1 00:00:04,400 --> 00:00:08,240 Speaker 1: Welcome to the Therapy for Black Girls Podcasts, a weekly 2 00:00:08,280 --> 00:00:13,000 Speaker 1: conversation about mental health, personal development, and all the small 3 00:00:13,039 --> 00:00:16,240 Speaker 1: decisions we can make to become the best possible versions 4 00:00:16,280 --> 00:00:20,439 Speaker 1: of ourselves. I'm your host, Dr Joy hard and Bradford, 5 00:00:20,840 --> 00:00:25,480 Speaker 1: a licensed psychologist in Atlanta, Georgia. To get more information, 6 00:00:26,079 --> 00:00:29,880 Speaker 1: visit the website at Therapy for Black Girls dot com. 7 00:00:29,880 --> 00:00:32,760 Speaker 1: And while I hope you love listening to and learning 8 00:00:32,800 --> 00:00:35,440 Speaker 1: from the podcast, it is not meant to be a 9 00:00:35,479 --> 00:00:45,800 Speaker 1: substitute for a relationship with a licensed mental health professional. Hey, y'all, 10 00:00:46,240 --> 00:00:49,040 Speaker 1: thanks so much for joining me for session sixty six 11 00:00:49,159 --> 00:00:53,479 Speaker 1: of the Therapy for Black Girls podcast. Today, I'm bringing 12 00:00:53,479 --> 00:00:56,480 Speaker 1: you an incredible episode about everything you need to know 13 00:00:56,760 --> 00:00:59,800 Speaker 1: about a d h D. And I'm joined by one 14 00:00:59,800 --> 00:01:05,240 Speaker 1: of my favorite psychiatrist, Dr Dawn Camilla Brown. Dr Brown 15 00:01:05,760 --> 00:01:09,440 Speaker 1: is America's favorite a d D expert and she's also 16 00:01:09,520 --> 00:01:14,959 Speaker 1: a double Board certified Child, adolescent and adult psychiatrist. She 17 00:01:15,120 --> 00:01:18,720 Speaker 1: is the owner, CEO, and sole practitioner at a d 18 00:01:19,080 --> 00:01:24,080 Speaker 1: D wellness center and has two private practice locations in Texas. 19 00:01:24,080 --> 00:01:27,120 Speaker 1: She is a pioneer of the mental health movement and 20 00:01:27,240 --> 00:01:32,399 Speaker 1: a nationally recognized a d D coach, public speaker, author, 21 00:01:32,520 --> 00:01:36,880 Speaker 1: and professional mentor. Dr Brown was diagnosed with a d 22 00:01:37,080 --> 00:01:39,760 Speaker 1: h D while in the final year of her child 23 00:01:39,760 --> 00:01:45,480 Speaker 1: psychiatry fellowship program. Because of this, she personally understands the 24 00:01:45,520 --> 00:01:50,280 Speaker 1: potential impact of this chronic, debilitating disorder not only on 25 00:01:50,360 --> 00:01:55,640 Speaker 1: affected individuals, but their families as well. Without quality management, 26 00:01:55,960 --> 00:02:00,840 Speaker 1: this disorder can cause academic and work difficulties, pours of confidence, 27 00:02:01,320 --> 00:02:06,640 Speaker 1: and strained relationships. Dr Brown believes that mental health professionals 28 00:02:07,000 --> 00:02:10,560 Speaker 1: are essential in providing balanced and supportive information about a 29 00:02:10,680 --> 00:02:14,880 Speaker 1: d h D, ensuring individuals and their families received proper 30 00:02:14,919 --> 00:02:21,880 Speaker 1: management recommendations that are effective. Dr Brown is originally from Flint, Michigan. 31 00:02:22,560 --> 00:02:26,320 Speaker 1: She earned her doctorate degree and completed her residency in 32 00:02:26,440 --> 00:02:30,280 Speaker 1: general adult psychiatry in just three years at the St. 33 00:02:30,320 --> 00:02:34,760 Speaker 1: Louis University School of Medicine. She furthered her education by 34 00:02:34,760 --> 00:02:38,680 Speaker 1: completing an additional two year fellowship in Child and Adolescent 35 00:02:38,720 --> 00:02:43,720 Speaker 1: Psychology at the Manager Department of Psychiatry and Behavioral Sciences 36 00:02:44,000 --> 00:02:47,960 Speaker 1: at the Bailer College of Medicine in Houston, Texas. And 37 00:02:48,240 --> 00:02:51,640 Speaker 1: a fun fact, Dr Dawn is also my classmate from 38 00:02:51,720 --> 00:02:55,200 Speaker 1: Xavier University of Louisiana where we had lots of psyche 39 00:02:55,240 --> 00:02:59,799 Speaker 1: classes together. Dr Dawn and I chatted about the symptoms 40 00:02:59,800 --> 00:03:03,720 Speaker 1: of a d h D, why the diagnosis is often missed, 41 00:03:04,680 --> 00:03:06,840 Speaker 1: how to know if your child might need to be 42 00:03:06,880 --> 00:03:11,440 Speaker 1: evaluated treatment for a d h D, and she clears 43 00:03:11,520 --> 00:03:16,200 Speaker 1: up some common misconceptions about medication. If there's a lightbulb 44 00:03:16,240 --> 00:03:19,560 Speaker 1: moment for you during the episode, or something you think 45 00:03:19,560 --> 00:03:22,720 Speaker 1: others need to hear, please share it on social media 46 00:03:23,240 --> 00:03:31,639 Speaker 1: using the hashtag tb G in Session. Here's our conversation. Well, 47 00:03:31,680 --> 00:03:34,200 Speaker 1: thank you so much for joining us today, Dr Dawn. 48 00:03:34,880 --> 00:03:37,040 Speaker 1: You are so welcome. I am honored to be a 49 00:03:37,080 --> 00:03:40,480 Speaker 1: guest on your show. Thank you so much. Absolutely, I 50 00:03:40,600 --> 00:03:43,400 Speaker 1: am very excited to have you. So I am doing 51 00:03:43,440 --> 00:03:47,760 Speaker 1: an entire series all about UM or including other guests 52 00:03:47,800 --> 00:03:50,720 Speaker 1: who graduated from Xavier. So I'm very excited. I knew 53 00:03:50,720 --> 00:03:53,080 Speaker 1: that I wanted to have you on UM to talk 54 00:03:53,120 --> 00:03:55,960 Speaker 1: about all things a d h D, since that definitely 55 00:03:56,120 --> 00:03:59,640 Speaker 1: is your specialty. Oh wonderful. I love when Xavier to 56 00:03:59,640 --> 00:04:03,920 Speaker 1: get together. You know, it's a wonderful. It's always a party. UM. 57 00:04:03,960 --> 00:04:07,520 Speaker 1: But yeah, like you love to share exciting ventures what 58 00:04:07,560 --> 00:04:12,120 Speaker 1: we're doing, so right, Yeah, so can you start dr 59 00:04:12,200 --> 00:04:16,720 Speaker 1: Dawn by telling us exactly what a d h D is. Sure, So, 60 00:04:16,839 --> 00:04:20,160 Speaker 1: a d h D is what we call a brain disorder. 61 00:04:20,520 --> 00:04:23,720 Speaker 1: It's actually a disorder of the executive functioning. So it's 62 00:04:23,760 --> 00:04:28,920 Speaker 1: acutive functioning is how a person learns, how they memorize information, 63 00:04:29,120 --> 00:04:33,000 Speaker 1: how they listen on, how they process information. And it's 64 00:04:33,040 --> 00:04:35,200 Speaker 1: in the frontal lobe of the brain. So it's kind 65 00:04:35,200 --> 00:04:37,480 Speaker 1: of the where if you put your hand on your forehead, 66 00:04:37,760 --> 00:04:40,960 Speaker 1: that's actually the main area that is impacted by a 67 00:04:41,040 --> 00:04:44,400 Speaker 1: d h D. A d h D affects our attention 68 00:04:44,680 --> 00:04:47,800 Speaker 1: and affects our level of activity as well as our 69 00:04:47,880 --> 00:04:52,440 Speaker 1: degree of impulse control. So if those areas, those three 70 00:04:52,440 --> 00:04:57,000 Speaker 1: areas are impacted, usually on observation, you would find that 71 00:04:57,120 --> 00:05:00,160 Speaker 1: a person may have difficulties in sitting still. They they 72 00:05:00,160 --> 00:05:03,360 Speaker 1: appear very restless, um they may appear in the the days 73 00:05:03,400 --> 00:05:07,320 Speaker 1: off in space or not really pay close attention to you. 74 00:05:07,440 --> 00:05:10,680 Speaker 1: They're not giving you that eye contact as well as 75 00:05:10,760 --> 00:05:16,000 Speaker 1: the level of impulsivity. So these behaviors usually are kind 76 00:05:16,000 --> 00:05:19,000 Speaker 1: of done where they kind of at before they think 77 00:05:19,000 --> 00:05:22,520 Speaker 1: about what they're doing. So cutting people off, cutting people 78 00:05:22,560 --> 00:05:26,360 Speaker 1: in front of line, answering for people um, you know, 79 00:05:26,760 --> 00:05:30,520 Speaker 1: those are some of the common impulsive behaviors that are 80 00:05:30,520 --> 00:05:32,880 Speaker 1: commonly seeing, particularly in children as well as in built. 81 00:05:33,360 --> 00:05:37,520 Speaker 1: So those three areas are impacted, and so there are 82 00:05:37,600 --> 00:05:41,600 Speaker 1: different types, correct, Dr Dorn, That is correct. That is correct. 83 00:05:41,760 --> 00:05:45,360 Speaker 1: There there are actually three main categories that we identify 84 00:05:45,600 --> 00:05:48,320 Speaker 1: that people have problems with when we discuss a d 85 00:05:48,520 --> 00:05:52,040 Speaker 1: H d UM. The first category is commonly found in 86 00:05:52,120 --> 00:05:56,120 Speaker 1: kids and ADO lessons, and that's called the combined of type. 87 00:05:56,200 --> 00:06:00,600 Speaker 1: So that are our kids who have problems with imp control, 88 00:06:00,800 --> 00:06:05,760 Speaker 1: hyperactivity as well as in attention. And then the next 89 00:06:05,839 --> 00:06:09,240 Speaker 1: type is the predominantly and attentive type, where I see 90 00:06:09,360 --> 00:06:13,839 Speaker 1: most adults and fairly amount of females have UM, where 91 00:06:13,839 --> 00:06:17,039 Speaker 1: they you know, again whose focus not able to have 92 00:06:17,279 --> 00:06:20,400 Speaker 1: sustained focus or may appear to be games and often space. 93 00:06:20,960 --> 00:06:25,760 Speaker 1: And then finally the hyperactive impulsive type. UM. So these 94 00:06:25,760 --> 00:06:29,680 Speaker 1: are individuals who can focus but are very restless and 95 00:06:29,720 --> 00:06:31,599 Speaker 1: it's hard for them to kind of sit still for 96 00:06:31,720 --> 00:06:35,520 Speaker 1: long periods of time. Okay, So I think that there 97 00:06:35,560 --> 00:06:38,200 Speaker 1: are likely a variety of different people listening. There may 98 00:06:38,240 --> 00:06:40,880 Speaker 1: be some people listening who are wondering, oh, is this 99 00:06:40,960 --> 00:06:44,240 Speaker 1: a concern for myself, people who maybe have been diagnosed, 100 00:06:44,400 --> 00:06:47,120 Speaker 1: but there are likely also some parents who are listening 101 00:06:47,560 --> 00:06:50,120 Speaker 1: UM who may wonder like, is this something that I 102 00:06:50,160 --> 00:06:52,520 Speaker 1: should get my child checked out for? So do you 103 00:06:52,560 --> 00:06:56,120 Speaker 1: have any ideas about UM, like what kinds of things 104 00:06:56,200 --> 00:06:59,120 Speaker 1: might a parent be seeing that would results and then 105 00:06:59,200 --> 00:07:02,480 Speaker 1: wanting to get their out evaluate it? Definitely, you know, 106 00:07:02,600 --> 00:07:04,800 Speaker 1: one thing to keep in mind as a parent is 107 00:07:04,839 --> 00:07:10,040 Speaker 1: that kids are very active, They're very robunctious, they're curious, 108 00:07:10,520 --> 00:07:13,880 Speaker 1: there can be very impulsive. So these are natural tendencies 109 00:07:14,400 --> 00:07:17,800 Speaker 1: UM that you will commonly see kids with us. Okay, 110 00:07:17,840 --> 00:07:20,280 Speaker 1: what we find in a d h D is that 111 00:07:20,720 --> 00:07:24,680 Speaker 1: it's recurrent, so it's it's it's these common symptoms that 112 00:07:24,760 --> 00:07:28,920 Speaker 1: I just discussed that are consistent and they occur in 113 00:07:28,960 --> 00:07:34,000 Speaker 1: all environments and they interfere with the child's functioning. So 114 00:07:34,720 --> 00:07:37,560 Speaker 1: usually when I see children in my office, is they 115 00:07:37,600 --> 00:07:41,160 Speaker 1: have a history of of getting in trouble for not 116 00:07:41,240 --> 00:07:44,520 Speaker 1: staying seated in their seat for over a period of time. 117 00:07:44,880 --> 00:07:48,520 Speaker 1: They may actually cut you know, other kids in line, 118 00:07:48,760 --> 00:07:53,800 Speaker 1: not follow directions, become very forgetful, um show and decline 119 00:07:53,840 --> 00:07:56,440 Speaker 1: and great. So as you can tell, you know, these 120 00:07:56,520 --> 00:07:59,640 Speaker 1: are actually interfering with their ability to do well and 121 00:08:00,000 --> 00:08:03,120 Speaker 1: cool and and as I stated before, they occur in 122 00:08:03,160 --> 00:08:05,840 Speaker 1: all environments, so not only in school, but you also 123 00:08:05,880 --> 00:08:08,600 Speaker 1: see at home where parent has to constantly remind the 124 00:08:08,760 --> 00:08:11,920 Speaker 1: child to clean up their room or you know, remind 125 00:08:11,960 --> 00:08:16,080 Speaker 1: them to follow their directions. Um, you know they they 126 00:08:16,120 --> 00:08:19,600 Speaker 1: commonly leave things around and and and basically not put 127 00:08:19,640 --> 00:08:23,520 Speaker 1: things into place in their respectful place. So it's it's 128 00:08:23,600 --> 00:08:28,680 Speaker 1: it's common symptoms that recur most days out of the week. Okay, 129 00:08:29,040 --> 00:08:32,080 Speaker 1: And what does that evaluation look like? Dr Done. I'm 130 00:08:32,120 --> 00:08:34,600 Speaker 1: sure that there are lots of different kinds of evaluations, 131 00:08:34,600 --> 00:08:36,600 Speaker 1: Like the way you would do an evaluation would be 132 00:08:36,600 --> 00:08:39,200 Speaker 1: different from what I would do as a psychologist. So 133 00:08:39,280 --> 00:08:41,520 Speaker 1: could you talk a little bit about what the evaluation 134 00:08:41,559 --> 00:08:45,040 Speaker 1: process is for making the diagnosis of a d h D. Yes, 135 00:08:45,280 --> 00:08:48,080 Speaker 1: you know that that's a very good question. And that's 136 00:08:48,120 --> 00:08:51,600 Speaker 1: that's a question that may um parents or even adults 137 00:08:51,600 --> 00:08:55,680 Speaker 1: are not aware. So one is that despite the fact 138 00:08:55,760 --> 00:08:58,320 Speaker 1: that you know, you being a psychologist, UM and I 139 00:08:58,440 --> 00:09:02,560 Speaker 1: being a psychiatrist, Yes, we may actually um engage the 140 00:09:02,600 --> 00:09:07,400 Speaker 1: community with different types of evaluations. Even with the child psychiatrist, 141 00:09:07,480 --> 00:09:11,040 Speaker 1: which I am, UM, we actually do valuation is differently 142 00:09:11,040 --> 00:09:14,840 Speaker 1: as well. So now to child, psychiatrists are alike as 143 00:09:14,840 --> 00:09:17,360 Speaker 1: far as I always they evaluate a h D, but 144 00:09:17,440 --> 00:09:20,360 Speaker 1: being an expert in a d h D, I actually 145 00:09:20,400 --> 00:09:23,760 Speaker 1: make sure that everyone that I see has to have 146 00:09:24,000 --> 00:09:27,760 Speaker 1: some type of objective testing. What that means for kids 147 00:09:28,000 --> 00:09:31,079 Speaker 1: is that commonly I use what we known as rating 148 00:09:31,160 --> 00:09:36,040 Speaker 1: behavior Rating scales UM of Vanderbilt connors are common rating 149 00:09:36,080 --> 00:09:39,600 Speaker 1: skills that are used in my clinical practice where they 150 00:09:39,640 --> 00:09:45,000 Speaker 1: are asking a number of questions in areas of activity, attention, 151 00:09:45,400 --> 00:09:49,160 Speaker 1: impulse control. They also flow. An example of the Vanderbilt 152 00:09:49,200 --> 00:09:54,000 Speaker 1: also contains areas that may point to risk factors for anxiety, depression, 153 00:09:54,559 --> 00:10:00,120 Speaker 1: of learning disabilities, conduct behaviors. And so these skills are 154 00:10:00,160 --> 00:10:04,120 Speaker 1: given to teachers, they're given to your child's parents, UM 155 00:10:04,280 --> 00:10:07,040 Speaker 1: and any other caregivers that are close in touch with 156 00:10:07,120 --> 00:10:10,320 Speaker 1: the child, including coaches. It's very important that we have 157 00:10:11,040 --> 00:10:14,120 Speaker 1: any adult person that is in fault, that has a 158 00:10:14,120 --> 00:10:16,600 Speaker 1: close connection that can actually be able to answer these 159 00:10:16,679 --> 00:10:19,760 Speaker 1: questions because it's actually going to give us the information 160 00:10:19,840 --> 00:10:23,400 Speaker 1: that we need and how the child is performing in 161 00:10:23,480 --> 00:10:26,520 Speaker 1: different areas of his or her life. So that is 162 00:10:26,559 --> 00:10:31,040 Speaker 1: what I commonly use for kids. UM in addition to adults, 163 00:10:31,120 --> 00:10:35,000 Speaker 1: I actually have a computerized that sam it's funds of 164 00:10:35,080 --> 00:10:38,200 Speaker 1: twenty thirty minute computerized tests that I actually have in 165 00:10:38,240 --> 00:10:40,760 Speaker 1: my office called a TOBA. It's used here in Great Britain, 166 00:10:41,240 --> 00:10:45,559 Speaker 1: and it's actually looking at inattention as relates to an 167 00:10:45,600 --> 00:10:48,560 Speaker 1: individual's a d h D. So these are two common 168 00:10:48,559 --> 00:10:51,600 Speaker 1: objective tests that I give. But there is not one 169 00:10:51,640 --> 00:10:54,280 Speaker 1: single test R d h D. And that's what a 170 00:10:54,320 --> 00:10:56,920 Speaker 1: lot of individuals are aware of. You know, we don't 171 00:10:56,920 --> 00:10:59,080 Speaker 1: have a blood sample to say that an individual as 172 00:10:59,120 --> 00:11:02,599 Speaker 1: a d h D. This is based on clinical evaluation. 173 00:11:02,800 --> 00:11:06,000 Speaker 1: So that's why it's important to have that a level 174 00:11:06,000 --> 00:11:12,920 Speaker 1: of objectivity, meaning asking questions in different environments of that individual, UM, 175 00:11:13,000 --> 00:11:16,360 Speaker 1: so that we can understand how they behave, how they perform, 176 00:11:16,800 --> 00:11:21,240 Speaker 1: how they're producing in those environments. So that's one test. Now, 177 00:11:21,280 --> 00:11:24,439 Speaker 1: the other part of the advisation is seeing me and 178 00:11:24,480 --> 00:11:28,120 Speaker 1: so we call or refer to that as the subjective evaluation. 179 00:11:28,800 --> 00:11:32,840 Speaker 1: So I actually have like forty five minutes of questions. UM. 180 00:11:33,040 --> 00:11:34,920 Speaker 1: What I do different in my practice is I sent 181 00:11:35,040 --> 00:11:38,040 Speaker 1: out a list a lot of questions to the parents. 182 00:11:38,280 --> 00:11:41,280 Speaker 1: It's about twenty five pages and it talk you know, 183 00:11:41,360 --> 00:11:46,000 Speaker 1: it's ask questions in the areas of child development, pregnancy, 184 00:11:46,040 --> 00:11:49,559 Speaker 1: of the mom um, you know, if they're medical problems, 185 00:11:49,679 --> 00:11:52,920 Speaker 1: if they're any mental health other mental concerns, if they've 186 00:11:52,920 --> 00:11:56,079 Speaker 1: been on medicines before. So it actually gives a history 187 00:11:56,120 --> 00:11:59,520 Speaker 1: of the child's experience as relates to medical health and 188 00:11:59,559 --> 00:12:02,560 Speaker 1: mental And then when they come in my office, I'm 189 00:12:02,600 --> 00:12:05,800 Speaker 1: already aware of some of the concerns that the parent 190 00:12:05,920 --> 00:12:09,120 Speaker 1: has and so we're able to focus on what matters most, 191 00:12:09,160 --> 00:12:12,040 Speaker 1: and that is for me to conduct and complete a 192 00:12:12,080 --> 00:12:15,440 Speaker 1: comprehensive valuation that looks at a d h D and 193 00:12:15,520 --> 00:12:18,960 Speaker 1: actually evaluates and rules out other disorders that may book 194 00:12:19,120 --> 00:12:22,720 Speaker 1: like a d h D. So it's a very comprehensive, 195 00:12:22,800 --> 00:12:26,720 Speaker 1: which means a very ferrale evaluation. UM that is done. 196 00:12:26,880 --> 00:12:30,719 Speaker 1: It usually is done between two appointments. UM. But you know, 197 00:12:30,840 --> 00:12:34,840 Speaker 1: at the second appointment we then can discuss treatment plans 198 00:12:35,040 --> 00:12:38,000 Speaker 1: or you know, other recommendations if a d h D 199 00:12:38,160 --> 00:12:41,559 Speaker 1: is not evident. So you mentioned something dr doing that, 200 00:12:41,600 --> 00:12:44,600 Speaker 1: I want to go back to you said something about um, 201 00:12:44,679 --> 00:12:48,240 Speaker 1: you're you're also questioning to make sure that they are 202 00:12:48,320 --> 00:12:50,599 Speaker 1: not struggling with something that may look like a d 203 00:12:50,760 --> 00:12:52,800 Speaker 1: h D. What are some of the things that may 204 00:12:52,840 --> 00:12:55,360 Speaker 1: be kind of confounding that like that, Okay, this looks 205 00:12:55,400 --> 00:12:57,480 Speaker 1: like a d h D, but actually it's something else. 206 00:12:57,600 --> 00:12:59,440 Speaker 1: What are some of those other factors that may be 207 00:12:59,480 --> 00:13:02,800 Speaker 1: an issue. Yeah, So when I actually conducted valuations, to 208 00:13:02,880 --> 00:13:05,880 Speaker 1: keep it simple, I actually look at four areas of 209 00:13:05,920 --> 00:13:10,240 Speaker 1: a person's lifestyle. UM. One is the biological factors, to 210 00:13:10,640 --> 00:13:15,480 Speaker 1: psychological factors, three social factors, and then four like spiritual 211 00:13:15,520 --> 00:13:19,360 Speaker 1: religious factors. And so that's kind of usually my approach. UM. 212 00:13:19,400 --> 00:13:23,000 Speaker 1: So when we consider biological factors that may resemble or 213 00:13:23,080 --> 00:13:26,720 Speaker 1: mimic a d h D symptoms, UM, I often look 214 00:13:26,840 --> 00:13:31,160 Speaker 1: at UM a person's medical history. So if they are, 215 00:13:31,360 --> 00:13:35,040 Speaker 1: for example, not sleeping, well, UM, that could actually look 216 00:13:35,040 --> 00:13:36,319 Speaker 1: like a d h D because he can set the 217 00:13:36,320 --> 00:13:41,120 Speaker 1: person's in attention or energy levels, UM, fibroid of abnormalities 218 00:13:41,160 --> 00:13:44,520 Speaker 1: even in heads. You know. Unfortunately, UM, there is there, 219 00:13:44,600 --> 00:13:47,520 Speaker 1: especially they have a significant family history I look at 220 00:13:47,800 --> 00:13:50,360 Speaker 1: to make sure that we rule that out. Vitamin D 221 00:13:50,440 --> 00:13:53,319 Speaker 1: deficiency has been in the news lately. There was actually 222 00:13:53,520 --> 00:13:56,720 Speaker 1: um oh a few UM studies that came out. There 223 00:13:56,720 --> 00:13:59,839 Speaker 1: were very prominent last year that looked at vitamin D 224 00:14:00,000 --> 00:14:03,120 Speaker 1: excuse me insufficient UM as it relates to a d 225 00:14:03,240 --> 00:14:05,520 Speaker 1: h D and then it was known that we we 226 00:14:05,600 --> 00:14:08,439 Speaker 1: have we're not producing enough voting d UM. It can 227 00:14:08,480 --> 00:14:12,319 Speaker 1: definitely affect the person's cotton to functioning. So again, how 228 00:14:12,440 --> 00:14:16,520 Speaker 1: they think, how they process information, their level of attention 229 00:14:16,720 --> 00:14:19,720 Speaker 1: and learning ability. So if you look at that, that 230 00:14:19,880 --> 00:14:23,000 Speaker 1: also looks like a d h D as well UM, 231 00:14:23,040 --> 00:14:26,040 Speaker 1: and so that that actually is very important to keep 232 00:14:26,040 --> 00:14:28,960 Speaker 1: in mind, especially for health practitioners when they order blood 233 00:14:28,960 --> 00:14:31,720 Speaker 1: work UM. We also look at the family history. So 234 00:14:31,800 --> 00:14:35,960 Speaker 1: if the parent or sibling on uncle, grandparent UM actually 235 00:14:35,960 --> 00:14:38,040 Speaker 1: has a d h D or has been diagnosed or 236 00:14:38,400 --> 00:14:42,800 Speaker 1: presumably have symptoms UM, then it's likely about a fifty 237 00:14:42,840 --> 00:14:46,640 Speaker 1: percent chance that the child of the parent UM and 238 00:14:47,000 --> 00:14:49,960 Speaker 1: usually a higher comportance rate, so basically a higher rate 239 00:14:50,000 --> 00:14:53,240 Speaker 1: of the sibling has a d h D as well UM. 240 00:14:53,280 --> 00:14:56,760 Speaker 1: So that is something that we want to keep in mind. UM. 241 00:14:56,800 --> 00:15:00,720 Speaker 1: Some psychological factors could be how a chie will perceives 242 00:15:00,720 --> 00:15:03,640 Speaker 1: themselves in the world. So if the child is UM 243 00:15:03,800 --> 00:15:08,880 Speaker 1: is a developmental stage where they're trying to identify who 244 00:15:08,920 --> 00:15:12,040 Speaker 1: they are, they're trying to fit in behaviors, So different 245 00:15:12,040 --> 00:15:15,960 Speaker 1: types of behavior and how they engage with other individuals, 246 00:15:16,000 --> 00:15:19,440 Speaker 1: how they see themselves in the world. UM. Usually those 247 00:15:19,560 --> 00:15:22,000 Speaker 1: kind of factors are not necessarily look as a d 248 00:15:22,040 --> 00:15:24,000 Speaker 1: h D, but it's something that we want to consider. 249 00:15:24,440 --> 00:15:27,680 Speaker 1: We want to kind of see ourselves in the child's 250 00:15:27,720 --> 00:15:30,520 Speaker 1: eyes and and make sure that you know, at their 251 00:15:30,600 --> 00:15:35,000 Speaker 1: their developmental age that they are able to UM, understand 252 00:15:35,200 --> 00:15:37,960 Speaker 1: you know, their significance in the world, understand their defense 253 00:15:38,040 --> 00:15:42,400 Speaker 1: mechanisms if they're healthy defense mechanisms UM that they're displaying. 254 00:15:42,560 --> 00:15:45,760 Speaker 1: And usually you know, that's kind of how we process 255 00:15:45,920 --> 00:15:49,400 Speaker 1: if they are doing well, you know, at their stage. 256 00:15:49,480 --> 00:15:53,920 Speaker 1: But you know, commonly it's not necessarily a risk factory 257 00:15:54,160 --> 00:15:57,160 Speaker 1: h D, but we do see additional risk factors where 258 00:15:57,200 --> 00:16:00,720 Speaker 1: we come to social factors. So if there's any type 259 00:16:00,760 --> 00:16:04,240 Speaker 1: of stressors going on in the home, UM, if there's 260 00:16:04,240 --> 00:16:06,720 Speaker 1: any bullying going on, you know, in the school or 261 00:16:06,760 --> 00:16:11,440 Speaker 1: any other environments that the child is subjected to UM. 262 00:16:11,480 --> 00:16:15,520 Speaker 1: You know, social factors that definitely can impact the child's 263 00:16:15,560 --> 00:16:18,760 Speaker 1: ability to learn in school where they're not making the grades, 264 00:16:18,800 --> 00:16:21,520 Speaker 1: they're not focusing because they're concerned about the bullying that's 265 00:16:21,560 --> 00:16:24,680 Speaker 1: next to them. I mean, these are really common factors. 266 00:16:25,040 --> 00:16:28,080 Speaker 1: So they should definitely be considered. And then finally of 267 00:16:28,200 --> 00:16:31,320 Speaker 1: spiritual factors. And so usually I don't necessarily I mean 268 00:16:31,360 --> 00:16:33,960 Speaker 1: I always ask the child about their spirituality, and you 269 00:16:33,960 --> 00:16:36,400 Speaker 1: would be surprised at how many child would talk about 270 00:16:36,440 --> 00:16:40,040 Speaker 1: that our children. Excuse me, um, but usually we don't 271 00:16:40,080 --> 00:16:43,960 Speaker 1: necessarily find you know, risk factors is particularly more commonly 272 00:16:44,000 --> 00:16:48,360 Speaker 1: seen in biological as well as social factors. Okay, got it. 273 00:16:48,560 --> 00:16:50,120 Speaker 1: So yeah, So like you said, there are a lot 274 00:16:50,120 --> 00:16:52,480 Speaker 1: of different things. Like I know, anxiety often comes up 275 00:16:52,600 --> 00:16:55,200 Speaker 1: right like that. It may look like a d h D, 276 00:16:55,320 --> 00:16:57,840 Speaker 1: but actually the child is anxious, may be related to 277 00:16:57,920 --> 00:17:00,760 Speaker 1: bullying or something else going on in the environment or 278 00:17:00,800 --> 00:17:04,320 Speaker 1: other social environments. Yes, that's correct, and anxiety is actually 279 00:17:04,320 --> 00:17:08,480 Speaker 1: one of the most common um, what we call coal morbility, 280 00:17:08,560 --> 00:17:12,840 Speaker 1: so the very common other mental disorder that we often 281 00:17:12,920 --> 00:17:17,440 Speaker 1: see a child exhibit um features of anxiety when they 282 00:17:17,480 --> 00:17:19,600 Speaker 1: particularly may have a d h D, but it's not 283 00:17:19,680 --> 00:17:22,680 Speaker 1: identified and therefore not treated. So we want to look 284 00:17:22,720 --> 00:17:26,040 Speaker 1: at anxiety, We want to look at depression as well 285 00:17:26,080 --> 00:17:30,240 Speaker 1: as you know, behavioral disorders such as oppositional defiance disorders, 286 00:17:30,240 --> 00:17:34,320 Speaker 1: conduct disorders, and then there are other disorders of mental 287 00:17:34,320 --> 00:17:37,359 Speaker 1: health that are commonly associated with a d h D, 288 00:17:37,400 --> 00:17:40,680 Speaker 1: and so kiddos who may have are beyond the autism spectrum. 289 00:17:41,119 --> 00:17:44,480 Speaker 1: UM that is a common um mental disorder that may 290 00:17:44,520 --> 00:17:48,159 Speaker 1: have a d D symptoms as well as Tourette's disorder 291 00:17:48,680 --> 00:17:51,199 Speaker 1: or syndrome. So you know, a d D is not 292 00:17:51,280 --> 00:17:54,000 Speaker 1: only a risk factor for other disorders, but it actually 293 00:17:54,080 --> 00:17:58,640 Speaker 1: can be UM symptoms of of of a disorder as 294 00:17:58,680 --> 00:18:01,600 Speaker 1: well or in the in addition into another disorder. Excuse me, 295 00:18:02,160 --> 00:18:04,840 Speaker 1: got you? Got you? So let's talk a little bit 296 00:18:04,880 --> 00:18:07,760 Speaker 1: about UM adults dot dom because I do think some 297 00:18:07,880 --> 00:18:11,760 Speaker 1: people are shocked about, like adult a d h D. 298 00:18:12,000 --> 00:18:13,760 Speaker 1: Like you know, there may be there thinking like well, 299 00:18:13,800 --> 00:18:16,360 Speaker 1: how could they have gone their entire life and nobody 300 00:18:16,480 --> 00:18:19,720 Speaker 1: noticed that? UM? So can you talk about like what 301 00:18:19,880 --> 00:18:23,040 Speaker 1: the evaluation process might look like or is it different 302 00:18:23,080 --> 00:18:26,120 Speaker 1: for adults who may be struggling with a d h D. 303 00:18:26,520 --> 00:18:29,600 Speaker 1: It is, it's different. UM. I will say that this point, 304 00:18:29,640 --> 00:18:32,199 Speaker 1: five million children have diagnosed with d h D. It 305 00:18:32,320 --> 00:18:34,639 Speaker 1: is the most common and talk disorder in kids and 306 00:18:34,720 --> 00:18:39,480 Speaker 1: adolescent But surprisingly there's ten million adults have been diagnosed 307 00:18:39,480 --> 00:18:41,399 Speaker 1: with a d h D and majority are not aware. 308 00:18:41,560 --> 00:18:44,560 Speaker 1: As you mentioned, UM, a d h D is recognized 309 00:18:44,560 --> 00:18:48,240 Speaker 1: as a childhood disorder. And so with that recognition, many 310 00:18:48,240 --> 00:18:52,160 Speaker 1: adults UM and maybe assumed or have been told um 311 00:18:52,240 --> 00:18:54,400 Speaker 1: that it's something that they they grow out of, even 312 00:18:54,400 --> 00:18:56,840 Speaker 1: if they had it as a child. Um, that is 313 00:18:56,880 --> 00:18:59,879 Speaker 1: something that even if they didn't identify it as a child, 314 00:19:00,000 --> 00:19:03,000 Speaker 1: it's something they can't encounter an adulthood. The jury is 315 00:19:03,000 --> 00:19:05,640 Speaker 1: still out, is you know, you can develop a DC 316 00:19:05,760 --> 00:19:08,080 Speaker 1: symptom as an adult, especially if you didn't have it 317 00:19:08,080 --> 00:19:10,720 Speaker 1: as a child. As a child, but UM, in my 318 00:19:10,920 --> 00:19:14,360 Speaker 1: professional opinion, UM, a d h D has always been 319 00:19:14,359 --> 00:19:17,080 Speaker 1: there if you have it as an adult. So I 320 00:19:17,119 --> 00:19:19,960 Speaker 1: often see adults when they actually have been through a 321 00:19:20,000 --> 00:19:22,400 Speaker 1: number of divorces, they've been through a number of motor 322 00:19:22,440 --> 00:19:27,199 Speaker 1: vehicle accidents, UM, multiple job failures, UM, and they just 323 00:19:27,520 --> 00:19:31,200 Speaker 1: kind of depressor and they have anxiety disorders because they're 324 00:19:31,240 --> 00:19:35,280 Speaker 1: just not you know, functioning at their optimal level in life. 325 00:19:35,359 --> 00:19:38,240 Speaker 1: And that can be in relationships and jobs, you know, 326 00:19:38,400 --> 00:19:41,440 Speaker 1: their own personal goals. And so that's when I tend 327 00:19:41,480 --> 00:19:43,960 Speaker 1: to see adults. I also see adults when their children 328 00:19:44,000 --> 00:19:47,880 Speaker 1: are diagnosed UM, and so the process is different. UM. 329 00:19:47,960 --> 00:19:50,040 Speaker 1: You know, I'm not going to ask an adults balls 330 00:19:50,200 --> 00:19:52,520 Speaker 1: you know, to feel out of forms for me, because 331 00:19:52,520 --> 00:19:56,040 Speaker 1: that's you know, that is actually violating their their privacy. 332 00:19:56,160 --> 00:19:59,040 Speaker 1: But what I do offer, again, it's like a subjective 333 00:19:59,119 --> 00:20:02,200 Speaker 1: valuation where I actually ask a lot of questions about 334 00:20:02,200 --> 00:20:05,359 Speaker 1: their history. It is very important that I recognize that 335 00:20:05,400 --> 00:20:08,800 Speaker 1: they've had symptoms before the age of twelve. It used 336 00:20:08,840 --> 00:20:11,120 Speaker 1: to be before the age of six, and now it's 337 00:20:11,119 --> 00:20:14,040 Speaker 1: before the age of twelve where they have where they've 338 00:20:14,119 --> 00:20:18,399 Speaker 1: actually recalled problems with and attention and puls control and 339 00:20:18,560 --> 00:20:22,200 Speaker 1: hyperactivity and or hyperactivity um. And so we go all 340 00:20:22,240 --> 00:20:24,880 Speaker 1: the way back to Elbertary school days. I asked them 341 00:20:25,119 --> 00:20:28,280 Speaker 1: how they've performed at school, what were they're upbringing, like 342 00:20:29,200 --> 00:20:32,840 Speaker 1: what were some forms of concern that teachers reported on 343 00:20:32,880 --> 00:20:35,280 Speaker 1: the report cards? So these are some common questions that 344 00:20:35,480 --> 00:20:38,240 Speaker 1: may ask. And then I actually kind of walked through 345 00:20:38,280 --> 00:20:41,159 Speaker 1: their journey of life up until the current situation of 346 00:20:41,200 --> 00:20:44,240 Speaker 1: what brings them into my office and what concerns they 347 00:20:44,280 --> 00:20:48,040 Speaker 1: have today. And so that is part of the subject evaluation. 348 00:20:48,119 --> 00:20:50,480 Speaker 1: And then as I say that before, the object evaluation 349 00:20:50,640 --> 00:20:53,600 Speaker 1: for me is either I can refer them out to 350 00:20:53,640 --> 00:20:57,480 Speaker 1: a psychologist like yourself, or I would actually conduct the 351 00:20:57,680 --> 00:21:00,760 Speaker 1: actual computerized I am in my office says, and that 352 00:21:00,920 --> 00:21:03,439 Speaker 1: is an immediate answer that I can receive when we 353 00:21:03,480 --> 00:21:07,000 Speaker 1: can discuss results. So with the subjective valuation and the 354 00:21:07,080 --> 00:21:11,840 Speaker 1: objective valuation support one another, then we have a diagnosis 355 00:21:11,920 --> 00:21:13,480 Speaker 1: that we need to talk about, and that's a d 356 00:21:13,640 --> 00:21:18,000 Speaker 1: h D. So that's how it works. That's really interesting 357 00:21:18,040 --> 00:21:19,879 Speaker 1: that you're going. And I think a lot of people 358 00:21:19,960 --> 00:21:24,200 Speaker 1: would probably be interested in knowing more about the relationship piece, right, 359 00:21:24,200 --> 00:21:26,480 Speaker 1: because I don't think we often I think because it 360 00:21:26,520 --> 00:21:29,160 Speaker 1: typically comes up in childhood, we think about it impacting 361 00:21:29,240 --> 00:21:32,679 Speaker 1: like academics, right, But when it when it has been missed, 362 00:21:32,720 --> 00:21:35,720 Speaker 1: it definitely can cause issues in relationships. Can you talk 363 00:21:35,760 --> 00:21:40,000 Speaker 1: more about that? I can, So this is not commonly 364 00:21:40,040 --> 00:21:43,359 Speaker 1: discussed on I'm so happy you raise this um important 365 00:21:43,480 --> 00:21:46,919 Speaker 1: concept because the the interesting piece about a d h 366 00:21:47,000 --> 00:21:51,200 Speaker 1: D that me of providers failed to educate patients on 367 00:21:51,720 --> 00:21:54,159 Speaker 1: is that there is a mood component to a d 368 00:21:54,359 --> 00:21:58,080 Speaker 1: h D. Um. You know, sometimes when I see individuals, 369 00:21:58,119 --> 00:22:01,760 Speaker 1: they may present themselves as being diagnosed with bipolar disorder 370 00:22:01,800 --> 00:22:05,080 Speaker 1: with depression and anxiety. And being an a d h 371 00:22:05,160 --> 00:22:07,919 Speaker 1: D expert, I yes, I evaluate for all those sources, 372 00:22:07,960 --> 00:22:10,680 Speaker 1: but I always evaluate for a d h D, right, 373 00:22:11,160 --> 00:22:13,679 Speaker 1: And so a d h D could actually book like 374 00:22:13,840 --> 00:22:16,520 Speaker 1: some so bipolar disorder. It can book like symptoms of 375 00:22:16,520 --> 00:22:19,960 Speaker 1: depression as well as anxiety. So if you consider of 376 00:22:20,119 --> 00:22:22,360 Speaker 1: a d h D having a mood component, you can 377 00:22:22,400 --> 00:22:27,320 Speaker 1: also and understand its impact on relationships. So I have 378 00:22:27,440 --> 00:22:30,000 Speaker 1: a d h D all right, And I wasn't diagnosed 379 00:22:30,040 --> 00:22:34,080 Speaker 1: until adulthood in my early thirties, and I had no idea. 380 00:22:34,320 --> 00:22:36,600 Speaker 1: I had no idea. I actually was told that I 381 00:22:36,600 --> 00:22:40,439 Speaker 1: had test taking anxiety. I struggled in medical school, and 382 00:22:40,520 --> 00:22:42,720 Speaker 1: so when I went to a psychologist, a d D 383 00:22:42,880 --> 00:22:45,080 Speaker 1: wasn't even considered because I was doing well and with 384 00:22:45,200 --> 00:22:47,679 Speaker 1: my grades. I didn't fill any classes, but I just 385 00:22:47,720 --> 00:22:50,720 Speaker 1: struggled with test taking. And I was really good at 386 00:22:50,760 --> 00:22:54,639 Speaker 1: all test taking, even not written. And so you know, 387 00:22:55,440 --> 00:22:59,040 Speaker 1: anxiety disorder was diagnosed from me, a performance anxiety. But 388 00:22:59,320 --> 00:23:03,600 Speaker 1: when I looked act and I think about my relationships, um, 389 00:23:03,640 --> 00:23:06,840 Speaker 1: I would say that I really didn't have any particular 390 00:23:06,960 --> 00:23:09,960 Speaker 1: challenges with relationships. But I didn't notice that if I 391 00:23:10,119 --> 00:23:12,520 Speaker 1: was one on one with something on one with someone, 392 00:23:12,880 --> 00:23:15,119 Speaker 1: then I was more keen to listen to what they 393 00:23:15,119 --> 00:23:17,840 Speaker 1: were saying. Um, But if I didn't have an interest 394 00:23:17,880 --> 00:23:20,800 Speaker 1: in the kind and the conversation, then I would find 395 00:23:20,800 --> 00:23:23,720 Speaker 1: myself thinking about other things or I would, you know, 396 00:23:23,760 --> 00:23:25,639 Speaker 1: planning my day in my head while the person is 397 00:23:25,680 --> 00:23:28,919 Speaker 1: talking and pretending to listen. This is common for you 398 00:23:29,040 --> 00:23:31,399 Speaker 1: for individuals and a d h DS. So if you're 399 00:23:31,400 --> 00:23:34,359 Speaker 1: an adult out there and you're wondering if you have 400 00:23:34,520 --> 00:23:36,719 Speaker 1: a d h D, you know, some of the common 401 00:23:36,800 --> 00:23:41,000 Speaker 1: symptoms that I often evaluate for are when you're in 402 00:23:41,000 --> 00:23:45,320 Speaker 1: conversations with one another person, UM, and you're finding yourself 403 00:23:45,520 --> 00:23:49,159 Speaker 1: not really listening, You're actually thinking about other thoughts. You 404 00:23:49,280 --> 00:23:51,720 Speaker 1: have a lot of thoughts going on in your head. Um, 405 00:23:51,840 --> 00:23:54,800 Speaker 1: you can't remember what the person saying, You're not giving 406 00:23:54,840 --> 00:23:58,600 Speaker 1: them eye contact. You know. These are some very common 407 00:23:58,640 --> 00:24:01,680 Speaker 1: symptoms UM that at those with a d h D 408 00:24:01,920 --> 00:24:05,080 Speaker 1: dealt with on the daily basis. Others could be very 409 00:24:05,119 --> 00:24:09,280 Speaker 1: being distracted by a person's environment. UM. Usually when I'm 410 00:24:09,520 --> 00:24:12,280 Speaker 1: a I'm a huge sports fan and so I may 411 00:24:12,320 --> 00:24:14,320 Speaker 1: watch to play, but it's usually a person in the 412 00:24:14,440 --> 00:24:18,040 Speaker 1: stance on TV that I'm looking at. So we may 413 00:24:18,200 --> 00:24:22,320 Speaker 1: find detailed attention to what's in the background, and this 414 00:24:22,400 --> 00:24:24,560 Speaker 1: is very common with those with a d h D 415 00:24:24,600 --> 00:24:27,159 Speaker 1: as well. So when we're asked about who's wedding and 416 00:24:27,200 --> 00:24:29,720 Speaker 1: the score and who scored that, commonly we can't answer 417 00:24:29,760 --> 00:24:31,679 Speaker 1: that question because we're so focused on who's in the 418 00:24:31,680 --> 00:24:33,800 Speaker 1: crowd looking at the same game that we're trying to 419 00:24:33,840 --> 00:24:38,280 Speaker 1: look at. UM. And in relationships again, you know, UM, 420 00:24:38,480 --> 00:24:41,960 Speaker 1: some of the things that are concerning are the fluctuating 421 00:24:42,000 --> 00:24:45,439 Speaker 1: and these the poor frustration tolerance. When we're talking to 422 00:24:45,680 --> 00:24:48,480 Speaker 1: someone that we love and you know, we we forget 423 00:24:48,680 --> 00:24:50,919 Speaker 1: that they asked us to do something or pick some 424 00:24:51,000 --> 00:24:53,960 Speaker 1: dinner up, you know, after get after work. You know, 425 00:24:54,080 --> 00:24:55,960 Speaker 1: those are some of the things that we call me forget. 426 00:24:56,040 --> 00:24:59,400 Speaker 1: So you often find us having a lot of notes around, 427 00:24:59,560 --> 00:25:02,840 Speaker 1: a lot of of sticking notes around, maybe many alarms 428 00:25:02,880 --> 00:25:05,720 Speaker 1: on our phone. So you know, again, if this is 429 00:25:05,760 --> 00:25:09,399 Speaker 1: something that you do automatically, you may want to UM 430 00:25:09,440 --> 00:25:13,920 Speaker 1: consider being evaluated, especially if it's interfering with your relationships. 431 00:25:13,960 --> 00:25:17,240 Speaker 1: At work, um, not following through your the demands of 432 00:25:17,320 --> 00:25:20,560 Speaker 1: your job, not completing task on time. You're often find 433 00:25:20,680 --> 00:25:23,800 Speaker 1: yourself at home doing word that's supposed to be completed 434 00:25:23,840 --> 00:25:26,879 Speaker 1: during the day. You're up from your death, socializing a 435 00:25:26,920 --> 00:25:30,760 Speaker 1: lot you're drinking a lot of coffee, which is a stimulant. 436 00:25:31,080 --> 00:25:34,720 Speaker 1: You know, again, some key factors in areas that may 437 00:25:34,760 --> 00:25:36,439 Speaker 1: actually point to a d h D. So I'm not 438 00:25:36,480 --> 00:25:39,280 Speaker 1: necessarily saying that you have it. All I'm suggesting is 439 00:25:39,320 --> 00:25:42,240 Speaker 1: that these are very common day to day behaviors that 440 00:25:42,280 --> 00:25:44,159 Speaker 1: are dol Son finding the wrong. It's just kind of 441 00:25:44,160 --> 00:25:47,000 Speaker 1: their sense of normalcy. But in fact, when we have 442 00:25:47,119 --> 00:25:49,960 Speaker 1: a d h D and it's not necessarily obvious, these 443 00:25:49,960 --> 00:25:52,720 Speaker 1: are some common um symptoms are signs that you may 444 00:25:52,800 --> 00:25:54,720 Speaker 1: find UM in a person as a d h D. 445 00:25:55,640 --> 00:25:58,080 Speaker 1: And you really raised a great point Dr Dawn and 446 00:25:58,160 --> 00:26:02,280 Speaker 1: sharing your own you know, like late diagnosis, right, because 447 00:26:02,280 --> 00:26:05,119 Speaker 1: I think what happens, and you know, I used to 448 00:26:05,160 --> 00:26:08,119 Speaker 1: do evaluations for a d h D in my practice. 449 00:26:08,640 --> 00:26:11,359 Speaker 1: I think what happens typically is people who are really 450 00:26:11,880 --> 00:26:16,160 Speaker 1: high functioning and like very successful, have just been able 451 00:26:16,200 --> 00:26:20,919 Speaker 1: to figure out ways to manage their life throughout like 452 00:26:21,040 --> 00:26:23,520 Speaker 1: high school and college. But then they get to somewhere 453 00:26:23,560 --> 00:26:26,960 Speaker 1: like medical school or an environment that does really challenge 454 00:26:27,000 --> 00:26:29,440 Speaker 1: them in all of the coping strategies that they had 455 00:26:29,560 --> 00:26:32,439 Speaker 1: kind of fall apart, and now they're like fault there 456 00:26:32,480 --> 00:26:35,800 Speaker 1: their full force to look at okay, what actually is 457 00:26:35,800 --> 00:26:37,880 Speaker 1: going on. So then that's when someone like you would 458 00:26:37,920 --> 00:26:40,600 Speaker 1: come in the office and say, hey, I'm really struggling 459 00:26:40,640 --> 00:26:44,760 Speaker 1: when I don't you know I didn't before. That's exactly right, 460 00:26:45,000 --> 00:26:46,800 Speaker 1: you I mean, you get to knowl right on the head. 461 00:26:46,840 --> 00:26:50,080 Speaker 1: And that's exactly what my experience was. UM, coming from 462 00:26:50,119 --> 00:26:53,600 Speaker 1: a personal experience, I actually so you know, the advantage 463 00:26:53,640 --> 00:26:56,760 Speaker 1: point that I had was that I actually attended monastery school. 464 00:26:57,000 --> 00:26:59,560 Speaker 1: I attended Madnet School. So to give you a little 465 00:26:59,560 --> 00:27:01,600 Speaker 1: bit more for nation about those two types of setting 466 00:27:01,600 --> 00:27:05,239 Speaker 1: school settings, they're usually very creative, you know, work at 467 00:27:05,280 --> 00:27:08,040 Speaker 1: your own pace as far as the monetary school UM. 468 00:27:08,080 --> 00:27:10,600 Speaker 1: And then the Magnet program is more like one on 469 00:27:10,600 --> 00:27:14,880 Speaker 1: one teaching higher level functioning. UM, you may actually get 470 00:27:14,920 --> 00:27:18,360 Speaker 1: pulled out of class to do other type of projects. 471 00:27:18,840 --> 00:27:22,360 Speaker 1: So yes, you know, it wasn't really obvious. I mean 472 00:27:22,400 --> 00:27:25,320 Speaker 1: I was known as a social butterfly. UM. I would 473 00:27:25,359 --> 00:27:27,840 Speaker 1: get in trouble for my conduct, but not my grades. 474 00:27:28,280 --> 00:27:31,280 Speaker 1: And so you know, nothing was wrong. I just talked 475 00:27:31,280 --> 00:27:33,600 Speaker 1: a lot. And the thing about girls with a d 476 00:27:33,720 --> 00:27:36,119 Speaker 1: h D is that they can present differently. You know, 477 00:27:36,280 --> 00:27:38,879 Speaker 1: usually they have a predominantly inattentive type where you're not 478 00:27:38,960 --> 00:27:41,800 Speaker 1: obviously see them coming out of their seats or jumping 479 00:27:41,800 --> 00:27:44,360 Speaker 1: on tables and things of that nature, but they may 480 00:27:44,400 --> 00:27:47,440 Speaker 1: actually be looking at you but not really paying attention 481 00:27:47,480 --> 00:27:49,320 Speaker 1: to what you're you know, what you're saying and what 482 00:27:49,359 --> 00:27:52,520 Speaker 1: you're teaching, so you don't even recognize that they have 483 00:27:52,640 --> 00:27:55,040 Speaker 1: a d g D. But they actually struggle in the 484 00:27:55,080 --> 00:27:57,879 Speaker 1: areas that are not so obvious. So that's again like 485 00:27:57,920 --> 00:28:02,120 Speaker 1: talking a lot or maybe um in their grades. But 486 00:28:02,240 --> 00:28:05,320 Speaker 1: how I compensated for my deficits was that I studied 487 00:28:05,359 --> 00:28:08,359 Speaker 1: a lot and I had two parents who were educators, 488 00:28:08,720 --> 00:28:12,000 Speaker 1: where I couldn't come home, you know, with anything less 489 00:28:12,000 --> 00:28:15,040 Speaker 1: than what my potential was. And so you know, I 490 00:28:15,119 --> 00:28:18,760 Speaker 1: had the supportive factors that you know, actually allowed me 491 00:28:18,880 --> 00:28:22,440 Speaker 1: to kind of go through throughout high school and even college, 492 00:28:22,520 --> 00:28:25,080 Speaker 1: you know, attending sat University of Louisiana, you know, joy 493 00:28:25,200 --> 00:28:27,480 Speaker 1: that you know, we attended a small school when there 494 00:28:27,520 --> 00:28:31,480 Speaker 1: were small classes, We had instructors, we had drill classes 495 00:28:31,480 --> 00:28:36,080 Speaker 1: of smaller even smaller classes, which reinforce the information. You know, 496 00:28:36,200 --> 00:28:38,640 Speaker 1: So if I attended that school, that actually you know, 497 00:28:38,720 --> 00:28:41,920 Speaker 1: continued with my kind of magnet and private schoolings was like. 498 00:28:42,520 --> 00:28:45,280 Speaker 1: But then when I went to medical school, I'm talking 499 00:28:45,320 --> 00:28:49,880 Speaker 1: about a hundred page homework assignment for one class when 500 00:28:49,880 --> 00:28:52,680 Speaker 1: I was taking four others at the same time, right, 501 00:28:53,040 --> 00:28:55,200 Speaker 1: so a lot of work, and I was known to 502 00:28:55,240 --> 00:28:58,080 Speaker 1: kind of rewrite my notes and I didn't know again 503 00:28:58,120 --> 00:29:00,960 Speaker 1: another compensation, I was re writing my notes on what 504 00:29:01,080 --> 00:29:06,040 Speaker 1: I was reading, highlighting and different colors, putting tabloes everywhere, 505 00:29:06,560 --> 00:29:09,960 Speaker 1: and so again I was compensating having a d h D. 506 00:29:10,280 --> 00:29:13,760 Speaker 1: Did not know, but study for hours and hours, so 507 00:29:13,880 --> 00:29:17,880 Speaker 1: losing sleep, sacrificing time on doing other things to kind of, 508 00:29:18,200 --> 00:29:22,400 Speaker 1: you know, decrease my anxiety, maybe skipping out on classes 509 00:29:22,480 --> 00:29:25,080 Speaker 1: because I had to catch upon others. So it caught 510 00:29:25,160 --> 00:29:27,600 Speaker 1: up to me. It caught up to me. And then 511 00:29:27,760 --> 00:29:30,160 Speaker 1: you know again test taking. You know, you have a 512 00:29:30,200 --> 00:29:32,640 Speaker 1: lot of information to study for a vocal school and 513 00:29:32,840 --> 00:29:36,080 Speaker 1: these tests are very time orchestrated and their hard questions 514 00:29:36,080 --> 00:29:39,120 Speaker 1: in my opinion, so you know, yeah, that's when I 515 00:29:39,160 --> 00:29:42,600 Speaker 1: first struggled. That's where I first struggled, and so it's 516 00:29:42,680 --> 00:29:46,600 Speaker 1: very eye opening for me. So you mentioned Dr Don 517 00:29:46,800 --> 00:29:49,320 Speaker 1: that it can look different in girls, right that you 518 00:29:49,360 --> 00:29:51,480 Speaker 1: know a lot of times girls will present with more 519 00:29:51,480 --> 00:29:54,760 Speaker 1: of the inattentive factors. I'm wondering if there are any 520 00:29:54,800 --> 00:29:57,479 Speaker 1: cultural factors that we need to pay attention to, like 521 00:29:57,640 --> 00:30:01,160 Speaker 1: or is there anything related to black or African American 522 00:30:01,200 --> 00:30:03,520 Speaker 1: culture that also we need to kind of be making 523 00:30:03,520 --> 00:30:07,000 Speaker 1: sure we're bringing into context in this conversation. Yes, I 524 00:30:07,000 --> 00:30:11,040 Speaker 1: would say that, UM, I would say probably five ten 525 00:30:11,120 --> 00:30:14,040 Speaker 1: years ago. UM, you know, there was a lot of 526 00:30:14,360 --> 00:30:18,000 Speaker 1: clinical research studies out there that actually showed that UM, 527 00:30:18,160 --> 00:30:21,400 Speaker 1: African American boys were more likely to be diagnosed with 528 00:30:21,560 --> 00:30:25,960 Speaker 1: a d H d UM without proper diagnosis. And the 529 00:30:26,480 --> 00:30:32,320 Speaker 1: view on that was in relation to cultural insensitivities as 530 00:30:32,400 --> 00:30:36,440 Speaker 1: far as black boys being very full, punctious and hyper 531 00:30:36,520 --> 00:30:39,560 Speaker 1: active or or having over activity in their classes or 532 00:30:39,720 --> 00:30:43,960 Speaker 1: different environments, and so they were taken to pedutricians and 533 00:30:44,120 --> 00:30:48,000 Speaker 1: just giving a diagnosis without you know, any you know, 534 00:30:48,280 --> 00:30:51,840 Speaker 1: evidence based medicine use such as these rating scales that 535 00:30:51,880 --> 00:30:55,360 Speaker 1: could actually confront the diagnosis. So that led to a 536 00:30:55,400 --> 00:30:58,920 Speaker 1: lot of black boys unfortunately being this diagnosed, which further 537 00:30:59,000 --> 00:31:04,040 Speaker 1: the stigma in the American community. And so UM part 538 00:31:04,040 --> 00:31:08,560 Speaker 1: of that UM has basically led you know, some African 539 00:31:08,560 --> 00:31:13,320 Speaker 1: American families not to want to pursue mental health disorders 540 00:31:13,440 --> 00:31:15,920 Speaker 1: or even a d h d UM even if there 541 00:31:15,960 --> 00:31:19,640 Speaker 1: are some signs real signs there. And so for the 542 00:31:19,720 --> 00:31:23,040 Speaker 1: last about five years that the studies have shown that 543 00:31:23,040 --> 00:31:27,240 Speaker 1: that actually misdiagnosis have decreased and we're actually on an 544 00:31:27,400 --> 00:31:32,320 Speaker 1: upward journey to making sure that every person is diagnosed 545 00:31:32,520 --> 00:31:38,400 Speaker 1: appropriately UM, safe measurements are used, management is effective, and 546 00:31:38,440 --> 00:31:42,040 Speaker 1: that they're not spirencing side effects, and that it's benefiting 547 00:31:42,120 --> 00:31:46,040 Speaker 1: the child because they're actually functioning optively. UM. So that's 548 00:31:46,080 --> 00:31:49,240 Speaker 1: kind of one aspect. We also saw back in about 549 00:31:49,280 --> 00:31:51,920 Speaker 1: ten eight to ten years ago that the ratio of 550 00:31:52,040 --> 00:31:55,960 Speaker 1: boys to girls was higher UM in boys than girls. 551 00:31:56,000 --> 00:31:58,040 Speaker 1: It was on a nine to one ratio. Now we're 552 00:31:58,040 --> 00:32:01,720 Speaker 1: seeing as a twenty fifteen that that ratio is actually 553 00:32:01,720 --> 00:32:06,080 Speaker 1: steady coming UM to equal equilibrium. So more girls are 554 00:32:06,080 --> 00:32:09,320 Speaker 1: being diagnosed because we're now able to identify those certain 555 00:32:09,360 --> 00:32:13,680 Speaker 1: level of inattentive symptoms that you know we've been talking about. UM. 556 00:32:13,800 --> 00:32:17,760 Speaker 1: Living in Texas very diverse state. UM, I actually see 557 00:32:17,760 --> 00:32:21,480 Speaker 1: patients throughout Texas through telling medicine or tell up psychiatry 558 00:32:21,520 --> 00:32:23,280 Speaker 1: as we call it. So I see patients on the 559 00:32:23,280 --> 00:32:26,080 Speaker 1: monitored while they're in their doctor's office as well as 560 00:32:26,120 --> 00:32:32,320 Speaker 1: Illinois and I commonly UM engaged in minority communities. And 561 00:32:32,440 --> 00:32:35,640 Speaker 1: what I'm finding is that more and more minorities are 562 00:32:35,720 --> 00:32:39,040 Speaker 1: coming in UM and a lot of teachers and I 563 00:32:39,080 --> 00:32:42,000 Speaker 1: plaught my teachers out there. You know, they can't necessarily 564 00:32:42,040 --> 00:32:45,160 Speaker 1: by law, suggest that a child being ah D, but 565 00:32:45,280 --> 00:32:48,400 Speaker 1: they're actually communicating with their parents more and more about 566 00:32:48,440 --> 00:32:52,120 Speaker 1: their concerns that they're observing about their child in class. 567 00:32:52,600 --> 00:32:56,000 Speaker 1: UM coaches are also doing incredible job and being educated 568 00:32:56,440 --> 00:32:59,160 Speaker 1: and also talking to parents, and then even parents and 569 00:32:59,240 --> 00:33:02,560 Speaker 1: grandparents are actually you know, concerned about their child, the 570 00:33:02,680 --> 00:33:05,640 Speaker 1: childhood green child's performance in school. So I'm saying that 571 00:33:05,680 --> 00:33:09,320 Speaker 1: the level of education UM is actually increased and people 572 00:33:09,400 --> 00:33:13,120 Speaker 1: are tuned and keen to understanding this disorder a little 573 00:33:13,120 --> 00:33:17,320 Speaker 1: bit better, even the minority community UM and actually seeking treatment. 574 00:33:17,440 --> 00:33:22,440 Speaker 1: So that actually is very gratifying to see in witness. Yeah, 575 00:33:22,520 --> 00:33:24,840 Speaker 1: it sounds like and I do. I'm glad to hear 576 00:33:24,880 --> 00:33:27,400 Speaker 1: that there is much more education around that because you know, 577 00:33:27,440 --> 00:33:29,600 Speaker 1: when you think about it, like your child is at 578 00:33:29,600 --> 00:33:32,480 Speaker 1: school for lots of ours during the day, right, and 579 00:33:32,520 --> 00:33:36,000 Speaker 1: so they your teachers and coaches will have maybe even 580 00:33:36,040 --> 00:33:38,960 Speaker 1: more experience being able to observe the child in multiple 581 00:33:39,000 --> 00:33:41,080 Speaker 1: different settings to be able to give some of that 582 00:33:41,200 --> 00:33:44,600 Speaker 1: diagnostic information. You're exactly right, you know, I say, you 583 00:33:44,640 --> 00:33:46,800 Speaker 1: know that's where your child's been. You know, fifty percent 584 00:33:46,840 --> 00:33:48,760 Speaker 1: of it has or her time. So it's just as 585 00:33:48,840 --> 00:33:53,120 Speaker 1: equally as important that we actually attain that information UM 586 00:33:53,120 --> 00:33:56,440 Speaker 1: in certain classes, at certain parts of the day, UM 587 00:33:56,480 --> 00:33:59,240 Speaker 1: with the child, considering the child's interests in the class. 588 00:33:59,240 --> 00:34:01,080 Speaker 1: I mean, there's a lot of things that we need 589 00:34:01,120 --> 00:34:04,080 Speaker 1: to consider that helps determine if a child is doing 590 00:34:04,120 --> 00:34:08,080 Speaker 1: well in particular course. And so you know it can 591 00:34:08,160 --> 00:34:12,480 Speaker 1: be self times confusing, UM, but you know again, objective 592 00:34:12,840 --> 00:34:16,160 Speaker 1: skills help us. You know, the teacher's input help us. 593 00:34:16,280 --> 00:34:19,960 Speaker 1: Time helps us as well, and understanding if this is 594 00:34:20,000 --> 00:34:22,919 Speaker 1: something that we really need to identify or look further 595 00:34:23,000 --> 00:34:28,360 Speaker 1: into and then therefore manage. So let's talk now about treatment, 596 00:34:28,440 --> 00:34:32,120 Speaker 1: Dr Dawn. UM. So I know that there is lots 597 00:34:32,200 --> 00:34:36,680 Speaker 1: and lots of misinformation out about medication that's used for 598 00:34:36,760 --> 00:34:38,799 Speaker 1: a d h D. So I want you to talk 599 00:34:38,840 --> 00:34:41,200 Speaker 1: a little bit about like the medical ways that are 600 00:34:41,360 --> 00:34:44,560 Speaker 1: used to treat a d D as well as if 601 00:34:44,560 --> 00:34:46,440 Speaker 1: there are other ways that you can manage a d 602 00:34:46,600 --> 00:34:50,319 Speaker 1: h D symptoms that don't require medicine definitely. So yeah, 603 00:34:50,400 --> 00:34:54,560 Speaker 1: So basically the as a psychiatrist, as a child psychiatrist, 604 00:34:54,760 --> 00:34:58,359 Speaker 1: my main role is to evaluate if a medication can 605 00:34:58,400 --> 00:35:02,080 Speaker 1: be helpful for a mental health condition. And so, of course, 606 00:35:02,280 --> 00:35:05,480 Speaker 1: being you know, a medical doctor, I've prescribed medications for 607 00:35:05,520 --> 00:35:08,440 Speaker 1: a disorder. So my main form of treatment for a 608 00:35:08,560 --> 00:35:11,439 Speaker 1: d h D would be medication, but my second, because 609 00:35:11,480 --> 00:35:13,160 Speaker 1: I specialize in a d h D, I'm also a 610 00:35:13,239 --> 00:35:16,680 Speaker 1: d h D coach. So let's start with medication management first. Um, 611 00:35:16,760 --> 00:35:20,640 Speaker 1: there's a there's two distinct classes of medications that are 612 00:35:20,760 --> 00:35:23,200 Speaker 1: commonly used to manage a d h D. There are 613 00:35:23,280 --> 00:35:27,040 Speaker 1: non stimilants and their stimulants. So the stimulant class is 614 00:35:27,120 --> 00:35:29,240 Speaker 1: kind of the first line. It's kind of the first 615 00:35:29,239 --> 00:35:32,680 Speaker 1: class that usually, especially providers such as myself would go to. 616 00:35:33,280 --> 00:35:37,000 Speaker 1: It's a very good class of medicine. Um, there is 617 00:35:37,080 --> 00:35:40,200 Speaker 1: a lot of stigma surrounding the stigma mean excuse me, 618 00:35:40,280 --> 00:35:44,920 Speaker 1: the the stimulant medications mainly because in the wrong hands 619 00:35:45,000 --> 00:35:47,840 Speaker 1: or if it's used appropriately, it can cause some you know, 620 00:35:47,840 --> 00:35:52,040 Speaker 1: significant consequences such as addictions. UM and natural high or 621 00:35:52,200 --> 00:35:55,799 Speaker 1: not natural, but a person may not necessarily respond well 622 00:35:55,840 --> 00:35:58,160 Speaker 1: to it, and they may appear to be high. It 623 00:35:58,200 --> 00:36:01,640 Speaker 1: can be company misused as a a sense, but if 624 00:36:01,640 --> 00:36:03,800 Speaker 1: it's in the hands of the person who has a 625 00:36:03,880 --> 00:36:06,880 Speaker 1: d h D and it's taken properly, it can really 626 00:36:06,920 --> 00:36:09,400 Speaker 1: make a one a d degree difference in a person's lifestyle. 627 00:36:09,440 --> 00:36:12,760 Speaker 1: And I know because that happened with me. The stimulant 628 00:36:12,800 --> 00:36:15,600 Speaker 1: classes at the top of the medication chain. What I 629 00:36:15,600 --> 00:36:17,759 Speaker 1: mean by that is that they're very effective in what 630 00:36:17,800 --> 00:36:20,839 Speaker 1: they're designed to do. They're very efficient in meeting the 631 00:36:20,880 --> 00:36:23,759 Speaker 1: goal of helping a person assisting a person with being 632 00:36:23,800 --> 00:36:27,640 Speaker 1: able to have sustained focus. An average person can focus 633 00:36:27,680 --> 00:36:30,960 Speaker 1: for about twenty minutes now, and with social media involved, 634 00:36:31,160 --> 00:36:33,640 Speaker 1: we're actually seeing that all the way down is seven 635 00:36:33,640 --> 00:36:36,560 Speaker 1: minutes seven minutes. And so if you think about a 636 00:36:36,600 --> 00:36:40,480 Speaker 1: person who has problems with their inattention, such as our attention, 637 00:36:40,520 --> 00:36:42,719 Speaker 1: such as a d h D, that actually maybe cut 638 00:36:42,719 --> 00:36:46,560 Speaker 1: in half two three to three or four minutes, right, 639 00:36:46,960 --> 00:36:50,440 Speaker 1: and so it's important that we manage this appropriately. The 640 00:36:50,560 --> 00:36:53,920 Speaker 1: similar medications are quick and what they do, they're taken 641 00:36:53,960 --> 00:36:56,680 Speaker 1: every day, they're in and out of the system, and 642 00:36:57,080 --> 00:36:59,879 Speaker 1: um people do find on them if that's what they need. 643 00:37:00,400 --> 00:37:04,279 Speaker 1: So stimilate medication examples would be riddalent um at all, 644 00:37:04,800 --> 00:37:10,359 Speaker 1: focal and dextrian violence eb GIL. There's a host of 645 00:37:10,440 --> 00:37:13,320 Speaker 1: stimulants out there. There's some that are actually being and 646 00:37:13,480 --> 00:37:16,600 Speaker 1: studied right now, and it takes about twenty years for 647 00:37:16,800 --> 00:37:21,920 Speaker 1: medication to go through proper valuations, studies and trials to 648 00:37:22,000 --> 00:37:24,799 Speaker 1: make sure that it's going to be a safe use 649 00:37:24,800 --> 00:37:29,560 Speaker 1: of management for UM the population. So these medications are 650 00:37:29,640 --> 00:37:32,239 Speaker 1: in any medication for that matter is study from these 651 00:37:32,280 --> 00:37:35,000 Speaker 1: twenty on average and twenty years, so it's very safe 652 00:37:35,120 --> 00:37:38,800 Speaker 1: if it's used propriately, properly. Then we have the nonsimilate class. 653 00:37:38,840 --> 00:37:42,399 Speaker 1: So the nonsimilate class is basically a class of medications 654 00:37:42,440 --> 00:37:45,879 Speaker 1: that are commonly used as kind of the secondary class UM. 655 00:37:46,080 --> 00:37:49,200 Speaker 1: These medications can also be used in conjunction with someone 656 00:37:49,200 --> 00:37:51,880 Speaker 1: who doesn't do very well with stimulance, or they may 657 00:37:51,920 --> 00:37:56,239 Speaker 1: have other disorders that the stimulants would actually you know, 658 00:37:56,320 --> 00:38:00,120 Speaker 1: impact how they functioned, or if they're taking other medications 659 00:38:00,160 --> 00:38:02,880 Speaker 1: that may interfere and have a drug for interaction with 660 00:38:02,880 --> 00:38:06,640 Speaker 1: the stimulants UM as well as you can usually sometimes 661 00:38:06,719 --> 00:38:09,359 Speaker 1: kids do well with combination treatment. So we may have 662 00:38:09,400 --> 00:38:11,879 Speaker 1: them on a stimulant and a non stimilant to make 663 00:38:11,880 --> 00:38:15,000 Speaker 1: sure that they're functioning throughout the entire day. So some 664 00:38:15,040 --> 00:38:17,480 Speaker 1: of asamas of the non stimmic medications with the stra 665 00:38:17,680 --> 00:38:23,320 Speaker 1: terra quantity or cap they um intunive. You know, these 666 00:38:23,440 --> 00:38:26,200 Speaker 1: um were differently in the brain than the stimulants. The 667 00:38:26,280 --> 00:38:29,080 Speaker 1: reason why stimulates are cost stimulates is not because they 668 00:38:29,120 --> 00:38:32,279 Speaker 1: stimulate people. The reason why they're cost stimulates is because 669 00:38:32,280 --> 00:38:35,600 Speaker 1: they stimulate certain chemicals to be released from the area 670 00:38:35,960 --> 00:38:38,520 Speaker 1: of the brain that's impacted by DH. So remember that 671 00:38:38,560 --> 00:38:40,640 Speaker 1: frontal lobe that was talking about where you could take 672 00:38:40,680 --> 00:38:42,360 Speaker 1: your hand and put it to your frontal kind of 673 00:38:42,360 --> 00:38:45,400 Speaker 1: your forehead. That's the area that is found to not 674 00:38:45,520 --> 00:38:50,399 Speaker 1: produce enough of certain chemicals like dopamine northa mafrin when 675 00:38:50,400 --> 00:38:52,600 Speaker 1: a person is a d h D. So what is 676 00:38:52,640 --> 00:38:54,800 Speaker 1: important about taking your medicine we have a d C 677 00:38:55,520 --> 00:38:58,160 Speaker 1: is that you must say your medicine every day because 678 00:38:58,200 --> 00:39:00,279 Speaker 1: you're not. Your brain is not making epail of what 679 00:39:00,400 --> 00:39:03,600 Speaker 1: it needs in order to have good focus the stainment. 680 00:39:04,080 --> 00:39:06,520 Speaker 1: So that's why I'm going to take your medicine every day. 681 00:39:06,680 --> 00:39:09,360 Speaker 1: And that's kind of the biological need of having a 682 00:39:09,440 --> 00:39:13,360 Speaker 1: medication on board, but not about about people don't respond 683 00:39:13,440 --> 00:39:16,080 Speaker 1: well to stimulants. So we have other type of managements 684 00:39:16,080 --> 00:39:18,520 Speaker 1: that may work. UM. We have ended the pressence that 685 00:39:18,560 --> 00:39:21,840 Speaker 1: may actually help with some type of impulse control. UM. 686 00:39:21,880 --> 00:39:24,840 Speaker 1: We actually and then that's medication. But we have a 687 00:39:24,920 --> 00:39:27,600 Speaker 1: d h D coaching, So I actually meet with patients 688 00:39:27,800 --> 00:39:30,520 Speaker 1: UM a part of my practice as well as my brand, 689 00:39:30,920 --> 00:39:35,360 Speaker 1: and we talk about time management skills, organizational skills. UM. 690 00:39:35,520 --> 00:39:38,960 Speaker 1: We actually talk about how their days of structure. UM. 691 00:39:39,000 --> 00:39:41,360 Speaker 1: I get an understanding with their day's life. You know, 692 00:39:41,440 --> 00:39:43,160 Speaker 1: usually have a d h D. You feel like you 693 00:39:43,200 --> 00:39:45,360 Speaker 1: don't have enough time, but there is enough time. You 694 00:39:45,400 --> 00:39:47,800 Speaker 1: just have to structure your day to where you see 695 00:39:47,840 --> 00:39:50,760 Speaker 1: that there's enough time. So there's a lot of visualization 696 00:39:51,080 --> 00:39:53,840 Speaker 1: to these appointments UM, because we use different parts of 697 00:39:53,840 --> 00:39:57,520 Speaker 1: our brains. Important to highlight that area. UM. There's also 698 00:39:57,640 --> 00:40:00,880 Speaker 1: kinds of behavioral therapy UM that is often used with 699 00:40:00,920 --> 00:40:02,960 Speaker 1: a d h D. As we stated, there can be 700 00:40:03,040 --> 00:40:05,160 Speaker 1: some new components to a d h D. So we 701 00:40:05,239 --> 00:40:07,399 Speaker 1: want to make sure that our anxiety is managed. If 702 00:40:07,400 --> 00:40:10,520 Speaker 1: we have like mild oppressive symptoms, that's managed Okay, our 703 00:40:10,520 --> 00:40:15,120 Speaker 1: frustration tolerance is you know, tolerated UM, so CBT or 704 00:40:15,239 --> 00:40:18,200 Speaker 1: cotton some type of degree of therapies are very helpful 705 00:40:18,680 --> 00:40:21,239 Speaker 1: and it's also important to individual family therapy. I mean 706 00:40:21,440 --> 00:40:24,799 Speaker 1: commonly that is not considered. But you know, if a 707 00:40:25,000 --> 00:40:27,200 Speaker 1: child is to have a d h D and there 708 00:40:27,239 --> 00:40:29,880 Speaker 1: to take medicine and the parent that's not you know, 709 00:40:30,080 --> 00:40:33,040 Speaker 1: sure they are sure. It's important for the family to 710 00:40:33,040 --> 00:40:36,000 Speaker 1: be educated so they can continue to understand how they 711 00:40:36,000 --> 00:40:38,880 Speaker 1: can best support their child or their friendly remember that 712 00:40:39,040 --> 00:40:40,440 Speaker 1: is living with a d h D because they d 713 00:40:40,520 --> 00:40:43,319 Speaker 1: h D isn't lifelong disorder. So you want to have 714 00:40:43,560 --> 00:40:46,040 Speaker 1: like an all star team around you. Is important to 715 00:40:46,040 --> 00:40:48,279 Speaker 1: have the teachers support. This is important to have your 716 00:40:48,320 --> 00:40:52,080 Speaker 1: family members, coaches, your relationship, you know, people that your 717 00:40:52,120 --> 00:40:54,680 Speaker 1: intership with, so you know, as long as you have 718 00:40:54,719 --> 00:40:57,120 Speaker 1: that support, people really can flourish when they have a 719 00:40:57,160 --> 00:41:00,600 Speaker 1: d h D. So I know, don't you're doing that. 720 00:41:00,800 --> 00:41:03,400 Speaker 1: Something that often comes up UM, like you mentioned a 721 00:41:03,480 --> 00:41:06,960 Speaker 1: little earlier, is like parents having concerns actually starting their 722 00:41:07,040 --> 00:41:10,480 Speaker 1: children on medication and lots of worries about that. What 723 00:41:10,680 --> 00:41:13,840 Speaker 1: kind of UM information would you like to offer for 724 00:41:13,920 --> 00:41:16,120 Speaker 1: parents who may be you know, afraid of starting their 725 00:41:16,200 --> 00:41:18,759 Speaker 1: children on medication. Well, you know, I always talked to 726 00:41:18,800 --> 00:41:21,399 Speaker 1: my parents. I'm meeting where they are, And I first 727 00:41:21,400 --> 00:41:23,480 Speaker 1: started by saying, you know, I would be concerned if 728 00:41:23,480 --> 00:41:27,440 Speaker 1: you were not concerned. You know, having having the childhood 729 00:41:27,440 --> 00:41:30,280 Speaker 1: diagnosed with a d D can be can be scary 730 00:41:30,320 --> 00:41:33,560 Speaker 1: for parents. Um, hearing that this could be a lifelong 731 00:41:33,560 --> 00:41:36,759 Speaker 1: disorder where potentially you know, their soner daughter is going 732 00:41:36,800 --> 00:41:39,520 Speaker 1: to be taking medication for the resternal life can actually 733 00:41:39,520 --> 00:41:42,960 Speaker 1: sound scary as well. UM, so it's important to get 734 00:41:42,960 --> 00:41:45,560 Speaker 1: it right. And so I started off by saying this, 735 00:41:45,680 --> 00:41:49,279 Speaker 1: and we're going to do the proper way to diagnose this. 736 00:41:49,360 --> 00:41:51,360 Speaker 1: We're going to make sure we follow a protocol to 737 00:41:51,440 --> 00:41:53,560 Speaker 1: make sure that this you know, your childhood a d 738 00:41:53,680 --> 00:41:56,399 Speaker 1: h D. And then let's start the conversation of how 739 00:41:56,480 --> 00:41:59,760 Speaker 1: this works. And so I often draw in my session. 740 00:42:00,040 --> 00:42:01,560 Speaker 1: I showed them the picture of the brain. I draw 741 00:42:01,600 --> 00:42:05,920 Speaker 1: the brain. I'm not a good draw anyway, join and 742 00:42:06,000 --> 00:42:08,560 Speaker 1: I actually, you know, set the tone by creating a 743 00:42:08,600 --> 00:42:11,560 Speaker 1: picture of what's happening in their child's brain, what happens 744 00:42:11,560 --> 00:42:13,560 Speaker 1: when they have an h D and it's not managed, 745 00:42:13,920 --> 00:42:16,080 Speaker 1: and then what happens when it starts management, and I 746 00:42:16,160 --> 00:42:18,600 Speaker 1: relate that to their functioning, and I relate that to 747 00:42:19,040 --> 00:42:22,279 Speaker 1: the areas of concerns that they're presented with, and if 748 00:42:22,280 --> 00:42:24,719 Speaker 1: we were to treat an D how those areas can 749 00:42:24,800 --> 00:42:29,200 Speaker 1: actually improve. So that's kind of how I start. I 750 00:42:29,239 --> 00:42:33,240 Speaker 1: don't enforce men, you know, treatment on anyone. I educate, 751 00:42:33,440 --> 00:42:37,279 Speaker 1: I promote, I encourage UM, but I want to make 752 00:42:37,320 --> 00:42:39,960 Speaker 1: sure that they make an informed decision. So that's what's 753 00:42:40,000 --> 00:42:43,040 Speaker 1: important that those parents are in the driver's seat. They're 754 00:42:43,080 --> 00:42:45,640 Speaker 1: gonna decide for their child based upon you know, my 755 00:42:45,640 --> 00:42:49,719 Speaker 1: clink experience, my professional experience, my personal experience that this 756 00:42:49,840 --> 00:42:52,439 Speaker 1: is a disorder that definitely needs to be managed if 757 00:42:52,480 --> 00:42:55,200 Speaker 1: it is there, but there's different ways to manage it. 758 00:42:55,640 --> 00:42:58,520 Speaker 1: And so you know, again it's a balance between meeting 759 00:42:58,680 --> 00:43:01,359 Speaker 1: the parents and the child way they are and then 760 00:43:01,440 --> 00:43:07,040 Speaker 1: providing professional and expertise UM that will actually promote their 761 00:43:07,120 --> 00:43:09,880 Speaker 1: child's well being to make sure that they're functioning optimally. 762 00:43:10,200 --> 00:43:12,800 Speaker 1: So we address the concerns that they have, the address 763 00:43:12,840 --> 00:43:14,799 Speaker 1: of pusts that they have, and then we kind of 764 00:43:14,840 --> 00:43:18,120 Speaker 1: go from there. So I know that you also just 765 00:43:18,239 --> 00:43:22,800 Speaker 1: released a book Dr Dawn um d H D Lifestyle 766 00:43:22,880 --> 00:43:25,279 Speaker 1: Series Volume one, So that leads me to believe that 767 00:43:25,280 --> 00:43:28,080 Speaker 1: there will be multiple volumes in this series. But I 768 00:43:28,080 --> 00:43:30,399 Speaker 1: am sure that this could be a good resource for 769 00:43:30,480 --> 00:43:32,359 Speaker 1: people who are struggling with this. So can you tell 770 00:43:32,440 --> 00:43:34,320 Speaker 1: us a little bit more about the book. I would 771 00:43:34,320 --> 00:43:37,320 Speaker 1: love to. Yes, I'm so excited. It's my first book 772 00:43:37,440 --> 00:43:40,360 Speaker 1: I dreamt of writing, you know, a book about a 773 00:43:40,480 --> 00:43:42,920 Speaker 1: d D for too long a time now, And so 774 00:43:43,040 --> 00:43:45,800 Speaker 1: this is the first volumele ones the ADC Lifestyle Series 775 00:43:45,880 --> 00:43:48,400 Speaker 1: Volume one Secrets from an m D with a d 776 00:43:48,520 --> 00:43:51,680 Speaker 1: h D. And in volume one I discussed building balanced 777 00:43:51,680 --> 00:43:56,120 Speaker 1: mills and exercise routines for children. Now as psychiaddress again, 778 00:43:56,239 --> 00:43:59,080 Speaker 1: you know, my main management in my office is medigation 779 00:43:59,160 --> 00:44:02,440 Speaker 1: management UM as well as a d C coaching. But 780 00:44:02,960 --> 00:44:06,440 Speaker 1: I am a holistic provider outside of the office, and 781 00:44:06,480 --> 00:44:09,120 Speaker 1: so in my personal brand this is what I do. 782 00:44:09,400 --> 00:44:12,600 Speaker 1: I talk about other forms of management that are just 783 00:44:12,800 --> 00:44:16,880 Speaker 1: as important as medication management. So we're talking about balanced meals. 784 00:44:17,280 --> 00:44:19,880 Speaker 1: You want to make sure that the best fuel source 785 00:44:19,920 --> 00:44:23,600 Speaker 1: for the brain is basically given to your child, especially 786 00:44:23,640 --> 00:44:25,880 Speaker 1: they have a d h D. So, for example, if 787 00:44:25,880 --> 00:44:27,680 Speaker 1: you want to get my book, you're more than welcome 788 00:44:27,719 --> 00:44:29,960 Speaker 1: to go get my book. It's that by Dr Dawn's 789 00:44:29,960 --> 00:44:34,239 Speaker 1: book dot com UM. But in that protein, protein is 790 00:44:34,280 --> 00:44:36,600 Speaker 1: the best fuel source for the brain. It's the brain 791 00:44:36,760 --> 00:44:39,720 Speaker 1: is able to break down protein. When you eat protein, 792 00:44:39,800 --> 00:44:43,759 Speaker 1: you get fuel full faster. Usually I give you a 793 00:44:43,800 --> 00:44:46,120 Speaker 1: little tiffit here. When a child is a d h 794 00:44:46,200 --> 00:44:49,319 Speaker 1: D and they're on their medication management, sometimes it's hard 795 00:44:49,360 --> 00:44:51,719 Speaker 1: for them to eat or they may have appetite suppression. 796 00:44:52,200 --> 00:44:55,760 Speaker 1: So I may actually suggest, hey, give your child protein 797 00:44:55,800 --> 00:44:59,440 Speaker 1: stack around three thirty four o'clock in the afternoon. This 798 00:44:59,480 --> 00:45:02,000 Speaker 1: is usually they're outside of school or during the summer day, 799 00:45:02,040 --> 00:45:05,000 Speaker 1: may be, you know, outside from their summer program, and 800 00:45:05,040 --> 00:45:08,359 Speaker 1: you will find that their focus actually improves after they 801 00:45:08,360 --> 00:45:10,920 Speaker 1: have this protein snack while the medicine is kind of 802 00:45:10,960 --> 00:45:14,920 Speaker 1: glowing out of their systems. So food supplements UM are 803 00:45:15,080 --> 00:45:19,160 Speaker 1: very resourceful. Minerals, vitamins are very key to make sure 804 00:45:19,200 --> 00:45:21,319 Speaker 1: that their brain is getting what it needs in order 805 00:45:21,360 --> 00:45:24,240 Speaker 1: to function as best. So there's a lot of chapters 806 00:45:24,280 --> 00:45:27,360 Speaker 1: on that, and then we talk also about exercise for 807 00:45:27,520 --> 00:45:31,040 Speaker 1: change for children. My favorite is proiety. It teaches discipline, 808 00:45:31,400 --> 00:45:34,760 Speaker 1: it teaches UM. It allows you to the childhood focus 809 00:45:35,040 --> 00:45:40,120 Speaker 1: on UM. You know, basically accomplishing certain goals. Um. So 810 00:45:40,200 --> 00:45:43,799 Speaker 1: it's a reward system with color belt accomplishments and build 811 00:45:43,880 --> 00:45:47,279 Speaker 1: confidence of esteem. It builds friendships as they focus on 812 00:45:47,320 --> 00:45:50,160 Speaker 1: why they're there. I love comriety for a person who 813 00:45:50,200 --> 00:45:51,759 Speaker 1: has a d h D and used just at the 814 00:45:51,800 --> 00:45:54,759 Speaker 1: end of the day. So it's it's best used whereafter 815 00:45:54,840 --> 00:45:57,440 Speaker 1: they're done with their workout, they can go to sleep easier. 816 00:46:00,200 --> 00:46:02,520 Speaker 1: So yeah, so you know, I I highlight some of 817 00:46:02,520 --> 00:46:06,120 Speaker 1: those key areas outside of medicine that are just as 818 00:46:06,120 --> 00:46:08,680 Speaker 1: equally as important to help manage your child's a d 819 00:46:08,719 --> 00:46:12,200 Speaker 1: h D. So, besides your book, Dr Dawn, what other 820 00:46:12,800 --> 00:46:15,319 Speaker 1: resources might you suggest for people who are wanting to 821 00:46:15,360 --> 00:46:18,000 Speaker 1: maybe read more about a d h D or figure 822 00:46:18,040 --> 00:46:20,319 Speaker 1: some of this out for their kids. Sure. I have 823 00:46:20,440 --> 00:46:24,440 Speaker 1: an online TV show. Um it's basically based off of Facebook. 824 00:46:24,920 --> 00:46:27,600 Speaker 1: Um it's basically you go to Doctor dawns Liken D. 825 00:46:27,920 --> 00:46:31,520 Speaker 1: I actually feature at least once a week, um, something 826 00:46:31,600 --> 00:46:33,879 Speaker 1: in the area of a d h D and other 827 00:46:33,920 --> 00:46:37,239 Speaker 1: mentalk disorders. UM. I also have an upcoming podcast that 828 00:46:37,239 --> 00:46:40,719 Speaker 1: I'm featuring next month. So um it's actually catered to 829 00:46:40,800 --> 00:46:44,640 Speaker 1: supermom So super moms and my this definition is to 830 00:46:44,719 --> 00:46:47,360 Speaker 1: find as those mothers who parent children a d h D. 831 00:46:47,560 --> 00:46:50,200 Speaker 1: They're my super moms. They have alls our kids, and 832 00:46:50,280 --> 00:46:54,279 Speaker 1: we basically talk about we start by talking about them. UM. So, 833 00:46:54,320 --> 00:46:58,120 Speaker 1: I've done webinars, have done UM challenges on my my 834 00:46:58,200 --> 00:47:02,399 Speaker 1: Facebook lives where I address moms. It's all about moms 835 00:47:02,440 --> 00:47:05,680 Speaker 1: and moms. This is where we talk about the struggle 836 00:47:05,760 --> 00:47:08,279 Speaker 1: of you feeling that you're being judged, You feel like 837 00:47:08,320 --> 00:47:11,400 Speaker 1: a failure as a parent, You blame yourself, you know. 838 00:47:11,520 --> 00:47:14,040 Speaker 1: We kind of talk about that, what that looks like, 839 00:47:14,120 --> 00:47:16,680 Speaker 1: how you can overcome that so that you can open 840 00:47:16,719 --> 00:47:20,360 Speaker 1: the door to you know, helping your child. UM basically 841 00:47:20,480 --> 00:47:23,680 Speaker 1: champion during d h d um so we talked about 842 00:47:23,680 --> 00:47:25,840 Speaker 1: what a dh D is. You know. Some of the 843 00:47:25,840 --> 00:47:28,480 Speaker 1: things we talked about today, the um joy UM, how 844 00:47:28,760 --> 00:47:31,640 Speaker 1: you can get diagnosed, What key players should be a 845 00:47:31,680 --> 00:47:34,359 Speaker 1: part of your child's all star team of what home 846 00:47:34,480 --> 00:47:38,239 Speaker 1: routines are important, What school essentials are important to make 847 00:47:38,239 --> 00:47:41,640 Speaker 1: sure that the child's deceeeding, What sleep hygienes or life 848 00:47:41,760 --> 00:47:45,120 Speaker 1: appetite hygiene. We really talk about the lifestyle of a 849 00:47:45,239 --> 00:47:47,720 Speaker 1: child who is a d h D. UM I refer 850 00:47:47,880 --> 00:47:52,120 Speaker 1: to different websites um that are found that are very resourceful. 851 00:47:52,560 --> 00:47:56,040 Speaker 1: Um chat dot or is a recourse resourceful at website? 852 00:47:56,440 --> 00:47:59,759 Speaker 1: Ad to do with a d D two magazine on 853 00:48:00,040 --> 00:48:03,799 Speaker 1: nice resourceful website. Um, my website that be going. It's 854 00:48:03,840 --> 00:48:05,680 Speaker 1: like m D I have a blow up un there 855 00:48:06,160 --> 00:48:08,440 Speaker 1: and I talked about nothing but a d D. So 856 00:48:08,800 --> 00:48:11,200 Speaker 1: there are a lot of resourceful websites out there where 857 00:48:11,239 --> 00:48:13,799 Speaker 1: parents can learn. And I understand that it can be 858 00:48:13,880 --> 00:48:17,480 Speaker 1: very confusing and complex because there are also information out 859 00:48:17,520 --> 00:48:20,640 Speaker 1: there that is not necessarily evidence space. So you want 860 00:48:20,680 --> 00:48:23,920 Speaker 1: to make sure that you actually talk to your doctor. Um, 861 00:48:23,960 --> 00:48:26,840 Speaker 1: when you talked to a mental professional who can guide 862 00:48:26,840 --> 00:48:31,759 Speaker 1: you to the right resources that can actually give understanding 863 00:48:31,880 --> 00:48:34,000 Speaker 1: or answers to the concerts that you have or regard 864 00:48:34,040 --> 00:48:37,240 Speaker 1: c A d h D So dr down. You already 865 00:48:37,239 --> 00:48:40,879 Speaker 1: told us your website is Dr Dawn psych md dot com. 866 00:48:40,920 --> 00:48:43,040 Speaker 1: Are there any social media handles that you want to 867 00:48:43,080 --> 00:48:45,919 Speaker 1: share where people can find you online? Yes, Um, it's 868 00:48:46,120 --> 00:48:49,799 Speaker 1: Dr Dawn so c R D A W N P 869 00:48:50,200 --> 00:48:53,880 Speaker 1: S Y c H M D and that that's my 870 00:48:53,960 --> 00:48:58,000 Speaker 1: name on my on my social media platform. So that's Facebook. Um, 871 00:48:58,080 --> 00:49:04,279 Speaker 1: it's YouTube, it's like roun Twitter, linked in, pinterests UM, 872 00:49:04,440 --> 00:49:07,799 Speaker 1: so I'm on all social media as UM platforms as 873 00:49:07,880 --> 00:49:11,000 Speaker 1: that name Dr Dawn's like m D perfect and all 874 00:49:11,000 --> 00:49:12,560 Speaker 1: of that will be included in the show notes so 875 00:49:12,600 --> 00:49:15,680 Speaker 1: people can find that really easily. Well, thank you so 876 00:49:15,760 --> 00:49:18,040 Speaker 1: much for sharing all of your expertise with us today, 877 00:49:18,120 --> 00:49:21,239 Speaker 1: Dr Dawn, I really appreciate it. You're welcome, and thank 878 00:49:21,280 --> 00:49:24,239 Speaker 1: you for having me. Dr Joy, I really appreciate UM 879 00:49:24,400 --> 00:49:27,719 Speaker 1: you are allowing me to come on your podcast and 880 00:49:28,040 --> 00:49:31,239 Speaker 1: basically just promote the education, awareness and a d h D. 881 00:49:32,080 --> 00:49:35,400 Speaker 1: Hopefully if we dispel some mints today and as well 882 00:49:35,440 --> 00:49:38,400 Speaker 1: as encouraged individuals out there, whether they be young or old, 883 00:49:38,800 --> 00:49:41,360 Speaker 1: that if they are concerned of having this what I 884 00:49:41,520 --> 00:49:44,840 Speaker 1: call superability UM, that they can actually seek help with 885 00:49:44,920 --> 00:49:47,759 Speaker 1: the mental professional and kind of go from there. So, 886 00:49:48,080 --> 00:49:52,160 Speaker 1: thank you so much for this opportunity. Thank you. I'm 887 00:49:52,160 --> 00:49:54,560 Speaker 1: so grateful that Dr Dawn was able to share her 888 00:49:54,600 --> 00:49:57,960 Speaker 1: expertise with us today. Be sure to check out the 889 00:49:57,960 --> 00:50:01,440 Speaker 1: show notes to get more information about her practice, her book, 890 00:50:01,960 --> 00:50:05,399 Speaker 1: and the resources that she suggested. You can find them 891 00:50:05,440 --> 00:50:08,480 Speaker 1: at Therapy for Black Girls dot com slash Session sixty 892 00:50:08,640 --> 00:50:11,840 Speaker 1: six if you're looking for a therapist in your area, 893 00:50:12,400 --> 00:50:15,200 Speaker 1: make sure to visit the directory at Therapy for Black 894 00:50:15,239 --> 00:50:19,120 Speaker 1: Girls dot com slash directory. And if you want to 895 00:50:19,160 --> 00:50:22,440 Speaker 1: continue this conversation and join a community of other sisters 896 00:50:22,480 --> 00:50:25,480 Speaker 1: who listen to the podcast, please join us over in 897 00:50:25,560 --> 00:50:28,920 Speaker 1: the thrive tribe at Therapy for Black Girls dot com 898 00:50:28,960 --> 00:50:32,319 Speaker 1: slash tribe. Make sure you answer the three questions that 899 00:50:32,360 --> 00:50:35,759 Speaker 1: are asked to gain entry. Thank y'all so much for 900 00:50:35,840 --> 00:50:38,279 Speaker 1: joining me again this week, and I look forward to 901 00:50:38,320 --> 00:50:41,839 Speaker 1: continue in this conversation with you all real soon. Take 902 00:50:41,880 --> 00:51:16,720 Speaker 1: good care, par actor fi oftor par at p oft 903 00:51:21,400 --> 00:51:25,920 Speaker 1: oftor c