Fatigue and ADHD

Dr. John Kruse July 22, 2024
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Dr. John Kruse

@DrJohnKruse

About

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 - Fatigue and ADHD 00:10 Take home message 02:27 Mental Health and Fatigue 05:38 Links Between ADHD and Fatigue 08:53 Peripheral Fatigue 11:23 Central Fatigue 13:07 Studies on ADHD and Fatigue 20:27 Approaches to Reducing Fatigue 24:52 Conclusion 25:37 Questions When asked to identify the positive features of ADHD, one of the most common answers offered by individuals is “high energy”. Yet fatigue is one of the most common complains of those with ADHD. Can these opposing sentiments be reconciled? Fatigue is distinct from sleepiness/drowsiness/sedation although the two often co-occur. Fatigue is the feeling of decreased energy so that one can’t perform to the best of one’s ability. Researchers have devised objective ways to measure both peripheral (muscle) fatigue, and central (brain fatigue). Serotonin, tryptophan, and dopamine all play roles in the perception of fatigue. With many tasks, those with ADHD may be activating a greater number of brain regions than those without ADHD. This may cause depletion of energy resources, contributing to fatigue. Stimulants, and many other ADHD medications can alleviate fatigue. Ongoing studies suggest branched chain amino acids may be another way to alleviate fatigue in those with ADHD. ----- Free link to my article on Fatigue and ADHD: https://medium.com/wise-well/dont-confuse-fatigue-with-sleepiness-29a1218ebf9b?sk=d1d679ebe0a78a3b58d38ab8057a91bd 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. ----- References: The relationship between central fatigue and Attention Deficit/Hyperactivity Disorder of the inattentive type (2022) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9366805/ Structural neural correlates of mental fatigue and reward-induced improvement in performance (2023) https://link.springer.com/article/10.1007/s42977-023-00187-y#:~:text=In%20clinical%20studies%2C%20the%20fatigue,fatigue%20symptom%20(Thapaliya%20et%20al. Listening Effort Among Adults With and Without Attention-Deficit/Hyperactivity Disorder (2019) https://pubs.asha.org/doi/10.1044/2019_JSLHR-H-19-0134?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed Fatigue in an adult attention deficit hyperactivity disorder population: A trans-diagnostic approach (2016) https://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/bjc.12119 Central and Peripheral Fatigue in Physical Exercise Explained: A Narrative Review (2022) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8997532/ Full Chapter list: 00:00 Intro - Fatigue and ADHD 00:10 Take home message 02:27 Mental Health and Fatigue 03:56 Sleep and Fatigue 04:38 Other Factors that may Contribute to Fatigue 05:38 Links Between ADHD and Fatigue 07:32 Problems with Studies on ADHD and Fatigue 08:53 Peripheral Fatigue 11:23 Central Fatigue 13:07 Studies on ADHD and Fatigue 16:55 Anatomical Effects of Fatigue 18:30 Variability of Fatigue Between Individuals 20:27 Approaches to Reducing Fatigue 20:37 Sleep / Exercise 21:38 Medications 22:58 Amino Acid Supplements 24:52 Conclusion 25:37 Questions 25:53 DSM5 ADHD Criteria 27:51 How much sleep do you need? 30:10 Most common sleep condition 31:18 Sleep amount vs Sleep consistency 32:50 Mydayis clinical experience 34:11 ADHD and caffeine 36:41 Outro Streamed live May 1, 2024 ------------------------- 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 #fatigue

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