This Reality Presentation is the *entire slide set* in the Reality series. *Why* Reality matters, *How* we can apply Reality insights in everyday ADHD understanding for diagnosis and treatment, and exactly *What* we can do about this new ADHD/Executive Function Reality on an everyday basis. Neuroscience evidence changes thinking. If this presentation helps you please forward to your social networks and friends. Then sign up at http://corebrain.org/reality for updates on exactly how to understand and apply these useful details.
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Reality Matters: ADHD Landscapes Need Attention
1. RealityReality
Changes TheChanges The
ADHD RulesADHD Rules
New ADHD Medication RulesNew ADHD Medication Rules
Brain Science & Common SenseBrain Science & Common Sense
http://adhdmedicationrules.comhttp://adhdmedicationrules.com
Dr Charles ParkerDr Charles Parker
2. 1.1. WhyWhy RealityReality For ADHD MedsFor ADHD Meds
2.2. HowHow To Rethink StandardsTo Rethink Standards
3.3. WhatWhat Specifics Need ChangeSpecifics Need Change
Overview:Overview: Letâs Take a Moment ToLetâs Take a Moment To
Consider:Consider:
6. Office Tragedy EverydayOffice Tragedy Everyday
- Heartbreak- Heartbreak
- Anger- Anger
- Overwhelming Side Effects- Overwhelming Side Effects
- Treatment Failures Abound- Treatment Failures Abound
Too Many WastedToo Many Wasted
LifetimesLifetimes
7. The Current Standard ofThe Current Standard of
Care â Think About It -Care â Think About It -
Almost CompletelyAlmost Completely
IgnoresIgnores BiologicBiologic
RealityReality
8. Globally,Globally, Too Often:Too Often:
Both Public andBoth Public and ProfessionalsProfessionals AreAre
DisillusionedDisillusioned With ADHD TreatmentWith ADHD Treatment
OutcomesOutcomes
------------------
New Objective:New Objective: No IllusionsNo Illusions
In the First PlaceIn the First Place
10. RealityReality RemainsRemains
Dynamic - andDynamic - and
Changes:Changes:
You canât stick your footYou canât stick your foot
in the same river twice.in the same river twice.
Heraclitus 500 BCHeraclitus 500 BC
11. On the other handâŠOn the other handâŠ
DreamsDreams andand
FantasiesFantasies OccurOccur
in thein the DarknessDarkness
21. MeasureMeasure what iswhat is
measurable, andmeasurable, and makemake
measurablemeasurable what is not so.what is not so.
Galileo Galilei ~ 1615Galileo Galilei ~ 1615
23. Overlooked in ADHD:Overlooked in ADHD:
BiologicalBiological RealitiesRealities
Do ApplyDo Apply
For MedicalFor Medical DiagnosisDiagnosis
1.1.Brain:Brain: FunctionalFunctional RealityReality
2.2.Body:Body: BiomedicalBiomedical RealityReality
24. ADHDADHD RealitiesRealities
OverlookedOverlooked
In Routine TreatmentIn Routine Treatment
1.1.Measurable:Measurable: Medication DurationMedication Duration
2.2.Measurable:Measurable: Therapeutic Window Therapeutic WindowÂ
3.3.Measurable:Measurable: Drug InteractionsDrug Interactions
4.4.Measurable:Measurable: Medication Seesaw -Medication Seesaw -
Antidepressants and StimulantsAntidepressants and Stimulants
32. What setsWhat sets
ourour BrainsBrains
apart from cats,apart from cats,
cows and elephants?cows and elephants?
Yes - Working MemoryYes - Working Memory
33. Working MemoryWorking Memory TimedTimed
Sequence:Sequence:
1.1. ThinkingThinking AboutAbout RealityReality
2.2. ActingActing Upon thatUpon that RealityReality
3.3. CarryingCarrying RealityReality Results toResults to
the next daythe next day
36. Desynchronized ADHD:Desynchronized ADHD:
Acting ADHDActing ADHD
1.1. Acting without ThinkingActing without Thinking --
more explicit than âHyperactiveâmore explicit than âHyperactiveâ
and can be placed in each Realityand can be placed in each Reality
ContextContext
37. Thinking ADHDThinking ADHD
2.2. Thinking without ActingThinking without Acting,,
- The Most Commonly Overlooked- The Most Commonly Overlooked
- âCognitive Anxietyâ- âCognitive Anxietyâ
- Often without Anxious Feelings- Often without Anxious Feelings
- Video:- Video: www.bit.ly/adhdanxwww.bit.ly/adhdanx
38. Avoidant ADHDAvoidant ADHD
3.3. Not Thinking & Not ActingNot Thinking & Not Acting
-- See YouTube âAvoidantâ VideoSee YouTube âAvoidantâ Video
-Biologically correctableBiologically correctable
-Social Anxiety, Intimacy, ProcrastinationSocial Anxiety, Intimacy, Procrastination
- Avoidance of specific- Avoidance of specific RealitiesRealities
39. Thinking, Acting andThinking, Acting and
Remembering,Remembering,
Working Memory MattersWorking Memory Matters
----------------
But, Last Time IBut, Last Time I
CheckedChecked The Mind WasThe Mind Was
Connected To BodyConnected To Body
44. Medical BiomarkersMedical Biomarkers
((Just As Cholesterol or CRProtein,Just As Cholesterol or CRProtein, AreAre NotNot
CategoricallyCategorically CorrectCorrect, e.g.:), e.g.:)
-SPECTSPECT
-NeurotransmittersNeurotransmitters
-Immunity - IgGImmunity - IgG
-Trace Elements, Heavy MetalsTrace Elements, Heavy Metals
-Genetics: D2 Receptor, CYP 450Genetics: D2 Receptor, CYP 450
45. Biomedical Data:Biomedical Data:
Neurotransmitters - NTNeurotransmitters - NT
-Measure With UrineMeasure With Urine
-Without them Meds Donât WorkWithout them Meds Donât Work
-Meds Collect NT ChickensMeds Collect NT Chickens
48. Biomedical DataBiomedical Data
Trace ElementsTrace Elements
-Tissue Mineral Analysis â Drug TestTissue Mineral Analysis â Drug Test
-Deficiency = NT DeficiencyDeficiency = NT Deficiency
-Excess = Toxicity e.g Cu, CheerleaderExcess = Toxicity e.g Cu, Cheerleader
-Effect Autonomic Nervous System = PNS andEffect Autonomic Nervous System = PNS and
SNSSNS
-Heavy Metals Block NT Activity - NEJMHeavy Metals Block NT Activity - NEJM
49. Biomedical DataBiomedical Data
Genetic TestingGenetic Testing For PolymorphismsFor Polymorphisms
-CYP 450 2D6 â 4 Different PipesCYP 450 2D6 â 4 Different Pipes
-D2 Receptor Changes âD2 Receptor Changes â Reward DeficiencyReward Deficiency
SyndromeSyndrome â Food, Substance Abuse,â Food, Substance Abuse,
Addictions, ADHD Meds Donât Work â KenAddictions, ADHD Meds Donât Work â Ken
Blum PhDBlum PhD
52. âPills have to pass throughPills have to pass through
youryour bodybody before they reachbefore they reach
youryour brainâbrainâ..
New RulesNew Rules OutlinesOutlines
Exactly What WorksExactly What Works
Most OftenMost Often
53. - Almost- Almost every problemevery problem withwith
ADHD medication isADHD medication is directlydirectly
relatedrelated toto realreal,, measureablemeasureable,,
body metabolic challengesbody metabolic challenges..
- Body- Body MetabolismMetabolism DirectlyDirectly
EffectsEffects Mind FunctionMind Function
54. In the FogIn the Fog
WithoutWithout
LandmarksâŠLandmarksâŠ
Any MarkersAny Markers
MatterMatter
55. MeasurableMeasurable MedicationMedication
DDurationuration OOff EEffectiveness:ffectiveness:
RealityReality IsIs Built Into EachBuilt Into Each
Med =Med = DOEDOE
Short Acting â e.g. Ritalin IR 4hrShort Acting â e.g. Ritalin IR 4hr
Long ActingLong Acting â e.g. Adderall XR 8-10hrâ e.g. Adderall XR 8-10hr
Vyvanse â 10hr Kids, 12hr adults.Vyvanse â 10hr Kids, 12hr adults.
Daytrana 12hr, - Strattera 10hrDaytrana 12hr, - Strattera 10hr
56. Measureable Sweet SpotMeasureable Sweet Spot
Therapeutic WindowTherapeutic Window
Sides =Sides = DDurationuration OOff EEffectiveness:ffectiveness:
DOEDOE
Top = Too MuchTop = Too Much
Bottom = Too LittleBottom = Too Little
68. Depression & ADHDDepression & ADHD
Serotonin/DopamineSerotonin/Dopamine
SeesawSeesaw â See Videoâ See Video
http://bit.ly/2diagnosehttp://bit.ly/2diagnose
71. Learn More AboutLearn More About
Reality for ADHDReality for ADHD
MedicationsMedications ââ
Webinar Details At:Webinar Details At:
http://corebrain.org/realihttp://corebrain.org/reali
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