Type 5: Limbic ADD

Symptoms:

•          inattentive

•          low energy

•          chronic low grade depression

•          negative self-image

•          negative thoughts

•          differential diagnosis: limbic ADD /depression (cyclic, pre-frontal improves with concentration)

Underlying cause: ..Deficiency of dopamine and norepinephrine

Treatment: dopamine stimulators (Ritalin etc) plus ..norepinephrine stimulators (phenylalanine, tyrosine) variously combined with: ..antidepressants (Imipramine) ..mood stabilizers (Wellbutrin)

•          Diet: protein-rich diet, excercises

Type 6: Ring of Fire ADD ..Symptoms: a mixture of all types

•          inattentive, distractible

•          irritable hyper-verbal

•          cyclic mood changes

•          oppositional/defiant

•          aggressive (sometimes violent, even homicidal)

•          negative thoughts (often suicidal)

•          antisocial behaviour (highest % of prison pop.)

•          frequently substance abuse, bad company

Underlying cause: ..Deficiency of dopamine and serotonin

•          dysfunction of the several brain areas involved in mood and self-regulation of behavior

•          differential diagnosis type 6 ADD versus bipolar disorder not always easy (can have both)

Treatment: ..dopamine stimulators (Ritalin etc.) combined with: antipsychotic medication (e.g., Risperdol) ..or anticonvulsants Comprehensive Treatment ..

•          Biological: ..medication (always)

diet rich in protein (tryptophane etc.)

•          food supplements

•          avoidance of toxins that restrict cerebral blood flow (drugs, caffeine, nicotine) ..aerobic exercises (30 min/day)

•          biofeedback Comprehensive Treatment

•          Lifestyle adjustments:

•          avoidance of overstimulation (TV, Video games)

•          regular meals and sleep

•          breathing exercises

•          relaxation exercises (Yoga)

•          wearing a protective helmet in sports