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Barbell Medicine Podcast
Episode #226: ADHD with Dr. James McGough
May 24, 2023
Dr. James McGough, an expert in ADHD, joins Dr. Feigenbaum to discuss diagnosis, treatment, and ADHD in sport. They cover the scope of psychiatry, the characteristics and impairment of ADHD, and the benefits of exercise and medication for ADHD. Dr. McGough also shares insights from his book on ADHD.
59:56
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Quick takeaways
- Stimulant medications are the most effective treatment for ADHD, providing significant symptom improvement for about 70% of individuals.
- Engaging in regular physical activity aligned with current guidelines is recommended to promote health and potentially benefit ADHD symptoms.
Deep dives
ADHD: Understanding the Condition
ADHD, or Attention Deficit Hyperactivity Disorder, is a brain-based neurodevelopmental disorder that affects about 10% of school-age children and 4-5% of adults worldwide. The condition is characterized by symptoms of inattention, hyperactivity, and impulsivity that exceed what is considered normal for an individual's age. Diagnosis involves a thorough assessment that considers symptoms, impairment, and potential comorbidities. Treatment options include psychoeducation, parent management skills, school accommodations, cognitive-behavioral therapy, and medication. Stimulant medications are often prescribed and are the most effective, providing significant symptom improvement for about 70% of individuals. Other non-stimulant medications may be used if stimulants are ineffective. It is important to note that the misuse and abuse of ADHD medications for performance enhancement is a concern, and athletes should follow the rules and regulations set by their respective sporting organizations.
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