ADHD and Emotional Self Regulation
ADHD and Emotional Self-Regulation:
Importance for Understanding and Management
ADHD is currently understood to be a disorder of inattention, impulsivity, and usually hyperactivity that arises in childhood or early adolescence and is highly persistent over time in most cases. However, since the first medical papers have been published on ADHD starting in 1798, emotion has always been included in the conceptualization of the disorder up through the 1970s. But beginning with DSM-II and progressing to the present, emotional dysregulation has been excluded from the clinical conceptualization of the disorder and the diagnostic criteria and relegated to an associated problem or the result of comorbid disorders. This presentation reviews the evidence from the history, neuropsychology, neuroanatomy, and observational research that shows that emotional impulsiveness and deficient emotional self-regulation are an integral part of ADHD. Returning emotion to its rightful place as a core feature of the disorder also serves to better explain the development of comorbid disorders, such as oppositional defiant disorder, and well as various life course impairments. Dr. Barkley will discuss how to determine which aspects of emotional adjustment problems in ADHD cases are the result of the disorder and which are likely to be the consequence of comorbidity. He will also address the implications of including emotion in ADHD for their management. This video was originally recorded or a presentation given on behalf of ADDitude.com and its magazine. I am grateful for their permission to use this video only KZread Channel.
Пікірлер: 39
Explains my life all the emotions that have plagued me. I am a perpetual 12 year old I feel like. A lot of out bursts and inappropriate.
Me and my mom grew up having terrible tempers and holes in our walls from throwing things. Over time, we both got diagnosed and medicated, and the emotional control is what my mom says is the main reason she takes her Adderall every day. Got SO much better after treatment, DSMV needs to update this because it’s keeping people from making their lives better. Dr. Barkley is mathematically incapable of making a bad video, thanks as always!
"How many people have we seen who were misdiagnosed as bipolar, borderline..." THANK YOU DR. BARKLEY!!!!!! I was misdiagnosed as borderline. I am NOT AT ALL borderline. Yes, I have CPTSD due to childhood abuse, but I DON'T have borderline. I was 53 (female) when I was diagnosed and my WHOLE LIFE now makes sense!!!!! Dr. Barkley, you have validated me so much. THANK YOU!
@jynclr
10 ай бұрын
Regarding mindfulness. It's SO HARD to be "mindful." SO HARD!!!!
@jynclr
10 ай бұрын
Also, redirecting, how can I redirect if I'm "locked in" to my emotional melt down? I literally CANNOT do that. I feel like I, me my actual self, is in a glass box, "locked in", and I can't do ANYTHING to change anything.
@nchlspatten31
4 ай бұрын
This is how I feel, I’m trapped with it and that just makes it more magnified and almost seems like I hyper-fixate on it. It takes me forever to calm down.
Omg he’s so right. I was finally diagnosed at 46 years old after struggling all my life with verbal impulsivity, impulse buying, impulse eating and, more than anything, impulsive emotions. And I didn’t understand how other people didn’t have that kind of emotional control problems. Even at the lowest dose, the first thing I noticed on Vyvanse was a dampening of the impulsive anger of any minor inconvenience and crushing shame of even the smallest mistake. Imagine how much better my life would be if I could control myself better for more of my life 😢
@nobody8328
6 ай бұрын
I've been hyperfocused on Dr Barkley for like a week now, but im starting to wish I hadn't. Like you, he has explained my entire life to me. I, too, wonder what I could have been if we'd understood ADHD when I was young, and it makes me sad. I'm starting to think I might have been better off not knowing that there could have been an alternative for me. Bob Seagar has been living rent free in my head and singing "I wish I didn't know now, the things I didn't know then"
@sarahs7669
6 ай бұрын
@@nobody8328 there’s going to be that regret, but… I feel empowered. I wasn’t a lazy, flaky loser. I have a neurodevelopmental disability and there are treatments to mitigate it and getting them was hard, but I did it. And now that I know what’s wrong, I can do better and it feels good to actually get things done.
@nobody8328
6 ай бұрын
@@sarahs7669 I'm glad you're doing well! 🤗
@goaway6339
3 ай бұрын
Facts. I've been on pretty much every antidepressant under the sun, and guess what? The only thing that has ever helped long term is methylphenidate. Nuked my depression and anxiety overnight, and it hasn't come back in any serious way. I've dropped 6 kilos in a couple of months due to healthier habits, and I'm opening back up to the world again. It would have made the last 30 years hell of a lot easier if that'd been picked up... But we soldier on!
Dr. Barkley I truly cannot ever express my gratitude and appreciate for everything that you are doing to help educate, inform, validate, and support the ADHD community. I believe this is one of the most debilitating and crippling disorders in psychiatry. The devastating results of undiagnosed and untreated ADHD is tragic and life altering. The suffering of people with this disorder negatively affects their futures and wellbeing. The co-occurring disorders that are often present add another layer of problems with functional and regulation difficulties.
Personally this extremely life altering/life long disorder negatively affected my father’s life with devastating outcomes. (divorce, substance use disorder, alcohol use disorder, discharge from the US Navy, not completing a formal education, not paying taxes, losing a business, and dying at age 62 from tobacco/nicotine related cancer)
My son who was diagnosed at age 2 and subsequently received treatment has had successes and challenges, directly related to compliance of treatment.(medications) he was expelled from schools, auto accidents and traffic tickets, DUI/DWI, assault/battery, vandalism/destruction of property, and possession and use of illegal substances. All of this being the result of non adherence to treatment which resulted in jail time. With compliance to treatment (medications) he has become a successful criminal defense attorney. He is passionate about informing/educating his clients to seek help from a licensed professional if they are concerned about the difficulties they are experiencing
@unlikelysuspect5491
Жыл бұрын
It's almost like ADHD is real or something
@s.m.4948
9 ай бұрын
Amazing story! Thank you for sharing.
Holy sht. Got damn. Get well Doc. Also this is so under rated when talking about ADHD. This is everything. This is what separates a functional person with ADHD and a complete mess sht show.
Thank you for persevering through your injuries to bring us this info.
its so cool how you break your videos down so there more accesable for people with adhd however i have been listening to your long form content for abbout 48 hrs strait now.and.i.cant.stop (side note its actully been a wile since i got like this and the mania is kinda fun to get caught up in )
@sarahs7669
11 ай бұрын
I FEEL YOU. I do this too. I’ve watched the three hour video like four times since my diagnosis and now I found his own channel and I can’t stop.
Thank you for your unique focus on emotional self regulation. As I told you in the email I wrote to you just a couple months ago, this was a new and very relatable feature presented for the first time to me by you. Thank you for replying to my email.
Dr. Barkley, thank you so much for this excellent presentation.
Thank you for showing up sir! Hope you healed well.
Wow! This is the key……. That was missing. As I get older I find it is even harder than it used to be. I used to be able to control it to some extent.
@user-yc7ws9jp9g
Ай бұрын
Same!
I hate having this disorder it's making my life a living hell at work! It's been getting worse over time! I'm losing self control when people are yelling at me all the time!
… i want to watch this but shoooould study…. (Ophtalmology and dermatology….)… so ill close the video before i start watching it really….. but yea…. emotions are a really big issue for me
35 and still dealing with the self-regulation issues. But I don't have a clue how I can deal with it. I'm triggered by things my ocd (I'm not just saying that, she's officially diagnosed with OCD) stepmom says. I am being treated for adhd but I'm still dealing with the anger. And the fear of self. What I don't know is how the frig I can handle it without having to move out, I am terrified of this.
Did anyone felt like they got more intelligent after becoming like 24 25 years old .. i kind of started understanding lot of things after 30 years..
is not being able to manage your fear and worries part of the deficit of emotion regulation ?
@russellbarkleyphd2023
4 ай бұрын
Yes, it can be.
@karinebrunet9504
4 ай бұрын
Thank you ! Amongst the range of ADHD meds available is there a type or a category that has been found a bit more helpful than others to help with emotion and anxiety/fear/worries ?
@russellbarkleyphd2023
4 ай бұрын
Possibly atomoxetine for social anxiety in adults with ADHD but otherwise all of them in their own ways help with emotion regulation in most but not all cases.@@karinebrunet9504
@karinebrunet9504
4 ай бұрын
thank you very much@@russellbarkleyphd2023
Hi Dr. Berkely, Is there any way that I can download slides in this video?
@russellbarkleyphd2023
7 ай бұрын
Write to me at drbarley@russellbarkley.org and I can send them to you
I was miss diagnosed ADHD and bipolar I convinced my doctor to remove the bi polar and nothing changed so ... That's all I know