I am 60. I KNOW I have ADHD..I've been was diagnosed at 50, but I knew I had it at WAY earlier. I've always struggled with its effects since I was a child. My teachers would always complain I wouldn't concentrate and was in dreamland. I was scolded and told to just get my act together. And your brothers are smart! why are you so dumb? ...on and on. But I couldn't! I tried and cried! My childhood was horrific! I wish there had been a name and diagnosis when I was a child in the 60s....just knowing would have helped me cope. Dr. Grande, I am a big fan of yours and usually think you are so level headed. But this analysis hurt me. I've struggled my whole life with this. And to hear someone just poo poo it with ...the school system? It isn't just school. It's functioning every day as an adult. I want to adult...it's so hard! Adderall helps me adult! But it's hard to get drs to perscribe it.
This is by far the most balanced (to clarify its the only balanced) explanation I’ve watched. Everything I’ve watched has been black and white thinking. It’s difficult hearing people saying ADHD isn’t real. I was diagnosed late in life (age 30, I’m 36 now) inattentive type. I know it’s real just by looking at how destructive it’s been to my life, which I now have to catch up with which is a real struggle. For me, it’s meds + externalising the executive functioning which I’ve accepted my brain can’t handle + knowing what to eat and when to eat + exercise. If I don’t do all these things, my life falls apart and it’s a long road back. It still happens often. As far as responsibilities go, I won’t commit to anything unless a 20 year old could do it. That’s where I estimate my executive functioning is stuck for life. Great to hear someone I respect giving clarity if this issue. The invalidation I get from many theories I hear just makes me feel isolated...something I don’t need on top of the daily struggle. Excellent video Dr Grande ✊
I agree that there is probably no increase in *actual* cases of ADHD, but I think several theories can explain the higher number of diagnosed cases. There isn't necessarily a single explanation. It could be the result of better awareness and diagnostic methods AND also of some young children being improperly labelled with ADHD when they're just a bit immature or younger than their classmates. I've even read a theory that said this: nicotine is helpful in mitigating ADHD symptoms, and in the past few decades, the US switched from everyone smoking everywhere with their doctor's blessing, to everyone quitting or at least trying to. This could explain that a portion of the total ADHD cases are becoming more apparent, even though the prevalence was always the same, because in the past, these are people that would have unknowingly self-medicated by smoking, and "gone under the radar". I don't know how much water this theory holds, and it probably can't apply to children, but I mean that's yet another way to look at the question, where part of the increase could potentially be explained without new cases being made up or caused.
ADHD is like the trans issue - treating normal behaviors through drugs and surgeries. The other increase in prevalence? Popularity through social contagion and the demand for quick fixes. Sadly quick fixes fuck you up more than fox you.
As someone who was diagnosed after seeking help from my pcp for most of my behaviours which were self sabotaging, ADHD-primarily mixed type explained so much... but was difficult to accept. This wretched condition has been a nightmare. One indication why ADHD has become a joke is the amount of people who self-diagnose, then seek confirmation of their own biased perspective. Further substantiating why there needs to be more care taken to judiciously apply the diagnosis only with significant cases. To add suspicion to why the condition’s current rate is overinflated, those same types admittedly are successful and otherwise well-adjusted. Worse? Those who seek diagnosis for their children, have no interest to learn about what healthy juvenile behaviours are. To worsen the problem, many consider ADHD a “superpower”. Hopefully the bandwagon effect dies down soon.
I'm sure being forced to sit in a chair for 6 hours and having to memorize/ regurgitate nonsense to pass a meaningless state test has no bearing on childrens' inability to sit still.
As much as I see where you come from when I look back on my childhood (2000 baby), I really think the internet has more of a role in kids developing adhd these days. And the main thing is about what the algorithm rewards which is that high stimulation. Like it’s pretty much like if a parent would constantly give them too much sugar or caffeine pre social media. I mean we had stuff like vine, but the algorithm wasn’t as fine polished and so it was just kind of random fun content that was popular. Now it’s not what’s popular, or what’s good, it’s what held retention and got the most interactions, or what caused the biggest social buzz. It’s a mad world for these kids and they have to develop crazy mindsets to navigate the chaos I imagine. And I believe that could easily cause adhd symptoms to arise in our normal social situations and in classrooms (more than just kids having kids energy or needing to learn different, because I was that was too)
I suggest reading an expert on this disorder, as recent studies don’t connect by any sort ADHD with video games but simply genetics. ADHD is a neurological problem affecting the pre frontal cortex and is chronic. It’s genetic, either caused by brain injuries or hereditary. Reading Russel Barkley may help understanding this disorder.
Thank you Dr Grande, for this video. My son has ADHD with bad impulse control and hyper activity. He was diagnosed at 8 years of age, and his life has been a struggle. He is now 49, but his hyperactivity is still there. He just lives with it, but it has always been difficult for him.
I know for a fact that if you have adhd and you pick up destructive habits, it would easily stick medication gives you a boost needed, so when motivation doesn’t happen because in society you need to be apart of it or you go hungry and settings like school and jobs are literally brutal, you may say you regularly workout sure, but your always restless is no good for an adult when you are expected to fall in line.
About a decade ago I had difficulty at school and studying for a long time and have not always done well in school mostly to bullying and other issues up until college. I decided to go to the hospital and pay out of pocket for an ADHD test (about 900 is what I paid - ludicrous but I was seeking answers). What did I get? The good side first: they tried to steer me towards a psychiatric conversational style solutions without drugs. I wanted faster interventions of course as a younger man. Now the bad stuff. The test and it’s “results”: It took maybe less than 30 minutes. Mostly a questionnaire about your daily experiences and then like 4 puzzles to solve. 4 puzzles plus some questions. My answer for 900 dollars from a hospital clinic? “You likely have ADHD but we’re not totally sure. If this is how it’s still done then the “epidemic” makes total sense. How this is the diagnosis is beyond me. Let’s also be reminded that after that test all I had to do was push them into prescribing me stuff. Luckily I only took anti depressants which helped in some areas and didn’t in others. I don’t like lucid violent nightmares. Maybe the talking made more sense than prescribing medication after all.
I agree with the first “theory”. Analyzing the new clinical data over the past 20 years, as well as the DSM changes, it have allowed clinicians the ability to recognize and clinically test for ADHD more accurately. A combination of pharmacological & psychotherapy (CBT) interventions often provide the best outcomes for treatment compliant patients. It is important to note that there are variances in how a child, adult, male, & female present the DSM diagnostic criteria (i.e. symptomology being presented). Furthermore, it is important to highlight the neurological complexities & physiological variances that come with appropriately assessing and diagnosis ADHD. Generally though, If a non-MD/DO can present the even basic concepts of pharmacokinetics, psychopathology, pathophysiology, or psychopharmacology, then they’d understand the reality behind not only ADHD, but both psychopathology and pathology in general
This may have nothing to do with anything, but I have noticed that those that were put on ADHD medication in childhood (even if they're off it now) are more successful as adults now than people my age that got diagnosed with it in adulthood..
I think if your mom and you have a child that’s really, really different…well, you know that that child has ADHD or some form of it. You can actually see how different that child is from most other children in the family, community and school settings. I think we need to look at them on a bell curve, and the further away from the norm a child is, and the closer he is to the extremes of ADHD symptoms, the more legitimate an ADHD diagnosis would be.
Based on my own reading and experience, I totally agree. I've said to others, thank goodness I was born before ADHD. I had the symptoms, per my primary school report cards, and teachers complained about my work habits. But my grades were "High" and my disruptions were harmless, so no consequential requirements were imposed. As an adult, I am also convinced that the same is true at work--we are simply a type of personality not often encountered, which doesn't process information as does the majority. High in "Openness" and low on "Conscientiousness"? INTP? My biggest offense was daydreaming.
I cringe every time someone says they have ADHD. People say it like it's ok and cool to be part of a gang... Or to excuse themselves for not being careful
Succinct and informative! What really bothers me about this is prescribing kids stimulants like Adderall. As an adult who has done amphetamines, I am horrified at that idea. This shit is addictive, it's dangerous, it's not good for your health and it's really hard to stop using, especially if you were taking it for work, because it becomes so much harder to concentrate on anything sober. I can't even imagine how bad it could get if you start using as 5 year old or something. It's scary. Amphetamines should be the last resort and should never become commonplace among children.
Mate, from someone diagnosed in adulthood because the childhood problems followed me, it's pretty funny that I can forget to take something as supposedly addictive as my medication! Back when I used to smoke, I can tell you I never forgot to light up. Try to understand the difference between therapeutic doses and black market eyeballing.
Years ago we didn't have all these chemicals in our food I think that's part of it also times were different years ago and parents just thought kids were naughty now we care about what is going on with out kids
My 2 cents as an non healthcare professional. ADHD isn't a mental health disorder. Society just evolved in a way that ADHDers don't adapt too well. However, if we consider it a mental health disorder, there's always been an epidemic. We just ignored it. And that goes for mental health in general
I feel sorry for those kids who are pathologized for not working well with an imposed soul-crushing, boring, sedentary lifestyle imposed by modern life in many Western countries. There's no physical scientific diagnosis for ADHD. No blood or urine test. No EEG reading that doesn't improve with some exercise..
my experience with people who have adhd is (sorry but) their inability to be calm, focused and effectual drives me batty. my own son was misdiagnosed with it and the dr. was going to subscribe ritalin without any evaluation, which i did not allow.
I am not convinced. There are other reasons for distraction behaviors including misdiagnoses of the Gifted. There are other possible reasons for the symptoms. A better treatment for kids and adults is learning to self sooth such as meditation and less clutter in a work/leasure environment.
ADD/ADHD is likely a child born to a mother who has Lyme disease. The reason this condition is increasing is because Lyme is becoming a pandemic and there are more cases of it. Somehow lyme bacteria affects the amount of dopamine that a child is born wirh. ADD/ADHD is on the lowest end of the Autism spectrum. ADD is not normal child behavior. These children are highly distressed due to inability to keep up with school demands and insbility to keep organized. My own daughter was ADD/DYSLEXIC. It was heartbreaking watching her struggle and often fail.
What is Lyme disease? How does it cause ADHD? I feel that people build up toxins over their lifetime. The first child takes the hit on that toxin build up. Since people are having smaller families, the percentage is going up.
@@joanlynch5271 Lyme disease is a bacterial infection. A person can become infected through a tick, natures dirty needle, via STD or through mothers placenta. ADD often travels in families is likely because this bacteria is passed along generationally. Yes there is a metals component. Again its linked to parents with Lyme. A mother with lyme disease will transfer 1/2 her toxic load onto the fetus of her first born usually son. For more information on this you can refer to some of the lectures of Dr Klinghardt who has been working on this his entire life. Another good resource is Dr. Jone's kids.
I'm diagnosed with ADHD and I think it's fake. I'm just more active, I need regular workout, then I'm fine. We live in a sick world, we're not sick.
I am 60. I KNOW I have ADHD..I've been was diagnosed at 50, but I knew I had it at WAY earlier. I've always struggled with its effects since I was a child. My teachers would always complain I wouldn't concentrate and was in dreamland. I was scolded and told to just get my act together. And your brothers are smart! why are you so dumb? ...on and on. But I couldn't! I tried and cried! My childhood was horrific! I wish there had been a name and diagnosis when I was a child in the 60s....just knowing would have helped me cope. Dr. Grande, I am a big fan of yours and usually think you are so level headed. But this analysis hurt me. I've struggled my whole life with this. And to hear someone just poo poo it with ...the school system? It isn't just school. It's functioning every day as an adult. I want to adult...it's so hard! Adderall helps me adult! But it's hard to get drs to perscribe it.
This is by far the most balanced (to clarify its the only balanced) explanation I’ve watched. Everything I’ve watched has been black and white thinking. It’s difficult hearing people saying ADHD isn’t real.
I was diagnosed late in life (age 30, I’m 36 now) inattentive type. I know it’s real just by looking at how destructive it’s been to my life, which I now have to catch up with which is a real struggle.
For me, it’s meds + externalising the executive functioning which I’ve accepted my brain can’t handle + knowing what to eat and when to eat + exercise.
If I don’t do all these things, my life falls apart and it’s a long road back. It still happens often. As far as responsibilities go, I won’t commit to anything unless a 20 year old could do it. That’s where I estimate my executive functioning is stuck for life.
Great to hear someone I respect giving clarity if this issue. The invalidation I get from many theories I hear just makes me feel isolated...something I don’t need on top of the daily struggle. Excellent video Dr Grande ✊
I like the star in the background, it looks really nice!
Great video, sir! I'm shocked that this video has so few views. A great breakdown, and logical analysis!
I have it so badly at 39 years old. It was amazing watching my work performance sky rocket after I went to get mental health treatment.
I agree that there is probably no increase in *actual* cases of ADHD, but I think several theories can explain the higher number of diagnosed cases. There isn't necessarily a single explanation.
It could be the result of better awareness and diagnostic methods AND also of some young children being improperly labelled with ADHD when they're just a bit immature or younger than their classmates.
I've even read a theory that said this: nicotine is helpful in mitigating ADHD symptoms, and in the past few decades, the US switched from everyone smoking everywhere with their doctor's blessing, to everyone quitting or at least trying to. This could explain that a portion of the total ADHD cases are becoming more apparent, even though the prevalence was always the same, because in the past, these are people that would have unknowingly self-medicated by smoking, and "gone under the radar".
I don't know how much water this theory holds, and it probably can't apply to children, but I mean that's yet another way to look at the question, where part of the increase could potentially be explained without new cases being made up or caused.
I’ve had to watch on 1.75 speed
ADHD is like the trans issue - treating normal behaviors through drugs and surgeries. The other increase in prevalence? Popularity through social contagion and the demand for quick fixes.
Sadly quick fixes fuck you up more than fox you.
As someone who was diagnosed after seeking help from my pcp for most of my behaviours which were self sabotaging, ADHD-primarily mixed type explained so much... but was difficult to accept. This wretched condition has been a nightmare.
One indication why ADHD has become a joke is the amount of people who self-diagnose, then seek confirmation of their own biased perspective. Further substantiating why there needs to be more care taken to judiciously apply the diagnosis only with significant cases. To add suspicion to why the condition’s current rate is overinflated, those same types admittedly are successful and otherwise well-adjusted. Worse? Those who seek diagnosis for their children, have no interest to learn about what healthy juvenile behaviours are.
To worsen the problem, many consider ADHD a “superpower”. Hopefully the bandwagon effect dies down soon.
Big pharma laughing all the way to the bank 🤣🤣🤣🤣🤣
I'm sure being forced to sit in a chair for 6 hours and having to memorize/ regurgitate nonsense to pass a meaningless state test has no bearing on childrens' inability to sit still.
As much as I see where you come from when I look back on my childhood (2000 baby), I really think the internet has more of a role in kids developing adhd these days. And the main thing is about what the algorithm rewards which is that high stimulation. Like it’s pretty much like if a parent would constantly give them too much sugar or caffeine pre social media. I mean we had stuff like vine, but the algorithm wasn’t as fine polished and so it was just kind of random fun content that was popular. Now it’s not what’s popular, or what’s good, it’s what held retention and got the most interactions, or what caused the biggest social buzz. It’s a mad world for these kids and they have to develop crazy mindsets to navigate the chaos I imagine. And I believe that could easily cause adhd symptoms to arise in our normal social situations and in classrooms (more than just kids having kids energy or needing to learn different, because I was that was too)
I suggest reading an expert on this disorder, as recent studies don’t connect by any sort ADHD with video games but simply genetics. ADHD is a neurological problem affecting the pre frontal cortex and is chronic. It’s genetic, either caused by brain injuries or hereditary. Reading Russel Barkley may help understanding this disorder.
Can you do more videos about ADHD?
i truly appreciate your integrity...
Thank you Dr Grande, for this video. My son has ADHD with bad impulse control and hyper activity. He was diagnosed at 8 years of age, and his life has been a struggle. He is now 49, but his hyperactivity is still there. He just lives with it, but it has always been difficult for him.
I know for a fact that if you have adhd and you pick up destructive habits, it would easily stick medication gives you a boost needed, so when motivation doesn’t happen because in society you need to be apart of it or you go hungry and settings like school and jobs are literally brutal, you may say you regularly workout sure, but your always restless is no good for an adult when you are expected to fall in line.
It is also the fact that gender based presentations have finally been known. That women with ADHD go undetected.
About a decade ago I had difficulty at school and studying for a long time and have not always done well in school mostly to bullying and other issues up until college. I decided to go to the hospital and pay out of pocket for an ADHD test (about 900 is what I paid - ludicrous but I was seeking answers).
What did I get? The good side first: they tried to steer me towards a psychiatric conversational style solutions without drugs.
I wanted faster interventions of course as a younger man.
Now the bad stuff. The test and it’s “results”:
It took maybe less than 30 minutes. Mostly a questionnaire about your daily experiences and then like 4 puzzles to solve.
4 puzzles plus some questions. My answer for 900 dollars from a hospital clinic? “You likely have ADHD but we’re not totally sure.
If this is how it’s still done then the “epidemic” makes total sense.
How this is the diagnosis is beyond me.
Let’s also be reminded that after that test all I had to do was push them into prescribing me stuff.
Luckily I only took anti depressants which helped in some areas and didn’t in others.
I don’t like lucid violent nightmares.
Maybe the talking made more sense than prescribing medication after all.
I'm glad someone has the same view on this subject as me. RUclipsrs talk about ADHD as if they had an headache. Like it's something cool to have.
I agree with the first “theory”. Analyzing the new clinical data over the past 20 years, as well as the DSM changes, it have allowed clinicians the ability to recognize and clinically test for ADHD more accurately.
A combination of pharmacological & psychotherapy (CBT) interventions often provide the best outcomes for treatment compliant patients.
It is important to note that there are variances in how a child, adult, male, & female present the DSM diagnostic criteria (i.e. symptomology being presented).
Furthermore, it is important to highlight the neurological complexities & physiological variances that come with appropriately assessing and diagnosis ADHD.
Generally though,
If a non-MD/DO can present the even basic concepts of pharmacokinetics, psychopathology, pathophysiology, or psychopharmacology, then they’d understand the reality behind not only ADHD, but both psychopathology and pathology in general
This may have nothing to do with anything, but I have noticed that those that were put on ADHD medication in childhood (even if they're off it now) are more successful as adults now than people my age that got diagnosed with it in adulthood..
I think if your mom and you have a child that’s really, really different…well, you know that that child has ADHD or some form of it. You can actually see how different that child is from most other children in the family, community and school settings. I think we need to look at them on a bell curve, and the further away from the norm a child is, and the closer he is to the extremes of ADHD symptoms, the more legitimate an ADHD diagnosis would be.
Based on my own reading and experience, I totally agree. I've said to others, thank goodness I was born before ADHD. I had the symptoms, per my primary school report cards, and teachers complained about my work habits. But my grades were "High" and my disruptions were harmless, so no consequential requirements were imposed. As an adult, I am also convinced that the same is true at work--we are simply a type of personality not often encountered, which doesn't process information as does the majority. High in "Openness" and low on "Conscientiousness"? INTP? My biggest offense was daydreaming.
Very well thought out analysis.
I think it’s unrealistic to expect an adult to sit still and not talk….at a computer for six hours. ; )
Do you see the same thing happening with other things like gluten allergies, etc.?
Underrated video!
I cringe every time someone says they have ADHD. People say it like it's ok and cool to be part of a gang... Or to excuse themselves for not being careful
Succinct and informative!
What really bothers me about this is prescribing kids stimulants like Adderall. As an adult who has done amphetamines, I am horrified at that idea. This shit is addictive, it's dangerous, it's not good for your health and it's really hard to stop using, especially if you were taking it for work, because it becomes so much harder to concentrate on anything sober. I can't even imagine how bad it could get if you start using as 5 year old or something. It's scary. Amphetamines should be the last resort and should never become commonplace among children.
Mate, from someone diagnosed in adulthood because the childhood problems followed me, it's pretty funny that I can forget to take something as supposedly addictive as my medication! Back when I used to smoke, I can tell you I never forgot to light up. Try to understand the difference between therapeutic doses and black market eyeballing.
I agree with you. Scary.
Years ago we didn't have all these chemicals in our food I think that's part of it also times were different years ago and parents just thought kids were naughty now we care about what is going on with out kids
ADHD means you didn’t get the belt enough.
My 2 cents as an non healthcare professional. ADHD isn't a mental health disorder. Society just evolved in a way that ADHDers don't adapt too well. However, if we consider it a mental health disorder, there's always been an epidemic. We just ignored it. And that goes for mental health in general
I feel sorry for those kids who are pathologized for not working well with an imposed soul-crushing, boring, sedentary lifestyle imposed by modern life in many Western countries. There's no physical scientific diagnosis for ADHD. No blood or urine test. No EEG reading that doesn't improve with some exercise..
There is actual neurological evidence for it
It’s been documented for a long time
I think we should diagnose everyone and make it a law.
my experience with people who have adhd is (sorry but) their inability to be calm, focused and effectual drives me batty. my own son was misdiagnosed with it and the dr. was going to subscribe ritalin without any evaluation, which i did not allow.
I am not convinced. There are other reasons for distraction behaviors including misdiagnoses of the Gifted. There are other possible reasons for the symptoms. A better treatment for kids and adults is learning to self sooth such as meditation and less clutter in a work/leasure environment.
ADD/ADHD is likely a child born to a mother who has Lyme disease. The reason this condition is increasing is because Lyme is becoming a pandemic and there are more cases of it.
Somehow lyme bacteria affects the amount of dopamine that a child is born wirh. ADD/ADHD is on the lowest end of the Autism spectrum.
ADD is not normal child behavior. These children are highly distressed due to inability to keep up with school demands and insbility to keep organized. My own daughter was ADD/DYSLEXIC. It was heartbreaking watching her struggle and often fail.
What is Lyme disease? How does it cause ADHD? I feel that people build up toxins over their lifetime. The first child takes the hit on that toxin build up. Since people are having smaller families, the percentage is going up.
@@joanlynch5271 Lyme disease is a bacterial infection. A person can become infected through a tick, natures dirty needle, via STD or through mothers placenta.
ADD often travels in families is likely because this bacteria is passed along generationally.
Yes there is a metals component. Again its linked to parents with Lyme. A mother with lyme disease will transfer 1/2 her toxic load onto the fetus of her first born usually son.
For more information on this you can refer to some of the lectures of Dr Klinghardt who has been working on this his entire life. Another good resource is Dr. Jone's kids.
AD/HD is NOT on the autism spectrum.
Ignimbrite Tuff Right! But there is comorbidity between both and some think on a common etiology.