Great coverage in the ADHD meds episode. I thought William Dodson, MD was the ADHD medication specialist psychiatrist referenced...but no. Not too many psychiatrists publish on and prescribe guanfacine for adult ADHD. I work in the ADHD space and run the Seattle chapter of CHADD. I collect research and publications by reputable psychiatrists on the use of alpha agonists for adult ADHD. Guanfacine (or alternatively Clonidine) can be transformative for the emotionality of ADHD...helping a lot with rumination, rejection sensitivity, irritability, and impulsivity. I believe guanfacine was originally FDA approved for impulsivity in kids with ADHD. I'm not a medical provider, but an advocate for newly diagnosed adults with ADHD. Thank you for the great work Andrew.
Can you address please studies to support/manage SSRI withdrawals after long term use? Withdrawals can lead to staying on these medicines longer than recommended and can also lead doctors to not recommend tapering/getting off the drugs. Specifically something in addition to a very slow tapering process (studies Show this is necessary for many long-term high dose patients)
Hi Dr. Huberman, as a second generation immigrant, my parents lived a very different life from me where they had to protect themselves against bacterial infections, diseases, etc. As a result, my parents gave me antibiotics too frequently as child despite growing up in America. They gave me antibiotics even when I was less than 2 years old and yearly, at least until I was around 14. I believe this gravely affected my microbiome, as well as my cognitive and executive functioning. Given how many second generation immigrants we have in America and a lot of misinformation surrounding antibiotics in the last two decades, I would think this is a common experience. How do I rebuild my gut microbiome after it's been affected so severely? So far, the only thing that works is a high amount of probiotic supplements, up to 100 billion CFU a day. But I'm worried this will give me SIBO given the study done by Dr. Rao. How impactful are antibiotics given during a child's development? I'm scared to stop taking these probiotics and switch to fermented foods, because I'm worried they won't be powerful enough to create the same effects as the probiotic.