by clicking the "Next" arrow.
by clicking on the page.
the page around when zoomed in by dragging it.
the zoom using the slider when zoomed-in.
by clicking on the zoomed-in page.
by entering text in the search field, and select "This Issue" or "All Issues"
by clicking on thumbnails to select pages, and then press the print button.
displays sections with thumbnails and descriptions.
displays a slider of thumbnails. Click on a page to jump.
allows you to browse the full archive.
about your subscription?
Mindful : April 2016
According to data compiled by Shire Plc, which makes the top-selling Vyvanse treatment and other ADHD drugs. More ADHD meds prescribed to adults than children among researchers and clinicians as a therapy for people with ADHD as evi- dence accumulates of its particularly beneficial impacts. PEER-REVIEWED PRESTIGE Studies abound suggesting benefits of mindfulness for the general popula- tion, particularly in reducing stress and anxiety. Given the unique stress and anxiety of living with ADHD, it seemed logical for researchers to explore whether training attention could make life easier for the most attention-challenged people. “ADHD and mindfulness are two sides of the same coin,” says Mark Bertin, a developmental behavioral pediatrician in upstate New York, who uses mindfulness in his clinical practice treating children and fami- lies coping with ADHD. “A DHD shows what it’s like to live with impaired executive function, which in many ways makes it hard to manage everyday life,” says Bertin, who regularly writes for mindful.org. “On the other side of the coin, mind- fulness shows the benefits of better executive function, making everyday life easier to manage.” By “executive function,” Bertin is referring to key cognitive skills such as impulse control, planning, orga- nizing, and “working memory”—the ability to keep two or more things in mind at the same time. “These are all life-management skills, and when they’re impaired, as with ADHD, it can affect not just work and school but daily activities like eating, driving, and managing your to-do list,” he says. “That causes a lot of stress and overwhelm, and when you’re feeling like that, it makes it even harder to make skillful choices.” The first research breakthrough came in 2008, with the results of a small study published in the Journal of Attention Disorders, reporting on a trial of using mindfulness as a treat- ment for ADHD. Eight researchers, led by Lidia Zylowska, a psychiatrist at the University of California at Los Angeles, enrolled 32 adults and ado- lescents in an eight-week class based in part on Jon Kabat-Zinn’s popular Mindfulness-Based Stress Reduc- tion program. Their results were so encouraging that other researchers soon began testing the same hypoth- esis. In May 2015, Zylowska and two colleagues summarized several of these subsequent studies, conducted with children, teens, and adults with ADHD, in the journal Cog nitive and Behavioral Practice. Their conclu- sion: there was “promising prelim- inary support” for the treatment approach. The emphasis here is on “prelim- inary.” As the review pointed out, many of the studies were small and lacked comparison samples, or “con- trol groups.” The authors called for more rigorous studies—and more are being done. Even so, in a recent interview Zylowska called mindfulness “a lifesaver.” “It has made a huge difference in my own as well as my patients’ life,” said the psychiatrist, who these days lives in Los Gatos, California, where she divides her attention among her clinical practice (comprising mostly adults with ADHD), her teaching of clinicians, and raising her eight- month-old child. Zylowska was first drawn to study ADHD in 2003, when when she was in her late twenties and seeing patients at a UCLA clinic. A new mother was confiding how painfully overwhelmed she was feeling during what she knew should be a happy time. Before the baby came, she had been able to cope with stressful demands at work by taking lots of breaks and recharging herself in nature, but this was no longer possible. The therapist found herself nod- ding in recognition. She was then in the last year of her residency, transitioning from being rigorously scheduled to having much more free time to pursue her own interests. She found herself missing the structure, and worrying that she was sinking into a “rabbit-hole” of indecisiveness, spending too much time alone in her office, chatting on the phone with friends, or obsessing over what should have been routine administrative tasks. “ What resonated for me was this sense of at times having so much going on yet being paralyzed,” she recalled. Zylowska was already interested in mindfulness. But that moment at the clinic ignited her curiosity about → Life-management skills—impulse control, planning, organizing, keeping track of details in working memory—are part of the brain’s executive function. When it’s not functioning well, everyday life can go haywire. April 2016 mindful 41