It’s ADHD Awareness Month: Common Questions, Reliable Answers

October is ADHD Awareness Month, and this year’s theme is “Common Questions, Reliable Answers.”

In this post, we’ll cover a common question and debunk the myths surrounding it: Is ADHD a real medical disorder?

“Is ADHD a Real Medical Disorder?”

Unfortunately, there is a myth perpetuating that ADHD isn’t real, but the truth is that ADHD is real — and it’s treatable. Let’s dive into this.

ADHD Is a Valid Diagnosis

ADHD is a neurobiological disorder that affects your ability to focus and control impulses. ADHD is not a lack of willpower to focus on the task at hand; instead, most experts believe the development of ADHD may be  influenced by a person’s genes, the presence of toxins in his or her environment, brain injuries, and subtle nuances in the hardwiring of his or her brain. 

Major medical, psychological, and education organizations recognize ADHD as a legitimate diagnosis. This includes:

• The National Institutes of Health 
• The U.S. Department of Education
• The American Psychiatric Association 

The American Psychiatric Association lists all of the medical disorders in the Diagnostic and Statistical Manual of Mental Disorders— the official book of mental health disorders used by both psychologists and psychiatrists. ADHD is included in this book.

Brain Scans Can Identify ADHD

Brains with ADHD show structural and chemical differences from non-ADHD brains.

According to a new study published in Radiology, a magnetic resonance imaging (MRI) of the brain can identify people with ADHD. The same study reveals that information from the MRIs can help to distinguish among the different types of ADHD.

PET scans also reveal another difference in the brain: decreased dopamine receptors in an ADHD brain.

[Image source]

An ADHD Diagnosis Is Reliable

When it comes to mental health diagnoses,  reliability shouldn’t be discounted. This is a psychological term that refers to the ability for two different mental health care providers to evaluate the same child (or adult) and independently come to the same diagnosis of ADHD.

What does this mean? It means that ADHD is a very reliable diagnosis. 

Debunking Other ADHD Myths

This isn’t the only ADHD myth. In the spirit of answering common questions with reliable answers, feel free to browse through our ADHD myth series:

• ADHD Medication Myths and Facts
• ADHD Myth Series: Is It Okay to Stop Taking ADHD Medications on School Breaks?
• Myth: ADHD Only Affects Kids

What Can You Do to Support ADHD Awareness Month?

Whether you, a spouse, or your child have ADHD, there are many ways for you to learn more about ADHD during the month of October.

Here are just a few ideas:

• Learn more about ADHD — consider taking a free course! 
• Learn about other ADHD myths (links listed above!)
• Read books on ADHD (there are several books in our shop)

If you or a child are demonstrating the signs of ADHD, what better time to get an assessment than ADHD Awareness Month!

You’re Not Alone on This Journey

At Next Step 4 ADHD, we offer complete support and comprehensive treatment for adults, teens, and children who struggle with ADHD. We strongly believe that simply medicating the problem doesn’t fully address the issue. There are skills you can learn and develop.

More importantly, our team of professionals offers an ongoing support system when you need it from coaching to therapy to online courses.

Dealing with ADHD on your own can be difficult, but with our innovative approach, you’re never alone. We are here to guide you with your next steps. If you’d like to learn more about us or set up a confidential discussion with one of our professionals, you can complete this form for a virtual appointment. Alternatively, call our Louisville, Kentucky office at (502) 907-5908.

5 Strategies to Reduce Stress in Your Home

If your child’s school year looks different than what you anticipated, you’re not alone. Many parents are forging ahead in a “new normal” — a “normal” that’s not without its fair share of stress. This may leave you wondering, “How can I reduce stress in my home pronto?!”

Creating structure and routine is an incredibly effective way to prepare your children for distance learning. But the reality is that stress isn’t just limited to school time.

In this article, we’ll explore five strategies that you can implement to reduce stress in your home. After all, creating a warm, positive environment in your home plays a big role in supporting your entire family’s mental well-being.

5 Ways to Reduce Stress in Your Home

ADHD can create unique challenges in any home, but if you’re parenting a child with ADHD during a pandemic, you might experience even more challenges.

Here’s what you can do:

1. Acknowledge the Reality of Your Situation

We know that normalcy, routines, and structure are important tools for helping children with ADHD thrive. But “normalcy” doesn’t look like what it used to. Do what you can to create structures and routines — even they are different from what you expected. Focus on staying calm and setting an example of resiliency for your children.

Remember: We are all doing the best we can.

2. Focus on the Simple Things

There are several simple ways to create normalcy at home, and once you identify those, you’ll notice some reduction in stress. Here are some simple things that make life less stressful:

• Establish simple (but efficient) bedtime routines (Click here to read: “Parenting a Child with ADHD: 5 Tips for Bedtime.)
• Start meal planning and establish easy weekday breakfasts
• Post a schedule on the wall where everyone can see it

While these seem like simple changes you can make, they go a long way in making your home less stressful. Your child will thrive on the structure and routines.

3. Focus on What’s in Your Control

Dr. Nichols reminds us, “Instead of feeling helpless, we should focus on what we can do.”

There are a lot of things outside of our control right now — but there’s also a lot of things within your control too. Focus on those.

Here’s what you can control:

• Your dedication to safety guidelines and hygiene recommendations
• How you create your space at home
• Your response to situations

Here’s why it matters: “Anxiety is contagious. The more anxious we parents are, the more anxious our children will be. It is important to teach our children resilience,” Dr. Nichols continues.

Instead of focusing on what we think should be, focus on what is. This sends an important message to children that we are resilient and can rise to the occasion to face challenges.

4. Prioritize Your Own Self-Care

You’ve probably heard the phrase: You can’t pour from an empty cup. Parenting without any fuel is stressful and potentially impossible. Your own self-care is the fuel you need. Self-care is essential for your physical and mental well-being. Studies show that self-care practices are linked to decreased stress levels.

The following self-care practices can help reduce stress:

• Regular exercise (aim for 30 minutes per day)
• Choosing nutrient-dense meals
• Getting 7-9 hours of sleep (for adults) (Click here to read “What Is Sleep Hygiene?”)
• Spending time doing an activity you love (even for just a few minutes)
• Attending to your physical health (including scheduling well-checks etc.)

When you practice good self-care, you model the importance of self-care to your children too.

Need to take your self-care to the next level? Enroll in our FREE self-care course: A Happier You Starts with Self-Care

5. Ask for Help When You Need It

Sometimes creating simple schedules, focusing on self-care, and adopting stress-busting practices (like yoga or meditation) just aren’t enough to reduce all stress.

If unmanaged ADHD in your child (or you) is adding to your stress load, don’t hesitate to ask for you. Asking for help is a sign of strength.

You can ask for help from:

• Your child’s school (ask how things are going, ask if there are any accommodations that can benefit your child, etc.)
• Other family members (let others know if your child is struggling and how they can help e.g., sticking with the schedule, implementing bedtime routines, etc. so everyone is on the same page)
• Mental health care professionals

Remember…

Many parents and children are experiencing some of the same feelings this year: typical school-year jitters along, concerns about overcoming challenges, etc. Remember to be kind to yourself. We’ll all navigating a new normal, and a little extra dash of kindness will make the journey easier for us all.

How We Can Help Reduce Stress

Here at NextStep, our friendly and compassionate team is here to support you and your family. If you or your child is struggling or experiencing increased anxiety, don’t hesitate to reach out to us. Whether you need medication management, therapy, ADHD coaching, or parenting coaching, we can guide you with your next steps to help you and your family thrive.

To schedule an appointment, give us a call at 502-907-5908  or request an appointment online.

Meal Planning & ADHD: 9 Tips to Make It Work

Planning meals for your family can be stressful — especially if ADHD leads to feeling disorganized and unprepared. Learning how to meal planning can eliminate some stress around mealtimes.

Why Is Meal Planning Hard If You Have ADHD?

Meal planning refers to taking the time to choose your meals for the week. It can also include making your grocery list for the week too. So why is this so difficult if you have ADHD? Meal planning requires decision-making, planning, prioritizing — all of which are executive function skills. Because ADHD can lead to struggles with executive function skills, the struggle makes sense.

In other words, meal planning can be overwhelming and incredibly ADHD-unfriendly. The good news is that meal planning is a skill – and skills can be learned. In this article, we’ll explore the benefits of meal planning as well as 10 tips to make meal planning less overwhelming.

5 Benefits of Meal Planning for Your Family

Meal planning provides many benefits for you and your family. Exploring these benefits can be really motivating to stick with your plan. Think of this as your WHY as you embark on meal planning.

Meal planning can provide the following five benefits:

1. Reduces the feelings of overwhelm around planning for meals.
2. Helps you eat healthier. Planning ahead gives you a better chance of planning healthier meals.
3. Saves you time. Save time by avoiding the need to run to the store multiple times. You’ll also save time each night because you won’t have to think about what to make — you already know.
4. Saves you money. You can save money by reducing cutting out impulse buys and by avoiding duplicate purchases. Planning ahead also gives you an opportunity to take advantage of the weekly sales at your grocery store. Planning ahead also helps you stick with your budget.
5. Helps you cut back on fast food. We’ve all been there: it’s late and dinner isn’t made yet — so you order take-out. Planning ahead cuts out last minute fast-food choices.

In the next section, we’ll share tips for making meal planning less overwhelming.

9 Strategies for Making Meal Planning Easier

1. Make a Master List of 10 Recipes

A master list of recipes provides quick and easy references to some of your family’s favorite recipes.

Tips for making a master list:

• Include plenty of easy recipes for busy nights (think: Instapot or CrockPot recipes)
• Sort your recipes by category (beef-based, pasta dishes, chicken, side dishes, soups, etc)
• Keep them written down (in a blank journal, on a Word document, or on flashcards in a recipe box organizer)

When meal planning, you can refer to your master list to fill out your weekly meals. You can use as many recipes as you want. You might use meals only from your master list. Or, you can use some from your list and try 1-2 new recipes each week. Do what works for you.

Need inspiration? You get your free ADHD-friendly recipe book here.

2. Don’t Try to Memorize Your Meal Plan

Trying to memorize your meal plan will increase the risk that you deviate from the plan. You can write your meal plan:

• In a daily paper planner
• In an app
• On a dry erase board hanging in your kitchen

Tip: Using the dry erase board in the kitchen might be helpful to make sure your whole family is on the same page. This can limit the “What’s for dinner?” question.

3. Plan All of Your Meals

If you don’t make a plan for breakfast or lunch, you’ll more likely to either skip the meal or grab something quick from a drive-thru.

Include all of your meals when you meal plan. This doesn’t mean that breakfast or lunch has to be elaborate, time-consuming meals, either.

Examples include:

• Hard-boiled eggs and toast and a piece of fruit
• Overnight oats
• Brown bag lunch ideas such as leftover meat from dinner as a sandwich

Even if breakfast and lunch are quick meals, planning for them gives you time to get them ready. For example, if you know you want hard-boiled eggs for breakfast, you can make sure you allot time in the morning to get that done.

4. Check Your Daily Schedule

What if you have to work late on Tuesday? What if the kids have a dance recital on Thursday? Even on the busiest nights, you’ll still need dinner — but by taking your calendar into consideration, you ensure that you’ll have dinner ready.

Tip: You might designate busy nights as the slow-cooker night. You can also designate busy nights as leftover night — just reheat and go!

5. Check Your Pantry

When you’re meal planning, you don’t need to make 7 dinners each night from scratch with a pantry overhaul. You can use what you already have in your pantry to inspire your meals for the week.

For example, if you have a lot of canned tomatoes in your pantry, then plan a spaghetti night. Lots of chicken in your freezer? Try a pulled chicken recipe in your crockpot.

6. Choose In-Season Produce

Plan meals based on what’s in season. For example, planning a berry-based salad in the middle of winter might not lead to the best salad. Out-of-season produce tends to have less flavor and be more expensive.

Tip: If you want a fruit that is out-of-season, try the frozen version.

7. Don’t Forget to Plan for Leftovers

One of the most frustrating things is to end the week with a fridge full of leftovers. Instead, plan for your leftovers. Leftover night can be quite handy on busy nights.

Leftover nights cut down on wasted food, and it also gives you a night off of cooking.

How to make leftover nights not-so-boring:

• Get creative! If you don’t like having the same meal twice, you can repurpose your meals. For example, if you had steak on Monday, use the leftover steak to make steak tacos on Wednesday.
• Leftovers aren’t just for dinner. Make your lunches out of dinner leftovers. For example, if you have leftover roast chicken, you can slice it and top your salad with it.

8. Make Extra and Freeze It

Time-permitting, make a double batch of your favorite recipes. You can eat one batch for dinner, and then freeze the second batch for later. This can come in handy the following week if you need a quick dinner.

What can you freeze? Consider making double batches of meals such as:

• Soups (Lay flat in a Ziploc to freeze; once frozen, you can turn upright and stack soup easier.)
• Chili
• Bolognese sauce
• Waffles
• Meatloaf or salmon loaf

9. Schedule Your Meal Planning Time

The first step to meal planning is actually doing it. Set aside designated time to work on your meal plan in peace. It shouldn’t take more than 30 minutes.

Need More Guidance?

If you’re still feeling overwhelmed with planning and organizing tasks, we can help. Here at Next Step 4 ADHD, we provide comprehensive, multimodal support, including:

• Medication management
• Therapy
• ADHD coaching
• Online courses, including our FREE self-care course which focuses on nutrition

To make an appointment or to learn more, call us at 502-907-5908. You can also request an appointment here.

What to Do If ADHD Is Impacting Your Child’s Report Card

It’s no surprise that having ADHD can be challenging for adults. There are adults who find it difficult to manage (or event start) projects at work. Other adults may struggle to organize a household budget or calendar system. However, ADHD challenges aren’t limited to adults; children and teens may find that the challenges of ADHD can impact academic performance.

How does ADHD impact grades? Inattention is one of the biggest predictors of academic struggles, according to a study published in the journal Frontiers in Psychology.

If you suspect that ADHD is impacting your child’s academic performance, we recommend that you take your child for an assessment. Getting an accurate diagnosis is the first step in managing ADHD — and improving grades. As a full-service clinic, we offer all that your child needs from the initial diagnosis to medication management to parent coaching to therapy — and more.

In the meantime, we created this guide to help you prepare for conversations about bad grades.

When Your Child’s Report Card Surprises You…

Receiving a surprising report card can be upsetting for you, but keep in mind that your child may be upset too.

If your child comes home with bad grades, you might wonder how to talk about it. Here’s what you can do:

Tip #1: Give It Time

The first thing you want to do is to make sure you do not react in the moment. It’s tempting to want to express your frustration immediately. However, give yourself time to think and reflect.

Tip #2: Schedule a Time to Talk with Your Child

Instead of diving into the conversation about ADHD and grades, schedule it. Consider saying, “Let’s sit down together after dinner and talk about this, okay?”

Scheduling a time to talk gives you time to think and avoid hasty punishments.

Tip #3: Avoid the “I’m Disappointed” Tactic

It’s a classic scene.

A child hands over a report card to his parents, the parents scan the report card, and reply, “I’m really disappointed in you. I expected better grades.” You’ve probably seen this scenario played in TV shows or movies.

But this isn’t necessarily the best response to a bad grade.

Telling your child that you’re disappointed in his or her grades might work as a short-term motivator to bring grades up, but there are a few problems with this method.

1. It focuses all of the attention on your feelings
2. It encourages kids to work harder and get better grades just to avoid parental disappointment
3. It ignores the importance of intrinsic motivation

TIP: We want kids to do better because they want to do better. Doing good in school or improving a bad grade feels good, and this is a good opportunity to teach the value of intrinsic motivation.

So what should you do? Instead of focusing on your feelings, ask your child how she or he feels about the grades. We’ll cover this in the next section.

Tip #4: Plan Your Words & Create a Calm, Warm Atmosphere

Now that you’ve scheduled your talk with your child, what do you say?

TRY IT OUT LOUD: “I noticed that your chemistry grade is lower than we both thought it was going to be. Can you help me understand what happened here?”

The above sentence is much more approachable than this one: “You did not do well in chemistry at all. This grade is completely unacceptable.”

WHY IT WORKS: The phrase, “Can you help me understand,” gives your child a chance to explain his thoughts and what potentially contributed to the grade.

Listen to what your child has to say. Depending on your child’s age, she or he might have a lot of feelings about a bad grade. He might feel embarrassed to talk about it. She might feel surprised or confused, especially if she thought she was on track for a better grade.

Keep these tips in mind:

• Take your time. Don’t feel obligated to fill the silence. Let your child think for a few moments.
• Know that your child might say “I don’t know how I feel” and that’s a start. Remember your child or teen may not fully realize how ADHD impacts grades.
• Reassure that you’re not judging — simply trying to get to the root of the problem so you can help.

After your child responds, re-state what he said. Try saying, “It sounds like you’re having a difficult time with chemistry formulas, and it’s making you frustrated.” By stating your child’s feelings, you’ve demonstrated that you’re on his or her team. Plus, you’ve demonstrated a key component of emotional regulation — stating the feeling.

To continue the conversation, ask, “What do you think you need to do to improve your chemistry grade?” This is an important question. It creates a sense of accountability and teaches your child the importance of creating solutions to his or her problems. If your child helps to create the solution, he’s more likely to follow through.

Tip #5: Think Through Punishments and Consequences

It can be tempting to punish a child or teen for a bad report card, but punishments given in the spur of the moment are likely to be severe. Plus, severe punishments don’t necessarily teach the right lessons. But how do you give consequences for bad report cards? Do you punish bad grades? Reward the good grades?

Let’s go back and first explore what punishments are.

In psychology, there are two types of punishments:

• Negative punishments: something is taken away (like video game time) to decrease the unwanted behavior (bad grades)
• Positive punishments: something is added to the situation (like extra chores or even yelling) to decrease the unwanted behavior (bad grades)

There is a downside though. Punishments may work — but for the wrong reasons. For example, a child may work to improve grades to avoid getting yelled at, or getting grounded. This doesn’t teach your child why good behaviors are good and why the unwanted behaviors are bad.

Enter: Positive Discipline

To recap: Punishment describes methods of control, gained by enforcing rules and punishing undesired behavior. On the other hand, positive discipline is “a way of teaching and guiding children by letting them know what behavior is acceptable in a way that is firm, yet kind.” Positive discipline relies on the power of teaching.

In fact, the word discipline literally means “to teach.”

In other words, the consequences of bad report cards should be appropriate. Many parents are tempted to remove kids from sports, but research shows that this isn’t the most efficient solution. Activities like this are good for physical health, but they also boost confidence.

Instead, try linking other privileges (like extra video game time) with academic progress. You can use when/then statements to do this.

Here’s an example:

When your chemistry report is completed thoroughly and with care, then you may play your video game for X minutes.

Tip #6: Comment on the Good Grades, Too

Even if your immediate focus is on a less-than-stellar grade, don’t forget to comment on the good grades too.

• You studied really hard for your English exam, and it paid off.
• I can see that you worked really hard to bring your English grade up. Nicely done!
• Wow, your history grade is impressive. Tell me about your class. What did you enjoy learning?

Bonus: Always focus on progress — not perfection.

Tip #7: Brainstorm Ways to Improve Grades Together

Pam Valdes, a Certified Positive Discipline Parent Educator, weighs in on the topic of ADHD and grades:

“Remind your child that ADHD can make certain tasks more difficult, but emphasize that these are skills that can be learned.”

Pam continues, “Brainstorm ways to improve grades together. You’ll have to find what works for them, and you are there to help. Meet with each of your child’s teachers to obtain details about their school habits. Does the teacher have any ideas of the root of the problem?  Are assignments turned in on time? Does your child seem to understand the subject matter? Work with teachers to solve problems and share your plan for working with your child at home.”

Tip #8: Nurture Your Relationship

When it comes to working through any problem (whether that’s bad grades or not), it’s important to continue to nurture your relationship.

Pam shares, “Focus on your relationship with your child. It’s important to have some positive 1:1 time every day. That warm, loving relationship will go a long way in helping them to trust you and be open with you about their school problems.“

Supporting Your Child’s Academic Progress at Home

Whether your child is learning in a traditional or virtual school setting, you can continue to support your child’s academic career at home. One of the best ways to support your child is to identify any potential obstacles, including untreated or undertreated ADHD. Any child can experience a bad grade here or there, but ADHD symptoms like inattention can make school more challenging.

The best way to support your child with ADHD is to make sure that his or her ADHD symptoms are adequately managed. Don’t hesitate to reach out if your child’s treatment plan is no longer working.

There are other things you can do to support your child’s academic success:

• Establish a weekly time to “check in” with your child and talk about school.
• Establish a homework routine and homework station.
• Teach your child to prepare his/her backpack and assignments the night before.
• Brush up on study skills (i.e., setting designated study time, etc.)
• Get organized (together): use charts, folders, planners, binders, etc.

Most importantly, proactive support can help get ahead of the curve. If you help your child manage ADHD, implement solid study skills, and create an effective homework station, then you’re setting your child up for success.

Motivating Your Child to Work on School Work

When it comes to ADHD and grades, increasing motivation goes a long way. Throughout this article, we’ve discussed the importance of intrinsic motivation. This is a helpful skill for kids, but it’ll be useful far into adulthood too.

Explore this article and discover six tips for motivating your child.

Need help motivating your child to complete homework? Enroll in our FREE course, “Motivating Your Child to Work Independently.”

ADHD and Grades: What Can Mental Health Care Providers Do to Help?

ADHD treatment can improve all aspects of your child’s life, including academic success.

Here at Next Step 4 ADHD, we take multidisciplinary and holistic approach to your child’s ADHD treatment. Whether your child needs medication management, therapy, or a combination, we can guide you with your next steps. We also support YOU, which is why we offer parent coaching — to help you discover proven strategies to motivate and encourage children with ADHD.

To make an appointment for ADHD treatment, call us at 502-907-5908. You can also schedule a FREE 20-minute coaching consult to see if coaching is right for you.

5 Signs that ADHD Is Impacting Your Child’s School Performance

Is ADHD affecting your child’s school performance?
1. Your Child Needs to Move All the Time
2. Classroom Distractions Make It Harder to Focus
3. Your Child Struggles to Get His Thoughts onto Paper
4. Your Child Misses Due Dates
5. Your Child Complains about School
Plus, what you can do to support your child.

7 Brain Hacks to Sharpen Your Focus at Work

Maybe you’re struggling to focus during a 2-hour Zoom meeting? Perhaps you struggle to focus when your spouse is telling you about his or her day? In either case, the reality is that difficulty concentrating can impact your professional and personal life.

Difficulty paying attention is a common sign of ADHD. In fact, it’s one of the three main types of symptoms related to the condition: inattention, hyperactivity, and impulsivity. If you – or your child – are struggling with focus, we recommend that give us a call. With medication, therapy, and ADHD coaching, we can help you regain a laser-like focus.

In the meantime, you can also try these brain hacks to improve your focus at work.

Start the Day with Exercise

There are endless benefits of exercise, but the important thing to remember is that exercise isn’t just for losing weight – although it certainly helps! Exercise supports your cardiovascular system, your immune system, and helps reduce your risk of a myriad of diseases. Exercise also supports your mental health.

Exercise is good – so good – for your brain.

According to the experts at Cleveland Clinic, exercise:

• Supports your memory
• Improves blood flow to the brain
• Reduces stress hormones (cortisol)

Exercise also changes the structure of your brain! Whether your jogging on a mountain trail or logging a daily online HIIT class, exercise increases the thickness of the cerebral cortex. Exercise also helps your brain form new neural connections. Woohoo!

And here’s the best part? You don’t need to spend 5 hours in the gym each morning to score these perks. Simply working out for 150 minutes (per week) will sufficiently support your brain health and help you develop stronger focus during the day. That’s just 30 minutes per day!

Some fun activities include swimming, yoga, dancing, or cycling. As Certified Health Coach Pam Valdes says, “The best exercise is the one you do!”

Fuel Your Body

Perhaps you’ve heard that breakfast is one of the most important meals of the day? There’s a good reason for that. Breakfast helps you “break your fast” from overnight.

But skipping breakfast can take a toll on your ability to focus at work. Apart from the oh-so-distracting tummy grumbles, skipping breakfast can impact memory and concentration.

According to research, breakfast can give you the mental edge by helping to keep your blood sugar stable, boosting short-term memory, and sparking creativity. Researchers also found that those who eat breakfast are – on average – more productive throughout the day.

Over 50 ADHD-friendly recipes curated by Certified Health Coach Pam Valdes.

Need some new breakfast ideas to add to your menu? Grab your free ADHD-friendly recipe book here.

Don’t Skip the Good Fat

Fun fact: the human brain is made up of about 60% fat. This fact explains why consuming essential fatty acids (aka the good fats) is so important. Your brain needs good fats to function properly.

Walnuts, flax seeds, chia seeds, avocados, salmon, and eggs are all great ways to sneak some healthy fats into your diet to help your brain run smoothly.

Don’t Try to Memorize Your To-Do List

If you have 101 thoughts swirling in your head, it’s hard to focus on one of them – let alone all of them. To help you focus on one task at a time, write down your to-do list for the day.

What to do:

• Write each task, thought, idea, etc.
• Sort out the notes by things to do today, things to do tomorrow, things to do on a future date
• For today’s items, organize them by hour

Tip: Use a paper planner or an app – but don’t try to keep the ever-growing list in your head!

Eliminate Distractions

Distractions are one of the quickest ways to lose focus, but the problem is that distractions are everywhere.

• An iPhone buzzing to let you know you have new messages
• An alert on your computer telling you to check your email
• The commercials on your radio at work

With a deluge of distractions, it’s hard to stay on track.

The solution? Eliminate all pointless distractions.

Maybe this means that you turn your phone on airplane mode. Maybe this means you shut your office door while you’re working on a big project. Maybe it even means you remove social media apps from your phone.

Set Small Goals

Huge, life-changing goals are important. Graduating college, landing a dream job, moving to your dream house, starting a bakery in your hometown. These are all big – and worthy – goals.

But don’t overlook the importance of small goals. They are the stepping stones to reach your big goals.

Staying focused on a 10-year (or even 2-year) vision isn’t easy. Setting small, attainable goals can help you keep focused on what’s important to you. (This applies to goals at work and in your personal life too!)

If your big goal is to land a big promotion at work, your mini-goals can include updating your resume or meeting with a mentor at work. These mini-goals are essential for your big picture, and they help you stay focused at work. Accomplishing your mini-goals can set yourself up for success later.

Not to mention, reaching these milestone goals also impacts your brain. When you reach a goal (whether it’s a big one or a mini one), your brain registers success – and that triggers the “reward mechanism” i.e., a flood of dopamine.

Count Those Sheep

Nothing can put you in a daze faster than less-than-stellar sleep. Sleep deprivation can zap your ability to focus at work – and it can also cause increased irritability, daytime sleepiness, and headaches.

Adults need to aim for 7-9 hours of sleep each night, but children need more. Check out this chart to see if you’re getting enough.

Are you getting enough sleep? If not, check out our article on sleep hygiene to learn strategies to catch more Zzz’s.

What If These Tips Aren’t Enough?

Mastering your focus at work isn’t always easy. Your brain needs the right fuel, enough sleep, a well-balanced diet, and reduced stress levels. However, if you’re implementing these strategies and still struggling with sleep, an ADHD assessment can start you on the path towards the right treatment. Here at Next Step 4 ADHD, we rely on a multimodal approach to help you manage your ADHD symptoms. Medication, therapy, and coaching can help you overcome your challenges – and thrive!

To learn more about your options, give us a call at 1-800-503-ADHD  . You can also request an appointment easily using our online form.

Cardio or Strength Training: Which Is Better Exercise for ADHD?

It’s a given: exercise is essential for a healthy body and a healthy mind. Exercise can lift your mood, help you sleep better at night, and reduce your chances of developing certain diseases — the benefits of exercise are endless. But did you know that exercise can (sometimes dramatically) reduce the troublesome symptoms of ADHD? 

In fact, exercise is one of the three main pillars of self-care. Whether you’re into jogging or Peloton biking or hiking in the mountains, exercise is an important component of a holistic ADHD treatment plan. But when it comes to exercise and ADHD, which type of exercise is better?

Let’s dive in.

Aerobic Exercise for ADHD

First, what is aerobic exercise? Aerobic exercise — which means exercise “with oxygen” — is cardiovascular conditioning. You probably call this type of exercise “cardio,” and it can include activities like dancing, walking, swimming, jogging, or biking.  One of the key differences here is that your breathing and heart rate will increase during these activities.

Is cardio good for managing ADHD symptoms?

Dr. John Ratey, a neuropsychiatrist from Harvard Medical School, says YES!

In an article published by the Attention Deficit Disorder Association, Dr. Ratey explains, “The best types of exercise encourage the development of connections between parts of the brain and in addition, stimulate the brain to release neurotransmitters (brain chemicals that improve the symptoms of ADHD).”

Finding the Right Cardio

The ideal activity to help manage the symptoms of ADHD:

• Is aerobic
• Requires you to remain alert
• Requires you to make quick changes (such as tracking the racquetball and pivoting quickly to return the ball)
• Involves cooperation and interaction with others
• Is connected to a personal meaning for you
• Is fun

You may find that many activities fit these requirements. A few examples include dancing, Zumba classes, soccer, tennis and racquetball, running (especially with a running group), walking, HIIT and Tabata, and jump rope. Martial arts — including ju jit su, karate, and tae kwon do — are also a good aerobic exercise for individuals diagnosed with ADHD. These sports have been shown to increase focus during homework, enhance academic performance, and decrease misbehavior in children diagnosed with ADHD. ^[1]

Dance is another activity that hits the above-mentioned requirements. It’s aerobic, it’s fun, it requires quick changes, and if you involve your family, it can give you the opportunity to develop a personal meaning with the activity. And the best part? You don’t even need to leave your home. You can find a dance-themed workout easily on YouTube. Interested? Grab your gym shoes and get groovin’!

Why Is Cardio Good for People with ADHD?

During an aerobic activity, your body requires more oxygen, which means your heart is pumping more blood to the brain. And more blood = more oxygen. More oxygen means that your brain cells are better-nourished, which can supercharge focus, the ability to learn, memory, and even emotional regulation, for 2 to 3 hours afterwards.

Specifically, scientists have linked vigorous, high-intensity workouts with more active brain cells. What does this have to do with ADHD? When the brain cells become more active, there is a surge in the production of a protein called brain-derived neurotrophic factor (BDNF). What?!

If you’ve never heard of BDNF, that’s okay! But this is the takeaway:

• Exercise encourages your brain to produce a protein called BDNF.
• BDNF is “associated with cognitive improvement and the alleviation of depression and anxiety,” according to a 2016 study published in eLife.

And here’s the important part: cardio workouts give the biggest boost to BDNF production.

Cardio helps in other ways too.  Dr. Gimpel, a board-certified psychiatrist and neurologist and head of the Brain Power Clinic in Jerusalem also shares in the importance of cardio:

“Exercise alone increases levels of dopamine, which could improve concentration for hours after completion. But combine that exercise with a deep mental focus and patients may see even more positive results. I have businessmen that do not hold meetings unless they’re between 9 and 11 in the morning,” says Dr. Gimpel. “They go to the fitness center in the morning and create those perfect two hours of concentration without medication.”

So, the score:

• Cardio: 1
• Strength training: 0

Strength Training Exercise for ADHD

What is strength training? Strength training refers to exercises that build your endurance and strength. It includes lifting weights, but you’re not limited to using weights. You can use your own bodyweight to perform strength training exercised. This includes sit-ups, push-ups, pull-ups, etc.

Is strength training good for people with ADHD? YES!

So, the score:

• Cardio: 1
• Strength training: 1

It’s a TIE! Pam Valdes explains, “The bottom line is that there is no definitive answer. The majority of research tends to lean towards cardio being more beneficial to brain function, but then again, cardio is the mode that has been studied in most of the research, so the results may be skewed.”

Combining the Benefits of Cardio and Strength Training

For optimal physical and mental health, you can benefit from both cardio and strength training. According to the American Heart Association, you should aim for:

• 150 minutes of moderate activity per week
• 2 strength training sessions per week

Regardless of which type of exercise you choose, be sure to choose activities that are social, fun, and meaningful.

Which Type of Exercise Should YOU Do?

Certified Health Coach Pam Valdes weighs in:

The absolute best exercise for ADHD is the one you will actually do. It’s perfectly fine – maybe even helpful – if that changes from year to year, or even day to day.”

If you’re stuck — or you have a hard time logging your workouts — we can help. With our ADHD coaching program, we can help you learn the strategies you need to meet your self-care, exercise, and nutrition goals.

References:

1. Morand, Matthew K., et al. “The Effects of Mixed Martial Arts on Behavior of Male Children with Attention Deficit Hyperactivity Disorder.” Unpublished doctoral dissertation Hofstra University, Hampstead, NY (2004).

ADHD Coaching: Everything You Need to Know

An ADHD coach is a coach specifically trained to help adults, teens, and children with attention deficit hyperactivity disorder (ADHD) better manage their lives. ADHD coaching is also helpful for parents of children with ADHD. Coaching is a collaborative partnership designed to help you bridge the gap between where you are and where you want to be. Your coach will help you set and achieve goals through guidance, support, and accountability. Together you develop strategies to tackle the challenges often experienced by those with ADHD. You can learn to be more organized, improve concentration and focus, manage time, and prioritize. Coaching can even help you overcome procrastination! Your coach will help you tap into your strengths and learn to be kinder to yourself in order to create the extraordinary life you deserve.

What is ADHD Coaching?

ADHD coaching is a blend of life coaching, skills coaching, and education. It uses all three elements to help clients cultivate the self-awareness required to understand and work with their own unique brains, thereby recognizing, appreciating, and sharpening their strengths to reach their goals, enjoy their passions, and achieve lifelong well-being.

In a nutshell:
• ADHD coaching helps people with ADHD come up with specific and practical strategies to help them deal more effectively with daily challenges.
• Coaches collaborate and problem-solve with clients, help them identify and define the problem, and then brainstorm potential solutions with the client.

They also help clients implement what they’ve learned in their daily life.

Coaching Versus Therapy

If you’re struggling with the symptoms of ADHD, you might wonder if you need coaching, therapy, or a combination of both. The following chart depicts some of the key benefits of each modality. Coaching and therapy have their own unique benefits, but they also share a lot of the same benefits.

A few takeaways:

• Therapy is about insight; coaching is about action and getting things done. (Favorite, 1995)
• Coaching focuses on specific goals and objectives. It is a pragmatic, behavioral, results-oriented, “just do it” approach, as opposed to a process, insight-oriented, intellectual approach (Levrini & Prevatt, 2012).
• The structure of coaching tends to be open and flexible. Text or email support and reminders between coaching sessions is common and recommended.

Coaching may require ongoing support, encouragement, structure, accountability, and sometimes gentle but firm confrontation (Murphy, 2005).

Here’s another way to look at the benefits and differences of therapy and coaching:

In a nutshell:

Coaching targets the core impairments of ADHD such as planning, time management, goal setting, organization, and procrastination. Coaching is results oriented, with specific behavioral goals.”

Coaching Services at Next Step 4 ADHD

Here at Next Step 4 ADHD, coaching services are part of our multidisciplinary treatment philosophy. Coaching services are available to adults, parents, teens, and children in any of the 50 states.  ADHD coaching is offered via telehealth so you can get the guidance you need straight from the comfort of your own home.

Coaching can improve deficits in executive skills, including time and task management, planning, organization, as well as strategies to manage mindset and to minimize the impact of ADHD.

Adults

Coaching is recommended for adults with ADHD who have specific goals that they want to work on and want more support, structure, and accountability than they can provide for themselves. Whether you need help with organization, nutrition, improving your sleep, or your relationships, we’ve got you covered.

Teens

Coaching is available for high school-aged teenagers, 14 yrs – 18 yrs old. According to the Center for Disease Control and Prevention (CDC), about 3 million teens live with ADHD.

Parents

Coaching sessions aren’t just for the individuals who are diagnosed with ADHD. Parents may benefit from parent coaching sessions. During these sessions, parents will learn strategies for parenting children with ADHD.

Kids

Coaching for children is available for children in 6th grade and up. Coaching can help with planning and organization at school and home. Kids typically will be coached with their parents, who are often involved in sessions.

Coaching Packages

Motivation gets you started, but habit keeps you going. That’s why we bundle our coaching sessions into packages so that you can build the habits you need to create life-changing habits.

What’s a coaching session like? Our coaches take the time to get to know YOU and your struggles. This means that each session is geared towards your unique goals, strengths, and challenges. With text and email support, you’re just a call or click away from your ADHD coach.

ADHD Coaching for College Students

ADHD may present unique challenges for college students — for both in-person and online learners. College courses demand a lot of focus, time management, memory, and follow-through. But if you’re a college student living with ADHD, these struggles (including procrastination) are exacerbated by the intense pressure of daily classes, assignments, essays, lab work, and exams. As intimidating as college courses can be, it is also the perfect opportunity to shine — if you understand the way your brain works.

About Pam Valdes

Pam Valdes is a certified Health Coach with a focus on ADHD coaching. She has a strong background in wellness and counseling. She has provided caring coaching to adults and teens for over 10 years.

Pam specializes in working with adults and teens to address the core issues related to ADHD. As a coach, she helps clients set and stay focused on goals, face obstacles, and develop strategies to handle the responsibilities and tasks that are often made difficult by the symptoms of ADHD.

You can reach Pam directly through our coaching line at 502-475-3296. Alternatively, you can request an appointment here .

What Is Growth Mindset?

“In a growth mindset, people believe that their most basic abilities can be developed through dedication and hard work—brains and talent are just the starting point. This view creates a love of learning and a resilience that is essential for great accomplishment.” (Dweck, 2015)

When a child has a growth mindset, he or she believes that his talents can be developed through hard work, determination, practice, and so on.  In contrast, a child who has a fixed mindset believes that he is born with a certain amount of talent (or intelligence) and that can never change no matter how much effort (studying, practice) they put forth.

Having a Growth Mindset Is Important

Having a growth mindset is important as an adult. In fact, it’s something that employers want to see in their employees.  If you — as an employee — believe that you can learn and become more skilled and intelligent, you’ll be a hard worker and contribute a lot to the company. An “I can’t” statement won’t stop your success.

A growth mindset isn’t just important for adults though. It’s so important for a child’s mental well-being and his success in school too.  As a student, your child will be more open to learning new things with a growth mindset. Having a growth mindset also helps to shape positive self-talk, increased confidence, and self-esteem.

Growth Mindset Versus Fixed Mindset: What’s the Difference?

What is the biggest difference between a growth mindset and a fixed mindset? One of the biggest differences is how a person (whether that’s a child or an adult) handles criticism and mistakes. A person with a growth mindset sees mistakes as learning opportunities, while someone with a fixed mindset sees mistakes as failures and takes all criticism to heart.

Watch the following video to learn more about the differences between these two mindsets.

Teaching Growth Mindset to Your Child

As a parent, one of the greatest gifts you can give your child is to teach him to develop a growth mindset. Here are nine strategies to do so.

1. Show your child that your brain is malleable.

Your brain can grow, but how do you teach this to your child?

According to Dr. Dan Siegel, M.D. author of The Whole-Brain Child, children start to develop a growth mindset just from learning about how their brain works and grows. How cool is that? Developing a growth mindset literally starts by talking about your brain! 

Once your child understands that his or her brain physically grows connections as they practice and learn new skills, it’s more likely that he’ll become excited about the learning process — and feel less worried about making mistakes.

So how do explain all the wiring in the brain?

Dr. Siegel explains it in a simple sentence:

““When neurons fire together, they grow new connections between them. Over time, the connections that result from firing lead to “rewiring” in the brain.”

2. Teach your child about the two mindsets.

Once your child knows that his brain can grow (when neurons form new connections), it’s time to explain the two mindsets to your child: fixed and growth. This fun video explores how a friendly monster learns about the importance of developing a growth mindset.

3. Model growth mindset thinking and behavior.

You’ve probably heard the phrase: children model what you do, not what you say. Indeed, children model your behavior and that includes growth mindset thinking too.

“As children develop, their brains “mirror” their parent’s brain. In other words, the parent’s own growth and development, or lack of those, impact the child’s brain. As parents become more aware and emotionally healthy, their children reap the rewards and move toward health as well,” Dr. Dan Siegel says. 

So how do you model growth mindset thinking? The easiest way to model thinking is to let your children overhear you “think” out loud. Here’s an example:

• You’re attempting to make a new recipe from a new cookbook, but it’s just not turning out the way you want.
• You could say “This is too hard” but that’s not growth mindset thinking.
• Instead, say something like “This is harder than I expected it to be. I better keep practicing until I get the hang of it.”

The more you model this type of thinking, the more your children will pick up on it.

4. Discuss positive and negative self-talk.

When you’re teaching your child about growth mindset, it’s important to give them the tools to succeed, and one of the tools is positive self-talk statements. 

Want your own positive self-talk poster? Download your free poster here: 10 Growth Mindset Statements

Tip: If you hang it up in your child’s room (or your homeschool room), laminate it first.

5. Look for effort.

Remember to set the value on effort rather than perfection. For example, your child can’t control if he is successful in every endeavor, but he can try to be successful in every endeavor — and that makes all the difference.

Recognize your child’s efforts, and this is true even when your child succeeds too.

For example, you might be tempted to say “Good job getting that home run!” Although it’s great that he performed well, don’t forget to praise the effort. You can try something like, “Wow, I saw you work really hard to run that final stretch! Your hard work paid off!”

6. Incorporate “yet” into your vocabulary.

If you have small children, you have probably heard your fair share of “I can’t” statements.

I can’t tie my shoes.

I can’t rollerblade.

I can’t ride my bike without training wheels.

Those statements might be true, but they are coming from a fixed mindset, and one simple 3-letter word can transform those sentences into growth mindset statements.

I can’t tie my shoes… yet.

I can’t rollerblade… yet.

I can’t ride my bike without training wheels… yet.

And just like that, your child is ready to grow. He might not be able to ride a bike (yet), but it begs the question: what can I do to reach that goal? By teaching your child to think this way, it adds hope and optimism to their way of thinking.

7. Help your child create S.M.A.R.T. goals.

Carrying on from the previous point, you can use the oh-so-powerful “yet” to help your child create goals. Going back to the bike riding example, what goals can be created to reach the goal? Whatever goals and milestones, make sure your goals are S.M.A.R.T.

Here’s an example:

• S = Specific – I will learn to ride my bike without training wheels by September 3.
• M= Measurable – I will succeed when I can ride around the block on my bike completely unassisted without any training wheels without stopping/falling.
• A = Achievable – With daily practice, yes, this is achievable and within the realm of possibility. 
• R = Relevant – There are many benefits to reaching this goal. Not only will I be proud of myself, but now I can go on the bike trail with my family.
• T = Timely – By September 3.

Tip: You can use S.M.A.R.T goals for your own personal goals too!

8. Celebrate mistakes as learning opportunities.

“If you want to grow, you need to get over any fear you have of making mistakes.” John C. Maxwell

It can be uncomfortable and embarrassing to make a mistake, but the reality is that mistakes can be powerful (and even life-changing) opportunities to grow. Here’s another way to look at it: “There are no mistakes or failures, only lessons.” Denis Waitley

So how do you teach your child to see a mistake as a learning opportunity? You can start through conversations. After a mistake (such as waiting until the last minute to complete a big project and then not doing so great), ask your child what she will do differently next time. Although a rushed project and a poor grade isn’t great, it teaches a very memorable lesson about the importance of not procrastinating.

You can also share your own mistakes from the day and what you learned from them. After all, it’s 100% possible to learn from other people’s mistakes too!

9. Avoid labels.

Most parents know that negative labels aren’t good for a child’s mental health. “You’re so lazy” or “You’re such a bully” are detrimental, but even “good” labels can be problematic. “You’re so smart” might seem like a good label, but the reality is that any label can place a child into a fixed mindset.

Instead of using labels, comment on your child’s efforts. The goal is to help your child believe that (regardless of his or her natural talents) that he can always continue to grow, and real growth is linked to time and effort.

Growth Mindset and ADHD

People with ADHD tend to have innate negative thinking patterns, which have been reinforced by years of shame. In fact, shame is often linked to ADHD. After years of internalized messages of “I’m lazy” or “I can’t do this”, it becomes necessary to undo years of negative, fixed mindset thinking. 

Shifting to a growth mindset is beneficial for children and adults alike. A growth mindset can:

• Empower you to feel in control of your own emotions and actions
• Manage unwanted reactions and emotions

Start the School Year with Confidence

Are you searching for actionable strategies to motivate and encourage your ADHD child? In addition to practicing these growth mindset strategies, your child may benefit from professional care. We’re proud to offer a multidisciplinary and holistic approach to you and your child’s mental health needs. Dr. Kristi Briscoe is a board-certified pediatrician specializing in effective medication management, parent coaching, and proven strategies to motivate and encourage children with ADHD.

To make an appointment, call us at 502-907-5908. You can also request an appointment here.

10 Benefits of Exercise (Plus, How to Make It Part of Your ADHD Treatment Plan)

There’s no denying that the right ADHD medication can make a big impact in your quality of life. But do you know that exercise can also help you manage your ADHD symptoms?

We talked to Next Step Health Coach Pam Valdes to understand the benefits of exercise and how/why exercise should be a part of your holistic ADHD treatment plan.

Why Exercise is Important if You Have ADHD

Exercise isn’t just good for losing weight or building lean muscle mass — although it does help with those goals. Exercise can help keep your brain in  shape, too.

Here’s how exercise helps your brain work better:

Exercise releases neurotransmitters:

When exercising, the brain releases endorphins – hormone-like compounds that regulate mood, pleasure, and pain. Exercise also elevates dopamine, norepinephrine, and serotonin, which affect focus and attention – this is what stimulants do. People with ADHD often have less dopamine than usual in their brain, and dopamine helps with clear thinking and attention.

Exercise turns on the pre-frontal cortex:

Exercise also turns on the pre-frontal cortex of brain, which plays a major role in strengthening your executive function skills. Pam explains, “Neuropsychological effects of exercise are greatest with those individuals with baseline executive function deficits, as commonly seen in ADHD.

Exercise improves brain structure:

Yep, you read that correctly: exercise improves brain structure and functioning – one of the few things that can be done after age 25 to increase neurogenesis.

Physical activity is one of the most underutilized interventions to improve ADHD-related cognitive function. This doesn’t mean exercise is a replacement for medication. Pam explains, “It’s not a replacement for meds, but an important complement to it, and exercise can sometimes reduce amount of medication needed.”

10 Benefits of Exercise

Exercise can affect your physical health as well as your mental health whether you have ADHD or not. According to Pam, exercise can provide the following ten benefits:

1. Improved concentration, focus, and attention
2. Improved regulation of mood – it can help you feel more calm and less irritable, and even reduce the symptoms of depression
3. Improved quality and quantity of sleep
4. Increased productivity
5. Reduced stress
6. Improved working memory and clarity of thought
7. Increased motivation
8. Increased sense of control, less hyperactivity, more impulse control
9. Improved general health
10. Increased self-confidence and sense of self-efficacy – reduces learned helplessness

According to the CDC, these benefits extend to both adults and children.

How ADHD Can Impact Exercise

While exercise can reduce the severity of ADHD symptoms, the reverse is also true. Unmanaged ADHD can impact your exercise routines. In fact, Pam says, “Individuals with ADHD tend to be less physically active.” But why? Below are a few examples of how unmanaged ADHD can affect your ability to stay active:

• Struggling with motivation and impulse control can make it difficult to begin exercising
• Poor planning can create problems putting an exercise goal into action
• Overscheduling and over commitment can make it hard to make time for exercise
• Procrastination can make it easy to put off your exercise plan
• Poor organization skills can make it a challenge to make arrangements to exercise
• Problems with prioritization can make easy to put your needs last
• Feeling down or depressed can make it a challenge to take any action

Do you find yourself agreeing with the above statements? You’re not out of luck, though! With a multidisciplinary-treatment plan, coaching, therapy, and medication can help you reach your goals.

How Much Exercise Do You Need?

“Some physical activity every day is best, but that doesn’t mean you have to go to the gym everyday – ways to work small bursts exercise into your day,” Pam explains.

“A 2006 study by Arthur Kramer, Ph.D., used MRI scans to show that walking as few as three days a week for six months actually increased the volume of the prefrontal cortex in older adults,” she continues. This means that exercise can produce immediate results and can be used right before a test or important meeting to optimize brain function.

Don’t forget to follow the 5-minute rule: Even a little bit of exercise (just 5 minutes if that’s all you can find) is so much more than none!

What Kind of Exercise Is Best for ADHD?

“Any exercise is beneficial, but exercise that incorporates balance, strategy, focus, and sequencing can be especially helpful,” Pam explains.

Any of the martial arts, ballet, ice skating, gymnastics, rock climbing, mountain biking, whitewater paddling, and skateboarding are especially good for adults and children with ADHD. Why, exactly? The technical movement inherent in these types of sports activate a vast array of brain areas that control balance, timing, sequencing, evaluating consequences, switching, error correction, fine motor adjustments, inhibition, and, of course, intense focus and concentration.

That is not to say that activities such as lifting weights or going for a walk are not helpful – they are! Consider outdoor workouts for mood-enhancing benefits. Yoga and Pilates can be great for calming the mind, in addition helping with focus and concentration.

Bottom line: The best kind of exercise? The kind that you will stick with and enjoy!

Exercise As Self-Care

Exercise is a great form of self-care, and it’s something that you should incorporate into your daily schedule. You can learn more about the benefits of exercise and other forms of self-care in our free video series, “A Happier You Starts with Self-Care.”

Exercise as Self-Care

Nutrition as Self-Care

Sleep As Self-Care

Get the ADHD Treatment You Deserve

Here at Next Step, we’re proud to offer a multidisciplinary and holistic approach to you and your child’s mental health needs. Whether you’ve been diagnosed for years, or you’re just now starting your treatment journey, we can guide you with your next steps so you and your family can thrive. Call us at 502-907-5908 to get started.

About Pam Valdes

Pam Valdes is a certified Health Coach with a focus on ADHD coaching. She has a strong background in wellness and counseling. She has provided caring coaching services to adults and teens for over 10 years.

Pam specializes in working with adults and teens to address the core issues related to ADHD. As a coach, she helps clients set and stay focused on goals, face obstacles, and develop strategies to handle the responsibilities and tasks that are often made difficult by the symptoms of ADHD.

You can reach Pam directly through our coaching line at 502-475-3296. Alternatively, you can request an appointment here.