Monday , 11 December 2017

Offering A Reward

By Rick Green,

Have you ever heard the term ‘Reward Deficiency Syndrome’? From what I understand, it came out of research by Dr. Kenneth Blum and others. They were searching for a specific genetic glitch that might increase the risk of alcoholism.

They understood that something as complex as an addiction can not be caused by any single gene, but the one gene being studied did seem to increase the risk.

This initial work did lead a number of researchers to the discovery that the genetic anomaly “previously found to be associated with alcoholism is also found with increased frequency among people with other addictive, compulsive or impulsive disorders. The list is long and remarkable – it comprises alcoholism, substance abuse, smoking, compulsive overeating and obesity, attention-deficit disorder, Tourette’s syndrome and pathological gambling.”


There’s a ton of research that shows people with ADHD are at far greater risk of substance abuse, gambling, and so on.

To explain the common thread in this, Dr. Blum came up with the term ‘Reward Deficiency Disorder’. The gene involved is in a dopamine receptor. And as you may know, most ADHD medications target dopamine.

A fresh perspective on ADHD

I first heard about this concept at a CHADD conference. It wasn’t part of a formal presentation, just a part of a conversation among some of the speakers that Ava and I sat in on. Someone mentioned that there was an interesting new idea that ADHD could be seen as a problem with reward deficiency. As in, we don’t feel pleasure as intensely as other people. So we need more food, more alcohol, more drugs, more sex, more shopping… to get the same rush. More risk and danger to feel the same thrills.

Rick Green, ADHD, Reward Deficiency, addictionIt resonated with me. I wasn’t sure why at first.

Then it occurred to me that I had often received standing ovations when I was doing live comedy, with The Frantics. And while most people would be thrilled, and remember it for the rest of their lives, I would head back to the dressing room thinking, “Not bad. I think we could have done better if the lighting had been tighter to the cues. And the stage right spotlight was too tight…”

(I cringe to think how much joy I let slip by.)

“Is something wrong?”

Fans, friends, and family would come up after a show gushing with enthusiasm. I felt pleased, sure, but not nearly as enthused as they were. They often assumed my low key smile meant something was wrong, that I was upset, or perhaps we had a backstage argument.

Nope. It was just, “Done. Moving on. Who wants to go out for bagels?”

Don’t get me wrong, doing a live comedy show was great. Being out there, playing, in that dance with the other guys was intense and exciting. We were literally playing, dancing with the material, riffing, exploring, pushing the liRick Green, The Frantics, impulsivemits, trying new things, surprising each other and ourselves.

Numb? Insensitive? Hard to please?

The idea of being reward deficit has stuck with me.

Maybe it’s a case of seeing what I want to see, but I began to notice it more and more in myself. It was especially clear to me whenever I finished a huge project: delivering the final version of ADD & Loving It?! to the network for broadcast; the launch of ADD & Mastering It! on PBS; finishing the book ADD Stole My Car Keys.

It wasn’t high-fives, whoops, back slapping, and congratulations. I wasn’t glowing with the pride of accomplishment.

HB photo copyMore like, “Phew. We did it. Done. Finally… What’s next?”

Then I was on to the next thing, always with a sense of urgency.

I went through this sense of, “Thank God, that’s done,” recently when we finished our biggest project ever, ADHD Medication, Straight Answers to Big Questions. I knew it was going to be ambitious. But I had no idea how all-consuming it would become.

Do you do this as well? You may not think you downplay your strengths, because you don’t believe you have any strengths. So you’re not really sure what to celebrate. So when you remember to pick up the kids, or you bring a boring party to life, or take care of an abused animal, or whatever, you don’t really appreciate what you’ve done.

How do we celebrate our accomplishments? Do we have to stop and actually pay attention to them? Perhaps take a weekend to reward ourselves? Or send a thank you to everyone who helped? Or call someone and announce, “Guess what I did!”

Maybe that’s part of the value of a coach. Someone to actually stop us from jumping onto the next thing we should be doing, and have a look at what we actually have done.

Interesting topic, isn’t it? Motivation. Procrastination. Celebration. Acknowledgment. Rewards. Achievements.

“I don’t have time to celebrate! There’s still too much to do!”

When I’m in the middle of doing those thousand little things that need doing, actually pausing to celebrate is about the last thing on my mind. Unfortunately, when I have finally finished those thousand little things, I still don’t pause.

I just rush headlong into the next thing. Or, simply collapse into, well, a state of utter exhaustion.

The danger is that life becomes a treadmill of doing. It’s monotonous, even when it’s going well. There’s no perspective, no sense of what has been done. Whether what I’ve done is to create a full-length video, or simply do my Yoga routine every morning for the whole week.

Not acknowledging the end, or even celebrating all the little steps and victories and accomplishments along the way, is kind of tragic, and it deprives all of the people who work so hard to make something happen, the pleasure and pride in surveying what Rick Green, ADHD, reward deficiency, The Franticswe’ve done and savoring it.

“Hey, job well done!”

“Wow, look what we did!


I decided the solution is simple.

A few week back, I decided to pause at the end of every day, and look at what we have done, and how far along we are. Even if some days it feels like we took three steps backward. (And yes, some days I forgot to do it.)

Some days ended with me feeling disheartened that, “I hardly got anything done.” But taking a few minutes to talk it over what we’d done with Ava and Jimi made me aware of the fact that while there were one or two big frustrations, a whole bunch of things did get moved forward. It was amazing.

What I found is that pausing to review what had been done, even if it hadn’t worked out as hoped, had me see how much progress we were making. Instead of seeing only what still needed to be done, my focus was on how much had been accomplished.

If we are struggling with a ‘Reward Deficiency’, then we need to actually pause and be mindful of what we’ve done, big or small. And reward ourselves.




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