2012 Burnett Lecture Part 1 Keynote Speaker: Russell A. Barkley, Ph.D.
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- čas přidán 29. 05. 2024
- The 11th Timothy B. and Jane A. Burnett Seminar for Academic Achievement
Sponsored by the Academic Success Program for Students with LD and ADHD - a UNC-Chapel Hill Learning Center Program in the College of Arts and Sciences - and the UNC General Alumni Association. The University of North Carolina at Chapel Hill
Thursday, Nov. 1 | 1-4:30 p.m.
George Watts Hill Alumni Center
Russell A. Barkley, Ph.D., is a clinical professor of psychiatry and pediatrics at the Medical University of South Carolina. In the span of his career as a clinical scientist, educator and practitioner, he has written prolifically on the nature, assessment and treatment of Attention Deficit-Hyperactivity Disorders (ADHD) and related disorders.
Dr. Barkley has developed one of the leading theories of executive functioning and its role in the nature of ADHD. From this theory, he has also developed numerous clinical implications concerning the diagnosis and management of ADHD. To learn more, visit russellbarkley.org.
Dr. Barkley's presentation will focus on:
Understanding the nature of ADHD as it relates to each of the five major executive functions: working memory, self-management, emotional self-regulation, self-motivation and self-control
Developing a better understanding of how this theory leads to more effective interventions for individuals with ADHD.
Visit learningcenter.unc.edu/ for information about the UNC Learning Center programs. Also a link to his slides are the page.
Not me hyperfocusing on this lecture when I have things to do.
lmao same
I’m listening to this so i can get into whati have to do. And Im late for work
At least I'm watching it on 1.25 speed so I cam concentrate more (not like I would use saved time for something I have to do still)
@@ikerepc ngl, only recently started watching yt videos on faster, back then I watched the whole thing as it is, kinda amazed I pulled it through
I’m listening in the background while I work on other things and keep having to skip back. 😅
Every lecture of Dr. Barkley is like the story of my life. Adult ADHD is harsh and destroys lives.
I feel you Eric. I was diagnosed at 22/23, and while it changed my life for the better I struggle every day with controlling myself so I don’t say or do unacceptable things at work. I’ve only today found his videos and have been binge watching because as you say it describes the story of my life so mind blowingly accurate ..
I was diagnosed at 40. I am currently grieving the life I could have had with earlier diagnosis and treatment.
@@LatonyaB I’m so sorry. I truly understand you. Having listened to Dr. Barkley before, it is like someone who lives with you and totally understands. Having said this, I will pass on what I’ve been given, and learned in the last 3 years, advice I took with me.
Even Jesus died, and in 3 days rose from the grave. This means: there is life and joy and life with ease on the road ahead. Think of someone without physical limbs. They would find a wheelchair. Well, we do the same. We find the alternative. If you strain/break a limb, you get a cane. It could be temp. or permanent. Regardless, there are options.
I learned this, after a traumatic brain injury. I was told by a therapist: We had a toolbox 🧰 full of tools ⚒️ Now we get a NEW toolbox 🧰 and get new tools🛠 to start/replace what we need help with. It took me about 4 months to accept this. But, I did not want to be a resentful, sad, angry person. I have a choice.
@@LatonyaB cont. We always have a choice. We make a conscious individual decision to write the script of our own life. You are too young, yes, 40, is too young. Oh I wish I had met Dr Barkley when I was 40! Being happy is a choice. Choosing to be happy, positive, it is a CHOICE. I choose to be happy, joyful.
SELF-HELP is a MUST. We cannot afford daily therapy for the rest of our lives.Lol 😂 Mourn. Grieve -for a time..don’t let it go on too long. Choose, consciously, to be in the driver seat of YOUR life. We can do it! Be happy.
P.S. Mindfulness meditation is great! I recommend Sean Fargo, here on CZcams. He has many people who can do the meditations that meet several needs; look for the one that fits your needs. 3 min is equivalent to 30 min. Quality over quantity. we know.. 28:03 our timing lol 😆 (edit)
@@Dani-cg9hn All good advice. I am thriving now though, thank God. Took me 5 years to “catch up”. But I am 46 now and living my best life… public speaking, life coaching and running my own nursing consulting firm. But I am just starting to grieve now because now I fully know what I could have done and where I could be had I known and had treatment. But don’t confuse my grief with sadness or depression. I’m just lamenting on what could have been and using that as motivation to help others.
Dr. Barkley explaining why attention deficit is a bad name for this disorder "..its just an attention disorder; just go to Starbucks and have a coffee and you'll get over it." Me, a PhD student avoiding finals by watching lectures about ADHD, less than 4 minutes into this lecture: "ooh! starbucks sounds great right now!" *face-palm*
Apparently, starbucks is not only not going to fix the issue - today it's a source of distraction.
Ok I have coffe now. I'm back ;)
"It's like a fire hose of information"
Me, with ADHD: Ok, best to listen on 2x speed while doing something else, then
"It eviscerates your sense of time itself." This is one of the most difficult aspects to explain to people that don't have ADHD. I can't explain how validated I finally feel knowing that I'm not just lazy, a procrastinator, or not as smart as my peers.
My dad is (I believe) the reactive-aggressive type. He was NEVER abusive to me or my family, but he was very quick to anger and couldn't manage his anger well. This makes understanding him so much easier.Thank you for this presentation!
Good luck Rachel. I hope this new information is helping you
Rachel, I'm glad you have been given this perspective. I am 60, and my mother was the same way, I'd bet a million dollars she was ADD. When I was in my 30s and became a mom myself, I saw how challenging (tho also rewarding!) parenthood is and realized she really did love me, I was able to see the many ways she did care for me and supported me, even though she went off base sometimes. As someone who lost her mom when I was in college, I can't tell her how much I wish I could thank her and express appreciation for all the work and sacrifices she put into being my mom. Honestly, I'd give anything to have her even yell at me again for 5 more minutes.
OMG, you've pinpointed my father's personality & behavior succinctly. I've thought about other aspects / symtooms that I've observed in him over my liftetimeand have come to my own conclusion that my Dad was ADHD. I suspect his dad most likely did as well. I'm 68 now and still haven't had a thorough diagnosis/evaluation, yet I'm receiving stimulant medication and generic psychotherapy (not ideal, IMO). I got the 1st hint that I might be ADHD when I was 54.
Wow you made a valid point! As soon as you said this i saw my father. He wasn’t very nice to my brother and sister. However i got away with everything. When he died in 2019, i felt way differently than my siblings.
Thing is my mom has anger issues too, that seem to come out of nowhere!
That the lack of self motivation.
this is from 2012 and i'm just now seeing it 2021... this needs to be everywhere instead of just life coaches which i LOVE but its dangerous if this is not understood along with life coaching
one of the most gifted speakers in neurodevelopmental disorders
This literally made me cry because all things explained here are my problems that are bothering me. I am a medical student in final year with so distressing life. I have all these symptoms and they are to the point of extreme, really is affecting my life. I really thank dr Russell for this amazing lecture or this is a life lecture for me. Really appreciate it!
I'm a med student in final year as well and I just discovered my adhd 9 months ago. It's been tough.
Same here. Freshie recently diagnosed with primary inattentive ADHD. Such a relief 😭🥺
Exactly made me cry too
well thisi stwo years later, I hope you graduated, found good coping strategies and are successful in your medical career!
48:30 I am 23 and I have suspected I have ADHD for a long time. I took a neuropsychological test a few years back and it came back negative, so my conclusion was that I am just absolutely lazy and broken and unmotivated and awful at so many different things just because I'm a piece of shit. So much self loathing and resentment and guilt and shame built up over years and years of being told I'm "not living up to my potential" and "not applying myself" as a pretty intelligent individual. This was utterly relieving to hear. I'm now seeking a second evaluation and I am being extremely careful to avoid those who use these tests, but in the US it is incredibly difficult. I'm going to do my best as a patient from now on to educate my doctors and providers about this.
The first time I looked up ADHD information and thought about my child's impairments related to it, the first thing I said was, "That's a really unfortunate and misleading name for this." This lecture was very enlightening and helpful in thinking about this challenge.
Living with ADHD is like reverse amnesia. If it happens in the future, it doesn't exist. For brains that cannot perceive time, "soon," "eventually," or "tomorrow" don't exist.
I feel like it all exists, but in a specific remote place. The call in 5 minutes, the meeting in an hour, that trip in two weeks from now, the tax declaration, someone's birthday, the alarm next morning, the coffee that I left brewing for 5 minutes and should have poured into my cup two hours ago, it all exists in another room called "not now". And then there's anxiety attached to various cues that kind of helps remember things but also doesn't let me properly focus on the "now" at hand.
@@neithere That's exactly how it works. I tell my wife all the time, "Things only exist in two worlds for me: now, and not now."
It's been really heartening to read everyone's comments below. You folk are gold-gold-gold! Sweethearts, all of you!!
You are my dinner and lunch date Dr Barkley, and you never disappoint. Thank you for What you are doing for so many people.
5:35 - 5:52 Thank you Dr. and all involved, especially for preserving this by uploading for public consumption
My hyper-focus scares me. I will go weeks without doing anything else because I NEED to solve this problem as I value it higher than myself
grateful for this sort of show so people cant tell me it not real
You know what's real? Your awesome name. Bamfield is an awesome name.
BAM
@@lordswaggity1213field
This is so true for me. Every case. And that point just blew my mind that they can't do manipulations mentally. They need to do it manually. And I used to think that was my personal problem!! And obviously, I know things, but my performance is nowhere close to what I'm capable of. And all the other points are so true but there's no one who can help me with this☺️
This gentlemen's videos and books have allowed my son to finish college this spring. I highly recommend his approach.
what's his approach? I haven't had a chance to watch the video yet but does he recommend medication?
Meds are a must for serious cases. A key insight for me as a father was that my son was about 7 years behind his peers in maturity. This allowed me to accurately understand why an 18 year old was acting like a 11 year old. They need structure and close supervision. I used a daily planner on the kitchen peninsula that he would see everyday. His meds went into daily pill boxes to ensure that he took them. It worked and he's about to graduate.I hope this helps.@@emmaiturrregui9517
Love this. Russell is a tremendous speaker and the information imparted here has helped me a lot in dealing with my own ADD
The lectures are fantastic, very thorough and clear. Really explain everything about ADHD to me as a patient. My question is, how come the camera didn't go on the diagrams Dr. Barkley was talking about? The camera stayed on him when he was actually pointing out important information on the diagrams. I feel like I have missed some info.
I think it's to do with the intellectual property aspect of the presentation. The university may not have wanted the content to have been shared with anyone but their paying students.
I found them at learningcenter.unc.edu/services/ldadhd-services/burnett-seminars/dr-russell-barkley/
@@kirkilj He's a drug pusher
@@alanberkeley7282 fuck off. Without drugs I'm shit. Let's see when I'm on them if I'm better.
@@slappyhappy6192 Speed addict
This is HUGE for me. There's so much I didn't know until now.
Much of the initial description is about those with hyperactivity. The daydreamer type is overlooked.
It's the other way round! Literally! He is not talking much of Hyperactivity. I am half way through the video.
Wow, this has been so helpful. I am still making sense of my Bipolar2 and ADHD and this is a welcome video
I was diagnosed at age 48. A relief yes, but my psychiatrist would no longer prescribe me Adderall because of my HBP. So I continue to suffer.
My GP doesnt believe i have adhd and wont treat me for it while this man has described what goes on in my daily life to a T. Cant wait to show this to him
Hi you might have to see a therapist because a doctor cannot identify it in a 5 min consult.
As someone, who service so many ADHD client;, I am amazed of the harm and memory decaying caused in people who suffer it, but do not know. I learned about executive function being so damage by reactions and actions of ADHD mental performance in people.
Memory decay? Could you explain that statement please
Me being a parent with Adhd trying to learn to teach my kid with Adhd...
-Look squirrel
How I wish my estranged wife would listen to this guy, even for ten minutes.
Discovered this amazing man via CZcams recs - during first 10 minutes I searched for other video’s by this genius, google searched topic, shared video with my son, and brushed my teeth........ happy I’m not ADHD......
His battle with the projector was so endearing.
Thank you for this. I understand my child so much better.
Wonderful !
Woooow I really need to take notes
Hot take with the sugar beverages
Dr Barkley is Godsend. ❤❤❤❤
slides link from this page: learningcenter.unc.edu/services/ldadhd-services/burnett-seminars/dr-russell-barkley/ . direct link: docs.google.com/viewer?url=https%3A%2F%2Flearningcenter.unc.edu%2Ffiles%2F2013%2F01%2FADHD-2-Theory-of-EF-and-SR-shortened-1-hour-version.pptx
Thank you so very much for posting these links. Downloaded the PDFs and am grateful to have them - so much information!
And nice to see all 3 links to the lecture are there as well, makes it all one neat package, which is helpful when one can be distracted searching You Tube for parts 2 and 3 and end up watching other videos instead, lol.
Well well well… If with Vyvanse I am like that imagine without it 😂..
Ok how do we troubleshoot ourselves then? I am about to be embarrassed of my own existence and might sue my parents 😂😂😂 manufacturer defect !
Ask for the money I could make if I did not have adhd 😂😂😂😂😂
It is a social problem not inhibitory. We get up and talk about it because we are trying to fix what is wrong ourselves. It is well known that a secluded person seeks human attention. People go crazy without interaction usually only after 30 days or so
wish the slides were shown on the video, or that I could find the slides on the website.
This is fascinating. I've never heard these analytical descriptions of these processes. (Guess I should have stayed in school ... i actually considered majoring in psychology but I flunked out)
Got diagnosed as both autistic spectrum and ADHD after a TIA at 47. Quite probable that I had it all along, and what happened was that the masking, the energy sucking learned compensation mechanism, was wrecked in the brain damage. Would be very interesting to see the slides to see the location of those key networks vs the location of my 3 month 'head on fire' headache...
Sparkling personality. Thats me. Now I have to work out who I am when I am not 'sparkling'. Have avoided meds do far. Can anyone tell me from first hand experience what happens to the 'sparkling' parts of us on meds. I realise I'm afraid of losing the very parts of me I've come to accept and love over the years
Wow, this is great, but since this is from 12 years ago I need to see his more recent stuff.
Also, I want to see the screen that he is pointing at, it doesn't make sense if we can't see the slide.
Impulsive responding to irrelevant events. Yup, sounds accurate. 😅
Im the daydreamer type but also all encompassing. This life has been most difficult and sadly society sees us as lab rats or addicts😢
Multi-hour lecture about ADHD
No subtitles for those of us with inattentive ADHD who often mis-process what people are saying (not mishear, it hits the ear drum fine its the brain that has the problems!)
Click the CC button next to the little cog on the right hand side of the player.
Auto-generated subtitles
Yeah no thankyou
If google cant get words like 'and' and 'they' right I don't expect them to get words like amygdala right
@@yourfaceishumerus Well if you want to read it now they've seriously upgraded the closed captions recognition software
I watch it on 1.25 speed and it keeps me invested this way.
i'm closedcaptions-conscious as well and the current version's are p darned good for the length of the video and how quickly he speaks at some points. very few miscaught words that i intend to possibly suggest they edit, but the only thing that annoys me as a narrative writer is the lack of punctuation.. that isn't really necessary if one's just using the things to ensure the verbal consonants we're processing match the ones that were enunciated..
Where and how can get the slides related to this presentation?
from an earlier comment:
learningcenter.unc.edu/services/ldadhd-services/burnett-seminars/dr-russell-barkley/
@@TheXtrafresh You are a legend. Thank you.
Very nice
ADD impairment. Please explain expand. Undernourished, malnourished starved body & MIND Injuries. Mental & physical EXHAUSTED, WORN DOWN OUT FROM TOO MANY Tasks, PROBLEMS SOLVING, TIME IMPAIRED, etc.
Is there a version where they show the slides?
Also the slides I found on the UNC website have missing colours on the graphs + making the text difficult to read.
Anyone?
I am glad he is teaching this, but I need help, I already know whats wrong, I need help fixing it.
@pope Kelly Paul Meet with a psychiatrist who is knowledgeable about ADHD. There are also ADHD coaches. But if you have not been properly evaluated, that should be your first step. Meet with your primary care provider and he or she should probably direct you on the next steps.
What happened to the slides? :(
Thanks ADD camera guy! It would highly useful to see the damn slides he’s talking about. If you only show half of the information, it’s that much harder to learn!
Another commenter shared this link with the slides. learningcenter.unc.edu/services/ldadhd-services/burnett-seminars/dr-russell-barkley/
Post the slides
( plenty of folk have linked em in the other comments by now, if you'd like to check back on, halfadecade later.. ^^"a )
Can you please share what we can’t see on the screen?
This shit has been haunting me my entire life.
Me watching this at Starbucks
Wait dr Barkley served in Vietnam!??
Ok I got we are all screwed up of our guts however I am annoyed by my own struggle. 😂
I believe self awareness helps.. Anyone out there know videos on how to troubleshoot procrastination and time issues on adults?
Me - I don't have impulsive emotions
Me rembering I screamed at my mate because she kept attacking me on monopoly go. 😭🤣 x
Two-and-a-half-hours? How in the world am I going to make it through this?!
I remember about 15 years ago, and I learned about executive function, suddenly understanding what was going on-- and I've since described "good phases" (like when I'm on a good med, that works) as "my moment-to-moment actions being aligned with larger goals".
It sucks that the person who could best design a system to complement this will never finish it.
hyperfocus
They wouldn't show well on video (when did, were light-blasted out.
When your only tool is a hammer all your problems are nails
5:37
I wish I could see the screen that has the information he's referring to. Hardy to understand why the video didn't capture it
30:31
Maturation is Behind - but my whole life I was told I was "mature for my age".....I wonder how that happened....
Hi Lauren, I may be able to shed some light on that. I was told my whole childhood I was mature for my age, as well. What they meant was I was bright and more informed/cognitive than most of the kids my age.
But emotionally and socially I was definitely less mature. I wasn't childish emotionally, just ill prepared to deal with emotional issues. I was hyper sensitive, and obsessed about rejections and what's someone might have meant by a comment to me - more so than the average angst filled teen, you know the common ADD type hypersensitive stuff.
But as most of that was internal, parents and friends were not aware of it. I couldn't really find an equilibrium until I hit my thirties and got some counseling which helped a lot. Now I can let things roll off my back and not obsess about them too much. Well, usually. 🙂
@@DaneArcher2000 Thank you for sharing your story! That helped! You put into words my exact experience and I appreciate it! Thank you!
So is ADHD more impairing than Bipolar disorder?
Well my Bipolar friend has an engineering degree and I can't even hold down a job, so.... yes?
Cole G No. Not at all. Bipolar Disorder II + ADHD is much more impairing than any of them separetley.
Cole G Since I am bipolar and most creative people are, I say yes. In fact most artistic people are bi-polar. That is, we just see things differently than most people. This does not create social problems. In fact, because of it you get art and music.
They cannot be compared. If you really want to try to compare the two - look at how people with these disorders are impaired on a case by case basis.
Cole G That's anecdotal evidence and cannot be taken as fact.
Is it FOOD ALLERGIES???
No.
Cameraman! Dont show the slides!
ADD. Please explain Executive functioning dysfunction making plans
Unable to finish tasks. Time impaired. Distracted easily . Etc.
Can you please explain more??? Age 32 this disability started causing
many troubles problems 😭 over the next 30 Yrs.
What can we do to differently to fix the multiple things impaired??
Or explain to friends what is the Medical CONDITION.. NEED COMPASSION, MERCY, & FORGIVENESS from those whom can't imagine how embarrassing our chronic delay, lag performance (always tardy, late for all appointments, & Sunday Worship meetings. We are
always being SCOLDED, & TOLD you are so disrespectful. No Reverence manners. Etc. Shamed. 😟😭
The juicy connection shortly like because seagull steadily force next a used bagel. acrid, broken stream
I was talking to my daughter Zoe the other day and she said "Perhaps I was abnormal sitting quietly for six hours at school, getting top grades and not causing trouble or talking out loud or interrupting Teachers. That's not normal when you think about it". This Psychopath would have loved her. She's was his type of kid.
@Elizabeth Nicol I've heard of a Disorder called Euthymic Disorder.
These are the songs to describe it and what big pharma have done and psychiatry
Sour nightmares are made of this
Love is a Stranger on the wards
Sex Crimes (From Psychiatrists)
Here comes the drugs again
Must be a Devil with the Psych Drugs yeah
Who's that Girl drugged up to the eyeballs tell me
Thorn in my side that's all Psychiatry ever was
I am not the only one. ADHD has gone from being impulsive all the time, not being able to concentrate for five minutes, running out on busy roads, being disruptive, emotional dysregulation to losing your keys, missing library appointments, talking a lot, looking out of windows in Math class, zoning out when the office bore talks to you, or even not talking enough, being hypersexual or asexual, it's gone from 3% in 1980 in the DSM to 11% of kids now. How can a condition multiply and grow that much in 30 years?
@Elizabeth Nicol Instead of saying a kid is brain disordered and has Bipolar, ADHD or ODD what about reducing class sizes instead? The USA spends twenty BILLION dollars a year on ADHD drugs. For that kind of outlay, you could pay the mid-career salaries of an extra 350,000 teachers or 800,000 teachers' aides.
You’re a waste of space, Alan.
@@dionysusrex9183 This guy supports Autism speaks. He took part in a sponsored event to raise money for them. They are a cure Autism organization. Tells you what you need to know about him
You can find the lecture pages here: learningcenter.unc.edu/services/ldadhd-services/burnett-seminars/ some really great stuff!
I was wondering about some of the things he referred to in the talk, but forgot about what they even were by the time I went to write them down!
thank you
These drugs are stimulants and work like amphetamine; in fact, some of them are amphetamine. The way the WHO describes them is interesting.139 Under the heading “Management of substance abuse: amphetamine-type stimulants,” they say:
“Amphetamine-type stimulants (ATS) refer to a group of drugs whose principal members include amphetamine and methamphetamine. However, a range of other substances also fall into this group, such as methcathinone, fenetylline ephedrine, pseudoephedrine, methylphenidate and MDMA or ‘Ecstasy’-an amphetamine-type derivative with hallucinogenic properties. The use of ATS is a global and growing phenomenon and in recent years, there has been a pronounced increase in the production and use of ATS worldwide. Over the past decade, abuse of amphetamine-type stimulants (ATS) has infiltrated its way into the mainstream culture in certain countries. Younger people in particular seem to possess a skewed sense of safety about the substances believing rather erroneously that the substances are safe and benign … the present situation warrants immediate attention.”
Crystal meth is the common name for crystal methamphetamine, a strong and highly addictive drug. In 2017, about 0.6 % of the US population reported using methamphetamine in the past year.140 The usage of stimulants on prescription was 0.8% of the Danish population, also in 2017.
Why then, does the WHO not mention with one word that the increasing use of stimulants on prescription is also a huge problem? Why this double standard?
There were 10,333 drug overdose deaths in USA in 2017 involving stimulants,140 compared to only 1,378 in 2007.
Meth is regarded as particularly dangerous. We don’t know how many people are killed by stimulants on prescription, but we do know that children on these drugs have suddenly dropped dead in the classroom.
We also know that stimulants increase the risk of violence,129 which is not surprising, given their pharmacological effects. But psychiatrists say the opposite. I have heard them argue many times, even at a hearing in the Danish Parliament, that Ritalin (methylphenidate) protects against crime, delinquency and substance abuse. This is not true-if anything, they do the contrary.142
As with other psychiatric drugs, the long-term effects are harmful.4 This was demonstrated in the large US MTA trial that randomised 579 children and reported results after 3, 6, 8 and 16 years.142-146 After 16 years, those who consistently took their pills were 5 cm shorter than those who took very little, and there were many other harms.146 We can only speculate which permanent effects these drugs might have on the children’s developing brains.
The short-term effect is that the drugs may cause children to sit still in class, but that effect disappears quite quickly. Short-term harms include tics, twitches, and other behaviours consistent with obsessive compulsive symptoms, all of which can become quite common.9,147 Stimulants reduce overall spontaneous mental and behavioural activity, including social interest, which leads to apathy or indifference, and many children-more than half in some studies-develop depression and compulsive, meaningless behaviours.56,148
Animal studies have confirmed this,148 and we have documented other harms, e.g. that the drugs impair reproduction even after the animals were taken off them.149
At school, the compulsive behaviour is often misinterpreted as an improvement even though the child may just obsessively copy everything shown on the board without learning anything. Some children develop mania or other psychoses,56,150 and the harms of the drugs are often mistaken for a worsening of the social construct called a “disease,” which leads to additional diagnoses, e.g. depression, obsessive compulsive disorder or bipolar-and additional drugs, leading to chronicity.148
Trials of ADHD drugs are biased to an exceptional degree, even by psychiatric standards, and therefore most systematic reviews of the trials are also highly biased. A Cochrane review of methylphenidate for adults was so bad that the criticism we and others raised led to its withdrawal from the Cochrane Library.151 Two Cochrane reviews performed by my former employees, who paid sufficient attention to the flaws, found that every single trial ever performed was at high risk of bias.152,153
We also found that the reporting of harms is extremely unreliable.153 In the British drug agency’s review, “psychosis/ mania” was reported to occur in 3% of patients treated with methylphenidate and in 1% of those on placebo. The 3% estimate is 30 times higher than the 0.1% risk of “new psychotic or manic symptoms” that the FDA’s Prescribing Information warns about.
We also encountered discrepancies within the regulatory documents. In the British drug agency’s Public Assessment Report, the rate of aggression for those on methylphenidate was reported to occur in 1.2% on page 61 and in 11.9% on page 63, based on the same population and follow-up time.153
We furthermore observed huge differences across trials that could not be explained by trial design or patient populations, e.g. decreased libido on methylphenidate was experienced by 11% in one trial versus only 1% in a pooled analysis of three other trials. As quality of life was measured in 11 trials but only reported in 5, where a tiny effect was found,153 it is reasonable to assume that quality of life worsens on ADHD drugs, which is also what the kids experience. They don’t like the drugs.
Doing the right thing in psychiatry is rarely possible. An Irish child psychiatrist told me he was suspended because he didn’t put his children on psychiatric drugs, including ADHD drugs.
Instead of changing our children’s brains, we should change their environment. We should also change the psychiatrists’ brains so they no longer want to drug children with speed on prescription; perhaps “psychoeducation” would help?
ADHD medications are prescribed much more to children of parents with low-skilled jobs, compared with children of more educated parents.154 These drugs are used as a form of social control, just as neuroleptics are.
Don't tell anybody this do you Barkley?
I think you are generalising...every situation is different. Dexi’s are a prescribed, controlled medication that helps enormously in regards to focus in learning environments. It’s not just about drugging someone to keep them quiet. I’m sure you will find many other medications that are dangerous if not taken according to doctors requirements so let’s look at how serious other medications are that we swallow down like candy before we point the finger at ADHD medication. That said, I don’t know whether I would medicate my child with ADHD. My son was 18 when he was diagnosed so his choice was to take medication as he was legally of age to decide for himself. It made a huge difference. Unfortunately ‘normalising’ (as you call it) people with ASD and ADHD is necessary to help them fit in to society so they don’t miss out on life. That goes for all people regardless. If we run amok and start driving like a maniac or not turn up at work we are going to get ourselves into trouble. The kindest thing to do is to help your loved ones understand how to fit into society.
@@Mel130673 Barkley says once you are diagnosed with ADHD there is NO reason why you should NOT be medicated
Sorry Bud, your comment is too long for all the ADD viewers watching. If only I was officially diagnosed and therefore medicated, I’d be able to get through it.
In 1978 Barkley said that stimulant drugs used on kids with ADHD was disappointing regarding academic achievement but they did bring about "Compliance".
In 1991 he about turned and said they do improve your academic performance.
He went further in 1999 and said once diagnosed there is no reason why you should not be medicated once diagnosed with ADHD.
He even went further than that four years later asserting to be diagnosed with ADHD and not medicated is child abuse.
He's contradicting his own research and findings so how seriously can you take him?
Maybe he changed his mind
Maybe he got new information that contradicted what was previously known.. So he changed his guidance.. THAT'S HOW SCIENCE WORKS. This isn't politics. It's not opinions.
Something too many people do not comprehend these days. Educate yourself or stand back and let others who ARE do the speaking.
Stimulants being abused by some should not be kept from those who do not abuse them.
@@wendyrx Russell Barkley calls ADHD the Diabetes of the brain. Except you aren't telling the full truth are you Barkley you lying f*ck. Diabetes is there. It is measured in blood tests. ADHD is open to interpretation. For example, one psychiatrist might say you have it. Another might say you don't. Another might be unsure. ADHD was recorded as being 3% in 1980 in the DSM when it was first included. Then loosened in 1987 and 1994 and in we've gone now to an average of 11% of boys being diagnose with it, as many as 15, even 20% in some states, and yet it is lower than 5% in other States. ADHD seems to be anything you want it to be in the US. We've seen Ned Hallowell diagnosing random strangers in six questions on live TV to Allen Frances saying it needs to be diagnosed in days not hours. And usually people respond well to insulin. I've seen people saying they've had very high heart rates, high blood pressure, high body temperature, severe headaches with stimulant drugs, aggression, delusions, paranoia, mania, shootings, stabbings and not only that, insulin doesn't do this. It doesn't cause heart attacks or strokes. It isn't a Schedule II drug. It isn't being abused on campuses. If you read the symptoms of ADHD they can apply to most of us. Diabetes isn't. Some with ADHD can manage without Adderall or Ritalin. Hardly anybody without Diabetes can manage without insulin.
Wow.. it's like the more you know and research you might come to new and/or better conclusions.. like questioning the science instead of "following" it.. i am glad i never got to say anything against my teenager beliefs, that would've made me a hypocrite .. ain't i great ?
I'd be worried if he refused to change his position in light of emerging evidence throughout the years.
Steve: your arguments are brilliant. Get a job in the drug industry.
***** Never mind. I have three books on this. Tell me about your research. What I am getting is that you are ADHD and have no clue. My son was ADHD and he got over it. Drugs are never going to make you better. Minerals ARE vibrations. They never pass the cellular membrane barrier.
James Robert Clark The world changed in 2012 you need to forget everything you know.. we now have the remedy .. problem is most people will openly reject it
Cheers... it removes the root cause.. 100%
+James Robert Clark Define mineral? Everything is "vibrations", it's called brownian motion and all matter has it, including medications. Your undefined minerals "never pass the cell membrane". Interesting, tell me again about their mechanism of action? How do they affect phophorylation, glucose uptake, or neuronal firing without that? If your son "got over" ADHD he was in the lucky minority of children that do, but you have no evidence that magic gets credit.
+maarakailet1 No one here was discussing Browian Movement. We were however discussing frequency (as in EM) Vibration across the cellular membrane barrier. Minerals are the primary vibration and vitamins are just cofactors in achieving that transport.
To assume that my son was "lucky" Is untrue and a leap. I discovered deficiency are righted it... Now please disperse with the "magic BS. Thanks.
James Robert Clark
The more you talk, the more you ignorance shows. EM is electromagnetic waves. These are not "vibrations". Vibrations are repeated, regular motion of objects. While photons do possess wave/particle duality they do not vibrate. When using their particle property they move in a straight line, as when determining the aperture for a camera or x-ray machine. When talking about their wave property, as you would when discussing their energy levels, you were use distance between waves and height of waves. Such as determining laser functions, fluorescence microscopy, what have you. They don't buzz like a freakin' rung bell.
I'll repeat, can you explain the mechanism of action? What exactly are these vibrations supposedly doing in the cells. Can you test it, can you measure it? Also, you didn't define minerals. What are they other than arbitrarily determined classification for inorganic matter? What properties do you think they convey to human health. Surely these are easy questions if you have the evidence you claim.
As for magic, I don't believe in magic. Everything I mention is testable, repeatable, and predictable. That's kind of the very foundation of my job.