Deficient Emotional Self-Regulation: The Overlooked ADHD Symptom That Impacts Everything (Barkley)

[@jonathanberry1111]

🎯 Key Takeaways for quick navigation: 00:05 🧠 *Historical Perspective on ADHD and Emotion* - Emotion regulation has always been part of the ADHD discussion, going back to the 1700s. - Early descriptions of ADHD included emotional control problems, but this aspect was later overlooked in the diagnostic criteria. 12:03 🧠 *Neuroanatomy of ADHD and Emotion* - The neuroanatomy of ADHD includes the neural circuitry responsible for emotion regulation. - Key brain regions involved in emotion regulation, like the amygdala, are connected to ADHD-related brain areas. 18:40 🧠 *Neuropsychology of Emotional Regulation in ADHD* - Neuropsychological theories of ADHD's brain networks include an emotion regulation circuit. - This emotional regulation circuit is an integral part of understanding ADHD's executive function deficits. 20:43 🧠 *Psychological Research and ADHD-Emotion Connection* - Psychological research consistently shows that emotion regulation is a central component of ADHD. - Studies using rating scales, direct observations, psychophysiology, genetics, and longitudinal data support the role of emotion in ADHD. 25:01 🧠 *Understanding Comorbidity: ADHD and Oppositional Defiant Disorder (ODD)* - Oppositional Defiant Disorder (ODD) is a common comorbidity with ADHD, characterized by emotional dysregulation and social conflict dimensions. - Emotional dysregulation in ODD is biologically linked to ADHD, increasing the risk of anxiety and depression. - Social conflict in ODD is learned behavior, influenced by the presence of emotional dysregulation from ADHD. - Medications for ADHD can effectively manage emotional dysregulation in ODD when ADHD is present. 27:47 🧠 *Understanding the significance of emotion regulation in ADHD* - Emotion regulation is a crucial aspect of ADHD that has significant consequences. - Emotion dysregulation in ADHD predicts various impairments in social, emotional, and behavioral domains. 28:55 💥 *The extensive impact of emotion dysregulation in ADHD* - Emotion dysregulation in ADHD is associated with a wide range of problems, including social rejection, road rage, intimate partner difficulties, violence, alcohol abuse risk, PTSD, occupational functioning issues, and impulsive buying. - Emotions, when not properly regulated, can have a profound effect on the lives of people with ADHD. 30:05 🧩 *Differentiating ADHD-related emotion dysregulation from mood disorders* - Emotions in ADHD are short-duration, setting-specific, provoked, and reasonable reactions to stimuli. - Mood disorders involve long-lasting, cross-situational, excessive, extreme, capricious, labile, and irrational emotions. 32:09 💊 *Medication's role in regulating emotion in ADHD* - ADHD medications, such as stimulants and non-stimulants, can help regulate emotions in individuals with ADHD. - Different medications act differently on emotion regulation, with stimulants sometimes dampening emotions and non-stimulants upregulating executive control of emotion. 34:14 🔄 *Interventions for emotion dysregulation in ADHD* - Treating ADHD alone may not fully resolve emotional difficulties, especially if they have persisted for a long time. - Cognitive-behavioral therapy (CBT), mindfulness-based interventions, and parent training programs can help improve emotion regulation in adults and children with ADHD. 36:20 👨‍👩‍👧‍👦 *Addressing parental ADHD in the context of child ADHD* - Parental ADHD can exacerbate emotional dysregulation in a family where both parents and the child have ADHD. - Screening and treating parental ADHD alongside the child's ADHD can help improve family dynamics and emotional regulation. 37:41 🌟 *Strategies to manage emotion regulation* - Gross's model of emotion highlights five points of intervention to manage emotion: situation selection, situation modification, attention redirection, cognitive re-evaluation, and emotion suppression. - Intervening at the earliest stages, like situation selection, can be most effective in managing emotional difficulties. 55:09 🧒 *Behavioral parent training programs for managing ADHD* - Various behavioral parent training programs are available, such as the Triple P program, Incredible Years program, and more. - These programs overlap in content and have a similar degree of effectiveness in improving behavior in children with ADHD. 56:48 🧩 *Choosing the right parenting program* - Parents should find a parenting program that matches their disposition and temperament. - Multiple parenting programs are available, so individuals can choose the one that suits them best. 57:03 🔃 *Bidirectional relationship between ADHD and trauma* - ADHD, with its emotion dysregulation, can make children more susceptible to traumatic events. - Children with ADHD exposed to trauma are more likely to develop post-traumatic stress disorder (PTSD). - PTSD can exacerbate emotion regulation problems in individuals with ADHD. 58:08 🕒 *Late diagnosis of ADHD in adults and seniors* - It's never too late to benefit from interventions and treatment for ADHD, even in late life. - Seeking diagnosis and management for ADHD in adulthood or late life can be extremely beneficial. Made with HARPA AI

[@christianleconte5466]

Thank you so much for this very useful post. Over the past 3 months I've spent 2 Times 3 weeks with my wife's 8 Year old grandson who is totally unmanageable. at home . Just after I left he kicked his teacher in a school for special needs kids and was thrown out for good. So I'm trying to discover how to help Samuel and am off to try to use the 3p technique . Just a suggestion , but perhaps you could the same thing with thé doctor's children and adhd podcast. At about 49 minutes he gives the tools he recommends. There' s one that is wriiten on the vidéo which is to break task's in drawn pictures which I think Samuel could evolve into making his own comic Book to make it more fun. Thank' s again Christian .

[@jonathanberry1111]

@@christianleconte5466 Update, can't locate the video, if you give me the video's watch ID I'll do it.

[@TheSuperHellfish]

I wish this was known while I was growing up. My anger outburst and my inability to control/self regulate emotions have been a major issue in my life and throughout my life. I could of been helped so much earlier. I feel like that was my biggest issue and caused me the most distress in my life.

[@beckykuchinski9114]

I feel EXACTLY the same

[@TechnomancerTheWise]

That's the truth 😭

[@garlicgalore]

Yes! It is the aspect of ADHD that caused me to total despair that I was a worthy person.

[@sowhatdude111]

There is a lot of grief that comes with discovering just how dysregulated I am and mourning the person I could have been.

[@julybutterfly]

@@sowhatdude111 I agree with you. Hits home dead centre for me. At least having the wherewithal now will create a better future. But yeah, grappling with the grief and mourning a life that could have been lived healthier hurts.

[@starksanchez3812]

Am so so impressed and grateful that Dr. Barkley did this with broken ribs. That shows a lot of care and commitment, thank you.

[@sl4983]

Wait, what happened?

[@susunque2245]

Agreed! ONE of Many reasons its My #1 Favorite GO-TO video I listen to when Im struggling with my ADD..(unfort I fall in the catagory of being diagnosed in late adultwood. Its was 17 years ago yesterday) Still Everyday continues to be a Daily struggle. The biggest issue is with my emotional dysfunctions.😬🤦‍♀️🤦‍♀️ I LOVE Dr Barkley! SO Thankful for the knowlege he shares! 👏👏👏👏👏❣

[@simonanardi4312]

OMG!

[@yarntoast]

@@sl4983 he was in a car accident in I think 2021 and it took quite a bit of recovery time.

[@skepticsquirrel7560]

@@yarntoast whattt!!! no!!

[@LawNerdAmber]

Dr. Barkley is a gift to us living with ADHD. I'm so grateful for him and his lectures. They're educational and they make sense.

[@Kdramahotgist]

Check out the page on my name above 👆👆 he got shrooms DMT LSD bars DMT vape,Xanax , gummies, acids, salvia, mdma, ketamine, edibles, etc and ships discreetly

[@user-corgipoopybutt]

I am completely not in agreement.. I came to this channel for HELP.. all the videos are frickin hour longs..you can sit thru this with adhd.. wish I had your can focus type of adhd

[@Indykeebler]

@@user-corgipoopybutt I have to stop and relisten to sections. I agree they are long but I think they are very important. I’d recommend having a timer and doing 10 minutes and take a 3 minute break. I’ve gained much more understanding on why I do something’s which is helpful.

[@alienvomitsex]

​@@user-corgipoopybutt people with ADHD actually have an ability to hyperfocus on things that interest them. I earned an MSc in biochem undiagnosed.

[@othersbyuri]

@@user-corgipoopybutt**these videos are also broken down into 10 mins or less on YT m. Look him up✌🏽

[@gabbytriestomakethings]

Me overreacting to stimulus, then becoming annoyed because I realize I've done that, then being annoyed because I'm annoyed, then upset that I'm annoyed because I'm annoyed I got upset.

[@aurai.ookami]

Relatable

[@GabrielBacon]

Sounds more OCD

[@Atclav]

Sounds like you trying to write a comedy bit.

[@willf.h6951]

Then you have to go say sorry.....again...

[@devdog420]

Ugh preach. Weird discovering this is “expected” or at least explainable after a long time of living with it.

[@SpecialEdDHD]

Shout out to everyone losing their sht! You got this.

[@Satsui_No_Hado]

Appreciate you 🤣 doing my best 😡 😁

[@Iburn4u]

Sending love back at chya! 🖤

[@gquiros2457]

Love back! ❤ Thank you

[@Motherof4-26]

😂🤣🤪 but hey, I love that our outbursts are reasonable 🤷‍♀️🙆‍♀️😘 I make so much more sense to myself now. It's so validating!! ✨️💖💥 and powerful feeling to me. We are expressive! 😂 Keep up the fight, everyone!

[@annamann1425]

This answers so many questions for me, out of all my difficulties with ADHD I found emotions to be the most crippling. I had a late diagnosis at 54 three years ago, after stopping drinking at 52 after a lifetime of daily drinking. After getting diagnosed I felt like a fraud, the people I told didn't believe me and laughed but I felt so much better once I got medication and an ADHD Phycologist. This video explains so much that is not normally talked about in such depth, thank you so much for uploading, the questions were excellent too. I hope that all the undiagnosed get the help they need to live a good life free from the grip of the destructive emotions that hold so many of us back 😊

[@TheLiquidCat]

I hate that you were laughed at but I'm so happy you feel better on the medication. I also spent a lot of years drinking to numb away the distressing emotions. I'm still looking for someone to do a diagnostic on me which is almost impossible in my country at the moment but I keep my fingers crossed that one day I will know what it's like to feel "normal". Very happy you are getting your life back, you give us all hope. 🙂

[@Kdramahotgist]

Check out the page on my name above 👆👆 he got shrooms DMT LSD bars DMT vape,Xanax , gummies, acids, salvia, mdma, ketamine, edibles, etc and ships discreetly

[@sarahs7669]

Anna, I'm so sorry people were not supportive of you but I'm glad you got the help you needed. I was diagnosed the day after my 46th birthday and learning about adhd has literally explained all the worst days of my entire life, going all the way back to early childhood. ESPECIALLY the emotional component. I hope people now are able to get diagnosis and treatment earlier than we did.

[@Kristy-y6i]

The drinking I think we all did early on was for all the anxiety we were filled with inside.

[@missythestaffy9785]

I've been on stimulant medication for three weeks now and only once have I gotten overwhelmed and felt myself losing control. Before this, having to leave a situation due to feeling my anger surface was a daily occurance.

[@creativeflyfishing998]

When growing up I was incredibly sensitive to negative thoughts and always managed to convince myself of the worst (e.g., I will never be able to have a functioning relationship... ever). However, due to my determination I managed to master my emotions by what can be described as self-administered cognitive behavioural therapy, basically always asking the question: "is this really true and how would a normal people react", any time I was overwhelmed by negative thoughts. I soon realised that the root of my emotions was purely my own thoughts, and armed with this knowledge I simply altered my thoughts and attitudes (the CBT part) toward difficult situations. I became a master of this, and after 20 years, I am more emotionally stable than most of my peers. This I managed to do without medication (or a diagnosis) and the effects are permanent. It was my inability to focus on work (when I got bored) that prompted me to finally get a diagnosis and medication - this is something that I never could achieve by "mindfulness". The point of this story. There is a way to gain full control of your emotions (without medication) with CBT (even when it is self-administered) and mindfulness, but it is extremely hard; it took me 10-15 years and enormous amounts of self-discipline (though some of it can also be attributed to just "growing up"). But I had decided, so I had to follow through and now I don't regret anything and can live the rest of my life as a balanced human being in a very healthy relationship.

[@annesmith1491]

wonderful testimony 🎉 😊

[@jasonbrownlow4716]

In many years of studying, and working with ADHD I haven't seen this specific topic discussed in this way. It's a bit of a bombshell really. In some ADHD people, most of the distraction is actually emotional. You might never know it by looking at them because they seem super calm and quiet. Some lack the emotional self-regulation to let go of the rising thoughts that are emotionally distracting. It's a very important and major aspect of ADHD for the duration of the disorder. Mindfulness meditation helps if done very consistently and correctly because they learn to let thoughts and emotions pass by. Through directly observing thoughts and emotions they learn to be mindful of them instead of reacting or continuing them.

[@sandradavidson9626]

How do you know this really works? How about trauma victims suffering from PTSD

[@slowlyworkingthingsout]

@@sandradavidson9626 I think you're on to something. Mindfulness is not bulletproof. I don't see how a thought exercise can fix a physiological and/or neurochemical imbalance in a tangible, physical organ. You can willpower through pain, but it won't stitch the wound.

[@user-pf5xq3lq8i]

The brain is highly dynamic. People can loose half their brain and it will rewire itself. Don't make fundamentalist statements: "Fixed" "physical"

[@CMch22]

@@sandradavidson9626 those are good questions, but big ones deserving of more detail and nuance than can be well served in a KZbin comment response.

[@avrilduck8326]

I'm in my early 50s and it is so amazing to hear this. It has been suggested that I have ADD, but discussing emotional disregulation and how it can intensify through menopause makes so much sense. I just had emotions surge up and I lost 3 days to tears and anger. I fell into a deep sleep and woke up regulated again. In the grip of this anguish I had broken contact with 2 friends!

[@Kdramahotgist]

Check out the page on my name above 👆👆 he got shrooms DMT LSD bars DMT vape,Xanax , gummies, acids, salvia, mdma, ketamine, edibles, etc and ships discreetl Check out the page on my name he got psych products and ships discreetly

[@c.h.5559]

Oh Dr Barkley is amazing!! I listened to most of his talks a few years ago . Gee if he talks about perimenopause & ADHD definitely gonna listen to this ASAP. The broken sleep isn’t helpful !!

[@fascistscansuckit]

Yes! I became really inattentive in the last couple years, which was a couple years after menopause finished up. But even though only dx'ed earlier this year (i'm 56)and >finally< put on meds, I still have much to learn. This vid has made a profound impact on me, bc it is about me. Very specifically, comprehensively.

[@annesmith1491]

same here. got on hormone replacement and treatment for ADHD, vyvance, for the first time in my life. After 6 mo of treatment I can say I finally feel the squirrel on the hamster wheel slowing down. it feels good. I couldnt stand it anymore and had to do something.

[@KMx108]

I'm 47, with ADHD diagnosed at age 46. My hormones tested in the menopause range (with miserable related symptoms) but I'm now taking oral methylfolate and methyl-B12 injections (IM) and my hormones are returning to pre-menopause ranges and the perimenopause symptoms are going away. My grandmother said she never had perimenopause symptoms - she just stopped having her period. I speculate she had ample B vitamins in her system. I can't know for sure, but my mom said I was starting 5 years too early based on her experience. I can't help but wonder if hormone replacement is really the best option...maybe we all just need more B vitamins. They seem to have worked for me.

[@falconbritt5461]

Fascinating! I have also recently learned the same symptoms can often show up as a result of extensive childhood trauma (such as results in CPTSD). And/or as a result of genetic anomalies (some of which can be ameliorated) - which can be the primary cause or a comorbid cause. The computer test for irregular response time variability, for example, diagnosed me as ADHD; but it turns out CPTSD can cause the same neurological symptom, as can genetic anomalies. The gene anomaly MTHFR - which prevents most uptake of B vitamins by poor methylation, starving the brain of them - greatly increases reactivity and aggressiveness. Gene anomaly COMT impedes normal clearing of cortisol through the liver, so in that case, emotional regulation is hampered by stress from running continually high levels of cortisol, week after week, month after month, for years and decades on end. Poor sense of time, focus, memory, cognition, all are affected by the continual trauma causing CPTSD, and I suspect the genetic conditions as well. I'd like to see a decent sized study on how many people diagnosed with ADHD also have MTHFR or COMT. And how many are also diagnosed with a history of childhood trauma or CPTSD (a recent concept, I know).

[@bmst6162]

Agreed.

[@cooba5266]

this sounds very interestinf

[@oliviachipperfield6029]

Fantastic and intriguing comment.

[@Oberon44]

There are studies that show no significant correlation between ADHD and trauma. Trauma thought guru Gabor Mate is always spouting the totally unsupported and harmful idea that ADHD is caused by trauma. Obviously trauma would intensify adhd symptoms but this is far from the same as being cause by it. But these genetic factors you mention are interesting. I’m curious what environmental factors activate the MTHFR gene.

[@Oberon44]

Also, just because trauma symptoms and adhd symptoms overlap doesn’t mean they are related. This is like saying that people with Parkinson’s don’t actually have Parkinson’s, they are just cold! That’s why they are trembling. So let’s get them more coats and blankets.

[@emilywilson9632]

ADHD killed my brother. I wish so much he had gotten this information and the right help before he died. I can only try to understand myself and other ADHD siblings to honor his memory.

[@iM2iLLi]

how did adhd kill him?

[@veeloth3280]

@@iM2iLLi I'm guessing that it provoked suicidality

[@iM2iLLi]

@@veeloth3280 he said adhd killed his brother. Did he mention his brother took his own life? I'm not looking for guesses

[@spiralsun1]

Literally ADHD is life threatening… life removing if untreated.

[@cpt.ed.powell]

It appears you don't understand inference.

[@Goodatit92]

My adhd only just recently got diagnosed, and I'm incredibly excited to start treatment! I have suffered many consequences to what I never knew was a completely treatable issue: addiction, lack of ability to hold jobs/attend a higher education, dropped out of high school early and failed many classes even though I had above average IQ, emotional disconnect and/or outbursts that ruin relationships with friends, family, and even my ex wife... Crazy. God bless scholars like this man to help us understand and improve a crippling and undertreated/often-overlooked and misunderstood disorder. I have never felt more confident in my own future...in myself, even. The first step to change is acknowledging the problem. My life has seriously just now begun, and I'm 30 years old. Let's go!

[@laradesautel3013]

Good for you. I’m in my fifties and sad that I never had a clue. Spent my life on meds for depression and anxiety and it never improved my issues:/

[@retrofish5705]

Dr. Barkley, thank you very much for sharing this! My youngest son has ADHD and our biggest challenge is helping him manage the frustration and anger associated with negative emotions, as you described. Procrastination and a strong dislike for reading/classwork is a daily struggle, especially in the evening. He is easily frustrated and being productive goes out the window until he calms down or is promised a fun reward.

[@bananian]

That's sucks. Got to somehow make the assignments fun and challenging instead of a chore.

[@intherockies]

My 8th grader has had a 504 Plan for a long time and the teachers don't give him homework/schoolwork that he has mastered. He doesn't have to do repetitive work. He also has more time to complete assignments and turn them in. It takes a lot of stress off of him and me. Working all day at school and then coming home and doing more is hard for any kid but especially those with ADHD.

[@c.h.5559]

Where in Australia and where get more Info?

[@c.h.5559]

Before medication my boy did well avoiding any over stim . I had to regulate and a fair bit watch the iPad use . Low sugar , artificial colours and salicylates & magnesium and zinc gylcinate powder at night and h herbal mix .. passionflower , camomile, lemon balm, ashwaghanda. Swing on the hammock to calm and low lights . Epsom salt bath . As a teen the hormones made it hard so we started a combination of medication.. it helped the low frustration point and after immensely

[@DrMewer]

Thanks Dr Barkley. Especially for presenting despite illness! Super informative and backed up by research. He is definitely at the forefront of knowledge about ADHD.

[@ANNEMARGARET0319]

This webinar literally blew my mind! 🤯🤯🤯 and I could relate to so much in it… I was diagnosed with ADHD last year at the age of 56, and I am 100% sure my daughter also has it… She’s 17. I realize now why my daughter and I have such a difficult time getting along… I thought it was just typical teenage stuff, but I realize part of the problem is me! Not trying to diagnose myself but I am pretty sure we both have that emotional dysregulation thing…! OMG it all makes sense now! I need to get her assessed and I need to be in CBT (i’m on 80 mg of Atomoxetine, and 20 mg of Methylphenidate…I only take the stimulant during the work week… I should really take it on the weekends I would get things done but I really don’t like taking a stimulant …but I actually feel like it helps me more 🥺 The atomoxetine alone really wasn’t working…

[@anaazevedonunes7582]

Thank you so much Dr. Barkley!! I'm 51 and just diagnosed with ADHA and Dislexia... A very good challenge in my life!!! Your knowledge is helping me to recognize myself again... Thank you ADDitude for sharing...

[@universaltruth2025]

Sorry to hear about your car accident & injuries! I hope you recover soon. 50 yo wife & mother of 3 & v much agree with emotional disregulation as I struggle with it daily. But I suspect there are physical health issues causing it that if mitigated would largely make the emotional disregulation go. For example, poor sleep, mental & physical fatigue and low energy levels, brain fog and poor digestion. For me those are all chronic problems and they most definitely preceed the emotional dis regulation, anger, depression, anxiety - largely because I feel I frequently struggle to keep up with the physical & mental demands of a regular day in a way other people don’t. It feels v similar to chronic fatigue except it is not as constant or debilitating as full on chronic fatigue, as if there is a rare occasion I get a good night’s sleep or am feeling well for a few days then the chronic fatigue goes along with the brain fog, which I assume is brain inflammation.

[@OceanFrontVilla3]

Look further into ADHD presentation in women as yours is classic as far as I'm aware, and there are treatments/therapies. Digestion is something I've successfully worked on for 16 years and in a nutshell, you can very significantly improve it by dropping carbs as best you can (try to go gluten free, wheat especially contributes to brain fog), doing intermittent fasting (that's just shortening your daily eating time) and taking digestive enzymes. Consume more plants, drop processed food and trans fat.

[@universaltruth2025]

@@OceanFrontVilla3 Thank you for that advice, I really appreciate it ! 🙏

[@fascistscansuckit]

Nobody here can dx your problems, just read btween the lines and share if familiar: my contribution would be to look into POTS. Acronym for Postural Orthostatic Tachycardia Syndrome. Since COVID19, many more patients and their doctors are figuring this out.

[@universaltruth2025]

@@fascistscansuckit Thanks - a lot of the symptoms do line up. Pretty sure I’ve had most for years. Not sure I’d say if they are worse or not since getting covid. Maybe I’d say each time I feel like I’ve been exposed to the latest variant the symptoms feel worse.

[@clarewillison9379]

Watching 11 months later and sincerely hoping Dr Barkley has fully recovered. Huge thanks for doing this, especially while in pain. 🙏🏼💝💐

[@GlowofaGhost]

Dr Barkley and these resources help remind me that I’m not the most terrible person on the face of the planet and have not ruined everything around me… even just watching these and being aware of it all it helps to ground myself back into reality and calms me down and brings me out of sadness. ❤🎉 thanks to a real doctor. May you be blessed and be rewarded 10000 fold for all you have done for us all!!!

[@lseh4720]

As a parent of an adult ADHD’er, I just want you to know that it’s not your fault. I’m glad you’re working towards balance.

[@steceymorgan814]

Psychedelics are just an exceptional mental health breakthrough. It's quite fascinating how effective they are against depression and anxiety. Saved my life.

[@Jennifer-bw7ku]

Can you help with the reliable source I would really appreciate it. Many people talk about mushrooms and psychedelics but nobody talks about where to get them. Very hard to get a reliable source here in Australia. Really need!

[@elizabethwilliams6651]

Yes, dr.sporesss. I have the same experience with anxiety, depression, PTSD and addiction and Mushrooms definitely made a huge huge difference to why am clean today.

[@patriaciasmith3499]

I wish they were readily available in my place. Microdosing was my next plan of care for my husband. He is 59 & has so many mental health issues plus probable CTE & a TBI that left him in a coma 8 days. It's too late now I had to get a TPO as he's 6'6 300+ pound homicidal maniac. He's constantly talking about killing someone. He's violent. Anyone reading this Familiar w/ BPD know if it is common for an obsession with violence.

[@Jennifer-bw7ku]

Is he on instagram?

[@elizabethwilliams6651]

Yes he is. dr.sporesss

[@Miss_Annlaug]

So funny: my level of aggression and frustration got completely out of hand several times during g this video because of disruptive background noises!😄😄😄was that an I testimonial part of this educational video?! If so: it worked 💪

[@xannaz9226]

Got you beat. I got enraged at the overly long introduction. Not very ADHD friendly!!🙃

[@lordcailx]

This ^^^ Background noises completely disrupting ability to focus on content..

[@gracehopewell]

I'm 62 years old and was diagnosed at 45 with ADHD. Prior to that I was diagnosed with bipolar, gad, sad, needing anger management etc. Even until now I haven't heard much about emotional dysregulation. After this video I don't blame myself as much for being a jerk. I'm working through the ADHD with stimulants. Adderall generic used to help before the DEA made me feel like a. Addict.

[@bsanders7061]

Whoever the clown was that was clipping their fingernails in the background and doing tasks that cause disruption should be banned. Was that the mod? How hard is it to mute your mic on such an important talk? Love to know how many folks experienced some emotion and anger over that one. Disrespectful to the audience and to Dr. B. Thanks Dr. B for your always appreciated work and best of luck healing! We love you.

[@TheStarBlack]

It's not the best for an ADHD audience!

[@darlakrebs7177]

It was distracting, yes! My guess was it was the dr.s chair creaking or squeaking a bit? And digital sound has some weird effects downline that the person making the noise doesn't even realize how amplified it can be. :(

[@juliahowell7250]

Below my radar

[@Spamhard]

Yeah, whoever did the intro needs to invest in a better headset, and needs to mute when they ain't talking. Only 5mins in and i'm SO IRRITATED by first the feedback of their mic when they were talking, and now the chair creaking. I almost clicked away, but gonna try and power through because I LOVE dr b and what he has to say about this.

[@bypasssecurity6361]

Dr. Burkly as a person with diagnosed ADHD you hit the nail on the head, this is my biggest issue with ADHD, It is incredibly hard to find a coping mechanism for this trait... I am fully treated (medication and therapy) but it seems like a lost cause.

[@Sunnyfield323]

I’m on the three non Stims and find it’s not the best at reducing my distractibility BUT I stay on it as it’s the best in 40 years I’ve had at keeping even in mood, less overwhelm and associated stress /uptight / irritability or testy feeling . I also come back to tasks quicker if I get off track and memory recall is better .. overall I’d say 75% better 🙌keep trying ! I also do lots of brain & nervous system suooort and low sugar low inflammatory diet and lifestyle.

[@broots]

@@Sunnyfield323 Would you be willing to share what those non-stims are? I am in the process of trying to find what medications or supplements I should try. Thanks!

[@Sunnyfield323]

@@broots yes sure .. strattera , intuiniv 3mg and clonodine at night 100mcg .. I couid prob go up I’ll ask doc but so far pretty good results .. been in the first two about 2.5 years .. had ridiculous fatigue and dry mouth for 6 weeks till I adjusted & funny tummy .. then not more side effects & I take a digestive enzyme . I really notice brain overload and brain fog / freeze when I accidentally miss it. I’m in Australia

[@jimwilliams3816]

@Sunnydays. I take Chlonidine at night as well, currently 1.5 x.01mg which I think is 150mcg. It has been very helpful although I’m getting more dysregulation during the day lately. I don’t know for certain that I’m ADHD, but I have always had an overactive amygdala and fight/flight/freeze that has really gotten out of hand in recent years. I am now quite certain a lot of my emotional dysregulation is from my amygdala and adrenaline intensifying and coloring my emotions, and suppressing executive function, so the noradrenaline blocking eases that. It also allows me to fall asleep fairly quickly for the first time in my life.

[@Sunnyfield323]

@@jimwilliams3816 great insight ! Clonodine can be used in the day if needed I know some people they have it prescribed over the day in divided doses . In the morn I take the intuiv and strattera . My daughter does a second strattera at lunch . It does help with the noradrenaline too . Also couid team with SSRI .. ask the psychiatrist. I said vantages going to them over a GP of find a functional doc . Julia Ross book “ mood cure “ is definitely worth a read or an adhd read lol I listened to her on KZbin and implemented her amino acid therapy. Vagus nerve exercises and ashwaghanda KM66 strain or GABA are immensely helpful .. seek advice

[@GrammyAllen]

Wow! I am watching this video to share with someone being ugly with my daughter and her husband about my grandson. (My daughter and grandson both have ADHD dx, as well as my son and other daughter) I've been thinking about getting my own evaluation and this video confirmed that! Thank you so much, Dr. Barkley!

[@jimwilliams3816]

This was extremely useful in assessing disorders. I have what appear to be me to be both combined ADHD and autistic traits, as well as a range of what would be considered comorbid traits. Given that I am an older adult who will be assessing for ADHD soon, it will help me navigate the DSM criteria, which both I and my psychiatrist recognize as being, well, imperfect. I'm in my early 60s with various traits, some presenting like combined ADHD, some presenting like autism, some comorbid indications, that have worsened since 50. Amygdala/CNS/fight/flight/freeze is a central element. My parents both had undiagnosed disorders, and my mother definitely had more emotional regulation problems when dealing with menstruation and menopause. ETA: wow, I am not usually this redundant. I typed some on this on my phone's teeny tiny text window I think. The thread redundancy has something to do with the way KZbin displays notifications so you can't always see the whole thread. That's my excuse and I'm sticking to it. :)

[@falconbritt5461]

Hi Jim, My parents both had undiagnosed disorders as well, so I can relate. I was assessed for ADHD, but it turned out to be more complex than that although the symptoms mirror ADHD. You might (if interested) read my comment here about what I have learned since.

[@jimwilliams3816]

@@falconbritt5461 Thanks! I went and copied it into my notes. I've become increasingly aware that the standard observational model of evaluation is pretty haphazard and can lead to a lot of misdiagnosis. Even many conditions themselves are a guessed-at aggregation of behaviors that have been given a particular name. I expect that in the next 50-100 years mental health evaluation will transition heavily to a physiological-test based system that will make current techniques of assessment look ridiculous and primitive, and will result in a massively different approach to defining individual conditions. I won't be around to see it, alas; it's one of very few things I wish I could stick around for. Even now it would be possible to better bridge the gap between mental and physical health care, but at least where I am in the US that seems to be a bright white line. So I end up learning about most of the links on my own, like this. The glucocorticoid-clearing difficulties you mentioned were very interesting. I "come down" very slowly, and my amygdala must be overly hefty. Based on lectures by Robert Sapolsky, I have felt certain for some time that my mother had a predisposition to high glucocorticoids that she may have gotten in utero from her mother, and that I certainly did from her. Sapolsky did not get into the specific physiologic processes that produce and maintain that predisposition, however; the lecture series is over a decade old and covered a lot of ground. My father had classic ADHD behaviors. And I have traits of both. All three of us always chased dopamine, or something to that effect, so some physiological shortfall definitely drove all our behaviors. Kind of mental health pica.

[@mysterydiaz5302]

Sapolsky is a beautiful and brave human. I heard and revisit his lecture about the DSM. While I was trying to figure out my daughter I had somehow on my own discovered the DSM was BS. More to come I think I’m gonna go make my own post. Thank you so much for what you wrote

[@jimwilliams3816]

@@mysterydiaz5302 I haven't heard his lecture specifically on the DSM, I'll have to go look for that. I love his Stanford lecture series on Human Behavioral Biology, best 40 hours or so I ever spent on KZbin. He certainly minces no words about behaviorism, which was at its peak when I was a kid, yuck. He does mention the point at which (I think it was) DSM 4 stopped classifying homosexuality as a mental disorder, and as he put it, "overnight, millions of people were cured of mental illness" -- love that. I'll watch for your post. Thanks!

[@ValerieM8]

I've beat myself up so much over the decades for having my emotional responses go over the top. It's been so frustrating!

[@kawag6356]

Same here, I am so glad I started educating myself on what ADHD is like for girls, it’s changing my life.

[@missnissai]

I think this is such an important subject, and I am amazed how connected (and often omitted or under explored) emotion regulation is. It's a huge part of my ADHD and functioning in every day situations. One I completely didn't expect as well.

[@mysterydiaz5302]

I am at 27 minutes and 39 seconds in to the video. And I am compelled to stop the video to speak here now. I have been searching for answers to my daughter’s troubles from when she was little. I took her to several Psychiatrists, And to her at the University of Miami diagnosed with Nonverbal learning disability. I searched high and low for professional help with that but it didn’t really exist back then. But in hindsight this video tells me it was clearly ADD. The very first psychiatrist I took her to said she’s got ADD and wanted to give her medication. She was still very little I did not want to believe it was a ADD I could not see it was ADD and I definitely did not want her taking pharmaceutical drugs unless it was absolutely clear. Things went downhill. I took her to psychologists and more psychiatrist circle back to talk with the guy that diagnosed her with Nonverbal learning disability. The school system was more hurtful than helpful. She tried to commit suicide like three times and she told me she tried and even told me how she intended to do it. She had 3 plans. She told me in detail one of them I had no flipping idea what to do. She started doing drugs. She had no boundaries I sent her to a Lockdown facility one time. The courts sent her to rehab facilities. I now understand those places are pretty much a joke… that’s not very funny. She was smart, she was beautiful, she made friends so easily. She had a violent side verbally and physically. I didn’t know how to help but tried everything. I was contemplating moving out of the country with her. But I had no more energy to pull that together. Every day there was a drama and/or a disaster. she had so much potential….. she passed away in 2020 at 27 years old. I can’t stop blaming myself. But I did learn that the DSM is BS and people in the field….mostly sheep making a living. In her short life my daughter could see BS. I’m the daughter of a narcissistic mother and I was trained not to BS but I see it now. This video is excellent…. i’m going back to listen to the rest of it.

[@Kdramahotgist]

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[@lisacranmer8005]

What did she pass from? Drugs?

[@tomfilipiak690]

Diagnosed with ADHD at 58. Can't seem to find a counselor or coach that is covered by insurance. Have been doing without a counselor for years since the diagnosis because of an insurance change. 😧 Wish I would have known. This webinar about emotional disregulation is completely on point. ADHD has hampered my work, career, relationship, marriage, everything. Still does.

[@ejsilk2101]

As an instructor at a employment training program, I have found this information to be invaluable. Thank you!

[@nollie9311]

Thank you! I’ve listened to a lot of your videos Dr Barkley. I was first diagnosed with adhd at 14yrs old. I didn’t get the treatment I needed, and now at 30 yrs old, I have an almost 3 year old and almost 4 year old. My 4 year old is struggling, I can see how changing parenting styles can help the child, as I’ve been doing positive parenting for a little over a year now. Their dad I believe has undiagnosed adhd. I’m sure of it. His reactions are always so extreme, but a lot of progress has been made. I’m actually having him listen to your videos, and I wish they were time stamped like with chapters or something. I’ve used up a lot of my phones storage to store screen recordings so he can listen to.

[@carriemikedevingavin]

This was the best video, thank you. I really like how you included about PTSD trauma and military and adhd . Many could learn by your video. It seems accurate and spot on.

[@sonamishra4792]

The videos are time stamped. Check the description.

[@maryamp1867]

Wow Thank you so much for so well explain it, I just got diagnosed at 46 years old, I suffered so much in my life with dis regulations feelings, my hormones absolutely make it worse, pms is been a hell for me, pregnancy also. I am in Concerta now and the medication change my life totally I hope for everyone to got help. It safe my life ❤

[@Kdramahotgist]

Check out the page on my name he got psych products and ships discreetly....

[@KE-xj9vm]

I’m about to turn 41 and was just diagnosed last week with adhd. I suspected it in the last couple of years but finally burnt out and became so dysfunctional that I no longer could do normal life. So much of what is said in this lecture has resonated with me. I was basically begging for help with my emotional dysregulation especially after having kids and was told it’s “normal”, but was diagnosed with anxiety, and the meds did help the internal angst but I still regularly got over stimulated and lost my shit. My husband would always reprimand me for my emotional immaturity and blamed me for influencing the kids to act out in the same way. I feel so seen with this and just want to take this lecture and shuv it in everyone’s face and say see I needed help and you told me it was “normal” from a medical perspective while my husband keeps telling me I’m not normal. Thank you for this

[@barefootarts737]

This is more relevant data for me personally than any other ADHD material I have digested. I was diagnosed in 2nd grade. It was the 80's. Im 42 now and I can finally relate to this. Amazing. Thank you I'm not interested in the drugs portion of this. But the content about emotions is uncanny.

[@tbriceland]

I am just now, at age 56, discovering that what I have experienced my entire life, seems to have been undiagnosed ADHD. For me it is 90% the emotional stuff and not so much unnatentive...or maybe I just dont realize how unattentive I am because...I am not paying attention? LOL. For me, I also find that essentially every single instance of outburst of NEGATIVE emotions is based on 'Injustice'. But I find that what makes it worse and what causes my explosive outburst is that I am SOOO profoundly passionate about that injustice but there are no human words to describe my reasoning behind that injustice which in turn is also indescribably frustrating thus creating this loop of extreme frustration that can't be contained because no one is understanding me and they are placating me with hesitant agreeance just to calm me down. I belive though that this type of passion against injustice is often what is needed to make change. Somebody needs to stand up and say something or at least set barriers against it to self protect. So I mostly consider it a Super Power and am going to work on at least not frightening the people around me with the extreme outburst but balance it with a stonch 'digging my heels in' for change.

[@LizLofi]

You just described me. I’m 37 and re-enrolling into law school as a 2nd year for this reason (I dropped out after completing 1L). This time around I have a handle on my ADHD, self-regulation, sobriety, and medication. Cheers to you. ❤

[@Maryam-111]

You are the BEST DR. Barkley. I wish you get well soon , God bless and protect and heal you🧿🧿🧿🧿

[@anniioakley9765]

My daughter showed signs of adhd hyperactivity and emotional dysregulation before age one. On play dates the moms would ask if I drank coffee before I nursed, if she was tired or hungry. She was so driven, disruptive, destructive and fast (walking by 8 months old). Thank god she was ridiculously cute or we would have been driven out of every event and school we attended. Add to that the child would not sleep. She would stay up all night long if allowed, fell asleep long after I did most nights. Thank god for books on tape and keeping it pitch black in the house, she usually stayed next to me doodling or tossing and turning. I had an inclination as to what it may be as I’d been diagnosed as a teen. Still not taking it seriously it took until she was nearly five for me to get serious treatment, holistic interventions were not working. She was diagnosed with ADHD and ODD. Based on her presentation in the Drs office and the diagnosis sessions the clinician said they don’t know how I lasted this long. At 11 years old I’m happy to report that both she and I have been treated for our adhd, therapy and meds for me, jujitsu, piano and meds for her. Our quality of life has improved to levels I never thought possible. No more outbursts, destruction, impatience. We communicate light years beyond what was possible before, our level of joy is palpable. Where as before it was nonexistent. If you are on the fence about treatment… there are FAR more benefits than risks, at least there have been for us. She’s able to make friends, I’m able to make appointments and to work on time. We laugh ten times more than we yell. And yelling is quickly followed by an apology, and statement of what feelings we experienced that took us over the edge. The grounded ness and respect are overwhelming and I’m grateful 10 times a day that I didn’t give up before I found the just right thing for us… onward and upward… best to you…

[@lseh4720]

Thank you. This will help many people who have been reluctant to put their child on medication. May you both have wonderful lives.

[@owenswabi]

The way I have eventually adapted to this issue is through disassociation, which in and of itself can sometimes result in others thinking that I don’t care or am being cold. It’s a strange thing to hear especially since I remember well how I used to react to emotional stimuli when I was younger

[@jenstiff1475]

I am a special education teacher who did not receive an accurate diagnosis until I was almost 40. My son has been in psych care since he was 6, and is now 15. If I tried to list all of the red flags in my lifetime (prior to diagnosis) that should have been noticed, it would sound like bad fiction that is so fictional it's not believable. The same would apply to my child's 15 years on this earth so far. I managed to finally earn my masters degree yesterday so that I can try to be an advocate for children much like I was, but it's not easy. It's emotionally overwhelming when people look at you like you have 3 heads because you are referring to emotions rather than adhd. If I were not already 41 years old, I would try to go further with my formal education in hopes to do more.

[@JK-ek5jv]

Age is just a number. Do what you want to do! You have time. Don’t let age stop you. People much older than you have gone back to school. Sounds like you have an important why. ❤

[@niamhbyrne4036]

How is you son ?

[@CuddlyBear-100]

This is me - ignored and overlooked throughout my life - as there are NO services I can start trying to regulate myself so that I can at least function, I am 57 now and just realising and understanding myself, thank you for your input x

[@fascistscansuckit]

56 here and only dx'ed earlier this year. Adder all has been a small miracle. I never knew what calm in my mind was like.

[@vintage_violet]

OR, what if it's the EMOTIONAL DYSREGULATION that CAUSES the symptoms we label ADHD??? I have C-PTSD and the symptoms are almost identical (from childhood neglect and trauma, which even from well-meaning parents can cause, environmental stresses/poor diet etc can cause). I've been diagnosed with ADHD but am doing trauma therapy and things like EMDR are helping me heal--and guess what? The ADHD symptoms are disappearing/under control. I believe in Neuroplasticity myself, I wonder what this doctor thinks about that, I believe that our brains are able to heal, I'm living proof.

[@bellanoire2271]

Thank you for posting this comment it gave me a little glimpse of hope! I’ve also been diagnosed with ADHD and learned about the nearly identical symptoms of C-PTSD a couple months ago and I’m STILL blown away by this discovery. It has NOT been easy though, and my family is still just as toxic as the day I was born so I decided to stay away from them in order to protect what little progress I’ve made. I’m glad things are getting better for you and I will look into switching from relational therapy to trauma therapy and EMDR. Best wishes to you on your healing journey! In my opinion, it’s one of the most COURAGEOUS things a human being can do for themselves! ❤️‍🩹🙌🏽

[@Catlily5]

I am diagnosed with PTSD (my country doesn't have CPTSD) and ADHD. I have done a lot of trauma therapy. I have improved but I still have problems with emotional regulation. Maybe I need to do EMDR. I am also looking into Autism .

[@sharonoddlyenough]

This is exactly why folks should get a professional assessment since the same outward clues could point to several diagnoses.

[@katieandnick4113]

Barkley is a pharma shill, so he is opposed to any method that circumvents medication, particularly concerta.

[@sharoneast228]

Maybe you just had symptoms, temporary Executive Dysfunction caused by trauma, that just needed skills and stability. No amount of training has yet improved my perception of time, or my poor working memory, the two greatest difficulties keeping me from doing what I know to do

[@jojozepofthejungle2655]

It's true about never marrying anyone off the spectrum, but the people on the spectrum are awesome awe-inspiring and easy going and above all honest and loyal. Well that explains why we don't fit into a small talking 🙄 sugar coated sick society. To be honest I'M GLAD. I thank the academy for this speech 😳

[@95turbogirl1980]

My daughter and I both have Adhd and we definitely struggle. I have begun having problems regulating emotions and I'm seeing my daughter showing seeing signs of OCD and my lack of structure and urgency frustrates her so much. It frustrates my partner who was also diagnosed ADHD as a kid and has some issues with ocd

[@Kdramahotgist]

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[@Vapourwear]

The reason it took so long to figure out it was emotional in a real way is because, frankly, we're not generally listened to, even when saying directly to a "normal" person what's going on, what we're experiencing, and telling them what they can do to assist us in processing the moment with them in a productive way. Nope, too much work to ask of the "normals," who forget that 95% of our lives is using enormous amounts of energy coping with a word made not by, for, about, or with the intention of serving, us.

[@AsmodeusMictian]

Almost 50 and just starting to learn about things like this. I cannot express how much I wish I would have had this information 30 years ago, would have saved me a lot of grief and pain. I have a son w/ADHD, and watching him grow has been one of the most surreal experiences of my life. I feel...privileged in a way because my parents had none of this information at all and neither one has ADHD so to them it was this weirdness with their son. I've been trying to teach my son from an early age about how to recognize and modulate his emotions, particularly frustration!! That seems to be a major struggle for the both of us. I just wanted to say thank you to this channel and to Dr. Barkley for being here. You've become the lighthouse I didn't know I needed, and I am very grateful.

[@chasing-mental-clarity]

I was locked in and zoned in for like 5 mins dr you transported me to another universe when you were talking about the anatomy & neurobiology of ADHD. You made me release happy chemicals

[@haven_from_me]

My son was diagnosed with ADHD a few months ago. I worry that he will develop or is developing ODD but it's comforting to know that minds like Dr. Barkley are using their time and talents to help us as a society. Keep loving yourself unconditionally and those in your life affected with this and take it one day at a time. You're not alone.

[@sl4983]

Dr. Barkley is incredible.

[@85fantasia]

I am so glad we have someone like him around. Thorough research is needed and nothing should ever be assumed. I'm thankful that he uncovered this information. I just recently learned about emotional disregulation, and now understand why I "snap" in arguments, why I react in extreme to football games and scenes in movies. Thank you Dr. Barkley. Keep digging.

[@gracehopewell]

Thank you Dr. Barkley, for sharing your long years of research, teaching and keeping your awesome motivation to help ADHD patients over decades. I don't know why they took emotional dysregulation out of the DSM. I've had psychiatrists 30 years ago tell me I had bipolar and not ADHD. I spent decades suffering and feeling like I just couldn't measure up. The antipsychotics were awful and there came a time in my 40's when I broke down and couldn't work. I am recovering from that trauma slowly. I listen to all your lectures. Thank you so much.

[@zeenuf00]

Prayer and meditation. That's what helps me. Every. Single. Day.

[@JellyFishHeart1]

Thank you for this talk - in a nutshell my emotional disregulation left me bedbound for years as I got ptsd and my hormones were so out of whack that then got and still have cronic fatigue , then I list all my social connections and I find it very difficult to regulate the emotional regulation part as I find I have little motivation even though I know it woukd save me . I’m not sure about the part where the doctor talks about avoiding strong emotions as I felt that I had disconnected or did this for years and then bang I couldn’t run from them anymore and I think because I hadn’t learned how to deal with emotions it just and still is a nightmare …

[@PatriciaAndreaFL]

Wow God Bless you Dr. so gracious of you to be there during your pain and unable to take a deep breath!! You are amazing!! Thank you for being there

[@Miss_Annlaug]

Dr Barkley! My main ADHD educator! Love that I can sit here in Norway and have access to this important info through the internet🥰🥰🥰

[@aurora571000]

Yes, and free, too. It’s great.

[@EllieBoies]

I am praying for your fast recovery Dr. Barkley :)

[@diddilindkvist5772]

I got my diagnose at 55. My children, now 47 and 49 do not understand and think I am a terrible mother. They do not speak to me and I think this is just plain cruel.

[@alleycat616]

If they don’t speak to you there is likely reasons other than just this diagnosis. What are their reasons for not talking to you exactly? You say it’s cruel but obviously you must have done things throughout their lives that deeply hurt them for them not to speak to you and just blaming it all on your disorder sounds like a cop out.

[@MysteryGrey]

@diddisvartsjo5772 I understand/know what you mean, it happened to me, too. My oldest daughter is coming around after 30+ years of me praying about it.

[@MysteryGrey]

@@alleycat616 Maybe you should refrain from putting your two cents in there if you can't understand someone, you sound like a real jerk.

[@arjunratnadev]

Explanations from Dr. Russel Barkley have been phenomenal for the understanding of my ADHD, I have yet to complete your book, wishing you good health and please take care of yourself, we need more people like you in this world

[@ericav3284]

i will forever be grateful to this man for his books and research. he's helped me and family so much.

[@lisawhitehall1870]

I wish could see you personally, I am sorry your ribs are broken. Thank you so much for this lecture. You're the first person who has nailed exactly what I experience.. I very much appreciate your work. I so wish I could have you to be my Dr. Everything got 10 times worse after spinal cord injury, stroke, and brain injuries. I can't take the negligence and denied medical care, bad treatment from supposed medical professionals..I also have a failed medical device for corrected developmental physical condition. I wish so bad that I could be your patient and get REAL, MEDICAL CARE for all of these things. I know you are retired...but I wish. I am not getting care I need.

[@Kdramahotgist]

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[@lisacranmer8005]

Sorry for your pains..I have 2 back surgeries and multiple Herniated disks and TMJ..

[@thomasmaddox5638]

A Brilliant session; so well explained and ever so more relevant, in the world today!

[@ReddAngry]

Thank you Dr. Russell Barkley. I’m one more person you’ve helped. I’ll do my best to past it forward and direct people to you.

[@Kdramahotgist]

Check out the page on my name he got psych products and ships discreetly...

[@anhumblemessengerofthelawo3858]

I'm so glad you're okay doctor.

[@stargazer9827]

This Doctor has best knowledge on ADHD

[@InvisibleLightRec]

I did not know I needed this. This right here much. Right now. Big thanks for speaking to us here, especially given circumstances. 4:43

[@yuribalance1682]

I have avoided mostly all of the situations that gave me strong emotions and my ADHD got masked as social phobia 😔

[@Kdramahotgist]

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[@camillekortis2117]

I have ADHD and I also have MTHFR, I have always been very emotional and would cry so easily.

[@Kdramahotgist]

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[@Kristy-y6i]

I've been writing the same list for 3 years I hate myself that I can't just check off my to-do and be done . Me and my fiance separated after 20 years together living the American Dream. Wish I knew what I do now.... I've gone through every emotion there is .

[@fearchar998]

Surely, for pretty well all social settings, ANY socially aware person with ADHD learns (due to social reactions and even punishments) to suppress emotional reactions as a FIRST response. This may well lead to further emotional disregulation later on, e.g. the spouse that eventually "snaps" and uses the kitchen knife, or the successful business person that suddenly decides life is too dull and takes to drink, etc. These don't become stereotypes through rarity, but because these or similar responses are relatively common. Midlife crises, divorces after decades together, suicides - might they not all be linked?

[@fearchar998]

To take it a stage further, could it not be that the apparent "inattentiveness" is simply the distraction that results from the mental effort being put into suppressing those emotions? Could it be that the documented instances of lack of attention to numbers, for example, is due to the effort expended on suppressing emotions, and this is why people hate filling in tax returns? Does the same not hold for the frequent inability to retain verbal instructions - that suppressing the emotional response to instructions (and there is that unwillingness to accept authority) overwhelms the individual's capacity before all the instructions are received?

[@Kdramahotgist]

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[@gracehopewell]

​@@fearchar998 maybe, because in me, refusal to accept authority or rebellion against authority could be from feeling judged and misunderstood. Without understanding the words to explain what I felt, I became hostile.

[@kmsongbird]

Oh my goodness yes. This would explain so much! Hope this research continues to dig in deep

[@Mahayanalight]

So grateful for this webinar! Thank you 😊

[@CrimsonVioletMoon]

Interesting info, but it did seem odd to watch a lecture on emotional dysregulation that barely touched on bpd. Mood disorders were addressed, but as bpd is a personality disorder, factors like emotions not being triggered by events weren’t really relevant. Especially given the high comorbidity between adhd and what some have considered re-naming emotional dysregulation disorder, I would have liked to see this connection explored.

[@johnhall8455]

I would say Adders who are more hyperactive are the ones more likely to have negative emotional problems….. So much more research is needed for this subject….it is so common, but doctors know so little about it.. Really frustrating for those requiring help..

[@Kdramahotgist]

Check out the page on my name he got psych products and ships discreetly.....

[@Ogdensnutgoneflake78]

Thank you Dr Barkley as a person with ADHD I can say that you are spot on. I would also like to add another issue with emotional regulation and masking. I was not diagnosed as a child (just dyslexia). Growing up I was programmed from an NT perspective of emotional regulation. Ie extreme reactions are wrong (therefore I am wrong/broken), but I couldn’t help how I react. Because of this I would begin to attempt to hold in my internal emotions. This also led to me not talking about my emotions. I have spent my life masking and suppressing my emotions. As an adult this has culminated in a low self worth, depression and anxiety disorder, and subsequent diagnosis of ADHD (and poss ASC, on waiting list). Because of this I feel teaching the child/ young person about their diagnosis and personal profile is also key, so that they can understand why they may react some ways and find somethings difficult. Also of course focus on the positives they have and that they are not the only ones! Great talk, thank you for all your work and for still doing this talk despite your injuries and being in pain 🙏

[@jamie.777]

My anxiety has tripled with middle age. My childhood was constantly being told i was a bad boy, i was hyper and took ritalin, it helped with school. But my life has been nothing but rage, impulsive buying, self loathing and addiction. Nobody understands 😂me, but this guy does. I am shocked i am still alive, life is not fun with adhd

[@cindyj5179]

Dr. Barkley: I an 65 and I have ADHD. The most problematic trait with my ADHD presents as intense emotional dysregulation. Overall, in listening to your lectures about this issue, there is an assumption on your part that the hyperactive and intense rise up to these emotions erupt in the patient while still in the company of others. Dr. Barkley, this is a very serious faux paux in what diagnosticians present a typical scenario of failure of control emotional dysregulation usually looks like. Allow me to enlighten: The ADHD persons with intense emotions do NOT expose their intense feelings impulsively in front of those who may be the ones who sparked the painful feelings. Quite to the contrary, we find a private place far away, and the pain we feel, we feel alone, It can be so intense that doctors who claim to be in the know completely overlook that we are bleeding in PRIVATE. It feels like you are the bilnd person describing the color blue with a crooked confidence as if you truly believe you have seen that color, and that you are quite confident that I never have. Move away from illustrating persons like us as having astronomical tantrums in front of other and upset a social situation. You are painting a humiliating and incorrect vision of what is like to have intense emotions. You are missing the mark for what it is like to be an adult ADHD with intense and sensitive emotions. These demons scathe and damage me while I'm alone and flaundering, while those like you are assuming you really know what this sequence is like yet are not providing support or tools. The clinician who professes that treating my private pain of intense emotions may indeed, if treated first, provide some of the relief that I am screaming for. He hears my screams, but I truly don't think you do.

[@piedpiper1172]

Just because you don’t personally erupt in front of others doesn’t mean that’s true for every adult with ADHD. I erupt in front of others exactly as he describes. It sounds like you’ve found a way to avoid that which is hurting you in a different way. It doesn’t invalidate the most common experience he describes.

[@countrybns]

I disagree with you mine presents immediately, it does not wait like you explain. Mine is as Dr Barkley explain s and your personal experience invalidates others and its wrong

[@Catlily5]

I think some people show them in public, some people hold them in. It doesn't have to be either or.

[@jasonbrownlow4716]

Cindy, you are right that there are two possible responses where emotional dysregulation is concerned. It's a simple learned response based on whether someone let the ADHD person express emotion I would assume. Some respond externally and some through obsessive internalized thoughts and emotions. I didn't take what he was saying to mean that every ADHD person responds externally. Many young males do tend to respond externally because they feel like something they can do is effective for once (note BeNice comment on hospitalizing her child). And they get a lot of attention for it! Women.girls tend to respond in the other direction.

[@ModMINI]

This might be a male/female or cultural behavorial difference. My wife knows all about my inability to regulate emotions. She has had to warn me if friends come over.

[@cathyhuffman7611]

This makes so much sense for my out of control emotions....it is so out of control some times. I do adhd. But this helps me so much.

[@margaritajohns7907]

I have a special brother who was miss diagnosed and the medications acted negatively in his brain not working on the right points but rather damaging the good gifts in my brother who was very bright.

[@Kdramahotgist]

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[@le_th_]

So informative! Great lecture, thank you so much for sharing your knowledge and experience so generously despite having such recent physical (and mental) injuries after your auto accident.

[@henrysaizofficial]

I really appreciate all this useful information. ❤ thank you from Spain

[@mess2964]

Thanks for talking about adhd in a parent

[@TheStarBlack]

3:46 if you want to skip the VERY LONG intro!

[@margaritajohns7907]

This is such a wonderful information to the public since therapy can be so hard to access for this kind of problems and their is so much miss-regulation when it comes to miss dose people with the wrong medications if they are really needed for some people.

[@Kdramahotgist]

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[@marcc.3513]

So beautifully done

[@tearthangel373]

Having PTSD and C-PTSD and OCD, I have Emotional Dysregulation. Several auto accidents and Rapes. I’m a hot mess on Zoloft which makes me have more anxiety at age 66

[@Kdramahotgist]

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[@Kdramahotgist]

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[@paulbolton2322]

I greatly appreciate Dr Barclays vast knowledge on ADHD & his always good advice, excited to listen to his sage words. 👍Thank you.

[@Kdramahotgist]

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[@darrellleeper7534]

I am 68 year’s old finally pretty I had medical issues, since I am not now doing drugs alcohol now that I haven’t anything, I realized. I now see it was too hide my problem, now I have to wait until May to see a Dr. I am concerned about myself life is quite rough, I just hope all will be well.

[@Spamhard]

As someone who was diagnosed later in life (37), the lack of emotional regulation is definitely the most devastating part of ADHD for me. I've managed to mask or make coping mechanisms for many other aspects of my condition, but no matter what i do it's SO HARD to regulate how I feel. Even when I logically know a certain feeling isn't appropriate, or is 'silly', or that it's spiralling, I just can't get myself out of it. The logical part of my brain will literally be like "this is unnecessary, someone only said/did x, there's no reason to be crying/getting angry over this very tiny thing", but it's like I just can't control myself. I at least understand when I'm in the wrong and can apologise and explain my behaviour to understanding family and friends, but it doesn't lessen that feeling of helplessness that I'm not able to even listen to myself.

[@llareia]

While on a birth control pill, my psychologist told me he was concerned that I had quick-cycling bipolar disorder. I was diagnosed by my GP with an anxiety disorder and put on an SSRI which sort of helped but mostly just made me a zombie. I quit my anxiety meds and birth control and went back to my "normal" of having strong emotions that I had to work to keep under control, but no bipolar-like symptoms. Didn't realize I was ADHD until my late 30s, but this DESR component explains SO MUCH.

[@anyatranter5588]

Wow very interesting and helpful.Im 56 year old woman who has an assessment in 2 days ,pretty nervous.

[@Dani-ul1uh]

A but before way half through the video, he says in the adult some adults did not have adhd any more. How did the study rule out adhd being gone, versus the adult being very good at masking?

[@Wraith200]

Some people grow out of having the impairments when the brain finishes it’s delayed development. I watched one of his lectures from around 5 years ago on the same topic. 2 thirds grow out of it and maybe we need more research methods to differentiate the ones who mask well. But how do we study something someone doesn’t know they are doing because masking can happen without us realizing it. I definitely mask all the time unconsciously.

[@Dani-ul1uh]

@@Wraith200 thanks for the reply. I am not sure how one would figure it out. It is interesting because idk I had adhd because of how well I was masking. By chance a friend pointed it out, and I was diagnosed and now life is way easier on meds.

[@a.freedman2726]

I thought he was illustrating 1. ADHD and the co-occuring disregulation, 2. Still the method of diagnosis is not clear-cut, 3. The specifics call for a varied mix of medicine and therapy, 4. Masking occurs with and without medication, and, finally, 5. Age, length of time with which ADHD and the attending issues have been presented complicates the treatment in middle aged and mature adults. Ultimately, ADHD isn't easy to pin down in diagnosis and still treatment needs to be meted out differently based on a range of factors.

[@katieandnick4113]

What is “masking”? Doesn’t everyone mask, to some extent?

[@a.freedman2726]

@@katieandnick4113 Yeah, good point. Various fields use differingterminology, for example, in Linguistics, verbal masking was called code-switching (and terms have probably changed since I took a course in Linguistics in '07). To me, I would ask myself how much I was trying to change how I show up. Am I feeling shamed or overly out of my element? If I am, as self-absorbed as all this sounds, my continued frustrated present condition isn't honoring the time of others or myself.

[@johndeal4381]

I've always believed I had ADHD. I was never able to hold down a job. I got stuck in the mental health system, with a diagnosis of major depression. I've been on Prozac for 30 yrs. without improvement in quality of life. It sure hasn't helped me hold down a job or get a girlfriend.[due to sexual dysfunction]. I've never benefited from therapy as I've seen at least 20 different therapists in my adult life. I'm 66 yrs old now. I'm scheduled to see a neurologist in November. Maybe he can help me get a correct diagnosis.

[@Kdramahotgist]

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[@alexpavalok430]

It's crazy how so many have gone their whole lives without knowing what has been making life so hard...I'm thankful I found out at 26. Good luck, you deserve treatment no matter how late it was found.

[@granitfog]

I can attest to the benefits of meditation. After all, meditation fundamentally is the process of manifesting attentional control, i.e. practicing and strengthening the inhibority system. One mechanism to help redirect emotional response: Understanding that it's never so bad it couldn't be worse, and realizing what could have been worse but wasn't, one can then be grateful it wasn't as bad as it could have been.

[@mariabuckley1749]

Very powerful, thank you so much 🙏

[@rogermallabone8598]

I also struggle with the "tone" . I get into trouble with my husband almost every day. I will say something nice and next thing i hear him shouting. Apparently whatever i said had the opposite effect. I just wish i could have one week as a normal adult. Instead of coming home and feeling like a teenager in trouble with their parents

[@tomatoeggs48]

Components of emotional self-regulation: 1) Inhibit inappropriate behavior related to strong (whether negative or positive) emotion. 2) Down-regulate physiological arousal (related to 1/) 3) Refocus attention away from the emotionally provocative thought (distraction and reappraisal of the situation) 4) Substitute emotions that are in service of the current situation or longer-term welfare

[@gelflingfay]

I suffer greatly with severe anxiety, depression, etc.

[@Kdramahotgist]

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[@monkeymoonky7900]

If I dont consistently take my adderall, I crash pretty badly, as in, full depression and irritability. I receive 5mg of immediate release to ease the crash but it's so overwhelming when it happens.

[@susanmazzella865]

At 64 my life has been hell ! Listening to the doctor gives me despair. Any help out there? Feel so alone need solace. Condemned.