After Diagnosis: What Then? Many adults with ADD have been assisted to lead more satisfying and productive lives through appropriate diagnostic and treatment services. In addition to ADD, they may have a variety of behavioral, social, academic, vocational, and family concerns to be addressed. The method of treatment supported by professionals may include a combination of education for the adult and his or her family and close friends, educational/employment accommodations, medication, and counseling. Appropriate treatment is determined according to the severity of an individual's disorder and the type and number of associated problems. Many people have benefited from a treatment plan that includes medication. Used in conjunction with education and counseling, it can provide a base from which adults can build new successes. The purpose of medication is to help the adult to help him or herself. It provides the biological support needed for self-control. As such, the individual is not "controlled" by medication; the efforts to succeed are his or her own. Many adults feel a sense of relief following diagnosis. The uncertainty over what was "wrong" is replaced with information and hope for the future. Some tips that adults with ADD have found useful include: o Use External Structure. Once in place, structure helps the adult stay on track. This includes using date books, lists, notes to oneself, color-coding, routines, reminders and files. o Choose "Good" Addictions. Select exercise or other healthy, favorite activities for a regular structured "blow-out" time. o Set up a Rewarding Environment. Design projects, tasks, etc., to minimize or eliminate frustration. Break large tasks into smaller ones; prioritize. o Use Time-outs. Take time to calm down and regain perspective when upset, overwhelmed or angry. Walk away from a situation, if needed. o Use Humor. It's useful if partners and colleagues are constantly providing an aggressive push to help one stay on track -- as long as its done with humor and sensitivity. Learn to view symptoms of ADD with humor and to joke with close friends and relative about symptoms, such as getting lost, forgetfulness, etc. o Get a Coach. A friend, spouse, counselor, etc. can help you with organization, point out what needs to be done, and provide encouragement. o Become Educated and an Educator. Read books. Talk to other adults who have ADD. Let people who matter know about personal strengths and weaknesses related to ADD. Be an advocate. New Directions. CH.A.D.D. is working to increase the understanding of ADD in adults. In 1993 it changed its name to "Children and Adults with Attention Deficit Disorders." In addition to increasing public and professional awareness of this previously "hidden" disorder, additional research and training is needed to develop diagnostic and testament procedures. For more information contact your local CH.A.D.D. chapter or the national CH.A.D.D. office in Plantation, Florida -- (305) 587-3700.