Understanding the Nuances of ADHD | Michael Manos, PhD

Kids and adults who have attention deficit/hyperactivity disorder often struggle to pay attention to just one thing – they demonstrate symptoms of inattention, distractibility and hyperactive impulsive behavior. Because of the nature of the disorder, it’s best treated outside of the therapist’s office, at the point of contact, says pediatric psychologist Michael Manos, PhD. Learn what causes ADHD, how it works in the brain and strategies to overcome symptoms.

[tobiba]

Table of contents - Use to navigate to the topic of interest. Some might be missing.
00:30 Definition ADHD
01:49 How common is ADHD?
02:25 Learning disability?
05:50 Communicating to ADHD
07:20 Jobs and ADHD
08:33 Difference ADD and ADHD
11:40 ADHD and Selfdirecting
12:35 Altering Circumstances I vs. Talking
13:27 ADHD Types
13:36 Altering Circumstances II vs. Therapy
18:04 Adult ADHD vs. Children
19:44 Example Adult Procrastinating
23:40 When is ADHD a problem? Whats the line?
25:00 How can one cope with it? E. g. when Learning?
29:30 3 Steps to diagnose ADHD
30:18 Step 1 - Determine Symptoms?
31:05 Step 2 - What can I rule out?
33:40 Step 3 - Comorbidity?
44:30 Medical Treatments: Methylphenidate and Adderall
46:00 Side Effects of these Treatments

[alexyodson]

“I always thought I couldn’t do things”

Oof that hits home hard

[davidhouston]

Discovered that I had adhd when I was about 6 or 7 and my mom got me prescribed to medication. When I started visiting my dad, he thought it was complete non sense and demanded that I stoped taking the medication. Years later when I was in high school I remember being extremely active & wanting to over achieve. I tried taking AP physics, honors Calculus, & AP English. Turned out I had a hard time studying and doing school work compared to my peers, so I concluded that I was simply just not as bright as the other kids. Later on after senior year of HS I become extremely depressed and just couldn't understand how my head worked. I thought there was just a million things I was doing wrong and came down on myself really hard. Now I realise that I've been hating my self because I've never understood myself.

[wearejungians]

I just got prescribed adderall 3 weeks ago and in the last 3 weeks I've gotten so much better in managing my states and focus. I ran out of adderall a few days ago and am feeling the normalcy that I've been used to for years coming back... Really is like wearing glasses for the first time.

[karachambers]

Probably one of the best discussions/explanations of ADHD I have seen so far. The information/knowledge VS the mythology surrounding ADHD (despite the clinical data that has been accessible for decades) is rife even in DR's and medical practitioners. The NICE guidelines 2018 make it incredibly difficult to see a consultant as an adult even if you have been statemented as a child. Waiting lists tend to sit at around 3+ years (and i'm being kind there). Nothing raises your position on that list and first line (GPs), primary MH and secondary MH teams can only prescribe within their own remits [no fault of their own] which are very often treatments that are not recommended for someone with ADHD i.e. Antipsychotics, or drugs that can produce antagonistic results with dopaminergic and norepinephine reception. Where these drugs can help with the potential side effects of your ADHD symptoms they can also aggravate them over time. Be aware of this if you're seeking help. I'm not a Doctor and you should FOLLOW YOUR DOCTOR'S advice. But do your research and ask questions.
Thank you for posting this video.
ADHD is so hard to explain to people, especially when you are explaining 'yourself'.

[AMindInOverdrive]

Anyone else reading comments while listening, then having to go back to rewind what you just missed (multiple times)? LOL

[micasa]

3rd year medical student with adhd who got his diagnosis as an adult here. This is one of the best talks on adhd out there. The guest here mentioned how some people who come to him mentioned their struggle and it really saddens me because I understand exactly how they feel. The potential in us is literally not materialized to its maximum when you look at the big picture. Feeling of always running out of time on time sensitive matters even though your brain feels like it is traveling at the speed of light in infinite directions. A person with adhd can spend hours with their thoughts but feeling like time went by really fast. There are little things that affect us daily, like not remembering directions, taking wrong turns, not remembering peoples names, typing something but you notice there is a word missing here and there. Your brain is functioning at a level that your body can not keep up with it or execute a function in time. The feeling of being a jack of all trades but master of none. The daily struggle is real, like personally I am affected by it so much that I really dont know which specialty to chose because I am worried I will end up hurting someone if I forget something due to just how my brain operates. My biggest struggle is when I have to chart something during patient encounters because my brain is literally firing in all directions and i have to really focus on one thing at a time in order to complete it. When patient tells me their symptoms, I really have to focus on writing it down and during that time my brain loses train of thought and end up not asking the right questions. Your brain is always in a hurry and you really have to slow yourself down in order to achieve something. When I try not to write anything down during the patient encounter, my thought process is more clear and the encounter more natural and smooth. But when you try to chart it after the encounter, either I will miss something or it will take me time to recall everything and chart it. When I have to present patient encounter to my attending, I am so all over the place in my presentation that I look like a dumbass and sometimes forget to mention important things that I did ask.

[diorbiddings]

I have ADHD, and its hard to get people to understand

[dreadthedreads]

I have been meaning to put my seat covers on my seats in my car for at least a year. They are right behind my passenger seat...

[nancykowal]

I was diagnosed with Adhd at 40 (12 years ago) and this is the first time I hear a professional explain so good and so spot on how it feels to be an adult with adhd. I'm from Belgium and here people and even professional still do not get it. They still think it is overdiagnosed and not really that difficult to live with. They are so wrong. Every day is hard work. As the doctor says, always super enthusiastic and fully committed until it gets a task or boring.

[samwallace]

You know you have adult ADHD when you've typed out what you going to say 3 times, deleted it 3x, started over. This is the best my childhood has ever been explained. Now, I know why I can't say what I'm thinking about the brain, while thinking about the brain, and cry when he starts talking about emotional regulation and it being a part of executive function. Wish this had been discussed when I was a kid.

[chumbucket]

30:10 It's a bit condescending that the interviewer frames the only two kinds of adult patients as either "having true ADHD" or "just someone trying to get pills." What about the many misdiagnosed patients who are genuinely seeking help? Is there no third option where adults seeking psychiatric care are capable of responsibility? This quickness to label people seeking medical treatment as "just trying to get pills" is dangerous and is no doubt part of the reason why so many adults with ADHD are afraid to get help. It's also why so many adults get stuck and suffer for years from misdiagnoses - because any self-driven attempts to correct the diagnosis are seen as an effort to get drugs.

I appreciate that Dr. Manos immediately addresses this in his response to her question.

[asherreich]

"If you have ADHD I'll sit and talk with you and help you through it... That's a load of nonsense! If you have ADHD what I'm going to do is to actually alter your circumstances [. . .] It's to do things differently, is the way you treat ADHD."

This. This this this.

[lahirstellar]

My ADHD brain kinda got bored, so I changed the playback speed to 1.25x. Problem Solved! :D LOL

[sGasPrices]

This was without a doubt the most informative segment on ADHD I’ve ever read/seen. Thank you Dr Manos for the long form discussion from a scientific perspective, rather than a feelings-based one.

[joeghannam]

I have ADHD, i swear there's things i can do that very few can. Iv'e realy had to learn how to use it. I think in pictures and vid clips. Iv'e always done things in my head before i actualy do it.

[wearejungians]

Something I don't see talked about too often is the tendency for obsessively falling for someone super fast. I've been suffering from this with every girl that I date. Things start out great. I fall for the girl, she turns out to not be interested & I'm left there obsessively thinking about what I did wrong and about how it's such a normal thing for me that something must be wrong with me...

[kittykatwuzhere]

I've been diagnosed for ADHD for two years and recently started to try and understand it better and all the things he described are all the things I deal with. Being told to do something and not doing it, having my mind wander. I have 100+ tabs on my phone of just useless stuff I look up because I thought about it. My passion is animals and I really want to become a Zookeeper, with that I need to pass college which has been a huge struggle. I've got the experience, but man seeing this has made me contact my psychiatrist to see about therapy for how to handle and cope with my ADHD, what I must do to help me stay on task. It's hurting and upsetting the people around me and I just don't like disappointing people anymore. 😞

[jenniferhizzy]

We all need to find what we are good at and that is when we thrive.

[peterpaez]

This video is 100% accurate!
I just got diagnosed after living with ADHD all my life .
I wondered why I always felt stuck and bored . Meds and therapy and my hard work will play a big part in meeting my goals !