My Psychiatrist: Adult ADHD, and How To Thrive (Dr James Kustow)
On The Mend
High Performance
4.9 • 566 Ratings
🗓️ 17 July 2024
⏱️ 76 minutes
🧾️ Download transcript
Summary
Matt speaks to his very own psychiatrist, Dr James Kustow, about adult ADHD.
James studied medicine, before training in psychiatry. He’s now a consultant who specialises in ADHD and has trained further in psychotherapy and nutrition.
But being an expert is only half of the story. Because, like Matt, James was also diagnosed with ADHD as an adult.
In this wide-ranging conversation, the pair talk about ADHD symptoms, diagnosis, the correlation with addiction, the use of medication, and the different targets for intervention that James explores, before taking a pharmaceutical approach.
Related links:
How to Thrive with Adult ADHD: 7 Pillars for Focus, Productivity and Balance
Dr William Dodson on emotional regulation
Dr Carol Dweck’s Growth Mindset
EFT (emotional freedom techniques)
NHS Guide to ADHD
(01:55) James’ training and specialism in ADHD
(05:06) What is ADHD
(09:50) Matt’s ADHD diagnosis
(10:47) Rejection sensitive dysphoria (RSD)
(13:25) The clarity that comes with diagnosis
(15:10) More on the symptoms of ADHD
(17:50) Adult onset ADHD, and other factors (environment, hyper-mobility & inflammation)
(22:18) The ADHD assessment and childhood history
(28:57) James’ ADHD diagnosis
(34:25) The challenge of achieving goals and completing tasks
(37:42) Variations in the presentation of ADHD
(41:38) ADHD and addiction
(45:46) Medication
(55:18) Growth mindset
(59:56) Sleep, routine & ADHD
(1:01:33) Taking control of your time
(1:05:02) Systems to avoid feeling overloaded
(1:08:30) Looking at physical health
(1:11:00) Emotional regulation techniques
(1:12:36) Matt’s outro
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Transcript
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| 0:00.0 | Want to know who's coming up next? Hit follow wherever you get your podcast and you'll be the first to find out. |
| 0:10.0 | Hello, welcome back to On the Mend and if you're new to the show, a very big hello. My name is Matt Willis and this is a podcast about addiction, recovery and resilience more generally. |
| 0:19.9 | This week is a little bit different because the expert I have invited this to the studio is my very |
| 0:26.3 | own psychiatrist. |
| 0:28.1 | Yes, my very own psychiatrist, which was a risk. |
| 0:31.1 | You know, it was like, do I open this door? |
| 0:34.0 | But I thought, you know what? |
| 0:35.8 | It's a big subject for me. |
| 0:37.3 | So I thought I'm going to get the guy who |
| 0:39.3 | knows the most about it, in my opinion, and the most about it with me. So this is my psychiatrist, |
| 0:45.4 | Dr James Kusto. Now, James studied medicine in Nottingham before training in psychiatry. He is now a |
| 0:51.1 | consultant who specialises in ADHD and has trained further in psychotherapy and nutrition. |
| 0:57.6 | This is a subject which is very close to me. |
| 0:59.9 | You know, I've, I got a diagnosis about four years ago, I think, and it was a massive, |
| 1:06.2 | massive thing to me. |
| 1:07.2 | You know, it really changed my life. |
| 1:09.5 | And I'm not alone. |
| 1:10.5 | In the UK, it's thought as many as |
| 1:12.1 | two million people could have ADHD, which is attention deficit hyperactivity disorder in full. |
| 1:19.3 | In this conversation, we cover my own diagnosis, dive into some of the science, get a few |
| 1:23.5 | tips on how to deal with it, and debunk some myths along the way. Let's get on with it. |
| 1:28.3 | Abercrombie's Vacation Essentials are 25% off right now, and Spotify listeners are getting |
... |
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