I am so happy to come across this video.Thank you!! I have to agree that there is a lot of over diagnosis in youth. From my experience as a Counsellor. I have noticed that normal personalities and behaviors of who they are, they believe something is wrong, so would (google the signs) then Insist on testing for ADHD becoming medicated. I feel it is too easy to diagnose these days! Which is wrong! If a child struggles to focus, which of course, it can be a number of things, but each person is unique in their thinking and mind, depending on upbringing and safety.... with being unable to process emotions, without getting triggered fight and flight......, so will bury a part that for safety in self, so when quitening the mind to focus, the mind will panick and avoid.... Children feel there is something wrong with them these days.... Which is so sad, and as a result, drugged up to numb the mind.. Makes me feel so sad. The work I carry out in my sessions, I can tell if clients have a strong mind and how this needs to make sense to them.... I do hope these diagnostic systems that the education system are using are questioned more before all our youth are suppressing an important part of their personalities of growth... ❤
Imagine having 10 persons - previously undiagnosed - who are diagnosed with ADHD by an expert panel. Then imagine 10 comparable persons who themselves think they might have ADHD, but according to the same expert panel do not meet the criteria for having ADHD, without the experts informing them whether or not they have the diagnosis. Now make the experiment that all 20 persons are given lixdexamphetamine for ADHD to evaluate the improvement of symptoms and overall life quality. My guess is that psychiatrists will refrain from doing this kind of experiment as it will most like reveal that the diagnostic criteria for ADHD are so loosely defined that most of the population potentially can be diagnosed as having ADHD. As a Family Physician through 15 years, I have yet to see a patient convinced that he/she has ADHD and expressing a wish to receive medication for this, come back after being referred to a psychiatrist and not being diagnosed with ADHD.
From a short term perspective response can often be misleading but when it comes to long term adherence to stimulants , this is high - almost 64% in children’s and adolescents with a significant group stopping within two years. While specific numbers aren’t available for adults - adherence is an issue and side effects and loss of or ineffectiveness is a reason. Thus adhd management is not just about stimulants and nor is it about the short term - should be evaluated over the life span. We will know more in the coming years. I understand your points though.
Also, I think there should be an avenue for university students and people with jobs that require high levels of executive function to be prescribed bupropion at lower levels perhaps 50mg -150mg, safely monitored by a doctor, to help them get through university and highly stressful jobs like lawyers, etc., that require significant executive function. This would decrease the risky university ADHD medication trade and e.g. lawyers using "non-prescribed stimulants" to get through their workloads.
@@PsychiatrySimplified Case Example Scenario 1: - A university student is finding it difficult to balance her academic workload, part-time job, and social life. Despite reducing her social engagements and part-time work hours, she continues to face challenges in maintaining focus on her studies, resulting in failing grades, heightened anxiety, and increased depressive symptoms spurred by social comparisons with her peers. - She discovers that a friend has been using Ritalin, a stimulant, to aid in studying and decides to purchase it from another university student. Due to limited availability, she purchases whichever dosage is available e.g. starting straight on 30mg of Ritalin, at a high cost. Although she notices a significant improvement in her study performance, she experiences side effects like insomnia and jitteriness. To manage the lack of sleep, she starts using sleeping tablets, but becomes dependent on them. Eventually she can't afford the Ritalin anymore due to increased demand from others that have heard about them at her university. She is now convinced that she can't achieve without them and drops out of university to avoid any further student loans. Scenario 2: - A university student is finding it difficult to balance her academic workload, part-time job, and social life etc., etc., - She reads online that GP's / Psychiatrists can prescribe cognitive enhancers or performance supplements. These medications are carefully monitored every two weeks for potential side effects, with the option to adjust the dosage by cutting tablets in half or even quarters to find an ideal balance for her needs. - This monitored prescription approach mitigates the risks associated with buying medications from friends, providing a new revenue stream for pharmaceutical companies in the realm of cognitive / performance enhancement, the government benefits from additional tax revenue, general practitioners oversee and monitor the usage, and overall, the system ensures safer, regulated access to performance-enhancing medications. TLDR; There should be a place for "tactical medication use". I feel benzodiazepines to decrease anxiety before surgery are already used as a "tactical medication".
Please have a look at the video on stimulant confusion and why adhd is not just about stimulants. The hyperfocus may be indicative of the dose being too ‘high’. In the case of bipolarity , optimisation of mood stabiliser and evaluating and addressing other symptoms becomes important. Motivation has several domains - as part of hedonic drive - anticipatory, consummatory or motivational. Thus it needs an evaluation before the appropriate balance is achieved.
This might be off the beaten path for your channel but would you consider covering the 2023 article by Lieslehto et al., which examined different pharmacotherapeutic outcomes for BPD patients, and what implications this might have for understanding and treating BPD in future? I'd be fascinated to hear you cover this topic. (Admittedly my hunch is that there is probably a lot of undiagnosed or misdiagnosed people with ADHD, especially women, hiding out in that cohort who have developed BPD-esque presentation over time so I wonder if this might have skewed the results?)
@@jessl1934 I’ll be doing detailed video on BpD diagnosis and management and you are correct re the issues you raise. I’ve written a review here - psychscenehub.com/psychinsights/bpd-diagnosis-management-strategies/
@@PsychiatrySimplifiedOh excellent, thanks for the link! I feel like there would be a lot of resistance to prescribing methylphenidate for BPD in clinical settings but this study holds a lot of promise for the future of BPD treatments. This is just speculation from an amateur but my hunch is that RSD and ODD are clusters of symptoms that are a behavioural response to that classic ADHD lack of inhibition, it's just that ODD presents in a very externalised, "classic" threat-response way whereas RSD is very much internalised and that both of these tend to fall roughly along the same lines that hyperactivity and inattentiveness are used to categorise ADHD. (I suspect that the more severe end of this often gets categorised as BPD eventually, especially if you take into account feedback loops in the social side of the psychosocial with a person who has poorly managed ODD or RSD.) If I had an unlimited budget and the perseverance to get a qualification, I'd love to research RSD and ODD especially in comparison to negativism as seen in catatonia.
I have a question, if i tried vyvanse adderall and concerta and non helped me (except of concerta which slightly helped) is there a point in trying focalin?
It depends on a number of factors. Helped needs to be dissected itself as stimulants address specific domains and they need to be considered within a broader context. This video will provide further context - ruclips.net/video/Baqzy3L3TjA/видео.htmlsi=aTUySFvCriWsU2xR
I'm a graduate student in clinical social work (essentially therapy) and I am taking an introductory class on the DSM this semester. Literally this week, this is the topic.
Did you know in the most recent revision of the DSM under autism they _specifically_ call out horse girls in the discussion on gender-related diagnostic issues? Honestly, it's a very welcome addition to the DSM (and the discussion itself was long overdue) but I feel like there's more than a few people who will feel like the DSM did them dirty by just calling them out like that 😂 Have fun studying it!
No not all. High comorbidity rates though. More detail in this review I’ve written. psychscenehub.com/psychinsights/adhd-and-autism-comorbidity-a-comprehensive-review/
Dear Dr. I very much enjoy listening to your video and the example you used that included us views watching. Very smart move. My theory for ADHD and Autism is yes genetic background is one key component but also the food we eat. I am going to post a video that I found from another doctor on RUclips. I believe if the two of you put your brains together you can help us change the world. After I watched this video I started to cut out gluten and dairy from my diet. I noticed a huge difference within the 5-7 day time frame. I could not believe how the food has impacted us so much for those that live in America. My theory is that people of South Korea have a lower mental health psychiatric problem due to the food they consume. Maybe if you calculate the numbers of people in America with Autism and ADHD Diagnosis. Compare the numbers to the amount of people in South Korea with Autism and ADHD. My intuition tells me that the people of the South Korean culture will have less numbers vs. America. Why do you ask because of the food we eat. The chemicals we put into our body. The man made pills alters the chemicals in our brain there for when a pregnant mother takes something man made vs mother nature made she is poisoning her baby and herself not on purpose. We humans have been programed to do this by generation after generation from having the lack of knowledge. Since I changed my diet I yes am having withdrawals from food but I am also able to manage my mood swings better, I am able to have more energy and I even lost 10lbs in the 5-7 day period just from not eating dairy or gluten. Please forgive me for my writing is not as advance as it was the other day. I use Sativa Marijuana Medical to help me focus so I can think clearly. Due to my missing chemical I need that extra stimulation to help me. So I am using what mother nature has to offer when I am able to. If you have spare time can you also read a book call Moon Chosen and Sun Warrior by P.C. Cast. She uses a lot of herbal medicine practices examples in her fiction book based on spiritual truth in my opinion. If we could learn how to practice using mother nature instead trying to play God I feel we have a better chance of making the world better for more generations to come. ruclips.net/video/5kjeaCMQ5Ys/видео.htmlsi=ODnyIFupT-KF3z-0 - This doctor has proven Graph Charts to the food Theory. Thank you Dr. For your time and patience with me. I enjoy your videos very much they are also easier for me to follow than words. I am also in the middle between Aspergers and Autism. Aspergers comes from my mothers side of the family most of them have it. Adhd is on both sides of my family. Both sides of my family have a history of weight problems, health problems all related to the food we eat. Also the chemicals we put into our bodies that we don't think will harm us now and then experience the consequences years later. Sincerely, Kristyann L. Burgazoli
NEW IDEA!!!!!!! Can you by chance help me with an experiment? (Again, I do not want the credit for this I want it to go to you. My want is for the world to be safe for my daughter to live in and the other souls of the circle of life. I want her to be okay when I pass on to my next soul quest and die in this lifetime. I am also polytheistic. ) Calculate the difference of the mental health and physical health of someone from a different country other than America. See if their mental and physical health has changed when they came to America. Also if the government could fund money to test a theory. Take one person from each country that is not America with no mental health problems, no Physical health problems. Have those people move to America for a 5 year experiment trial with a visa for the experiment. Have them live a normal life as they would and see what changes happen in time from that person being in their own country and the problems they developed after living in America. Forgive me for not having the best grammar and if I may be a little confusing but I have a feeling you understand what I am attempting to say. This also plays a factor with Nature Vs. Nurture.
Please forgive me for messaging so much I am just very passionate about getting to core root problem to help change how the world does things so we have a chance at a better life for generations to come. We need to act now before it gets out of hand with this global crisis of mental health disorders caused by what we put into our bodies and also due to nature vs. nuture people change people based on how people treat people is MY motto. That motto I would like credit for if nobody has it already lol haha. im just kidding it just means more people like me have a something in common.
My grandmother on my dad side is full blood Korean. I believe when she was in her home in Seoul South Korea she had less health problems. Then when my grandfather on my dad side met her during war times. He and my grandmother had a baby my father Bruce W. Decker may he rest in peace. My grandfather brought both my grandmother and my dad back to America. From my understanding my grandfather was not a very nice man but I think he was just traumatized by war. i don't know him that well but i still love him. i don't know his background to understand why he was sad or angry. my grandfather is irish german and dutch. My grandmother on my mom side is 100 percent italian and born in america. My great great granparents came from italy. the are the La Salvias. My grandpa on my mom side is half itialian and half german. They are the Burgazoli's They also came from Italy. Napels italy maybe.
Also can you maybe make a video of why I am able to mirror Write? I just tried writting one day with my left hand and i found out i can naturally mirror what my right hand is writting . I posted a video on my channel. i can write with both hands at the same time ruclips.net/user/shortskuvFrOAfLUo?si=ugcefUoJsEkrgbkK
Thank you Sanil. A seminal presentation.
Thanks for the feedback
Incredible, haven't seen such a value-laden video in a long time. Great discussion, detailed, logical, educational and inspiring. Thanks!
I must say this is outstanding. The script is so efficient in words that I imagine you went through many many edits. So, yes, outstanding work here.
@@dkierans thank you for that feedback. Really appreciate it
I am so happy to come across this video.Thank you!! I have to agree that there is a lot of over diagnosis in youth. From my experience as a Counsellor. I have noticed that normal personalities and behaviors of who they are, they believe something is wrong, so would (google the signs) then
Insist on testing for ADHD becoming medicated. I feel it is too easy to diagnose these days! Which is wrong! If a child struggles to focus, which of course, it can be a number of things, but each person is unique in their thinking and mind, depending on upbringing and safety.... with being unable to process emotions, without getting triggered fight and flight......, so will bury a part that for safety in self, so when quitening the mind to focus, the mind will panick and avoid.... Children feel there is something wrong with them these days.... Which is so sad, and as a result, drugged up to numb the mind.. Makes me feel so sad.
The work I carry out in my sessions, I can tell if clients have a strong mind and how this needs to make sense to them.... I do hope these diagnostic systems that the education system are using are questioned more before all our youth are suppressing an important part of their personalities of growth... ❤
Thank you for sharing your thoughts. Appreciate it.
Thanks.... This was much needed.
@@adarshyadav7 hope it was useful! Thanks
Wonderful explanation much grattitude 🎉
Thank you for the feedback 🙏🏼
Imagine having 10 persons - previously undiagnosed - who are diagnosed with ADHD by an expert panel. Then imagine 10 comparable persons who themselves think they might have ADHD, but according to the same expert panel do not meet the criteria for having ADHD, without the experts informing them whether or not they have the diagnosis. Now make the experiment that all 20 persons are given lixdexamphetamine for ADHD to evaluate the improvement of symptoms and overall life quality. My guess is that psychiatrists will refrain from doing this kind of experiment as it will most like reveal that the diagnostic criteria for ADHD are so loosely defined that most of the population potentially can be diagnosed as having ADHD. As a Family Physician through 15 years, I have yet to see a patient convinced that he/she has ADHD and expressing a wish to receive medication for this, come back after being referred to a psychiatrist and not being diagnosed with ADHD.
From a short term perspective response can often be misleading but when it comes to long term adherence to stimulants , this is high - almost 64% in children’s and adolescents with a significant group stopping within two years. While specific numbers aren’t available for adults - adherence is an issue and side effects and loss of or ineffectiveness is a reason. Thus adhd management is not just about stimulants and nor is it about the short term - should be evaluated over the life span. We will know more in the coming years. I understand your points though.
Also, I think there should be an avenue for university students and people with jobs that require high levels of executive function to be prescribed bupropion at lower levels perhaps 50mg -150mg, safely monitored by a doctor, to help them get through university and highly stressful jobs like lawyers, etc., that require significant executive function.
This would decrease the risky university ADHD medication trade and e.g. lawyers using "non-prescribed stimulants" to get through their workloads.
Very interesting concept! Lots of medicolegal aspects but an interesting concept nonetheless !
@@PsychiatrySimplified Case Example
Scenario 1:
- A university student is finding it difficult to balance her academic workload, part-time job, and social life. Despite reducing her social engagements and part-time work hours, she continues to face challenges in maintaining focus on her studies, resulting in failing grades, heightened anxiety, and increased depressive symptoms spurred by social comparisons with her peers.
- She discovers that a friend has been using Ritalin, a stimulant, to aid in studying and decides to purchase it from another university student. Due to limited availability, she purchases whichever dosage is available e.g. starting straight on 30mg of Ritalin, at a high cost. Although she notices a significant improvement in her study performance, she experiences side effects like insomnia and jitteriness. To manage the lack of sleep, she starts using sleeping tablets, but becomes dependent on them. Eventually she can't afford the Ritalin anymore due to increased demand from others that have heard about them at her university. She is now convinced that she can't achieve without them and drops out of university to avoid any further student loans.
Scenario 2:
- A university student is finding it difficult to balance her academic workload, part-time job, and social life etc., etc.,
- She reads online that GP's / Psychiatrists can prescribe cognitive enhancers or performance supplements. These medications are carefully monitored every two weeks for potential side effects, with the option to adjust the dosage by cutting tablets in half or even quarters to find an ideal balance for her needs.
- This monitored prescription approach mitigates the risks associated with buying medications from friends, providing a new revenue stream for pharmaceutical companies in the realm of cognitive / performance enhancement, the government benefits from additional tax revenue, general practitioners oversee and monitor the usage, and overall, the system ensures safer, regulated access to performance-enhancing medications.
TLDR; There should be a place for "tactical medication use". I feel benzodiazepines to decrease anxiety before surgery are already used as a "tactical medication".
What do you recommend for motivation for adhd/bipolar.
Stimulants help but then I get over focussed
Buproprion and atomoxetine make me irritable
Please have a look at the video on stimulant confusion and why adhd is not just about stimulants. The hyperfocus may be indicative of the dose being too ‘high’. In the case of bipolarity , optimisation of mood stabiliser and evaluating and addressing other symptoms becomes important. Motivation has several domains - as part of hedonic drive - anticipatory, consummatory or motivational. Thus it needs an evaluation before the appropriate balance is achieved.
This might be off the beaten path for your channel but would you consider covering the 2023 article by Lieslehto et al., which examined different pharmacotherapeutic outcomes for BPD patients, and what implications this might have for understanding and treating BPD in future? I'd be fascinated to hear you cover this topic.
(Admittedly my hunch is that there is probably a lot of undiagnosed or misdiagnosed people with ADHD, especially women, hiding out in that cohort who have developed BPD-esque presentation over time so I wonder if this might have skewed the results?)
@@jessl1934 I’ll be doing detailed video on BpD diagnosis and management and you are correct re the issues you raise. I’ve written a review here - psychscenehub.com/psychinsights/bpd-diagnosis-management-strategies/
@@jessl1934 also related ADHD and Emotional Regulation: The Link to BPD and RSD Explained
ruclips.net/video/Ztqm7rVojSU/видео.html
@@PsychiatrySimplifiedOh excellent, thanks for the link!
I feel like there would be a lot of resistance to prescribing methylphenidate for BPD in clinical settings but this study holds a lot of promise for the future of BPD treatments.
This is just speculation from an amateur but my hunch is that RSD and ODD are clusters of symptoms that are a behavioural response to that classic ADHD lack of inhibition, it's just that ODD presents in a very externalised, "classic" threat-response way whereas RSD is very much internalised and that both of these tend to fall roughly along the same lines that hyperactivity and inattentiveness are used to categorise ADHD. (I suspect that the more severe end of this often gets categorised as BPD eventually, especially if you take into account feedback loops in the social side of the psychosocial with a person who has poorly managed ODD or RSD.)
If I had an unlimited budget and the perseverance to get a qualification, I'd love to research RSD and ODD especially in comparison to negativism as seen in catatonia.
I have a question, if i tried vyvanse adderall and concerta and non helped me (except of concerta which slightly helped) is there a point in trying focalin?
It depends on a number of factors. Helped needs to be dissected itself as stimulants address specific domains and they need to be considered within a broader context. This video will provide further context - ruclips.net/video/Baqzy3L3TjA/видео.htmlsi=aTUySFvCriWsU2xR
Stay off stimulants. They come with very long term detrimental effects and possible dependence that are buried by healthcare providers.
Doc do you practice on india?
No in Australia
I'm a graduate student in clinical social work (essentially therapy) and I am taking an introductory class on the DSM this semester.
Literally this week, this is the topic.
That’s amazing! Hope you find this useful . And good luck with your studies! 👍
Did you know in the most recent revision of the DSM under autism they _specifically_ call out horse girls in the discussion on gender-related diagnostic issues?
Honestly, it's a very welcome addition to the DSM (and the discussion itself was long overdue) but I feel like there's more than a few people who will feel like the DSM did them dirty by just calling them out like that 😂
Have fun studying it!
Dr. Rege-is it true that all people with autism have ADHD?
No.
No not all. High comorbidity rates though. More detail in this review I’ve written. psychscenehub.com/psychinsights/adhd-and-autism-comorbidity-a-comprehensive-review/
@@PsychiatrySimplified Thank you!
Dear Dr.
I very much enjoy listening to your video and the example you used that included us views watching. Very smart move.
My theory for ADHD and Autism is yes genetic background is one key component but also the food we eat. I am going to post a video that I found from another doctor on RUclips. I believe if the two of you put your brains together you can help us change the world.
After I watched this video I started to cut out gluten and dairy from my diet. I noticed a huge difference within the 5-7 day time frame. I could not believe how the food has impacted us so much for those that live in America.
My theory is that people of South Korea have a lower mental health psychiatric problem due to the food they consume. Maybe if you calculate the numbers of people in America with Autism and ADHD Diagnosis. Compare the numbers to the amount of people in South Korea with Autism and ADHD. My intuition tells me that the people of the South Korean culture will have less numbers vs. America. Why do you ask because of the food we eat. The chemicals we put into our body. The man made pills alters the chemicals in our brain there for when a pregnant mother takes something man made vs mother nature made she is poisoning her baby and herself not on purpose. We humans have been programed to do this by generation after generation from having the lack of knowledge.
Since I changed my diet I yes am having withdrawals from food but I am also able to manage my mood swings better, I am able to have more energy and I even lost 10lbs in the 5-7 day period just from not eating dairy or gluten.
Please forgive me for my writing is not as advance as it was the other day. I use Sativa Marijuana Medical to help me focus so I can think clearly. Due to my missing chemical I need that extra stimulation to help me. So I am using what mother nature has to offer when I am able to.
If you have spare time can you also read a book call Moon Chosen and Sun Warrior by P.C. Cast. She uses a lot of herbal medicine practices examples in her fiction book based on spiritual truth in my opinion. If we could learn how to practice using mother nature instead trying to play God I feel we have a better chance of making the world better for more generations to come.
ruclips.net/video/5kjeaCMQ5Ys/видео.htmlsi=ODnyIFupT-KF3z-0 - This doctor has proven Graph Charts to the food Theory.
Thank you Dr. For your time and patience with me. I enjoy your videos very much they are also easier for me to follow than words. I am also in the middle between Aspergers and Autism. Aspergers comes from my mothers side of the family most of them have it. Adhd is on both sides of my family.
Both sides of my family have a history of weight problems, health problems all related to the food we eat. Also the chemicals we put into our bodies that we don't think will harm us now and then experience the consequences years later.
Sincerely,
Kristyann L. Burgazoli
NEW IDEA!!!!!!!
Can you by chance help me with an experiment? (Again, I do not want the credit for this I want it to go to you. My want is for the world to be safe for my daughter to live in and the other souls of the circle of life. I want her to be okay when I pass on to my next soul quest and die in this lifetime. I am also polytheistic. )
Calculate the difference of the mental health and physical health of someone from a different country other than America. See if their mental and physical health has changed when they came to America.
Also if the government could fund money to test a theory. Take one person from each country that is not America with no mental health problems, no Physical health problems. Have those people move to America for a 5 year experiment trial with a visa for the experiment. Have them live a normal life as they would and see what changes happen in time from that person being in their own country and the problems they developed after living in America.
Forgive me for not having the best grammar and if I may be a little confusing but I have a feeling you understand what I am attempting to say.
This also plays a factor with Nature Vs. Nurture.
Please forgive me for messaging so much I am just very passionate about getting to core root problem to help change how the world does things so we have a chance at a better life for generations to come. We need to act now before it gets out of hand with this global crisis of mental health disorders caused by what we put into our bodies and also due to nature vs. nuture people change people based on how people treat people is MY motto. That motto I would like credit for if nobody has it already lol haha. im just kidding it just means more people like me have a something in common.
Doc can u you make a video regaring pornography/ PMO effect on the brain. It will be feally helpful.
@@adarshyadav7 I’ll add to the list
@@PsychiatrySimplified thanks doc
ADHD has become a sad social contagion. And the industry rolls with it because it’s great for business.
Also you don't have to tell me but are you by chance a air sign? Maybe a Gemini or Libria?
My grandmother on my dad side is full blood Korean. I believe when she was in her home in Seoul South Korea she had less health problems. Then when my grandfather on my dad side met her during war times. He and my grandmother had a baby my father Bruce W. Decker may he rest in peace. My grandfather brought both my grandmother and my dad back to America. From my understanding my grandfather was not a very nice man but I think he was just traumatized by war. i don't know him that well but i still love him. i don't know his background to understand why he was sad or angry. my grandfather is irish german and dutch.
My grandmother on my mom side is 100 percent italian and born in america. My great great granparents came from italy. the are the La Salvias. My grandpa on my mom side is half itialian and half german. They are the Burgazoli's They also came from Italy. Napels italy maybe.
ruclips.net/video/mAH3XR82D0U/видео.htmlsi=BtquRE7Ck1d5E1AJ - South Korean Mental Health video
Also can you maybe make a video of why I am able to mirror Write? I just tried writting one day with my left hand and i found out i can naturally mirror what my right hand is writting . I posted a video on my channel. i can write with both hands at the same time
ruclips.net/user/shortskuvFrOAfLUo?si=ugcefUoJsEkrgbkK