The Link Between A.D.D and Addiction: Getting the Help You Deserve - by Wendy Richardson

Right off the bat I should warn you. This book was written by a person with ADHD and it reads like it. The author often changes subjects within sections. She doesn't always finish the subject she starts at the beginning of the section, and, in my opinion, she transitions from premise to conclusion but often forgets the proofs. I should also warn you that the author spends the first eleven of fourteen chapters touching upon addiction by recounting the tragic tales of ruined lives she's come in contact with, but mostly she identifies what ADHD is.
As with most self-help books on ADHD there is usually a laundry list of attributes that the ADHD reader can identify with. Shoplifting? Yep, I was once a stupid teen. Restless energy? It's 4:13am and I'm up blogging. A restless brain that entertains itself by deconstructing — taking "apart every sound, event, internal or external conversation, movie, piece of music, building, or story"? Boy, howdy. For example, my mother's convinced I don't like any movies. She doesn't understand that ripping them apart and poking at the innards is how I enjoy them.
To be fair, the book was written for addicts who discover they have inadvertently been self-medicating their ADHD. Many have no idea what ADHD is or how it manifests itself, so a book like this may be helpful to them. This was my first problem with the book. I found little to grab onto and relate with. Info addiction was not covered as well, and I vehemently disagreed with Richardson on many key points.
Her premise seemed to be that addiction is a side-effect of ADD. Join a 12 step program while medicating ADD and voilĂ ! No more addiction! Almost all of her examples were people with untreated ADD. Magic pills saved their lives. There was no mention that people who are addicted might actually like the feeling of intoxication — that they crave the experience. Addiction is often not about self-medicating, it is about the rush. Treating their ADHD won't replace those cravings. There is also the dubious solution of treating people addicted to psychostimulants with more psychostimulants.
Overall, I found the book disappointing. There was far too much faith placed in the power of professional ADHD treatment through meds. I found it almost niave. However, given the fact that the author believes that ADHD people are genetically loaded for clusters of problems, that they can't will their predisposition for addiction away, and that they can't change their genetic makeup, it is not surprising to me that she feels that taking responsibility is done by seeking treatment, and that being on psychmeds helps one "let go of the moral judgements, criticisms, and shame." (see page 62) The message seems to be "You can't help yourself. Let us medicate you. It's your only hope."
I couldn't disagree with this premise more. There was no solution for anybody who couldn't take ADHD medications. Some people suffer greatly from the side-effects. Some people can't afford expensive psychotherapy and pharmaceuticals. Some people don't want to be told they can't help themselves and that "being responsible" is putting their life in the hands of a licensed professional. This was a great shortcoming in the book's approach to ADHD and addiction.
Why you should read this book: If you've recently discovered you have ADHD because of your addictive behavior, and you need to have ADHD explained to you, then this book may prove to be helpful. There is a very cathartic feeling to read of others' lives and how ADHD affected them for the good and the bad. You may find solace in the pages of this book because you will find example after example showing you that you are not alone.
Why you shouldn't read this book: If you already know you have ADHD, then the first eleven chapters will be mostly redundant for you. I'll save you some time. Here is the book's message: Your addiction is a symptom of untreated ADHD so you should go see a doctor, get meds even if you are a stimulant addict, and then your addiction will go away through therapy and attending a local 12 Step program. Don't relapse. That's bad for you. If this doesn't fit into your life experience, then the book won't be very helpful to you.
AD/HD Friendly? Maybe. I found the book to be a mess — like a patchwork quilt of thoughts and conclusions — but you may enjoy peeking into another ADHD mind. Personally, however, I didn't find the writing style enjoyable. It seemed ADHD hostile to me and difficult to follow.
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Comments
I really like Hallowell's books. The man has ADHD, but he makes sense, write coherently, and he recognises that we aren't all the same.
I agree with you on Hallowell's books. His only fault is that he can be a touch dry, but otherwise I find him coherent and easy to follow.
I wanted to like this book, I really did, but it just didn't give me any information I could utilize. A thick book should offer concrete things for one to do with addiction more than go to a 12 step program and find a therapist who will medicate you.
I wanted to see a deeper exploration of how addiction works in the ADHD mind and why the various chemicals make breaking addiction difficult, but if certain techniques were followed the chain could be broken, etc... Oh, well.
Thanks for posting!
~Douglas
yup, definitely getting worse... Though Doug, I could totally identify with your personal revelations about addiction. BTDT. It is about the the thrill and the rush.
When you get to step ten, you then begin to maintain the serenity the other steps began in you, and you find yourself wanting to share what you have found with others that are still in the throes of the agony you have escaped.
It is not God bailing me out of my problems. It is me admitting to God that I need help, taking the actions necessary to get it, and doing the hard work of making amends for the harm I have caused others.
I would never have thought to walk the twelve steps for ADHD, as I haven't related it with addiction. MDH is the ADHD brain, and mine is the addict. Hmmm. Maybe I'm more ADHD than I thought!
:)
These issues of will and surrender are key reasons why I am uncomfortable with the 12 step process. My survival depends on me having confidence in my ability to solve my own messes. Perhaps I have not hit bottom. As a Christian I realize that I must place some of the burden of my sins on the shoulders of Christ, but I also believe we must do all that we can do first.
I don't think the author meant for the 12 Steps program to be applied to ADHD, only ADHD clients with addiction issues. Perhaps because the author advocates putting personal responsibility first in the hands of a therapist with a pen for prescriptions and then secondly in the hands of God I find her book irksome. I believe personal responsibility lies first on our own shoulders.
I'm glad you found help with your addiction, however. As I stated before, the 12 steps programs have a commendable support system. I know many people find help with one variant or another
In addition, most AAs, especially the old school ones, refuse to medicate chronic conditions unless absolutely necessary. Lots of people I know would rather flush a vicodin or oxycontin prescription down the toilet than risk a relapse. Same goes for Adderall or Ritalin.
Substance abuse is a symptom of a larger disease, which involves thoughts, feelings, behaviors, and actions. Even if you remove the substance, the thought patterns don't just disappear. From the thoughts come the emotions, from the emotions, the actions. The steps (particularly step 11) try to intervene at the thought level and circumvent the whole vicious cycle. Personal responsibility is the key (reference steps 4, 5, 9, and 10).
I don't believe anyone who tells me a pill will cure my problems. Better living through chemistry has not worked for me (self-induced chemistry) or MDH (prescribed chemistry). Meds have helped my son regain some self-control, but I'm working on building skills into his life that he can use even when the meds aren't there. A very wise blogger once wrote "Pills don't teach skills." ;)
Have you ever read "The Gift of ADHD by Lara Honos-Webb? It is essentially CBT for parents to use with their ADHD kids. I haven't gotten very far into it yet, but I'm looking forward to trying some of her exercises with my son.
Thanks for hosting such a great discussion. I've missed hanging out here.