Chris Aiken, MD and Kellie Newsome, PMHNP discuss the impact of untreated mental illness on a child's identity, the consequences of ADHD on individuals who have received treatment compared to those who haven't, the role of shame and avoidance in ADHD, and the latest research findings related to ADHD and therapy options.
Untreated mental illness in childhood can significantly affect a person's identity, leading to frustration, symptoms of panic and depression, increased substance use, and a sense of failure.
Schema-focused therapy, a form of cognitive therapy, aims to challenge and modify deeply ingrained beliefs or schemas in individuals with ADHD, helping them develop a more positive self-view, improve executive functioning, and overcome avoidance behaviors.
Deep dives
The Impact of Untreated Mental Illness on Identity
Untreated mental illness in childhood can significantly affect a person's identity. The podcast discusses how the psychotherapy of ADHD, specifically schema-focused therapy, addresses the deep-seated beliefs or schemas that individuals with chronic mental health conditions, including ADHD, develop from early childhood experiences. Some common schemas in ADHD include beliefs of failure, defectiveness and shame, and unrelenting standards. Starting treatment early is crucial for better outcomes, as those who are diagnosed and treated early can realize their potential and develop a sense of hope. However, for those who have gone undiagnosed, it can lead to frustration, symptoms of panic and depression, increased substance use, and a sense of failure. Therapy, such as cognitive behavioral therapy or schema-focused therapy, aims to address these lifelong patterns of disappointment, underperformance, and feelings of inadequacy.
Schema-Focused Therapy in ADHD Treatment
The podcast explores how schema-focused therapy differs from cognitive behavior therapy (CBT) in the context of ADHD treatment. Both approaches fall under the umbrella of cognitive therapy, but schema-focused therapy focuses on addressing core schemas or deeply ingrained beliefs about oneself and the world. The therapy incorporates emotional elements and examines how the schemas are triggered and contribute to avoidant behaviors and repeated patterns. Schemas commonly associated with ADHD include beliefs of failure, defectiveness, unrelenting standards, and shame. The therapy aims to challenge and modify these schemas, helping individuals with ADHD develop a more positive self-view, improve executive functioning, and overcome avoidance behaviors. The double whammy of untreated symptoms and reinforcing negative schemas can be addressed through therapy and effective treatment.
When a child grows up with untreated mental illness, there's a good chance it'll affect their identity. We'll look at how to work with that in the psychotherapy of ADHD.
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Published On: 09/14/2023
Duration: 13 minutes, 07 seconds
Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
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