- To Change Your Mind - Details Matter
10 Quotes For Improved ADHD Awareness
ADHD Landscape Changes
September 15, 2013Must Register Gluten Summit
October 13, 2013Advance ADHD Awareness – October 2013
Neuroscience Evidence Changes Thinking
Why do some deny the Reality of ADHD? Why the confusion? Why so much dissatisfaction with ADHD treatment strategies, and ADHD medications in particular?
Short Answer
Peer reviewed science remains, far too often, almost completely overlooked.
From the woefully outdated, superficial, behavior-driven DSM 4/5 ADHD diagnostic labels, to the imprecise, unpredictable use of medications, ADHD remains one of the most misunderstood and casually treated conditions in mind science.
Yet, quite paradoxically, the answers remain available. Far too many simply aren't thinking about thinking. Advancing metacognitive process may provide the key to ADHD recovery, but too many who treat ADHD don't apply that imperative metacognitive awareness.
10 Quotes To Encourage Advanced ADHD Thinking and Awareness
[Tweet these quotes.]
1. There is no more miserable human being than one in whom nothing is habitual but indecision. William James, Philosopher -|| Indecision, unmanageable cognitive abundance, remains one of the single most overlooked characteristics of Executive Function Challenges. Video details here.
2. We live in a fantasy world, a world of illusion. The great task in life is to find reality. Iris Murdock, Novelist -|| Labels that do overlook elemental principles of functional neurophysiology and brain dynamics also overlook Reality.
3. It is not the strongest of the species that survive, nor the most intelligent, but the one most responsive to change. Charles Darwin, Naturalist -|| The human prefrontal cortex evolved over millenia to deal with the dynamics of changing natural Reality. To deny Reality is a failure of self-awareness.
4. However beautiful the strategy, you should occasionally look at the results. Winston Churchill, Nobel Prize in Literature, British Statesman -|| Results in the process of ADHD diagnosis and treatment – outcomes – do improve in the context of understanding biomedical principles and applied neuroscience.
5. Distinctions drawn by the mind are not necessarily equivalent to distinctions in reality. Thomas Aquinas, Philosopher -|| Natural reality, mind Reality, differs from the superficiality of institutional thinking – group acceptance of superficial diagnostic and treatment criteria without critical thinking.
6. It is a very recent disease to mistake the unobserved for the nonexistent; but some are plagued by the worse disease of mistaking the unobserved for the unobservable. Nassim Nicholas Taleb, Philosopher -|| Technology changes the observable ADHD brain and body landscape. Why is neuroscience held to a higher standard than everyday medical science? We measure and use cholesterol biomarkers everyday, but is high cholesterol 100% predictive of heart disease? No. Brain biomarkers do create new, useful observations.
7. You cannot recover from what you do not understand. Lillian Hellman, Playwright -|| The fresh, public imperative: learn about ADHD diagnosis and treatment so that you can communicate more effectively with your medical team.
8. For a successful technology, reality must take precedence over public relations, for Nature cannot be fooled. Richard Feynman, Theoretical Physicist -|| Technology provides access to Reality. Labels encourage denial of complexity and encourage dreams.
9. The atmosphere of libraries, lecture rooms and laboratories is dangerous to those who shut themselves up in them too long. It separates us from reality like a fog. Alexis Carrel, French Surgeon -|| The reality of human suffering in the office, the reality of years of directed personal complaints with missed treatment objectives based upon the current standards of ADHD care, encourage revision of outdated standards.
10. Measure what is measurable, and make measurable what is not so. Galileo ~ 1615, Astronomer -|| The measurement imperative, advancing both clinical office measurement and understanding advances in biomedical measurement will change our thinking from the current Ptolemaic, geocentric, appearances universe to the heliocentric world order that actually exists.
Please send this posting along to your friends and colleagues. Measurable data does provide hopeful additional treatment objectives. Quite surprisingly, new measurements provide fresh, different ways of thinking about ADHD.
11. Bonus: A map is not the territory it represents, but, if correct, it has a similar structure to the territory, which accounts for its usefulness. Alfred Korzybski Physicist -|| Author of Science and Sanity – on the limitations of labels as related to Real time, Real change and Realistic utilitarian value. Science and Sanity, first read in 1969, is where I first understood the current ADHD label dilemma.
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Dr Charles Parker
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15 Comments
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Hello CP,
Firstly congrats on the great Blog which I follow – I am living in France.
I wanted to ask for your advice on Alcohol consumption – do you reccommend that folks taking Vyvanse, Concerta or Effexor should completely avoid? Does it slow the metabolic process?
ATB
SK
Sloane,
What a famous name!
Specific instructions on alcohol:
1. If you have an alcohol problem don’t drink on psych meds, your problem will most likely intensify.
2. If you do drink, be very careful after that second drink which often is deceiving as you don’t feel that drink hit at first. If you then hit that third drink too quickly, without pacing, many report loosing significant control and embarrassing themselves.
An ounce of prevention is worth a pound of cure: Ben Franklin
cp
Thank you Dr Parker.
One final question if I may before I contact you for an hour consultation:
If the combination of Buproprion and Vyavsnse stopped working after 2 weeks to a month and I was not eating anything that I was intolerant to (e.g Milk, Eggs etc) would this potentially be a sign of narrow pipes and potential toxicity?
Are you able to describe the symptoms one might experience when the ‘sink backs up’ due to narrow pipes and vyvanse toxicity?
Your work is fabulous and I want to thank you for your efforts in educating the masses.
I look forward to booking a 1 hour consultation soon. I am in the UK but my brother works near Virginia Beach so might try to combine a trip.
Johnny
Johnny,
1. Not likely narrow pipes, but ineffective pipes corrupted by metabolic slowing. Narrow pipes most often show right out of the box.
2. SEARCH here: Top of Therapeutic Window.
3. Happy to see you in the office if it works out!
cp
I have found that Gluten is a serious problem for myself despite not having any ‘gut’ related symptoms..
Thanks for the info on Wellbutrin – I found with previous serotogenic antidepressants that I felt as though I was lobotomized and my Executive Functions were terrible – even on low doses. On Vyvanse alone I had Apathy despite somewhat increased drive.
Does this information indicated that perhaps additional SSRI medications are not warranted.
Thanks for your input
Johnny,
Couldn’t tell from this question if the Vy was mixed w the Well. SSIR + AMP is the best combo barring any other undiscovered metabolic challenges.
cp
Hello Dr Parker,
I am very much enjoying your insights into ADHD treatment and have been following the Gluten summit closely. I wanted to ask 1 question following reading the articles on Corepsych Blog.
I have started treatment for ADHD and Depression – my regime includes 30mg of Elvanse and 300mg of Wellbutrin (Bupropion).
1.) I have not had any problems in 1 month and feel very much improved overall – am I likely to experince a blockage of the 2D6 pathway later on?
2.) Wellbutrin does not act on Serotonin, only Dopamine as I understand so is this a poor treatment for Depression according to the Serotonin/Dopamine Seesaw?
3.) Which other medications are similar in effect to Wellbutrin – is Effexor the most similar with the added benefit of no blockages?
Any advice much appreciated and please keep up the great work.
All the best,
Johnny Hopkins (Newcastle UK)
Johnny,
Excellent that you are on it! The problems w Wellbutrin arise only w higher dosages as it is only a ‘moderate’ inhibitor not a ‘significant’ inhibitor of 2D6. Not likely a prob, even in the long term. Not to worry about Serotonin, as some do just fine w Wellbutrin, ‘if it ain’t broke don’t fix it.’
Effexor and it’s derivatives over the years returned the best outcomes overall, but based on what you’re saying I would let that go unless you needed a backup, an alternative intervention.
cp
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