Something Fishy

ADHD comes with omega-3 and omega-6 fatty acid deficiencies.

But upping your omega-3 and omega-6 fatty acids may have little effect on your ADHD symptoms.  What gives? Recent research reveals that it’s all about the ratio.

ADHD means low levels of both but overall higher levels of omega-6 to omega-3.

So now you may say, well, I just need to increase my omega-3 levels, right? Oh, how I wish it were so simple.  Researchers have tried this with only some succesfish-2207845_1920s.  A supplement heavier on the omega-3 than omega-6 side may be better, as indicated by a study that found benefit from giving participants an omega-3/6 supplement containing mostly EPA and DHA (omega-3), with only 60mg of LA (omega-6).

Still, it seems you’re best off knowing your ratio.  And then knowing how much omega-3 (EPA and DHA, specifically) and omega-6 (LA or AA, specifically) you need to optimize it.

See here.

It’s nothing personal.

This is for the loved ones of those with ADHD.

Yesterday, I sat with my husband and tried to just talk.  We are so busy doing things, we hardly ever just talk.  Ten minutes into it, I could tell his mind was elsewhere.  I let him know it looked like he was somewhere else mentally.  He said he was.  I asked what was going on, and he said he was “bored.”  “Ouch,” I said.

Then I remembered something.  It’s nothing personal.  I know hong-kong-1990268_1920what I tried to share with him would be quite fascinating to another psychology-lover.  But my husband has ADHD and becomes easily bored with things less exciting than a book such as The Martian.

He also prefers action to talk.  It’s hard to keep his attention.

As Thom Hartmann, author of The Edison Gene, points out those with ADHD constantly monitor the environment for what’s of high stimulation, with a swift ability to turn to these things.  If this high stimulation or need to act is lacking, they may shut down on you.  Kind of like your computer going into sleep mode.  When this happens, breathe and begin breakdancing (attention-getter!) or relax and remind yourself it’s nothing personal.  Really.

Their brains may be tuned to a different frequency.

 

For my fellow writers

background-1986075_1920Kristen Lamb’s posts offer clear guidance to writers trying to figure out how to use social media effectively.  Plus she offers opportunities for free critiques.

Here.

 

Medicating Children

As the mother of a teenager with ADHD soon entering high school, I want to know the pros and cons of medication.  If you are a parenpill-1254786t reading this, you likely do, too.  And I will admit, I’m torn.

The research seems too unfinished for me to rely on it as much as I might like.

Consider that over 40 scholars from the UK, USA, Denmark, Italy, Germany, Switzerland and Australia will be reviewing  various “pharmacological interventions” to rank how well they work and their “tolerability profiles,” looking at these things for children, teens and adults.  The scholars note that “there is a lack of up-to-date and comprehensive evidence on how available ADHD drugs compare and rank” with regard to their ability to deliver desired results and to do so with tolerable side effects.  See more here.

But do we keep waiting for what seem to be more definitive answers? At what cost?

Consider this…recent research suggests that school could be a more rewarding experience for children and teens with ADHD who use medication for their symptoms.

Examining about 10, 0000 12-year-old twins, some who’d been followed since 7 years of age, researchers found that medication-free children with ADHD showed lower educational achievement than children with ADHD using methylphenidate (Ritalin, Concerta).  And the medicated children showed lower educational achievement than children without ADHD.  That is, ADHD appeared to lead to lower educational achievement but especially when unmedicated.  Plus ADHD symptoms predicted a negative educational trajectory from 14 to 16 years of age.  See study here.

Where does this leave us parents wanting our children to have the best chance at achieving what deep down really matters to them?

It leaves me leaning toward the test of experience.  I am willing to let my teen, when wishing to do so, swallow a pill as I (figuratively) swallow mine.

Meanwhile, I will keep combing the research….

Marijuana + ADHD = ?

My husband read my post below and, essentially, said, “Huh?” He suggested I keep it simple and get right to the answer to the question posed above.  Here it is:  A big-deal study showed that, contrary to expectations, marijuana (mj) had no effect on ADHD-related brain differences.  It had effects on the brain, of course, but these effects were separate from the effects of ADHD.  Details and other results, which are the ones of more interest to me, below.

An impressive group of scholars got together to examine the mj + ADHD question using 21- to 25-year-olds followed since elementary school as part of a large multi-site longitudinal study of ADHD known as MTA.  Comparing mj users (who used at least once/week) & non-users with & without ADHD, the group expected to find that mj intensifies ADHD-related brain alterations.  They, essentially, thought mj would add insult to injury (the injury being the decreased “integrity of functional networks” seen with ADHD).

networks

But they found no one-two punch.

ADHD was associated with decreased integrity of functional networks responsible for executive function and somatomotor control, but mj affected different functional networks.

Interesting to me is that one of the mj-affected networks was the default mode network, which, when you have ADHD, fails to cooperate with the task-positive network (for more on this).  It raises the question of whether mj has an indirect effect on ADHD symptoms, even if no direct one.  (The other mj-affected network was the lateral visual one.)

Also interesting to me is that ADHD was associated with INCREASED functional network integrity for two networks:  1) “stronger integration of right posterior parietal cortex” within the dorsal attention network & 2) “stronger integration of left inferior premotor region within the cingulo-opercular network.”  For 1, think spatial orientation toward what’s relevant and, for 2, think maintaining alertness.

The researchers described the first strengthening (1 above) as “maladaptive” because of its association with slower processing speed for those without ADHD.

But they saw the second (2 above) as helpful and suggest it “may reflect a compensatory adaptation – the strengthening of connections or recruitment of additional brain regions” for the sake of “maintaining normal cognitive performance.”

In almost a side-note kind of way, they note that their data support that ADHD-related differences seen within the somatomotor network “are a good candidate for imaging-based prediction of ADHD diagnosis,” as suggested by earlier research.  Wow.

Actual study here.

Show & Tell or Hide & Seek?

When one has a psychiatric diagnosis, questions about revelation come up.  A search for answers around revealing ADHD brings up onhide-seeke:  It depends.

What’s the context (work, school, home)? What’s the situation? Who are the parties involved (believers, non-believers, agnostics)? What are the stakes? Ultimately, what are the real pros and cons, short- and long-term? For ADHD, the only time I’ve seen the answer clearly lean toward “yes, tell” is at school for the purpose of working out accommodations.

At work, the answer may largely depend on the work culture.  How much and what kind of diversity surrounds you?

How I wish we had more research examining the reality of telling vs. staying quiet.

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