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Key Concerns and Strategies for Diagnosing and Treating Adults with ADHD w/ Russell Barkley, Ph.D.
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- Опубліковано 5 кві 2023
- In this hour long webinar on demand from 9/8/20, learn key concerns and strategies for diagnosing and treating adults with ADHD with Dr. Russell Barkley, Ph.D.
Download the slides associated with this webinar here:
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Related Resources
1. Read This: Adult ADHD: A Guide to Symptoms, Signs, and Treatments www.additudema...
2. Self-Test: Do I Have ADHD? Symptom Test for Adults
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3. eBook: "Getting Things Done With Adult ADHD"
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🎯 Key Takeaways for quick navigation:
02:45 📚 *Introduction to ADHD in Adults and Dr. Russell Barkley's expertise*
- Introduction to the topic of ADHD in adults.
- Dr. Russell Barkley's credentials and background.
- Overview of the adverse effects of ADHD on various facets of life.
03:13 🧠 *Understanding the DSM-5 Criteria for ADHD*
- Explanation of the two dimensions of neuropsychological traits associated with ADHD.
- Detailed breakdown of the inattention and hyperactive-impulsive symptoms.
- Clarification on the significance of the word "often" in symptom occurrence.
06:16 🎯 *Modifications and Challenges with DSM-5 Criteria for Adults*
- Challenges in applying DSM symptoms designed for children to adults.
- The introduction of clarifications for symptoms intended for teens and adults.
- The need for more empirical testing and research on the criteria's efficacy.
11:09 🕰 *Onset and Age Criteria Concerns in ADHD Diagnosis*
- Discussion on the age criterion for ADHD onset and its limitations.
- Recognition of acquired ADHD cases due to factors like head trauma.
- Challenges and inaccuracies associated with recalling the age of ADHD symptom onset.
13:39 💼 *Impairment and Environmental Interactions in ADHD Diagnosis*
- The necessity of significant impairment across various domains for an ADHD diagnosis.
- Importance of corroborating self-reports with other sources.
- Identification of domains like occupation, education, and relationships where impairment should be evident.
15:18 🔄 *Understanding ADHD Beyond Attention and Inhibition*
- The interference of ADHD with executive functions and frontal lobe networks.
- Discussion on metacognitive functions and challenges faced by individuals with ADHD.
- Focus on persistence, resistance to distractions, and working memory deficits.
22:34 🗣 *Differentiating Impulsivity in Adults with ADHD*
- The evolution of impulsivity types from childhood to adulthood.
- Emphasis on verbal impulsivity and its significance in adult ADHD.
- Introduction and clinical significance of cognitive and motivational impulsivity.
25:25 🧠 *Understanding Impulsivity in ADHD*
Impulsivity is *a hallmark of ADHD, characterized by motivational impulsivity where individuals prioritize immediate rewards over long-term goals.*
- Motivational impulsivity leads to procrastination in tasks like lengthy assignments or projects.
- Emotional impulsivity is also central, leading to rapid and intense emotional reactions that are often hard to regulate.
- Emotional impulsivity is linked to various real-world consequences like job instability, road rage, and relationship issues.
27:02 🚧 *Impaired Executive Functions in Adults with ADHD*
Adults with *ADHD often exhibit impaired executive functions, affecting various areas of their lives, including motivation, inhibition, and emotional self-regulation.*
- There are seven executive functions, all of which can be deficient to varying degrees in adults with ADHD.
- The DSM-5 criteria for ADHD may not fully capture the complexities, especially concerning executive functioning deficits.
- Impaired executive functions lead to a range of challenges in daily life, including occupational difficulties and interpersonal issues.
30:15 🧭 *The Performance Deficit Perspective of ADHD*
ADHD is *not about a lack of knowledge or skills but rather a performance deficit where individuals struggle to use what they know effectively in real-world situations.*
- People with ADHD are as knowledgeable as anyone else but face challenges in translating that knowledge into action.
- Treatment and interventions should focus on helping individuals with ADHD use their knowledge effectively rather than simply acquiring new skills or information.
- Understanding ADHD as a performance deficit reframes clinical approaches and challenges societal misconceptions about willpower or laziness.
34:29 📊 *Impairments and Co-morbidities in Adults with ADHD*
As individuals *with ADHD transition into adulthood, they face a myriad of challenges and co-morbidities that significantly impact their quality of life and overall health.*
- Challenges include educational limitations, interpersonal conflicts, substance abuse, and risky behaviors.
- Adults with ADHD are at increased risk for various health problems, including obesity, heart disease, and early mortality.
- Co-morbidities like anxiety disorders, depression, and learning disabilities often co-exist with ADHD, complicating treatment approaches and outcomes.
49:18 ⏰ *Importance of External Time Management for ADHD Adults*
- Emphasis on externalizing time management tools and strategies for individuals with ADHD.
- Individuals with ADHD have challenges internalizing time, requiring external cues like clocks, timers, and structured environments.
- Breaking tasks into smaller units and organizing workspaces are essential strategies to manage time and maintain focus.
50:13 📊 *Challenges in Self-Motivation and Work Organization*
- Addressing the weak self-motivation aspect of ADHD adults and its impact on task completion.
- The importance of organizing workspaces both at home and in professional settings to minimize distractions.
- Making oneself accountable to others enhances motivation and ensures task completion.
51:11 🛠️ *Preference for Hands-On Problem Solving in ADHD Adults*
- Exploring the inclination of many ADHD adults towards hands-on tasks and manual problem-solving.
- The potential reasons behind ADHD adults gravitating towards trades and professions that involve hands-on work.
- Recognizing the satisfaction and reward ADHD adults find in engaging with tangible tasks and creative problem-solving.
52:48 🧭 *ADHD-Friendly Occupations and Work Environments*
- Highlighting professions and settings conducive to individuals with ADHD, such as trades, arts, sales, and self-employment.
- The benefits of these environments, including flexibility, hands-on tasks, and reduced constraints on scheduling.
- Emphasizing the importance of selecting careers that align with an individual's strengths and provide an accommodating environment.
53:29 🧠 *Understanding ADHD as a Disorder of Executive Functioning*
- A comprehensive view of ADHD as not just an attention-related disorder but one that affects multiple executive functions.
- The widespread impact of ADHD on various aspects like self-awareness, working memory, emotion regulation, and planning.
- Recognizing ADHD as a highly treatable psychiatric disorder with significant potential for positive outcomes with appropriate interventions.
54:52 ❓ *Seeking Proper Diagnosis and Treatment for Adult ADHD*
- Addressing concerns about misdiagnosis and the importance of seeking a thorough assessment for adult ADHD.
- Advocating for a comprehensive evaluation that considers executive functioning and employs appropriate rating scales.
- Providing guidance on finding specialized clinics or professionals experienced in diagnosing and treating adult ADHD.
58:33 🌡️ *Considerations for ADHD Medication in Older Adults*
- Discussing potential risks and considerations associated with prescribing ADHD medications to older adults.
- Highlighting specific concerns related to coronary health, anxiety, and other potential contraindications.
- Emphasizing the importance of careful monitoring and individualized treatment plans for older adults with ADHD.
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Omg thanks. 1 hour is too long for me.
Chronic stress from never quite reaching the very high expectations others and yourself have for you, especially when ADHD is undiagnosed and untreated
That’s me.
not a day goes by that i don't say to myself "someday it will all be over". i will yell out that i don't belong here that there's been some kind of mistake and we need to abort the mission. i am avman who is waiting to die. 52 yeard of the countlesd frustration of losing things, being late and fucking uo has been enough of a cruel joke.
Omg this is fantastic in every way. I'm surprised I'm still alive at 66, diagnosed at 60. Thank you for all your work, Dr Barkley.
Right there with you. Great job for making it this far, and hopefully, many more years to feel better!
I felt the "often" was not really that strong on me until driving behavior came out. Holy smokes! I'm ADHD AF. Dr. Barkley changed my life!
Dr. Russell is a blessing on the ADHD community
Not really lol
11:21 this seems... important and I would love to ask Dr B more about it - as an undiagnosed adult until 2021, who'd always had symptoms but at least somewhat managed by creating my own coping mechanisms and systems, I experienced my 4th (lifetime) concussion and experienced induced menopause in 2020-2021. It truly felt like I was losing my mind. the head injury/TBI aspect needs to be talked about more - a lot of us have engaged in sporting activities our whole lives and there could be cumulative damage that makes symptoms much worse and be misdiagnosed as dementia!
Not to mention domestic violence concussions - this is what I think changed for me in adulthood
This has been one of the most fantastic lectures I’ve listened to thus far on ADHD.
All of this information is very helpful, as someone with ADHD I wish I could sit through the whole thing
ADD/ADHD is a gift that's extremely difficult to live with. Definitely a double edged sword. I absolutely know that it's saved my life multiple times in Iraq and Afghanistan. By default you are creative, think outside the box, see radom dangers that others don't, solve problems unconventionally, your radom randomness makes it harder to hunt you, and war is chaos which is awesome because you literally swim through chaos in your mind every second of every day.
as real/true this is/may be to your personal life choices/trajectory- using one's innate adaptability and potential to flex exxonately 'in order' to support/execute/follow imposed instructions/commands that justify potential pursuit of aggression on structural and thus far reaching level ain't awesome imho, it's sad to say the least and an energy/power outlet that, however deep rooted it may arguably be, serves no one, not even yourself. War, what is it good for? Absolutely nothing, say it again.. and as much as your adhd brain may be suited to such scenarios, it's the dopamine kick seek. chaos is natural, yes and we're all at war with ourselves (some more than others, sic!) but I personally would not want to dedicate my prowess to the support of exacerbated disruption, distruction and ultimately death.
I suspect there are lots of ADHD people in the military.
i tried paintball i was killed within seconds, not sure about that war.. 😅
@@annettekayou never know why someone enlisted. Often it is to get family health care, or to get a college degree. Of course war is not good, but armed services are the guarantee behind the motion state. Mostly, (not exclusively) it is the working class or disadvantaged that have always made up the bulk of the armed services. And as Tennyson wrote, "Theirs not to reason why, theirs but to do and die".
@@annetteka Seriously? Are you a troll?
I had to laugh while watching this, I was diagnosed with attention deficit disorder at the age of six, I'm 43 now. Started to watch this, video, I am 17 minutes inand and struggling to maintain focus in listening to the rest of this. All of the points he is making I can relate to depression, anxiety, self isolation, wanting to move on in life not being able to. Lacking Focus to move on. Relationship problems, lack of social network, problems within work. Yet I struggle staying focussed for more than 17 minutes in hopes of finding more help through this vifeo. LOL had to laugh at myself.
If someone like you is working a salesman or anything related to customer service, what will happen after 17 minutes? will you leave?
@@samiryan214 great question, to be completely honest my mind has racing thoughts about unrelated topics and I'd struggle to focus on the close of the sale. I've been in situations like closing a sale and it's been tough for myself.
@@reel_images So it can be done with difficulty. How far you would do stay in in this job for, can you survive several years before you collapse?
@@samiryan214 like it was mentioned completing simple tasks for an employer is very difficult as everything else seems more interesting at that time than the task at hand. I have been in my career for 10 years, I have survived but things like group presentations or presenting a team update is very difficult as my mind will race while trying to address the audience.
I am very lucky I had an understanding employer and was able to take a leave of absence to undergo hospital treatment for depression in with ADD. I attened CBT and DBT goups for 8 months wich has helped.
@Sam Bourgeois So if everything is going fine, no issues but if shit start to happen you will find difficulties in dealing with the situation.
This man is an effen hero. 30:15 is my favorite slide.
I am 68 I have not yet seen my doctor yet 6-15 I am actually sure I must have this this is another video which I am in tune with .😊
He’s describing all of my symptoms since I was a little kid. I don’t feel the need to call my ADHD “adult ADHD.”
He isn't saying it's a different thing. He's telling mental health professionals how to identify it in adults when the diagnostic criteria is geared towards children.
@@dragonabsurda sure, that can be true. It can also be true that many people do not present like the stereotypical hyperactive kid when they are kids. He made generalizations that could mislead a clinician.
@@leilap2495 If you listen to the presentation, that is EXACTLY what he said. He said that adults especially do not present like that and many were not simply hyperactive as kids. He even said that the ADHD advisory group tried to get them to update the DSM to better describe what a diagnostician might see in an adult, and that meeting 4 of the diagnostic criteria was sufficient, not the minimum 5 that the DSM currently states.
@@dragonabsurda I am referring to children. Do you not think that children should be identified early? I don’t understand why you refuse to acknowledge that not all kids have the presentation he describes.
I served in the Military for 25 years and people think that I must be extremely disciplined to have done that. The truth is that it was a security blanket for me, the regimented structure held me accountable. When I retired and I had to hold myself accountable I realized how little discipline I really had. If it wasn’t for my daughter having difficulty in school, I wouldn’t have found out that I was struggling with adult ADHD. I was blown away that all this research has been done on all my struggles. I feel like my whole life I’ve been working with a toolbox with all the wrong tools and now I’ve been given a proper set of tools for the job. 😊
10:24 stopped here. My brain keeps disconnecting. I'll be back. 11:04 here
This is my first chance to tell the broader professional world that the fifth criterion, when transferred to a diagnostic question *For The Patient* is drastically misconcieved. It is "inside out and backwards" to ask the ADHD person if they feel this way. The ADHD person does not *feel* "driven by a motor." They are perplexed at why everyone else is so quiet and slow. Why do they lounge around on staircases or in the middle of hallways? Staircases are for going up or going down! They're not for hanging out in! What is going on here, with all these snails & lizards wearing people skins? (That's a metaphor, not a conspiracy theory.) I was told by my therapy group "This questionaire is national and standardized; it's not going to change." Still, I wanted to shout out to the World of Diagnosticians that they messed something up here.
I hate that question, it’s so weird. My brain is always buzzing but that question doesn’t express that, to me it reads more like “Are you an energizer bunny?” Nope, I’m the spinning beachball of death, a lot of work is happening in the background but by all appearances there’s nothing happening.
Oh THIS! 12 months I've run my "motor" on this question
Arrgh. Those slow-movers drive me nuts! ... also, I totally agree with your observation.
Not everyone is hyperactive. There is a ADD subtype without hyperactivity.
You misunderstand my point entirely. I've been on earth quite a while and understand that not everybody is hyperactive. My point is that, for assessing human experience, one's own experience is the baseline against which we assess others. (Or how others *appear to be* given their speech and behaviors.)
The *others* look at me and thing phrases like "driven by a motor". I look at them and thing "snails". "Don't they understand that doorways /stairs are for going *through* / up and down, not hanging out in?"
As I stated initially, the question IS phrased backwards.
Have a good attitude even though everyone who was suppise to care about you hurt you ignored you talk about you rejects you thanks family
I did my assessment in March then was diagnosed in April and found that I'm in the first percentile for working memory 😅but was told my processing speed along with numerical and writing comprehension were extremely high. I always did well academically and socially in school but always felt anxious and kept thinking something was wrong with me because I had to fight myself to do the simplest tasks all the time and nothing felt natural.
I never really had a substance issue, or overly negative behavior problem.
I was introduced to alcohol at 3 (didn't like it, didn't try again till 20, like the taste, hate the feel), started smoking at 20 (I could never smoke more than 4 cigarettes a day), tried THC at 22 (did not like that).
As for behavior, well if I didn't behave as my parent wanted (and sometimes even then), I would be harshly punished (depending on age, of course, my parents knew how to hide their evidence), so I guess I have a deep set in training
I had substance abuse from about 13, but I can't say I've had an overly negative behaviour problem. Not in the way that people stereotype it in adhd. I could never lash out, once i did and it was embarrassing so i never did it again. I was always in detention but never because i was "rude", i just had poor conduct and couldn't stop talking, and often over reacted when told so which made it worse of course. But other than that, the way i react to stimuli that would make some people with adhd lash out is more like a quick and snappy response that i regret soon after saying, or i completely internalise my thoughts. I became terribly passive aggressive because I'm not an aggressive person by nature.
Also i did something abhorrent when i was younger and my dad for the first time beat my bare ass with a curtain wire (as an adult i honestly don't see how else i could have been disciplined so it wasn't a traumatic event for me, not would i call it abuse). But that set a precedent in my mind from that age to not act on impulse so much, i think thats probably one of the only reasons i didn't have many impulsive violent outbursts from then on
Yeah I was relatively a good kid growing up simply out of intense fear of what my parents would do (they were not abusive, I just didn't like being punished and still don't).
@@effervescentrelief just a hint for my life, my parents broke 3 of my bones, because I did something "unacceptable," before the age of 5
I feel desperate, it was welcoming seeing this
ADHD needs Barkley Russel he drove the hole field at least when it comes to communicating and bringing together most puzzle pieces clearly in my opinion. Of course everyone like him once identified deserves admiration too and i have complimented a number of researchers etc in the past.
Making decisions without thinking *strong doubt*
I think it’s more
- memory wont activate
-and social intuition
- and brain just generally not working)
-complex but brain can it just wont (meds on perfect dose +’?’ and variable moments show that)
I currently cannot do anything creative. My mind goes blank, unable to write, draw, talk. I try the exercise but routinely not consistent, have no support or someone to be accountable to. Feeling flat & unmotivated at 82.
Plz help me
Min. 19
Metacognitive abilities include executive function in the frontal lobe, which enables us to hold information such as steps of tasks in mind, remembering to do despite distractions, ability to reengage tasks involves memories in mind, ability to direct our behavior in an intentional way, goal directed behavior over time, action and persistence, whereas ADHD is characterized by the lack of sustained action toward goals, work, assignments, tasks over time, being distracted by goal irrelevant actions, the inability to follow through, stay on task, lack of impulse motor, verbal, cognitive, emotional, motivational control, so inability to delay gratification and susceptible to distractions and excessive task irrelevant activities, can't task switch and get back on track, can't complete lengthy assignments. ADHD is a performance disorder and failure, not knowledge disorder.
I agree, this guy has no clue.
Yea Dr.Barkley pretty much said that in the video lol around the 30 minute mark.
Dr. Barkley..please help me.
Please 😔
I was diagnosed with ADHD (ADD) twice, at 34 and at 38. Now I am confused, from what this guy says I cannot have it? I work as software engineer, being focused for long time and switching between tasks is quite common here, and I would not say I have issues there. I can delay gratification. I can be very persistent towards a goal, just not good at picking them strategically. How I experience my issues is some strange brain glitches here and there, where I don't remember things I should remember, or when I should remember them, things so embarrassing that I don't dare to admit to anyone. And time blindness. My life is a constant struggle to stay above the surface of total chaos.
You don't need every symptom in the DSM-V to be diagnosed with ADHD. You need 5/9 symptoms, but Dr. Barkley has said that adults truly only need 4/9. So symptom severity is different for everyone, and you don't NEED any one particular symptom to classify as ADHD. The idea that you must present a certain way can lead to misdiagnois (ie: someone telling you "you can't have ADHD, you enjoy reading books! ADHD people can't do that"). If you enjoy your work as a software engineer, and are interested in what you do, it's much easier to function/focus. It's still a disorder when your other symptoms are frequent & severe enough that they disrupt your life
THANK YOU!
To save time, he says we all are screwed.
In the middle of Middle East i found 👼 russell
Superb!!
What do you think of adhd being causative of dyscalculia? My worst symptom of dyscalculia is not being able to remember the steps while executing them and not being able to retain an image in my mind of the math example while coming up with the answer. Like if I’m adding 22+44 I will add the right hand column, get the answer is 6 and then forget what numbers were in the left column, or if by some Miricle, I can remember the two numbers in the left column, I forget the answer to the right column, so the answers never come together to equal the sum.
I had that problem when I was in school. I'm told it's because our working memory is impaired from ADHD.
Edit: I still have that problem 25 years later as well haha
@@Cardboardruna i have good visual thinking so i can squash 2s and 4s into 6s graphically, but yes, for some operations i would frantically look for a pen and a piece of paper when other people just blurt out the result.. i also associate digits with certain colors to make it easier
I think they're separate. I got 100s in math in school as long as I was forced to attend. Once I got to university and it was my responsibility to organize my homework and submit assignments, I got a 13%. But I also have a severe ADHD diagnosis.
It's correlated but probably not causally related.
sometimes i think maybe i gave myself ADHD from all the drugs I've done. like i blew out my dopamine receptors or something. is thst a thing? also, if drug use isva known problem with this then why did my doctor say he wouldn't give me medication because i had been self medicating over the 2 years that i didn't have insurance to go see him. i was there to get speed so i could stop taking meth. i stood up and acted like i was going to slap him and said that anger was another problem with my situation as well as drug use. i received a letter that i wasn't allowed back. like i would go to that dumbasd. he is the director for uAB in Huntsville. what a shame
Can we call adult ADHD executive function disorder and only call the childhood version, ADHD?
dude sounds like dryfus in "what about bob.?". i just realized
High time adult ADHD be separated from childhood ADHD
I understand, but the best results come from childhood intervention. It makes sense why it's the typical focus
@@dark_fire_ice lots of adults in the developing world with untreated adult ADHD
@@m4w no real argument there, other than saying, undiagnosed and untreated, ADHD is a global problem.
But "prevention is better than the cure" comes to mind (and likely the justification), for the primary focus on children (of course ignoring the fact the most children will become adults and ADHD is a chronic, seemingly permanent, condition.)
I'm saying it's right or wrong, but the likely reason behind the juvenile focus on ADHD materials
@Sam Bourgeois I was on the boat of diagnosed as a child, but parents didn't care; I know that struggle.
I'm not making an excuse, I'm giving a reason, and that is triage. It is, by all metrics, more beneficial for childhood treatment, than treatment starting in adulthood, so that's the focus. It sucks for us, but we aren't the pay masters, so we don't get to choose where the money goes; we can always form a non-profit committee for the purpose of adult ADHD support, but even then, it will likely never match what Local and National governments offer towards the more effective option
I was going to watch (or at lest watch part of) this video. Then, before it even got going there were extra instructions….. Download slides and do so from an external site… HELLO??? ADHD ppl don’t have time to make time for all that AND a loooooong video. Still, Ty for bringing awareness tho👍
I don’t have ADHD and skipped that bit too…😊 so boring.
It would be really great if the audio wasn't awful
What is there to do? Why get a diagnosis I’ve diagnosed myself after reflecting apon my life doing my own research. Connecting dots pinpointing my symptoms to my outcomes with a thick straight line. Why does it matter if a doctor tells me. I’ve been treating it myself for two years now but I find my self still stuck but my cycle has expanded some but with expansion comes a higher climb so it’s tremendously harder to get back to where I was sometimes I don’t move for days sleepless staring at the ceiling thinking about all the things to do but my body feels like it’s been poisoned whenever I return and I just go right for the floor and stare vertically for hours/days
Expecting to correlate symptoms with school records is ridiculous. Record-keeping is the last thing an adhd person does. Furthermore, what about a 2e person? Twice-exceptional people who are gifted on one way but still ADHD do not fit the model you are using. We all know the DSM sucks compared to the World Health Org criteria and the European criteria. So many Americans, especially 16:14 females, are suffering because of the arrogance and bias of American medical establishment. .
I agree!!
Those with adhd will never find their records in their chaos or have lost them.
I did okay in school and got by but then college was another story. But if you looked at my pre college school records I looked like a decent performing kid. Not stellar grades, but I passed everything, some better than others obviously. Math has always been my achilles heel and is the reason I have 8 years of college but only a 2 year degree.
i get pissed off at material shit not working correctly. i will throw the shit before i even know what happened. I'm an expert at drywall repair. i never get mad at people. well not that often
Oh @additude, how whimsically and classically time blind of you to post a recorded lecture 31 months after the event.
so many swaths! ha, just kidding ya, dr. thank you for being a lighthouse of info in a sea of otherwise. NO respect! i was hoping to see some head injury after diagnosis kind of stuff...i want to show this to every friend i ever lost...as a patient who needs to know why, thank you all for the concerted efforts. "the enviornment kicks back..." stopped me cold-BANG ON~
Please 😔
Keep in mind that mindfulness meditation, therapy and all non fine-tuning meds with computers and lots of effort are promising and they will stay promising for the next 50 years. Some lack evidence some have more and more evidence against but most of all they will stay promising just like 20 years ago until today. As soon as a unbiased machine will do research they probably wont be promising anymore but until then they will stay very promising and people will tell you they work like every alternative medicine and stuff that does not work works for many. Until double blind placebo then it does not but it will be promising and people will again report that it works in the future.
Please spend some time end effort on the audio quality. 20 bucks and 20 minutes to set it up will do it. The content is too valuable to not care this little. 20 minutes into the video and i cant focus at all cause of this. Drives me nuts. What a shame.
😊9
I found this presentation to be rather pejorative towards those with ADHD. Clearly, I'm feeling a bit defensive given that I have ADD but there was very little time spent on the positives. I don't want to come off as being judgemental towards this physician but he also made some definitive comments that didn't seem accurate. For example, he's convinced that Adult-onset ADD is not a 'thing'. However, I never had an issue of paying attention and focus when I was in school all up until I did volunteer work during college and took a couple years away from school. When I returned, it was like my brain had changed and I was no longer able to study for endless hours like I was previously able to do. In summary, I think that if you were recently diagnosed with ADHD and watched this video, you would leave very discouraged and terrified. This doesn't give a positive spin and offer hope that ADD is actually a super power. It allows you to come at problems from a fresh, unique perspective. With that said, understanding the right environment so you can thrive and offer great value is important. If I were giving a presentation on ADHD, that's where I'd spend my time and attention- how can those with ADHD be placed in the right environment to thrive!
As an adult with ADHD who was diagnosed in their 30s, I was also a bit defensive when I first started listening to this lecture. I quickly realized that I was irritated at having to acknowledge the challenges and obstacles that I face -ALL day- in every aspect of my life because of ADHD. It wasn't the information presented, but rather the blunt way the facts were presented. There is a reason that Dr. Barkley gave this lecture and not just someone who was diagnosed with ADHD. He's speaking from a clinical perspective as someone who has done thorough, extensive, and exhaustive research on the condition.
The aim of this lecture was to discuss the issues that adults face when they have a diagnosis of ADHD or when they are going through the process of getting diagnosed with ADHD. It discusses the criteria that need to be met and offers advice to clinicians about diagnosing ADHD. With that having been said, ADHD is not a "super power". It just isn't. There is absolutely nothing wrong with congratulating yourself for thriving with it, nor is there a problem with appreciating some of the benefits of ADHD (creativity, hyperfocus, etc.) but to say that a disorder that specifically inhibits a person's ability to perform basic functions in a neurotypical way is somehow superior to normative function is troubling and quixotic thinking, at best. No person who truly experiences most of the diagnostic symptoms "often" enough to be diagnosed with ADHD is going to willfully acknowledge that they feel superior to others. This isn't due to societal pressures, ridicule, or shame and guilt, but rather a deep, DEEP frustration with the inability to start or stop a task, transition between tasks, or simply do just about anything they actually NEED to do.
The issues you're describing with your inability to focus upon returning to college sound typical of someone who has taken time away from school and is returning to an academic setting. Your ability to focus, and most CERTAINLY to stay up all night studying, diminishes. You're not going to get the same ability to "pull an all-nighter" at age 30 as you had at age 21. That isn't ADHD, it's biology. I'm not saying that you don't have ADHD, nor am I saying that what you've experienced wasn't a true and troublesome problem for you, but you can't attribute an inability to "study for endless hours" to a neurodivergent executive functioning issue. That's like saying that because you stopped drinking alcohol as much as you did in college, you were unable to do a keg stand when you returned after a few years off and now you think you have a digestive disorder.
It is absolutely, supremely important for someone with ADHD to have an environment in which they can thrive. It is likewise important for them to have supportive people in their life and to TRY to maintain a positive, growth-mindset in order to ensure their own future success. Change starts with you, so YES... believing in yourself is paramount. What is dangerous, however, is believing that genuine treatable issues that interfere with everyday functioning and self-care are acceptable because you equate them to "super powers".
Apparently he is backed and founded by big pharma. No wonder he is super negative about ADHD.
Check him out saying that "ADHD Is Not A Gift" and basically saying it's a disability: ua-cam.com/video/wSze0QPgbzU/v-deo.html
@@gssbcvegancat2345 I was going to reply to the first comment myself but I feel that you hit the nail right on the head! Well done!
@@gssbcvegancat2345 I also don´t agree that adhd is a superpower, it certainly isn´t that for me. However, it is not good for you if you are constantly focused on the negative aspects of your disorder. You were talking about being frustrated with yourself. Well you can´t change your brain, is being constantly frustrated helpful to you or does it bring you unneccessary stress? I also get frustrated with myself at times (almost everyday actually) however something changed in me after I got my diagnosis at 42y old. I no longer beat myself over it, I find acceptance faster. I cannot ever be what you call "normal" and I don´t strive to be. Meds help me tremendously however I find it unrealistic to strive to be as good as neurotypicals at certain things so I also find being frustrated about something I cannot change a waste of my time. If this frustration leads to some change in your behaviour then I can see it as a positive but if I were to be constantly frustrated about the symptoms you describe (I do have them all) I would just see it as unneccessary self flagellation. I had this deep frustration you described before my diagnosis. Questions like "what is wrong with me?" "Why do I feel so different?" were everyday occurrences and brought me much suffering. I guess my point is that you should strive to be realistic with yourself and avoid being overly positive or negative about your traits that are unique to you. Be kind to yourself.
Considering how the speaker’s (twin?) brother passed away as a direct result of ADHD, I think he just wants the condition to be taken seriously
Lots of ADHD adults are actually also in IT etc. So totally not working with their hands.
Who understands EF will probably never suggest someone manual tasks.
LOL
Yeah that seems biased to the extremely hyperactive presentation. I have many hyperactivity symptoms but I don’t need to move per se at my job, I just need to be engaged with something.
Doing something interesting on a computer for example would be great for me. I can sit still for hours if I’m immersed in a video game or something. The physical restlessness comes mostly when I am bored.
AMOUNT of Advertising on here is a joke
I can tell everyone here has ADHD because they are impulsively commenting without watching the video lol.