What is Mental Load and How Does it Affect Mental Health?

Home » Blog » What is Mental Load and How Does it Affect Mental Health?

What is Mental Load and How Does it Affect Mental Health?

August 21, 2023 | Katie Lawliss, Psy.D. | 10 min. read

Every person has a to-do list.

In the month of August some of my to-do list includes bringing in my dogs for their annual vaccines and check up, getting my car inspected, getting a haircut, calling my home insurance company to ask a question.

A typical to-do list consists of things like going grocery shopping as needed, keeping the house clean, doing laundry, and more. On the surface, this may seem like a few tasks to do, but in reality there are different phases of each of these tasks, known as 1) the planning phase and 2) the execution phase. The planning phase is the invisible labor of the task. The invisible labor of tasks adds up and creates the mental load. The execution phase is the physical act of completing the task.

What is Mental Load and How Does it Affect Mental Health OMHG Blog

For example the planning phase of grocery shopping includes planning meals for the week, making a list of grocery items needed, checking the refrigerator and pantry for what is low, asking family members what snacks they would like from the store, checking expiration dates on items, and budgeting for the grocery shop trip. Whereas, the execution phase of grocery shopping is the shopping itself, loading and unloading groceries and putting them in the pantry and fridge.

Oftentimes someone may offer help by going to the store and grabbing groceries for you, but in reality it only helps with part of the task and is usually the easier part of the task. You still need to do all of the planning phase of the grocery shop and will likely have to answer texts and calls while the person is at the store to answer questions they have. While the person offering to go to the store is trying to be helpful, it may not be as helpful as we think it is. To fully take a task off of someone else’s plate, the person needs to do the task from start to finish, including the invisible labor/planning phase.

Has the above example or something similar happened to you?

You are grateful for the help, but are left still feeling overworked and overwhelmed. This is likely because you are in charge of the mental load of the majority of household tasks.

Your partner may go to the store to pick up groceries, drive your car to get an inspection, and take your kids to summer camp, but you are the one to plan the entire grocery shop, keep track of when car inspections are due, research the best place to take your car, make the phone call to schedule the appointment, research summer camps, tell your partner where the summer camp is, ensure that you planned snacks and outfits appropriate for the weather for that day at camp, and filled out the forms that your partner needs to drop off when he picks the kids up.

The book Fair Play: A Game-Changing Solution for When You Have Too Much To Do (and More Life to Live) by Eve Rodsky discusses the mental load and how it can affect mental health and relationships. She also has cards that a couple can use to help divide tasks in a fair way because each person is in charge of a task from start to finish, including both the planning and the execution.

It can be overwhelming to be in charge of the mental load and not get credit for it because people only see the execution phase.

Did your partner grill an amazing dinner for your neighbors this weekend? Amazing! And you may have been the one to plan/execute grocery shopping, ask the neighbors for any dietary restrictions, look up the recipe for the dry rub your partner used on the steaks. You also may have been the one to research the best grill to get when you first bought the house. While people may not know the things that you did because it is the invisible labor of the task, you have still done an amazing job.

By splitting up tasks fully so that one person is doing both the planning and the execution, it can help each person feel more appreciated for their hard work.

Additionally, it can help the mental load be split amongst each other, rather than it falling on one person. Oftentimes, when the mental load is primarily on one person, they can experience anxiety and feel overwhelmed. When you are used to being the one to have to mentally keep track of everything you can become accustomed to feeling more anxiety because your brain is always working overtime. If you do not have anything to do, you may feel anxious because there is usually always something to do. This may look like you having trouble sitting down on your couch and relaxing because you are trying to remember to remind your partner that he is in charge of bringing the dog to the vet tomorrow and you need to tell him which vaccines they are due for.

Relationships thrive when there is a healthy separation of tasks because it helps both partners take better care of their mental health, leads to more appreciation and recognition, and it helps both partners feel mutually supported.

If you are interested in learning more about the mental load and invisible labor, read Eve Rodsky’s book mentioned above or watch the documentary Fair Play based on her work. If you and your partner want to work on dividing the load more evenly but are having trouble figuring out how to do so, reach out to a couples therapist or talk with an individual therapist about this goal. Our therapists at OMHG can help you identify ways to manage tasks in a healthier way for both you and your partner.

Read our blog: The Impact of Strong Communication in a Marriage…

Practicing effective communication skills with a therapist offers a supportive environment to develop and refine how you express yourself.

A therapist can help you identify barriers like unclear wording, emotional triggers, or fear of conflict that may impact your interactions. Together, you’ll work on techniques such as active listening, assertiveness, and expressing thoughts and feelings with clarity and empathy. Through role-playing, feedback, and guided discussions, you can gain confidence and build habits that lead to healthier, more meaningful connections in your relationships.

Orchard Mental Health Group is a large Maryland-based private practice with offices in Rockville, MD and Frederick, MD, providing affordable, accessible, research-informed counseling, assessment, and medication management services to children, adolescents, and adults.

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Getting Older: Memory Loss and Cognitive Concerns

Home » Blog » Getting Older — Memory and Cognitive Concerns

Getting Older — Memory and Cognitive Concerns

August 10, 2023 | Vanessa Buonopane, Psy.D. | 7 min. read

As we get older, it is inevitable that we are going to experience memory and cognitive concerns.

Many people who begin to have memory complaints worry that it is a sign that they are developing Alzheimer’s disease. However, not all people with memory problems have Alzheimer’s. There are many other reasons why an individual is experiencing memory and/or cognitive concerns, including medical complications, psychological issues, mild cognitive impairment, or another type of dementia.

Forgetfulness can be a normal part of aging and growing older. Middle-aged and older adults may begin to notice that it takes longer to learn new things, recall information, and lose things that might be right in front of them (e.g., cell phone or glasses). These are common to the human experience and are likely not a cause for concern.

So, when should you start to worry that something more serious is going on?

If you or a loved one starts to engage in poor decision-making, loses track of the date and time of the year, forgets important details of conversations, misplaces things often, and has problems taking care of activities of daily living or those pertinent to living (e.g., paying bills, transportation, hygiene), you may want to consider speaking with your primary care physician (PCP). Your PCP can do a medical evaluation to determine if there may be any medical reasons for your memory and cognitive complaints. For example, did you know that urinary tract infections (UTIs) can cause sudden confusion (also known as delirium) in older individuals, as well as individuals with dementia? This confusion, along with increased agitation and withdrawal can mimic some of the same symptoms as dementia. When a UTI is treated, the memory and cognitive concerns typically resolve as well.

Other medical conditions can also contribute to and cause memory problems, including tumors, blood clots, or infections in the brain; thyroid, kidney, or liver disorders; excessive alcohol use; head injuries; medication side effects; and lack of important vitamins and minerals (e.g., B12). Typically, once these problems are treated, any associated memory problems subside or go away altogether.

There are some psychiatric diagnoses, such as anxiety and depression, that can contribute to forgetfulness and may mimic symptoms of dementia.

Significant stressors or transitions, such as recent retirement or the death of a loved one, can lead to an individual feeling sad, lonely, worried, or bored, and can also leave people feeling confused or forgetful. Similar to certain medical conditions, once the psychiatric issue is resolved, the memory or cognitive concerns typically also resolve.

Some older adults may be experiencing a condition called mild cognitive impairment (MCI).

MCI means that they are experiencing more memory or other cognitive concerns than other people their age. However, individuals with MCI are able to continue their normal activities and take care of themselves. Currently, there is no standard treatment or approved medication for MCI, but there are many things an individual can do to stay healthy and manage memory and cognitive changes, such as learning a new skill, following a daily routine, exercising regularly, eating well, limiting alcohol use, and finding meaningful activities to engage in (e.g., volunteering, hobbies/interests).

It is important to check-in with your PCP every six to twelve months to track any changes in memory and other thinking skills over time, as this can help understand the progression of a specific condition.

Ultimately, it is possible that MCI can progress into a specific dementia.

Dementia is the loss of cognitive functioning, which includes thinking, remembering, learning, and reasoning, in addition to behavioral abilities to the extent that it interferes with the person’s quality of life and activities. Other concerns may be present, such as problems with language skills, visual perception, paying attention, and personality changes. Most people believe that Alzheimer’s is the only form of dementia; however, there are actually many different kinds of dementia.

If you, a family member, or a loved one believes that significant memory and cognitive concerns are present, it is best to talk with your PCP. Your PCP may recommend a neuropsychological evaluation, which will not only assess for any abnormal memory concerns, but can pick up on any cognitive deficits. An assessment psychologist or a neuropsychologist can look at the test results to determine if the individual might be matching the cognitive profile of someone experiencing normal aging concerns, mild cognitive impairment, or a specific type of dementia. Recommendations and “next steps” can also be made at the conclusion of the evaluation and are often catered to the individual needs of the person.

Dementia OMHG Blog

Image from relish-life.com.

Are you or a loved one experiencing worrisome memory or cognitive issues?

While we highly recommend you seek guidance from your/their primary care physician, Orchard Mental Health Group can also provide psychological evaluations, including neuropsychological evaluations. OMHG is a large Maryland-based private practice with offices in Rockville, MD and Frederick, MD, providing affordable, accessible, research-informed counseling, assessment, and medication management services to children, adolescents, and adults.

Through comprehensive assessments, our neuropsychologists evaluate how your brain functions in areas like memory, attention, problem-solving, and language. These evaluations can identify whether your challenges are linked to neurological conditions, mental health issues, or other factors like stress or aging. Armed with these insights, a neuropsychologist can provide personalized recommendations for treatment, strategies, or interventions to improve your cognitive functioning and enhance your quality of life.

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Exercise and Mental Health

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Exercise and Mental Health

August 9, 2023 | Sarah Rizzo, LCPC | 5 min. read

It’s one of those things that you KNOW is good for you, right?

Your medical provider talks about it, and fitness communities of course tout the success of their specific “life changing” programs. But how helpful IS exercise for you and your mental health? You might be thinking, “sure, I know exercise is good for me, but it’s so hard to get started.” I see you, and we’ll talk about a few pointers that might help get the ball rolling on moving your body.

There’s some recent research that suggests exercise might be even more effective than antidepressants in addressing symptoms of depression.

Singh et al. (2023) completed a systematic review of research data from controlled trials measuring the effect of physical activity on adults to address depression, anxiety, and other psychological distress. It was observed by this study that physical activity was just as or even more effective than psychopharmacological interventions like antidepressants and psychotherapy. I don’t want to talk us all out of a job here at QOP, but this is some compelling stuff!

Exercise and Mental Health OMHG Blog

Prioritizing exercise in some form would likely benefit the good work you are already doing to take care of yourself whether or not you are working with a psychotherapist or medication management provider. Just about ANY type of physical activity is effective, so don’t let any one specific exercise plan convince you that there is ONE WAY to achieve the fitness you are after (Singh et al., 2023).

Here are a few things to keep in mind to help get you started:

  • Always consult your primary care provider first to determine if any underlying medical conditions would be affected by increased exercise.
  • ANY. MOVEMENT. HELPS. It would also likely help to do something you find marginally tolerable. Make a short list of a few types of body movement (walking, stretching, gardening, running, a group fitness class, an organized sport, etc.) and take a look at your weekly schedule. SCHEDULE IN a short period of time you could engage in one of these activities.
  • Make some small goals. Perhaps start with committing to moving your body one time a week for 20 minutes. Then, consider slowly increasing this goal.
  • The more the merrier! Ask a friend or neighbor to join you for your walk or gardening session. Or if you prefer to go it alone, consider asking a friend to be an accountability partner and let them know you are getting in your weekly movement or exercise!
  • Engage in self-compassion. You’re not going to get it right each day, week, etc. Life happens, so be kind in the way you talk to yourself if your exercise plan doesn’t work out. Commit to taking one step to making it more possible to move your body tomorrow or next week.

Particularly if you are working through depression and anxiety, physical activity can play a large role in helping to manage your symptoms. Working with your psychotherapist or medication management provider on motivating yourself and finding ways to move your body can support the other efforts you are already putting into your mental health care!

Reference

Singh B, Olds T, Curtis R, et al (2023). Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews. British Journal of Sports Medicine doi: 10.1136/bjsports-2022-106195

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Men and Masculinity

Home » Blog » Men and Masculinity

Men and Masculinity

August 7, 2023 | Jacob Moore, Ph.D. | 7 min. read

Hey again, friends.

There is often a precariousness associated with masculinity here in the United States, right?

You know what I mean. Man card. Guy code. Dude law. That sort of thing? The kind of thing where, if you violate it, you lose that respect your friends or family have for you?

I’ll give you an example. Just picture this: A stay at home dad.

What are the first things that come to mind? What stories does your mind create about this man? I probably did not have to fill in the gaps there, because studies have shown many people consider stay at home dads less masculine than their working counterparts.

Men and Masculinity OMHG Blog

Masculinity in the United States is often synonymous with independence, self-reliance, emotional stoicism, and aggression.

We have this picture of men that is hard to break. Unfortunately men are often ridiculed, ostracized, and even sometimes harmed if they violate these assumptions, thus, making adhering to these expectations vitally important, even if they go against a person’s internal view of themselves.

And just like with other gender role expectations, these assumptions start young. We are talking since birth here, people.

For example, did you know that boy-identified babies are picked up, cuddled, and comforted less frequently than their girl-identified counterparts? What’s more, the average age that boys are last picked up and held by their parents is significantly younger (6 years old) than girls (9 years old) (Pascoe, 2007; Pollack, 2005).

The problem is that men desire this type of intimacy just as much as the next person (Stulhofer et al., 2014). However, men who express this desire are often ridiculed, or may face rejection during dating interactions. In school, children are often observed bullying the boy-identified child who violates the stoic, independent, competent expectation (Levant & Richmond, 2016; Smiler, 2014). Similarly, the boys that are sensitive, considerate, and soft spoken are made to feel weak, which ultimately teaches them to hide their true selves.

So, what’s the big deal? I mean, men are the holders of so much privilege in the United States that it only seems natural that there are no downsides to the experience of manhood.

Well, some research suggests that these expectations of masculinity might actually contribute to many of the negative behaviors we see in men. Things like aggressive outbursts, explosive anger, or even assaults correlate highly with men who fit the stereotypical profile of masculinity (Levant & Richmond, 2016; Pascoe, 2007). It is also possible that the fragility I mentioned earlier is a cause.

See, men in our culture feel they shouldn’t change. If they do, they fail at being what they should be. Therefore, they are rejected and are viewed as less than because such changes violate the fundamental assumptions of masculinity. Yet, we continue to hope that men will make changes to their behavior, even when the consequences for doing so are scary. We are taught that men don’t express affection or tears, we remain stoic and unyielding. Additionally, we are raised to believe that men professionally driven; we take what we want and find ways to succeed. Also, there’s the expectation that men don’t ask for help; they figure it out themselves.

It’s up to us to instill a broader view of what being a man means in our culture, across all racial, sexual, and other social identities, so that we can create a healthier view of masculinity.

Imagine helping a little boy understand and express his sadness, rather than telling him “boys don’t cry.” Maybe that boy would learn that it’s okay to express his feelings instead of bottling them up. Perhaps that expression would help him understand anger, or fear, so that he could find healthy and safe avenues to let those emotions out, too. Imagine men asking for help when they need it and letting others take the lead instead. The openness to be vulnerable would potentially help men open themselves up to their partners, or friends, and create closer relationships with others.

So take a moment. No matter what gender you identify with, how do you define masculinity? What behaviors or qualities do you expect from someone who is masculine?  Now, think about how those expectations, whether they are for yourself or for the men in your life, require men to act. It starts with these little expectations to make a broader impact.

 

Struggling to open up about men’s issues can feel isolating, but a therapist provides a safe, confidential space to explore these feelings without fear of judgment.

A therapist can help unpack societal expectations, navigate emotions, and develop tools to communicate effectively. Whether it’s about relationships, career stress, fatherhood, or mental health challenges, a therapist helps validate your experiences, challenge unhelpful thought patterns, and empower you to find solutions that work for you. Talking to a professional can be the first step toward breaking the silence and finding support.

Orchard Mental Health Group is a large Maryland-based private practice with offices in Rockville, MD and Frederick, MD, providing affordable, accessible, research-informed counseling, assessment, and medication management services to children, adolescents, and adults.

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Supporting a Loved One with Depression and Anxiety

Home » Blog » Supporting a Loved One with Depression and Anxiety

Supporting a Loved One with Depression and Anxiety

August 3, 2023 | Katie Lawliss, Psy.D. | 12 min. read

Most of us know/love someone who struggles with anxiety or depression.

It can be confusing to know what we can do or say that will help them in times of need. Here are some ideas of how you can show your support to your loved one.

Idea #1: Validation

While you may not completely understand why someone is depressed or exhibiting anxiety, you can still validate their concerns. Oftentimes, the worries may not seem logical to you, but to your person, it makes perfect sense in their head. Basically, each person has their own “stuff,” which means each person perceives things differently. That being said, you can help by validating your loved one by first acknowledging to yourself that this anxiety/sadness makes sense given their contextual outlook on life and personal history.

Phrases like “I know this is really hard,” “Your feelings are valid,” “I can see you are anxious, I am here for you,” can really help your loved one. Oftentimes, we want to jump into “fixing mode” when we see someone we love in distress; however, by being an active listener and validating their experience, you can still make a positive impact.

Supporting a Loved One with Depression and Anxiety OMHG Blog

Idea #2: Menu of Ideas

Asking, “how can I help?” can be a great way to communicate with someone experiencing anxiety and depression, but oftentimes the answers are, “I don’t know,” or they are deeply anxious/depressed they cannot come up with a response at all. When someone is anxious, their nervous system is in SOS mode. Due to this, logical and clear thinking gets overridden; therefore, it can be hard for the person to know what helps or to communicate what could help.

If you love someone who has anxiety or depression, it can be a great idea to come up with a “menu of ideas” for when they are anxious or in a depressive episode, BEFORE they are experiencing high anxiety or severe depression. Essentially, at a time when they are not anxious/depressed, ask them what tends to help and what they like or dislike when they are feeling this way. At first they may have a difficult time coming up with this, but with more communication you can come up with a list of items to add to a menu.

This menu can be simple, like 3-4 things that usually help with anxiety or sadness. Or it can be more complex by breaking it down into categories such as 1. Physical/Sensory comforts 2. Words/Phrases that help 3. Prompts for coping skills 4. Care task help.

For example a menu for Jane could be:

  1. Use weighted blanket
  2. Sit outside for fresh air
  3. Do a guided meditation
  4. Hug or cuddle
  5. Watch a funny movie

An example menu for Michael could be:

  1. Physical Sensory Comforts:
    • Weighted blanket
    • Lights off
    • Changing into comfy clothes
    • Lighting a scented candle
  2. Words/Phrases That Help:
    • “I am here with you”
    • “We don’t need to be doing anything for me to still want to hang out with you”
    • “Your feelings are valid”
    • “I want to hear and listen to what you are worried about”
  3. Prompts for Coping Skills
    • “I can see you are anxious, would you like me to play your favorite guided meditation”
    • “I notice you seem stressed, would you like to go for a walk”
    • “It seems like you are feeling some anxiety about this, do you want to practice noticing 5 things we see, 4 things we hear, 3 things we feel, 2 things we smell, and 1 thing we taste?”
  4. Care Task Help
    • When Michael is anxious for a period of time he tends to not make himself meals, so you could offer to make him a meal or pick up his favorite one. You two can discuss what meals are good go-tos in times of stress when creating the menu.
    • When Michael is in a depressive episode, his room and apartment get messy because he does not have the energy to upkeep it. You can help him take out the trash or do a load of laundry.
    • When Michael is depressed or anxious, he gets overstimulated by his dog’s energy. You could offer to take his dog for a walk or to the park to expend some energy.

There are no right or wrong ways to create this menu, and it can change over time!

By creating this menu, two things happen. First, you know what helps sometimes and can offer specific help during times of stress. Then, it can be easier for the person to answer a close ended question such as, “Do you want me to get your weighted blanket?” instead of an open ended question like, “What can I do to help?”.

Idea # 3: Checking In & Staying Connected.

You can show your ongoing support for the person by consistently checking in. They may not want to talk about how they are doing but you asking still shows that you care. You might be worried that asking about their anxiety or depression will remind them of their current struggles; however, people do not forget that they struggle in these areas. Thus, you bringing it up will not “remind them.” Even if the person seems to be doing okay, it can be good to directly ask, “how has your anxiety/depression been lately?” Contrastingly, we often use the phrase “How are you?” as a polite courtesy, so it may not feel like a true invitation to share how they are feeling. You do not need to push them into talking about it, but it is still good to ask.

Similarly, even if your person has turned down plans 6 out of 7 times, it is still good to invite them. While you may know they are not up for an outing at the moment, it can still mean a lot to be invited. You can also offer low stakes plans, like watching a movie at their place, or just sitting together and splitting a pizza.

Idea # 4: Have Your Own Support System

Loving someone who is struggling can be hard. Make sure you have your own support system and are taking good care of yourself. As flight attendants always say, “put your oxygen mask on before helping others,” because you cannot help others if you are not helping yourself.

Supporting someone with depression and/or anxiety can be complex and these are just some suggestions on how to help your loved one. If you are looking for more support or suggestions, please reach out to set up an appointment with one of our therapists at OMHG.

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What exactly is ADHD?

Home » Blog » What Exactly is ADHD?

What Exactly is ADHD?

July 20, 2023 | Vanessa Buonopane, Psy.D. | 10 min. read

Boy with ADHD | What is ADHD?

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that is most often diagnosed in childhood (symptoms must be present prior to age twelve) and can persist into adulthood.

While many individuals struggle with attention and focus at times, individuals with ADHD can experience severe symptoms that impact them academically, socially, and in a variety of other settings.

Some of the most common symptoms that individuals with ADHD exhibit are:

  • Difficulty focusing and paying attention
  • Squirming and fidgeting
  • Making careless mistakes or not paying attention to details
  • Daydreaming often
  • Forgetfulness or losing necessary items (e.g., schoolwork, pencils, books, clothing)
  • Difficulty taking turns or interrupting others

Many people are unfamiliar with the changes that this diagnosis has been through in the last thirty years, often using ADHD and Attention-Deficit Disorder (ADD) interchangeably.

While they are essentially the same condition, our understanding of the diagnosis has grown and the name has been changed to reflect that knowledge.

You can still use either acronym, as your doctors and other people will almost certainly understand you; however, ADHD is the most accurate and up-to-date term.

What is ADHD Blog

There are three ways that ADHD manifests itself, depending on the predominant symptoms that the individual displays.

#1: Predominantly Inattentive Presentation. The individual may have difficulty paying attention to details, becomes easily distracted, forgets details of daily routines or previously learned information, struggles to organize and finish tasks, and difficulty following along and keeping up with conversations.

#2: Predominantly Hyperactive/Impulsive Presentation. The individual may fidget or become restless; have difficulty sitting for long periods; run, jump, or climb constantly; interrupt others during conversations; have difficulty waiting their turn; and may struggle with impulsivity.

#3: Combined Presentation. The individual struggles with symptoms from both the inattentive presentation and the hyperactive/impulsive presentation.  The individual must exhibit six symptoms from each presentation for a total of twelve symptoms to be diagnosed with the combined presentation.

ADHD Alien

Graphic credit: @ADHD_Alien (Twitter and Instagram)

As children grow up, they may receive intervention or learn strategies to manage their symptoms, ultimately compensating for their difficulties. Because the symptoms of ADHD can change over time, the presentation may change over time as well.

Research suggests that there are several possible causes and risk factors for developing ADHD, including:

  • Brain injury
  • Exposure to environmental risks (e.g., lead) during pregnancy or at a young age
  • Alcohol and tobacco use during pregnancy
  • Premature birth
  • Low birth weight

There are several other popular views and opinions that are not supported by the research, such as ADHD is caused by eating too much sugar, excessive screen time, parenting styles, and environmental factors (e.g., poverty or family chaos). While these things can certainly exacerbate existing symptoms for individuals with ADHD, the evidence is simply not strong enough to conclude that they are the main cause of ADHD.

Given the significant research done over the years, we now know that many adults have never been diagnosed with ADHD in childhood and continue to experience symptoms in adulthood.

While it is possible to diagnose ADHD in adulthood, it is important that the clinician consider when the symptoms began, as they must have been present before age twelve.  Symptoms also need to be present in at least two settings (e.g., home, school, work, socially, etc.) and there must be clear evidence that the symptoms interfere with or reduce the quality of the individual’s functioning. A diagnostic intake and psychological evaluation is usually one of the best (and most objective) ways to diagnose ADHD.

In terms of treatment, many individuals find success with a combination of behavioral therapy and medication.

Behavioral interventions are typically encouraged prior to medication, which usually includes strategies for parents, especially for young children. Taking care of your physical health is also important and individuals with ADHD are encouraged to develop or maintain healthy eating habits, exercise regularly, limit screen time, and receive adequate sleep each night.

 

Do you suspect that you or your child may have ADHD?

Orchard Mental Health Group is a large Maryland-based private practice with offices in Rockville, MD and Frederick, MD, providing affordable, accessible, research-informed counseling, assessment, and medication management services to children, adolescents, and adults.

Our assessment team specializes in providing thorough ADHD evaluations for children, teens, and adults. Using a collaborative approach, we assess attention, focus, impulsivity, and other related areas to help you better understand your unique challenges. Our comprehensive evaluations provide clear, actionable insights and recommendations, whether for treatment planning, academic or workplace accommodations, or personal growth. If you or a loved one are struggling with attention difficulties and seeking answers, our experienced team is here to guide you with care and expertise.

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