Summary

Dopamine is a chemical used in the brain to send messages between neurons. It is not an on-off switch but rather a modulator that interacts with other neurotransmitters. Increasing dopamine levels can improve symptoms of ADHD, but too much dopamine can lead to psychosis. Titration is important in finding the right balance of dopamine transmission. Dopamine is not just a reward chemical, but also plays a role in movement and reinforcement. Understanding the complexity of dopamine and its interactions with other neurotransmitters is crucial in the treatment of ADHD. In this conversation, Andrew and Matt discuss the complexity of dopamine and its role in ADHD. They explain that dopamine is not a simple on-off switch, but rather a complex neurotransmitter that modulates different types of receptors. They discuss the importance of finding the right balance of dopamine to improve ADHD symptoms, and how medication can help achieve this balance. They also debunk common misconceptions about dopamine, such as the idea of a dopamine detox or dump. They emphasize the need for a multimodal approach to ADHD treatment that includes medication, behavioral strategies, and understanding the complexity of the human experience.

00:00 Introduction

01:35 What is dopamine?

05:40 What does it do?

07:35 Why is it so linked to conversations about ADHD?

09:20 Psychosis, ADHD and dopamine

15:35: Is there an “on / off” switch for Dopamine?

16:20 Transistors metaphor

22:00 Music metaphor

29:32 What's the biggest misunderstanding about ADHD?

42:35 Why is it so important in terms of ADHD?

43:53 Dopamine dumping.

47:51 How to hack our dopamine?

53:55 What does this mean if we take ADHD meds or not?

References: https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2024.1343314/full https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8066851/ Contact Divergenceuk.org for assessments and diagnosis: https://divergenceuk.org Contact Matt for Consultancy, workplace training or 1-2-1 Mentoring: https://thinkneurodiversity.com TALKADHD Whatsapp community: https://chat.whatsapp.com/JR8R8jTl5zY0jr8MzXjIE7

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