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Professor Dave Coghill

πŸ‘€ Speaker
99 total appearances

Appearances Over Time

Podcast Appearances

No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

You need somebody who's very skilled to engage.

1367.105 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

We know people with ADHD.

1371.931 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

If their ADHD isn't treated...

1374.635 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

find it hard to engage in therapy so you need some extra steps in there but that doesn't mean you should rush to medication and not try the psychological therapies every situation is different which is why the right clinician will take the time to understand exactly what is going on and then make a treatment plan that is safe and has the best chance of success

1377.959 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

So we did one family of ADHD medications, the stimulants, and we have another family of non-stimulants.

1468.73 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

Yeah, and so you only have one registered non-stimulant in New Zealand called Atomoxetine.

1478.448 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

It used to be called Stratera, but it's now under several different brands.

1485.421 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

Atomoxetine, not as strong as the stimulants, takes a lot longer to kick in, but it is much more effective across the whole day.

1490.009 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

And even though it's not as good, in inverted commas, as the stimulants, it's still actually a really, really effective medication.

1520.215 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

Atomoxetine for ADHD is more effective than the SSRIs are for anxiety.

1531.47 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

It often gets a bad rap because it's compared to the stimulants, which are superstars in performance.

1538.14 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

It is actually really nerdy.

1550.818 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

There was one study that looked like it worked.

1607.864 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

And then when we questioned the people who did that study and we said, you need to do it in different settings.

1611.07 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

They told us, oh, there's only one dietitian in the world that can do this diet.

1617.441 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

And so we said, well, if there's only one dietitian in the world that can do the diet.

1622.79 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

It ain't very helpful to people who don't live next door.

1627.338 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

And so we've looked again at that data and those restrictive elimination diets don't seem to be helpful.

1631.524 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

One thing that was helpful was taking away artificial food colouring.

1639.977 View full episode β†’
No Such Thing as Normal
34. Mental health, medication and neurodivergent burnout

And so in the UK, they actually banned several of the artificial food colourings because they had been shown to make people hyperactive.

1645.546 View full episode β†’