The Thinking Mind Podcast: Psychiatry & Psychotherapy

ADHD (A Comprehensive Guide)

Sep 5, 2024

In this lively discussion, Dr. Alex Curmi, a consultant psychiatrist specializing in ADHD, breaks down the complexities of the disorder. He covers common signs and symptoms, the intricacies of diagnosis, and the debate over potential over-diagnosis linked to modern lifestyles. Dr. Curmi emphasizes the importance of a holistic approach to management, integrating lifestyle changes alongside medication. He also dives into the impact of early life trauma and the different presentations of ADHD, especially in women, shedding light on often overlooked nuances.

50:09

Episode guests

Alex Curmi

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Quick takeaways

ADHD diagnosis relies on clinical interviews and requires persistent issues with attention or hyperactivity starting in childhood.

Managing ADHD effectively involves a holistic approach, integrating both non-medication strategies and medication while considering individual lifestyles.

Deep dives

Understanding ADHD Diagnosis

ADHD is classified as a set of problems involving attention, hyperactivity, and impulsivity, and its diagnosis is primarily based on clinical interviews rather than objective tests. Diagnosing ADHD requires at least five persistent problems with either inattention or hyperactivity and impulsivity, beginning in childhood and existing in various life contexts. Acknowledging that ADHD doesn't imply a singular cause is important, as it emphasizes the subjective nature of diagnosis and the variability of symptoms over time. For instance, many children diagnosed with ADHD may not meet the criteria as adults, highlighting the need to consider how the condition evolves.

Attention is Not a Deficit but a Dilemma

01:26

Ask the Right Questions to Assess ADHD

01:18

Intro

23min

Understanding ADHD: Neurobiology, Impact, and Management Strategies

21min

Navigating the Nuances of ADHD Diagnosis and Management

6min

In this episode we discuss ADHD in depth, including the common signs and symptoms, how ADHD is diagnosed, the common risk factors and how ADHD symptoms can be managed both with and without medication. We also discuss whether or not ADHD is over diagnosed, whether ADHD being induced by our lifestyles, and common signs of impairment due to ADHD.

Useful links:
https://www.additudemag.com/
https://adhduk.co.uk/
https://aadduk.org/

Dr. Alex Curmi is a consultant general adult psychiatrist with a sub-speciality in addictions who completed his training in the South London and Maudsley NHS foundation trust. He is also a UKCP registered training psychotherapist, and has a special interest in mindfulness meditation.

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If you would like to enquire about an online psychotherapy appointment with Dr. Alex, you can email - alexcurmitherapy@gmail.com

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