Roberto Olivardia

speaker

1,143 appearances 3 recordings 1 series first heard May 2020 last heard Aug 2024

Roberto Olivardia’s voice in public audio — every appearance, attributed to the second.

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Full-Tilt Parenting: Strategies, Insights, and Connection for Parents Raising Neurodivergent Children · You Might Also Like: In It: Raising Kids who Learn Differently, from Understood.org · 22 Aug 2024 podcast

antipsychotics, antidepressants, anti-anxiety medications.

The thing that's so important to understand with ADHD medications, stimulants or non-stimulants, is the nature of ADHD is almost reflected in some ways as even the relationship to medication.

For example, there isn't a specific protocol of this medication works for this kind of person with ADHD.

it really can be trial and error.

I've worked with identical twins at different times where one brother responded well to one medication, the other brother had nasty side effects from that same medication, and they have 100% of the same DNA.

And then in addition, that medication is interacting with a specific biological system at a specific moment in time in a specific environment.

So meaning that especially during puberty,

It's not unusual sometimes where a medication that might have worked well when a child was eight or nine might not work the same at 13, 14.

Now, part of that is how that's metabolized could be very different.

Part of that is hormonal influences, other biological influences, and the executive demands have risen.

So a lot of times when particularly I hear this from college students who will say the medication that they were on in high school no longer works.

And

The question is, okay, is it that the medication stopped working or the demands obviously have risen in college that the dose you are on or the medication you're on is not meeting the demand

you are today.

But physically, I've also seen that.

When people have growth spurts, when people sometimes lose weight, gain weight, even though stimulants in general are not even dosed on weight compared to other medications, but just

all of the changes that can happen biologically.

So it really does take a nuanced, individualized approach of looking at sort of how it's working for that individual, especially when we're thinking about puberty.

Oh, yeah.

I think having ADHD by nature adds a whole other

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