Most Helpful Customer Reviews
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968 of 990 people found the following review helpful:
3.0 out of 5 stars
A 1st -hand view, April 22, 2001
Since both myself and a loved one have been diagnosed and treated at Amen's clinic, I'd like to respond to this book from the view of my actual experience. First, I agree with most of the what is said in the other positive reviews. The book is engaging, informative, and most importantly, it offers a great deal of hope. It breaks new ground, and it allows the layman to make better sense of the complexities of brain biology, personality, and behavior. To those few reviewers who insisted that Amen does not actually tell us "how to change your brain" - this is simply not true. Amen offers a variety of options including traditional meds, (even a nice chart to help with the benefits of each), and alternative treatments such as herbal and dietary suggestions. As many know, Amen's use of SPECT scans is very controversial. Although he has a following of professionals, he is also careful to say that the scans are NOT a primary diagnostic tool - only a way to confirm a tentative diagnosis. This may be because SPECT is not approved by the DSM, nor the APA(to my knowledge), as an accepted and reliable diagnostic tool for ADD or any of the other problems Amen discusses. Given the stodgy psychiatric mentality in the US toward new approaches, this should not be a problem in and of itself. Yet given the controversy, a serious flaw of the book is that it does not address the number and types of cases in which this approach does NOT work. But I also want to offer some cautions to those who might be tempted to passively accept the book in its entirety. 1) In my own case, two Drs and a thrapist in Amen's own office had different interpretations of my loved-one's SPECT scan, yet there was no consultation among them to resolve the issue. 2) In this layman's view, the book also seems to show some inconsistency in interpreting the scans. Why does the same over-active image area become the diagnostic key in one case, but then seems irrelevant in another ? 3) Again in my personal case, the drug protocol for my loved-one was the opposite as that described in the book. Despite my questions, this was never explained to me. 4) A recent read of another book by a different author using PET scans showed completely different parts of the brain producing some of the same symptoms as Amen describes. But I suppose this doesnt matter as long as the treatment works. So what is the upshot of my review? My experience causes me to question the credibility of some parts of the book. Interpretation of these scans needs refinement, and Amen may need to get his own house in order as well. Yet, I have found no other professional who understands the intricacies of ADD and the associated problemsas well as he does. Amen truly cares, and this book is a 'must-read'. Regardless of the imperfections, his approach DOES work for many, many people. But do not be lulled into a passive acceptance by the enticing simplicity of the diagnosis and explanation. Feel free to email me your thoughts. And to those dealing with the pain of ADD its related problems, I wish you peace and comfort. Remember that the heros in a race are not only those who win, but also those who continue to struggle until they finish.
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371 of 388 people found the following review helpful:
5.0 out of 5 stars
One of the Most Important Books I have Ever Read, August 12, 2001
This book shows you that there is hope for everyone! Though the title is a little silly, it is appropriate. This book actually shows you pictures of brains with different emotional/chemical imbalances. Give it to anyone who questions whether diet or medication really affect their feelings and relationships. Many people believe that medication is for weak people and that they should be able to conquer their problems through sheer will. I have known countless people who have tried everything to overcome emotional issues but actually changing their physiology. This book gives indisputable evidence that problems like depression, aggression, ADD and Alzheimers are physically based. The changes in patients' brains before and after treatment (often, but not always medication-based) are phenomenal. It demonstrates with the SPECT series brain scans that our brain chemistry rules our emotions. I learned that even minor bumps to the head can change people's personalities and ability to learn. Dr. Amen shows pictures of brains with little or no activity in areas that have been injured, mirroring the patients' emotional or intellectual difficulties. Amen is very clear that he always uses talk therapy and teaching communication skills before he contemplates having a SPECT series done. His point is that many people can benefit from learning new skills and ways of looking at life, but some are truly stuck because their brain activity keeps them looping on negative thoughts, reacting with extreme anger, obsessing about limited situations, or shutting down when they try to concentrate. When medication is used these patients can finally put the communication and coping skills they have learned to good use. This book helped me understand people in my life who have seemed hopeless, shallow and even vicious. It showed me that there is hope for everyone who is willing to open their mind, get proper treatment, and challenge how they have viewed the world up until now. The exercises he gives the reader are very specific and helpful. If another reviewer thinks that there is nothing concrete in the book, then they aren't willing to look at their diet, their habitual way of thinking, and herbal and medical treatments. The prescriptions are plentiful and very specific. It is an easy read, very accessible, with fascinating stories that pull you in. It is not academic or inaccessible. Quite the opposite. It's a great book for anyone who wants to know more about themselves and how their body works.
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87 of 89 people found the following review helpful:
5.0 out of 5 stars
In the past 3 weeks I have lived the title of this book., March 23, 1999
By A Customer
I read this book three weeks ago and am performing as an actor in a stage musical for the first time in over a decade. I have to admit that I first took it from the shelf in the "new books" section of the library because it struck me as having (my apologies to the designer) the ugliest cover I had ever seen! In spite of my having been on Prozac since 1996, I have experienced continual mental problems which resulted in periods of severe depression. The first sentence on the inside cover grabbed me: "Do you panic at the thought of walking into a room full of people you don't know?" I checked out the book. I am, as I write this, in the process of ordering my own copy and one to send to my sister. I am a 45 year old male teacher/ actor/writer. I hold a Master of Fine Arts degree in Theater Arts and have previously made my living as a working actor as well as having had books, plays and songs published since 1976. My spouse of twelve years died in 1994. Suicidal, I returned to my hometown of Birmingham, Alabama, after living fifteen years in New York City and Los Angeles. I have not been able to work on a regular basis since. Going back on stage and working as an actor was not even a consideration. Since 1995, I have only been successful at doing sporadic tutorial work with English Composition students at local colleges and universities. The suicidal tendencies I was suffering stopped with the administration of Prozac, but I have spent the past two and one-half years wondering what was wrong with me because I could not focus long enough to complete any of the dozens of projects I would start. I had no patience and could not even keep still long enough to attend a film. I have been in grief counseling during this period, but have not seen a psychiatrist (poor insurance). Fortunately, my regular physician is very receptive and listens to his patients. I did not know adults suffer from Attention Deficit Disorder. I thought it was something children suffered but outgrew (I have no children, but have four out of nine neices and nephews on Ritalin). I took the test for Cingulate problems at the end of Chapter 9 in Dr. Amen's book by asking myself what I had been like, before I began taking Prozac, compared to my present state of mind. I went from almost all 3s and 4s, indicating serious problems with worry and obsessiveness, to 0s, 1s, and 2s. This was an obviously improved state, and very much in line with Dr. Amen's findings. I read the entire book in two nights, and did the remaining four checklists. I had very few 3s and 4s with the exception of a huge majority of those numbers on the Prefrontal Cortex Checklist. Not only did I discover adults can have ADD, but that there may be a genetic tendency. I spoke with my Mother who said the pediatrician had her give my brother and myself coffee in the early sixties before sending us to school and it seemed to help, to a small extent, with our behavioral problems. I immediately made an appointment with my doctor and showed him where Dr. Amen had used the combination of Prozac and Ritalin. He prescribed Adderall and I began to see results in only two or three days. My doctor immediately ordered a copy of the book from Amazon.com. He was going to have his daughter read it. Her son is on Ritalin. She is on Prozac, but suffers many of the same problems I described. I began taking the Adderall with the Prozac three weeks ago. During that time I have submitted lyrics to the composer with whom I had written songs, but not been in touch for several years. I have completed a play upon which I began working in 1992, and it is being produced at the local University in May.. I had been offered a number of stage roles by local directors since my return to Birmingham, but turned them down. As previously mentioned, I have just agreed to perform in a musical this summer for the first time since 1988. Dr. Amen offers many, many suggestions for ways to change your brain and your life which have nothing to do with prescription medication, but he convinced me to explore every possible avenue available, without any of the reservations I originally had about going on Prozac. Just knowing my debilitaions can be physiological instead of "all in my head" has made me view my total self differently than at any time since realizing I was "different" around the age of twelve years. I have, at this point in time, had the most productive, fulfilling three weeks of my adult, possibly entire, life. I am literally able to maintain a peace of mind I truly believed impossible. Dr. Amen's writing style is most accessible to the "lay-reader". The book is a blessing. Anyone who has ever doubted his or her "sanity" should read this work, and find a doctor willing to listen to its message!
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