ADHD and ASD

Up to 20-25% of children with ADHD fall on the autism spectrum (ASD) and as many as 50-60% or more of children with ASD have ADHD. This lecture focuses on the nature of these two disorders, how they differ, and how their comorbidity affects treatment of ADHD in the context of ASD. This lecture is 1 hour in length. For more information, see Dr. Barkley's books, Taking Charge of ADHD: The Complete Authoritative Guide for Parents, and How to Treat ADHD in Children and Adolescents.
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[@cayladodd9216]

I have been living with severe ADHD symptoms my entire life and had no idea that I had a disability. Listening to you explain symptoms at various ages was like listening to a stranger describe my life story back to me. Very surreal. I look back at all the obvious signs now and wonder how it was that no one noticed or helped me. I was VERY CLEARLY struggling lol I feel like the adults in my childhood utterly failed me and consistently wrote me off as a lazy, unintelligent, problem child.

[@DrakeDHDerr]

I have both, undiagnosed for 19 years. It wasn’t until I got into college, both disorders especially ADHD took a very huge toll on me.

[@jimmyb1258]

Dr. I am glad u have finally clarified this. I was told my high IQ was attributed to my ADHD. I believe that ADHD has robbed whatever achievement my IQ should have given me

[@MrColtux]

Absolutely. I would easily give up 15 IQ points to not have ADHD and be much more successful.

[@irunamuk]

My iq has done me absolutely no good at all because my adhd has not allowed me to function well enough to be anything even remotely synonymous with “successful”

[@cosmiclounge]

My IQ is the saving-grace of my ADHD; but then I lucked-out by landing on my feet, in an organisation whose CEO was sympathetic to neurodiversity and willing to incubate my potential. Had events panned out differently, I could as easily have spent the last decade stacking shelves.

[@therabbithat]

There is no correlation between high iq and achievement. It's a meaningless test predictive of nothing. You didn't waste it, no one could have done anything with it

[@livenotbylies]

I would never give up my autism, even for 15 more IQ points - including the ADHD-like aspects of it

[@kathiebradley5881]

Kid of the 80s, never diagnosed with adhd our autism although I have now learned I have both. The symptoms were clear as a child but I was treated as a behavioral problem because of my inability to connect and crying all the time cause "everyone was so mean". I wonder what the real numbers of prevalency are as more and more of us become aware of our issues we have learned to adapt to or hide? My mother's and grandmothers autism was much more noticeable, leading me to believe I had no issue, as my symptoms were more subtle in comparison, even though I questioned it numerous times as a child, usually when I had an issue with math retention (dyscalculia). 2 college degrees and a registered nurse, so I've done well, but life continues to be stressful in distressing ways regarding relationships and how many demands I can handle at once.

[@annak29]

13:25 ASD - panick reactions, meltdowns, limbic storms characterized by anxiety, panic, aggression 14:08 emotions seen in ASD are extreme, easily provoked, irrational, longer duration, more difficult to recover from

[@jimmyb1258]

I want to add, some of us are still Hyper I don't stop moving ever! Thank you for advocating for ADHD and making me more self aware. I wish I could talk to you more!!

[@Heathen-Sun]

Regarding SCT. I definitely like your naming rather than “sluggish”. Anyway. I am watching your lectures and content because I feel like you understand more about us (AuDHD) than anyone I have ever heard talk about us and worse, the way we get treated. I think you are spot on about SCT yet to me it feels like the bridge because I experience both and it’s bad in the sense of no matter how hard I try I cannot for the life of my stay engaged. My brain will find ANYTHING else to engage with regardless of whether or not I am highly interested. This has been an ongoing issue with me in relationships and academics. Regarding social relationships this is very hurtful not just to me but also my kids and husband and “friends” because I DO wonder off in my head and people see this and no matter how hard to I try to backtrack it comes across as “she’s not interested” or worse “she doesn’t care.” Imagine when your own child who you love and are most interested in says this to you and you cannot explain in any meaningful way that it’s not them. You’re not boring but also you are to my brain. This had created so many problems both inward and outward because it is absolutely true to me that I I will start analyzing things being said and go off into different areas in my head and miss what was truly important to those around me as well as checking in and out in class and often telling myself “please pay attention” and it’s a loop that I really cannot help. I often feel like my attention is splayed across so many different things and my attention comes in and out if focus so rapidly that I have to go back over and over again to pick up what I missed because I know I did when things aren’t making sense. This is excruciatingly frustrating NOT to mention that I HAVE to move. To me it feels like the battle to stay awake like you see in kids who kick about when told to go to bed and become agitated. It’s how I operate 80% of my days..thank the maker of Audiobooks because it’s easier for me to stay engaged when I can move about while doing so. At any rate. I feel compelled to offer my input to someone who really seems to understand because psychologists/psychologists and people have made me feel like a detriment to society for never being able to succeed in all the places society has great expectations for. Nearly everything you say I relate to. There are just a few aspects that I don’t quite understand that you didn’t speak of here and that one being Objective Theory because I see others or NT being deficient when it comes to the way they use people as a means to attain something and how I interpret that yet I also don’t understand what is being asked about when it comes to the nature of bonding when trying to bond with others has been a primary issue where I feel like I am but that is usually not reciprocated so I feel a lot of rejection. Anyway. I am rambling. I know you said this was in 2021 and don’t know how well received your understanding is for those in your profession but I do hope they are listening because above all else. I just want people to understand me when I say I cannot help it.

[@TheKillaCake]

Nice to have real informative videis so available online. Isn't it incredible how easy it is to pay attention to someone saying something of value? I swear our attention spans arent decreasing from short form content, but rather from the lowering quality of information available in that content.

[@JonBrase]

I have diagnosed ADHD and a strong suspicion of autism. I think "sluggish cognitive tempo" is more accurate than it might appear. It's not that I lack intellectual capacity: I'm usually the smartest one in the room. But I tend, in some sense, to think in paragraphs rather than sentences, so while *throughput* is higher than others around me, *tempo* is indeed slower, it takes time to collect my thoughts, and if a group conversation goes back and forth too rapidly, I tend not to be able to get a word in edgewise. I have a suspicion that a factor in autism may be that information is processed in larger batches with fewer batches per unit time. This could explain sensory issues; if thoughts are larger and take longer, and every sensation that crosses a certain threshold interrupts a thought, then with a given threshold a greater percentage of thoughts will be interrupted and more total mental capacity will be lost to interruptions. An individual with a low threshold will hardly be able to think despite ample capacity, and an individual with a high threshold will be able to think just fine, but will hardly notice anything in the outside world. This could also explain comorbid motor issues: if information takes longer to process, then motor planning is likely to lag sensory input by more than it would in a neurotypical.

[@turtleanton6539]

Very interesting. And as an autist I agree.😊

[@orbismworldbuilding8428]

That describes my experiences

[@nobody8328]

That's a helluva good explanation! Are y'all that way about everything? As in, do you process emotions slower or faster than other stuff? Or "internal brain stuff" faster than outside info? Edit to add- that's exactly how I describe my coordination, except I thought it was from being tall. It takes longer to get messages from my brain to my extremities. Edit²- I'm also slow to notice pain? Like minutes behind, sometimes

[@JonBrase]

@@nobody8328 I tend to have a better idea of what I'm thinking than what I'm feeling, beyond happy/sad/angry/fearful. Detailed emotional processing can take *months*, if the issue even sticks around long enough to be processed.

[@nobody8328]

@@JonBrase Ha! Thanks for the reply, I'm glad to know I'm not the only one that procrastinates on dealing with emotions hoping I'll forget the whole thing! 😆 But yeah, getting an emotion figured out is a lot of work. Especially if I'm expected to be able to share the process or even just the results with someone. That's 3x more effort 😔 Some things I process at lightning speed. Written information, for instance, jumps right in my brain and joins the conversation. It doesn't even really register that I've done anything, much less take effort or energy. Sensations and emotions, not so much 🤷🏻

[@ginnyjanisse1220]

This is a really great video about these two conditions and how they differ. What I would love to hear more about is the symptom complexities when they co-occur. Thanks again!

[@ThiCC_Yosh]

I got my ADHD diagnosis 7 months ago, I've done a lot of research but it doesn't sound like me aside from needing high levels of stress to finish or focus on a task. I can listen to people, I'm not easily distracted, or forgetful as typical of ADHD, I however can't persist, self-motivate, or switch tasks. I can't find relief overall because I 'mask' too much and can't remember who I was before 'masking'.

[@KarenCro]

Maybe in time when you come to terms with your diagnosis you will begin to "unmask" little by little and you'll see a clearer picture in correlation to the symptoms you've been diagnosed with? It will take time and you have to do it your own way. I hope you get to where you want to be with your newly found self, little by little 🙂

[@wendelsantana2190]

Sr. Barkley, thank you for this video. I'm an brazilian ADHD. I had my psychological report in December 2022, accompanied by a psychologist, psychiatrist and neuropsychologist. I'm loving your videos and your book _"Taking Charge of Adult ADHD"._ I would like to know more about difference between perseveration and hyperfocus. Thank you so much.

[@russellbarkleyphd2023]

My pleasure. There are some fine clinical scientists working in your country on ADHD, such as Luis Rohde, MD at Paula Matos, MD.

[@wendelsantana2190]

@@russellbarkleyphd2023 Oh! Yes! I've watched some interviews with them. Thank you so much.

[@lalir8224]

Thank you Dr. Barkley you are the best !

[@russellbarkleyphd2023]

That was so kind of you to comment.

[@ternurita0160]

Thank you Doctor! Very helpful information 🎉

[@stephanierich383]

Very informative, thank you!

[@79blt]

The more I learn, the more I think my grandfather may have been on the spectrum and I may be as well. I went to be tested for ADHD and was diagnosed with EFD. There was mention of quirks in my assessment but at that time it wasn't of any concern to me. I'm at the point in life where I'd like to understand myself more and think I'll go back for more insight. I appreciate all of the information you've shared!

[@priyabriggs659]

Thank you Dr Barkley for another brilliant lecture. Truly grateful for the knowledge you share.

[@doudline2662]

Thank you sir.

[@russellbarkleyphd2023]

My pleasure.

[@cyberbemon]

First time hearing about SCT. I was diagnosed with ADHD when I was 29 (almost 4 years ago), my therapist is a firm believer I am most likely on the spectrum as well, since I struggle a lot with things like eye contact, social situations, sensory overload when it comes to certain sounds/textures etc But at the same time I also struggle with day dreaming and zoning out, to a point numerous people have pointed out and asked me if I am zoned out. I am now more confused as to what I am lol

[@harlakshsingh1527]

Would love to have you on the podcast Specifically talking about: - ADHD, ASD in Entrepreneurs - Late diagnosis - Overlaps w/ other conditions - Emerging protocols as possible solutions beyond the current solutions - AI's benefits/problems for people w/ ADHD, ASD I know you're busy and I'll understand if you're not able to do this But nonetheless, thank you from all of us working through some of this stuff with your help Your continued work in the space has been immense :)

[@russellbarkleyphd2023]

Thanks for the invitation, but I will decline as I am not doing such podcast interviews any longer. Be well.

[@Rollwithit699]

Diagnosed last year with Asperger's (ASD) and ADHD. It made perfect sense to me, brought me some peace.

[@jonathan0berg]

​@@Rollwithit699A number of my friends (several of them having autism) have told me that I probably have autism, and I felt like about half of the autism stuff I had looked into resonated strongly with my experience. I later got diagnosed with ADHD, and learned that ADHD and autism can overlap, and while I don't have an official autism diagnosis, having both ADHD and Autism explains so much more about me than either one would individually.

[@livenotbylies]

You should have someone actually autistic on. This is full of misinformation. NTs don't understand us, even researchers. Try Autism From The Inside

[@deborahbulthe]

Interesting material.

[@cosmicaug]

It would be good to note in the description what the new name for sluggish cognitive tempo is.

[@lostsanityreturned]

I was diagnosed with ADHD in the 90's back when if you were diagnosed with one you were automatically precluded from the other and I believe I was very likely misdiagnosed at the time. I have very little to no overlap with the symptomology of ADHD, but Autism with a fairly high level of impact/impairment fits both my past and current experiences far more accurately. It is nice to see that there have been advances in symptomology identification and distinction over the years. SCT naming withstanding is interesting to see mentioned and outlined.

[@CatalogK9]

I’m surprised the sensory issues with both disorders, most particularly with autism, weren’t mentioned. I must admit, I’m disappointed that autism was spoken of in terms of “functioning,” which is largely rejected by autistic people and modern researchers in favor of “support needs” language, as the “spiky profiles” of skills and symptoms (as with ADHD) tend to cause inconsistent levels of “functioning”, which are largely moderated to observers by the ability to “mask” these difficulties (or to communicate effectively in regards to them). Many autistic people are more empathetic and have better social and communication skills than neurotypicals, but due to the Double Empathy Problem, often encounter social difficulties from the neurotypicals’ end, as autists are often able to adapt to a neurotypical communication style, while neurotypicals are far less often able to adapt to the neurodivergent communication style, thus placing autistic communicators at a higher than average communication level, with social difficulties arising on the neurotypicals’ end (a recently published study demonstrated this lopsided communication deficit quite starkly). I must say I am also quite disappointed that no mentioned was made in regards to ABA “therapy” being coercive, abusive, and not remotely evidence-based or effective, and recently rejected by the APA (iirc; it may have been another prominent psychology org) on these and other bases. Most effective and evidence-based accommodations for autism are focused on supporting sensory and communication needs, and with children especially, include support for social skills (as the “unwritten rules” of society are not generally intuitive, but can be learned). The vast majority of “challenging behaviors” seen in autistic people stem from sensory and communication struggles, and so addressing the core difficulties is helpful, whereas ABA’s approach to coerce children into ignoring their discomfort and pain for the purposes of enforced obedience for its own sake is damaging and unhelpful.

[@j.b.4340]

I have these. At times, they work off of each other, but generally…my life is very difficult.

[@serenawedeking5601]

Holy moly. So much of this is applicable to my family. Especially the one I married into. Rational and outsized bursts of temper, vs irrational. I've seen it in each of the kids, as well as my husband and his siblings. When the oldest was a kid in 08, 09, his awkward kind of twitchy nature got him diagnosed with ASD (well Asperger's), but knowing that and whatever techniques the school put in place hasn't helped with anything. He's 24 now and just sort of stuck. Does impulsive ill advised things that have a certain logic, but can't recognize the negative consequences. Hoarding clutter behavior. In one of your other videos you described it as putting something down once they're with it and moving on. Finish a drink? Leave it and move on. Finish eating? Leave it. Plate in the way? Shove it somewhere. Knowing they have to get to C, from A, but not being able to. It's not that they don't know how to it's that they get stuck.

[@serenawedeking5601]

I wish I had this information 10 years ago. Omg.

[@serenawedeking5601]

The SCT that you mentioned seems to apply a little to me. I can zone out pretty easily, even without external aid, but I also have speeding thoughts that it's a struggle to catch sometimes.

[@nyoreachoja2068]

Thanks for the lecture and your immense contribution to this field. I'd like to ask, Which of ADHD or ASD has a greater effect on one's ability to express one's self or reach their emotions, draw from knowledge you should have and use it effectively in the appropriate situations?

[@russellbarkleyphd2023]

Both fall along a spectrum so it wouldd depend on which one is more severe than the other as to which is most likely to create such disruptions in functioning.

[@CatalogK9]

As a late-diagnosed AuDHDer, my experience (and general understanding from others’) is generally that emotional awareness and communication tends to be more affected by the autistic traits, and the appropriately timed recall and utilization of knowledge in a given situation is a bit more affected by the ADHD (working memory, impulsivity, distractibility, etc.), but as autistic sensory processing can be so intense, and thus causes us to need a bit more processing time in the moment to sift through all of the additional information we need to process, it can be just as much of a factor, if not more so, depending on each individual’s particular blend of symptoms and severity, etc. When it comes to improving these abilities, (again, in my experience at least), knowledge is power, and understanding the root of our individual struggles and learning different approaches to addressing them can help tremendously (with practice).

[@laulaurenni]

As an autistic adult woman, I'd like to share that ABA therapy is extremely controversial in our community due to its long term adverse affects on wellbeing and ability to prioritise one's own needs and limits over masking our traits to be more socially acceptable. While the lack of resources mitigates some's rejection of ABA, since we lack much of an alternative for autistic children and their families as well as the almost complete absence of resources available for autistic adults, we are many to consider ABA to be a sort of autistic conversion therapy and much like torture. Because it goes totally against our natural ways of functioning, very real need of strong boundaries in relation to both social and sensory behaviour and interaction. I am only one autistic person, so of course, I cannot speak for all autistic individuals, especially being a verbal one. Nonetheless, that is what I have observed so far inside the community. Being late diagnosed, I was never subjected to ABA, but I struggle with the amount of masking I have learnt that totally inhibit my ability to take care of my very specific needs as an autistic human being and I have to actively do some kind of reverse ABA process to unlearn what masking can be unlearnt and get inspiration from small autistic children yet unaffected by either ABA or socially-induced masking to reconnect with our natural behaviours that we naturally resort to as means of self-regulation either emotionnally or sensorily, such as stims (stereotypical behaviours, aka self-stimulatory behaviour). This comment is by no means a way to diminish the value of this video which I found greatly interesting. (Neurodiverse presentations such as autism and now ADHD being one of my special interests, I've been hyperfixating on your work since last night and am delighted to have found your very own KZbin channel!) And I do understand your area of expertise is more so ADHD than ASD. But in this context, I thought maybe some insight from someone on the spectrum that has some degree of knowledge of what goes on and what is accepted in the autistic community might be of some kind of value. For example, functioning labels (high- / low-functionning, mild / severe autism ,...) are not only out-dated by the DSM's criteria, having been dropped in 2013 in favour of support needs that ow distinguish between 3 types, but it is also vastly rejected inside our community as a neurotypical and ableist way to categorise ASD that does not serve or accurately represent the wide spectrum of internal experiences and presentations of autism with our benefit and interests in mind. Functionning labels have also often been used to dehumanise us, especially the most vulnerable in our midst. Non verbal autistic people, for example, are often deemed lesser and both assumed and treated as being less human and less intelligent whereas non verbal people and activists will simply describe their experience of verbal communication (and the injunction to conform to its use) as extremely painful both physically (sensory sensitivity) and cognitively (executive overload). Many articulate as complex thoughts as verbal people, they just need us to match their needs for accommodation for alternatives to verbal communication that allow them to express their humanity further and more freely, amongst other things. I am not qualified to speak extensively about the experience of non verbal autistic people, so I'd rather not dwell on this topic, and again they are not a monolith, like the rest of us, but it's still important to give them visibility as subjects. Some of us aren't comfortable with assumptions such as our communication style / relationship to language being necessarily deficient rather than different / atypical. Again, many of us stand all over that spectrum and facing no difficulty communicating with other people who share our neurotype rather than with neurotypicals, precisely because our communication styles are more likely to be more closely matched. There is also much disagreement with the theoretical gender ratio regarding ASD diagnosis, because in practice, women and girls to tend to present much differently than men (I sadly do not enough knowledge or experience with what those factors may look like in other genders which is why I am not mentioning them here), to face many more challenges in accessing official diagnoses (amongst other marginalised groups that are none to be more likely to be excluded from the diagnosing process if ever given access to it), to be misdiagnosed numerous times before finally being diagnosed with ASD and usually much later in life if ever. Some experts in my own country go so far as to hypothesise that the actual ratio across genders is probably even, based on said factor and the increase in women being diagnosed they experienced in their practice (that number would still be on the rise if diagnosis weren't being made inaccessible to adults over the most recent years here, with multiple facilities dedicated to adult diagnosis being simply closed down, whence my use of past tense). And my personal experience would attest to that in the sense that in my own family, the surest line through which ASD has been passed down to me is through my father's maternal side and possibly my mother's. Not to mention my friends and the amount of women I have connected with since discovering I am autistic, who just never got access to a formal diagnosis due to being a woman, poor, an adult and the general diminishing availability of diagnosis for adults which is now close to non existent. There is also much debate about the term "disorder", but I won't dive much into that since it's a combination of personal wording preference and wide-spread questionning of the potential harm of over-pathologisation of ASD which is a cross over topic with aforementioned ABAtherapy controversy and the harm of long-term masking. Again, thank you for your work and your efforts to make it as available to the public as you do! I love to learn about it and love to see you advocate so passionately for ADHD people! I watched your conference aimed at parents of ADHD children's parents. The fact it's about 10 years old now is how I ended up on you channel, looking for more up to date information. Seeing professionals so dedicated to be allies and advocate for fellow disabled people and make allies and advocates out of their parents is heartwarming and a huge beacon of hope! Thanks a lot! P.S.: If you ever find the time and energy to make a lecture about how co-occuring ASD and ADHD can present itself and affect each of their respective symptoms and difficulties, now that you have walked us through all of the differential traits, I would be very interested.

[@Varenyam86]

Is ABA therapy a way to convert ASD individuals or learning new behavior to better fit into society (not because you aren't perfect as you are but because of struggles and using The System as it is right now? So more or a extention/add on/"upgrade" -by lack of a better word- and not so much as a way to dismiss being yourself? Like, extra skills could come in handy when you have to get shit done (call someone up to arrange some form of help like do an intake for therapy, job applications etc)?? Just wondering. I've read mixed stories about this so was curious.

[@Varenyam86]

Also, if ASD is considered a spectrum isn't it then only logical that "mild/high" etc words/labels are chosen to express on which part of the spectrum you are? Especially when communicating with NT? Since the majority of people are NT that might build some sort of bridge and form a connection so "they" can understand you/other ND? Like he said: the severity of impairment decided whether or not its considered a disorder. Labels like "mild" or "severe" would seem appropriate. Since that doesn't seems offensive (to me) but more a given. Just a thought 😊

[@CatalogK9]

That’s not what “spectrum” means. It’s not a linear spectrum of severity, like with temperature, but a circular starburst graph, with each symptom at the end of a radial “spoke”, and the intensity of each symptom increasing moving from the center outward, forming a spiky polygon inside the circle (think Pokémon stats). ADHD is also a spectrum disorder for exactly this reason; with both, every individual has their own unique profile of symptoms and severity of each of those symptoms, which can fluctuate with time and environmental factors. The same person may be highly impaired in one environment, yet thrive in another, whether they are autistic, ADHD, or AuDHD (both), as different factors interact with their specific traits.

[@orbismworldbuilding8428]

​@@Varenyam86its not a linnear spectrum, its more of a trait cluster or a radar chart

[@Varenyam86]

@@orbismworldbuilding8428 thanks, I didn't see the previous comment. I get that it's not like a volume knob, increasing of decreasing how far you're on the spectrum. But to get a diagnosis, there is a list of traits you'd have to have. I'd reckon the intensity of those symptoms is why they speak of mild/severe. It's compared to NT standards, the norm. So to me that makes sense.

[@kellyalsaleh3032]

I have ADHD-C but I am also prone to mind-wandering/daydreaming and zoning out/staring into space (the latter actually involves no thoughts... it feels more like my brain is buffering. Former... daydreaming involves a lots of daydreams and internal thoughts jumping out) 🤔

[@depressedcapy5494]

Ah. I see. I need to speak to someone. Thanks Dr. Barkley.

[@fatimahinsyirah4439]

Dr. Thank you for the information :). I have a question. There are research that stated some autistic people have executive dysfunction. Are autistic people with executive dysfunction technically just ASD+ADHD? And why are they not diagnoased as ADHD as well?

[@markusminny9472]

Hey before I start this video I want to say that I have been watching some videos about autism and I can relate . I was diagnosed with adhd by a professional and went on meds almost 2 years ago I'm 32 now . I'm wondering now if they failed to catch another underlying disorder. As I understand it adhd can go along with other disorders. Will update after watching

[@goSuOtarU]

Can someone who does well on ADHD tests have ADHD? Like, I always excelled on Exams and Games because I liked math, so doing short tests that test Logic and Pattern Recognition were very comfortable for mel, but I have trouble in other situations such as studying for a long period or paying attention during conversations in group.

[@TheBurninator241]

Yes

[@liamhardman875]

Indeed, infact, I'd go as far as to say that lots of people with ADHD do well with exams and games that induce high-pressure. I've got ADHD myself, and I always had this 'knack' for pulling out one extra level of performance in exams and certain games.

[@russellbarkleyphd2023]

Most adults with ADHD pass neuropsychological tests which is why I have argued repeatedly, and in my lecture on Assessing Adults here, that it cannot be used for diagnosis and should end. Such tests may have value in other contexts or for other questions but are not accurate in diagnosing ADHD. I am glad my work has been of value to you. Thanks for viewing the lecture.

[@CatalogK9]

Yes, that “fits the profile,” as they say, quite neatly! Tests are urgent/competitive, whereas reviewing information we’ve already gone over once is… just not happening, and keeping up with group conversations is a delicate balancing act of listening, remembering what we want so say, waiting our turn to say it, and continuing to listen while doing so.

[@PatriciaAndrea_FL]

Thank you for your information, would you be kind and let us know your finding on Sunosi medication which is normally for narcolepsy and studies being done for potential benefits in ADHD as compared to Modafinil as well as Adderall

[@tiaryan1350]

I really appreciate this video as an adhd mom, with an adhd child and an a child with asd. I would LOVE to know though, why I have noticed it to be common in groups online and families I know. A LOT of adhd moms/dads having children with asd....

[@Deviliza]

🤔 When looking at my kid, with clear (to me) autism + ADHD, i would not think that your statement here (at 6.00) about autism is quite right. Autism does not show way more than the ADHD. Its usually the things I would say that is ADHD that gets people looking. It was the ADHD that I new he had first. Later, I have how ever come to agree that he clearly has autism too. But the strong statement about seing autism clearly in more areanas is just not how I find it to be. Its more discrete to me. Its also wird that ADHD should have been known and notised in history longer than autism if its that more obvious. I also think that you are missing that a lot of people with autism is still identified later in life. I had a childhood friend, A girl who was first identified with autism as a teen. I see people talking about late identification online all the time, especially in girls I think. But also in some one like Dan Akroyd and Elon Musk.

[@hannahflinkert9901]

I get the sense when he’s talking about autism he’s moreso talking about high support needs autism when he discusses autism.

[@Deviliza]

Yes, actually he just bundles everone with autism together. But the problem is, that that usually isnt "just" autism in high support need autism. Its autism + retardation + perhaps language-problems. Retardation doesnt equal autism - so autism doesnt equal retardation. And it really isnt saying much when you chose to compare a group that includes a higer number of people with other difficulties. Then you are not really telling people about ADHD vs autism. But about eg. "normal" IQ vs. low IQ. That is not what I thought this was about or what I think is interesting in this aspect. @@hannahflinkert9901

[@leonriker4997]

46:45

[@Deviliza]

I think its a bit wird to say that ADHD "opt for" small, short term consequences over long term consequenses. Don't you mean "rewards" 🤔 Becourse else, I would say that small consequenses are usually better than big ones 🙂

[@Deviliza]

A lot of what you are saying here doesnt really fit me and my kid. Not that its all the way of - then I would just think that we were perhaps both wrongly diagnosed. But if I compare us to what you are saying in this video, we just both come of as atypical for our diagnoses. At the same time you also say things that just as strongly confirms the diagnoses.

[@Deviliza]

Hmm.. I feel like my kid with both, really has these 6 types (18m) of inattention, to an extreme, and just a little with language, not really any with intelligence, and just some restricted, repeating behavier. He has that, and is clearly autistic, but the difficulties are by far more the with "inattention". Its not "secondary too".

[@Deviliza]

Hmm.. you mention the rise in ADHD-diagnoses, but not the one in autism? Its on the rise too..

[@Deviliza]

I think there is a problem here. You are comparing a statistic from a very wide group in ASD to a more narrow one in ADHD. I think, that when you compare, you should compare primarely people with no retardation on the groups. And in not sure what is going on if you don't see more people getting a ASD-diagnisis - especially also "overlooked" women.

[@enjakuro7048]

Yyyyyeeeeeeees

[@russellbarkleyphd2023]

I am glad my work has been of value to you. Thanks for viewing the lecture.

[@beauglenn3596]

When did ASD switch to SCT?

[@Deviliza]

ABA is very highly critisized from people with autism.

[@livenotbylies]

Info dumping and interrupting are definitely ASD features! Process size and speed, monotropy

[@OrafuDa]

41:32 “Major depression becomes increasingly more likely in people with ADHD upon reaching adulthood. And while that’s true of ASD children, it certainly may have much more to do with the problems with emotional control with [ADHD]*) and the difficulties with social rejection.” *) Dr. Barkley said “ASD” here, but from the context it seems he meant to say ADHD. He associated major depression in the previous sentence with ADHD. And as he explained earlier, emotional control and rejection problems are part of ADHD, and when they occur in people with ASD, they may actually be part of a comorbidity or at least an overlap with ADHD.

[@Deviliza]

So, really, what I was looking for was really a comparison between "the pure" ADHD and "pure" ASD. When you start to compare the groups including people with interlectual and verbal disabilities, then Im just like "yes, I kind of figured that the group might do significant worse in acedemics if you compare it that way, with the inclusion of people with interlectual disabilities". I will also guess that people that are non verbal might have some social troubles. It kind of isnt what I was hoping to learn about. And really, Im looking most for info about people with both conditions, but no retardation or language difficulties to speak about. I mean, where do they place? Bigger or lessor brain? How is their connectivity? Do they benefit from A, B or C? THEY are interesting. So are the others perhaps also to some other persons, but they might want to know about retardation + ADHD with out autism or something. Instead of not focusing and taking on to account what makes sense to compare to what.

[@livenotbylies]

ADHD has been studied a lot but it is still a socially constructed bag of symptoms that may represent highly different itiologies. Many of those might be superficially masked by the same drugs, because they are resulting in the same dopamine system mechanics, but it is hardly a resolved question what is going on here or what is the best thing to do. Before 2013, adhd and asd were considered exclusive, for instance. I personally think that was probably a good idea until we sort things out

[@Deviliza]

Another comment here at 26. Why is it you that decides that your "SCT" isnt a part of ADHD? I believe that that presentation it belongs under ADHD. As people with autism can be either very sensitive to touch or not very at all - I think this belongs here too. And ADHD is just (also) a wrong name for the diagnosis.

[@Deviliza]

You are having a statistical problem here, and lack knowledge about autism. For one, it isn't that many years ago that you could not get both a diagnosis of ADHD and autism. So those people will properly only have gotten the "asd" as the hyper was seen as part of that. And my clever, autistic and ADHD kid have just told me ealier today that the day sucked as his friend was to tired to play. He asks me just about every day to find out if there is any kids near by who wants to play. That is not disinterest in friends. And I know quite a few more asd who values friends and doesnt have interlectual disabilities. You are keeping to a very old asd-definition here. You need to "see" the Hannah Gadsby, Dan Akroyd, Elon Musk type.

[@livenotbylies]

MISINFORMATION ABOUT ASD

[@DonnyPlunkett]

@russellbarkleyphd2023 Dr, Barkley, I have a question regarding about those who struggle to understand vague and ambiguous speech. In other words, average, everyday, ordinary neuro-typical language. It drives me nuts! I've found this paradigm (for lack of a better word) to be so utterly bewildering my entire life. I could only previously describe as language bastardization. So I literally made up some words to try to make some sense out if it all. I invented the following words: 'fiat language.' Formal. Analogous to fiat currency. Essentially backed by nothing (I.E.: The good faith and credit of the United States treasury). 'tangible language.' Formal. The opposite of 'fiat language' (backed by science similar to a currency backed by gold). Backed by something of real value. 'Humpty Dumpty language. Informal. '“When I use a word,’ Humpty Dumpty said in rather a scornful tone, ‘it means just what I choose it to mean - neither more nor less.’ So my question is: What neurological disorder or DSM-5 condition is this problem most characteristic of? And what causes it? I was diagnosed with ADHD, but I've recently discovered that this is actually an enormous problem for many of those on the Autism spectrum. If you go to certain internet forums, you quickly find numerous rants posted by enraged ASPIES (outdated term I know), expressing outrage over this very thing. And I almost completely agree with them for the most part. Maybe I am one of them after all.