Podcasts about vyvanse

EP560. A solo episode that feels like a big exhale.I'm talking about the shift from the Year of the Snake (2025) in to the Year of the Horse (2026), and why it feels wildly accurate in my own life. From starting Vyvanse and finally feeling clarity in my brain, to ending friendships that no longer fit, leaving my management, and yes… taking out my extensions, this year has been full of big, necessary changes.If you're in a season of shedding, resetting, or questioning everything, this one's for you, and for anyone who's looking ahead to 2026 hoping for a little more calm and a lot more clarity.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

“What would you do if you had just 15 seconds before drifting into the endless void of space?”This episode of The Sandy Show launches with Sandy's bluesy charm and Tricia's quick wit, inviting listeners into a whirlwind of laughter, pop culture, and candid confessions. From the hilarious debate over the infamous “drawer full of cables” to the jaw-dropping revelation that Mariah Carey earns millions every December from a single song, Sandy and Tricia pull no punches.Key moments include Tricia's unapologetic take on Mariah Carey (“She'll never be my queen!”), a playful rundown of December's can't-miss events—from college football to the SpongeBob movie—and a quirky “Care or Don't Care” segment that explores everything from the terror of space to the truth behind the Mad Hatter's name.Memorable quotes:“You'd be space garbage floating around in space. Nope. That's the stuff of nightmares.”“If I'd had Vyvanse in college, I'd be president of the United States. The world, Sandy. I would.”With their signature banter and relatable stories, Sandy and Tricia turn everyday moments into laugh-out-loud entertainment. Whether you're a longtime fan or a first-time listener, this episode is packed with surprises, nostalgia, and the kind of humor that keeps you coming back for more.Call to ActionLove what you hear? Don't miss a single episode—subscribe to The Sandy Show, leave us a review, and share this episode with friends who need a good laugh and a dose of real talk! SEO 

Learn how Vyvanse works differently from other ADHD medications and whether it could help your teenager with focus, impulse control, and anxiety. Experts break down the benefits, side effects, dosing, and why pairing medication with therapy matters most.Visit https://missionprephealthcare.com/mental-health-resources/stimulants/vyvanse/ Mission Prep City: San Juan Capistrano Address: 30310 Rancho Viejo Rd. Website: https://missionprephealthcare.com/

One pharmacist urges her colleagues to put aside their preconceptions of ADHD and those who live with it, and take a wider view Susan Nguyen, a Sydney pharmacy co-owner and founder of ADHD Support Pharmacist, has told AJP Podcast host Carlene McMaugh that she hopes pharmacists will try to gain a better understanding of Attention Deficit/Hyperactivity Disorder and consider how it affects patients' lives in multiple ways – including its comorbidities, and what pharmacists can do to help. She likens it to diabetes in the way that people make negative judgements about a patient's behaviour – but also contrasts it with regard to the lack of a holistic approach. “When you look at someone who has diabetes, they experience the judgement, ‘oh, they've got diabetes. Oh, they must have been having too much sugar or too many soft drinks. Or their parents probably gave them lollies every day',” she says. But even with this wider social stigma, pharmacists do not generally hold negative opinions about people with diabetes, she says, and do consider the wider picture. “You're thinking of foot care, wound care, vaccinations, diabetes med checks… diabetes has a lot of, I guess, comorbidities and other conditions and lifestyle factors played as well. “When you look at ADHD, it's a lot, just much the same. You're looking at a lot of comorbidities, you're looking at lifestyle, you're looking at complications, you're looking at as well, the stigma… “When you care for someone with ADHD and you delve into it more, you start to see there's anxiety, there’s depression, there's also [that] unmanaged ADHD means they may be eating, there could be obesity there, drug use work, relationship problems, a whole gamut. “So it's where pharmacists need to be.” Nguyen also looks into misconceptions such as overdiagnosis, that ADHD is a condition mainly affecting boys, and that ADHD medicines may impact quality of life. And significantly, she speaks about how people with ADHD are judged negatively for their own symptoms. “The lack of concentration, the disorganisation, the time blindness, not being able to manage your scripts, not getting your scripts. “It goes out of date, you freak out, the patient rings up and they say, ‘look, I haven’t got any of my medications left'. “When we hear that it could be easily seen as they’re being lazy, they’ve been so they’ve let themselves down to let us down. “It’s such a hassle. It’s inconvenient, but it’s the presenting symptom, and they’re stigmatised for their presenting symptoms. “We’re actually, as healthcare professionals, as pharmacists, as even as society, we’re almost punishing people with ADHD for what they have, whereas someone with diabetes, they might have more UTIs, they might have infections that just don’t heal, that sort of stuff. “But there’s a lot of support. And that’s because we look at the symptoms, we understand the pathophysiological side, but because of that lack of, I guess, understanding of ADHD, it’s become more of about a character flaw or character trait. “And so that really makes it hard for, I guess, healthcare professionals to show that care and support. “And I feel that this is where we need to really, as pharmacists making that stance on that and then supporting our patients in a much better way.” Highlights include: 01:21 – Why does ADHD need more attention in pharmacy? 04:18 – The comparison with diabetes 07:14 – ADHD in women and inattentive symptoms 08:11 – The role of social media 12:26 – Will medication “fix it up”? 14:04 – How can we widen our views? 16:32 – “With stimulant prescribing, it is hard.” 18:10 – The consequences of unmanaged ADHD 20:44 – How do we share information? 21:49 – “Pharmacists may think, oh, they’re going to get tolerant when they take  Ritalin for so long.” 23:10 – “If you’ve seen a patient who comes in with their prescription for Vyvanse, we can’t assume that, hey, everything’s under control.” 26:27 – The carer's perspective 28:37 – Pharmacists with ADHD 32:39 – “We need more pharmacists to really be in that space to advocate for patients.” You can access the full transcript of this podcast here. While we endeavour to ensure all important words and phrases are correct, please note there may be some minor inaccuracies in the transcription. ACCESS PODCAST TRANSCRIPT Go here for the full list of active AJP podcasts. These can also be accessed via Apple Podcasts and Spotify  Carlene McMaugh

Send us a textThe mic comes back on and we don't ease in—we tell the truth. A cosy Christmas village spins in the background while we unpack a year that bent our capacity, stalled our schedule, and still pushed us toward braver choices. We decide to keep the show alive with a slower cadence, not out of defeat, but because sustainability is a skill worth practising.The heart of the conversation is a major health update: approval into a bariatric surgery program with a likely date within the next year. We dig into the fear that rides shotgun—fear of death, fear of change, fear of lifelong rules—and the hope that keeps us moving. This isn't an easy way out; it's a structured, demanding path with supplements, labs, hydration, and habits that compound over time. Alongside that comes the messy reality of weight stigma and access: Saxenda costs spike, insurance falls short, a switch to Wegovy helps, and Vyvanse quiets binge urges and ADHD‑fuelled food noise in surprising ways.We also name what many avoid. Borderline personality disorder shows up as people pleasing, conflict avoidance, and a fragile sense of self. Therapy helps and sometimes hurts; progress isn't linear. We talk about stepping back from social media for mental health, planning to document the bariatric journey on YouTube with safer comment boundaries, and finding small joys—sourdough starters, cranberry‑brie pull‑apart bread, and a child's sticky‑sweet cameo—that make the hard days softer. There's a candid story about foot pain, a podiatrist's nod that stings, and a physio's reframing that reminds us weight can be a factor without being the whole story.If you've felt unseen by healthcare, wrestled with food noise, or needed permission to slow down without giving up, this one's for you. Listen, share with a friend who needs a compassionate nudge, and leave a rating or review so more people can find these conversations. Subscribe to catch the bariatric prep series and our year‑end wrap as we rebuild a kinder rhythm together.Support the showDo you have a story you would like to share? Send it to us at theweightingroompc@gmail.comDisclaimer: We are not Medical professionals and all views and opinions are our own.

**THIS EPISODE IS NOT MEDICAL ADVICE!!** I'm only sharing my personal experiences and reflections! Talk to your doctor!In this episode I share about what I noticed on 20, 30, and 40mg of Vyvanse, and what I'm looking for to know when I've found the 'right' dose of Vyvanse for me (hopefully!) 

**DISCLAIMER** This is not medical advice! Please talk to a doctor before making any important medical decisions that would affect your health!! Repeat: This is not medical advice! Sharing my own personal experiences on Vyvanse so far, comparing to my experience with Adderall XR (the only other ADHD med I've tried), and how I am evaluating my executive functioning & symptoms as the week has gone on.

In this podcast, Stephen Martin shares his personal journey with weight loss and health, focusing on the interplay between the keto diet, Vyvanse, and Wigovy. He discusses his experiences with these methods, the challenges he faces, and the strategies he employs to maintain his health and achieve his weight loss goals. The conversation emphasizes the importance of understanding how different dietary approaches can work together, especially for individuals with ADHD and other cognitive differences.TakeawaysVyvanse helps keep focus and reduces food cravings.Keto can be adapted to include higher protein and lower fat.Wigovy has shown potential in managing hunger and fullness.Combining different dietary strategies can enhance weight loss efforts.Electrolytes are crucial when following a keto diet.Personal experiences with weight loss can vary significantly.Maintaining a balanced approach is key to long-term success.Using food for dopamine can be a challenge for many.Trial and error is part of finding what works best for you.Staying committed to health goals requires ongoing effort and adjustment.Vyvanse, Wigovy, Keto, weight loss, ADHD, health, nutrition, personal journey, dietary strategies, mental health, adults with dyslexia, support for adults.Join the club⁠rightbrainresetters.com⁠Get 20% off your first order⁠addednutrition.com⁠If you want to find out more visit:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠truthaboutdyslexia.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join our Facebook Group⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠facebook.com/groups/adultdyslexia⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

September 3rd, 2025. I talk about my official first day on generic Vyvanse, how much time it takes to indulge hobbies, and using voice recordings to develop my passion projects.

August 17th, 2025. I talk about my first month of testing dosages of adderall and Vyvanse, the boost it's had on my productivity and general ability to act on things, working on the card game during my current job hiatus, and taking my baby brother for a check-up.

I told y'all that we were keeping it moving! This week we're going over how the brain indexes abstract thought, how emotions are expressed across cultures, and the self-fulfilling prophecy of gender. Please excuse the tangents this week, Rite Aid closed and I am without Vyvanse. That being said, very happy to have you in this week's communal Schauer! Resources: Meet the neuroscientist shattering the myth of the gendered brain https://www.theguardian.com/science/2019/feb/24/meet-the-neuroscientist-shattering-the-myth-of-the-gendered-brain-gina-rippon Sex versus gender associations with brain structure https://www.sciencedirect.com/science/article/pii/S096758682400105X Two Minds: The Cognitive Differences Between Men and Women https://stanmed.stanford.edu/how-mens-and-womens-brains-are-different/ Faith, Truth and Forgiveness: How Your Brain Processes Abstract Thought https://www.cmu.edu/news/stories/archives/2019/october/abstract-thought.html  If there are any resources missing please let me know and I will update this list ASAP. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Mindy talks about her 4th of July. And then she answers questions about UTIs, no libido after kids, herniated discs, leg knots, semaglutides, Vyvanse, large mass, rolling your ankle, ureaplasma, six year-old with nightmares from allergy meds, shingles and Shingrix and reaction from doxycycline. Dr. Mindy - YouTubeSee omnystudio.com/listener for privacy information.

SPONSORS: - Upgrade your wardrobe and save on @trueclassic at https://trueclassic.com/BEARS ! #trueclassicpod - Head to https://acorns.com/bears or download the Acorns app to get started. - Get started at https://factormeals.com/bears50off and use code bears50off to get 50 percent off plus FREE shipping on your first box. This week on 2 Bears 1 Cave, Tom Segura is joined by the hilariously unfiltered Mark Normand! The episode kicks off with farts and sharts as Mark shares the horrifying tale of sharting on a date right after letting one rip at the top of the show. The Bears talk about parenthood, including Mark's brand-new baby, Tom's kids telling gay jokes, the absolute chaos of tiny humans mimicking adult behavior, and the innocence of youth. They next dive into Tom Cruise's intensity, his popcorn-eating habits, and whether the man who saved cinema is also just a little…off. Then they go deep on comedy life: struggling in New York, open mics, internet haters, and the brutal truth that even legends get roasted. Mark also shares more about life as a Brooklyn dad, falling asleep to podcasts, his time as a janitor, and a wild Copenhagen strip club story courtesy of Bert Kreischer. The conversation also hits on Tim Dillon's CNN moment, Sam Morril, Joe List, Vyvanse brain boosts, and weird dudes trying to get into business with Tom's old corn star neighbor. Buckle up, queef it up, and enjoy! 2 Bears, 1 Cave Ep. 292 https://tomsegura.com/tour https://www.bertbertbert.com/tour https://store.ymhstudios.com Chapters 00:00:00 - Intro 00:00:35 - Sharts & Babies 00:05:08 - Tom Cruise 00:13:42 - Dad Stuff 00:20:12 - COMEDY! 00:27:22 - Hate From The Internet 00:33:42 - New York Comedy Scene 00:38:46 - Gay For Bert 00:44:41 - Conquering New York 00:51:03 - Right Man For The Job 01:00:10 - Texas 01:03:34 - Wrap Up Learn more about your ad choices. Visit megaphone.fm/adchoices

Episode 192: ADHD Treatment.  Jordan Redden (MSIV) explains the treatment of ADHD. Dr. Bustamante adds input about pharmacologic and non-pharmacologic treatments. Dr. Arreaza shares the how stimulants were discovered as the treatment for ADHD. Written by Jordan Redden, MSIV, Ross University School of Medicine. Comments and edits by Isabelo Bustamante, MD, and Hector Arreaza, MD. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction.ADHD is a chronic neurodevelopmental condition characterized by inattention, impulsivity, and/or hyperactivity. While it's often diagnosed in childhood, symptoms can persist well in adulthood. The treatment for ADHD is multifaceted. It often includes medication, behavioral therapy, environmental modifications, and sometimes educational interventions which are especially effective in younger patients. Ongoing evaluation is needed during treatment. Treatment needs adjustments over time.Starting with medications: Stimulants are the most well-studied and effective pharmacologic treatment for ADHD. These include methylphenidate-based medications such as Ritalin, Concerta, and Focalin, and amphetamine-based options, like Adderall, Vyvanse, and Dexedrine. Discovery of stimulants for ADHD> Dr. Charles Bradley discovered stimulants as the treatment for ADHD around 1937. ADHD did not have a name at that time, but it was known that some children had behavioral problems related to poor attention and inability to control their impulses, but they were still intelligent. Dr. Bradley was a psychiatrist who was working in the Bradley Hospital (Rhode Island), he was studying these children and, as part of his experiments, they developed severe headaches. He gave “Benzedrine” (a decongestant) to his pediatric patients to treat severe headaches, and he discovered that Benzedrine improved academic performance and interest in school and improved disruptive behavior in some children.How do stimulants work.Stimulants work primarily by increasing dopamine and norepinephrine levels in the brain, which helps improve focus, attention span, and impulse control. They typically show a rapid onset of action and can lead to noticeable improvements within the first few days of use. Dosing is individualized and should start low with gradual titration. Side effects can include reduced appetite, insomnia, headaches, increased heart rate, and emotional lability.Types of stimulants. Stimulants come as short acting and long acting. They can come as a tablet, liquid, patch, or orally disintegrating tablet. After the discovery of Benzedrine as a possible treatment for ADHD, more research was done over the years, and Ritalin became the first FDA-approved medication for ADHD (1955). The list of medications may seem overwhelming, but there are only two types of stimulants used to treat ADHD: methylphenidate and amphetamine. Long-acting stimulant medications are often preferred for their consistent symptom control and lower potential for misuse. Vyvanse (lis-dexa-mfetamine) is a widely used long-acting amphetamine-based option. As a prodrug, it remains inactive until metabolized in the body, which results in a smoother onset and offset of action and may reduce the risk of abuse. This extended duration of effect can help patients maintain focus and regulate impulses throughout the day without the peaks and crashes sometimes seen with shorter-acting formulations. Of note, Vyvanse is also approved for Binge Eating Disorder. Many of these medications are Schedule II controlled substances, so to prescribe them you need a DEA license. Other long-acting options include Concerta, an extended-release methylphenidate, as well as extended-release versions of Adderall and Focalin. These are especially helpful for school-aged children who benefit from once-daily dosing, and for adults who need sustained attention during work or academic activities. The choice between short- and long-acting stimulants depends on individual response, side effect tolerance, and daily routine.For patients who cannot tolerate stimulants, or for those with contraindications such as a history of substance misuse or certain cardiac conditions, non-stimulant medications are an alternative. One of the most used is atomoxetine, which inhibits the presynaptic norepinephrine transporter (NET). This leads to increased levels of norepinephrine (and to a lesser extent dopamine). Guanfacine or clonidine are alpha-2A adrenergic receptor agonists that lead to reduced sympathetic outflow and enhanced prefrontal cortical function, improving attention and impulse control. These alpha agonists are particularly useful in younger children with significant hyperactivity or sleep disturbances.Non-pharmacologic treatments.Behavioral therapy before age 6 is the first choice, after that, medications are more effective than BH only, and as adults again you use CBT.Medication is often just one part of a broader treatment plan. Behavioral therapy, especially in children, plays a critical role. Parent-training programs, positive reinforcement systems, and structured routines can significantly improve functioning. And for adolescents and adults, cognitive-behavioral therapy (CBT) is particularly helpful. CBT can address issues like procrastination, time management, emotional regulation, and self-esteem which are areas that medication doesn't always touch.Using medications for ADHD can be faced with resistance by parents, and even children. There is stigma and misconceptions about mental health, there may be concerns about side effects, fear of addiction, negative past experiences, and some parents prefer to treat ADHD the “natural” way without medications or only with supplements. All those concerns are valid. Starting a medication for ADHD is the first line of treatment in children who are 6 years and older, but it requires a shared decision with parents and patients. Cardiac side effects are possible with stimulants. EKG may be needed before starting stimulants, but it is not required. Get a personal and family cardiac history, including a solid ROS. Benefits include control of current condition and treating comorbid conditions.The presentation of ADHD changes as the person goes through different stages of life. For example, you may have severe hyperactivity in your school years, but that hyperactivity improves during adolescence and impulsivity worsens. It varies among sexes too. Women tend to present as inattentive, and men tend to be more hyperactive. ADHD is often underdiagnosed in adults, yet it can significantly impact job performance, relationships, and mental health. In adults, we often use long-acting stimulants to minimize the potential for misuse. And psychotherapy, particularly CBT or executive functioning coaching, can be life-changing when combined with pharmacologic treatment. There are several populations where treatment must be tailored carefully such as pregnant patients, individuals with co-occurring anxiety or depression, and those with a history of substance use. For example, atomoxetine may be preferred in patients with a history of substance misuse. And in children with coexisting oppositional defiant disorder, combined behavioral and pharmacologic therapy is usually more effective than either approach alone.Comorbid conditions.Depression and anxiety can be comorbid, and they can also mimic ADHD. Consult your DSM-5 to clarify what you are treating, ADHD vs depression/anxiety.Treatment goes beyond the clinic. For school-aged children, we often work closely with schools to implement 504 plans or Individualized Education Programs (IEPs) that provide classroom accommodations. Adults may also benefit from workplace strategies like structured schedules, noise-reducing headphones, or even coaching support. Ongoing monitoring is absolutely essential. We assess side effects of medication, adherence, and symptom control. ***In children, we also monitor growth and sleep patterns. We often use validated rating scales, like the Vanderbilt questionnaire for children 6–12 (collect answers from two settings) or Conners questionnaires (collect from clinician, parents and teachers), to track progress. And shared decision-making with patients and families is key throughout the treatment process.To summarize, ADHD is a chronic but manageable condition. Effective treatment usually involves a combination of medication and behavioral interventions, tailored to the individual's needs. And early diagnosis and treatment can significantly improve quality of life academically, socially, and emotionally.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed., text rev. (DSM-5-TR). Washington, DC: American Psychiatric Association; 2022. CHADD (Children and Adults with Attention-Deficit/Hyperactivity Disorder). Understanding ADHD. Accessed May 2025. https://chadd.org National Institute for Health and Care Excellence (NICE). Attention Deficit Hyperactivity Disorder: Diagnosis and Management. NICE guideline [NG87]. Updated March 2018. Accessed May 2025. https://www.nice.org.uk/guidance/ng87 Pliszka SR; AACAP Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2007;46(7):894–921. doi:10.1097/chi.0b013e318054e724 Subcommittee on Children and Adolescents with Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management. Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics. 2019;144(4):e20192528. doi:10.1542/peds.2019-2528 Texas Children's Hospital. ADHD Provider Toolkit. Baylor College of Medicine. Accessed May 2025. https://www.bcm.edu Wolraich ML, Hagan JF Jr, Allan C, et al. Attention deficit hyperactivity disorder in children and adolescents: Overview of treatment and prognosis. UpToDate. Published 2024. Accessed May 2025.https://www.uptodate.comThe History of ADHD and Its Treatments, https://www.additudemag.com/history-of-adhd/Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

In episode 60 we discuss treating methamphetamine use disorder with lisdexamfetamine (Vyvanse). Ezard N, et al; The LiMA Investigator Group. Lisdexamfetamine in the treatment of methamphetamine dependence: A randomised, placebo-controlled trial. Addiction. 2024 Dec 19. We also discuss why some people don't get hangovers, and tianeptine, otherwise known as gas station heroin. New York Times:The People Who Never Get Hangovers Pain Therapeutics:Tianeptine, an Antidepressant with Opioid Agonist Effects: Pharmacology and Abuse Potential, a Narrative Review --- This podcast offers category 1 and MATE-ACT CME credits through MI CARES and Michigan State University. To get credit for this episode and others, go to this link to make your account, take a brief quiz, and claim your credit. To learn more about opportunities in addiction medicine, visit MI CARES. CME: https://micaresed.org/courses/podcast-addiction-medicine-journal-club/ --- Original theme music:composed and performed by Benjamin Kennedy Audio editing: Michael Bonanno Executive producer:Dr. Patrick Beeman A podcast from Ars Longa Media --- This is Addiction Medicine Journal Club with Dr. Sonya Del Tredici and Dr. John Keenan. We practice addiction medicine and primary care, and we believe that addiction is a disease that can be treated. This podcast reviews current articles to help you stay up to date with research that you can use in your addiction medicine practice. Learn more about your ad choices. Visit megaphone.fm/adchoices

EP498. In this episode, Renee gets real about her journey with ADHD and what it's been like navigating life (and motherhood) with a busy, beautiful ADHD brain. She shares the common signs of ADHD in adult women—spoiler: it's not always what you think—and opens up about her experience starting Vyvanse, including what it should feel like when medication is working well. Oh, and because life never slows down, Renee also takes us through the chaotic rollercoaster of her day… because, of course, everything had to happen at once. If you've ever felt overwhelmed, scattered, or like your brain has 37 tabs open, this one's for you. Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

EP498. In this episode, Renee gets real about her journey with ADHD and what it's been like navigating life (and motherhood) with a busy, beautiful ADHD brain. She shares the common signs of ADHD in adult women—spoiler: it's not always what you think—and opens up about her experience starting Vyvanse, including what it should feel like when medication is working well. Oh, and because life never slows down, Renee also takes us through the chaotic rollercoaster of her day… because, of course, everything had to happen at once. If you've ever felt overwhelmed, scattered, or like your brain has 37 tabs open, this one's for you. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Mindy talks about the Dr. Mindy Experiment and Heather's butt meat. Then she answers questions about nail fungus, IUD, torn Labrum, nicotine patches, Vyvanse, cold medicine, sinus infections, perimenopause swelling, an X-Ray breakdown, nerve pain, lower back pain, pineapple margarita diarrhea, men's contraception, cluster of fever blisters and plantar fasciitis.See omnystudio.com/listener for privacy information.

Dr. Mindy talks about Heather's new fancy Oura Ring, starting a new birth control, can Mindy fix Nugget, Mega Colons, at what age should you start getting screened for everything, throat sores, finger meat getting blown out, Lupus, sharp cramps in your stomach, strep in kiddos, knee pain, hair loss as a woman, alcohol and your liver, allergic reaction to tick bites, URI snotballs, home remedies for hives, a limp from an accident, growing an alien in your stomach, bowl movements after a gallbladder surgery, Vyvanse, hot flashes, the shingles vaccine and dementia, bellybutton bumps, HRT replacement, lowering your cortisol and K tape. Dr. Mindy - YouTubeSee omnystudio.com/listener for privacy information.

At just 25, Cardinal Mason has mastered the art of making money online—pulling in $2.3M through copywriting and scaling his income to six figures a month. In this episode, he breaks down how he went from broke and directionless to working with multi-million dollar brands, the power of email marketing, and why making $30K/month isn't enough.We also dive into:

I'm joined by two amazing guests: Dr. Douglas Brackmann and Steve Distante. Dr. Brackmann is a psychologist, meditation expert and author who works with high performing entrepreneurs, athletes and creatives. He has a deep understanding of neuroscience and human behavior and helps individuals harness their unique brain wiring to overcome obstacles and achieve peak performance. Steve is an entrepreneur, author and investor who has built and scaled multiple businesses. He's passionate about leadership and impact driven entrepreneurship and helps business owners with the tools they need to succeed while staying true to their values. We dive into the intersection of neuroscience, addiction recovery and peak performance. Dr. Brackmann goes into the effects of THC and modafinil on the brain, how they create illusions of clarity and connection while dampening long term well being. Steve shares his entrepreneurial journey, how mindset, leadership and adaptability have been key to his success. We talk about the challenges and opportunities that come with high performance thinking whether in business or in recovery. We also talk about powerful wellness strategies, cold plunging and breathwork, how they increase mental clarity, resilience and emotional regulation. We also talk about self awareness, discipline and being able to confront challenges head on. Whether you're in recovery, personal growth or professional development this episode will give you valuable insights to building a life of purpose and strength. [03:38] Dr. Douglas Brackmann went into recovery in April of 1986. THC did enter his world so now he's 2 years sober again. [04:56] The THC woke up the monster so to speak. [07:22] Modafinil is actually artificial flow.  [11:02] Steve Distante has been an entrepreneur since he was 6 years old. He loves to work with entrepreneurs. He's also written three books. He also has a 400 acre farm in Georgia where he offers retreats. He also offers Airstream experiences. [15:59] the anterior cingulate is the part of our brain that regulates willpower. Buddhist monks and Navy Seals have very well developed anterior cingulate areas.  [22:45] The benefits of cold plunging. It helps eliminate stress and makes you more grounded. [25:21] Entrepreneurs have so much going on it's good to put your spirit or your soul in the driver's seat. [28:54] Have checks and balances but always give the illusion of control as a leader. [35:37] Holding values like gratitude, respect, innovation, teamwork, and trust worthiness dear. [37:05] THC dampens the light of the spirit and disconnects you from your soul. [52:47] The pros and cons of taking Vyvanse. [54:22] The Sleep Eight mattress can track your sleep. [58:57] TMS helps stimulate your brain in a positive way. It was surprising how targeted they made it with brain mapping. [01:04:03] Tim does three sessions a day. [01:06:30] Being in flow and attracted to clarity and opportunity. Links mentioned in this episode: Camelback Recovery I Love Being Sober YouTube Are You Driven? Dr. Douglas Brackmann - LinkedIn Driven: Understanding and Harnessing the Genetic Gifts Shared by Entrepreneurs, Navy SEALs, Pro Athletes, and Maybe YOU Dr. Douglas Brackmann - Facebook Dr. Douglas Brackmann - Instagram Pitchology Once Upon a Time in Entrepreneurland Steve Distante - LinkedIn Steve Distante - Vanderbilt Financial Group Steve Distante - Instagram Pitchology: The Art & Science of Raising Capital for Entrepreneurs Othership app Inspired Performance Institute Eight Sleep Whoop

Send us a textWhat leads a promising college student to vanish without a trace? Join me, Jazmin Ramirez, on a gripping journey as we unravel the enigma of Bryce David Laspisa's disappearance—a case that continues to baffle and haunt those who knew him. Bryce's story takes a troubling turn as we explore his life from an impressive freshman year at Sierra College to the unsettling behaviors that marked his sophomore year. Through vivid accounts from friends like his roommate Sean and girlfriend Kim, we uncover the concerning escalation of Bryce's alcohol use and his alarming dependency on Vyvanse, painting a portrait of a young man spiraling into mystery.Bryce's transformation from a thriving student to someone who alarmed his loved ones with erratic behavior is just the beginning. We dig into the eerie sequence of events that led to his car being found abandoned and crashed, with no sign of Bryce himself. As his mother, Karen, and a stranger named Christian try desperately to ensure his safety, Bryce's cryptic decisions and actions only deepen the puzzle. Even as roadside assistance is called to his location, the unresolved nature of his intentions leaves us questioning what truly happened in those last moments he was seen.Despite exhaustive search efforts and a reward for information, Bryce remains missing, leaving a void for his family and friends that is both chilling and heartbreaking. This episode of Murder by Nature is a poignant reminder of how quickly a familiar life can morph into an inexplicable mystery. I invite you to listen, reflect, and remain vigilant, as Bryce's unresolved story is a powerful testament to the unknown shadows that can lurk in our everyday lives. Join me next week for another compelling narrative that challenges the boundaries of understanding and safety.Reddithttps://allthatsinteresting.com/bryce-laspisahttps://www.ranker.com/list/bryce-laspisa-disappearance/patrick-thorntonhttps://www.nbclosangeles.com/news/local/bryce-laspisa-missing-person-castaic-lake/1959070/https://missingpeopleinamerica.org/missing/bryce-laspisahttps://themorbidlibrary.com/the-missing-bryce-laspisa/https://storiesoftheunsolved.com/2019/02/11/the-disappearance-of-bryce-laspisa/https://uncovered.com/cases/bryce-laspisahttps://www.chillingcrimes.com/blogs/news/bryce-laspisahttps://wegotthiscovered.com/true-crime/the-tragic-true-story-of-what-happened-to-bryce-laspia-explained/https://abc7.com/missing-man-castaic-lake/5507392/https://www.investigationdiscovery.com/crimefeed/id-shows/what-was-bryce-laspisa-desperate-to-tell-his-parents-on-the-day-he-went-missinghttps://disappearedblog.com/bryce-laspisa/hchaSupport the show

Send Me a Message! In this episode of The Dysregulated Podcast, I take a look at the all-too-familiar "Dexy Blues"—the wave of anxiety and depression that hits when stimulant medications like Vyvanse and dexamphetamine start to wear off. I share my experience with these emotional crashes, how my prescription had to be adjusted to soften the blow, and some quick tips to help avoid those tough afternoons. I also reflect on my friends' experiences, how these medications affect her differently and showing how reactions to even the same drugs can vary from person to person. If you're on ADHD meds, I think you'll really relate to this one!----Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

Text Dr. Lenz any feedback or questions Impact of ADHD on Obesity and Weight Loss ManagementThis episode explores the significant impact of ADHD on obesity and challenges in maintaining a healthy diet. Last week's discussion on the pleasure trap and social environment dynamics sets the stage for this week's review of a 2009 study on treating refractory obesity in severely obese adults newly diagnosed with ADHD. The study, published in the International Journal of Obesity, investigates whether ADHD pharmacologic treatment leads to sustained weight loss. The findings reveal a higher prevalence of severe obesity among individuals with ADHD and significant weight loss in treated individuals. The episode further delves into the complexities of ADHD's impact on time management, task completion, and emotional regulation, which are crucial for successful weight loss. Additionally, it discusses the implications for weight loss surgery candidates and the potential benefits of integrating ADHD treatment with lifestyle and dietary interventions, including whole food plant-based diets. The episode concludes with insights into treating binge eating disorder and its connection with ADHD, highlighting the effectiveness of medications like Vyvanse. Listeners are encouraged to consider the bio-psycho-social holistic multifaceted approach to managing obesity and chronic pain conditions like fibromyalgia.00:00 Understanding ADHD's Impact on Obesity00:39 Exploring the Study on ADHD and Obesity Treatment06:39 Study Findings and Discussion14:01 Implications 22:18 Binge Eating Disorder 32:30 Conclusion and Future Directions Support the showA Fibromyalgia Starter Pack, which is a great companion to the book Conquering Your Fibromyalgia, is now available. Dr. Michael Lenz practices general pediatrics and internal medicine primary care, seeing patients from infants through adults. In addition, he also will see patients with fibromyalgia and related problems and patients interested in lifestyle medicine and clinical lipidology. To learn more, go to ConquringYourFibromyalgia.com. Remember that while Dr. Lenz is a medical doctor, he is not your doctor. All of your signs and symptoms should be discussed with your own physician. He aims to weave the best of conventional medicine with lifestyle medicine to help people with chronic health conditions live their best lives possible. Dr. Lenz hopes that the podcast, book, blog, and website serve as a trusted resource and starting point on your journey of learning to live better with fibromyalgia and related illnesses.

https://podawful.com/posts/2517  SALVO is here (sorta.) Destiny is exactly who every single person who ever saw him thought he was. No, I don't just mean a manlet, no not just a hypercuck, nu-uh, not even talking about a living reddit account reading wikipedia while hopped up on Vyvanse. HE'S A SEXCRIMINAL!!! And he's getting sued. Meanwhile, an N-cel rootin' tootin' schoolyard shootin' fan of Destiny has named him as an inspiration in his manifesto, along with Goons like Turkey Tom, iDubbbz, Ethan Ralph, and Nick Fuentes. PLUS: Destiny's son mogs Mr. Bonadelli, Gazi Kodzo gets a shoutout, Ethan Ralph's weepy rehab Vitamin S note, and Aaron Imholte keeps chickening out of going on PODAWFUL. VIDEO: https://youtube.com/live/5sSbIBvEvho  Buy A Shirt: http://podawful.shop  PODAWFUL is an anti-podcast hosted by Jesse P-S

https://podawful.com/posts/2517  SALVO is here (sorta.) Destiny is exactly who every single person who ever saw him thought he was. No, I don't just mean a manlet, no not just a hypercuck, nu-uh, not even talking about a living reddit account reading wikipedia while hopped up on Vyvanse. HE'S A SEXCRIMINAL!!! And he's getting sued. Meanwhile, an N-cel rootin' tootin' schoolyard shootin' fan of Destiny has named him as an inspiration in his manifesto, along with Goons like Turkey Tom, iDubbbz, Ethan Ralph, and Nick Fuentes. PLUS: Destiny's son mogs Mr. Bonadelli, Gazi Kodzo gets a shoutout, Ethan Ralph's weepy rehab Vitamin S note, and Aaron Imholte keeps chickening out of going on PODAWFUL. VIDEO: https://youtube.com/live/5sSbIBvEvho  Buy A Shirt: http://podawful.shop  PODAWFUL is an anti-podcast hosted by Jesse P-S

Discover the latest Lady Journey podcast episode featuring comedian Elle Orlando! Dive into her candid insights on balancing life with Vyvanse and weed, her cozy New Year's Eve plans, and her ultimate guide to creating flawless beach waves. Tune in for laughs, lifestyle tips, and relatable moments!

The boy's are back after Thanksgiving. We're going to be in the Greenfield Parade! The Steelers win again. Tyson gets an offer to host a party in his chaps. We talk about the most hated characters in TV. And we ask one of the weirdest questions ever asked on the show. Jelly Roll gets caught eating boogers. A drunk man joins in on his own search party. A guy has a little to much Vyvanse. And we learn about the dark side of the spoon. All that and more on this week's episode of Greenfield's Finest Podcast. Check out our upcoming events, social media, and merch sale at the link below: ⁠⁠https://linktr.ee/GFP Spotify: https://open.spotify.com/show/7viuBywVXF4e52CHUgk1i5 Produced by Lane Media ⁠https://www.lanemediapgh.com/

Discover the transformative potential of ADHD medications in addiction treatment as we bring you a captivating discussion with Dr. Justin Mohatt, a renowned child and adolescent psychiatrist. Dr. Mohatt joins us to unravel the complexities of using ADHD medications to combat stimulant addiction, shedding light on how these drugs can make a difference. We'll explore a myriad of medications, including guanfacine, clonidine, and atomoxetine, and discuss their respective roles in addressing adult ADHD and substance use disorders. Learn the importance of a meticulous diagnostic process to distinguish ADHD from other mental health conditions like depression and anxiety, ensuring a tailored approach to treatment.We navigate the nuanced landscape of ADHD in adults with a history of substance use, emphasizing the critical role of family insights to inform diagnoses beyond self-reports. The conversation underscores the careful application of stimulants for ADHD, even in those with stimulant use disorders, while presenting Vyvanse as a potentially safer choice. Non-stimulant medications like atomoxetine receive special attention for their dual role in treating ADHD and co-occurring anxiety, offering a glimpse into strategies for managing side effects and insurance hurdles. Hear how non-addictive alternatives could provide solutions for patients who haven't found success with traditional medications.As we delve deeper into co-occurring ADHD and trauma, Dr. Mohatt discusses the potential benefits of alpha agonists and other non-stimulant options in treating complex cases involving PTSD and substance use disorders. Together, Dr. Mohatt and I affirm the importance of addressing ADHD within addiction treatment to foster recovery and improve cognitive function, offering a beacon of hope for those navigating these intertwined challenges.To contact Dr. Grover: ammadeeasy@fastmail.com 

Send Me a Message! In this episode of The Dysregulated Podcast, I reflect on a successful two weeks of annual leave. For the first time in years, my car, room, and even the house is all clean—and have stayed that way for over a week! It might sound silly, but those with ADHD will understand this all too well. Not only that, but I also laminated a heap of podcast posters (mindfulness exercise) and put them all around Newcastle! I even looked after our family cat Mabel this week, and everything around me is in order. Unbelievable! I do thank my medication Vyvanse, along with my decision to create a vision for the two weeks, build some structure and routine into my days, as helping me navigate away from the blockages ADHD can cause.But ADHD remains a cruel disorder, as I reflect on a friend who just lost their job due to unmanaged ADHD challenges. This stark contrast reminds me how vital treatment and support are. Tune in for my raw, genuine and very real account of what life is like living with ADHD.

Eric Rahill and Katy Fullan join the pod to discuss LET'S START A CULT (available to rent or buy on VOD on Nov. 12!!), all the deaths Eric has witnessed in his life, doing improv on a cruise ship, being a young kid on Vyvanse, designing prisons, and much more. Eric, Katy and Stav help callers including a woman dating a grown man who pops off from just kissing, and a trans man who wants tips on how to be more masc. Watch LET'S START A CULT on VOD 11/12!! Available to buy or rent at https://stavvy.biz/movie Discover personalized ED treatment options at Hims. Start your free online visit at https://www.hims.com/stavvy  Download the Gametime app, create an account, and use code STAVVY for $20 off your first purchase. Terms apply. More info at https://www.gametime.co/ Download the DraftKings Sportsbook app and use code STAVVY to score $200 IN BONUS BETS INSTANTLY when you bet just $5. For more info, visit https://www.draftkings.com/ Get a refreshing Twisted Tea today. Keep It Twisted!! Visit https://www.twistedtea.com/locations to find Twisted Tea near you. Follow Eric Rahill on social media: https://www.instagram.com/ericrahill/ https://www.tiktok.com/@eric_rahill https://x.com/ericrahill Follow Katy Fullan on social media: https://www.katyfullan.com/ https://www.instagram.com/katy_fullan/ Bonus episodes every week! Unlock exclusive, Patreon-only episodes at https://www.patreon.com/stavvysworld Wanna be part of the show? Call 904-800-STAV and leave a voicemail to get advice!

Send Me a Message! In this episode I detail my latest psychiatry appointment, with it being decided to raise my dosage of Vyvanse, with the hopes of further improving my ADHD symptoms. Slow and steady is the key, and I am now back on a dosage I have previously been prescribed after a gradual build up. There are two main issues to keep an eye out for other than effectiveness, that being an increase of anxiety and the potential for intense mood swings. So far, so good. But, I can't find myself falling into an old trap.... Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.

How do you tame your busy brain as a high achieving changemaker? In this transformative episode, host Nicole Jansen sits down with distinguished neurologist and author of The Busy Brain Cure, Dr. Romie Mushtaq. A leading authority in stress management and leadership wellness, Dr. Romie sheds light on the pandemic of chronic stress and its destructive impact on our physical and mental well-being. From her innovative BrainSHIFT protocol to her poignant personal experiences, Dr. Romie equips us with actionable insights to truly transform our lives and leadership. Discover the profound effects of chronic stress on the brain, the grave consequences of ignoring these symptoms, and the holistic approaches necessary to address the root causes. Nicole and Dr. Romie's rich exchange invites leaders to embrace sustainable wellness, thereby improving not just their own lives but also the lives of those they lead. What We Discuss in this Episode Symptoms and impact of a busy brain on leaders. Dr. Romie's story of burnout to becoming a change-maker in stress management. The critical need to address root causes for lasting change. Understanding the science behind stress-induced brain issues. Unveiling the isolation experienced by high-achieving professionals. Introducing the BrainSHIFT Protocol designed to manage and heal stress. Implementing small, daily changes for significant impact. The integral role of restorative sleep in combating stress. The importance of comprehensive health checks and appropriate supplementation. Actionable steps and ongoing support for sustainable wellness. Podcast Highlights 0:00 - Loneliness epidemic 5:30 – Dr. Romie's burnout experience 7:35 – Chronic stress impact on brain 11:51 – Prevent burnout, maintain cognitive sharpness 15:07 – Impact of stimulants 18:49 - Circadian rhythm 20:06 - Magnesium glycinate 22:58 - Vitamin D3, thyroid and burnout 27:12 - Mind body connection 32:02 - Workplace mental health and engagement crisis 34:14 - Acute stressors 37:21 - Cohort-based learning 41:58 – Actionable next steps Favorite Quotes Chronic Stress and Neural Inflammation: "Being under chronic stress will cause neural inflammation, a pattern of inflammation in a particular area of the brain known as your hypothalamus, the SCN nucleus, governing your circadian rhythm." How to Stay Sharp at Any Age: "Today, I am cognitively sharper than at 25 when I graduated from medical school because I follow this protocol." Stimulant Overuse in the U.S.: "The tragedy here in the United States is 85% of all stimulant medications like Adderall and Vyvanse are prescribed here in the US and mostly to adults as performance enhancing medications." Episode Show Notes and Resources: https://leadersoftransformation.com/podcast/health/516-healing-busy-brain-practical-wellness-tips-for-high-achievers-with-dr-romie-mushtaq   Check out our complete library of episodes and other leadership resources here: https://leadersoftransformation.com ________

Send Me a Message! Medication changes can be tough, but often a revisit to a previous prescription is the best choice. Join me as I recount my latest psychiatrist appointment, where we decided that a stimulant medication, Vyvanse, could be the key to me regaining focus in life and unlocking my potential. I discuss the decision-making process, my history with Vyvanse, and what I'm hoping for this time around. 

In this podcast episode, Stephen and Andre discuss the comorbidities that often accompany dyslexia. They explore dyscalculia, dyspraxia, dysgraphia, and ADHD, highlighting the challenges and experiences associated with each. They also touch on the intersection of autism and ADHD, as well as the importance of education and understanding for all neurodiverse conditions. Takeaways Dyslexia is often accompanied by other conditions such as dyscalculia, dyspraxia, and dysgraphia. Dyscalculia is dyslexia with math difficulties, including struggles with numbers and quantity. Dyspraxia affects balance, motor skills, and coordination, leading to challenges with handwriting and clumsiness. Dysgraphia is difficulty with writing and getting thoughts onto paper. ADHD is closely linked with dyslexia, with many individuals having both conditions. ADHD medications like Vyvanse can have a significant positive impact on focus and cognitive function. Autism is often characterized by restrictive and repetitive behaviors, sensory sensitivities, and challenges with social cues. Education and understanding are crucial for all neurodiverse conditions, helping individuals and others to better navigate and support them. Keywords dyslexia, comorbidities, dyscalculia, dyspraxia, dysgraphia, ADHD, autism, neurodiversity, adults with dyslexia, support for adults. Find out more about Andrée Kenny and her work with ADHD & Dyslexia at https://andreekenny.com If you want to find out more visit: ⁠⁠truthaboutdyslexia.com⁠⁠⁠ Join our Facebook Group ⁠⁠facebook.com/groups/adultdyslexia

Have you been considering ADHD medication but want to know more about what it's like? Ever since I released my episode about what it's like to live with ADHD (and the quirks I didn't realise weren't just my personality!), you guys have been asking for an episode about my experience with ADHD medication.  So here it is. Medication is not for everyone, and I know the thought of being on medication can be really scary. So in this episode, I'm talking to you about my experience with 3x different types of ADHD medication, which ones I decided weren't for me, and why I got so emotional the first time I took the tablet.  You'll hear: ✨My experiences with ADHD meds Ritalin, Vyvanse and Dexamphetamine ✨What happened when I went off my meds for the first time in 8 months… ✨ My fears about becoming a robot and having no emotion ✨The side effects I experienced that made me stop ASAP … and so much more If you haven't listened to my first episode about my experience with ADHD: the good, the bad and the chaotic then make sure to queue it up next! Listen on Apple or Spotify. Checkout James Cosmetics FAMOUS once in a year WAREHOUSE SALE with up to 50% off at www.jamescosmetics.com Ready to upgrade your wardrobe? Head over to @bymaayau or visit www.bymaay.com and use code STEPH30 for 30% off at checkout. ☎️ Feeling like a hot mess? Girl I've been there

On this episode will be taking a dive into the Amphetamines for the treatment of ADHD. Join us as we discuss some of the formulations such as Vyvanse!

Hiiiii ADHD besties! ✨On today's minisode:We talk for way too many minutes about Weetbix (sorry!)• Divergent dilemma - A cute listener asks 'my therapist suggested I do meditation while I wait for a diagnosis and access to ADHD medication but I find it impossible'. Grace (who is a qualified breathwork and nervous system educator) explains why meditation is hard for our brains and how to make it ADHD friendly.We also talk about our favourite disco fish and how cute and special she is.

Curious about ADHD meds & not sure where to start? This episode covers:Understanding ADHD Medication: We explore what ADHD medication is and how it helps manage symptoms.Types of Medications: A look at stimulant and non-stimulant options and how they work.Addressing Fears: Discussing common concerns about addiction and side effects.Immediate Effects: How quickly can you notice changes, and what to expect.Personal Insights: I share my personal journey with ADHD medication, including challenges and positive changes.Advocacy and Choice: Encouraging you to advocate for yourself and discuss options with your doctor.Remember, the decision to use medication should be made with a healthcare provider. This episode aims to arm you with knowledge to make informed discussions about your health.Connect with Us:Are you a high-achieving woman with ADHD looking for a coach? Event planner looking for a wildly captivating speaker? Go to outsmartadhd.co to get in touch!

Navigating the intricate landscape of mental health can often feel like deciphering a complex puzzle, especially when differentiating between conditions ADHD vs.anxiety. This challenge is further compounded by the similarities in symptoms and the potential for misdiagnosis. However, understanding the nuances and interconnections between these conditions can empower individuals to seek appropriate treatment and improve their quality of life. ADHD, or Attention Deficit Hyperactivity Disorder, is a neurodevelopmental condition characterized by symptoms of inattention, hyperactivity, and impulsivity. While commonly diagnosed in childhood, ADHD persists into adulthood for many individuals, affecting various aspects of their daily lives, from academic performance to personal relationships. On the other hand, anxiety disorders encompass a range of conditions marked by excessive fear, worry, and physical symptoms such as heart palpitations and dizziness. The intersection of ADHD and anxiety is a topic of significant interest within the mental health community. Individuals with ADHD often experience anxiety, partly due to the challenges and frustrations stemming from ADHD symptoms. Similarly, the constant struggle with focus and organization can exacerbate feelings of anxiety, creating a cyclical relationship between the two conditions. A critical aspect of differentiating ADHD from anxiety involves examining the onset and progression of symptoms. ADHD is present from an early age, with symptoms often becoming noticeable during childhood. In contrast, anxiety can develop at any point in life, triggered by stressors or traumatic events. Therefore, a thorough evaluation of an individual's history is vital in distinguishing between the two. Moreover, the manifestation of symptoms can offer clues. For example, while both ADHD and anxiety can lead to concentration difficulties, the underlying reasons differ. In ADHD, the inability to focus is often due to intrinsic attention regulation issues. In anxiety, however, the concentration problems may arise from excessive worry or fear that consumes cognitive resources. Understanding the unique and overlapping aspects of ADHD and anxiety is crucial for effective treatment. For ADHD, interventions typically include medication, such as stimulants, alongside behavioral strategies to enhance executive functioning skills. Anxiety disorders, meanwhile, may be treated with a combination of psychotherapy, such as cognitive-behavioral therapy (CBT), and, in some cases, medication to manage symptoms. The integration of treatment modalities is paramount, particularly for individuals experiencing both ADHD and anxiety. Addressing the ADHD symptoms can often alleviate anxiety by improving self-esteem and coping mechanisms. Similarly, managing anxiety can reduce the overall stress load, making ADHD symptoms more manageable. In conclusion, ADHD and anxiety represent two distinct yet interrelated conditions within the spectrum of mental health. The complexity of their relationship underscores the importance of personalized, comprehensive treatment plans. By fostering a deeper understanding of these conditions, individuals can navigate the path to wellness with greater clarity and confidence. This journey, though challenging, is a testament to the resilience and strength inherent in the human spirit, as we seek to understand and overcome the obstacles that lie within our minds. TRANSCRIPT Kimberley: Welcome, everybody. We are talking about ADHD vs anxiety, how to tell the difference, kind of get you in the know of what is what.  Today, we have Dr. Ryan Sultan. He is an Assistant Professor of Clinical Psychiatry at Columbia University. He knows all the things about ADHD and cannabis use, does a lot of research in this area, and I want to get the tea on all things ADHD and anxiety so that we can work it out. So many of you listening have either been misdiagnosed or totally feel like they don't really understand the difference. And so, let's talk about it. Welcome, Dr. Sultan. ADHD vs. ANXIETY  Ryan: Thank you. I really like doing these things. I think it's fun. I think psychiatrists, which is what I am, I think one of the ways that we really fail, and medical doctors in general don't do well at this, which is like, let's spend some time educating the public. And before my current position, I did epidemiology and public health. And so, I learned a lot about that, and I was like, “You know how you can help people? We have a crisis here. Let's just teach people things about how to find resources and what they can do on their own.” And so, I really enjoy these opportunities.  WHAT IS ADHD vs. WHAT IS ANXIETY?   I was thinking about your question, and I was thinking how we might want to talk about this idea of ADHD versus anxiety, which is a common thing. People come in, and they see me very commonly wanting an evaluation, and they think they have ADHD. And I understand why they think they have ADHD, but their main thing is basically reporting a concentration or focus issue, which is a not specific symptom. Just like if I'm moody today, that doesn't mean I have a mood disorder. If I'm anxious today, it doesn't mean I have an anxiety disorder. I might even feel depressed today; it doesn't mean I have a depression disorder. I could even have a psychotic symptom in your voice, and it does not mean that I have a psychotic disorder. It's more complicated than that.   I think one of the things that the DSM that we love here in the United States—but it's the best thing we have; it's like capitalism and democracy; it's like the best things that we have; we don't have better solutions yet—is that it describes these things in a way that uses plain language to try to standardize it. But it's confusing to the general public and I think it's also confusing to clinicians when you're trying to learn some of these conditions.  WHEN IS ADHD vs. ANXIETY DIAGNOSED?  And certainly, one of the things that have happened in my field that people used to talk a lot about is the idea that, is pediatric, meaning kid diagnosis of ADHD, which often in my area here in the United States will be done by pediatrician, are they adequately able to do that? Because poor pediatricians have to know a lot. And ADHD, psychiatric disorders are complicated. Mental health conditions are super complicated. They're so complicated that there are seven different types of degree programs that end up helping you with them. PsyD, PhD, MD, clinical social worker, mental health counselor, and then there's nurse practitioner. So, like super complicated counseling. So, how do we think about this?  The first thing I try to remind everyone is, if you're not sure what's going on with you, please filter your self-diagnosis. You can think about it, that's great. Write your notes down, da-da-da, but I would avoid acting purely on that. You really want to do your best to get some help from the outside. And I know that mental health treatment is not accessible to everyone. This is an enormous problem that existed before the pandemic and still exists now. I say that because I say that all the time, and I wish I had a solution for you. But if you have access to someone that you think can help you tease this throughout, you want to do that.  SYMPTOMS OF ADHD vs. ANXIETY  But what I would like us to do, instead of listing criteria, which you can all Google on WebMD, let's think about them in a larger context. So, mental health symptoms fall into these very broad categories. And so, some of them are anxiety, which OCD used to be under, but it's now in its own area. Another one, would be mood. You can have moods that are really high, moods that are really low. Another one you could take ADHD, you could lump it in neurodevelopmental, which would mix it with autism and learning disorders. You could lump it with attention, but the problem with that is it would also get lumped with dementia, which are processes that overlap, but they're occurring at different ends of the spectrum.   So, let's think about ADHD and why someone might have ADHD or why you might think someone has ADHD, because this should be easier for people to tease out, I think. ADHD is not a condition that appears in adulthood. That's like hands down. Adult ADHD is people that had ADHD and still have ADHD as adults. And most people with ADHD will go on to still have at least an attenuated version, meaning their symptoms are a little less severe, maybe, but over 60% will still meet criteria. It's not a disorder of children. Up until the ‘90s, we thought it was a disorder of kids only. So, you turned 18, and magically, you couldn't have ADHD anymore, which didn't make any sense anyway.   So, to really get a good ADHD diagnosis, you got to go backwards. If you're not currently an eight-year-old, you have to think a little bit about or talk to your family, or look at your school records. And ideally, that's what you want to do, is you want to see, is there evidence that you have, things that look like ADHD then? So, you were having trouble maintaining your attention for periods of time. Your attention was scattered in different ways. Things that are mentally challenging that require you to force yourself to do it, that particularly if you don't like them, this was really hard for you. You were disorganized. People thought that things went in one year and out the other.   Now this exists on a spectrum. And depending on the difficulty of your scholastic experience and how far you pushed yourself in school, these symptoms could show up at different times. For example, it's not uncommon for people to show up in college or in graduate school. Less so now, but historically, people were getting diagnosed as late as that, because now they have to write a dissertation. For those of you guys who don't know, a dissertation is being asked to write a book, okay? You're being asked to write a book. And what did you do? You went to college. Okay, you went to college, and then you had some master's classes, and then you get assigned an advisor, and you just get told to figure out what your project is. It is completely unstructured. It is completely self-sufficient. It is absurd. I'm talking about a real academic classic PhD. That is going to bring it. If somebody has ADHD, that's going to bring it out because of the executive functioning involved in that, the organization, the planning. I got to make an outline, I got to meet with my mentor regularly, I got to check in with them, I got to revise it, I got to plan a study or a literature review. There's so many steps involved. So, that would be something that some people doesn't come up with then.   Other kids, as an eight-year-old boy that I'm treating right now, who has a wonderful family that is super supportive, and they have created this beautiful environment for him that accommodates him so much that he has not needed any medication despite the fact that there's lots of evidence that he is struggling and now starting to feel bad about himself, and he has self-esteem issues because he just doesn't understand why he has to try so hard and why he can't maintain his attention in this scenario, which is challenging for him.   So, ADHD kids and adults, you want to think of them as their brains as being three to five years behind everyone else in their development, okay? And they are catching up, but they're more immature, and they're immature in certain ways. And so, this kid's ability to maintain his attention, manage his own behaviors, stay organized, it's like mom is sitting with this kid doing his homework with him continuously, and if she stops at all, he can't hold it together on his own. So, when we think about that with him, like, okay, well, that's maybe when it's showing up with him. That's when it's starting to have a struggle with him.   But let's relate it to anxiety. One problem would be, do you have ADHD or do you have anxiety? Well, there's another problem. Another problem is having ADHD is a major risk factor for developing an anxiety disorder, okay? So now I'm the eight-year-old boy, and this eight-year-old boy does not have the financial resources to get this evaluation, or the parents that are knowledgeable enough to know that, it might even have been years ago where there was less knowledge about this. And he's just struggling all the time, and he feels bad about himself, and he's constantly getting into trouble because he is losing things because he can't keep track of things because he's overwhelmed. And now he feels bad about himself. Okay. He has anxiety associated with that. So now we're building this anxiety. So he might even get mood symptoms, and now we have a risk for depression.   So, this is just one of the reasons why these things are like these tangled messes. You ever like have a bunch of cords that you have one of the dealies, you keep throwing them in a box, and now you're like, “What do I do? Do I just throw the cords out or entangle them?” It's a very tangled mess. Of course, it takes time to sort through it. The reason I started with ADHD is that it has a clear trajectory of it when it happens. And in general, it's a general rule, symptomatology, meaning like how severe it is and the number of symptoms you have and how impairing it is. They're going to be decreasing as you get older. At least until main adulthood, there's new evidence that shows there might be a higher risk for dementia in that population.   But let's put geriatric aside. There's a different developmental trajectory. Whereas anxiety, oh God, I wish I could simplify anxiety that much. Anxiety can happen in different ways. So, let's start with the easy thing. Why would you confuse them in this current moment? If I am always worried about things, if I'm always ruminating about things, I'm thinking about it over and over again, I'm trying to figure out where I should live or what I should do about this, and I just keep thinking about it over and over again, and I'm in like a cycle. Like, pop-pa-pa pop-pa pop-pa-pa-pa. And then you're asking me to do other things. I promise you, I will have difficulty concentrating. I promise you, I can't concentrate because it's like you're using your computer and how many windows do you have open? How many things are you running? I mean, it doesn't happen as much anymore, but I think most of us, I meant to remember times where you're like, “Oh, my computer is not able to handle this anymore.” You're using up some of your mind, and you can call that being present.   So, when people talk about mindfulness and improving attention, one of the things that they're probably improving is this: they're trying to get the person to stop running that 15, 20% program all the time. And it's like your brain got upgraded because you can now devote yourself to the task in front of you. And the anxiety is not slowing you down or intruding upon you, either as an intrusive thought in an OCD way or just a sort of intrusive worry that's probably hampering your ability to do something concentration-intensive. And then if you have anxiety problems and you're not sleeping right, well, now your memory is impaired because of that. So, there's this cycle that ends up happening over and over again.  IS HYPERACTIVITY ANXIETY OR ADHD? Kimberley: Yeah, I think a lot of people as well that I've talked to clients and listeners, also with anxiety, there's this general physiological irritability. Like a little jitteriness, can't sit in their chair, which I think is another maybe way that misdiagnosis can -- it's like, “Oh, they're hyperactive. They're struggling to sit in their chair. That might be what's going on for them.” Is that similar to what you're saying?  Ryan: Yeah. So, really good example, and this one we can do a little simpler. I mean, the statement I'm going to say is not 100% true, but it's mostly true. If you are an adult, like over 25 for sure, and you are physically jittery, it is very unlikely that that is ADHD. Because ADHD, the whole mechanism as we understand it, or one of the mechanisms causing the thing we call ADHD, which of course is like a made-up thing that we're using to classify it, is that your prefrontal cortex is not done developing. So, it needs to get myelinated, which is essentially like -- think about it like upgrading from dial up to some great, not even a cable modem. You're going right to Verizon Fios. Like amazing, okay. It's much faster, and it's growing. And that's the part of you that makes you most human. That's the most sophisticated part of your brain. It's not the part that helps you breathe or some sort of physiological thing, which, by the way, is causing some of those anxiety symptoms. They're ramped up in a sympathetic nervous system way, fight or fight way. It's the part that's actually slowing you down. That's like, “Whoa, whoa, whoa, whoa, whoa, calm down, calm down, calm down.” This is why, and everyone's is not as developed. So, we're all developing this thing through 25, at least ADHD is through 28.   Car insurance goes down to 25 because your driving gets better, because your judgment gets better, because you can plan better, because you are less risk-taking. So, your insurance has now gone down. So, the insurance company knows this about us. And our FMRI scans, you scan people's brains, it supports that change. These correlate to some extent with symptomology, not enough to be a diagnosis to answer the person's question that they're going to have that. I wish it was. It's not a diagnosis. We haven't been able to figure out how to do that yet.   So, by the time you're 25, that's developed. And the symptoms that go away first with ADHD are usually hyperactivity, because that's the inability to manage all the impulses of your body, not in an anxious, stressed-out way, but in an excited way. You think of the happy, well-supported, running around ADHD kid is kind of silly and fun. It's a totally different mood experience than the anxiety experience. Anxiety experience is unpleasant for the most part. Unless your anxiety is targeting you to hyper-focus to get something done, which is bumping up some of your dopamine, which is again the opposite experience of probably having ADHD, it's a hyper-focus experience, certainly, the deficit part of ADHD, you're going to be feeling a different physiological, the irritability you talked about 100%. You're irritable because you are trying so hard to manage this awful feeling you have in your body. You physically feel so uncomfortable. It is intolerable.   I have this poor, anxious young man that has to do a very socially awkward thing today. Actually, not that socially awkward. He created the situation, which is one of the ways we're working on it with him in treatment. And I'm letting him go through and do this as an exposure because it'll be fine. And he's literally interacting with another one of our staff members. But he finds these things intolerable. He talks about it like we are lighting him on fire. So, he's trying to hold it together, or whatever your physiological experience is. It may not have been as dramatic as I described. You're irritable when people are asking things of you because you don't have much left. You're not in some carefree mood where you're like, “Whatever, I'm super easygoing. I don't care.” No, you're not feeling easygoing right now. You're very, very stressed out.   Stress and anxiety are very linked. Just like sadness and depression are very linked, and like loneliness and depression are linked, but they're not the same thing. Stress and anxiety are very, very linked, and they're similar feelings, and they're often occurring at the same time and interacting with each other. ADD vs. ADHD  Kimberley: Right. One question really quick. Just to be clear, what about ADD vs. ADHD?  Ryan: We love to change diagnostic criteria. People sit around. There's a committee, there's a whole bunch of studies. And we're always trying to epidemiologically and characterologically differentiate what these different conditions are. That's what the field is trying to do as an academic whole. And so, there's disagreements about what should be where. So, the OCD thing moving is one of them.   The ADD thing, it's like a nomenclature thing. So, the diagnosis got described that the new current version of the diagnosis is attention deficit hyperactivity disorder, and then you have three specifiers, okay? So, that's the condition you have. And then you can have combined, which is hyperactive and inattentive. Just inattentive, just hyperactive. And impulsive is built in there. So, it's really not that interesting. People love to be like, “No, no, I have ADD. No, I don't have the hyperactive.” And I'm like, “I know, but from a billing point of view, the insurance company will not accept that code anymore. It doesn't exist.” DOES ADHD OR ANXIETY IMPACT CONCENTRATION?  Kimberley: Yeah. So, just so that I know I have this right, and you can please correct me, is if you have this more neurological, like you said, condition of ADHD, you'll have that first, and then you'll get maybe some anxiety and some depression as a result of that condition. Whereas for those folks, if their primary was anxiety, it wouldn't be so much that anxiety would cause the ADHD. It would be more the symptoms of concentration are a symptom of the anxiety. Is that what you're saying? Ryan: Yes, and every permutation that you can imagine based on what you just said is also an option. Like almost every permutation. Like how are they interacting with each other? How are they making each other worse? How are they confusing each other? Because you can have anxiety disorders in elementary school. I mean, that is when most anxiety disorders, the first win, like the wave of them going up is then. And you think about all the anxiety you have.   I got a friend of mine who's got infants. And it's fun to see like as they're developing, when they go through normal anxiety, that that is a thing that they're going to pass. And then there's other things where, at some point, we're like, actually, now we're saying this is developmentally inappropriate, which means, nope, we were supposed to have graduated from this and it's still around.   And so, one of the earlier ways that psychiatric conditions were conceptualized, and it's still a useful way to conceptualize them, is the normal behavior version of it versus the non-normal behavior version of it. And again, I hate non-normal, I don't want to pathologize people, but non-normal being like, this is causing problems for you. And if you think about it from an evolutionary point of view, all of these conditions have pretty clear evolutionary bases of how they would be beneficial. Anxiety is going to save your ass, okay? Properly applied anxiety, it'll save your tribe. You want someone who's anxious, who's going to be like, “We do not have enough from this winter.” An ADHD person was like, “It'll be fine. I'm just going to go find something else.” And you're like, “No.” And then when that winter's really bad and you save that little bit of extra food, that 30% that the anxious person pushed for, maybe you didn't eat all 30% of it, but you know what, it probably benefited you and it might've actually made the whole tribe survive or more people survive or better health condition. So, it's approving everyone's outcomes.   The ADHD individual, you get them excited about something—gone. They're going to destroy it. They're going to find all the berries. They're going to find all the new places. They're going to find all the new deer. They're going to run around and explore. It's great. Great, great, great.   Depression is like hibernation. And if you look at hibernation in a mammal, like what happens, there's a lot of overlaps. Lower energy, maybe you store up some food for the winter. It's related to the seasons. You're in California, right? This is not a problem you have, but for those of us in New York, where we have seasonality, seasonal depression is a thing. It's very much a thing. It's very noticeable, and it's packed on top of these conditions everyone else is having.  But the idea is that the hibernation or the pullback is like something happens to you that upsets you, which is the psychosocial event that's kicking you in the face that might set off your depression. That's why people always say, “Oh, depressions just don't come out of nowhere. This biochemical thing isn't true.” What they're saying is something has to happen to start to kick off the depression, but that's not enough. It's that you then can't recover from it.   And so, a normal version of it is that you get knocked out and you spend a week or two, you think about it. Rumination is a part of depression for many people. You reevaluate, and you say, “You know, I got kicked in the face when I did that. That was not a good plan for me. I need a new plan. I either need to do something different or I need to tackle that problem differently.” And so, that would be the adaptive version of a depressive experience. Whereas the non-adaptive version is like, you get stuck in that and you can't get out.  Kimberley: Or you avoid.  Ryan: The avoiding doing anything about it, and then that makes it worse. So, you started withdrawing. I mean, that's the worst thing you can do. This is a message to everyone out there. The worst thing that you can do is withdraw from society for any period of time. Look, I'm not saying you can't have a mental health day, but systematic withdrawal, which most of us don't even realize is happening, is going to make you worse because the best treatment for every mental health condition is community. It is really. All of them. All of them, including schizophrenia.   I used to work in Atlanta. I did my residency. There'd be these poor guys that have a psychotic disorder. They hear voices. The kinds of people that, here in New York City, are homeless, they're not homeless there. Everyone just knows that Johnny's just a little weird and his mom lives down the street. And if we find Johnny just in the trash can or doing something strange, or just roving, we know he's fine, and someone just takes him back to his mom's house and checks on him. Because there's a community that takes care of him, even though he's actually quite ill from our point of view. But when you put him in an environment where that community is not as strong, like a city, it does worse, which is why mental health conditions are much higher rates in urban areas. Probably why psychiatry and mental health in general is such a central thing in New York City. TREATMENT FOR ADHD vs. ANXIETY  Kimberley: Yeah. Okay, let's talk quickly about treatment for ADHD. We're here always talking about the treatment for anxiety, but what would the research and what's evidence-based for ADHD if someone were to get that clinical diagnosis?  Ryan: So, you want to think about ADHD as a thing that we're going to try to frame for that person as much as how is it an asset, because it historically has made people feel bad about themselves. And so, there are positive aspects to it, like the hyper focus and excitability, and interest in things. And so, trying to channel into that and then thinking about what their deficits are. So, they're functional deficits. If you're talking adult population, functional deficits are going to be usually around executive functioning and organization planning. Imagine if you're like a parent of small children and you have untreated ADHD, you're going to be in crazy fight-or-flight mode all the time because there's so many things to keep track of. You have to keep track of your wife and their life. Kimberley: I see these moms. My heart goes out to them. Ryan: And they're probably anxious. And the anxiety is probably protecting them a little bit. Because what is the anxiety doing? You think about things over and over and over again, and you double check them. You know what that's not a bad idea for? Someone who's not detail-oriented, who's an ADHD person, who forgets things, and he gets disorganized. So, there's this thing where you're like, “Okay, there may actually be a balance going on. Can we make the balance a little bit better?” So, how do you organize yourself?  MEDICATIONS FOR ADHD Right now, there's a stimulant shortage. Stimulants are the most effective medication for reducing ADHD symptoms. They are the most effective biological intervention we have to reduce the impact of probably any psychiatric condition, period. They are incredibly effective, like 80, 90% resolution of symptoms, which is great. I mean, that's great. That's great news. But you also want to be integrating some lifestyle changes and skills alongside of that. So, how do you organize yourself better? I mean, that's like a whole talk, but like lists, prioritizing lists, taking tasks, breaking them down into smaller and smaller pieces. Where do you start? What's the first step? Chipping away. You know what? If you only go one mile a day for 30 days, you go 30 miles. That's still really far. I know you would have gone 30 miles that day, especially if you have ADHD, but you're still getting somewhere.  And so, that kind of prioritization is really, really important. And so, you can create that on your own. There are CBT-based resources and things to try to help with that. There are ADHD coaches that try to help with that. It's consistency and commitment around that. So, how do you structure your life for yourself? That poor PhD candidate really needs to structure their life because there is no structure to their life.  The other things we want to think about with that, I mean, really good sleep, physical exercise. People with ADHD, we see on FMRI scans when you scan someone's brain, there's less density of dopamine receptors, less dopamine activity. You want to get that dopamine up. That's what the medications are doing, is predominantly raising the dopamine. So, physical activity, aerobic exercise, in particular, is going to do that. Get that in every day, and look, it's good for you. It's good for you. There is no better treatment for every condition in the world other than exercise, particularly aerobic. It basically is good for everything. If you just had surgery, we still want you to get out and walk around. Really quickly, that actually improves your outcome as fast as possible. So, those are the things I like people to start with if they can do that, depending on the severity of what's going on, the impact, what other things have already been tried. Stimulant medications or non-stimulant medications like Wellbutrin, Strattera, Clonidine are also pretty effective. Methylphenidate products, which is what Ritalin is. Adderall products mixed in amphetamine salts, Vyvanse, these are very effective medications for it. There's a massive shortage of these medications that people are constantly talking about, and is really problematic and does not appear to have an endpoint because the DEA doesn't seem ready to raise the amount that they allow to be made because they are still recovering from the opioid crisis, which is ongoing. And so, they're worried about that. Really, they want to be very thoughtful about this. These medications have a very low-risk potential for misuse. In fact, people with ADHD, they appear to reduce the risk of developing a substance use disorder. It's the most common thing that people worry about. So, treatment actually reduces that.  That said, the worst -- I mean, I don't want to say the worst thing. I mean, people hate me. The really not great way to get psychiatric treatment is to show up to someone once and then intermittently meet with them where they write a prescription for a medication for you that's supposed to help you, and stimulant medications are included on that. So, that's probably why I didn't lead with that, even though there's actually more science to support them, is that by themselves, it's really going to limit how much help you're going to get. Kimberley: Can you share why? Ryan: Because you need to understand your condition, because you need to spend time with your clinician learning about your condition and understanding how it's affecting your life, and understanding how the medication is actually meant to be a tool. It should be like wearing glasses. It doesn't do the work for you. It doesn't solve all your problems, but it's easier to read when you put your glasses on than without it. It supports you. You still need to figure out how to get these things done. It lowers the activation energy associated with it. But you also want to monitor it. You can't take these medications 24 hours a day and just be ready to go and work, which is things that people have tried. It doesn't work because you need to sleep, because you will die. They've tried this. We know that you will literally die, like not sleeping. And in the interim, you are damaging yourself significantly. So, taking it and timing it in an appropriate way, still getting sufficient sleep, prioritizing other things—they are like a piece of a puzzle, and they are a really powerful piece. But you really don't want that to be the only thing driving your decision-making, or that be what the interaction is really about. And by the way, the same thing is true for all psychiatric medications. Kimberley: I was going to say that's what we know about OCD and anxiety disorders too. Medication alone is not going to cut you across the line.  Ryan: And for most people, therapy alone is also not going to cut the line. You have to have a mild case for therapy alone to be okay. And I can trouble for that statement. But the other thing is lifestyle. What lifestyle changes can I make? And those together, all three, are going to mean that you get better faster, you get more better than you would have, you're more likely to stay better. And they start to interact with each other in a good way, where you get this synergistic effect of ripples of good things happening to you and personal growth. You look back, and you're like, “Geez, I'm on version 3.0 of me. I didn't know that there was a new, refined personal growth version of me that could actually function much better. I didn't actually believe that.” DOES ADHD IMPACT SELF-ESTEEM?  Kimberley: Well, especially you talked about this impact to self-esteem too. So, if you're getting the correct treatment and now you're improving, as you go, you're like, “Okay, I'm actually smart,” or “I'm actually competent,” or “I'm actually creative. I had no idea.”   Ryan: Yes. “I'm not stupid.” Lots of people with ADHD think they're stupid.   Kimberley: Yeah. So, that's really cool. One question I have that's just in my mind is, does --  Ryan: And that should be part of your treatment, is the working through. That was essentially a complex trauma. It's the complex trauma of having this condition that may not have been treated that made you think that you were an idiot because you were being shoved into a situation that you did not know how to deal with because your ADHD evolved to be an advantage for you as a hunter-gatherer for the hundreds of thousands of years that we had that, and that modern world is not very compliant for. It doesn't experience you as fitting into it well. And then you feel bad about yourself. ADHD IN MALES vs. FEMALES  Kimberley: Right. You're the class clown, or you're the class fool, or the dumb girl, or whatever. Now, my last question, just for my sake of curiosity, is: does ADHD look different between genders?  Ryan: This is an area of significant research. So, historically, the party line has been that ADHD is significantly more common in boys and girls. And the epidemiology, the numbers, the prevalence have always supported that. Like 3 to 1, 2 to 1, like a much more, much more common. Refining of that idea has come up with a couple of thoughts. One, for whatever reason, I don't know how much of this is genetic. I have no idea how much of this is environmental, sociological. All other things being equal, after a certain young age, girls just always seem to be ahead of boys in their development. I mean, talk to any parent that's had a lot of kids, and they'll tell you that they're like, “I don't know why the girls are always maturing faster.” So, that's a bias that is going to always make at any given point. The boys look worse because their brains are not developed. So, they're going to be -- remember that immature younger thing? They're going to be immature and younger. And so at any given marker is that.  The other thing that's come up is that the hyperactivity seems to be something we see a lot more in males than in females. That's another thing. And versus inattentiveness, which you see in both and is usually the predominant symptom. And the kid who gets noticed is the little boy who's like -- I mean, not that you could do this in today's world, but has scissors and is about to cut a kid's cord. I'm trying to make a silly imagery. That kid's getting a phone call. No one didn't notice that. The whole class called that. Whereas like daydreaming, I'm not really listening—this is a more passive experience of ADHD. And they're not disrupting the room. Forget about the gender thing. Just that presentation is also less noticed.   So, I think the answer is the symptomology presentation is a little different. It tends to be predominantly hyperactive. Are the rates different? Yes, they're probably not as wide of a difference as we think they are, because we're probably missing a good number of girls. Are we missing enough girls to make it 50/50? I don't know. That would be a lot of -- it's a big gap. It's not close. It's a pretty big gap. Maybe we're certainly missing some.   And then the other aspect of it is particularly post-puberty. Even before puberty, there's hormonal changes going on. And these hormones, particularly testosterone, which is present in everyone, we think about it as a male thing, but it's really just like a balance thing. You have significant amounts of both. It affects a number of things, and attention is one of them. So, there's so many complexing factors to it. That's why I said, it's something we're still trying to sort out.   One of the things that's really interesting that goes back to the hormone thing is that if you talk to young women— so postmenstrual, they've gone through puberty—they will tell you over and over again that their symptomology, just like we have mood symptoms tend to be worse during that time period of when you're ovulating, the ADHD symptoms will be worse as well. And so, there's increasing evidence that if you're on ADHD medication and you have ADHD, which again, we're making lots of presumptions here, go get that confirmed, guys. But if you're on that time period just leading up to ovulation a little bit after, you may actually need a higher dose of your medication to get the same effect. That there's something about the way progesterone and whatever is changing that it affects functionally your attention and your experience of your symptomatology.   Kimberley: Interesting. Yeah, thank you for sharing that. Is there anything you feel like we've missed or a point you really want to make for the folks who are listening who are trying to really untangle, like you said, that imagery of untangle, anxiety, ADHD, all of the depression, self-esteem?  Ryan: This is like a sidebar that's related. So, one of my other areas of interest is cannabis. And here in New York, we've had a lot going on with cannabis. And there's a lot of science going on around, can cannabis be used to treat things, particularly psychiatric disorders? And I know that a lot of people are interested in that.  One of the things that I've been really trying to caution people around with it is that the original thing that I was probably taught in the ‘90s about cannabis, marijuana being like this incredibly unsafe thing, is not true. But the narrative that it's totally fine and benign is also not true. And that it is probably going to be effective in reducing anxiety acutely, and it will probably be effective in maybe even improving your mood. And some people with ADHD even think it improves their attention by calming their mind. I am very cautious about people starting to use that as part of their treatment plan. And I can tell you why.  Kimberley: Because you did say there's an increase in substance use.  Ryan: The problem is that it's not rolled out in a way that reflects an appropriate medical treatment. So, if you do it recreationally, obviously, it's basically like alcohol. You just get what you want, and you decide what you want. If you do it medically, depending on the state, as a general rule, you just get a medical card and then you decide what you're going to do, which just seems crazy to me. I mean, you don't do that. You don't send people home with an unlimited amount of something that is mind-altering and tell them to use as much as they need. And the potencies, the strength of it has gotten stronger and stronger.   And so, I really caution people around this because when you use it regularly, what ends up happening is you get this downregulation, particularly daily use. You get this downregulation of your receptors, your cannabinoid receptors. We all have cannabinoid receptors. And you have fewer and fewer of them. And because you have so much cannabinoid in your system because you're getting high that your body says, “I don't need these receptors.” So then when you don't get high, those cannabinoid receptors that modulate serotonin, dopamine—so functionally, your attention, your mood, your anxiety level—there's none of them left because they've been getting bound like crazy to this super strong thing. And you're making almost none yourself, so you're going to feel awful. You're going to feel awful. And it's not dosed in any kind of appropriate way. We're not giving people guidance on this.   So, I really caution people when they're utilizing this, which the reality is that a lot of people are, that they be thoughtful about that and thoughtful about the frequency that they're using and the amounts that they're using, and if they're at a point where they're really trying to self-medicate themselves, because that can really get out of control for people. They can get really out of control. And I think it's unfortunate that we don't have a better system to help people with that. That is more like the evaluation of an FDA-approved medication or something like that has a system through it.   So, I just wanted to add that because I know this is something that a lot of people are thinking about. And I think it can be hard to get really good science information on since there's a big movement around making this change. When we're doing a big movement around pushing for a change, we don't want to talk about the reasons that the change might be a little problematic, and therefore slow the change down. So, we forget about that. And I think for the general public, it's important to remember that.  Kimberley: Yeah, I'm so grateful that you did bring that up. Thank you. Where can our listeners learn more about you or be in touch with you?  Ryan: So, if they want to learn more about my practice, my clinical practice, integrativepsych -- no, integrative-psych.org. We changed. We wrote .nyc. There we go. And then if you want to learn about my science and my lab and our research, which we also love, if you just go to Sultan (my last name) lab.org, it redirects to my Columbia page, and then you can see all about that and send some positive vibes to my poor research assistants that work so hard.   Kimberley: Wonderful. I'm so grateful for you to be here. Really, I am. And just so happy that you're here. So much more knowledgeable about something that I am not. And so, I'm so grateful that you're here to bring some clarity to this conversation, and hopefully for people to really now go and get a correct assessment to define what's going on for them.  Ryan: Yeah, I hope everyone is able to digest all this. I said a lot. And can hopefully make better decisions for themselves for that. Thank you so much.  Kimberley: Thank you.

Reflecting on one full year without medication. Walk as you listen.

Ricki Friedman is a motivational speaker, visionary, educator, and podcaster who takes you on the walk with her as she embarks on a life-changing journey of growth, healing, and expansion. Her humor, way with words, wisdom, and vulnerability make you feel seen, heard, and ready to transform your life, live your truth and walk towards your next level - one step forward at a time.  Ricki started a business called Break the Weight. With Ricki's system, she will help guide you every single step of the way, all while helping you to achieve your healthiest lifestyle possible. She'll be the first to tell you healthy habits don't happen overnight nor without putting forth the effort and work, but it can happen, and BTW has a number of success stories to prove it. Ricki teaches us the mindset and tools she used to walk away from weed. Her tools are universal in helping with any change or whatever you want to walk away from in your life. Since we interviewed her last year she has quit taking Adderall and any sort of stimulants.   In her interview with Newsweek, she said: “One year ago, I was taking 100 milligrams of adderall (and Vyvanse) trying to work up the courage to get off the medication. “I don't think I've ever been that terrified of walking away from something in my life. “28-years on a VERY dangerous drug that controlled my mind and body was hard for me to wrap my head around. This wasn't like walking away from weed…I knew that getting off this drug was going to make my life harder at first, not better. “However, I also knew that staying on them was dangerous and holding me back from healing, expanding and understanding WHO I truly was and how my brain worked. “So, I did what I always do…researched, educated myself and walked right into the most challenging journey I've ever been on. And today, one year after making the decision to begin taking these steps, I'm 9 months completely off stimulants and sharing my story in Newsweek.” (December 2023) stan.store/iamricki HELP SUPPORT OUR FIGHT AGAINST ADDICTION. DONATE HERE: https://www.patreon.com/theaddictionpodcast   PART OF THE GOOD NEWS PODCAST NETWORK. AUDIO VERSIONS OF ALL OUR EPISODES: https://theaddictionpodcast.com CONTACT US: The Addiction Podcast - Point of No Return theaddictionpodcast@yahoo.com Intro and Outro music by: Decisions by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100756 Artist: http://incompetech.com/

Josh Dech has a deep understanding of the gut-brain connection. He is an ex-paramedic, and Holistic Nutritionist, specializing in gut health. It was the successes his clients have had with complex digestive diseases, previously thought to be impossible, that got him connected to some of the world's most renowned doctors. Since then, he's been recruited to the Priority Health Academy as a medical lecturer, helping educate doctors on the holistic approach to gut health, and complex digestive issues. Gut health is known to be connected to mental health, emotions, sleep, productivity, concentration, hormones, inflammation, sickness, detoxification, cravings, relationships, and more. Our lives can be severely impacted by an unhealthy gut. Listen & Subscribe on: iTunes / Stitcher / Podbean / Overcast / Spotify Contact Info Website: www.ReversablePod.com Podcast: ReversABLE: The Ultimate Gut Health Podcast Most Influential Person Kyle, a mentor of mine. Effect On Emotions Mindfulness has affected my emotions dramatically. So I have ADHD. It's something I've dealt with a long time, and actually fixing my gut 99 percent improved it to the point that you'd never know I have it. Unless … you live with me. And so when I was going through a lot of this process, trying to fix it, I was trying Vyvanse and other drugs. I was having mood swings, outbursts, and suicidal thoughts. Like I was a mess emotionally and psychologically. And after coming through that and healing up my gut, I was able to then look back and see what was going on and how miserable my wife was during this process. And, you know, God love her for sticking with me. And we went to counseling and did all this stuff. And a lot of it came back to how my body was creating chemicals in my brain, and so the mindfulness of my physical body allowed me a reflective mindfulness of my psychological body. Thoughts On Breathing So, breathing is interesting because we live in a world where we are deoxygenated. Gary Brekka is a fellow who's getting very famous right now through 10X Health, and he's famous for this quote; he says, the presence of oxygen is the absence of disease, and we do live in deoxygenated states. If I take your blood right now, Bruce, and I look at it under a microscope, your blood cells are probably aggregated, not coagulated, but aggregated electronically. They'd be drawn together like static cling. And so if we go out and just simply go 10 minutes in the earth, touch barefoot to the dirt in the earth, you discharge all these ions, those blood cells open up. Which means you have more surface area, which means you have more room for oxygenation. And by getting into the sunlight, getting infrared on your skin, getting a touch in the earth, we hyper oxygenate our bodies. You can add up to 16 times more oxygen to your mitochondrial cells. Imagine having 16 times more oxygen and, with it, more energy. And so breath works a very important part following guys like Wim Hof. What I'll do before an interview like this, I'll sit down for five to eight minutes, I'll do 30 breaths,  really dramatic in and out. And on the last breath, I exhale, a comfortable exhale, and I just hold it as long as I can. It's a minute, two minutes. You keep going, you go three minutes, four minutes, you'll be able to hold your breath and we hyper oxygenate the tissue. And that gives me better digestion, better breath, better energy, better mental clarity, all these things. My body starts to work better with that oxygen.   Bullying Story When I began my career, it was marked by significant changes. Dr. Semmelweis faced ostracism for his innovative ideas, a fate common to those introducing novelty; humans inherently resist change. Challenges, arguments, even hostility—these greeted my bold assertion: I'd discovered a breakthrough in reversing dreadful diseases. I posted on Facebook, proclaiming that nine out of ten cases of ulcerative colitis could be reversed, countering the prevalent notion in Western medicine of relying solely on drugs and hoping to avoid drastic surgeries. My stance led to a faculty position as a medical lecturer, discussing our successful reversal methods. But when I shared this on Reddit, backlash ensued. I was harassed, threatened, and my bookings hijacked. Many were defensive, unable to accept an alternative approach. It was tough; I almost gave up. Yet, the community I'd aided rallied, sharing stories of relief after years of suffering. Their support amidst the bullying rekindled my resolve to pursue change. Suggested Resources Book: The Oxygen Advantage by Patrick McCone Books: The Autoimmune Solution by Dr. Amy Myers App: Audible and Spotify Related Episodes The Gut-Brain Connection; Wade Lightheart Three Keys To Juggling Work and Family; Connie Benjamin Become A Realized Leader With Harvard Professor, Daniel P. Brown Are you experiencing anxiety & stress? I'm Bruce Langford, a practicing coach and hypnotist helping fast-track people just like you to shed their inner bully and move forward with confidence. Book a Free Coaching Session to get you on the road to a more satisfying life, feeling grounded and focused. Send me an email at bruce@mindfulnessmode.com with ‘Time Is Right' in the subject line. We'll schedule a call to discuss how you can move forward to a better life.

On this podcast episode, I discuss lisdexamfetamine (Vyvanse) pharmacology, adverse effects, drug interactions, and much more. Lisdexamfetamine is a stimulant medication that is used in the management of ADHD. Stimulants like lisdexamfetamine can increase heart rate, raise blood pressure, and suppress appetite. Lisdexamfetamine is a schedule 2 controlled substance and has a high potential for abuse and dependence.

In this episode, Erica and Darius explore the topic of medication as a supportive tool for enhancing executive functions such as inhibitory control, working memory, and cognitive flexibility. With special focus on ADHD, dyslexia, and other conditions that influence executive skills, they explore: The role of stimulant medications like Methylphenidate (Ritalin, Concerta) and Amphetamines (Adderall, Vyvanse) in optimizing neurotransmitter levels for better focus and impulse control. Alternative non-stimulant options, such as Atomoxetine (Strattera) and Guanfacine (Intuniv), and how they may be suitable for those who don't respond well to stimulants. Potential roles of supplements and dietary changes in enhancing cognitive functioning. Remember, medication is not a one-size-fits-all solution and should always be considered after exploring other options and as part of a broader treatment plan. Consult your healthcare provider to tailor the best course of action for you or your loved ones. Links: EF activities: https://tinyurl.com/yeytwn7v  More EF activities: https://tinyurl.com/3brpf52j   EF coaching program/course: https://tinyurl.com/n86mf2bx  One to one sessions with Dr. Warren: https://learningtolearn.biz/  One to one sessions with Darius: www.dyslexiawork.com Executive functions and Study Skills Course: https://tinyurl.com/n86mf2bx BulletMap Academy: https://bulletmapacademy.com/ Learning Specialist Courses:https://www.learningspecialistcourses.com/ Executive functions and Study Skills Course: https://tinyurl.com/n86mf2bx Good Sensory Learning: https://goodsensorylearning.com/ Dyslexia at Work: www.dyslexiawork.com Brought to you by ⁠⁠⁠⁠https://goodsensorylearning.com⁠⁠⁠⁠ ⁠⁠⁠⁠https://learningspecialistcourses.com⁠⁠⁠⁠ ⁠⁠⁠⁠https://bulletmapacademy.com⁠⁠⁠ ⁠⁠⁠https://www.dyslexiaproductivitycoaching.com

Due to an ongoing shortage of ADHD medications, the U.S. Food and Drug Administration (FDA) has approved several generic versions of the drug Vyvanse for the treatment of attention-deficit/hyperactivity disorder. New studies show that the number of people being diagnosed with ADHD is climbing steadily, especially in women. FOX's Eben Brown speaks with Dr. Marc Siegel, Professor Of Medicine at NYU Langone Medical Center and FOX News Medical Contributor, about the supply impact of the FDA's decision and the rise in the number of those diagnosed with ADHD.  Click Here To Follow 'The FOX News Rundown: Evening Edition' Learn more about your ad choices. Visit megaphone.fm/adchoices

Today's episode is my first completely unedited, extremely raw update - recorded in my bathroom, where I often talk to myself.  Before you worry; I am A-OK, and honestly in a better place now than I ever have been. I've been spending the last year(s) and especially the last six months really focusing on my health in all the ways: mentally, emotionally, physically. I also started a dream job four months ago, so I could not be more grateful for where I am and who I am surrounded by. Even as I appreciate all I have now, I (very often) have moments like this episode. I wanted to share these parts of my journey, and not just the “Happily Ever After, Here's How I Overcame, I'm an Asian Hustler” ending - because in life, the real ending is … death! Haha. I will continue to feature guests, but now and again I'm considering  sharing my unfiltered ramblings since they require a lot less editing. Here goes….*Vyvanse, the drug I mention, is prescribed to those diagnosed with ADHD **correction: Uncle Ben, not Aunt May says “with great power comes great responsibility” - this has been attributed to Winston Churchill, Voltaire, etc…IG: GetRAW_podcast Stephanie@getrawpodcast.org 

In this episode, I explain how medications such as Adderall, Ritalin, Vyvanse and other stimulants work to increase focus and treat attention-deficit/hyperactivity disorder (ADHD). I explain the brain circuits involved in focus and the key roles dopamine and norepinephrine play in their regulation. Then I explain how stimulants such as Adderall and Vyvanse can increase focus and reduce hyperactivity in kids or adults with ADHD, and how and why Ritalin and other medications (e.g., Modafinil, Guanfacine) may work better for some. I explain the long-term effects of ADHD medications on height, cardiovascular health, hormones, predisposition to addiction and psychosis, and whether these treatments can be used and then stopped. I also discuss the immense individual variation in dosage sensitivity for these medications and the negative side-effects that occur from recreational use. This episode ought to benefit anyone with ADHD, their parents, those on ADHD medications or anyone curious about how these medications work. For the full show notes, visit hubermanlab.com. Thank you to our sponsors AG1: https://athleticgreens.com/huberman Maui Nui Venison: https://mauinuivenison.com/huberman ROKA: https://roka.com/huberman HVMN: https://hvmn.com/huberman InsideTracker: https://insidetracker.com/huberman Momentous: https://www.livemomentous.com/huberman The Brain Body Contract https://hubermanlab.com/tour Timestamps (00:00:00) Stimulants & Attention-Deficient/Hyperactivity Disorder (ADHD) (00:03:21) Sponsors: Maui Nui, ROKA, HVMN (00:06:35) The Brain-Body Contract (00:07:22) Attention, Prefrontal Cortex & ADHD (00:16:27) Stimulants “Sympathomimetics” (00:21:29) Adderall, Dopamine & Norepinephrine (00:25:58) Sympathomimetics, Dopamine & Norepinephrine (00:31:05) Sponsor: AG1 (00:32:20) Vyvanse is Timed-Release D-Amp (00:36:36) Ritalin, Concerta (00:40:10) Dopamine & “Noise Reduction”; Norepinephrine & “Signal Amplification” (00:45:28) ADHD: Focus, Hyperactivity & Impulsivity; Drug Selection & Dose (00:50:57) How do Stimulants ‘Calm' ADHD? (00:54:480 Neuroplasticity & Neuromodulators (00:58:06) Kids, ADHD Diagnosis & Treatment; Predispose Addiction? (01:04:02) Sponsor: InsideTracker (01:05:12) ADHD Medications: Individuality, Doses, Tapering & Long-Term Use (01:13:28) Medication & Long-Term Effects: Height, Cardiovascular Risk, Alcohol (01:19:32) Cortisol & Hormones (01:27:45) Psychosis & Addiction; Methamphetamine (01:38:20) Recreational Use, Addiction & Psychosis; Habituation (01:42:30) Drug Holidays; Ritalin & Long-Term Effects (01:45:35) Modafinil, Armodafinil; Side-Effects (01:53:03) Guanfacine, Alcohol (01:58:03) ADHD Medications (02:00:26) Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter Title Card Photo Credit: Mike Blabac Disclaimer

Lara and Carey discuss the upcoming Sexy Unique Pod: Live show at the Bowery Ballroom in NYC, Vyvanse vs. Adderall, Ukraine's planned15,000 person orgy in the event of nuclear armageddon, and Russia's new knock-off Lego store. Plus more Reader Mail, including a clandestine lesbian relationship on the high school soccer team.Subscribe to the SUP Patreon to hear the full version of this bonus episode. Follow SUP on TiktokWatch full length video episodes on the SUP YouTube ChannelAND GET TICKETS TO SUP: LIVE AT THE BOWERY BALLROOM THIS SATURDAY!! Hosted on Acast. See acast.com/privacy for more information.

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