ADHD Coaching to Support Healthy Lifestyles

Research done by Russell A. Barkley, Ph.D. and Mariellen Fischer, Ph.D. and published in the Journal of Attention Disorders addressed the reduction in healthy life expectancy of people diagnosed with ADHD due to adverse health and lifestyle activities. The longitudinal study was eye-opening, but pointed to the need for individuals and the professionals with whom they work to talk about lifestyle choices in order to positively impact life expectancy.

At the 2019 Annual International Conference on ADHD Melissa Knight and I made a presentation about how ADHD coaches can help their clients in addressing lifestyle choices such as nutrition, exercise, sleep, driving habits, smoking, etc. that impact estimated life expectancy and the quality of one’s life.

I was happy to see the following write up on the ADHD Coaches Organization (ACO) blog highlighting the November, 2019 presentation.


The Role of ADHD Coaching in Supporting Healthy Lifestyles: Taking Research into Practice

By Melissa Knight, MA, PCC and Roxanne Fouché

Take Away: The importance of working together as a team when providing support for someone with ADHD. The team members can include a therapist, doctor, educator, coach and parents.

More Information: High-risk behaviors that occur earlier in life influence possible health concerns as people age, which then influences the increased risk for earlier mortality. What we have learned is that although ADHD is a serious public health concern, improved estimated life expectancy (ELE) may be achieved with proper treatment. It may be possible to improve the risks associated with lower ELE through treating ADHD, especially in improving self-regulation.

It is important that coaches become aware of this research to educate and support our clients with ADHD in implementing strategies for a healthier lifestyle. Coaches can play a significant role in facilitating change for our clients. Through this process, increased awareness concerning ADHD management, self-regulation, and lifestyle choices can occur. When clients increase their awareness, implementing lifestyle changes can follow.

Through Powerful Questioning and Direct Communication, Awareness is created, leading to Designing Actions. When a coach inquires about a client’s lifestyle, this provides an opportunity for the client to explore how behaviors can impact health. Through this process, the coach also helps the client to identify their values and motivation, which supports the client in understanding why a goal is important. When values are connected to motivation, there is a stronger possibility of success. Next, the client can move forward into brainstorming and strategizing alternative lifestyle choices. In addition to providing education to their clients, ADHD coaches are accountability partners. It is this accountability piece that is crucial for keeping these goals in the here and now for the clients in between coaching sessions.


Contact me for information about ADHD / Executive Function coaching to discover and implement individualized strategies, skills and habits that support healthy lifestyles, effectiveness and well-being. ADHD coaching is conducted in person in San Diego, by phone or via the internet.

ADD Successful Goal Setting

As the new year starts, many people make promises to themselves regarding better physical or financial health, learning a new skill, or how they conduct themselves in the world. Although these goals are heart-felt, unfortunately most research shows that New Year’s Resolutions are often abandoned by the end of January whether or not ADD/ADHD characteristics are part of the picture. It’s not that we don’t want these things – and it’s not because we lack willpower. We often give up on our goals because we haven’t set ourselves up for success.

How many times have you caught yourself making a promise to yourself or to someone else, saying “this time it’s going to be different” without really changing the way you approach the goal? It doesn’t make sense to do the same things over and over and expect different results. There is an alternative.

As an example, I would love to play the piano much better. It would be so gratifying to sit at the piano, look at complicated music, and just have my fingers play music effortlessly. But…it’s a huge goal and I can’t just “magically wish” it to happen.

As I set myself up for success for this goal, I need to consider what has worked (or kind of worked) for similar goals, as well as what has not worked at all. I need to be honest with myself. In order to set myself up for success, I also need to think about:

  • WHAT exactly I want to accomplish
  • WHY this goal is important to me
  • WHEN I want to do the things I set out to do … and
  • HOW I want to plan for success

It’s a combination of “SMART” goals (specific, measurable, achievable, relevant and time-bound) and knowledge of oneself and how to leverage our interest and motivation.

For my piano skills goal, I want to be able to play songs in an Adult Intermediate piano book with ease and have memorized six pieces by the end of the year. I want to do this to push myself a bit, and have fun perfecting a skill that gives me joy.

I know that when I make too big of a goal, I can get frustrated. I know that I cannot work on too many goals at once, as that can get overwhelming. I also know that I work best with flexible structure.

I want to start this week, keeping track of the time I practice and log a minimum of 1 ½ hours/week. That’s a little over 15 minutes a day, which is do-able. I am going to try to do my piano practice in the morning, but on busy mornings, I would like to sit at the piano at the end of the day. My reward (and inspiration) will be listening to piano music via a streaming service.

I will share this goal with my family so I can have some accountability and although I don’t like the idea of playing for an audience, maybe I can record my playing so they can listen to it without the pressure of performance. Additionally, my intention is to give myself permission to be human, knowing that there will be some weeks that I will not meet my goal. After those weeks, I will revisit my plan and adjust accordingly.

So what goals do you want to work toward? What would make your life easier or more rewarding? What would make a big difference?

As you move toward your goals, the assistance of an ADHD / Executive Function coach may help you determine the strategies and habits that will provide more success, fulfillment and balance in your life. Contact me for an initial consultation and we can talk about how ADHD coaching can help you successfully achieve your goals with ADHD.

2019 Annual International Conference on ADHD

The 2019 Annual International Conference on ADHD will be held November 7 – November 9, 2019 in Philadelphia. The conference is organized by ACO, ADDA and CHADD, three organizations dedicated to the empowerment of people impacted by ADHD and associated challenges.

I am pleased to announce that my colleague, Melissa Knight, and I will be presenting a conference session on the role of ADHD coaching in support of healthy lifestyles. This is an important and timely topic related to research done by Dr. Russell Barkley and the impact of ADHD – and specifically self-regulation – on health outcomes.

Keynote speakers at the conference include Dr. Anthony L. Rostain, Dr. Ross Greene, Dr. Roberto Olivardia, and Maiken Scott. As there will be many fabulous opportunities for learning and connection, I invite you to check out the conference offerings and attend if you can. Spread the word!