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Everyone in Jessica’s family has repeatedly been the target of her unbounded rage, yet she takes no responsibility for her behavior. Ironically, she feels like people hate her, and doesn’t seem to understand why. Jessica has had anger problems all of her life, and now at age 18, she continues to destroy relationships and other things in her path. Without question, she is a very difficult and challenging teen. She has undergone numerous psychiatric evaluations, been admitted twice for 72-hour involuntary stays at mental health facilities, was sent to 3 different residential treatment schools, and was arrested for assaulting her mother. No treatment has successfully changed Jessica’s behavior. Not only does she continue to lash out at others—without provocation, but she also lies, has zero empathy or apology for her behavior, and acts entitled. Yet, she blames everyone else for the problems she invokes. Is it Jessica’s fault? Or is there something happening in her brain that is driving her behavior?

Dr. Phil’s Insight: Jessica Needs a Brain Scan

Jessica, her mother, Victoria, and other family members were on the Dr. Phil show to see if he could help them.  After learning more about her, Dr. Phil said he believed that Jessica has not yet been properly diagnosed and that for her to make changes to her behavior, she will need to get her brain assessed and treated. He recommended that she undergo an evaluation that includes brain SPECT imaging with Dr. Daniel Amen, world-renowned neuropsychiatrist and founder of Amen Clinics. By using SPECT scans, the doctors at Amen Clinics can identify areas of the brain that aren’t working well and are likely causing problems for a patient. By using SPECT scans, the doctors at Amen Clinics can identify areas of the brain that aren’t working well and are likely causing problems for a patient.
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Dr. Amen appeared on the show to talk with Jessica and her family about the results from her brain scans, which showed she has severe temporal lobe ADD. This condition is caused by lower-than-normal activity in her prefrontal cortex (PFC) and temporal lobes and is one of the 7 Types of ADD discovered through the brain imaging work at Amen Clinics.

Temper Problems and Other Temporal Lobe Symptoms

The temporal lobes, which are on either side of the brain, play a critical role in mood stability, temper control, and learning. This finding likely accounts for Jessica’s aggression and emotional instability, as well as the learning disorder and reading difficulties she was diagnosed with in childhood. It was not her fault that she struggled academically—this part of her brain does not work as well as it should. Temporal lobes are also involved with other important functions; thus, deficits in this part of the brain can also be related to problems with:

Prefrontal Cortex Symptoms

Jessica’s scans also revealed low activity in her prefrontal cortex (PFC), which is a consistent finding in all types of ADD. When the PFC works well, it helps us stay focused and on task. It also helps us control our emotions and behavior. But when the activity in the PFC is low, it can lead to many issues, including problems with: The PFC is also like the command center for behavior and functions as its “brakes.” This may explain why Jessica uninhibitedly attacks people: The decreased blood flow in her temporal lobes contributes to her rage, while the low blood flow in her PFC makes it difficult to stop herself.

Moodiness, Anger, and More in Temporal Lobe ADD

Sudden bursts of unbridled anger are common with temporal lobe ADD, along with these behaviors and symptoms: Dr. Amen also noted that according to her scans, the emotional center in Jessica’s brain was overactive, which can cause a person to be prone to depression or color the world with negativity.

There is Hope for Temporal Lobe ADD and Anger Issues

The good news for Jessica is that her brain problems are treatable, especially because her brain is still developing—and will continue to until she’s in her mid-twenties. There’s an opportunity for significant improvement if she chooses to comply with the treatment plan Dr. Amen created for her. Aside from any medication or supplements to support brain function, there are some specific lifestyle changes necessary to help Jessica optimize her brain function. These include: Dr. Amen told Jessica that if she does the right things now to rehabilitate her brain, she’ll be able to achieve her potential—and not have to live with the regret that she didn’t take those steps. Getting her family involved in supporting her in adopting brain healthy habits is another strategy that is important for anyone trying to overcome mental health challenges. ADD, depression, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. Are you having a rough time in your relationships? Is your spouse fed up with your inability to pay attention, focus, and follow through on your promises? Or are you sick of your significant other saying hurtful things, forgetting your birthday, and having extramarital affairs? You may be thinking it’s time to call it quits, but marital conflict and troubled relationships aren’t necessarily your fault. In reality, it could be undetected or untreated ADD, also called ADHD, that’s causing the problems. At Amen Clinics, we’ve treated thousands of couples and families where one or more parties have ADD/ADHD and we have seen first-hand how it can lead to butting heads, hurting each other, or feeling neglected or misunderstood. In many cases, people don’t realize that ADD/ADHD is playing a destructive role in the relationship or that this condition is a brain-based disorder. At Amen Clinics, we’ve treated thousands of couples and families where one or more parties have ADD/ADHD and we have seen first-hand how it can lead to butting heads, hurting each other, or feeling neglected or misunderstood.
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ADD/ADHD IN THE BRAIN

The brain imaging work at Amen Clinics—over 160,000 brain scans from people in 150 countries—shows that ADD/ADHD is typically related to abnormal blood flow and activity in the brain. Amen Clinics uses SPECT, which is a brain imaging tool that measures blood flow and activity in the brain. SPECT reveals 3 things: In the healthy brain, concentration typically causes an increase in blood flow to the prefrontal cortex (PFC), an area involved in focus, attention, organization, forethought, planning, judgment, and impulse control. SPECT scans show that when people with ADD/ADHD try to concentrate, however, blood flow to the PFC actually decreases, meaning the harder these people try to focus, the worse it gets. This can lead to a variety of symptoms that can challenge any relationship.

HOW ADD/ADHD RUINS RELATIONSHIPS

Here are 6 of the most common ways ADD/ADHD interferes with healthy relationships.

  1. Playing the “let’s have a problem” game: Because ADD/ADHD brains tend to be “sleepy” (low activity in the PFC), these people often need stimulation and excitement to activate the brain. In relationships, they may create drama by picking fights with others. For the person on the receiving end, it can feel like the ADD/ADHD person is frequently pressing your buttons to irritate you on purpose.
  2. Saying hurtful things: Having ADD/ADHD is associated with low impulse control, meaning these people are likely to blurt out whatever pops into their head without thinking. Anyone in a relationship knows it’s not a good idea to say everything you think. But ADD/ADHD people can’t help themselves, and when these thoughts are unkind—“Those jeans make you look fat,” “That’s the dumbest idea I’ve ever heard,” “You’re so lazy”—it can cause a rift in the relationship.
  3. Having extramarital affairs: Most people in relationships will be sexually attracted to others at times, but they think about the consequences of an affair and that prevents them from acting on their impulses. A person with ADD/ADHD, however, may be attracted to someone they just met and even though they are married, they will have a sexual encounter that puts the relationship at risk.
  4. Forgetting important dates: People with ADD/ADHD may not remember birthdays, anniversaries, or holidays, making their loved ones feel unloved and unimportant.
  5. Being a procrastinator: Putting things off until the last minute and being chronically late are common signs of ADD/ADHD. In relationships, these traits can make others fume. Showing up 20 minutes late for a date, an important meeting at work or a child’s online learning class can sabotage the chances for a second date, create bad feelings with coworkers, and make a child feel unloved.
  6. Not following through. Even though people with ADD/ADHD may have every intention of keeping their word, they often drop the ball and don’t follow through or finish projects. The living room wall that’s only half-painted, the holiday cards that never made it into the mail, or the new flowers that died before they got planted in the garden are examples of good intentions but lack of follow-through. And these types of unfinished projects and broken promises can be sources of frustration in a relationship.

7 SIMPLE SOLUTIONS FOR ADD RELATIONSHIPS

Having ADD/ADHD or being in a relationship with someone who has this condition doesn’t have to be a dealbreaker. There are a number of ways to optimize brain activity to reduce symptoms and have a more fulfilling relationship.
  1. Find healthier ways to activate the brain. For example, intense aerobic exercise (walking like you’re late) 5-7 days a week can be very beneficial for the ADD/ADHD brain.
  2. Use technology to your advantage. Set reminders in your calendar to help you stay on time and on track so you can follow through on your promises and complete projects.
  3. Practice structured goal setting. Create a “One Page Miracle”—a single sheet of paper where you write down what you want out of your relationships. Before saying or doing anything, ask yourself if your behavior is helping you achieve your goals.
  4. Eat foods that help the ADD/ADHD brain. Eat a diet that’s higher in high-quality proteins and healthy fats and lower in simple carbohydrates.
  5. Take nutraceuticals that optimize the ADD/ADHD brain. Nutritional supplements that are beneficial include rhodiola, green tea, ginseng, and tyrosine.
  6. Know your ADD/ADHD type. Not everyone with this condition has the same symptoms. Based on the world’s largest database of brain scans related to behavior, the psychiatrists at Amen Clinics have identified 7 types of ADD. Getting a brain scan to learn your type (or your loved one’s type) is the key to finding the most effective treatment plan.
  7. Seek professional help. If you and your loved ones are struggling, you may benefit from psychotherapy, including couples therapy or family therapy. Be sure to seek out a professional who understands the role the brain plays in relationships and ADD/ADHD so you can get the help you need.
Marital conflict, relationship problems, ADD/ADHD, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your relationships and symptoms worsen over time. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. If your child fell down and hurt their arm badly, you’d take them to the ER or an urgent care facility for an X-ray. The images would help the physician diagnose whether or not the arm is broken and would guide the treatment plan. Broken bone? That’ll be at least 6 weeks in a cast. Just a sprain? That’s more likely the “RICE” protocol—rest, ice, compression, elevation. Without imaging, your doctor wouldn’t know whether or not the bone was broken, and if they made the wrong guess, it could lead to prolonged pain for your child or a bone that doesn’t heal correctly and could cause problems for a lifetime. Why are mental health and behavioral health problems treated differently? In traditional psychiatry, mental health professionals typically never look at the organ they treat—the brain. This means psychiatrists and psychologists must guess when making a diagnosis based solely on symptoms. This results in many children being misdiagnosed and treated with the wrong plan. And that leads to unnecessary suffering. At Amen Clinics, which uses brain SPECT imaging as part of a complete evaluation, we see many children who have been previously misdiagnosed. Based on tens of thousands of patients, here are some of the most common misdiagnoses in children.

1. Symptom: Inattention

Commonly diagnosed as: ADD/ADHD Inattention is one of the classic symptoms of ADD/ADHD. When a child has trouble focusing, is easily distracted, or frequently daydreams, parents and clinicians often suspect that it’s due to this common condition. But not all inattention is due to ADD/ADHD. Some of the other causes of inattention include:

2. Symptom: Sadness, negativity, fatigue

Commonly diagnosed as: Depression All kids go through periods where they feel blue or lethargic, but when sadness, negativity, or fatigue last for longer periods of time, it can be diagnosed as depression. Unfortunately, that isn’t always the accurate diagnosis. Some of the other causes of sadness, negativity, and fatigue include:

3. Symptom: Anxiousness, panic, fear

Commonly diagnosed as: Anxiety Anxiety is one of the most common mental health problems seen in children, tweens, and teens. But having anxious thoughts, feeling panicky, or being especially fearful can be related to many other things. Some of the other causes of anxiousness, panic, and fear include:

4. Symptom: Anger, argumentative, disruptive behavior

Commonly diagnosed as: Oppositional Defiant Disorder (ODD) or Intermittent Explosive Disorder (IED) Some kids never seem to outgrow the “terrible twos.” They remain oppositional, have a short temper, and can explode into a rage, which often leads to a diagnosis of ODD or IED. But there may be other underlying issues at play. Some of the other causes of anger, argumentative, and disruptive behavior include: Inattention, sadness, anxiousness, anger, and disruptive behavior in children can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk. Kids with behavioral disorders or emotional issues can be so challenging—disruptive, defiant, argumentative, impulsive, inattentive, nervous, negative. Parents know it can be exhausting, frustrating, and stressful. Many parents assume that prescription medication is the only way to improve symptoms that are associated with conditions, such as ADD/ADHD, oppositional defiant disorder, anxiety, depression, or autism. But a growing body of scientific evidence shows that supplementation with omega-3 fatty acids improves the quality of life and mental health status in children with emotional and behavioral issues. Aa growing body of scientific evidence shows that supplementation with omega-3 fatty acids improves quality of life and mental health status in children with emotional and behavioral issues.
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Here’s what the current research reveals about children, mental and behavioral health, and omega-3 fatty acids. First, let’s take a quick look at the basics of omega-3s.

WHAT ARE OMEGA-3s?

Omega-3s are essential fatty acids that children (and adults) need for optimal physical, mental, and cognitive health. There are 2 active compounds in omega-3s: EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). Children (and adults) need both. Omega-3s are considered essential fatty acids because the human body doesn’t produce them naturally. They can only be derived from food or dietary supplements, such as fish oil.

WHAT THE RESEARCH SAYS ABOUT OMEGA-3s AND BEHAVIORAL DISORDERS

A 2020 study in the Journal of Dietary Supplements involved 942 children ages 6-12 with behavioral disorders, including conduct problems, inattention, nervousness, hyperactivity, trouble concentrating, and learning issues and poor school performance. For the 3-month study, the youngsters were split into 2 groups—one group received supplementation with omega-3 fatty acids while the other group did not. By the end of the study period, children who had been taking omega-3 dietary supplements health status, quality of life, and scores on Strengths and Difficulties Questionnaires improved significantly. The researchers concluded, “Omega-3 fatty acid supplementation alone or in combination with other nonpharmacological treatments is effective in improving children’s mental health.”

WHAT THE RESEARCH SAYS ABOUT OMEGA-3s AND ADD/ADHD

In an analysis of 10 studies in the Journal of the American Academy of Child and Adolescent Psychiatry, researchers summarized 10 trials involving 699 children. Omega-3 fatty acid supplementation demonstrated a small but significant effect in improving ADD/ADHD symptoms. EPA dose within supplements was significantly correlated with supplement efficacy. They concluded that omega-3 fatty acid supplementation, particularly with higher doses of EPA, was modestly effective in the treatment of ADD/ADHD. A 2017 review of 16 studies found that omega-3 fatty acids improved impulsivity, hyperactivity, attention, visual learning, and working/short-term memory. These are all symptoms often associated with ADD/ADHD.

WHAT THE RESEARCH SAYS ABOUT OMEGA-3s AND MOODS

Although there is an abundance of research on omega-3 fatty acids and depression in adults, the research on children remains sparse but encouraging. In a study in the American Journal of Psychiatry involving 20 depressed children ages 6-12, dietary supplementation with omega-3 fatty acids showed highly significant improvements in depressive symptoms. Omega-3 supplementation produced a large advantage compared with the placebo. In addition, a 2017 study in Child and Adolescent Psychiatry and Mental Health on 38 children ages 11-17 found significant reductions in depressive symptoms in the participants taking omega-3 fatty acids.

WHAT THE RESEARCH SAYS ABOUT OMEGA-3s AND AUTISM

A deficiency of omega-3 fatty acids may be linked to autism spectrum disorder (ASD) in children, according to a meta-analysis of 6 trials in Neuropsychiatric Disease and Treatment. These studies showed that supplementation with omega-3 fatty acids may improve hyperactivity, lethargy, and stereotypy (movements such as body rocking), which are common in children with autism.

THE HEAVY TOLL OF LOW LEVELS OF OMEGA-3s

Having low levels of EPA and DHA have been linked to mood disorders, such as depression and bipolar disorder, as well as suicidal behavior, ADD/ADHD, cognitive decline, and other behavioral and emotional issues. Unfortunately, most Americans have low levels of EPA and DHA. In 2016, Amen Clinics tested the omega-3 fatty acids levels of 50 consecutive patients who were not taking fish oil (the most commonly used source of EPA+DHA) and found that 49 had suboptimal levels. In another study in the Journal of Alzheimer’s Disease, the Amen Clinics research team correlated the brain SPECT scans of 130 patients with their EPA and DHA levels and found those with the lowest levels had lower blood flow (the #1 predictor of future brain problems) in the right hippocampus and posterior cingulate (one of the first areas to die in Alzheimer’s disease), among other areas. On cognitive testing at Amen Clinics, low omega-3s correlated with decreased scores in mood. To find out if your child has low levels of omega-3 fatty acids, there is a simple test called the Omega-3 Index. It measures the total amount of omega-3 fatty acids EPA and DHA in red blood cells and directly reflects their levels in the brain. The test is a clinically validated biomarker of the health of the brain. Aim for a level above 8%.

BOOSTING OMEGA-3 LEVELS IN CHILDREN

Getting adequate amounts of omega-3 fatty acids is critical for children. If your child has low levels of omega-3s or simply has behavioral or emotional symptoms, it’s a good idea to increase the intake of this important nutrient. Increase healthy fats. To raise omega-3 levels in children, be sure to include foods in their diet that contain omega-3 fatty acids, such as: Try high-quality omega-3 supplements, such as fish oil. At Amen Clinics, the recommended dosage for children is about 800 mg of combined EPA and DHA daily for every 40 pounds of body weight. Look for a ratio of approximately 60/40 EPA to DHA. Your child’s mental, emotional, and behavioral health lays the foundation for their overall well-being and happiness in life. ADD/ADHD, depression, and other emotional and behavioral problems can’t wait. At Amen Clinics, believe in using the least toxic, most effective treatments, including natural solutions.. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for children as well as their parents. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk. When superstar influencer Laura Clery got a brain scan as part of an evaluation at Amen Clinics, she received a diagnosis she never expected—ADD. “Even though I really struggled to focus growing up… and I struggled to take tests, and I never felt very smart,” she says in the Instagram TV post she shared with her 10 million social media followers, “I never really thought about [ADD].” The comedian says she thought she was just lazy and easily distracted as if it was a character flaw. When she was younger, Clery had been diagnosed with bipolar disorder, but that diagnosis didn’t fit. Clery isn’t alone. At Amen Clinics, the global leader in brain health, thousands of women who had been previously misdiagnosed have learned they actually have ADD (also known as ADHD). There are potentially hundreds of thousands or even millions of women across the U.S. who are struggling with undetected ADD. You may be one of them. And it could be impacting your self-esteem, career, relationships, and personal health and fitness. In the worst-case scenario, it could be ruining your life. Why do so many women with this common condition remain undiagnosed or misdiagnosed? Because ADD looks different in females than in males. Why do so many women with this common condition remain undiagnosed or misdiagnosed? Because ADD looks different in females than in males.
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ADD SYMPTOMS IN WOMEN

Most people think of ADD as a condition that is primarily seen in males who are hyperactive and impulsive. In fact, women are just as likely as men to have ADD, according to a 2016 paper in The ADHD Report. Even more surprising is the fact that women experience more severe ADD symptoms than their male counterparts, according to a study in the Journal of Clinical Psychiatry. However, women tend to have a different type of the condition that comes with its own set of symptoms. The brain imaging work at Amen Clinics, which has the world’s largest database of functional brain scans related to behavior, has helped identify 7 types of ADD. The type that is most common in females is called Inattentive ADD. Although it’s the second most common type of the condition, its symptoms often go unrecognized by many medical professionals. Unfortunately, many women with Inattentive ADD never get diagnosed. Instead, they’re labeled as slow, lazy, spacey, or unmotivated. Unfortunately, many women with Inattentive ADD never get diagnosed. Instead, they’re labeled as slow, lazy, spacey, or unmotivated.
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While people with Classic ADD, the most common type of the condition, bring negative attention to themselves with their hyperactivity, constant chatter, and conflict-driven behavior, women with Inattentive ADD tend to be quiet and distracted. Rather than cause problems, they’re more likely to daydream or look out the window. They’re not as likely to be impulsive or to blurt out inappropriate or hurtful things. They’re frequently thought of as couch potatoes who have trouble finding interest or motivation in their lives.

Core symptoms of all types of ADD include:

Unique symptoms of Inattentive ADD include:

Women with ADD are also more likely than men to have co-existing anxiety, depression, and sleep problems. This can make it more difficult to detect ADD in women and is another reason why brain imaging can be so helpful in getting an accurate diagnosis. Many of the women who come to Amen Clinics with undetected ADD had previously been diagnosed with mood disorders or other issues.

CONSEQUENCES OF UNTREATED OR MISDIAGNOSED ADD IN WOMEN

Having undiagnosed or untreated ADD comes with a very high cost. And it increases the risk of many other issues, including: This often leads many women with undetected or misdiagnosed ADD to engage in unhealthy strategies to deal with their symptoms. In other cases, they may turn to antidepressants, anti-anxiety pills, and other medications to cope with their discomfort. Not only are these medications ineffective in treating the underlying ADD, they can also be loaded with unwanted side effects. Ultimately, it can create a downward spiral that leaves you frustrated and feeling like a failure.

INATTENTIVE ADD IN THE FEMALE BRAIN

On her IGTV post, Clery shared her brain SPECT imaging studies, which showed low activity levels in the front part of her brain, especially when she tried to concentrate. In people who don’t have ADD, concentration typically activates an area of the brain called the prefrontal cortex (PFC), which is involved with focus, time management, planning, organization, and critical thinking. In people with ADD, however, concentrating actually reduces activity here, making it difficult to pay attention. This is why simply telling someone with ADD to “try harder” or blaming them for not having enough willpower doesn’t help. Brain imaging shows that the harder they try, the worse it gets. Telling someone with ADD to “try harder” or blaming them for not having enough willpower doesn’t help. Brain imaging shows that the harder they try, the worse it gets.
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The PFC is also involved with sustaining attention span. It trains your mind to focus on important information while filtering out less significant thoughts and sensations. Attention span is required for short-term memory and learning. The PFC, through its many connections within the brain, keeps you on task and allows you to stay with a project until it is finished. The PFC accomplishes this by sending quieting signals to other parts of the brain. In the face of a need to focus, the PFC decreases the distracting input from other brain areas, inhibiting rivals for our attention. However, when the PFC is underactive, less of a filtering mechanism is available and distractibility becomes common. Problems in the PFC often lead to decreased attention span, distractibility, impaired short-term memory, decreased mental speed, apathy, and decreased verbal expression. Underactivity or damage in the PFC can also lead to a decreased ability to express thoughts and feelings. These are things women may experience when they have Inattentive ADD. But they often chalk it up to being lazy, ditzy, or unmotivated. In too many cases, these are unkind labels they have been given by their parents, teachers, or coaches. A large number of the female patients at Amen Clinics who learn they have ADD say that they spent their whole lives thinking they were stupid. If you have undiagnosed ADD, you may feel this way too.

ENHANCING BRAIN FUNCTION IN INATTENTIVE ADD

The brain imaging work at Amen Clinics shows that even if your PFC is underactive and you’ve had undetected ADD for decades, you have the opportunity to optimize your brain function and enhance your life. With the right treatment, you can be more focused, more organized, and more motivated to reach your goals. This has positive implications for every area of your life—career, health and fitness, relationships, and self-esteem. Many women assume that medication is the only treatment option for ADD. And some, like Clery, hate the idea of taking stimulant medication. “When I think of ADD I think of Adderall, and Adderall is like legal speed,” says the influencer who openly talks about being a former addict (she’s been sober now for several years). “I think it’s extremely addictive, and I think it can destroy people’s lives if they have that addictive personality like I do.” Neuropsychiatrist Daniel G. Amen, MD, the founder of Amen Clinics and 12-time bestselling author who evaluated Clery, has a different view. He says medication should never be the first or only thing you do for ADD. However, he adds, “Withholding appropriate stimulation from somebody who has sleepy frontal lobes is like withholding glasses from somebody who can’t see.” Dr. Amen is quick to point out that medication is not the only option for treating Inattentive ADD or other types of the condition. At Amen Clinics, the ADD brain enhancement program includes medications (when necessary) but also focuses on natural alternatives to ADD medication, including diet, exercise, supplements, neurofeedback, behavioral interventions, psychological strategies, and more. The good news is Inattentive ADD in women is usually very responsive to the right treatment. With an accurate diagnosis and the proper treatment program, you can change your brain, stop feeling bad about yourself, and start living the life you want. ADD/ADHD—as well as anxiety, depression, and other mental health conditions—can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. Most people who think they (or their child) might have attention-deficit disorder (ADD), also known as attention-deficit hyperactivity disorder (ADHD), head to a pediatrician or primary care physician for a prescription for stimulants. But this common condition that affects 4.4% of adults and 9.4% of children is highly complex and requires a much deeper investigation than just a brief office visit and a one-size-fits-all treatment plan. Amen Clinics, the global leader in brain health, has worked with tens of thousands of children and adults with ADD/ADHD for over 30 years. Based on this experience, along with the world’s largest database of functional brain imaging related to behavior, the team at Amen Clinics has identified 10 critical things about ADD/ADHD that many healthcare professionals might be missing and that could be keeping you (or your child) from getting relief from symptoms.

10 Critical Things About ADD/ADHD That Many Healthcare Professionals Might Be Missing

1. Not everyone is hyperactive.

Many people with this condition are never hyperactive. The non-hyperactive or “inattentive” ADD people are often ignored because they don’t bring enough negative attention to themselves. Many of these children, teenagers, or adults earn the unjust labels “willful,” “lazy,” “unmotivated,” or “not that smart.” Among the patients at Amen Clinics, inattentive ADD without hyperactivity tends to be more common in females.

2. ADD/ADHD is a brain issue.

Based on brain imaging studies using a technology called SPECT, which measures blood flow and activity in the brain, Amen Clinics has found that ADD/ADHD is associated with abnormal brain patterns. And there isn’t just one type. There are 7 types of ADD/ADHD. Knowing your type is essential to getting the right help for yourself or your child.

3. Stimulants don’t work for everyone.

Stimulant medications can be helpful for some people with ADD/ADHD, but not for everybody. In fact, giving stimulants to people with certain types of ADD/ADHD makes them worse. In addition, according to the neuropsychiatrists at Amen Clinics, taking prescription medication should never be the first or only thing you do to treat a mental health condition.

4. ADD doesn’t show up as an adult.

ADD is called a developmental disorder because people have it early in life. It is not something that develops in middle age. If you have ADD/ADHD symptoms but never had them as a child, it is likely due to something else, such as depression, chronic stress, hormonal changes, a head injury, or some form of toxic exposure. If you have ADD/ADHD symptoms but never had them as a child, it is likely due to something else, such as depression, chronic stress, hormonal changes, a head injury, or some form of toxic exposure.
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5. Head trauma can contribute to the condition.

One of the most common causes of ADD-like symptoms outside of genetics is head trauma, especially to the prefrontal cortex. SPECT is clearly able to show areas of damage that are not seen on the anatomy studies like CAT scans or MRI studies. When the prefrontal cortex is injured, people have more ADD/ADHD-like symptoms. Many people—even healthcare professionals—do not fully understand how head injuries, sometimes even “minor” ones where no loss of consciousness occurs, can alter a person’s character and ability to learn. One of the most common causes of ADD-like symptoms outside of genetics is head trauma.
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6. ADD/ADHD can lead to substance abuse.

Drug and alcohol abuse are very common problems in teenagers and adults with untreated ADD/ADHD. A 2011 study from researchers at Harvard in the Journal of the American Academy of Child & Adolescent Psychiatry reported that people with the condition are one and a half times more likely to develop substance abuse (including cigarette smoking) compared with people who don’t have ADD/ADHD.

7. Your biology matters.

Amen Clinics has found that what you eat, how well you sleep, and how much you exercise can have a major impact on your symptoms. Most people with ADD/ADHD (but not Type 3 Overfocused) do best with a higher-protein, lower-carbohydrate diet. Getting 30-45 minutes daily of exercise, especially aerobic exercise that increases blood flow to the prefrontal cortex, can be very helpful. Sleep disturbances are very common in people with ADD/ADHD. Many have trouble getting to sleep at night and getting up in the morning. Sleep deprivation leads to overall decreased brain activity. In order to optimize brain function, aim for at least 7 hours each night.

8. Nutritional supplements can increase focus and attention.

Basic supplements that can benefit people with all types of ADD/ADHD include a multivitamin/mineral, omega-3 fatty acids, and vitamin D. There is good scientific evidence that rhodiola, green tea, ginseng, and ashwagandha increase focus and attention.

9. Neurofeedback can be helpful.

A very exciting biological treatment for ADD/ADHD is neurofeedback. This interactive, non-invasive therapy helps strengthen the brain to achieve a more focused state. Amen Clinics patients who have used neurofeedback therapy have reported enhanced focus, decreased impulsivity, and improved moods.

10. When assessing ADD/ADHD, there are many things to consider.

According to the CDC, 6 of 10 children with ADD/ADHD have at least one other mental, emotional, or behavioral disorder. At Amen Clinics, conditions that are evaluated include depression, bipolar disorder, anxiety, obsessive-compulsive disorder, and tic disorders (such as Tourette’s syndrome). In addition, adjustment disorders or family problems; a history of physical, emotional, or sexual abuse; medical factors; and learning/developmental problems need to be evaluated. Only by understanding everything that may be contributing to symptoms and addressing each of these issues can you (or your child) truly get well. ADD/ADHD, as well as conduct disorders and behavioral disorders, can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

You may think that seeking treatment for a learning issue or mental health issues, such as attention-deficit disorder (ADD) or attention-deficit hyperactivity disorder (ADHD), is the biggest expense associated with the condition. But the total cost is so much higher. New research from researchers in Denmark shows just how much of an impact ADD/ADHD can have on your wallet. And it isn’t just the individual with the condition who is affected. The money drain also hits their spouses and long-term partners.

THE HIGH COST OF ADD/ADHD

The 2020 study in European Neuropsychopharmacology calculated the direct and indirect costs associated with people who have ADD/ADHD compared with people who don’t have the disorder. For the study, they looked at 83,613 individuals with ADD/ADHD and 334,446 people without it. They also compared the costs for 18,959 partners of people who have ADD/ADHD with 74,032 control partners.

The astonishing results show the real costs of having ADD/ADHD:

Add it all up and the additional direct and indirect costs amounted to 23,072 euros ($26,410) for those with ADD/ADHD and 7,997 euros ($9,154) for their partners.

Other studies have found that adults with ADD/ADHD earn $5,000-$10,000 less per year than their colleagues. That’s bad news for the 4.4% of U.S. adults diagnosed with the disorder and the millions more who have it but don’t know it, as ADD/ADHD remains vastly underdiagnosed, especially in adults.

9 WAYS ADD/ADHD HOLDS YOU BACK AT WORK

ADD/ADHD impacts all aspects of life, including your career. It can be both positive and negative in the workplace. On the positive side, people with ADD/ADHD often are high in energy, enthusiastic, full of ideas, creative and they often have bursts of energy. If they surround themselves with people who organize them and manage the details, they can be very successful. Unfortunately, many people with this disorder are not that lucky and they often have serious problems at work.

Here are some of the difficulties that people with ADD/ADHD are likely to have at work that can ultimately affect your bottom line:

1. The harder they try, the worse it gets

Brain imaging studies at Amen Clinics, which has the world’s largest database of functional brain scans related to behavior, show that the more these people try to concentrate the worse it gets for them. Their brain actually turns off, rather than turning on. When a supervisor or manager puts more pressure on them to perform, they often fall off in their work. The boss then interprets this decreased performance as willful misconduct and serious problems arise. In supervising someone with ADD/ADHD, it is much more effective to use praise and encouragement, rather than pressure.

2. Distractibility

Distractibility is often evident in meetings. People with attention problems tend to look around the room, drift off, appear bored, forget where the conversation is going, and interrupt with extraneous information. The distractibility and short attention span is commonly seen in ADD/ADHD may also cause them to take much longer to complete their work than their co-workers. They are often very frustrating to managers and co-workers.

3. Forgetfulness

Forgetfulness is common in ADD/ADHD and a serious handicap on the job. Missed deadlines, forgotten reports, and steps have gone undone on a job are just a few examples.

4. Impulsivity

Often, a lack of impulse control, which is common in this condition, gets the ADD/ADHD person fired. They may say inappropriate things to supervisors, other employees, or customers. Poorly thought out decisions also relate to impulsivity. Rather than thinking a problem through, these people want an immediate solution to the problem and act without the necessary forethought. In a similar vein, the impulsivity causes these people to have trouble going through the established channels at work. They often go right to the top to solve problems, rather than working through the system. This may cause resentment from co-workers and immediate supervisors. Impulsivity also may lead to such problem behaviors as lying and stealing.

5. Conflict seeking

Many people with ADD/ADHD are in constant turmoil with one or more people at work. They seem to “unconsciously” single out people who are vulnerable and begin to pick verbal battles with them. They also have a tendency to embarrass others, which does not endear them to anyone. Shades of the grown-up version of the class clown are also evident at work, such as cracking inappropriate jokes in meetings. Conflict may follow the ADD/ADHD person from job to job.

6. Disorganization

Disorganization is a hallmark of ADD/ADHD. Often when you look at the person’s work area, it is a wonder they can work in it at all. They tend to have many piles of stuff; paperwork is often hard for them to keep straight; they seem to have a filing system that only they can figure out (and only on good days).

7. Late to work

Many people with ADD/ADHD are chronically late to work because they have significant problems waking up in the morning. They also tend to lose track of time, which contributes to their lateness.

8. Start many projects but finish few

The energy and enthusiasm of people with ADD often push them to start many projects. Unfortunately, their distractibility and short attention span impair their ability to complete them.

9. Tendency toward addictions

People with ADD/ADHD have a tendency toward addictions, such as food, alcohol, drugs, and even work. Drug or alcohol addictions cause obvious work problems. Food addictions cause health and self-image problems that can impact work. Addiction to work is also a serious problem because it causes burnout and family problems that eventually show up as problems at work.

When ADD/ADHD is left untreated, it also costs employers millions of dollars every year in decreased productivity, absenteeism, and employee conflicts.

ADD/ADHD, anxiety, depression, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

 

Does having ADD/ADHD put you at an increased risk of contracting COVID-19? If the ADD/ADHD is untreated, the answer is yes, according to a new study in the Journal of Attention Disorders. The research involving 14,022 people in Israel found that people with untreated ADD/ADHD are about 52% more likely to have tested positive for the coronavirus illness compared with individuals who don’t have ADD/ADHD.

The researchers found, however, that in people with the attention-deficit disorder who are being treated with stimulant medication, the infection rate for COVID-19 is no higher than in those without ADD/ADHD. In these individuals, the infection rate was about 10%.

WHO’S AT RISK?

An estimated 6.1 million children ages 4-17 have been diagnosed with ADD/ADHD and approximately 8 million U.S. adults have the disorder. However, it is estimated that less than 20% of adults with the condition have received a diagnosis. And of those who have been diagnosed, only about 1 in 4 seek treatment. This adds up to millions of adults who are at increased risk of developing COVID-19 due to untreated ADD/ADHD.

WHAT’S ADD GOT TO DO WITH IT?

What is behind the connection between ADD/ADHD and increased risk? It likely lies in the hallmark ADD/ADHD symptoms, including:

During the pandemic, these characteristics can manifest in potentially harmful ways, such as forgetting to wash your hands, impulsively hosting a wild party with a lot of people, or not following health directives. These actions put people at greater risk of exposure to COVID-19 and to developing the illness.

ADD/ADHD ISN’T JUST ONE THING

What most people don’t realize is that ADD/ADHD isn’t just one thing. Over 30 years of brain SPECT imaging studies at Amen Clinics have shown that there are 7 types of ADD/ADHD. One size does not fit all, and each type has its own set of symptoms and requires a personalized treatment plan. What works for one person with ADD/ADHD may not work for another—or could even make the symptoms worse.

At Amen Clinics, brain scans of people with ADD/ADHD consistently point to decreased activity in the prefrontal cortex (PFC). Typically, when a person without ADD/ADHD tries to concentrate, activity increases in the PFC, but when someone with the condition attempts to concentrate, activity decreases. The harder they try, the worse it gets.

The 7 Types of ADD/ADHD are:

Type 1: Classic ADD: When most people think about attention-deficit disorder they think about this type, which is characterized by hyperactivity, restlessness, impulsivity, disorganization, distractibility, and trouble concentrating.

Type 2: Inattentive ADD: This is the second most common type of ADD/ADHD. People with this type tend to be labeled as slow, lazy, spacey, or unmotivated. They can be quiet and distracted.

Type 3: Overfocused ADD: People with this type have all of the core ADD/ADHD symptoms plus tremendous trouble shifting attention and a tendency to get stuck of locked into negative thought patterns or behaviors.

Type 4: Temporal Lobe ADD: The temporal lobes, which are located underneath your temples and behind your eyes, are involved with memory, learning, mood stability, and visual processing of objects. Learning and behavior problems are commonly associated with this type.

Type 5: Limbic ADD: In this type, ADD/ADHD and depression intersect. The core ADD/ADHD symptoms are present in addition to negativity, moodiness, sadness, low energy, and decreased interest in life.

Type 6: Ring of Fire ADD: Unlike those with type 1 who have low activity in certain areas of the brain, these people tend to have excessive activity throughout the brain. On brain SPECT scans, it lights up like a ring of hyperactivity. Symptoms commonly seen in this type include irritability, hyperactivity, excessive talking, overfocus issues, extreme oppositional behavior, and cyclic periods of calm behavior alternating with intense aggressive behavior. Stimulant medication tends to make these people worse.

Type 7: Anxious ADD: In people with this type it is common for ADD/ADHD symptoms to become magnified and to be accompanied by anxiety, a fear of being judged, predicting the worst, being conflict avoidant, and having physical stress symptoms (such as headaches, stomachaches, muscle tension).

Knowing your type of ADD/ADHD is the key to finding the most effective treatment.

ADD/ADHD, anxiety, depression, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

 

Do you (or your child) have ADD (attention-deficit disorder) or ADHD (attention-deficit hyperactivity disorder)? Do you think prescription stimulants such as Ritalin or Adderall are the only treatment options available? They’re not.

Although stimulants may be helpful for some people with ADD, they aren’t effective for everyone and they can make some people worse. It all depends on which type of condition you have. Brain imaging studies show there are 7 types of ADD, and knowing your type is critical for finding the right solutions.

In general, medication should never be the first or only thing you do for any mental health condition. There are many alternatives to medication that can improve ADD symptoms, such as lack of focus, impulsiveness, being easily distracted, having difficulty staying organized, and a tendency to put things off until the last minute.

Here are 7 alternatives to ADD medication that can be effective.

1. Get moving.

A wealth of research shows that physical exercise works like a drug in children and adults with ADD. Classic ADD (one of the 7 types of the condition) is associated with low levels of the neurotransmitter dopamine, which is a chemical heavily involved with attention span, focus, follow-through, and motivation. Medications, such as Adderall and Ritalin, are believed to work by boosting dopamine availability in the brain. Similarly, physical activity increases the production of dopamine. A 2019 review in the Journal of Clinical Medicine found that exercise minimizes ADD symptoms and enhances cognitive performance in children with the condition.

2. Reduce screen time.

Endlessly scrolling through your social media feed or playing video games for hours on end can be harmful and addictive for people who have vulnerable brains. More screen time has been linked to a greater risk of problems with inattention. A 2019 study in Plos One found that children with more than 2 hours of screen time per day had a 7.7-fold increased risk of meeting the criteria for ADD.

3. Try an elimination diet.

Some foods may trigger a worsening of symptoms in people with ADD. To find out if you or your child has a food sensitivity, try a 3-week elimination diet by getting rid of the most common food allergens—artificial dyes (including red dye #40, which has been connected to symptoms of ADD), preservatives, sugar and artificial sweeteners, gluten, corn, soy, and dairy. In 2011, researchers put children with ADD on a restricted diet that allowed them to eat only turkey, lamb, vegetables, fruit, rice, and pear juice. Their findings in The Lancet showed that the elimination diet decreased symptoms associated with the condition in 70% of children.

4. Protect your head.

Common accidents, like falling off a ladder, getting into a car crash, or taking a tumble down the stairs can cause a concussion or mild traumatic brain injury (mTBI), which increases the risk of problems with attention and concentration. According to research in The Journal of Nervous and Mental Disease, people with ADD are more likely to have head injuries.

5. Investigate sleep problems.

Did you know that kids with ADD have higher rates of daytime sleepiness compared with kids who don’t have the condition? Or that according to a study in the journal Sleep, half of ADD kids have sleep-disordered breathing compared with only 22% of kids without the condition? Having large tonsils or adenoids can lead to sleep-disordered breathing in children which can lead to attentional issues and hyperactivity. A study in the Eurasian Journal of Medicine found a reduction in these symptoms when the tonsils and adenoids were removed. Sleep problems are also common in adults with ADD, so be sure to investigate any sleep issues.

6. Check important health numbers.

Your physical health can impact symptoms of ADD. Some of the most common biological issues that are associated with symptoms include:

Having a functional medicine physician check these levels and help balance them can be helpful.

7. Try neurofeedback.

Neurofeedback is a non-invasive, interactive therapy that helps you retrain your brain to achieve the desired state.  A 2014 review of existing research on children with ADD who did neurofeedback found that teachers noticed a significant improvement in their attention and parents noted improvements in hyperactivity and impulsivity. According to findings in a 2019 study in Current Psychiatry Reports, researchers stated that neurofeedback “should be considered as a viable treatment alternative” for ADD.

ADD, depression, anxiety, panic attacks, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever, and waiting until life gets back to “normal” is likely to make your symptoms worsen over time.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

You might think that being a social media influencer with 40 million Instagram followers, as well as being a successful singer, actress, and model would mean your life is perfect. But not for superstar Lele Pons. She admitted in her new Youtube docuseries, “The Secret Life of Lele Pons,” that she has been battling mental health issues for most of her life.

“My deepest, darkest secret is that I have OCD,” she says in the first episode of the docuseries, adding that she also suffers from Tourette’s syndrome, ADHD, and depression.

OCD, which affects about 1 in 40 adults and 1 in 200 children, is a serious and debilitating disorder characterized by recurring thoughts known as obsessions and repetitive behaviors called compulsions. Pons explains it by saying, “My OCD is thoughts, very, very powerful thoughts, that make me do stuff that I don’t want to do.”

OCD Obsessions and Compulsions

Similar to what Pons describes, people with OCD are subjected to intrusive thoughts and mental images rooted in fears that cause anxiety. Some of the common obsessions seen in OCD include the fear of germs, contamination, forbidden sexuality, violence, being out of control, religion, and a need for perfection.

In an effort to suppress or control these thoughts and the anxiety they induce, people are driven to engage in compulsive behaviors. The most common compulsions include:

In the docuseries, Pons reveals that her obsessions trigger rituals, touching, and other compulsions. “When I was little, it got to a point that I could not move from my car, and I stayed an hour there doing some rituals and touching things, and my dad had to carry me out of the car,” she says. “If I didn’t touch everything, I thought my family was going to die, so I started touching everything.”

What Does OCD Look Like in the Brain?

OCD brains work differently. In people with this condition, brain SPECT imaging studies have shown excessive activity in two regions of the brain—the basal ganglia and anterior cingulate gyrus.

Why OCD is Commonly Misdiagnosed

Unfortunately, most psychiatrists never look at the brain. They make diagnoses based solely on symptom clusters—the same way Abraham Lincoln was diagnosed with depression over 150 years ago. The problem with this is that the symptoms of OCD overlap with those seen in other mental health conditions, such as ADD/ADHD, anxiety, bipolar disorder, autism, PTSD, or even schizophrenia. This can lead to misdiagnoses. In fact, a 2015 study among primary care physicians found that half of OCD cases were misdiagnosed.

Getting an accurate diagnosis is a critical step in finding the most effective treatment. For superstar Pons, treatment has helped her overcome those times when she would get stuck. In her docuseries, her mother recounts episodes when Pons, as a little girl, would get stuck and couldn’t open a door or cross a room to get to her bed. That’s the kind of behavior that could ruin a career, Pons says. “Imagine [if]…on stage, I just get stuck.”

Superstar singers like Pons can’t afford to freeze on stage, but no one can afford to get stuck during a test at school, while making a presentation at the office, or on a date. Seeking help is key.

With the right treatment, people with OCD can get unstuck, learn to deal with the anxious and uncomfortable feelings that accompany obsessions, and put a halt to repetitive compulsive behaviors. You can get your life back.

At Amen Clinics, we take a comprehensive approach to diagnosing and treating our patients with OCD. Through our brain imaging, lab work, and extensive assessment of your personal history, we are able to identify biological, psychological, social, and spiritual factors that may be contributing to your symptoms.

If you want to join the tens of thousands of people who have already enhanced their brain health, overcome their symptoms, and improved their quality of life at Amen Clinics, speak to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.