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Wow this is a very complete video it is exactly what the ADHD mind need!!

When I first contacted a psychologist for an assessment I was looking at a possible diagnosis for ASD. I was surprised when they said ADHD. However getting an ADHD diagnosis from a psychiatrist seems to be difficult due to the medications being addictive and commonly abused. The one I spoke with at Kaiser flat out said they won't diagnose ADHD. Instead it led to a diagnosis for some of the symptoms, depression and anxiety... both seemingly related to living with ADHD.

Hi, love this in depth examination of differential diagnoses. I am a psychiatrist that also specialises in adhd and autism, it's refreshing to hear such a nuanced view on this topic. A small point on which we might differ. I believe (and have often clinically seen) that people with autism can also have interests that have deep meaning or are linked to understanding what's behind their narrow interests. I'd actually go as far as to say that passionate interests in some people with adhd have, in my experience, been more associated with superficiality than in people with autism. Perhaps due to it being more flighty/linked to these interests being temporary and induced under specific circumstances. I'd like to hear your thoughts on this? Warm greetings from a colleague from Belgium

Very well done again Dr. Kruse. Bravo! One can see agitation and irritability in anxiety, depression, and ADHD in addition to to bipolar. I'm grateful for your trying to differentiate these conditions. best.

In the Bible, The person with ADHD would be broadly defined as a fool. Although this is not a category one would want to be labeled with, there was more hope for fools than those wise in their own conceit, which can include those with ADHD, and those without it.

Why is psychiatry so focused on controlling or treating symptoms of disorders and not cures? Is it because enough is not known?

this guy is the coolest uncle typed vibes

I got banned from the ADHD forum on Reddit because a bunch of people were trying to conflate Bpd of all things with ADHD. Absolutely dangerous comparison. !! Upset because I really enjoyed that forum.

Hey doctor, can you share your thoughts on combining medications? (Apologies if you already have, I couldn't find it)

Thank you for this quite comprehensive survey of the efficacy of breathing techniques for those dealing with ADHD. As one with ADHD, I suggest a presentation that utilizes a variety of presentation techniques as the way this is presented tests my ability to concentrate.

Did not help and I just stayed on it out of desperation . Same with Straterra despite insane constipation. Methylphenidate and adderall did nothing .

The whole spectrum from ADHD to Autism and everything in between is brain damage caused by high temperature fever in infancy.

Im insterested and curious how you put yourself in a medical trial/study <3

that's a very nice shirt btw ^^ I love your room!

Thanks!

Great video, the audio quality is great too!

Wow … a video every few days!

"Mood swing" &c. are terms of art, on the one hand, and appropriate use thereof enhances the quality of the discourse. I think folk conception of terms also facilitates communication. "Technically it's emotional lability or volatility" is fine there. However, it's definitely true I wish I'd been told "when you're very upset, try to relax, and see how you feel in an hour" decades ago. I worried about "mood swings" and knew about bipolar, and definitely could've benefited from knowing that wasn't even in the realm of what I was dealing with.

This is one of the most comprehensive videos I've ever seen about ADHD!! It's worth watching it many times! And thank you for all the references in the description too.

Thank you for this video! as someone suffering a combination of dysthemia combined with reoccuring major depression alongside with ADHD and aspergers its kinda hard to get any sort of understanding for why im just not functional and why im just not doing things others feel are trivial, even if im healthy in body. im still youngish but when I had my frist double deprssion at 18 my life seemed to get derailed more and more, leading to me being unemployed for a few months now after two unsuccesful jobs and a luckily completed apprenticeship in a special institution. Im now actively seeking treatment for both my depressions and adhd so that I may get in a state where day to day life isnt excessively draining.

An incredibly insightful video. Thank you!

Ohh interesting video,, I think the sound was good for the most part, but the "S sounds" were a bit louder than the rest

I just started straterra i have a history of heart problems in my family and have high blood pressure i asked my doctor specifically for a medication that wont affect my blood pressure and was prescribed Wellbutrin but broke out in hives and had bad headaches after 35 days i got prescribed straterra now what should i expect????

Dr John ⭐️

I thought you were going to start singing at the end

Cliff's Notes (for those of us with ADHD who jump to comments too soon): Our ADHD "out of sight out of mind" experience is *not* an object permanence deficit. Calling it an "ADHD object permanence” issue is problematic because it confuses the working memory & executive function issues of ADHD (struggling to keep things organized and accessible in our mind) with an actual object permanence deficit (an inability to *grasp the concept* that something actually exists even if you can't see it). Actual object permanence deficits in adults is *extremely* rare, . Our ADHD does not prevent us from understanding that a ball still exists even if the person holding it puts it behind their back where we can't see it. If you understand that concept, then you don't have an object permanence problem. If you think the ball stops existing when somebody puts it behind their back, then maybe you’re one of those extremely rare adults with an object permanence deficit. IMHO, instead of calling the ADHD “out of sight out of mind” symptom an “object permanence” issue, we probably need more accurate terminology. Maybe it would be better to call this symptom a “*Mental Inventory Deficit*”, meaning objects or tasks quickly fall off our mental radar; or perhaps it’s a “*Functional Object Tracking Deficit*”, meaning items and tasks that aren't visible or immediately relevant may be easily forgotten. Regardless of what we call that symptom, it’s fundamentally distinct from the concept of object permanence, even if it has some striking resemblance to a lack of object permanence. If that doesn't matter to you, then don't get upset with the next non-ADHD person who is dismissive of your diagnosis because they have experieced symptoms that resemble ADHD in isolation but don't really constitute ADHD. Meaning matters.

Does Wellbutrin have a drug interaction with Rhodiola?

Thanks for the video, Dr Kruse.

I've heard many say the penile devastation w/ atomoxetine is jarring at first.

I have ADHD and I've tested to be in therapeutic levels of ketosis (2.0mmol/dl) as suggested by Dr. Chris Palmer. If I can stay in these levels for 2-3 days I have the same effect as taking ADHD medication. My n=1 says that this is clearly working. But the problem is staying in 2.0mmol levels is extremely hard to sustain if you want a normal social life. Even 1gr of sugar kicks you out of ketosis at these levels. I'm still trying to find a more effective way to stay at these levels of ketosis (exogenous ketones works temporarily for 1-2 hours then blood levels go down again). I'm using a continuous ketone monitor, so I know how hard it is to sustain this without a real life style change and accept that you'll be an outlier in social settings.

I have ADHD and are prescribed Elvance (UK). I do not find any pleasurable effect from Elvanse or any Street "speed" and I can't see how or why any person with ADHD would "abuse". For me a similar substance is codeine. Literally zero psychoactive effect even when dose is increased. Only effective pain relief and mild constipation. No idea why anyone would "abuse" it. It baffles me.

Your microphone quality was poor inn this video, but closed captions allowed me to understand it. Thank you for your work & for these videos.

Wow, what a video! Thank You!

Hello Dr. John, I couldn't find relevant research papers on this matter, so I would greatly appreciate your help with a question about the pharmacodynamics of it. I am a definite ADHD patient. Except for being guided by my teachers, family, or doctors for diagnosis and briefly using Concerta for 2-3 months in 2015, I haven’t received any psychological support so far. Now, at the age of 22, due to a decline in my quality of life caused by issues like thinking so fast that it can no longer be contained and so pessimistic which leads anxiety and depression, lack of motivation, inability to complete tasks, cravings, and the impact of depression and paranoia, I started methylphenidate. Against recommendations(beginning with titrating), I directly began with 36 mg, and I am now on my 12th day. Thankfully, I havent experienced any severe side effects, except for a decrease in sleep quality. Astonishingly, this medication resolved all my issues, which I had struggled to manage with countless other methods ends up with failiure, in just one day. My question is this: Although 36 mg feels like the perfect dose for me, should I have started with 18 mg and titrated up to 36 mg, even if 36 mg is the optimal dose for me? If I had followed the standard titration protocol, would it lead to tolerance, withdrawal symptoms, or make me worse than I was before starting the medication once I discontinue it? Do you think I should reduce the dose to 27 mg for a certain period now, while I’m still on day 12? My main concern is that skipping titration might lead to higher tolerance for 36 mg or more over time. My main concern is developing tolerance to this medication with long-term use and, when the time comes to discontinue it, ending up with a worsened dopamine system and ADHD symptoms instead of improvement. I’m thinking that if 27 mg works well for me now, I can keep it as my current dose so that, if needed in the future, I can increase it to the maximum of 36 mg with tolerance built up to 27mg. What would be your suggestions on this, sir? Am I thinking correctly in terms of tolerance? Thanks for your time.

What are your thoughts on ""Ramelteon"" sleep mediccation?

6:14 That makes so much sense!

How can I get a prescription---it’s not easy to get one --- send me a prescription

(It's ok to have a microphone in the picture frame, we don't mind, we want to HEAR YOU!)

I love your channel!

I can't wait to watch this & absorb the information!

Huberman! I cannot wait to watch that interview. Thank you for all that you do. 👍🏻

Really fantastic video again, Dr. Kruse--bravo. Can inner agitation be a symptom of anxiety, ADHD, depression, hypomania, or all of the above? It seems like there is an overlap across these disorders of that symptom. thank you again. Best!

Iam diagnosed with asd/adhd and fibromyalgia/ibs , after a failed treatment with ssri(cypralex),i started cymbalta at 60mg last year, it literaly decreased my pain from fibromalgia to 40 %. Now since i also have high blood pressure i avoid taking medication for adhd(stimulants) , i noticed some minor decrease in adhd symptoms and thought i was my idea.

Appreciate your knowledge and the kind way you present it.

I think it would be great if you could schedule the livestream with 1 or 2 days of notice here on RUclips, so your subscribers will see it on their feed as an upcoming livestream, then click on the "notify me" button and get a notification here on RUclips.

Thank you for all your excellent and informative talks!!

If you were to turn the "gain" up on your microphone, or pull the microphone closer to your mouth, that would increase the sound quality & make it so that your voice doesn't cut in-and-out as often. I Love your videos, and have just found your live streams and will be tuning into the next one, Please do a Community Post to inform your Subscribers (myself included) on when the next Live Stream will start. I wish more Doctors did what you do, I've shared many of your videos with my Mental Health Professional, and she absolutely loves them!

Ill try to be awake for one of your next live streams, I LOVE that you do these, Ill be there!

I was recently switched from adderall XR to Straterra 40 mg. I have never abused my medication, I actually came back for follow-up after taking a couple months off of it (I can tell that I am slower and less productive when not taking). Straterra made me nauseous and I felt very tired, and unmotivated throughout the day. After a few days I notified my doctor. He adjusted my Straterra medication to 20 mg. It still makes me feel tired. I am not a fan of this medication.