#1 BRAIN EXPERT: “If I Had ADHD, This is EXACTLY What I’d Do!” #1 Trick to Focus NOW (pt.1) — Transcript
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- 0:00How do I know the difference between
- 0:02whether I have ADHD or I'm just
- 0:04distracted because we're living in an
- 0:06overwhelming time? Short attention span,
- 0:09distractibility, disorganization,
- 0:11impulsivity, and hyperactivity. They
- 0:14can't sit still.
- 0:16Psychiatrist and clinical neuroscientist
- 0:18Dr. Daniel Amen says renowned
- 0:20psychiatrist says that feeling better
- 0:22starts with understanding your brain.
- 0:2490% of mothers work outside the house
- 0:28when they have untreated
- 0:31ADD, they often look depressed and they
- 0:34get on something like Lexapro, which
- 0:37actually makes them more ADD, happier,
- 0:41but more distracted, happier, less
- 0:44focused, happier, more impulsive.
- 0:47You eliminate gluten, dairy, corn, soy,
- 0:50artificial dyes, and sweeteners. 70% of
- 0:54the kids lost their ADD. No way.
- 0:58Someone sitting here thinking, "Well,
- 0:59I'm not going to achieve anything with
- 1:00my life because I've got ADHD." What
- 1:02would you say to them?
- 1:06The number one health and wellness
- 1:07podcast. Jay Shetty. Jay Shetty. The
- 1:10one, the only, Jay Shetty.
- 1:14I want to start pretty direct. Why does
- 1:17it seem like everyone today has ADHD? A
- 1:20lot of people do, but our society
- 1:25is dramatically
- 1:27elevating it. When you think of the
- 1:31gadgets that steal our attention, the
- 1:35ultra-processed foods that our brain
- 1:38really doesn't like, the chronic stress,
- 1:43it's like, "What's the simple answer?"
- 1:46And the simple answer is, "Let me
- 1:48medicate you." And
- 1:51feel focused
- 1:52better, but not for long. And so, as our
- 1:57society has taken more medication, we
- 2:00have not gotten healthier. So, I think
- 2:03for people who really have ADD or ADHD,
- 2:08and I use those terms interchangeably
- 2:11because the way we diagnose people, it
- 2:14used to be ADD and by a vote of people
- 2:17they changed it to ADHD, which I think
- 2:20was actually a big mistake. It's always
- 2:23been there, right? You can actually look
- 2:25in the Old Testament and you go, these
- 2:26people had ADD. The real ADD is genetic.
- 2:31You get it from your mom or dad. You can
- 2:34see it in your people. You can see it in
- 2:36your ancestors.
- 2:38And left untreated,
- 2:41they're very serious problems. So, if I
- 2:44think somebody really has ADD and that
- 2:48medicine would help them, they always
- 2:50go, "What are the side effects?" Always
- 2:52tell them, "Your appetite will be less.
- 2:55Take too late in the day, you may have
- 2:57trouble sleeping.
- 2:59Um sometimes people get headaches or
- 3:01tummy aches. Those almost always go
- 3:02away. If you're prone to tics, you may
- 3:05have more tics." But,
- 3:07I want them to ask the other question,
- 3:09is what are the side effects
- 3:12of not taking appropriate treatment for
- 3:15ADD? And it's things like school failure
- 3:19and drug abuse and incarceration,
- 3:23divorce, bankruptcy.
- 3:25I'm so happy we're talking about it
- 3:26because this is a really serious issue.
- 3:31Because if you go to places like prison,
- 3:34there's a high percentage of people who
- 3:37have untreated
- 3:39ADD that did not have proper focus or
- 3:43impulse control. So, would you say that
- 3:46is ADHD being over diagnosed? I think
- 3:49it's over diagnosed and under diagnosed.
- 3:54Over
- 3:55overall because people see this as the
- 3:59simple answer. Under-diagnosed
- 4:02especially in people who are not
- 4:04hyperactive
- 4:06or females. Because we still have gender
- 4:10bias in this country. If you have a
- 4:13little boy and he's not doing well in
- 4:15school, you get really worried cuz you
- 4:17realize he's going to take care of a
- 4:19family someday. For a girl, if she's not
- 4:22doing as well, well you think maybe
- 4:24she's not that smart and you hope she
- 4:26marries somebody nice. Which is
- 4:27completely irrational
- 4:30given that we now have three generations
- 4:35of women who are in the workforce here
- 4:37in California. 90% of mothers work
- 4:40outside the house. And when they have
- 4:45untreated
- 4:46ADD,
- 4:48they often look depressed. And they get
- 4:51on something like Lexapro on an SSRI,
- 4:55which actually makes them more ADD, but
- 4:59now they don't care that they're more
- 5:02ADD. Because serotonin, we'll talk about
- 5:05it, they counterbalance each other. So
- 5:08serotonin is the neurotransmitter
- 5:11happiness, of flexibility.
- 5:15Dopamine more than neurotransmitter
- 5:17focus, motivation.
- 5:19Let's follow through and get this done.
- 5:22And when one goes up, so serotonin goes
- 5:24up, someone puts you on an SSRI,
- 5:27dopamine goes down. And so happier,
- 5:32but more distracted. Happier, less
- 5:35focused. Happier, more impulsive. Yeah,
- 5:38and I think that's what so many people
- 5:40are feeling today where they naturally
- 5:42feel a sense of brain fog. They're
- 5:44overwhelmed with information. I was
- 5:47reading somewhere that we now consume 72
- 5:51GB of information per day, which someone
- 5:54had translated to reading 100,000 words
- 5:58every single day, which when you think
- 6:01about that,
- 6:02that is so overwhelming. So, how do I
- 6:06know the difference between whether I
- 6:08have ADHD or I'm just distracted because
- 6:12we're living in an overwhelming time?
- 6:14So, you look for patterns of behavior
- 6:18over time. So, the hallmark features of
- 6:23ADD or ADHD, the first one is short
- 6:26attention span. It's really hard to
- 6:29focus,
- 6:30but not for everything. And this is what
- 6:32fools people. It's short attention span
- 6:35for regular routine everyday things,
- 6:39schoolwork, homework, paperwork, chores,
- 6:43the things that make life work. And if
- 6:47you have a half an hour of homework,
- 6:49parents will often say it takes him or
- 6:52her two hours to do, and I have to
- 6:55structure their time. That's very
- 6:58common. But, for things that are new,
- 7:02novel, highly stimulating,
- 7:05or frightening, people with
- 7:08ADD can pay attention just fine because
- 7:11they have their own intrinsic dopamine.
- 7:15And what I find is love is a drug. Love
- 7:19is dopamine. So,
- 7:21say you're getting all C's and D's
- 7:23except one A, and the A, whether it's in
- 7:26history or whatever, it's because you
- 7:29love the teacher or you love the
- 7:32subject. But, it's not this one thing we
- 7:35should be looking at, it's the pattern
- 7:38of your attention span over time. The
- 7:41second is they're easily distracted. And
- 7:44what that means is they see too much.
- 7:47They hear too much. They taste too much.
- 7:49They smell too much. So, they're
- 7:52constantly
- 7:54distracted by
- 7:56the world coming at them. The brain is
- 7:59really good at suppressing unnecessary
- 8:04noises or unnecessary thoughts. But,
- 8:07when your prefrontal cortex will talk
- 8:10about that. The front part of your
- 8:12brain, the front third of your brain,
- 8:15largest in humans and any other animal
- 8:17by far. When it's sleepy, it can't sort
- 8:21of suppress the noise. I grew up three
- 8:25houses from the freeway in Southern
- 8:27California. Had lots of noise, but I
- 8:30never heard it.
- 8:32Because my brain went, "Oh, you don't
- 8:34need to listen to that." So, it would
- 8:38suppress it.
- 8:38So, someone who has ADHD can't suppress
- 8:41it. Interesting. And so, the world comes
- 8:44at them too much. And you you see it
- 8:47with the clothes they wear. They hate
- 8:50seams, and they hate tags, because their
- 8:53body feels it. So, I've been married
- 8:56twice. Both of my wives have ADD of one
- 9:01form or another. And the first time when
- 9:03I got married, I went It's like right
- 9:05after I got married, I went to my closet
- 9:07to get a shirt, and I noticed the tag
- 9:10tag was cut out of my shirt.
- 9:13And I'm like, "That's weird." And then I
- 9:14looked at all of my shirts, and all of
- 9:16the tags were out. And I felt violated.
- 9:20And I went into the living room with the
- 9:22shirt, and I'm like,
- 9:24"Why's my shirt missing the tag?" She
- 9:26goes, "Oh, don't you hate tags? Like, I
- 9:28hate tags. I thought you really liked
- 9:30that I cut them all out for you." And
- 9:33I'm like, "I've never felt a tag in my
- 9:36life. Please don't damage my clothing.
- 9:40That's Yeah, that's fascinating to me.
- 9:42So, because I can relate to what you
- 9:44said, I'm
- 9:46very unaffected by outside noise. And
- 9:50definitely my brain creates the same
- 9:53boundary that you said yours does, where
- 9:55I could be in a really noisy
- 9:56environment, but I can go totally
- 9:57internal if I'm focused on something.
- 10:00Now,
- 10:02does that mean that we're born with
- 10:03ADHD, or can we train attention? Well,
- 10:07we can train attention, but ADHD I'm
- 10:10talking about is what you're born with.
- 10:13What you see it in your mom, you see it
- 10:16in your dad. I have I told you my first
- 10:21wife had ADD, which means
- 10:24three of my children have it. So, I know
- 10:28more about this than I want to. And if
- 10:32you think of distractibility,
- 10:34what does an orgasm require?
- 10:37Focus. You have to pay attention to the
- 10:40feeling long enough
- 10:43in order to have an orgasm. And so, if
- 10:46that becomes really hard, well, that's a
- 10:48problem for both the person and their
- 10:52partner because their partner will like
- 10:54go,
- 10:55"She doesn't love me." Or, "I'm not
- 10:57enough." When it has nothing to do with
- 11:00that, it's just they're easily
- 11:02distracted. People with
- 11:04the real ADD, they need white noise at
- 11:08night. And I'm like, "It's the middle of
- 11:10winter. It's Washington, D.C. The fan is
- 11:13on."
- 11:16Like, "Why is the fan on?" It's like,
- 11:18"Oh, I need the noise, or I won't be
- 11:20able to sleep cuz I hear everything
- 11:23that's in the house." So, short
- 11:25attention span not for everything,
- 11:27easily distracted, disorganized. So,
- 11:30it's hard for them. It's not natural for
- 11:33them. If you look at their rooms, their
- 11:35desks, their book bags, their filing
- 11:37cabinets,
- 11:39and time. They're often late. And I like
- 11:44to be early. I'm like if I have if I
- 11:48have a flight, I'm there two hours early
- 11:50because my brain thinks of all the
- 11:52things that could go wrong on the way to
- 11:53the airport, and the flight's important
- 11:56to me. People with ADD it's last minute,
- 11:59last minute. And I used to fight. I'm
- 12:02like, "No, we need to go." And and then
- 12:05I just started lying. It's like
- 12:09the flight is at noon. Uh when really it
- 12:12was at 1:00, and because her
- 12:13organization wasn't such, she didn't
- 12:16really catch on to the How much of that
- 12:19is training? Like I feel like I grew up
- 12:21with a mom who is very meticulous with
- 12:24time. So, my mom trained me to always
- 12:27believe that if you're not early, you're
- 12:29late. And so, I also live in a world
- 12:31that you do, which is I'm always at the
- 12:33airport early. I'm always making sure of
- 12:36anything that could go wrong. Security
- 12:37could take a bit longer. There's so many
- 12:39other things.
- 12:40That to me, I've always felt came
- 12:43because I had a mom who is super
- 12:45organized, and I've inherited that by
- 12:48watching her. Even now, like my mom
- 12:50trained me how to make sure we locked
- 12:51all the doors at night, and you know, we
- 12:53didn't grow up in a really safe area.
- 12:55So, there was this very hyper attention
- 12:58to make sure. So, I'm very good at that,
- 13:00and I could have been because her brain
- 13:03Yeah. was busy in the front, and she
- 13:08also gave that to you. Yeah.
- 13:11Right? So, some of it is training, but
- 13:12if she had ADD, she wouldn't give
- 13:15Right.
- 13:16that to you, and you would often be
- 13:18chronically stressed because she
- 13:21wouldn't get you to school on time, or
- 13:24she wouldn't be there on time to pick
- 13:26you up. Or it's really important you
- 13:29have a soccer
- 13:31practice and you're late. The the level
- 13:34of stress in ADD ADHD families is very
- 13:39high because of the distractibility, the
- 13:43disorganization,
- 13:45and the fourth one is procrastination.
- 13:48They don't do things until someone's mad
- 13:50at them to get it done. They need stress
- 13:54in order to get stuff done. And that
- 13:58just makes everybody around them
- 14:00stressed. And it makes them stressed
- 14:02because, you know, they're often late
- 14:04because they actually don't start
- 14:06getting ready until it's like, "Oh my
- 14:08god, I'm late." And then they always
- 14:10show up like either right on time
- 14:12flustered or 10 minutes late always
- 14:16apologizing. And that's different from
- 14:18people who perform well under stress.
- 14:20This is someone who needs stress in
- 14:22order to perform.
- 14:23in order to perform, yeah. Right. If
- 14:25your child's struggling in school, make
- 14:28sure they're not taking their iPad to
- 14:30bed. So often it's because kids are
- 14:33sleep deprived, they look like they have
- 14:35ADD because parents are really not
- 14:37properly supervising
- 14:40the kids. You eliminate gluten, dairy,
- 14:43corn, soy, artificial dyes, and
- 14:46sweeteners.
- 14:4770% of the kids lost their ADD. No way.
- 14:51So, the first thing is not
- 14:55Let me give you this drug.
- 14:57In my mind, the first thing is do a
- 14:59digital detox
- 15:01and do an elimination diet. And do it
- 15:03for a month. Food is so important. If
- 15:07they really
- 15:08have ADD or ADHD, they're going to have
- 15:12it 3 months from now or 4 months from
- 15:14now. Let's do this
- 15:17and see because I think if someone
- 15:20really has ADD, Withholding medicine is
- 15:24like withholding glasses from someone
- 15:28who can't see. And that's neglect. When
- 15:31I first started imaging, it was on an
- 15:34ADD woman. So, I went into a lecture on
- 15:36brain SPECT imaging in my hospital in
- 15:39April 1991, and I walked out and I had a
- 15:43new patient. Her name was Sandy and she
- 15:45was 44 and she was beautiful and
- 15:48underemployed. She had an IQ of 144 and
- 15:51she was a lab tech and she was in the
- 15:53hospital because she had a suicide
- 15:55attempt the night before in an impulsive
- 15:59act when she and her husband had a
- 16:01fight. And I'm like, ADD ADD ADD. She
- 16:04had an 8-year-old son that had ADD and
- 16:06I'm like, "I think you have ADD." And
- 16:08she's like, "Oh, adults can't have it."
- 16:11Thinking to myself but not saying it cuz
- 16:13I don't have ADD. It's like, I'm the
- 16:15doctor.
- 16:16Adults totally can have ADD.
- 16:19And I said, "Can I scan you?" Cuz I've
- 16:22just learned about this new technology
- 16:24and I scanned her twice, once at rest,
- 16:27once when she did a concentration task.
- 16:30And when she tried to concentrate, the
- 16:32front part of her brain shut down rather
- 16:36than what it should have done was turn
- 16:38on. And I put the This is why I love
- 16:41imaging. I put the scans on her hospital
- 16:44table.
- 16:45And I was explaining to them and she
- 16:48started to cry. And she said, "You mean
- 16:50it's not my fault?"
- 16:53And that's the moment I got hooked on
- 16:55imaging cuz I already knew the
- 16:57diagnosis. She It immediately evaporated
- 17:02shame. And then, she's like, "All right,
- 17:05let's talk about adult ADD." And she had
- 17:09all of the things including the impulse
- 17:12control issues. But because she was so
- 17:15bright, she didn't bring enough
- 17:18negative attention to herself and never
- 17:21gotten the help. And after I treated
- 17:22her, she finished college, she stopped
- 17:25picking on her husband because another
- 17:28trait that a lot of people don't
- 17:30understand is they become negative
- 17:32seeking,
- 17:34conflict seeking, and excitement
- 17:36seeking. And those are all dopamine
- 17:39driven behaviors. So, if you have a low
- 17:42level of dopamine, well, if you pick a
- 17:45fight with someone, now all of a sudden
- 17:47you there's some excitement going on. If
- 17:50you jump out of an airplane, that has a
- 17:52whole bunch of dopamine associated with
- 17:55it. But and I experienced this, it was
- 17:58that poking. It's like we're going on
- 18:00vacation, why are we having a problem?
- 18:02And
- 18:03activating their frontal lobes, they're
- 18:06less negative. And I'm just publishing a
- 18:09study on negativity bias. I'm very
- 18:12interested in Are you positive or you
- 18:16negative? Now, unbridled positive
- 18:18thinking is a disaster, you die early.
- 18:21But negative thinking, you actually have
- 18:24low function in your frontal lobes. And
- 18:29many of the ADD people I see tend to see
- 18:33the glass as half empty. And that wears
- 18:38on them. So, if we highlight the short
- 18:41attention span, not for everything,
- 18:43disorganization, procrastination,
- 18:46impulse control. It's like the break in
- 18:50their brain is vulnerable.
- 18:54And they say things often
- 18:58that you shouldn't say. It's like the
- 19:00inside voice gets out. They do things
- 19:05that it's like,
- 19:06"Wish I hadn't done that." So, they
- 19:08actually live with a lot of regret. And
- 19:14your prefrontal cortex is called the
- 19:16executive part of the brain because it's
- 19:20like the boss at work. It's involved in
- 19:23focus, forethought, judgment, impulse
- 19:26control, organization, planning,
- 19:29empathy, learning from the mistakes you
- 19:32make. And when it's sleeping,
- 19:35you have all those problems which just
- 19:38describes
- 19:40ADD. And
- 19:42um strengthening that
- 19:45is critical to your humanity.
- 19:49Did you know that sociopaths have 10%
- 19:53less volume
- 19:55in their prefrontal cortex? So, they're
- 19:59a little less human, if you will.
- 20:02Even 10% has that impact?
- 20:0410% It's huge. And this is why you
- 20:08should never let a child hit a soccer
- 20:10ball with their forehead. It's just so
- 20:14stupid. And like I'm not a huge fan of
- 20:17allowing kids to play tackle football
- 20:20because it's more likely to damage the
- 20:23part of them
- 20:25that
- 20:27is the boss. And
- 20:29people who have ADD are often executives
- 20:33of their own companies because they
- 20:35don't work well often with other people.
- 20:39And so, they're entrepreneurial. And
- 20:42some wildly famous people have said they
- 20:46had ADD. Like the person who started
- 20:49JetBlue. He was public with that. It can
- 20:53look false. It can be masquerade you
- 20:56have ADD because your parents gave you
- 20:58an iPhone when you were a year old. And
- 21:01I think we're wisening up that's not a
- 21:03good thing to do, but still
- 21:06children should not have smartphones
- 21:08until they're 15, 16. Social media,
- 21:13Australia banned social media under 16.
- 21:17I think that's so
- 21:17Brilliant, yeah. great, right? Taking
- 21:20the neuroscience and making it public
- 21:22policy. California, you can't start
- 21:24school in the morning before 8:00.
- 21:27Taking the what we know with
- 21:28neuroscience, kids who get just an hour
- 21:31less sleep have a higher incidence of
- 21:35depression and suicide. So, all right,
- 21:38cut out the zero periods. I love that.
- 21:40Neuroscience and then public policy. Do
- 21:43we know what causes ADHD? It's genetic.
- 21:47People are not producing
- 21:49enough dopamine and the medicines we
- 21:53use, like Ritalin or Adderall, they
- 21:56increase the availability
- 21:59of dopamine. Now, the problem is is if
- 22:01you don't really have it, what you have
- 22:03is societally induced ADHD, the medicine
- 22:06will disrupt you and make you worse. And
- 22:09early on, I realized when I scan people,
- 22:13cuz I've scanned
- 22:1430 or 40,000 people who have ADD of one
- 22:18type or another, it's not one thing.
- 22:21Early on, I'm like, "Oh,
- 22:24it's seven different things." And so, my
- 22:27book Healing ADD, I talk about seeing
- 22:30heal the seven types. And so,
- 22:34can I talk about the type? That was just
- 22:36about to That was my next question. You
- 22:37were You were already You were already
- 22:38one step ahead of me. So, let me ask let
- 22:40me ask you.
- 22:40type one is the classic. It's what most
- 22:42people think of ADHD. Short attention
- 22:45span, distractibility, disorganization,
- 22:47impulsivity, and hyperactivity. They
- 22:50can't sit still. And
- 22:53one of my kids, when
- 22:55she was born, we thought she was going
- 22:58to be a boy because in her mother's
- 22:59womb, she was so active. And the law is
- 23:02the more active a baby is inside their
- 23:04mother, the more likely they are to be a
- 23:06boy. She wasn't. When I held her older
- 23:09sister, we could watch movies. She'd sit
- 23:12on my lap. She was just calm. Her
- 23:15sister, when you tried to hold her, was
- 23:17like trying to hold a live salmon. She
- 23:19was so wiggly. And then I take her to
- 23:22the mall, she would have been one of
- 23:24those children on the little yellow
- 23:25leashes, the Big Bird leashes in the
- 23:28mall. But I wrote a column in the local
- 23:30newspaper, so when I went to the mall,
- 23:32people recognized me. It's like, "Oh,
- 23:34Dr. Amen, I loved your column. Why is
- 23:36your child on a leash?" So what I used
- 23:38to do with Kaelen is put her in her
- 23:41stroller and tie her shoes together so
- 23:44she couldn't get out. Cuz she's like,
- 23:46"Where are you going?" And I remember
- 23:49just holding her hand. I'd take my
- 23:50little pinky and wrap it around her
- 23:53wrist. Because and I had spiritual
- 23:56problems because of this child. We would
- 23:58go to church and I don't know why
- 23:59Catholics take children into church
- 24:02rather than, you know, send them to
- 24:04children's church. But anyways, she was
- 24:07so active and blurting out. And I'm like
- 24:12the only child psychiatrist in the
- 24:15county. And if my child is the worst
- 24:18one, that's bad for business. So I used
- 24:21to take her out and threaten her life
- 24:24and now I'm worried about her eternal
- 24:26soul. And I adore her and she's 37 now.
- 24:30And Haven
- 24:32is just like her, which is,
- 24:34you know, my 6-year-old granddaughter,
- 24:36is just like her.
- 24:38It's genetic. And when we first got her
- 24:42diagnosed, the doctor who was really
- 24:45great looked at me
- 24:47and then
- 24:48looked at her mother and goes, "So who
- 24:50has this? Cuz it's genetic." And I'm
- 24:53like, "It's not me. I do everything
- 24:55early."
- 24:56Now I've written 42 books. Every one of
- 24:58them's been handed in early. And her mom
- 25:00goes, "It's not me." But then I was so
- 25:02grateful cuz it took her like 12 years
- 25:05to get through college, and she just she
- 25:08asked her this one question. This is a
- 25:10great adult ADD question.
- 25:12Cuz she was still in college at the
- 25:14time. She goes, "How do you study?" She
- 25:16goes, "Oh, I can never study at home. I
- 25:17get so distracted. I go inside my little
- 25:21car underneath a street lamp. No kids,
- 25:23no noise, nothing. There I can study."
- 25:26And the doctor goes, "You have ADD."
- 25:29It was very helpful for me and for her.
- 25:33That's type one. That's type one.
- 25:35Classic.
- 25:36Type two
- 25:38is inattentive ADD.
- 25:41Short attention span, distractibility,
- 25:45disorganized, procrastinate, but they're
- 25:47not impulsive.
- 25:49And more common in girls. They're not
- 25:52hyperactive. In fact, they can be a
- 25:54little bit hypo- active. And those first
- 25:59two types were described in the DSM when
- 26:02they first created this diagnostic
- 26:05category in 1980.
- 26:07I described the next five types.
- 26:09The third one is overfocused ADD, where
- 26:13the problem is not so much you can't
- 26:15concentrate.
- 26:17It's you can't shift your attention.
- 26:19Mhm. That you get stuck. And if you
- 26:22can't shift your attention, you cannot
- 26:24pay attention.
- 26:26But it's a different mechanism. And I
- 26:28found this to be a particularly true in
- 26:31children and grandchildren of
- 26:34alcoholics. And they tend to be
- 26:36argumentative, oppositional,
- 26:39worry. If things don't go their way,
- 26:42they get upset. And on the surface, they
- 26:45appear selfish. They're really not
- 26:48selfish. They're just not flexible. And
- 26:52stimulants
- 26:54tend to make them more worried and more
- 26:57upset.
- 26:58Type four is called limbic ADD. It's
- 27:01where their emotional brain is too busy.
- 27:05And it's sort of like ADD plus
- 27:08mild depression. And the glass is always
- 27:12half empty for them.
- 27:14Type five, which I think is such an
- 27:16interesting one, is temporal lobe ADD.
- 27:18They have problems in one or both of
- 27:19their temporal lobes. Often goes with
- 27:22learning problems, but mood instability,
- 27:24irritability, temper
- 27:27problems. One of my first great cases
- 27:29was Chris. He's his third psychiatric
- 27:32hospitalization. This time he took a
- 27:35pencil and put it in the neck of one of
- 27:37his classmates.
- 27:39Stimulants made him hallucinate. Uh all
- 27:42the other medicines, and I'm like, "I'm
- 27:44scanning you." And he had left temporal
- 27:47lobe problems. This goes with violence.
- 27:50I put him on an anti-convulsant,
- 27:52anti-seizure medicine. Became the
- 27:54sweetest kid. And then he still had
- 27:57trouble concentrating. So then, after I
- 27:59got the temporal lobe right, I gave him
- 28:00a stimulant. Masterful. I mean, this kid
- 28:03just did phenomenally
- 28:06well.
- 28:07And then the ring of fire, that's one I
- 28:09may be most known for. The problem is
- 28:11not low activity, it's too much
- 28:13activity. Please don't give them a
- 28:15stimulant because they can become
- 28:17violent, aggressive.
- 28:20I actually use a supplement to calm
- 28:21things down in their brain, very
- 28:23effective. And then the last one's
- 28:25anxious ADD, where
- 28:28they're really anxious. And so they tend
- 28:30to be early to things, but disorganized,
- 28:33distracted, so on. So knowing the type,
- 28:37and that's why Ritalin has a bad
- 28:40reputation. For the right brain, it's
- 28:43miraculous.
- 28:44For the wrong brain, it's a nightmare. A
- 28:47lot of people who have ADHD say they
- 28:49feel emotions much more strongly and
- 28:52deeply.
- 28:53Can they start to regulate their
- 28:55emotions? Is there a way to do that? Or
- 28:57is that medication?
- 28:58Well, and sometimes with the medicine
- 29:00they don't like it because it feels like
- 29:02it suppresses their emotions.
- 29:04Interesting.
- 29:05And my daughter Caitlyn, when I put her
- 29:09on Ritalin cuz she was hyperactive. And
- 29:13then she was
- 29:14dramatically less hyperactive. But I
- 29:17found I had to titrate the dose down
- 29:20because I could see it putting a lid on
- 29:23her personality, which is not what you
- 29:24want to do. And so often you want to
- 29:28work with someone who's really
- 29:29knowledgeable to titrate the dose up and
- 29:33down
- 29:34effectively.
- 29:36If you're a baseball player, so just
- 29:39thinking of athletes,
- 29:41the medicine gives you a better batting
- 29:43average.
- 29:44If you're a linebacker in football, you
- 29:46might be a little bit less aggressive.
- 29:48Because you're more thoughtful. Right.
- 29:51Right. So if you want to play with
- 29:52abandon, you probably don't want a
- 29:54stimulant on board. But I find for some
- 29:59of my professional athletes, they're
- 30:02just much more focused and less likely
- 30:04to get technical fouls and
- 30:09like I see it and you're watching, you
- 30:11know, someone have a meltdown on the
- 30:13court, I'm like, I wonder what's going
- 30:14on in that person's brain. Right? Rather
- 30:17than just judge them as bad. I haven't
- 30:19scanned Draymond Green, but I want to. I
- 30:22saw a study that found that children
- 30:25with untreated ADHD are nearly twice as
- 30:29likely to develop an alcohol use
- 30:31disorder or other substance abuse
- 30:34problem. Why is that? Because of the
- 30:36lack of impulse control. And they don't
- 30:38like how they feel. Right? If you've
- 30:40been told every day to settle down, or
- 30:44you brought negative attention to
- 30:46yourself, over time it activates
- 30:51your emotional brain. And you want to
- 30:56settle it down, and you don't have good
- 30:57forethought or good impulse control, and
- 31:00you're more likely to drink. And it's
- 31:04just so prevalent. Plus with society
- 31:07during the Superbowl, there were 30 beer
- 31:10commercials. And the rest of them were
- 31:12Jack in the Box, right? So it's like we
- 31:15we're just being flooded with these
- 31:17awful messages that take people have
- 31:20ADD, make them more ADD, and then they
- 31:23engage in habits that aren't helpful.
- 31:25Do you think there should be a ban on
- 31:27alcohol advertisements as much as there
- 31:29is obviously on smoking like Yeah, it's
- 31:32not a health food. I mean, the American
- 31:34Cancer Society came out 3 years ago
- 31:38and said, "You shouldn't drink because
- 31:40it increases your risk of seven
- 31:42different types of cancer."
- 31:44The Surgeon General last year said we
- 31:47should put alcohol cancer warning label
- 31:50signs on alcohol. I think when you just
- 31:53look at our society from the digital
- 31:56addictions and social media and
- 31:59technology to the bad food, the
- 32:03ultra-processed food that so many people
- 32:05that's 80 or 90% of their diet to
- 32:09marijuana's innocuous, which is a
- 32:11complete lie. Alcohol's a health food,
- 32:15no. And now the big new thing is
- 32:18psilocybin. It's great medicine. It's an
- 32:21antidepressant. It'll treat your PTSD.
- 32:24And it's increased
- 32:28psychosis to emergency rooms 300%.
- 32:32It is not innocuous. Now, might it
- 32:35become a a good treatment? I don't know,
- 32:38but I feel like I've seen this party
- 32:41before, right? One of the big benefits
- 32:43of being 70 is you've seen lots of
- 32:45things. The early '80s, benzos are
- 32:49innocuous, they're mommy little helper.
- 32:51We know benzos are highly addictive and
- 32:53increase the risk of dementia. The early
- 32:57'90s, alcohol's good for your heart, you
- 32:59should drink. It's a lie, you shouldn't
- 33:01drink. It increases your risk of
- 33:04stupidity and cancer, right? And if
- 33:07you're ADD and you have sleepy frontal
- 33:08lobes, now you drink, you have sleepier
- 33:10frontal lobes. Still not a good thing.
- 33:14And then pain is the fifth vital sign,
- 33:17right?
- 33:18Purdue Pharmaceuticals came out with
- 33:21let's let's get more people to take
- 33:23opioids and came out with these
- 33:25campaigns and spent billions of dollars
- 33:27on marketing and
- 33:30was a disaster. And then the whole
- 33:32marijuana's innocuous during not this
- 33:35presidential campaign, the last one.
- 33:38Joe Biden was debating and they asked
- 33:42him, should the federal government
- 33:44legalize marijuana? And he said, no, I
- 33:47don't think there's enough research. And
- 33:49Cory Booker, the senator from New
- 33:51Jersey,
- 33:53shames him on national television and he
- 33:56said, man, are you high? Like
- 34:02the science is settled.
- 34:04Well, as more places legalize it, the
- 34:07science is getting settled. It's bad for
- 34:10us, right? If you use as a teenager, it
- 34:13increases
- 34:15anxiety, depression, psychosis, and
- 34:17suicide in your 20s. I published a study
- 34:21on a thousand marijuana users.
- 34:24Every area of the brain is lower in
- 34:26blood flow.
- 34:28And I got so much grief for it. And two
- 34:30months ago in JAMA Psychiatry,
- 34:33on a thousand marijuana users, the
- 34:36memory and learning centers are lower in
- 34:38blood flow and activity. This is not
- 34:41innocuous.
- 34:43It's all these lies that then increase
- 34:46the expression
- 34:48of ADD.
- 34:49And so, you know, how do you know? You
- 34:52look at someone's history over time,
- 34:55right? All of us have ADD moments, but
- 34:59that's not ADD.
- 35:01Having ADD is these hallmark symptoms
- 35:04have followed you most of your life.
- 35:07So, for parents who are listening right
- 35:09now and they're starting to see a young
- 35:12child maybe have one of the types or
- 35:14some of the symptoms, what would you
- 35:16encourage them to do?
- 35:17You know, I have a free online test
- 35:19called addtypetest.com.
- 35:22They could take that. For people, if
- 35:25you've been struggling and it's like you
- 35:28really believe it's not just
- 35:30environmental, right? I mean, the first
- 35:32thing, if your child's struggling in
- 35:34school, make sure they're not taking
- 35:37their iPad to bed. So often, it's
- 35:40because kids are sleep deprived, they
- 35:42look like they have ADD because parents
- 35:44are really not properly supervising the
- 35:48kids. Do a digital detox. And then, I
- 35:51have to say this cuz there's this great
- 35:53study published in The Lancet,
- 35:56replicated, that when you put kids on an
- 35:59elimination diet. So, what does that
- 36:02mean? You eliminate gluten, dairy, corn,
- 36:04soy, artificial dyes, and sweeteners.
- 36:0870% of the kids lost their ADD.
- 36:11No way. So, the first thing is not
- 36:16let me give you this drug. In my mind,
- 36:18the first thing is do a digital detox
- 36:21and do an elimination diet. And do it
- 36:24for a month. And it's like, "Oh, I can't
- 36:25do that." It's like, "It's not that
- 36:27hard. My wife, Tana, wrote a cookbook,
- 36:30Healing ADD at Home Through Food or The
- 36:33Brain Warrior's Way. That's her big
- 36:35cookbook. It's been reprinted like 53
- 36:38times. I'm so proud of her. And find
- 36:41foods the kids love that love them back.
- 36:45Food is so important. Do that first. And
- 36:50I always tell them, like, look, if they
- 36:51really
- 36:53have ADD or ADHD, they're going to have
- 36:56it 3 months from now or 4 months from
- 36:58now. Let's do this
- 37:01and see. I have an online course called
- 37:04Healing ADD at Home in 30 days. And it's
- 37:06basically, before you give the medicine,
- 37:10do these things first. And it's so
- 37:15helpful. Why does changing our diet
- 37:18affect ADHD? Why does removing gluten,
- 37:22removing processed foods, etc. Why does
- 37:25that impact it? Your brain is 2% about
- 37:29your body's weight. It uses 20 to 30% of
- 37:33the calories you consume. And so, if you
- 37:36have a fast-food diet, you're likely to
- 37:39have a fast-food mind. And both gluten
- 37:44and dairy,
- 37:45when they go to your stomach, when it
- 37:48mixes with stomach acid, it turns into
- 37:52something called gluteomorphins,
- 37:55which work on the heroin centers, or the
- 37:58opiate centers of your brain. And it
- 38:00just sort of spaces you out. For milk,
- 38:04it's caseomorphins.
- 38:06And it's why we love pizza. If you think
- 38:09of gluten and dairy, right? Pizza.
- 38:12Um
- 38:13but it's also why you feel spacey
- 38:16afterwards. And too often, what do we
- 38:18feed kids? Like, when I was growing up,
- 38:21it was Frosted Flakes or Pop-Tarts or a
- 38:25muffin or donuts. And if you get a sugar
- 38:30burst, well, a half an hour later your
- 38:33brain is walking in mud.
- 38:35And yet that's what we feed children in
- 38:37the morning.
- 38:38ADD kids who have protein in the
- 38:41morning,
- 38:42their medicine works longer throughout
- 38:45the day. And so in the '50s, you know,
- 38:49we grew up with bacon and eggs and much
- 38:54better than the processed cereals. I
- 38:58love your thoughts on how to do it
- 39:00before we get to
- 39:02medicine. Like before we get to
- 39:04medication, looking at technology,
- 39:06looking at our diet,
- 39:08and and that way you could potentially
- 39:10save yourself from having to go down the
- 39:12medicine route. Right. And then parents
- 39:14who are generally resistant to the idea
- 39:18of medicine,
- 39:19and perhaps more so than they should be,
- 39:24because I think if someone really has
- 39:26ADD, withholding medicine is like
- 39:30withholding glasses from someone who
- 39:34can't see.
- 39:35And that's neglect. And we're we're in
- 39:38this society, right? The more educated
- 39:40you are, it's like, "Oh no, I'd never
- 39:42give my child medicine." And then all of
- 39:45a sudden you see they're failing in
- 39:48school. And if you struggle in school,
- 39:50you begin to hang out with the other
- 39:54kids who are struggling, which may not
- 39:56be ultimately in their best interest. If
- 40:00you haven't been diagnosed by the time
- 40:02you're 10,
- 40:04odds are your self-esteem has been
- 40:07negatively impacted because people have
- 40:10said repeatedly to you,
- 40:14"You're smarter than this. You could do
- 40:15better than this. Try harder. But what I
- 40:18showed on the scans when they try to
- 40:21concentrate, their brain drops in
- 40:23activity.
- 40:24In fact, the harder they try,
- 40:28the worse it gets. Why is that? Because
- 40:31their brain is turning off when it
- 40:34should be
- 40:35The frontal lobe you're saying.
- 40:36frontal lobe. If you don't have enough
- 40:39dopamine to keep your frontal lobe
- 40:42engaged,
- 40:43it sort of withers
- 40:46with effort. And what does that teach
- 40:48you?
- 40:49To give up. It's this idea of learned
- 40:51helplessness. There's a psychologist
- 40:54who's really famous, Marty Seligman. You
- 40:57probably know of him because he's famous
- 40:59for positive psychology. He helped start
- 41:01that movement.
- 41:03But he was way famous before then
- 41:05because he coined this term learned
- 41:07helplessness. And with depression, it's
- 41:10like you try and it doesn't work. You
- 41:12try and it doesn't work. You try and it
- 41:14doesn't work. And then you say to hell
- 41:16with it and you stop trying.
- 41:18And that happens with so many
- 41:20people who have ADD. In fact, when I
- 41:23diagnose and treat an adult woman,
- 41:27a common scenario,
- 41:29she brings her hyperactive son to me.
- 41:32And I'm like, where did this come from?
- 41:34And see it comes from the mom.
- 41:37And then I treat her.
- 41:39She gets dramatically better.
- 41:42And then she gets depressed because she
- 41:44starts thinking about what would my life
- 41:47have been like
- 41:49if someone would have noticed this, if I
- 41:53would have been treated. Now, that's you
- 41:55don't give her an antidepressant for
- 41:57that. You like do grief work with her
- 42:00and like, okay, but now you know, so
- 42:02your son doesn't have to go through this
- 42:05and
- 42:07you don't want to argue with the past.
- 42:09You want to look forward. Have you seen
- 42:11people break the cycle as we're talking
- 42:13about it's genetically passed down? If
- 42:15you saw it in your parents, have you
- 42:17seen that be possible? Is it possible to
- 42:19break the cycle completely so that you
- 42:21don't pass it on? You know, I I think
- 42:24so, but we're starting at such a
- 42:26disadvantage.
- 42:28And, you know, as I think because, you
- 42:31know my real passion in life is to
- 42:33create a brain health revolution.
- 42:36And where would that start? It has to
- 42:39start with kids before they have babies.
- 42:43Because when that mother was born,
- 42:46she was born with all of the eggs in her
- 42:50ovaries she will ever have. And so, if
- 42:54we're going to help her children be
- 42:57healthier, we have to get to her when
- 43:00she's a child and help her make really
- 43:04good decisions
- 43:06when she's a teenager. And too often
- 43:10parents go, "Oh, I don't have control."
- 43:13And they abdecate their parental role
- 43:16over teenagers on who they hang out with
- 43:19and what they eat and, you know, we're
- 43:22not drinking together and we're not
- 43:24smoking pot together. And, you know,
- 43:26like all the insanity that's going on in
- 43:28our society today. I think we have to
- 43:31get to their ovaries early because if
- 43:37you're born with all of the eggs you'll
- 43:38ever have, whatever you do in life turns
- 43:41on or off certain genes making illness
- 43:46more or less likely in you, yes, but
- 43:50also your babies and grand babies. So,
- 43:53that's how we decrease the incidence is
- 43:57we get mom and dad, cuz his sperm really
- 44:01matters, to be as healthy as possible.
- 44:07If you love this episode, you'll enjoy
- 44:09my interview with Dr. Daniel Amen on how
- 44:12to change your life by changing your
- 44:14brain. If we want a healthy mind, it
- 44:18actually starts with a healthy brain.
- 44:21You know, I've had the blessing or the
- 44:23curse to scan over a thousand convicted
- 44:27felons and over a hundred murderers, and
- 44:30their brains are very damaged.
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