In this episode 15 protocols
▶ 1:49 Avoid Black Market or Non-Prescribed ADHD Stimulants Behaviors “So they are either obtaining those drugs from those that do have prescriptions for them for ADHD, or they are obtaining them through black market sources, which of course carries an additional and very serious risk related to the so-called fentanyl crisis that is as high as 75% of black market drugs nowadays... are contaminated with fentanyl, and therefore are very deadly.” ▷ 50:36 Use ADHD Medication Only Under Qualified Psychiatric Care Behaviors “What all of that speaks to is that the large kit of drugs that's out there is designed to be assessed with the careful consult of a very qualified psychiatrist, in order to be able to allow the child or adult to arrive at the specific drug and the specific dosage that's ideal for their particular pattern of ADHD.” ▷ 1:00:55 Combine ADHD Medication With Behavioral Treatments Behaviors “Children with ADHD who are not treated correctly, both with drugs and behavioral treatments, because really the combination of drugs and behavioral treatments is the optimal situation... have a much higher tendency towards illicit drug use and addictive drug potential in their adulthood.” ▷ 1:02:49 Get an Accurate ADHD Diagnosis Behaviors “So all of this really speaks to the critical importance of getting an accurate diagnosis of ADHD... So a well-qualified psychiatrist will do several things. They will, first of all, do a careful diagnostic evaluation of a child.” ▷ 1:03:44 Use Nutritional Guidelines for ADHD Diet “The best psychiatrists are going to be tuned into all of those aspects of treatment for ADHD, not just prescription drugs, but also behavioral treatments, also nutritional guidelines, also supplementation.” ▷ 1:03:44 Use Supplementation for ADHD Supplements “The best psychiatrists are going to be tuned into all of those aspects of treatment for ADHD, not just prescription drugs, but also behavioral treatments, also nutritional guidelines, also supplementation.” ▷ 1:07:19 Discuss Tapering ADHD Medication Before or Around Age 25 Behaviors “It seems entirely reasonable, in fact, it was supported by the psychiatrist that I spoke to prior to this episode, that people who have been on ADHD meds for any point of time prior to 25 talk to their psychiatrist about what tapering off those drugs in order to examine whether or not they still need those drugs would look like.” ▷ 1:13:13 Titrate ADHD Medication to the Minimal Effective Dose Behaviors “So the most logical and safe way to assess dosage is to start with the lowest possible effective dose and to increase only as necessary in order to achieve the positive benefits while of course, paying attention to any side effects that might arise.” ▷ 1:17:08 Avoid Smoking or Vaping Nicotine Behaviors “So those are going to be the obvious things like avoiding smoking or vaping nicotine.” ▷ 1:17:16 Exercise Regularly Behaviors “Regular exercise is going to be encouraged, and things of that sort.” ▷ 1:17:40 Avoid Alcohol Diet “It’s very clear that alcohol, certainly in children, but also in adults, is best not consumed... if you are taking any of the drugs that we've been talking about to treat ADHD... you are going to want to avoid drinking alcohol at any time.” ▷ 1:19:03 Avoid Benzodiazepines Unless Prescribed Behaviors “If you are taking any of the drugs that we've been talking about to treat ADHD... you are going to want to avoid benzodiazepines and similar, unless they've been prescribed to you by your physician.” ▷ 1:23:24 Take ADHD Medication Early in the Day and Protect Sleep Behaviors “In fact, late day elevations in cortisol are a strong correlate of depressive symptoms.” ▷ 1:24:01 Limit Evening and Nighttime Stress Behaviors “It is important even for those of you that like to study and need to focus in the evening and nighttime hours that you try and limit your levels and certainly stress late in the day. Because doing that day after day after day for several weeks or months or years can indeed disrupt other hormones in the endocrine system.” ▷ 1:42:55 Consider ADHD Medication Drug Holidays With Psychiatrist Guidance Behaviors “What he told me was that many of these drugs were designed to be taken during the school week for children with weekends off or during the school year with weekends off, but then also with vacations during the summer holidays.”