The Carlat Psychiatry Podcast cover image

The Carlat Psychiatry Podcast

ADHD: 3 Associated Syndromes

Nov 20, 2023
ADHD cognitive problems discussed: working memory, slow processing speed, and dyslexia. Importance of neuropsych testing. Case examples of misdiagnosed patients. Visual processing deficit in photographer. Executive dysfunction in ADHD. Cognitive Disengagement Syndrome and slow processing impact. Potential benefits of vitamin D supplementation for seasonal ADHD.
13:25

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Quick takeaways

  • Cognitive deficits related to ADHD, such as working memory deficits and slow processing speed, persist even with stimulant treatment.
  • Around one in three people with ADHD have dyslexia, and identifying dyslexia can help tailor interventions and accommodations for individuals with ADHD.

Deep dives

Cognitive Problems Not Improved by Stimulant Treatment of ADHD

Stimulant treatment for ADHD does not address all cognitive problems associated with the condition. While stimulants can be effective for many individuals with ADHD, they may not fully address executive system dysfunction and higher-level cognitive issues. Co-morbid conditions like dyslexia and processing deficits often persist even with stimulant treatment. Neuropsychological testing can help identify specific cognitive deficits such as working memory deficits and slow processing speed. These cognitive deficits, which affect academic performance and career choices, are present in about 50% of people with ADHD.

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