, nutrition, exercise, and stress management. These foundational elements can significantly impact symptom severity and overall well-being.

Key lifestyle adjustments:

  • Prioritize consistent sleep patterns: Aim for 7-9 hours nightly
  • Maintain a balanced diet rich in omega-3 fatty acids, protein, and complex carbohydrates
  • Engage in regular physical exercise, preferably 30 minutes daily
  • Practice stress-reduction techniques like meditation or yoga
  • Limit caffeine and alcohol consumption
  • Create a structured daily routine
  • Incorporate regular breaks and relaxation time
  • Seek support through ADHD support groups or coaching
  • Consider medication in consultation with a healthcare professional

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