Dr G's ADHD Chat

Parenting an ADHD child is not for the faint of heart. Between the emotion regulation problems and the executive difficulties there is a tremendous amount of work for a parent. The first step is to keep reminding yourself that this is a neurotically conditioned not a behavior problem. I’ll discuss some of the other nuances of this condition in this episode of the Chat.

The morning routine is typically a problem time in an ADHD household. The problems of having everybody in the household having to get up, get ready and eat breakfast and be on time is challenging at best. It will likely never be perfect but you can. Make it easier on yourselves as the parents by starting the night before.

Given the ADHD impulsivity and the difficulties with employment, careers and relationships over 40 to 50 years, it is not surprising that middle-aged alcoholics with ADHD are common. In this episode I will explain some of the difficulties this group of ADHDers have including disillusionment that they haven’t achieved more in life.

ADHD teens are more impulsive and adventure seeking than their peers. They are also more prone to experiment with different substances. The most common of these is alcohol. It is easy to acquire because it’s available everywhere including the home. Treatment for alcohol in teenagers is a bit specialized and even more specialized for ADHD teens with alcohol problems. I’ll cover some of the most effective treatments and some of the approaches parents should take.

ADHDers have a higher rate of alcoholism than neurotypicals. Why should this be true? I’ll cover some of the reasons and some speculations about why this is so. I’ll also discuss some of the treatments available.

Does having ADHD make one more prone to alcohol abuse? Is the rate of abuse higher for ADHDers than neurotypicals? I’ll cover these issues and more. I used to do drug and alcohol evaluations, so I have worked with substance abuse of all kinds. Alcohol of all the substances of abuse is the one that’s hardest to avoid. It is literally available everywhere and is embedded in many people’s culture and religion. I’ll cover these issues and more that make alcohol a major problem for ADHDers.

We have covered the significant differences between females and males in the last 4 episodes. In this episode I will summarize what the research has shown about females and ADHD.

Another difference in females with ADHD is that masking is more prevalent. Masking is just a different way of saying that the ADHDer is trying to act like she doesn’t have ADHD. This involves denying any symptoms of ADHD or minimizing those she can’t deny.

Female emotional dysregulation is different from male emotional dysregulation. Males typically have stronger reactions and are more likely to react with anger. Female emotional dysregulation is usually less extreme and less easy to observe and identify. This is likely at least partially the reason that females are much less likely to be diagnosed with ADHD than males. I’ll present on the different issues regarding female emotional dysregulation and its impact on diagnosis and treatment.

As If having ADHD wasn’t problem enough, Women have to go through further difficulties secondary to their menstrual cycles. The fluctuations in estrogen during the menstrual cycle cause further difficulties with the regulation of dopamine, the neurotransmitter associated with ADHD. I’ll discuss this issue further in this podcast.