Controversy is an understatement. Since being diagnosed at 55, I've been pretty shocked by the suspicion, hostility, or ambivalence I've met. It's not as if I've been running around with an "I HAVE ADHD LOOK AT ME!!" placard. In fact, I've made a point of trying not to be an ADHD bore. But my pre-medicated symptoms were pretty severe. It should be expected that'll I'll want to engage with people about what's happening to me. Eg, my behaviour has changed enormously. Okay, so my living space is still chaos, but I'm slowly getting there.
Oh brother, I feel yah. Recently picked up on mine here in middle age, after finally getting to see a psych for some of the other listed adult co-morbidities. So much of the diagnosis section in this vid, and what's being spoken of as adult issues are big "Oh, I see. That describes me so well." moments.
I know what you mean. I was diagnosed about two and a half years ago, in my mid-40's, and the many people who always thought I was simply lazy haven't changed their mind, even though my behaviour, demeanour and functioning have improved. Then there's the people who automatically assume I'm just drug-seeking. I also still have the chaotic living space, but I live alone, so I don't see how it affects anyone else, or why anyone even needs to have an opinion on it.
@Pushing_Pixels 'ADHD BIG BROTHER' & 'I HAVE ADHD with KRISTEN CARDER' are both very good podcasts. I don't listen to every episode, but there's a decent backlog of episodes. Dr Russell Barcley's lectures & his weekly updates on RUclips are an enormous support. My home is a clutter magnet. I get so far, take a breath, and turn around to see it's as bad as it was again.
The world shortage of ADHD meds is having a massively disruptive effect in the UK. I've managed to wing it so far by taking whatever I can get hold of, but I'm receiving scripts that are 7 days short and / or the nearest to the strength I need. Eg, 60mg or 50mg when I need 70mg. A friend has run out completely. Every 28 days, it's a manic scramble to check every pharmacy in town. It's exhausting, but better than risking the self harm I fear might be returning.
I occasionally skip a day, usually if I wake up late and don't want the Lisdex to last well into the night. It means I have a small emergency reserve in case I can't get my normal supply. The only "withdrawal" effects I experience are some brain-fog / inattentiveness and mild to moderate somnolence, which are not a big problem as long as I don't have anything important to do. I don't skip consecutive days if I can avoid it, which so far has been enough to prevent any relapse into more destructive behaviours or significant mood issues. The shortage seems to have been resolved in my country during the last few months, but I'm not confident it won't happen again.
@Pushing_Pixels Things seem to have settled down in the UK now, or at least in my area. It's really poor that we've been put through this. I hope things for you get a lot better soon.
@PsychiatrySimplified The 70mgs were the first to return to some kind of normal. My pharmacist said it's the much lower strengths that were difficult to get hold of.
Have you reviewed any data on the use of psychostimulants in patient with comorbid ADHD and Simulant use d/o or in the SUD treatment of Methamphetamine use d/o? wonderful job as always
Thanks for your question. It's a great question. I recently wrote a summary on comorbidities in ADHD and when it comes to substance use - recommendations are that psychostimulants should not be avoided just because a patient has substance use. Long-acting stimulants are preferred. Appropriate use of stimulants are associated with good outcomes. Moreover doses of stimulant medications needed may be higher due ti dopamine reward pathway sensitisation that occurs in SUD.
I was just diagnosed with ADHD at 45 years old. It has finally answered all my questions and why I am the way I am. But now I’m in the battle of deciding what medicine adderall or concerta? Please help 🙏
Covered here - Difference between DEXAMPHETAMINE & METHYLPHENIDATE in ADHD | ADDERALL | RITALIN | DR REGE EXPLAINS ruclips.net/video/w44BXLATt5w/видео.html
Do you think that SSRI drugs can aggravate ADHD via suppression of dopamine and its pathways? I’ve seen some info that suggests it can and others say no.
@@richwoodcutterbro8581 they can affect cognition especially at higher doses by reducing ventral striatal dopamine. But this depends on individual variability as if SSRI is prescribed for anxiety and can successfully treat it then it may help with cognition by preventing interference of cognition via anxiety
hello! i like this and also watched the OCD video. do you think you could cover ASPD (anti-social PD)? i know that this is more of a "specialized" disorder so not many psychiatrists are too knowledgeable about it but if you have any thoughts about it i'd like your perspective! :)
Dr., I would ask you: is it common or uncommon to people diagnosed with ADHD to possess higher IQ's. Also, is it possible, in my case of impulsivity and lack of control emotionally to things I dislike, for the attention deficit to be due to the IQ question? Thank you for your methodical and thorough way to articulate the content. Cheers from Brazil.
Some Individuals with ADHD tend to have hyper focus as a feature so will move towards areas which give reward - if these areas are studies or things they are interested they can do very well ; in other areas if set shifting is needed - they may move towards immediate rewards ( impulsivity)
Can a person with adhd clear competitive examination ,like here in india we have exam name NEET in which nearly 2 million students sit and merely 10000 get admission in medical College. Due to high competition and limited seats.
Yes absolutely - the best analogy for ADHD is like glasses. they may need that extra effort. People can drive and do all sorts of things without glasses with less than ideal eyesight. when they wear glasses they start seeing things clearly - that's what adhd treatment can do.
Of course I'll keep it respectful that's not a stop for criticism, or? I find the advice rather misleading and behind. Up to date science tells us nothing is really effective other than medical treatment - every thing else are a waste of money according to Russell Barkley and others.
Controversy is an understatement. Since being diagnosed at 55, I've been pretty shocked by the suspicion, hostility, or ambivalence I've met. It's not as if I've been running around with an "I HAVE ADHD LOOK AT ME!!" placard. In fact, I've made a point of trying not to be an ADHD bore. But my pre-medicated symptoms were pretty severe. It should be expected that'll I'll want to engage with people about what's happening to me. Eg, my behaviour has changed enormously. Okay, so my living space is still chaos, but I'm slowly getting there.
Oh brother, I feel yah. Recently picked up on mine here in middle age, after finally getting to see a psych for some of the other listed adult co-morbidities.
So much of the diagnosis section in this vid, and what's being spoken of as adult issues are big "Oh, I see. That describes me so well." moments.
I know what you mean. I was diagnosed about two and a half years ago, in my mid-40's, and the many people who always thought I was simply lazy haven't changed their mind, even though my behaviour, demeanour and functioning have improved. Then there's the people who automatically assume I'm just drug-seeking. I also still have the chaotic living space, but I live alone, so I don't see how it affects anyone else, or why anyone even needs to have an opinion on it.
@Pushing_Pixels 'ADHD BIG BROTHER' & 'I HAVE ADHD with KRISTEN CARDER' are both very good podcasts. I don't listen to every episode, but there's a decent backlog of episodes. Dr Russell Barcley's lectures & his weekly updates on RUclips are an enormous support. My home is a clutter magnet. I get so far, take a breath, and turn around to see it's as bad as it was again.
The world shortage of ADHD meds is having a massively disruptive effect in the UK. I've managed to wing it so far by taking whatever I can get hold of, but I'm receiving scripts that are 7 days short and / or the nearest to the strength I need. Eg, 60mg or 50mg when I need 70mg. A friend has run out completely. Every 28 days, it's a manic scramble to check every pharmacy in town. It's exhausting, but better than risking the self harm I fear might be returning.
So sorry to hear! That sounds like a terrible situation.
I occasionally skip a day, usually if I wake up late and don't want the Lisdex to last well into the night. It means I have a small emergency reserve in case I can't get my normal supply. The only "withdrawal" effects I experience are some brain-fog / inattentiveness and mild to moderate somnolence, which are not a big problem as long as I don't have anything important to do. I don't skip consecutive days if I can avoid it, which so far has been enough to prevent any relapse into more destructive behaviours or significant mood issues. The shortage seems to have been resolved in my country during the last few months, but I'm not confident it won't happen again.
@Pushing_Pixels Things seem to have settled down in the UK now, or at least in my area. It's really poor that we've been put through this. I hope things for you get a lot better soon.
@@Carlos_De_Angeles Thank you, and I agree it shouldn't happen.
@PsychiatrySimplified The 70mgs were the first to return to some kind of normal. My pharmacist said it's the much lower strengths that were difficult to get hold of.
What an amazing video. A bit sad to see so few views.
Thank you for your feedback. 🙏🏼.
Have you reviewed any data on the use of psychostimulants in patient with comorbid ADHD and Simulant use d/o or in the SUD treatment of Methamphetamine use d/o? wonderful job as always
Thanks for your question. It's a great question. I recently wrote a summary on comorbidities in ADHD and when it comes to substance use - recommendations are that psychostimulants should not be avoided just because a patient has substance use. Long-acting stimulants are preferred. Appropriate use of stimulants are associated with good outcomes. Moreover doses of stimulant medications needed may be higher due ti dopamine reward pathway sensitisation that occurs in SUD.
I was just diagnosed with ADHD at 45 years old. It has finally answered all my questions and why I am the way I am. But now I’m in the battle of deciding what medicine adderall or concerta? Please help 🙏
Covered here - Difference between DEXAMPHETAMINE & METHYLPHENIDATE in ADHD | ADDERALL | RITALIN | DR REGE EXPLAINS
ruclips.net/video/w44BXLATt5w/видео.html
Do you think that SSRI drugs can aggravate ADHD via suppression of dopamine and its pathways? I’ve seen some info that suggests it can and others say no.
@@richwoodcutterbro8581 they can affect cognition especially at higher doses by reducing ventral striatal dopamine. But this depends on individual variability as if SSRI is prescribed for anxiety and can successfully treat it then it may help with cognition by preventing interference of cognition via anxiety
@@PsychiatrySimplified very interesting thank you.
hello! i like this and also watched the OCD video. do you think you could cover ASPD (anti-social PD)? i know that this is more of a "specialized" disorder so not many psychiatrists are too knowledgeable about it but if you have any thoughts about it i'd like your perspective! :)
Sure will add that to the list
@@PsychiatrySimplified excellent yay!!
I’m interested in the female protective effect in relation to testosterone and estrogen. Do you have a source for this? Thanks ❤️
Written about gender differences here - psychscenehub.com/psychinsights/attention-deficit-hyperactivity-disorder-in-females/
Dr.,
I would ask you: is it common or uncommon to people diagnosed with ADHD to possess higher IQ's. Also, is it possible, in my case of impulsivity and lack of control emotionally to things I dislike, for the attention deficit to be due to the IQ question?
Thank you for your methodical and thorough way to articulate the content.
Cheers from Brazil.
Some Individuals with ADHD tend to have hyper focus as a feature so will move towards areas which give reward - if these areas are studies or things they are interested they can do very well ; in other areas if set shifting is needed - they may move towards immediate rewards ( impulsivity)
@@PsychiatrySimplifiedThank you for the attention, also. Cheers. Best channel I have found so far on anything psychiatric.
Can a person with adhd clear competitive examination ,like here in india we have exam name NEET in which nearly 2 million students sit and merely 10000 get admission in medical College. Due to high competition and limited seats.
Yes absolutely - the best analogy for ADHD is like glasses. they may need that extra effort. People can drive and do all sorts of things without glasses with less than ideal eyesight. when they wear glasses they start seeing things clearly - that's what adhd treatment can do.
Quick ADHD test. If you got past the 2 minute mark you don’t have it
Ha ha !
@@PsychiatrySimplifiedI should have added this was just a joke and a great video. Thank you for helping educating us and normies too
Of course I'll keep it respectful that's not a stop for criticism, or? I find the advice rather misleading and behind. Up to date science tells us nothing is really effective other than medical treatment - every thing else are a waste of money according to Russell Barkley and others.