Why is There a Higher Risk for Antisocial Activity and Substance Use Disorders (SUDs) in ADHD?
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- čas přidán 6. 09. 2024
- Here I present information on the variety of risk factors that predispose children and teens to later antisocial activities and drug use disorders. Approximately 25-45% of children with ADHD develop antisocial behavior by adolescence or adulthood and about 25%+ go on to develop substance use problems. That risk is further heightened if the person with ADHD also has a history of antisocial activities. This video explains all the risk factors at play across development to bring about these problems and also what might be done about them.
Most people would rather think that I'm a bad person than to understand ADHD. Dogs and cats get more understanding and love than people with ADHD do.
that explains why i like most cats and dogs more than i like most people ;)
Can you blame them? Cats act like cats. Dogs like dogs.
ADHD people act like a nuisance. It is not their fault, but folks think they're doing it on purpose.
The idea of free will is prevalent in society.
@gergelymagyarosi9285 I love dogs and cats more than I do them. So, I guess we're even.
It's complicated. People don't try to understand just like we don't try understand how hard it would be for them to imagine being us. This has been a people problem since sexism, racism, tribes and every kind of prejudice existed. It's kind of unreasonable to expect everyone to have spent time imagining being everyone else, but one would hope the judicial, education and healthcare systems would put in that effort.
Nobody grows up wanting to be a dumb broke drug addict. People in general should show some compassion just by that common sense perspective imho. It's not their fault, but we could all try to understand one another and meet somewhere in the middle.
I'm in the same boat. I think you give out a lot of love, which I think is pretty cool. So from what I see, i think you're a good person. Keep spreading love ❤
I've always been amazed how much better I could concentrate after having 2 beers. I can see how ADHD can have a big influence on addiction.
It calms down hyperactivity, might ease anxiety and helps with self-confidence. Dark side of regular consumption will build over time, which leads to dependency and eventually addiction.
When I don't eat for a while i can't concentrate either and my decision making gets poorer (a bit more abrasive) am i addicted to food? Do we need to outlaw food since we're all dependent on it?
Good point, healthy food helps with ADHD. Lisa Mosconi has excellent book, called Brain Food.
@@bomcimtubethe thoughts are the most noticeable and calming part of it to me but I don’t think we are necessarily talking about different things here because it definitely calms hyperactive and nervous energy I wouldn’t call it anxiety because I don’t necessarily think it’s the same thing but similar because the “anxiety” doesn’t necessarily have have a source in this context (sticking to terminology even though in context it would be incorrect) it’s more like searching for something to be nervous about so about and the lack of an object irritates you and makes the feelings and behaviors worse so I’d call it more accurately hyperactivity and underestimation in my opinion anxiety often has a source or object it’s attached to and if it’s not it’s something else I feel like it’s something else or there’s a better word to describe it. Alcohol used to be something I’d use regularly to cleanse myself or de-stress but I’d never abuse it because it only helped to a certain point then it’d no longer be help you’d be drunk which I don’t really enjoy out side of special occasions but I’ve stopped doing that because after getting on medication it no longer provides that feeling instead it actually makes that worse but it may be something else but the last few times, last few being like over 6 months and I pretty much quit drinking for a few years before hand due to a girl not liking me going out drinking with my buddies, every time I decided to have a couple it’s just made me feel worse but it’s possible it’s just my choice of drink here recently as i haven’t bought what I used to but it like just brings all the adhd traits I hate out
Chasing the dragon dopamine.
I wasn't diagnosed until recently, but I absolutely had the oppositional thing. For me it was like despair: I knew I couldn't live up to parental/school expectations; I just didn't know why. My "bad acts" were from feelings of, why not? and a sort of generalized rage and hopelessness. I hid it well enough I did ok in school (mostly because I was a girl and no one believed I'd do these things) and never got in legal trouble, but it certainly made for bad relationships with my parents, and a definitely aimless, unhealthy 20s. It was the 80s, so there were a LOT of opportunities for dangerous stuff without any parental tracking or knowledge. In hindsight, I was lucky in my friends, who were protective of the naive, soc-girl, and just overall.
I suffered years and decades of daily alcohol and marijuana dependence. Not a waste as it became the path to total liberation, awareness and understanding making my experience useful. I would have preferred an earlier diagnoses and treatment however. I am now healing not from ADHD but from all the trauma it caused me to have.
“Back again for another whack at the ADHD piñata…” that entire opening was fantastic, hilarious stuff Dr. Barkley. Love the flannel!
Thanks. Just trying to keep it interesting and real.
The more I learn about adhd the more my life makes sense (got diagnosed just a couple of months ago) it's a miracle that im still in uni even though i keep being setback by outside factors i cant control.
The first step is realizing that a lot of factors are out of your control and thats ok because most things are anyway.
Thanks Dr Russel. I do find your info a bit harsh at times but I assume that’s my hypersensitivity lol
Yep, the truth can be both extremely confrontational and painful...
I would also say a major contributing factor would be alienation, feeling incompatible with the sosiaty as a whole and being angry with the broad abstract concept of the sosiaty of course the executive function issues are the instigating factor here. Kid can’t perform well and is punished or otherwise made to feel lesser due to thier inability to conform to the behavior that is deemed correct, drawling on thier homework, being too emotional, doing poorly on things that require sitting and doing a boring task for a prolonged period of time this can cause a child to feel othered due to thier deficits. the child can begin to see the world as a place that hates them for existing and will not make room for them rather expecting them to conform to its standards wich leads us back to alienation and a hatred with the entire construct. This then worsens thier behavior wich then causes the sosiaty to punish them even more for what they might interpret as being the way that they were born but is more likely an expression of prolonged disillusionment and anger. This then cycles until the person is not a child and is not getting in trouble with schools and family but the court system wich furthers their idea that the whole sosiaty hates them and that they will always be punished for themselves because the government itself has stepped into thier lives and it self perpetuates and escalates. I mean if we look at a lot of the things people commonly reaport as adhd symptoms that aren’t listed in the dsm 5 we see things like low self esteem, rejection sensitive dysphasia and disposition to other disorders such as the ones discussed in this video aspd or an early stage precursor to it and sud or some early stage precursor to that. A lot of these symptoms don’t seem like they are actually inherent to adhd they rather seem like stuff that would occur when the adhd individual has to attempt to compete with others at tasks that were built with the average person in mind because that’s the most logical way to build a large uniform system wich then leads almost what feels like inevitably to the adhd child performing worse than those whom the system was built for. you could see how that would lead to low self esteem being sensitive to rejection and unhealthy coping mechanisms as well as a sort of overly defensive hostile attitude towards anything they deem the man I would also list a system of “the man sensitive defensiveness” anyone in a uniform any building that feels industrial even including hospitals is the man and therfor must be mistrusted and treated with hostility so not only are they sensitive to interpreting something as an overwhelming authority collective you can’t fight that wants to punish you for existing they are likely to have an outsized emotional response to that perceived authority. So a lot of there things feel more to me like products of the interaction between somone with adhd and the large scale industrial manufacturing of human beings starting on as equal a jumping off point as possible wich i understand the point of it’s just that when you build a inform system meant to provide an equal starting point to everyone in an entire country you have to construct that system with the standard deviation person in mind why would u build a system for everyone wich only 25% of the population would perform well in. All that to say yes there is something to the idea that the inherent systems of adhd predispose somone to developing other issues but I think a major contributing factor is this sort of alienation and feeling of incompatibility of course you do touch on this and as I’ve demonstrated it’s a whole can of worms that would likely warrent its own video but I just wanted to mention it.
Also I think this idea of the devieant peer group is a whole topic for its own video but I really do think that forcing a child away from this peer group can do harm just as much as letting them stay in it is a tough situation because the child has found the only people they fit in with and relate to and separating that can lead to total isolation and lonliness wich is also bad I think that goes without saying of course you also touch on this comradery aspect of it briefly but I wanted to expand on it because I feel like it’s really important to recognize how complicated it is that these are not bad people they are a group of people who all feel othered and lesser than who bond over shared experience and they can be real friends but they can also encourage these sorts of behaviors so it’s a very tricky thing to think about and I know lingering on these complexities isn’t the point of the video but I just wanted to throw these comments in here because I think it’s sort of worth thinking about
I was horrible with school from my first year to my last.
Constantly doing my own thing, not paying attention, not turning up, eventually had loads of meetings from the government and school threatening to arrest my mother, despite her doing everything she could to get me to go. Took them over 25 years before they realised it was ADHD and diagnosed me.
Had to go to college and take training courses just so I had some qualifications, still dont know what to do with my life at this age.
Took years for me to get diagnosed as well.
My journey wasn't as "exciting" as yours.
Wasn't until I was about 20 years old when I met my is now my wife, who realized wow this kid has ADHD . She was a teacher so that helped.
But as far as what to do with your life, my recommendation for what it's worth...
1. Get medicated for adhd (ask for stimulants in my opinion)
2. Try for name brand or exact matching generics. (different generics use different filler that Can cause massive differences in medication benefit.)
3. Find something you are good at or think would be fun and purse that.
4. Get get married (make sure you and your wife both understand ADHD)
5. Avoid religions or church's that do not recognize adhd is a mental illness (some think it is a sin)
6. Learn more about something Important (your wife, adhd, your trade, medicine, politics, religion, economics) - your ADHD brain can do amazing things in put together puzzle pieces other people cannot figure out.
7. Be Physically Active ( the blood flow is great for your mind and body)
8. Avoid making your hobby your career, because then you begin to hate that Hobby. It will take between 5 to 10 years but it will happen.
9. Have kids, statistically it will happen eventually. But it's better to do it early because you have more energy when you're younger
“What am I going to do with my life?” is a meaningless question. You are alive doing it now whatever it is and that’s life.
@@sburns90Homie life doesn’t follow steps.
Thank you for all the information you provide through your CZcams channel. I was diagnosed with dyslexia in grade 2, but now looking back on my life i see the mixture of Autism and ADHD that i think was missed at the time. Im 45 now and been seeking help but it's difficult. I have really noticed the cognitive decline over the last few years and it has me scared to be honest. I got complacent, no agency, lack of self care and preservation. I dont normally advocate or speak up for myself but I have to now...
Id love to hear more about ADHD + Callous Unemotional.
I rejected the possibility that I have ADHD for years.
Dr Barkley describes my life in most of his videos. Lack of a time horizon... bingo.
I (finally) want to get on medication but I live in Alberta and can not find a doctor to prescribe them for me.
Alberta's health care system is so dysfunctional.
I also wonder if my parents had ADHD or ASPD.
Don't you have access to online physicians and/or pharmacies?
Edit: Unless, oc, you haven't been diagnosed yet, bc there are quite a few tests involved. I would book an appointment at a Canadian practice anyway (I'm aware of the horrendous waiting lists, but hey, at least it's getting in the proverbial pipeline (and after a diagnosis and prescription, you can opt for the online pharmacies yet).
Self-diagnosis is not a real diagnosis...
@@Faladaena in my experience with online prescriptions, no typical ADHD stimulant medication can be prescribed online by doctors or qualified nurses but I can get a six month prescription for an off label ADHD Non-stimulant drug. Pharmacists can only back stop a few days supply of an ADHD stimulant and a couple of weeks for an off label extension for ADHD.
@@movement2contact True but the sensitivity and specificity of an honest resonance with the criteria rests at approximately 70% so it's more likely than not......
I live in B.C. and I have been having issues getting help. I keep getting tossed from one place to the next. I'm 45 now, and was diagnosed with dyslexia when I was a child but the diagnosis was incomplete. I mostly have both Autism and ADHD. It would explain why I feel like I'm being torn apart in different directions and dimensions.
Always appreciate the detailed but short videos on this topic. Are there links to your parent and family training programs? Thank you!
The books are on my website or at Guilford.com. Your Defiant Child and Your Defiant Teen. See if you library has them. Best wishes.
When I was in high school and Saw My Name as one of the graduates, I was shocked.
I was The Salitorian During My Graduation.
I'm glad they gave me a Prewritten Script to Read Out Loud during My Speech because I would not have known what to say.
I'm surprised that I have been with the same company for a little over 4 years.
Nice video, good to see these various factors spelled out. However I do have some critiques to share. My only qualifications to do so are simply that I myself am diagnosed with ADHD, possess an introspective nature, have watched a lot of relevant video essays, speak to multiple loved ones and communities who have ADHD, and generally have far too much time on my hands.
So!
First off, I don't see much wrong with what you have presented here, rather my issue is that you are missing some important factors:
- Antisocial behaviors are potentially strong sources of stimulation. The impulsivity caused by ADHD is directly from a lack of neurochemical stimulation, so this wild behavior can be very rewarding for them. Even, in a certain sense, additicting.
- Similarly, for them substance abuse is a self-medicating for their ADHD, on top of all the normal factors with additiction, coping and dependency. Illicit stimulants are often a lot more harmful than adderall or the like, and even if it isn't they aren't likely to responsibly pace out whatever they proper medications they get their hands on.
- Social behavior problems are exacerbated by having family, communities, and even professionals that do not recognize, understand or positively engage with those who have ADHD. Even if diagnosed and medicated this can still easily cause them to spiral out of control.
- If their family belives harmful misinformation about or have a toxic punishing bias towards ADHD behavior, then the early supporting advice you offer can only fail, if it were considered at all. Indeed, if the parents also have ADHD then they may be handing down the same harsh "lessons" that they themselves suffered though from their own parents.
And finally... somehow you didn't bring up prescribed medication for ADHD at all in this video? I'm going to assume that you considered it too obvious a part of "treatment" to bring up in this context. But like I just pointed out, it really does matter.
Thanks for this. I would say my mother actually has some degree of conflict addiction due to the dopamine seeking behavior. Not violent, just arguments - online, off line, so forth. I have a somewhat similar conflict addiction at times.
You hit on many good points but remember that it is averages over many studies regarding many of our behaviours so many of us vary from the points that were made. Stimulant medications and others have been covered by many other videos. For myself I have high intelligence but got pissed off at a teacher in third grade and determined to just pass each year, I guess I was stimulated by getting my teachers and parents frustrated with me. After my mother passed, one of my three older brothers related a rare in depth conversation he had with her when I was 20 and basically out of touch - she had always viewed me as the independent one... I had to learn to be independent and figure things out for myself even if I asked for direction essentially from birth (another older brother was my go to person when he was around). I learned a lot from mistakes, while an illegal stimulant helped in my first try at college a combination of a brain injury and other factors lead to quitting. I did end up finding positive support from a friends family then on to a mixed bag of people/peers then eventually found a girl(wife) with a mother that believed in me as capable of much more.
Oh my, your answering alot of my questions.lots of the readons why. Thankyou. Ive chosen to remain alone cause I dont fit with non adhd or adhd types like me. You have explained it so well. Thankyou
BC you mentioned “remaining alone” on a video about “antisocial activities,” JiC you might be conflating “antisocial” with “asocial,” “antisocial” means “against society” (eg: criminal, harmful, destructive), not “asocial” which means “without society” (eg: solititary, private, reclusive). If you already knew that, apologies for the presumptiveness on my part. It’s a common error.
Great analysis!
Hi Dr Russel! Thank you for all the content on your channel, it is so refreshing to see science-based information about ADHD on the social medias. Something that I see floated around very often on social media is that neurodivergent people tend to partner up and befriend other neurodivergent people, ie. Those with autism/ADHD will tend to attract each other and 'get' each other more than with neurotypical people. I am curious if there is any scientific merit to this theory. Maybe an idea for a future video?
Honestly watching this video really hurts. How predictable my life with ADHD is/was and not one adult felt so need to put in the effort to explain ADHD to me. And I still had to hear how lazy I am, how stupid I am, how only my mother had to deal with children that need this much help, have so many problems. And no one seemed to understand how much you suffer, how much effort you put in and still are just a underachiever. How much you hate life even as a kid. And one seems to excepts that you are not doing it to upset them.
I've had My Run ins with the Law on Multiple Occasions, But I have not been Convicted of Anything.
I've Even been Contacted by the Feds.
I just recognize my disorder, but refuse to be a victim!
Also how do we fix genome????!
Does comorbid ADHD + SCT lead to more, less or the same amount of antisocial behavior and/or SUDS?
SCT is not linked to either outcome but ADHD does if early conduct problems are present. Fortunately, SCT reduces that risk of conduct problems. So the answer is likely no. Be well,
Can anyone explain to me how substance use is antisocial? I've principally seen substance use as a social lubricant where lack of substance usage limits social interaction, because trust is not extended to the nonpartaker.
Entirely because it's illegal. That's why "social drinking" is a thing. Also, any addiction will ultimately cause the addict to choose the drug over people, so don't overdo it and space out your use.
‘Antisocial’ in the colloquial sense means “[anti-] interacting with others”. But the use of ‘antisocial’ here is academic and means “[anti-] well-being of others”. As an example, stealing food would be antisocial, and sharing food would be prosocial.
The vid isn’t saying substance use is inherently antisocial. It’s saying that it can lead to even more instances of antisocial behavior. A double, triple whammy if you will.
@@marcellusgr 🎯
@@marcellusgr Thank you. That makes a lot more sense. So, essentially more destructive and hostile over all, but possibly having social bonds over the destructive hostile views? Is that externally and internally directed? I'm thinking in part about violence as well as substances here, and the ADHD links with crime and partner violence, but as it relates to substances, I'm also thinking of the links with self injury and suicide and such, which are problems magnified by certain substances (alcohol or benzodiazipines and other impulse lifters), and just generally trying to rethink the whole video.
@@publius9350 You’re welcome. It just means external / harmful behaviors towards others. There’s definitely a relationship between substance use and individuals’ behaviors that are harmful to themselves though.
Great channel Doc! Is there anything you could enlighten us on regarding male sex hormones levels and ADHD? And if some ADHD cases could be linked to prolonged or intense stress at upbringing would psychedelic therapy be something that could sweep up some of that background noise in the brain??
I’ve watched a number of Dr. Berkley’s videos. It seems like Dr. Barkley takes the most severe ADHD cases with severe comorbidities and generalizes it for all folks diagnosed with ADHD. What if those comorbidities arised first and contributed to ADHD-like symptoms afterwards? How do scientists account for that?
I was wondering if you could make a video for people who have ADHD, know that hey have it, but are not seeking help - for lack of motivation. I feel there is a huge group of people that simply lives with it, kind of accepts the consequences but clearly suffers. After all, they dont know and cannot feel how much better a life with treatment could be.
How can we help these people?
Thanks for the idea. I will look into doing that. Be well. Russ
I wonder if ADHD are more judgmental of others (as a coping mechanism, or defense)
What about trauma and self-numbing with substances?
You owe us a dad joke lol
Haha, best opening yet.
Working Retail as someone who is not a people person is Fuuuunnnn.
So basically, m fked
Push the reset button anytime you want❤ I’m about to push it myself😊
Whats the reset button @@trevorfell2470?
Well.. yes. Once again I feel like this is really some one telling me my kids fortune, and I perhaps stand a better chance of steering in what direction his future abuse might be. Wonder if it's better with alcohol or to smoke joints🤔 Isn't CBD said to have some effect on ADHD (as classic medication isn't working so well). Wonder if I should just do "the Dexter" and dive in trying to teach him how not to get cought steeling or perhaps "the Robin Hood" and just to steel from those who are shady them self and remember to share the spoils. Perhaps that would be more successfull. 🤔 I could perhaps just do the "Rapunzel" and lock the kid up from the get go. But I really don't have a high enough tower.
Why would I want a full time job or college? So I can repeat the crappiness of school? Naw I’m going to just roll around enjoying myself. F school