Adult ADHD: Defining, Diagnosing, and Determining Treatment Options. A conversation with Bennett Harris, PA LCMHC

This conversation focused on ADHD, its definition, and how it presents in different populations. Our guest, Bennett Harris PA, LCMHC, discussed the observable symptoms of ADHD, such as inattentiveness, hyperactivity, and impulsivity. He also introduced the concept of rejection-sensitive dysphoria (RSD), which is often associated with ADHD.

The discussion touched on the genetic and environmental factors that contribute to ADHD, as well as the impact of stress on individuals with ADHD. Bennett emphasized the importance of emotional regulation and shared strategies for managing ADHD symptoms, including medication and mindfulness practices.

The conversation also explored the differences in ADHD presentation between men and women. Women tend to be more inattentive and men tend to be more impulsive or hyperactive in ADHD. The symptoms of ADHD start in childhood, with girls showing more inattentiveness and daydreaming, while boys show more impulsivity and hyperactivity. However, these patterns are not always consistent. The diagnostic criteria for ADHD were originally based on assessments of men.

Stimulant medications, such as amphetamines, increase dopamine and norepinephrine levels in the brain, improving ADHD symptoms. Long-term use of stimulants can lead to dopamine downregulation and the need for higher doses. Building discipline and healthy habits, such as exercise and a balanced diet, can be effective in managing ADHD symptoms. ADHD coaching can also be beneficial in developing practical skills and strategies. The long-term effects of stimulant medication use and the potential benefits of other medications for ADHD are still being studied.

TUMAT Takeaways:

• ADHD is characterized by observable symptoms such as inattentiveness, hyperactivity, and impulsivity.

• Rejection-sensitive dysphoria (RSD) is a common experience for individuals with ADHD, causing emotional reactivity to stress and criticism.

• ADHD is influenced by both genetic and environmental factors, and it can be present from a young age.

• Emotional regulation is crucial for managing ADHD symptoms, and strategies like mindfulness and medication can be helpful.

• ADHD can present differently in men and women, and women may be more likely to receive a later-in-life diagnosis. ADHD symptoms differ between men and women, with women being more inattentive and men being more impulsive or hyperactive.

• Stimulant medications increase dopamine and norepinephrine levels in the brain, improving ADHD symptoms.

• Long-term use of stimulant medications can lead to dopamine downregulation and the need for higher doses.

• Building discipline and healthy habits, such as exercise and a balanced diet, can be effective in managing ADHD symptoms.

• ADHD coaching can help individuals develop practical skills and strategies for managing their symptoms.

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