Dr. Alok 'Dr. K' Kanodia

We got to teach you these skills, but then we have to fix the adaptation that is also causing problems.

The low self-esteem, the chronic feelings of guilt, the feeling like you're fundamentally broken.

These are the things when you grow up with undertreated or untreated ADHD, it shapes your psychology.

So anytime I'm working with someone, how do you deal with shame and ADHD?

Because the two spiral off of each other.

Absolutely.

Because not only do we have a lot of shame, our sensitivity to negative emotion in ADHD is higher.

Negative emotion controls us very powerfully.

So we have to fix that.

That's completely independent.

So that's why what I usually do is I do it sequentially, not at the same time.

Don't fix ADHD and shame together.

Not good.

So usually we'll start with the ADHD stuff.

So let's just like, bruh, if you're feeling terrible about yourself, we can talk about how you feel sad about yourself.

But like, if you're on probation at work, like, let's fix that shit.

You know what I'm saying?

Like, if your partner is really frustrated with you, like, let's rack up a couple of dubs before we, like, keep on racking up the L's.

So, like, let's, like, do this.

And that's where things like stimulant medication can come in.