Adult ADHD from the board-certified PMHNP behind the YouTube channel Focus Path and the book The Process. Clinical perspective on medication, frameworks, and the conversations the internet hasn't been having.
This is Actually ADHD.
My name is Jonathan Murphy,
psychiatric nurse practitioner.
Welcome back.
This podcast is sponsored by
the Focus Path YouTube channel.
You can go ahead and look that up.
At Focus Path Systems on YouTube So
I've been doing a lot of thinking,
especially since going into that deep
dive of the Lindsay Clancy trial.
And if you came to me because I was
talking about that, then you probably know
how I feel, which is gets in your head.
It's like all this negativity, it's left
me in a pretty bad mood, just bummed out.
That's just me.
But it does seem to be something
that affects me personally.
I always think about how I feel after or
in relation to when I'm watching certain
things and how the algorithm targets me.
I find myself watching just stuff
I shouldn't want to watch, and
I really don't, and yet it's
recommended at 3:00 in the morning.
Someone getting arrested or justâ¦
So I'm trying not to do that,
and the antidote for me is always
some reading, some nerding out.
So I did some nerding out because I'm
thinking about scripts to write for
the next episodes or the next several
videos, on the Focus Path YouTube channel.
I do a lot of research.
I write everything myself,
do the thumbnails, do the
videos, everything team of one.
I've been thinking a lot more about media
literacy because my YouTube channel's
about mental health infotainment, and yet
it's through a screen, which is really
tricky because the screen is honestly
the problem for me, is the screen.
And being a creator and just engaging
with technology to create, it does
expose me to things on a level that
I wouldn't wanna be involved with
otherwise or wouldn't be otherwise.
And part of the problem with becoming
a creator in the beginning or creating
beyond just writing was, oh, I gotta,
to post, you gotta interface with the
technology And then you start uploading
YouTube videos and it's like a dopamine
firework show But nonetheless, if I
keep it creative, keep the spark there,
and have boundaries of these tools,
it works out But in preparation to do
some media literacy education, I was
reading a few books and I pulled some
quotes, and I just kinda wanna react to
some of the things that I highlighted.
Another good purpose for this podcast,
is to kinda nerd out and process with
you guys, think out loud one of the
things that I certainly, as someone
that grew up in front of the television
As I like to say, I was put in front
of the TV, which was my babysitter, and
then I was blamed for it nonetheless,
TV and movies, that was m- my life.
I thought in images.
My world was through glass
I never knew that it would
have such an effect on my mind,
my perception, my thinking.
In fact, growing up, you always
hear, "Oh, yeah, it's just
like, ' No, it doesn't do that.
It's just TV.'"
Of course, the things that go in
your head affect your emotions.
And in Walter Lippmann, the
other 1920s propaganda guy.
But his book, "Public Opinion," has some
really good concepts and really helpful
concepts because for people with ADHD,
we're just, like, taking the stuff in,
and the stimulation of the devices and of
media in general can just be overwhelming.
This is the counterbalance.
This is the why in it all.
This is the reason why we're gonna
wanna go, " You know what maybe
it's not such a good idea to just
be doom scrolling all day long."
Your brain smashes that electricity
against stored memory and
The next thing you know, you got an
emotional reaction, which involves the
amygdala, the hippocampus, and the adrenal
glands, other parts of the brain as well.
But it all happens so quickly.
We're just kinda along for the ride,
and if you have ADHD, your frontal
lobe isn't there, so you're just
literally just living moment to moment
So let's think about that.
And the reason why we call videos or
books or screens media is because the
word medium, being the thing in between.
So communication is the act of More
than one person sharing information.
So we individually each
communicate in two different ways.
We communicate verbally or
otherwise creating like I am now.
We can write.
You can send information and communicate,
let's say, efferently or externally.
But the reality is 99.9%
of the communication that we're
doing is receiving communication,
passive communication.
" The feeling that anyone can
have about an event he does not
experience is the feeling aroused
by his mental image of the event."
That's Walter Lippmann.
So we think in terms of images as we live,
we accumulate various images in our mind
We believe things and then we store it
as like a Polaroid in our mind or a .JPG
in our mind.
And what's happening around us doesn't
need to look any other than calm.
Could be a normal situation,
just a regular Tuesday.
But our brain can take in this
information, tag it, and suddenly
that image in our mind that the
hippocampus pulls up, that's
what the emotions react to.
So what Walter Lippmann is talking about
here is essentially the process of the
amygdala and the hippocampus reacting to
the various multi-sensory stimulation,
things we hear, see That ultimately is
something that happened early in our life
We cannot know what people think, truly.
We don't know what their
mind is literally thinking.
However, we can understand their
behaviors, other people's behaviors,
based upon what people think they know
it is the insertion between man,
the medium, and his environment
of a pseudo-environment.
Pseudo.
We react to stimulation
in our environment.
However, that stimulation activates
what we call the pseudo-environment,
according to Walter Lippmann.
The pseudo-environment, the
behavior is a response to the
pseudo-environment, but because
behavior is behavior, the consequences
of that behavior, those are acts.
Acts operate not inside
of the pseudo-environment.
Acts operate within the real environment
Where the behavior is simulated, but in
the real environment, action eventuates.
But when the stimulus of pseudo fact
results in actions on things or other
people, contradictions soon develop.
Okay, let's bring it
back to Lindsay Clancy.
We got information coming in
through the phone, all this, you
know, TikTok and all the stuff
you're doing on the phone, whoever.
And there's just Bob
walking down the street.
Bob doesn't know about all this stuff,
and this person's completely unhinged,
freaking out, losing their mind.
Well, the person losing their mind
is losing their mind not because of
stuff that's going on around them, but
because of the mental images they have.
So the environment they're acting
out this behavior, the behavior
comes from the pseudo environment,
the mixture of the environmental
stimuli mixed with the mental images.
And then Bob's walking down
the street and he's like, "This
person is completely unhinged."
There's the contradiction, the
environmental contradiction
But when the stimulus of the, pseudo
fact, so that would be like Patrick
Clancy killed those children.
The victim killed the
children, Patrick Clancy.
That's the pseudo fact
so when the stimulus of the pseudo-fact
results in actions on other things or
other people, contradiction soon develops.
For certainty at the level of social
life, what is called adjustment
Of human to his environment takes
place through the medium of fiction.
A work of fiction may have
almost any degree of fidelity.
As long as the degree of fidelity
can be taken into account,
fiction is not misleading.
So when you pick up that Harry
Potter book, you're not misled.
You know you're reading a book.
You know you're reading a
story, and you're not misled.
It's a story The alternative to the
use of fiction is direct exposure
to the ebb and flow of sensation.
So the alternative to the use
of fiction would be reality
That is not a real alternative for
however refreshing it is to see at
times with a perfectly innocent eye.
Innocence itself is not wisdom
So storytelling matters is the, is,
is the big takeaway from that one
But I did bold something from Mr.
Lipman, and then I'll move on We are
told about the world before we see it.
We imagine most things before
we experience them, and those
preconceptions, unless education
has made us acutely aware.
So that would be me, because I didn't
know any of this stuff when I was
growing up They mark out certain
objects as familiar or strange.
So symbolism, thinking about life and
making sense of our lives through the
use of symbols So that the slightly
familiar is seen as very familiar.
Slightly familiar is very familiar In
the somewhat strange is sharply alien.
They are roused by small signs, which
may vary from a true index to a vague
analogy, arouse the flood-fresh vision
with older images, and project into the
world what has been resurrected in memory
Were there no practical uniformities
in the environment, there would be no
economy and only error in the human
habit of accepting foresight for sight.
But there are uniformities sufficiently
accurate, the need of economizing
attention is so inevitable that the
abandonment of all stereotypes for a
wholly innocent approach to experience
would impoverish, impoverish human life.
So stereotypes are also a very
important concept, and I took
a lot of notes on this section
A man has rarely looked at a
landscape, let us say, except
to examine its possibilities
for division into building lots.
But he has seen a number of landscapes
hanging in the parlor, and from
them he has learned to think of
a landscape as a rosy sunset or
as a country road with a church.
Then the sun goes down looking rosy.
At once, he recognizes a landscape
and exclaims that it is beautiful.
But two days later, when he tries
to recall what he saw, the odds
are that he will remember chiefly
some landscape in the parlor.
Steeple and a silver moon.
For even without phrasing it is
to we feel intuitively that all
classification is in relation to some
purpose, not necessarily our own.
That between two human beings,
no association has final dignity
in which each does not take
the other as an end in himself.
But it's time to move on to Bertrand
Russell, The Impact of Science on
Society in 1952 And there was a,
an interesting quote here, "When
beggars die, there are no comets seen.
The heavens themself blaze forth
from the death of princes."
Charles II perceived that science could
be an ally against the fanatics, as
those who regretted Cromwell were called.
He founded the Royal Society
and made science fashionable.
Enlightenment spread gradually
downward from the court.
This is the code of science.
Statements of fact should be based on
observation, not on unsupported authority.
Two, the inanimate world is a self-acting,
self-perpetuating system in which
all changes conform to natural laws.
Three, the Earth is not the center
of the universe, and probably
man is not its purpose, if any.
Moreover, purpose is a concept that is
scientifically useless those are the rules
of the game according to Bertrand Russell.
But I really spent a lot of time
with Herbert Marcuse, and I never
read anything by this guy before.
Certainly I've heard of him
before, Frankfurt schools.
I gotta react to some of this because
it is straight up super villain stuff.
1952, "The Impact of Science on Society."
" By way of summary, the prospects
of containment of change offered
by the politics of technological
rationality depend on the
prospects of the welfare state.
I've heard the term welfare state before,
and I never really thought anything of it.
It just sounded like just some
phrase that people say to be,
"Oh, it's a welfare state."
But I never heard it defined,
and Marcuse defines it here in
The Impact of Science on Society.
" The welfare state is a state of unfreedom
because its total administration is
systemic restriction of A, technically
available, quote-unquote, free time.
B, the quantity and quality of goods
and services technically available
for vital and individual needs.
C, the intelligence, conscious
and unconscious, capable of
comprehending and realizing the
possibilities of self-determination.
And if the individuals are
preconditioned so that the satisfying
goods also include thoughts, feelings,
aspirations, why should they think,
feel, and imagine for themselves?
Not gonna lie to you.
But there's a lot to dig in here,
and I'm gonna have to read a lot, and
next time I wanna be more organized.
I'm gonna organize my thoughts.
But in the meantime, I just want
you to know that the way you think,
the way your mind works, the way you
recall emotions is based on reactions.
Reactions to your environment,
reactions to the things that you
see, you look at, you swipe on.
All those images go in your mind,
and then something happens before
you can even think about it.
So if you're anxious, if you're
worried, if you're nervous, the first
thing that we need to do is think
about the ideas that are going in our
head, the images that are conjured up.
Since we are really reacting to images
or the pseudo environment, we need to
think about the input of communication.
We're reacting to communication that's
happening from the outside world.
However, how much
communication are we doing?
You know what I mean?
So that is another
episode of Actually ADHD.
I hope you enjoyed this
super nerdy deep dive.
But until next time, my name is Jonathan
Murphy, psychiatric nurse practitioner.
Talk to you later