Is ADHD A Real Psychiatric Disorder: This Will Blow Your Mind

[@VICARI0S]

I think it's possible that some of the comorbid disorders seen in people with ADHD are not separate but actually caused by the ADHD itself. If you treat the ADHD you treat the anxiety/depression. Substance use seen in those with ADHD may also be due to ADHD's impact on self-esteem and impulse control. But, great video. Glad to see videos that show all aspects of this disorder from all angles.

[@ShrinksInSneakers]

Appreciate the comment, providing some different perspectives here

[@honeycovin9665]

As a child/adolescent psych CNS, I see kids and dx them, if appropriate with ADHD and then often the parent realizes he/she struggles or struggled with the same issues and then they get treated and it has this huge down stream effect. Their relationships improve, marriages get better, their job gets better and their mood is improved. I am not sure if we have parse that the mood dx is caused by the ADHD or separate - how many angels can dance on the head or a pin- who cares.

[@ifrankensteinsmonster]

Can ADHD cause Depression? How?

[@lemonladyYT]

​@@ifrankensteinsmonster I learnt today about the Window of Tolerance and it made sense of both the misdiagnosis of Bipolar Disorder and the appearance of depression. A dx of BP and the meds helped me but never answered all the questions. The moment I began applying AuDHD to those unanswered questions my entire life made sense. The more I learn and the deeper I understand, the more I am able to adjust my life for increased emotional stability. I do believe adults have hyperactivity, it's just expressed in a different way than seen in children who naturally have less self control.

[@hollybigelow5337]

@@ifrankensteinsmonster It is estimated that 99% of people with ADHD experience Rejection Sensitivity Dysphoria. RSD is commonly misdiagnosed as anxiety and depression because it causes both of those things. It is also estimated that people who have RSD have an average of 20,000 more rejections than their peers by the time they reach age 18. Although these likely aren’t evenly spread, (who rejects a 4 month old baby that much?), if you pretend that they are evenly spread that is roughly 3 more rejections per day than their peers. It’s not hard to see why this is the case. Kids who have trouble with impulse control are regularly being told by adults to sit down and shut up. They may constantly be in trouble for not getting their work done. Kids who have “Inattentive ADD” don’t experience that form of rejection, but many studies have followed kids with ADHD on the playground and have found other kids on average tend not to want to play with them, likely because they are considered the weird kids. Also, a significant number of kids who have ADHD also have parents who have ADHD, OCD, and/or Autism Spectrum Disorder, and those parents may struggle extra with raising kids if they don’t have adequate treatment or haven’t been diagnosed. Plus, roughly 1/3 of kids with ADHD have Autism Spectrum Disorder, and this may impact their ability to read emotions and social cues and even their ability to understand speech if they have Auditory Processing Disorder. All of these things explain why kids on the Autism Spectrum are also highly likely to have RSD and to have experienced way more rejection than their peers. Is it really surprising that someone who is constantly being yelled at by parents and teachers and who is constantly being rejected by peers would struggle with high levels of anxiety and depression? If they can’t read body language and social cues and struggle with Auditory Processing Disorder, they may struggle to know when people around them are mad, and if they struggle to sit down and shut up and get homework done and can’t help interrupting people in conversations they regularly make the people around them mad, so people around them are more angry than average AND they can’t see the anger coming. Would that give you anxiety? And if you were the weird kid who no one wanted to play with on the playground and who was never invited to birthday parties even when EVERYONE else in the class was invited, and when you become an adult you come off as being weird in job interviews to the point that almost no one wanted to hire you even though you know you are way more qualified to do the technical job than the person who was hired, but they were hired instead because they have better people skills and are a “better fit for the team” might you suffer from lifelong depression?

[@hollybigelow5337]

The idea that ADHD exists in childhood and then disappears in adulthood is ridiculous and must be held by professionals and laymen who have no idea what they are talking about. The average age of diagnosis is 31 years old. How can a condition that is most commonly first diagnosed in adulthood be a condition that supposedly disappears in adulthood? This actually explains quite well to me why some people think ADHD isn't a real diagnosis. I have been trying to understand this position so long, especially when PROFESSIONALS actually hold this opinion. Watching this video, I am now convinced it's because they don't truly understand the condition and THINK the condition as being some superficial list of symptoms that tend to only show up in kids. If you think ADHD is that list of symptoms, OF COURSE you aren't going to believe in ADHD, and you are also going to notice that that superficial list of symptoms applies to several kids who don't have ADHD. In fact, you are basically only describing what it means to be a child. That is NOT what ADHD is. I know TONS of people have have a diagnosis of ADHD or who, like me, got a diagnosis of Inattentive ADD back when that was a diagnosis - which will likely soon be it's own condition of Cognitive Disengagement Syndrome. I have never met a single person who "grew out of" their ADHD. Based on my observations, if someone grew out of their ADHD, they never had ADHD in the first place. In other words, they were diagnosed by a therapist/psychiastrist/pyschologist/etc. who probably doesn't understand ADHD and genuinely gave them the diagnosis simply because they were a child in a very repressive, structured system that punishes children for being children or were children raised in families that didn't prioritize respect and self-discipline and working well with others. THAT IS NOT ADHD. It is also true that ADHD certainly is co-morbid with other disorders. 99% of people with ADHD experience Rejection Sensitivity Disorder, which is a brand new condition. Most people who are diagnosed with Anxiety and Depression with ADHD are really suffering from Rejection Sensitivity Disorder that is being misread as Anxiety and Depression. I think it's roughly 1/3 of people with ADHD also are on the Autism Spectrum, and I do wonder if there is perhaps a different condition that is a combined condition that better represents these people. There's a lot of evidence that ADHD is caused by low dopamine, and there is some evidence that Autism Spectrum might be associated with problems with folate, and folate is used by the body to create dopamine. Or both conditions tend to be correlated with MTHFR gene mutations. There are all sorts of reasons that could cause these conditions to be comorbid at such a high level. But there still are plenty of people who have ADHD that aren't on the Autism Spectrum and plenty of people who are on the Autism Spectrum who don't have ADHD. As Dr. Russell Barkley explained, if ADHD statistically doesn't predict a cluster of symptoms that a decent group of people have, then ADHD can be kicked out of the DSM. If we can say that people diagnosed with ADHD all really have Autism Spectrum Disorder or Anxiety or Depression or OCD and we can show that statistically, then ADHD won't exist any more. But so far ADHD DOES have a unique ability to predict a cluster of symptoms that can't be adequately explained by other conditions, so it still exists. And, in fact, it has enough predictive power that it will likely be divided into TWO sets of conditions - ADHD and Cognitive Disengagement Syndrome (which used to be known as Inattentive ADD). Keep in mind, these conditions can also be comorbid, and early evidence shows there is probably about 1/3 of people who have both conditions out of the total population that has at least one of these conditions.

[@hollybigelow5337]

Also, as to the condition not being diagnosed evenly, the first thing I would say is that I know firsthand that the number of people SCREENED for ADHD varies greatly in different areas of the country. If one state is screening all kids in elementary schools for ADHD and another state encourages all parents to do that on their own time and another state still has a huge stigma associated with ADHD and a ton of people in the population don't believe ADHD is a real diagnosis, it's pretty obvious you are going to have different levels of diagnosis. In addition, the comment that ALL people will do better on stimulants has actually been DISPROVEN. Dr. Russell Barkley actually goes over a study in one of his videos where they put neurotypical people on ADHD stimulant medication, and most neurotypical people perform WORSE and have WORSE focus on stimulant medications. Don't get me wrong, they probably would do better in something physical like a race. And they might be getting a high and feel like they are doing better. But the scientific data says that neurotypical people absolutely do not respond the same way to stimulant medication. To be clear, I am not personally convinced stimulants are always the right way to treat ADHD. There easily could be major long term consequences that we don't know about. They might be more useful in short bursts rather than long term treatment. And it's also entirely possible that there are BETTER treatments, but we stop with stimulants because it works better than nothing rather than continuing to look for better treatments. But it is not a good idea to start the conversation by pretending that ADHD doesn't exist. And it also isn't a good idea to ignore the fact that people with untreated ADHD have trouble functioning, and sometimes without coaching and medication they are less likely to graduate high school, have more trouble holding down a job, are much more likely to be teen parents, have a much higher risk for self-harm, and have many other problems. So while it's absolutely crucial to discuss the risks of taking ADHD medications and important to discuss alternatives, it is also important to recognize the risk of NOT taking stimulants and to recognize that even if it is a substandard solution if the choice is between a substandard solution and no solution most people will rightly choose the substandard solution, so unless there is a PROVEN alternative that is better we have to be careful about insisting that people with ADHD not take treatment that has been proven to help where nothing else helps.

[@Dr.BCAnderson]

This neuropsychologist 100% agrees with this analysis. I think this conversation needs to continue and would love to contribute from an assessment standpoint.

[@DangerNoodle68]

Hi, I have ADHD and I want to share my opinion: ADHD is definitely being overdiagnosed. People make kids sit for hours at a time and expect them to sit still. Suddenly they are diagnosed with ADHD and put on meds. But ADHD is absolutely real. I have a form of it that makes it near impossible to function so no, for some of us it’s not just a slight deviation. I can’t even do things I want to do because of it. If the ADHD symptoms don’t continue into adulthood (don’t say someone’s symptoms didn’t continue just because they present differently now. I mean if that aspect stops altogether) then they probably didn’t have it in the first place. I need meds to function in society. Many of the people put on meds don’t really need them (usually because they never had ADHD- it was because the school system makes them appear to have it. In many cases it is the school system’s problem, not the kid having ADHD). The kid doesn’t need a change, the school system does. But for the many of us who do have it, we need extra support through the meds.

[@honeycovin9665]

Is it possible that many adult ADHD folks have just found the right niche so their ADHD is not a problem as much- not that it has gone away? I mean, how many ADHD accountants do you know? Maybe not many. But adult ADHD seems to be very present in mechanics and oh yeah - ER docs. All jobs with lots of physical activity and intense mental focus on one complex thing at a time. But really want to thank you as you talk about how the demands of present society are not congruent with how evolution selected for brain function. I wish we would change education, but that is not going to happen. So I prescribe medication for individuals to function in a society at odds with how thier brains function. ADHD was probably a huge benefit when we were hunter-gathers, but not so much a benefit in modern society. I am really enjoying your videos and learning a lot. Please keep making them!!!!

[@kirstensignar1166]

I totally agree. When people live their entire lives undiagnosed, they adapt and find workarounds in life. That doesn't mean we aren't still working harder than everyone else to achieve a "normal" state of functioning. I know symptoms often show more when people are highly stressed and busy - and if you aren't then the symptoms may get masked; they don't just go away. Also, ADHD can cause people to focus very well on things - the question is whether you're working in your niche area. I quit my jobs in corporate America (IT work) because I struggled so much, then started my own cleaning business where I easily flourish. I didn't know it at the time, but pretty sure it's my ADHD that was keeping me from doing well for so many years before I became an entrepreneur. Nowadays, no one would even suspect I have ADHD (because they don't realize my hyperfocus on it is literally due to that very reason). I thrive a lot more in physical labor jobs.

[@hollybigelow5337]

There is a lot of truth to this, although even in the right profession it doesn’t go away. At my job, I have yet to meet a co-worker who doesn’t have ADHD. We even joke about it sometimes how weird it is to have a company with tens of thousands of employees, and when you meet someone from another department in the elevator you can instantly tell they have ADHD, too. ADHD may manifest differently in adulthood, but it certainly doesn’t go away. But it does make sense to me that neurotypical people may think it has gone away because all the people with ADHD seem to cluster at the same jobs and in the same social circles, so in adulthood it is very rare for a neurotypical person to interact with a person who has ADHD and know it. I had never thought of that before. I said it earlier, but the average age of diagnosis for ADHD is 31, so that alone proves it can’t be a “childhood disease” and that it doesn’t magically disappear in adulthood, but I had not considered the impact of having ADHD people working in the same professions on how neurotypical people might interpret how ADHD impacts adults. Fascinating.

[@amyallen3269]

I'm a speech therapist who works in schools and am an adult with ADHD and only recently medicated. I agree, we are asking kids to sit for ridiculously long periods of time and therefore is drug therapy the real answer? I don't think so. That said, when there is reference to children outgrowing ADHD or the original ADHD is realized to be a comorbid psychiatric condition this is also muddy because as an adult diagnosed as an adult, I definitely acquired anxiety and other psychological challenges due to undiagnosed ADHD. I don't know any pediatrician or psychiatrist who is pushing stimulants now - in addition, there is a nationwide shortage of generic and name brand stimulants due to reasons related to production and also over prescribing. I found this video to be just a little fearmongering but overall, it was informative and touched on some good things that would be excellent topics for deeper dives. In my experience, personally, and in the students I work with, I definitely see the overlap of ADHD and ASD. And that's obviously, a broad stroke. But, especially in the academic setting, I see students who are definitely on the ASD spectrum but only have an ADHD diagnosis which would perhaps make the prescribing of ADHD medication inappropriate.

[@lemonladyYT]

As a late diagnosed adult I disagree that being ASD as well would make ADHD medication inappropriate. Whilst there is an overlap of effects from the two conditions I experience very separate identifiable issues managing to navigate life. If it was only the ASD I believe knowledge and understanding from within is sufficient. In that I could find balance and peace accepting how exhausting masking is when around people and ensuring I have plenty of non-verbal 'me' time in nature. Whilst that is also beneficial for the ADHD, it requires so much more to calm the chaos. My brain doesn't simply desire regular dopamine hits, it absolutely must have them for optimal efficiency. I am interested to know why you feel ADHD medication is inappropriate where ASD is also a factor.

[@jacewidman4807]

tried to learn a bit more about my disorder, zoned out 15 times, didn't hear a word he said

[@snakebite7299]

The one thing that makes sense is the reason on a map that it's so much more on the east coast of the United States is because 80% of the US population lives on the east half of the United State. Just like as the East Coast has around 90% of all railroads which ties to the history of the United States.

[@kirstensignar1166]

What's the TLDR version of this? I thought this was a psychiatric vs neurodevelopmental talk but I haven't heard that part much. I wish learning about ADHD didn't require so much focus lol I keep watching (restarting) this but somehow I'm still not sure what you're saying and I feel I'm not going to get your point unfortunately.

[@robertocfaguiar]

If I could tell you my unique story from childhood to Adulthood ( 50) , that was missdiagnostic for years, ADHD would make so much sense for you, when you confront that with the research. By the way, I am talking about Dr Russel Barkley, the one I am most familiar with, among all other research I have study. Also, stimulants that you said improve attention in not really true ( at least in my and many cases I know). Attention and Hiperactive does not necessarily improve that, but improve the others much important aspects of the disorders listed by Dr Barkley. Also, every one that talk about ADHD not being a genetic disorder ( a brain malfunction) , saying that stimulants are dangerous or does not cures it, is probably not aware of the full spectrum of the disorders and its consequences. English is not my first language and I am not sure how I came out. In no way, I am trying to challenge you, I just detected that you were in a grey area where you thing ADHD is and is not. I really like your videos and you personally as a public health provider. Anyway, look at Dr Barkley and get some real stories. I am not sure you get many of them from people from past generation that was last diagnosed with ADHD. Just as a illustration I did psicoterapy for 20 yeaaar with a very reliable doctor in Brasil that was also a psiquiatrisst. He missed big time my diagnose. I myself was able to discover, using an array of assumptions. Getting all the facts after all , I discovered that red bull and wisk would make me change great for 2 or 3 days. My messy house would get fixed when I took dexmethylphenidate to pass in writing a driving test in Brasil that is very different the one in USA, although I am an engeenier and an MBA from top schools, and learned English to fluent level in six month at 26, after giving up about 10 schools up to the age 18. Imagine, not able to pass a driving test that challenge attention,. Also for 20 year on and of I was medicated with Serotonin medication in low and hight doses. When changed to seretonin and norepinephrine and lamotrigina ,thing would change for better for while. Them the ritalina and later on to Venvance 70 mg with the proper diagnostic from another Doctor and a new life. Sorry is getting to long. The nuances you would find out for sure. Also I was a hight and low achiver for while. That would also would make sense for you.

[@elissan1753]

This was such a great video and topic. I think you've said all the things about ADHD (which probably extend to other conditions as well) that others are afraid to talk about/don't admit may be true. Psychiatry's mission creep into more and more of variations of normal is kind of concerning. Follow-up questions: in which cases do you think ADHD meds are appropriate? Are there diagnoses in the DSM that you think have gone too far into variations of normal?

[@babokas8194]

I agree questions should be asked , in that regard i wonder this: 37y female diagnosed with innatentive type (even went to two dif doctors and made extensive tests) , how can a stimulant be so calming to me ? I have tried to make sense of this but i cannot. I dont get mad at things like i used to, my mood is better and i feel so much calmer ( i even eat and drink at slow pace now ) . I have seen people go nuts and rave and hyper with stimulants but that is just not my experience at all. I used to have a lot of wakenings during the night and even that is so much better. Any reason for this ? Thank you :)

[@vixxystar8695]

Because you have ADHD. It is a real thing. I’m so glad meds are working for you! It can be so hard without them. Best of luck

[@entropy2283]

Its about dosage. A low dose can give alertness and clarity, a high dose will make you stimulated/good to go clubbing. Regardless of diagnosis.

[@thequeenofrap7326]

This is so interesting and TBH as someone who was diagnosed adult adhd my first medication I was prescribed was Adderall which did not help with my attention at all though it did help me with procrastination. I've heard of non stimulants which now taking both Strattera and Tenex and my attention has been improved a lot which I'm so glad. Not going to lie I don't want to take stimulants for the reason for neurotoxicity and the stigma that comes with it.

[@ianmacaig2696]

I think the answer is both. ADHD is real, but it's not necessarily a disorder as it's part of a continuum of normal variation in attention. However, speaking as someone with ADHD who is also autistic... This doesn't make it, in some cases, less damaging to my everyday life. I wasn't diagnosed until early adulthood with either. As a kid, my school was an amazing environment for ADHD and neurodiverse people. I had access to fidgets, in a natural environment, small class sizes with excellent teachers, flexibility in work, and so forth. I didn't really need medication, it wasn't necessarily causing me problems. When I went to college, though... I was falling behind my peers, but the biggest struggle was to structure cooking, cleaning, and generally scheduling my time and managing money. But the thing is, I think the reason this is really a problem is because society is fucking forcing conventional narratives of success on me that require focus, attention, and impulse control out the wazoo. I don't think society fits how our brains really are in any way at all. ADHD may have been a benefit in 'the wild'. But medicine also can cut out organs like kidneys, appendix, tonsils.. we don't get nearly the same amount of physical activity.. our diet is fucked.. we're all drinking coffee to be productive anyways.. living far outside of natural environments. I don't think that ADHD being a naturally occurring phenomenon really needs to come into play for ADHD to still be a problem. As for the medications used, I think stimulants need to take more of a backseat. I'd love more work done to develop other non-stimulants. Things that work 24/7 like atomoxetine and guanfacine. Between possible dangerous effects, desensitization of the dopamine receptors, and tolerance causing dose escalation are all problematic for a disorder prone to forgetting a consistent medication schedule.

[@haleynayer2463]

This is off topic, but have you tried the gene sight testing with your patients or heard of it? What are your opinions on this for helping find the right medication. Do you think gene testing is accurate? My psych said it is a guideline to help choose a new antidepressant since Lexapro seemed to cause too many side effects and loose its effectiveness after a year. Could you possibly make a video on this? Thanks

[@ShrinksInSneakers]

This is a topic I want to cover. The issues with genetic testing is it primarily provides information about the metabolism of medications. This WILL NOT tell you which medication will work for you. I can help identify those that need lower doses because they are slow metabolizers for example where increased risk of side effects can occur. It's not to say these tests are not somewhat helpful in making decisions, I think the big problem is most people assume they tell you which medication will cure their depression, sadly this is not the case.

[@fdddff47]

Is the Hypocampus decrease also present with bupropion or methylphenidate?

[@gerk7238]

I’ve had adhd since I was a kid and just thought I’d outgrow it but it developed into anxiety in my adulthood and my adhd has gotten worse. I have never taken any medication and recently was prescribed buspar to deal with the anxiety foremost. 5 days in my sleep is worse, i feel dizzy after taking jt. I feel very minor improvements, thinking that stopping drinking coffee might help this medication. Do you have any suggestions on if this is the route that’s best and if buspar will eventually help? Thanks!!

[@ShrinksInSneakers]

Check out my video on buspar, I cover this topic in depth. Personally I'm not a big fan of buspar for anxiety, clinically I have not seem much effect. I do like it as a medication to treat sexual side effects of SSRIs or SNRIs. I would also explore cognitive behavioral therapy as an option to treat anxiety. Hope this helps, if you haven't subscribed to the channel please do and spread the word about what we are doing here.

[@kikisrandomdeliveryservice6122]

It's an interesting take and it's mostly valid and I understand the reasonas and all the concerns regarding medication, the only thing I would like to comment or suggest a different point of view is the late diagnosis in adults. You stated that some ppl didn't have An ADHD diagnosis as children which you took as making the diagnosis less valid (if I misunderstood I apologize) but have you considered that there are probably outside reasons why these individuals weren't diagnosed as children? It could range from neglect to not being able to afford an evaluation, cultural background, misdiagnosis etc. While it is True that if you didn't have ADHD as a child you usually can't have it as an adult, a diagnosis isnt the same. As I stated maybe they couldnt get a diagnosis when they were young but were finally as a adult able to get one. So anyway this is the only thing that bothered me about this video,,, cool take tho

[@libotoole8489]

Thanks for this informative video! I always wondered about amphetamines as treatment when it's been demonstrated to cause brain damage. Your explanations are easy to understand and very insightful

[@warnerbasement1628]

As someone diagnosed in my 20's with both ADHD and depression then in my 30's - 40's with treatment resistant major depression and PTSD related to childhood trauma, I guess I would say it would be extremely hard to parse out what is what where one begins and the other ends. Add a terrible mental health family history including my mother who wound up homeless, and lived her entire life with some form of undiagnosed personality disorder, depression, addiction (possibly cocaine) hoarding and animal collecting -- she lived with 30 feral cats at one point -- as well as her cousins both of whom killed themselves (both with addictions one by hanging due to cocaine addiction and the other by intentional heroin overdose) and I'm iust not sure how one would begin to distinguish them? She was verbally, often physically and always psychologically abusive, but she was mostly suffering. My ADHD symptomology is textbook on steroids but how much is depression versus ongoing trauma is so interlinked at this point it seems near impossible to parse out? Mercifully I didn't get the addiction piece. Indeed I'm extremely sensitve to most drugs but most especially psychiatric ones. All SSRI's cause heightened anxiety in me. Wellbutrin and Remeron caused intense disproportionate rage and extreme irritability. Ritalin was OK but I could only take an slower release version otherwise the anxiety was soul crushing. Adderall was nightmarish -- lasted a week. Combining a stimulant and an SSRI's triggered hypomania and a 10 day psych ward stay in 2019 although we now think my elevated blood pressure was contributing much of that. Unlike many people I can absolutely tell when my blood pressure is elevated. I want to crawl out of my own skin. Nefazodone was "okay" but they discontinued that. Effexor was awful and the discontinuation was even worse. Weed? Awful reactions with extreme irritability emerging 48 hours after taking and lasting weeks. Intuniv caused severe irritation and it's still ongoing after a month of discontinuation and only taking it for 3 weeks. That sensistivity to drugs has been a blessing and a curse. At 55 my heart and blood pressure are also huge factors limiting treatment options. At this point its Modafinil for cognitive and Trazodone for sleep. But the former is a sleep killer and the latter only helps get me to sleep it doesn't help with staying asleep. I have a loving wife. I'm in weekly therapy but the convergenge of all these factors and the symptoms of them have left me exhausted and ready to die. I'd check out tomorrow if I didn't think it would hurt the people who love me. So adult ADHD converging with untreated depression and childhood trauma or whatever the hell this is has near destroyed my life. I could be homeless and alone tomorrow. That's just the grim reality of it all. ADHD or similar type of symptomology is a stone cold killer in the US for adults. There is zero compassion and zero understanding. This countrt will chew you up and spit you out with zero care given. I exercise as best I can. I used to ride 200 miles per week and do 10 foot elevation gains but a random assault while biking that caused a traumatic head injury ended that for me. I backpacked 90 miles in a weekend routinely but that's done. I do more reasonable distances now. It doesn't really help the symptoms. Even a 50 mile ride would maybe calm me or help for about 5 hours or so. I do it for overall health not mental health.

[@Ares-vu4kd]

Finally, more people recognizing this. I can't believe it's widely accepted to prescribe children fucking speed for life because they are slightly different from their peers

[@ShrinksInSneakers]

I knew this would be controversial topic and I'm not saying there isn't a place for treatment especially in those children as symptom management as explained in the neurobiology section. I think my main point here is we need to reevaluate and carefully consider the other possibilities of inattention. We also need to consider the risk of long term stimulant use and the risk for substance use disorders. Hope this helps, if you haven't subscribed to the channel

[@TornadeZzz]

Probably this way of being leads to more anxity, sleeping problems (for exemple I can sleep 2 hours a night and wake up, ready to do so many things until I collapse after a few days), depression and burn out (when you spent years and years in working all night long and take no rest, just because it is enthousiastic, or thinking at so many things I want to do) Now, I am exhauted at 37. Never took ADHD medecine (diagnosed a few months ago). How to deal with this ?

[@acinematrail]

Thanks Dr. This was a breath of fresh air.

[@ShrinksInSneakers]

Thanks so much for watching, I appreciate all the love and support

[@TheBoeBoeBa]

I highly aggree adderall is unhealthy and neurotoxic and shouldn’t be used long term daily, I do however think they still should be prescribed but warnings should be given and psychiatrists should warn not to use it daily. Personally adderall addiction heavily worsened my depression and my depression wouldn’t be so bad had I not used it daily for a long time

[@DangerNoodle68]

Adderal works differently for different people. Sorry it made your sistuation a lot worse.

[@Constitutionalapologist]

saving you having to read the question preface, i will simply ask: Have you noticed whether or not suboxone has an affect on ADD in a non medicated person(not taking adderall, etc)? i have a friend that it seems to make his symptoms worse. just curious. While I've got you here, i have another question. off topic... i have noticed some people that suffer a brain injury, after recovery, seem to become more talented in a certain field. for example, math, physics, etc. is there anything to that? or is it just coincidence of the people i have known? :)

[@ricksmith7658]

I like the Jungian approach to the DSM-5-TR. Mental wellness is within a spectrum with extremes and specifiers.

[@ShrinksInSneakers]

I think we have found that most disorders including bipolar and schizophrenia exist on a spectrum with some patients having severe symptoms and others have mild symptoms. This is why we see patients with schizophrenia in some cases who seemingly do worse on medication. Their symptoms are mild and the side effects of medication are worse than symptoms. Hope this helps if you haven't subscribed to the channel please do, and spread the word about what we are doing here

[@honeycovin9665]

You know, I don't prescribe for kids with mild, maybe I should say developing schizophrenia. I try to do ACT with them and teach the family these same skills. Also, I've had some kids whose AH we're actually comforting. And it wasn't like this was an "imaginary friend", or a pretend playmate for this teen. She heard voices, but was not scared by them and they was benign, at least when I saw her. So I did not treat them. Not sure how she is doing now. I've also noticed some cultures are much more "Ok" with AVH than ours.

[@lauraestes9304]

I like your channel...just foumd you. Im a former heroin addict and struggling with all sorts of issues and on suboxone. Weaning off it is really hell....but it destroyed my teeth.

[@TheBoeBoeBa]

The rise in adhd diagnoses not being due to better recognizing adhd today argument also applies to autism diagnoses. It’s just that autism diagnoses doesn’t often lead to “fun” medication being prescribed. But the rise of autism diagnoses is also very suspicious to me and isn’t fully explained away by it being better recognized.

[@eriksaari4430]

is sluggish cognitive tempo realz?

[@joehbu]

I would say adderall helps me due to the sedation that quetiapine gives. I wouldnt be stable or be able to stay on seroquel without a stimulant.

[@itocanas2986]

I believe that it should be on the Spectrum I have ADHD what sucks is medication varieties generics are not the same and achieving therapeutic effects from different brands it's a struggle and it's discrimination just trying to get the medication filled and how controlled it is I feel like after a year of taking medication they shouldn't be that regulated for the patient I should be able to get three months h my supply and not call every month also like the visual aspect when it comes to ADHD is really affected how you perceived details and colors I feel like everything started to 4K HD 60 frames per second when regards to my vision how am I able to analyze and materials

[@naphisa340]

❤❤❤❤❤❤thank you for doing this video!!!!!! Adults in their 30s and 40s keep wanting the diagnosis of adhd due to tik tok and its so false.

[@itocanas2986]

And then having the inability just to be like in the moment present like in time and just quiet mind and being able to just relax and you know not you constantly like bouncing all over the walls thinking from

[@virgomitchell5918]

It's a possibility I have ADHD along with my intellectual disabilities and CP and I have little bit of anxiety sometimes TBH

[@lililiilililililil579]

didnt even need to finish the vid but its time to get off my stimulant meds now lol fuck my psychiatrist thank you for opening my eyes, I also just stopped my antidepressants bc people are talking about how those are a scam and overprescribed. At least now I will be saving hundreds of dollars now from like 3 different meds

[@ourinvisibleenemies7779]

Can I take 120mg of adderall per day?

[@TheCoolOwen]

ADHD meds gave me bad side effects. Took Adderall XR for one year and had high heart rate issues. The only way the medication would work was while intermittent fasting. Also a chore to try and have the script filled every month. Just learned to live with it.

[@ShrinksInSneakers]

And sometimes coping is the best treatment especially when side effects outweighs the benefits

[@joshuafuryon7874]

cherry picked analysis of data , lacks experience, a lot of nuanced data ignored.

[@Dr.BCAnderson]

Wrong. Youre just wrong. He cannot go thru the plethora of evidence that questions ADHD, nor should he is you cannot accept the basic rationale. Moreover, he is not denying its existance. He is questioning its overdiagnosis.

[@joshuafuryon7874]

@@Dr.BCAnderson "He cannot go thru the plethora of evidence that questions ADHD, nor should he" just affirms my statement. further more i didn't state right or wrong. And Yes he should go through the evidence because thats what matters :)

[@joshuafuryon7874]

Furthermore nothing in my statement suggests i cannot accept the rationale or how you are able to read my mind and tell me what im thinking and how im thinking and why its wrong? stay away from courts would be my advise to you sir, have a good life :)

[@fishintheocean-i4g]

you mean like how psychiatrists approach every psychiatric label?

[@nurmihusa7780]

Children treated for ADHD being more likely to develop substance-abuse problems in the adulthood? A very simple explanation for that would be if as a child do you noticed that taking a pill made your life better - when you become an adult you may be more apt to think taking a different substance might also make your life better.

[@honeycovin9665]

Actually, research shows that children treated for their ADHD are far LESS likely to use substances when they get older than their untreated peers.

[@pearlandamy1]

ADHD in Israel is 25% +

[@rickcinway2312]

Once my ADHD son turns 18 and he doesn’t smarten up then he is more than welcome to join the homeless/street community. I am so tired of having to treat him special like his dietary preferences.

[@Nmethyltransferase]

This is a Scientology channel now.

[@ShrinksInSneakers]

It's more of a mystical science channel now, but all fun aside these ideas about adult ADHD while not the traditional thing you will hear from most psychiatrists it has been researched by highly regarding academics in the field like nassir ghaemi. It's an interesting idea figured thats why people like the channel