As a therapist with adhd and having clients with adhd, I have observed these trends but could never explain them...until now! One of the best videos on YT. Thank you!
CPTSD is part of this and some confuse that with Borderline, Aspergers and ADHD. All in all, it’s a behavioral issue of getting along with others without lashing out, fleeing, freezing or fawning. Skills most of us need to learn anyway to get along in society. Just like a war vet coming back to his homeland after being deployed in a war zone, he or she are mentally hammered and the brain needs to learn to self regulate and rest.
This is such a good video. Thank you for the effort putting it all together. I’ve had sleep anxiety since I was a tiny child… I’ve had different therapists in different parts of the country where I had moved to for work, label me different things when I did not have my records transferred to each new state I moved to. One of them labeled me ADHD, another labeled me quiet BPD, yet another labeled me Aspergers and yet another therapist labeled me CPTSD. Over 10 years ago I started to read about nutritional support from Elliot Overton nutrition online. I learned how the very many decades of very low levels of magnesium and potassium AND Thiamine (B-1, Benfotiamine) can wreak havoc on our nervous system and create a host of electrical disturbance problems in our brain. B-1 Along with lack of enough magnesium potassium and iodine just make a waterfall of issues in our body. As soon as I got my supplements of minerals correctly sorted out AND CUT OUT CARBS… my brain has regulated and I sleep like a baby for the first time in over 60 years. General anxiety has dropped to almost nonexistent by going from Keto to Carnivore and I finally found inner peace and deep rest each day. If I have a cheat day or two eating the standard American diet, my brain dysfunctions and my old behaviors like overthinking and restless leg disorder comes roaring back with a vengeance. The processed food is not worth the trade off.
Thank you! This was helpful. This reminds me of prior research but adds in some new dimensions. I have read a lot on mindfulness meditation practice resulting in increased frontal cortex functioning shown on fMRI’s as well as studies on sleep. On a similar note I read on epigenetic studies on the offspring of mothers that went through famine or other adversity causing permanent and lasting neurocognitive changes in their progeny at higher rates than populations not subjected to the adversity. Thanks again!
Dank u. Ik ken een man waarbij het er uit ziet dat NPD, ADHD, RSD and BNP allemaal bij elkaar komen, ik blijf zo ver mogelijk uit de buurt maar het is in wezen heel verdrietig. Zelf heb ik erg last van slaapproblemen waardoor het onmogelijk lijkt echte vorderingen te maken met RSD en het brede gebied van AD(H)D, ondanks alle inspanningen.
Dr Rege, why is there a great deal of symptom overlap between sleep apnea and ADHD? I see a lot of patients that are diagnosed with ADHD and sleep apnea that resist CPAP treatment
I have combined type ADHD and severe RSD. Stimulant medication ( or supplements) hasn't helped me with focus at all, but clonidine and gabapentin have helped me with some aspects of the emotional component. Guanfacine did nothing, unfortunately. I also have sleep issues ( delayed wake sleep cycle) and OCD and anxiety. RSD is terrible and I wouldn't wish it on anyone. It's a physical and emotional pain. It usually feels like being stabbed in the chest.
@ Thanks for getting back to me! I’ve worked with a therapist for years, along with the medication. Therapy has probably worked the least actually as the RSD is very sudden and just goes away on its on, despite how intense it is. I think if I could increase my medication it would help as it has helped thus far about 40 percent but the side effects ( fatigue) is too much so I’ve had to stay on the lowest dose.
@@elizabethkelsey8087 I have just learned of RSD but think this may be 'me'. Consider trying again with a different psychologist or different modality? Maybe EMDR? I am going to try again. I have found, although due to memory issues I am having trouble recalling, that sometimes the wisdom from therapy comes a few months after and not at the time. Maybe because on hyperalert of how I am being perceived and how that person is. I think teletherapy might make it easier somehow, less info/vibes/energy. Just musing aloud. Not sure where you are but Psychology Today lists counsellors by region and specialties and many offer free 15 min consult? Also some list sliding scale. Good way to shop around. I need to follow own advice. (Am on list for prov funded social worker but maybe will try this).
Is BPD genetic or merely behavioral? If it is genetic or physically developmental, than why is it labeled as a personality disorder rather than a Neuro Developmental Disorder?
It is both. Borderline Personality Disorder (BPD) can be conceptualised as a combination of: 1. Neurodevelopmental changes resulting from allostatic load (such as trauma or other 'inconsistencies' in early experiences) leading to heightened emotional responses, emotional dysregualtion etc. 2. Personality development, where emotional regulation and behavioural patterns consolidate alongside neurodevelopmental changes. These have consolidated at a time of upheaval which means the default behaviours are safety / fear / mistrust driven. There are genetic underpinnings. psychscenehub.com/psychinsights/borderline-personality-disorder/
Just a CNA here: Like most mental illnesses, BPD certainly has a genetic component as proven by high hertiability between 1st degree relatives. I've never heard it described as a developmental disorder. I know personality disorders are defined by the distinction from other mental/behavioral disorders by the fixed, consistent, rigid and typically destructive pattern of thinking and behaviors that define all PD's. Your personality - OCEAN (Openess, Concientiousness, Extraversion, Agreeability, Neuroticism) are hallmarks of one's personality in the psych world - and usually in place at the age of 3. I don't think what a mental/behavioral health issue is labeled helps with treatment. It helps your doctor get insurance reimbursements and you get treatment. Many psychopathologies receive similiar talk therapy treatments - CBT, DBT, EMDR - and even receive similiar psychoactive therapies. If calling yourself "neurodivergent" or whatever helps you, go ahead. Just know early treatment and PROPER treatment is huge. It's not just the right psych meds. It's diet, exercise, and ruling out any physiological issues before concluding a Dx that by no means defines your identity.
@@PsychiatrySimplifiedI wish folks would talk about non-parental forms of trauma in personality disorders. My daughter was born premature and experienced a lot of medical trauma during a months long hospital stay. From the time she came home to this day, she has struggled with emotional regulation and anxiety. Of course I did not have all the information I needed to parent a child like that, so parenting errors also played a role, but early emergence of issues certainly suggest those very traumatic experiences in the hospital mattered.
As a therapist with adhd and having clients with adhd, I have observed these trends but could never explain them...until now! One of the best videos on YT.
Thank you!
Thanks for the feedback 🙏🏼
i love this channel he breaks it down so well, i find neuroscience so interesting
Thanks for the feedback. Appreciate it 🙏🏻
So interesting. I love your videos; I always learn something new that no one else in the field is talking about.
Thanks so much for the feedback. Really appreciate it 🙏🏼
CPTSD is part of this and some confuse that with Borderline, Aspergers and ADHD. All in all, it’s a behavioral issue of getting along with others without lashing out, fleeing, freezing or fawning. Skills most of us need to learn anyway to get along in society. Just like a war vet coming back to his homeland after being deployed in a war zone, he or she are mentally hammered and the brain needs to learn to self regulate and rest.
This is such a good video. Thank you for the effort putting it all together. I’ve had sleep anxiety since I was a tiny child…
I’ve had different therapists in different parts of the country where I had moved to for work, label me different things when I did not have my records transferred to each new state I moved to. One of them labeled me ADHD, another labeled me quiet BPD, yet another labeled me Aspergers and yet another therapist labeled me CPTSD. Over 10 years ago I started to read about nutritional support from Elliot Overton nutrition online. I learned how the very many decades of very low levels of magnesium and potassium AND Thiamine (B-1, Benfotiamine) can wreak havoc on our nervous system and create a host of electrical disturbance problems in our brain. B-1 Along with lack of enough magnesium potassium and iodine just make a waterfall of issues in our body. As soon as I got my supplements of minerals correctly sorted out AND CUT OUT CARBS… my brain has regulated and I sleep like a baby for the first time in over 60 years. General anxiety has dropped to almost nonexistent by going from Keto to Carnivore and I finally found inner peace and deep rest each day. If I have a cheat day or two eating the standard American diet, my brain dysfunctions and my old behaviors like overthinking and restless leg disorder comes roaring back with a vengeance. The processed food is not worth the trade off.
Glad you found a solution that works for you
Thank you! This was helpful. This reminds me of prior research but adds in some new dimensions. I have read a lot on mindfulness meditation practice resulting in increased frontal cortex functioning shown on fMRI’s as well as studies on sleep. On a similar note I read on epigenetic studies on the offspring of mothers that went through famine or other adversity causing permanent and lasting neurocognitive changes in their progeny at higher rates than populations not subjected to the adversity. Thanks again!
Dank u. Ik ken een man waarbij het er uit ziet dat NPD, ADHD, RSD and BNP allemaal bij elkaar komen, ik blijf zo ver mogelijk uit de buurt maar het is in wezen heel verdrietig.
Zelf heb ik erg last van slaapproblemen waardoor het onmogelijk lijkt echte vorderingen te maken met RSD en het brede gebied van AD(H)D, ondanks alle inspanningen.
Sorry to hear. Please see the video on clonidine and another one on insomnia. You may want to discuss this with your doctor. Ps not advice
Very usefull video. Thankyou 😊
Dr Rege, why is there a great deal of symptom overlap between sleep
apnea and ADHD? I see a lot of patients that are diagnosed with ADHD and sleep apnea that resist CPAP treatment
I have combined type ADHD and severe RSD. Stimulant medication ( or supplements) hasn't helped me with focus at all, but clonidine and gabapentin have helped me with some aspects of the emotional component. Guanfacine did nothing, unfortunately. I also have sleep issues ( delayed wake sleep cycle) and OCD and anxiety. RSD is terrible and I wouldn't wish it on anyone. It's a physical and emotional pain. It usually feels like being stabbed in the chest.
Its a common issue that its difficult to address the RSD with medication only. It often needs psychotherapy to explore the underlying origins of RSD
@ Thanks for getting back to me! I’ve worked with a therapist for years, along with the medication. Therapy has probably worked the least actually as the RSD is very sudden and just goes away on its on, despite how intense it is. I think if I could increase my medication it would help as it has helped thus far about 40 percent but the side effects ( fatigue) is too much so I’ve had to stay on the lowest dose.
@@elizabethkelsey8087 I have just learned of RSD but think this may be 'me'. Consider trying again with a different psychologist or different modality? Maybe EMDR? I am going to try again. I have found, although due to memory issues I am having trouble recalling, that sometimes the wisdom from therapy comes a few months after and not at the time. Maybe because on hyperalert of how I am being perceived and how that person is. I think teletherapy might make it easier somehow, less info/vibes/energy. Just musing aloud. Not sure where you are but Psychology Today lists counsellors by region and specialties and many offer free 15 min consult? Also some list sliding scale. Good way to shop around. I need to follow own advice. (Am on list for prov funded social worker but maybe will try this).
Is BPD genetic or merely behavioral? If it is genetic or physically developmental, than why is it labeled as a personality disorder rather than a Neuro Developmental Disorder?
It's a personality disorder that has a genetic component but manifests only through emotional neglect and/or childhood abuse/trauma.
It is both. Borderline Personality Disorder (BPD) can be conceptualised as a combination of:
1. Neurodevelopmental changes resulting from allostatic load (such as trauma or other 'inconsistencies' in early experiences) leading to heightened emotional responses, emotional dysregualtion etc.
2. Personality development, where emotional regulation and behavioural patterns consolidate alongside neurodevelopmental changes. These have consolidated at a time of upheaval which means the default behaviours are safety / fear / mistrust driven.
There are genetic underpinnings. psychscenehub.com/psychinsights/borderline-personality-disorder/
Just a CNA here: Like most mental illnesses, BPD certainly has a genetic component as proven by high hertiability between 1st degree relatives. I've never heard it described as a developmental disorder. I know personality disorders are defined by the distinction from other mental/behavioral disorders by the fixed, consistent, rigid and typically destructive pattern of thinking and behaviors that define all PD's. Your personality - OCEAN (Openess, Concientiousness, Extraversion, Agreeability, Neuroticism) are hallmarks of one's personality in the psych world - and usually in place at the age of 3. I don't think what a mental/behavioral health issue is labeled helps with treatment. It helps your doctor get insurance reimbursements and you get treatment. Many psychopathologies receive similiar talk therapy treatments - CBT, DBT, EMDR - and even receive similiar psychoactive therapies. If calling yourself "neurodivergent" or whatever helps you, go ahead. Just know early treatment and PROPER treatment is huge. It's not just the right psych meds. It's diet, exercise, and ruling out any physiological issues before concluding a Dx that by no means defines your identity.
Yes even the psychiatrist and psychologist need therapy.
It’s good for all of us.
@@PsychiatrySimplifiedI wish folks would talk about non-parental forms of trauma in personality disorders. My daughter was born premature and experienced a lot of medical trauma during a months long hospital stay. From the time she came home to this day, she has struggled with emotional regulation and anxiety. Of course I did not have all the information I needed to parent a child like that, so parenting errors also played a role, but early emergence of issues certainly suggest those very traumatic experiences in the hospital mattered.
Why is the audio mainly for the left 😭
?
Penis drawing. Love your explanations btw Dr Rege
? First part? Didn't get it. Thanks for the feedback
What nonsense. Labels are for jars. You are nuts.
i’m not sure if you viewed the video but that’s kind of what the video is about to move beyond the labels
Just try to talk to me or come near me I tell u wht I can do