I personally feel like RSD is composed both of psychological and neurological factors. It's true that we love emotions in an amplified manner but it's also true that we go through a lot of failures, umiliations and masking
I've been misdiagnosed with NPD, I've misdiagnosed my mom with BPD and my dad with NPD. In reality we're all undiagnosed and late-diagnosed ADHDers with (clearly) severe psychological comorbidities
It is illuminating to hear more about RSD, emotional control problems, and how they can be treated. Thank you! Just to add, I have now heard several times that for some people a combination of a stimulant with atomoxetine (Strattera) or, less often, guanfancine (Intuniv) can not only help tolerating the stimulant better, but also improve emotional control considerably. I have also met at least one person in a self-help group who had exactly this experience. He could not tolerate stimulants unless paired with atomoxetine, and that combo also allowed him to stay much calmer.
This was tremendously detailed and instructive, thank-you! Before wishing you a very Happy New Year, Dr Kruse, I'd like to say that, I'd immensely value just such an intensive video, on the time blindness that goes hand in hand with ADHD. While I've sought out your videos from long ago on the topic, I'm curious as to whether there have been any developments in the literature, in relation to this aspect. Because in terms of effective treatment modalities, for what many count the most disabling aspect of the disorder, there seems to be a dearth of available options. (at least within my own knowledge base)
Your points about psychotherapy vs pharmaceuticals match up with my personal experience. Dodson arguing that RSD can only be treated by one and not the other sort of assumes a strict boundary between brain chemistry and consciousness, like the brain is a computer with hardware and software. Seems pretty clearly untrue! Do you have a link or DOI number for the parent/child ADHD treatment study you mentioned? Sounds pretty interesting.
I am glad that both medication and psychotherapy seem to help with RSD and emotional dysregulation. Of course, more studies exploring this would be good to have as well. On the computer analogy: while I am not usually using this analogy when conceptualizing psychological phenomena, mainly because it is just not necessary and it has many limits, I do think that it is not the worst analogy, as far as analogies go. Because even for computers, a good chunk of hardware problems can be addressed in software, and vice versa. (Although the latter requires exchanging hardware, rather than something analogous to medication, which is one way how the analogy breaks down and becomes useless - and one of the reasons why I am not using it. Relying on this analogy means asking for problems.)
Thank you as always, Dr Kruse
I personally feel like RSD is composed both of psychological and neurological factors. It's true that we love emotions in an amplified manner but it's also true that we go through a lot of failures, umiliations and masking
I've been misdiagnosed with NPD, I've misdiagnosed my mom with BPD and my dad with NPD. In reality we're all undiagnosed and late-diagnosed ADHDers with (clearly) severe psychological comorbidities
Thank you for informing us about RSD. It isnt talked about enough
Thank you
It is illuminating to hear more about RSD, emotional control problems, and how they can be treated. Thank you!
Just to add, I have now heard several times that for some people a combination of a stimulant with atomoxetine (Strattera) or, less often, guanfancine (Intuniv) can not only help tolerating the stimulant better, but also improve emotional control considerably.
I have also met at least one person in a self-help group who had exactly this experience. He could not tolerate stimulants unless paired with atomoxetine, and that combo also allowed him to stay much calmer.
This was tremendously detailed and instructive, thank-you! Before wishing you a very Happy New Year, Dr Kruse, I'd like to say that, I'd immensely value just such an intensive video, on the time blindness that goes hand in hand with ADHD. While I've sought out your videos from long ago on the topic, I'm curious as to whether there have been any developments in the literature, in relation to this aspect. Because in terms of effective treatment modalities, for what many count the most disabling aspect of the disorder, there seems to be a dearth of available options. (at least within my own knowledge base)
Your points about psychotherapy vs pharmaceuticals match up with my personal experience. Dodson arguing that RSD can only be treated by one and not the other sort of assumes a strict boundary between brain chemistry and consciousness, like the brain is a computer with hardware and software. Seems pretty clearly untrue!
Do you have a link or DOI number for the parent/child ADHD treatment study you mentioned? Sounds pretty interesting.
I am glad that both medication and psychotherapy seem to help with RSD and emotional dysregulation. Of course, more studies exploring this would be good to have as well.
On the computer analogy: while I am not usually using this analogy when conceptualizing psychological phenomena, mainly because it is just not necessary and it has many limits, I do think that it is not the worst analogy, as far as analogies go. Because even for computers, a good chunk of hardware problems can be addressed in software, and vice versa. (Although the latter requires exchanging hardware, rather than something analogous to medication, which is one way how the analogy breaks down and becomes useless - and one of the reasons why I am not using it. Relying on this analogy means asking for problems.)