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PSYCHOLOGICAL
                             PSYCHOLOGICAL                                                                                             ISSUE No. 1851
                               PERSPECTIVESPERSPECTIVES                                                                                JAVANAN


                              Dr. Alan A.                 PSYCHOLOGICAL PERSPECTIVES
                              Modarressi
                                Clinical and               A SOCIOCULTURAL AND MIND AND BODY OUTLOOK
                             Neuro-Psychologyst
                                                           In this column, we examine the mental health issues in the context
                                                         of social, culture, and physiological concerns of the Iranian community

                     ADHD AND MENTAL FATIGUE                                                                       have  the  time  and  interest  for  it,  it’s
                                                                                                                   helpful to adopt some lifestyle changes
                                                                                                                   that can prevent you from reaching that
                                    Part 2-Ways to Manage Mental Fatigue                                           point of mental fatigue in the first place.
                                                                                                                   Here are some things to try:
                                                                                  doing  household  chores,  or  even  car-  Reduce  decision-making  and  steps
                                                                                  ing for your kids or pets, ask for help   where possible-We make thousands of
                                                                                  with  those  tasks.  Knowing  that  those   little decisions every day and the cumu-
                                                                                  important needs are getting met, even   lative effort of those decisions adds up,
                                                                                  when you can’t do them yourself, can   especially when executive dysfunction
                                                                                  help ease some of the worry you might   makes even basic decisions difficult. To
                                                                                  be feeling.                      prevent exhaustion, find creative ways
                                                                                  If the thought of asking for help makes   to eliminate decisions where you can.
                                                                                  you feel like a burden, try easing that   For example, make a to-do list for the
                                                                                  guilt by reassuring the person that you   day, with tasks separated into high pri-
                                                                                  can  do  the  same  for  them  later  when   ority, medium priority, and low priority
                                                                                  they need support. Everyone gets over-  columns,  (or  separated  by  how  much
                                                                                  whelmed  now  and  again,  so  there’s   anxiety you feel about the fact that the
                                                                                  bound to be an opportunity to repay the   task isn’t done yet). When you can’t fig-
                                                                                  favor.                           ure out where to start or what to do next,
                                                                                  Get outside or take some space for your-  just pick a column you want to focus on,
                                                                                  self to practice mindfulness. If you’ve   close your eyes, and point. That’s your
                                                                                  hit  a  wall,  staring  at  the  unfinished   next task.
                                                                                  work  isn’t  going  to  change  anything.   Be  realistic  about  your  workload-It’s
                                                                                  Step away and get outside if you can.   easy to over-commit yourself when you
                                                                                  Don’t bring your phone with you. Try   have ADHD. Your  impulsiveness  can
                                                                                  practicing mindfulness to focus on your   make you commit to plans you prob-
                                                                                  present surroundings and your present   ably should have skipped. Your shame
                                                                                  feelings. Name what you see and what   about an especially unproductive period
                                                                                  you’re feeling right now, physically and   of fatigue can make you feel like you
                                                                                  psychologically.                 have to overcompensate by doing extra
                    ast  week,  I  discussed,  how  the   egies that usually help seem less effec-  If  your  brain  is  trying  to  spiral  into   work later.
                    general view of attention deficit   tive, negative thoughts and low self-es-  negative  thoughts  about  the  future  or   However,  preventing  a  future  episode
              Lhyperactivity  disorder  (ADHD)   teem become even worse than usual. All   turn this moment into a sign that you’re   means  being  uncompromisingly  hon-
               is distorted and inaccurate. We tend to   of this, often happens in the absence of a   a failure, do your best to not fixate on   est  with  yourself  about  what  you  can
               believe that these patients are full of en-  specific stressor.    those thoughts. Let them pass through   handle.  Practice  saying  no—to  your
               ergy and vigor, while in reality the most   With mental fatigue, there’s really only   and try to return to your focus on the   own impulses and to things that others
               common symptoms of ADHD is not ex-  one  thing  you  can  do:  rest  and  allow   present moment.   are asking of you.
               cess energy but the lack of it in the form   your brain to restore its energy levels.   If you can’t take a complete break from   Make time for mentally soothing activ-
               of mental fatigue.               With that said, resting with ADHD is   all of your responsibilities, find ways to   ities-Think of a hobby or activity that
               In  fact,  there  is  a  close  similarity  be-  easier said than done, especially if you   switch into a “low power mode” where   brings you catharsis or leaves you feel-
               tween the symptoms of menta fatigue   have sleep difficulties. So here are a few   you  temporarily  take  some  things  off   ing refreshed afterward. Often, that’s a
               and ADHD. Symptoms               tips to help you get the rest you need:  your plate so that what little energy you   creative  hobby  like  drawing,  playing
               include Lack of focus, Difficulty mak-  If you’re feeling too anxious or unpro-  can muster is being spent on the most   music, or even journaling. Sometimes,
               ing decisions, Forgetfulness, Decreased   ductive to sit still and rest, during the   important tasks. That might include ask-  it’s a sport or physical activity. Some-
               productivity, Lack of motivation, Poor   day, try going for a walk or bike ride.   ing for help with certain chores or re-  times, it’s a repetitive craft like knitting
               emotional  regulation,  which  can  look   Physical  exercise  can  help  your  brain   sponsibilities.  or woodworking.
               like  sudden  outbursts,  irritability,  and   recover  from  fatigue5  and  potentially   It might also look like stockpiling ra-  Whatever it is, set aside time to do it on
               mood  swings,  Daytime  tiredness  (or   make  falling  asleep  easier  come  bed-  men  or  leftover  takeout  food  so  you   a regular basis. Start your day with 15-
               feeling  like  you’re  already  exhausted   time,6  which  will  further  help  restore   don’t have to cook, canceling plans, and   20 minutes of journaling or free draw-
               from the moment you wake up). Strug-  energy levels.               giving yourself permission to slack on   ing or other simple things that you may
               gling to fall asleep even though you’re   If fatigue is making it difficult to meet   some chores.  find  interesting  to  do  and  add  that  to
               exhausted, medication and coping strat-  even basic needs like feeding yourself,   To  prevent  mental  fatigue,  when  you   your schedule.
                        DANESH FOROUGHI, PH.D.                                           Alan Modarressi, PhD, QME

                        Licensed Clinical Psychologist, PSY13680                               Licensed Clinical Psychologist
                Licensed Marriage, Family & Child Psychotherapist, MFC23455                      Qualified Medical Evaluator
                    Certified National Board of Addiction Examiners #4974                        Certified Psychophsychologist
                              Tel: (310) 940-3642                                  Diplomat, American Academy of Pain Management

                   15720 Ventura Blvd., Second Fl. #224 Encino CA 91436             (818) 501-6080            (562) 861-7226
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