An ADD Case Study: What Does it Mean to "Fail"?

Josh is a client of mine who is a junior in college. He's very smart. He's amazingly smart. Talk to Josh for an hour and you'll know how smart he is. But if you don't know Josh and you look at his grades from previous semesters, you would probably guess that he wasn't smart at all.
Josh gets frustrated in school. He works hard, but often finds that the pressure of test taking overwhelms him, and his grades suffer for it.
Recently, Josh had a midterm in his Economics class. He knew it would be tough. He hates this class, but it's required for his Business major. He had one test in the class already, which he did not pass. For the midterm, there were 3 books to review, and pages upon pages of notes to memorize. But he was determined to get an A. Three weeks prior to the test, he began setting aside review time. He highlighted the books, and took notes on them. He rewrote his notes to memorize them. And he even formed a study group with some of his classmates.
The morning of the test, Josh felt good. He had plenty of rest the night before, he ate a good breakfast, and he was ready to ace his Economics test. He got to the classroom, ready to go, and when the test was handed out and he flipped through it, he froze. The test was four pages long, with short answer questions, math problems, and an essay. Even though he had studied so hard, Josh started to doubt himself. He did his best to push past the anxiety and overwhelm and finish the test. Then he went back to his dorm room and slept. He was physically and emotionally spent.
A week went by before Josh got his test back. It was a B. He had studied so hard, he knew the material, and yet all he got was a B. He was crushed. "I did the best I could, I worked so hard to overcome this test-taking fear, and I failed."
"What exactly did you fail at?" I asked.
"I got a B," he replied. "I put so much work into that test that I should have got an A."
For Josh, it was very easy to look at the situation and see failure. He wanted an A. He wanted to prove to himself, his parents, and his professor that he could ace this test. And Josh was so busy holding himself up to unrealistic expectations, that he completely missed his successes: He stuck to the structure that we created for him. He developed excellent study habits to prepare for the test. He got a B! He answered approximately 80% of the questions correctly, when just a month ago he wasn't passing the class.
I pointed this out to Josh and, although he listened, he only half-heartedly agreed.
Then, two days ago, I got this email from Josh:
"Dear Jen,
I got my philosophy test back today and guess what, I got an A-! I thought about what you said and realized that I have been doing really good studying this semester and I am doing better than I ever have. My dad is so excited about my B and A-. Thanks for pointing it out because sometimes its hard to see the good stuff."
I agree. Sometimes it is hard to see the good stuff - whether you're a student, an artist, an office worker, a business owner, or a parent. When that happens, look harder. Even if you "fail," you'll still learn something about yourself or the situation you're in. And if you're learning, then you're really not failing, are you...?
This story was shared with Josh's permission.