NEI Podcast E245 - The Best of the PsychopharmaStahlogy Show
9 snips
Jan 1, 2025 
Join Stephen Stahl, a prominent psychopharmacology expert, and David Goodman, an ADHD specialist, as they discuss the complexities of diagnosing ADHD in women. They highlight societal biases and the role of hormonal changes in managing the condition. Michael Cummings shares insights on navigating treatment-resistant psychosis, emphasizing the use of clozapine for improved outcomes. James Knoll delves into antisocial personality disorder, exploring its origins and gender differences, while addressing the societal perceptions surrounding these disorders.
AI Snips
Chapters
Transcript
Episode notes
ADHD Recognition
- ADHD in children has a higher recognized ratio in boys than girls (3:1), while it approaches 1:1 in adulthood.
- This suggests an issue with recognition, not prevalence, influenced by how symptoms present and who refers patients.
Dismissed Symptoms
- A female patient, diagnosed with ADHD in college, expressed frustration about being dismissed as a "space cadet" during childhood.
- Another, an airline stewardess, cried with relief upon diagnosis and treatment, feeling vindicated after being perceived as "blonde and stupid."
Hormones and ADHD
- Estrogen has pro-cognitive effects, and its decline during perimenopause can worsen ADHD symptoms in women.
- This makes it crucial to differentiate whether cognitive decline is due to worsening ADHD or hormonal changes.