Rethinking ADHD - Dr Russell Ramsay, PhD

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Oct 5, 2023

This podcast explores the contemporary understanding of ADHD as a developmental syndrome of self-dysregulation. It discusses the challenges faced by individuals with ADHD and emphasizes the importance of support and understanding. The causes and essence of ADHD are explored, including the role of dopamine deficiency and the reward networks of the brain. The relationship between perfectionism, mood, and cognitive themes in ADHD is examined. The concept of self-regulatory efficacy and its impact on ADHD are discussed, along with strategies for emotional regulation. The use of cognitive behavioral therapy (CBT) for adolescents with ADHD is explored, highlighting the importance of finding the right fit for neurodiverse individuals. The concept of procrastivity, task bounding, and time management are also discussed.

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INSIGHT

ADHD Impacts and Criticism

Adults with ADHD face impairments in school, work, relationships, and physical health like obesity and premature mortality.
They experience frequent criticism for inattentiveness and forgetfulness, harming self-esteem and social connections.

INSIGHT

ADHD as Self-Dysregulation Syndrome

ADHD is fundamentally a developmental syndrome of self-dysregulation involving executive functions.
It causes frustrating inconsistency, not total absence, in self-regulation and task follow-through.

ADVICE

CBT Framework for Adult ADHD

Use cognitive-behavioral therapy focusing on cognition, behavior, emotional regulation, and social capital for adult ADHD.
Build realistic plans and coping strategies, foster self-advocacy and strengthen therapeutic alliance for better engagement.

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This session will provide an overview of the contemporary understanding of Attention-Deficit/Hyperactivity Disorder (ADHD) that goes beyond the “A” and the “H.” Instead, ADHD is understood as a developmental syndrome of self-dysregulation or executive dysfunction. From this understanding, the session will move on to an outline of the corresponding implications for psychosocial treatment of ADHD in adults, namely using cognitive-behaviour therapy (CBT). The different facets of CBT will be briefly reviewed with a proposed central therapeutic target for each. Lastly, emphasis will be given to the influential role of cognitions and beliefs in the experience of adults with ADHD and their relevance in treatment, including a proposed central cognitive theme, which was a central focus of Dr. Ramsay’s most recent book, Rethinking Adult ADHD. --- Russell Ramsay, Ph.D., ABPP is co-founder and clinical director of the University of Pennsylvania’s Adult ADHD Treatment and Research Program and professor of clinical psychology in psychiatry at the University of Pennsylvania’s Perelman School of Medicine. He is also a senior staff clinician at Penn’s Center for Cognitive Therapy. Dr. Ramsay has authored numerous peer-reviewed professional and scientific articles and book chapters. He has written five books about adult ADHD, most recently Rethinking Adult ADHD. His book, The Adult ADHD Tool Kit, has been translated into French, Spanish, and is being translated into Korean. Dr. Ramsay is an inductee in the CHADD Hall of Fame. He serves on the editorial board of the Journal of Attention Disorders and The ADHD Report. Dr. Ramsay is board-certified in cognitive-behavioral therapy. In addition to a full clinical load, he supervises clinicians-in-training in the assessment and psychosocial treatment of adult ADHD. Links: - Get our latest psychology lectures emailed to your inbox: http://bit.ly/new-talks5 - Check out our next event: http://theweekenduniversity.com/events/ - Dr Russell Ramsay’s profile: https://www.med.upenn.edu/add/faculty_ramsay.html - Dr Russell Ramsay’s books: https://amzn.to/3yOE41h