The Thinking Mind Podcast: Psychiatry & Psychotherapy E119 - How do we treat ADHD? (with Dr. Russell Ramsay)
Apr 10, 2025
Dr. Russell Ramsay, co-founder of the Penn Adult ADHD Treatment and Research Program and a leading authority on ADHD, dives deep into understanding adult ADHD. He discusses the complexities of diagnosis and the significance of informed decision-making about treatment options. The conversation covers the role of medication versus psychological strategies, particularly cognitive behavioral therapy, to enhance focus and manage symptoms. Dr. Ramsay also emphasizes the empowering perspective on ADHD, advocating for personalized approaches that recognize individual strengths.
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ADHD as Performance Challenge
- ADHD is primarily an attention allocation problem rather than a simple attention deficit.
- Executive functioning issues like motivation and organization are key treatment targets, not just the core symptoms.
ADHD is a Dimensional Spectrum
- ADHD symptoms lie on a smooth dimensional spectrum affecting quality of life incrementally.
- Everyone faces executive function challenges to varying degrees; diagnosis depends on severity and impairment.
Medication: Personal Choice & Combo
- Consider ADHD medication as a safe and effective option but decision should be personal and context-dependent.
- Combine medication with psychosocial treatments like CBT for optimal, sustained benefits.
