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I compensated for my ADHD symptoms by learning more about everything and myself on top of that working out and still working on my social skills

Would be interesting if a more in depth study was done with regard to "the 90% of children with OSA who have symptoms of inattention", parents and teachers are not great at assessing ADHD or ASD so at least a sample of children with and without OSA should be clinically assessed for ND's which could also include genetic sampling. How many children are missed for an ND diagnosis who manage to function just under the radar of concern for teachers and parents?

I was diagnosed with OSA before recently getting diagnosed with ADHD (after my son was diagnosed). The CPAP didn't improve my symptoms, but it did improve my wife's sleep. The Dex I've been trialling has made me feel like I'm sleeping better. So, my anecdotal experience is that lowering my obstructions per hour hasn't helped anywhere near as much as a stimulant when it comes to attention.

The method and consistency of the way you present your topic material makes it easy for me to get the message. Your wrap-up summarization is much appreciated.

Interesting video. My thoughts: 1. If ADHD meds and surgery to improve obstructive sleep apnea both have a similar benefit independently, it's reasonable to suppose that the combination of both could have an even greater benefit in improving attention, in patients with both conditions. 2. Obstructive sleep apnea, like many things in the medical field, is treated as a binary. It is not. While kids may not be diagnosed with it, because it is not considered severe enough or simply not flagged (just like ADHD sufferers are undiagnosed in many instances), they may have minor or major obstructions to their breathing which, if fixed, would also alleviate their symptoms of ADHD/inattention.

Hi dr Barkley. I’ve been in for a sleep apnea study recently so super relevant video to me personally. I was wondering if you see ADHD as part of some larger (endocrine or immune) syndrome. So many comorbidities in those areas for people with ADHD. As some people have mentioned, some more videos on ASD would be great, especially what that looks like in people first diagnosed ADHD.

Psychedelics are just an exceptional mental health breakthrough. It's quite fascinating how effective they are against depression and anxiety. Saved my life.

I had this surgery as a kid. Despite the surgery I was diagnosed with ADHD years after it. And my kids do not have sleep apnea but have ADHD

I was struggling so much with my ADHD, I was constantly confused by misplacing my things. I felt crazy. I have been on my meds for 4 years now and my god!!! It has had tremendous impact and now if I don't take my meds one day is not the end of the world. 4 years ago if I didn't take then a sunday I would accomplish NOTHING. I couldn't even get up. Now I do stuff, with a little more effort. The difference between a little more effort and that stupid wall is huge!!!!

Hi Mr. Barkley, I haven't watched the whole video yet, but I am interested if you would like to explore this aspect of ADHD further by talking about the higher prevalence of DSPD in people with ADHD. I have it myself (I know, totally anecdotal), but my neurologist told me that is was more prevalent amongst us. Would love to hear you explore it further! Keep up the great work, love hearing you continue your interest into your field of work even after retirement!

Finding your channel was a light in the fog for me. Congratulations on this milestone, and I am looking forward to the 1M mark!

This is an interesting topic, and probably if enough research was done we'd find that sleep apneia might impact brain development, but I wonder if ADHD might also lead to a higher risk of developing speel apneia or other sleep disorders later in life (two different things really)

Thank you Dr. Barkley for your scientifically disciplined appraisal of this topic, and your very gentlemanly conclusion.

I have some skin in the game. I’m in my 40s, with treatment refractory ADHD and started sleep apnea treatment 1 week ago. Absolutely the sleep apnoea adds another layer of poor attention in addition to the ADHD. However, there is something else at play here; ADHD and low dopamine levels in general cause poor impulse control with food and using high sugar / calorie food as a reward mechanism (like gambling or thrilling driving habits). That over-eating increases your weight, and the weight gain causes or exacerbates OSA. Weight loss from ADHD drugs could improve the OSA and therefore improve inattention. Considering the inattention that sleep apnoea causes (both types, not just OSA), maybe a lot of adults and children with sleep apnoea are in the misdiagnosed as ADHD cohort.

I don’t have sleep apnea, but I do have both ADHD and RLS. I also have a mostly missing stomach sphincter. All of these things run in my family, and everyone that has one seems to also have the other things, to some degree. Some of us also have other issues. My problem has been that every specialist I talk to have been so specialised that they haven’t been much help with how my various issues are connected. They just work on the symptoms in a very tunnel vision sort of way. I do understand that, and I’m very grateful for the treatments I’ve received, but it’s also really frustrating.

Any thoughts on the Done fraud case?

My ADHD sometimes makes me forget to breathe. Did it ever happened to any of you?

Great video, thanks! But how does obesity play into all this? Is the relationship between adhd and OSA still robust when controlling for overweight? (As adhd is connected to obesity and obesity is connected to OSA. Did you find anything in the research?)

Modafinil fixed my sleep problems by a significant amount (i'd say as much as 90%, the only thing that I wish was better is my morning eye itchiness, but that is probably because my job involves spending a lot of time on a computer). It was prescribed to me as a non stimulant for treating ADHD, but I figured out how much better I slept after taking it.

Very much appreciate the video chapters. I can hop between different topics I'm interested in and leave the rest

Data point of one: I was having great sleep problems and did a take-home sleep apnea test and it was negative. Also, I've upgraded my sleep approach significantly over the decades-- still ADHD. In fact, I think worse. Funny aside, I started taking my atomoxetine at bed time, and found I slept incredibly well-- like I could concentrate on sleeping.

I seem to have "all of the above". I didn't know all of my problems are related. It's like a compounding problem. Or synergistic bad symtoms.

Holy cow, I had an experience with my dentist that had exactly to do with this topic. My dentist convinced me to do a sleep study, and afterwards showed me a whole PowerPoint presentation about how dental surgery would be the only way to fix the sleep apnea I don't have. She also tried to convince me that obstructive sleep apnea was the actual root cause of my ADHD symptoms. The presentation was probably geared towards parents of children with ADHD instead of adults with it, and talked about over-medicating children and the "failings of western medicine," among other emotionally charged claims. It had enough factual errors that were inconsistent with the consensus understanding of ADHD that I could comfortably write it off, but I was upset that this pseudo-science is being pushed by licensed healthcare providers (which I suppose dentistry is, technically).

i have adhd and one of my hyperfixations is adhd and science! so learning all about was mostly learning it from you and whatever i could find online, so thank you so much! you have done so much for our brains i can't even think what the adhd comunity would be without you, so thank you!

hello russell! thank you for all for hard work! i have seen a few things between adhd and pstd, do you think you could comment on that? thank you nontheless

I don't think physical ADHD types being adapted to hunting is in any way disproved by leaders of hunters being people with highest executive functioning. A leader is a specialised role. I don't know why physical ADHD types would need to be most-successful warriors. Simply being adopted to it would be enough. Then it's not just a thing where there's one role, there's a diversity of types. Like one person with ADHD may be a philosopher and another a soldier or EMT and have completely different set of strengths and weaknesses.

wait, there are other adhd very early risers? I thought I'm like super weird because everyone only talks about delayed sleep in relation to adhd

Hello mr. Barkley , Could you please make a commentary on ASD and ADHD for people with comorbidity.

I have ADHD and OSA my dad has OSA. I am working on my ADHD symptoms via therapy and medication and I am using a CPAP. Wasn’t diagnosed with OSA till my mid thirties. This was very interesting and I always love your breakdowns.

hi Dr. Barkley, would you consider discussing intrusive sleep, theta wave intrusion, and adhd? I definitely have had intrusive sleep my entire life (still do so at 31) falling asleep in the most random of places, including the classroom, shower, toilet, halfway through dinner, while waiting for someone/thing, I just can't control it and my family is absolutely baffled by it (and my extended family laughs at me for it)

"Who cares?" Well, I'm the employer and I care. Not my problem. If you are late for work 3 times in a years without an excused tardy, you are out of a job with me.

Nicotine, Caffeine (Like Caffeinated Coffee), and Marijuana Are More Effective than pHARMacuatical Stimulants. Caffeinated Coffee and Marijuana are ALSO Safer than pHARMacuatical Stimulants.

With all do respect Dr. Russell Barkley but one thing no one ever mentions about Amphetamine stimulants for ADHD is that people can't eat on them, they lose lots of weight, they can't work out on them because their heart would give out, if taken even in small amounts everyday, by 5-6 months in peoples hair starts to thin and fall out, people look older as if they're on Meth etc. Stimulants work, anyone with ADHD will tell you that, but the idea that they're something you can survive and thrive on is nonsense. No job is going to allow you to take a drug holiday/dopamine detox for 3 or more months every 6 months to get right again to start taking stimulants again. The reality is, there's no profit in curing or solving these disabilities and big pharma profits most from keeping the most vulnerable in society who have very real disabilities - chronically manageable $$$. Until that is solved, people with ADHD have to play Russian Roulette with inferior medications/treatments. Oh and people who do come off stimulants so their brain/body can recover, often experience very terrible symptoms during that period, far worse then before they took medication, some even believe their brain chemistry was worse off afterwards and worry about if they ever made a full recovery.

Can we go back to calling it ADD? The H seems to be... _distracting_ people from the non-behavioral aspects, and keeping people from recognizing most childhood ADD persists into adulthood.

I just read the book, and he clearly states there can be a genetic component to ADHD. Did you read the book?

I was branded as a "gifted" child in 6th grade, and it was probably what saved my life. Without all the testing and information about my intelligence at that early age (148 on the Stanford Binet), I probably would have gotten VERY angry at the world and people around me, because I couldn't understand why everyone else didn't see the world like I did, and weren't capable of processing complex concepts and ideas. Luckily, I had it beaten into my head for the next 6 years that I was "much smarter than most of my peers", so I was able to understand why people didn't see things the way I did. As an adult, my biggest challenge has been not asking my bosses how they successfully dress themselves and perform basic personal hygiene without constant adult supervision...

Thank you Dr.Barkley for all your time spent helping us understand current research/ADHD much better. I was curious if you have had any videos or your current opinion on the research of individuals with adhd and epilepsy?Recently I saw where there was a higher association between epilepsy and adhd estimated around 20% in comparison to the general population. I was wondering about the increase risk of inducing seizures with stimulant use. Thanks again for all you do!

I was a very poor student in the typical middle school and high school settings. Then I went to vocational school and made straight A’s pretty much. It was like I was made for that sort of education. I was given a schedule of 9 weeks of class material at one time and I can go at my own pace. And I can start with whatever I wanted. I started with what interested me the most of the options I had. And when that was done I felt really good about myself and I saw progress moving toward my ultimate goal and I got through the times that weren’t exactly what I was interested in but was important for the education. It was a breeze as I had control of what I wanted to do. I wasn’t learning disabled and so I wasn’t looked down on there. It was for a career and not just to be set loose into a society with a piece of paper saying I went to class. I liked the fact that I had the leisure of when I could turn in my assignments and it made it to where I didn’t have the pressure. I also have the issue with feeling forced to do things and in the high school experience that is what I lived every single day was feeling forced. My time blindness is usually I can’t remember really if it was two weeks ago or 2 months ago sometimes. And other issues I can’t remember at the moment. Lol. Thank you so much for learning how we work.

Congratulations and thank you for your openness to share information and research about this topic. One of the most valuable pieces of information I have received from you, that over 10 highly educated psychiatrists never mentioned to me(most likely due to ADHD not being their specialization), is that taking the medication and engaging in the treatment is not just a shortterm fix as the medications might appear, but that there are also signs of longterm change and improvements in the brain following the treatment. Hearing and reading things like that are extremely valuable to the general public and to people like me, who struggle with other symptoms or co-morbidities caused by lack of treatment for many years, that sometimes lead me to question whether the continuous effort is truly worth it. Reality is, I don't know how my healing process will feel in the future, but if there can be research results indicating positive change in the effected areas of the brain, then there surely can be something worth working towards for me! Thank you and every researcher, clinician, doctor, etc. for your efforts to improve our lives!

Im from Prague hahaha, thank you for your work <3. I watched all your videos !

Thank you

High school and college version for teens please

Dr Lawrence Dunn delays prescriptionw for Straterra fbi alert

If a person has time blindness do they also have adhd?

I have to say thank you for these lessons of ADHD. I'm studying in University in Finland to be Early Childhood Teacher, and we are reading your researches. So I'm so excited to learn more to help children and the enviroment to be more understanding how to work with children. So thank you.

7:37 The MMR is Linked Heavily to the 2.

Fascinating! As a 69 year old ADHD granny who just realized I have aphantasia, this makes so much sense.

I’m not a victim of my condition

Jordan Peterson lost my respect long time ago, the man is probably demented.

I see how loneliness could worsen adhd, but I agree that loneliness likely is not causing adhd. Loneliness is often a main cause of depression, and many symptoms of depression and anxiety overlap with adhd symptoms (impulsivity, worse emotional regulation, executive function issues, restlessness, etc), which means that the symptoms that overlap with depression and anxiety would worsen, but that’s not necessarily the adhd worsening, only the symptoms that are present in both adhd and depression/anxiety disorders are.