The Borneo Post (Sabah)

As children’s ADHD diagnoses rise, parents discover they have it too

- Natachi Onwuamaegb­u

WHEN her son Jake was diagnosed with ADHD at age 11, it didn’t occur to Cary Colleran that she may have the condition as well. It didn’t occur to her that the appointmen­ts she forgot, the permission slips left on the kitchen table, the misremembe­red dates of field trips might be anything other than a symptom of her personalit­y – she’s disorganiz­ed. That’s all.

It still didn’t occur to her when Jake began taking medication to manage his ADHD, and she noticed he wasn’t getting stuck in the ways he used to. It didn’t click when Colleran remembered how stuck and incapable she felt when she was young. She was simply relieved her son was succeeding in ways she hadn’t.

It only occurred to her eight years after Jake was diagnosed.

Colleran, then 45, was on the phone with her son’s doctor. Jake wasn’t doing well in college – he stopped taking his medication, forgot to attend mandatory events and sat in the wrong class for six weeks. Colleran began to joke that the apple doesn’t fall far from the tree. The doctor didn’t miss a beat: “He was like ‘well, you know, sometimes when the parent has ADHD, the kid does too,’ “Colleran said.

“That’s when the aha moment hit.”

With an increase in children being diagnosed with AttentionD­eficit

Hyperactiv­ity Disorder in recent years, parents who grew up in a time when such a diagnosis was rare are starting to understand that perhaps they, too, have it. That years of struggles focusing on schoolwork, being told they weren’t living up to their potential, getting bored at jobs or losing track of things, might be more than just a personalit­y trait.

They were feeling inadequate because despite their best efforts, they didn’t get the results that they wanted.

“When you start to talk about this and symptoms of ADHD with parents, you can see it in their faces sometimes: ‘You’re talking about me. I didn’t know what that was. I didn’t know what to call it,’ “said William Stixrud, creator of The Stixrud Group, which specialize­s in the evaluation of learning, attention, social and emotional difficulti­es.

“They think about ADHD like we did 50 years ago: that it’s being hyperactiv­e impulsive all the time. And some people think it’s over-diagnosed.”

For many parents, their own ADHD diagnosis journey begins when they bring their child to the pediatrici­an because things aren’t adding up: My child is smart, but he can’t complete his work. She keeps getting in trouble for daydreamin­g instead of working. He speaks out in the middle of class and says he doesn’t know why. She studies for hours and hours and still fails.

And a thought takes root: Could this be me too?

“That’s how it typically happens,” said Stixrud.

“ADHD is really very strongly genetic so it’s extremely common for parents to say ‘I was just like this as a kid’ or ‘I see him, I see myself in him.’ “

Not long after Jake’s pediatrici­an provided Colleran with clarity, she forgot to drop her middle son off at the airport on time for a school field trip. She laughed about it to her friends, cried about it alone, and finally booked an appointmen­t to get tested.

“That’s when I realized, I can’t be this person anymore. I’m failing my kids. And so that’s when I started coming to terms with my own ADHD. That’s when I came to terms with the fact that [ADHD] is what’s actually holding me back,” Colleran said.

After a lifetime of feeling less than, thinking they were a disorganiz­ed mess, or incapable, parents recognized that they have a neurologic­al difference, just like their child. And many parents realize if their child isn’t less than – which they obviously are not – then maybe they can lend themselves the same grace.

“I was really focused on getting the best informatio­n out there and the best parent training and trying to advocate for him,” said Jane Indergaard, whose son was diagnosed with ADHD at 8 years old.

“I was trying to do a lot of research and a lot of the research points to the importance of the mental health of the parent. If moms get treated, whether it’s for depression or anxiety or ADHD, our kids do better. That’s when I went in and got tested.”

There are several ways a child can be tested for ADHD, including expensive, detailed testing with questionna­ires and computer tests with analyses. There is a 55question “Vanderbilt Assessment” that is often given by a doctor. Children can also talk to a certified counselor through their school district (although wait times for this are often long).

Indergaard herself was referred for testing by her child’s pediatrici­an and did a less intensive version of the in-depth ADHD screening at a testing center. She was diagnosed, and happy about it.

“Honestly? Hearing that diagnosis was such a relief,” said the 62-year-old nurse.

“Because finally, it all made sense.”

The American Psychiatri­c Associatio­n first recognized ADHD as a mental disorder in the 1960s. Twenty years later, the diagnosis became “attentiond­eficit disorder with or without hyperactiv­ity.” ADHD diagnoses in children ages 4 to 17 increased from 6.1 per cent in 1997-1998 to 10.2 per cent in 2015-2016. The Centers for Disease Control and Prevention reported a 42 per cent jump in ADHD diagnoses between 2003 and 2011. ADHD is typically diagnosed in children and is twice as prevalent in boys than girls – although experts point to a lack of proper diagnoses rather than fewer girls actually having the disorder.

ADHD diagnoses are harder to come by as an adult, said Stixrud. Undiagnose­d adults have spent their lives adapting. When parents are diagnosed, some choose to go to therapy, some take medication, and some do nothing. Indergaard took medication and started to see a therapist, Colleran never took medication due to her high blood pressure, though she’s “sure it would have helped when I was younger.”

“They just figure out how to live with it,” said Stixrud.

The knowledge of the diagnosis was enough to change everything for Colleran, who went to an ADHD training academy so she could become a coach to help other parents navigate the school system and the organizati­onal needs for their children. The training helped her learn skills herself. For Indergaard, her depression and anxiety finally started to abate, her mind felt more focused, and she felt better about herself.

Jeremy Didier, a 51-yearold ADHD counselor, said her symptoms presented as spontaneit­y. It wasn’t until her third child, Isaac, seemed different, that things began making sense.

“I was reading the symptoms and I was like, ‘Oh wow, OK, that’s me,’ “said Didier.

“Talking to my husband, he was like, ‘Oh, yeah, that’s you.’ I went into our doctor and he was like, ‘Oh, yeah. That’s you.’ “

“She’s always been very spontaneou­s,” said Bryan Didier, Jeremy’s husband and one of just two members of the Didier clan without ADHD.

“Her having ADHD is probably something I always kind of knew. She’s been in sales and before that broadcast journalism. I think she found ways to survive and thrive and used her competitiv­e advantage from ADHD.”

Getting an ADHD diagnosis meant Jeremy finally had an answer.

“I look forward to the day when it’s standard practice that when the kid is diagnosed with ADHD, the whole family is just evaluated,” she said.

She now understood why she’d forget her children’s friends’ names, why she had to have an emergency pack of Lunchables to drive to the school, just in case she forgot about a field trip. ADHD may also be why she was in high pressure jobs that provided a lot of stimulatio­n.

“I’m embarrasse­d and ashamed to admit that I didn’t believe that ADHD was real, until I had a child with ADHD and then it was so obvious,” Didier said.

“I just couldn’t deny it... I was able to do my own research and say, ‘Oh my gosh, not only is this real, I might have it too.’ “— The Washington Post

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