The Anxious Achiever What We Still Don’t Understand about Adult ADHD
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Mar 19, 2025 
Dr. James Kustow, a London psychiatrist specializing in adult ADHD, shares groundbreaking insights into the condition. He discusses how ADHD is often misunderstood, particularly in women, and emphasizes its connection to emotional health. Kustow explores ADHD as a dysregulation disorder, affecting both mental and physical well-being. He advocates for a holistic approach, highlighting links to dysautonomia and hypermobility. The conversation also delves into effective trauma treatments and emotional regulation techniques, affirming the need for integrated care in managing ADHD.
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ADHD in Marriage Counseling
- Dr. Kustow mentions his patient, pop star Matt Willis, who discovered his ADHD during marriage counseling.
- Willis initially resisted the diagnosis but found it illuminating for his relationship challenges.
The Breaking Point and Dysautonomia
- Many adults with undiagnosed ADHD compensate until their 30s or 40s when problems arise.
- Dr. Kustow suggests a link between ADHD and a dysfunctional autonomic nervous system, leading to perpetual stress.
The Physical Side of ADHD
- Dr. Kustow highlights physical health problems linked to ADHD, like dysautonomia, immune issues, and hypermobility.
- He suggests these physical issues could be driving ADHD symptoms, not the other way around.
