DESR: Why Deficient Emotional Self-Regulation is Central to ADHD (and Largely Overlooked)

, a textbook written by German physician Melchior Adam Weikard in 1770, characterizes those who have a “lack of attention” as “unwary,” “flighty,” “careless,” mercurial,” and “bacchanal.”1798: Alexander Crichton, a Scottish-born physician, includes emotional frustration in his description of disorders of attention, especially problems with persistent attention

1902: George Still, a British physician widely considered to be the “founder” of ADHD, includes emotional impulsiveness and poor regulation of emotions in his conceptualization of “defective moral control of behavior” 1960s-1970s: Major clinical researchers at the time — including Mark Stewart, Dennis Cantwell, and Paul Wender — include emotion as a core feature in their concepts of “hyperactive child syndrome .”references ADHD for the first time but fails to list EI or DESR as a feature of the disorder. It is excluded from all future DSMs, for unknown reasons, despite continuing research linking emotion to ADHD.

The frontal lobe, the anterior cingulate, the ventral striatum, and the amygdala all comprise the executive circuitry that has been repeatedly shown to be involved in causing ADHD. Some of these structures also form the brain’s emotional circuitry — the amygdala and larger limbic system to which it is connected is where emotion is generated, and the prefrontal cortex and related structures attend to these generated emotions.

Interesting that it is missing from ADHD diagnostic criteria - that and rumination are the first symptoms to resurface amid drug shortage. That makes family interactions and school significantly more difficult SenTedCruz marcorubio RepAndyBiggsAZ

Right now after the school shooting, I'm having some very serious emotional self regulation!!!

So helpful! My whole life has come into focus...

You know there are alternatives to perpetual negative language in discussing ADHD traits and challenges, right? Emotional dysregulation is significantly less stigmatic than Deficient emotional self-regulation, a term that reeks of individual moral failing.

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