Hey everyone! I finally did it. I started writing my book. Again. I will finish it this time though! I have the will to do so! I have the focus to complete it! Please tell me what you think of it so far!
DSM-5 Criteria for ADHD
People with ADHD show a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development:
Inattention: Six or more symptoms of inattention for children up to age 16, or five or more for adolescents 17 and older and adults; symptoms of inattention have been present for at least 6 months, and they are inappropriate for developmental level:
Often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or with other activities.
Often has trouble holding attention on tasks or play activities.
Often does not seem to listen when spoken to directly.
Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (e.g., loses focus, side-tracked).
Often has trouble organizing tasks and activities.
Often avoids, dislikes, or is reluctant to do tasks that require mental effort over a long period of time (such as schoolwork or homework).
Often loses things necessary for tasks and activities (e.g. school materials, pencils, books, tools, wallets, keys, paperwork, eyeglasses, mobile telephones).
Is often easily distracted
Is often forgetful in daily activities.
Hyperactivity and Impulsivity: Six or more symptoms of hyperactivity-impulsivity for children up to age 16, or five or more for adolescents 17 and older and adults; symptoms of hyperactivity-impulsivity have been present for at least 6 months to an extent that is disruptive and inappropriate for the person’s developmental level:
Often fidgets with or taps hands or feet, or squirms in seat.
Often leaves seat in situations when remaining seated is expected.
Often runs about or climbs in situations where it is not appropriate (adolescents or adults may be limited to feeling restless).
Often unable to play or take part in leisure activities quietly.
Is often “on the go” acting as if “driven by a motor”.
Often talks excessively.
Often blurts out an answer before a question has been completed.
Often has trouble waiting his/her turn.
Often interrupts or intrudes on others (e.g., butts into conversations or games)
In addition, the following conditions must be met:
Several inattentive or hyperactive-impulsive symptoms were present before age 12 years.
Several symptoms are present in two or more setting, (e.g., at home, school or work; with friends or relatives; in other activities).
There is clear evidence that the symptoms interfere with, or reduce the quality of, social, school, or work functioning.
The symptoms do not happen only during the course of schizophrenia or another psychotic disorder. The symptoms are not better explained by another mental disorder (e.g. Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder).
Based on the types of symptoms, three kinds (presentations) of ADHD can occur:
Combined Presentation: if enough symptoms of both criteria inattention and hyperactivity-impulsivity were present for the past 6 months
Predominantly Inattentive Presentation: if enough symptoms of inattention, but not hyperactivity-impulsivity, were present for the past six months
Predominantly Hyperactive-Impulsive Presentation: if enough symptoms of hyperactivity-impulsivity but not inattention were present for the past six months.
Because symptoms can change over time, the presentation may change over time as well.
ADHD in Adults
ADHD often lasts into adulthood. For more information about diagnosis and treatment throughout the lifespan, please visit the websites of the National Resource Center on ADHD and the National Institutes of Mental Health.
Reference American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 5th edition. Arlington, VA., American Psychiatric Association, 2013.
There are two sentences about ADHD in adults in the DSM. Two sentences to explain what I’m suppose to do with the remainder of my life. Two simple sentences to explain…me.
There’s just so much with ADHD though. It’s hard to write about because this disorder is so simple yet so complex. It is everything you think it is, and yet…it’s not anything you had thought. When you read this book, do so with an open mind. Know that not everyone is going to be the same as me, I am not the same as everyone else.
It is important to understand there are different types of ADHD. Some people are impulsive, some are hyper, some just can’t focus, and some were blessed with all three differences. It is also important to realize how I think of ADHD while reading this book. I think of ADHD in terms of an odometer on a dashboard. Instead of one odometer, imagine there are two. One is for hyperactivity and one is for inattention.
Normal people, neurotypical, however you want to refer to people without ADHD don’t speed. They sometimes have some of the symptoms of ADHD, but they don’t go past 50 MPH, or if they do, it is reined back to control. This works towards both gauges.
People with just inattentiveness-based ADHD have an opposite problem. Instead of the gauges staying around 50 MPH, the inattentive gauge can roll up past 60, 70, 80 MPH (or higher). The hyperactivity gauge seldom goes over 50 MPH. People who are solely hyperactive-based have the opposite gauge. People who are combined never slow down. 40 MPH is unknown to them. I know. I have two gauges going 100 MPH at all times.
Welcome to my bus. Sadie’s ADHD bus, welcome on! Next stop, well not stop, the next place we travel is to Sadie’s baby years.
We begin in New England. Our setting is a small town. Due to details revealed within this book, I have chosen to have anonymity towards this. Therefore the town is fictional, but I assure you, it is based on truth.
Welcome to Rockville, Rhode Island, a small, rich community nestled ten miles away from the Atlantic ocean. If you look to the left, you will see a small brick school which houses 342 children, preschool through eighth grade. After eighth grade, students are shipped over to the next town for high school. Here is the pride of Rockville, our 150 year old church. We also have a parish house just past the library. And here is the town hall, with the small police and fire department. We have our pizza house on the right, and…that’s about all there is in Rockville.
We once had farms. Once upon a distant time.
And here we are, at Sadie’s house. It’s an old farmhouse surrounded by small Douglass Firs. The farm is surrounded by wispy fields in which the horses are allowed to run. Sadie’s siblings, three beautiful children with golden hair play with an old beaten wagon.
And here is Sadie. Watching Sadie. Waddling Sadie. Sweet, small Sadie, who didn’t learn to walk. She learned how to run, her chestnut hair and golden skin, a polar opposite of her siblings. Luke, the oldest of the siblings, picks Sadie up and puts her into the wagon and pulls.
Sadie screams. “OUT!”
Luke, thinking she is cheering him on, pulls, running into the fields, panting, the sharp grass cutting his legs. He whips the wagon, realizing it is suddenly light. Sadie sits at the top of the hill, eyes wide, tears rolling down her chubby cheeks. Luke runs towards Sadie, Sadie screams, runs up the hill, towards the house, down the dirt driveway, towards the busy street.
Jared, the second oldest at six, bolts towards Sadie, seeing her run, seeing her fearlessly, foolishly run into the busy road, cars rushing back from the beach. Jared grabs her, pulls her away from the road, carries her into the house. “MOM! Sadie ran into the road!”
Myrtle Walsh looks at her son. Myrtle came to America from Liverpool in 1979 for college and never went back. She didn’t have any plans to come back either. She sighs. “Again, Sadie?”
Myrtle worked with children while at college. She worked with the little disabled children, the ones without homes, the ones who would never have homes. She had seen this before. Low attention, low impulse control, always moving. In England, it was hardly talked about. It was a disorder, but it was seldom reported. But here in America, it seemed so common. And Sadie, she was always on the go. It seemed she never slept.
Sadie was a finicky child to begin with. She would talk, but it seemed she wasn’t talking to anyone. She was brilliant, two years old and already reading a few words, but she couldn’t count. Compared to her sister Mary, Sadie was far from the norm. She didn’t seem to understand when her siblings were annoyed with her, constantly wanting to be around, but unsure of how to fit in. She was also defiant, so defiant.
Myrtle closed her eyes as Sadie howled. Just four weeks ago, Sadie had gone in for major reconstructive surgery on her soft palette. Somehow, Sadie had tripped over one of the dining chairs, which was a common occurrence. There wasn’t much more Myrtle or her husband Steve could do than to gently remind Sadie not to run in the house. Whatever the couple said seemed to not register with Sadie. That was the case four weeks ago.
Somehow Sadie had gotten the wooden spoon Myrtle had used for serving mashed potatoes and had that in her mouth when she tripped, which in turn ripped up her throat. Myrtle never will forget the gurgling scream as blood pour out Sadie’s mouth and dripped out of her nose as her three siblings rallied around her, shouting that’s what she got for not listening while crying at the same time.
Sadie received surgery that night. The next morning when the nurse came in to do the 4 AM checks, Sadie got out of the bed, running down the hall, dancing and singing. She was nicely kicked out of the hospital quickly after that. It made sense. After all, Sadie was not resting on a wing where other patients were.
What was wrong with little Sadie Noelle Walsh?
So that’s the beginning. I need your help to continue though. Please tell me what you thought! If you hated it, please tell me! If you loved it, please tell me! If there’s a grammar or spelling problem, just let me know. I have an unique story, yet my story is the untold story of millions of people!