Psychologist for ADHD - AADD Therapy in NYC, Westchester and Greenwich
Dr. Fraum is an ADHD psychotherapist who works with adults and children suffering from attention deficit disorder and hyperactivity disorder Counseling and therapy for Attention Deficit Hyperactivity Disorder (ADHD) in Manhattan, White Plains NY and Greenwich by licensed psychologist, counselor and psychotherapist Robert M. Fraum, Ph.D. Psychotherapy and treatment of ADHD in New York City (midtown Manhattan), Westchester, New York, and Greenwich CT. Convenient to Fairfield County, CT.
Through my Westchester County and New York City psychology practices, I provide counseling and psychotherapy for the treatment of Attention Deficit Disorder and Hyperactivity Disorder in adults and children. More commonly known as ADD, AADD and ADHD, the diagnosis and the best treatment options for attention deficit are discussed below.
The Diagnosis of Attention Deficit Hyperactivity Disorder (ADD or ADHD)
What is ADHD? AD/HD begins in childhood and persists throughout adulthood. It is six times more common in males than females. Adult AD/HD (AADD) can be treated effectively with a combination of psychotherapy, counseling and medication.
AD/HD looks different in each individual but includes one or more of these primary symptoms:
- Inattentiveness/Distractibility--Difficulties in picking up on written material or lectures or social cues in school, or in personal or professional situations.
- Impulsiveness--Acting or talking too soon without considering the consequences or people's reactions.
- Restlessness/hyperactivity--Problems sitting still; having excess or barely controllable energy.
ADHD first manifests itself in childhood in learning disabilities, or inconsistencies in academic or athletic performance, in problems with peers or in staying out of trouble. Inconsistency is a hallmark of AD/HD.
People with AD/HD tend to have difficulties with getting started, or getting organized or staying on task. There can problems with memory, frustration tolerance, self control, emotional security, and remaining calm and self confidence.
Adults with AD/HD tend to be easily bored. They are tempted to procrastinate when faced with an uninteresting challenge or to impulsively switch from one task or interest to another. They need a sense of stimulation, personal connection or meaning to hold their attention for very long.
Adults with ADD tend to suffer from an ongoing sense of insecurity, or of a vague feeling of being ungrounded or that something is wrong or missing. There is dissatisfaction with themselves and their achievements.
People with ADHD may not stand out well or thrive in standardized settings, but they may have unrecognized talents or ambitions. Boredom may draw some to thrill seeking behaviors like gambling, video games or to risky social interactions.
How Do Professionals Miss The Diagnosis of ADHD?
Knowledge of this diagnosis has only become widespread in the past two decades. AD/HD symptoms can be mistaken for normal behavior. For example, many children are impulsive or "hyper" at times.
Even mental health professionals, teachers and pediatricians can miss AD/HD when
- The problem is not pressing (e.g., underachievement rather than complete academic failure).
- We mistakenly attribute AD/HD behaviors to attitudinal, psychological, family, or social causes.
- We focus on a symptom (like behavior or writing problems) and ignore the underlying AD/HD.
How Does ADD or ADHD Affect Children?
- The child's self esteem plummets as he notices his difficulties or failures relative to his peers.
- Undiagnosed, people with AD/HD may be misjudged as lazy, unmotivated or willful. People may fail to appreciate that inconsistencies in performance are not deliberate. They can become visibly frustrated when their expectations are not met by the child.
- This creates a negative social feedback cycle which can impart feelings of helplessness, failure and inferiority. Lack of understanding and help may lead to significant academic, social or psychological problems or residues that persist throughout adulthood.
Self Help for Adults with ADD or ADHD
- Learn about it. Read. Listen to lectures. Write down questions.
- Talk to individuals who know about AADD.
- Check out support groups in New York City and Westchester.
- Get personal feedback from positive people you can trust.
- Try to avoid negative, exhausting or disorganizing situations in your life.
- Choose goals and projects that energize you and play to your strengths.
- Create systems which provide structure, organization and predictability.
- Replace harmful addictions or wasteful activities with positive ones.
- Remember to get enough exercise, nutrition, sleep and recreation.
- Get professional help to diagnose and address specific AD/HD needs.
How I Help Adults with ADD (AADD)
Adults with ADHD often need to recover from the psychological consequences of growing up with this disorder. They also need to understand and deal with its impact on their adult lives. In my experience, people with AADD generally benefit from a collaborative, interactive, practical approach to psychotherapy and counseling which includes ample information, direction and encouragement.
My goal oriented approach to psychotherapy and AD/HD counseling can help.
- By providing clear, useful perspectives needed to get a grip on difficult issues.
- By working with you to leverage your strengths and compensate for weaknesses.
- By providing candid feedback as well as relevant tools, strategies and skills
The kinds of AD/HD problems my clients and I work to resolve include
- Practical problems including difficulties with organizing your self, following through and building support systems. We work on your specific problems (e.g., procrastination, excessive lateness) and develop solutions that work for you.
- Behavioral problems like avoidance behavior (e.g., avoiding business presentations, challenging assignments, to-do lists), dangerous, thrill seeking behavior (like road racing, fighting or impulsive sexual adventures), excessive self stimulating behaviors (e.g., compulsively making ones self excited, anxious or angry) and addictive behaviors (See Psychotherapy and Counseling Services). We identify the triggers to these behaviors and we develop useful alternatives.
- Emotional problems like persistent negative attitudes or moods (like low self esteem, fear of failure, anxiety, feelings of alienation), as well as acute emotional overreaction (like stressful transitory panic), rage reactions, despair, over exuberance or wild infatuation. We discover what supports these kinds of volatile feelings and develop tools to help you get back in control.
- Psychological problems like Adjustment, Depressive, Anxiety, Personality Disorders and other psychological conditions that people experience (See Psychotherapy and Counseling Services). I believe that effective psychotherapy, in general, requires a multi dimensional approach. Effective psychotherapy with a person who has AD/HD and a psychological condition requires that we understand the whole person, that we are knowledgeable about AD/HD and that we integrate these perspectives to optimize treatment.
- Social or interpersonal problems (see Psychotherapy Approach) may result from symptoms like moodiness, impulsive, poor self concept, inattention to social cues, and from a history of negative reactions from others, etc. The person may react by developing an interpersonal style which is dependent, aggressive or withdrawn. Psychotherapy and coaching can provide a variety of tools to address particular problems in personal, intimate and professional relationships.
- Relationship problems can develop around behaviors which are frustrating to or misunderstood by a partner (such as forgetfulness, abrupt changes in mood or emotional engagement). People with AD/HD can be emotionally insecure, over reactive, under reactive or both. They tend to avoid certain responsibilities and may urgently seek relief in other activities (like web browsing). Understanding AD/HD can help both partners to communicate more effectively. The AD/HD spouse can benefit through being able to put the behavior in an objective clinical context. The client with AD/HD can learn how to benefit from feedback rather than be wounded by it (See Couple Therapy).
- Professional problems can arise from any of the above, from problems like meeting deadlines, to anger management issues which can suddenly emerge when, for example, a career is blocked. I help my clients to understand their particular needs, vulnerabilities and strengths in order to address specific professional problems and optimize career development, satisfaction and success (See Executive Coaching).
A Personal Note on Attention Deficit Hyperactivity Disorder
It wasn't until later in life that I discovered that I have ADHD. Many things that had baffled me became clear. I no longer felt the vague, lurking dread that "something was wrong" with me. I opened my eyes to exactly what was wrong--and how to deal with it effectively.
I also discovered that I knew other adults who had gone undiagnosed. AD/HD had been hampering them throughout their lives. They had had to make their way with incomplete knowledge and help.
AD/HD still gets under diagnosed, most especially in people who were in grade school before school systems were legally mandated (theoretically) to check for it. It's easy to overlook outside of a classroom.
AD/HD, learning disabilities and related issues do not represent mortal threats to a person's happiness, fulfillment or success. People have lived with it, albeit less effectively, before treatments were developed. Furthermore, effective treatment of ADD, ADHD or AADD does not fully cure all of the symptoms. However, I've found that it's much easier to function effectively and enjoyably when AD/HD is treated.
Find Psychotherapy and Counseling Help and Treatment for Attention Deficit Hyperactivity Disorder in NYC (Midtown Manhattan) and White Plains, NY
I provide counseling and treatment for attention deficit disorder from two convenient locations in the NY metropolitan area.
My New York City psychology practice is located in midtown Manhattan on Park Avenue at 38th Street. This location is very convenient to Grand Central Station. It is just a few blocks walk from Metro North or the subway. I also offer therapy and counseling for children and adults suffering from attention deficit (ADD, ADHD and AADD) in Westchester county at my White Plains, NY office. This location is quite convenient to Greenwich and Stamford, Connecticut (CT)
Please continue to explore this website or to call me at (914) 997-7458 for more information about treating attention deficit hyperactivity disorder problems in adults and dealing with ADHD in children.