Terry Huff

I grew up with parents who spend much of their lives serving others. My dad had a family grocery store with a delivery truck, and we took groceries to elderly, handicapped, and families with no means of transportation. He and Mom were among five couples who co-founded a social service agency called AGAPE. Dad later co-founded a disaster relief program with other members of his faith community. My parents taught me to live a life of value to other people and the community. I got bachelor's and master's degrees in psychology at Middle Tennessee State University and worked in mental health and developmental disabilities before returning to graduate school at the University of Tennessee to complete my master's in social work. After obtaining my license for independent practice, I worked at Vanderbilt and Family & Children's Service before beginning my private practice in 1996. Diagnosed with ADHD in 1994, I began to specialize in serving other adults with attention disorders. I soon learned that "attention deficit" was a misnomer that reinforced the notion that individuals with ADHD simply were unable to focus their attention. If allowed to rename it, I would call it "attention management disorder." My practice evolved into multiple services. Providing psychotherapy just isn't enough, and many adults with ADHD don't need traditional therapy anyway. So, I started a support group for adults, and began to provide workshops for ADHD couples and a meditation workshop tailored to the needs of adults with ADHD. Most recently, I've begun to write and speak on how to live well with this neurological difference. After years of hearing clients say, "I never thought about it that way," I decided that I might be able to help others by offering a perspective that would appeal to the inherent resourcefulness and creativity of this population. I wrote a book with the intention of sharing this perspective and helping more people than I could help in my office, my support group, and the workshops. My book has been a labor of love, which is the title of my last chapter. My wish is to enhance the lives of adults with with brains wired like mine and inspire them to use their talents to achieve their life goals.

Dick Cavett’s Inattention

Dick Cavett is one of my heroes, a man of integrity, wit, and intelligence. He hosted talk shows in the sixties and seventies, often featuring extended time with a single guest. It is refreshing to learn from a recent interview that he could be inattentive like us, and on live TV! Monday’s New York Times featured an interview with Dick Cavett by Seth Myers of NBC’s Late Night. Read this brief exchange and recall the last time you had a similar experience…

Seth Meyers: How long did it take for you to walk out onstage and not feel like an actor without lines?

Dick Cavett: The first time you’re in charge of an hour and a half of television, you might as well be looking at Mount Everest. It took a few weeks to relax into it, and then it was fun, but those first shows I’d realize the guest’s lips had stopped moving and I had no idea what they’d been talking about. A tip for a young guy like you from an old hand: Have something ready that you can always say that can apply to everybody. Something like, “Do you pee in the shower?”

For the full New York Times interview, click the link below:

Perfect Strangers: When Dick Cavett Met Seth Meyers

 

 

ADDNashville’s Labor Day Picnic

To My ADHD Friends:

I look forward to seeing you at our Labor Day picnic at River Park in Brentwood, Monday September 5 from 4 to 7 pm. (Knox Valley Dr at Concord Rd, just east of I65). I will be bringing a cooler, ice, water, and charcoal. Robert Masto is bringing hot dogs and Gwyn! Please email our Yahoo Groups site (addnashville@yahoogoups.com) and let us know what you can bring. We will need some other meats to grill (there are two grills there), some veggies, salads, desserts, and non-alcoholic beverages. Your children and relationship partners will be warmly welcomed. There is playground equipment, a basketball court, and walking trails nearby.

This is the eleventh anniversary of our group. I’m very proud of the culture we have created – one of acceptance, mutual support, respect for diversity, and mutual sharing of resources and strategies. For me, this has been a labor of love and something I look forward to celebrating with you on Labor Day.

Warm Regards,

Terry

terrymhuff.com

 

Taking ADHD to College

I read in this morning’s Los Angeles Times about students at USC who are first in their families to attend college. “All told, about 20% of the university’s undergraduates, including the student body president, are first-generation,” says LA Times writer, Rosanna Xia. “Most are supported by some kind of financial aid.”

A university provost, Dr. Michael Quick, was a first generation college student, having grown up with a father who was a construction worker. His dad “chased jobs all over the country.” Dr. Quick attended sixteen different high schools. He told the Times that “the college application process was uncharted waters.” He now has a doctorate in neuroscience.

He wants first generation USC students to know how to manage life on campus with more privileged students and those already familiar with university environments. USC wishes to “help students navigate the culture shock of joining such an environment.” Dr. Quick told the Times that the university offers “crash courses on how to use the many resources at the library, and sessions on fellowship opportunities and tutoring centers. Seminars help students think about what steps they need to take toward graduate school and future careers…”

If you are a new college student taking ADHD to a campus, you may feel overwhelmed like first generation students. There are resources at universities that can increase your chances for success, and you should learn about them before you arrive on campus. There are educational consultants who can help you before you leave home.

Some universities offer classes for credit that introduce new students to college-level study skills. High school effort will not be sufficient, believe me! Still, college-level work is manageable and far more interesting than high school.

One nice advantage of the college environment is the likelihood of finding more likeminded peers. The overall population is larger, making for larger subgroups. You can find your tribe. But they are not going to be looking for you. You will have to take some initiative to learn about groups and organizations where you can meet your people.

Look for resources available to incoming students. Visit the university office of disability services and ask about requirements to qualify for services that you might need. If you wait until you are struggling and needing assistance, it will be too little too late.

I was a first generation college student (long before ADHD symptoms got a name), and I was lost for the first couple of years. By the time I caught on, I had to work doubly hard to make up for missed opportunities and to raise my GPA. I wanted to get into graduate school. Leaving home with ADHD was a daunting experience that I was unprepared for. If only someone had told me…

Perhaps I should be more contrite and say, if only I had listened or sought help!

Hyperfocus is Not Attention Management

ADHD experts call it “hyperfocus,” a word that spellcheck doesn’t recognize. To anyone who thinks this non-word represents only a positive feature of ADHD, think again. While inhibiting scattered attention allows you to to focus exclusively on one thing, you don’t know what you are missing when your “open awareness” is so completely turned off—instead of paused and accessible. When open awareness is locked out, nothing is on the radar but what is right in front of your nose. When excessively focused, you may be productive, but you will lose track of time and other priorities.

Managing attention involves awareness of the state of attention you are in, and requires shifting between an open state and a focused state as needed. Being aware of your state of attention, and being skilled at intentionally directing it, are probably big challenges for you. Dr. Lidia Zylowska wrote about this skill in her important book, The Mindfulness Prescription for Adult ADHD.

Not all mindfulness exercises are designed to open up your awareness; some are designed to narrow your focus. It’s like the difference between two camera lenses, a telephoto lens that zooms in, and a wide angle lens that broadens the view. Just as a camera needs an operator to switch the lenses, your brain’s sate of awareness needs an operator to switch the state of your attention.

Venture out and observe how many people appear to be in an open state of awareness….besides you, the scanner. How many seem aware of their surroundings? How many seem to be lost in their electronic devices? Try turning your devices off when you would normally have them on. If it feels unsettling, you may want to practice just sitting with that unsettled feeling in order not to be dominated by it, which is a good meditation practice. 

I like to walk in a nearby state park early in the morning. If I wait until too late in the morning, I will encounter groups walking together on the trails and talking as if they are in the kitchen rather than in the woods. I pass individuals walking fast with their smart phones in hand and ear buds in their ears. They appear oblivious to the beauty that surrounds them—the colors reflected in the lake, bufflehead ducks diving and resurfacing, and the sound of redwing blackbirds.

Customers at Starbucks are selectively attending to their laptops and mobile devices. I often wonder if they are truly experiencing the taste of their expensive beverages. They seem unaware of one another. They might not notice that their pulses have spiked while drinking their mocha. Their wide angle mode of attention is almost certainly turned off and inaccessible. When I go to Starbucks, I often end up saying to myself, “Where did the time go?” I never say that when walking around the lake.

Where Are the Black Teenagers with ADHD?

I know a 13-year-old who just entered the juvenile justice system, a revolving door for many minority kids with neurological differences. My hope is that this kid’s dual diagnosis of ADHD and a mood disorder will be his ticket to appropriate mental health services. His needs will not be met in juvenile detention.

I have known other African American kids with undiagnosed ADHD who have gotten into trouble at school, labeled precipitously as defiant—and seldom as hyperactive and impulsive. After repeated experiences of being misunderstood and feeling disrespected, they sometimes learn defiance in defense of their dignity. I read recently that more black kids are being diagnosed now, but they are seldom getting the help they need. 

Many years ago, I went to a middle school to help with an eighth grader’s individualized education plan (IEP). Teachers at this meeting were responsive to the mother’s concerns, and they constructed a thoughtful plan. As this productive meeting was about to end, the principal dropped in—a black principal—and he contributed just one thing: that this student’s only problem was “laziness.” Fortunately, no one there seemed to agree with him. He had not been part of the discussion about the student’s experiences and needs.

The following year, in the ninth grade, this same student “talked back” to a teacher who had embarrassed him, calling him out in front of his classmates. He was suspended for his reaction to her hurtful action. I asked him what was wrong with this picture: “A teacher speaks disrespectfully to you, and she gets to remain at school and get paid; then you react disrespectfully to her disrespect and get sent home.” He replied with a smile, “Terry, I hate it when you are right!” Those were his exact words.

Those are not words of a kid who values disrespecting a teacher, but a kid—a brilliant kid in my opinion—who was uncensored and sensitive to being disrespected. He longed to be understood and valued. An important person in his life explicitly favored his little brother, something his teachers probably didn’t know. One day a teacher “felt threatened” by him. He was a big kid with a big voice, and like his mom, he was assertive. The teacher was afraid of him. He was defiant and she wanted him expelled.

This impulsive young man had a gift. He was a budding artist, funny as any standup comedian I’ve seen, and a creative hip-hop lyricist. He needed encouragement but got mostly criticism from people he wished to please. He was like a flower needing food and water to blossom.

As an eighth-grader, one of his paintings was displayed at the Cheekwood Museum after placing third in a statewide art competition. In the ninth grade he was expelled from high school. He learned to dislike school. Imagine that!

Remembering That You Forget

I have some ideas for living well with a poor working memory. First, allow me to park those ideas temporarily while I share a definition of working memory.

From MedicineNet.com: “Working memory is a system for temporarily storing and managing the information required to carry out complex cognitive tasks such as learning, reasoning, and comprehension. Working memory is involved in the selection, initiation, and termination of information-processing functions such as encoding, storing, and retrieving data.” You will find an excellent and more detailed explanation of working memory at wikipedia.org.

Working memory is an active, present-time process. Like very short-term parking, it allows you to briefly park information—while you shift your attention to other relevant information—and then bring back the parked information as needed to complete the task at hand. You use it when you cook from a recipe or assemble an item with complex instructions.

Did you remember that I have ideas to share about living well with a poor working memory?

Working memory also allows you to coordinate multiple tasks. You might need to pause a conversation when leaving a restaurant to look around for items you brought with you without losing the thread of the conversation. Since your working memory doesn’t work well, you should know that it is socially acceptable to ask the person you’re talking with to “hold that thought” while you scan the environment for your keys and phone. This allows you to use the other person’s memory instead of relying on the unreliable—yours.

To employ a consistent ritual for departure from a restaurant, you will need some kind of prompt to exit your selective attention (from your conversation) and turn on your open awareness (to your surroundings). Standing up to leave could serve as your cue to scan the immediate environment and check your pockets or your purse. I check for lumps in my pockets (keys, wallet, phone) before departure from home or from any place I visit. Still, there is no guarantee that you will remember to use the strategy because of your attention inconsistency.

So, here is a complimentary strategy to further increase the chance that you will not leave something behind. When departing a restaurant, take your time and walk very slowly and deliberately to your car. This strategy worked for me last Saturday. I was leaving a restaurant to go a nearby Barnes & Noble bookstore to sign copies of Living Well with ADHD. My wife and her brother were already getting into my car while I was ambling behind, continuing my conversation with a friend. I was half way to the car when our server came jogging toward me from the restaurant with an object in his hand, yelling to me: “Sir, you forgot your phone!”

Love the Brain You’re With

I have nothing but respect for those professionals who are helping us eat better, exercise more consistently, have a bedtime, and meditate daily. It makes us better. Hats off to the organized and compassionate people who are willing to help us…without condescension.

Still, these useful tips that improve us don’t “cure” ADHD. And although there is no cure—just as there is no cure for creativity—ADHD is not responsible for how we feel about its features, nor how we respond to the response of those affected by us. We are all capable of accepting of our brains and the effects of ADHD on others. Most of all, we can express gratitude to those who understand and accept us as we are. And we need to accept us as we are!

Accepting your relationship partner includes allowing her/him to notice what you are not seeing. Why would you not want to add missing pieces to the picture? Instead of responding with, “Stop acting like you’re my parent,” you might consider responding like an adult and say, “Thanks for understanding and caring enough to be helpful.”

I can tell a difference in my daily functioning when I’m not practicing mediation daily. The negative effects inform me, and the remaining challenge is to put the wheels back on the tracks without harsh self-criticism. If I have suffered from negative effects of neglecting to meditate yesterday, I can mediate today!

I am far more mindful than when I was first diagnosed with ADHD at age 44. But I learned just yesterday morning that I’m still capable of washing my checkbook. The good news is that the permanent press cycle is not as hot as the normal cycle, which is why the cover survived and is still usable. There is more good news: My bank manager proudly called late yesterday, following my inquiry, to inform me that she had printed a copy of all those checks! Those sanitized and indecipherable carbon copies of my checks were replaced…same day! Best of all, there was no judgment…by them or me! Okay, just a little by me, but I didn’t allow much thought to be wasted over it.

Living well with ADHD doesn’t mean being less ADHD. It means doing your best with the brain you were born with. And if you can’t be with the brain you love, love the brain you’re with!

Tennessee Tag: “IAMLATE”

My wife and I were returning home from a recent author event when she spotted a license plate on the back of a car that read, “IAMLATE.” It was on the back of a sporty white convertible, idling at a red light, just one lane to the left and in front of us. A woman was at the wheel. I tried to get my iPhone out of my pocket to snap a picture, which I imagined inserting into my next blog…this blog.

But the light turned green before I could get the phone out. My wife said, “Just follow her!” and I tried my best to keep up.

I could see her for a while, weaving in and out of traffic up ahead, like a NASCAR driver, heading toward the late afternoon sun. I weaved as well, but my wife critiqued that I was not driving as aggressively as the woman we were chasing. I still can’t figure out how she got so far out of sight so quickly, but it occurred to me why she was trying so hard…she was late!!!

Good Night!

Do you have a consistent bedtime, or do you just keep going until you are no longer able to stay awake? I battled this problem much of my life and still struggle with it at times. There were times, when writing my book, that I would go to bed only after my head began dipping suddenly toward my laptop.

Late at night, when silence and solitude replace distractions and obligations, you are undeterred in initiating a preferred activity. Although you put off starting manageable tasks that feel imposing, it is easy to activate your attention with a preferred interest. The preferred activity grabs hold, and suddenly, the bliss of your selective attention hijacks almost every region of your unmanaged brain.

You are not going to be interrupted late at night, and that feels so good! Am I right? And your attention doesn’t need to be managed when locked into one state of awareness. Fully submerged into that intensively focused state, you feel competent. You can do anything…except track time and consider the consequences of choosing to push the limit. Nothing else is on the radar. And even if something else appeared on the radar, it would not be flagged as important! If some thought about needing sleep should surface somewhere in a remote corner of your brain, you might counter that your medicine will help you stay alert the next day.

It may not occur to you that using your medication to recover from loss of sleep is drug abuse. Your doctor didn’t prescribe it to help you pull all-nighters! In fact, if you use it for recovery from depriving yourself of sleep, you may as well be taking one pill to make your ADHD worse and another to make it better. At best, the medicine might bring you back up to just below your normal ADHD baseline, but YOU WILL NOT BE TREATING YOUR ADHD. You will know it the next day, but the next day is some other time and not now. You are a prisoner of the present (borrowing a phrase from John Ratey’s, Shadow Syndromes).

There can be other reasons for your difficulty getting to sleep or remaining asleep through the night. Sleep insufficiency can result from excessive movement when sleeping (restless legs syndrome), staring at a screen late at night (reducing your brain’s natural melatonin), being exposed to excessive noise late in the evening, having a co-existing condition (anxiety, depression, bipolar disorder, addiction, sleep apnea), living a sedentary lifestyle, taking too high a dosage of ADHD medication, or taking medication too late in the day.

It is best to have a regular bedtime and allow some quiet time before getting into bed. Exercise and meditation are especially good for enhancing the quality of your sleep. Meditation can help you be more aware of your state of attention. If you are serious about living well with ADHD—with or without medication—you need to be serious about getting adequate sleep. Give it up…shut it down…say good night!

Good night.

Fly Your Freak Flag on Independence Day!

Those of us with ADHD know very well that we are different from the majority, and we have every reason to fly our freak flags proudly. I feel an urgent need in these challenging times—after the recent tragedy in Orlando—to shout out that gay lives matter! I’m proud to be receiving invitations to wedding receptions from gay and lesbian friends just beginning to enjoy the benefits of marriage that I’ve had for over 36 years. It’s long overdue. Lifelong commitment between loving partners is a family value that is good for all of us. And I’m proud that ADDNashville embraces diversity in our support group family.

As we near the end of Pride Month and approach Independence Day, let’s celebrate our collective identity as members of one American family—brothers and sisters of different faiths, nationalities, races, and biological makeups. I’m proud to be part of a diverse culture where colors of the rainbow comprise one spectrum…where everyone has a seat at the table…where we can stand united.

Let’s stand together, continue to accept and support one another, and oppose misguided efforts to divide us. On Independency Day, I plan to celebrate our country’s independence, and equally important, the  interdependence of our human family. We have to accept the truth that there is suffering all around us…if we wish to heal it. Alienation is not healing. We all belong.

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