The 6 Different Types of ADD
1. ADHD (Attention Deficit Hyperactivity Disorder)
There is non stop Fidgetiness, Hyperactivity and Impulsiveness or Impulsivity from early childhood – ADD babies may even be noticeably hyperactive in their mother’s uterus before they are born. People with ADHD respond well to Modafinil, the Stimulants Dexamphetamine and Ritalin, and to stimulant type “antidepressants”. The medications wake up the front part of their Brain by stimulating the base of the Brain to increase the production of the very important brain chemicals Noradrenalin and Dopamine. Modafinil is usually the best, Dexamphetamine may be too strong andonly lasts for 3 or 4 hours, and Antidepressants alone are often not enough although may be very helpful in combination with Modafinil. (“Antidepressant” is a misleadingly narrow and very unhelpful term for these medications which, apart from being helpful for depression, are also helpful for anxiety disorders, most types of ADD, some sleep/arousal/energy disorders and low selfesteem/ selfconfidence, all of which are related to insufficient flows of Serotonin, Noradrenalin and Dopamine. The most stimulating “antidepressants” are usually Sertraline,venlafaxine XR, desvenlafaxine, fluoxetine and reboxetine although each person may respond differently to these medications. I call them “morning” antidepressants because of their stimulant effect. Even mirtazepine and fluvoxamine stimulate Noradrenalin and Dopamine production, despite their sedative effect but because of their sedative effect I call them “evening” antidepressants).
2. ADDD (Inattentive ADD or Attention Deficit Daydreaming Disorder)
There is poor concentration and a tendency to Daydream. People with ADDD respond well to Modafinil, the Stimulants Dexamphetamine and Ritalin, and also to stimulant type “antidepressants” such as Sertraline and Desvenlafaxine, as well as Mirtazepine.
3. ADOD (Overfocussed ADD or Attention Deficit Overfocussed Disorder)
In ADOD, which is probably the 3rd commonest form of ADD, the person often focuses excessively on one particular thing or activity, to the neglect of most other things (ie, has tunnel vision), which causes problems for them and for those around them. They also feel distressed or irritable whenever they have to switch their attention from what they are focussing on, to something else. This form of ADD responds well to stimulant type “antidepressants” such as Sertraline, Desvenlafaxine and Fluoxetine. The Stimulants Dexamphetamine and Ritalin may make ADOD sufferers even more Overfocussed and may be unhelpful in some cases with this type of ADD.
4. ADAD (Temporal Lobe ADD or Attention Deficit Aggravated Disorder)
In ADAD, the special features include Irritability, Anger, Aggravation and sometimes Rage and Violence eg road rage. Unless first started on anticonvulsant/mood stabilizing medicines such as carbamazepine, sodium valproate or lamotrigine to control these features, these patients are often made even more irritable and aggravated by Modafinil and the stimulants Dexamphetamine and Ritalin and by stimulant type “antidepressants”. As well as the usual Frontal Lobe sluggishness ADAD is associated with a malfunction of one or both of the Temporal Lobes of the brain which is what causes the irritability. It is also often associated with déjà vu (feeling you have been in places before when you really haven’t been).
5. ADLD (Limbic ADD or Attention Deficit Low or Depressive Disorder)
There is Moodiness, Pessimism, Recurring Negative Thinking, and Low Energy, Low Interest and Low Self Esteem. Stimulant type “antidepressants” work well in these cases as there is a need for the brain Serotonin levels, as well as the Noradrenalin and Dopamine levels, to be raised.
6. ADAD++ (Ring of Fire ADD or Attention Deficit Aggravated++ Disorder)
There is extreme Sensitivity, Irritability, Distractibility, Aggravation, Rage, Aggression and often Violence, due to overactivity in several parts of the brain. These patients really bounce off the walls, are very distressed/distressing, and are often well known to the Police. They need immediate treatment with anticonvulsant/mood stabilisers such as carbamazepine, sodium valproate or lamotrigine and/or major tranquillizers/antipsychotics such as quetiapine, amisulpride, risperidone, pericyazine or olanzepine to calm the overactive parts of their brain, before they can tolerate any stimulating medications to activate the underactive parts of their brain. Ring of Fire ADD was given that name by Dr Daniel Amen when he found that brain scans showed a circle of overactive tissue in the brains of people suffering from this type of ADD.