Dr. Russell Barkley
๐ค SpeakerAppearances Over Time
Podcast Appearances
Yeah.
Sure.
Well, I'll view those as separate, because sleep procrastination is also insomnia.
So let me deal with the sleep issue first.
40% of kids and adults with ADHD have serious sleep disruption.
So that goes with the genetics of this disorder.
And it can be difficulties with falling asleep.
It can be frequent night waking.
It can be restless leg syndrome or just restless sleep.
It can be early rising, all of which leads to, at the end of the night,
very inefficient sleep, leaving you tired the next day, which feeds back to worsen your already terrible attention span, because now you've got sleep interacting with ADHD inattention, leading to problems.
On top of that, research, particularly in Holland by Sandra Coohey and others, has shown that people with ADHD get a different version of the clock gene, which is the gene that determines your sort of mental tempo and your peak hours of alertness and arousal.
Adults with ADHD tend to have a peak time of arousal three to four hours later than typical people.
Typical people, it's mid to late morning.
Adults with ADHD, it's mid to late afternoon.
And so sometimes what we teach you to do is to play around with that.
Can you get a flexible work schedule?
Are you better off going into, say, self-employment where you can alter your schedule or working from home and having a flex schedule with your boss?
You know, understand that the disorder has created in you a delayed diurnal rhythm so that your peak times of concentration are not the same as other people.
And trying to manage that with caffeine is not good because it doesn't help all that well.