Introduction to ADHD and the One-Page Miracle Exercise
Dr. Daniel Amen introduces a foundational exercise called the "one-page miracle," where patients write down their life goals on one page, covering relationships, work, health, and spirituality. This exercise helps patients assess if their behaviors align with their goals, a function governed by the prefrontal cortex, which is often underactive in individuals with ADHD.
Gender Differences in ADHD
- ADHD is more commonly diagnosed in men (5.4%) than women (3.2%), partly due to differences in brain activity.
- Men tend to have a less active prefrontal cortex, leading to higher impulsivity and risk behaviors, such as incarceration.
- Women often exhibit inattentive or overfocused ADHD types and may show symptoms through patterns in relationships, such as repeated cycles of intense romantic involvement followed by conflict.
ADHD’s Broad Impact on Life
- ADHD affects not only focus and attention but also relationships, emotional health, and social interactions.
- Untreated ADHD can lead to chronic stress, immune system damage, and increased risk of divorce, substance abuse, and mental health issues.
- The disorder is often misunderstood, leading to frustration and emotional strain in families and partnerships.
Treatment Approaches
- Treatment is personalized based on ADHD type and severity.
- Non-medication strategies include diet optimization, omega-3 fatty acids, saffron supplements, B vitamins, and neurofeedback therapy to strengthen brain activity. For more on neurofeedback, check out Unlocking Mental Clarity: A Comprehensive Guide to Executive Function and Brain Hacks.
- Medication is considered when other interventions are insufficient.
- Cognitive strategies focus on reducing automatic negative thoughts and fostering positive, goal-directed thinking.
Managing ADHD in Relationships
- Communication and understanding are key when dating or living with someone with ADHD.
- Partners should practice active listening, develop time rituals, and focus on positive behaviors rather than only negative ones.
- Recognizing ADHD as a biological condition helps reduce blame and fosters empathy. For insights on managing relationships, see Navigating Bipolar Disorder: A Personal Journey of Art and Healing.
- Dr. Amen shares personal insights from his marriage, emphasizing love, acceptance, and practical accommodations like hiring organizers.
ADHD Across the Lifespan
- ADHD does not necessarily go away with age; symptoms can persist into adulthood and old age.
- Treatment can improve quality of life at any age, as demonstrated by patients who achieve new milestones like reading their first book.
Advice for Individuals with ADHD
- Prioritize exercise to boost dopamine and serotonin levels.
- Use light therapy to improve focus and mood, especially in colder climates.
- Ensure good sleep hygiene and address sleep apnea if present. For more on sleep and brain health, refer to Understanding Consciousness: Theory of Mind, Sleep, and Psychoactive Drugs.
- Understand that ADHD is a brain condition, not a character flaw, and treatment can help individuals be their best selves.
Navigating ADHD in Work and School
- Disclosure of ADHD to employers or educators should be strategic, focusing on accommodations when necessary.
- Federal laws protect individuals with ADHD, allowing for reasonable accommodations in the workplace and educational settings.
Broader Perspectives and Future Directions
- Dr. Amen advocates renaming mental health institutions to include brain health, reducing stigma.
- He calls for a decade focused on brain health and better curation of information children receive.
- He highlights the importance of brain scans in understanding cognitive health, even suggesting their use in evaluating public figures.
Final Thoughts
- ADHD is a complex, multifaceted condition that requires personalized treatment and compassionate understanding.
- Focusing on strengths, positive reinforcement, and proactive brain health strategies can transform lives.
- Dr. Amen’s work encourages hope and empowerment for those affected by ADHD and their loved ones.
The first exercise I do with all of my patients, but particularly my ADD patients, it's called the one-page
miracle. On one piece of paper, write down what you want. Relationships. What do you want? Like with Tana, I want a
kind, caring, loving, supportive, passionate relationship. Don't always feel it. I get rude thoughts that show
up, but I don't say them. Why? Because I inhibit them because they don't fit. Most people in life don't do this
exercise, which I find crazy. What do you want your work or school? What do you want for your money? What do you
want for your physical health, your emotional health, your spiritual? What do you want? We put it on one paper. And
then the question always becomes, does it fit? The number one health and wellness podcast, J Shetty. J Shetty,
the one, the only J Shetty. I read in the National Institute of Mental Health, they found that 5.4% of
adult men and 3.2% of adult women have ADHD. Why do you believe that ADHD is more
common in men? Well, it is more common in men have sleepier frontal loes than women. So I published the world's
largest imaging study on gender and looked at the difference in 46,000 patients difference between male brains
and female brains. Females have much stronger, much more active prefrontal cortex. Men have sleepier preffrontal
cortex. And what's the one statistic that identifies that? Who goes to jail? Men.
14 times more than females. So they have a relative dopamine deficit compared to females. But girls still have it and
when left untreated, it just devastates their lives. And how you can diagnose it in a teenage girl is
just look at their love pattern. It's they get all excited about falling in love. dopamine burst after it wears off,
right? It's like don't get married in the next two months because you never really know after the dopamine wears
off, the cocaine effect wears off, they start picking on their partner and they start fighting and so new love,
fighting, and then they break up and there's lots of drama around breaking up and they get suicidal sometimes and then
they fall in love again. and then they pick on their new person and then they break up and they lots of drama around
it. And if you see that pattern repeatedly, screen them for ADD. Very important. How does ADHD show up
differently for men and women? So men tend to be more hyperactive. Women tend to have more the inattentive type. Women
also tend to have the overfocused type more. mend the temporal lobe type because the temporal lobe type can be in
part born out of a concussion or a head injury. And you know, people have ADD have way more concussions and accidents.
And the reason for that is the shorter attention span and impulse control issues. I think as I'm sitting here
listening to you and trying to understand just how even the way you broke down the seven
types of ADHD, you start to think about how ADHD doesn't just affect an individual's
focus and attention and performance at school. As you rightly said earlier, it starts to affect your relationships,
right? If you have a parent, and I want to talk about all of these independently, if you have a parent that
has ADHD and they have passed or haven't passed it on to you, that has an impact on you. If you're dating someone, you
were talking about your first two wives. When you're dating someone who has ADHD, that has an impact on you. If you have
ADHD and you're dating someone who doesn't, that has an impact on you and them. It starts to impact all areas of
life. And because we have such a limited understanding of it, we can get frustrated when someone clips out our
labels or we can get upset when someone is always late and we say, "Oh, you don't care about me. You're always
late." Like, it can actually start to become more emotional than it is just biological, chemical, and physical. It's
biological for sure that it gives you psychological effects. And the chronic stress damages your immune system for
you and the people who love you. Clearly social. I think one of the reasons for divorce is untreated ADD. I think it's
often the hidden cause and it's spiritual because you just believe you're less than that God how you see
God doesn't care about you. What do we do with that feeling? Because that's the feeling for people who have ADHD and
they feel they're failing at life. They feel they're underperforming. They feel like they're not going to succeed. But
earlier you were saying to me, actually some of the greatest CEOs of big companies are people with ADHD. So walk
me through if someone's sitting here thinking, well, I'm not going to achieve anything with my life because I've got
ADHD. What would you say to them? you're responsible to get it treated because with treatment you can be
amazing because you often have the ability to see things other people don't see and it's the undisiplined mind
that creates so much trouble. So you know at Aean clinics we want to look at your brain of course we want to get it
healthy and we get it healthy whether it's diet supplements exercise medicine whatever tools we have a lot of people
do really well with neuro feedback where you can actually measure the electrical activity in your brain and then through
exercises strengthen it. So, I like neuro feedback a lot, but then you also have to reprogram your mind. And I talk
about killing the ants, the automatic negative thoughts that steal your happiness. And people who have ADD often
have a high negativity bias. And so, learning to direct your thoughts in a positive, in a helpful, in a hopeful
way, absolutely critical to overcome it. The first exercise I do with all of my patients, but particularly my ADD
patients, it's called the one-page miracle. On one piece of paper, write down what you want. Relationships. What
do you want? Like with Tana, I want a kind, caring, loving, supportive, passionate relationship. Don't always
feel it. I get rude thoughts that show up, but I don't say them. Why? Because I inhibit them because they don't fit.
Most people in life don't do this exercise, which I find crazy. What do you want your work or school? What do
you want for your money? What do you want for your physical health, your emotional health, your spiritual health?
What do you want? We put it on one paper. And then the question always becomes, does it fit? Does my behavior
fit the goals I have for my life? So that's what your prefrontal cortex does, right? It sets goals and helps you
continue to achieve them despite the obstacles that you have. So I remember I'm in college and I want to go to
medical school and I took organic chemistry and I got a 42 on my first test and I'm like, "Okay, this is going
to be an obstacle. Get a tutor." and ended up obviously going to medical school. But it's your pre if it's low,
you get a 42 and then you give up, right? You don't have that persistence. But the first step always is what do you
want? Is my behavior getting me what I want? And they often come into my office and they go, "Dr. Ammon, I'm brutally
honest." And in my mind, I'm like, "Oh, they have ADD." And then I'm like, but that's usually
not helpful. Relationships require tact. They require forethought. Jerry Seinfeld once said, "The brain is a sneaky organ.
We all have weird, crazy, stupid, sexual, violent thoughts that nobody should ever hear. But when you have ADD,
your inside voice gets out when it can be hurtful." Mhm. So that's the first step. Know what you want and
then is my behavior getting me what I want? And if my behavior is not getting me what I want, is my brain could my
brain be better? And therefore that leads to the treatment because I think a lot of people are waking up every day
and they're thinking kind of like what you said, that learned helplessness. They're like, well, I am eating right
and I am working out and I am trying to be motivated or maybe even I don't make it to the workout every day. I'm really
trying, but every time I try, I just lose motivation and I lose energy. Is that something you hear quite often? I
do. And that's why we scan people twice. Once at rest, once when they concentrate. And if their brain drops
with activity, it's like, okay, we have to treat this. And you know, we can try to treat it with supplements. And I like
them a lot. I own brain MD and I want to support you. People who take EPA fish oil, omega-3 fatty acids, helps with
ADD, also helps with mood. There are five studies with saffron, the spice saffron, as effective as rland in some
studies. That's amazing. And it helps 25 randomized control trials that saffron helps with depression. Compared to
anti-depressants, so I love saffron. I've been eating saffron since I was a kid cuz it's in it's in the Indian diet
as a very staple thing right and there's lore in India if you're too happy you must have had saffron omega-3 fatty
acids B vitamins picnogginal which is from pine bark has been found to be helpful so I start
based on your type okay here are the supplements let's get your diet right and then if those things don't work then
I think Well, we should consider medication. Yeah. I'm so glad that you're so clear on that. I know whenever
there's a new discovery, I'm always texting you going, "What do you think about this? What do you think about
that?" Because I appreciate your perspective because it's not coming from an opinion and it's not coming from a
single case. And as I'm listening to you today, what I really take away is that everything is so specific and everything
is so individual and personal. It's not like like you were saying like some medication could actually be brilliant
and you said even miraculous for someone's brain but if it's a different type of brain it doesn't work that well
but we have this oneizefits-all model that we keep rolling out. Why do we even get to make these big claims of
something being innocuous or something being the perfect cure or alcohol is good for your heart or everything that
you've been mentioning? Well, you just have to follow the money. How's it legal? A lot of it is
driven by the alcohol industry, the marijuana industry, and now you know all of these billionaires investing in
mushrooms and psilocybin. And I'm like a huge fan of lion's mane. And we make something called smart mushrooms, but
you have to be very careful with something that disrupts someone's brain and someone's mind. And for some people
it can be helpful. For other people it's a nightmare. And I'm like first do no harm,
right? So the first thing if you're depressed or you have PTSD is let's get your diet right and let's get you to
exercise and not believe every stupid thing you think and take omega-3 fatty acids or if you have PTSD, EMDR. I'm a
huge fan of a psychotherapy called eye movement desensitization and reprocessing. It's like first do no
harm. Let's make sure we're doing the simple things first. My oldest patient with ADD is 94. And I'm like, why are
you in my office? And she goes, you help my greatgrandson. You help my granddaughter. You help my son. I've
never been able to finish the paper in the morning. I want to finish the paper. So that was our goal. You are not stuck
with the brain you have. You can make it better. Think of it like glasses. But sometimes it's a maturational lag in uh
brain development and you can encourage it to go away or you can discourage it to go away. I really wanted to talk to
you today about dating someone with ADHD. Our community asks us so many questions about dating, marriage, being
in a relationship. And as I'm listening to you today, it's very evident that sometimes our issue with our partners is
because of their ADHD. And if you're coming from a family where you didn't have that, now someone being late or now
someone being disorganized or now someone overthinking kind of causes you an issue with how you like life to
function. The amount of people that say to me like, "Oh, you know, he just never wants to organize a trip or, you know,
she's always late or whatever it may be." That's very common to hear. If you're dating someone or in your case
married to someone with ADHD, what should you be prepared for and what you should you be thinking about? So Tana
has said publicly she has ADHD. We actually did a PBS show Healing ADD and she talked about it and our our first
date like I had no idea she had ADD. But when she described her mom, she's classic ADHD and Tana just thought it
was an excuse to fail. Oh, this person has ADD. And then she realized her overex exercising the pot of coffee
every day. that's like, "Oh, no. I do have this." And she's not as organized as I am. And never met a rapper she
actually wanted to throw away. And I remember being irritated about the rapper. And then I thought I had this
very interesting vision is I saw the counter clean without her there and I got really sad.
And so I'm like, that's just not worth the fight. Throw the rapper away. And um she's so awesome in so many ways. And
she has the anxious ADD type, so she's always on time, so that's not an issue. And we hire people that organize her and
it just is fine. But if she wasn't as kind as she was, if she didn't love me, yeah, I wouldn't be with her. Yeah. I I
was uh with Dean Ornish. Do you know Dean Ornish? I know the name. He's a internist, but he's written a lot of
work on diet and health. And he wrote this one book called Love and Survival. And it's one of my favorite books I ever
read. And as I was with him, I was like a little kid excited to talk to him and cuz with my first wife, I mean, you can
have all the ADD things, but if there's not love, it's not worth it. And I read in his
book, he said he talked, there was a study from the Cleveland Clinic, and they asked 10,000 men one question. Does
your wife show you her love? Right? And you can interpret it any way. And I remember reading it at like 10:00 at
night cuz he's reading myself to sleep. And I woke up with crushing chest pain. And I'm like, "This relationship is
killing me. This is so important." When you're with someone, the issue is really not do they have ADD or not. It's do
they fit or not? And are they willing to get help or not? Like if you date one of my kids for more than 6 months, I'm
scanning you. It's just like you're not in my mind. You're not even dating until I see your brain. That's amazing.
Because if you have ADD or you played football and you have concussions, I want you to be serious
about taking care of it. Yeah. So, so wait, they come over to dinner, you press a button, the wall opens up,
there's like this surgical I send them to the clinic. I thought you might have an undercover clinic, like a batcave in
your house, and like you just, you know, that sort of like the movie Meet the Parents. Exactly. Exactly. Exactly.
That's brilliant. I I've heard a lot of people say to me, and I love your example that you just gave about the
rapper, because I think I've I've had friends who've gone through that where they're like, "I believe you love me,
but I just feel like you don't care because you aren't on time because you don't do the dishes." But then you do it
sometimes. You do it when it suits you or you do it for your friends, but not me because they have more dopamine,
right? So, yeah. Talk to me about that because like you could see your you your partner who's like able to organize
dinner for your friends but then when it comes to you they can't set a date. In a way it almost sounds like they're
pushing on a wound. And one of the things I learned and I actually learned it from Tana. She grew
up in a crazy home. So her ace scor you know the ace adverse childhood experiences. So on a scale of 0 to 10,
how many bad things happened to you as a kid? And if you have four or more, it's like physical, emotional, sexual abuse,
neglect, watching your mother being abused, being raised with someone who goes to jail, has a mental illness and
addiction. So if you have four or more, you have an increased risk of seven of the 10 top 10 leading causes of death.
If you have six or more, you die 20 years earlier. Tana is an eight. And we adopted both of our nieces who were
nines. And when you see untreated ADD, you see it throughout both of their families, right? Untreated ADD can go
with trauma. And her earliest memory or one of them is her mom and grandmother falling to the floor
because her uncle was murdered in a drug deal gone wrong. And so it was because her other uncle was involved in the drug
deal. So anyways, he goes to jail, gets clean, and she goes to a seminar. She had thyroid cancer in her 20s. So
chronic stress from untreated ADD and childhood trauma increases your cancer risk. So she gets
cancer when she's 25. She goes to Hawaii. He's teaching a seminar for Jack Canfield.
And he asks her, "How much responsibility do you want for your station in life right now?" And she
goes, "I have cancer. It's not my fault." He goes, "I didn't ask you about fault. I asked you about responsibility,
which is just your ability to respond to the situation. And in that moment, she got clarity.
It's like, I want 100% responsibility. And often when I'm with Tana, if we're fussing, which is very rare for us, I'm
like, "What can I do to make this better?" Because as soon as I go, you're not doing this and you're not doing
that. I think it's touching on a wound I have. But I want to be powerful. And being powerful is so what can I do
to make this better? Cuz I know and I ask all my patients this. I'm like like they're fighting with their wife and I'm
like or their mom. I'm like so what do you do to make your mom crazy? They're like what? because they, you know, they
expect me to just listen and buy in to the And I'm like, "So, what do you do to make your mom crazy?" Or,
"What do you do that makes your wife yell at you?" And I do that purposefully because the next question is, "What do
you do to make your mom smile?" M and I know if I become condescending, if I become critical, if I notice what's
wrong, I'm not going to get back what I want. And I collect penguins. Did I ever tell
you why I collect penguins? No. It's crazy, actually. It's good to know. I have like a thousand of them. And I live
my life with why I collect penguins. So, I adopted three of my kids. My oldest was hard for me. argumentative,
oppositional. So, he has the overfocused ADD, like classic. And I was in training at the time to be a child psychiatrist.
And I went to my mentor and I'm like, I am not having any fun as a dad. So, he was the first child I had. And she goes,
"You need to spend more time with him." And so, I took him to a place called Sea Life Park, which is in uh Hawaii. um
like SeaWorld or Marine World Northern California and we had a great day. I took him to the whale show and that was
fun and the dolphins and the sea lions and at the end of the day grabs my shirt and he goes, "I want to see Fat Freddy
and I'm like, "Who's Fat Freddy?" He's like, "It's Penguin, Dad. Don't you know anything?" And that was our, you know,
interactions. And so at the end of the day, went to the last show, the Fat Freddy show. Um, he's a tiny, humbled
penguin, chubby, Freddy, and he comes out onto the stage, climbs the ladder to a high dive, goes to the end of the
board, bounces, and jumps in the water. And I'm like, whoa. And he gets out, bowls with his nose, counts with his
flipper, jumps through a hoop of fire. And I'm just mesmerized by this little bird. And then at the end of the show,
the trainer asked Freddy to go get something and he went and got it and brought it right back. And in my mind, I
went, "Damn, I asked this kid to get something for me. He wants to have a discussion for like 20 minutes and then
he doesn't want to do it." I knew my son was smarter than the penguin. So, I went up to the trainer and I said, "How'd you
get Freddy to do all these really cool things?" And she said, "Unlike parents." She looked at my son and then looked at
me. Unlike parents, whenever Freddy does anything like what I want him to do, I notice him. I give him a hug and I give
him a fish. And even though my son didn't like raw fish, would have totally worked with my daughter Chloe. She loved
sushi from the time she was 6 months old. I realized that whenever he did what I
wanted him to do, I didn't pay any attention to him at all cuz I was busy. But when he didn't do what I wanted him
to do, I gave him a ton of attention because I didn't want to raise bad kids. So I was inadvertently teaching him to
be bad in order to get my attention. So I collect penguins as a way to remind myself,
notice what you like more than what you don't. Notice what you like more than what you don't. And so if you're only
noticing what you don't like, well, if you're with a partner who has ADD, that's the story of their life that
people have noticed what they haven't liked. If you love someone, and I love my kids that have ADD or I love my wife,
notice what you like. It feeds. So good. Yeah, that's so good. What a great story and what a what a great lesson. And I
mean that resonates so strongly and and it's so different to positive thinking because I think people think, well, that
means I'm just letting them get away with all the bad stuff. And it's like, no, it's just you're also making really
clear that I notice, I validate, I acknowledge all this amazing behavior because the truth is what we're more
often than not doing is we're keeping a scorecard, but it's of all their mistakes and all of our wins. So
whenever we do do the dishes, we get a point. When that person doesn't do the dishes, they lose a point. As opposed to
if we are going to keep score, we've got to really take account of all the amazing things that person does and be
open to the fact that we also make mistakes cuz I think it's really easy to think like I was giving that example to
you that I've always been a stickler for time. But at one point I had to ask myself, why am I making time the most
important currency? because that's also my obsession. Time is not always the most important thing. Like it is
sometimes if I'm presenting at an event, if I'm going to be on stage, if I've got to meet a guest for a podcast, a client,
time is of utmost importance. But when me and my wife are just going out to a friend's event that is a bit more
casual, people are going to show up between 7:00 and 8:00 p.m. and I'm the guy trying to be there at 6:59 and I'm
putting so much pressure on both of us. It's almost like it didn't really matter whether we turned up at 7 or 7:15 or
7:30 and I also had to give that up, right? So, it's also like an acceptance that it's not like I'm perfect and that
person's the one who's the wrong one all the time. And what has eternal value? Yeah. And you never want to have to win
an argument. If you have to win an argument, it's because you have low self-esteem. It's why do I have to beat
my partner who I love who you know when something good happens I call her or something bad happens I call her. I need
to nurture that and the winning comes from a low self-esteem place or it comes from an earlier gladiator place that
just has no business. I want Tana to win. If I have to win, then there's a deficit somewhere in me. Yeah. And I
always say to people, if you're fighting with your partner and you win, it means they lose. And because you're on the
same team, that means you both just lost. And if you lost and they won, you're on the same team, you both just
lost. So you either win together or you lose together because you're on the same team. So there is no win-lose scenario
because you go to sleep with that person, you wake up next to that person, you have dinner and breakfast and lunch
with that person. If you just won, you lost because you're sharing all the other time of the day with them. The I
want to flip it to the other side. What about someone who has ADHD and they're dating someone who doesn't? What advice
would you give them to help? Because they might be being really harsh on themselves. they might feel
misunderstood. What What would you say to them? Well, I think communication's probably
the most important thing. It's make sure you develop rituals of time. So, because often people get so busy and they're
behind that they don't make time. And I think bonding requires two things. time and a
willingness to listen. And often the other person who doesn't have ADD feels like they're not being heard because the
ADD person forgets things and it's like, "No, I have to say this and the other person feels diminished." And so having
both people practice active listening, it's so magical when they say something, don't say anything or repeat back what
you hear and then be quiet. Too often people just use too many words. And if you can practice uh silence
and giving when someone says something, give it space. though if they want to say more they
will as opposed to jumping in too quickly. Communication is so important and get dopamine from going what do you
need? How can I help? And often with ADD because of the chaos that's in your head, you might not know. What would you
say to someone who has a parent with ADHD and they're struggling with and you know
they're an adult, they have a parent who's got ADHD, they may be caring for them, embarrassed a lot, right? Cuz you
go to the restaurant and the person will just say the first thing that comes to their mind, which can be horrifying. My
oldest patient with ADD is 94. And I'm like, why are you in my office? and she goes, "You helped my great grandson. You
helped my granddaughter. You helped my son. I've never been able to finish the paper in the morning. I want to finish
the paper." So that was our goal. And so I scanned her. She clearly had ADHD. And age doesn't make it better. I think
that's important point. Age doesn't make it better. and I treated her and she came back a month later and she had this
beautiful smile and she said, "I read my first book." That's amazing. And I would just be encouraging and go, "We've
learned so much about this. It's not a childhood disorder. It starts in childhood, but it can impact the rest of
your life." How should people talk to their bosses or their teachers? if parents are talking to teachers about
having ADHD because I imagine that's a tough conversation in the workplace where your performance is being judged,
your outputs being judged, your productivity is being measured. How how do you have that conversation in an
effective way? So I think I'm not sure I would have that conversation because it might make them look at you differently.
Sad that there's still that there is still that. Now, if you need accommodation, so it is federal law. If
you have a disability and ADHD is considered a disability under federal law, your employer can give you
accommodations, is required to give you accommodations. I think my first suggestion is see if you can get it
treated without just so you don't really have to have the conversation and have to have them look at you differently.
But if you need it in order to keep that job, I'd absolutely talk about that. You'll need to get your doctor to write
a note and request those accommodations. Happens all the time in colleges. All major colleges have disability resource
centers. Great. Uh one of my nieces is at UCLA. She gets extra time on tests. She gets notes. Uh she gets a lot of
help, which is rational. That's great. And so that's so helpful. Uh, does ADHD ever go away or is it only man? Great
question. In about half the cases, the kids who had ADHD, so the hyperactive form
were not in their later teens. I often worry they've outgrown the hyperactivity, but not the short
attention span and impulsivity. But sometimes it's a maturational lag in uh brain development and you can encourage
it to go away or you can discourage it to go away. So you can encourage it to go away if there's regular exercise, if
you teach kids not to believe every stupid thing they think. If you support them with omega-3 fatty acids and a
healthy diet and you don't just give them devices they want, right? If you want to discourage it, so if you want
them to to make sure they have the ADD as they age, then feed them bad food, give them all the devices they want, let
them watch endless hours of TV, and play video games. Yeah, that's a great great summary to help people set them up for
what to do before medication. And what are some of the long-term effects of leaving ADHD untreated? It's so sad
because it's basically the big issues in our society from school failure, drug abuse, uh divorce, bankruptcy,
incarceration, homelessness. And if we looked more at the brain, we'd go, we can do a lot better. Yeah. And I
think that's what the real hope is, that the world can start to take it seriously and take brain health seriously. Right?
If you had a hope for how we would shift the way we looked at ADHD and the brain, what what would that be? So, I have big
ideas. When I went to the White House, my friend there said, "How big can you think?" The first thing I would do is
rename the National Institute of Mental Health to the National Institute of Brain and Mental Health. Get the brain
involved. Like, stop calling people mental. It shames people. It's stigmatizing. It's wrong. I declare the
next 10 years, the decade of brain health. And get really serious about what goes into children's minds. It
needs to be curated to be appropriate and to be helpful. Who else's brain have you not scanned that you'd love to scan?
Um, the president's. I wrote an op-ed piece in the LA Times in 2008 on scanning presidential candidates. You
know, if someone has the nuclear codes, don't we at least want to know about the health of their brain? Like the last
election, I would have loved to scan both President Biden and now President Trump. What would you expect to see in
both of this from your perception? I think with President Biden, there were clear cognitive issues. Well, I don't
think I'd see a healthy brain. President Trump, I'm much more curious. Now, I know I get a lot of hate for this, but
I'm very interested in resilience for someone who was the most popular person or one of them in the world before he
ran for president, right? The apprentice had gone for 14 seasons and and he was beloved by so many people and then he
was demonized and then he was falsely accused. He was impeached. He was attempted assassination,
indictments, convictions, and it's like how do you show up every day? Right. You and I off the podcast
were talking about worldwide shame and how some people just causes them to disappear. Well, he didn't disappear and
you know he's still fighting every day. So, I'm really interested. I'm not sure I've seen a brain quite like what about
Elon Musk or that Elon Musk would be interesting. I've scanned many highprofile
geniuses. Uh I got to scan Muhammad Ali which at what point on his journey was that later. And so you could clearly see
the damage. I have lots of really fascinating scans. Dr. Don, I've got a few more questions that I want to leave
people with to summarize some of our conversation today to really leave them feeling energized,
positive, hopeful about their journey with ADHD, whether they have it individually or they have it through
someone that they love in their life. And the first question is for those who do have ADHD, what are some great hacks
for someone struggling with ADHD to be more organized, to be better? What would you suggest for them? What what can they
do? So, the first thing when you get up, try to do some form of exercise because that will help turn your brain on. Why
does that why does exercise help turn the brain on because it increases serotonin but also increases dopamine
and it increases blood flow to your prefrontal cortex. For those people who live in colder climates, get a light
box. A light box with 10,000 lux. So that's the intensity has been found not only to help seasonal depression, it
helps with focus, memory, energy, and it will help promote sleep. Make sleep a priority. Too often when you have ADHD,
you're more awake at night. You know, our society, we have bias against night owls. So, morning larks, our society's
geared to praise them and often find a job that fits your circadian rhythm, but sleep is a priority. And if you snore,
get checked for sleep apnnea. So kids who snore, sleep apnoa may be the cause of their ADHD that is treatable. And
what's the most important thing that someone with ADHD needs to hear? You are not stuck with the brain you have. You
can make it better. Think of it like glasses, right? people. You remember I told you about Sandy and showing her her
scans and she starts to cry and I'm like having ADD is like people need glasses. They're not dumb, crazy, or stupid.
Their eyeballs are shaped funny. We wear glasses to focus. People have ADD are not dumb, crazy, or stupid. Their
frontal loes just don't turn on when they need to. And the medicine or supplements or neuro feedback helps turn
it on. So you can focus and be who you really are when your brain works right. People go, "I don't want to take
medicine because I don't want to be someone different." It's like, "But don't you want to be who you are when
your brain is fully functioning? I want to be who I am when my brain is fully online." As always, Dr. Don Layman, I
appreciate our conversation so much. which I get. I feel like whenever I'm with you, I learn to see everything so
differently and deeply and as a 360°ree view. I think we're so used to in our society to see one aspect of something
or have a very limited understanding of the different issues that we see. And whenever I speak to you, I feel like, oh
wow, I have the much more broader contextual view of it. And I want everyone at home who's listening or
watching, whether you're on a walk, whether you're at the gym, uh Dr. Damon has one of his books which is called
Healing ADD the breakthrough program that allows you to see and heal the seven types of ADD that we discussed in
today's episode. So I highly recommend the book if you don't already have it. And of course if you don't follow Dr.
Denny Layman on all forms of social media, Tik Tok, Instagram, the podcast as I mentioned earlier, make sure you do
subscribe. And Dr. Denny Layman, we are so happy that you came on for a fifth time. If you haven't seen the episodes
before, make sure you go back and listen and watch. You can search Dr. Daniel Aman and J Shetty or Dr. Daniel on
purpose. And any last words, Dr. Nayan? Anything you wanted to share that I didn't ask you about or anything that is
on your mind or heart right now? I'm just so grateful for you. You know, I love the idea that we can train our
brains that focus on what you want way more than what you don't want. Yeah, I love that. Thank you. If you love this
episode, you'll enjoy my interview with Dr. Daniel Aemon on how to change your life by changing your brain. If we want
a healthy mind, it actually starts with a healthy brain. You know, I've had the blessing or the curse to scan over a
thousand convicted felons and over a hundred murderers and their brains are very damaged.
Heads up!
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