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Surprising 16-year-long ADHD study proves researchers' hypothesis completely wrong

The findings from first-of-their-kind, long-term ADHD studies keep rolling in and surprising researchers along the way.

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Scientists continue to be surprised by the findings of long-term ADHD studies.

Our understanding of ADHD has come a long way in just a few short years. Though it wasn't even formally recognized as a medical condition until the 1960s, by the time the 90s rolled around, diagnoses and stimulant prescriptions were extremely prevalent. (Raise your hand if you grew up in the era of "Anyone who struggles in school gets Ritalin!") Today, diagnoses and treatment are a lot more thoughtful and individualized, and there are more options for treatment and therapy including but not limited to stimulants like the well-known Ritalin. Even with all these advancements, though, we still have more to learn.

A new long-term study published in the Journal of Clinical Psychiatry has proven to be an excellent next step in getting a better understanding of the disorder, showing that a lot of what's commonly believed or assumed about ADHD is incomplete or just flat-out wrong.

Researchers studied 483 participants who were diagnosed with ADHD in childhood and continued to assess them for a period of 16 years. The study's authors wanted to get a sense of how ADHD symptoms might change over time.

What the researchers found surprised them. In most participants, symptoms of ADHD fluctuated greatly over the years rather than staying consistent. What surprised them even more were the environmental factors that seemed to play a role in those fluctuations.

adhd, children, kids, mental health, neurodivergent, brains, psychology, medicine, research, medical studies ADHD brains work in mysterious ways, but we're starting to get a clearer picture. Photo by BUDDHI Kumar SHRESTHA on Unsplash

Researchers expected that greater life demands—like more responsibility at work, a heavier workload at school, major life changes, etc.—would exacerbate ADHD symptoms. What they found was the opposite.

It makes sense that a person that struggles with inattention or hyperactivity might have more trouble focusing when they have more "going on" and more distractions to pull them in different directions. It was a huge surprise to the researchers that, actually, people's ADHD symptoms seemed to ease up when life got hectic.

“We expected the relationship between environmental demands and ADHD symptoms to be the opposite of what we found,” study author, professor, and clinical psychologist Margaret H. Sibley explained. “We hypothesized that when life demands and responsibilities increased, this might exacerbate people’s ADHD, making it more severe. In fact, it was the opposite. The higher the demands and responsibilities one was experiencing, the milder their ADHD.”

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I have a 4-year-old with ADHD and the findings totally track for me based on what I've witnessed in our own life.

We find it's actually easier to be in perpetual motion sometimes—out running errands, doing activities, visiting friends and family—versus staying put too long. When we're just relaxing at home, that's when she tends to start bouncing off the walls! Her ADHD tendencies come out strong in these quiet periods, including what we sometimes playfully refer to as her "hoarding" dozens of coloring sheets or surrounding herself in giant piles of toys, blankets, and stuffed animals; thereby making a huge mess in the house.

Doing nothing or doing very little is not often a restful state for people with ADHD. Typically, people with ADHD experience more background noise than neurotypical brains—so a quiet, seemingly restful environment can sometimes amplify racing thoughts, negative self-talk, and impulsive behavior versus dampening it. You know how kids sometimes act out in school not because they're not smart, but because the material is actually too easy for them and they're bored? Something similar is at play in both of these scenarios.

Of course, as always in science, you have to be careful assuming causation from the findings.

adhd, children, kids, mental health, neurodivergent, brains, psychology, medicine, research, medical studies The results show that staying busy may actually help relieve some ADHD symptoms. Annie Spratt/Unsplash

It's important to note that the results of the study don't definitively prove that being busy causes a decrease in ADHD symptoms.

“This might mean that people with ADHD perform their best in more demanding environments (perhaps environments that have stronger immediate consequences, like needing to put food on the table for a family or pay rent monthly). It also might mean that people with ADHD take more on their plate when their symptoms are relatively at bay," Sibley says. Either way, the correlation is certainly strong and worthy of more study.

In the meantime, the study's authors think the results could be viewed in a hopeful light for people just learning to manage their ADHD. “If you’re a doctor talking with a patient who is first getting diagnosed with ADHD, it’s a huge help for that person to hear the message that, ‘You’re going to have good years and not-so-good years, but things can go really well for you if you can get the right factors in place,'” Sibley said. As a parent, I can imagine how reassuring that would have been to hear early on in our own process.

adhd, children, kids, mental health, neurodivergent, brains, psychology, medicine, research, medical studies We still have so much to learn. Photo by Europeana on Unsplash

With ADHD diagnoses on the rise, more and more research is being conducted. For example, a recent long-term study out of Sweden was just published linking use of ADHD medication with a reduction in traffic crashes, general injuries, and criminal behavior. That's a strong argument for continuing to hone in on accurate diagnoses and treatment for people who need it, as it clearly benefits society as a whole when done properly!

We're learning more and more about what the factors that affect positive ADHD outcomes are—what might exacerbate symptoms and what types of things can help—and we're starting to get a clearer picture of how people can manage this challenging disorder.

This article originally appeared last year. It has been updated.

Make delayed gratification a habit, not a chore.

There are two types of people in this world: people who impulse buy and people with superhuman willpower.

Does this sound familiar? You’re tapping through Instagram stories, and it appears. A cropped t-shirt starring Hello Kitty as a teeny, kitten-sized tomato, ripe and still on the vine. It’s the crop top of your dreams.

Or is it? Perhaps the fact that it’s currently 2 a.m. and the melatonin you took 15 minutes ago is starting to whisper things like “Buy it,” or “You need that shirt,” to you—not kismet.

(Spoiler alert: it’s the latter.)


shirt, impulse buy, decision making, shopping, hello kitty You must resist the urge to impulse buy. Credit: www.sanrio.com

Here’s the thing: 84% of us have been there. We’ve all made purchases that seemed brilliant at midnight and embarrassing by morning. In fact, 40% of all e-commerce spending comes from spontaneous snap purchases.

But what if I told you that buyer’s remorse, or impulse buying, could be eliminated with a single rule that requires zero brain power?

Say hello to the 30/30 rule, a surprisingly simple technique that’s helping millions of people break the impulse-buying cycle and mend their relationship with money.

Meet the guys who figured it out

Joshua Fields Millburn and Ryan Nicodemus were your classic American success disasters. After enduring tough childhoods—each scarred by an unstable home life and substance abuse—they climbed up the corporate ladder, and at just 28, had made it.

Millburn became the youngest director in his company’s 140-year history, expertly managing 150 retail stores. Meanwhile, Nicodermus thrived in sales and marketing. With substantial six-figure salaries, they indulged their every whim, fancy, and desire. Luxury cars, designer wardrobes, flashy watches that cost more than most single-family homes. This was the life, right?

Nope.

They were also miserable, drowning in debt, and working 80-hour weeks.

- YouTube Credit: www.youtube.com

The wake-up call came in 2009 when Millburn’s mom died of lung cancer and his marriage fell apart in the same month. While going through his mother’s house,, he donated everything instead of renting a storage unit for her belongings. He let go.

This was the moment that changed everything.

Nicodermus saw the profound changes Millburn experienced after finding minimalism, then started his own journey. Inspired by minimalist bloggers like Colin Wright, Leo Babauta, and Joshua Becker, the two launched The Minimalists.

At the time, the website provided them an outlet to document their transformation and give tips to people on how to live more intentionally. Since then, they’ve published bestselling books on minimalism, produced multiple Emmy-nominated Netflix documentaries, and built a worldwide community of millions of people seeking a way out of compulsive consumption.

The 30/30 rule (it’s delightfully simple)

Ready for this earth-shattering revelation? If something costs more than $30, wait 30 hours before buying it. If it’s over $100, wait 30 days.

Is that it?

Yep. No apps that track your spending, no complicated budgeting spreadsheets, no vision boards, or empty promises to yourself that you’ll “do better next time.”


shopping, man, impulse buying, decision making, purchasing A man who didn't use the 30/30 rule. Photo credit: Canva

Also called the “Wait for It Rule,” this deliberate delay creates space between the initial impulse to buy and the actual purchase.

“If something I want costs more than $30, I ask myself whether I can get by without it for the next 30 hours,” Millburn explains. “This extra time helps me assess whether or not this new thing will add value to my life.”

Of course, there are caveats. This rule only applies to non-essential items, including decorations, clothing, games, cosmetics, and gadgets. Groceries, cleaning supplies, and life requirements don’t count. Go ahead and buy that toilet paper.

Why it works, from a psychological standpoint

Here’s what is going on in your brain: 95% of purchase decisions happen subconsciously, often driven by emotional states rather than logical reasoning. It’s like that Ariana Grande song, “7 Rings.”

“I see it, I like it, I want it, I got it,” she sings.

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When we see something we want, our brain’s reward center (the limbic system) floods with dopamine before our logical brain even shows up to the party. How convenient.

“Early research suggests that stress exposure influences basic neural circuits involved in reward processing and learning while also biasing decisions towards habit and modulating our propensity to engage in risk-taking,” explains Anthony J. Porcelli and Mauricio R. Delagado in their landmark research paper, “Stress and Decision Making: Effects on Valuation, Learning, and Risk-taking.”

The 30/30 rule basically forces your brain to experience something it despises: delayed gratification. It’s the ability to resist immediate rewards for larger, long-term gratification. By not acting on impulse, your prefrontal cortex (the responsible adult part of your brain) has a moment to chat with the limbic system (the reward center, which is acting like an impulsive toddler with a credit card).

Whether it’s days or hours, a few important things happen during this wind-down period.

  • Emotional cooling, and the initial excitement fades.
  • Value assessment, in which you have the time to genuinely evaluate whether or not this item will add something meaningful to your life.
  • Pattern recognition, a.k.a. the “Aha!” moment. You recognize that the purchase was triggered by stress, boredom, or Instagram, and build greater self-awareness.

The bigger picture

No one is asking you to become a monk or live an ascetic life and own only three things—the 30/30 rule challenges you to buy with intention instead of impulse. The rule works because it creates space between wanting something and having it—space where you remember your actual priorities.

So, the next time you’re about to use Apple Pay to buy fake currency on a phone game, try this. Close the app. Set an alert for 30 hours from now. See what happens.

Most likely, you’ll realize that you never needed it all. And if you still want it after waiting? Woohoo! Go for it, buy it guilt-free knowing it was a choice, not a reaction.

The best purchases, it turns out, are often the ones we don’t make.

Community

Retired psychology professor shares 'brain filter' self-esteem hack to build self-worth

"The beautiful thing about self-esteem is that it that it can be built at any age."

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Retired psychology professor shares self esteem tips.

Achieving good self-esteem and self-worth can be a lifelong journey and, sometimes, the most encouraging advice can come from chance meetings with strangers.

In a Reddit subforum of people sharing how they lead more disciplined lives, member Fuzzy-Sun-951 shared a life-changing conversation he had with a retired psychology professor who "showed me what's holding me back from discipline." They explained that the meeting occurred on a park bench as they were sitting and scrolling on their phones.

"An older guy sat down next to me. He must have felt my bad mood because after a while he asked me: 'Rough day?' I ended up telling him how I've been unhappy at work, how it feels like everyone else my age is doing better, and how I just feel stuck in this cycle of self-doubt," they wrote. "Turns out the guy was a retired psychology professor who'd spent decades studying success patterns. What he told me completely changed how I think about myself."

self esteem, self esteem gif, self esteem tips, better self esteem, self worth Im Good Enough Nighty Night GIF by Saturday Night Live Giphy

The retired psychology professor shared evidence from a 20-year study that "showed kids with higher self-esteem end up earning more later, regardless of intelligence or background." They went on to share, "I wanted to oppose him, disclosing that I didn't grow up wit lucky circumstances that would allow me to develop self-esteem as a kid and teenager. But before I could mention that, he killed my self-pity with a single line haha: 'The beautiful thing about self-esteem is that it that it can be built at any age.'"

According to the retired psychology professor, this is due to the brain's "reticular activation system," which acts as a filter system about one's self-esteem. "It means that if deep down you believe success isn't for someone like you, your brain literally hides opportunities," they added.

For example: "You won't notice the networking chance, you won't see the business idea, you won't even apply for jobs you're qualified for because some part of you thinks 'that's not my place,'" they explained.

deserve to be here, self esteem, self worth, good self esteem, self esteem gif William Byron Netflix GIF by NASCAR Giphy

The information completely changed the OP's perspective on why they always failed with discipline. They added, "'People with higher self-worth have higher dopamine levels naturally.' More energy, focus, motivation, and therefore more discipline. They sabotage themselves less because they actually believe they deserve good things."

As a final gesture of encouragement, the professor added that all it takes is tiny changes, and not to feel overwhelmed. The Op continued to share that "he told me that all I need is to start with tiny things that are easy to do daily, like putting sunscreen on or drinking water when you wake up. This seems to work because your brain is constantly looking for evidence about who you are. Right now it might be collecting evidence that you're lazy or unsuccessful. Start giving it different evidence to work with."

The advice resonated with others struggling with self-esteem and discipline in the comments. "'If deep down you believe success isn't for someone like you, your brain literally hides opportunities.' Wow. That slaps like nothing I’ve come across in a while," one wrote. Another added, "wow, I need to talk with strangers more often."

self esteem, self esteem gif, self worth, encouraging words, self talk you is kind the help GIF Giphy

Others also began sharing actions that have worked to improve their self-esteem. "One thing that I have been doing for years is making a list of '10 things I did good today'. I literally have a book filled with a page for every day filled with things that I was proud of. I have tried a lot of therapy read so many self-help books and… This is the only thing that has helped for me. It has literally forced me to look at the things I’m good at," one shared.

Another added, "Self esteem, like your professor said, is built by evidence that shows you are behaving in alignment with your beliefs about how You should behave. So the first step is seriously interrogating what exactly you believe about how you want to behave and who you want to be. Who is your higher self, your most actualized and fully expressed self. If you can get clear on that, all you have to do is start acting in alignment with your highest self, little by little. And again, as your buddy explained, the brain is constantly searching for evidence of who you are. When you see that who you are is evolving towards your highest self, confidence naturally seeps in and it is much easier to continue that process and get more aligned. I swear by this."

Another explained how lists also are helping them, sharing, "...every day in my journal, I have 4 short lists: 3 Things I am grateful for, 3 Goals for today, 3 Wins for today,1 thing I did today that scared me. It's such a small thing, takes maybe 5 minutes to do; a few minutes in the morning, and a few minutes at night, but it helps to rewire your brain to look for good things and the opportunities that come with them! Good luck out there. We're going to make it."

Kids

"He's a baby genius": 3-month-old stuns mom by perfectly repeating full sentences

The boy's sister couldn't believe her ears and began sobbing uncontrollably.

Photo credit: Canva

3-month-old baby repeats full sentences, shocking mom and social media.

Babies can't talk. This isn't something that needs to be studied and researched, it's a pretty common fact of human existence. The reasons babies cry is because they can't talk to tell us what they need, at least that's what the general understanding has been for centuries. Not only their brains, but their bodies lack the development and coordination needed to form complete words and sentences.

But what if some babies could talk and we simply haven't been exposed to them because the world is so big? Thanks to social media, the world has gotten a whole lot smaller when it comes to being able to take a peek into other people's lives. This means we get to be exposed to things that may otherwise gone unseen.

Mekeia, a mom of two, uploaded a video of her then 3-month-old son talking. Not the cute baby babble that we like to call talking, but repeating actual short sentences.


baby talk; talking baby; video of talking baby; echolalia in babies; baby repeats mom; talking infant; family; parenting What if babies could actually talk? Some of them can... sort of. Giphy

Mekeia was recording her daughter playing with the baby when they captured the moment on video.

The little girl holds the baby's face and says, "say I am two months," before Mekeia corrects her, "say I am three months," the little girl pipes back up. Clearly the baby was trying to join in the conversation with what was expected to be baby babble when the mom instructed the older child to let the baby have a chance to "talk." It was then that the baby shocked everyone by sounding like he repeated the same phrase.

The two are visibly and audibly shocked not wanting to believe the baby actually repeats what the other child says. Mekeia is on the phone with a friend when the entire thing happens. Presumably thinking this is a fluke, the mom attempts to put the phone up to the baby's mouth. When he just babbles, she tells the baby, "say hey Bam." Nothing. Just more babble and drool.

Just when you think your ears were playing tricks on you, the baby does it again when the mom tells him to say, "hey Quintin." Clearly the baby still sounds like a baby but you can clearly hear him repeating the sound and cadence of the words so much so that it sounds like he's fully saying the words. His older sister is overwhelmed with emotion and begins to cry while Mekeia seems to be so shocked that she begins to laugh while the person on the phone is just stunned into confusion.

@foxondemandfam

Watch until the end 😱omg🥹🥰!!

People in the comments were eager to jump in with exclaiming the baby is a genius with one person writing, "he is a baby genius start showing him math problems."

Another person jokes, "next thing he's writing emails and making appointments."

"Talking so clear would scare me sooo bad he's so intelligent," someone writes.

Others explain the phenomenon with a condition called echolalia.


@foxondemandfam

He growing too fast , I didn’t have time to baby proof the house 🥴🥴 #babymessiah #babiestiktok #mamababysound

"Echolalia is a normal part of child development. As children learn to talk and understand words, they imitate, copy or echo the sounds and words they hear. Over time, a child usually learns to talk by connecting new words together to make unique little phrases or sentences,” according to Speech and Language Advisor Claire Smith when interviewed by the BBC.

Sometimes this phenomenon rears its head extraordinarily early. Mekeia's daughter was just three months old in the video above. Another popular video from a few years ago shows an 8-week-old infant from the UK very clearly saying the word "Hello" in response to his parents. A 7-week-old from Ireland was shown doing the same in 2015.

While echolalia can be a sign of autism, that's not always the case. Many kids grow out of it by the age of three and continue their typical development.

What's really interesting is when kids start to actually understand and utilize language intentionally at an extremely early age. A boy named Michael Kevin Kearney was said to be talking by around 4-months-old, even asking his parents "What's for dinner?" He went on to become a certified child prodigy, received a masters degree in chemistry at just 14, and secured his doctorate at the age of 22.

Most babies who repeat words shockingly early are not little geniuses in the making, just good mimics. Much of the time, they're not able to consistently repeat the feat once the clip goes viral on social media.

But you can't blame the parents, and social media users, for getting excited. It's adorable and fascinating to watch in action!

This article originally appeared last year. It has been updated.