Adult ADHD What You Need to Know

[@joshellis625]

Can we all just take a moment to appreciate this wonderful man and his 47+ year dedication to studying ADHD. Dr. Barkley recently retired and is STILL going strong and his passion for ADHD hasn’t waned. Dr. Russell Barkley’s pioneering research and extensive contributions to the field of ADHD have been nothing short of revolutionary. His dedication to advancing our understanding and treatment of ADHD has been a life-changing force for countless individuals across the globe. His work is not only invaluable but also a profound service to humanity, reflecting a deep commitment to enhancing the quality of life for those affected by this condition. Indeed, Dr. Barkley’s legacy is a testament to the remarkable impact that one individual’s scientific pursuit can have on the world at large. Whether or not you found Dr. Barkley by accident, recognize that you are watching history in progress and this man has been and will always be spoken about in the highest regard. Thank you from the bottom of my heart for all that you have done and continue to do Dr. Russell Barkley. God bless you sir and I hope you are enjoying your well deserved retirement.

[@rebecca_stone]

Beautiful acknowledgement - agree Dr Barkley's pragmatic, evidence-based and clear explanations of the facts and impacts is changing lives. I think the internet can both help and harms us - helps because we get to access his academic lectures (pretty amazing!), and harms because there is so much BS and poor information out there. ADHD has become so trivialised I'm at the point where I no longer wish to disclose, even to friends.

[@russellbarkleyphd2023]

Thanks ever so much for your very kind support.

[@joshellis625]

@@russellbarkleyphd2023 Dr. Barkley, you are more than welcome! I hope you and your family are doing well and I wish you all the very best. I understand that you are a busy man, and creating content for KZbin can be a significant undertaking. However, your response means the world to me. This may be the only interaction we have, but please never forget the positive impact you have had on countless lives. Your understanding and guidance have provided hope and meaning to many individuals who were once lost and uncertain. As a first responder, I have personally witnessed the saving of lives and have encountered many heroes. You are a true hero, and please never forget that. Sincerely, Josh.

[@crazygreenlady7907]

Diagnosed last month aged 57. Currently hyperfocusing on Russell Barkley, old videos and now thankfully these new ones. I listen to the audio whilst wandering around my house wondering which of the 1000 things in my mental to do list is the most achievable today.

[@emma8634]

Same here, diagnosed at 39 following a pretty text book tumultuous life thus far. Dr Berkeley's ones are brilliant, I inhaled them (multiple times over😅) a couple years back. Now spend alot of time on the Additude webinars which are so helpful also. At the same time currently, also captivated by the brain in general and taken it upon myself to start studying like I'm aiming to be some sort of medical professional in neurology. 🧐 neverending need to know more😬 Best wishes

[@russellbarkleyphd2023]

Thanks for listening.

[@johnmaeck9960]

​@@emma8634Imlay

[@XTCBiscuit]

Got an official diagnosis by an adult psychiatrist less than a week ago. Was many appointments with the clinic, involving significant document archaeology. I double checked with him to make sure I heard correctly; ASD and ADHD. Thx to Dr Russell B's videos for much learning, sometimes for procrastinating too but at least I'm learning✌️

[@wendyhannan2454]

I was diagnosed at 75 nearly two years ago. I was treated for anxiety and depression. This can be the problem, had I known years ago my life could of been easier. Dr Barkley is amazing, I was lucky to find him on UTube

[@reiverdaemon]

Having someone describe your traversal through life so accurately is sobering.

[@Vaelin94]

This video has me crying. My whole life ive suffered with these crippling problems, and I've just seen myself as lazy, awkward, and immature. My entire life is crippled and frozen in time because i can't even motivate myself to see a doctor. Im glad im not alone, but im so very hopeless

[@msnbmnt]

At least now you know, hopefully, that it's not your fault for being lazy etc. Now you know what the source is and you are not to blame. I'm struggling really hard right now to find a job despite having a postgraduate degree from a really fancy place. Something led me to this video and I'm feeling new motivation to get a formal diagnosis. Good luck to you, stranger.

[@__-qg7yd]

After watching his vidos, I've started search ADHD on the Google, and found out the RX give online prescription for the non stimulus medicines. Since I cannot manage to find my time to see the Doctors and sure no motivation. You are not alone.😊

[@grzegorzp.1827]

You're should be hopeful. ADHD is treatable by meds, and to some degree by psychotherapy/coaching and lifestyle changes. It is not your fault. However if you're adult it is your responsility to seek help and "own it".

[@regentmad1037]

yeah well i came to that realization years ago, that life sucks. especially when you can't pay any attention to it.

[@tbh5207]

It made me sad too

[@dustins4921]

I got diagnosed at 35 after my six year old got frustrated with his school work and told me he felt like his brain is "twisted up" and I decided to ask my doctor about it. My wife was getting fed up with me constantly losing my keys over and over again. I'd make careless stupid mistakes at work that I should have caught, or I'd get so preoccupied and stressed about an e-mail that I wouldn't do anything else. After getting medicated I dropped around 100 pounds, I don't feel the same existential dread that I used to and I went back to college. I'm currently doing a paper on ADHD and have been watching these videos. Anyways obviously I'm distracting myself and I need to get back to my paper but I enjoy your content and writings!

[@Aleks-cn3lv]

happy for you

[@NatalieDawns]

But I bet you are very good when it comes to solving problems on the fly when it comes to like an emergency situation Why do we have to be good at the boring stuff? Why can't we be exalted for our badassness in the hard stuff?

[@niruac.1125]

How did the medication help drop your weight.?

[@uniquechannelnames]

​@@niruac.1125it very well could have been a lifestyle change, being more active, eating better etc... but idk, amphetamines probably helped somewhat

[@richardbruce8111]

Hey I am 83 & I fit most of these things ...which I have pretty much mastered by simple deliberate habit! ....always have my keys, pocket knife in RIGHTHAND TROUSER POCKET HANDKERCHIEF & PAPER TOWEL in Left ..... Keep credit cards in special holder & it is in 1 place. ...... got 189 "collections!"

[@aybikeanacali8414]

Diagnosed at 29, 3 years ago. It was me who suspected I have it, I've been regularly seeing therapists since puberty, none of them suspected that I have it (because I have high IQ) My mental health was so bad that I forgot how to feel not depressed and anxious, I spent years in major depression. Also developed secondary anxiety disorder and OCD. When you're smart but not able to finish anything you start, always late to everything, repeating classes because tou couldnt be on time for the exam, teachers, employers, friends and family decide this is a moral issue. Nobody understand I was physically unable. I tried almost every therapy method and medication on earth except stimulants, nothing worked. Then I realised I might have ADHD. Tried to get a diagnosis, the psychiatrist on public hospital laughed at me saying "yeah nobody noticed it until the age 29?" Finally I found a psychiatrist who is specialized on adult ADHD and get my diagnosis, started treatment. It is a miracle, never been this happy in my life.

[@uniquechannelnames]

Yeah i had no hyperactivity so even though I had many other signs (disorganized as hell, always late, no time management, homework always late, would draw patterns on an unused whiteboard during class to distract part of my brain so I could listen to the lecture. This is junior high/high school.. i even was attending a school full of kids with learning disabilities yet I flew under the radar because i did amazing on exams despite not studying, i socialized great and could talk with any "clique". Anyway was still never diagnosed until I realized certain behaviour and that both my bros and my Dad had been diagnosed lol. I'm still struggling to lesrm how to function myself (w/o meds as they give me too many side-effects)

[@maskouye9222]

I'm getting my diagnosis this week, did medication help you get up in the morning or were you given tools?

[@keith2289]

@@uniquechannelnames "High IQ" individuals seldom think of themselves as smart nor make such claims; they typically underestimate their intelligence. The opposite is true of those of average intelligence and the self absorbed. See the Dunning-Kruger effect.

[@zumeybear6883]

​@@maskouye9222 Medication can literally change your life. That's all I can say

[@zumeybear6883]

​@@maskouye9222morning won't even be something you think of anymore

[@Herfinnur]

Timestamps for myself 47:15 Disorders that co-exist with ADHD (I've had to go back to the beginning of this part at least 12 times now because I keep losing the thread) 47:30 Oppositional Disorder 47:53 Conduct Disorder 48:18 Depression 49:20 Anxiety 50:34 Autism 51:29 Specific Learning Disability 52:40 Antisocial behaviour

[@PorkSnorkle]

Lifesaverrrrrrrr

[@TerenceMarais]

Legend

[@russellbarkleyphd2023]

Thanks for these. Be well.

[@russellbarkleyphd2023]

Thank you for doing this time line

[@notthestig8524]

pin it to the top :) @@russellbarkleyphd2023

[@femr1314]

I’m 32.I was diagnosed with ADHD when I was 5 (in 1995). I’ve been medicated ever since. I also have generalized anxiety and major depressive disorder as a result of my debilitating ADHD. I barely made it out of high school. Dropped out of college. Got married at 22. Had a baby 23. Divorced at 24. I’ve been fired from every job I’ve ever had. Now unemployed. Denied disability. It’s exhausting.

[@amdphreak]

I'm 32 too. Similar troubles. Let's talk. What is your instagram?

[@elevul]

Even medicated it's debilitating?

[@skepticsquirrel7560]

it can be for some @@elevul

[@superdeluxesmell]

Hope you’re doing relatively ok at present brother.

[@JustinBlastoff]

Prayers go out to you

[@fluctura]

I was diagnosed with ADHD only two months ago, at 38. I had been looking for a good source of information for a long time. This video was a life-changer for me. I'm lucky to have inherited a high IQ, so I could easily follow along, even as a native German. However, ADHD still isn't as well-known in Germany as it is in the U.S. (it seems). Thank you for your life's work and for helping millions of patients worldwide. You certainly changed my life by simply producing and uploading such a great video. I'm sure that everything we do as humans must be meaningful because, in a Universe that is ordered, nothing can exist without purpose. But there are also certain careers and actions we can choose that are more helpful for others, and, in a greater sense, for humanity, than others. Your career choice, your passion for the topic, and the time and energy you invested to share the insights you gained certainly not only help us in the here and now but also build a lasting legacy.

[@마시멜로냥-x8g]

As a person with ADHD living in a country where ADHD is only known as being hyperactive and disabilities are rarely discussed(South Korea), your research is really life-saving and reliable! I really hope your ADHD videos provide subtitles of other language including Korean 😢 P.S. If possible, it'd help Korean ADHD teenagers and adults greatly for you to share your knowledge and passion on Korean psychiatrist's KZbin channel. Below are the reasons for this. First, it's because Korean ADHD people usually rely on internet information like KZbin videos, which definitely lacks the depth of understanding. (I feel the depth is too shallow to be actually helpful. Only a few symptoms are discussed.) Second, Korea is all about trend. Internet access is easy everywhere in Korea so anything that becomes a trend on the internet become mainstream through tv programs. That means Koreans mostly never be interested in something until the media presents it as a "trendy" content. Lastly, most Koreans are not fluent in English enough to understand English videos. English is difficult language to Koreans because English and Korean is so different phonologically and syntactically. I seriously think many ADHD people in Korea are suffering because they don't know where to get information about ADHD. They don't know how actually important understanding ADHD is. Thank you for reading this long text.

[@russellbarkleyphd2023]

Thank you for your note and kind remarks about my work here. I am told if you click on the CC button at the bottom of the video it might bring up the subtitles for the language of the country in which you are a watching it. See if that helps. P

[@nobodynowhere21]

Holy God, the poor people in South Korea in the working class that have ADHD ... that must be a hell on earth. This is a gargantuan crime against humanity being perpetrated the world over ... For profit. God save those people in Korea with ADHD a true living nightmare come true.

[@CtC_Enjoyer]

​@@russellbarkleyphd2023 KZbin does have an auto-translate feature for the closed captions, but I'm not sure how well that works as many languages have their own dialect/slag that is different from the base laguage. Also some translations don't work 1-for-1. You might be able to connect with a Korean professional who needs a platform to help spread the word about ADHD for their country/people? Or maybe you could get some translators to type up the transcripts of this video to have more accurately translated CC's. Just a couple options!

[@krugerfamilyfun1693]

I kind of hate the part of the criteria that says corroboration is needed from others in your life for a diagnosis. A lot of people have learned to mask very well, because of backlash and punishment. I learned how to hide it really well. You can have all the criteria in the world, but no one can see inside another person's mind.

[@irunamuk]

I dont have anyone who can corroborate my symptoms, my parents loudly declared that "add doesnt exist, you just have to beat them harder". Needless to say I learned how to mask like crazy to avoid punishments and lived on high alert all the time

[@JCJones-Warner]

The lack of maturity and emotional growth has had the most impact on my day to day life. I wish more people would talk about it since we can probably trace a lot of the problems back to maturity and basic life skills. Sometimes I feel like a 14 year old trying to do grown up stuff and I'm in my 50's.

[@shayanakhter3350]

i resonate with that so much

[@metacortexvortex2131]

I often feel the same

[@TimeSinkingLoser]

I’m 37. Just finished a computer science degree. I’ve been diagnosed since 13 and it seems to be getting worse. A couple IEDs in Iraq probably didn’t help as well as other head injuries. My iq is definitely right on the normal distribution but that doesn’t stop me from losing 9 hours to a video game, rear ending someone, accumulating parking tickets to where I get booted and all sorts of other dumb behaviors. It’s so frustrating. It’s like I have two brains. Ones a complete self centered moron who wants to strictly pursue pleasure and one who is constantly cleaning up his messes with 20/20 hind sight of what the problem is yet no will or discipline to fix it.

[@annabackman3028]

That you wrote about having two brains, I feel the same. The classic picture of someone with a little devil on one shoulder, and an angel on the other 🙄. I feel sorry for that poor angel, endlessly working so hard. 😈🤷👼

[@TimeSinkingLoser]

@@annabackman3028 bro is battered and beaten 😂

[@TimeSinkingLoser]

I do my best to hide it but every day I wake up “oh god , fuck okay I guess”. Pretty sure I jacked that from some comedian but it fits

[@milanaisms]

Get on meds if you can

[@AdLineamDesignsGlasgow]

Female, 35 here and you've pretty much described the way I am. It's debilitating AF.

[@GertrondeBaggins]

I'm crying right now ... Years and years of being called lazy, and a fat-ass, and watching myself getting more and more anxious as the years go by, guilt-ridden by my inability to focus and just getting shit done, and being overwhelmed all the time. Diagnosis is really expensive where I live, apparently, but it will be worth it. Thank you for this presentation. Thank you for caring and for your diligence.

[@jeanelizabethterry7583]

I sure understand

[@barbarapostema6309]

I realized as I was watching this that the emotional regulation issue is so pivotal. The exterior reaction to the upsetting stimulus becomes like the second arrow in Buddhism. After the exterior outburst it is then turned internally, with the same intensity , attacking one’s own self esteem and self worth.

[@arabellacox]

Borderline Personality Disorder involves disregulation, it's important to get a full assessment by a psychiatrist when symptoms overlap.

[@ANPennsylvania]

Iv’e been unbelievably successful in this outward life but there is a prison between my ears because I just cannot do the menial things. I have piles of stuff all over my house, I lose everything, I forget things at work and wait until the night before to do things I had months to do. It fkn sucks, and no matter what, the anxiety completely consumes me until I break myself to complete it. I am telling you, I have done every hobby there is to do and find new ones on youtube every 6 months. After a few months of excelling and investing, I don’t even think about it and move on. During this heightened hobby time, work, family and relationships take a back seat.

[@kelly1946]

Yes, same here

[@windweaverdesign]

Me too. Maybe not the unbelievably successful part, but constantly leaving everything to the last minute, piles (and boxes of old piles), crippling indecision, procrastination , avoidance… I’m 40 and was just diagnosed with ADHD three weeks ago. It’s only in the two weeks since I’ve been on medication for it that I have felt like I can finally get a handle on my life. I’m getting out of bed before my 5th alarm (and before 9am) making breakfast, getting to my bus and work early, cleaning the house and throwing out things I don’t need. I actually took my recycling out for the past two pickups 😮. I’m replying to messages, answering my phone, talking to someone about sorting out my debt, and I want to work on my website that I haven’t updated in well over a year.

[@moniquedauphin5844]

Where would we be without you, Dr. B?! Thanks as always for your work. Countless lives improved, countless lives saved.

[@carlos7mh]

I’m 30, just beginning to understand the importance of diagnosis. I was outstanding in school all through high school, but left from a great institution the last year of college due to lack of motivation. Hid this from my parents. Although I was a good student, I was a chronic procrastinator and struggled significantly with learning (in hindsight I find my academic achievements surprising considering my hindrances). My physician parents continuously labeled me as irresponsible, and I blamed myself for lack of discipline. Only recently have I started to consider the possibility that these and many other symptoms I haven’t described can be caused by ADHD and, as a consequence, can be addressed. I finally realize I need a diagnosis 😔

[@lilalaunelove]

You might also officially check IQ if you excelled in school, maybe there’s also giftedness (130+) which might have helped to mask for such a long time until the structures of family and school didn’t give enough support anymore…

[@arabellacox]

Giftedness as the person above says, may point to ASD Autistic Spectrum Disorder.

[@MysticRainDrops]

​ not all autistic people are gifted . They are like anyone else smart one's and not so smart one's the gifted one's are very few . ADHD has more of a percentage of people been smart

[@Ibis-of-Equilon]

I dunno if it's just me but it makes me feel a bit weird to call it adult ADHD . Coz people think you havnt had it your whole life when really it's a late diagnosis .

[@elisabethmcgregor3833]

It's not just you😊

[@EddieTHead2266]

That's why you're med records will just say ADHD mine does

[@samanthamartin344]

I just came home from the store. Couldn’t go into Costco because I don’t have my membership card or any of credit cards. I am medicated. I am so so so tired of losing and misplacing everything. I am 58. I was diagnosed about 11 years ago. I am only now with the help of KZbin videos learning all the ways this has impacted my life. I thought I was just disorganized and distracted when I used to work. Now I see it is basically who I am. Impulsive, forgetful, unable to follow instructions, scattered, impulsive spending, impulsive commitments I make. I’m not even sure how I’ve survived this long to be honest. I forget to eat, brush my teeth. Am I the only one completely overwhelmed by the reality of how this is reeking havoc on my life☺️

[@alyssaleah1982]

Definitely not alone in those feelings! Reading comments on here, Reddit, etc. is like someone finally teaching me a language that I’ve heard a million times but could never translate. So many tics, habits, traits (addiction, anxiety, depression, learning difficulties, life struggles, I could go on forever) that seemed to be “just me”… aren’t. Hang in there (advice for myself too!) ❤️‍🩹 I just realized I alphabetized my traits… lmao I guess I can add that

[@joanb9237]

Im sorry. Can you get one of those people who come in to your home to get it organized so you can find things and set up habits around home.

[@lumpkin2143]

Ughhh! Losing things. And we both know its because we have this Thing. So frustrating . What if we never had this thing? But, cant give up, good luck.

[@topazerox9707]

I'm about your age. I've only had screening and Hubby wants me to get assessed. My fear is getting the diagnosis, getting medicated, having therapy - but what if I don't change?

[@dimariewaxgoddess]

I find myself more forgiving of my symptoms as i learn more​@@topazerox9707

[@11080698]

Dr. Russell Barkley…you are doing an awesome job…after being married for 42 years it’s only now that I realize that my husband has ADHD.( UNDIAGNOSED) No wonder I had such a hard time all these time… it my devotion to my family and children kept me to go on and endure living with him…I now understand him more listening to your videos…I am actually ADDICTED to your videos as I am learning more and more about the subject…I listen whenever 8 have the free time…sadly my grandson has been diagnosed with ADHD…ITS FRUSTRATING… YOU ARE A GREAT BLESSING HERE ON EARTH…YOU HAVE NO RIGHT TO LEAVE THIS WORLD….NOT WITH YOUR AWESOME HEART AND KNOWLEDGE…. I WIL” B3 PRAYING FOR YOUR GOOD HEALTH ALWAYS…YOU CHANGED MY MINDSET….AT 67 YEARS OLD! I am encouraging my children to watch your videos. PLEASE TAKE GOOD CARE OF YOURSELF AND….. MORE AND MORE POWER TO YOU!

[@NorwegianViking86]

You are a gem as a person. I assume you cared so much for your grandchild so you started to learn about the diagnosis yourself and it opened your eyes about your husband as well? Either way, God bless you for sticking with him all these years.

[@surendarhariharan]

5:10 Inattention symptoms 6:47 Hyperactive symptoms 8:45 Additional Criteria

[@lathanwebb543]

Thanks for all this useful information. Was diagnosed 4 weeks ago at age 21. Started going to therapy due to me lashing out at coworkers and damaging work property on several occasions during my electrical apprenticeship. Using the medication has been rough start as my family (who I currently live with) do not believe ADHD exists and see diagnosing adults with ADHD is a "fad". Them seeing me using medication is putting stress on the already strained parental relationship. Your informative videos however are really helping making my own informed decisions. Thanks heaps Russel

[@outriding]

Thanks! I've been listening to your presentations and as someone diagnosed later in life am finding the information useful on many levels. One is understanding that although stimulant medication may cause additional increases in blood pressure which makes my family doctor suggest stopping their use in fact treating the ADD has greater benefits overall.

[@russellbarkleyphd2023]

This was incredibly kind of you to do. Thank you!

[@samuleinen]

Best ADHD documentary so far that I have seen. Nothing else but facts.

[@ParanormalBanana]

Gotta give my thanks to you, Dr. Barkley, for allowing me to actually understand what I've been facing for the longest time. No doctor or any other resource I found on the internet and else where helped me understand what it was, only you. So much misinformation, at some point I was even doubting myself and felt like a failure and a loser for something that people like Jordan Peterson have called a fraud, a non-issue. Thank you again.

[@lagomorphia9]

Yeah, Petersen sucks that he went there with his views, being fairly influential... its like a backslide in society in terms of understanding. I encounter this attitude all over the place. Its a bit heart breaking when I also felt like a failure most of my life yet the meds are the only thing that lifted it and gave me hope. How can that be a fraud or our suffering be a non issue.

[@mistress.villaina7591]

he has a great rebuttal to Peterson's remarks on his channel if you're interested in checking that out. one of my friends is a fan of Peterson and I gently explained to him that his views on ADHD and just "cleaning your room" were inaccurate and not at all helpful to me, but what I found helpful was these videos and ADHD coaching

[@kittycat1302]

@@lagomorphia9 may I please ask which medications helped you? I was diagnosed at age 58, but looking back now realize this was probably the reason for so many adolescent/young adult problems, Anyway, I was prescribed Adderall and still take a small amount daily. I’ve heard of other medications and just wondered what has helped you (and others). I’ve also been diagnosed with c-PTSD, major depressive disorder, generalized anxiety, and one practitioner listed bipolar 2. As I get older, I’m finding it harder to deal with practically everything in my life. Now that I understand, I’m finally looking for practical ways to cope with all of this.

[@kittycat1302]

@@mistress.villaina7591 hi there! I’m just a fellow sufferer looking for answers. What type of ADHD coaching did you find to be helpful?

[@Aleks-cn3lv]

Dear dr. Barkley, I am crying so much watching this video. I wanted to comment how I like how slowly and clearly you are talking but instead.. I started crying because I feel so seen... I had suicidal ideations since I was a kid... I never got any psychiatric help until when I was doing my Master's in pedagogy and I was having obsessive thoughts about my impulsive(although approved by others) behaviour... I had meltdowns because of interactions with others that left me feeling misunderstood(I was too flirty, too talkative - and that has been a "problem" my whole life - I reacted by adressing things the way they were and I was just being shamed... Only at 25 I got to a psychiatrist and then I learned that I actually had bulimic behaviour since high school... All my problems since I was a child I was trying to solve through reading and I fell for a lot of pseudoscience. That is why at 19 I ended up in a high control organisation(MLM). I was diagnosed with GAD and depression... I started getting better... as I wasn't so sensitive to bad events so I would feel less sadness and happiness. I barely graduated(I studied 10 years) because I needed more help with guidance and motivation(external control) so that I can do it step by step. I managed it with the help of a wonderful psychologist. After that my post graduation plan fell through and I had a big crisis. The day of one of my thesis presentations I had a meltdown because I was told I didn't take all classes needed to be able to work in school... Turns out it was not as limiting, but still it was traumatic. After that I couldn't do anything for months, until I rescued a kitten so I became hyperfocused and it was all I was doing. I even took a lower paid job with less hours so I could take care of all the cats I rescued(10)... when the first kitten fell ill I had a mental breakdown I ended up in a hospital - they diagnosed me with bipolar and borderline disorder(without testing me or anything)... After a week I was back at work, but I remember how relaxing it was in the hospital... since I used all my money to help the ill kitten I took a job in Austria and in less than a week I had a meltdown because the boss told me sth. disrespectful and I ran back home(my dad came to take me back to Croatia)... the same summer I took a job in Germany (becuase I was still in debt) and there after almost 2 months I had a mental breakdown because of a threatening message I got. When I came back I found that I had no health insurance (because I forgot to apply for it after I quit my low payed job) so I went to a public health psychiatrist. I actually started my journey because 1) an autistic person thought I was masking 2) I noticed I couldn't understand speech and that was a problem because I was assisting children 3) I noticed I was forgetting things in the middle of doing them(like which gear I was in, which is very dangerous) So I reached out to a auditory processing disorder expert and they hinted my hearing problems could be connected with ADHD... After being hospitalized I got frustrated with so many diagnosis and I decided to get tested for ASD and ADHD... I signed up for testing My new public health psychiatrist told me she was treating me for borderline disorder and was dismissive of my questions about ASD and ADHD(I believe also becuase her son is very visibly autistic). Before that the psychologist told me I couldn't possibly have ADHD becuase I had a Master's degree! So I told nobody about my plan to get tested. I only told my GP and he was very supportive. I got diagnosed last year in my 31 year. I have hypothyroidism. First time I visited an endocrinologist he just told me to lose weighgt(me, a person with bulimic history) so I had really strong rejection. After a year I wento to another endocrinologist and was diagnosed with hypothyroidism... I asked the doctor if I could have prevented it... she said, no, that the stress did it's work and my thyroid couldn't take it anymore. So I do believe that my ADHD absolutely affected my thyroid. My father, from what he told me about his childhood and what his behaviour is like, by my assessment has ADHD and is autistic. My mom was always angry at him not dinishing work, hoarding and being very talkative, socially inappropriate with talking about his special interests... I am so glad I understand him now. In the end I want to say... I am having great difficulty working in school as I am impulsive because of the bullying happening in the class. I know that I cannot work in the system because I was literally told I have to turn a blind eye on problems. I need help, what medication should I opt for? Right now I take three different medications(that my doctor who said we treating me doe borderline prescribed) - 10mg paroxetine, 50mg lamotrigine and 75mg quetiapine

[@ameytarfe9597]

Having ADHD, I had to re-watch this video 10 times in order to complete the lecture. Please make short videos as well. That will be of great help for people like me. I don’t want to miss out on any of your videos. They are truly very informative and helpful. Doctor you are doing a noble job. You are the Diamond in the dung heap. Keep doing the great stuff. THANK YOU!

[@gSWG3R]

Or...you could just time stamp where you left off. Part of managing ADHD is taking ownership and responsibility for your unique attentional needs. I'm a 28 year old male psychologist with ADHD. The world doesn't bend to our every need, and there's always something we can do to make it easier.

[@redsapphire2878]

​@@gSWG3RWhat an inspirational approach

[@markusminny9472]

Is it me or adhd ... why do comments like this guy feel so fake .like..... if you know yourself then you shouldn't use this as an excuse. Especially using phrases like "for people like me"

[@redsapphire2878]

@@markusminny9472 perhaps we shouldn't invalidate the experiences of others since we really don't know them

[@markusminny9472]

@@redsapphire2878 maybe

[@gytisbl]

It was hard to watch such a long video. I really enjoyed the parts about work: getting breaks, standing, excercising, using a figet toy, squeezing a tenis ball, going for a walk before a meeting, moving around when working, walk when thinking, ask people to keep me accountable, work in a team. I especially agree with the fact that I work best in the afternoons and evenings. Job recommendations were also great (1:26:28)

[@aviadkozokin1359]

I’m 32 years old , only diagnosed recently. Never thought I actually have ADHD since I was very intelligent kid in school yet had problems of keeping myself motivated, I thought I’m just lazy all this years. Don’t procrastinate the treatment, Meds are literally saving my life now.

[@dragica124]

Diagnosed at 42 hit me in the face, have always felt differrnt and weird and I wish I d known. On thr bright side now I know and I feel so validated. I ve been very susceptible of gaslight ING due to trusting people too much and it all makes sense now. Thankful for people like this doctor.

[@taylorbrown7625]

I think it may be important to note that some people who may have adhd have anxiety that keeps them from making so many physically damaging decisions. Adhd can look slighty different for others, it does not mean they have or do not have adhd. It is a spectrum, not exact same for everyone. Same with autism, OCD, major depression disorder and anxiety.

[@Herfinnur]

This is just anecdotal, but we've been building a house for a while now. I've been very hands-on because of how much more expensive it became because of the pandemic, and it's been really fascinating to realize how many of the craftspeople 'feel' like they have ADHD. Especially the more competent of them. I think it's because of the chaste-system structure of the Austrian school system, where after only four years of elementary school, it's the class teacher and not the student or parents who decides what kind of education the student is going to persue going forward. That's where I think most students with learning disabilities are filtered out from the academic path, and a disproportionate amount of those with ADHD are going to be of an intelligence that would have otherwise seen them go to first high school and then university. And just to clarify: I'm not claiming people with ADHD are more intelligent, just that this system is very likely to rob neurodivergent students of the kind of opportunities afforded to then in e.g. A Scandinavian system Anyways: they've been very surprised by how empathic I've been whener e.g. anyone of them apologizes for how hard it is for them to respond to emails and I've immediately suggested that we rather communicate with photos, videos and messages and only use email for documentation and legal purposes. And when I've mentioned that I find it so hard to switch mentally from one task or project to another, especially when the task isn't fun, so many of them have opened up about how great it is to work for someone who feels the same way, and how other people don't understand that at all. Not to mention the absolute mountains of empty cans of energy drinks and caffeinated beverages they all leave behind! No matter the age, some of these craftspeople seem to know as much about the minute details of their craft as my doctor and lawyer friends, and I just can't imagine that in their childhood their teachers would have gone: "nah, they're too dumb to go to high school" unless they had ADHD or/and Autism that they hadn't learned to cope with. No one with a low IQ at age 11 is going to grow up to be someone who instantly calculates statics and the likes in their head. And again: if you're a gifted student in this country, you don't easily get to say: "I'm not going to high school. I'd rather become a floor tiler". You'd have to either fight your parents and the school system, or purposely do much worse in school. None of these intelligent people became craftspeople despite their academic opportunities.

[@jerryweller7011]

Thank you to Dr. Barkley for sharing these videos. It gets depressing hearing these things sometimes, but I get new insights into my life and myself every time I'm exposed to your work.

[@DeclanLestat]

Diagnosed at 51. Thankfully, I found Dr. Barkley's lectures pretty early on and I've found them hugely helpful in understanding what I've been living with and why.

[@jayc4254]

Who is my ADHD guru and the one clinician/researcher I have followed and consumed his knowledge for years? This amazing man. Thank you so much for all you have done and continue to do for clinicians and clients. You are a treasure Dr Barkley.

[@karent9134]

Let's not forget in the 60's girls were not included in these studies. And my mother was told I couldn't possibly be hyperactive. She left me in the room with him for a few minutes and my prescription for Ritalin was ready. I was taken off at 13 when I was "Cured" as I had reached puberty... it's been a long long road.

[@esinamjohnson324]

8:26 I feel like hyperactive symptoms decrease in adulthood because of social norms, so those behaviors are still there but just suppressed

Thank you so much for sharing your knowledge, I really respect and appreciate your work. As you can imagine, the pain level is quite high because I managed to see all those 1:30 and I stayed engaged all the time :)) I've been diagnosed a year ago, being 34, a mom, already divorced. This video was painful. But needed. Gosh, I wish I had a specialist like you to work with on my ADHD management.

[@russellbarkleyphd2023]

Thanks cor watching. I am sorry it was so difficult for you to view but hope the information helps you going forward

[@sophiedelavelle5958]

💡This is the full video version, Dr Barkley has been dividing it into categorized segments, later in this playlist : - Part I - Symptoms : kzbin.info/www/bejne/gHuyfYWid7SBfs0 - Part II - Nature and Impairments : kzbin.info/www/bejne/bJPUZKeFndOqmJo - Part III - Comorbid Disorders : kzbin.info/www/bejne/pX6me3qPeNuSY6s - Part IV - Diagnosis : kzbin.info/www/bejne/qHOlkoOjhbCmarM - Part V - Treatments : kzbin.info/www/bejne/hIfFnKKnmpiKf7c

[@sierranoble3844]

As mentioned at about 46:00…Adult ADHD-er here, born a month past due date in 1990 (Canada) apparently due to doctor missing that my umbilical cord was wrapped around my neck 6 times. Was told I almost died. Always wondered if fetal anoxia could lead to adhd and there it is. Also read other papers about it. Thank you, Dr. Barkley for your incredible dedication to understanding us, advocating to and for us, and to helping us. You are a true hero.

[@siena_miller]

Amazing lecture, thank you for your time and effort to educate people about it, my son (8 y.0) is currently on waitlist for ADHD and I was asked if me or my husband has ever been diagnosed with ADHD, I said, none of us... because we never had a chance... I was asked few questions... and then was instructed to go over evaluation myself and here we go -36 years old, ADHD combined type) I started to love myself more and accept myself more....I was living all my life with guilt and shame, not being able to fit in anywhere, school was a nightmare, university is a disaster (extremely difficult to focus and concentrate)... lots of criticism and shaming for being forgetful, not serious, irresponsible, unable to listen ... Now I started to like the person I am ... I figure it out, that I am pretty smart and interesting, with all that struggles still alive, with kids, family, diplomas and studying further but now with medication)

[@RenanGallinari1]

Dr. Barkley, you are a beacon of light in this wild sea. ADHD, for me, is a daily struggle against my own self. The relation with diabetes gave me a different view: ADHD has to be treated daily, just like diabetes. Thank you so very much for this lecture.

[@demonslaer2598]

I used to think i was misdiagnosed with ADHD but now I'm realizing I need to go get checked again after hearing about the symptoms and how much they line up with my constant day to day struggles and issues.

[@tionblack]

Sir if it means anything you are the beacon of light in the dark adhd nightmare. And of course your fellow co-workers. I have been diognised at age 38 i am from Turkiye and it all made sense to me i watched your 30 essentials about adhd video for children and a tear dropped on the keyboard. That 2.5 hours was the most impactful stuff and mostly literally explained the struggle i am going throu. Been 5 months now on methylanfenidate and seeking a therapist because i am in dire need of it to start living this time with awarness. From the bottom of my heart thank you.And i am so sorry you lost your brother and other family member.I will not forget them and you.

[@backstabbath1979]

Thanks Russell mate, greetings from Australia! I'm ASD-1 so I love these kind of lectures, they really relax and let me wind down socially, thanks for your use of specifics! My missus is ADHD and recently started treatment for that, so I said I would watch the lectures and give her the shorter versions. I'm sure my notes from todays lecture is going to be plenty to inspire hope and understanding in her condition! Just as I had to do with my own many moons ago. Travel safe and light my friend, look forward to your other lectures!

[@isaiahrowley9830]

Recently bit the bullet and got diagnosed. It's nice knowing I'm not just making excuses for my circumstances and behaviors, but this is still an uphill battle.

[@jennifermt6203]

My mother had told me the doctors knocker her out when I was to be delivered. They used forceps for my birth so things were easier for the doctor. I am in my 50's and was finally diagnosed with ADHD in 2023.

[@ilastigma]

Grateful to find you. I have battled ADD from childhood w/out a proper diagnosis since I am female and did not have hyperactivity. Now that I know that I have this, I am now recently on medication, and it has begun to help me in so many broad ways. I had associated issues with ADD to just impact my trouble with learning and did not realize it also impacted essentially every corner of my life. Relationships with people, finances, etc. Grateful to see this as I have encountered other material that is not as helpful, suggesting I can be rid of this. Thank you for sharing this information so freely.

[@leilap2495]

I clearly recall my symptoms of ADHD and autism from a very early age. I was trying to compensate in preschool, kindergarten, grade school, etc. As you can imagine, it didn’t go very well as a young child’s solitary endeavor. There are events and presentations that were evident before my recollection that my mother reports to me. For example, I was not a cuddly baby. I suppose that 4 year rule means that I recall back to 3 or 4, but they started at 0.

[@Star-of-truth]

I just found out earlier this month that I have ADHD. I am on medication now. I have an epiphany after learning everything I can about it with executive functioning, planning and how we lack motivation without novelty. I wrote down on small pieces of paper each room in my home. Made enough for 5-6 days, folded them and put them in a bowl, each day I randomly grab one and that’s the room I have to clean and organize that day. When done, I put the piece of paper to the side and repeat the next day until the bowl is empty. I don’t have to plan or figure out where to start or my biggest issue, wanting to do it all or nothing and every day I don’t know what room I’ll get unless it’s down to the last piece of paper in the bowl. I do 5-6 so that 1-2 days a week I have an empty bowl to look at and know my to do list is empty so my brain can know I don’t need a running list in my head to torture myself with. And those 1-2 days I don’t do anything but allow my ADHD to run its natural course. I also decided to take those 1-2 days of letting my ADHD run its natural course to have drug holidays. It has kept me focused while also allowing me to do absolutely nothing but what my brain wants to do each week. I found it’s a good balance of true down time and true schedule and focus keeping.

[@snaakie]

Thank you, Dr. Barkley, for you dedication to raising awareness about a disability that many still struggle to fully understand, including the depth of its challenges. I too underestimated the impact, until a failed relationship prompted me to go on a year-long journey (and still learning) to understand what happened to me.

[@JordanFreshour]

This content is orienting my self perception towards an understanding of what I knew deep down has been ‘wrong’ with me for years. Thank you for sharing your expertise… I’ve just started my journey with therapy and your wisdom gives me hope to get better!

[@vincentwood3293]

I'm going to start my journey to get medication for my ADHD and find a professional who I can talk to about my childhood into adulthood and more

[@hmm2118]

Thank you, Dr. Barkley for giving all of us this information. I am adult with ADHD and this is a wealth of information that I am so grateful to have access to.

[@Pazaluz]

Timestamps for navigation: 0:29: 🧠 Adult ADHD has been recognized for over 240 years, with the first references in medical literature dating back to the 18th century. 8:16: 🧠 The video discusses the symptoms of hyperactivity and impulsiveness in adults, and how they differ from those in children. 14:20: 🧠 The video discusses the changes in the diagnosis of ADHD in adults and the different presentations of the disorder. 21:02: 🧠 The video discusses the distinction between mood disorders and emotional problems in adults with ADHD, as well as the impact of inhibition on functioning. 28:03: 🧠 The video discusses the executive functions and the difficulties people with ADHD face in relation to these abilities. 34:54: ⚠ People with ADHD are at a higher risk of accidental injuries, risky behavior, and poor impulse control, leading to serious consequences. 42:09: 🧬 Genetic mutations from delayed childbearing and brain damage during pregnancy or early childhood are key factors in causing ADHD. 49:43: 🧠 ADHD often coexists with anxiety, tick disorders, Tourette's syndrome, autism spectrum disorder, and intellectual disability. 56:59: 🔍 The video discusses the criteria for diagnosing ADHD in adults, including onset, pervasive symptoms, and impairment in multiple domains. 1:03:57: 🧠 Adults with undiagnosed ADHD may struggle with impulsive eating, substance abuse, and anti-social behavior, leading to higher representation in weight loss clinics, drug abuse clinics, and the prison system. 1:11:10: ⚙ The video discusses the five components of ADHD treatment for adults and the importance of accommodations in managing the disorder. 1:18:38: 🧠 The video discusses how cognitive behavioral therapy and ADHD coaching can help adults with ADHD manage their symptoms and improve executive function. 1:25:31: 🧠 Adult ADHD is a disorder of self-regulation and executive functions, impacting creativity and career choices. Made by Tammy AI

[@gerofiore9695]

I'm 57yrs of age, I need to quit for my assessment but my doc tells me I have adhd, I have all the signs and symptoms,bthe doc himself has adhd, been misdiagnosed and given paxil for 31yrs now, not sure whether to be sad or happy, thankyou Dr Barkley

[@shopper6597]

Oh My God. Still not diagnosed, but came across this and it was like music, ringing out the issues and challenges I face. Meds or no, I have better direction now.

[@Satsui_No_Hado]

Very impactful, thank you, I'm 44 and trying to learn to navigate ADHD as an adult. This was very useful , i actually listened to the whole video!!

[@maskouye9222]

Thank you so much for this, I was completely stunned when I listened to this for the first time. You read me like an open book and allowed me to understand myself and see a light at the end of the difficult tunnel that my life has been. I am 22 and will receive my official diagnosis this week.

[@peachykeen7634]

I did not realize you live so close in Richmond! Thank you so much for your work. It’s so important that the issues associated with ADHD are translated into psychological language that Neurotypical people can understand - because the behaviors of ADHD really come off as “carelessness“ or “laziness.“

[@andreapavinscott4213]

This is amazing dr Barkley!! I have been a fan and follower since my diagnosis at 46yo 6 years ago. But this is the most complete material I have ever seen!! I will share with everyone I know! Thank you so much for everything you do for us, it’s life changing!! 🙏

[@VVDCS]

As a person with some doctor anxiety, this helped me immensely. Hearing that medication *is* effective and hearing this likened to diabetes might be the thing that finally gets me to the doctor about it

[@ChristopherW-c2d]

Absolutely wonderful video! I have just completed watching the first video now. Thank you so much for speaking in such a straightforward, clear, and professional tone throughout. I myself have recently been diagnosed with adult ADHD and having this series of videos to learn more about what I am suffering from has completely revitalized me. The more I understand, the better I am able to cope. I have also shared this with my brother, who also suffers from adult ADHD. Thank you so much, Dr. Barkley.

[@russellbarkleyphd2023]

My pleasure. Thanks for viewing it.

[@leecorrigan8394]

I have 8 inattentive and 7 hyperactive, they're on pretty much every report card going right back to kindergarten. I didn’t get diagnosed until my mid to late 30s lol, it only impacted basically every facet of my life.

[@zezezep]

Be grateful. I was diagnosed at 60

[@edchigliak2844]

Thank you so much for a wonderfully knowledgeable and very clear to understand presentation Dr Barkley. I'm 47 and live in the UK. I do not have a formal diagnosis as yet. I only starting researching ADHD while my partner was being assessed for ASD, which she now has a formal diagnosis. I am learning so much about my past and current experiences and why I have struggled throughout my life. I always put it down to my anxieties, depression, panic attacks and agoraphobia. Your presentation concisely put it all together, including how I can go forwards, at least in what I can do for myself until I can eventually get an assessment. Thank you agan.

[@russellbarkleyphd2023]

I hope you can do so soon but I hear the NHS backlog or waitlist is lengthy and most of their pros don’t recognize or deal well with adult ADHD. If you have trouble, call Phil Anderton at the ADHD360 clinic for advice.

[@edchigliak2844]

@@russellbarkleyphd2023 Yes, the waitlist on the NHS is long, 2 or more years. I will contact him. Thank you, Dr Barkley.

[@l.t.h.2573]

I appreciate all this knowledge. I'm 52. Diagnosed approx age 47? Maybe 48?. I have struggled w/a buffet of issues from early childhood. I'm tired. My whole soul is tired. I have been on meds for all my "issues" for over 2 decades. Adderall since being diagnosed. Therapy, support groups adding up to at least 18 years, and so on- I don't believe I have fight left in me. I definitely do not feel hopeful. But life insurance won't pay out if I exit stage left on my own. And, GOD FORBID I die and have someone mad at me. I'm fed up, burnt out, and just want OUT. Off the ride, whatever way that stops this pain. This was my first video from this source. I've read and listened to hours and hours and hours and hours of others. None of it has seemed to help very much, or for very long. I think I'm just TOO DAMAGED for recovery. Not 1, not 2, not 3... not even only 4 different lifelong, life altering disorders/illnesses and such. If I had not had kids, I truly believe I would have been gone long, long ago. Not for lack of trying before i had them. Not even capable of doing THAT right! 🙄They're grown, they're living their own lives in spite of me- THANK THE HEAVENS 🙌. They also, have their own buffet that I most definitely added to 😢. So..... I can't fix all my errors. I have just a little life left. So 🤷🏽‍♀️ what's the point of sticking around? Other than making sure the kids get a little (And I mean VERY LITTLE) life insurance $$? I don't believe in any religious reasons as to why it would be wrong, so that doesn't deter me at all. Anyway- glad I found another source. If not for me, I love to share gold nuggets that may help someone else. Maybe someone younger and less problematic, who has hope. Time will tell.....

[@TT-vf4ln]

Thank you for articulating all that I have lived and think of myself and my life to a tee. All my efforts find a way too dwindled away. I am so sorry for our hopelessness.

[@TT-vf4ln]

I am praying for us to be strong and forgive ourselves . So let's continue on to learn from the experts what can help us. Pray and love what IS good about our lives.

[@enriquehartmann8642]

I was diagnosed back in '83. And it has been a battle ever since. I was in the Army and the National Guard for 7 years. Everywhere I went , within a week, the person in charge of me would pull me aside and ask "You have Adhd, don't you?" Hell i had a sergeant threaten to get me diagnosed with adhd so as to kick me out. It never happened. Lucky for me my saving grace was my curiosity and my ability to devour the training manuals (idk why, i just found them very interesting ) and then recall damn near verbatim what I read. In some of my units I became the go to when it came how to do some things. I was the person that would get sent to learn something new and then teach it to the rest of the unit. But ask me where i put my canteen 1 minute ago and id be " i dont know?" Or ask me to be in formation on time 😂 oh man. To me , it has always seemed that i have done somewhat well with the difficult things ( start an IV in a combat zone or in the back of an ambulance, to empathetically tell someone ,as an emt, that there loved one has died, rig a 40 year old radio to get an extra range with a big battery and a light pole) but holy potatoes, ask me what i did with the guard roster and again, ill have no idea.

[@edivaniali]

I am very happy that you decided to create this channel, Dr. Barkley! I have been watching your lectures that other channels posted. When you talk it feels like you are telling my life 😂. A special shout-out from Brazil! I took Ritalin (only 10mg) for about 4 months. I had collateral effects in my vision. Would you make a video talking more about how you have seen adults dealing successfully with time blindness, working memory and lack of motivation? I have a personal project that I would love to finish, but I just can’t. Thank you very much!

[@Heather_Michelle]

I'm 46, two daughters with ADHD and a grandson with Autism and ADHD...I have an appointment this week for my own ADHD assessment because my functioning abilities have greatly decreased and my job and relationships are at risk. I can not tell you the anxiety and shame this video filled me with...simply because it was so relatable to my entire life experience.

[@taskmaster1977]

Such a great presentation. I appreciate that you’ve studied Adult ADHD and realized that it is a thing that is separate from child/teen experiences. Although I am undiagnosed and didn’t receive a ADHD diagnosis when I went for an assessment last year, I relate with so much of this video. I started having a lot of issues in school when I was in college, and now in adulthood, my executive function skills are lacking in many areas. I’m going for a second assessment because my symptoms haven’t gotten better and at 47, I feel like perimenopause might be exacerbating them. I feel like so much more can be studied on ADHD in adulthood. Especially with women and hormones.

[@harioandluigi4569]

Very grateful for your articulation of this disorder as it helps people understand the severity of it. I am so glad to be living in a time where your videos are so readily available. I have been suffereing from burnout for the longest time, and it very easily trickled into my work environment, so much that I had to quit 2 years in to my job out of college. Now that I feel ready to get back into the workforce, I am riddled with fear of losing face, doing the same things that almost put on PIP. Your tips about changing the environment really help. I wish you would make a video on how to ask for accomodations in the workplace, and other tips and helpers for tackling work in corporate with ADHD.

[@Furplecannon]

Thank you so much Dr. Barkley for the work you have been doing and for making much of it accessible to the public!

[@kimiko2547]

I will watch this video and the other longer videos, but I'm so tempted to skip to the shorter "what you need to know" videos first.

[@AlyMikos]

Thanks!

[@russellbarkleyphd2023]

My apologies for the belated thanks for your very kind support of the channel and my work.

[@kiwiveritas]

Fantastic video, a wealth of information in one place! Thank you for doing this:)

[@matsg2596]

Agree! Thank you Dr Barkley! 😊

[@jonathanberry1111]

🎯 Key Takeaways for quick navigation: 00:00 🧠 *Introduction to Adult ADHD Recognition* - ADHD in adults has been recognized in the medical literature for several hundred years. - Studies in the 1960s and 70s began to show that ADHD in childhood could persist into adulthood. - Specialty clinics for adult ADHD started in the 1990s, leading to increased recognition and diagnosis. 04:30 📋 *Diagnosis of Adult ADHD* - DSM-5 criteria for diagnosing adult ADHD, including inattention and hyperactive/impulsive symptoms. - The importance of validating self-reports with information from others. - Exclusion of other disorders that might cause attention problems. 10:10 🕒 *Age of Onset and Secondary Causes* - Understanding the age of onset and the possibility of ADHD developing later in adulthood. - How neurological injuries or conditions can lead to adult ADHD symptoms. 15:11 🧐 *Deeper Understanding of ADHD Symptoms* - Expanding on the nature of ADHD symptoms beyond the DSM-5 criteria. - Exploring inhibitory problems, impulsivity in thinking and decision-making, impulsive motivation, and impulsive emotions. - Recognizing that ADHD impacts multiple domains of functioning. 22:27 🧠 *Understanding Inattention in ADHD* - Examining the different types of attention and how ADHD affects them. - Understanding that ADHD primarily interferes with sustained attention and the ability to resist distractions. - Highlighting working memory and its importance in goal persistence. 28:55 🤖 *Impact on Executive Functions* - Discussing how ADHD affects executive functions, including self-awareness, inhibition, working memory (both non-verbal and verbal), and self-speech. - Emphasizing that ADHD challenges self-control and self-regulation over time for goal pursuit and problem-solving. 30:19 🧠 *Understanding Working Memory and Executive Functions in ADHD* - Working memory is like a GPS for our goals, using images and words to guide us. - ADHD individuals struggle with working memory, leading to difficulties in accomplishing goals and staying on task. - ADHD also affects emotional self-regulation, motivation, planning, and problem-solving. 32:07 📉 *Impairments and Consequences of Adult ADHD* - Untreated adult ADHD can lead to difficulties in education, family conflicts, legal problems, substance abuse, and risky behaviors. - Risk-taking behaviors, accidents, and impulsivity increase the risk of injuries and even suicide attempts. - ADHD impacts various aspects of life, including driving, financial management, and health. 39:47 🧬 *Genetic and Environmental Factors in ADHD* - ADHD has a strong genetic component, with up to 80% of cases influenced by genes. - New mutations (de novo mutations) in parents' DNA can also contribute to ADHD in their offspring. - Environmental factors such as premature birth, maternal alcohol use, lead exposure, infections during pregnancy, and delivery complications can increase the risk of ADHD. 46:59 🧩 *Comorbid Conditions with Adult ADHD* - Adult ADHD often coexists with other conditions, including oppositional defiant disorder, conduct disorder, depression, anxiety, and learning disabilities. - It can also be associated with developmental coordination disorders and intellectual disabilities. - There's a higher risk of personality disorders like antisocial personality disorder in adults with ADHD. 53:56 🔍 *Diagnosing Adult ADHD* - Diagnosing adult ADHD involves a comprehensive evaluation, including a review of the individual's concerns, symptom history since childhood or adolescence, and assessing impairment in various life domains. - Clinicians use symptom rating scales to determine the severity of ADHD symptoms and assess whether they are deviant from the norm. - Corroboration from others who know the individual well and examination of archival records like school or work history are part of the diagnostic process, along with ruling out malingering. 01:01:02 📚 *Overview of ADHD diagnosis and potential faking* - ADHD diagnosis can be faked for personal advantages, such as in school or criminal trials. - ADHD in adults was not widely recognized until the 1990s, but it has always existed in human history. - Adults with ADHD may present in various healthcare settings due to associated health problems. 01:02:23 🏥 *Healthcare issues associated with adult ADHD* - Adults with ADHD often have health problems, including obesity, dental issues, and a higher risk of type 2 diabetes. - They are more prone to accidental injuries, depression, and anxiety disorders. - A significant percentage of drug abusers also have ADHD. 01:04:39 ⚖️ *ADHD in the criminal justice system* - Approximately one in four prisoners in the United States may have adult ADHD. - Juvenile offenders in the U.S. have a high prevalence of ADHD, ranging from 50% to 80%. - Adults with ADHD are more prone to antisocial behavior and lawbreaking. 01:06:11 🌟 *The importance of early ADHD treatment* - Adults with untreated ADHD may have a reduced life expectancy by 10 to 13 years. - Early treatment can mitigate the risks associated with ADHD, including impulsive behaviors and unhealthy lifestyle choices. 01:07:30 🔄 *Five components of adult ADHD treatment* - ADHD treatment involves five key components: diagnosis, education, medication, behavior modification, and accommodations. - Medications are highly effective in managing ADHD symptoms, with stimulants and non-stimulants being common options. - Behavioral interventions, coaching, mindfulness, exercise, and changes to the environment can all help manage ADHD. 01:14:16 🤝 *Counseling and acceptance of ADHD* - Counseling helps adults with ADHD understand and accept their diagnosis, encouraging them to take control of their condition. - ADHD is a chronic medical disorder that requires ongoing management, similar to diabetes. 01:16:46 💼 *Suitable jobs for adults with ADHD* - Certain job characteristics, such as movement, stimulation, hands-on work, and flexibility, may be beneficial for adults with ADHD. - Jobs involving creativity, interaction, and impulse expression can align well with their strengths. - A list of occupations that can suit adults with ADHD is provided as a reference. Made with HARPA AI

[@russellbarkleyphd2023]

Wow. Thanks for the time stamps. Be well.

[@jonathanberry1111]

@@russellbarkleyphd2023 YW, I HIGHLY recommend you try the extension, it is mentioned at the bottom of the comment.

[@russellbarkleyphd2023]

Thank you for doing this! Russ

[@jonathanberry1111]

@@russellbarkleyphd2023 You're Welcome. BTW you have to check out the video on VAST, Variable Attention Stimulus Response, a reframing of ADHD and recognizing some never mentioned benefits of the trait. One being that the flip-side of Rejection Sensitivity is Recognition Response Euphoria. Flip Side of Rejection Sensitive Dysphoria: ADHD Energy and Motivation (w/Drs. Hallowell & Ratey) Found it while making these summaries!

[@jonathanberry1111]

I accidentally produced a second one, just out of curiosity fo it's differences here it is. 🎯 Key Takeaways for quick navigation: 00:00 🧠 Introduction to Adult ADHD Recognition - ADHD in adults has been acknowledged in medical literature for over 240 years. - Initial references by German physician Melkier Adam Weikert and Scottish physician Alexander Crichton. - Recognition and study of ADHD persisted from the 1960s and 70s, with increasing awareness in the 1990s due to publications and clinics. 04:17 📚 Evolution of ADHD Diagnosis and Clinics - Specialty clinics in the U.S. started seeing adults with ADHD by clinicians specializing in child ADHD. - By the 2000s, numerous specialty clinics for adult ADHD had emerged. - A growing percentage of adults with ADHD now receive appropriate diagnosis and care compared to previous decades. 05:10 📋 Diagnosis Criteria for ADHD in Adults - DSM-5 is the manual used for diagnosing ADHD in both children and adults. - Specific criteria include lists of inattention symptoms and hyperactive/impulsive behavior. - Symptoms need to be inappropriate for age, evident since childhood or adolescence, and causing significant impairment in multiple areas of life. 09:00 🕰 Age of Onset and Other Considerations - Symptoms should ideally appear by age 12, but it can be flexible based on individual recall and experience. - ADHD can develop later in adulthood due to neurological injuries or diseases affecting the brain. - Diagnosis requires corroboration from others, considering possible underreporting by affected individuals. 15:11 🧐 Understanding ADHD Beyond DSM-5 Criteria - ADHD symptoms are more complex than what the DSM-5 describes, especially for adults. - ADHD involves neuropsychological deficits including inhibition problems beyond motor actions. - Various aspects like impulsive thinking, impulsive motivation, and impulsive emotion play significant roles in ADHD in adults. 22:13 🤔 Understanding Inattention and Working Memory in ADHD - ADHD affects sustained attention, specifically persistence toward future goals. - Working memory is crucial for holding goals, steps, and progress in mind, which is impaired in ADHD. - Adults with ADHD may struggle with re-engaging in tasks after distractions, indicating issues with working memory. 30:19 🧠 Understanding Working Memory and ADHD - Discussion on how working memory functions like a GPS, guiding us towards our goals. - ADHD individuals face disruptions in working memory, affecting their goal-oriented tasks. - Working memory acts as a GPS for our goals. - ADHD hampers the individual's ability to stay on task and pursue future goals. - The GPS analogy helps visualize how disruptions in working memory can impact daily tasks. 31:28 📉 Challenges Beyond Attention: Self-regulation and Motivation - Delving into the complexities of emotional self-regulation and motivational deficits in ADHD. - People with ADHD tend to prioritize short-term rewards over long-term goals due to motivational issues. - ADHD is not just about attention; it involves self-regulation challenges. - Individuals with ADHD often prioritize immediate rewards over future-oriented goals. - Emotional self-regulation plays a pivotal role in managing ADHD symptoms. 33:01 🚨 Consequences of Untreated Adult ADHD - Highlighting the severe repercussions of untreated ADHD in adults, spanning education, family conflicts, legal issues, and health risks. - ADHD can lead to substance abuse, risky behaviors, and even early mortality if not addressed. - Untreated adult ADHD results in multifaceted life challenges. - There's a heightened risk of legal, health, and interpersonal issues with untreated ADHD. - ADHD can significantly impact an individual's life expectancy and overall well-being. 38:42 🧬 Genetic Influences on ADHD - Exploring the genetic underpinnings of ADHD, emphasizing its hereditary nature. - ADHD ranks among the top genetically influenced psychiatric disorders, with a significant impact on family members. - ADHD has a high genetic influence, accounting for 70-80% of differences in ADHD symptoms. - Family history is a strong indicator of an individual's likelihood to develop ADHD. - New mutations, apart from inheritance, also contribute to ADHD, especially in older parents. 43:12 🌍 Environmental Factors and ADHD - Discussing non-genetic causes of ADHD, such as brain damage during pregnancy or early childhood exposure to toxins. - Emphasis on various environmental factors like premature birth, alcohol exposure, and infections during pregnancy. - Brain injuries during pregnancy or early childhood can lead to ADHD. - Environmental toxins, maternal infections, and pregnancy complications are potential risk factors for ADHD. - Understanding environmental influences helps in comprehensive ADHD diagnosis and management. 01:01:02 🏛 Legal System and ADHD - Understanding the role of ADHD in the legal system, - Individuals may fake ADHD in criminal trials to potentially receive lenient sentences due to their condition. The existence and recognition of ADHD in adults is a relatively recent phenomenon, leading to potential misconceptions and misuse in legal contexts. 01:02:23 📜 Historical and Medical Context of ADHD - Tracing the historical roots and understanding of ADHD in adults, - ADHD has existed throughout human history, with mentions dating back to the 1770s in medical literature. Only in the 1990s did the recognition and diagnosis of ADHD in adults become more widespread. 01:02:48 🏥 Health Implications of Adult ADHD - Exploring the health-related challenges faced by adults with ADHD, - Adults with ADHD may exhibit a range of health issues including obesity, binge eating, dental problems, higher risk of type 2 diabetes, accidental injuries, depression, anxiety disorders, and a predisposition to substance use and abuse. 01:04:11 🚔 ADHD in Prisons and Justice System - Highlighting the prevalence and implications of ADHD within the prison and juvenile justice systems, - A significant percentage of prisoners and adolescents in the juvenile justice system exhibit symptoms of ADHD, emphasizing the need for recognition, diagnosis, and treatment within these environments. 01:06:25 💊 Treatment Approaches for Adult ADHD - Outlining the comprehensive treatment strategies and management for adults with ADHD, - Treatment approaches encompass thorough diagnosis, education about ADHD, medication (primarily stimulants), behavior modification techniques, and environmental accommodations to optimize daily functioning and mitigate challenges. Made with HARPA AI

[@twoskies3226]

You're doing the Lord's work here. You have my sincere and heartfelt thanks.

[@ChrisOgunlowo]

Thank you for sharing your knowledge and wisdom.

[@Grumpyoldmansa]

I was recently diagnosed with adhd it has screwed up my hole life on top of it I have dyslexia I have no real education to speak of and my life is constant chaos When I hear people say its a superpower I feel like punching them in the face

[@lilalaunelove]

Diagnosed today at age 41… psychiatrist suggested a talk therapy / behaviour therapy first to try manage symptoms since I can have enough sustained focus when we talk, then evaluate if medication is needed.

[@apophenic_]

Would you mind positing these theories into a greater forum? I think your insights are fascinating--and believe that Sapolsky and others would be interested in the topic.

[@carriemaegarber1495]

Dr Barkley … could you provide a clinically focused lecture on which medications and can more with specific ADHD issues. Ie: better for motivation, better for emotional realization, better for impulsivity, focus etc ? And how combining medication can be beneficial. My interest is both in teens and adults. I am a nurse - and ADHDer - and find I am actually guiding my own treatment with my family physician.

[@russellbarkleyphd2023]

I have more lectures to be uploaded before the weekend and some of them should cover aspects of medication. Thanks for watching my channel.

[@flawlix]

“Deficient task re-engagement following disruptions.” Wow, that is a very specific attack on me personally.

[@scottbarrett5838]

The worst thing about adhd is the stigma, 90% of the world doesn't think it is real 😡autism hasn't got the same stigma but the majority of people don't understand anything about them or the problems of the comorbid disorders accosiated with them (how can they understand) and if u add up adhd + autism = epidemic or a quarter of the world on the spectrum, it's easier for the powers to be to leave people struggling to even get diagnosed and no services. How many people are suffering? and if they could understand what is wrong with themselves (especially if they are undiagnosed)and could move on with there lives , how many people are kept down? Going round in circles, being impulsive with an addictive personality, depressed and misunderstood, stressed about there own futures a lot can't hold down jobs and even turn to crime because of this it's estimated 80%of people in jail could have it (canada screens people entering jail and have seen a reduction in people diagnosed with adhd entering the system and repeat offending)the sickening part of it that is if they invested the money in helping people understand about these problems it would pay for itself, and a lot of people could be living happier lives, there could be less crime, addiction etc

[@mahanyegane3367]

Thank you so much. I could finally watch it all, and I'm incredibly grateful for people like you and your efforts that have made our lives easier! I'm on a mission to learn more about my ADHD :)

[@Isssaaadivvvv]

Struggling bad with adhd the meds had major side effects on me and I am trying to find solutions before I get treated as I can’t right now

[@basclefrules]

Hello Dr. Barkley, You mention at the 59:56 mark the need to control for malingering ADHD during diagnosis. How would/could this be done in a way that does not perpetuate harmful stereotypes surrounding this disorder? As someone who has been diagnosed and experienced a lot of the labels that get associated with the outward behaviors (lazy, undisciplined, etc), I can understand how hard it is for laypeople to discern disorder from lack of developed skills, or how there might be incentive for folks wishing to avoid personal accountability or obtain stimulant medication might lean on the disorder. That said, one has to only examine our current cultural discourse to see how easily the pendulum might overcorrect into presuming a larger % of malingers than actually exist, especially when the symptoms are often, in isolation, things that many adults can relate to experiencing on some level. Put more succinctly, how do we control for "bad faith" claims without harming all of the progress that has been made in recent years towards normalizing ADHD?

[@russellbarkleyphd2023]

There is no foolproof way but see my lecture on the assessment of adult ADHD for some ideas such as triangulating three sources of information on the client. Thanks for watching. Be well.

[@uniquechannelnames]

Lol 8:02 in grade 1-6 (age 5-11ish), especially earlier grades, I would just get up from my seat in class and literally walk around the room, between desks,or sit in my desk staring at the ceiling but I was always paying attention so when a teacher put me on the spot I could always answer. So they accepted me. When in junior high/high school, I'd draw growing patterned mandala-type stuff on the unused whiteboard that I'd sit at when I could. Same thing, the teachers would put me on the spot and i'd know the answer so they'd let me be. Thankful for having understanding teachers through my years!! Still i wasn't diagnosed until i was ~32 despite both brothers and father having been diagnosed. I was never hyperactive and I guess masked my distraction. Or perhaps I was so active physically and athletic it gave me better control of my focus. Either way it became apparent I had no skills in running my day to day life. Laundry, money, time management, organization was non-existent, and still a litany of problems got in thr way of me runnong my own life successfully. I could really only barely get by, and certainly not thrive.

[@beinghuman3225]

At 54:34 it shows his intelligence and a major cornerstone of societal conformance.

[@baileyknudson4951]

Do you mind explaining more about how ADHD impacts verbal working memory? I feel that I have a very active internal monologue, so I’m a bit confused on how the mind’s voice is different in people with ADHD. Thank you for all the work that you do!

[@Deep_Dark_Fanta]

I wish I’d been diagnosed earlier. People suspected it for a while, but I only got a confirmed diagnosis last week. Growing up, I did well in school and naturally picked up masking skills, so my behavior seemed pretty "normal" (though I was definitely a bit of a troublemaker). I was good at chemistry and biology, so I picked chemistry as my major. But I was so careless with precise experiments-like adding tiny amounts of chemicals-that I kept messing them up. Eventually, I switched to theoretical chemistry for my PhD. I got through it okay, in the sense that I should be able to secure an assistant professor position in a decent R1 university. But honestly, I wasn’t interested in the hardcore theory stuff like quantum mechanics, quantum optics, or quantum chemistry, which made up my whole PhD. At the same time, I loved working on practical stuff at home-fixing mechanical and electronic things, 3D printing, mountaineering, etc. Looking back, I kind of regret not choosing engineering as my major from the start. I always thought I wanted to work in industry because academia and hardcore theory didn’t appeal to me. But now, after my diagnosis, I’m wondering if I should aim for a faculty position instead. At least there, I’d have more freedom to choose my projects without switching jobs constantly. It feels like my career goals might be flipping completely, and honestly, I have no idea what I really like or want to do anymore. Do I really like the stuff I think I like? Or is it just like chemistry, where I only enjoyed the positive feedback at the start?

[@jophillipsillustration]

🙌🏼 Fantastic presentation- thank you. So very validating too 👍🏼

[@jag2039]

Well Doc @50 is when I learned I had ADHD Me @63 surgery's hip replaced,ligaments torn in foot,plate in neck C-234 then the big one C-2 threw T-5 rods n screws had surgery on my chest fluid between lung & liner, infection it wouldn't even come out of chest tube Bad @40 yrs old. My ADHD is off the chart @ 63 with the back n all of the different meds good thing is my wife of 33 yrs is a RN big time ICU 23yrs thank god if not her don't know wtf I would of done. Jobs the more dangerous the better retired now going crazy at home but better than fighting to be normal lmao sure would like to talk to you personally about my Ride of Life would be Cool to see what we find to help us together Doctor. Your video's have help me to understand my ADHD very much Thanks Doc hope to talk soon let me know how to make it happen

[@shadowmystery5613]

Fun Fact: Accomodations like going for a walk before meetings, taking frequent breaks etc. are all crimes in germany if you do them without the consent of your employer. Because you'd get paid during that time without doing work in many cases but he'd still pay you. I think you can imagine what that means if you'd ask dor such accomodations here, mostly either not getting employed at all or simply booted during the 6 months of probation period. Not that you'd likely get accomodations to begin with, ADHD isn't considered "severe enough" in many cases, as long as the established general opinion of the standard doctor or bureaucrat is, that ADHD is just a mild inconvenience that has to overcome with will power. Things are changing slowly, but definitely too slow. I don't even need to think about stuff like retirement anymore because I was never able to finsh any attempt of education, went through dozens of useless treatments and therapies and basically never managed to even enter the work force.

[@bas2452]

Thank you for the work you out in to these amazing presentations!

[@just-another-dev]

The thing I am struggling with is whether I have some form of ADHD or Bipolar + ADHD and honestly my psychs default to Bipolar because I am female I think. But I have so much more in common with ADHD but I definitely have waves of it, so they might also be right. But I don't get manic confidence and I don't get super sad either, I just have waves of ADHD symptoms from what I can tell, but it's also always present to some major degree. I just have a lot of ways to control it sometimes and then I mess up and it comes back. Like when I forget to drink 20 coffees in a day, oops there goes my everything.

[@swimhunk]

Thanks Dr Barkley! I stumbled upon you in IG and love the way you present ADHD in a easy, palatable sense that to me disarms soothsayers of adhd in more compassionate and logical sense that is backed by science and supported by evidence. Though, i wish to ask what if in the event of not access to medication, would it be possible to overcome most of the challenges that you described with working memory and its practical impact in adulting with just books and cognitive solutions / methods?

[@emiliavaltonen7666]

Hi!😊 In many of Your videos, I’m hearing that the HI symptoms typically decline with age. In my case it looks like the opposite is true. I have been a very quiet and withdrawn child, always scared and in my own world. Constantly struggling to get my schoolwork done, but still got very good grades. As an adult, I have started to show a lot more hyperactivity and impulsivity for some reason, and that eventually lead to me getting diagnosed. I have started to wonder if I might have CDS also or is it possible that my presentation has just changed this way. Greetings, Emilia, 24, from Finland

[@alxleiva]

Great presentation, thank you very much Russell.

[@RenoirB]

Hi Dr Barkley. Apologies for making a comment for the following. I've purchased your "Taking Charge of Adult ADHD" (*) book a few years ago. But I've lost access of reading. That book was the only one with Digital Rights Management (DRM), because I still can read "Taking Charge of ADHD" and "Executive Function" books. But the first book, I can't open it, and the publisher says it's "out of print". As an adult diagnosed, I have many books purchased and haven't read all. Unfortunately the one about Adult ADHD is the most relevant to me. An adult, with ADHD, trying to make sense the boundaries of accommodations and coping. Not as a healthcare professional or theorist. I wished the publisher respected buyers of books. DRM locking is like theft. I can't read something I paid for. Like a book in my bookshelf vanished by a goblin. I'm aware you are now retired and are sharing your expertise here. I wonder if you could help in such a situation?

[@russellbarkleyphd2023]

I don’t have a digital copy so am I unable to share it with you. And the publisher doesn’t provide me with any. There is a much newer edition of that book which may be why they are not giving access any longer to the older digital version. Sorry I can’t be of more help.