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Surprising 16-year-long ADHD study proves researchers' hypothesis completely wrong

The findings from first-of-their-kind, long-term ADHD studies keep rolling in and surprising researchers along the way.

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Scientists continue to be surprised by the findings of long-term ADHD studies.

Our understanding of ADHD has come a long way in just a few short years. Though it wasn't even formally recognized as a medical condition until the 1960s, by the time the 90s rolled around, diagnoses and stimulant prescriptions were extremely prevalent. (Raise your hand if you grew up in the era of "Anyone who struggles in school gets Ritalin!") Today, diagnoses and treatment are a lot more thoughtful and individualized, and there are more options for treatment and therapy including but not limited to stimulants like the well-known Ritalin. Even with all these advancements, though, we still have more to learn.

A new long-term study published in the Journal of Clinical Psychiatry has proven to be an excellent next step in getting a better understanding of the disorder, showing that a lot of what's commonly believed or assumed about ADHD is incomplete or just flat-out wrong.

Researchers studied 483 participants who were diagnosed with ADHD in childhood and continued to assess them for a period of 16 years. The study's authors wanted to get a sense of how ADHD symptoms might change over time.

What the researchers found surprised them. In most participants, symptoms of ADHD fluctuated greatly over the years rather than staying consistent. What surprised them even more were the environmental factors that seemed to play a role in those fluctuations.

 adhd, children, kids, mental health, neurodivergent, brains, psychology, medicine, research, medical studies ADHD brains work in mysterious ways, but we're starting to get a clearer picture.  Photo by BUDDHI Kumar SHRESTHA on Unsplash  

Researchers expected that greater life demands—like more responsibility at work, a heavier workload at school, major life changes, etc.—would exacerbate ADHD symptoms. What they found was the opposite.

It makes sense that a person that struggles with inattention or hyperactivity might have more trouble focusing when they have more "going on" and more distractions to pull them in different directions. It was a huge surprise to the researchers that, actually, people's ADHD symptoms seemed to ease up when life got hectic.

“We expected the relationship between environmental demands and ADHD symptoms to be the opposite of what we found,” study author, professor, and clinical psychologist Margaret H. Sibley explained. “We hypothesized that when life demands and responsibilities increased, this might exacerbate people’s ADHD, making it more severe. In fact, it was the opposite. The higher the demands and responsibilities one was experiencing, the milder their ADHD.”

  - YouTube  www.youtube.com  

I have a 4-year-old with ADHD and the findings totally track for me based on what I've witnessed in our own life.

We find it's actually easier to be in perpetual motion sometimes—out running errands, doing activities, visiting friends and family—versus staying put too long. When we're just relaxing at home, that's when she tends to start bouncing off the walls! Her ADHD tendencies come out strong in these quiet periods, including what we sometimes playfully refer to as her "hoarding" dozens of coloring sheets or surrounding herself in giant piles of toys, blankets, and stuffed animals; thereby making a huge mess in the house.

Doing nothing or doing very little is not often a restful state for people with ADHD. Typically, people with ADHD experience more background noise than neurotypical brains—so a quiet, seemingly restful environment can sometimes amplify racing thoughts, negative self-talk, and impulsive behavior versus dampening it. You know how kids sometimes act out in school not because they're not smart, but because the material is actually too easy for them and they're bored? Something similar is at play in both of these scenarios.

Of course, as always in science, you have to be careful assuming causation from the findings.

 adhd, children, kids, mental health, neurodivergent, brains, psychology, medicine, research, medical studies The results show that staying busy may actually help relieve some ADHD symptoms. Annie Spratt/Unsplash  

It's important to note that the results of the study don't definitively prove that being busy causes a decrease in ADHD symptoms.

“This might mean that people with ADHD perform their best in more demanding environments (perhaps environments that have stronger immediate consequences, like needing to put food on the table for a family or pay rent monthly). It also might mean that people with ADHD take more on their plate when their symptoms are relatively at bay," Sibley says. Either way, the correlation is certainly strong and worthy of more study.

In the meantime, the study's authors think the results could be viewed in a hopeful light for people just learning to manage their ADHD. “If you’re a doctor talking with a patient who is first getting diagnosed with ADHD, it’s a huge help for that person to hear the message that, ‘You’re going to have good years and not-so-good years, but things can go really well for you if you can get the right factors in place,'” Sibley said. As a parent, I can imagine how reassuring that would have been to hear early on in our own process.

 adhd, children, kids, mental health, neurodivergent, brains, psychology, medicine, research, medical studies We still have so much to learn.  Photo by Europeana on Unsplash  

With ADHD diagnoses on the rise, more and more research is being conducted. For example, a recent long-term study out of Sweden was just published linking use of ADHD medication with a reduction in traffic crashes, general injuries, and criminal behavior. That's a strong argument for continuing to hone in on accurate diagnoses and treatment for people who need it, as it clearly benefits society as a whole when done properly!

We're learning more and more about what the factors that affect positive ADHD outcomes are—what might exacerbate symptoms and what types of things can help—and we're starting to get a clearer picture of how people can manage this challenging disorder.

This article originally appeared last year. It has been updated.

As his young son grew older, a deep-rooted concern began nagging at Keith Negley — an anxiety many parents can probably relate to.

When something would embarrass or upset Negley's son, Parker — on the playground or the soccer field, for instance — Parker would grapple with how to show his feelings.

Sometimes, his emotions would manifest as anger or hostility. Other times, "he'd just shut down altogether," Negley explained to Upworthy.


Photo via iStock.

This was troubling because — coming from a long line of "emotionally repressed" men himself — Negley understood that bottling up your feelings won't do any good.

He decided to poke around a bit to see if there were any books out there to show his son that it's totally normal to feel sad or upset or disappointed at times.

As Negley looked around, he saw no shortage of triumphant books about spacemen, tales of fearless ninjas, and stories about cowboys who saved the day.

But Negley, an award-winning editorial and children's book illustrator, couldn't find too many options that explored what these heroic characters must feel when things don't go their way.

All images via "Tough Guys (Have Feelings Too)" and Flying Eye Books, used with permission.

So Negley decided to create his own.

"Tough Guys (Have Feelings Too)" is a kids' book aimed at teaching boys that it's perfectly OK (and healthy!) to express their emotions.

The book features a wide range of larger-than-life male characters experiencing things we don't often see. Like a pirate, who is frustrated he can't find his treasure.

Or a race car driver, crying after he fails to finish first.

There's even a superhero who's super lonely eating lunch without his friends.

By teaching boys that it's OK to express their emotions, then "they're going to grow up having much deeper relationships," Negley hopes.

And that's true for kids and astronauts who miss their families from afar.

"Tough Guys (Have Feelings Too)" might only feature fellas, but that's just the focus of this particular book — it's not a knock on all the tough girls out there.

As a big believer in combating gender roles in children's literature, Negley said he contemplated featuring some tough women as characters. But at the end of the day, he didn't want to dilute the book's underlying message of showing boys it's OK to get the feels sometimes.

Seeing as research suggests we could be doing a whole lot better at getting this idea across to young males, it's definitely a goal worth pursuing.

Besides, “moms and daughters can read this book and get a lot out of it" too, Negley noted.

But it's all the sons and fathers out there who were really the inspiration behind his work.

"This book is just as much for the dads as it is for their boys," Negley said. "The idea of a dad reading this book to their son is really important to me."

Because sometimes the toughest thing any one of us can do — kids and grown-ups alike — is be OK with shedding a brave tear.


 

Family

7 ways thinking like a tiger can help you start your week right.

It's the beginning of a new week and you may be feeling kind of bleh, but channeling your inner tiger can help you start off the right foot.

Today is not a day to whimper — today is a day to roar with delight! According to the World Wildlife Fun and the Global Tiger Forum, tiger populations are finally going up after over 100 years of decline.


This puts us at about 3,900 wild tigers — about 700 more than the 2010 estimate.


Seven tiger-inspired things to remember this week that'll help you succeed at work and in life:

1. Don't let others talk over you. Raise your voice and be heard!

Photo by China Photos/Getty Images.

You know who ignores a tiger? You know who interrupts a tiger during a work meeting? No one, that's who! If you were a tiger, your roar would be heard nearly two miles away.

2. Don't be afraid to show off your stripes — the things that make you unique!

Image from J. Patrick Fischer/Wikimedia Commons.

Every tiger's stripes are unique — no two are alike! You shouldn't feel the need to hide your stripes either. Customize your workspace with pictures of your family or favorite hobby. Find cool wallpapers or desktop apps like Rainmeter to make your desktop your own.

3. If you've got a problem, jump right in and start swimming.

Photo by Noah Seelam/AFP/Getty Images.

Tigers aren't scared of water. In fact, they're basically at home in it and can swim for miles!

What does this mean for you? If you're got a job or assignment, don't procrastinate. If it feels too large, find a small part of it you can do now and try working on it for just 10 or 20 minutes. If you can keep doing that, no problem is too big (or too wet) for you.

4. Don't let others take advantage of you. Own your space.

Image via Paul Mannix/Wikimedia Commons.

Someone asking to borrow your stapler or eyeing your lunch again? Tigers can claim more than 200 square miles as territory. What's yours is yours. Don't be afraid to let people know it or be afraid to say no (politely, of course). If you do loan something out, set clear expectations of when you want it back.

5. Be social! But respect the space and time you need to chill out.

Image via Paul Mannix/Wikimedia Commons.

Tigers have their own territories and tend to live on their own but do often roam larger areas as well, which means they can keep track of what their neighbors are doing.

"Solitary tigers actually have a rich social life; they just prefer to socialize from a distance," says the National Zoo's website.

You can balance your private and social life as well. Set time limits for social media. Feel free to turn your Slack or Gchat status to away or busy (or invisible!). You'll be more productive, and it'll mean that when you do meet up with your friends, you can leave work at work and focus on them.

6. If you don't succeed at first, don't give up. Keep trying until you get it right.

Image from China's Tiger/Wikimedia Commons.

Even though tigers are powerful hunters, only about 1 in every 10 hunts is successful. That's OK, though, because does the tiger give up? No! So don't get discouraged. Take a break, relax, analyze what went wrong, and try again.

And when a tiger succeeds, they know how to make the most of a good thing, chowing down on up to 90 pounds of food in one sitting. You should savor your victories as well, after all, you've earned them!

7. Finally: Take your sleep seriously.

Image from Ltshears/Wikimedia Commons.

If you've been working like a tiger, you've also got to take care of yourself like one. After all, tigers can sleep over 16 hours a day.

Make sure you're getting a healthy amount of sleep each night, set specific bedtimes, don't drink caffeine in the evening, and — if you're feeling really wild — remove all screens from your bedroom. Your sleep is precious, and you need every minute of it.

So channel your inner tiger this week and spread the good news!

Tigers are still endangered and disappearing in some areas, but the increased numbers are a giant sign of how amazing tigers are and how much people want to keep them around!

Family

The world is stressful. These 25 items can make it less so.

For inner peace, outer peace, and all your other pieces.

The world can be a stressful place.

We're all trying to have it all and do it all — usually at the same time. And this endless pursuit of work-life-family-health-finance-love-spiritual enlightenment-Netflix balance can feel extremely hard to manage.

Clearly, there's a lot on our collective minds, and it's stressing us out.


Stress is insidious; it makes our body fight against itself. Stress releases hormones in our body that make us tense and edgy. We're restless and irritable, we can't sleep, we eat too much — or not at all. It's no secret that people who are better at managing stress lead happier lives. While not all of us can live our best lives 100% of the time, there are tools we can use to help ourselves get to healthier and calmer emotional places when life gets hard.

Here are a few tools and products to help you stay calm when things feel bananas:

1. Take a five-minute break with a meditation app.

Image via Heather Libby (screenshot).

Pause is a mobile app designed to make you, well, pause. Put your finger on the glowing orb of your mobile screen, focus on your breathing for up to 5 minutes and feel your stresses slip away. There are several apps like it out there; try any of them.

2. Collect data on your stress with wearable tech.

Image via Fitbit.com.

The newest wearable tech is so much more than a pedometer. The latest ones from Fitbit, Jawbone, and Apple (among others) also track your heart rate and sleep cycles so you can get intel on what kinds of situations stress you out. Then you can make a plan for how you'll handle them when they happen again.

3. Wake up gently to soft daylight, a cup of fresh-brewed coffee, or the scent of delicious crispy bacon.

Image via Phillips.ca.

Your morning alarm doesn't have to sound like a high school buzzer. Companies and designers are making alarms that rouse you gently from your sleep with calming light or comforting smells like coffee and bacon. Wouldn't you rather start your day with joy instead of mad panic?

4. Little things driving you crazy? Take out your frustrations on a stress ball.

Image via Amy McTigue/Flickr.

Some are squishy, others are hard and knobbly, but they all help you to release tension and stretch out tense muscles in your hands and wrists.

5. Be the most zen version of yourself with a mindfulness app.

Image via Headspace.com.

Headspace is one app for your smartphone that helps you learn the basics of meditation and mindfulness — no fancy guru necessary, and it's free. App stores have plenty of other offerings like this one for guiding you into the next realm of consciousness.

6. If you have fidgety fingers, kinetic sand may be the perfect desk toy for you.

Image via Thomas Duff/Flickr.

I like to fiddle with things when I'm thinking — it keeps my hands busy so my mind can work. For that, kinetic sand is a lifesaver. This "magic sand" is fun to play with and build into shapes, then to squish and start all over again. You're the supreme overlord in a circle of your own creation!

7. If you've got a cat, Feliway can calm your savage, couch-scratching beast and give you peace of mind.

My cat Fezzik, pre-Feliway. A bundle of pure spaz, covered in fur. Image via Heather Libby/Upworthy.

To anyone who’s ever looked down at the shredded remains of something they owned and then over to the unrepentant face of a cat they are reconsidering whether they love, these words will ring true: pet anxiety = human anxiety. And in 18 years of cat ownership, Feliway is the only product I’ve ever found that helped limit it. Feliway is a sprayable calming synthetic cat pheromone that mimics the natural one happy cats use to mark their territory as safe and familiar. It's available in a spray and a diffuser.

8. Tune out the crowd with noise-cancelling headphones and relaxing playlists.

Image via Philippe Put/Flickr.

If you work in a shared office space, you know how loud things can get — especially when all you need is quiet. A good set of noise-cancelling headphones and a playlist designed to help you concentrate will help you find your focus and get things done. Spotify has a great selection of instrumental playlists, or you can check out Focus @ Will, which promises "music scientifically optimized to boost concentration and focus."

9. Make your head tingle in a good way — hopefully — with a scalp massager.

Image via Yogesh Mhatre/Flickr.

Some people swear by these for stimulating tiny muscles on the scalp and around the face. Others say it feels like crawling spider feet on their head. Your personal mileage may vary.

10. Walk on sunshine in a pair of acupressure slippers.

 

Image via HealthandYoga.com.

Walking in these slippers stimulates pressure points on your feet, giving some of the relaxing benefits of a full-body massage.

11. Make anywhere smell like heaven with an aromatherapy diffuser.

 

Image via Takashi Hososhima/Flickr.

Aromatherapy diffusers use concentrated essential oils to gently fill your home or workspace with smells that soothe you, like lavender or vanilla. Breathe deeply.

12. Give your stiff shoulders a break with the Real-EaSE Neck Support.

 

Image via RelaxtheBack.com.

If your posture is less than perfect and you sit at a desk for long periods of time, you might be ending the day with a pretty stiff neck. Lying on the floor for 20 minutes with your head in the cradle of the Real-EaSE will help your muscles relax and your spine realign.

13. Get a quick fix from stressful surprises with Rescue Remedy.

Image via Joyce/Flickr.

Rescue Remedy is a little bottle packed full of flower botanicals known for their soothing qualities, like rock rose, cherry plum, and clematis. Keep it in your pocket or your purse for relief on the go.

14. Sing along as you soak with a waterproof bluetooth speaker.

Image via Achim Hepp/Flickr.

Anyone can feel like royalty in the right bath. Make yours extra-luxe with a waterproof Bluetooth speaker, battery-operated candles, extra-large extra fluffy towels, and a memory foam bathmat.

15. Channel your inner kid with a grown-up coloring book.

 

Image via Ambography/Flickr.

It's wonderful to see coloring for grown-ups becoming a big thing. Take a few minutes with paints, markers, or pencil crayons to color inside — or outside — the lines, and rediscover how good it felt to as a kid to make art.

16. Train your brain with a brainwave sensing headband.

Image via Gaiam.com.

The Muse headband detects changes in your brainwaves to determine when you're experiencing stress. Together with a mobile app, it will help you train your brain to manage anxiety and find your calm.

17. Rest up in a $25,000 napping pod.

Image via Hammacher Schlemmer/Hammacher.com.

Enjoy a relaxing nap in this ergonomic napping pod, complete with memory foam mattress. Just don't think about the fact that it costs $25,000 yet, inexplicably, doesn't include a blanket or a pillow. Or how long the purchase of it will be accruing interest on your credit card as you slowly pay it off. Shhhh. Sleep. Sleeeeep.

GIF from "The Princess and the Frog."

If you'd rather de-stress in a way that doesn't involve buying things, there are many no-cost options, too:

18. Cut your browser clutter and open-tab stress with OneTab.

The OneTab icon in my browser window. Also recommended: the Momentum landing page plugin. Image via Heather Libby/Upworthy.

Take a quick look: How many tabs do you have open in your browser right now? How many of them actually need to be open? The OneTab browser extension for Chrome and Firefox helps you clear browser clutter (and free up extra memory) by collecting all your open tabs into a list that you can go back to later.

19. Do absolutely nothing for two minutes.

Image via Heather Libby/Upworthy.

One of the key elements of meditation is stillness and a clear, empty mind. The best way to get there? Click over to this website by Calm and do nothing, absolutely nothing for two whole minutes. Can you do it? Give it a try. We'll wait here.

20. Snack on stress-busting foods like blueberries, almonds, and dark chocolate.

 

Image via Sandra/Flickr.

Adding foods with calming effects like turkey breast, oatmeal, and avocado to your meals and snacks can help you feel better as you eat well.

21. Make your bed great again with new (or just freshly-cleaned) sheets.

 

Image via Alex Saunders/Flickr.

We spend a full one-third of our lives in bed, so it's important our sheets and coverlets are up to the task. Find a style of sheet you like — maybe that's unbleached organic or ultra-smooth 800-thread-count Egyptian cotton or fuzzy soft flannel or cooling silk. There's a perfect sheet for every sleep style — find yours and enjoy better ZZZZs, guaranteed.

22. Browse through comedy videos and find your next laugh.

Image via Francois Reiniche/Flickr.

There's a reason people say "laughter is the best medicine" — it's really true. If you're tensed up at your desk or on the go and need a chuckle, there are streaming services like Netflix, Hulu, Amazon Prime, iTunes, and others, or you can find plenty of laugh-out-loud videos on YouTube. And if all else fails, there are always aww-worthy GIFs online to brighten up a dark day.

23. Snuggle up in the fuzziest fuzzy blanket in the history of fuzziness.

Image via Steve Voght/Flickr.

Only you can decide which fuzzy blanket has the right level of fuzziness for your taste. Once you find it, you'll never want to crawl out from under it. It's a great investment and the perfect way to de-stress after a long day.

24. Adopt a rescue pet and soothe your soul.

Sierra Nelson Hay is a very good rescue dog; yes, she is. Image via Heather Libby/Upworthy.

A number of studies suggest that getting a rescue pet can reduce your stress and help you live longer. Plus, you're giving another little being a second chance on life! Be sure to get in lots of daily cuddle sessions; just a few minutes of time spent snuggling a pet can cause your body to release the feel-good hormone oxytocin and lower your blood pressure.

25. Lounge in a hammock rocking gently on a white sand beach.

Image via Micky**/Flickr.

OK, so chances are you don't have this in or near your home right now — and if you do, I'd really love to find out why you're reading an article about stress instead of one about "having an awesome life." But hammocks are excellent places for naps, reading, or just relaxing in bliss, especially on a warm, sunny, beachy day.

See? Pure bliss.

A quick disclaimer: I’m not suggesting any of these products are the key to unlocking a stress-free you, and none of the products in this list have paid for their inclusion or received any special consideration to end up here. Anyone who promises miracle cures that work without effort would be misleading people. These products may help, but it’s the enthusiasm and commitment you put into them that will make all the difference. Good luck! Serenity now!