The Psychiatrist Who Discovered RSD: "RSD Dies When You Do THIS!" | Dr. William (Bill) Dodson

35:13If my parents had only done something back when I was eight. And so there's a real mourning of that. Usually it lasts six to eight weeks, something like that. It's a reactive grieving. And then most people flip fairly suddenly, and again, people accuse them of being bipolar, to where they say, you know, I regret my life to this point, and henceforth I'm going to lead a life without regret. I'm going to do everything I want. I'm times of wasting. I'm going to lead the fullest life imaginable. And so with treatment, you get rid of having to contend with RSV. It frees people up tremendously to do what they always wanted to do.

36:09Now, most people, I'd say three out of four people, really don't know what they desire. They have no idea. they're forth to do. And so for those folks, I flip it around and ask them, what do you regret? I'm having to do a guided affective imagery. Imagine yourself, you're 85 years old, sitting on the front porch in a rocking chair with a lifelong friend. And he starts the following sentence. You know, knowing all that I know now at the end of my life, if I were to have led my life without a single regret, I wish back in 2025 I had an answer to the sentence. Most people don't know what they want, but everybody knows what they regret.

37:03And usually is not something that they read that they did, is what they didn't do. So when the opportunity was there, they had passed by. And that's designed to help people make that 180 degree turn and get in touch with themselves. What do you think some of the biggest regrets are amongst the ADHD slash RSD community if they were to have that conversation? My sincerest apologies for interrupting your hyperfocus. But a quick word from our sponsor. Like many in the new year, we want to turn over a new leaf looking to be more productive, more organized and never late. Well, Timo app is here to help.

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38:23Give it a go and use the link in my bio for 30 % off. Just a note, though, this code is only applicable on the web browser, not the smartphone. Back to the episode. Probably the biggest one, and the one that's hardest to talk about, is that they never feel truly loved, just as they are. They never feel truly chosen. If they're married or something like that, they feel that their partner chose the mask because they never showed them the genuine person underneath. And so it means that they have to go back now that they have accepted themselves as having a second type of nervous system and dealing with all that that means.

39:11I mean, we are a nervous system. Neurology is destiny. They have to go back and reevaluate everything and re-understand their own lives with that important piece of information. and so that's probably the biggest thing is they're not sure if they've ever been loved now they might have been but they know that what the person saw was not truly them I think that's probably the biggest it certainly sounds like it and it's heartbreaking it's totally heartbreaking and it's one of the impairments of ADHD that nobody talks about or issued nobody in science medicine you know book writers and stuff like that you know they're sticking to the things that they can see and research and stuff like that and not the stuff that's really important to people i'm not it's not important to people's lives many people having that conversation when they are 85 with a lifelong friend bill i'm sure many will have conversations saying similar of, I was called too sensitive throughout my life.

40:27And I'm sure lots of the audience have been called that. Why do you think being too sensitive is seen as a negative thing? Well, start with the flip. Think back to high school. Who are the popular people in high school? They weren't the smartest. Often they weren't the prettiest. They weren't the most accomplished. It was the kid who was confident. He seemed like he or she looked like they knew all the answers to life problems, which, of course, in high school, nobody feels that way. But it's so attractive to find somebody. It gives them hope. Now, if you're around them, maybe you'll rub off one knee.

41:10Again, it's that self-possessed confidence. So the flip side of being just totally knocked off your feet, helpless, not being able to even crawl out of it, being thought of as childish, immature, deficit, fractured, is the exact opposite. People avoid that. I mean, why do third graders have no friends? One reason. because of their emotional explosions. Nobody, no other kid wants to be around that. They can put up with the impulsivity, blurting things out, not being able to assist. They can put up with that. If the emotional flooding that hits kids with ADHD, it ends up having them ostracized. Consequently, whenever I have a parent that said, oh, I don't want to put my kid on medication.

42:14I said, look, your kid is already suffering. You just haven't talked to him about it. You didn't know to ask. Now, one of your partners has ADHD. Past of his genetic, at least one parent has ADHD. Go and talk to them about what it was really like growing up. And then come back and tell me that you don't want to give your kids some protection from that.

42:45People say, oh, I don't want my kid labeled. This kid is already labeled. That's that ADHD kid, that kid who's out of control, that kid who's obnoxious and disruptive, he's already labeled. Help him with holding treatment or holding recognition of what's going on and withholding your educated help is what's damaging you. There's nothing more damaging in the end than being given a lifetime problem that nobody's taught you how to handle and somebody leaves you alone with it. That's where damage occurs. That's where despair occurs. At that young age, or any age with RSD, do you notice a difference in how it presents throughout the two sexes?

43:36If there is a difference, one is guys, what do I talk about? But if they internalize it, they see it as a failure of masculinity. What they can tell you about is when they externalize it, and males tend to externalize much more than internalize the way women do. And basically they get slammed, no one at all, in a white rage at the person or situation that wounded them so severely. They're loosely associated with a business where the courts mandated people for anger management treatment, from domestic violence, from road rage, that sort of thing. I just asked them, do a screening checklist for adult ADHD.

44:31And 50%, or almost exactly 50%, had previously unrecognized ADHD and RSD. I mean, that's the impact it's having. 50 % of domestic violence, 50 % of road rage, could have been prevented with proper recognition and proper treatment. So these things have their fingers everywhere in life. Now, nothing remains unchecked. So again, it's the domestic couple where one of them, when they perceive disapproval in the other person's face, just either collapse or explode. And it passes. They're humiliated by it. They apologize for it. I'll never let that happen again. And of course, the first time they imagine they see disapproval in their older face, bam, it happens again because they don't have control of it.

45:29it's not a matter of willpower and other and the other thing is people don't see it coming they can't prepare for it they can't pull together all the things that they've learned to deal with strong emotions boom they're overwhelmed they're done for how long do you think an episode of rsd lasts within a person from that point of unpredictable trigger explosive rage sadness from that point how long do you think it takes until they're completely over it? It's a really lucky 20 minutes is what I hear from my patient. More typical is a couple of hours, and usually what the person does is if they can, they find solitude somewhere.

46:11I have people just go into the broom closet just to get out of people's sight and let it run its course. For some people, it lasts until they go to sleep and they wake up the next morning and it's gone. some people are the last in the next day I have had people that never came out I had one woman who was rejected on the day that she thought she was going to be married and when I saw her two years later she was still in an RSD episode I mean she had just suffered agony for two years because I mean it's funny since where she it had a clear onset. It's not something gradual over time. Bam! It hits.

46:59And with her, every time she'd think of what happened, she was back there. Again, it's almost like a flashback in PTSD. In fact, when it happened, I personally saw something outside. I can't tell the difference. But again, you have to talk to the person. I don't know what's going on but you do. Tell me, you know, take that instant and expand it and tell me exactly how it happened. And that's usually very clear. Well, so I spread, I thought of him, I thought of what happened, and just boom, it hit me and the pain was just as fresh as it was two years ago. Can RSD be comparable to PTSD? can the effect of those 20 ,000 horrible extra comments in your early years, can they compound and to create a similar effect to PTSD?

48:01Absolutely. Again, just a real splitting of hairs. In my experience, thousands of traumas through your life don't cause ADHD. They make it much worse. Again, the two of them together are just dreadful. But again, when you get nothing but that type of feedback, and it hurts, I mean, it'll hurt anybody, but it really hurts you if you have rejection sensitivity.

48:41Damage, it can't help but change the person, how they view themselves. and yeah so this multiple death of a thousand cuts type of thing makes it much worse and people become vigilant for the possibility that somebody is going to hurt them and so they tend to over interpret over respond very benign statements very constructive criticism as being devastating. Now, your boss asks, you know, can I talk to you in private? And you don't know the context or anything like that. Everybody with ADHD says, I'm in deep trouble. I have no idea why. When I'm in deep trouble, he's telling me he's firing me. He's, again, casting me out.

49:34And so, you know, it's unpleasant to go through that. But people with ADHD go through it in their head dozens and dozens and dozens of times. It sounds totally exhausting. And I imagine, do you think RSD plays a big part in the breakdown of romantic relationships? And if so, what might be a good remedy if there is one for managing RSD as a romantic couple?

50:02One, nobody likes walking on themselves constantly.

50:09because the response is to me, you wounded me with what you said. It comes back to them as an accusation of your bad. That's not good for any healthy relationship. That means that the other partner all of a sudden has to wear a mask. They can't be authentic. They have to be checking every word, every tone of voice, and yeah, it loses all the spontaneity, all the gentleness and again, especially if that person either one of them has not been told what the hell's going on. All of those, you know, this is my crazy ex-girlfriend type of thing. So yeah it's disruptive and amazingly it's also disruptive between the ADHD parent and their children You know, all they've seen in terms of parenting is what happened to them.

51:10And so they respond to their kids in exactly the same way and then hate themselves for it later. So in an ideal world, a parent would get the diagnosis, but beyond diagnosis, find out what it really means. It's our diagnostic criteria. It doesn't tell you anything about what it's like to live that way. Learn all the implications for their own lives. Get on some medication that helps the majority of people turn what I call emotional armor. And you still see all the potential rejections and things like that going on that went on last week. But now they bounce off without wounding you. And that's a tremendous way for me.

52:02So then they can turn around and be the parent to their child that they wish they had when they were growing up. It stops that generational pattern of destruction. this is really interesting bill i want to talk about the medication that can potentially help rsd in a little bit you said adhd you're born with it you die with it is rsd potentially though a concoction of adhd and some form of ptsd that comes from all of those criticisms As I turned over forward, I think it's both.

52:43That group of conditions in mental health that come from what happens to you, not how you're genetically predisposed, none of those things respond to medication. They've never found a single medication that makes PTSD better. Not a one. ASARC, believe me, ASARC. The military has been probably foremost in that because they have the most traumatized people. And basically we have nothing. One thing we know is giving benzodiazepines makes it worse. A lot of things will make it worse. Now what works for PTSD is trauma-informed psychotherapy. or somebody really gets what it's like to have had multiple repetitive traumas when you're a defenseless top, especially.

53:38In an ideal world, that trauma-informed therapist would also be ADHD-informed as well because people, I think the prevalence of PTSD in the general population is 6%, something like that. In people with ADHD, depending on what study you read, somewhere between 50 % and 70%. And for women, very commonly, it's intimate partner violence that is so damaging. And going back to what effect does this have on a couple? So it's having to help somebody that really understands you, accepts you just as you are so you can take off that mask, relax, be yourself. That luxury, that is, for a lifetime of being on guard.

54:38And so the other things that help PTSD in particular are some of the somatic therapies. EMDR is particularly good. so again it's not medication that helps that now medication has a profound benefit for the majority not every but the majority of people with adhd so to me it's two this two ingredients which is brood that people with adhd have to deal with without an instruction book Is there a medication that can help with RSD specifically? Yes.

55:21I stumbled onto it. And there's a second group of medications besides the stimulants. In fact, they're called the non-stimulants. They really don't have a name to most people. The medical name is Alpha-2A agonists. Again, a real tongue twister. ADHD seems to attract them. But in the United States and in the United Kingdom, these medications are approved by our government regulatory agencies for the treatment of ADHD. So, I mean, they're well-known. They came on the market as blood pressure medications of the 1960s. So we've got 65 years' worth of experience with these medications, And nothing new is going to come up and bite us at this late date.

56:13They're extremely safe, well-tolerated, and butt pressure medications. They've been replaced because things have come along. And so now, almost exclusively, they're used for the treatment of children and adults with ADHD. And what they do is they address the hyperactive, impulsive components of ADHD. The stimulants handle performance. They're really good for distractibility. Not so good for impulsivity, not so good for hyperactivity. And for that, we add in the alpha agonist. Again, when I'm thinking about using an alpha agonist, I ask four questions. I'm big on questions. You know, first thing I ask is the definition of RSD.

57:06And that's plain. But I continue, I ask what you sleep like. About 75 % to 80 % of people say, Don, I'm a night owl. When the sun goes down and it never gets fully dark, everybody's getting ready for bed, I get a burst of energy. And it's the best time of the day. My mood's best. My energy's best. My attention's best. And everybody else is gone, so I'm not being distracted. I can do what I want. And I know that if I get into bed at a reasonable hour, I can't turn my brain and body off to go to sleep. I turn my mind, jumps from one thing to another. I replay all of the humiliations of my life in Technicolor.

57:45And that goes on until somewhere between two and four in the morning, when they finally do go to sleep and when they try to wake up in the morning, it's out of the sleep of the dead. It's really hard for people with ADHD to wake up before you learn and engage with things until about noon. So the technical term for that is chronic delayed sleep-based syndrome. Anything that takes a whole breath to say is usually a fairly simple concept. And that is people with ADHD want to sleep a nice normal hour sleep phase is they want to do it from 4 a.m. until noon. Trouble is, there are very few school jobs or relationships that tolerate that.

58:26And again, the paradoxical thing is it goes away when you treat the ADHD. And it also prevents people from going to other things to treat their insomnia, marijuana, alcohol, barbiturates, that sort of thing. A third question I ask is look at how you think. How many simultaneous but completely separate thoughts do you have going on in your head at any one time? Most people go, oh, at least a dozen. I've never heard anything less than three. And, again, it's not that they're jumping one thing to another. They have three things they're thinking about at the same time. Again, it's like being in a room and having, you know, three to five people talking to you on different subjects at the same time, demanding that you listen to them and respond.

59:20It's maddening. Now, the alpha agonists, when they work, reduce that to one thought, and it's the thought that you want. The last question I ask is, can you remember a period of time, any time in your life, longer than about five minutes, and not drug and deez, back in your wild and willy youth, in which you have been both mentally and physically at peace? Now, peace is not a very scientific word, but it's the right one. Most people say, no, my brain is always dull. It never lets up. Some people do report that when they're alone in nature, then their mind shuts down. At one thought at a time, they are peaceful.

1:00:09Otherwise, peace is a fairly rare experience for most people with ADHD. So those four things get much better. I'm sure of it with the alpha agonists. The problem with the alpha agonists is that most docs, even in mental health, don't even know they're there, much less how to use them. Second thing is that the individual response rate to any one of those medications is, disappointingly low, at about 30%. So if you took 100 people, you started them on whichever alpha agonist I was so unlucky with that day, 30 % of people would have a life-changing experience. But 70%, the majority, would go, what was that?

1:00:59At that point, you stop the first one, you try the other one, and there's another different 30 % of people who will get that, oh, wow, where have you been all in life? This is life. I get more benefit out of this than I do the stimulant. Unfortunately, that's still at least 40 % who try most medications sequentially and unfortunately don't get much benefit. If a person is really, really impaired by their rejection sensitivity, I mean, they're not getting home with their life. I will try the old medications from back in the 60s, the monamine oxidase inhibitors. They work great. In fact, they work better than the alpha agonists.

1:01:42They're just a royal pain to use. And you have to be as old as I am to have ever been trained on them. But they're still the very best antidepressants, very best anti-anxiety medications that have ever come on the market. It's just their pain. They're difficult. Why are they difficult? Two reasons. One is that originally foods that were aged rather than cooked had an amino acid called teramine that came from the aging process that usually the body destroys as soon as it absorbs you in the gut and it's destroyed by an enzyme called non-amine oxidase. Well, as you inhibit that enzyme, it gets in.

1:02:32First thing the body does with it is turns it into adrenaline. All of a sudden, you have these huge blood pressure spikes. And several people in Europe, the reason why just in Europe, had strokes and died. Scared the bejesus out of people because they didn't know why it was happening. Now we know that it's TR-maine and that if a person eats a balanced diet, they don't excessively eat really expensive teas or something like that, they don't have to make a difference and change in their diet perfectly. The other one is that the MAOIs are fairly strongly served in an orchid. They really boost the serotonin side.

1:03:19That's part of why they work so well as antidepressants. But if you add that in on other drugs that are really boosting serotonin, such as the SSRIs, SNRIs, dextromethorphrine, which is the most common cause. There's a list. You risk getting into what's called serotonin syndrome, where basically your muscles just lock up. They're stiff as bored, disorienting, sweating, blood pressure bounces all over the place. And again, there have been deaths reported. Well, usually when you tell people there have been deaths reported, that's the end of it. They go, I don't want this. But when you use them, most of that 40%, it's an even better response.

1:04:08So ultimately, you can get close to everybody having some sort of relief from RSD. The group of medications that really then become a problem is you can't take any of the stimulants with it. But luckily, one of them, a drug called tranylcypramine, is only one atom different from amphetamine. And it works very well to the treatment of ADHD. In fact, there's a study way back by Yanni Malenzomethin, who was a really big name back when I was in my residency, where he looked at motamine oxidation inhibitors versus amphetamine and found that they worked equally well. So, again, you have to find somebody who's really deep into treating ADHD well.

1:05:00And I can name those people on the fingers of one hand. I want to expand on something fascinating you said earlier, Bill. You said that RSD can cause people to avoid other people or avoid putting themselves forward because of that fear of criticism. And the expansion is, can that avoidance associated with RSD, can that cause things like agoraphobia or OCD? It can be missed for that. Not so much OCD, but certainly agoraphobia and especially social anxiety disorder. Social anxiety disorder is an intense anticipatory.

1:05:47So much for turning off my phone.

1:05:56Virtual anxiety disorder is an intense anticipatory fear for the event that I'm either going to say or do something that's going to humiliate me in front of other people. And even if I perform perfectly, everybody's going to be scrutinizing me, just waiting for me to make a mistake, and then they'll jump me. Now, when they get into the situation, most of that anxiety goes away. It's always before the event. So you can see how that fear of rejection, fear of humiliation, et cetera, could be mistaken for RSD. The difference is that RSD is triggered. So that's the event, and everything comes afterwards.

1:06:42So they look like the timing is totally different. And that's a very fine point, but it's how you tell the difference because they each have different treatments. Interestingly enough, the very best treatment for social anxiety disorder is back to the MAOIs. They just take it away 95 % of the time. But again, most docs, younger than me, have never, ever prescribed it, never been trained on it. They're afraid of it. I mean, they have these irrational fears. You have to find an old codger like me who has experience with it. The other place is, you know, if you have a DSM or just get online, look under the Axis II personality disorders and find avoidant personality disorder.

1:07:34And you will see an exact description of ADHD. So, again, it gets mistaken as personality disorder. as it has been forever and before medications if someone isn't quite able to get those do you have any tools to stop rsd or at least perhaps mitigate the reaction or overreaction that might come with that overwhelming sense and feeling of rejection absolutely just generally speaking the therapeutic response to RSD is prevention, prevention, and more prevention. Because once it's happening, you're dying. You just have to wait for it to run this course. So if you're running on 10 out of 10 all the time, that's going to be exhausting, debilitating.

1:08:30Learn to lead to life in balance. Take good care of yourself. And part of that, of course, is getting adequate sleep. Everything. is better when you've had a good night's sleep. Also, take time away. When you're feeling stressed, leave it with somebody else. Get back to yourself. Get relaxed before you go back in. It's basically just leading the life in balance. No excesses and things like that. No self-medication. One of the drug misuse by people with ADHD is their attempt to medicate ADHD on their own, especially the hyperactive component. This is a digression. If you ask somebody who has a substance use disorder, what do you like about your substance?

1:09:26When you use it, what are you sure it's going to do for you? Now, people who are just not ADHD, just addicted to drugs, are after the high. You know, I get high. My buddies feel great. We go out and get around here. We're having a great time. And that person's not what we're talking about. People with ADHD will tell you, well, I blew a bowl of dope so I can slow down my brain to study. so I can slow down my brain and body to fall asleep. They're using it for adaptive purposes. They're using it to lead life better and in more balance by subduing the impulsive hyperactive component of ADHD, which is yet a whole other presentation.

1:10:20But anyway, take good care of yourself. Don't get pushed to the edge. Don't try so hard. I have a magnet on my refrigerator that has Mount Everest on it. And so remember that all the corpses on Mount Everest were once a highly motivated person. So it made me think about calming down a little bit. It's incredible advice. So that was really interesting, Bill, about the non-ADHD addict chasing the high and the ADHD person perhaps chasing the low. I've spoken to many alcoholics who have ADHD, and alcohol is the only thing that quietens the mind. They're not drinking to go out and party. They're drinking to turn the volume down.

1:11:06They're treating their ADHD. But again, a distinction. It is always better to treat the cause of a symptom rather than nearly suppress the symptom. And so that's what other medications do, is they suppress what's going on and actually impairing you more than a bit. But the trade-off is worth it to most people. And so that's why, again, going back to the tried and true ADHD medications that treat the cause. And that's why you don't develop tolerance to them. They're treating the cause of ADHD. They're not pushing your nervous system in any direction. it's a return to door best functioning it's not an artificial state so again just a digression because that's an important distinction bill this has been absolutely insightful and truly surreal i mentioned at the beginning and people know you coined the phrase rsd and i'm genuinely curious at that point in time were you toying with any any other acronyms like what else could you have Perhaps called it.

1:12:16Believe me, if I had known just how tongue-twisting the name was going to be, I would have searched for something else, anything else. I did try other things.

1:12:32And I had the term reactive in the name.

1:12:39I would have used the word dysphoria, but again most people don't know the meaning of that I mean the guys back way back when who were doing the treatment resistant depression order wanted to emphasize just how bad this was. It was not normal suffering it was not normal depression or anxiety. It was unbearable so they wanted to put it right up there in the name and they did in Greek he got all those guys in harvard yeah they wanted people to know that that was the real feature that mattered was the intensity either normal emotions that most people have felt at some time it's just the sudden overwhelming intensity of them it certainly is incredibly intense and i'm i've no doubt bill that this conversation is going to help so many people who will be watching or feel less alone and less crazy because and i don't use that word lightly sadly i've spoken to lots of people and that's what they have been called for many years sometimes even by their doctors which is truly heartbreaking um and missed diagnosis because they don't even think of it and we were named the book we're working on it was diagnosis treatment of adhd drop diagnosis diagnosis and nonsense to begin with, is now the recognition and treatment of ADHD.

1:14:11Because that's the problem, is that for most clinicians, and even most people, ADHD is just not on the radar screen. They don't know anything about it. They've heard them a time, but they don't say, well, that's me. It's just a neighborhood, you know, anything other than the name and the fact that it's usually mentioned in a derogatory fashion. So, you know, sorry to interrupt you. No, not at all. I was going to move on, Bill, just finally to the audience questions. We have a section at the end of the show called The Washing Machine of Woes, where a member of the audience, it's called The Washing Machine of Woes because typically we do an ADHD item section.

1:14:47And my ADHD item, something that represents ADHD for me, is a washing machine because it perfectly summarizes my issues with memory because I always leave my clothes in the machine after the cycle finishes. But I digress. This week, Bill, someone has written in, and I'll read it from this card. I have a 12-year-old with ADHD. Like any 12-year-old, she is prone to making mistakes. And as an overprotective mother, I'm terrified I'm going to give her RSD with my criticisms when she grows up. How can I avoid this?

1:15:26I always start with some basics, good grounding. And that is, accept the kid you've got.

1:15:41Don't have in your mind something you want to make the child into. It's not going to happen. One of the things that was, again, decided science is that parenting does not produce ADHD. Parenting does not produce emotional dysregulation. Your parenting style, as far as we know, has no effect on the development of RISD. So parents are officially off the hook. I mean, that was one of the big productions of the MTA study back in the late 1990s. So parents, you know, you can make matters worse, but you don't cause ADHD, you don't cause emotional dysregulation. So you basically accept the child the way he or she is.

1:16:32don't try and change them. Let's face it, that's just possible. You're saying, I don't like you, and I'm going to change you to suit me. Something is, be the parent that you wanted. You desperately needed when you were growing up. Rather than criticizing you, when you're overwhelmed and all these ADHD things that you've been suppressing all day come out, when they get home, they're out of school, and let down, and that's when parents see it. Rather than asking, what's wrong with you? How can I help? I see you're a good person, and you're just dealing with more than you can handle right now. How can I help?

1:17:22You're not leaving the kid alone with it. You're not blaming them. You're saying, this can get better. and a parent, I'm going to read about the issue, about what works and what doesn't, and a lot doesn't. All of a sudden, that totally changes the dynamic on the child. You're actually, again, I use this word advisedly, it's therapeutic. Somebody is going to get better, or at least not worse, if you have that type of response. I've always been interested in the people I don't see people with ADHD I have rip-roaring ADHD but seem to be well-adjusted happy had good solid marriages raising good healthy kids I wanted to know what this person knew but I didn't and the one thing that I've heard from everybody is that sometime in their life, usually in the earliest, they have somebody, and it could have been any, blessedly it was a parent or a grandparent, something like that, or it could be a special teacher, a coach, a neighbor, it doesn't matter who it is.

1:18:40Or it was a person who gave a three-part message to the child. First one, I know you. I watched you grow up. and if anybody could have overcome what you're dealing with through hard work and intellect, I know it would have been you saying, you're a good person. I know you. I've known you for a long time, and I know you're throwing through. You're a good, hardworking person. This is not your fault, and it's something you're dealing with almost as if it was outside. life. Second thing is we don't know exactly what we're dealing with.

1:19:31And so we will find out we will master it. Third part. And I want you to know that until we are able to come and master it, I will be with you. We'll go through this together. We'll talk with each other. We'll help each other find out what works and what doesn't until you overcome and master this. It's a message of hope in the future, but most of all, and again, I've hit this several times in our discussion, you don't leave the child alone with an insolvable problem that everybody demands that they solve. That person keeps the child alive. That person acts as the vessel that keeps the memory of them as a good person who tries hard.

1:20:25It is not the bad kid. And even when the kid forgets that, they know this person never forgets. There are still going to be a lot. Even if we don't figure it out, I'm not alone with it. that's what makes the difference and that's why some people with adhd are able to take that and internalize it do it for themselves and go on lead a perfectly good life oh it takes a huge amount of effort don't get me wrong but you know apparently they have never had the need to try medication so that's the parents to me really really really powerful advice bill and i've no doubt life changing for many of the people watching and listening um so truly thank you as i said at the beginning this has been a surreal experience for myself personally i consider you to be one of the the adhd royalties you truly are so on behalf of everyone grappling to understand their brains and from me personally thank you very much oh it's truly my pleasure to be here thank you for inviting me

1:21:46Dr. William (Bill) Dodson:brussels clean up nicely at sweet green maple glazed roasted and edges perfectly caramelized sweet greens fall harvest is back on the menu and the season's most overlooked little green vegetable is dressed to be devoured. You know what to do. Order on the Sweetgreen app.