#1 BRAIN EXPERT: “If I Had ADHD, This is EXACTLY What I’d Do!” #1 Trick to Focus NOW (pt.1)

Korte Samenvatting

Deze podcastaflevering met Dr. Daniel Amen onderzoekt ADHD, waarbij hij ingaat op de prevalentie, diagnose en impact ervan. Hij bespreekt hoe de moderne samenleving ADHD kan verergeren, het belang van het herkennen van gedragspatronen en de rol van genetica versus omgeving. Dr. Amen benadrukt het belang van een digitale detox en een eliminatiedieet als eerste stappen, en legt uit hoe voeding en levensstijl een cruciale rol spelen bij het beheersen van ADHD. Hij bespreekt ook de langetermijneffecten van onbehandelde ADHD, het potentieel voor geleerde hulpeloosheid en het belang van vroegtijdige interventie om de cyclus te doorbreken en de hersengezondheid te bevorderen.

  • ADHD wordt vaak over- en ondergediagnosticeerd, vooral bij vrouwen en niet-hyperactieve personen.
  • De moderne samenleving met zijn gadgets, bewerkte voedingsmiddelen en chronische stress kan ADHD-symptomen verergeren.
  • Een digitale detox en een eliminatiedieet kunnen de symptomen aanzienlijk verminderen voordat medicatie wordt overwogen.
  • Onbehandelde ADHD kan leiden tot ernstige problemen zoals schooluitval, drugsmisbruik en relatieproblemen.
  • Vroegtijdige interventie en een gezonde levensstijl zijn cruciaal om de cyclus van ADHD te doorbreken en de hersengezondheid te bevorderen.

Intro

De introductie zet de toon voor de aflevering, waarin de vraag wordt gesteld hoe je kunt bepalen of je ADHD hebt of gewoon afgeleid bent door de huidige overweldigende tijd. Dr. Daniel Amen, een psychiater en klinisch neurowetenschapper, wordt geïntroduceerd als de gast die inzicht zal geven in ADHD. De introductie benadrukt de veelvoorkomende symptomen van ADHD, zoals een korte aandachtsspanne, afleidbaarheid, desorganisatie, impulsiviteit en hyperactiviteit.

Waarom komt ADHD tegenwoordig zo vaak voor?

Dr. Amen bespreekt de toename van ADHD en stelt dat de moderne samenleving de aandoening aanzienlijk verergert. Hij wijst op gadgets die onze aandacht stelen, bewerkte voedingsmiddelen die onze hersenen niet prettig vinden en chronische stress als factoren die bijdragen aan de toename van ADHD. De eenvoudige oplossing van medicatie wordt bekritiseerd omdat deze geen langdurige gezondheid oplevert. Dr. Amen legt uit dat ADHD altijd al heeft bestaan en dat de genetische component een belangrijke rol speelt. Hij benadrukt de ernstige gevolgen van onbehandelde ADHD, zoals schooluitval, drugsmisbruik, gevangenisstraf, echtscheiding en faillissement.

Wordt ADHD over- of ondergediagnosticeerd?

Dr. Amen is van mening dat ADHD zowel over- als ondergediagnosticeerd is. Het wordt overgediagnosticeerd omdat het vaak als een eenvoudige oplossing wordt gezien, maar ondergediagnosticeerd, vooral bij niet-hyperactieve personen en vrouwen. Hij wijst op genderbias in de diagnose, waarbij jongens eerder gediagnosticeerd worden dan meisjes. Dr. Amen benadrukt dat veel moeders met onbehandelde ADHD depressief lijken en SSRI's krijgen voorgeschreven, wat hun ADHD kan verergeren. Hij legt uit hoe serotonine en dopamine elkaar in evenwicht houden en hoe SSRI's de dopamine kunnen verlagen, waardoor mensen gelukkiger maar meer afgeleid worden.

Belangrijkste gedragspatronen die ADHD signaleren

Dr. Amen beschrijft de belangrijkste gedragspatronen die ADHD signaleren. Deze omvatten een korte aandachtsspanne voor alledaagse taken, gemakkelijke afleidbaarheid, desorganisatie en uitstelgedrag. Hij legt uit dat mensen met ADHD zich wel kunnen concentreren op nieuwe, stimulerende of beangstigende dingen vanwege de intrinsieke dopamine die ze dan aanmaken. Hij benadrukt dat het belangrijk is om naar het patroon van de aandachtspanne over tijd te kijken. Dr. Amen legt uit dat mensen met ADHD te veel zien, horen, proeven en ruiken, waardoor ze constant afgeleid worden. Hij geeft een persoonlijk voorbeeld van hoe zijn vrouw de labels uit zijn kleding knipte omdat ze die niet kon verdragen, wat een teken is van overgevoeligheid voor sensorische input.

Word je geboren met ADHD of kan het zich later ontwikkelen?

Dr. Amen stelt dat ADHD waarmee hij spreekt, iets is waarmee je geboren wordt en dat je het terugziet bij je ouders. Hij legt uit dat hoewel aandacht getraind kan worden, de echte ADHD genetisch is. Hij geeft aan dat mensen met ADHD witte ruis nodig hebben om te slapen omdat ze anders alle geluiden in huis horen. Hij benadrukt dat mensen met ADHD vaak te laat zijn en dat ze stress nodig hebben om dingen gedaan te krijgen.

Waarom presteren sommige mensen alleen goed onder stress?

Dr. Amen legt uit dat mensen met ADHD vaak uitstellen tot iemand boos op ze is, omdat ze stress nodig hebben om dingen gedaan te krijgen. Dit veroorzaakt stress bij de mensen om hen heen. Hij maakt een onderscheid tussen mensen die goed presteren onder stress en mensen die stress nodig hebben om te presteren. Hij benadrukt dat als een kind moeite heeft op school, het belangrijk is om ervoor te zorgen dat ze hun iPad niet mee naar bed nemen, omdat slaapgebrek de symptomen van ADHD kan nabootsen.

Hoe uit ADHD bij volwassenen zich als conflictzoekend gedrag?

Dr. Amen deelt een casus van een vrouw met een hoge intelligentie die een zelfmoordpoging deed na een ruzie met haar man. Hij herkende de tekenen van ADHD en ontdekte dat haar hersenscan een verminderde activiteit in de prefrontale cortex liet zien bij concentratie. Dit hielp haar te begrijpen dat het niet haar schuld was. Dr. Amen legt uit dat mensen met ADHD vaak negatief en conflictzoekend zijn, omdat dit dopamine-gedreven gedrag is. Hij benadrukt dat het activeren van de frontale lobben negativiteit kan verminderen.

Wat veroorzaakt ADHD echt? Genetica of omgeving?

Dr. Amen stelt dat ADHD genetisch is en dat mensen niet genoeg dopamine aanmaken. Medicijnen zoals Ritalin en Adderall verhogen de beschikbaarheid van dopamine. Hij waarschuwt dat als iemand geen echte ADHD heeft, de medicatie de situatie kan verergeren. Dr. Amen legt uit dat er verschillende soorten ADHD zijn en dat zijn boek "Healing ADD" de zeven types beschrijft. Hij beschrijft type 1, de klassieke ADHD, met symptomen als een korte aandachtsspanne, afleidbaarheid, desorganisatie, impulsiviteit en hyperactiviteit. Hij deelt een anekdote over zijn dochter Kaitlyn, die als baby al erg actief was.

Kun je leren om emoties te reguleren met ADHD?

Dr. Amen bespreekt of mensen met ADHD hun emoties kunnen leren reguleren. Hij legt uit dat medicatie soms de emoties kan onderdrukken en dat het belangrijk is om de dosis zorgvuldig te titreren. Hij geeft voorbeelden van hoe medicatie de prestaties van atleten kan verbeteren door de focus te vergroten en impulsiviteit te verminderen.

De langetermijnimpact van onbehandelde ADHD bij kinderen

Dr. Amen haalt een studie aan die aantoont dat kinderen met onbehandelde ADHD bijna twee keer zoveel kans hebben op alcoholmisbruik of andere vormen van drugsmisbruik. Dit komt door een gebrek aan impulscontrole en het feit dat ze zich niet prettig voelen. Hij wijst op de invloed van de samenleving, met name alcoholreclames, die deze problemen kunnen verergeren.

Moeten alcoholreclames worden verboden?

Dr. Amen is van mening dat alcoholreclames verboden zouden moeten worden, net als bij roken. Hij wijst op de risico's van alcoholgebruik, waaronder een verhoogd risico op kanker. Hij bekritiseert de boodschappen in de samenleving die schadelijk zijn voor mensen met ADHD. Dr. Amen waarschuwt voor de gevaren van het bagatelliseren van middelen zoals marihuana en psilocybine, en vergelijkt dit met eerdere misvattingen over benzodiazepinen en alcohol. Hij benadrukt dat marihuana schadelijk kan zijn, vooral voor tieners, en dat het de hersenfunctie kan verminderen.

Hoe een eliminatiedieet en digitale detox kinderen kunnen helpen

Dr. Amen adviseert ouders om te beginnen met een digitale detox en een eliminatiedieet als ze symptomen van ADHD bij hun kinderen zien. Hij verwijst naar een studie die aantoont dat 70% van de kinderen hun ADHD-symptomen kwijtraakten door gluten, zuivel, maïs, soja, kunstmatige kleurstoffen en zoetstoffen te elimineren. Hij benadrukt het belang van voeding en biedt een gratis online test aan op addypetest.com.

Waarom voeding een cruciale rol speelt bij het beheersen van ADHD

Dr. Amen legt uit dat de hersenen 2% van het lichaamsgewicht uitmaken, maar 20-30% van de calorieën verbruiken. Een fastfooddieet kan leiden tot een "fastfood mind". Hij legt uit dat gluten en zuivel glutiomorfinen en quomorfinen produceren, die werken op de opiaatcentra van de hersenen en een versuffend effect hebben. Hij benadrukt het belang van eiwitten in de ochtend voor kinderen met ADHD, omdat dit de werking van hun medicatie kan verlengen.

Hoe ADHD leidt tot geleerde hulpeloosheid

Dr. Amen bespreekt hoe ADHD kan leiden tot geleerde hulpeloosheid. Kinderen die voortdurend te horen krijgen dat ze slimmer zijn dan ze laten zien, maar toch moeite hebben, kunnen opgeven omdat hun hersenen minder actief worden bij inspanning. Hij legt uit dat dit kan leiden tot depressie en een negatieve impact op het zelfbeeld. Dr. Amen deelt een scenario waarin een vrouw haar zoon met ADHD naar hem brengt en hij ontdekt dat zij ook ADHD heeft. Na behandeling kan ze depressief worden omdat ze zich realiseert wat haar leven had kunnen zijn als ze eerder behandeld was.

Kun je de cyclus doorbreken en voorkomen dat je ADHD doorgeeft aan je kinderen?

Dr. Amen is van mening dat het mogelijk is om de cyclus van ADHD te doorbreken, maar dat het belangrijk is om vroeg te beginnen. Hij benadrukt het belang van hersengezondheid en het maken van goede beslissingen als tiener, omdat vrouwen geboren worden met alle eicellen die ze ooit zullen hebben. Hij benadrukt dat ouders hun rol niet moeten opgeven en controle moeten houden over de omgeving en het dieet van hun kinderen. Dr. Amen legt uit dat wat je in het leven doet, bepaalde genen aan- of uitzet, waardoor de kans op ziekte groter of kleiner wordt, niet alleen bij jezelf, maar ook bij je kinderen en kleinkinderen. Hij benadrukt het belang van gezonde ouders, omdat ook het sperma van de vader een rol speelt.

Summarize any YouTube video in seconds

Get summaries like this one for any video, in your language, with the free Summ app.

Download on the Apple Store
Get it on Google Play

Transcript

YouTube Transcript Generator

0:00 How do I know the difference between whether I have ADHD or I'm just distracted because we're living in an overwhelming time? Short attention span, distractability disorganization impulsivity, and hyperactivity. They can't sit still. Psychiatrist and clinical neuroscientist Dr. Daniel Ammon. One pioneering psychiatrist says that feeling better starts with understanding your brain. And 90% of mothers work outside the house. When they have untreated ADD, they often look depressed and they get on something like Flexipro, which actually makes them more ADD, happier, but more distracted, happier, less focused, happier, more impulsive.

0:47 You eliminate gluten, dairy, corn, soy, artificial dyes, and sweeteners. 70% of the kids lost their ADB. No way. Someone's sitting here thinking, "Well, I'm not going to achieve anything with my life because I've got ADHD." What would you say to them? The number one health and wellness podcast, J Shetty. J Shetty, the one, the only J Shetty. I want to start pretty direct. Why does it seem like everyone today has ADHD? A lot of people do, but our society is dramatically elevating it. When you think of the gadgets that steal our attention, the

1:36 ultrarocessed foods that our brain really doesn't like, the chronic stress, it's like, what's the simple answer? And the simple answer is, let me medicate you. and you'll focus better, but not for long. And so, as our society has taken more medication, we have not gotten healthier. So, I think for people who really have ADD or ADHD, and I use those terms interchangeably because the way we diagnose people, it used to be ADD and by a vote of people, they changed it to ADHD, which I think was actually a big mistake. It's always

2:23 been there, right? You can actually look in the Old Testament and you go, "These people had ADD." The real ADD is genetic. You get it from your mom or dad. You can see it in your people. You can see it in your ancestors. And left untreated, they're very serious problems. So if I think somebody really has ADD and that medicine would help them, they always go, "What are the side effects?" Always tell them, "Your appetite will be less. Take it too late in the day, you may have trouble sleeping." Um, sometimes people get headaches or tummy aches. Those almost always go away. If you're prone to ticks, you may have more ticks. But I want them to ask the other

3:08 question is what are the side effects of not taking appropriate treatment for ADD? And it's things like school failure and drug abuse and incarceration, divorce, bankruptcy. I'm so happy we're talking about it because this is a really serious issue because if you go to places like prison, there's a high percentage of people who have untreated ADD that did not have proper focus or impulse control. So would you say that is ADHD being overdiagnosed? I think it's overdiagnosed and underdiagnosed.

3:54 overdiagnosed o overall because people see this as the simple answer. Underdiagnosed especially in people who are not hyperactive or females because we still have gender bias in this country. If you have a little boy and he's not doing well in school, you get really worried because you realize he's going to have to take care of her family someday. for a girl if she's not doing as well. Well, you think maybe she's not that smart and you hope she marries somebody nice, which is completely irrational given that we now have three generations of women who are in the workforce here in California. 90% of mothers work

4:40 outside the house. And when they have untreated ADD, they often look depressed and they get on something like Lexapro on an SSRI, which actually makes them more ADD, but now they don't care that they're more ADD because serotonin, we'll talk about it, they counterbalance each other. So serotonin is the neurotransmitter of happiness of flexibility. Dopamine more the neurotransmitter focus motivation. Let's follow through and get this done. And when one goes up, so serotonin goes up, someone puts you on an SSRI,

5:27 dopamine goes down. And so happier but more distracted. happier, less focused, happier, more impulsive. Yeah. And I think that's what so many people are feeling today where they naturally feel a sense of brain fog. They're overwhelmed with information. I was reading somewhere that we now consume 72 gigabytes of information per day which someone had translated to reading a 100,000 words every single day which when you think about that that is so overwhelming. So how do I know the difference between whether I have ADHD or I'm just distracted because we're living in an overwhelming time. So you

6:14 look for patterns of behavior over time. So the hallmark features of ADD or ADHD, the first one is short attention span. It's really hard to focus, but not for everything. And this is what fools people. It's short attention span for regular routine everyday things, school work, homework, paperwork, chores. the things that make life work. And if you have a half an hour of homework, parents will often say it takes him or her two hours to do and I have to structure their time. That's very common. But for

7:00 things that are new, novel, highly stimulating or frightening, people with ADD can pay attention just fine because they have their own intrinsic dopamine. And what I find is love is a drug. Love is dopamine. So say you're getting all C's and D's except one A. and the A whether it's in history or whatever, it's because you love the teacher or you love the subject. But it's not this one thing we should be looking at. It's the pattern of your attention span over time. The second is they're easily distracted. And what that means is they

7:46 see too much, they hear too much, they taste too much, they smell too much. So they're constantly distracted by the world coming at them. The brain is really good at suppressing unnecessary noises or unnecessary thoughts. But when you're preffrontal cortex, so we'll talk about that. The front part of your brain, the front third of your brain, largest in humans than any other animal by far. When it's sleepy, it can't sort of suppress the noise. I grew up three houses from the freeway in Southern California and lots of noise, but I never heard it because my brain went,

8:34 "Oh, you don't need to listen to that." So, it would suppress it. So, someone who has ADHD, can't suppress it. Interesting. And so, the world comes at them too much. And you you see it with the clothes they wear. They hate seams and they hate tags because their body feels it. So, I've been married twice. Both of my wives have ADD of one form or another. And the first time when I got married, I went, it's like right after I got married, I went to my closet to get a shirt and I noticed the tag was cut out of my shirt. And I'm like, that's weird. And then I looked at all of my shirts and all of the tags were out and I felt violated. And I went into the

9:21 living room with the shirt and I'm like, "Why is my shirt missing the tag?" She goes, "Oh, don't you hate tags? Like, I hate tags. I thought you'd really like that I cut them all out for you." And I'm like, "I've never felt a tag in my life. Please don't damage my clothing." That's Yeah, that's fascinating to me. So, because I can relate to what you said, I'm very unaffected by outside noise and definitely my brain creates the same boundary that you said yours does, where I could be in a really noisy environment, but I can go totally internal if I'm focused on something. Now, does that mean that we're born with ADHD or can we train attention? Well, we

10:07 can train attention, but ADHD I'm talking about is what you're born with. What you see it in your mom, you see it in your dad. I have, they told you my first wife had ADD, which means three of my children have it. So, I know more about this than I want to. And if you think of distractability, what does an orgasm require? Focus. You have to pay attention to the feeling long enough in order to have an orgasm. And so if that becomes really hard, well, that's a problem for both the person and their partner because their partner will like,

10:54 "Oh, she doesn't love me or I'm not enough." when it has nothing to do with that. It's just they're easily distracted. People with sort of the real ADD, they need white noise at night. And I'm like, it's the middle of winter. It's Washington DC. The fan is on. Like, why is the fan on? It's like, oh, I need the noise or I won't be able to sleep cuz I hear everything that's in the house. So, short attention span, not for everything. easily distracted, disorganized. So, it's hard for them. It's not natural for them. If you look at their rooms, their desks, their book bags, their filing cabinets, and time,

11:40 they're often late. And I like to be early. I'm like, if I have if I have a flight, I'm there two hours early because my brain thinks of all the things that could go wrong on the way to the airport and the flight's important to me. People with ADD, it's last minute. Last minute. And I used to fight. I'm like, "No, we need to go." And and then I just started lying. It's like the flight is at noon. Uh when really it was at 1:00. And because her organization wasn't such, she didn't really catch on to how much of that is training. Like I feel like I grew up with a mom who is very meticulous with time. So my mom trained me to always

12:27 believe that if you're not early, you're late. And so I also live in a world that you do, which is I'm always at the airport early. I'm always making sure of anything that could go wrong. Security could take a bit longer. There's so many other things that to me I've always felt came because I had a mom who was super organized and I've inherited that by watching her even now like my mom trained me how to make sure we locked all the doors at night and you know we didn't grow up in a really safe area so there was this very hyper attention to make sure so I'm very good at that and how could have been because her brain was busy in the front and she also gave that to you. Yeah. Right. So, some of it is training, but if she had ADD, she

13:14 wouldn't give that to you and you would often be chronically stressed because she wouldn't get you to school on time or she wouldn't be there on time to pick you up or it's really important you have a soccer practice and you're late. the the level of stress in ADD ADHD families is very high because of the distractability, the disorganization. And the fourth one is procrastination. They don't do things until someone's mad at them to get it done. They need stress in order to get stuff done. And that just makes everybody around them

14:00 stressed. Uh, and it makes them stress because, you know, they're often late because they actually don't start getting ready until it's like, "Oh my god, I'm late." And then they always show up like either right on time, flustered, or 10 minutes late, always apologizing. And that's different from people who perform well under stress. This is someone who needs stress in order to perform. In order to perform. Yeah. Right. If your child's struggling in school, make sure they're not taking their iPad to bed. So often it's because kids are sleepdeprived. They look like they have ADD because parents are really not properly supervising the kids. You eliminate gluten, dairy, corn, soy, artificial dyes, and sweeteners. 70% of

14:48 the kids lost their ADD. No way. So the first thing is not let me give you this drug in my mind. The first thing is do a digital detox and do an elimination diet and do it for a month. Food is so important. If they really have ADD or ADHD, they're going to have it 3 months from now or four months from now. Let's do this and see because I think if someone really has ADD, withholding medicine is like withholding glasses from someone who can't see. And that's neglect. When I first started imaging, it was on an

15:34 ADD woman. So, I went into a lecture on brain spec imaging in my hospital in April 1991. And I walked out and I had a new patient. and her name was Sandy and she was 44 and she was beautiful and undermployed. She had an IQ of 144 and she was a lap tech and she was in the hospital because she had a suicide attempt the night before in an impulsive act when she and her husband had a fight. And I'm like, ADD, ADD, ADD. She had an 8-year-old son that had ADD. And I'm like, I think you have ADD. And she's like, oh, adults can't have it. And thinking to myself, but not saying it because I don't have ADD. It's like, I'm the doctor. Adults totally can have ADD. And I said, "Can I scan you?" Cuz

16:22 I've just learned about this new technology. And I scanned her twice. Once at rest, once when she did a concentration task. And when she tried to concentrate, the front part of her brain shut down rather than what it should have done was turn on. And I put the This is why I love imaging. I put the scans on her hospital table and I was explaining to them and she started to cry and she said, "You mean it's not my fault?" And that's the moment I got hooked on imaging cuz I already knew the diagnosis. She it immediately evaporated shame. And then she's like, "All right, let's talk about adult ADD." and she had all of the

17:10 things including the impulse control issues, but because she was so bright, she didn't bring enough negative attention to herself and never gotten the help. And after I treated her, she finished college. She stopped picking on her husband. Because another trait that a lot of people don't understand is they become negative seeking, conflict seeking, and excitement seeking. And those are all dopamined driven behavior. So if you have a low level of dopamine, well, if you pick a fight with someone, now all of a sudden there's some excitement going on. If you jump out of an airplane, that has a whole bunch of dopamine associated with

17:56 it. But and I experienced this. It was that poking. It's like, we're going on vacation. Why are we having a problem? and activating their frontal loes, they're less negative. And I'm just publishing a study on negativity bias. So, I'm very interested in are you positive or are you negative? Now, unbridled positive thinking is a disaster. You die early. But negative thinking, you actually have low function in your frontal loes. And many of the ADD people I see tend to see the glass as half empty and that wears on them. So if we highlight the short attention span

18:42 not for everything disorganization procrastination impulse control it's like the break in their brain is vulnerable and they say things often that you shouldn't say. It's like the inside voice gets out. They do things that it's like wish I hadn't done that. So they actually live with a lot of regret. And your preffrontal cortex is called the executive part of the brain because it's like the boss at work. It's involved in focus forethought judgment impulse control organization planning

19:29 empathy, learning from the mistakes you make. And when it's sleepy, you have all those problems which just describes ADD. And um strengthening it is critical to your humanity. Did you know that sociopaths have 10% less volume in their preffrontal cortex? So they're a little less human, if you will. Even 10% has that impact. 10%. It's huge. And this is why you should never let a child hit a soccer ball with their forehead. It's just so stupid. And

20:16 like I'm not a huge fan of allowing kids to play tackle football because it's more likely to damage the part of them that is the boss. And people who have ADD are often executives of their own companies because they don't work well often with other people. And so they're entrepreneurial and some wildly famous people have said they had ADD like the person who started JetBlue. He was public with that. It can look false. It can be masquerade. you have ADD because your parents gave you an iPhone when you were a year old. And I think we're

21:01 wising up. That's not a good thing to do. But still, children should not have smartphones until they're 15, 16. Social media. Australia banned social media under 16. I think that's so great, right? Taking the neuroscience and making it public policy. California, you can't start school in the morning before 8:00. Taking the what we know with neuroscience, kids who get just an hour less sleep have a higher incidence of depression and suicide. So, all right, cut out the zero periods. I love that neuroscience and then public policy. Do we know what causes ADHD? It's genetic.

21:47 people are not producing enough dopamine and the medicines we use like rolin or aderall they increase the availability of dopamine now the problem is is if you don't really have it what you have is society induced ADHD the medicine will disrupt you and make you worse and early on I realized when I scanned people cuz I've scanned 30 or 40,000 people who have ADD of one type or another. It's not one thing. Early on, I'm like, "Oh, it's seven different things." And so, my book, Healing ADD, I talk about seeing heal the seven types.

22:32 And so, can I talk about the type? That I was just about to ask my next question. You you're already you're already one step ahead of me. So, let me let me ask you. So, type one is the classic most people think of ADHD. short attention span, distractability, disorganization impulsivity and hyperactivity. They can't sit still. And one of my kids when she was born, we thought she was going to be a boy because in her mother's womb, she was so active. And the lore is the more active a baby is inside their mother, the more likely they are to be a boy. She wasn't. When I held her older sister, we could watch movies. She'd sit on my lap. She was just calm. Her sister when he tried to hold her was like trying to hold a

23:18 live salmon. She's so wiggly. And then I take her to the mall. She would have been one of those children on the little yellow leashes, the big bird leashes in the mall. But I wrote a column in the local newspaper. So when I went to the mall, people recognized me. It's like, Dr. Ammon, I loved your column. Why is your child on a leash? So, what I used to do with Kaitlyn is put her in her stroller and tie her shoes together so she couldn't get out cuz she's like, "Where are you going?" And I remember just holding her hand. I take my little pinky and wrap it around her wrist because and I had spiritual problems because of this child. We would go to church and I don't know why Catholics take children into church rather than, you know, send them to children's

24:05 church. But anyways, she was so active and blurting out and I'm like the only child psychiatrist in the county and if my child is the worst one that's bad for business. So I used to take her out and threaten her life and now I'm worried about her eternal soul. and I adore her and she's 37 now and Haven is just like her, which is, you know, my six-year-old granddaughter is just like her. It's genetic. And when we first got her diagnosed, the doctor who was really great looked at me and then looked at her mother and goes, "So, who has this

24:51 cuz it's genetic." And I'm like, "It's not me. I do everything early." now written 42 books. Every one of them's been handed in early. And her mom goes, "It's not me." But then I was so grateful cuz it took her like 12 years to get through college. And she just she asked her this one question. This is a great adult ADD question cuz she was still in college at the time. She goes, "How do you study?" She goes, "Oh, I can never study at home. I get so distracted." I go inside my little car underneath a street lamp. No kids, no noise, nothing. there I can study and the doctor goes you have ADD it was very helpful for me and for her that's type one that's type one classic

25:37 type two is inattentive ADD short attention span distractability disorganized procrastinate but they're not impulsive and more common in girls they're not hyperactive in fact they can a little bit hypo active. And those first two types were described in the DSM when they first created this diagnostic category in 1980. I describe the next five types. The third one is overfocused ADD where the problem is not so much you can't concentrate, it's you can't shift your attention that you get stuck. And if you can't shift

26:23 your attention, you cannot pay attention. But it's a different mechanism. And I found this to be a particularly true in children and grandchildren of alcoholics. And they tend to be argumentative, oppositional worry. If things don't go their way, they get upset. And on the surface, they appear selfish. They're really not selfish. they're just not flexible and stimulants tend to make them more worried and more upset. Type four is called limbic ADD. It's where their emotional brain is too busy and it's sort of like ADD plus

27:09 mild depression and the glass is always half empty for them. Type five I think is such an interesting one is temporal lobe ADD. They have problems in one or both of their temporal loes. Often goes with learning problems, but mood instability irritability temper problems. One of my first great cases was Chris. He his third psychiatric hospitalization. This time he took a pencil and put it in the neck of one of his classmates. Stimulants made him hallucinate uh all the other medicines. And I'm like, I'm scanning you. And he had left problem. which goes with violence. I put him on an anti-combulsant, an anti-seizure medicine, became the sweetest kid. And

27:56 then he still had trouble concentrating. So then after I got the temporal override, I gave him a stimulant. Masterful. I mean, this kid just did phenomenally well. And then the ring of fire, that's one I may be most known for. The problem is not low activity, it's too much activity. Please don't give them a stimulant because they can become violent and aggressive. Actually use a supplement to calm things down in their brain. Very effective. Then the last one's anxious ADD where they're really anxious and so they tend to be early to things but disorganized, distracted, so on. So knowing the type and that's why rolin has a bad reputation for the right

28:42 brain it's miraculous for the wrong brain it's a nightmare a lot of people who have ADHD say they feel emotions much more strongly and deeply can they start to regulate their emotions is there a way to do that or is that medication well and sometimes with the medicine they don't like it because it feels like it suppresses their emotions interesting And my daughter Caitlyn when I put her on rolin cuz she was hyperactive and then she was dramatically less hyperactive. But I found I had to titrate the dose down because I could see it putting a lid on her personality, which is not what you want to do. And so often you want to

29:28 work with someone who's really knowledgeable to titrate the dose up and down effectively. If you're a baseball player, so just thinking of athletes, the medicine gives you a better batting average. If you're a linebacker in football, you might be a little bit less aggressive because you're more thoughtful, right? So if you want to play with abandon, you probably don't want a stimulant. on board. But I find for some of my professional athletes, they're just much more focused and less likely to get technical fouls because they're not a hotthead. And when you see the world like I see it and you're watching, you know, someone have a meltdown on the

30:13 court, I'm like, I wonder what's going on in that person's brain, right? Rather than just judge them is bad. I haven't scanned Draymond Green, but I want to. I saw a study that found that children with untreated ADHD are nearly twice as likely to develop an alcohol use disorder or other substance abuse problem. Why is that? Because of the lack of impulse control and they don't like how they feel. Right? If you've been told every day to settle down or you've brought negative attention to yourself over time, it activates your emotional brain and you want to settle it down and you don't have good forethought or good impulse control and

31:00 you're more likely to drink and it's just so prevalent. Plus with society. During the Super Bowl, there were 30 beer commercials and the rest of them were Jack in the Box, right? So, it's like we we're just being flooded with these awful messages that take people who have ADD, make them more ADD, and then they engage in habits that aren't helpful. Do you think there should be a ban on alcohol advertisements as much as there is obviously on smoking? Like, yeah, it's not a health food. I mean, the American Cancer Society came out three years ago and said you shouldn't drink because it increases your risk of seven different types of cancer. The surgeon general last year said we should

31:47 put alcohol cancer warning label signs on alcohol. I think when you just look at our society from the digital addictions and social media and technology to the bad food, the ultrarocessed food that so many people that's 80 or 90% of their diet to marijuana is innocuous which is a complete lie. Alcohol is a health food. No. And now the big new thing is psilocybin. It's great medicine. And it's an anti-depressant. It'll treat your PTSD and it's increased psychosis to emergency rooms 300%. It is not innocuous. Now, might it

32:35 become a a good treatment? I don't know. But I feel like I've seen this party before, right? One of the big benefits of being 70 is you've seen lots of things. The early 80s, benzo are innocuous. their mommy little helper. We know benzo are highly addictive and increased the risk of dementia. The early 90s alcohol is good for your heart. You should drink. It's a lie. You shouldn't drink. It increases your risk of stupidity and cancer, right? And if you're ADD and you have sleepy frontal loes, now you drink, you have sleepier frontal loes, still not a good thing. And then pain is the fifth vital sign, right? The Purdue Pharmaceuticals came

33:20 out with let's let's get more people to take opiates and came out with these campaigns and spent billions of dollars on marketing and it was a disaster. And then the whole marijuana is innocuous during not this presidential campaign, the last one. Joe Biden was debating and they asked him, "Should the federal government legalize marijuana?" And he said, "No, I don't think there's enough research." And Cy Booker, the senator from New Jersey, shames him on national television and he said, "Man, are you high like the science is settled." Well, as more places legalize it, the science

34:08 is getting settled. It's bad for us, right? If you use as a teenager, it increases anxiety, depression, psychosis, and suicide in your 20s. I published a study on a thousand marijuana users. Every area of the brain is lower in blood flow. And I got so much grief for it. And two months ago in Jamama psychiatry on a thousand marijuana users the memory and learning centers are lower in blood flow and activity. This is not innocuous. It's all these lies that then increase the expression of ADD. And so you know how do you know? You look at someone's

34:53 history over time, right? All of us have ADD moments, but that's not ADD. Having ADD is these hallmark symptoms have followed you most of your life. So for parents who are listening right now and they're starting to see a young child maybe have one of the types or some of the symptoms, what would you encourage them to do? You know, I have a free online test called addypetest.com. they could take that for people if you've been struggling and it's like you really believe it's not just environmental right I mean the first thing if your child's struggling in school make sure they're not taking their iPad to bed so often it's because

35:40 kids are sleepdeprived they look like they have ADD because parents are really not properly supervising the kids do a digital detox and then I have to say this because there's this great study published in the Lancet replicated that when you put kids on an elimination diet. So what does that mean? You eliminate gluten, dairy, corn, soy, artificial dyes, and sweeteners. 70% of the kids lost their ADD. No way. So the first thing is not let me give you this drug. In my mind, the first thing is do a digital detox. and do an elimination diet and do it for a month. And I was like, "Oh, I can't do that." It's like,

36:26 "It's not that hard." My wife, Tana, wrote a cookbook, Healing ADD at Home Through Food, or The Brain Warriors Way. That's her big cookbook. It's been reprinted like 53 times. I'm so proud of her. And find foods the kids love that love them back. Food is so important. Do that first. And I always tell I'm like, "Look, if they really have ADD or ADHD, they're going to have it 3 months from now or 4 months from now. Let's do this and see." I have an online course called Healing ADD at home in 30 days. And it's basically before you give them medicine, do these things first. And it's so

37:15 helpful. Why does changing our diet affect ADHD? Why does removing gluten, removing processed foods, etc. Why does that impact it? Your brain is 2% about your body's weight. It uses 20 to 30% of the calories you consume. And so if you have a fast food diet, you're likely to have a fast food mind. And both gluten and dairy when they go to your stomach when it mixes with stomach acid, it turns into something called glutiomorphins which work on the heroin centers or the opiate centers of your brain and it just

38:00 sort of spaces you out. For milk, it's quomorphins and it's why we love pizza. If you think of gluten and dairy, right, it's pizza. Um, but it's also why you feel spacey afterwards. And too often, what do we feed kids? Like when I was growing up, it was frosted flakes or Pop-Tarts or a muffin or donuts. And if you get a sugar burst, well, a half an hour later, your brain is walking in mud. And yet that's what we feed children in the morning. ADD kids who have protein in the morning, their medicine works longer throughout the day. And so in the 50s,

38:48 you know, we grow up with bacon and eggs and much better than the processed cereals. I love your thoughts on how to do it before we get to medicine, like before we get to medication. looking at technology, looking at our diet and and that way you could potentially save yourself from having to go down the medicine route, right? And then parents who are generally resistant to the idea of medicine and perhaps more so than they should be because I think if someone really has ADD, withholding medicine is like withholding glasses from someone who can't see. And that's

39:36 neglect. And we're we're in this society, right? The more educated you are, it's like, "Oh, no. I'd never give my child medicine. And then all of a sudden you see they're failing in school. And if you struggle in school, you begin to hang out with the other kids who are struggling, which may not be ultimately in their best interest. If you haven't been diagnosed by the time you're 10, odds are your self-esteem has been negatively impacted because people have said repeatedly to you, you're smarter than this. You could do better than this, try harder. But what I show on the scans when they try to

40:21 concentrate, their brain drops in activity. In fact, the harder they try, the worse it gets. Why is that? Because their brain is turning off when it should be the frontal lobe turning on their frontal lobe. If you don't have enough dopamine to keep your frontal lobe engaged, it sort of withers with effort. And what does that teach you? To give up. It's this idea of learned helplessness. There's a psychologist who's really famous, Marty Seligman. You probably know of him because he's famous for positive psychology. He helped start that movement. Uh but he was way famous before then because he coined this term

41:07 learned helplessness. And with depression, it's like you try and it doesn't work. You try and it doesn't work. You try and it doesn't work. And then you say to hell with it and you stop trying. And that happens with so many people who have ADD. In fact, when I diagnose and treat an adult woman, a common scenario, uh, she brings her hyperactive son to me and I'm like, where did this come from? And say, it comes from the mom and then I treat her. She gets dramatically better and then she gets depressed because she starts thinking about what would my life have been like if someone would have noticed this if I would have

41:53 been treated. Now that's you don't give her an anti-depressant for that. you like do grief work with her and like okay but now you know so your son doesn't have to go through this and you don't want to argue with the past you want to look forward have you seen people break the cycle as we're talking about it's genetically passed down if you saw in your parents have you seen that be possible is it possible to break the cycle completely so that you don't pass it on you know I I think so but we're starting at such a disadvantage age. And you know, as I think because you know, my real passion in life is to create a brain health revolution. And where would that start? It has to

42:40 start with kids before they have babies. Because when that mother was born, she was born with all of the eggs in her ovaries she will ever have. And so if we're going to help her children be healthier, we have to get to her when she's a child and help her make really good decisions when she's a teenager. And too often parents go, "Oh, I don't have control." And they abdicate their parental role over teenagers on who they hang out with and what they eat. and you know, we're not drinking together and we're not smoking pot together and you

43:26 know, like all the insanity that's going on in our society today. I think we have to get to their ovaries early because if you're born with all of the eggs you'll ever have, whatever you do in life turns on or off certain genes, making illness more or less likely in you. Yes. But also your babies and grandbabies. So that's how we decrease the incidence is we get mom and dad cuz his sperm really matters to be as healthy as possible. [Music] If you love this episode, you'll enjoy my interview with Dr. Daniel Aemon on

44:12 how to change your life by changing your brain. If we want a healthy mind, it actually starts with a healthy brain. You know, I've had the blessing or the curse to scan over a thousand convicted felons and over a hundred murderers and their brains are very damaged.

Share

YouTube Video Summaries