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This is Adult ADHD: Episode 3
ADHD is often associated with creativity, quick thinking, and boundless energy, traits that many admire and even consider superpowers. But for individuals with untreated ADHD, the reality can look very different. Untreated symptoms can lead to challenges that impact daily life and well-being. Yet, ADHD is one of the most treatable neurodevelopmental conditions. So, let’s dig into ADHD with psychiatrist Dr. Diane McIntosh. She answers those lingering questions like: Is ADHD overdiagnosed? Are the medications safe and truly necessary?
Joining the conversation is Robert, a young professional who not only lives with ADHD but thrives with it. And, as always, PSYCHEDUP’s resident psychologist, Dr. Randy Mackoff, talks about treatment options with Dr. McIntosh.
Dr. Randy Mackoff, PhD
Dr. Randy Mackoff is a registered psychologist in British Columbia. He has a private clinical practice where he provides psychological treatment for a wide range of issues, including but not limited to depression, anxiety, PTSD, coping with psychosis, and marital therapy. He is a retired Professor in the Criminology Department at Douglas College and a past Chairperson of the Criminology Department. He is a Clinical Associate in the Clinical Psychology Department at Simon Fraser University, providing clinical supervision to graduate students. He currently consults with law enforcement agencies in Crisis Negotiations, Undercover Operations, Witness Protection, Psychological Support for witnesses, Source Suitability, Major Crimes, Recruiting, and Human Resources. He is a designated Vancouver Police Department Psychologist and represents them at the Major Cities Chiefs Association Psychology meetings. He is the Co-Chair of the Psychology Committee for the Canadian Association of Chiefs of Police (CACP).
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Episode Highlights
2:08
Robert discusses his experience growing up with ADHD
7:26
How to treat ADHD with Dr. McIntosh and Dr. Mackoff
23:47
Shrink wrap: Dr. McIntosh breaks down the most common misconceptions about ADHD
26:41
How Robert's life changed after he started to receive proper treatment
Key quotes from This is Adult ADHD
"ADHD is absolutely the most gratifying disorder I get to diagnose and treat because the treatments are so incredibly effective for people.”
“ADHD isn’t something where you pull yourself up by your bootstraps. This is something where medication is extremely beneficial.” 08:33
“Individuals who are diagnosed with ADHD typically have higher IQs” 17:00
“ADHD is our most heritable psychiatric disorder, along with bipolar, and that means you often have parents, at least one, sometimes two, who also have ADHD, trying to parent a kid with ADHD.” 17:22
“The science tells us, based on robust research on prevalence, that ADHD is actually under-diagnosed and almost always under-treated.” 23:02
More About Adult ADHD
ADHD is diagnosed when symptoms are persistent, consistent, and significantly impair social, academic, or work functioning.
ADHD symptoms fall into three main categories: inattention, hyperactivity, and impulsivity, and they can profoundly affect daily life for both children and adults.
Inattention may involve difficulty focusing, organizing, or remembering details. This often looks like frequently losing items, being easily distracted, or struggling to complete tasks requiring sustained effort.
Hyperactivity includes constant movement, fidgeting, or an inability to stay seated. In adults, it may present as feelings of restlessness rather than overt activity.
Impulsivity manifests as interrupting conversations, acting without thinking, or difficulty waiting for a turn.
ADHD is diagnosed when symptoms are persistent, consistent, and significantly impair social, academic, or work functioning. With the right diagnosis and treatment, symptoms can be managed, leading to improved quality of life at any age.
Psychostimulants are often the first choice, with long-acting versions offering all-day symptom control. For those who cannot tolerate stimulants, non-stimulants may be used, though they are less effective for most. Finding the right medication and dose often requires trial and error with a healthcare provider.
Talk therapy can help individuals and families understand ADHD and develop strategies for managing symptoms, while self-help strategies like maintaining routines and prioritizing sleep and exercise can also provide relief.
ADHD is a common psychiatric disorder, affecting 1:20 Canadians, yet several misconceptions exist:
- ADHD is overdiagnosed. Research shows it is underdiagnosed and often under-treated.
- ADHD is a social disorder, affecting only unruly children or adults seeking an excuse for their behavior. In reality, ADHD is highly heritable, with strong genetic evidence behind it.
- ADHD meds are dangerous and addictive. Properly prescribed and taken, long-acting psychostimulants have been life-changing for many.
Related Posts on Adult ADHD
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ADHD is Real. Know the Facts!
Psychiatric Guidance for Optimal Patient Care
Founded by Dr. Diane McIntosh, RAPIDS Health provides timely, effective clinical decision support for mental health diagnosis and treatment. Whether you’re a clinician or someone seeking help, we offer evidence-based, personalized treatment guidance tailored to each individual’s needs.