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The coach helps him focus on small tasks that fill in the bigger picture. He describes the process as moving from being a person with a shotgun approach to tasks to becoming a sharpshooter, focusing on one project at a time.

"It's almost like a personal trainer," Armstrong says. "That person will make you do three sets of 20 reps to reach your goal. I utilize (the Body Double coach) as a fine tuner. I'll use Gmail, get reminders on a Blackberry, hard print a Google calendar. We will review stuff."

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Local therapist uses enhanced coaching to work on adult ADHD

no wider vision," Armstrong says.

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Fisher says the new coaching has had a much higher success rate than his previous approach. Whereas before only about 25 percent of people would fully implement the plans they discussed, about 85 Prada Bags Vintage

to 90 percent follow through on tasks with in person Body Double coaching, and about 75 percent do when the Body Double coach works with them over the phone.

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He says many adults who struggle with ADHD don't act unless there is a crisis or the activity is something they're really passionate about.

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Fischer, who has ADHD symptoms himself, became interested in the specialty while studying psychology at the University of Colorado and interning at Wardenburg. That was in the early 2000s, just as it was becoming apparent to mental health professionals that many children do not outgrow Prada Purse Uk ADHD, but rather carry its constellation of traits such as inattention, hyperactivity and impulsivity with them into adulthood.

As many as 50 percent of children with ADHD carry their problems with them into adulthood, Fisher says, but their challenges often manifest in different and more consequential ways.

Clients opting for the Body Double program first undergo goal setting, and counseling, but also get an in person or over the phone coach who helps them get started on tasks and confirms that the tasks have been completed.

The coaching and therapy are designed to help people develop what Fisher calls "rhythms." The words routine and structure often create a sense of dread, since they are associated with failure.

Armstrong's coach calls him about three times a week, to help him work through issues such as finances and to work with him on his job search; he is unemployed after working on a corporate level for Toyota for more than two decades. The coach also assists him in the flow of his new, at home business restoring and selling vintage motorcycles.

Philip Armstrong works at his desk in his Louisville home. Those challenges also had an impact on his marriage, which led to the couple seeking counseling from Wyatt Fisher, a licensed psychologist and coach, who specializes in ADHD issues.

says. Inattention, which might have caused academic problems, leads to problems paying attention at work, and even in tracking conversations or not listening to a partner. Hyperactivity in an adult often manifests in restlessness and a need for excitement or stimulation.

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"The mundane maintenance items of life tend to fall down," he says. "That creates a crisis, an emergency, and they perform because they have to."

Fisher says procrastination is a big problem for those with ADHD. While everyone finds tasks such as paying bills boring, they don't resist completing them.

"In the old days, I'd write down lists on little pieces of paper. I had Prada Bags Advertisement

Impulsivity, which might mean that a child blurts out something he shouldn't say or grabs a toy from another child, may lead to adult problems such as overspending, reckless behavior or binge eating, Fisher Prada Bags White Leather

"I saw pretty quickly there was no behavioral treatment for students with ADHD," says Fisher, who uses traditional counseling techniques to help clients deal with emotional issues around ADHD such as anxiety, depression and low self esteem. He uses coaching to help clients to set goals and is now employing a new type of coaching, which he calls Body Double coaching, to help clients with follow through.

In the beginning, clients take an inventory on Monday of every week, and might have Body Double follow through two or three times a week. Fisher says the goal is to phase out the therapy as clients become more comfortable doing needed tasks. Three to six months is a typical amount of time a person might spend, getting life into a normal rhythm.

Fisher's in office visits, which run $130 for a 45 minute session are generally covered by health insurance. But the Body Double coaching, which costs $60 per hour is not. However, clients can opt for Body Double coaching in 15 minute increments on the phone.

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