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More Details on New ADHD-Dopamine Research

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Since I posted this blog entry on recent research from neuroscientist Nora Volkow and colleagues, more detailed stories interpreting the study’s findings have become available. In particular, this report from MedPage today targets clinicians. That site also includes an audio interview with Dr. Volkow, below (despite a strong Spanish accent, Dr. Volkow does a good job of making complex concepts understandable to the layperson, in my opinion).

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  1. Dr Charles Parker’s avatar

    Gina,
    Thanks so much for keeping us up to date on the evolving neuroscience on the prevalence and biology of ADHD and associated addictions. Impulsivity is a complex issue with many contributory feeds.

    Most reassuring is this laboratory support for clinical observations many of us have seen for years in the office: Properly titrated extended release stimulant medications almost always improved recovery outcomes, in spite of what the traditional recovery community says, – for almost any recovery process. [Some comorbid conditions associated with addictive presentations - such as brain injury and bipolar disorder - require even more caution, and might begin with precise neurotransmitter testing for targeted dopamine neurotransmitter precursors.]

    The traditional recovering community is quite correct, however, in the instance when medical professionals listen to managed care and prescribe very abusable short acting stimulants, giving no thought to the relapse potential. Why treat recovering individuals without regard for relapse triggers? They are cheap, but they are clearly abusable.

    It’s high time we separate stimulant drug delivery systems so they aren’t all lumped into the high abuse category.

    Every stimulant medication is not right for every recovering individual, and precision in dosing strategies must remain on the front burner with every medical intervention regardless of the patient’s recovery practice.

    Thanks again for this encouraging report -
    Chuck

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  2. Gina Pera’s avatar

    Thanks Dr. P.

    I’m a big fan of Dr. Volkow. I think we’re incredibly lucky to have her in public service.

    Reply

  3. East Bay Family Therapy’s avatar

    Great interview, she really knows her stuff. I’m always interested in new research on this topic, it helps with other diagnoses very much.

    Reply

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