ADHD & Time Blindness

Russell Barkley, PhD - Dedicated to ADHD Science+
9 Aug 202318:35
EducationalLearning
32 Likes 10 Comments

TLDRRuss Barkley discusses the concept of ADHD as a form of 'time blindness', where individuals with ADHD struggle with time management and self-regulation relative to time. Barkley explains that this difficulty is not just in sensing time, but more critically, in using it to guide behavior. His research indicates that ADHD significantly interferes with time management more than any other psychiatric disorder. Barkley suggests that ADHD medications can help improve time regulation, and also emphasizes the importance of structuring tasks and environments to minimize time gaps, using external timing devices, and breaking down larger tasks into smaller, manageable chunks. He also recommends social accountability and working in groups to improve time management for those with ADHD. The presentation aims to provide strategies to help people with ADHD become more effective in managing time and achieving success in various life domains.

Takeaways
  • đź•’ **Time Blindness in ADHD**: People with ADHD struggle with time management and self-regulation relative to time, which is a significant aspect of their condition.
  • 🧠 **Executive Functioning**: ADHD is associated with a disorder of executive functioning, which includes difficulties with impulse control and time perception.
  • đź‘“ **Perception vs. Management**: While individuals with ADHD can perceive time, they have difficulty using that perception to guide their actions and behaviors effectively.
  • 📉 **Research Findings**: Studies have shown that those with ADHD have a harder time reproducing time intervals accurately, indicating a problem with time management rather than perception.
  • đź’Š **Medication Impact**: ADHD medications, especially stimulants, can help improve the ability to regulate oneself according to the passage of time.
  • 🔄 **Task Management**: Breaking tasks into smaller, manageable chunks and reducing the time gaps between them can help individuals with ADHD to be more effective.
  • 🎮 **Immediate Gratification**: People with ADHD often thrive in situations where tasks and rewards are closely aligned in time, similar to the structure of video games.
  • ⏰ **External Timing Devices**: Using external timing devices can be beneficial for those with ADHD to provide a reference for time passage and assist with task completion.
  • 🤝 **Social Accountability**: Working in teams or being accountable to others can increase the likelihood of following through on tasks for individuals with ADHD.
  • đź“š **Educational Strategies**: Techniques like SQ4R (Survey, Question, Read, Recite, Write, Review) can be effective for daily learning tasks, providing immediate feedback and structure.
  • đźš« **Avoiding Time Gaps**: In tasks such as writing a book report, creating a schedule that minimizes time intervals between tasks can prevent the disabling effect on a person with ADHD.
Q & A
  • What is the concept of ADHD being referred to as in the transcript?

    -The concept of ADHD being referred to in the transcript is 'time blindness', which is a difficulty in sensing and governing oneself relative to time or time management.

  • How does the perception of time differ between people with ADHD and those without?

    -People with ADHD have an incredible difficulty with time management. While their perception of time intervals may not be significantly different from typical people, they struggle with duplicating time intervals, indicating an inability to use their sense of time to guide their behavior effectively.

  • What is the term used to describe the time management deficit in ADHD?

    -The term used to describe the time management deficit in ADHD is 'time blindness', which signifies a significant impairment in managing time and anticipating future events.

  • What is the role of the frontal lobe in time management according to the transcript?

    -The frontal lobe is responsible for 'binding events over time in mind', which is essential for dealing with the future. It is particularly important for time management, and people with ADHD often struggle with this function.

  • How can ADHD medications help with time management in people with ADHD?

    -ADHD medications, particularly stimulants, can help improve the ability to regulate oneself to the passage of time, thereby assisting with time management.

  • What is the ERO arrangement mentioned in the transcript?

    -The ERO arrangement stands for Event, Response, and Outcome. It refers to the sequence of events that come toward us, our responses to those events, and the outcomes of our responses. People with ADHD struggle when there is a time gap between these components.

  • How can breaking tasks into smaller quotas help individuals with ADHD?

    -Breaking tasks into smaller quotas reduces the time gaps between the ERO components, making it easier for individuals with ADHD to manage their time and complete tasks more effectively.

  • What is the SQ4R method mentioned for dealing with book reports in the transcript?

    -The SQ4R method is a learning technique that stands for Survey, Question, Read, Recite, Write, and Review. It is suggested as a way to help individuals with ADHD manage long-term assignments like book reports by breaking them down into daily steps.

  • Why are external timing devices beneficial for people with ADHD?

    -External timing devices provide a visual or auditory reference for the passage of time, which can help people with ADHD who have an internal clock that isn't effectively guiding their behavior.

  • How can social accountability help individuals with ADHD to follow through on tasks?

    -Social accountability involves making oneself accountable to another person for the completion of tasks within a certain timeframe. This can increase the likelihood of follow-through for individuals with ADHD, as there is an external check on their progress.

  • What is the main takeaway from the transcript regarding dealing with ADHD and time management?

    -The main takeaway is understanding that ADHD involves time blindness and that by changing situations, tasks, and assignments to minimize time gaps and accommodate this deficit, individuals with ADHD can be as effective and successful as others. This includes using medication and external accommodations.

Outlines
00:00
⏰ Understanding ADHD and Time Blindness

Russ Barkley introduces the concept of 'time blindness' as a central issue in ADHD, which affects individuals' ability to manage and perceive time effectively. He explains that while people with ADHD may sense time, they struggle significantly with using it to guide their actions and plan ahead, a problem he terms as time blindness. Barkley discusses his early research with Seth Koplowitz, highlighting how individuals with ADHD can recognize time intervals but fail at reproducing them, indicating a deeper issue with time management across all ages.

05:02
đź“… The Growing Impact of Time Management in ADHD

Barkley emphasizes how time management becomes increasingly critical as people with ADHD age, transitioning from childhood into adult responsibilities like work, education, and personal commitments. He describes how ADHD's challenges with time perception can worsen, leading to greater impairment in daily life, especially in settings that demand strict time adherence. Barkley also connects ADHD's time struggles with broader motivational issues, which affect their ability to prioritize and prepare for future needs.

10:03
đź•’ Strategies for Managing Time with ADHD

Barkley suggests practical strategies to help individuals with ADHD manage time better. He proposes minimizing time gaps between tasks and using external time management tools like timers or apps. For educational settings, he recommends breaking tasks into smaller, manageable parts and employing frequent reviews to keep ADHD individuals engaged. Additionally, he highlights the importance of social accountability and external reminders to improve adherence to schedules.

15:07
đź›  Tools and Techniques for Enhancing Time Awareness

In his concluding remarks, Barkley discusses various tools and techniques to assist those with ADHD in better managing their time. He recommends using physical timers, technological reminders, and structuring tasks to provide immediate feedback and rewards. He stresses the importance of understanding ADHD as a form of time blindness and adapting environments and tasks to accommodate this challenge, ensuring that individuals with ADHD can achieve success with proper support and adjustments.

Mindmap
Keywords
đź’ˇADHD
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, impulsivity, and hyperactivity. In the video, it is discussed as a condition that significantly affects time management and the ability to self-regulate behavior over time, which is referred to as 'time blindness'.
đź’ˇTime Blindness
The term 'time blindness' is used to describe the difficulty people with ADHD have in perceiving, managing, and anticipating time. It is central to the video's theme, illustrating how individuals with ADHD struggle with time management, which affects their daily functioning and success in various life domains.
đź’ˇExecutive Functioning
Executive functioning refers to the cognitive processes that enable us to plan, initiate, monitor, and adjust behavior to achieve goals. The video discusses ADHD as a disorder of executive functioning, particularly highlighting the impairment in time management as a critical aspect of this broader set of cognitive skills.
đź’ˇTime Management
Time management is the ability to use time effectively to increase productivity and efficiency. The video emphasizes that people with ADHD often face significant challenges with time management, which can lead to impairments in occupational and social success.
đź’ˇImpulsivity
Impulsivity is the tendency to act without forethought or consideration of the consequences. In the context of the video, it is mentioned as a characteristic of ADHD that is linked to difficulties with time perception and self-regulation, contributing to the 'time blindness' concept.
đź’ˇEro Arrangements
Ero Arrangements, as described in the video, refers to the sequence of 'events, responses, outcomes' that individuals with ADHD find challenging when they are not closely bound in time. The video suggests that tasks and situations that are tightly scheduled can be more easily managed by those with ADHD.
đź’ˇTime Reproduction
Time reproduction is the ability to replicate a perceived time interval with motor actions. The video discusses how individuals with ADHD struggle with this task, indicating a core difficulty in using their sense of time to guide behavior.
đź’ˇSQ4R
SQ4R is a learning method that stands for Survey, Question, Read, Recite, Write, and Review. The video suggests using this method to help individuals with ADHD manage long-term tasks by breaking them down into smaller, more manageable parts with immediate feedback.
đź’ˇExternal Timing Devices
External timing devices are tools or objects that provide a visual or auditory indication of the passage of time. The video recommends their use to help individuals with ADHD manage time more effectively, as their internal sense of time may be less reliable.
đź’ˇSocial Accountability
Social accountability involves making oneself responsible to another person or group for a specific task or goal. The video suggests that this can be a powerful motivator for individuals with ADHD to follow through on tasks and manage their time more effectively.
đź’ˇMedication
Medication, particularly stimulants, is mentioned in the video as a treatment for ADHD that can help improve the ability to regulate oneself to the passage of time. It is presented as one part of a comprehensive approach to addressing the challenges of ADHD, alongside behavioral strategies and accommodations.
Highlights

ADHD is conceptualized as a form of time blindness, affecting how individuals with the condition perceive and manage time.

People with ADHD struggle with time management, which is a significant aspect of their daily functioning.

Russ Barkley's research indicates that ADHD more than any other psychiatric disorder interferes with time management.

The concept of 'time blindness' is especially relevant for adults with ADHD, as time management becomes increasingly important with age.

ADHD medications, particularly stimulants, can help improve the ability to regulate oneself to the passage of time.

Tasks and situations should be structured to minimize time gaps, bringing the event, response, and outcome closer together for individuals with ADHD.

The frontal lobe's function, known as 'time binding,' is critical for dealing with the future, and people with ADHD may struggle with this function.

Breaking tasks into smaller quotas and providing immediate feedback or rewards can help people with ADHD be more effective.

External timing devices can be beneficial for individuals with ADHD to provide an external reference for the passage of time.

The SQ4R method (Survey, Question, Read, Recite, Review) can be an effective strategy for studying and managing time for those with ADHD.

Social accountability, such as working in teams or being accountable to another person, can increase the likelihood of following through on tasks for individuals with ADHD.

Time management is a critical predictor of occupational and social success, making it a key area to address in supporting individuals with ADHD.

People with ADHD may become restless and impatient when required to wait, perceiving time as moving slowly due to their 'time blindness'.

The idea of 'delay aversion' describes the impatience and avoidance of waiting that is common among individuals with ADHD.

Strategies such as chunking tasks into smaller steps, using external reminders, and structuring the environment can help compensate for time management deficits in ADHD.

Russ Barkley emphasizes the importance of understanding ADHD as a time blindness disorder to effectively accommodate and support individuals with the condition.

Combining medication and environmental/task accommodations is suggested as the best solution to support individuals with ADHD.

Transcripts
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