Is ADHD Treatment Effective? | Counseling vs. Psychiatry
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- เผยแพร่เมื่อ 1 มิ.ย. 2024
- This video answers the questions: Is ADHD untreatable? Is there an ADHD epidemic? Is ADHD a real disorder? What works better to treat ADHD: counseling or medication? Attention deficit hyperactivity disorder (ADHD) is a controversial mental disorder listed in the Diagnostic and Statistical Manual. The recent surge in the number of people diagnosed, the increased use of medication designed to treat ADHD, and the overlap that ADHD has with normal childhood behavior has made this disorder a source of debate.
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Conway, F. (2012). Psychodynamic psychotherapy of ADHD: A review of the literature. Psychotherapy, 49(3), 404-417.
Pozzi-Monzo, M. (2012). Ritalin for Whom? Revisited: Further Thinking on ADHD. Journal of Child Psychotherapy, 38(1), 49-60.
Wadsworth, J. S., & Harper, D. C. (2007). Adults with Attention-Deficit/ Hyperactivity Disorder: Assessment and Treatment Strategies. Journal of Counseling & Development, 85(1), 101-109.
Castells, X. (2018). Amphetamines for attention deficit hyperactivity disorder (ADHD) in adults. Cochrane Database of Systematic Reviews, (8)
Hart, K. C., Ros, R., Gonzalez, V., & Graziano, P. A. (2018). Parent Perceptions of Medication Treatment for Preschool Children with ADHD. Child Psychiatry & Human Development, 49(1), 155-162.
US poison control centers receive 29 calls per day about children exposed to ADHD medications. (2018). Science Teacher, 85(5), 18-19.
Lange, H., Buse, J., Bender, S., Siegert, J., Knopf, H., & Roessner, V. (2016). Accident proneness in children and adolescents affected by ADHD and the impact of medication. Journal of Attention Disorders, 20(6), 501-509.
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Speaking from personal experience, medication saved my life. I could only learn skills to handle ADHD and depression with medication and psychotherapy. Is it magical? Am I neat and tidy? No. It takes hard work. However, I am a better clinician, artist, and working on my Ph.D. Without meds and treatment, I would not be able to do these things. Without failure at trying on my own, I would not be able to do these things. Much like weight loss, the key is maintaining lifestyle changes.
I kept not going on medication thinking I could handle my ADD alone (dumb, I know), but the correct medication was/is a lifesaver. I just have to take drug holidays to avoid the issues I have with tolerance.
Very True!!! :-)
Wendy Mcreynollds thx thats inspiring going trough testing for add adhd. To see if i have itz
@@BarkersBits which meds would that be?
John Daker everyone is different, so what works for me wont be a good fit for another.
I didn't get diagnosed with ADHD until my mid-20s. I had always just barely scraped by in school, and I was seriously struggling in college. Honestly, just knowing about the diagnoses (I got diagnosed with autism alongside the ADHD) and being able to recontextualize my struggles with that information changed my life. I've been able to do my own research and figure out what works best for me personally.
I didnt get diagnosed until 30. I've realized I learn faster than anyone I know, and I think that is why I didnt struggle in school(all the way through college) even though I couldn't study. After hitting 30 and realizing I had radically changed career paths 8 times in 12 years I started looking for an answer. Just being aware that I am impulsive has helped me seek guidance when I want to make a big decision. Knowing I have motivation issues has helped me plan ahead when I feel motivated and stick to my schedule when I dont. Knowing I have attention issues when I'm not stimulated helps me recognize when I am drifting and gives me an explanation to give to people when I ask them to repeat themselves because I wasnt paying attention. Medication helps when I get it right, but just knowing how my brain works makes a huge difference.
It's was difficult to be diagnosed as a girl. I wasn't diagnosed until adulthood. Thank you for your vid
I was misdiagnosed with adhd by several psychiatrists and a neuropsychologist (along with ocd and a plethora of other diagnoses, it turns out I am on the autism spectrum) , I was precribed adderall at 16(along with Xanax for recurrent panic attacks) and i developed a crippling addiction to prescription amphetamines. I can’t even begin to articulate the pain that it caused me. It’s a subject of great contention for me, I know these medications can really help people however I do think that they are way over prescribed. I know my personal anecdote doesn’t necessarily prove that it’s over treated, however the consequences of someone being misdiagnosed and prescribed a stimulant are so detrimental.
I'm sorry this happened to you. I was put on Fentanyl patches for Ehlers Danlos syndrome pain, then got addicted. I got off it by myself, not fun but nice to have my brain (mostly) back!
This has been an issue for me as a teacher. So many children are incorrectly diagnosed ADHD, when they are on the spectrum. It’s become pretty obvious to me, although there are co-morbidities at times.
Jackie Barker yes! it often flys under the radar with females on the spectrum because of how they present the symptoms differently and mask them a bit more than males. I can understand how an autistic person ‘stimming’ , having poor concentration and memory retention and hyperfixating on certain things can be misinterpreted for adhd symptoms. Its frustrating because for people who have autism , a proper diagnosis is so crucial.
o o females are also under diagnosed with ADHD as well.
o o it is, then the children and parents become extremely frustrated because the meds are ineffective, so they keep trying different cocktails for the incorrect diagnosis.
I’m one of the ones whose birthday is before the school year so I was younger than everyone else. However, the teachers thought it was the opposite of what you said, a maturity problem so I repeated a grade. That made me upset and didn’t solve the problem. Now at 37 I’ve been diagnosed with ADHD. So it was the opposite problem for me. They thought it was a maturity issue when ADHD was missed.
Medication was a gamechanger. My coping strategies would all of a sudden stick, my mind was quieter, I could listen without interrupting, I could finish a sequence of 3!! tasks without fumbling around for a postit I should be having laying around to remind me what to do if I remembered to write it down. I would not switch between 3 tasks and run around like crazy because I can't collect my thoughts. I even had a supervisor who didn't know I had ADHD (while I was on meds) tell me "You're so organized and know your patients to a T, I feel like I can go home now!" That made me so happy. Medication was truly magical to me.
I was diagnosed with ADHD, as an adult. My psychiatrist after doing a case study with a lot if his collogues in the room( with my permission) they all agreed that I had one of the worst cases they had ever seen. My Dr. put me on a stimulant( cylert). What a disaster! I was cleaningvmy kitchen table ( which was clean) at least 5 times over and over again. I stopped taking the cylert, after a few weeks, and shook for a month. I lived on Benadryl. I wil never take anything again. I have learned to live with it. I'm a retired Nurse, and was very successful and loved Nursing. I also had 6 children( I lost 3 of my children, when they were young adults. Too painful to discuss. Anyway, that's my experience with ADHD and stimulants. Thank you, Dr. Grande, for all your most helpful videos. Please keep them coming.
My adhd is definitely not as bad on my meds, but I still have some symptoms even while medicated, just not as severe.
Where did you find adhd meds in Russia?
@Ben Grimm my neurologist said adhd its not a real diagnosis. + ritalin, for example, is banned bc of side effects. Idk what other meds are used to treat it. (I asked the question bc the profile picture said his russian))
@@kxenia7852 I don't live in Russia. I'm a Russian-American.
@Ben Grimm A blanket diagnosis of schizophrenia? Strange, I've never been diagnosed with that. At worst I had a doctor some years back who diagnosed me with a "psychotic disorder", but then my current doctor figured out it was actually bipolar.
@@kxenia7852 I'm really sorry your neurologist isn't taking it seriously. It very much is a real diagnosis.
Doctor Grande thank you for your very interesting an informative video. I've had ADHD all my life but it was not diagnosed until I was about 35 years old. I suffered as child.... got left back in kindergarten and was continually late to class being distracted by anything interesting like men working on the telephone lines or you name it. One day my father was driving home from work for lunch and he saw me on my way to school. He asked me what I was doing and I told him "I'm walking to school Dad". I was also very sickly with asthma and all kinds of allergies . One day a child punched me in the chest and I had an asthma attack and collapsed gasping for breath on a street corner that was also a bus stop. When the bus came, 30 people on the bus were staring at me when they could have been looking at anyting else or just talking to each other... but they were all staring at me. I that moment I felt like I was different and maybe not even a real person. I was 7 years old then. I felt left out and I thought even if I'm not a real person, people are very interesting and I decided to study them before I ever heard of psychology (1956). In Grammar School I couldn't seem to learn to spell and spent everyday after class writing the words that I could not spell 25 times each(it did not help). Simple math was a real challenge. In 4th grade I remember being drawn to looking out the windows to see the trees, squirrels and the birds. They put me in a slow class in Junior High School. Reading was so difficult. My eyes would follow the lines on the pages butt I would not know what I had read and constantly had to go back to the spot that I remembered reading. I graduated in the bottom 10% of my high school class. When I got to college I failed miserably. They wanted me to read 10 or 20 pages of this and make a make a report or type a paper and that was just an impossibility for my undeveloped skills. I struggled with crappy jobs but I was always fascinated with how things worked and mechanically inclined although slow with any project that I was working on. I wound up going to a two-year course for an associates degree in automobile mechanics. During that time I was diagnosed with anxiety disorder. I was prescribed Valium for one month and it really helped. I very sparingly stretched it out for 3 months. I had a 96 average and graduated first in my class. I got certified in 4 areas. However, when I got a job I was too slow. The manager was kind and told me that he would have to fire me or lay me off because time is money and if he hired another person who could work twice as fast as I did, the dealership would make twice as much money with someone else. He kindly laid me off so I could collect unemployment. During that time I taught myself how to free hand pinstripe cars. I got good at it and got peice work at a BMW dealership in Virginia Beach. The success and happiness of doing something that I was good at and loved was wonderful. The dealership had problems because of the economy at that time and I wasn't making enough money to pay my bills. So I thought that I should go to a place like Florida where I can work outside all year round and where a lot of people with money retired and probably luxury cars would be abundant and I could make a fortune. I wound up getting work at the biggest BMW dealer in the United States (South Motors in Perrine Florida). Meanwhile, Hurricane Andrew was a direct hit where I lived and I lost everything. Depression set in and I wound up going to the University of Miami for Psychological Services. They tested me for 3 days and told me that I had and IQ of 136 and was in the upper 98% tile. They also told me that I had ADHD and recommended medication. The medication made all the difference in the world to me. I became infinitely more aware. To describe the difference it was as if I was in a dark room not able to see anyting and then someone turn the lights on and all of a sudden all these things became apparent even obvious to me. I was much better able to socialize and my attention to detail skyrocketed. Now, I go to the best psychiatrist in the world ( I love him dearly) who used to teach ADHD at the University of Pennsylvania. I've been seeing him for about 25 years. I get medication for ADHD and anxiety. Now , I'm 71 years old and I am also prescribed testosterone gel which has also made a big Improvement. He has also prescribed medical grade fish oil that has kept my arteries clean of cholesterol and probably has had a positive effect in my brain as well as the rest of my body. But I digress,
What is important to say is that medication for ADHD ( dexedrine or adderal) have literally probably saved my life and I am very grateful and appreciative. If I had been diagnosed and treated as a child I probably would have done much better in school, in work, been financially more successful and got married and raised a family. Still I can't complain. My life was filled with all kinds of amazing experiences. Now I live in a senior building and I'm happy and healthy. I eat well and have no addictions to cigarettes, alcohol or junk food. I haven't had candy, cake or ice cream for about 3 years. I also went from being very introverted and sickly as a child to being quite extroverted and well-liked in my community. The only thing missing in my life is a woman, a companion to share this beautiful experience of life with as it continues to unfold before me !!♡!! I'm working on that now and I'm sure I'll be successful.
I hope that my story has helped someone, especially those afraid ADHD medications are dangerous and something to avoid at all cost. During the first 30 years of my life I experienced a lot of frustration and depression. I thought of suicide too often and I'm lucky to be here now. As one additional footnote, I was prescribed an antidepressant for years( which they usually expect you to be depressed and need if you have ADHD) but that didn't do anything for me. Testosteron gel has improve depression and anxiety. Along that regard I didn't know what I was missing.
Thanks for listening.
I work as a SEN remedial teacher in the Netherlands on a primary school with children who have learning disabilities like dyslexia. Often it's going along with ADHD.
ADHD itself I see can be indeed comorbid with other problems like Autism spectrum disorders. Good diagnosis are essential important. My personal experiences are that indeed often medications can give a good improvement in the short run.
I'm glad you gave in this video a good overview, based on researches, about this topic. I will definitely share this video with my colleagues, our school psychologist and psychiatrist.
Thanks Dr. Grande for this helpful overview about ADHD. It's very much appreciated 👍
In my state Schools can diagnose ADHD (even if the child doesn't have ADHD) as a way to get resources for an IEP.
What is a primary school? My son was diagnosed as being on the autism spectrum, and ADD. When I told a counselor that I didn’t want him on medication her words to me were, “ Well if you can handle him then fine.” ?? And he was only about 6 years old at the time. What a bad thing to suggest a orient medicate heir child in order to “ handle” them and I know lots of parents n doctors medications in the best interest of the child, however I have seen both clinician s, who prescribe meds, and parents who give meds to their children simply because it makes their life easier.
@@rightnow5839 A primary or elementary school is for children from about six to twelve years old, in wich they receive primary or elementary education.
@Okay. Neither is ADHD: autism and ADHD are both down as developmental conditions in the ICD.
Thank you for putting out this video Dr. Grande! Like many of your videos, this evokes a strong reaction. I was misdiagnosed with ADHD as a child (with no other disorders diagnosed). I didn't pay attention in school because what they were teaching served no purpose to me and made no sense. For example, when I was in 3rd or 4th grade they were still teaching phonics, and my reading level was at least at high school. Phonics served no purpose to me! In a class of 30, nobody took the time to figure out what was going on. I was treated as I was a "bad" kid. Always punished, and told I was stupid. It was quite the contrary, but it took my parents and educators years to figure it out. I spent several years totally overmedicated and felt like a zombie. Fortunately, my parents put me in another school that was more challenging, with smaller class size, and low and behold, no ADHD! It kills me to think what would have happened if I stayed in the same school on meds... And how many other children are misdiagnosed and put at a huge disadvantage just because they may not be learning in the same way or at the same pace.
I’m glad you were able to get out of that horrendous situation!
@@BarkersBits me too! Life has been tough enough for me, but I can't imagine how much worse it would be had I continued to remain in that environment and bought into the misdiagnosis and medication I was prescribed, because I felt that it really altered who I was.
It's a murky account. Smaller class sizes are good for any learner, especially kids with adhd. Any teacher who calls you stupid is not on top of their game and I wouldn't expect them to teach anyone effectively, especially kids with adhd. Also, if you were on adhd meds and didn't have adhd I would have thought the effects would be over stimulation (not the suppresive effect I take 'zombie' to mean). I don't know, just saying.
Kinda the same thing happened to me. I had to sit in the back of the class room facing the back wall. The teacher told the class i was invisble, then i was put in special ed classes. Turns out I was add but just not challenged. I didnt know i was intelligent till i joined the military. My first classes consisted of calculus and trig, I did very well. I couldnt even pass basic math 3 in high school.
I'm being treated for ADHD (combination of inattentive and hyperactive) with Wellbutrin and Adderall and there is a 360 degree difference in how I'm able to focus, think, interact and manage relationships.
It's literally night and day for me.
stephencarlsbad wow that’s amazing! Are you also getting counseling or have you gotten it in the past? Or is it just the medication that’s doing it? That’s interesting
You mean 180°. 360° means you would be going full circle.
Well, his last line clarified he meant 180 and not 360. But thanks for sharing stephen.
@@teresahowick5197 Actually I had to stop taking Wellbutrin because of some serious neurological side effects.
But I do take buspar And its the buspar combined with 1.5mg of Adderall that really gets me to focus, improves motivation, relieves brain fog, perfects emotional regulation and makes me level-headed.
I also take 1g to 2g of L-tyrosine in the morning, and it converts into dopamine in the gut by gut microbes and this added dopamine relieves the jitters when the adderall starts to wear off while providing a nice mellow, pleasant mental mood for the rest of the day.
@@tiffany7985 Actually it's 360 degrees spiraling up and leveling up!🤣
Another great video Dr Grande! I was very surprised to find my ADHD medication (methylphenidate) helps with my anxiety and depression. It decreases racing thoughts (rumination) and makes me feel very calm. Otherwise I tend to be a little edgy. It has given me an overall better outlook on life and better sense of well-being. I’m not saying it’s sunshine in a bottle. But it has helped. It makes me wonder if ADHD was causing me to be anxious and depressed? I only had minor side effects the first week. I wonder if any of your other viewers have had a similar experience?
I wasn’t diagnosed until I was in my mid 30s. I always thought ADHD was a myth created to medicate obnoxious children until I saw my son do terribly in school. I could tolerate his hyperactivity and inattentiveness (kids will be kids). But his performance in school was a HUGE concern. This could impact him for the rest of his life. I gave it time (a few years) to correct itself hoping he would grow out of it. But it just got worse each year. It was like watching a train leave him behind. I took him to a doctor that specializes in children with learning disabilities and he was diagnosed with ADHD. Oddly enough I was diagnosed at the same time lol. Who knew? Looking back on life, it made total sense.
My son went from functioning 2 grade levels below to making honor roll. It was a night and day difference.
To wrap it up.. Treating ADHD (dopamine deficiency) with counseling alone makes as much sense as treating diabetes with just counseling. I think the right medication combined with counseling will have the best results (IMO).
Yo your audio setup has improved a LOT over the last year!
I really like how there is a clear thought for ADHD people in this video, clearly aware people with this problem will be watching and he's maintained an engaging voice, dark colours with little distraction and most of all a short video in comparison to the subject matter. This is why I have been subscribed for so long and will stay subscribed. You're a true gentleman and I salute you for all the awesome videos which have helped me and countless others I'm sure!
Much love from Scotland
I've read a couple of Russell Barkley's books, and am a little confused about the (perceived) hypercriticality towards medication. There's evidence that medication started early will normalize brain structure when the child grows up. The medications are generally well tolerated and the medications, while misdiagnoses are unfortunate, don't hurt people taking then for without a valid diagnosis. Also the extreme fatigue associated with many ADHD patients is vastly and permanently often improved by stimulant medication.
Anyways thanks for sharing this, your uploads are much anticipated.
What codswallop.
Medication started early has huge advantages for affected children - they don't fall behind as badly in school, the school is aware and can be more tolerant of any impulsive behaviour, people understand they cannot help their behaviour and that they are really trying at school, not just lazy or disinterested. You are right about evidence re early treatment normalising the brain, but I am not sure it is that simple. For my two seriously affected children that didn't happen, despite one commencing treatment at 7 and the other at 13. The biggest problem with medication is the potential for weight loss, nutrition needs to be carefully managed. I happen to practice psychiatry and have a special interest in paediatrics.
What a load of bullshit. Have you heard of what happened to Richard Fee when he was misdiagnosed with ADHD and became an Adderall addict? Barkley says once you are diagnosed there is no reason why you should not be medicated. I can think of six alone. Remember Barkley takes six figure fees every year from big pharma to exaggerate the benefits of their drugs. He is nothing but a sales rep for pharma.
@@alanberkeley7282 in cases where a person truly has ADHD (which there are millions) medication can work wonders and make it so they can function normally instead of procrastinating, daydreaming, forgetting things in the middle of a conversation/sentence. I don’t think it’s fair to assert that all medication is bad because someone was able to fool their doctor or was predisposed to having an addictive personality which can be treated separately as well. There are currently several non stimulant ADHD medications but the stimulant based medication is shown to have the most positive outcomes for patients
ALso loved the part about counselors should reassess periodically to make sure things are on track. Seems so key. Yet I have myself have had the same diagnosis for 20 years no matter what I say! So..I liked this! Thanks!
I’m a mental health therapist and I appreciate your well thought out videos!
And sure, overdiagnosis could be a thing. But remember that it wasn't some trendy DSM shopping that got me to get a diagnosis. It was 22 years of harsh, brutal criticism on my so called "lazyness, carelessness, indifference, and unproffesional attitude." Oh and my favorite "you act like you're dumb, I know you're smart so stop doing x,y,z."
I've got ADHD and without my meds I would NOT be able to sit and listen to your videos.
Too fast too write a comment - yes, I've got problem regulating my impulses :D - I just want to comment on meds and therapy. Meds + education + therapy has been a lifesaver for me.
For 25 years I was treated for sever depression. I found a new Dr who changed my world. He’s a psychiatrist who has therapist who work with him. I went into therapy I was diagnosed with ADD and I haven’t had a depressive episode in 12 years. He’s wonderful. I was 45 when diagnosed with ADD and 20 years misdiagnosed.
Thank you for your honest analysis of the issue of ADHD and how to treat it. I know personally people whose lives are negatively affected by ADHD, or more importantly the hostility directed at affected people by others.
this is a massive problem, you are quite right.
I’ve had adhd since I was a child and it only got worse as time went on. These days it rages like a wildfire, and making matters worse I have treatment-resistant depression (agitated depression I believe...I’ve been diagnosed w bipolar over the years by some psychiatrists, while others disagree), severe anxiety & pure ocd, and a high level of agitation at almost all times. I am agitated and distracted even alone in my apartment - I cannot relax, ever. It’s a sustained hell. Nothing has helped the adhd, not talk therapy/cbt, and not meds - I’ve tried them all and either had bad side effects (such as chest pain on Vyvanse) or experienced elevated anxiety. I currently take Strattera, but it does nothing. I have never been able to read an entire book as an adult, I just can’t focus - I love film but half of the time I find myself staring at the whole screen, along w the wall behind it - along w the anxiety and severe agitation I have little hope I’ll ever find relief 😞 I’ve just started going to a dbt group but not expecting much. Thank you so much for your superb channel.
How are you doing now? Look into CBD oil. I see a lot of anecdotal evidence around and some of it is very positive. All the best to you.
@First Name and Last Name Hi there, it was very kind of you to ask - TH-cam is glitchy I never received notification that you replied :/ Well, it probably won’t come as a surprise (considering how much the world’s changed over the last 10 months) that I have been having a much harder time - the pandemic has made me spiral downwards - I don’t even have words for how crushing it’s been. -Thanks again, I’m not sure if you will see this so I don’t want to write too much. -Hoping you are healthy & safe..
@Dinosaur Dave Hi, thank you for asking I really appreciate it. Thinks have been much worse due to the pandemic - it really has left me feeling very unstable & everything I described above is 10 times worse :( I haven’t tried cbd oil, but I have tried medical marijuana (in the form of tablets, also as mint “edibles”) and while it helped w anxiety, ultimately I felt more depressed afterwards. Weed was great when I was a teen....wish it was therapeutic now! I’ll look into the oil thanks. -Hope you’re safe/healthy
@@TzadikTheManic hey mate. I am currently a little over three weeks into CBD oil and I've never felt more stable. It is early days and I do cycle in intenisty re racing thoughts and depressive/anxious cycles so "a cycle" mat be coming but I'm feeling very hopeful that the improvements will continue. Only time will tell. It is nothing like smoking or eating marijuana. There is no THC in it which is the pyscho active part of marijuana. I have smoked weed on and off for many years. Parts of it I love and parts aren't good for me. Heightened anxiety etc. I havent had any since cbd. Haven't wanted to. Not saying I won't smoke again(I love listening too and playing music after a little smoke) but I'm not self medicating with it like I do when I feel low and everything seems uninteresting. Have a look into it. It may very well help you. All the best.
@Dinosaur Dave I have had the same experience w smoking weed, when I was young & also as I got older; I enjoyed certain elements of the high (agree about music 100%!!) but unfortunately it almost always came w a price - heightened anxiety & even palpitations, which is more than enough to make one only feel more anxious/paranoid after a smoke. I haven’t smoked any in years. -What I have done that has been helpful (for me, almost miraculous) is Ketamine infusions - it’s the only thing that has *temporarily* relieved some of the otherwise nonstop depression. It’s also fascinating as it (the infusion) creates a high level of dissociation & it’s an hour of psychedelic experiences. It can be unsettling but more often it’s very pleasant, and weird. Problem is, insurance doesn’t cover it & its VERY expensive. Thus, I can’t do it often enough to sustain efficacy, my family has helped me pay for most of it & I feel too guilty to continue. Plus as I mentioned it doesn’t last terribly long (sometimes a week, or a month if I’m lucky). So yes I look forward to trying CBD, it must be affordable compared to the “K” infusions. -With the CBD do you personally not need to take any meds for anxiety? I’ve been stuck on klonopin for over 20 years - I hate it, but cannot sleep without it. Cheers fam
Counseling seemed to help parents with their ADHD children. Diagnosing Adult women with ADD proved fairly straight forward. Stimulants clearly improved their lives-mindful of undiagnosed bipolar and inducing mania, one of the safest and most efficacious use of meds in my practice, followed many over the course of decades. An uninformed medical community was an ongoing problem.
R. Chris, M.D. your last sentence. Exactly! I mean everything you said but especially the last sentence. They were uninformed and rather than admit that they prescribed meds too freely imho.
Of course there are cases where it’s needed. As an educator I’ve seen it. But no way as easily as before. There are so many great doctors but there are too many that refuse to admit when they’re wrong or don’t know something and need more research. Happens in every profession. Mine too. Nobody is perfect. My favourite doctor is one who admits when he doesn’t know and will get back to me after he does more research. We’re all human.
It is not Psychiatry vs. Counseling for ADHD. It's Psychiatry, Counseling, and Coaching, with Psychiatry as the constant, if medications are beneficial. (ADHD medication prescribing is a field of its own, but few doctors specialize in it, and the ones who do rarely take insurance. ☹️) Coaching is very helpful for developing strategies for specific executive function issues. Counseling can be helpful for addressing the emotional aspects of ADHD (managing emotional intensity, etc.) if the counselor understands ADHD. The latest questions haunting me on this topic are (1) whether narcissists prey on empathic people with ADHD more than on empathic neurotypicals, and (2) how easy is it to mistake CPTSD for ADHD?
Here’s a great article www.nctsn.org/sites/default/files/resources/is_it_adhd_or_child_traumatic_stress.pdf
I was diagnosed in adulthood. I was in my last year of nursingschool. Not a tad behind, but I was struggling immensely. My thoughts would jump around all day, unable to finish a task without jumping to the next task. I would have a 32 hour a week internship at a hospital and school once a week only sleeping 1.5 hours a night because I couldn't quiet my mind at night either. When I came home, exhausted from running around at the craziest busy surgical ward with unsave nurse patient ratios ever, I would have to relive the entire day on a feedbackform I'd have to turn in for every shift. I've always been smart, so I came up with amazing coping strategies, but low and behold I would be unable to act on them because I'd forget/get distracted etc. And everyone around me kept critizing me for being "rude" when they would hear me finish my patients sentence because I had remembered 10 other tasks I begun but didn't finish, and that 85 year old woman talks slowly because of that CVA she had in 1990 and a second feels like 10 years when you force your limited short term memory to remember it this time around. I would be judged harshly by supervisors, because I was clearly smart but I should really plan better and be more organized. I was so frustrated. Everything that seemed so easy to others would seem impossible to me, and at the same time I would figure out a patients diagnosis before the doctors could anytime by the sublest of clues. This combination of being smart and sucking at pretty much all my executive functions got people to believe I was exaggerating and I should just try harder. When I mustered up the courage to tell one of my colleagues about my diagnosis she laughed and later seriously said "You don't have ADHD, you just need to stop running around back and forth all the time." I realised the whole aversion thing to labels was basically a way of leaving a problem unacknowledged, so it's easier to blame someone for it. Not diagnosing a problem is not the solution. Physically speaking, if we wouldn't diagnose someone with heartdisease we would fail that patient time and again. Tell them to compensate more, stop being so out of breath? If we didn't have a "label" would they ever get treated right? Well guess what. The brain is an organ too.
I so relate to this. People minimise my very real, massive personal problems because I’m smart and intuitive.
I have ADD, Autism, Bipolar, Epelepsy, Anxity- and depression. I manage well on my medication, but yes the side effects are not nice.. But without the medications I would'nt be alive so I am happy with what I get from them :-)
❤
with the epilepsy in there it sounds like actually you have a brain injury. the things you describe...well their symptoms are symptoms of brain injury. what do you know about your birth, or have your suffered a traumatic brain injury at some time in life?
@@HumanimalChannel
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@@HumanimalChannel ..
@@JamesSmith-st1rn yeah, James?
Us ADHD sufferers be like: Ooh this video is going to be good! 1 minute in and we're browsing Reddit.
JK! Another awesome video Dr. Todd, thanks! Would love to see a few more videos about OCD and some of the treat methods.
I’m browsing the comments and stumbled upon yours :) hi Cameron!
😂 true
Absolutely hahahah😂😂😂😂
Please continue to discuss this topic!! Is ADHD genetic? I know I have cousins that have it and myself and my daughter are both on medication for it. Just curious if it comes from a certain place in the family tree.
Also - I'd suggest art therapy in addition to CBT. My daughter and I see the same psychiatrist, and he does art therapy too. It's awesome🎨
Yes, it’s genetic.
I believe that it is almost certainly genetic. My biological father, who I didn't meet until adulthood has very obvious (if untreated) ADHD of the primarily hyperactive kind. It's unheard of in my mother's side of the family. Obviously, my anecdote is not conclusive, but I've observed that it tends to "run in families" myself. Actually - this is a side-note so I apologize if it doesn't interest you at all, I have belatedly discovered that a great many of my personality traits and characteristics, including the tendency to "talk with my hands" & hobbies are shared with my biological father and not the relatives with whom I was raised! That surprised me when I first realized it, as I'd been raised with the notion that nurture virtually trumps nature as far as behaviour and habits go.
EMS 76 I, for one, am aware of the distinction. You are spot on, though. I could hear Dr Grande saying that in my head.
Having a genetic component does not discount environmental components. A person may have a genetic predisposition for something, but environmental factors determine whether (or how severely) the genetics are expressed. E.g., someone might have a genetic propensity for joint pain, but a lifetime of high-impact labor/exercise will exacerbate that pain. See also: pandas not breeding in captivity.
Yep!
I have ADHD - Combined Subtype and I've been on medication for almost two years. The stimulants will lose effectiveness as you build tolerance. However I only take my meds when I need to (work days/study days/etc). This has allowed me to stay at the same dose since I started treatment. If you have trouble with tolerance try talking to your psych about taking time off your meds!
I agree, I think medication should only be used when needed. The usual advice is to use it like hrt, all the time, but I disagree.
idk why your opinion stresses me out so much. For starters, max dose after 2 years might mean it’s the wrong med. I hope you have tried some others and know this is the only option for you, or you have sense gotten a new doctor.
I am seeing this as misinformation. It’s really important to use these as prescribed. For a lot of us, we need these daily for our emotional regulation and ADLs. My executive dysfunction will literally not let me remember that I changed my schedule and I have to work. And I will cry because a callers wasn’t nice to me. I am a crisis counselor. No one is nice to me. I have to have those meds daily. Like everything with adhd not all of us have the same needs.
A lot of people who are on the fence or scared of addiction can read these comments and take them as truth or facts. Basically I’m just talking to anyone who read this comment and wants to see if this is true or not. It may be true for this commenter. But it’s not true for me. So you have to decide with your doctor what’s best for you!
@@samdp42 I understood this is the common way of prescribing ADHD meds where I am from - only taking it on days or periods when it is needed. Of course this would be highly individual and depends on the extent the symptoms are affecting one's life.
Why do you only take it when it's absolutely necessary? Does the medication not vastly improve your quality of life? I feel borderline depressed on days that I dont take my extended release methylphenidate. Not being in control of my own mind, and feeling like I'm on autopilot is extremely uncomfortable, not to mention I legit just waste days lacking interest in anything and being "bored" all day long even though I have plenty to do, both fun and responsibilities.
Lol adhd is not prescribed on sos basis.
Take it as long as possible.
Trust your doctorm
I have ADD and I am 71yrs old and I believe I have developed a DPD and according to my actions these two types are very similar to me , but I believe that the ADD was first and the DPD followed ,I was diagnosed with ADHD in my 50s but have not been officially diagnosed with DPD, but I do see similarities in my behavior symptoms (DSM5) :I’ve had a hard time with Cluster Bs.over the years.
Same, 55 and 5 years into the diagnosis. Depression/anxiety are constant background soundtrack, but meds for ADD and depression + counseling has greatly improved things. It's sti a struggle and I suffer from hostile responses from coworkers.
Thank you again for a very informative talk. I like the fact that you provided information that can be used to prevent misdiagnosis. Thank you for all the great work you do to help people.
I have mild ADD, which is a related disorder and is treated very similarly, and I’m glad that I didn’t get meds. I turned out fine without them, and addiction is a thing.
I might have not always been the most ideal student, drawing in class because it helps me concentrate on the lesson and stuff like that, but the reasons why those lead to lower grades are mostly the teachers assumptions from how I looked in class, not my success at learning. I now have finished school successfully and will soon start studying computer science.
People have a tendency to dislike those that stand out, and teachers are just as human as anyone else. Me not fitting into society that much doesn’t mean that something is wrong with me, it means that something is wrong with society. Me being an introvert prone to daydreaming who has trouble concentrating in an environment so mentally exhausting as the loudness and chaos and sea of people that is school is no reason to medicate me, just like my varying degree of femininity that makes me feel like a genderless potato sometimes or lack of sexual or romantic attraction is not a problem with my hormones, it’s called being a girlflux aromantic asexual. I am who I am, and if society has a problem with that, that doesn’t mean I should get medication.
If you have a disorder in a sense that it’s actually crippling you, and you need medication because of that, go for it if it helps, but if you are just slightly different than everyone else and someone tries to pathologize that, that’s just called being human. Being unique. Not being a streamlined doll, building a fake facade to fulfill societies narrow-minded expectations.
Sorry for this way too long comment, I dunno how that got out of hand so quickly.
You are gifted as counselor, finest linguist appropriate aimed use of the single word , your work is extremely valuable on you tube we all learn so much from you Sir , grateful you share your knowledge with all of us 🎩💐
Another great informative video. I’m a case manager and I work with vulnerable families and see these mental health diagnoses frequently
I went through 10 years of on-and-off psychiatry, cognitive behavioral therapy and counseling, institutionalized a handful of times. Was always treated for major depressive and general anxiety - which were comorbids for sure, but it was near impossible to get beyond it even with CBT and the best SNRIs and meds. After a decade of unstable mental health there were TWO final pieces that I needed. Firstly I was put on methylphenidate. Second, I practice MINDFULNESS consciously when I can. CBT was like doing the theory, where mindfulness meditation is doing the practical prep work. The combination of being on ritalin and awareness of my challenge lead to me functioning more in line with my peers, being able to hold a job and be respected and feel accomplished myself. It’s amazing. I wish I had know when I was a kid.
I’m pretty sure I have it; I need to get an official diagnosis and treatment though. I’ve been able to mange the symptoms with diet and exercise, but that has become less effective over the years. Appreciate the video as always, and the info will be valuable when I’m setting up my appoints.
Absolutely brilliant. Thankyou, Dr. Grande. S. x
I'm personally really glad my parents didn't allow me to have medication as a child for my ADD... I learned lots of skills to deal (like lists and songs I made up lol) and when I added medication as an adult I found it very useful... So I almost function normally 😂 but it's addictive in the way I can't function as well without it now as I did before... Like I lost ground on dealing with it without meds...in CBT I learned to make songs example- my leave home song is 🎶 keys, phone, wallet... Shower song is shampoo, conditioner, body wash, facial Wash, razor 🎶... So that helps me day to day... But If I want to be successful and organized I need meds 😟
This is perhaps one of the most important videos you have uploaded.
Frances Bernard here. Thanks Dr. Grande so much for trying to help end over diagnosis of very young students offering them only medication when hoping only that will hep them later better succeed in school. It is so frustrating seeing that being repeated in a multi-generational way which has nothing much at all to do with inherited DNA. Unfortunately only a one hour a week session of counselling is not going to help make much of a difference in a complex situation.
Medication without talk therapy, specifically cognitive behavioral therapy, is a recipe for disaster as far as I'm concerned. I say that as a person, who had been misdiagnosed for times between the age of 15 and 47. A week before my 47th I was properly diagnosed with ADHD, and within 45 minutes of taking my first dosage of Adderall my entire life changed. Now I'm speaking as a person who has, used, but not abused, stimulants in the past in my 20s. And they always made me feel normal.
I can tell you, from personal experience, that one must, must, put in the work. There is no "cure" for ADHD. There is only management.
Frankly I think one of the bigger problems, is the publics lack of understanding about therapy, and medication, and how they should work. Which is one of the reasons that I love your channel sir. I am a big proponent of self advocacy within mental health. As I have been dealing with mental health professionals since the age of nine. I did the math one day, I have dealt with over 22 mental health professionals directly in my lifetime.
If you have questions about whether you have ADHD, I highly suggest of the book, driven to distraction by Dr. Ned hollow well. If I had read that book in my 20s, my life would've been very different. We need more discussions about this in a public forum. It is the only way to break through the fear ignorance and misinformation that surrounds mental health. To bring it back to the original point, perhaps of people had a better understandingOf how to work with therapy and therapists and psychiatrists, we would see more improvement amongst individual patients. Just my unprofessional, layman's opinion.
I definitely think there needs to be more counseling for people with ADHD, esp children. I agree with Dr. Grande about ongoing assessment.
Thank you for this information. An increasing percentage of my young students have been affected clearly by ADHD in recent years, with boys typically presenting with dyslexia as well. In all my 40 years of teaching English in Japan I saw perhaps one case of impulsive disruptive behavior 35 years ago, where the young man was hated by his classmates and his Japanese teachers for being....different! Now it seems to be so common that these individuals are no longer hated, but rather emulated. When I looked into ADHD to see if there was any way I could help them or even just be a little more sympathetic, I discovered to my astonishment that I'd been ADHD (inattentive) all my life and never knew it. I'd always ascribed my social awkwardness to having been brought up as a pariah (a Buddhist in Salt Lake City; a white kid in a Japanese church).
I'm not sure a diagnosis would be any help to me. I coped pretty successfully. I finally married someone nice who tolerates my peculiarities. I still have terrible procrastination issues but now I have hope that I can finally find ways to beat that. Over the years, I seem to have gravitated naturally to things others with this are noting as helpful, such as misogi (cold water bathing) and religious meditative practices.
I'm pretty sure a diagnosis would help a lot of my students, but their parents could never stand the stigma. It's a tragedy--nay, a train wreck!
I actually just asked this question in another, more recent video, then I saw this. Never mind! Thanks again, Doc!
Dr. Grande. Thanks a lot for your time to inform people. There are a lot of misinformation about ADHS, but your insights help to recognize and avoid the misinformation.
Question: Have you watched the TV show "Big Little Lies", especially season 2?
Not only it shows a variety of characters (narcissist, Stockholm syndrome, violence victim, ...), but also shows two counselors and how they work. Unfortunately, the counselors seem to act unprofessionally in season 2. Would be great to know your thoughts on that. Thanks again.
For the adult females out there, I just want to add my experience that may happen to you too and is not mentioned in this video. When I reached the Menopause, due to the drastic drop in hormones, the symptoms I had lived with all my life (that I did not know was something called ADHD) became exacerbated. The hyperactivity I had has a child came back and I was unable to stay seated during the day. Difficult when you are expected to sit for work for example. My attention span became shorter (My favourite word was Boring as a child as I shouted it often) and over a period of time it affected my business as I was unable to do my job due to all the symptoms. It took 3 years to get diagnosed and I had to go private as the NHS services in the UK are poor. For women reaching peri/menopause, be aware, as you could struggle too. I think this is why a lot of women get diagnosed in their late 30’s/early 40’s due to the drop in their hormones. I decided not to take medication but simply learn to control it and work my business around it. Sending all my love to anyone struggling with this. Life really can be tough and you don’t always have any control of it.
Karen M Berisford me too! 55 and have been menopausal for 5 years as my ‘mask’ eroded and my problems got worse, finally diagnosed ADHD and autistic. Have masked my entire life and most people have no idea.
You can always investigate and try HRT …. Don’t close your mind to any treatment option. ( also know that saying “boring” all the time may have caused you trauma when people around you got bored and angry about hearing you repeat it. ….)
Could you explain the sleep differences between Bipolar Disorder, (1/2) versus those with ADHD or the sleep differences between bipolar disorder, adhd and asd (if you find it interesting/beneficial).
ASD is a developmental disorder and ADHD is a behavioral disorder x
Unmumsy Musings - Josephine_kk adhd is also a development disorder due to lack of adequate neurotransmitter-dopamine-
@@JosephineWitch ADHD is also a developmental disorder. It's a neurodevelopmental disorder characterized by low dopamine in the brain and executive function problems which are the result of the frontal lobe working differently.
No, ADHD is a pure neuro atypical disorder. BUT you can have other diagnose on the side: comibidity.
@@JosephineWitch I have both ASD and ADHD. I guess I meant to ask differently and did a terrible job wording that first bit. I also was more interested in the sleep differences between ADHD and bipolar disorder. Esp. in those under the age of 18. Sorry for the confusion. I may edit that first bit out.
In my experience most counselors and psychiatrists know very little about ADHD. GET AN ADHD COACH. A coach is usually someone who has ADHD themselves (but not always) and knows systems that can help. Their main purpose is to offer support, advice, and keep you accountable. For example, if your mail is piling up and overwhelming you....they will totally understand that as it's something ADHDers often deal with, they can offer suggestions on filing systems that have worked for them and other clients, they can assign you a project for the week like "work on your filing system and we will check back in on Monday and see how it's going." Then Monday if anything about the system isn't working for you, you trouble shoot and try again. You work on one issue at a time until solutions are found. :)
And check out the podcast ADHD REWIRED and the TH-cam channel HOW TO ADHD. They offer the best ADHD content and advice I know of. :)
👍🏻 I like your evaluation on this topic. It’s of great internet to me. My son was diagnosed with this and autism spectral, and no meds thus far. Would only as last reality. I’ve seen clinicians and parents medicate mostly for reasons of quick problem solving , to make life easier on them, and in my view when it comes to medication a child the stakes are too high to medicate to quickly and easily. Loved this 💗 💗
Erik Arktander Lol, you cant possibly know every child and every situation. I know people who were put on meds and it ruined them. and they are now off and better then ever. Every situation is different, and I didn’t say I don’t believe in meds. I do believe in meds! I just don’t believe in just dosing them right away to keep them manageable for oneself. I’ve known people up close and personal who, when their child acted up at all they were ready to ask the doctor for a higher dose. I definitely don’t think I’m a special parent or have any answers far from it.
Great video and topic! I have ADHD Combined Type so I am always interested in learning more about this disorder.
I once asked a psychiatrist about the possibility of me having ADHD, and he said that I would need to schedule a testing session. I wonder what those tests consist of. I’ve found that it gets harder for me to answer written diagnostic tests as I get older, because I see more nuance n the world and have developed a lot of coping strategies.
They have to test your IQ, your hearing and vision, as well as motor skills and problem-solving.
I had to be tested via phone over the pandemic to prove my diagnosis in order to regain access to stimulant medications. No writing necessary in that case.
Another great & informative video, thank you! Would you consider doing a video on comorbid ADHD and Bipolar disorder? I recently learned how much overlap there is between the two (and how many people have both) and it's really interesting.
I just got diagnosed with inattentive adhd last week and prescribed non stimulant medication. I've struggled whole my life and the results are depression, anxiety and tragically low self esteem. What ultimately got me to get the diagnosis was my son struggling so much in school, teachers telling me he's so unmotivated, not really present in class and so on. He's a sweet boy, but we fight over everything at home, writing one sentence as a homework take us 40 minutes, it's exhausting and I can't do it without helping myself first. I'm not able to establish good habits for myself, how can I teach my son such a skill then. I'm willing to try ANY medication and therapy to help him not going through the same stuff I did.
I feel the meds help very well. But you have to take the right dosage for you. There's not a straight weight to dose ratio. Probably more of an individual metabolism. Many experience bad experience with the meds is people taking too high dosage. And you have to know the time of duration, like about 4 hours with regular Ritalin and 8 hours with longer lasting Ritalin. There are also different medicines. With meds I feel I am calmer, I talk less, I control emotions better, get less angry, I do better choices, it's easier to concentrate. In short I feel more like a grown up and it improves life quality. It feels like I have more choices, not life just happens. But it doesnt fix everything. I also think the DSM manual does not take into account some important symptoms like problems with controlling emotions. And the meds help in this. The feeling of being more addult is great! I am also suprised when meeting others with ADHD how similar some traits and problems are. Of course we are all individual but I feel some times we are a distinct branch of the human species. 😂
Meds are trash.
Medication helps reduce symptoms by around 15-20% I believe. Learning how to work with my ADHD has been great too. It's very much real and needs a combined approach of counselling, ADHD coaching and meds. ⭐
Not true. Medication for me reduces my symptoms by significantly more than that. I would say somewhere in the realm of 60-70% at least. I’m pretty much useless without it. I can try and manage without it, but it’s very difficult, exhausting, and sometimes quite painful.
@@hostronic congrats. You had a different experience. Well done 💅
Hi dr. Grande
Could you give some info on, SPD (sensory perception disorder), and why it happens?
Why it's so hard to get diagnosed?
And the therapy behind it?!
And thank you for all your videos! You are helping so many! ❤
For anyone who watches this that has ADHD, the inattentive type, I have a few habits that have really improved my life. The first one was repeating, in my head, everything the person I was listening to said. This helped me focus in class and in conversations. If I don’t do this, my attention is all over the place, like trying and failing to herd cats!
When reading non fiction, to stop myself from losing attention, I take short notes as I am reading. This also helps with retention of what I have read.
The other big emotional problems that go along with ADHD, the quick to anger problem and the very harmful, Rejection Sensitivity Dysphoria, need some practice with mindfulness as well as breathing techniques to handle but with lots of practice big improvements are made. RSD is unique to ADHD according to my therapist, it can really hurt relationships and your self esteem, so educating yourself matters. Learning to recognize it is happening is the first step to reducing it.
Good luck to all my fellow ADHD folks in the search for answers!
In some states schools can diagnose ADHD as a way to justify resources for kids who need an IEP. That may account for the over diagnosis.
That’s true. “Other health impaired.”
Who is on staff at a school that would be qualified to diagnose?
@@MamaMia.... idk if they have something different at the schools they are talking about but my school would call parents and suggest seeing a doctor because they observed ADHD behaviors.
I was diagnosed with ADHD and major depressive disorder. Was started on concerta. Worked great for impulse control, helped me to stop thrift store shopping. Was switched to adderall, started trift store shopping again but the adderall made me want to look at EVERYTHING. I then had a left renal infarction (i was 42). Had 3 cardiologist just shaking their heads as to why this happened. Was told to stop adderall because it could cause a cardiac fault. Now i have afib and have to take blood thinners and heart meds. I recommend the book "The Ultramind Solution".
I really struggled through life (since starting school up until now, working as a teacher) and I truly haven't coped without medication. I kept feeling and thinking I'm an idiot, can't do anything right, I'll never acheive anything and I'm just not good enough to be in any type of profession. I haven't turned into a super organised, deadline orientated, fully functioning human being...but I'm getting some things right. More often than not. And to me, that's life changing.
I was diagnosed with inattentive type ADHD twice. Once as a 10yr old and again in my thirties. I didn't start taking meds until my thirties. They made a huge difference; not ideal, but much better at work. I have PTSD and anxiety also. I use meds in a PRN way, as needed. CBT worked well for me. But, this disorder is like being paralyzed. A wheelchair helps you get around, but it cannot help you walk. ADHD is with you for life. Scaffolding, meds, therapy and education are all key for trying to function in 'normal' society with it for me.
Thanks a lot for the insights Dr Grande! :)
I was diagnosed with ADHD in 7th grade and was immediately prescribed medication. I was told that many of the struggles I have are due to my ADHD however I was never really given resources to understand the way in which it impacted me. As much as medication helped me I wish I was told about alternative routes especially due to how young I was when I was prescribed medication. Had I been given resources to help me understand how ADHD impacts me I feel my battles with self esteem would have not been so severe. I also feel that had I tried counseling or received information about the benefits of cognitive behavioral therapy earlier on, my life would have been different.
As helpful as medications are they cannot solve everything or change the perceptions we have about ourselves or struggle with. With this said I want to say I understand that it is not a prescribers job to council or describe everything about a diagnosis, however it is their job to provide clients with resources. It is their job to know how diagnosis like ADHD will impact an individual. Knowing this description frustrates me as I feel that if the description I gave was carried out situations such as mine could have been prevented. My frustration also comes from feeling that there are so many simple ways and measures a prescriber could take to help ensure a client understands their diagnosis. Such as having a list of resources to give to the client for them to be able to read up on or giving parents links to articles and encouraging them to go over them and read them with their child.
(my anecdotal experience): meds can be life changing, but I think combined with counciling and lifestyle habits, they can be tremendously more helpful. Both have their place, IMO. Good video
I was diagnosed in 2nd grade w ADHD, we decided against mediation. I did ok in school but did make impulsive decisions and often was sent out of class- I really tried not to get in trouble. I think a person with ADHD usually feels like they're in trouble or has someone mad or yelling at them, in spite of their best efforts. Out of frustration (because my ADHD didn't go away, it became more obvious as I got older) I was tested again and diagnosed again at age 48, and this time I decided to try meds-- what did I have to loose. The mediation does help tremendously. I was shocked. I could actually do my charting at work like a normal person! Even with people and noise all around me! (Before I would have to find a quiet place to get it done, and it would still take forever.) I also became more patient and "nice". Like I could control myself and have better behavior and not blurt things out. I also listen well to other people! It has helped my relationships so much!! I wish I had used mediation when raising my 4 kids. I would have been a better mom, even though I did the best I could. Mediation doesn't help me with time management though. The passing of time is still not in my head, so I still struggle, have many alarms, sprint to get into an appointment from the parking lot to not have to reschedule it, etc. I also have major depression and OCD so the comorbidities are real. I take meds now so I can appear "normal".
Thank you Dr Grande. As an adult diagnosed with comorbid ADHD, I tried 2 kinds of stimulant medications, but the side effects were so adverse, I decided not to continue with it. It was working, on many levels, but my heart was palpitating and I developed a tic. The tic went away but my heart is still fluttering daily, 6 months later.
Oh damn, I’m having the same problem. Did a 3 week trial. Starter dose of Ritalin was fine and no side effects, went up to next dose and started with migraines and and heart palpitations. Six days on that dose and lowered the dose back to starter dose. Was on that for about 10 days and still had the palpitations and headaches. Been off it all for about 10 days and still having the palpitations. I hope they go away eventually. How long were you on the meds?
@@kathypayne6148 i think it was taking them for about 6 months and I could not tolerate the speedy side effects. It also became difficult to fill the prescription, being that is a controlled substance where I live. I understand that stimulant medications works for some people, but I found them creepy and surprisingly addictive. They are definitely not for me!
My son is 35, still living at home, and has had ADHD since a child. He was successfully on Adderall for years, until his doctor suddenly closed the practice one day. The new doctor would not prescribe Adderall, so we found one, but we have to pay cash because they don't accept medicaid. He is back on the Adderall, doing better now and not self medicating as he was doing when he was off the Adderall. My problem is that he is still immature, and I am getting older, and am on a fixed income, which makes it very expensive to be supporting him. It's not easy. Also, I believe he is bipolar and goes through terrible mood swings, where he blames me for every problem he has. I wish there was help out there, but he refuses counseling treatment.
Ask him to join the military
@@Bolter024 He's too old!
@@someonerandom256 He can still try
Throughout my entire life I have always been very talkative, outgoing, light sleeper (if at all), extremely bored to the point I would fall asleep, constantly moving, and impulsive. However the finale for me to finally look into it was when I was in calc 2 a few semesters ago. I am, or so I am told, smart and school was no issue until this class. However, I ended up failing it...twice. The final exam the second time I took it, I started writing things on my paper that I was not thinking about write and it scared the hell out of me. That is when I decided to get help. I got diagnosed with ADHD by the therapist, and shortly there after started on dextro. My life changed drastically, in other words if felt like I "woke up." The third time around I got a 3.7 in Calc 2, lost weight and changed my eating habits, exercised more, and was in general more mindful. I find this to be the most difficult thing as being mindful even if your telling yourself to be mindful, just does not work. With meds it is easier, but they are by no means an end all. The therapist helped me understand most importantly that what I was experiencing was not bad, but rather the reality about myself and helped instill the tools, along with the meds, to jump start my new found life in a sense. I can honestly say I experience nothing more than maybe a bit more sweat while on them, but mentally there is only improvement. I still move all the time, especially when I am standing, sitting, and especially sleeping. If you think you may have ADHD get a diagnosis, but just realize that the stimulants can and do have a devastating effect on those people who don't have ADHD, so just the Dr if he says it's not that. Great video!
Thank you for this video.My son has ADHD and he is in medication.But even on medication his teachers have a hard time with him at school.
As an adult, i was tested by a neurologist and diagnosed with ADD. Medication was very effective for 20 years. Eventually, even high doses stopped working despite my efforts to avoid developing a tolerance.
Another observation; when I took it as prescribed, 2x daily, my symptoms were relieved even when the medication was out of my system. The benefit was durable.
Another issue that Dr Grande brought up was young students. We ran into that issue with some students from Maryland who started Kindergarten at age 4 vs ours who started at age 5.
I have ADHD and was underdiagnosed for years. I was told because I am a girl and too smart, I could not have it. Was finally diagnosed this year with combo type. However, I have a severe sensitivity to stimulants (including caffeine) so I cannot take the medication. My treatment is diet and exercise combined with CBT and L-theanine. Also switching to a physically demanding job helped a lot.
Feeling like I helped get this topic looked at- thanks! I have a neighbor who comes over to help me with stuff and she is 19 almost 20 and in therapy for ADHD, and has a medication she can take for anxiety that is fast acting, but no longer taking daily meds. One, thank you- I 'm so glad Dr. Grande mentions the long term effects b/c I specifically asked about this (I also in the 90s worked in an acute care psychiatric center and we had Children and Adolescents completely on so many medications for all kinds of stuff- their charts were gaga in medications and the kids are like, 7. Ridiculous! Anyway, I just really wonder what happened and how they are and their brains and if they still take meds or are all super ADHD adults now b/c there's no point.. You know, I was listening thinking, ADHD might be like different forms of personality types or something- it seems (points two to five haha) like Dr. Grande is saying if someone has it and stops treatment, their brains go back to that state. I'm loosely interpreting but it's like a brain type that resets to base and that base is something we don't like! A reminder, too, as Dr. Grande you said in another video- you wonder how much more ADHD there really is when our culture is obsessively perfectionistic and we hardly give kids recess or teach them to do cursive, or toss down out the old suitcase LP turntable and drag the 8th graders thru Beethoven and Mozart. How much of the increased percentages is society not letting kids be kids. One last note on my young friend- I can "see" her condition sometimes. We'll be working together on something and her energy will just go somewhere and she starts yawning and can't sit still, and one time it was so much and I got annoyed enough to say, OMG stop whatever that is! But it literally was her ENERGY and then her behavior and posture, I could just tell. It does not happen often but I can see now where it / that change would break big in a classroom, or someday it will happen at work. I sometimes worry little for her. I'm glad her future looks like she'll have access to counseling till she turns 23, anyway. And we're in San Francisco, so if she works here in the City limits, she'll always have access to basic mental health benefits thru our Healthy SF program. We're complicated here (our horrible homeless problem) but we try (universal health care).
THANKS< DR> GRANDE!! I'm very interested in long term studies on medications- I have heard whispers the anti nauseas and anti anxieties like Paxil have some implication s for dementia. I worry I am at high risk for dementia b/c who isn't anymore. So definitely let us know - I used to take Paxil, it was a trip to come off of!! woo! I would turn my head for an hour, too trippy haha. Anyway, great job! thank you!!!
I personally think DBT and mindfulness is great for adhd
Sarah Jane I agree completely!
Perhaps the reason it works because it also the number one treatment for BPD. In which some therapist believe that Pts who suffer from ADHD may develop BPD or Borderline personality traits in which these conditions may possibly mirror each other
@@CaraCreations1000 Dialectical Behavioral Therapy :)
This is a great subject I live this daily, my son was diagnosed with it and the medication helped alot, however, at the time his father refused to give it to him. His teachers, coaches, and his counselor wrote letters that stated the difference between medication days, and no medication days. Also a double blind pharmacology study was used. The data was in favour of the medication, as was my son. He stated that he could think much better, and he felt much better when he took it.
I chose to stop the medication, because his father vihamately refused to give it to him, and the fear for his well being, from starting and stopping it , was worse for him.
He did receive the therapy and understanding from his school staff and counselors. I became involved with the school as a reading helper, and made myself present at his school. This, in addition to his own drive to overcome his learning difficulties led him to become a teacher, coach, and excellent father.
He has since made the decision to seek medical help to take medication and help of therapy, as soon as he became of legal age. It has helped him. I'm very proud of him.
I believe that children know that they have a problem, and should be listed to and helped, by everyone that can help them. Certainly parents should truly listen to them.
Your son was in favour of medication. Right there.
Diagnosed with ADHD 30 years ago, and I start medication (Strattera) tomorrow. I took imapramine and had psychological/behavioral treatment for the first two years after my diagnosis, then did a Ritalin/placebo test in high school(it had no effect), and I've taken nothing since. I've been able to function fairly well unmedicated until the last year or two, but I'm really struggling with memory and making stupid mistakes because of it. I've also lost the ability to start things that need done, and I can't learn anything new or retain any new information. My executive functioning has pretty much completely plummeted. I'm really hoping this helps, because I don't want to take stimulants. I'm almost certain I also have ASD. My youngest child has ASD, and my brother was diagnosed with it a few years ago at age 48, so there's a pretty strong family component. My mom has ADHD, and I'm positive that my dad and my two other siblings have ASD.
epic video...thanks Dr Grande!!
Great video Dr. Grande!
What are the risks and side effects of counseling??! Thanks! Can u please do a video explaining in detail the different forms of counseling CBT, psychodynamic etc?! Thanks
I know meds were a total game changer for me. Diagnosed at 29. I also got cbt and it was great for my depression back then. But on a day to day basis, my apartment is way more cluttered, my tasks don't get done in time or at all and I get overwhelmed and forget stuff constantly.
I think there is a third component to treatment, and it is really important: The realization that no treatment, whether therapy or medication or even both, is a fix-all for any disorder. One should realize that these treatments, like you said, are not always very effective. It will take constant work and dedication; not everyone realizes that.
In middle age I finally received medication for add. It helped, but I didn't have the right habits. Only when two high energy conscientious people stayed at my house for an extended period did I pick up the skills needed to manage add. They got and did what needed to be done, using their time effectively. Got up I mean. It was just a matter of mirroring their behavior, thus developing better habits.
I have had ADHD & ADD (as the "adult version" of the disorder is called in Australia) for my entire life. I was never given prescription medication as a child because my grandmother, who lived with my mother and I until I was about 9 clung onto the pseudoscientific notion that cancelling sugars and eventually almost all fats from my diet would somehow curb the symptoms. Suffice to say, it did not & I spent a *lot* of time in detention and the Principal's office. It makes me angry to think back on my school years and realize that I'm lucky to have even passed school as well as I did.
That said: I preferred my initial prescribing Psychiatrist because he counselled me once or twice per month. My current prescribing Psychiatrist spends about 25 minutes total with me per annum. I wouldn't mind being able to make more than small talk with him in his office, for several reasons.
I don't know witch one is worse having ADHD or being raised by two narcissistic parents where not only was I emotionality abused but also physical abuse that would happen two to four times a week on average .IT HAS BEEN REALLY HARD THIS LIFE OF MINE. I certainly have done a lot of wrong myself I own it. From all kinds small little misdemeanor stuff to Getting into a bar fight and the other individual couldn't get back up. I have watch that two to three thousand times. Maybe something's your just not supposed to forget. I am 55 years old now and I have just gotten to know who I am. I do wish I had figured it out years and years ago, But just like the old saying says "BETTR LATE THEN NEVER"
In my experience with inattentive adhd medications help a lot, specifically adderall.. ritilan never gave me the same kind of focus. From experience medications do lose their effectiveness overtime but taking breaks fixes that and there are some periods in my life where I didn’t feel like I needed them. I experience more benefit from them when I take them consistently rather than sporadically.
Dr. Grande, please talk about anecdotal evidence and counseling conversations and studies about how people are losing it just because the world is so full of homeless people laid out on the sidewalk. I'm stuck at home most of them time with migraine and photophobis, right, and then I go - like today- to the doctor. And it's so tramatizing just to go anywhere in this city- just the most distressed sunburnt dirty looking people all over. No one goes up to them to see if they are okay. I've witnessed the most horrific scenes from my locked car, and this is just regular days, nothing special. I feel like the world is getting so hostile and so expensive and hard to function in. Now that I cant' work anymore, and am out of that particular frame work, I've never felt so secure and relaxed, the most interesting unexpected thing! Now I'm truly poor, on disability, but getting ejected from being able to work was awesome, I don't miss it even if I miss the paychecks. Anyway, I had an annual assessment today with an NP from my health plan and she asked about my mental health and I launched off on how I was feeling PSTD trauma from driving the 3 miles and seeing so many desperate people! .. It's so excrutiating to see our country or whatever it is with this happening. How many people are depressed and stressed and traumatized just from driving (plus OMG the endless commutes!!!!!) and seeing all the trash by the highways and then the homeless tents and people with no real access to facilities to clean themselves and laundry mattes are dying. I feel it miserably, but my teen friends said, don't worry about telling us not to look out the window at the desperate people b/c we're so used to it we don't see it/.. But and this is the ADHD friend, she is pretty anxious for her future. . . she is very aware about the whole ocean thing. And you know what else is depressing?? PLASTIC and the pharmaceutical use of it- Medicare will pay for my sumatriptan spray with all that plastic but not the rizatriptan which is tiny package. OMG have you had a fecal test lately?? That is ALLL trash!! The world is being destroyed by psychopaths and the teenagers ARE aware of it. But their depression is going to manifest differently since they won't have memory of a SF without so many people on the streets homeless and using drugs in front of anyone passing by (I've seen harrowing IV drug use.. red lights are very interesting in this city- you know, the OCD user taking blook from one open pouring-blood arm and shooting into the other, open pouringblood crook of the elbow). And trash,, everywhere??? It's soooo depressing. .. Yah, let us know what counselors talk about that does not make into the DSM or that insurance companies will acknowlege, or are there diagnosis-es to address these civilizational depressions and anxieties?? In spite of the abuse and hardship I suffered as a girl, I might be okay now but the world is unfortunately going to poo on a polyester lined plastic try. Anyway... sorry to go downer, but I also watch Philosophy videos and am obsessed with Brexit haha. Thanks Dr. G!!!
I was diagnosed with combined-type ADHD in the 3rd grade then rediagnosed in the 8th grade. I am in the 10th grade now. In the 3rd grade I took adderall and it defiantly had an effect, I stopped changing my behavioral card from green to yellow in class and was defiantly paying attention more. However, I had to stop as I started the 4th grade because of how dramatically the medication altered my moods and personality. In the 8th grade I started taking ritalin and the effect was similar to when I was taking adderall. I was much more focused in class, however I started feeling empty emotionally and the rebound from when the meds started wearing off was intense and usually happened around the time I came home from school so I wasn’t able to complete my homework really. For me personally, medication has done more harm than good, but I’m still searching for alternate treatments because my ADHD has been hindering my grades. I’ve tried a therapist last year but she wasn’t a specialist and didn’t help that much. Effective councilors and
Can you discuss how one can deal with controlling people and rude people?
ADHD has some of the strongest evidentiary base for pathology so I can never understand why people think its an equivocal diagnosis.
I have ADHD and I love having it, I give it credit for giving me the confidence of being myself and a free spirit
I have ADHD which wasn’t diagnosed in America. Sometimes when I “meet” people and children with the diagnosis I’m surprised by the short evaluation in some place in the US. Here it is extensive and takes a while. My ADHD must be treated with medication to help with the mental exhaustion these are a stimulants and melatonin so I get proper sleep, then occupational therapy to reprogram behaviors I’ve started and to learn skills I couldn’t when I was unmedicated, like how to tell time and the hierarchy of tasks. Lastly I need regular counseling for the sake of my mental health, as it’s hard on your self esteem to struggling so much with “normal, grown up tasks”.
With this mixture I live a very good life with normal hardships.
Dr Grande what are the risks of counseling?!! Thank you very much
ADHD started to really ruin my life in my mid-20s. At that point I was depressed and I had no self-confidence because I was going about life undiagnosed, thinking I was just highly incompetent. Once I got into cognitive behavioral therapy, I was able to start understanding how to teach myself to think less critically of myself. Then, further education of the disorder and an official diagnosis by neurologist allowed me to have agency over the inattentiveness that I felt so out of control of. I was finally able to separate my identity from the disorder and compensate through both talk therapy (managing time, beating myself up less for messing up, identifying problems when they start creeping up) and medication (Adderall immensely helps me stay on task). But I do agree, it is so important to use both therapies in tandem, without CBT I would be impulsive and overthinking on Adderall. Without Adderall, I would still be struggling with tasks and motivation on a daily basis.
I think the most important thing said in the video was the need for constant assessment. If I walked around saying I had depression for the rest of my life, I don’t think I ever could’ve looked underneath the rock and seen the neurological issues that were holding me back that I now have much more control over.
Dr. Grande: Is there any correlation or link between Dyslexia and the 10 personality disorders listed in the DSM? Has there been any research done that shows that a diagnosis of dyslexia raises the risk factors for any of the 10 PD's? Which ones, in particular, would have a greater risk if a link has been found? Thanks very much for your response.
My daughter definitely has ADHD but she's been told our area doesn't diagnose ADHD. So she's currently plodding along with just antidepressants and talking therapy. We live in the UK so things are different here, but I do hope she gets tested and treated one day soon.
Please make a video on SCT (Sluggish Cognitive Tempo)& how to treat it.
I think that a combination of both counseling and psychiatry would be optimal for effective treatment. I think that medications can help an individual with ADHD by leveling out differences in performance between individuals with ADHD and individuals without ADHD in contexts such as school or work. I also think medications can help with depressive symptoms. I think that counsiling is important when it comes to self-esteem, -cofidence, etc. I think that both of them is valuable in regard of providing structure to the life of someone with ADHD, balance and hope of things to get better.
If I need to get anything done I need my meds, I can't concentrate for 3 minutes. Sigh...It's maddening. Anything distracts me, I can't make up my mind, I can't find anything, of course I'm BPD, and major depressive, and of course anxiety. Irony know how I've lived this long, I'm 54. Then I lost my vision in my left eye almost 2 years ago due to a retina detachment. Omg, I thought life was hard before. But I'm forced to deal with my personality disorders or I'm going to commit suicide. Tons of therapy and 5 antidepressants, I'm beginning to feel better...
I, too, can’t accomplish much without my ADD meds. I also suffered from retinal detachment and tearing. I had emergency laser surgery, which helped my eye some. Were you on Cymbalta or vyvanse by chance? I’ve often wondered if the meds contributed. I know my blood pressure went up as well.
It was misdiagnosed in me and the medication put me in the hospital for a week lol. I learned through lots of research and really pushing attention to my symptoms that I actually have a dissociative disorder with a comorbid panic disorder. The medication triggered my panic disorder, leading to insomnia. The insomnia lasted 5 days straight and I admitted myself to the ER for help.