ADHD and Fatigue
Вставка
- Опубліковано 29 кві 2024
- When asked to identify the positive features of ADHD, one of the most common answers offered by individuals is “high energy”. Yet fatigue is one of the most common complains of those with ADHD. Can these opposing sentiments be reconciled?
Fatigue is distinct from sleepiness/drowsiness/sedation although the two often co-occur. Fatigue is the feeling of decreased energy so that one can’t perform to the best of one’s ability. Researchers have devised objective ways to measure both peripheral (muscle) fatigue, and central (brain fatigue). Serotonin, tryptophan, and dopamine all play roles in the perception of fatigue.
With many tasks, those with ADHD may be activating a greater number of brain regions than those without ADHD. This may cause depletion of energy resources, contributing to fatigue. Stimulants, and many other ADHD medications can alleviate fatigue. Ongoing studies suggest branched chain amino acids may be another way to alleviate fatigue in those with ADHD.
References:
The relationship between central fatigue and Attention Deficit/Hyperactivity Disorder of the inattentive type (2022)
www.ncbi.nlm.nih.gov/pmc/arti...
Structural neural correlates of mental fatigue and reward-induced improvement in performance (2023) link.springer.com/article/10.....
Listening Effort Among Adults With and Without Attention-Deficit/Hyperactivity Disorder (2019)
pubs.asha.org/doi/10.1044/201...
bpspsychub.onlinelibrary.wile...
Fatigue in an adult attention deficit hyperactivity disorder population: A trans-diagnostic approach (2016)
Central and Peripheral Fatigue in Physical Exercise Explained: A Narrative Review (2022)
www.ncbi.nlm.nih.gov/pmc/arti...
General:
Psychiatrist, neuroscientist, and author John Kruse, MD, PhD presents practical, actionable, well-researched information about treatment options that scientists and clinicians recommend for adult ADHD and other mental health conditions. Subscribe if you're curious about how neuro-atypical brains can optimize their functioning in our shared, and somewhat strange, world.
Dr. Kruse has posted talks in both the "live" and the "video" sections of this channel. Thumbnails on ADHD topics have a pink background, and those on more general mental health topics have a purple background. A small collection of ADHD-Trump videos have an orange background.
You're welcome to email him with topics you want discussed, people you think he should interview, or if you would prefer a time for the weekly UA-cam Live option other than Tuesdays at 6:00 pm (Pacific Standard Time).
drjohnkruse@gmail.com
Thank you Dr Kruse. I'm newly - and self- - diagnosed with ADHD and I'm finding your series very useful. You present very well. Have a lovely day. x
You're most welcome!
@@dr.johnkruse6708 I also really appreciate your videos!
You seem to know much more than many other professionals who share their ADHD knowledge, even if they, too, seem to know a lot.
Or maybe you simply have a knack for absorbing new information, whether from other people's research or your own clinical experience, connect it to what you already know, and then share your conclusions in ways that result in many more Aha moments for your audience.
Either way, thank you so much for doing this, and so consistently too. It really does make a difference.
@@rdklkje13 thank you! It is gratifying to hear that some people are making good use of information and insights I have collected.
This does explain A LOT!
Thanks for posting 😁
Didnt knew the BCAA link - makes kind of sense. I guess EAA has the same effect.
Hey, is it possible some people with ADHD only have a deficit in norepinephrine and have normal dopamine levels. So this is why strattera works in some. It calms down the restless brain and conserving energy. Raises norepinephrine in all areas and maybe provides a bit of that natural wakefulness a drug like modafinil provides from the stimulation of the Alpha 1 A receptor?
I have another video on this channel about how we simplify neurochemistry by dividing specific tasks to norepinephrine (NE), dopamine (DA), serotonin or others. ua-cam.com/video/ehrFMfXrFNo/v-deo.html
But we know that NE and DA influence each other, so even a drug that is specific for one type of receptor ends up affecting both systems in the brain. It is certainly that some individuals with ADHD have more deviations from "normal" in their NE systems than in their DA systems.
@@dr.johnkruse6708 thank you for the video. I also have a video request. I don’t think you have any videos up on allergies and ADHD. Or more specifically, how inflammation can effect ADHD, I’ve heard of some studies of children preforming better when they are out on elimination diets.
@@plymix8389 I do have a video on autoimmune conditions and ADHD ua-cam.com/video/TDvK8BIQLoM/v-deo.html, but I haven't waded too far into food and elimination diets. Thanks for the suggestion.
@@dr.johnkruse6708 oh yes I only saw that you had that video after making this comment. I’ll be here to watch it, if you ever decide to. I also found it interesting you mentioned how people with ADHD are jailed more/ more likely to commit crime. I have gone through an experience that really opened my eyes. So I started taking Guanfacine a month ago. Basically my first adhd medication. All of my impulses and porn adiction are practically gone. I don’t seek sex anymore, before my urges were so strong they overpowered my morals ( I wanted to only sleep with a wife/long term girlfriend but couldn’t stick to it). Anyways, I recently got put on vyvanse and it brought my impulsive tendencies back, there was girl at my work who had a boyfriend and I had the extreame urge to try try my luck by asking for her number. I haven’t even thought about this prior to taking the vyvanse. Also I tried a double dose that day (I’m on 20mg so this day I did 40mg) what I wanted to do to with that girl is somthing against my morals because I belive that “you shouldn’t sleep with another persons girl, because you Woulng like that happening to you”. Now this just shows how the same exact mind can have such different impulses and abilities to stick to morals, just by changing the ammount of dopamine in a mind. I wonder how much of better place the world would be if people were given somthing like Guanfacine to dampen them. There probably would be less cheating, rape, better morals, less gossiping and bullying. Less impulses to do bad that give a short term thrill. I’ve learned so much by just experimenting with drugs. Now I think I will only look for a wife that has signs of low dopamine because they might be more loyal.
@@plymix8389 oooh! yes!!!
I have ocd all my maternal side and i lost my mum.lasti year severe ms heds niw u no linked to autism my mother didnt have fatigue pre illness but my father surely has adhd so my fatigue from there as my son as adhd autism ti and fatigue awaiting to try meds will it make my ocd worse
i have problems with too much sleep when i take medication. i'm wondering if i have adrenal issues? low dose ritalin allows me to sleep like a baby. when i'm on a normal dose i find i can sleep and sometimes i can't sleep. i seem to cycle in and out of peripheral fatigue!
It's possible, but adrenal problems aren't one of the more common reasons for fatigue. I usually start by trying to ascertain whether or not you are getting a full 7-8 hours, at the same time, each night.
Have you any information in the adhd autism fybromyalgia CFS connect ion
I have videos here on immunologic function and ADHD, and long COVID and ADHD, as well as this video on fatigue, but none specifically on fibromyalgia encephalomyelitis and ADHD. I'll see if there is any formal research, and if there is, I will talk about it in the future. I also have a video here on ADHD and autism: ua-cam.com/video/V7xvaJXM-Ag/v-deo.html
@@dr.johnkruse6708 When you do this, or separately if more appropriate, maybe having a look at the collagen/EDS/HMS connection as well would be interesting. At least for me, this is one of the more promising areas of cutting edge ADHD research. (I searched your channel for these terms and no videos came up, my apologies if you've already covered this in a video using different terminology.)
Caffeine isn’t necessary coffee - adhd people are not specifically into coffee but more into energy drinks.
I have both but I have a friend pure ADHD he's give himself diabetes with them I can't stand energy drinks effect IBS
That might be a generational difference.
@@rdklkje13 maybe us but they give me IBS as does coffee
@@Truerealism747 no, you use sugar free products with adhd.
@@rdklkje13 could be, yes.
Vyanse ruins your sleep massively.
Most of the people with whom I have worked have not had problems with insomnia if they took it early enough in the morning, and at a suitable dose. If the dose of Vyvanse is too high, it ends up lasting substantially longer, rather than peaking at higher blood levels - see my video about Vyvanse.
It did at first, but after a few weeks I'm on 40Vyvanse, and I sleep 8 hours like a log. To me it has reduced daytime sleepiness so I'm getting a more normal day vs night energy / rest cycle ❤
@@laisa. Thanks for sharing. That seems to be a relatively common experience - improved sleep after someone starts daytime stimulants.
@@dr.johnkruse6708
I want to be respectful and not just write a comment in 3 seconds.
Actually I have to work right now.
I am gonna watch the suggested video first.
Than I will think what to do next.
@@user-zt4zr7eg6z I'm happy to hear your thoughts when you're ready to offer them.