A lot of current research is being done on ADD/ADHD by Dr. Daniel Amen (see www.amenclinics.com). Through Brain SPECT Imaging, six different types of ADD have been defined along with recommended treatments:
Type 1. Classic ADD -- inattentive, distractible, disorganized, hyperactive, restless, and impulsive.
Diet:higher protein, lower carbohydrate
Exercise: intense aerobic
Herbal Supplements:L-tyrosine, grape seed or pine bark
Medications:Stimulants such as Adderall, Ritalin, Dexedrine, and Cylert
EEG Biofeedback:Enhance beta and suppress theta over the prefrontal area
Type 2. Inattentive ADD -- inattentive, sluggish, slow moving, low motivation, and often described as space cadets, daydreamers, couch potatoes.
Diet:higher protein, lower carbohydrate
Exercise: intense aerobic
Herbal Supplements:L-tyrosine, grape seed or pine bark
Medications:Stimulants such as Adderall, Ritalin, Dexedrine, and Cylert
EEG Biofeedback:Enhance beta and suppress theta over the prefrontal area
Type 3. Overfocused ADD -- trouble shifting attention, frequently get stuck in loops of negative thoughts or behaviors, obsessive, excessive worrying, inflexible, frequent oppositional and argumentative behavior.
Diet:higher protein, lower carbohydrate
Exercise: intense aerobic
Herbal Supplements:St. John?s Wort. 5-HTP, L-tryptophan, Inositol with L-tryrosine
Medications:Serotonin enhancing meds such as Effexor, Zoloft, Paxil, Prozac, or Luxox, may also need a stimulant
EEG Biofeedback:enhance alpha over the cingulate gyrus
Type 4. Temporal Lobe ADD - inattentive, irritability, aggressive, dark thoughts, mood instability, and severe impulsivity.
Diet:higher protein, lower carbohydrate
Exercise: intense aerobic
Herbal Supplements:GABA, gingko biloba, phosphytidal serine, Vitamin E, Piracetam
Medications:Anticonvulsants such as Depakote, Carbatrol, Neurontin, Topamax, Lamictal, Gabatril, Dilantin
EEG Biofeedback:enhance SMR and suppress theta over the affected temporal lobe
Type 5. Limbic ADD - inattentive, chronic low grade depression, negativity, "glass half empty syndrome," low energy, and frequent feelings of hopelessness and worthlessness.
Diet:higher protein, lower carbohydrate
Exercise: intense aerobic
Herbal Supplements:DL-phenylalanine, L-tyrosine, SAMe
Medications:Stimulating antidepressants (Norpramin, Wellbutrin,)
EEG Biofeedback:enhance beta and suppress theta over the left prefrontal area
Type 6. Ring of Fire ADD - inattentive, extreme distractibility, angry, irritable, overly sensitive, cyclic moodiness, hyperverbal, and extreme opposition.
Diet:higher protein, lower carbohydrate
Exercise: intense aerobic
Herbal Supplements:GABA, Omega 3 Fatty Acids
Medications:Either anticonvulsants as lister in type 4 or the new antipsychotic medications such as Risperdal or Zyprexa
EEG Biofeedback:????????? perhaps enhance SMR activity over the parietal and lateral prefrontal areas and high alpha over the anterior cingulate
I have qualities of Type 1, 2 and 3. I currently take Adderall XR and Prozac, although the results I've been getting are inconsistent due to my Overfocused subtype.
YellowLab