לד"ר פלד שינוי מריטלין ל Deprexan

דר. פלד שלום רב ! אני מפנה את השאלה אילך כיוון שכך יעצה לי משתתפת קבועה בפורום. בני כבן 10 מטופל כ 3 שנים בריטלין בשל הפרעת קשב וריכוז. לאחרונה חלה ירידה בהשפעת התרופה עליו ובשל כך ממליצה הרופאה הנירולוגית אצלה הוא מטופל לעבור לטיפול ב Deprexan אבקש לדעת פרטים על התרופה הזאת והאם יש לה תופעות לוואי. בתודה

Coaching For Adults with ADD: The Missing Link between the Desire for Change and Achievement of Success by Bonnie Favorite, EdD For many years, the standard treatment for adults with ADD has been a combination of medication and psychotherapy. Medication helps to control the symptoms of ADD, while psychotherapy helps a client to develop insight into the causes of his behaviour and the impact of that behaviour on others. Even this two-pronged approach to treatment may be insufficient, however. Adults with ADD may leave the therapist's office, armed with a carefully written prescription and braced with a greater understanding of ADD, themselves, and their behaviours. They may genuinely want to behave differently, to work diligently toward goals and to interact more successfully with others. Unfortunately, because of this disorder, many adults with ADD lack the sustained focus and attention necessary to achieve the changes they so desperately desire. Something more is needed. Coaching may be something more, the missing link, that enables adults with ADD achieve the changes in their personal and professional lives. As such, coaching can be a third, highly valuable component of an overall treatment program for adults with ADD. Coaching in no way replaces either medication or psychotherapy. However, coaching is another helping relationship - different from therapy most notably in that coaching focuses on the practical implementation of the client's goals. In essence, while therapy is about insight, coaching is about action, about getting things done. In general, a coach works with a client frequently, but for brief periods, to help the client stay focused on his or her most pressing task or goal. The coach, through a combination of face-to-face meetings, telephone calls, and check-ins, teaches the client to break down large tasks or goals into small, manageable steps. Most importantly, the coach requires the client to be accountable, first to the coach and ultimately to himself or herself, for taking these steps and working steadily toward larger, more meaningful goals. There are precedents in various arenas that clearly support the value of a coach in bringing about personal and professional change. A personal trainer helps a person to outline a detailed exercise and fitness plan and monitors the person's performance and progress. Similarly, in the corporate world, executive coaches create performance improvement plans for employees, helping individuals to close the gap between the requirements of their jobs and their skill and performance levels. Finally, within the field of career development, career consultants and strategists help individuals clarify long-term career goals, successfully manage career transitions, and devise marketing campaigns to obtain new and better positions. All of these professionals - personal trainers, executive coaches and career consultants, coach clients to help them to achieve desired outcomes. As such, they have much in common with coaches of adults with ADD. However, the goals and processes of ADD coaches are somewhat different than those utilized by these other types of coaches. Specifically, ADD coaches are more likely to focus on helping the individual to develop skills and strategies that compensate for the weakness that result from having ADD. Also, ADD coaches typically communicate with their clients quite frequently - perhaps even every day - to assure that the client stays on track, maintains focus and direction, and makes steady progress. This, too, is a acknowledgment of the special needs of adults with ADD. The process of ADD coaching is highly flexible. Initial goal setting and strategizing typically takes place in a face-to-face meeting between the client and coach. After the initial session, however, continuing contact between the client and coach may be by telephone, fax, or even using electronic mail. This schedule is NOT for the benefit of the coach; rather, it reflects the need an adult with ADD has for frequent reminders in order to stay focused on the most important task facing him or her at any point in time. The process of ADD coaching, therefore, is highly flexible because this flexibility directly benefits the client. In the preface to Thom Hartmann's book, ADD Success Stories, John Ratey describes ADD as an environmental dependence syndrome. That is, the adult with ADD is dependent on cues in the environment in order to accomplish goals and tasks. In essence, the coach become an integral part of the ADD adult's environment, providing the necessary cues at the appropriate times for the clients. This, in turn, helps the client to make decisions, prioritize and sequence tasks. What does it take to become an ADD coach? At the present time, there is no specific educational background or license necessary to become a coach. There are successful ADD coaches with backgrounds in psychology, education and in related fields. Therefore, it is particularly important for adults with ADD to screen potential coaches, carefully electing to work only with those individuals who have credentials and skills which the client feels will be most helpful to them. To be an effective coach, a person must first have a thorough understanding of the complex dynamics of ADD. In addition, an effective coach must be able to work in partnership with the client's psychotherapist, communicating with the therapists (with the client's written permission, of course) about the client unique needs and goals. ADD coaches should also have an additional skill: they need to be able to engage the client in strategic planning and design implementation plans. Coaches often have particular experience and strengths in the areas of time management, organization, and/or project management. Again, these are all practical skills which enable the coach to support the client in practical ways. In some cases, a friend, spouse or family member may attempt to take on the role of coach, encouraging the adult with ADD to stay on task and get things done. However, adults with ADD may be uncomfortable with or even actively resist accepting encouragement of feedback from someone they know well (and someone who has a vested, personal interested in changes being achieved). More importantly, the friend or family member may lack the specific skills or knowledge that will be most helpful to the adult who is struggling to overcome issues related to his ADD. For these reasons, it is preferable for an individual to utilize the services of a professional ADD coach whenever possible. Specialized training is highly recommended for individuals who would like to become ADD coaches. Currently, the best source of such training is the National Coaching Network (NCN), an organization established to provide referrals, training, educational materials and networking opportunities for coaches of adults with ADD. This organization was founded by Nancy Ratey, EdM, and Sue Sussman, MEd, both of whom are nationally recognized as coaches, trainers and speakers. (For more information on NCN, write to PO Box 353, Lafayette Hill, PA 19444 USA). In sum, coaching for adults with ADD is a useful adjunct to the traditional treatment of medication combined with psychotherapy. Indeed, coaching can provide the missing link that will enable an adult with ADD to successfully accomplish that change in daily life. Bonnie Favorite, EdD is an educational consultant and coach in private practice in Greensboro, North Carolina. -------------------------------------------------------------------------------- http://www.add-toronto.org/art_miss_link.html