ADHD, EF, and Self Regulation

Substantial research has accumulated to show that ADHD is more than simply a problem with attention, hyperactivity, or even impulse control. Many of the cognitive deficits associated with ADHD lie in the domain of executive functioning in neuropsychology. Since the executive functions provide for human self-regulation, all this suggests that ADHD is a disorder of self-regulation. This presentation will review a theory of ADHD that integrates these concepts into a more coherent and unifying model of ADHD. This model provides for a deeper understanding of the nature of ADHD and its associated cognitive and social deficits along with numerous implications for the management of the disorder. The presentation requires 1.75 hours.
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[@Marco_Bonfiglio]

This lecture on ADHD is undoubtedly the most crystal-clear, informative, and beneficial one I've come across. I firmly believe that gaining a deep understanding of the issue is crucial to finding solutions, and this professor flawlessly elucidated the fundamental principles underlying this condition. Thanks to his exceptional explanation, I now grasp all the implications involved. I'm truly inspired to dive into Professor Barkley's book, "Taking Charge of Adult ADHD". Thank you so much for generously sharing your expertise!

[@russellbarkleyphd2023]

my pleasure. that was incredibly kind of you to write.

[@zmalone4237]

I greatly appreciate this video, I'm 32 and slipped through the cracks in life from a young age. Its taken awhile to pick up the pieces and learn to live a productive life. The shame, humiliation and verbal abuse that ensued through childhood completely distorted how I perceive myself and others. I describe it as viewing life through a fun house mirror. As a kid I would often have the thought that conscious life is actually worse than a nightmare, because you can wake up from a nightmare. This information is greatly helping me put everything back together and understand that are many others like me that are afflicted by this. Sincerely, Thank you.

[@oysterchampion8998]

I'm 35 and just started medication again after a decade and a half of not treating it. Was diagnosed pretty early so I was fortunate. I was unaware of exactly what ADHD entails until now though. Thought it was just " bad at school disease". So picking up the pieces too. Went from almost useless to wondering how all the normal people aren't all Elon musks by now after taking stimulants again

[@Quinefan]

I'm so sorry to hear of all these horrible experiences you've been through. I had a lot of the same, finally diagnosed at 44. Best wishes to you; I really hope you can now start moving towards a happier and more peaceful life.

[@KnarfMetmohn]

I cannot express how happy I am because I found your channel. Now all my past life makes sense and I have a better chance to change my future.

[@michaelpilgrim8131]

Your lectures really work for me. The pace is right, when many others would speak so quickly that I wouldn't be able to process. You don't have frequent edits, loud sounds / music, or flashy visuals to overstimulate the senses and distract from the message. You don't repeat as often as most. The information is pithy, worthwhile, and evidence-based. Your delivery is just matter-of-fact and that works well with how my mind works. *chef's kiss*

[@katja6332]

1:28:20 thanks for clarifying the facts about training executive functions with games or apps. It doesn't work in older patients with reduced executive functions neither, but light physical exercise is somehow an important part of the solution as well as calming down the nervous system in older patients, hence I wonder if same is true for ADHD patients? Okay, you answered my question further in the video 😂

[@mannyisaacs1017]

Can we get these slides somewhere. I am so stunned by the wealth and value of this model/approach.

[@jowke7289]

Thank u for these videos!

[@camellia8625]

This is an incredible lecture. Need to listen to it a couple more times and take notes to fully take it all in.

[@herchenm]

Thank you so so so much for just being who you are. Listening to you is so cathartic.

[@PGurgelSegrillo]

Thank you so much for this - understanding makes all the difference!

[@Halfstar3]

Such excellent information. Thanks so much for taking the time to distribute this knowledge. So important that it's out there 🙏

[@nananoname3089]

Wow.. the think about dating for example .. that.. uh.. yea thinking back on myself that fits (: ... on the other hand I think through a lot of outdoor activities that involve quite a bit of risk, I kinda learned to spot dangerous situations and to avoid them if possible.. so yea I made a ton of rash decisions 😂 but nothing grave happened. But I actively stayed away from big parties in the next town and such bc I knew I couldn't handle myself

[@zhiyuanAn-do1ll]

Thank you again

[@j.b.4340]

Well done.

[@thetransferaccount4586]

very nice lecture sir

[@piotrgraniszewski8544]

I am really curious what really causes hyperactivity in ADHD. And why stimming helps. I mean - if I feel like I need to move, I'd better start moving or else my focus is going to suffer. Other days, I don't feel like I need to move at all. What's up with that? Is it about inhibiting random motor impulses?

[@samanthamartin344]

Amazing information. I am 58 year old woman struggling with everything. I was diagnosed in my mid 40’s. It seems like menopause has made this disorder so much worse. I used to be scattered, but I was successful and confident. Now I am unemployed, overweight, overwhelmed, and feel so retarded (I know this word isn’t PC but it’s in reference to myself and best describes my self-loathing. Wouldn’t wish this condition on anyone. I’ve ordered Dr. Barkleys book in hopes I can find some relief.

[@zhiyuanAn-do1ll]

Thank you

[@ezb6798]

Dr. Barkley: I realize that in your description of the executive functions at around 55-60 minutes, you are speaking about typical/normal, but I wonder where aphantasia fits into this framework? As I understand it, people with aphantasia do not “see” visual images in their brains, although they can describe things that they remember using words.

[@AtomicElf1]

I wondered about this as well. My suspicion is that these functions are actually still occurring at a nuerological level in people with aphantasia, but they just aren't consciously aware of it (ie. there is a disconnect between the parts of the mind that process or interpret thoughts into visual information and language, and the part of the brain that generates those thoughts). I say this because people with aphantasia can still write down their thoughts or verbally express them in the same way other people do internally, so at some point there is a connection being made. This is a layman's opinion though. I have no formal training or education in this ares. But I would think for people with aphantasia, something like Journaling or Drawing may be an effective or even necessary tool for optimal self-directed emotions and motivations.

[@paarma1752]

11:04 so the time frame of this unsustained attention is in fact maybe couple of hours instead of couple of weeks, months, years? And also re-engagement is really an issue of returning to a task that you were doing just a minute ago instead of a task you were doing like yesterday or last week? I've always thought that the poor persistence is about more long-term goals and not about immediate goals here and now. But good to know! I have been really misinformed about this.

[@Caimera77]

Will you please explain to us, why are you so interested in ADHD?

[@oysterchampion8998]

Dear lord are you telling me my working memory is going to get worse as I age?! Ive had the walking into a room and not knowing why problem for as long as I can remember

[@adderal_enjoyer]

so is he saying i just need to build up will power in order to fix my innatention

[@adderal_enjoyer]

nvm i'm just too hopeful that i can rebuild my executive functions.

[@tamerfarhat5042]

i have adhd to the point that i can barely watch and reach minute 15 of the lecture. lord help me

[@paintediva]

Uh! I want an need to watch this but it's a whole hour and fourty-five mins long! How do you expect someone with adhd that wants and needs to educate themself, to sit through something that long!? I need this broke down into 10-15 min sections.

[@zowzow6640]

for someone speaking abt adhd... its kinda hard to focus on ur videos xddd

[@zowzow6640]

Okay man i like ur theory but you seem to be sometimes looking down on adhd people and like hhhh

[@TRUELiGHTERS]

what if some one diagnosed later in life say in their mid 30s , and he/she start to take stimulant meds ? will his/her brain grows on that age? all you said is how and why, so if i am an ADHD human , how i am suppose to get a normal life

[@TheFuel89]

Hello. I am not a professor, but stimulants used for treating ADHD do not make permanent changes in the brain. You need to think of them like eye glasses. They help you to use a part of your body that isn't functioning as well as it should. As far as I'm concerned the definition of "normal" isn't anything concrete. I think it would be beneficial for you to think how you want your life to look like, and work towards that (that's the hard part). Meds sure help with that. And knowing of your hardships and problems and why you have them should help you be more merciful towards yourself. It's not your fault, but you can do something about it. Kind regards, Diagnosed at 34 just last year