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NEW Brain Scan Study Just Split ADHD Into 3 Types

Sasha Hamdani MD

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A new brain imaging study sorted 446 kids into three ADHD types using their wiring alone. No symptoms, no checklists, no questionnaires. Three groups fell out, and the largest and most severe one was not defined by attention or hyperactivity at all. It was defined by emotional dysregulation, the one feature that is not in the DSM criteria.

In this video I walk through all three brain types, what the scans actually showed in each one, and why emotional dysregulation is the reason so many people spend years being treated for anxiety or depression instead of ADHD.

I also cover the limitations, because one study is never enough to diagnose anyone. This is about patterns, not a brain scan you can go get to find out your type.

If you have ever been told you feel too much, or that ADHD could not be your problem because you are not hyperactive, this one is for you.
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CHAPTERS
00:00 - Brains, Not Checklists
01:35 - How the Study Worked
03:32 - Type 1
05:49 - Type 2
07:45 - Type 3
09:55 - The Real Headline
11:36 - My Beef With the DSM
13:16 - RSD in Real Life
15:38 - The Shared Anchor
17:16 - Caveats and Takeaways

20 Comments

@thepsychdoctormd Creator 2 days ago (edited) Pinned

Here is the study for any fellow nerds: https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2845158

@stacys.7094 2 days ago

Emotional dysregulation has always been the most disruptive symptom of my ADHD. I have developed skills to address the executive dysfunction, but it's the emotional ups and downs that affect my life the most. I haven't had a professional acknowledge this aspect of ADHD. Thanks for validating my experience!

@annieknight8067 2 days ago

I would be curious to see scans in women during different phases of their cycles, pregnancy, and menopause. I’m an obgyn with significantly debilitating adhd and feel your comments on the RSD (and can relate to the imposter syndrome with the diagnosis and stigma in medicine). Thanks for your videos, they are so validating.❤

@ThatGayMatthew 2 days ago

I knew adhd was a spectrum the whole time I’m just shocked the language hasn’t been used to describe ADHD in the same way Autism is discussed

@babablacksheep-n9x 2 days ago

If we had known this when I was a child, I could have been diagnosed as a child. That would have made a huge difference. I'm glad kiddos today have a better chance at getting help and not shamed.

@zeynepacuner4501 2 days ago

I have a PhD and after I finished it, many people commented on it being hard to do and such, the only reply I had was 'It was not as hard as controlling my emotional state to get through it, I spent at least 50% of my energy on that.'. Imagining what I could have achieved if I didn't have this 'thing'. 10 years later, I am diagnosed with adhd at 34. Been on concerta for almost 2 years now and have unlocked the easy mode of my life (as much as possible).

@chelseylu 1 day ago

It breaks my heart to think of all the people who didnt survive this mental rollercoaster and lost their lives before even knowing they even had ADHD. Imagine the millions.

@drjanhargrove 2 days ago (edited)

I read this study recently and "Type 3" describes my son to a tee!! As a psychologist who specializes in ADHD, it took me a moment to realize he didn't have a primary mood disorder but a more complex version of ADHD with severe emotional dysregulation. I had to piece it together for his psychiatric nurse! Let's not even talk about my own journey to a late diagnosis...add to it perimenopause and autoimmune disorders.

@gadistyanovitri9093 2 days ago

Emotional dysregulation hurts my career and relationships

@KaitieJ 2 days ago

I was diagnosed at 60. Everything you say is so spot-on, but please do one for people like me. My whole life came into focus AND became a tragedy.

@rega5950 2 days ago

the disregulation can also present in speech. rambling, fast talking, speaking before your brain catches up, racing thoughts, interrupting conversation, self involved conversation. all these things can lead to being shamed/self shaming or being shunned which triggers RSD. I'd like to hear more about this & how Logorrhea can possibly be associated w/ neurodivergent characteristics

@Sp1353 2 days ago

Love you down, girl. Because of your videos, i learned that i may have it, went & got tested & now i an adhd diagnosis as a high achieving woman in her mid30s. Everything finally makes sense. For the first time ever. Lifelong passive suicidal ideation also finally makes sense. Life was always just 100x harder for me & i couldnt understand why everyone else was so damn happy with life. Thank you for what you do.

@JessopsBezar 1 day ago

I’ve found that through cognitive behavioral therapy and a few years talk therapy I’ve been able to harness my “too muchness” now my life is more beautiful than those around me. I feel more and can celebrate that.

@annagro2225 2 days ago

There is such a stigma about emotional disregulation because in our society there is no place for women who get immensly angry…

@aintgottime2bleed78 1 day ago

Thank you for talking about the emotional disregulation part of ADHD. I didn’t even know it was a thing. After getting a diagnosis and starting medication, I literally googled something like, “why am I handling things better?” I truly didn’t know how much I was struggling before I got help.

@mcphadenmike 2 days ago

This speaks to me because as someone who cobbled together a toolkit of tricks and techniques to help me function adequately at work, long before my diagnosis, I can now see they were all techniques for managing my emotions, so I wouldn’t get overwhelmed or fall into a shame spiral. Even my ubiquitous checklists were about giving me as many little wins as possible as I crossed out items on my list. 🤯

@Everydayvisits 2 days ago

Late diagnosed AuDHD female here. Game changing diagnosis for me. But did it ever rock my world.

@rhimaginemua 2 days ago

Ooooo! I’m going to mention this study to my neurologist with a psychology degree, who has been my ADHD doctor since 1999, he will like hearing about this 100%!

He did pre-COVID era, this study on children’s brains and the affects of opioids on their brains and how much a correlation to opioid addiction there is. And FYI, the correlation is VERY high he found out!

@jayb6080 2 days ago

It has only been 2 months that i am taking ritalin and i often have doubts if my diagnosis is for real, but i was expeting that ritalin would help me focus and instead i felt very calm. I told my husband that i never expected it to work on THAT level. Somehow also my anxiety of driving a car is less when having taken ritalin. Just one case here but I feel your explanation❤

@crimmas 1 day ago

I can’t remember the last time a video hit this close to home. My life imploded due to neglected ADHD treatment and education, and more than a year after being RE-diagnosed as an adult, I learned about emotional dysregulation in ADHD followed by RSD in 2021 and it is the single most impactful realization of my entire life. In the years since I read dozens of books on ADHD and other relevant issues and even wrote a few articles about it. There is a bitterness and a simmering rage I have to manage sometimes, solely as the result of grief from all the years and doctors and therapists that didn’t catch this one life-destroying feature of a disorder I was diagnosed with more than 30 years ago.