I think it's possible that some of the comorbid disorders seen in people with ADHD are not separate but actually caused by the ADHD itself. If you treat the ADHD you treat the anxiety/depression. Substance use seen in those with ADHD may also be due to ADHD's impact on self-esteem and impulse control. But, great video. Glad to see videos that show all aspects of this disorder from all angles.
@ShrinksInSneakers Жыл бұрын
Appreciate the comment, providing some different perspectives here
@honeycovin9665 Жыл бұрын
As a child/adolescent psych CNS, I see kids and dx them, if appropriate with ADHD and then often the parent realizes he/she struggles or struggled with the same issues and then they get treated and it has this huge down stream effect. Their relationships improve, marriages get better, their job gets better and their mood is improved. I am not sure if we have parse that the mood dx is caused by the ADHD or separate - how many angels can dance on the head or a pin- who cares.
@ifrankensteinsmonster3 ай бұрын
Can ADHD cause Depression? How?
@lemonladyYT21 күн бұрын
@@ifrankensteinsmonster I learnt today about the Window of Tolerance and it made sense of both the misdiagnosis of Bipolar Disorder and the appearance of depression. A dx of BP and the meds helped me but never answered all the questions. The moment I began applying AuDHD to those unanswered questions my entire life made sense. The more I learn and the deeper I understand, the more I am able to adjust my life for increased emotional stability. I do believe adults have hyperactivity, it's just expressed in a different way than seen in children who naturally have less self control.
@snakebite72993 ай бұрын
The one thing that makes sense is the reason on a map that it's so much more on the east coast of the United States is because 80% of the US population lives on the east half of the United State. Just like as the East Coast has around 90% of all railroads which ties to the history of the United States.
@DangerNoodle686 ай бұрын
Hi, I have ADHD and I want to share my opinion: ADHD is definitely being overdiagnosed. People make kids sit for hours at a time and expect them to sit still. Suddenly they are diagnosed with ADHD and put on meds. But ADHD is absolutely real. I have a form of it that makes it near impossible to function so no, for some of us it’s not just a slight deviation. I can’t even do things I want to do because of it. If the ADHD symptoms don’t continue into adulthood (don’t say someone’s symptoms didn’t continue just because they present differently now. I mean if that aspect stops altogether) then they probably didn’t have it in the first place. I need meds to function in society. Many of the people put on meds don’t really need them (usually because they never had ADHD- it was because the school system makes them appear to have it. In many cases it is the school system’s problem, not the kid having ADHD). The kid doesn’t need a change, the school system does. But for the many of us who do have it, we need extra support through the meds.
@honeycovin9665 Жыл бұрын
Is it possible that many adult ADHD folks have just found the right niche so their ADHD is not a problem as much- not that it has gone away? I mean, how many ADHD accountants do you know? Maybe not many. But adult ADHD seems to be very present in mechanics and oh yeah - ER docs. All jobs with lots of physical activity and intense mental focus on one complex thing at a time. But really want to thank you as you talk about how the demands of present society are not congruent with how evolution selected for brain function. I wish we would change education, but that is not going to happen. So I prescribe medication for individuals to function in a society at odds with how thier brains function. ADHD was probably a huge benefit when we were hunter-gathers, but not so much a benefit in modern society. I am really enjoying your videos and learning a lot. Please keep making them!!!!
@kirstensignar1166 Жыл бұрын
I totally agree. When people live their entire lives undiagnosed, they adapt and find workarounds in life. That doesn't mean we aren't still working harder than everyone else to achieve a "normal" state of functioning. I know symptoms often show more when people are highly stressed and busy - and if you aren't then the symptoms may get masked; they don't just go away. Also, ADHD can cause people to focus very well on things - the question is whether you're working in your niche area. I quit my jobs in corporate America (IT work) because I struggled so much, then started my own cleaning business where I easily flourish. I didn't know it at the time, but pretty sure it's my ADHD that was keeping me from doing well for so many years before I became an entrepreneur. Nowadays, no one would even suspect I have ADHD (because they don't realize my hyperfocus on it is literally due to that very reason). I thrive a lot more in physical labor jobs.
@jacewidman48077 ай бұрын
tried to learn a bit more about my disorder, zoned out 15 times, didn't hear a word he said
@amyallen3269 Жыл бұрын
I'm a speech therapist who works in schools and am an adult with ADHD and only recently medicated. I agree, we are asking kids to sit for ridiculously long periods of time and therefore is drug therapy the real answer? I don't think so. That said, when there is reference to children outgrowing ADHD or the original ADHD is realized to be a comorbid psychiatric condition this is also muddy because as an adult diagnosed as an adult, I definitely acquired anxiety and other psychological challenges due to undiagnosed ADHD. I don't know any pediatrician or psychiatrist who is pushing stimulants now - in addition, there is a nationwide shortage of generic and name brand stimulants due to reasons related to production and also over prescribing. I found this video to be just a little fearmongering but overall, it was informative and touched on some good things that would be excellent topics for deeper dives. In my experience, personally, and in the students I work with, I definitely see the overlap of ADHD and ASD. And that's obviously, a broad stroke. But, especially in the academic setting, I see students who are definitely on the ASD spectrum but only have an ADHD diagnosis which would perhaps make the prescribing of ADHD medication inappropriate.
@lemonladyYT21 күн бұрын
As a late diagnosed adult I disagree that being ASD as well would make ADHD medication inappropriate. Whilst there is an overlap of effects from the two conditions I experience very separate identifiable issues managing to navigate life. If it was only the ASD I believe knowledge and understanding from within is sufficient. In that I could find balance and peace accepting how exhausting masking is when around people and ensuring I have plenty of non-verbal 'me' time in nature. Whilst that is also beneficial for the ADHD, it requires so much more to calm the chaos. My brain doesn't simply desire regular dopamine hits, it absolutely must have them for optimal efficiency. I am interested to know why you feel ADHD medication is inappropriate where ASD is also a factor.
@elissan1753 Жыл бұрын
This was such a great video and topic. I think you've said all the things about ADHD (which probably extend to other conditions as well) that others are afraid to talk about/don't admit may be true. Psychiatry's mission creep into more and more of variations of normal is kind of concerning. Follow-up questions: in which cases do you think ADHD meds are appropriate? Are there diagnoses in the DSM that you think have gone too far into variations of normal?
@ianmacaig2696 Жыл бұрын
I think the answer is both. ADHD is real, but it's not necessarily a disorder as it's part of a continuum of normal variation in attention. However, speaking as someone with ADHD who is also autistic... This doesn't make it, in some cases, less damaging to my everyday life. I wasn't diagnosed until early adulthood with either. As a kid, my school was an amazing environment for ADHD and neurodiverse people. I had access to fidgets, in a natural environment, small class sizes with excellent teachers, flexibility in work, and so forth. I didn't really need medication, it wasn't necessarily causing me problems. When I went to college, though... I was falling behind my peers, but the biggest struggle was to structure cooking, cleaning, and generally scheduling my time and managing money. But the thing is, I think the reason this is really a problem is because society is fucking forcing conventional narratives of success on me that require focus, attention, and impulse control out the wazoo. I don't think society fits how our brains really are in any way at all. ADHD may have been a benefit in 'the wild'. But medicine also can cut out organs like kidneys, appendix, tonsils.. we don't get nearly the same amount of physical activity.. our diet is fucked.. we're all drinking coffee to be productive anyways.. living far outside of natural environments. I don't think that ADHD being a naturally occurring phenomenon really needs to come into play for ADHD to still be a problem. As for the medications used, I think stimulants need to take more of a backseat. I'd love more work done to develop other non-stimulants. Things that work 24/7 like atomoxetine and guanfacine. Between possible dangerous effects, desensitization of the dopamine receptors, and tolerance causing dose escalation are all problematic for a disorder prone to forgetting a consistent medication schedule.
@Dr.BCAnderson4 ай бұрын
This neuropsychologist 100% agrees with this analysis. I think this conversation needs to continue and would love to contribute from an assessment standpoint.
@kirstensignar1166 Жыл бұрын
What's the TLDR version of this? I thought this was a psychiatric vs neurodevelopmental talk but I haven't heard that part much. I wish learning about ADHD didn't require so much focus lol I keep watching (restarting) this but somehow I'm still not sure what you're saying and I feel I'm not going to get your point unfortunately.
@babokas8194 Жыл бұрын
I agree questions should be asked , in that regard i wonder this: 37y female diagnosed with innatentive type (even went to two dif doctors and made extensive tests) , how can a stimulant be so calming to me ? I have tried to make sense of this but i cannot. I dont get mad at things like i used to, my mood is better and i feel so much calmer ( i even eat and drink at slow pace now ) . I have seen people go nuts and rave and hyper with stimulants but that is just not my experience at all. I used to have a lot of wakenings during the night and even that is so much better. Any reason for this ? Thank you :)
@vixxystar8695 Жыл бұрын
Because you have ADHD. It is a real thing. I’m so glad meds are working for you! It can be so hard without them. Best of luck
@entropy22839 ай бұрын
Its about dosage. A low dose can give alertness and clarity, a high dose will make you stimulated/good to go clubbing. Regardless of diagnosis.
@thequeenofrap7326 Жыл бұрын
This is so interesting and TBH as someone who was diagnosed adult adhd my first medication I was prescribed was Adderall which did not help with my attention at all though it did help me with procrastination. I've heard of non stimulants which now taking both Strattera and Tenex and my attention has been improved a lot which I'm so glad. Not going to lie I don't want to take stimulants for the reason for neurotoxicity and the stigma that comes with it.
@libotoole8489 Жыл бұрын
Thanks for this informative video! I always wondered about amphetamines as treatment when it's been demonstrated to cause brain damage. Your explanations are easy to understand and very insightful
@haleynayer2463 Жыл бұрын
This is off topic, but have you tried the gene sight testing with your patients or heard of it? What are your opinions on this for helping find the right medication. Do you think gene testing is accurate? My psych said it is a guideline to help choose a new antidepressant since Lexapro seemed to cause too many side effects and loose its effectiveness after a year. Could you possibly make a video on this? Thanks
@ShrinksInSneakers Жыл бұрын
This is a topic I want to cover. The issues with genetic testing is it primarily provides information about the metabolism of medications. This WILL NOT tell you which medication will work for you. I can help identify those that need lower doses because they are slow metabolizers for example where increased risk of side effects can occur. It's not to say these tests are not somewhat helpful in making decisions, I think the big problem is most people assume they tell you which medication will cure their depression, sadly this is not the case.
@TheBoeBoeBa Жыл бұрын
I highly aggree adderall is unhealthy and neurotoxic and shouldn’t be used long term daily, I do however think they still should be prescribed but warnings should be given and psychiatrists should warn not to use it daily. Personally adderall addiction heavily worsened my depression and my depression wouldn’t be so bad had I not used it daily for a long time
@DangerNoodle686 ай бұрын
Adderal works differently for different people. Sorry it made your sistuation a lot worse.
@Ares-vu4kd Жыл бұрын
Finally, more people recognizing this. I can't believe it's widely accepted to prescribe children fucking speed for life because they are slightly different from their peers
@ShrinksInSneakers Жыл бұрын
I knew this would be controversial topic and I'm not saying there isn't a place for treatment especially in those children as symptom management as explained in the neurobiology section. I think my main point here is we need to reevaluate and carefully consider the other possibilities of inattention. We also need to consider the risk of long term stimulant use and the risk for substance use disorders. Hope this helps, if you haven't subscribed to the channel
@kikisrandomdeliveryservice6122 Жыл бұрын
It's an interesting take and it's mostly valid and I understand the reasonas and all the concerns regarding medication, the only thing I would like to comment or suggest a different point of view is the late diagnosis in adults. You stated that some ppl didn't have An ADHD diagnosis as children which you took as making the diagnosis less valid (if I misunderstood I apologize) but have you considered that there are probably outside reasons why these individuals weren't diagnosed as children? It could range from neglect to not being able to afford an evaluation, cultural background, misdiagnosis etc. While it is True that if you didn't have ADHD as a child you usually can't have it as an adult, a diagnosis isnt the same. As I stated maybe they couldnt get a diagnosis when they were young but were finally as a adult able to get one. So anyway this is the only thing that bothered me about this video,,, cool take tho
@TornadeZzz5 ай бұрын
Probably this way of being leads to more anxity, sleeping problems (for exemple I can sleep 2 hours a night and wake up, ready to do so many things until I collapse after a few days), depression and burn out (when you spent years and years in working all night long and take no rest, just because it is enthousiastic, or thinking at so many things I want to do) Now, I am exhauted at 37. Never took ADHD medecine (diagnosed a few months ago). How to deal with this ?
@acinematrail9 ай бұрын
Thanks Dr. This was a breath of fresh air.
@ShrinksInSneakers9 ай бұрын
Thanks so much for watching, I appreciate all the love and support
@warnerbasement1628 Жыл бұрын
As someone diagnosed in my 20's with both ADHD and depression then in my 30's - 40's with treatment resistant major depression and PTSD related to childhood trauma, I guess I would say it would be extremely hard to parse out what is what where one begins and the other ends. Add a terrible mental health family history including my mother who wound up homeless, and lived her entire life with some form of undiagnosed personality disorder, depression, addiction (possibly cocaine) hoarding and animal collecting -- she lived with 30 feral cats at one point -- as well as her cousins both of whom killed themselves (both with addictions one by hanging due to cocaine addiction and the other by intentional heroin overdose) and I'm iust not sure how one would begin to distinguish them? She was verbally, often physically and always psychologically abusive, but she was mostly suffering. My ADHD symptomology is textbook on steroids but how much is depression versus ongoing trauma is so interlinked at this point it seems near impossible to parse out? Mercifully I didn't get the addiction piece. Indeed I'm extremely sensitve to most drugs but most especially psychiatric ones. All SSRI's cause heightened anxiety in me. Wellbutrin and Remeron caused intense disproportionate rage and extreme irritability. Ritalin was OK but I could only take an slower release version otherwise the anxiety was soul crushing. Adderall was nightmarish -- lasted a week. Combining a stimulant and an SSRI's triggered hypomania and a 10 day psych ward stay in 2019 although we now think my elevated blood pressure was contributing much of that. Unlike many people I can absolutely tell when my blood pressure is elevated. I want to crawl out of my own skin. Nefazodone was "okay" but they discontinued that. Effexor was awful and the discontinuation was even worse. Weed? Awful reactions with extreme irritability emerging 48 hours after taking and lasting weeks. Intuniv caused severe irritation and it's still ongoing after a month of discontinuation and only taking it for 3 weeks. That sensistivity to drugs has been a blessing and a curse. At 55 my heart and blood pressure are also huge factors limiting treatment options. At this point its Modafinil for cognitive and Trazodone for sleep. But the former is a sleep killer and the latter only helps get me to sleep it doesn't help with staying asleep. I have a loving wife. I'm in weekly therapy but the convergenge of all these factors and the symptoms of them have left me exhausted and ready to die. I'd check out tomorrow if I didn't think it would hurt the people who love me. So adult ADHD converging with untreated depression and childhood trauma or whatever the hell this is has near destroyed my life. I could be homeless and alone tomorrow. That's just the grim reality of it all. ADHD or similar type of symptomology is a stone cold killer in the US for adults. There is zero compassion and zero understanding. This countrt will chew you up and spit you out with zero care given. I exercise as best I can. I used to ride 200 miles per week and do 10 foot elevation gains but a random assault while biking that caused a traumatic head injury ended that for me. I backpacked 90 miles in a weekend routinely but that's done. I do more reasonable distances now. It doesn't really help the symptoms. Even a 50 mile ride would maybe calm me or help for about 5 hours or so. I do it for overall health not mental health.
@fdddff47 Жыл бұрын
Is the Hypocampus decrease also present with bupropion or methylphenidate?
@ricksmith7658 Жыл бұрын
I like the Jungian approach to the DSM-5-TR. Mental wellness is within a spectrum with extremes and specifiers.
@ShrinksInSneakers Жыл бұрын
I think we have found that most disorders including bipolar and schizophrenia exist on a spectrum with some patients having severe symptoms and others have mild symptoms. This is why we see patients with schizophrenia in some cases who seemingly do worse on medication. Their symptoms are mild and the side effects of medication are worse than symptoms. Hope this helps if you haven't subscribed to the channel please do, and spread the word about what we are doing here
@honeycovin9665 Жыл бұрын
You know, I don't prescribe for kids with mild, maybe I should say developing schizophrenia. I try to do ACT with them and teach the family these same skills. Also, I've had some kids whose AH we're actually comforting. And it wasn't like this was an "imaginary friend", or a pretend playmate for this teen. She heard voices, but was not scared by them and they was benign, at least when I saw her. So I did not treat them. Not sure how she is doing now. I've also noticed some cultures are much more "Ok" with AVH than ours.
@itocanas2986 Жыл бұрын
And then having the inability just to be like in the moment present like in time and just quiet mind and being able to just relax and you know not you constantly like bouncing all over the walls thinking from
@naphisa340 Жыл бұрын
❤❤❤❤❤❤thank you for doing this video!!!!!! Adults in their 30s and 40s keep wanting the diagnosis of adhd due to tik tok and its so false.
@Constitutionalapologist Жыл бұрын
saving you having to read the question preface, i will simply ask: Have you noticed whether or not suboxone has an affect on ADD in a non medicated person(not taking adderall, etc)? i have a friend that it seems to make his symptoms worse. just curious. While I've got you here, i have another question. off topic... i have noticed some people that suffer a brain injury, after recovery, seem to become more talented in a certain field. for example, math, physics, etc. is there anything to that? or is it just coincidence of the people i have known? :)
@itocanas2986 Жыл бұрын
I believe that it should be on the Spectrum I have ADHD what sucks is medication varieties generics are not the same and achieving therapeutic effects from different brands it's a struggle and it's discrimination just trying to get the medication filled and how controlled it is I feel like after a year of taking medication they shouldn't be that regulated for the patient I should be able to get three months h my supply and not call every month also like the visual aspect when it comes to ADHD is really affected how you perceived details and colors I feel like everything started to 4K HD 60 frames per second when regards to my vision how am I able to analyze and materials
@gerk7238 Жыл бұрын
I’ve had adhd since I was a kid and just thought I’d outgrow it but it developed into anxiety in my adulthood and my adhd has gotten worse. I have never taken any medication and recently was prescribed buspar to deal with the anxiety foremost. 5 days in my sleep is worse, i feel dizzy after taking jt. I feel very minor improvements, thinking that stopping drinking coffee might help this medication. Do you have any suggestions on if this is the route that’s best and if buspar will eventually help? Thanks!!
@ShrinksInSneakers Жыл бұрын
Check out my video on buspar, I cover this topic in depth. Personally I'm not a big fan of buspar for anxiety, clinically I have not seem much effect. I do like it as a medication to treat sexual side effects of SSRIs or SNRIs. I would also explore cognitive behavioral therapy as an option to treat anxiety. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here.
@TheBoeBoeBa Жыл бұрын
The rise in adhd diagnoses not being due to better recognizing adhd today argument also applies to autism diagnoses. It’s just that autism diagnoses doesn’t often lead to “fun” medication being prescribed. But the rise of autism diagnoses is also very suspicious to me and isn’t fully explained away by it being better recognized.
@lauraestes9304 Жыл бұрын
I like your channel...just foumd you. Im a former heroin addict and struggling with all sorts of issues and on suboxone. Weaning off it is really hell....but it destroyed my teeth.
@eriksaari4430 Жыл бұрын
is sluggish cognitive tempo realz?
@virgomitchell5918 Жыл бұрын
It's a possibility I have ADHD along with my intellectual disabilities and CP and I have little bit of anxiety sometimes TBH
@lililiilililililil5792 ай бұрын
didnt even need to finish the vid but its time to get off my stimulant meds now lol fuck my psychiatrist thank you for opening my eyes, I also just stopped my antidepressants bc people are talking about how those are a scam and overprescribed. At least now I will be saving hundreds of dollars now from like 3 different meds
@ourinvisibleenemies7779 Жыл бұрын
Can I take 120mg of adderall per day?
@joshuafuryon78748 ай бұрын
cherry picked analysis of data , lacks experience, a lot of nuanced data ignored.
@Dr.BCAnderson4 ай бұрын
Wrong. Youre just wrong. He cannot go thru the plethora of evidence that questions ADHD, nor should he is you cannot accept the basic rationale. Moreover, he is not denying its existance. He is questioning its overdiagnosis.
@joshuafuryon78744 ай бұрын
@@Dr.BCAnderson "He cannot go thru the plethora of evidence that questions ADHD, nor should he" just affirms my statement. further more i didn't state right or wrong. And Yes he should go through the evidence because thats what matters :)
@joshuafuryon78744 ай бұрын
Furthermore nothing in my statement suggests i cannot accept the rationale or how you are able to read my mind and tell me what im thinking and how im thinking and why its wrong? stay away from courts would be my advise to you sir, have a good life :)
@nunisthathigh48254 ай бұрын
you mean like how psychiatrists approach every psychiatric label?
@pearlandamy16 ай бұрын
ADHD in Israel is 25% +
@TheCoolOwen Жыл бұрын
ADHD meds gave me bad side effects. Took Adderall XR for one year and had high heart rate issues. The only way the medication would work was while intermittent fasting. Also a chore to try and have the script filled every month. Just learned to live with it.
@ShrinksInSneakers Жыл бұрын
And sometimes coping is the best treatment especially when side effects outweighs the benefits
@nurmihusa7780 Жыл бұрын
Children treated for ADHD being more likely to develop substance-abuse problems in the adulthood? A very simple explanation for that would be if as a child do you noticed that taking a pill made your life better - when you become an adult you may be more apt to think taking a different substance might also make your life better.
@honeycovin9665 Жыл бұрын
Actually, research shows that children treated for their ADHD are far LESS likely to use substances when they get older than their untreated peers.
@rickcinway23123 ай бұрын
Once my ADHD son turns 18 and he doesn’t smarten up then he is more than welcome to join the homeless/street community. I am so tired of having to treat him special like his dietary preferences.
@Nmethyltransferase Жыл бұрын
This is a Scientology channel now.
@ShrinksInSneakers Жыл бұрын
It's more of a mystical science channel now, but all fun aside these ideas about adult ADHD while not the traditional thing you will hear from most psychiatrists it has been researched by highly regarding academics in the field like nassir ghaemi. It's an interesting idea figured thats why people like the channel