The Carlat Psychiatry Podcast cover image

The Carlat Psychiatry Podcast

Throwback Thursday: ADHD and Identity

Sep 21, 2023
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.
12:00

Podcast summary created with Snipd AI

Quick takeaways

  • 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.

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