The Other Attention Disorder: Cognitive Disengagement Syndrome (CDS)

The Other Attention Disorder: Cognitive Disengagement Syndrome (CDS) - Part I: History & Symptoms

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Russell Barkley, PhD - Dedicated to ADHD Science+

Жыл бұрын

The Other Attention Disorder:
Cognitive Disengagement Syndrome
(formerly Sluggish Cognitive Tempo) versus ADHD
Since 1798, the medical literature on attention disorders has distinguished between at least two kinds, one a disorder of distractibility, lack of sustained attention, and poor inhibition and the other a disorder of low power, arousal, or focus. This second disorder has been largely ignored for nearly two centuries until the mid-1980s when studies of children having ADD without Hyperactivity suggested that an important subset had a relatively distinct pattern of symptoms not central to ADHD. These symptoms included daydreaming, mental fogginess and confusion, staring, slow processing of information, hypoactivity, slow movement, and lethargy, among others. The new pattern was called sluggish cognitive tempo (SCT). Controversy has continued over the past 25 years on the nature of CDS and whether it is a subtype of ADHD or a distinct disorder from it. In this presentation, Dr. Barkley reviews the history of CDS and what is known about it from past research. He also describes the results of his own recent investigations into CDS in children and the only study of CDS in adults that he recently published, all of which suggest that CDS is a distinct disorder from ADHD but one that may overlap with it in nearly half of all cases. Dr. Barkley discusses the differences between CDS in symptoms, executive functioning, comorbidity for other disorders, and psychosocial impairment and what little is known about differential treatment response. He also discusses several different possibilities for explaining the underlying nature of CDS.
All of these findings are summarized in the Report of the Workgroup on Sluggish Cognitive Tempo in the Journal of the American Academy of Child and Adolescent Psychiatry to be found here.
www.jaacap.org/article/S0890-...
Topics Covered in the CDS Lectures:
Part I: Provide a Brief Review of Medical History of CDS and Its Symptoms
Part II: Demographic and Cognitive Differences of CDS from ADHD and Overlap
Part III: Impairments in CDS and Other Distinctions from ADHD
Part IV: Etiologies in CDS and Other Distinctions from ADHD
Part V: The Underlying Nature of CDS vs. ADHD
Part VI: Results of Treatment Research and Its Implications for Management of CDS

Пікірлер: 143

@GrannyGooseOnYouTube 10 ай бұрын

This is why I was never diagnosed as a child with ADHD. I wasn't fidgety, I was not overly active, Etc but there were always marks on my report card about being inattentive, drawing pictures, staring out the window, and a terrible difficulty with math. I loved words though, and was hyperlexic, reading at 3. I was never good at sports, as I was never interested in competing with anybody about anything. At 50 I was finally formally diagnosed with ADHD-IN but the symptoms discussed here seem much more applicable to me than even ADHD-IN. I came from a family of means but never seem to get ahead in Life or really succeed, and I have been low-income always. And I really don't believe I'm sluggish. When I'm staring off into space there is so much going on in my head. So much that it often blocks out instructions that are being given to me or things that are going on around me. I'm usually thinking about the future, or thinking about the past, or worrying, or trying to remember who sang a particular song. I write Songs In My Head, by the way, and rehearse future conversations that I might have coming up on the phone. It's not like I'm just spacing out not thinking about anything. I'm not crazy about the word disengagement, but I guess it applies.❤ Anyway that's my story. I've never wanted a label. I've never wanted an excuse. I just want an understanding and an explanation.❤

@Bobby-lv2kr 10 ай бұрын

I can totally relate, At 45 my story is same as you described

@MissEAG 9 ай бұрын

I can relate to everything you wrote, except I was good at sports ( but was not competitive, as you mentioned).

@kevinwilkinson1510 7 ай бұрын

Rehearsing conversations you're never likely to have. A running monologue about what you are doing so you can be ready to explain if anybody asks. They never ask.

@GrannyGooseOnYouTube 7 ай бұрын

@@kevinwilkinson1510 omg THIS

@Selektur 5 ай бұрын

damn bro, how do i fix this? @@kevinwilkinson1510

@becklovely8307 7 ай бұрын

This disorder along with ADHD have ruined my life

@user-sq6ln8pk2p 3 ай бұрын

Only if you your life as ruined

@user-js4sn2xb9q 6 ай бұрын

This perfectly describes my girlfriend, when she told me she had ADHD but she didn't seem to have those symptoms, I asked her if they had made a differential with autism, but at the same time she didn't fit within that spectrum either. I was very disconcerted with the symptoms. I am learning a lot about her, the daydreaming episodes, she is a wonderful person, and despite everything, she is determined to live her life

@aliciaf4744 19 күн бұрын

Thank you so much for caring about your girlfriend to this extent. My ex loved me, but in the end broke up with me due to his intolerance to my inattentive ADHD symptoms (better explained by SCT). I tried educating him on my issues but he switched off every time I brought them up. Thank you for being an incredible person.

@alexanderball6326 2 ай бұрын

When i was about 19 or 20, i started smoking cannabis pretty much daily (37 now) and i always joked that it shoehorned itself into my life pretty seamlessly. I felt like i was always a pothead, i just never smoked pot, and when i started it was like i found the missing piece of the puzzle. Learning about CDS has seemed to explain a lot about why i am the way i am and feel like i'm stoned even when im not

@zak-a-roo264 19 күн бұрын

THIS.....they told me I had to stop smoking pot and I'd be fine, I did and I got worse because then I didn't have the weed calming me.

@trainerscentralized277 Жыл бұрын

Thank you great doctor for all you’ve done and do. I’m a doc specializing in ANS/expanding its understanding with additional specifics/expansions into psychophysical trauma. Your work has been compelling within several areas. LOVE what you’re doing here and the world has access to your knowledge and wisdom.

@hazelbeth173 5 ай бұрын

It's destructive to be forced into a rigid DSM category to get a diagnosis for a disorder that is functionally devistating. Nobody ever takes symptoms seriously without diagnosis even if the consequences r terrible

@ChaoticNeutralMatt 3 ай бұрын

I can only hope approaches will get better in the future.

@aliciaf4744 19 күн бұрын

Exactly...

@angelawood5584 7 ай бұрын

This is me and exactly what I have. I have daydreamed since I can remember coming up with all sorts of artistic endeavors in my mind. I can do things and not even realize I have done that such as small tasks. I lose things I misplace things and i make a lot of mistakes in my detail-oriented jobs, yet I can do things I am interested in. The other thing I think is worth mentioning, is I get stuck in my head when I try and do anything that i am not doing out loud writing is the hardest thing in the world for me.

@billloftus4335 9 ай бұрын

When I was young I thought there was something very different about me, but I dismissed that notion as I got older and compensated for my CDS. But now I know that my early suspicion was indeed correct. I wasn't just a "nice, quiet kid who was a space cadet" -- it was CDS. My Mom once mentioned she had a craving for cherry cordial liquer when she was carrying me (I don't know which trimester.) I also recall that I "wasn't the same" following an early hospitalization for pneumonia, with limited visits from my parents due to jobs and other kids at home, which I couldn't process at the time, of course. I don't know if the following observation is related to my CDS or not, but throughout my life and in many different contexts, others have noted that I have a remarkably good episodic memory. Adderall helps me tremendously. It's main effect for me, subjectively speaking of course, seems to be reducing anxiety and lethargy. I love the new name: Cognitive Disengagement Syndrome -- a great way to describe it, IMHO.

@doudline2662 Жыл бұрын

Thank you. I'll be waiting with bated breath to hear you talk about treatments.

@giovannifontanetto9604 11 ай бұрын

My mother aways said I had the "eyes of a dead fish" ( brazilian expression), that I was slow, stared to nothing a lot. I daydream almost constantly, every minute, I always felt a mental fog and tired, some days the fog was so strong my brain felt like gelatine, no thought could get throught it, and this made really difficult to get throught college and adult life. I now have a adhd innatentive diagnosis, and been on treatment for 2 years, I hope someday I can get assessed and treated for CDS too.

@sweetamora 11 ай бұрын

atomoxetina ta chegando no brasil, talvez vc possa pedir pro seu médico pra experimentar e ver como vc se sente

@walidsarwary 11 ай бұрын

Hello brother , I just wanna ask how is your memory ? If someone give you 5 words to remember and ask you later would you remember them I have the same condition I am scared I have dementia can you please tell me about your memory ?

@giovannifontanetto9604 11 ай бұрын

@@walidsarwary When I did the evaluation for adhd, lots of inteligence and mental capacity tests were done. Quite a few were memory tests, I did ok, But I still think my memory is not that good, I tend do remenber specific things, like numbers, but really strugle to remember peoples names, dates of future events. I tend to spend a great amount of energy to remember these, but its never really enough. If you think you have dementia, you should search for a good doctor, dont go to any doctor, research his or her specialities before going, lots of different problems can cause memory problems.

@Selektur 5 ай бұрын

what medication? and how well does it help?

@lucasalmeida-fx9lb 5 ай бұрын

Fala mano, você já fez avaliação neuro psicológica? Seu QI verbal é de execucao deram normais? Eu estou com sintomas parecidos. Fiquei com um QI verbal de 129 mas um de execucao de 110. Fui muito mal no teste das trilhas. A psicológica que aplicou a teste falou dessa desordem. Eu ainda estou com dúvidas disso mas queria saber como você foi nas avaliações. E você já tomou atomoxetina? Eu estou com medo de nada funcionar. Você passa muito tempo no celular?

@lotusflower3613 6 ай бұрын

Your checklist of 14 criteria, yes to all. Im completing my teaching credentials and studying history for a state exam, I can watch the same 3 seconds of a video and completely zone out for the same three words, no mader how many times I rewind the video. I truly wish I could be a part of the research and history. No one understands why I take so many naps when I'm in school, and I'm sure they think im being lazy, I wish I could assist with breakthroughs so less adults have the stigma of "lazy" or being told to "focus".

@ChaoticNeutralMatt 3 ай бұрын

It sounds like you are working towards that. Best wishes.

@alvaronavarro4890 Жыл бұрын

From the bottom of my heart, thank you.

@nowie4007 7 ай бұрын

Thank you sir , the adhd diagnosis has always been inaccurate to describe the SCT symptoms that people show because of a lot of confusion

@mattw5840 10 ай бұрын

Great work Dr. Russel Barkley, watching this video I wondered if CDS might be related to autism in some way, my mother definitely has something, my young brother has autism, and I suspect my little sister may have adhd, though I was diagnosed with ODD and ADHD as a kid. I’d love to get into some type of study to help research CDS but regardless, keep doing the great work you do, you have my support and appreciation.

@russellbarkleyphd2023 10 ай бұрын

Thank you. Yes, Steve Becker and others have shown a high rate of comorbidity of CDS in people with ASD. I think it is higher than is ADHD.

@IntegrityMeansAll 4 ай бұрын

@@russellbarkleyphd2023Thank you very much for all your great work 🙏 Highly appreciated

@hannahriss1349 Жыл бұрын

Thank you for your videos. So many of your videos Validates my feelings and help me understand myself. This needs do be out to the public, and you do it so well.

@walidsarwary 11 ай бұрын

@GrannyGooseOnYouTube 10 ай бұрын

@@walidsarwarynot to butt in, because I am not the person that you asked, but I'm very bad at remembering strings of information. On those tests that they give you where they read you a string of numbers and ask you to read them back a few seconds later, I fail miserably. And I do not have dementia. Not anything close. You're okay buddy.❤

@walidsarwary 10 ай бұрын

@GrannyGooseOnKZfaq thanks for reply how old are you if u not mind asking

@GrannyGooseOnYouTube 10 ай бұрын

@@walidsarwary 64 but I know it's not dementia because I've been like this my entire life.

@walidsarwary 10 ай бұрын

@GrannyGooseOnKZfaq thanks so much for reply this is absolutely adhd that mimic some of dementia symptoms again thanks for reply it made me so much happy

@deekiu0326 10 ай бұрын

sometimes my memory feels like a big library with no lights so i can’t find what i want even though I know it is in there. for example, i’m currently in a foreign language class, normally have no problem talking, but then other times i can’t even form sentences in any of the languages i speak. i normally have to apologize to whoever i’m speaking with and try to joke that my brain just did the windows shut down sound, if i can even keep it together long enough to say that. it’s like everything is in a fog that blows away sometimes and sometimes it’s so thick i can’t see my hands in front of my face. my emotions, thoughts, feeling all kind of escape me and i can’t understand anything. 😢

@killeendolan7095 9 ай бұрын

“A big library with no lights” I love this description. I usually try to explain to people that the knowledge is in there, but it’s all floating disparate in a cloud and I have to work hard to find the words and put them in linear order. A big library with no lights seems to get the point across faster

@ripple_on_the_ocean 8 ай бұрын

So relatable, wow! Sounds exactly like me

@jonathanberry1111 7 ай бұрын

🎯 Key Takeaways for quick navigation: 00:00 🧠 *Introduction to Cognitive Disengagement Syndrome (CDS)* - Introduction to the new attention disorder: Cognitive Disengagement Syndrome (CDS). - The history and evolution of naming this disorder, previously known as sluggish cognitive tempo (SCT). - Discussion on the reason behind the name change from SCT to CDS by a work group of leading experts. 02:23 📜 *Origins and Historical References of CDS* - Exploration of early mentions and historical context of attention disorders resembling CDS. - References to 1800s literature and medical texts highlighting symptoms akin to CDS. - Detailed account of how the understanding and categorization of attention disorders evolved over time. 08:23 📊 *CDS in the Context of DSM-5 and ADHD* - Examination of how CDS symptoms are categorized and understood within the DSM-5 framework. - Clarification on misconceptions where CDS is often incorrectly diagnosed as inattentive presentation of ADHD. - Detailed differentiation between ADHD and CDS based on symptomatology and presentation. 14:29 🧪 *Criteria and Characteristics Defining CDS* - Discussion on the criteria scientists use to identify a new distinct condition like CDS. - Exploration of the symptom complex, patterns of comorbidity, demographic correlates, and other distinguishing factors. - Examination of preliminary research findings suggesting CDS as a unique neurodevelopmental condition. 18:03 🔄 *Comparison: CDS vs. ADHD Symptom Dimensions* - Comparative analysis between the symptom dimensions of CDS and ADHD. - Exploration of attention cognitive and motor dimensions, highlighting their distinct characteristics. - Examination of how symptoms from CDS correlate differently with ADHD symptoms, providing evidence of their uniqueness. Made with HARPA AI

@utopiapursuer 4 ай бұрын

Thanks for your research and helpful information!❤

@dicedrice7216 4 ай бұрын

When I'm having a particularly rough day I say that I have a case of The Stares because I repeatedly zone out and stare No one that I've ever expressed this to has been able to understand this. I truly thought I was the only one.

@katemurray2270 5 ай бұрын

Goodness! This is my whole family. Sweet natured and obliging but off with the pixies. My 19 year old struggles with POTS and chronic fatigue. It would be interesting to learn about the comorbidity for those.

@maryracine3389 3 ай бұрын

How about ADHD without physical hyperactivity, but with lots and lots and lots of mental ADHD?

@ChaoticNeutralMatt 3 ай бұрын

Sounds like a lot of Vata energy. Can be pretty rough though.

@welcome12ization 3 ай бұрын

Some applies to me, but not as much as the symptoms of ADHD, for which I'm waiting assessment (to find out if I have the full disorder or just traits). I'm diagnosed autistic , so that complicates matters. I would love a video on autism plus ADHD or how they interlink. I was very hyper as a young child - school mentioned how I disturbed the others by not sitting still. But autism can cause that too. I'm not hyper as an adult (if anything, I'm pretty unactive these days, preferring to sit for long periods). I need to do things and be productive, but spend a lot of time procrastinating as so much effort changing gears - but autism can cause this too. My main issue is being easily distracted by noise or my own thoughts in lectures etc, plus I can get very over active/energised in social settings, or alternatively switch off entirely. Anyway, time will tell if I have ADHD or just traits . A very interesting presentation.

@AutonoMeMentalHealth Жыл бұрын

Thank you so much for sharing this, Dr. Barkley.

@TheAvadonna Жыл бұрын

Thank you!

@RobertRoth-oj6zz 24 күн бұрын

I can never get an ADD diagnosis but wondered if something else can cause a short attention span. This must be what I have.

@Queenread82 4 ай бұрын

I'm glaad they changed the name.

@haripriyaharig1695 6 ай бұрын

I fall into a cycle of with symptoms very similar to CDS every 3 week. I have noticed that after about 20-24 days of productivity, i have a week of brain fog, lack of motivation, atleast some degree of social withdrawal, bad prioritisation of tasks (I'll usually have a topic of distraction during this period), lethargy, bad sleep cycle, difficulty stopping a thought or activity , difficulty initiatint a task etc. After exactly 7-8 days, i can feel the fog clearing up and i start thinking clearly again. I am also considering if it has to do with my menstrual cycle as it is usually around my ovulation period. Is episodic CDS a thing? Also i absolutely love your videos. Gives me so much insight into my understanding of ADHD and CDS

@apollo6905 Жыл бұрын

Thank you doctor this series is so helpful but its not listed in mobile

@erkkiboy 4 ай бұрын

Thank you so much! Might be a topic for part two, but how does it differentiate from trauma dissociation?

@samyueru3380 Жыл бұрын

Thank you Dr.barkey, we need to talk CDS

@jenniferwiebusch9688 11 ай бұрын

Thank you for this! Fyi, I think (but I could be wrong), this video is missing from the playlist. I found it by searching.

@heliciszek6184 Жыл бұрын

Hi! Thank you for the lecture! Could this video be added to the beginning of the CDS-playlist? The playlist starts with "I:I", telling what was discussed in the last lecture. Also one video in playlist is told to be hidden.

@daniellec2172 7 ай бұрын

This is kind of how I feel when I'm stuck being reminded of, or finding myself "in" past trauma. Totally not in the present, zoned out, lost in my head. Would want to see this differentiated from that if possible.

@markmaurer6370 4 ай бұрын

Sometimes I call my ADHD "Fart Stupid Brain Why Won't You Work?I Hate It" But I think a d h d is better.

@charliebee5154 Жыл бұрын

Dr. Barkley, I wonder if, while editing the videos, you could toggle on the "transcript" option in the subtitle options. This could help a lot of people, allowing them to fully understand your videos in their native language. I personally would like to have this option available instead of KZfaq's own "auto-translate" system, with which too much information gets lost in translation. I look forward to a response should you have the time. Thank you for the positive change in many people's lives.

@draftingwithjeff1023 10 ай бұрын

i like sluggish tempo as a name. I think sct is genenic. My mother had it really really bad. I also have it ! Basically nothing happens in my life ^^ I'm 43 now . ritalin helps me but I get my anxiety disorder through the roof . I remember russell saying sct and anxiety are common together . I have Sct and basically I have no life ^^

@RobertRoth-oj6zz 24 күн бұрын

This involves norepinephrine and not dopamine like ADHD.

@ripple_on_the_ocean 8 ай бұрын

Watching this as a diagnosed Inattentive type, while unable to focus or connect much meaning to words, is gonna lead to some self- diagnosis real quick here...

@jallen1755 10 ай бұрын

These videos on CDS have been fantastic, really appreciate you doing them! Heads up that this Part I video isn't in the playlist with the other CDS video in the series.

@rdklkje13 10 ай бұрын

@Saphia_ 9 ай бұрын

It's there now. It's the last video in the playlist.

@florenciadraksler2011 9 ай бұрын

Thank you for this conference... as always very clear, which denotes your incomparable experience! When you referred to the evolution in the clinical presentations of ADHD, I had one question: do hyperactive clinical presentations (not combined) also tend to evolve inattentive subtypes? Is the inattentive subtype more common in adulthood?

@russellbarkleyphd2023 9 ай бұрын

Yes there is usually some inattention in the other presentations, just not enough for their diagnosis and, yea, inattentive presentation is the most common in adults though it varies with the study. Be well.

@thetransferaccount4586 4 ай бұрын

i did never get a thing with those slides

@user-wi3yx3gy2o Жыл бұрын

Is this distinct from maladaptive daydreaming?

@gigahorse1475 5 күн бұрын

This is upsetting that people are being misdiagnosed with ADHD instead of CDS. This may have serious implications on ADHD research. :( Especially now that there is such an increase in ADHD diagnoses due to greater awareness especially in Gen X and Millenials. I think that’s a good thing but it will certainly magnify the issue of misdiagnosis since some folks have clear attention issues but don’t exactly fit anything in the DSM.

@florenciadraksler2011 9 ай бұрын

I was also wondering if the reason you emphasize avoiding the term add has to do with the fact that in the inattentive type the underlying difficulty is self-regulation just as in adhd thank you in advance for your generosity

@wotasweetheart 9 ай бұрын

Very informative. Helpful. But this should be the first video in the playlist, right?

@russellbarkleyphd2023 9 ай бұрын

It should be fixed now.

@majo3423 Жыл бұрын

My youngest son may have CDS. I’ve noticed a real dazed look on his face when he is driving the car. I wonder if he’s even cognizant he’s driving. His wife almost always drive. I think I know why. Now when he was about 12 y/o he fell off a height of about 10 feet. Had a very bad concussion. His Dr said it scared him because of eyes rolling back, unconsciousness coming and going and vomiting. I wonder if this has had an effect on the way he looks at times today 25 years later.

@CardinalBlock Ай бұрын

At first I thought I might have the wrong diagnosis. But with your explanation, I’m apparently not. ADD with hyperactivity, but ADD alone has similarities.

@Ben-xx9lz 3 ай бұрын

If you have SCT get tested for mycotoxins first, then get tested for sibo second. You may have been unknowingly exposed to mould.

@Fuchsia_tude 9 ай бұрын

Looks like you left this off of your playlist The Other Attention Disorder: Cognitive Disengagement Syndrome.

@georgejanzen774 Жыл бұрын

As I'm waiting for my diagnosis appointment in December (!), I'm trying to differentiate the different symptoms I perceive in myself. ADHD combined or inattentive is the best fit but some aspects actually seem to be better explained by CDS. Especially in the mornings, I can be hella sluggish, daydreamy when there's nothing/little/not exciting enough to pay attention to. That can include conversations with loved ones. But as soon as I get going with my day, I'm a work horse. Working fast and can easily go for 10-14 hours, even though it's unhealthy. Helps that I enjoy my job. And make no mistake, I work like a raccoon on drugs: I start lots of different projects and sub-projects that I finish in no particular order, but usually I do. There is order to my chaos. My personal life suffers though. Not listening. Not hearing well (my ears are fine, got them checked out recently). Forgetting things. Saying things I'd rather not say on second thought (inconsiderate or smart ass things). Or not talking at all out of fear of saying something stupid. Very unaware of my own feelings (suppressing negative feelings until I forget about them or they boil over). Kinda seems sometimes that I don't have emotional dysregulation but overregulation. It's a wild mix and some of my behaviors seem to be distinct from what many people with ADHD report.

@lagomorphia9 Жыл бұрын

I can relate to most of what you say. If I can get going, I can work really hard and focused for long hours (if Im interested) but every day is still torture to get out of my brain fog and or day dreaming. It takes hours to clear each day. ADHD meds help a lot but not consistently as there are days where I never actually shake off the sluggishness and mental distance. Having to be productive is torture. Worst part is Ive been beating myself up mentally for fifty years over it. Its good to know its a separate diagnosis but at this point if a person is already diagnosed with ADHD, I feel like they might lose that diagnosis and support if they ever mention it to a doctor unfamiliar with CDS.

@georgejanzen774 Жыл бұрын

@@lagomorphia9 Fair point. I'm also concerned that I will not be diagnosed specifically because I function well at work. I have developed all these skills without knowing what ADHD was, but it has never extended into my personal life.

@claxttd Жыл бұрын

I'm the same, currently awaiting my formal assessment.

@walidsarwary 11 ай бұрын

@@lagomorphia9Hello brother , I just wanna ask how is your memory ? If someone give you 5 words to remember and ask you later would you remember them I have the same condition I am scared I have dementia can you please tell me about your memory ?

@pedroteles9342 Жыл бұрын

Wow. Really interesting, for some reason I identify myself with most of the symptoms. haha

@samiedenton4096 2 ай бұрын

I have so many questions for you 😭

@zak-a-roo264 19 күн бұрын

My father was screaming at and physically assaulting me when I was an infant, my Aunt watched me retreat into myself..... play dead, the bear may leave you alone, right?!

@Dejoblue 9 ай бұрын

This first video isn't in the playlist :) Cheers!

@patriciajump9511 9 ай бұрын

Aww man, I have been thinking that bouncing around whether externally or internally only represents a difference of style or personality. (I do believe personality is a separate entity - although related and/or influenced by ones ADHD.) ...So now ... what am I??? Dang. I will ask my psychiatrist 🤷🏼‍♀️

@FarmerGwyn Жыл бұрын

I suffered from Chronic Fatigue Syndrome for years, as far as I can see, the symptoms are just about indistinguishable even though the causes may be very different.

@BenjaminKuruga Жыл бұрын

Myself and friends of mine have experienced a sudden fatigue syndromes/depression that seemed off (wasn't related to sad/stressful life events). All of us had changed our diets (gain, lose weight etc) and less than 10% of calories were from fat consistently - our bodies were not happy with that. We all upped our fat percentage with olive oil, fish, cheese, and nuts and boom no more pathological state.

@FarmerGwyn Жыл бұрын

@@BenjaminKuruga Yes, sounds right to me, my CFG was brought on after Carbon Monoxide poisoning, and a diet along those lines helped me, but it was amitriptyline that really made a huge difference, and then a few weeks ago I started getting osteoarthritis like symptoms and I excluded nightshades from my diet, I had more or less an instant improvement in my aches and pains, some which I have had for years, all gone!!!!! But also a another boom in energy which I had accounted for was growing older (53), with extensive youtube hours and google scholar research papers I can only conclude that it is the type of lectins found in these foods that cause me problems, and also the type of lectin found in grains which cause me dietary problems, brown bread has a more severe effect than white bread, that can only that I see be explained by the lectin content which is in the husk, not a gluten intolerance as I thought for years. Legumes also have a certain type of lectin that I'm not sure has an effect yet, self experiments are in the offing, but another food group that could potentially have very negative effects on some people.

@Nemalde 9 ай бұрын

I heard you speak once, and when you mentioned SCT I was like “oh my god, he’s describing me”. I like the name change, but can I do anything different than take a stimulant?

@russellbarkleyphd2023 9 ай бұрын

I can't give personal advice, but as the video mentions, non stimulants may be better, unless one also has ADHD with CDS. Cognitive behavior therapy might also possibly help but we just don't know as there is so little research on therapies for this newly identified attention disorder. Sorry I can't be of more help. Be well.

@patriciajump9511 9 ай бұрын

Well, I have always guessed that ADHD must have sub-types, because humans are not created with cookie cutters.

@tartiflettesalsifis7634 5 ай бұрын

Hello, how would you differentiate between a person who has both ADHD and major depressive episode in adulthood with horrible beliefs on themselves and the world they live in that would prevent them from being motivated at attending to anything, and someone who has a CDS ? Or with a child who has ADHD and ASD and is withdrawn in their world and someone who has CDS and is also withdrawn in their world ?

@russellbarkleyphd2023 5 ай бұрын

It’s often not an either/or question but more often disorders coexist, as these can. So if one qualifies for each according to diagnostic criteria, then all are present. Be well.

@CatsMeow14 6 ай бұрын

I would love to hear you talk about the link between nutrition and brain health. I've been learning a lot about how my nutrient levels impact my brain fog. When I am managing my health well I have much better mental health and I think there is a woeful gap in treatment of mental (brain) health and possible underlying health causes.

@captainzork6109 4 ай бұрын

Curious whether it could overlap with autism, or if it could be mistaken for autism

@herchenm 9 ай бұрын

Id love to know - when is an interruption to a thing the body or brain is meant to do a "syndrome" and when is it a "disorder" ?

@Carl-Gauss 6 ай бұрын

I think disorders are the ones that temporary (like depression or anxiety disorders) even if long term and syndromes are inborn and permanent like ADHD or CDS.

@gigahorse1475 5 күн бұрын

⁠⁠@@Carl-Gauss A syndrome collection of symptoms that are observed together. A disorder is a disruption in normal functioning. It’s not necessarily temporary (depression and anxiety aren’t always temporary). How those two terms are used and relate to each other… I don’t know. I think CDS might become CDD when added to the DSM.

@farshads3367 9 ай бұрын

This is not in the related playlist yet.

@russellbarkleyphd2023 9 ай бұрын

Fixed it. Thanks!

@BBFCCO733 2 ай бұрын

This sounds like what I have lived since childhood and I have been called stupid my entire life, despite the fact that I have 2 degrees and have more education that most people, because I don't "connect and react" to others the way they expect. My behavior has been attributed from everything to BPD, trauma, depression to attachment disorders and dissociation. I am wondering how you differentiate CDS from these other disorders, and what treatment you recommend for it? It is absolutely debilitating.

@mandarkumthekar8565 3 ай бұрын

I even don't remembere what i was thinking. So attention is not inward to mental process but its absent .DMN is active and they dream in that state.its attention lacking disorder.

@ChaoticNeutralMatt 3 ай бұрын

I'd describe it as a sort of "wandering" mind. It didn't get to be anything specific for any length of time. But.. a.. an unexplainable engagement with.. well you mentioned dreaming.

@rooijemerwe7891 3 ай бұрын

Not so sluggish. Given a special task eg. take the dog to the vet. this person can be back in a flash having done that.

@AntifascistAllDay 3 ай бұрын

3:12, 3:57

@Robe-hm2in 6 ай бұрын

7:44

@Spectre2434 11 ай бұрын

Cognitive disengagement syndrome

@Herfinnur 11 ай бұрын

Well, well, well. This does sound like 9+ year old me

@walidsarwary 11 ай бұрын

@Herfinnur 11 ай бұрын

@@walidsarwary my short term memory is wildly inconsistent depending on the circumstances. I'm an opera singer and actor and when needed I'm trained to be able to memorize an enormous amount of words in a very short amount of time. Just last year I had to cover for a colleague and I learned 80 pages of text, music, dance steps and stage directions in two and a half days with only four hours of rehearsals and tons of distractions such as costume fittings. But despite that, in daily situations it gets much, much, much, much worse than not remembering five words. I can't even remember one word and I'll ask and reask about that one word (it might be the name of a restaurant, medication, movie or a person) until I hate myself. And I never go anywhere without my rucksack that I have meticulously packed in a way that makes it easy to find anything by deduction alone. I've become good at observing where I tend to look for something first, and the rule is that when I find the thing I'm looking for, I will put it in the place that I first looked for it. I was constantly afraid of dementia until I got my diagnosis, and the medication helps immensely

@walidsarwary 11 ай бұрын

@Herfinnur I am talking about memory recall test , watch it on KZfaq it is called Mini mental examination

@Herfinnur 11 ай бұрын

@@walidsarwary Aha! I watched one of the videos. The three words to be recalled in that one where Apple, table, penny, so I imagined an apple on a table and Penny from the Big Bang Theory all exited to eat it in order to be able to recall the words, but a couple of those examination questions are difficult for someone with ADHD or CDS. Like getting instructions and executing them right. “Problems with executing instructions correctly” is an ADHD criteria, for instance. And he also asked what day, date and year it was and what age the test subject was, what was the name of the building they where in, etc. I would have some difficulty answering any of those questions. I once had to go to a doctor because I had hit my head. I didn’t have a concussion, but he asked those kinds of questions and fuck me if I know what day it is or what my age is. If you’re worried you should do something about it. If you’re in the US it probably costs a hundred dollars to go to a psychologist, but I hear that colleges with psychology or medical faculties are often looking for guinea pigs, so you might ask there

@walidsarwary 11 ай бұрын

@@Herfinnur what if you don't imagine the words would you still struggle???

@markwalty9012 11 ай бұрын

Can't follow your lecture. Can't pay attention.

@user-yw8pr7ng5i 11 ай бұрын

put at 1.5x or 2x speed. play music. listen in small parts. you can do it!

@moonglampers 5 ай бұрын

This is a dissociative disorder, not an attention disorder.

@ChaoticNeutralMatt 3 ай бұрын

@gigahorse1475 5 күн бұрын

I have all the symptoms of CDS. I have also experienced dissociation for years (I have also been recovered from dissociation for years). I disagree with your statement here! I’m not dissociated at all. My attention is truly just focused on my own thoughts and not the outside world.

@Deviliza 10 ай бұрын

So you were litteraly saying "there is this other Attention Dicifit Disorder" out there - and yet some how you don't think that it should be called ADD - as the criteria for ADHD isn't good at picking it up 🤔 PERHAPS its the criteria for ADHD that is just not fulfilling enough?

@gigahorse1475 5 күн бұрын

Good thought, but there are other reasons why it can’t be lumped into the same category. Some reasons I remember are different patterns of comorbidity (CDS is at a higher risk of anxiety and depression and lower risk of externalizing disorders), they are thought to involve completely different areas of the brain (ADHD frontal lobe and CDS default mode network), they have different patterns of functional outcomes, and different demographics (CDS is equal among genders and ADHD affects males more).