ADHD-Treatment

On centenarians, memory, Mars, tDCS, ADHD, digital health, beautiful brains, and more

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Hen­drik­je van Andel Schip­per (1890–2005)

Wel­come to a new edi­tion of Sharp­Brains’ e‑newsletter, fea­tur­ing ten time­ly resources and research find­ings for life­long brain and men­tal fitness.

#1. Let’s start with a fas­ci­nat­ing sto­ry and study 🙂

Study with 330 cen­te­nar­i­ans finds that cog­ni­tive decline is not inevitable … (Henne Hol­stege, PhD, assis­tant pro­fes­sor at Ams­ter­dam Uni­ver­si­ty Med­ical Cen­ter) said her inter­est in research­ing aging and cog­ni­tive health was inspired by the “fas­ci­nat­ing” sto­ry of Hen­drik­je van Andel Schip­per, who died at age 115 in 2005 “com­plete­ly cog­ni­tive­ly healthy.”

#2. Neu­ro­sci­en­tist Lisa Gen­o­va, author of the beau­ti­ful nov­el Still Alice, releas­es non-fic­tion book on Mem­o­ry: “It is sober­ing to real­ize that three out of four pris­on­ers who are lat­er exon­er­at­ed through DNA evi­dence were ini­tial­ly con­vict­ed on the basis of eye­wit­ness tes­ti­mo­ny. “You can be 100 per­cent con­fi­dent in your vivid mem­o­ry,” Gen­o­va writes, “and still be 100 per­cent wrong” … Gen­o­va assures her read­ers that only two per cent of Alzheimer’s cas­es are of the strict­ly inher­it­ed, ear­ly-onset kind. For most of us, our chances of devel­op­ing the dis­ease are high­ly amenable to interventions…”

#3. Time­ly tips for the week­end: Shape your envi­ron­ment, shape your mind

  • Sur­round your­self with nature
  • Cre­ate oppor­tu­ni­ties for awe
  • Clear the clutter

#4. “For a mis­sion to suc­ceed, high men­tal and cog­ni­tive func­tion would be absolute­ly crit­i­cal; astro­nauts would be called on to per­form demand­ing tasks in a demand­ing envi­ron­ment. Los­ing 20 IQ points halfway to Mars is not an option … Stress—an emo­tion­al or men­tal state result­ing from tense or over­whelm­ing circumstances—and the body’s response to it, which involves mul­ti­ple sys­tems, from metab­o­lism to mus­cles to memory—may be the chief chal­lenge that astro­nauts face.” Next in NASA’s path to Mars: Over­com­ing astro­nauts’ cog­ni­tive and men­tal health challenges

#5. Study: Depres­sion affects visu­al per­cep­tion … mak­ing it more accu­rate (based on a cool opti­cal illusion)

#6. It’s good to have more tools in the neu­ro toolkit…assuming we use them wise­ly: Emerg­ing appli­ca­tions of tran­scra­nial Direct Cur­rent Stim­u­la­tion (tDCS): e‑sports skills train­ing, cog­ni­tive enhance­ment in old­er adults

#7. Does ADHD treat­ment enable long-term aca­d­e­m­ic suc­cess? (Yes, espe­cial­ly when phar­ma­co­log­i­cal and non-phar­ma treat­ments are combined)

#8. Men­tal Health in the Dig­i­tal Age: From dig­i­tal ther­a­peu­tics to per­son­al­ized men­tal health solu­tions: Pear Ther­a­peu­tics expands plat­form via part­ner­ships with Empat­i­ca, etec­tRx, Key­Wise, and Winterlight

#9. The award was won last year by Indi­an vil­lage teacher Ran­jitsinh Disale; who will be next? Final day to nom­i­nate teach­ers for the $1M Glob­al Teacher Prize 2021

#10. And last, but cer­tain­ly not least, let’s wel­come Men­tal Health Month (May) by appre­ci­at­ing our beau­ti­ful brains

Wish­ing you a men­tal­ly healthy and cog­ni­tive­ly stim­u­lat­ing month of May,

The Sharp­Brains Team

Update: Understanding Brain Health via Cosmological Health, and vice versa

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LEFT: SECTION OF CEREBELLUM, WITH MAGNIFICATION FACTOR 40X, OBTAINED WITH ELECTRON MICROSCOPY (DR. E. ZUNARELLI, UNIVERSITY HOSPITAL OF MODENA); RIGHT: SECTION OF A COSMOLOGICAL SIMULATION, WITH AN EXTENSION OF 300 MILLION LIGHT-YEARS ON EACH SIDE (VAZZA ET AL. 2019 A&A). CREDIT: UNIVERSITY OF BOLOGNA

Wel­come to a new edi­tion of Sharp­Brains’ e‑newsletter, fea­tur­ing fas­ci­nat­ing find­ings, books and resources for life­long brain health.

#1. “The human brain (sec­tion; left image above) func­tions thanks to its wide neu­ronal net­work that is deemed to con­tain approx­i­mate­ly 69 bil­lion neu­rons. On the oth­er hand, the observ­able uni­verse (sec­tion sim­u­la­tion; right image) can count upon a cos­mic web of at least 100 bil­lion galax­ies. With­in both sys­tems, only 30% of their mass­es are com­posed of galax­ies and neu­rons. With­in both sys­tems, galax­ies and neu­rons arrange them­selves in long fil­a­ments or nodes between the fil­a­ments. Final­ly, with­in both sys­tems, 70% of the dis­tri­b­u­tion of mass or ener­gy is com­posed of com­po­nents play­ing an appar­ent­ly pas­sive role: water in the brain and dark ener­gy in the observ­able Uni­verse.” Under­stand­ing Brain Health via Cos­mo­log­i­cal Health, and vice versa

#2. One very smart and gen­er­ous brain to bright­en your day: Indi­an teacher Ran­jitsinh Disale wins annu­al $1M Glob­al Teacher Prize; shares half with 9 finalists

#3. “Of all the qual­i­ties par­ents can cul­ti­vate in their chil­dren, hope and opti­mism are the most pre­cious. We can nur­ture hope and opti­mism in our kids by demon­strat­ing that we always have some con­trol over our envi­ron­ment and our­selves. The future isn’t a tide that’s going to crush us, it’s a wave we’re a part of.” — Made­line Levine, author of Ready or Not. Three favorite 2020 books on par­ent­ing and men­tal health

#4. A superb mem­oir on becom­ing a psy­chother­a­py pio­neer and best­selling writer: Becom­ing Myself, by Irvin D. Yalom

#5. This sur­vey of 2500 fam­i­lies about what ADHD treat­ments seem to work/ not work finds that 49% of par­ents report Exer­cise to be ‘Extreme­ly or Very Effec­tive;’ above any oth­er treatment.

#6. On the dan­gers of “pro­duc­tiz­ing” lifestyle guide­lines that help build brain reserve and delay cog­ni­tive prob­lems; Buy­er beware: The sto­ry of a pricey and “cre­den­tialled” pro­gram to end Alzheimer’s Disease

#7. Now, giv­en that “In a new McK­in­sey report, 62% of employ­ees con­sid­er men­tal health issues a top chal­lenge,” it is good to see grow­ing resources and approach­es aimed at address­ing the chal­lenge: Calm rais­es $75 mil­lion, expands into cor­po­rate men­tal health and wellness

#8. And, step by step, dig­i­tal ther­a­peu­tics are going main­stream: Click Ther­a­peu­tics rais­es $30 mil­lion in debt to advance com­mer­cial­iza­tion of smok­ing ces­sa­tion app Clickotine

#9. Nev­er two with­out three: Pear Ther­a­peu­tics rais­es $80M; finds cost sav­ings of $2,150 per patient with opi­oid use disorder

#10. Final­ly, we asked our team and trust­ed advi­sors to com­pile a list of ideas to stay sane and healthy in the months ahead, pri­or­i­tiz­ing habits shown to pro­mote brain health, resilience and pos­i­tive neu­ro­plas­tic­i­ty: Enjoy these 3 New Year Res­o­lu­tions and 36 Ideas for a Hap­pi­er & Health­i­er 2021

Wish­ing you a safe, healthy and hap­py New Year

Study finds combined pharma + non-pharma treatment most beneficial to help youth with ADHD address long-term academic difficulties

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Aca­d­e­m­ic dif­fi­cul­ties are one of the most impor­tant adverse con­se­quences of ADHD, and they fre­quent­ly con­tribute to par­ents’ deci­sion to seek treat­ment for their child. Whether treat­ment con­sis­tent­ly yields a pos­i­tive impact on long-term aca­d­e­m­ic suc­cess is thus an impor­tant issue; how­ev­er, the answer to this ques­tion has been some­what con­tro­ver­sial. [Read more…] about Study finds com­bined phar­ma + non-phar­ma treat­ment most ben­e­fi­cial to help youth with ADHD address long-term aca­d­e­m­ic difficulties

FDA clears Trigeminal nerve stimulation (TNS) as ADHD treatment

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Although stim­u­lant med­ica­tions are gen­er­al­ly con­sid­ered to be a safe and effec­tive treat­ment for ADHD, not all chil­dren ben­e­fit from this approach. Many par­ents are reluc­tant to begin their child on med­ica­tion and some chil­dren expe­ri­ence unac­cept­able side affects.

For these rea­sons, devel­op­ing safe and effec­tive alter­na­tive treat­ments for ADHD remains a pri­or­i­ty. Trigem­i­nal nerve stim­u­la­tion (TNS) is an alter­na­tive approach that was recent­ly test­ed in a dou­ble-blind, sham-con­trolled study. [Read more…] about FDA clears Trigem­i­nal nerve stim­u­la­tion (TNS) as ADHD treatment

Consistent use of ADHD medication may stunt growth by 2 inches, large study finds

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The Mul­ti­modal Treat­ment Study of ADHD (MTA Study) is the largest ADHD treat­ment study ever con­duct­ed — near­ly 600 7–9‑year-old chil­dren with ADHD were ran­dom­ly assigned to one of four interventions:

1) Care­ful­ly mon­i­tored med­ica­tion treatment;

2) Inten­sive behav­ior therapy;

3) Med­ica­tion Treat­ment com­bined with Behav­ior Ther­a­py; or

4) Com­mu­ni­ty Care (par­ents obtained what­ev­er treat­ment they desired).

After 14 months, results indi­cat­ed that [Read more…] about Con­sis­tent use of ADHD med­ica­tion may stunt growth by 2 inch­es, large study finds

Studies reinforce the critical importance of ADHD treatment monitoring

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As the new school year approach­es, let me high­light the essen­tial val­ue of ADHD treat­ment mon­i­tor­ing. Even when a child’s treat­ment has been going well, response to treat­ment can change over time. This is true for med­ica­tion treat­ment, or any oth­er treat­ment a child is receiv­ing. By reg­u­lar­ly mon­i­tor­ing how a child is doing at school, par­ents and pro­fes­sion­als are alert­ed [Read more…] about Stud­ies rein­force the crit­i­cal impor­tance of ADHD treat­ment monitoring