Description: WA Licensed Psychologist I am also the parent of two delightful, but challenging ADHD daughters. ADHD has been the primary focus of my practice for the past 10 years. I assess and treat ages 12 and up. I work closely with schools plans , employers, psychiatrists and primary care physicians to insure the best possible care. I am listed on most insurance panels. My approach is a direct and interactive style. In addition, I provide coaching, when necessary. I am also trained in EMDR trauma treatment and offer that tool as a powerful, integrative aspect of psychotherapy.
Extensive background in organization, workflow, productivity, and process improvement. Strengths that allow me to work effectively with a broad client base: Finely-tuned personality trait identification skills, including identifying and working with multiple learning modalities.
Continuing and constant education in client needs assessment and effectiveness, specializing in clients struggling with ADHD.
Process improvement and workflow strengths learned via education and certification by the Project Management Institute and Six Sigma. My passion is inspiring motivated people to become who they want to be and live how they want to live. By removing emotional and physical barriers, my clients create the lives they envision for themselves.
I work in homes, home businesses and also small businesses. Who do I work with? My youngest-ever one-on-one client, probably for as long as I'll be in business, was five. Several of my clients - 80 or more years young. I'm an openly bisexual generalist who cheerfully brushes spiders out of her hair. I've worked in every room in a house, attic to basement, garages, sheds, home-based business offices, storage units and a horse barn.
I've turned around eviction proceedings, have volunteered in hoarding situations, but also once spent 45 minutes on a makeup sales rep's sample case.
My clients are doctors, small-plot farmers, teachers, bankers, airline personnel, housewives, retired, veterans, artists, craftsmen, parents, grandparents, widows, divorced, single, couples. But that list is only a small sample of my clients.
Private Practice Phone: Email: cindy cindyjobs. Description: We empower families, adults and children dealing with ADHD and other special challenges to improve communication, time management, organization, social skills and emotional regulation and create an environment for success. Description: Providing compassionate, evidence based mental health care for children, adolescents and adults. Ryan Ford, Esq. Description: Ford Law Firm focuses exclusively on education law matters and is located in the Pacific Northwest.
Description: Seeing your kid struggle isn't fun. Description: I am a child and adolescent clinical psychologist. Our psychiatry team also conducts evaluations and administers care for women with a wide range of mental health issues who are patients in the Maternal and Infant Care Clinic.
People with a personality disorder display a pattern of inflexible thought and rigid behavior. This causes them to have trouble dealing with people and with everyday stresses and problems. Our mental health experts are skilled at determining the best combination of therapies that can change inappropriate behavior and thought patterns. Our services include immediate psychiatric evaluations, crisis interventions and referrals to inpatient treatment facilities and for mental health and substance abuse treatment.
Also known as talk therapy, psychotherapy is a way to help people identify and change their thought and behavior patterns so they can cope with their mental and behavioral health conditions. There are several different types of psychotherapy, and some may work better with certain experiences and conditions. CBT is a type of psychotherapy that helps change negative thoughts into more positive ones. By changing how we think and feel about certain things, we also change how we respond and behave to them.
CBT includes stress management strategies, relaxation training, coping skills practice and other forms of treatment. This form of therapy teaches how to effectively manage the negative effects of stressful events. Let one of our PST experts show you how to redirect your distress.
BA teaches that behavior can positively influence moods and emotions. So, when a person starts to get depressed, he or she engages in behaviors or activities specific to their wants and needs, instead of becoming passive and inactive.
Our BA experts can help you develop an action plan to improve your well-being. It is a serious brain disease, but symptoms can be managed with medicine and therapy. Our mental health experts offer treatments and services that help affected people live productive lives. The biggest myth about substance abuse is that it is a matter of choice. The truth is that addiction is a long-lasting disease that can be treated and managed successfully.
People often consider suicide when they feel hopeless, unable to find another solution to their problems. Suicide is related to depression, substance abuse or distress from a stressful experience. Therapy and medicines can help most people at risk for suicide. Treating mental illnesses and substance abuse can also reduce the risk. If you fear you could be a danger to yourself, call the Crisis Clinic of King County at 1. For immediate emergency help, call or go to the nearest emergency room.
Lifeline Crisis Chat. Our mental health experts understand the impact cognitive and memory disorders can have on patients and their families. From the initial consultation through treatment and follow-up, patients will receive individualized care and exceptional service. There are several types of anxiety disorders that can be treated by a psychiatrist, psychologist or other mental health professional. Everyone worries about things occasionally, but expecting the worst all the time can get in the way of living a normal life.
Also known as manic depression, people with bipolar disorder experience extreme mood changes. Sometimes they feel joyful, energetic and are more active than usual. Sometimes they feel sad, depressed and are much less active. In most cases, consistent, long-term treatment can stabilize these mood swings. A serious mood disorder, depression is more than just feeling sad for a few days. The sadness persists and interferes with everyday life.
Depression cannot be willed or wished away. Without treatment, depression can become more serious. A person with repeated, unexpected bouts of overwhelming fear that has no specific cause may have panic disorder.
A panic attack can happen anytime, anywhere and without warning. It sometimes starts when a person is under a lot of stress. This common anxiety disorder causes frequent disturbing, irrational thoughts, fears or worries called obsessions. Instead they use rituals or compulsions to help them try to manage, ease or stop obsessive thoughts.
After a traumatic event, it is normal to feel anxiety. It usually goes away with time, but with PTSD, the anxiety is more intense and persistent because you keep reliving the event through nightmares and flashbacks.
These symptoms make coping with daily life difficult, but they can be managed. Certain objects, situations or activities can cause uncontrollable, irrational and lasting fears. A phobia can be so overwhelming that a person may go to great lengths to avoid the source of their fear. If a specific phobia affects your daily life, there are therapies that can help you overcome it.
First episode psychosis is when a person first shows signs of beginning to lose touch with reality, which usually begins when the person is an adolescent or young adult. Our state-of-the-art first-episode psychosis program at Harborview can help. Transplant recipients often develop significant psychiatric symptoms and disorders before or after their transplants.
Our transplant psychiatry specialists are experts at helping UW Medicine Transplant Services patients work through their strong emotions and fears. A shocking, scary or dangerous experience or injury can affect people emotionally on a long-term basis. Our mental health care experts can help those who have suffered trauma find constructive ways of managing their emotions. After a traumatic event, it is normal to feel anxiety that usually goes away with time.
But with PTSD, the anxiety is more intense and persistent because you keep reliving the event through nightmares and flashbacks. Consider telling the teachers that your child has ADHD when he or she starts school or moves to a new class.
Additional support will help your child deal with the transition. Most children with ADHD continue to have symptoms as they enter adolescence. Some children, however, are not diagnosed with ADHD until they reach adolescence. This is more common among children with predominantly inattentive symptoms because they are not necessarily disruptive at home or in school.
In these children, the disorder becomes more apparent as academic demands increase and responsibilities mount. For all teens, these years are challenging. But for teens with ADHD, these years may be especially difficult. Although hyperactivity tends to decrease as a child ages, teens who continue to be hyperactive may feel restless and try to do too many things at once. They may choose tasks or activities that have a quick payoff, rather than those that take more effort, but provide bigger, delayed rewards.
Teens with primarily attention deficits struggle with school and other activities in which they are expected to be more self-reliant. Teens also become more responsible for their own health decisions.
When a child with ADHD is young, parents are more likely to be responsible for ensuring that their child maintains treatment. But when the child reaches adolescence, parents have less control, and those with ADHD may have difficulty sticking with treatment. To help them stay healthy and provide needed structure, teens with ADHD should be given rules that are clear and easy to understand.
Helping them stay focused and organized—such as posting a chart listing household chores and responsibilities with spaces to check off completed items—also may help.
Teens with or without ADHD want to be independent and try new things, and sometimes they will break rules. If your teen breaks rules, your response should be as calm and matter-of-fact as possible. Punishment should be used only rarely. Teens with ADHD often have trouble controlling their impulsivity and tempers can flare. Sometimes, a short time-out can be calming. Rules should be clear once they are set, but communication, negotiation, and compromise are helpful along the way.
What about teens and driving? They are also more likely to cause injury in accidents, and they get three times as many speeding tickets as their peers. Parents should make sure that their teens, especially those with ADHD, understand and follow the rules of the road. Repeated driving practice under adult supervision is especially important for teens with ADHD. Some children with ADHD continue to have it as adults. They may feel that it is impossible to get organized, stick to a job, or remember and keep appointments.
Daily tasks such as getting up in the morning, preparing to leave the house for work, arriving at work on time, and being productive on the job can be especially challenging for adults with ADHD. These adults may have a history of failure at school, problems at work, or difficult or failed relationships.
Many have had multiple traffic accidents. Like teens, adults with ADHD may seem restless and may try to do several things at once, most of them unsuccessfully. How is ADHD diagnosed in adults? Like children, adults who suspect they have ADHD should be evaluated by a licensed mental health professional. But the professional may need to consider a wider range of symptoms when assessing adults for ADHD because their symptoms tend to be more varied and possibly not as clear cut as symptoms seen in children.
To be diagnosed with the condition, an adult must have ADHD symptoms that began in childhood and continued throughout adulthood. The person will also undergo a physical exam and various psychological tests. For some adults, a diagnosis of ADHD can bring a sense of relief. Adults who have had the disorder since childhood, but who have not been diagnosed, may have developed negative feelings about themselves over the years.
Receiving a diagnosis allows them to understand the reasons for their problems, and treatment will allow them to deal with their problems more effectively.
How is ADHD treated in adults? Much like children with the disorder, adults with ADHD are treated with medication, psychotherapy, or a combination of treatments. ADHD medications, including extended-release forms, often are prescribed for adults with ADHD, but not all of these medications are approved for adults. Older antidepressants, called tricyclics, sometimes are used because they, like stimulants, affect the brain chemicals norepinephrine and dopamine.
A newer antidepressant, venlafaxine Effexor , also may be prescribed for its effect on the brain chemical norepinephrine. And in recent clinical trials, the antidepressant bupropion Wellbutrin , which affects the brain chemical dopamine, showed benefits for adults with ADHD. For example, adults often require other medications for physical problems, such as diabetes or high blood pressure, or for anxiety and depression.
Some of these medications may interact badly with stimulants. An adult with ADHD should discuss potential medication options with his or her doctor. These and other issues must be taken into account when a medication is prescribed. Education and psychotherapy. A professional counselor or therapist can help an adult with ADHD learn how to organize his or her life with tools such as a large calendar or date book, lists, reminder notes, and by assigning a special place for keys, bills, and paperwork.
Large tasks can be broken down into more manageable, smaller steps so that completing each part of the task provides a sense of accomplishment.
The therapist encourages the adult with ADHD to adjust to the life changes that come with treatment, such as thinking before acting, or resisting the urge to take unnecessary risks. This is an exciting time in ADHD research. The expansion of knowledge in genetics, brain imaging, and behavioral research is leading to a better understanding of the causes of the disorder, how to prevent it, and how to develop more effective treatments for all age groups.
The study found that low doses of the stimulant methylphenidate are safe and effective for preschoolers, but the children are more sensitive to the side effects of the medication, including slower than average growth rates. Future results may help scientists link variations in genes to differences in how people respond to ADHD medications.
For now, the study provides valuable insights into ADHD. In addition, NIMH-sponsored scientists continue to look for the biological basis of ADHD, and how differences in genes and brain structure and function may combine with life experiences to produce the disorder. Biological Psychiatry, ; Current Psychiatry Reports, Oct; Archives of General Psychiatry, Aug; 64 8 American Journal of Psychiatry, Jun; 6 Case-control study of attention-deficit hyperactivity disorder and maternal smoking, alcohol use, and drug use during pregnancy.
Environmental Health Perspectives, Dec; 12 The effects of sucrose ingestion on the behavior of hyperactive boys. Pediatrics, Apr; 4 Effects of diets high in sucrose or aspartame on the behavior and cognitive performance of children.
New England Journal of Medicine, Feb 3; 5 Hoover DW, Milich R. Effects of sugar ingestion expectancies on mother-child interaction.
Journal of Abnormal Child Psychology, ; Stevenson J. Lancet, Nov 3; A month randomized clinical trial of treatment strategies for attention-deficit hyperactivity disorder. Archives of General Psychiatry, ; Pediatrics, Sept; 3 :ee Traffic Safety Facts, Laws. Graduated Driver Licensing System. January Annual Review of Medicine, ; Coghill D, Seth S.
Expert Opinions in Pharmacotherapy, Oct; 7 15 Biological Psychiatry, Apr 1; 57 7 Stimulant-related reductions in growth rates in the PATS. You can browse online, download documents in PDF, and order paper brochures through the mail. If you would like to have NIMH publications, you can order them online at www.
If you do not have Internet access and wish to have information that supplements this publication, please contact the NIMH Information Center at the numbers listed below. National Institute of Mental Health E-mail: nimhinfo nih.
NIMH encourages you to reproduce them and use them in your efforts to improve public health. Articles are offered for informational purposes only. ADHD has three subtypes: Predominantly hyperactive-impulsive Most symptoms six or more are in the hyperactivity-impulsivity categories.
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