I am an adult with ADHD, and my degree is in Child & Youth Care, though I work in a different area of social services now. I work with other adults with ADHD. I am so pleased to find your channel, and in particular these research updates. What a simple yet ingenious way to support the continued learning of folks like myself. Thank you ❤
Even if i have an elevated risk of a coronary event the quality of life difference is too great. Im on a low dose though and am in great shape for my age. Id imagine diet and lifestile can more than make up for whatever risks stimulants pose
A high dose could actually _lower_ the risk compared to no meds for this group. Comparing to the general public is somewhat meaningless. For useful results comparison should be made to other ADHDers with a similar profile and no meds ever. Edit: If the latter is ethical is another question.
I am currently in my under undergraduate, studying, and a personal communication and planning to attend graduate school. I was diagnosed with ADHD when I was 19 years old and during the same time I have also aware of having a topic dermatitis as well. Your research and RU-vid channel is amazing and I need to learn more. I’m about to be 21 and struggling greatly with my “disorders “.
I find the last study particularly interesting because I have eczema, allergies/sensitive skin, and ADHD. I feel like science too often disconnects the brain from the body and if your brain is misfiring, it's going to cause your body to misfire too. It also could be that people on the spectrum have issues with hygiene, whether it's from just being tired or disliking the feeling of it, lack of cleanliness can cause the skin to react in a similar way. Just sharing my thoughts on the possibilities not saying this as factual or anything. Thanks for sharing!
Interestingly, the authors of the meta-analysis study on cardiovascular risk published a new longitudnal study on JAMA today that *did* find a statistically significant correlation between CVD and prolonged ADHD medication use after 5 years.
Dr. Barkley, i know you cited the article "The Making of Adult ADHD: The Rapid Rise of a Novel Psychiatric Diagnosis" from the Psychiatric Times in the description as something not discussed in this video - could you discuss it at some point? I read it, and something about it feels wrong in my personal experience, especially as someone who definitely has ADHD and was only diagnosed as an adult.
It is filled with selective citations and half truths while ignoring lots of research that does support the validity of adult ADHD. Can’t believe the editor published it. It would take a long video to debunk it. I’ll think about it though. Be well.
Hello from The Netherlands, Dr. Barkley. Thank you from the ❤for all the great work you have done and are still doing to help people with ADHD. I have a question relating to the mind-gut topic: can you tell me what you know based on science about an eventual link between B12 deficiency and ADHD? (For as far as I have understood there are people who claim there is a higher percentage of people with b12deficiency in the ADHD-comunity and I have also read that the first can be caused by an overload of a specific gut bacteria (…???)) . While both interfere with so many ‘life processes’, it is difficult to pinpoint what is what…. And also in relation to that: could there in your opinion be any logic in maybe checking vitamine b12 levels before diagnosing adhd? As far as I know nobody asks questions about this when you are tested, while -as I understood - lack of b12 at cellular level can cause mental and emotional obstacles similar to those that people with ADHD experience (e.g . depression, controlling emotions and concentration). Sorry …long text and those are 2 questions…😂
Hi! Thank you for your videos... I'm a therapist and work primarily with people who have ADHD. One question that has come up for me a lot is, how do you tell the difference between FASD (esp. executive functioning/memory), BPD (esp. social difficulties, impulsivity & emotional dysregulation), and ADHD? I find that these diagnoses are often assigned for very similar presentations/symptom clusters but different demographics (socioeconomic, ethnicity, gender, etc.). Obviously this has huge impacts on treatment (DBT therapy for BPD vs. stimulant medication for ADHD). In particular in my experience, in my area which is a low SES area, females are more likely to be diagnosed with BPD vs ADHD and the reverse is true for males. And people from high SES are more likely to get an ADHD vs FASD diagnosis. I would love to hear your thoughts on this.
"Numerous preclinical studies show that pre-and postnatal nicotine exposure can increase ADHD-related behaviors in rats (e.g., locomotor activity, impulsive action, impulsive choice), suggesting a causal role of nicotine exposure in ADHD"
Thank you professor Russell for all the work you do. Question: Can head injuries at a younger age lead to the development of ADHD or ADD ? As doctor denial amen claims. Thanks
Hi Dr Barkley, I stumbled across the homepage of the Drake Institute for Neurophysical Medicine and their claim that "in most cases, our ADHD treatment options do not require stimulants or pharmaceutical drugs of any kind, instead relying on the safe and clinically effective technologies of brain map-guided Neurofeedback, and Neuromodulation treatment." Our paediatrician doesn't recommend brain mapping or neurofeedback therapy, but being located in Australia we are notoriously a bit behind in new treatment options. Would this be worth looking into? I appreciate your expert advice, thanks 🙏
Hello professor, I'm a student studying special education in South Korea. While reading the ADHD major textbook, I have a question about the contents of the ADHD evaluation factors cited in your 1998 handbook(Attention-Deficit/hyperactivity disorder: A handbook for diagnosis and treatment 2nd end). Among ADHD assessment factors, it says we should evaluate 'political factors', but I can't find any examples about this n Google or other internet. If you don't mind, may I ask for any examples or explanation about that?
In the late 80's and through the 90's there was a lot of moral panic around the world with the use of stimulant medications for ADHD. Some areas people taking stimulants were treated very badly by lawmakers in different countries which would affect people's day to day lives.
My interpretation of political factors could be: -> Holding people responsible for their actions. There are some moral judgements about people with ADHD, that you should be able to do things regular people can do without medication. "Pull up your bootstraps" or "Just do it" mentality. My experience on ADHD meds is that it's easier to take care of myself on them. -> Classification of stimulant medications. Some people abuse stimulants recreationally, and this results in stricter laws aimed at preventing that from happening. A "tough on crime" government that might not fully the nature of ADHD and how it can actually reduce criminal activity if prescribed correctly. This can result in laws that make stimulant medications harder to get - we saw this during the recent shortage. Many people were running low on their prescriptions, and tried to call pharmacies. The pharmacies told them that it was illegal for them to answer that question due to state laws. So many people had to run out various states to multiple pharmacies to get their meds. -> Driving laws. Again, a "tough on crime" government that just wants to punish instead of prevent can be harmful here. Stimulants help people with ADHD to drive safer and make better driving choices. But intoxicated drivers are a group of people that are easy to dunk on politically. Some states require that an stimulant prescription come with a note from a doctor that must be carried at all times, or else the driver can be criminally charged. It's actually more dangerous. -> Drug testing, especially with employers. It's kind of invasive. Depending on why you're taking the drug test, your medical info may be released. You'll have to explain why you're on stimulants at the very least, and perhaps it's a factor that prevents you from accessing certain employment. It incentivizes people going untreated. -> Maybe not relevant in America, but the choice of whether stimulant medications should be covered by public health insurance. I personally think it should. I'm a bit of a (low key) menace to society and myself without the meds. It's better for everyone that I need less assistance with living and have an easier time with employment... better to make ADHD people more likely to be tax payers vs having them struggle with employment and education, as many of us do. -> Factors in determining whether it's a disability, and what supports a person may be entitled to as a result. As a personal example, I don't really want to tell my employer about my ADHD in case it's ever used against me. These things might discourage a patient from being honest about certain factors, or may cause them to seek help without being honest about why so it doesn't go on their medical records.
It refers to potential school policies that could affect if a child can be referred or diagnosed by teachers in that district. Most schools here support such referrals as required by law but some try to limit referrals due to budget issues in their special education programs. Be well.
If my choice is a mild increased risk of heart attack by taking stimulants (as this study shows) or a significant increased risk of dementia by not taking stimulants (as the recent Israeli population study appears to show), let me make the choice!
Hi Mr barkley, are you aware of drug tolerance flipping in those with adhd that have taken a strong psychadelic? Going from a high tolerance to low. And getting visual effects of cannabis after having a strong trip?
Hello Dr Barkley, Is there any causal link between Ritalin use and Gastritis? And does medicine For Gastritis (Proton-Pump-Inhibitors) have an effect on the correct release of Ritalin?
A stomachache occurs in about 20-30% of people taking this drug, so, yes, it can be a side effect. I don’t know of research on the PPI type drugs for this side effect.
@@russellbarkleyphd2023 Thanks for the quick answer, do you have a link to a study or some other rescource for me that shows that Gastritis is a side effect of Ritalin?
Hey Dr Barkley i appreciate everything you do for us. I was wondering if you knew of any studies about ADHD and rumination. Does rumination trigger a dopamine response or something because when i fall into any kind of negative rumination i cant ever seem to get out of it. Thanks again
Rumination is linked more to depression. But see my lectures on cognitive disengagement syndrome which may have some links to rumination and certainly to mind wandering. Be well.
there are some studies that nicotine exsposure transfers adhd risk throught male line for at least two generation - so exposure in grandfather increase risk in grandson - some methylation mechanisms are involved - I speculate that if it is true then current ADHD epidemy is echo of 1960-1990 nicotine addiction epidemy + some pesticides which were in major use in 1990-2010 period have structure similar to nicotine (neonicotinoids) may be involved
@russellbarkleyphd2023 Dr Barkley, I think these Weekly Research Updates regarding the latest scientific findings associated with ADHD are terrific! I like how you're doing things now. But I have a simple suggestion that I think will make things even better. A small amount of added 'external scaffolding' using your terminology to make things a bit easier. Here's my sales pitch. I think my suggestion could benefit yourself (in terms of content management), your subscribers (to make it a lot easier for them to find stuff on more specific topics), and your RU-vid channel as a hole (RU-vid algorithm search engine optimization make your channel grow). Pretty much just a few cosmetic change to your video descriptions. I found it to be kind of cumbersome to find information on specific ADHD-related topics as things are. I'm not blaming you. Instead, I guess I would point the finger of blame at RU-vid and its channel-specific search algorithm. Some of my ADHD-related Executive Function Deficits makes doing these searches more difficult. You could put together some sort of template to simplify things quite a bit. I suggest in including the following fields in the video description for each topic covered in the video. 1. Topic Name. This currently appears to be, at best, lumped into the topic description. This makes it harder to find stuff. Think of it as a topic identifier or index with the added bonus of better search engine optimization (SEO). 2. Topic Timestamp. The video start time of the topic. This is the main change I suggest. It's real easy. You just put the timestamp in mm:ss format in the video description. For example, type 3:45 and it creates a clickable that says 3:45. When you click on it, the video skips forward or backward to 3 minutes and 45 seconds. That way you don't have to manually rewind and fast forward the video so to speak to search for stuff. I'm old enough to remember VHS and cassette tapes. 3. Topic Description. You're already including this information it appears. It would be better if it were prettied up a bit. That would improve readability. It also could help with SEO if you repeated the topic name in slightly different works in a natural-looking way (as opposed to keyword stuffing which can be bad). 4. Link(s) to additional topic information. You're doing this now. But if you prettied up the URLs a bit (there are plenty of online tools that do this quickly and effectively), then that could potentially help with SEO also. It also help yourself and your subscribers for previously mentioned reasons. 5. Hash Tags. Optional. Traditionally referred to as the pound symbol. This'll help your channel in a lot of ways. Just prefix each major topic keyword with the hashtag. Examples: #Children with ADHD #ADHD medications. EXAMPLE VIDEO DESCRIPTION: Greetings RU-vid friends and subscribers, Here's your weekly ADHD Weekly Research Video update for November 18, 2023. In today's video I'll be discussing the following topics: 1. Long-term Side Effects associated with ADHD treatments. Long-term risk of cardiovascular side-effects following attention-deficit hyperactivity disorder treatment with sympathomimetic amines A Holt, JE Strange, PV Rasmussen, N Nouhravesh… - European Heart Journal, 2023 # ADHD treatments academic.oup.com/eurheartj/ar... 2. Risk of Cardiovascular Diseases Associated with ADHD Medications. Zhang, L et al. (2022). Risk of Cardiovascular Diseases Associated With Medications Used in Attention-Deficit/Hyperactivity DisorderA Systematic Review and Meta-analysis. JAMA Netw Open. 2022;5(11):e2243597. doi:10.1001/jamanetworkopen.2022.43597 URL.com # ADHD Cardiovascular Diseases 3. Children with ADHD and Family Functioning. Family functioning in children with ADHD and subthreshold ADHD: A 3-year longitudinal study S Bhide, D Efron, OC Ukoumunne, V Anderson… - … of Attention Disorders, 2023 #Children with ADHD ore.exeter.ac.uk/repository/h... 4. ADHD Hyperactivity in Children. Assessment of probiotic strain Lactobacillus acidophilus LB supplementation as adjunctive management of attention-deficit hyperactivity disorder in children and … RM Elhossiny, HH Elshahawy, HM Mohamed… - BMC psychiatry, 2023 link.springer.com/article/10.... # ADHD Children and Hyperactivity 5. Associations with ADHD and ASD. Associations of atopic dermatitis with attention deficit/hyperactivity disorder and autism spectrum disorder: a systematic review and meta-analysis Y Cheng, JW Lu, JH Wang, CH Loh, TL Chen - Dermatology (Basel, Switzerland) # ADHD and ASD pubmed.ncbi.nlm.nih.gov/37939... ADDITIONAL INFORMATION Research Not Discussed in the Video... This may or may not be superfluous or redundant. 6. Call to Action. Optional but probably a good idea. If you like the videos and want to help the channel grow, then make sure to like, share, and leave videos comments. Subscribe to the channel and enable notifications so that you know when new videos are published. Your supported is greatly appreciated. Thanks in advance and enjoy the videos! Yours truly, Dr. Russ Barkley I hope my perseveration has been of value of you. :) Regards, Donny
Thanks! Some great ideas here. While this is really more of a hobby for me now in retirement, some of these don’t require much extra time to implement. Be well.
@@russellbarkleyphd2023 I appreciate the prompt reply. Too much information. I know. Why did I do that? No need for the student to explain to the master how the ADHD brain works. Or possibly even the ASD brain for that matter. I'm not neuro-typical. You have so many wonderful scientific insights on your channel. I just wanna be able to find stuff more easily. It's kind of hard to do now. I think just a few little cosmetic changes would make my brain happy. I'm pretty confident your brain would be pleased with a few minor changes too. I guess the following is all I should have suggested in the first place: 1. A clear list of topics covered in the video. 2. A timestamp for where in the video the topic begins. I try not to overly complicate things. I really do.
Congratulations, Dr., that is a particularly horrible dad joke. 🤣😅🤣 … Just saying. Eh-hem. 😄 And now on to something completely different. (Yep, that’s a Monty Python reference.)
Hi docter i'm just a new guy who pass to your video and want to ask about how to treat ADHD. i have only 2 question: first can we do something to treat ourself or only medication can help us.what method can work?
My doctors and psychiatrists have told me that medication is number one and provides the most benefit. When I asked about therapy, my psychiatrist said that he's seen more benefit from exercise which has a mindful component (yoga, tai chi). Apparently meditation can help, but ADHD folks struggle with mediation, so something that combines mindfulness into exercise is something that he thinks is particularly useful. The bulk of the evidence I've seen (from youtube videos and just the wiki page on ADHD to be honest) points to medication, exercise, therapy, sleep improvements, meditation, supplements, and diet improvements helping. But medication is basically the winner. My subjective experience is that medication has been the most helpful. My subjective experience is that sleep quality/duration is the next most important factor, for me personally. I use a sleep mask, heavy weighted blanket, I have all my devices dim after a certain hour on an automatic timer. If I use my phone or laptop close to bedtime, I try to use it for audio-only reasons, like a podcast or audiobook. If I exercise a lot (2-3 hours, doesn't happen TOO often), I fall asleep MUCH faster and the quality feels better. I experience a little bit of problems with snoring, so I use a bunch of pillows to help me sleep on my side, and I use mouth tape (controversial, but I find it helpful for me - make sure you rule out sleep apnea with your doctor first). Personally, I'm trying to get a therapist who works with other ADHD people to help me with organizing tips and developing habits. I have been to therapy before and found it mildly to moderately helpful. But I've never been to a therapist for the purpose of ADHD, so maybe that's worth a shot again. I also think self education is important. When I learned about what people with ADHD struggle with, I was more intentional in treating myself like someone who has ADHD, so I try to write things down or put things away more often now. It's not a solution, but I think being more self aware just helps anyone improve, even if improvement is modest. Dr. Barkley has a lot on his channel. He reviews the efficacy of lots of this stuff and provides interpretations of different recommendations. I think it's worth at least scrolling through his channel and taking a look at what interests you.
Ohh come on.. you think we care more about what ADHD-medication this was probiotic study was done on - and not the probiotics? 🙂🤔 We want to know about the probiotics. Where do we get them? It's actually not the first study I have heard about this. If my kid might benefit from yougurt, that is quite easy and safe to try out compared to many other things.
My psychiatrists have all told me that 80% to 90% of the benefit I will see from treatment comes from medication. They told me this when I asked them if therapy was recommended - they said I could give therapy a shot if I wanted, but then said that therapy, exercise and diet changes all help people with ADHD, but they work better when you're medicated, and even then, it's only impacts it 10-20%. 2 separate psychiatrists I saw told me this, and it's consistent with what Dr. Barkley has on his channel. The choice to take drugs is scary and I resisted it for years. After trying them, I'm happy I'm so much more productive. I can take care of myself independently *well*. I have so much catching up to do. I personally regret that no one in my life as a child had spotted this an recognized it and medicated me. I had yogurt as a kid and have yogurt on a regular basis today and take a bunch of supplements. My mom was really good with preparing healthy meals and I am today as well. None of it helped, medication did. My mom didn't know what ADHD was, but she didn't let me drive her car when I was a teenager because she knew I was too careless and couldn't focus. We fought so many times over me learning how to drive and she refused because she thought it was unsafe. I paused university to move out because I was so upset. I spent a good 10 years being angry at her and resenting her. I blamed her decision on sexism (because she let my non-ADHD brother drive), I skipped family Christmas's, I didn't give her life updates of mine, I avoided calling her. Then I was diagnosed at age 30 with ADHD. When I learned that people with ADHD are almost 50% more likely to get into a major car accident because we are too distracted and lack focus, I cried. I spent so long being angry at my mother for something she was right about. I think if she had the information we have today about ADHD, and how it really helps with driving, I think we could have had a much healthier relationship for longer. We've made up now and I've apologized. But I could have learned how to drive as a teenager... that blocked so many doors for me. The more responsibility someone with ADHD has to take on, the harder life gets. I can't tell you whether medication is the right choice for your kid, but I think my mom made the right choice in not allowing me to drive. I think a better choice would have been to medicate me and then teach me how to drive. My psychiatrists have emphasized that I should not drive without medication. What I'm saying is, I've always had ADHD symptoms, but the medication became more necessary the older I got, as responsibilities increased. Driving is just one scary, in your face factor about how we're more accident prone... and how the medication can ameliorate that better than anything else can. I don't view having to take medication as a failure; I view it as recognizing my limitations and compensating for them responsibly. I wish I had started this earlier.
I think you are assuming something about me that isn't right here 🙂 My kid is on Strattera. I'm on Aduvanz. I'm not looking for him to not get ADHD-medicine, but he is in the situation that it only helps a little. It just isn't enough and his doctors is very hesitant about doing much else with medication. He is very severely ADHD even on medication. So I'm not looking to substitute medication with "yoghurt", I'm looking to do both 🙂 And while it might not help as much as medication, it might be better than not doing so. But the thing is, you cannot actually talk about the effect from "yogurt" - my point here is that he isn't actually saying what probiotic it is or where its found. That could be helpsome. You might not have gotten the right yogurt you know 😉 What I'm saying is that I dont care if the study was done atomoxetine or methylphenidate, I care about what the probiotic was that had the added effect, and if it's something that I could easily add in our meal plan. 🙂
Ohh.. and I live somewhere where no 16 yo is allowed to drive. But then again, they can start buying alcohol with lower % instead. 🙂 And at 18 you are considered an adult by every thing. That is actually Denmark, as where the first mentioned study is from.
