ADHD: An Attention and Motivation Deficit Disorder
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- Опубликовано: 7 окт 2024
- (Visit: seminars.uctv.tv/) Nora D. Volkow, MD discusses attention deficit and motivation deficit disorder. Series: "MIND Institute Lecture Series on Neurodevelopmental Disorders" [Show ID: 23414]
I love Nora Volkow. She has this amazing way of explaining complex issues in neurology. I cannot get enough of her videos and would do anything to spend an hour and a half with her. I would want to spend 60 minutes just talking about addiction and the reward cycle.
This is excellent. One issue, though, is that it’s an older lecture. More recently, the notion that hyperactivity disappears in adults has been refuted. Rather, the person w ADHD learns how to compensate for it in ways that are socially acceptable - to some degree. Examples include “adrenaline junkies,” people addicted to exercise, people who find careers that involve a lot of physical activity, etc. Also, especially among girls and women, hyperactivity can manifest mentally rather than physically: inability to turn off thoughts and emotions, talking, and so on. I’m going to look for her more recent work to see if she addresses this.
yeah im hyper as fuck, i literally walk 20 kilometers every day just to chill and im 26
@@ElevatedLevetator me spending 2 hours in the gym lol
I used to go to up to 3 hot yoga classes a day. I did hot yoga for about 15 years…went daily for much of that time. I learned during my assessment this was a manifestation of hyperactivity. I believe impulsive behaviour is as well. I always had thought that if I did have ADHD it was only inattentive. I was very wrong about that.
As a female adult who, into adulthood, began to suffer from severe motivational issues, and as a student of psychology, I found this absolutely fascinating.
The way this lady speaks has me hooked. It’s so clear.
12:09 reward is the mechanism by which nature incentivizes us to do behaviors
13:28 dopamine is important for attention
22:00 Oral Methylphenidate is safe at prescribed doses. Because it is ingested orally, it takes much longer to elicit effects than if delivered intravenously. The speed at which dopamine is released determines its rewarding effects (the potency of the high). Oral methylphenidate takes action so slowly that no high occurs.
39:00 dopamine and motivation
Thank u, better than the "its attention and children that cant controll themselfs and movie too much but are otherwise 100% happy and feeling good" bs, u litterly get PAIN when u try to do something u SHOULD do if there is not some randome emotion that is nice to u or whatever moderately helping coping strategyes u may have discovered.
I was diagnosed as a child with hyperactivity. In junior school we were told to take a book home to help practice reading. I would look around and there were just books about sport, travel etc. Nothing about psychology or philosophy (although I didn't know they were called this at the time). My teacher told my parents that my reading age was about 4 years higher than my age and my empathy levels were that of an adult. I left school with poor grades, I rarely felt stimulated. I still think there will be children like me who are under stimulated but at least things seem to be getting better. If you have a child with hyperactivity it may help by giving them books etc. that they wouldn't get in school.
Brilliant talk. My son has adhd & OT twice/wk wasn’t enough nor dietary changes. The thing that made a remarkable difference was concerta slow release. It helps him focus in school be calmer to help learn. He also has a fidget & chews gum when needed. She is correct about case by case & you need to be on top of it to assess any changes. My son is free on weekends, holidays, & summer. He is busy throughout the year with sports & camps. He has this need to be constantly moving & entertained. When he’s not on the medicine he is much sillier doesn’t stay on task it is taxing but I hope that with age he may learn to regulate some things. Let us give it up for the care givers. I use the medicine b/c it helps him stay on task to read and write. There is a side effect of lower appetite so when he’s hungry late evening I let him eat & give him snacks. Without this medicine he would be behind in school. This is as much needed as glasses or insulin is for some people.
It’s basically been concluded that medication is absolutely necessary with ADHD.
People with "ADHD" seem to not be the same, some have tonns of problems others just have a few, and those loud and proud people drag down all the other ones that are not taken seriously because of them. Also the public does not exactly thurst to "help" people with giving ressources to research and medication tiltration research. (of course remarkable exeptions are everywhere but i dont know if its enoth to prevent the extreme financial harm that adhd has on society if people are just using the "keep him/her quiet" medication strategy or "no u just have to lower ur expectations" strategy *and of course the most used one*: "Adhd is not real or a big deal" strategy.
She 100% right on target!
I really need this right now
Nora Volkow's research has broken down numerous scientific and socio-culture barriers more than any single scientist except for Russel Barkley. She has adopted the twenty first centuries scientific framework for understanding the disorders essential nature, which is not attention or hyperactivity per say.
I'm a big fan of Dr Barkley and seen all his stuff and thanks to him I know more than the clinicians in my country/(Sweden).
How reliable is Barkley? Do I need to check for other names or is he the #1?
agreed
So I have a Deficit a DISORDER and a Disease at the same time. I feel so much better now. Since when is being different a DISORDER?
XD impulsive caffeine consumption while watching this
Is that a real thing...I think I just started doing that yesterday
It would be interesting to do the same type of research in people with clinical depression (particularilly the treatment-resistant) because almost all the treatments besides MAOIs forget the dopamine component of the illness (think of symptoms all related to low dopamine like anhedonia, lack of concentration/inattention, psychomotor retardation/restlessness, abulia, amotivation, fatigue, low self esteem,etc) and I do find that current serotonin-target treatments are very ineffective (or counterproductive bc if you augment serotonin the dopamine decreases)
We evolved to have low levels of endorphins. Feeling good was a death sentence in a world where everything wanted to eat you or club you to death and take what you had. All of our negative emotions were a survival advantage and still are in many parts of the world. Alcoholics have genes that trigger a big dump of endorphins when drinking. They are self medicating. Thru most of human history we were trying to get enough to eat, so you didn't have much time to realize how lousy you felt.
Gold Hunter
While that may or may not be true, it is irrelevant because it is talking about normal people, a.k.a. "neurotypicals". Addressing these conditions is about helping individuals who have TOO MUCH of a particular trait...enough so that it is interfering with their normal functioning.
Nothing wrong with caffeine consumption I have Aspergers and I’m convinced I have ADHD too
This is great! Thanks.
We're hunters. High risk taking wakes us up to a normal frontal lobe. Dangerouse stimulation is our comfort zone unfortunately.
Also more likely criminals, hence prisons are filled with adhd people.
@@bluemamba5317 well, they weren’t able to adapt to what society expected of them.
You're on point....
oh, one thing more I was very physically fit and active. and over the years I have become much more educated and learned, self taught. but reading long books or sitting through a long movie is almost impossible unless smoking cannabis!!!!
Making a video about adhd for 1hr 20 min..... Very smart :)
U are right. I'm 5 minutes in and still wondering what the hell this woman is speaking
@Christopher Wren you are right. This video is not aimed at people with ADHD...
She's not talking to you, she's talking to other scientists or psychiatrists.
After suffering from ADD for ever. And trying everything from exercise to supplements , to positive thinking. Stimulints are a must. There are side effects, there more psychologically addictive IMO. But I've lived with the alternatives. Lucky to not have a criminal record and all the other bad things. You actually become quite mentally ill without them, just my experience.
What she explains very well is how these drugs work in the body. I'm sure big pharma has her.
I'm having so much problems with the fact I don't have money. I'm taking Wellbutrin XL which is a antidepressant that also helps some cases of adhd but isn't doing for me anymore. I don't have money for the stimulants and I feel like I'm dying. I'm doing my best but omg
I was just diagnosed with Combined type Adhd. I havent be prescribed meds yet. Besides having a hard time concentrating, I procrastinate so much. I have no motivation to address my responsibilities or hobbies. I wonder if meds could change that.
***** Sounds great. Id like to chat about things.
EDKsurly I was just diagnosed about a year and a half ago. ADHD makes our brain very tired very quickly because it's doing so much st the same time. Meds will like you not get tired as fast as you did. So it helps a lot with motivation and you can focus longer than before. :)
Loufoca13 Thats good to know. I have an appointment with a psychiatrist next week. I wonder what he'll give me....
Procrastination can be caused be fear. Us ADHD people are so used to fail at little tasks all the time it really destroys our self esteem. Procrastination can become a protection mechanism. If you don't put all your time and effort: you didn't really fail, right? Because you didn't try in the first place. It can be very difficult to fight off this feeling. My psychologist told me to give myself small goals that I can easily accomplish so I can get back some confidence. I believe low self esteem handicaps us way more than the attention or hyperactivity problem. Personally I can't give up everything's that feels overwhelming because it would mean that the dishes and the laundry would never get done and I wouldn't graduate. You just have to find solutions that work for you (they exist!) !! Remember you're brain doesn't function normally. So you might need different study techniques that what people recommend because those are made for neurotypical people, not for us. So try everything! Every option you can think of!! Try to make it fun! Give yourself rewards!! (I have a sticker chart for remembering to drink water and do sport (I know it's dumb but hey, it works!!)) It's a long way to go and a lot of searching for what works for you. But it's worth it!
EDK ReefMeister you should go to see a psychiatrist for good
I listened to your lecture concerning canniubis, it isn't that I disagree entirely, but for someone who grew up ADHD, dyslexic graduate 11th grade w a straight D avg, over the summer I started smoking cannabis, on mother's first day of school beginning 12th grade in English the teacher gave a test which I got a 100 on, the only kid, anyway I did much better and graduated. 50 years later, after all I can say is their is you have much to learn. I do not smoke tobacco, or use other drugs. don't even care much for alcohol except for some wine. as for addiction I can take it or leave it, but it helps me to focus. so, like I said, you have much too learn and as long as you are closed minded, you will continue to misunderstand the results/finding or your studies. I would very much like to meet with you. but I doubt you Ave to courage to meet with someone who would contradicts some of your studies.
Gary Johnson see how you go in 10 years
How old is her cannabis talk? She may have changed her opinion by now. That said, Big Pharma doesn’t want people to have cannabis options unless they control it, so...
She's like a female version of the german guy from Die Hard 3 - but she sure knows her stuff
You, like many others who think or have been labeled as ADHD you might actually be and Active-Alert:
Here is the test:
1. Does you child have a seemingly endless supply of energy?
2. Can your child attend to a task, like being read to or playing a game with a parent?
3. Does/did your child wake up often throughout the night or have difficulty getting to sleep (often seen as fidgeting)
4. Does/did your child seem to need very little sleep as an infant or toddler?
5. Would the last words from your child’s mouth be, “I am tired”.
6. Does your child seem to “wind up” over the coarse of the day. That is, did their energy seem to build upon itself?
7. Does your child’s memory of details amaze you?
8. Is your child quick and bright in certain areas of learning?
9. Does your child seem to have an unending wealth of “good ideas”.
10. Does it seem as if your child tries to be the “boss” of your family or their friends?
11. Does your child want his/her own way most of the time and have difficulty accepting a “no” answer?
12. Did you miss the terrible twos in your child’s development because you never experienced anything different?
13. In new situations is your child more uncertain or fearful than others?
14. Is your child intensely emotional - very happy and or very sad with little in between?
15. Does your child experience a pattern of moods - from positive to negative and back again that seem hard for him/her to control? I.e. very upset they are unable to accomplish something, will have a tantrum or pout and nothing you say or do seems to help except for distraction)
16. Is it difficult for your child to play alone, especially up to age 6 or 7? (often they will want you as their playmate.
17. Is it difficult for your child to determine how to be a good friend, that is, she/he either sits and watches others or tries to be the boss?
18. Does your child think he/she is just terrific or totally stupid with little ability to believe that they might be just average or ok? A kind of all or nothing attitude.
19. Do other people say they have no difficulties with your child?
20. Do you sometimes wonder if your child has “read your mind?
21. Does your child use logic to reason with you?
If you answered YES to a majority of these questions you are probably an Active Alert!
Bonus: Ask the professional accessing you or your child to explain what an Active-Alert is. If they can't then they can't possible give you a diagnosis worth paying for!!!
This feels to drug Intecive and I feel like I’m not learning about adhd at all just treatment
Amphetamine decreases your risk of Parkinson disease especially in genuine ADHD.
This quack's credibility has thoroughly been discredited. Even if she presents some "truths," her career is noting more than acting as a puppet for her handlers.
That's a serious accusation. Cite your evidence or STFU.
seriously? well, if you can't articulate your point without the use of profanities, you may not be able to comprehend and educated conversation about the subject. so, citing numerous studies would be futile. this lady is a puppet for big pharma, and she is insistent about maintaining the status quo.
Jay Man Still perhaps citing at least ONE source when making an accusation like that would be highly recommended.
Watch the CNN documentary by NEUROSURGEON, Dr. Sanjay Gupta "Weed." She is interviewed and insults the medical profession, by dodging the question as to why she won't allow legitimate research on cannabis. This paid hack is an embarrassment to academia.
Jay Man
So I finished watching the scenes with her in it. There were 2. One in the middle and one in the end. If there was another let me know I while go watch it. But I didn't get that impression at all. It makes perfect sense why she wouldn't allow research in area that they aren't in charge of. To me it sounds like the usual bureaucratic bullshit found in most areas of government. I'm not saying theirs no effect to stop research into marijuana, only that that's not prevalent in her interview. Further more you statement "This quack's credibility has thoroughly been discredited" is way too stretched for what is stated here, especially given the evidence here where its seems bureaucracy, not her medical ability, is the problem.
Jesus Christ!!! I just want to know if the drug will work for me..and lose that crazy accent!! Girlfriend!
stuart senften ofc it works but u become addicted
Really? That’s her usual speaking voice. Get over it.
swumi mobile Not what she said. There’s a small chance of addiction in some people.
Ritalin? Poor mans coke for kids. Horrible crap!
Ritalin makes me feel horrible and young people have told me they don't feel like themselves-it makes for squirrley syndrome.