Hi everyone, So I wanted to make a main thread people could go to, primarily for their concerns about this disorder and it's root causal nature. From my experience, in doing nearly every single action possible and sorting through vast quantities of literature. I've been able to identify certain trends and characteristics that are primal in this disorder. ADHD-PI more than likely is probably a congenital cognitive development delay of the cerebellum, which seems to have some relationship to the reticular activating formation at the base of the brain step. This explains the high rate of co-morbidity of the disorders often, that we are afflicted with. My understanding is that the cerebellum must either had not only a developmental delay, also an abnormal development which causes impulses to not be down regulated. The reticular activating formation is responsible for the creation of consciousness and the arousal states. Thus this implicates that it isn't merely a chemical problem. This is far too simplistic of a view, from my perspective, rather their appears to be a vast dsyfunction or circuit attention of deficit missing period. Thus these dopamine receptors may in fact be damnaged or low aroused in the RAS and the cerebellum. This explains clumsiness with the ADHD-PI, inability to regulate attention, low arousal state, chronic boredom. The fatigue that we experience with this disorder, is in fact the result of using vast amounts of willpower which is finite. Allowing one for a short-time to function like a normal person as a result, you experience burnout thus you become more susceptible to impulse. These developmental delays are more than likely genetic in nature and probably inherrited which explains why I'm unable to transcend the deficits, irrespective of the amount of energy I exert or the amount of integration coping mechanisms are used to combat the disorder. Thus a true cure seems extremely unlikely unlesss we are able to ascertain the true nature of these cogentital deficits. Thus if they were born from utero damage then the inevitability is permanent dsyfunction. Which means we will have to chronically have to manage the symptoms as much as we can. From my understanding, tourette syndrome is developmental dsyfunction of the cerebellum, which causes chronic impulse problems. The problem of arousal has to do with damage or mis-communication with the RAS which explains why we might appear to be high and bored all the time. The deeper implicaiton of this is not only is are brain underaroused, so is are entire central nervous system, which explains why chemicals like adrenal work because they act directly upon the nervous system. The brain stem is directly connected to the central nervous, thus everything we do will ultimately suffer from chronic under performance and underachievement precisely because it doesn't stimulate are central nervous system. Thus since the RAS, is responsible for sensory integration and connects all the circuits of the brain, this would explain the chronic problems of forgetfulness. The hippocampus is likely receiving impartial information or not taking in enough information, thus it requires repeated saturation thresholds to increase relay the information. This means by extension precisely because are Core circuit is defunct,we are slow to produce and respond because the brains sensory integration is slower than normal. The problems of executive control might still be intact, rather it's being overridden, since the brain is constantly seeking to stay awake. Thus two possibilities exists either instinct> high order functioning or their exists developmental problems with the pre-frontal cortex as well. Effectively speaking, this probably explains why I have chronic thoughts that never cease, my RAS isn't censoring nor filtering the information correctly causing information paralysis. It explains why I suffer from social withdrawl because of sensory dis-integration. It explains why people with are disorder have a tendency to be blunt, because theirs no proper regulation of broca's region of the brain. It explains are memory deficit because we are receiving smaller pieces of information. It explains are clumsiness and inability to follow instructions well because of cerebellum delays. It explains why we suffer from chronic fatigue and need things repeated to us, because are requires a higher stimulus threshold for the RAS to properly register the information to the rest of the brain. It explains why we may act aganist are own interests precisely because the brain stems functions are more primal thus they may be superceding are logic. Ofcourse their are holes to my theory, with the exception of why it explains why we can know so much and integrate so little. Are prefrontal cortex's aren't broken, rather they are being override by more core defunct circuits. The RAS, is responsible for arousal State and ultimately the integration of experience or action. Thus a dsyfunctional RAS that isn't effectively filtering out information will subdue the prefrontal cortex and ultimately we will suffer from chronic underachievement because the RAS, MUST keep are immune systems aroused or seeks arousal in the environment to compensate. Even if this is wrong, it implicates we have dsyfunction in a many regions of the brain, not merely the prefrontal cortex. I hope this explanation gives anyone a good understanding of the reasons behind the disorder. If the problem was merely chemical then it would be able to fix the deficits, rather most stimulants fix only a few deficits and we achieve only function about 85% of neurotypicals. In conclusion, it's unlikely their exists any theoretical environmental cure. A cure would only come in the form,of stem cell injection or gene therapy. Either case is unlikely because we don't know the underlying details dsyfunctions of the disorder. Finally I'd like to say do not expect to ever master anything, precisely because we will never get enough reward or stimulus to achieve such a level without artificial means, meaning underachievement is chronic. Thus to surpass are problem, we must remove the decision making element, since decision making process is impaired...
I've taken the liberty of creating a list of what works:
1. Meditation works-Improves impulse
2. Planner- improves executive function and planning
3. Calendars- Improves goal planning and time deficit
4. Workouting- Raises arousal level for ADHD-PI
5. Routine- removes decision process.
6. CBT- Works to manually filter your thoughts- If your plagued with chronic thoughts like me, then you must neutralize them
7. Pomodoro timers- Creates hard deadlines and increases productivity
8. Protein shakes-Provides sustained energy and focus-Meager improvement
Note: Everything that is done here, we are effectively doing manually what the brain does AUTOMATICALLY in a neurotypical, thus it should be NO surprise why we suffer from chronic underachievement. Finally don't be down on yourself, affirm your worth and ENJOY life, we were dealt a fucked hand.
Note 2: To avoid underachievement and underarousal, you can create a high stress environment which will raise your cortisol levels allowing you to increase your productivity. An example is keeping your room very cold, it will keep you awake. Thus ADHD-PI should perpetually seek DISCOMFORT, doing so you increase arousal. Thus we must conduct ourselves on the grounds of, "Is this job arousing enough for me ?", " How much willpower will this task take.?"," What can I realistically do now?", " Finally PLAN AHEAD, Have NO FREE time, any moment of free time, will allow your impulsive brain to sabatoge you. Thus you must PLAN your ENTIRE week. Everyday should have a functional purpose.
Ex: Monday: Workout day Tuesday: Phone Day
Note 3: By creating a scaffold, we remove the decision process allowing everything we do to be AUTOMATIC, which mimics what a neurotypical ALREADY does, thus we must AVOID making decisions whenever possible. We also can design a scaffolding process, which will invariably fall apart overtime, theoretically we can achieve a stable life multitude of times throughout are lives, for months at a time, then they WILL fall apart. Thus plan for the inevitable falling apart of your scaffold. By doing so you anticipate your brains sabatoge.
Note 4: Recognize potential spouses- Ideally they are high achievers,good EXECUTIVES and goal oriented. Thats right you should USE Your spouse to compensate for your deficits and FRIENDS.
Everything here I've done and it WORKS. It's ALOT of work and this is as close as we can get to attaining achievement of neurotypicals who I hate so much. Above all else recognize that you are ALL or NOTHING. Thus if you slip once YOU WILL SLIP. So everyday is life or death. If you lose your routine you WILL LOSE IT. Be very careful. I hope this post is useful, finally I'm developing a mechanism to filter chronic thoughts. I wish you all the best goodluck.
