ADHD and Depression - More Common Than Thought
“Thanks for Noticin’ Me” says Eeyore. He walks slowly. He looks sad. He doesn’t accomplish much. He’s just glad to be noticed. This is Eeyore, the stuffed donkey who is so often in need of his tail being pinned back on.
Eeyore is a good picture of life is like for those who are impacted by the type of ADHD that includes sadness, or depression. It is estimated that as many as 25% of all those with ADHD have to battle depression as well. This type of ADHD is called “Limbic System ADHD” by Daniel Amen, and for good reason. SPECT scans show that when the brain is at rest, there is increased activity deep in the limbic system, in parts of the brain called the thalamus and hypothalamus. There is also a decreased level of activity in the underside of the pre-frontal cortex.
When the brain is placed under a work load, as during a homework assignment, we would expect the under-active pre-frontal cortex to increase activity and get to work. But instead, nothing changes. The over-active limbic system remains over-active, and the under-active pre-frontal cortex remains under-active.
Those with this type, or style of ADHD are often very inattentive to details, and are easily distracted by unimportant things. They have a chronic sadness or low-grade depression to deal with every day. They seem to be negative, or apathetic, and have low energy levels. They just do not seem to care. They often feel worthless, or helpless, or hopeless. As you can see this type of ADHD looks very much like a combination of ADHD and Depression.
Our specific treatment strategy for Limbic System, or Eeyore style ADHD, begins with our recommended Eating Program. In addition, experts recommend DL-Phenylalyne (up to 600 mg per day for adults), 5-HTP, and B Vitamins and St. John’s Wort (up to 600 mg per day for adults).
We think that best way to approach this problem is by using the nutraceutical medicines Attend, Extress, and Deprex, which are available over the counter. The Attend contains over 70 ingredients, including GABA, DL-Phenylalyne, Ginko, Pycnogenol and Grape Seed Extracts, 5-HTP, pregnenolone, DMAE, and more. The Extress contains GABA, DL-PA, 5-HTP, and St. John’s Wort. Deprex contains more GABA, and just 2 capsules of DEPREX contain 320 mg of St. John’s Wort and 420 mg of DL-Phenylalyne. When combined in a targeted treatment strategy like this, the individual with limbic ADHD can expect to see improved and stabilized moods, improved concentration, and improved memory.
Douglas Cowan, Psy.D., is a family therapist who has been working with ADHD children and their families since 1986. He is the clinical director of the ADHD Information Library’s family of seven web sites, including http://www.newideas.net, helping over 350,000 parents and teachers learn more about ADHD each year. Dr. Cowan also serves on the Medical Advisory Board of VAXA International of Tampa, FL., is President of the Board of Directors for KAXL 88.3 FM in central California, and is President of NewIdeas.net Incorporated.
Mary responds:
Posted: June 10th, 2008 at 10:50 pm →
I met Dr. Amen at a lecture he gave and then participated in his brain study of injured and uninjured brains. I learned a lot about the damage that can occur even from normal children’s bangs to the head - the kind that happen to most kids who engage in sports.
If you are interested in the brain and how it works, I highly recommend reading “”My Stroke of Insight”" by Dr. Jill Bolte Taylor. It’s on the NY Times Bestseller list and it’s a wonderful book. Dr. Taylor’s talk at TED dot com is also AMAZING! Oprah interviewed Dr. Taylor and you can check that out on Oprah.com. And Time Magazine named Dr. T one of the 100 Most Influential people in the world. Having read her book, I can see why all the attention.
Dr. Amen’s book is brain science and it’s great at that. Dr. Taylor is a Harvard Brain Scientist, but what she writes about is the science and much more. She really cracks the code to understand how our brains (right and left hemispheres) work and she explains how we can get into our right brain and be happier and more joyful. Aside from any of the science, My Stroke of Insight is also just a great story.