Breakthrough Solutions

for Attention Deficit Disorder Adults

Bonnie Mincu

Senior Certified ADHD Coach

Get Training, Strategies and Insights:

Dialogue with the Doctor

Get answers tonight from the doctor!

In my previous post, I asked you for questions you would like to ask an ADD / ADHD Psychiatrist.  Harvard-trained psychiatrist, Scott Shapiro, MD will answer them tonight, April 25, in a live webinar, “Dialogue with the Doctor” at 9:00 Eastern.  (Click here to register for the live event, including the recording and transcript.)

Here are just a few of the questions
Dr. Shapiro will answer:

“What can I do about perfectionism?”

I've encountered so many Adult ADD/ADHD perfectionists as a coach, and much of the time, their perfectionist tendencies are causing them more difficulty than their ADD.  Because when you hyper-focus on making things perfect, you lose track of time and end up agonizing over details that are not important, losing sight of the big picture.  So you could end up with a document that's perfectly formatted, but not as well thought out as it could be — and turned in late!

I thought perhaps perfectionism was a tendency on the side of OCD (Obsessive Compulsive Disorder).  But Dr. Shapiro thinks differently, when it involves someone with ADD/ADHD.  He'll explain his thinking tonight on the program.

“What will help me focus besides medication?”

Dr. Shapiro will describe why and how exercise enhances our ability to focus (recent studies prove it really works!)

“Why is my medication not working as well as it used to?”

Dr. Shapiro will talk about a number of possible reasons.

  • The one he told me that I found most intriguing was the sabotaging effect that Vitamin C has on stimulant medication. So you may need to be strategic about how you take your orange juice, grapefruit juice and multi-vitamins!

We'll also hear advice on what to do about kick-starting your stimulant medication to start working well again… no, it's not increasing the dose.

Ask your questions tonight on
Dialogue with the Doctor

The “Dialogue with the Doctor” program includes access to the webinar recording and a complete transcript.   To join me as I interview the doctor, click here to REGISTER.

Have you experienced difficulty with perfectionism, success with exercise, or seen changes in your medication tied to Vitamin C?

Please SHARE this post and comment below!


Author: Bonnie Mincu
Senior Certified ADHD Coach, Founder of "Thrive with ADD," Bonnie has been coaching adults with ADD / ADHD traits since 2001. She has developed numerous training programs to help with the challenges of Adult Attention Deficit Disorder.


    Bob Dronski

    I read your message yesterday about vitamin C and stimulants. Over the last year or so, I’ve noticed that I wasn’t finding any difference taking concerta, no matter the dosage. My psychiatrist changed me over to adderall extended release, but again, I felt no different. So I’ve been going without for the last few months.

    Well, it turns out I had all my daily pills put together to take in the morning. That not only included the stimulants, but also a multivitamin and 1000mg of vitamin C. So I was eager to try taking the vitamins out of my morning dosage. Amazingly, I’m feeling a difference! I was a little dizzy in the morning, so I may have to readjust my dosage, but SOMETHING is happening!

    Thank you so much, Bonnie, for letting us know about this VERY important piece of information. I’m looking forward to the webinar!

    Bonnie Mincu

    Bob, I’m glad it helped! That’s a good thing about ADD stimulant meds – if you have the right prescription, you should be able to tell pretty quickly that they’re working.

    It is much easier to take all the pills at the same time in the morning. Now we’ll need to think of a different strategy for the Vitamin C.

    Patrice Kenney

    I hope to be able to ask about what to do when hormones change the effectiveness of medication. I have been told my daughter and I just have to live with it. That is hard to accept.

    I had also been told that orange juice consumption did not make any difference in when I gave my daughter her medicine. I always doubted that.

    If I am unable to listen to the webinar (due to dealing with homework and behavior issues), I hope someone does ask about pre-adolescent hormone issues and medication. I have also noticed a change with my medication, not being as effective, since I am going through peri-menapause. It is very frustrating for me so, I know it is for my daughter.
    Thanks for this opportunity.

    Bonnie Mincu

    Patrice, it sounds like you’ve been given some wrong advice! When Dr. Shapiro mentioned the orange juice issue to me, I went online and googled it — and sure enough, it was true. It has long been known that women feel a difference in their symptoms due to hormonal changes. There was research published on this at least 10 years ago. I will be asking Dr. Shapiro more about both of these issues tonight.

    If you feel that an answer you are given isn’t correct, go online and see if any research has been done on the subject before accepting it. Unfortunately, MOST of the doctors practicing today still do not really understand Adult ADHD. (And if you get a lot of wrong advice from one doctor, I’d suggest changing doctors!)

    Patrice Kenney

    I was not able to listen to the webinar tonight and was wondering how soon it would be that I could listen to the webinar. I am in desperate need of answers on how to deal with medication not being as effective without increasing dosage.

    Bonnie Mincu

    The webinar is available now as a replay, including the transcript. Some fascinating points came up about how food affects medication!

    CP Hiller

    Hi Bonnie,
    Yes the hormone connection has been known for a long time–but what to do about it when there is so much concern re estrogen replacement?

    Bonnie Mincu

    When it comes to estrogen, it’s best to speak to your OB/GYN doctor about it.

    Sherwood Monat

    Psychological interventions such as behavioral and cognitive-behavioral therapy as well as pharmacological treatment can lead to substantial reduction of OCD symptoms for the average patient. However, OCD symptoms persist at moderate levels even following adequate treatment course and a completely symptom-free period is uncommon.–:^

    Check ya later


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Bonnie, there are no words to express how deeply I’ve been affected by your blog! I’ve only read a few things, but they have created such a complete mind shift that the tears shed have washed away my struggles forever!

For the first time in my life I feel understood and hopeful that I can put some tools and systems in place to help me overcome!”

—Michelle near Seattle

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Find out what's REALLY stopping you with free "Procrastination Tree" Tool for Adult ADD / ADHD.