Brain fog, fatigue, focus, ADHD, and stimulants: Lessons from Life and Medicine
My worst fear, the crush of reality, and holistic medicine
During my childhood in Washington, DC, and nearby rural Montgomery County, I experienced a deeply traumatic yet eye-opening event. It occurred in the early 1950s during the frightening polio epidemic, before the polio vaccine was available.
Embracing Neurodiversity: Navigating Differences and Challenges
Jul 22, 2025
Personal reflections on neurodiversity
When I was growing up, I was three years younger than my brother Benton. As I recall, I was more successful, outgoing, social, and focused. In daily life, things seemed to go more smoothly for me, while Benton often faced harsher criticism from our father, especially in school when he struggled to keep up and pass to the next grade. He was always in some special education or tutoring program. Once, my father sent him to a military school where he might get more discipline and better support to meet his learning and organizational needs. It turned out that, aside from experiencing more bullying and having the cookies and gifts my mother sent stolen, the only benefit he gained from his year there was a gray military-style uniform and a more stoic demeanor, having survived the experience.
ADHD may be a developmental visual-spatial disorder (DVSD)
Apr 24, 2025
Parents conflict over the treatment of their son, diagnosed with ADHD
A close friend and colleague sent me an email asking if I could assist a psychotherapist with a troubled family that needed support from someone knowledgeable in both medication and non-medication approaches. When I spoke with the therapist, it reminded me of the significant polarization regarding the best approach, such as modern medical science versus holistic medicine, as well as the advocacy for more natural and lifestyle interventions. I realized that bridging this gap in a troubled family would be challenging.
In the news today, the same type of conflict steals the headlines, with people railing against science, research, and vaccines that have saved many from the scourges of epidemics, death, and disability. I was one of the fortunate survivors of polio as a child, before the polio vaccine. Yet I know multitudes were not so lucky and were afflicted with lifelong disabilities or died prematurely. The situation surrounding polio and vaccines has been a modern-day miracle for many.
A distressed family member and colleague recently called me. They complained they were very nervous and worried as they were failing and falling behind in their part-time university studies and felt hopeless about ever completing their coursework for their degree. Their full-time jobs and careers also seemed at risk from lack of focus and concentration, interfering with their productivity and completing assigned tasks and vital projects. A threatening and contentious work supervisor was applying pressure to get more done. There was a real risk of getting fired. A recently valued relationship was also on “the rocks” and near the breaking point. The unfortunate load of adverse challenges seemed to recur frequently, as has often been a regrettable plight. There was a track record of difficulty with social relationships and problems succeeding in challenging academic and work-related situations.
Neurodiversity, in a more modern application, describes the unique and multivariate differences in all people. Looking at all individuals, we can see vast differences in the brain and mental functioning with the processing, retrieval, and abstraction of incoming information. Variability appears in ideas and concept formation, adaptability to change, and accomplishing tasks.
Labels and diagnosis Helpful or Not, when Traits of Dyslexia, ADHD, or Autism Spectrum Appear
Dyslexia, autism spectrum, and ADHD have some characteristics that relate to myself and some of my family members. As a child, I had difficulty reading, mispronouncing words, and struggling in areas such as math and foreign languages. With prodigious effort and over-learning, I gained improvement and a certain level of mastery.
The Risk of Distraction and a Familiar Tale of Woe
We all experience what seems like a bit of inattention that leads to a disaster—a disruption in the flow and harmony of daily life. A burned tea kettle incident led to the exploration of the deeper operations of our inner psychology, its related outer expression, and the different levels of awareness and personal meaning of possessions.
My wife and I had sat down to watch a recent movie about a family with turmoil and conflict. After the first short segment, we suddenly became aware and jumped up. We had forgotten about the tea kettle…
Sam was lagging in his school work and was falling asleep on his school desk. His grades were failing. He was getting into fights, according to his principal. Other kids were bullying and picking on him. At home and school, he was often moody and irritable. He avoided social activities and liked to play by himself or watch TV. The school called his mother to make an appointment. What happened next totally caught everyone off guard. Help had come too late. [i]
are common in our population and may contribute to unique advantages or disadvantages. There now is better recognition and awareness of autistic traits. Current scientific evidence supports that there is a predominant genetic origin of AST.
Autism Spectrum refers to the varied presentation of individuals that may have unique strengths but also challenges with difficulties in social skills, communication, motor coordination, repetitious movements or behaviors, and early-life developmental issues.
“Unique Talent Attributes (UTA)” are distinguishing, often underappreciated abilities and talents,
found in a valuable minority of our population. Individuals can similarly have exceptional potential and skills, but also have significant difficulty in such areas as social and cognitive functioning. When labels as “autistic traits” or “Autism Spectrum” are inappropriately used, there can be unfavorable inferences or consequences.
I had an older brother who lived the best productive life he could. He was disadvantaged from birth with genetic and developmental differences that distinguished him from others in his age group.