The Neuroanatomy of ADHD and thus how to treat ADHD - CADDAC - Dr Russel Barkley part 3ALL

TL;DR

ADHD disrupts the executive system, leading to failures in self-regulation and difficulty organizing behavior across time, resulting in a nearsightedness to the future. Treatment involves modifying the environment, using external supports, and creating accountability.

Transcript

So let me show you how we can build a model of ADHD from the neuroanatomy and neuropsychology of ADHD to understand ADHD we have to understand how normal self control develops and then we'll show were ADHD affects it there are three concepts that we need to build this model One inhiibtion you have to stop and build a pause in your behavior as your ... Read More

Key Insights

• 🥺 ADHD disrupts the executive system, leading to difficulties with self-regulation, inhibition, and problem-solving.
• 🤳 The executive system involves five executive abilities, including visual imagery, speech to the self, emotional self-regulation, internalized play, and problem-solving.
• ♻️ ADHD is a performance disorder, not a knowledge disorder, and treatment involves modifying the environment, using external supports, and creating accountability.
• 🎗️ External reminders, temporal references, and consequences are essential in helping individuals with ADHD overcome executive deficits.

Questions & Answers

Q: What is the role of inhibition in ADHD?

Inhibition, or the ability to stop and think before acting, is impaired in individuals with ADHD. They struggle to inhibit immediate responses to events and have difficulty interrupting ongoing behavior.

Q: How does ADHD affect the executive function of self-regulation?

ADHD disrupts self-regulation, which involves directing behavior back at oneself to change future behavior. Individuals with ADHD struggle to change their behavior based on previous experiences and have difficulty following internal and external rules.

Q: How does ADHD affect the ability to hold images in mind?

ADHD impairs the visual imagery system, making it difficult to hold images in mind. This affects memory and comprehension, as well as the ability to use visualizations in problem-solving.

Q: How does ADHD impact speech to the self?

ADHD affects speech to the self, making it difficult to use self-directed speech as a form of guidance and self-control. Individuals with ADHD may struggle to follow verbal instructions and have difficulty reasoning with themselves.

Q: How does ADHD impact problem-solving and planning?

ADHD disrupts the ability to generate multiple options and sequence behavior effectively. Individuals with ADHD may struggle with problem-solving and planning, relying on overlearned behavior and having difficulty with goal-directed creativity.

Q: Can ADHD be treated effectively?

Yes, ADHD can be managed through modifying the environment, using external supports, and creating accountability. Medication is often prescribed to help with executive deficits, but behavior modification and external reminders are also important for success.

Key Insights:

• ADHD disrupts the executive system, leading to difficulties with self-regulation, inhibition, and problem-solving.
• The executive system involves five executive abilities, including visual imagery, speech to the self, emotional self-regulation, internalized play, and problem-solving.
• ADHD is a performance disorder, not a knowledge disorder, and treatment involves modifying the environment, using external supports, and creating accountability.
• External reminders, temporal references, and consequences are essential in helping individuals with ADHD overcome executive deficits.
• Understanding ADHD as a chronic disability and managing it with compassion and support can lead to successful management.

Summary & Key Takeaways

• ADHD affects the neuroanatomy and neuropsychology of self-control, specifically inhibitory control, interrupting ongoing behavior, and protecting frontal lobes and working memory from interference.

• The executive system in ADHD involves five executive abilities: visual imagery, speech to the self, emotional self-regulation, internalized play, and problem-solving.

• ADHD is a performance disorder, with individuals knowing what to do but struggling to use that knowledge effectively. Treatment involves modifying the environment, externalizing information, using external supports, and creating accountability.