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ADHD, Shame, & Perfectionism: Living in “The Gap” between Ability and Performance
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Living with chronic and persistent executive challenges may be associated with stress and object loss, shame, depression, anxious perfectionism, and rejection sensitivity.
In our enthusiastic rush to emphasize the potential benefit of stimulant medication and strategies and brain hacks, we may miss an important therapeutic opportunity – supporting clients around themes of loss and shame.
In this session, we’ll investigate the frustrating gap between ability and performance which is “baked into” the ADHD experience and assess the functional impact of co-occurring perfectionistic and impulsive tendencies. We will learn to identify clinical “red flags” in the clinical interview which invite further exploration of shame on our ADHD clients’ self-understanding. Practical strategies for working with shame and perfectionism will be reviewed and hands-on application of these strategies will be explored by way of a case study.
David Nowell, PhD, Clinical Neuropsychologist
David Nowell, PhD, is a clinical neuropsychologist in private practice in Northborough, Massachusetts. He offers consultations to patients on an inpatient rehabilitation unit and is an adjunct instructor in neuropsychology to graduate students in the Clark University psychology program. He serves as a physician advisor with the University of Massachusetts Medical School Disability Evaluation Service where he was the former clinical director of the Learning Disability Assessment Program. Dr. Nowell writes a popular blog at Psychology Today on motivation and time management and speaks internationally to clinicians on such topics as executive functioning, non-medication management of ADHD, and applying findings from Positive Psychology.
Speaker Disclosures:
Financial: Dr. David Nowell maintains a private practice and has employment relationships with Fairlawn Rehabilitation Hospital, Massachusetts Rehabilitation Commission, and Clark University. He is a presenter with TATRA Training and receives compensation. Dr. Nowell is an IME provider and receives compensation. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. David Nowell is a member of the American Psychological Association, the Massachusetts Neuropsychological Association, and the International Neuropsychological Society.
