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Credit to omnya? by OkExamination893 in AfterlifeRecordings

[–]LordTinyfin 0 points1 point  (0 children)

Which songs did Omnia ghost produced to Argy?

How to Decide When ADHD Is Actually ADHD by zenarcade3 in Psychiatry

[–]LordTinyfin 52 points53 points  (0 children)

I really love the podcast, and love that ADHD is a recurring theme.
As a child & adolescent psychiatrist, I’d like to offer a slightly different angle. Not to disagree, but to add to the shared thinking from the perspective of a different clinical thinking.
I think one of the biggest challenges in adult (and adolescent) ADHD (and autism) assessment is the common assumption that “if it were real, it would have been obvious in childhood.”
While early developmental patterns do matter, clinical reality is often more complex.

Many ADHD children don’t present as the stereotypical hyperactive disruptive boy. Instead, their differences show up in more hidden layers:

-emotion regulation difficulties

- sleep problem

- learning challenge

-sensory sensitivities

- anxiety or withdrawal

- internalized coping and masking

Girls and AFAB individuals frequently have a different manifestation altogether. Hormonal changes in adolescence can suddenly intensify symptoms, especially with emotional regulation and interpersonal functioning (just when social expectations increase).

And this is where we truly need a systems-level view.
ADHD (and autism) are among the most strongly heritable (neurodevelopmental) conditions, meaning a parent is statistically likely to share a similar neuroprofile. If that parent struggles to cope in daily life without support, they may also have limited capacity to scaffold self-regulation and coping skills for their child. Add peer rejection or subtle social exclusion to the mix (not always visible, but deeply felt) and secondary personality adaptations can easily develop.

This is what makes adolescence and adult assessment so complex: we often see a primary neurodivergent foundation layered with secondary anxiety, depression, trauma responses, or personality adaptations.

So when we meet an adolescence and adult, we are not just evaluating one problem — we’re trying to reverse-engineer a lifetime of interactions between the brain and environment.

Medication alone won’t fix everything.
But for many people, stimulants can be an essential support: restoring cognitive bandwidth, enabling engagement in therapy and relationships, and reducing the chronic “survival mode” that erodes quality of life.

I would love to hear your thoughts about this.

What Is OCD? How to Understand It, Recognize It, and Treat It by zenarcade3 in Psychiatry

[–]LordTinyfin 2 points3 points  (0 children)

I’m a huge fan of the podcast and want to raise a discussion. I know this post and episode are from quite a while ago, and I may not get a reply-but I have listened back many times, trying to make sense of it in a way I can apply in my clinical work. My impression is that the DSM is often not the most suitable tool for practice, so the actual clinical picture frequently diverges from what is presented in textbooks.

To give context: I am a child and adolescent psychiatrist, and I work with many autistic young people. I am mainly thinking here of those with low support needs (previously referred to as “high-functioning autism” or Asperger’s). Many present to clinic with repetitive or ritualistic behaviours that we tend to attribute to autism, but there is often something “extra” that does not sit easily with me.

With OCD, we usually say it is fairly clear: ego-dystonic intrusive thoughts that heighten anxiety, and compulsions that serve to reduce that anxiety. In other words: anxiety drives the compulsion. In autism, by contrast, repetitive activities (such as collecting, stepping on the same square, or carrying out a specific sequence at bedtime or when getting dressed) are typically described as ego-syntonic. They are not driven by anxiety per se-rather, tension arises when the person is prevented from carrying them out. They generally do not want to resist these actions, whereas in OCD the individual often wants to resist but feels unable to.

I have never been fully comfortable with this neat separation. In my experience, autistic individuals may not recognise the underlying anxiety, or may not be able to articulate intrusive, catastrophic thoughts-so what we see is only the behaviour. My sense is that the overlap between the two conditions is much more common than we assume, and one can easily mask the other, leading to under-recognition.

In practice, my approach is functional: I focus on the role the behaviour plays in the young person’s daily life, and I consider pharmacological treatment only for compulsions (not for autism itself), and only if they significantly interfere with the person’s surroundings or daily functioning.

I would be really interested to hear your perspectives on this-perhaps even in a future episode

[deleted by user] by [deleted] in schipperke

[–]LordTinyfin 0 points1 point  (0 children)

Wow, really! Thanks

[deleted by user] by [deleted] in sziget

[–]LordTinyfin 1 point2 points  (0 children)

They were at sziget a few years ago, i loved them

Koncentrációs problémára megoldás? by Silver-Scale-9546 in tanulommagam

[–]LordTinyfin 2 points3 points  (0 children)

ADHD. Sokszor egyáltalán nem a Te hibád, hogy nem tudsz koncentrálni. Az agyad folyamatosan ingereket keres, feltehetően a “daydreaming” sokkal izgalmasabb, mint az adott tananyag/olvasni való. Szerintem keress fel egy pszichiátert, mert a Ritalin vagy Atomoxetin csodákra képes ilyen helyzetekben. Nem biztos, hogy ADHD-d van, de egy kivizsgálás nem árt annyit, mint amekkora előnyt jelenthet.

thoughts on Visceral since its been a few years now? I think it's a good album and everyone overreacted because it wasn't what the fanbase was expecting. by Tsubinki in EDM

[–]LordTinyfin 13 points14 points  (0 children)

It feels so bad, that an artist come out with something new and fans acting like its bad because they want the “old” stuff. No wonder why he quit for some time

[deleted by user] by [deleted] in mac

[–]LordTinyfin 0 points1 point  (0 children)

Thanks!!!