Psychofarm Podcast How to Decide When ADHD Is Actually ADHD
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Nov 25, 2025 The complexities of diagnosing ADHD are unraveled through a detailed case study. Listeners learn how personal history, mood swings, and personality traits can obscure clarity. Strategies for improvement, like structured routines and therapy, are explored. Alternative conditions that mimic ADHD are also discussed, highlighting the importance of thorough evaluations. The hosts emphasize a holistic approach and caution against rushing into medication, advocating for careful assessment and tailored treatment plans.
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Representative Patient Case With Many Stressors
- The patient reports attention problems starting in middle school during a custody battle and a strict stepfather.
- He now struggles in grad school, works nights, uses cannabis, and has relationship conflicts impacting focus.
What Classic ADHD Typically Looks Like
- Classic uncomplicated ADHD shows persistent early-life attention problems across settings and topics of interest.
- Dr. Malzberg contrasts that with mood- or trauma-driven attention decline which is episodic or starts later.
Avoid Tunnel Vision On ADHD
- Labeling ADHD prematurely can cause tunnel vision and escalating stimulant use.
- Dr. Malzberg warns clinicians to identify comorbidities to avoid inappropriate long-term prescribing.
