ADHD with Dr. Saad Rahmat (Part 1)

In this episode of "SSRI’M OK," hosts Dr. Bijan Zarrabi, a psychiatry resident doctor, and Macey Isaacs, a stand-up comedian, are joined by Dr. Saad Rahmat. Dr. Rahmat is a Child and Adolescent Psychiatrist at the Brigham and Women’s Hospital, Director of the Child Track in the BWH/HMS Psychiatry Residency Program, and Medical Director of Young Adult Mental Health in the Brigham Psychiatric Specialties. He is passionate about the development of evidence-based psychiatric care for transitional-age youth, particularly those with serious mental illnesses.

In this episode, Dr. Rahmat begins by defining ADHD, explaining what it is and clarifying that "ADD" is no longer a recognized diagnosis, having been subsumed under the broader category of ADHD. He then breaks down the different types of ADHD—Inattentive, Hyperactive, and Combined—and discusses how each presents unique challenges, particularly with impulsivity. The conversation then shifts to the complexities of diagnosing ADHD in adults, including how adult ADHD differs from childhood ADHD and whether ADHD can develop later in life.

Dr. Rahmat also explores the causes of ADHD and walks listeners through the diagnostic process, highlighting the criteria used to determine a diagnosis. Macey shares her personal experience with ADHD medication, specifically Ritalin, providing insight into the lived experience of managing the condition. The episode takes an intriguing historical turn as Dr. Rahmat touches on the use of stimulants in wars, particularly in Japan. The discussion then circles back to modern treatment options, including medication, behavioral techniques, and therapy, while also addressing the widespread misinformation surrounding inattention in ADHD.

Finally, the episode tackles important issues of gender differences and racial inequality in ADHD diagnoses, shedding light on how these disparities affect access to care and treatment. Throughout the conversation, the hosts and Dr. Rahmat aim to provide a comprehensive and engaging overview of ADHD, dispelling myths and offering practical advice for those affected by the condition.

Please listen to part 2 coming out in two weeks with comedian Jessica Saul. Jessica talks about her experience with ADHD and gets to talk to Dr. Rahmat about her struggles.

Resources Mentioned:

• Laurie Kilmartin’s special
• Jessica Saul’s Instagram

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Art by Zoe Zakson.

Music is “As I Figure” by Kevin MacLeod.

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