ADHD in adults often responds well to stimulant medications like dexamphetamine and methylphenidate (brands include Adderall, Ritalin, Concerta etc). These meds can boost frontal lobe function which helps with attention and with disinhibition of impulses. But that can stifle spontaneity and playfulness and cause a range of other effects.
We explore what Adult ADHD is: the attention systems don’t develop properly in some people who sedation a somewhat child-like level of attention. We touch upon some of the possible causes of ADHD and the outcomes of ADHD including the impact upon self-view.
Often people find that ADHD medications become less effective with time (toelrance), requiring higher doses (dose creep). We explore the effect of stimulant medications upon:
1. frontal lobe functions of attention and spontaneity
2. the arousal effect on energy and alertness
3. the effect of reward pathway activation on positive emotion and appetite
4. the effect of the body of increased activation
Then we contrast that with the withdraw effects:
1. worse attention
2. less energy
3. less reward activation
4. less performance
The bigger the dose, generally the greater the withdrawal effects.
We explain how this whole mess can be minimised by taking steps to avoid dose creep including taking consecutive days off the stimulant medications every week and taking a longer break every few months.
Lastly we explore the striking similarities between the drugs and our endogenous neurotransmitters.
This isn’t medical advise, it’s for informational purposes and any decisions about your medical treatments should be made in consultation with your treater/prescriber.
#skillsbeforepills #ADHD #stimulants
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ABOUT THIS EPISODE
Picking up on the drama of the previous episode, we continue the series on how ADHD affects our social skills. As many of you know, social skills are more challenging for us than others who don't have ADHD. And even within the ADHD population, there are some who are more impacted by this symptom than others.
WHY THIS TOPIC?
I chose "Over/Under reacting" as the number-three of the most worrisome Social Skills because it is a theme that has popped up in my life enough that caused me to think there was something wrong with my personality. I've lost friends over this particular quirk and it's led me down paths where I prioritized things that didn't need immediate attention and catastrophized events that didn't warrant the drama I gave to it.
NEED TO CATCH UP?
Need to catch up on the videos about Social Skills? Find them here:
Ep. 5 "That Was Awkward" ADHD and Social Awkwardness" Q
Ep. 5.2 "Five (5) Tips to Fix Your Social Skills Ills" 8
Here are the Social Skills covered so far in Ep. 5.2
5. Blowing off or canceling plans on friends and other commitments.
4. Not paying attention to what is being said to you in conversations
3. (this episode) Under Reacting or Over Reacting (or "inappropriate" reactions to information or circumstances presented.
INTERESTING STUFF ABOUT YOUR ADHD
Check out this helpful article from Understood.org The information applies to adults and children.
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As mentioned in this episode, learn here how raising your awareness can improve your social skills.
BE AWARE! ADHD
How does your awareness affect your social skills, your life skills even?
Find out here!
ADHD Insight: Third-Person Awareness
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FIND OUT IF YOU REALLY HAVE ADHD
If you have not received an official ADHD diagnosis but want one, here is a self-assessment to help you on your journey. The assessment is provided by the Attention Deficit Disorder Association. NOTE: Just like all self-assessments on the internet, this will not give you an official medical diagnosis of ADHD. Self-diagnosis is the conversation starters between you and your healthcare provider when seeking a medical diagnosis.
ADHD Self-assessment
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Your diagnosis must come from a healthcare professional from any of the following areas of practice (this is not an exhaustive list.)
Psychiatrist
Psychologist (will refer you to a psychiatrist for prescription meds if you choose to try them)
General Practitioner
Internist (that's where I received my first prescriptions)
Pediatrician
Neurologist
Any licensed Medical Doctor or health care professional who is knowledgeable about ADHD, current on treatment options, and ideally, has experience treating adult ADHD
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