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Compelling stories that present a new view of ADHD
Smart but Stuck offers 15 true and compelling stories about intelligent, capable teens and adults who have gotten "stuck" at school, work, and/or in social relationships because of their ADHD. Dr. Brown highlights the often unrecognized role that emotions play in this complex disorder. He explains why even very bright people with ADHD get stuck because they can focus well on some tasks that interest them, but often can't focus adequately on other important tasks and relationships.
- The first book to explain and illustrate the crucial role of emotions in the daily functioning of those living with ADHD
- Brown, Associate Director of the Yale Clinic for Attention & Related Disorders, is an internationally known authority on ADHD
Drawing on the latest research findings, the book describes strategies and treatments for getting "unstuck" to move on to a more rewarding and productive life.
- Sales Rank: #49246 in Books
- Published on: 2014-03-17
- Original language: English
- Number of items: 1
- Dimensions: 9.35" h x 1.00" w x 6.30" l, 1.07 pounds
- Binding: Hardcover
- 288 pages
From the Inside Flap
Smart but Stuck offers a series of true stories about intelligent, capable teens and adults who have gotten “stuck” at school or work, or in social relationships because of their ADHD. These moving and sometimes surprising case histories illustrate the many facets of the disorder and detail strategies and treatments those with ADHD can use to get “unstuck.”
In these pages you’ll meet …
- Sue, who earned good grades until middle school, then lost motivation for schoolwork. Now in 9th grade, she’s frustrating teachers and family while losing hope for herself.
- Mike, a college student who recently found himself on academic probation. His dad has always told him he’s smart but just lazy, and now he’s starting to believe it.
- Steve, a computer programmer whose ADHD struggles have led to him losing his job—and his wife. He’s good at programming computers, but not at programming himself.
- Sarah, who’s had trouble keeping track of things and getting work done since she hit menopause. She never had such a hard time when she was younger.
Dr. Thomas Brown, an internationally known authority on ADHD, highlights the often-unrecognized role that emotions play in this complex disorder. And it’s not just negative emotions. As Brown shows, those with ADHD also have a hard time managing positive emotions about certain interests and activities, making it hard for them to shift gears and pay attention to immediate needs and responsibilities. Brown offers an updated view of ADHD and explains why even very bright people with ADHD can get stuck, struggling to motivate themselves for important tasks. He demonstrates why many with ADHD can have laser-like focus for some tasks while finding it difficult to concentrate on others. Above all, Brown details paths that people with ADHD can take to move on toward a more rewarding and productive life.
From the Back Cover
Praise for Smart but Stuck
“No matter where you are in your journey to success, if you have ADHD, this book will help to speed you on your way. I could not recommend it more highly.”
—Edward (Ned) Hallowell, MD, author, Driven to Distraction and Delivered from Distraction
“Clearly written, rich in detail, and full of helpful advice, this book will be beneficial to anyone with ADHD and to those who struggle to live with, understand, and help them.”
—Russell A. Barkley, PhD, clinical professor, Psychiatry and Pediatrics, Medical University of South Carolina; author, Taking Charge of ADHD and Taking Charge of Adult ADHD
“This book, reflecting Dr. Brown’s 35 years of clinical practice combined with the latest findings from affective neuroscience, is a must-read for anyone who is interested in ADHD.”
—James J. Gross, PhD, professor, psychology, Stanford University; editor, Handbook of Emotion Regulation
“Dr. Brown introduces a forgotten piece in the life of those suffering from ADHD—the role of emotions.”
—Luis Augusto Rohde, MD, PhD, president, World Federation of ADHD; professor, psychiatry, Federal University of Rio Grande do Sul, Brazil
“These engaging vignettes vividly bring to life emotional difficulties that, even for very intelligent teens and adults, can lead to frustration and failure in efforts to overcome their deficits in attention, organization, and motivation.”
—Mina K. Dulcan, MD, professor, Psychiatry, Behavioral Sciences and Pediatrics, Ann & Robert H. Lurie Children’s Hospital of Chicago and Northwestern University Feinberg School of Medicine
About the Author
THOMAS E. BROWN, PhD, is a clinical psychologist, assistant clinical professor of psychiatry at Yale University School of Medicine, and associate director of the Yale Clinic for Attention and Related Disorders. He is the author of several books including the award-winning Attention Deficit Disorder: The Unfocused Mind in Children and Adults (Yale University Press, 2005), which has been published in seven languages. Visit him at www.drthomasebrown.com.
Most helpful customer reviews
47 of 49 people found the following review helpful.
Highly recommended book on the emotional life of smart people with ADHD
By Scott W. Johnson
I do academic coaching, ADHD coaching, and tutoring with students diagnosed with psychiatric disorders. About half the students I work with have had full psychoeducational evaluations that diagnosed them with ADHD. The case studies presented in this book remind me of a number of students I have worked with.
One thing I greatly appreciate about the book is how well Dr Brown connects various comorbid conditions often seen in bright ADHD students with the emotional impacts they experience. As such, Dr Brown superbly captures the nuances of ADHD. While people with ADHD have many commonalities (which is the focus of most books on ADHD) not everyone with the condition has the same experience. Smart people with ADHD get stuck in particular ways and the best treatments are not always the same. The case studies in this book do a great job of emphasizing this. The book also does a great job of interweaving new and relevant research to shed light on various aspects of the ADHD experience.
Another thing I really appreciate is how well the book addresses transitions. A particular interest of mine is how to best support ADHD students in their transition from elementary school to high school and then to college. This book offers beautiful examples of how these transition can be supported (it also does a great job of addressing transitions at later points in life!)
I highly recommend this book to any ADHD teens and their parents as well as to adults with ADHD. I also suggest it to all professionals working with ADHD clients.
35 of 37 people found the following review helpful.
An important new work that helps understanding the crucial role of emotions in ADHD
By Douglas Harris
Ironically, while writing this book review, I often found myself feeling “smart but stuck.” This review was scheduled to be published last month but my inability to get started until the last minute got in the way. I believed writing this was important so I set earlier deadlines and forced myself to “work” on it (when I spent plenty of time staring at my blank screen — to the detriment of other obligations.) But that wasn’t enough in the moment — I just couldn’t force my brain to write sentences. And now that I’ve read this book, I understand exactly how that can so easily happen to someone with ADHD.
Dr. Thomas E. Brown in his latest book, “Smart But Stuck,” explores the role of emotions in the ADHD experience. “Emotions — sometimes conscious, more often unconscious — serve to motivate cognitive activity that shapes a person’s experience and action. For those with ADHD, chronic problems with recognizing and responding to various emotions tend to be a primary factor in their difficulties with managing daily life.” And as Brown explains, being smart doesn’t provide shelter from these problems.
The patients discussed in this book were all very bright but still became stuck in school, relationships or work. The high incidence of comorbid psychiatric conditions with ADHD is well documented, but the impact of emotions on ADHD is even more pervasive when considering those affected by subclinical manifestations or “shadow syndromes.” To anyone with ADHD, it is obvious emotions play a critical role in how ADHD symptoms manifest, yet very little has been written on the subject.
This book appeals to a wide audience. The first chapter, entitled “ADHD in the Emotional Brain”, reviews our current understanding of the role of emotion in ADHD by drawing on clinicians’, researchers’, and neuroscientists’ latest research findings. Dr. Brown clearly explains the research without ever getting bogged down in technical language. In this very thorough yet very readable summary, he discusses topics including attentional bias, delayed rewards, the importance of context, executive functions, neurobiology and working memory. This sets the foundation for the remaining chapters where he illustrates and expands upon these topics through case studies.
Much of the book is dedicated to exploring these issues through the personal stories of eleven of Dr. Brown’s patients. Says Brown, “One of my special interests over the years has been adolescents and adults who are especially bright; they have taught me that being smart is no protection from attention impairments. Not only is it possible for people with a high IQ to suffer from ADHD, but it’s likely they’ll suffer longer without adequate support or treatment because the people in their lives assume, quite mistakenly, that anyone who is really smart can’t suffer from ADHD.”
The patients in this book range from a 14 year-old high school student to a 50 year-old homemaker and mother. Six were college students, which is not surprising given Dr. Brown’s practice at Yale University. But as Brown explains, context is crucial in ADHD and each of the students struggled mightily with the major changes in context encountered as they respectively entered high school or college.
Dr. Brown weaves patient’s stories with explanations of the specific challenges faced. Though they all fell under the umbrella of “Smart but Stuck”, Dr. Brown explains how he approached treating the unique problems of each patient differently. All challenging cases, they serve to illustrate how successful treatment is often the result of exploring and abandoning many approaches before finding one that works. These patients were not merely struggling; they were completely stuck and required a great deal of hard work to get them going again.
ADHD is typically presented as a problem of cognition and the executive functions. When emotions are included in the list of symptoms, they are just one of a multitude of areas where problems with inhibition manifest and are dismissed as difficulty putting the brakes on. But as Brown points out, there are many instances where a problem might be better described as difficulty with the ignition system. The students described all invariably struggled with getting work done in classes that didn’t interest them. They were smart enough but they couldn’t get their brains activated to work when needed. Medication typically helped with this but therapy was also required to explore and resolve the conflicting motivations that consistently got in the way.
Although each story is unique, there were many common threads. The patients were all very bright and had had many successes in their lives. However, their ADHD made universal success impossible and this inconsistency created many problems. Martin, a 23 year-old university student, belonged to Mensa but still struggled with his grades. His parent’s had even explored the possibility he might have ADHD when he was young, but the doctors all said he was too bright to have such a problem. To outsiders, this achievement gap often appears to be an issue of willpower and so, for these patients, the gap between expectation and performance results in embarrassment and shame. And for someone with ADHD, it is easy for an emotion such as shame to fill their minds and prevent them from seeing the larger picture, leading to further problems. Here we see examples where their pain drove them to substance abuse, escape through video games and avoidance.
The role of working memory in problems with emotions was illustrated in several cases. Emotions are complicated, conflicting and nuanced, but with limited working memory, it can be difficult to experience more than one emotion at a time, let alone weigh two conflicting motives against each other. In these cases, Dr. Brown talks about the importance of external feedback from a trusted source to point out overlooked nuances or contradictions.
Sarah, the 50-year-old housewife, who first experienced ADHD-like symptoms at menopause, discusses how a decrease in estrogen levels can cause executive function problems for some women who had never experienced them before. While she technically would not qualify for an ADHD diagnosis, it is interesting how many of the same approaches helped, including the use of stimulants. This is still a new area of research and I expect we’ll be hearing more about it in years to come.
The stories were inspiring but also offered caveats. In most cases, the patients eventually became unstuck and were able to move ahead with their lives. Treatment was quite intense and ramifications included lost time, lost tuition money and a marriage that couldn’t be saved. One patient, Lois, whose severe ADHD problems had taken an enormous toll over time, was still struggling by the end of the chapter. I believe these stories taken together offer an encouraging but realistic picture.
The last chapter summarizes the steps to help get unstuck — assessment, treatment and support. Finally, Brown talks about the importance of cultivating realistic hope. As he concludes, “With the right supports in place, many of those stuck with ADHD can develop realistic and sustainable hope can learn to survive — and even to thrive.” I found Brown presented a well-balanced view of his patients. He spoke of their weakness and struggles but also of their strengths and talents. As he told me when we spoke, “We all have this sort of illusion where we’re often told, particularly people who are smart, ‘You can do anything that you want to!’, but that’s just not how the brain operates.”
I better appreciate that I need a more realistic view of what I can and can’t do. I have a lifetime’s accumulation of all the things I’ve been told — and believed — I should be able to do, but looking back with this new knowledge, I can see why I struggled so often, seemingly inexplicably at the time. If I can incorporate these insights into my future plans, I have hope I’ll be able to avoid getting stuck quite so often.
This is an important new book that shines light on the importance of considering the role of emotions when dealing with ADHD. This is not intended as a self-help book, but rather, is an exploration of the role of emotions through the use of story. The cases presented were all quite severe. I would like to have learned more about what might help people who weren’t stuck per se, but were still struggling to meet their own, and others’, expectations. I also would have liked to learn more about the impact of emotions on those who were diagnosed with ADHD much later in life. Any adult with ADHD or anyone who wants to learn more about ADHD would benefit from reading this book.
28 of 31 people found the following review helpful.
Helpful book for understanding the emotional roadblocks individuals with ADHD can face
By BCM
Most of this book is a series of case studies (about a dozen) drawn from Dr. Brown's clients. All of the individuals have ADHD, almost always with co-occurring conditions (anxiety, depression), although most were not diagnosed until they were teenagers or adults. Most of the case study subjects are high school or college students who have hit a road block in school and are on the verge of dropping out or are on academic probation, although a couple of them are adults who are having problems at work or with personal relationship or other life stressors. Each case study describes the circumstances that led the individual to seek treatment along with the approaches taken to improve outcomes (e.g., medication, therapy, changing schools or jobs, etc.). Each study ends with a succinct summary of the different interventions that were used. After the case studies, there is brief chapter that tries to tie things together.
As the parent of a child who could easily have been one of the case studies in this book, I found the book helpful in trying to understand why things started to go so wrong for my child. I wish the book had been available a year ago when I really could have benefitted from it! Evenso, it was still a useful read. I can recommend it for any parent who has a teenager or young adult who is struggling with ADHD. I also think it would be an excellent read for high school and college guidance counselors or other educators working with students who are really struggling in school but who clearly have the potential to do better. The book provides many insights into why these students are having such a hard time and what can be done to help. I think there are many misconceptions by educators that reading this book could help to clear up.
The only reason I didn't give the book 5 stars is that I felt that the book fell short at the end in terms of giving the type of prescriptive guidance that would be helpful to may readers, at least readers who are not mental health professionals. The case studies are written in a very clinical style--they are very descriptive and include a fair amount of detail, but there is very little commentary to tie thing up and help the reader generalize. I love the case studies, but I was hoping that section of the book after the case studies would be a bit longer and give a fuller discussion of the role of emotions in ADHD and more importantly, how to deal with the intense emotions experienced by many of those with ADHD. I hope that Dr. Brown will write a second edition in a couple of years and include more of this.
Even at 4 stars this is a very informative book.
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