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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/adchoices
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.
The mommies meet to discuss their current favourite stimulants and the rise of the medicated mom. A discussion of the latest episode of White Lotus turns into an esoteric discussion of religion. From there, they dive into wellness trends like mouth taping, the genius that is HBO Girls, Katie's search for the perfect hotel in Paris, and her niche taste in music.Super Important Episode Links:Books: Can't Look AwayCareless People All The Other Mothers Hate Me Keep Up With Your Girls:Katie on InstagramKatie on TiktokKokomo's WebsiteLiz on InstagramLiz's Website Hosted on Acast. See acast.com/privacy for more 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.
In this solo episode, I talk about a topic that's highly relevant for anyone navigating life as an ADHDer: the differences between stimulant and non-stimulant medications. Whether you're considering medication for yourself or your child, understanding your options and how they work is crucial.For detailed info, check out A Guide to ADHD Medication on my website. This is for the mums who are fed up with the confusing advice and just want the facts about ADHD medication – no fluff, no jargon. Discover the different types of medications, how to choose the right one, and what to expect during the process. Learn how to monitor effectiveness, tackle common issues, and work with your healthcare provider to find the best fit for you or your child. This guide also addresses what to do if ADHD medication starts to make you more sensory sensitive, teary, or withdrawn, helping you recognise when it might be unveiling underlying Autistic traits. Timestamps (approx): 2 mins: An overview of common stimulants like Adderall, Ritalin, and Vyvanse and how these medications affect the central nervous system to improve focus and energy3 mins: Debunking myths surrounding stimulants and addiction 6 mins: Options for those sensitive to stimulants or dealing with anxiety11 mins: Balancing trial and error in finding the right treatment13 mins: Common side effects of both stimulant and non-stimulant medications14 mins: Preparing for appointments with healthcare providersRelated Episode: From Skeptic to Advocate – Hear more about Jane's journey in deciding to use ADHD medication for her children. Listen on Apple Podcasts or Spotify. Mentioned in This Episode: DNA Testing – for listeners interested in learning how their body might respond to different medications. (Note: This is an informational mention, not an endorsement)Please note: The information provided in this episode is for informational purposes only and is not intended as medical advice. While the content is based on current knowledge and research, it may not reflect the most recent developments and does not consider individual medical circumstances. Always consult a qualified healthcare provider or medical professional before starting, stopping, or changing any medication or treatment plan.BOOK IN WITH JANE'S RECOMMENDED THERAPISTSIf you're looking to connect with a parenting specialist or psychologist for expert advice on parenting, please check out www.adhdmums.com.au/services. Your journey to more confident and supported parenting starts here!CONNECT WITH ME...If you've got a question or want to connect with other ADHD mums, we've got a whole community on our Facebook group. Click here to join and
Leaders Of Transformation | Leadership Development | Conscious Business | Global Transformation
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 ________
*Be aware I mention suicidal thoughts briefly in this episode*In this solo episode of ADHD Mums, I share my personal journey of how ADHD medication led to the unexpected discovery that I was Autistic. As more women receive an ADHD diagnosis later in life, many are realising there's more beneath the surface. I discuss how stimulant medications like Vyvanse helped me manage ADHD symptoms, but also highlighted sensory sensitivities and social struggles that pointed to autism.I open up about feeling overwhelmed and the importance of seeking support as a neurodivergent mum. Whether you're newly diagnosed or have been managing ADHD for years, this episode explores the complexities of living with ADHD and autism, and the emotional impact it can have on your life.Key Takeaways:ADHD medication can help manage symptoms, but it may also reveal underlying autism, especially in late-diagnosed women.Navigating the healthcare system for ADHD and autism can be challenging, but seeking the right support is essential.Putting yourself first as a mum is crucial for your well-being and your family's.Links Mentioned:ADHD Mums Facebook Group – Join our community to connect with other neurodivergent mums.ADHD Medication Guide – A helpful guide on different ADHD medications and how they work.Previous Episode: Jane's Medication Journey – Listen to my earlier episode discussing my ADHD diagnosis and experience with medication. Listen on Apple or SpotifyWhat to listen to next:S2 E37 ADHD, Autism, or Both? Kara's Story of Burnout and Sensory Overload: Listen on Apple or SpotifyS2 E13 ADHD & Sensory Overwhelm: Identifying Triggers and Finding Relief with Rebecca Torpie: Listen on Apple or SpotifyBOOK IN WITH JANE'S RECOMMENDED THERAPISTSIf you're looking to connect with a parenting specialist or psychologist for expert advice on parenting, please check out www.adhdmums.com.au/services. Your journey to more confident and supported parenting starts here!CONNECT WITH ME...If you've got a question or want to connect with other ADHD mums, we've got a whole community on our Facebook group. Click here to join and post your question. Don't worry if it's been asked before! I love to answer everyone in a group format.FOLLOW FOR MORE...I
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/
This is Stephen Schmidt from the Gazette Digital News Desk, and I'm here with your update for November 24, 2023.According to the National Weather Service it will be mostly cloudy Friday in the Cedar Rapids area, with a high near 33 degrees.The wind will pick up a bit as well, with gusts reaching as high as 25 mph.There's been a national shortage of ADHD medications for more than a year, and patients have been affected here in Iowa as well. What started with manufacturing delays for a producer of Adderall in October 2022 has turned into erratic availability of methylphenidate, sold under brand named Ritalin and Concerta.The shortage is caused by multiple factors, including production problems for manufacturers and limits the U.S. Drug Enforcement Agency puts on how much controlled substances a company can produce, said Mike Brownlee, chief pharmacy officer for the University of Iowa Hospitals & Clinics.Dr. Robin Kopelman, a psychiatrist who works with adult female patients through Meadowlark Psychiatric Services in North Liberty, said the monthly hunt for medications is an additional hardship for adults with ADHD.Health care providers like Kopelman say they have gotten creative to help patients get needed medications. This might involve prescribing a slightly smaller or larger dose, switching brands or using a different form of the medicine, such as slow release, she said. The FDA in August approved a generic form of ADHD drug Vyvanse, which has created some additional options.This year's corn and soybean harvests are virtually complete in nearly every area of the state, with one exception: south-central Iowa.“Farmers in south central Iowa still have over 10 percent of their corn for grain crop remaining to be harvested,” the U.S. Department of Agriculture reported back Monday.That region of the state is often the last to finish harvest, according to USDA crop reports that date back more than a decade.This year, part of that lag might have been caused by some replanting of soybeans, which delayed their maturation and harvest, said Clarabell Probasco, an Iowa State University Extension field agronomist who monitors part of that area.Despite the delays in that area, Iowa's soybean harvest is considered complete, and about 97 percent of the state's corn had been harvested as of the beginning of the week. The work has been aided by a streak of mostly rainless weeks.EntreFEST, the two-day conference celebrating entrepreneurialism and innovation, returns to Cedar Rapids in 2024 after two years in Iowa City.The conference will be held June 13-14. Venues will include the Geonetric Building, 415 12th Ave. SE, and the Olympic Theater, 1202 Third St. SE, with more to be announced.In addition to keynote speakers and panels, EntreFEST features dozens of smaller sessions that cover all aspects of business and entrepreneurship. Attendees are able to ask questions and interact with speakers, while happy hours and live entertainment give attendees the chance to network and unwind afterward.More information about venues, speakers and tickets will be announced soon
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.
Real Life Pharmacology - Pharmacology Education for Health Care Professionals
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.
The Personal Brain Trainer Podcast: Embodying Executive Functions
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
In this week's New FDA Approval's podcast episode, Dr. Emma Hitt Nichols discusses the latest FDA approvals from August 28, 2023 – September 8, 2023. Please check back every Monday morning so that you can stay up to date. Here is information on the latest US FDA approvals, the week of August 28 – September 8, 2023. Check out our free downloads at nascentmc.com: Implementing AMA Style – 8 Things to Get Right in Your Next Project Needs Assessments – 7 Essentials for Getting Funded Working With Your Medical Writer – 8 Ways to Get the Most out of Them See the full write ups for today's episode at nascentmc.com/podcast Here are the highlights: Ilaris for Gout Flares in Adults: FDA approved Ilaris (canakinumab) for adult gout flares when other treatments failed; previously approved for CAPS and other diseases. Generics of ADHD Medication: FDA approved several generic versions of Vyvanse; Takeda's patent expired; medication was in short supply due to manufacturing issues. sNDA for Balversa in mUC: Janssen submitted sNDA for Balversa for urothelial carcinoma patients with specific genetic alterations; previously granted accelerated approval in 2019. INO-3107 for RRP: FDA granted Breakthrough Therapy designation for INO-3107 for recurrent respiratory papillomatosis caused mainly by HPV-6/11; Inovio to initiate a trial in 2024. Crovalimab for PNH: FDA accepted BLA for crovalimab as a treatment for PNH based on positive Phase III study results; potential approval expected late 2023/early 2024. Intro and outro music Garden Of Love by Pk jazz Collective
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
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
On this day in history August 28, 2003, the Supreme Court of Alabama removed a monument of the Ten Commandments from its courthouse. The Ten Commandments monument in the Alabama Supreme Court building was initially installed by Chief Justice Roy Moore, garnering support from evangelical Christians nationwide. However, Moore's refusal to comply with a federal court order to remove the monument by August 20 led to divisions among religious conservatives. Prominent figures like Pat Robertson criticized Moore for undermining the rule of law, while others like James Dobson praised him for prioritizing "God's law." Eventually, the monument was moved to a storage room, complying with the federal court order, but causing protests and prayers from demonstrators. The issue remained divisive, with Moore filing an appeal with the U.S. Supreme Court, even as eight of his state Supreme Court colleagues overruled him and ordered the monument's removal. Ultimately, the Supreme Court denied certiorari and the case died there–with the monument in a storage room and Roy Moore eyeing bigger things.Moore's bid for those bigger things – namely a special election to the Senate – would similarly end in failure. In 2017, in the midst of a campaign, Moore faced allegations of misconduct from multiple women. Some of these women allegedly claimed that Moore had assaulted them when they were minors and he was in his 30s. Moore denied all allegations and received varying levels of support from Republican figures, including an endorsement from President Donald Trump. Despite the allegations, Moore's name remained on the ballot, and he ultimately lost the election to Democratic candidate Doug Jones. Legal battles ensued, including defamation lawsuits from both Moore and one of the accusers, and as of August 2022, Moore was awarded $8.2 million in a defamation lawsuit, which is currently under appeal.The monument, as of 2020, was on display on private property in Montgomery, at Roy Moore's “Foundation for Moral Law” building. Millions of Americans struggling with ADHD medication shortages may find relief as U.S. regulators have approved a generic form of Vyvanse, a drug by Takeda Pharmaceuticals. This generic version could serve as an alternative to generic Adderall, which has been in short supply for a year. The approval is expected to bring financial relief to over one million Americans who use branded Vyvanse for ADHD or binge-eating disorder, as the cost of a 30-day supply has risen to $369. Fourteen companies are now authorized to manufacture and sell generic Vyvanse, according to the Food and Drug Administration.The shortage of generic Adderall began last August due to limited production at Teva Pharmaceutical Industries, its main manufacturer. This led many patients to switch to Vyvanse, although its availability was also affected by manufacturing issues. Until now, Vyvanse was only available as an expensive branded drug, making it unaffordable for some patients.David Goodman, a psychiatrist and assistant professor at the Johns Hopkins School of Medicine, noted that the main issue has been the cost. He has been switching some of his patients from Adderall to Vyvanse due to the shortage. The approval of generic Vyvanse is also expected to simplify the prescription process, as some insurance companies currently require special permission for Vyvanse coverage.Takeda Pharmaceuticals acquired Vyvanse in 2019 through its purchase of Shire Plc and has since tripled the drug's price. The company stated that its pricing aims to reflect the "value and innovation" of the treatments but did not comment on how the introduction of a generic version might affect prices.ADHD Drug Shortage Set to Ease as Generic Vyvanse Approved3M Co. has tentatively agreed to pay over $5.5 billion to settle more than 300,000 lawsuits alleging that it sold defective combat earplugs to the U.S. military. The settlement amount is significantly lower than the estimated $8-10 billion financial analysts had predicted the company might have to pay. This agreement comes after 3M's controversial attempt to limit its liability through a bankruptcy case, which ultimately failed. The company has lost 10 of 16 early trials over the earplugs, with over $250 million awarded to service members so far.The lawsuits claim that 3M knew its earplugs were too short to be effective and failed to warn the U.S. government or users. The settlement would be paid out over five years, pending approval from 3M's board. The company had tried to manage the litigation through its Aearo Technologies unit seeking Chapter 11 protection, but this move was criticized and eventually thrown out by a bankruptcy judge.The settlement would put an end to a significant portion of 3M's ongoing litigation, although the company still faces other lawsuits over PFAS "forever chemicals," which are likely to cost even more to resolve. In 2018, 3M agreed to pay $9.1 million to settle civil allegations by the U.S. Justice Department regarding the same earplugs. The company's shares rose by as much as 4% in pre-market trading following the news of the tentative settlement.3M Agrees to Pay More Than $5.5 Billion Over Military EarplugsTesla is facing its first trial over allegations that its Autopilot feature led to a fatal accident, marking a significant test for the company and its CEO, Elon Musk. The first trial, scheduled for mid-September in California, involves a 2019 crash where a Model 3 veered off a highway, hit a palm tree, and burst into flames, killing the owner and seriously injuring two passengers. A second trial in Florida in early October concerns another 2019 crash where a Model 3 drove under an 18-wheeler, resulting in the death of the owner. Both lawsuits accuse Tesla of knowing that its Autopilot system was defective.Tesla has denied liability, attributing the accidents to driver error and insisting that Autopilot is safe when properly monitored by humans. The company has previously won a case by arguing that its technology requires human monitoring, despite the names "Autopilot" and "Full Self-Driving."The upcoming trials could reveal new evidence about what Musk and Tesla officials knew regarding Autopilot's capabilities and limitations. Internal emails have been cited to argue that Musk is the "de facto leader" of the Autopilot team. Tesla has not commented on the trials but has been transparent about Musk's involvement in self-driving technology.Legal experts suggest that wins for Tesla could bolster confidence and sales for its software, which costs up to $15,000 per vehicle. However, losses, especially with large damage awards, could significantly impact the company's narrative and financial future.The stakes are particularly high for Tesla as these are the first trials involving fatalities linked to Autopilot. Court documents have also indicated that both sides are aware of the system's shortcomings, and punitive damages are being considered in the Florida case. Tesla has filed an emergency motion to keep deposition transcripts and other documents secret, a move that is being opposed by the plaintiffs.Focus: Tesla braces for its first trial involving Autopilot fatality | ReutersLawyers for Wall Street Journal reporter Evan Gershkovich have appealed a Moscow court's decision to extend his pretrial detention until November 30. Gershkovich, a 31-year-old U.S. citizen, was arrested on March 29 while on a reporting assignment in Russia. He is accused of espionage by Russia's Federal Security Service, a charge that both he and the Wall Street Journal, as well as the U.S. government, strongly deny. If the extension holds, Gershkovich will have been in detention for at least eight months before any trial begins, although a trial date has not yet been set. Previous requests by Gershkovich's lawyers for bail or house arrest have been denied. Gershkovich is the first American journalist to be arrested on espionage charges in Russia since the end of the Cold War. The U.S. State Department has labeled him as wrongfully detained and is exerting pressure on Russia for his release.Lawyers for Evan Gershkovich Appeal Extension of Pretrial Detention - WSJGeorgia Republicans are planning to use a new law to remove Fulton County District Attorney Fani Willis, who recently indicted former President Donald Trump for attempting to overturn the 2020 election results in Georgia. The law, signed by Republican Governor Brian Kemp in May, allows a commission of political appointees to remove elected prosecutors for various reasons, including not prosecuting certain offenses. State Sen. Clint Dixon accused Willis of using the justice system against political opponents and aiming to become a "leftist celebrity." The Public Rights Project, a nonprofit, has filed a preliminary injunction to halt any disciplinary or removal proceedings against prosecutors while litigation over the law is ongoing.The new law is part of a larger trend across the U.S., where nearly 40 similar measures have been introduced in a third of states since 2017. These laws often target prosecutors who are implementing criminal justice reforms and are usually driven by white Republican lawmakers against Black Democrats in cities. The law has already had a chilling effect on prosecutors across Georgia, making them hesitant to discuss their work or pursue reforms for fear of being targeted for removal.Georgia GOP Gears Up to Remove Atlanta Prosecutor Who Indicted Donald Trump Get full access to Minimum Competence - Daily Legal News Podcast at www.minimumcomp.com/subscribe
Last week, I had a blast hosting another free webinar for Beyond BookSmart that was all about ADHD. Amy McDuffie, an Executive Function coach and ADHD expert, joined me to explore how the ADHD brain works and what the roles of medication, therapy and executive function coaching are within the larger umbrella of ADHD treatment. We also took some time to cover some of our coaches' favorite tools and strategies that can support the areas of executive functioning that people with ADHD often struggle with, and featured psychiatrist, Dr. Theresa, to fill in some of our expertise gaps around ADHD medication. So, today, I'm bringing you the audio from the webinar AND a bonus Q&A section that Amy & I did after the webinar (there were just too many great questions we didn't get to!) If you joined us live and just want to hear the bonus content, you can skip ahead to around 47 minutes to listen to just that. And if you didn't get a chance to watch the webinar at all, be sure to look for the link in the show notes below!For those who have been blessed with careful ears, you'll hear me share in this episode that I was recently diagnosed with ADHD myself. Because of my recent diagnosis, this episode is particularly close to my heart. I hope you enjoy listening half as much as I enjoyed being a part of these important conversations and if you do, be sure to give us a 5-star review on the platform you're listening on! And last but certainly not least, thank you for being a part of the Focus Forward community. Here are the show notes for this week: Watch our webinar, How to Thrive with ADHD After a Diagnosishttps://thinkingoutsidetheclassroom.wistia.com/medias/u3pueh40rsSlides from our webinar, How to Thrive with ADHD After a Diagnosishttps://www.beyondbooksmart.com/hubfs/How%20to%20Thrive%20with%20ADHD%20After%20a%20Diagnosis%202023.pdfWatch our webinar about Motivation:https://thinkingoutsidetheclassroom.wistia.com/medias/o3it96iuotBeyond BookSmart ADHD Success Kithttps://www.beyondbooksmart.com/adhd-success-kit-2022Focus Forward Ep 13: How to Unlock the Superpowers of ADHDhttps://www.beyondbooksmart.com/podcast?wchannelid=y1lzulxlcs&wmediaid=by637tasziFocus Forward Ep 18: Flipping the ADHD Narrative: How "The Disruptors" is Changing the Way We Talk About ADHD (ft. Nancy Armstrong)https://www.beyondbooksmart.com/podcast?wchannelid=y1lzulxlcs&wmediaid=wwh3rsdpbw2-Minute Neuroscience: ADHDhttps://www.youtube.com/watch?v=w8JnDhp83gATranscriptHannah Choi 00:04Hi everyone, and welcome to Focus Forward, an executive function podcast where we explore the challenges and celebrate the wins, you'll experience as you change your life by working on improving your executive function skills. I'm your host, Hannah Choi. Hannah Choi 00:18Oh, you guys, thank you so much for taking the time to go to Apple podcasts and rate Focus Forward. For me, it really means a lot to see that little number next, all those stars go up. I really appreciate it. If you want to help us out, and you haven't already rated it, you can scroll to the bottom of the Focus Forward section of your Apple podcasts app and give us a rating and hopefully it's five stars. If it's not, email me, tell me why. Thanks, guys. I really appreciate you all so much.Hannah Choi 00:47 I had a blast hosting another beyond booksmart free webinar last week, this time, all about ADHD. Amy McDuffie joined me again as one of our ADHD experts. And we covered what ADHD is and what it is not how the ADHD brain and medication work, the roles therapy and executive function coaching play for people with ADHD, and the benefits of pairing those interventions for maximum success. We also took some time to cover some of our coaches favorite tools and strategies that can support the areas of executive functioning that people with ADHD often struggle with. And this webinar was an updated version of the ADHD fundamentals webinar that we held in June of 2022. So today, I'm bringing you the audio from this year's ADHD webinar. If you listen to Focus Forward regularly, you may notice that much of the content is similar to the ADHD focused episode we did in October of 2022. In fact, I even used some of the audio from last year's webinar in that episode, I really hope you listen anyway. And don't report me for plagiarizing myself, although you'd have to report me to me, and I'm cool with it. So it's all just such good stuff. And I want to share it with as many people as possible in as many formats as we can. So some people like to watch video to learn, and others like to listen and still others prefer to read. And as a coach, I really recognize the value of honoring these differences in people. And so this is me making that happen. If you'd like some visuals while you listen, the slides from the webinar are linked in the show notes. Also, today, you'll hear me share that I was recently diagnosed with ADHD myself. And so this webinar and that ADHD episode are particularly close to my heart. In fact, doing all the research for the ADHD episode last year confirmed what I had been wondering for quite a while. Hannah Choi 03:02At the end of our webinar presentation last week, Amy and I answered some of the Q&A topics that our attendees asked both with their registrations and during the live webinar. And people asked such good questions. So good. And if you listened to the Focus Forward episode of the audio from our Laziness vs. Executive Dysfunction webinar, all about unlocking motivation, you may remember that Amy, Vin and I sat down the next day to answer more Q&A topics. Because there were some great questions we couldn't get to before this latest webinar ended, Amy and I decided to meet up again, just like last time, so stay tuned at the end of the webinar audio for the bonus content. If you joined us live and you just want to hear the bonus content, you can skip ahead to about 46 minutes to listen to just that. And if you missed the webinar, and you want to watch it, the link to it and our other webinar presentations is in the show notes. Okay, now on to the show. Hannah Choi 04:07All right. So hello, and welcome to our webinar "How to Thrive with ADHD After Diagnosis". We are so thrilled to welcome people joining us from across the US and around the world as we saw, and we have closed captions available. So if you'd like to use those, be sure to turn them on. My name is Hannah Choi, and I'll be your moderator for tonight's event. I use she her pronouns and I'm the host of our podcast, all about executive functioning called Focus Forward. So if you listen there, you might know you get to see a face to the name or Yeah, face to my voice. I have been an executive function coach at beyond booksmart since 2017, and I have coached dozens of students from elementary age all the way up to college and I also work with adults and I'm a mom of two kids who are 11 and 14 and I live in Connecticut. I am also joined by Amy McDuffie who you may recognize from our laziness versus executive dysfunction webinar around motivation. Amy, would you please introduce yourself and share your background and your roles with Beyond BookSmart?Amy McDuffie 05:14Yes, thank you, Hannah. Hi, everyone, I have been a coach and executive function consultant with beyond booksmart. For over two years. I use she her pronouns, and my background is in special education, specifically in behavior and learning disabilities, with students from elementary through high school. And I'm also a former behavior specialist. These opportunities allowed me to really experience both the gifts and challenges of students diagnosed with ADHD. Much of my work in the school setting focused on providing interventions for students, and coaching teachers on how to best provide support. I'm also the parent of two pretty awesome teens, ages 14 and 17. And I'm so glad you all are here. And I'm really excited to be with you.Hannah Choi 05:59Thank you, Amy. And for those of you who are joining us who may not be familiar with Beyond BookSmart, we have been providing one on one executive function coaching with students and adults since 2006. Even before that term executive function became widely known. And you may already know this term since ADHD and executive function skill challenges are so closely bound. But if it's new to you, you're not alone, I promise. Executive function skills are mental skills that we use to navigate our lives and get through our days. They include attention, memory, time management, planning, prioritizing, and emotional regulation. And many of our clients have an ADHD diagnosis, which gives us extensive experience in supporting individuals with ADHD or similar challenges. And today's webinar is an updated version of the ADHD fundamentals webinar that we ran last summer, which was hosted by Jackie Hebert. And that webinar was one of our highest attended webinars. So we know that this topic is really important to people. And I am personally thrilled to be hosting this time, because the topic is really close to my heart, I was recently diagnosed with ADHD. And I've been doing a lot of the same navigation of new waters that many of you likely are. And so I'm really happy to be here with you today. So you may be joining us today because you or your child was recently diagnosed with ADHD, but maybe you just suspect a diagnosis. And if this is the case, we really encourage you to listen to the webinar, and then reach out to your pediatrician or your primary care provider for guidance on what to do next.Amy McDuffie 07:37Thanks, Hannah. It can be really overwhelming when you learn or suspect that you or a loved one has ADHD. There's just so much information out there. And it can be hard to sort through it all. But we find it can also be a huge relief to get a diagnosis because it gives you context for your or your child's struggles, and also a defined place to look for help and support, which you are doing right now. We're here tonight to provide that for you. So here's what's here's what to expect in our webinar. First, we'll briefly define ADHD and explore some common assumptions about it. Then we'll move to learning about medication options. Then we'll touch upon behavioral approaches to treating ADHD, and share some of our coaches favorite tools and strategies that can make life a little easier. We'll share some resources and answer some of your questions before we finish up. So please use the Q&A function at the bottom of your screen throughout the webinar.Hannah Choi 08:38Yes, thanks. And because we're not medical doctors - Sorry mom and dad! We will be sharing a recording of some of the webinar from last summer. We had Dr. Theresa Cerulli join us to discuss the option of medication to treat ADHD. Dr. Cerulli is a graduate of Tufts University, University of Massachusetts Medical School, Harvard Longwood residency program in adult psychiatry, and Harvard fellowships in Medical Psychiatry and neuro psychiatry, and she is a board certified physician in psychiatry and is on the faculty at Beth Israel Deaconess Medical Center in Boston, and for the neuroscience Education Institute, so we'll hear from her later.Amy McDuffie 09:21All right, so you might be wondering just how common is ADHD? You're in very good company. Research from the National Institute of Mental Health, the NIMH reveals 11% of children and 4.4% of adults meet the criteria for ADHD, with males diagnosed at a higher rate than females. Now those statistics are from 2011. So we hope that NIMH updates their data soon. But with that degree of prevalence, you can see why it's essential to educate caregivers, children and adults with ADHD and help them identify supports to manage their symptoms.Hannah Choi 09:59Yes, and thanks to the efforts of high profile and successful people with ADHD, there's less stigma associated with a diagnosis. In fact, you'll meet many people who consider their ADHD a superpower of sorts. And it provides great energy and creativity when channeled effectively. There are so many great examples of people with this superpower from Simone Biles that you can see on the screen now, and astronaut Scott Kelly and so many others, and ADHD does not have to be a hindrance to success. All right, but all of that inspirational wisdom still leaves us with an important question. Hannah Choi 10:35What is ADHD? And what is it not? All right, so ADHD is a brain based condition that impacts daily life. And it often can affect motivation. And it often runs in families. And it has three subtypes, there's hyperactive impulsive, and then there's inattentive, which you may know as add the ADD is what it was formerly called. And now it is called ADHD inattentive type. And then there is the third type, which is the combined type that has characteristics from both. And ADHD directly impacts executive functioning. And ADHD is not a result of poor parenting. It is not a choice. And it is not something that children typically outgrow. And it is not a learning disability. And it's also doesn't have to be an immovable barrier to success and happiness. And I want to touch upon just a few of these points. Not everyone outgrows it. But with intervention, you can manage symptoms, and sometimes the symptoms just change over your life, because the demands on us change. So the symptoms can look different as we age. And ADHD is not considered a learning disability because it's a medical condition that, as we learned, impacts your it will what you'll learn as we will learn it impacts neurotransmitters in the brain. And research indicates that 30 to 50% of children with ADHD also have a specific learning disability, and that the two conditions can interact, which can make learning extremely challenging.12:10Yes, let's talk more about that for a minute. It's not a learning disability, but a medical condition. And understanding these dynamics can really help us empathize with individuals with ADHD. So if you attended our Laziness vs. Executive Dysfunction webinar, this may sound familiar. So ADHD is characterized by lower levels of the neurotransmitters dopamine and norepinephrine, affecting how the ADHD brain perceives both reward and pleasure. And this leads to a lack of enthusiasm per task, and a tendency to prioritize short term rewards over long term rewards. Another significant difference in the ADHD brain involves the default mode network, which activates during daydreaming or when we're not focused on a task. In ADHD, this network is more often activated constantly diverting attention toward unrelated thoughts. So that explains why staying focused on tedious or repetitive tasks can be such a chore with ADHD. It really isn't a matter of well, it's a matter of neurology. And that's why brain based interventions can be really effective for individuals with ADHD.Hannah Choi 13:26Yes, so true. Thank you, Amy. Alright, so now that we know what happens inside the ADHD brain, let's take a look at how ADHD can show up in behavior. Okay, so here is the top of an iceberg. And this is the part that everyone sees when a person has executive function challenges due to ADHD. The people around them see the top they see the behaviors that are problematic. They're forgetful, they seem lazy and scattered. They're sloppy or moody, they behave impulsively, and sometimes can even be rude to others. Does this sound familiar to anyone? Now remember that icebergs are actually mostly hidden under the water. And it's the same with executive function challenges. When we look deeper, we can see the specific skill deficits that people with ADHD can often have and that are causing the challenging behaviors that impact those around us. And so a person may have a poor sense of time or difficulty planning ahead, when that can make them seem scattered, and they may have trouble regulating emotion and seem irritable or moody. When they have no strategies to self monitor, a person can look impulsive, and students or adults who are too overwhelmed to get started can look lazy. And when they have no systems to track to sorry, excuse me to track their belongings or to maintain their focus, they can be forgetful. And when a person has trouble thinking flexibly, it can affect their problem solving and perspective taking and that can often come off as rude or demanding behavior. Beer. And as I mentioned in the beginning, ADHD can impact one or more of these skill areas. So you can see how it can directly impact our ability to manage everyday demands.Amy McDuffie 15:13Thank you, Hannah. So we'll shift now to the role of medication for ADHD. Many of you wrote in with questions about that, and we recognize that medication is a personal choice. And for those who are considering it, we wanted to provide some support there. So let's hear from Dr. Cerulli to learn how that works.Theresa Cerulli, MD 15:33So medications, I will say, it should be something to at least discuss with your providers medication isn't for everyone, but should at least be considered for everyone is how I would have I would think about it. And mostly because of the data. Looking at this was these were NIMH funded studies, not pharmaceutical funded studies years ago, looking at the role of behavioral interventions versus motivate medication intervention, interventions, versus combined in treating ADHD, and the sitter. So the surprise was that medication interventions, compared with behavioral interventions alone, the medication invent interventions were more significantly impactful. And then we all made the assumption that the combined medication and behavioral treatment would be even more impactful and which was true, but not to the extent that they had anticipated. So it does look like a main a main part of the treatment intervention should be medication should at least be considered this is neural neuro biologically based. And the sometimes it's hard to make headway in your behavioral strategies, meaning I call that "from the outside in" using strategies you learn in your environment, with some coaching, hopefully, and therapy, from the outside in, those strategies become hard to learn, and or utilize if you're also not not working from the inside out and helping with the neurobiological aspects in terms of what's happening in the brain. So initially, at least considering the combination of therapies, internal and external, so to speak, are, are considered them should should at least be considered. That's how we think about it. And here's our ADHD brain here on on the slide with the power switch in the frontal lobe. Think of the brain as a large electrical circuit, it really is that we're sending electrical signals when one part of the brain is talking to another part of the brain. So in the ADHD brain, all the circuitry is there, there's nothing that's we're not missing something. There's not, you know, holes in the section of the brain that's involved in attention concentration. But it just, it turns out that there's a higher level of stimulation is needed to literally turn the circuit on. And the reason that this switch here is in the frontal lobe this on switch is because that's the area that's mostly involved in ADHD, from what we can tell that area is under active or hypo active. If you look at functional scans, have somebody do a concentration task that has ADHD, and you scan them in a functional scanner, looking at what happens. And it turns out that that area of the brain that's used with concentration and attention is under active, it's too quiet. It takes something stimulating to flip the switch, which is where the medications come in. I get this question all the time. Why in the world would you talk about stimulant medications? For somebody who's already hyperactive and impulsive? It's kind of counterintuitive. And the reason is because you're not trying to stimulate the whole person. You want to stimulate that frontal part of the brain that Its job is to help us focus, concentrate, built around, filter out background noises, organize and plan. You're trying to turn it on to do its job most efficiently and effectively. So choosing the right medication is the question we get all the time. It should be in partnership certainly with somebody who really knows ADHD well, and the primary care physicians are especially if you're working with kids, the pediatricians are quite familiar but all with adults with ADHD your internist may or may not be they because the stimulant medications, which are many of the options we have available, are controlled substances. A lot of the internists and general practitioners for adults are their little hesitant to be involved in in prescribing so we usually refer you to a psychiatrist and neurologist, somebody who does this on a more routine basis. For ADHD, there are stimulants. There are also non stimulants. The non stimulants have some similar effects in the brain. Not quite as strong, I would say Say is the stimulants and we'll go through them quickly through the pros and cons. Stimulants have been around for years and years the gosh, Ritalin 1950s There was some amphetamines available even before that in the 1930s not yet used for ADHD but at least existed so stimulants have been around for more years than I have been concert they've been well studied. They're relatively affordable because there's many options and so usually there's a lot of generic brands that are available which insurance is more willing to pay for so that has that advantage. Cons is that they are controlled substances. They do have the potential for addiction. If we have clients that working with when there's any concern around that we are really careful usually move that would be someone I'd move to a non stimulant is first line. Some examples of stimulants you may have heard of certainly, Ritalin, Concerta, and meditate those fall into the methylphenidate category of stimulants. There's a second stimulant category and that's amphetamines. Some of the names you may have heard of there are Adderall, Vyvanse and dexedrine. So stimulants, if that's the umbrella term, under stimulants, you have two subcategories methylphenidate and amphetamines. And then there's about 29 or so total stimulants if I wanted to make a list and but most of those 29 fall into either methylphenidate or amphetamines in some form, some are long acting, some are short acting. An example in the methylphenidate Ritalin itself and its original form that tablet lasted only about three and a half, four hours. And that was it, which is why it was so hard to get tend to go to the nurse's office at lunchtime to take their second dose of Ritalin than they needed a third dose after school and potentially another for homework. It was really kind of rough that up down on off feeling. Concerta is a long acting rhythm and it's still Ritalin. It's just a 10 to 12 hour version that you can take once in the morning and have it last throughout the day. So there's many methylphenidates that are short acting, many that are long acting, some that are in between. Same thing with amphetamines, the non stimulants, they aren't controlled substances, there is no potential for addiction. That is one of the beauties of the non stimulants. They haven't been out as long so we don't have as many available. In fact, there are only for adults, we only have two non stimulants FDA approved for treating ADHD. In children, we had three new we now have four because Quelbree came became available last year as another non stimulant available for actually kids and adults. So we don't have the long list of that we do with stimulants where there's I said 29 I think it's actually even a little more than that now. Preparations, non stimulants we're more limited choice, but they do have their advantages that it's not that they don't have side effects, stimulants and non stimulants both can have side effects. The side effects with the non stimulants are just a bit different. I already said that not addictive, there's no withdrawal risk. They're not quite as strong. If you looked at the robustness of response, you're going to get more effect over and above not on a stimulant over and above not taking a stimulant compared with what we call the robustness of of effect of a non stimulant. But it really should be tailored to the individual and discussed with your individual provider. Hopefully someone that really is specialized in ADHD.Amy McDuffie 23:41All right, that was great information. So medication provides a place to start for many with ADHD. But as some educational professionals say, "Pills don't teach skills". I know it might sound silly, but it's worth noting for the reminder it provides medication as we just learned can set the stage to make learning and applying new skills easier by turning on the brain's ability to focus, which allows us allows us to take better advantage of other beneficial supports. Also, because some people choose not to take ADHD medication, it's important to explore these other supports. So the other half of the equation is how you go about learning new habits and behaviors. Let's find out more about two options therapy and coaching. Both of which can teach you different ways of thinking about your ADHD, and tools and strategies to support the areas that you or your child find challenging. So therapy and executive function coaching work together to address the negative behaviors and habits that have been learned over time, but in different ways. Therapists help transform negative patterns of thinking influenced by living with ADHD and constructively rebuilt the way people feel about themselves. Their therapy can be a really helpful piece of overall treatment, particularly if there's self esteem issues, or coexisting mental health conditions like depression or anxiety that are part of the big picture. The longer that ADHD is untreated, it's more likely that there are deep seated beliefs about self worth, and potential that can be holding a person back. It's significant to note that a child with ADHD could receive 20,000 corrective or negative comments by the time they are age 10. Now that's fertile ground for feelings of shame to take root. We're not therapists, so we can't elaborate on the specific benefits and approaches to therapy. But we really encourage you to find a therapist who has experience supporting people with ADHD.Hannah Choi 25:56Yes, I know that my therapist has been invaluable to me as I figured out how to manage my ADHD and all the emotions that come with that diagnosis. So managing those emotions, and those negative narratives that come along with it are just one part of the puzzle. Because ADHD impacts executive functioning so directly, working specifically on developing good habits to level the playing field is really, really helpful. And that's where executive function coaching can help. So what is executive function coaching, it supports clients to explore their strengths and their challenges, and then refine their tools to manage their daily life challenges. And all of this helps foster healthy habits. And having a coach is beneficial for everyone, actually, regardless of your ADHD diagnosis, because you don't have to have ADHD, to have stroke struggles with executive function. And life can just be tough enough for everybody. So learning some new strategies is always helpful. And as we said before, Amy and I are both coaches, and we have been for some time now. And I just love how we get to teach adults and students, all those executive function skills like organizing, planning, prioritizing, managing time, and maintaining focus, learning to assess yourself and work more efficiently. But it's really so much more than just building on those specific skills and habits. Right, Amy?Amy McDuffie 27:26Absolutely. Yes, I definitely agree with you there, Hannah. I also really just value the strong trust and rapport that I get to build with clients. And I love those moments when I get to see a shift in confidence and autonomy. You know, really our goal is our goal as coaches is for clients to develop the skills they need in order to become successful and independent.Hannah Choi 27:51Yes, there's just nothing like it when we see our clients finding that. And also, everybody comes from a different place and has different needs and different challenges. And so what what I really like about that one on one aspect of coaching is that it can really help clients focus on their specific goals and their needs. So Amy, what do you see in your clients with ADHD when they first start coaching?Amy McDuffie 28:19Yeah, that's a really, really important question, because clients often come to us when they're feeling pretty frustrated, which is completely understandable. And oftentimes, individuals with ADHD experience much more frustration and failure than they do success, which ends up having a negative impact on their self perception, and also increases stress. So this can become a real barrier leading to the self-reinforcing negative cycle, and also results in less efficient processing. Because our brains just don't function well under stress. I know I've seen clients come into coaching with the assumption that they just can't improve their grades or stay on top of their work. Because this combination of past failure and unhelpful habits have really diminished their confidence in it for taking any steps towards making a change. And that's why it's really important to help clients with ADHD recognize their strengths. And as coaches, we can build upon those strengths and draw parallels between the skills needed to generalize that success to other areas. We also initially work on finding small wins and help clients recognize the benefits from these changes, which then leads to greater self confidence. And this increase in self-confidence and feelings of success then became motivating to build upon this habits and ends up creating a positive cycle of success that can really snowball into some major changes.Hannah Choi 29:51Yes, it's so it's just so great to see that happening. So let's talk about some of the specific tools and strategies that we coaches use to teach people with have ADHD, or just executive function challenges to make the life a little easier. So a common common common executive function skill challenge area for people with ADHD. And actually, I would say for most everybody is planning, prioritizing and time management. And so let's start with that time management. One helpful strategy is using timers and then blocking out your time, we really liked the Pomodoro Technique, which you may have heard of before, and it involves setting a timer for a focused work period, then that's usually about 25 minutes, the brain doesn't really like to work longer, in general. So 25 minutes is often a good amount of time. And then after the timer goes off, you take a five minute break, make sure you set a time and mercy or five minute break doesn't turn into an hour, and then restart that cycle. And then if you're finding it difficult to get back to work, after the break, you can try stretching or getting up and walking around having a snack or a drink, or just maybe switching to a different activity temporarily. And when prioritizing what you're going to work on in those blocks of time, some people like to decide ahead of time, what they're going to work on, based on the difficulty of the task or its urgency, and then others like to start with what they're feeling most motivated to work on. And it really just depends on what works best for you. And as all tools. And what we really say to all of our clients all the time is we really, really want you to try things out, and then see what works best for you. And as a person with ADHD, the way that you do things might look different from the way everyone else does. And I'm here to tell you that that is okay. And a tool that we like to use for planning is called peak performance. And what peak performance does it helps you to learn to pay attention to when you're most productive. And so this can give you some insights on how to schedule your days. So if you tend to get tired in the afternoons, I think that's pretty standard for most people, scheduling a focus to work session in the afternoon is not maybe a realistic expectation. And if you have a hard time winding down after school, jumping right into homework when you first get home might be stressful and unproductive.Amy McDuffie 32:17Yes, thank you so much, Hannah. I totally agree it's so important to recognize those peak performance times during the day. And I think it's also really helpful to determine why the task is important to you, you know, to remind yourself of the potential benefits, which may not always seem immediate, but could have some greater benefit down the road. And this can really help boost motivation for taking the steps to get started. Some other strategies that can help with focus include things like taking notes, using checklists, asking questions, and just writing information down in your own words. It's really about creating opportunities for engagement and active participation whenever possible. And some people find it's also helpful to drink water or to gum, also to use alternate seating or even stand and to create opportunities for movement. And this is definitely something to consider in the school environment where students do a lot of sitting.Hannah Choi 33:21I also wanted to touch on some strategies that can help remember help with remembering to take your medication. And this could be ADHD medication or any other prescriptions you might have. Memory can be a big challenge area for people with ADHD. I know it is my kryptonite. We suggest setting up automatic refills for prescriptions that allow this and adding a reminder in your calendar for the following month when you receive this month supply. And you can create a recurring alarm as a reminder to take your meds or and then also like keep them in something like near something that you use daily, maybe by your planner or bedside table or the kitchen counter. And ordering a three month supply when possible. You can't do this without medications can reduce how often you need to reorder, which is really helpful. And if the current Adderall shortage affects you, being proactive is crucial. Your pharmacist may need to collaborate with other pharmacies to source refills, and finding a cooperative pharmacy will make things much easier. Let's see. All right. I'm gonna go with this one. Let's see. How do you know when a teen is being lazy versus when it's ADHD? This sounds very familiar to me. Amy. Does it sound like that to you?Amy McDuffie 34:48It's that's a that's a tough question to be honest. Yeah, I'm happy to start out on that one. Yeah. I you know, coming from you know, a behavioral behavioral person Active, excuse me, I really like to find out, you know, where the problem issue is, and also, you know, help determine why that's happening. So I feel like, that's a really important step here. Like, you know, how, how is this child being impacted? And, you know, why is that occurring? Because I do think that, you know, behavior serves a function. And I think we need to determine that before we can identify, you know, if it's ADHD related, which it very well could be, or if it's more of a behavioral issue. So, I don't know, Hannah, what are your thoughts on that?Hannah Choi 35:39Yeah, well, it reminds me of the last webinar that we, that we both hosted back in May, where it was actually the topic of the webinar. And, and, and we, we do like what like you just said, it's, it's, I mean, I would say it's not laziness. It can feel that way. As the parent, I can very much feel that way. It can also feel that way, as a person with ADHD, sometimes I find myself, I like catch myself thinking, I'm being really lazy. And then I realized, like, wait a second, I'm just not, I'm not figuring out why. And I'm not figuring out a tool to help me get past that what feels like a laziness barrier. I do know that a lot of screen time can deplete what little dopamine people with ADHD already have. So extended amounts of screen time can can make it feel like everything else is really boring, which can impact your motivation. So you know, if there's, you might want to have a discussion with yourself, if you're the person who's experiencing that, or with your partner or with your child, if, if there might be some dopamine depletion going on from a lot of screentime, which is totally normal. Everybody, does it. I'm not at all saying is there's anything wrong with it, but it can be, there can be a connection of it there. So yeah, all right. Um, let's see. Oh, here we go. Can you give an example of how ADHD can be a superpower? I would like to take that one.Amy McDuffie 37:20Yeah, absolutely. Absolutely. Yeah.Hannah Choi 37:24So that Default Mode Network section that you were talking you and Dr. Cerulli were talking about earlier is, is it's both a challenge and also a superpower. So even while I'm talking right now, I have like a lot of ideas going on in my head. And what I'm doing is like making all these connections between topics. And I feel like I'm really good at synthesizing information. Because I have this deep, I even I'm focusing on talking right now to all of you, I have this default mode network that is like susceptible, making all these connections out here. And I feel like it gives me some really creative ideas. And I also feel like it really helps me as a podcast host. Because I feel like it helps me come up with some really cool questions and make connections that a more linear thinker might not make. It does require extra effort to stay focused and to kind of ignore that default mode network when I when I really need to focus. So it's a it's a challenge, and it's also a superpower. And also, there's just a lot of energy behind the things that people with ADHD are really interested in. So I think that that is, you know, some of the most successful CEOs in the world have ADHD. What about you, Amy, what do you see in your clients are the students that you used to work with?Amy McDuffie 38:46I really, I really value the creativity that I feel like many individuals with ADHD have. And you mentioned, Hannah, you know, the energy and I think that's, that's such an important part that to frame it as a positive. And, you know, that kind of goes, you know, really into, like, the dialogue about ADHD that we really should reframe it as, you know, as a positive and look at, you know, you know, the gifts that ADHD can bring for individuals.Hannah Choi 39:19Yep, I agree. Okay, here is a great question. I'm so glad somebody asked this. How does mood play into executive functioning with my daughter who has to attempt inattentive ADHD getting into the frame of mind to do anything is a big challenge. Yeah, so just to get a little brain nerdy. So our executive function skills reside in our frontal lobe or prefrontal cortex which is right behind our foreheads. And we can only really access them when we are at rest and digest when our body when we're not stressed out. We're not upset we're not anxious. And so if you, if you already are struggling with executive functioning, which a person with ADHD does, and also one of those really big, important executive function skills in there that do that does really challenge people with ADHD is emotional regulation. So regulating your emotions so that you can stay up in the front part of your brain, the top part of your brain where your executive function skills are is a huge part of success. Right? Like, if you already have trouble accessing them, and your emotions are not being managed, then it makes it even harder to get started even harder to get over the anxiety that you might have or the frustration you might feel or the fear you might have for what you're going to work on.Amy McDuffie 40:45Yeah, absolutely. Hannah, I mean, it really that emotional regulation or self regulation piece, it really is the starting point, you know, of things to focus on and then to work on building strategies from there.Hannah Choi 41:00Yeah, yep. Somebody asked about screen time. We could literally talk about screen time all night.Amy McDuffie 41:07Yeah, yeah. And I feel like that's, that's such an important question. Because, you know, it's one that we all we all live. Yeah. So I'm, if that's okay, Hannah, I'm happy to share. Okay. So this is something that I've, you know, that I've actually been working on with a client, and, you know, having two teenagers myself, it's something that we address in our own home as well. And I feel like, you know, for me, the approach that I like to take is to really look at, you know, how we spend our time, so, you know, how your kids are spending their time. And, you know, really what they're missing, you know, are there things that they have enjoyed doing in their lives, their hobbies, other things that might be sacrificed, if they're spending tons of time on the screen. So I like to, you know, kind of approach things from that angle in terms of, you know, what else could you be doing with your time, and then, I love the approach in my own house of, you know, taking the, the adolescent need for independence and autonomy. And, you know, really talking with my kiddos about, you know, are you in control of your phone? Or are you allowing your phone to control you and, you know, taking that approach and teaching them about, you know, the intention of all of the the apps and, you know, wanting to, you know, maintain our attention and take our time away. So, those are just some approaches that I use, you know, in my own house and with with my client as well. How about you, Hannah?Hannah Choi 42:44Yeah, I really love that last point that you made, because learning to, to reflect on our own experience, and then take what we've learned, and then apply it to our life to make positive change is is such an important skill to learn as a teen because you're soon going to be an adult and not have your parents around to help you monitor all that. So learning that self awareness, and just self control is so great. So I love that. I love that you mentioned that. Yeah, I got to interview Dr. Clifford Sussman, who is a psychiatrist who specializes in screen addiction. And he had some really, really great tips for, like you said, working with your, with your child, your teen to, to, you know, work together to come up with a potential solution for you know, setting reasonable limits, while also giving them that autonomy and independence that they do crave. And they do need because they need to develop that skill for success in life outside of, you know, our safe and cozy homes. And then he also talked a lot about See, here's where my memory is... so anyway, just listen to the episode!Amy McDuffie 44:06That is a great episode, Hannah. That's one of my favorites.Hannah Choi 44:12We are live folks, we are live. Here's one. How can you tell if it is anxiety or ADHD? Oh, whoever wrote that? I feel Yeah, I feel you. What do you see in your clients? Amy?Amy McDuffie 44:28Oh, wow. I honestly he and I often see both of those in conjunction and, you know, the symptoms of anxiety and ADHD. There's definitely some overlap there. And you know, we talked about the you know, the cycle of failure and I what I have seen is when clients expect have that experience of past failure, it causes more anxiety and that anxiety you know, leads to avoidance with Whether it's for, you know, completing assignments or the thing they have to do, and it just, it does create that ongoing cycle. So it's, it's hard for me to separate the two, honestly, when I think about the work that I do with my clients, because I do see it often together. How about you?Hannah Choi 45:18Yep. Yep, I agree. I mean, I agree personally, that is, has been my experience. And I also see it in my clients as well. I know, for me, personally, I have a lot of anxiety around forgetting things, because memory is my most challenged area. So I am, I am often anxious that I am, you know, forgetting an important appointment or forgetting to do something that I told someone I would do. And so I have to use a lot of strategies to support myself there and I don't succeed every time. I have recently double booked myself. And so you know, it happens. But I encourage you to explore both. And to, like Amy said, it's hard to separate them, I do think it's pretty common to have both. And, and also, like, maybe we even internalized this as a child, you know, you you like all those corrective messages we heard, you know, we talked about earlier, it's, you know, when you hear that over your over the years and years, it's, it's hard not to come a little anxious about that. Hannah Choi 46:20Okay, so this is where we ended our Q&A section of the webinar. Now keep listening to hear the rest of the conversation that I recorded with Amy the next morning. And in keeping with my goal of authenticity, you can hear some sounds of daily life in the background of my recording. My mother in law, who I love dearly, did not realize I was recording. Good morning, Amy.Amy McDuffie 46:46Hey, good morning.Hannah Choi 46:48Thanks for coming back. It's not too early, but it is the morning, but I appreciate the quick turnover. Amy McDuffie 46:56Yeah, absolutely.Hannah Choi 46:58That was so fun last night. I'm so glad we got to do that again.Amy McDuffie 47:01Yeah, me too. I really, I really enjoyed that I could talk about, you know, ADHD is something I could talk about all day. So.Hannah Choi 47:10Okay, well, then I'm glad we're talking about it. So I was laughing so hard internally, because as you know, every time we were practicing, I kept almost I kept saying not almost saying I kept saying laziness versus execution webinar. Not laziness versus executive dysfunction webinars. SoAmy McDuffie 47:31yeah, that would be a different webinar, for sure. It'll be different. Yes, exactly. I mean, that would that would be a different source of motivation, for sure. SoHannah Choi 47:51All right, so yeah, so I was very proud of myself control and yours as well, because I know you were wondering if I was gonna say it?Amy McDuffie 47:59Well, and I was trying not to think about it too much, because then I didn't want to internalize it and say it myself. So I feel like we did. We did well, with that. We did. We did. We said the word.Hannah Choi 48:13 All right, let's dive into some of these questions that are just so good. I love. I just love how thoughtful everyone is. And so some of these questions were submitted during our live Q&A. And some of them were submitted when people registered for the webinar. So we've just kind of mixed them together. Okay, so here's the question when searching for a therapist, what kind of therapists should I look for?Amy McDuffie 48:39Yeah, so Hannah, I'm happy to jump in on that. One. I would recommend looking for a therapist who is experienced working with individuals with ADHD. And you know, also if you you know, feel comfortable and know someone who has an ADHD diagnosis, you know, maybe getting a recommendation from them as well. Then what do you think?Hannah Choi 49:01Yeah, for sure, you can also ask your psychiatrist or your whatever the doctor is that you're working with, for medication, if you take medication. I do know on Psychology Today, the different therapists will have profiles. And then and then on their profile, it'll say whether they work with people with ADHD, although I did reach out to one and she she told me that she doesn't work with ADHD. People with ADHD but it says so on her profile. So you might, you might and then they went to check back again. I noticed it was gone. So you might you might that might happen to you, but I encourage you to persevere. Yeah, yes. But yeah, absolutely. Someone who has experience and then you meet you might also meet with the person for the first time if you've never met with a therapist before. You may not know this that it can take a couple tries to find a therapist that you really gel with. But it's worth pursuing. It is frustrating because you have to tell your story, again to a new A person. But um, hopefully, hopefully you find the right one on the first try. Yeah. All right. Next, how do you approach a college age student who has been diagnosed with ADHD but will not accept help and wants to fix himself? And how do you help with the shame that they feel I actually entire my own personal experience real quick, I ended up when I got diagnosed, I realized, oh, there's actually nothing wrong with me, this is just how my brain is wired. So I actually felt a lot of relief, getting a diagnosis, so that I can understand the opposite experience. And it does, it can really feel like there's like something wrong with you, and that needs to be fixed. But, you know, as we talked about last night, it is it is just, you know, it's a, it's the way that your brain is, you know, it's neurotransmitters, it's not character flaws. And so I don't know if you know, approaching it from a real matter of fact, sort of factual viewpoint, that this is what's going on in your brain. And it's not necessarily like you as, as your essence, your soul, your person. What do you think?Amy McDuffie 51:16Yeah, I think that, that the education piece is so crucial. Because just having that having the understanding, knowing why that's happening, I think can really help with that piece. And in terms of, you know, addressing the shame piece, and dealing with denial, I think it's really important, you know, as, as parents, as professionals to really normalize our own struggles, and normalize the fact that everyone has challenges and struggles and things that we that we fail at. And, you know, just really, you know, trying to approach it from that perspective that, you know, this is this is what I'm dealing with, and that, you know, we all have those things. And I feel like that's a really important part in conjunction with the education piece.Hannah Choi 52:11Yeah, yep. Showing that empathy. And, and, and acknowledging their, their feelings and not denying them those feelings. And, yeah, yeah, it is hard, though. Yeah. What's what what I feel like is that, that, eventually, people who are feeling that way will hopefully feel, see the superpowers see the benefits of it, and are and are able to shift their perspective from something like wrong with them something that needs to be fixed to something like, oh, how can I leverage the, you know, the, the actual, like, really great things about this? And, you know, it does take a lot of work? Not, you know, it's definitely not easy, but I think that a shift in mindset can can help as well. Absolutely. Just wanted that therapy piece and executive function coaching thing coming.Amy McDuffie 53:05Right. Right. And I think also, you know, if it's possible, you know, to connect them with someone who has ADHD and has, you know, worked on some strategies and, you know, is able to share their perspective, I think that can be really helpful as well, because so many people are diagnosed with it, and, you know, are very successful. So I think that's a helpful piece, too.Hannah Choi 53:31Yep. Absolutely. And that we are seeing much less of a stigma around it, and people are more open to talking about it. And so hopefully, they are, you know, your your kid kiddos are able to connect with other people, I think, yeah, that's a really good point that you brought up, Amy. Thank you. All right. So next one. All right. Let's switch to an adult perspective. If you work in an office job, where you stare at computers all day, how can one unplug and not lose motivation to do other stuff? I feel like I can't separate myself from my electronics and I procrastinate on other things I need to do. That's a really I think this challenge for anybody right, regardless of your diagnosis. Yes. Especially in this day and age, this is you are absolutely not the first person to ask this question. I think many of our adult clients are saying yes, yes. Amy McDuffie 54:33Yeah. I agree with you there. Yes, absolutely. Because we do spend so much time, you know, staring at our screens, whether it's work or anything else, I think it's really helpful to you know, to actually schedule time away from the computer away from the screen, and, you know, whatever that looks like, whether you're actually in an office or working from home, but you know, scheduling that time and committing to sticking to it. I also think it's really helpful to enlist support, you know, whether from a family member or a friend, you know, to help you commit to that, whether it's, you're able to go for a walk, or whatever the thing is, where you're breaking away from it, you know, having support can be really motivating.Hannah Choi 55:25I have an adult client that I work with currently, and he is dealing with this exact same challenge at work. And he is lucky that he has an office so he is able to shut his door. So what he does is he schedules work time on his calendar, so he looks busy, so that people, you know, interrupt him less, and then he also shuts his office door. If you don't have an office door to shut, you can have, you could even put up a sign like I'm busy working, putting on headphones is a nice visual cue to other people that you are busy. And then the phone, the phone is a big one, they've done studies and they have found that we are I think 30% less effective. Just having our phone on our desk, even if it's flipped over and silenced, we are less productive. So I really encourage you to put your phone, like you know, leave your phone in your I don't know, on your friend's desk or your co workers desk or in your work bag or something. So it's really, really out of the way out of you know, the temptation zone. That can you really help if you feel like you can't put it away or you can't for some reason, maybe you need to be on call for a sick child or you have some other commitment where you really need to be connected to your phone. They do have apps that can help you with focus. So there's don't My favorite one is Focus Dog, which there's like a dog that makes doughnuts while you're focusing. We talked about that one before. There's also there's also Forest and you know, all those other focusing apps - the Flora flora. Yeah, those are both really like pre pretty ones. Right? So, if you want the tasty donuts get Focus Dog, Pretty one get Flora Forest or, or Flora. Those are some tools that you can use if you if you can't physically move your phone away from your Yeah, your workspace.Amy McDuffie 57:31Yeah, that's, that's great to know, to Hannah about the productivity. I need to I need to work on that.Hannah Choi 57:39Yeah, it's and I've actually asked my, a lot of my college clients, I challenged them to not have their phone with them when they're working. And they all begrudgingly admit that yes, they were more productive when their phone wasn't. So yes. But yeah, it is it is a powerful distractor having that there. SoAmy McDuffie 58:01yeah, definitely. Yeah.Hannah Choi 58:03All right. So let's see. Here's some more though is two more that will combine any tips for college freshmen with ADHD? What may be some good routines to practice over the summer? Great question. And then how do I help my teen who was diagnosed last month with ADHD? Learn some strategies to make things easier on them during the summer? While the pressure of school is off? Yeah, that's a great question. Yeah. Amy McDuffie 58:32Yes, are so great. And I, I love the thoughtfulness behind that. And, you know, taking advantage of summer time being, you know, a low stakes situation without the pressure school. And I really think it's a great time to work on things like organizational skills, whether it's your physical space to get that set up, you know, before school starts, or, you know, working on, you know, learning to use a planner or a Calendar, Google Calendar. This is something that I actually work on with my kids during the summer. You know, in terms of, you know, Google Calendar, and you know, helping them manage whether my daughter is dog sitting or babysitting, she uses like a physical wall calendar as well. So you know, whatever the organizational system is, that's going to be helpful just to get in the habit of using that. I feel like it's really important over the summer. What about you?Hannah Choi 59:29Yeah, yes, I'm working on that right now with a client where I'm encouraging them to. I joke and say, you have to change your relationship with your planner, you have to move beyond just holding hands. And so yeah, so I'm really encouraging them to write everything down in their calendar. And it's like you said, it's such a low stakes time. So even when they're going to hang out with friends, I encourage them to put it in their calendar. So they can just get in the habit of making the calendar event, you know, and then maybe even sharing it with their friends with their friends can also have it on their calendar, just to be a little bit of a role model and also have some built in some accountability. So, that's is such a great time to practice it.Amy McDuffie 1:00:20One of my clients, we actually started this summer, working on a schedule for laundry.Hannah Choi 1:00:27Because there's so many executive function skills. Yes, yes. And cooking, too.Amy McDuffie 1:00:33It's a good one, too. But yeah, so you know, even things like, you know, working on, you know, managing your chores, or, you know, setting up a plan to manage your laundry can be really hard to work on in the summertime. Yeah, so with one of my clients was laundry, like, we literally, you know, worked on making a schedule and a plan for the week of, you know, when to tackle laundry, and, you know, even down to, you know, pulling in some habit stacking that in the morning, right after the shower, we're going to start laundry and, and go from there. And it was really effective. And I think that's such a helpful thing to focus on in the summertime,Hannah Choi 1:01:16Especially for kids who are heading off to college. And we've, you know, we've talked about that, before, it's come up on a couple conversations on the podcast anyway, it's such a huge, huge thing. And there's so many executive function skills out there. Yeah. And also cooking to cooking is a really great way to practice executive function skills of planning and prioritizing and organization, and time management. And it, there's so many involved in there. And then also, they're learning the valuable skill of how to cook right is so important as you prepare to leave to leave the nest. Yeah, though. Yeah, absolutely. You're right. It is, it's such like a great low stakes environment to practice those things. And they, and they really, and you don't need to practice them in an academic way. You know, like the examples that we just gave have nothing to do with academics. But, and that's what's so cool about executive function coaching is how transferable all of the skills that our clients learn, like, like our student clients, learn, you know, strategies to support their academics, but all of those strategies are transferable to, you know, their daily life activities. It's pretty cool.Amy McDuffie 1:02:36Yeah, absolutely. And it's, it's so valuable, too, because, you know, just thinking about things like laundry and cooking, I mean, those are skills, you you have to have your entire life unless, you know, you're in a situation where someone does that for you have to learn to manage those things. And I think back and I wish that someone had like, either really kind of worked on those things with me in a more direct way. I mean, I figured them out, as we do. Yeah, right. Right. You know, it really does just make me aware of the value of, you know, really directly teaching the skills and the systems that you can apply across the board.Hannah Choi 1:03:19And what is so great about that is that you can directly teach your kids those, those executive function skills without them even realizing that they're learning. So, you know, if you sat down and very, very formally said, now, we should work on time management, and, you know, like prioritizing, they're gonna roll their eyes and say, No, thank you. But, you know, just don't mention them and they're gonna learn them just accidentally.Amy McDuffie 1:03:48Exactly, exactly. There's so many ways to naturally weave that in. Yes, yeah. If we, if we formally approach it with our own kids, I feel like at that point, like, they're, they're no longer listening. Yeah.Hannah Choi 1:04:01That's right. It's like when they're little and you would like, I don't know, you'd like hide the spinach and something tasty. Like, if you tell them there's spinach in here, they're gonna like, I'm not gonna eat that. decided in there. They don't know. Exactly, exactly. Sorry, kids. Parenting is all about tricking you.Amy McDuffie 1:04:23It's actually it's not manipulation. It's education. Hannah Choi 1:04:28That's right, disguised as a brownie or laundry. Amy McDuffie 1:04:32You'll think this later.Hannah Choi 1:04:34And you'll do the same to yours if you have them. Thanks again for joining me, Amy, such a pleasure.Amy McDuffie 1:04:41Absolutely. Hannah. This was great. Thank you so much.Hannah Choi 1:04:45And that is our show for today. Thank you so much for taking time out of your day to listen, I hope you learned something new about ADHD or maybe you just found a new view of it. It truly can be a superpower with the right interventions. tools and strategies. As I mentioned before, if you want to watch the entire webinar, you can find the link to it in the show notes. I also included some links to the slides that we shared during the webinar. I hope you join me at our next webinar. You can find more about our upcoming events by signing up for beyond book smarts monthly newsletter, the monthly think, or by checking the Events page in the resources section of our website. If you know anyone who might want to learn more about ADHD, please share this episode with them. You can reach out to me at podcast at beyond booksmart.com and also you can subscribe to Focus Forward on Apple and Google podcasts, Spotify or wherever else you get your podcasts. And as always, if you listen on Apple podcasts or Spotify, you can give us a boost by giving us a five star rating. We would love it. Sign up for our newsletter at beyond booksmart.com/podcast will let you know when new episodes drop and we'll share information related to the topic. Thanks for listening
Mikey Goldman is part of the over-prescribed generation directly impacted by the ease at which serious drugs were “handed” out to kids and teens before natural alternatives were even discussed. He grew up with a racing mind, always struggling in school to focus and sit still. Formally diagnosed with severe ADHD and math dyslexia (dyscalculia) in highschool, he was later prescribed Vyvanse in college which led to severe side effects that resulted in a snowballing of prescription drug use including daily prescriptions from his doctor of Vyvanse, Adderall, Klonopin, Ambien, and Xanax.Through a brutal withdrawal period, Mikey eventually got off all prescriptions, and sought to find a natural solution for his ADHD + racing mind. After experimenting with dozens (if not hundreds) of wellness products, experiences, and drug alternatives, Mikey was mesmerized by the benefits of Deep Touch Pressure and weighted technology, but like many people with ADHD, he found weighted blankets uncomfortable. Quiet Mind solves for those areas of discomfort with an alternative in the form of the first-ever Original Weighted Pillow, a convenient and reliable solution for people like me - and it's only the beginning. Prior to launching Quiet Mind, Mikey worked in marketing and social media in the tech industry for companies like GreenPark Sports, Insightly, and Zuora. Quiet mind is his ticket to a joy-filled and purpose-driven career to help people never feel that way.In This Conversation We Discuss: [00:00] Intro[00:59] What are Quiet Mind's products?[01:40] Where the idea of weighted pillows come from[03:26] The weighted blankets trend during the pandemic[03:53] Weighted blankets are cumbersome[04:27] Weighted pillows might be the solution[05:31] The next step after getting the idea[06:30] How Mikey performed “prototyping”[06:52] Finally telling others about the idea[07:11] Figuring the target demographic[07:26] What pushed Mikey to dive in[07:45] What's next after deciding to pursue the market[08:32] Phase 1 for Quiet Mind: Prototyping[09:06] The importance of starting with the right people[10:05] Put your own money in to condition yourself[10:47] Mikey's tiered approach to outside investors[11:45] Sponsor: Electric Eye electriceye.io/connect[12:42] Sponsor: JSON-LD For SEO jsonld.app[13:59] Sponsor: Retention.com retention.com/honest[14:51] Using an adjacent product to get feedback[17:11] Getting the word out there while still under wraps[17:58] Meeting the Gravity Blankets founder[18:34] You need to be careful if you have a novel idea[19:14] The secret to founders' peace of mind[19:56] The product, the founder, and the story[20:50] Why PR is the number one choice for Mikey[21:36] Quiet Mind's SEO strategy[21:52] The timing for SEO and PR[22:39] The biggest challenge for a new product[22:50] Educating audiences with your new product[24:35] Why should get the product to market ASAP[26:12] Lessons with overseas manufacturing during Covid[27:52] Where to find Quiet Mind productsResources:Subscribe to Honest Ecommerce on YoutubeConnect with Mikey linkedin.com/in/mikeygoldmanA wellness brand offering clever solutions to help people suffering from common disorders like ADHD, anxiety, stress, insomnia, and loneliness onequietmind.comFollow Quiet Mind on Instagram @quietmindSchedule an intro call with one of our experts electriceye.io/connectGet your free structured data audit for your store jsonld.appBook your demo today and get 20% off the annual commitment fee retention.com/honestIf you're enjoying the show, we'd love it if you left Honest Ecommerce a review on Apple Podcasts. It makes a huge impact on the success of the podcast, and we love reading every one of your reviews!
It's our first episode of June everyone! In this week's episode the gang is joined by returning guest and fellow podcastateer- King Hulie! Listen as this contending quintet discusses: Vyvanse, Tiger Woods, the Stanley Cup, and cuddling! We hope you all enjoy this season's first episode of June! "It's okay if you do."
Huberman Lab Key Takeaways Check Out the Huberman Lab Podcast Episode Page & Show NotesCan't get enough of Andrew Huberman? Check out our member only collection packed with Huberman's greatest tipsRead the full notes @ podcastnotes.orgIn 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
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
Today we're kicking off the topic of anti-obesity medications available conventionally, often referred to as weight loss medications. As there is so much to delve into, this is going to be the first of two episodes on this topic.Long-term weight loss is extremely challenging, even with the correct lifestyle changes. Only around 5% of people are able to lose 20% of their body weight with lifestyle changes alone. So while you may benefit from short-term weight loss, your hormones often end up working against you, increasing your appetite and lowering your metabolism. Willpower alone isn't usually strong enough to fight these metabolic adaptations.In this episode, I'm running you through the pros and cons of 9 different anti-obesity medications, as well as discussing who qualifies for this medication.Please remember that while I am a physician, there's no medical advice being given here. This is a very informational, brief overview of the risks and benefits of these medications. There are many aspects that I am not able to cover within this one episode, so please ensure that any big changes to your health or medications is discussed with your own medical team.Audio Stamps02:30 - We find out who qualifies for weight loss medications07:00 - Dr. Rentea discusses the metabolic adaptations our body can experience09:56 - We learn why we need to consider the longer term picture when it comes to weight loss medication11:10 - Dr. Rentea discusses the pros and cons of Phentermine14:45 - Dr. Rentea discusses the pros and cons of Qsymia16:47 - Dr. Rentea discusses the pros and cons of Contrave19:13 - Dr. Rentea discusses GLP-1 Agonists22:52 - Dr. Rentea discusses Tirzepatide (brand name is Mounjaro)23:47 - Dr. Rentea discusses the drug Plenity24:50 - Dr. Rentea discusses Orlistat25:25 - Dr. Rentea discusses Lisdexamfetamine (goes by the name Vyvanse)26:06 - Dr. Rentea discusses Metformin26:35 - Dr. Rentea talks about combining weight loss medicationsQuotes: 07:25 - “Only about 5% of people are going to be able to lose 20% of their body weight with lifestyle changes alone. “09:10 - “It's one tool to help either stabilize or bring down weight long term that allows you to fight these metabolic adaptations. Our body actually really doesn't like to release weight. It always wants to go back to where it was.”10:06 - “I no longer want you to think in weeks and months, I want you to think in years and decades.”All of the information on this podcast is for general informational purposes only. Please talk to your physician and medical team about what is right for you. No medical advice is being on this podcast. If you live in Indiana or Illinois and want to work with doctor Matthea Rentea, you can find out more on www.RenteaClinic.com
Today we are re-sharing our most downloaded episode ever! Back in Novemeber of 2020 the gals interviewed long-time Gal Pals listener: Alexis Chouery. After Engrid shared over in the Gal Pal Corral, about her own experience with vyvanse and the role it played in her eating disorder and exercise addiction, Alexis reached out and said she had her own story with vyvanse and adderall. We really wanted to have Alexis on the show because we believe there is value in hearing others experiences. Also vyvanse, adderall, and other stimulants - are often not spoken about . Even if your story is different from Alexis's we urge you to listen for the similarities not the differences. Also fun fact, in addition to being a long time listener of Gal Pals, Alexis receive has been a long timer personal training client of Engrid :) ______ We believe that where you spend your dollar says what you want to see more of in the world. We work hard to create this podcast and to keep it ad free! If you have been listening for a while, consider making a donation! With your patreon membership you'll receive access to bonus content episodes :) SUPPORT GAL PALS with PATREON ___ If you want to hear Engrid's solo episode where she shares the full story about her experience with vyvanse and the role it played in her eating disorder and exercise addiction - you can listen to it here: LPP #127 Engrid's Vyvanse Addiction Story ___ IN THIS EPISODE: Alexis shares how she was first diagnosed with Adult ADHD, and how easily she was prescribed Vyvanse How this diagnosis brought her peace of mind and made her experience struggling in school, feel acknowledged How diagnosis play a role in our identity She shares how she first felt while on the medication & how it permanently effected her sleep How amphetamines like Vyvanse and Adderall, affect your ability to be fully present The stigma she felt around dropping out of University, and attending a community college instead “I definitely felt like [attending a] University was the only option for me to be a successful adult” The value in finding your learning style and the one-size-fits-all method of teaching Her experience with Adderall on-and-off - often wondering “Do I want to be taking this? Is this who I am?” The turning point and experience that made her decide to get off of Adderall The correlation between stimulants like Vyvanse and Adderall and how they can support for disordered eating behavior After getting off both vyvanse and adderall, Alexis shares how she was finally able to establish a life that felt balanced and peaceful The pivotal moments and significant people who played a role in her diagnosis and recovery of her experience with vyvanse and adderall She shares how this experience shaped and affected her identity? And how her identity has shifted over time ____ EPISODES MENTIONED:Gratitude For Failures Hard Conversations LPP #127 Engrid's Vyvanse Addiction Story ____ Don't forget to leave a review for us over on iTunes _____ OTHER EPISODES YOU MIGHT ENJOY: The Balance Of Achievement & Self Acceptance Perfectionism & Self Sabotage Letting Go ____ CONNECT WITH US Instagram Join: Gal Pal Corral ENGRID Instagram: @livengproof Liveng Proof Podcast Website GEORGIE Instagram: @georgiemorley The Chasing Joy Podcast www.georgiemorleyphoto.com
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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It is 'National Eating Disorder Awareness' Week. NEDA Week helps spread awareness, reduces the stigma, and educates others about eating disorders, so Amy (@RadioAmy) sat down with Kat Defatta (@Kat.Defatta), a licensed therapist that specializes in eating disorders, to do just that by answering some questions on the topic. In this episode you will hear their thoughts (personally and professionally) on OA (overeaters anonymous), using Vyvanse for BED (binge eating disorder), and what to do when you are over stressed and want to engage in a maladaptive coping skill or eating disorder behavior. Both Amy and Kat want you to know that you are not alone and help is available. To spread that message we just have to start talking about it more. Visit NEDA.ORG to find more resources that can help guide you or a loved one on a path that can lead to a life of recovery.Follow the hosts on instagram:@lisahayim@radioamySUBSCRIBE and follow so you never miss an episode and SHARE with your friends & family. Questions? Guest Submissions? Email us: hello@outweighpodcast.comWanna Ditch the rules but don't know where to begin? It starts when you know THE TRUTH about how the body works, and use it as armor against the noise. Enroll in Lisa's mini course Ditch Diets for Good for just $10 dollars and take a giant first step in learning to F*RK THE NOISE. Code: OUTWEIGH at checkout HERE.This podcast was edited by Houston Tilley Learn more about your ad-choices at https://www.iheartpodcastnetwork.comSee omnystudio.com/listener for privacy information.
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