- 9 hours ago
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LifestyleTranscript
00:00What I really want to get out of this lecture here, and I want to say conversation, is we
00:11have to do better with ADHD and autism in our community.
00:16We have got to do better.
00:18And the reason why is because we are behind.
00:23We're far, far behind with recognition.
00:26And when I say recognition, I mean we know when our children have an issue.
00:38Our parents, as parents, we can feel it, but we don't want to address it because of fear,
00:47of stigma, of what that means to the rest of the family.
00:53I've diagnosed thousands of children with ADHD, written 20, 30 articles and magazines
01:01and textbooks about this concept and have developed five medicines for this.
01:06And what we have to remember is that our children are suffering.
01:12They're suffering in relation to their peers because the community that looks a lot different
01:17than us, the white community in America, they've addressed this, they have embraced it.
01:24And the top three richest men in the world have this disease of ADHD.
01:30And one of them has Asperger's disease, which is a variant of autism.
01:35The top three richest men in the world.
01:38And they've been on medicine since they were seven years old.
01:42But we in the African American community feel like we don't want to put our children on medicine
01:47because it will make them a zombie.
01:50It's bad.
01:52You hear all these things from the thought leaders in your household
01:55who have never been to medical school at all.
01:59They've never done anything except hear what,
02:02well, Johnny was like a zombie on this particular medicine.
02:05And this is not in any way to be a proponent of medicine for ADHD or autism.
02:10What it is, is to give you the opportunity to understand the disease, what it is,
02:17and why we can get through it, and why we have to address it, and let go of the fear.
02:23And I'm going to let go of this.
02:35All right.
02:37I'm going for it.
02:38I'm pushing.
02:47Let's see.
02:48Maybe that was it?
02:49Sure.
02:50Yeah.
02:57Okay.
02:58You guys can, you guys can not be in the back if you want, I'm good.
03:05All right, that's cool, that'll do it.
03:06Okay, so.
03:08As we go through this, what we're going to do in a nutshell here is I'm going to tell
03:13you the reasons why we have these types of diseases, kind of at a very high level, and
03:18then what we can do a little bit to address them, okay, and when.
03:23So I think they're going to pop to the next slide.
03:26Okay.
03:27How do we make this diagnosis?
03:30It's going to be hard for you guys to see.
03:32It's hard.
03:33Because you might, I'll go through it.
03:35Well, I'll go through it.
03:36When, you got your glasses or you can see.
03:38Okay.
03:40When you have a child or an adult that has attention deficit hyperactivity disorder, we first must
03:48make sure that we call it like we see it.
03:52Because when we go to the doctor's office, if we don't say the right words, then the doctors
03:57think that we're not smart and they're not going to listen to us.
04:00We already have that issue as African-Americans anyway, right?
04:03They don't trust us.
04:04They don't trust us.
04:05They don't, we don't trust them.
04:06They think that we're not smart.
04:07So, ADHD is the diagnosis.
04:12There is no more ADD versus ADHD.
04:15It's all ADHD.
04:17And then it's ADHD inattentive type or ADHD impulsive type.
04:24Okay.
04:25Two types of ADHD.
04:26So, the inattentive type fails to pay attention to details.
04:31Difficulty sustaining attention.
04:33Seems not to be listening.
04:35Trouble following through on tasks.
04:37Difficulty with organization.
04:38Avoid tasks that require prolonged mental effort.
04:40Lose important items.
04:41Easily distracted and forgetful.
04:43Everybody in this room feels like, wait a minute.
04:46I might have that, right?
04:49But we got to be careful because when you look at the diagnosis, it's not just having
04:55it.
04:56It's how long do you have it?
04:58How many of these do you have for a prolonged period of time?
05:00Right?
05:01And then we go to A2.
05:03Hyperactivity and impulsivity.
05:05Fidgets or squirms.
05:06Trouble remaining seated.
05:08Restless or runs about.
05:09On the go.
05:10Overly talkative.
05:11Talks over others in conversation.
05:13Intrusive on the actions.
05:14All these things.
05:15Once again, some of you sitting in this audience may have ADHD or some of you just may have a
05:22few of these characteristics which is not the diagnosis.
05:25You got to have symptoms from either or both of these categories that meet all of the criteria.
05:30Right?
05:31So you got to have more than six of these symptoms when you're 16 years of age.
05:36And hyperactivity and impulsivity.
05:38So that's a lot of things you have to have to have this diagnosis.
05:42Now, once you make the diagnosis, what are we going to do once you make it?
05:49Now, ADHD in the adult population, it may not show like this.
05:55And the reason why is because if you're sitting out there and you have really bad credit, your
06:02house is not neat, you can't keep a relationship and you can't keep a job, then that also is
06:10ADHD not in a way that is the DSM-5 criteria, but it's the ADHD in an adult manifestation.
06:19Because we don't manifest it in the same way as children.
06:23Okay?
06:24And so if you have that, you need to really get your mind right and start looking at what
06:29you can do to address these things.
06:32Because your life, you've been struggling your entire life.
06:37Your entire life.
06:38And all it's going to take is a small intervention.
06:41Now, this is why it gets crazy.
06:44Are we recognizing this?
06:46Syndromatic ADHD clinical presentation.
06:48Cognitive problems.
06:50Language delays.
06:51Social delays.
06:52Impaired academic or work performance.
06:54Low frustration tolerance.
06:56Irritability and mood liability.
06:58This is the syndromatic ADHD presentation.
07:02And this is a very real thing that some of you have dealt with.
07:05Now, in children, this is what I really want you to see.
07:09Because we don't have a lot of time for this one, this presentation.
07:14But I want you to see this because in kids, in children, this is what you see.
07:20Problem at school.
07:22Academic underachievement.
07:24Conduct issues.
07:25Impulsivity.
07:26Stress to family.
07:27And difficulty making friends.
07:29That's what you see in the child.
07:31But in the adolescence, this is what you have to take away from this.
07:38Increased traffic accidents and violations.
07:43Teenage pregnancy.
07:45STDs.
07:46Low educational attainment.
07:48Job failure.
07:49Drug dependence.
07:50Criminal behavior.
07:51Incarceration.
07:52Injury and death.
07:5375% of all of the men in Angola right now have this untreated.
08:00Because what do you do?
08:02Think about what happens.
08:03You go to school and all of you have computers at work.
08:07Imagine if you went to work every day and they could change the computer system every day and you had to relearn it.
08:14Would you like to go to work?
08:16No.
08:17No.
08:18So when you're a child and you go to school or you're an adolescent and you go to school, that's what it feels like.
08:24Every day.
08:25And then everybody calls you dumb.
08:26They call you bad.
08:28And then you start feeling bad about yourself.
08:31And then you say, I don't want to go to school there.
08:34And then you start hanging out with the people that feel like you.
08:39And then what happens?
08:41They commit a crime.
08:42Because you're with them.
08:43Because they don't want to do anything else because they don't like school.
08:46And then you end up in prison.
08:48That's what we see.
08:50White children get this addressed very early.
08:54They get in therapy.
08:55They get on their medicines.
08:56And this does not happen.
08:58We have got to get out of the closet when it comes to ADHD.
09:03Because I'm going to take this one step further.
09:05Can y'all see that?
09:1029 to 130% increase in injury.
09:14And a 41 to 107% increased risk of mortality.
09:19If you have untreated ADHD.
09:22Think about that.
09:24So if you have a child out there or an adolescent or an adult that you know.
09:28That has those symptoms that I mentioned for adulthood.
09:31And they have these types of situations going on.
09:35You have got to address it.
09:37And the reason why is because of these issues right here.
09:42Now.
09:43I'm going to leave.
09:44We're going to go through autism as well like this.
09:46Okay.
09:47It's a very different kind of diagnosis.
09:49A very different concept.
09:50Because it's more.
09:53It's an organic thing where.
09:55The genetic factors are different.
09:58So we lump these two things together.
10:01Because they're very.
10:02They're child psychiatric illnesses that are usually seen in children.
10:06But we don't actually have to.
10:08They're not related in this way.
10:11You can have them both.
10:13But they're.
10:14They can also be individual.
10:15So I don't want you to think in any way that we're lumping these things together.
10:17We're lumping them because you might have questions on both.
10:20Okay.
10:21So.
10:22Autism.
10:23The recurrence risk.
10:24With the birth of one child is three to six percent.
10:27And what is it?
10:29What is autism?
10:30Where do we get it from?
10:31And I want to take this slide out of order.
10:33It's organic brain disorder.
10:34And there are lots of different types.
10:36The basics.
10:37You've heard a lot about autism.
10:40A lot about it.
10:41Right?
10:42And.
10:43It's increased a lot in the last few years.
10:46Now.
10:47When I went to school.
10:49There was no.
10:50IEP.
10:51Or 504 program.
10:52I don't know if y'all know what that means.
10:54But these programs where.
10:55Back in the day.
10:56Any kid.
10:57That had an issue.
10:58Got put in a classroom with a bunch of other kids that had the same issue.
11:01So all the kids that were slow.
11:02Got put in a classroom together.
11:03We can't do that anymore.
11:04Because we know that's bad for them.
11:05Right?
11:06So.
11:07The disability part of this.
11:08Is a situation where we must.
11:09Put everybody.
11:10Address everybody's issues.
11:11Everybody's deeds.
11:12And they all have to be.
11:13Addressed in a way that is.
11:14Uh.
11:15Uh.
11:16Advantage to the child.
11:17Okay?
11:18So.
11:19When you look at.
11:20The.
11:21The way that this presents.
11:23We see so much of it now.
11:26But.
11:27It's really not that we see most.
11:29You know.
11:30That's bad for them.
11:31That's bad for them.
11:32Right?
11:33So.
11:34The disability part of this.
11:35Is a situation where we must.
11:36Put everybody.
11:37Address everybody's issues.
11:38Everybody's deeds.
11:39And they all have to be.
11:40Addressed in a way that is.
11:41That we see most.
11:42We see it a lot more now.
11:44We just know the diagnosis now.
11:46If this makes sense.
11:47So.
11:48In my school when I grew up.
11:49There was something called.
11:50The resource center.
11:51Okay?
11:52So.
11:53Everybody came to school.
11:54And then the kids that had.
11:55Any of these two things.
11:56Got put.
11:57In a whole separate classroom.
11:59And you know how many kids.
12:00They had in that school.
12:02That was our school.
12:03They had 400 kids.
12:05In that particular part of our school.
12:06And that kids had.
12:07They had a thousand kids in the school.
12:09Which is what?
12:10Almost half.
12:11Of the kids.
12:13So.
12:14Is this an increased diagnosis or not?
12:17Not really.
12:18Because.
12:19That's more.
12:20Than.
12:21The increase.
12:22In what the population is now.
12:23So these kids.
12:24All had it.
12:25They just.
12:26Weren't diagnosed.
12:27Diagnosed.
12:28So.
12:29I don't want you to think that.
12:30Oh.
12:31Everybody's diagnosed with this now.
12:32He's over diagnosed.
12:33Could it be a little bit?
12:34Maybe.
12:35But the problem is.
12:36We've got to address this in a way.
12:38And how do we address it?
12:40There's mostly men.
12:42Boys.
12:43That have autism.
12:44Okay?
12:45It's four to one.
12:46There's underlying neurological dysfunction.
12:48Genetic factors play a part of it.
12:49And there's a spectrum.
12:50You may hear.
12:51That.
12:52They're on the spectrum.
12:54So.
12:55You guys have seen the show.
12:56The good doctor.
12:57Okay.
12:58So.
12:59That person is on the.
13:00Asperger's end of the spectrum.
13:02And then there's a whole other end.
13:03Where the kids cannot really.
13:04Function.
13:05In.
13:06In.
13:07That high level.
13:08And then they have a lot of other issues.
13:09A lot of other neurologic issues.
13:10Texture issues.
13:11And so.
13:12That becomes.
13:13Something that.
13:14That we have to address.
13:15And it becomes a lot more difficult.
13:16To manage that child.
13:17As they get older.
13:18So.
13:19If you have a child.
13:20Or someone that you know.
13:21Has a child's autism.
13:22They need to get ready.
13:23If they're not very high functioning.
13:24That.
13:25When they get to be.
13:26Four.
13:27Four.
13:28Four.
13:29Four.
13:30Four.
13:31Four.
13:32Four.
13:33Five.
13:34Four.
13:35Four.
13:36Fifteen.
13:37And you can move them around.
13:38And they can.
13:39They might get, aggressive.
13:40They might want to.
13:41Fight.
13:42They may not want to.
13:43Listen to you.
13:44You may have to get.
13:45Some other types of.
13:46Of support.
13:47Right.
13:48All right.
13:49And.
13:50When we look at.
13:51This.
13:52The prevalence of this over time.
13:53It's three or four times higher too.
13:55��.
13:56The penguins.
13:57In 1970s.
13:58And 1.5 job.
13:59The
14:00dominated.
14:01the better identification, the diagnostic tools, the broader classification system, and the environmental factors.
14:07Now, this is where the road hits the road for me when it comes to this.
14:12Because how many Elon Musk's are we missing in the black community because we don't address this?
14:20A man that, you know, sends people to space, and he's got his own issues, don't get me wrong.
14:25But the brilliance of a person, intellectually, where we cannot get them to the next level because we have not addressed their needs.
14:33If you have a child at home, and you have somebody that you know has a child at home, and they're not getting their educational needs met,
14:39regardless if it's autism, ADHD, whatever it is, we need to do that.
14:43We need to address it, and you have to identify them early.
14:46Early intervention for everything that we talked about up here today.
14:50Heart disease, getting your blood pressure, your hemoglobin A1C.
14:55Early intervention is most important.
14:58But the fear we've got to get over, the stigma we've got to get over.
15:02Do you think Bill Gates cares that he has ADHD?
15:05He doesn't.
15:06Because his community has embraced the fact that he has it, and it's okay.
15:10Right?
15:11Jeff Bezos has addressed the fact that he has ADHD, and it's okay.
15:16But Johnny, our Johnny, we won't address it.
15:21Right?
15:22So they're cutting me off.
15:23But it's a good way, it's a good way, it's a good way.
15:26But what I do want to tell you is a story.
15:29And I wish they could turn down Mr. Telephone Man, because this is what really hurts me, right?
15:35I was in second grade.
15:37I went to all-white school.
15:40I had two boys in the class.
15:45One of them's name is, let's just say his name was Cleve.
15:49The other one, let's just say his name is Jack.
15:52Okay?
15:53Both of these boys, one was black, one is white.
15:57Cleve is black, Jack is white.
16:00They both were mischievous.
16:02They both wouldn't sit down in the seat.
16:04They both were squirming.
16:06All these types of issues.
16:08They both failed second grade.
16:10Jack's dad was the president of the largest law firm in Baton Rouge, Louisiana.
16:15Cleve's dad was a janitor at the school, and he went there for free because he was a janitor and he got to go to the private school for free.
16:23Both of them failed second grade, and both of them had the diagnosis, theoretically, of ADHD.
16:32Nobody said that, but Jack's dad took him to a psychiatrist, and Jack got diagnosed with ADHD and got her put on Ritalin in 1976.
16:42When I was seven years old, I'll never forget this.
16:45He took it two times a day.
16:47Cleve's dad beat the hell out of him and said,
16:50You're going to learn what you're going to learn.
16:53They both passed the second grade the next year.
16:56Cleve's still a little mischievous.
16:58Jack, a little bit more focused, but still the same weight.
17:01Fast forward.
17:03Right now, Jack is the president of that law firm.
17:08Cleve has three master's degrees and is working on his PhD.
17:13The only difference is that Cleve got his three master's degrees at Angola State Penitentiary.
17:20He got diagnosed with ADHD in Angola State Penitentiary and got three master's degrees.
17:26Because Cleve hated school because he was always being told he was bad.
17:32He went to the bad high school because his dad wasn't a janitor there and started hanging out with bad kids that were the same as him.
17:39Not because they were bad.
17:41It was because they were in a place that they weren't diagnosed.
17:45They weren't treated appropriately.
17:48They went to a store.
17:51One of the guys pulled out a gun, shot somebody that was at the store, and Cleve was in the car.
17:57So they all got to charge.
17:59And right now, if Cleve was in this room, because Jack and I and Cleve were still all friends,
18:03he would tell you, if I had got the diagnosis and the treatment when I was seven,
18:08I wouldn't have gone to Angola State Penitentiary.
18:10I'd be jacked.
18:11And the same thing with autism.
18:13We've got to address this in our community, release the stigma, let the doctors do what they need to do
18:19so our children can be in a better place when they get to be older.
18:23So thank you, guys.
18:24I appreciate you.
18:25And it was kind of fast.
18:28I know there's so much in this, but we've got more people coming up, and I don't want to take this over.
18:43Bye.
18:44Bye.
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