Does Inattentive ADHD Exist?

Dr. John Kruse October 31, 2024
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Dr. John Kruse

@DrJohnKruse

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Psychiatrist, neuroscientist, and author John Kruse, MD, PhD presents practical, actionable, well-researched information about treatment options that scientists and clinicians recommend for adult ADHD and other mental health conditions. Subscribe if you're curious about how neuroatypical brains can optimize their functioning in our shared, and somewhat strange, world. ADHD topics have a pink background, and those on more general mental health topics have a purple background. A small collection of Politics related videos have an orange background. Dr. Kruse has posted videos in the "Videos", "Live", and "Shorts", sections of this channel. You're welcome to email him with topics you want discussed or people you think he should interview. [email protected]

Video Description

Main Chapters: 00:00 Intro - Inattentive ADHD 00:11 Take home message 02:29 What is Inattentive ADHD? 07:20 Particularities of Inattentive ADHD 14:19 Differentiating Combined and Inattentive Types of ADHD 19:50 Conclusion 20:31 Questions For decades we’ve been splitting ADHD into three types: Inattentive, Hyperactive/Impulsive, and Combined Type. One widely cited meta-analysis indicated that 72% of adolescents, and 47% of adults with ADHD had the Inattentive type. Complex factor analyses support the validity of a distinct inattentive/executive dysfunction subtype. Some researchers suggest that Inattentive ADHD differs enough from combined and hyperactive/impulsive types of ADHD that it should be considered a separate disorder. Although there are many claims that Inattentive ADHD is overrepresented in women, the data for this is inconsistent and weak. Both in my direct patient experience, and online observations suggest that many of those who identify as having Inattentive ADHD display a robust number of hyperactive and inattentive ADHD trait. Many of these individuals will say things like “I only have ADD, not ADHD.” Why do people with hyperactive/impulsive traits (e.g. blurting out comments, interrupting others, loud and excessive talking, excessive restlessness, and impulsive decision making) deny the existence of combined type ADHD? While there is little research on the topic, I think that the two big factors are stigma, not just towards ADHD, but particularly towards those that resemble “rudeness” or “unacceptable behavior” along with an ADHD-driven impairment in self-monitoring. Women in particular may feel greater social pressure to hide or suppress certain signs of ADHD. This is particularly true since Inattentive ADHD often leads to “crimes of omission” whereas Impulsive/Hyperactive ADHD contributes to “crimes of commission” So yes, Inattentive ADHD exists, but often we use the label incorrectly. We need to continue work on decreasing stigma about ADHD and all neurotypical behaviors. We also should continue to improve therapeutic approaches for increasing self-awareness. ----- Free link to my Medium Article on ADHD Labels and Diagnoses: https://medium.com/wise-well/our-psychiatric-diagnoses-arent-perfect-but-misusing-labels-makes-it-worse-5bffa159f86d?sk=e57e4e880683167b0546cb464ea838bb Follow https://dockruse.medium.com on Medium for hundreds of full length articles on this subject and more! Access to other Medium articles requires paid membership. ----- Full Chapter list: 00:00 Intro - Inattentive ADHD 00:11 Take home message 02:29 What is Inattentive ADHD? 03:23 Inattentive ADHD Traits in the DSM5 04:14 ADHD Factor Analysis 06:18 The Different Types of ADHD 07:20 Particularities of Inattentive ADHD 09:02 Medications and Treatments for Inattentive ADHD 10:02 Social Interactions and Comorbidities 11:10 Prevalence of Inattentive ADHD 13:19 Adapting ADHD Criteria to Adults 14:19 Differentiating Combined and Inattentive Types of ADHD 15:03 Stigma and Pressure in ADHD 17:26 Similar Behaviors for Different Reasons 18:58 Self Awareness 19:50 Conclusion 20:31 Questions 20:42 Medications for Specific ADHD Types? 21:35 Phones / Media / Screens, Effects on Diagnosing ADHD 23:08 Venlafaxine (Effexor) for ADHD? 24:31 Stimulants and Addiction 25:26 Are Some Stimulants More Addictive than Others? 26:46 FDA Approval Process for New Medications 29:07 Outro Streamed live October 18, 2023 ------------------------- Psychiatrist, neuroscientist, and author John Kruse, MD, PhD presents practical, actionable, well-researched information about treatment options that scientists and clinicians recommend for adult ADHD and other mental health conditions. Subscribe if you're curious about how neuroatypical brains can optimize their functioning in our shared, and somewhat strange, world. ADHD topics have a pink background, and those on more general mental health topics have a purple background. A small collection of Politics related videos have an orange background. Dr. Kruse has posted videos in the "Videos", "Live", and "Shorts", sections of this channel. You're welcome to email him with topics you want discussed or people you think he should interview. [email protected] #health #mentalhealth #adhd

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