Last month, NICE - the National Institute for Health and Clinical Excellence in England & Wales - issued a guideline on Attention Deficit Hyperactivity Disorder (ADHD).  In the associated press release they commented "ADHD is a common behavioural disorder in children and young people estimated to affect up to 3% of school-age children and young people in the UK, and about 2% of adults worldwide. It usually starts in early childhood and some people will continue to have ADHD as adults. Severe ADHD is sometimes known as ‘hyperkinetic disorder'. The symptoms of ADHD include: being inattentive (unable to concentrate for very long or finish a task); hyperactivity (fidgety and unable to sit still); and impulsive (speaking without thinking about the consequences). It is an extremely distressing disorder, affecting the person as well as their families and carers."

For much too long it has been hard to access published research without having to pay large amounts of money for journal subscriptions or single article fees.  Since a large proportion of this research is government, hence taxpayer, funded, it seems very wrong that we should then have to pay a lot to find out what the research discovered.

Here are a collection of handouts, questionnaires and information sheets about sleep, ADHD, and fatigue.  The sleep handouts are mostly based on Colin Espie's excellent self-help book "Overcoming insomnia and sleep problems" and the intention is that the handouts would be used in conjunction with this book - see the bottom of the page for more details. 

Sleep diary and instructions - a key component of Espie's CBT programme is the use of this weekly diary form to both assess the sleep problem initially and then monitor progress.

Sleep diary, measuring progress - this is a form that can be helpful when measuring overall progress using information from the sleep diaries.

Sleep advice - fairly standard general advice about improving sleep. 

Sleep stimulus control - this and sleep restriction (see below) are probably both the most challenging and the most useful components of a CBT approach for insomnia.  

Last month's BMJ published another in the long line of research articles that highlight the huge importance of lifestyle choices for our health:

Dam, R. M. v., T. Li, et al. (2008). "Combined impact of lifestyle factors on mortality: prospective cohort study in US women." BMJ 337(sep16_2): a1440-  [Free Full Text]

It seemed time to post on recent research involving happiness and wellbeing.  Here are four studies from the current issues of the Journal of Happiness Studies (the September edition is open access with all full articles freely viewable) and the Journal of Positive Psychology.  Ad Bergsma discusses advice on how to be happy given across the ages.  He refers to some of the other articles in this edition of the Journal of Happiness studies, including papers on the happiness advice of Epicurus, Schopenhauer, and the ancient Chinese philosphers.  Maarten Berg looks at the possible value of ‘New Age' suggestions on happiness.  Paul Gilbert and colleagues look, very interestingly, at different types of positive emotion and suggest that it may be what they call "safe/content" feelings that are particulary protective against a variety of unhappy emotional states.  Veenhoven reviews thirty studies on happiness and longevity and argues that, although happiness does not seem to cure illness, it does a good job of reducing the chances of getting ill - with a similar effect size to the benefits of being a non-smoker rather than a smoker.

I continue to slowly add handouts & questionnaires to the relevant area in the website's "Good Knowledge" section.  Here are a some that I use largely in the territory of wellbeing, mindfulness and relaxation.  Some are assessment and monitoring questionnaires.  Some provide orientating information.  Some describe specific exercises to do.

Attention, focus & time - this is a Powerpoint slide that I put together and use as a printed-out handout when discussing what we spend our time paying attention to, and how certain forms of attention focus are likely to be more helpful than others.

Four aspects of inner focus - this is another Powerpoint slide I print out to illustrate some overlapping aspects of mindfulness, meditation, relaxation, self-hypnosis, and other related practices.

Transdiagnostic wellbeing therapy - I put this Powerpoint picture together in a rather tongue in cheek way in a discussion with Tom Borkovec.  Despite its quite light-hearted origin, the diagram makes some useful points. 

This week's recent research post is a mixed bag of six studies covering the physiological & psychological changes triggered by being separated from one's partner, why similar levels of anxiety & interpersonal sensitivity can lead to social anxiety in some individuals and paranoia in others, how difficulty identifying feelings is associated with increased somatization, the frequency of burnout in family doctors around Europe, personality factors that predict a longer life, and how wrong the old saying is that "Sticks & stones may break my bones, but words will never hurt me"!  

Here are a series of forms that I use almost every session with clients, or for screening and orientation at the start of therapy:

Back in January I wrote a blog post entitle "Does a healthy lifestyle really make a difference? "   I highlighted that it makes a hell of a lot of a difference.  At around that time another major study was published that hammered this point home even more thoroughly and I've been meaning to mention it in a post ever since.  The recent publicity on poor fruit and veg intake in the UK population triggered me into looking the earlier study out.