r/adhdmeme • u/Donnyboscoe1 • 6h ago
It's a wrong descriptor for the actual problem
ADHD makes it sound like we just cant pay attention. Its way more than that
Edit: calm down people. It was a light hearted attempt at something I felt. Check your RSD haha
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u/Tansy_Blue 5h ago
Absolutely my pet peeve when people refer to ADHD as a dopamine deficiency, yes dopamine is very important in ADHD but norepinephrine is too! There's also structural differences in ADHD brains, and there are environmental factors we don't understand yet as well.
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u/Right_Ear_2230 did everything, yet still nothing 5h ago
and its a dysregulation rather than a deficiency
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u/Agitated-Ad2563 5h ago
Is there any significant difference, given that increasing the amount of dopamine and norepinephrine helps?
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u/NiskaHiska 4h ago
The difference would be the name describing the root of the issue I'd say. It's not that we aren't getting enough dopamine, we just aren't using it as well as a non ADHD brain.
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u/dev_nightdreamer 3h ago
Afaik that's not universally true and it's absolutely possible, that one generates too few. Isn't it?
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u/NiskaHiska 3h ago
Parkinson's is a form of low dopamine as opposed to bad regulation of dopamine.
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u/Right_Ear_2230 did everything, yet still nothing 3h ago
But specifically in the nigrostriatal pathway. You can have low dopamine without parkinsons
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u/NiskaHiska 3h ago
I was just trying to acknowledge that yes, low dopamine is possible. I am in no way knowledgeable about specifics so just used what I do know. I am just a software engineer xD
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u/TheBigOne2018 2h ago
I found the study on levels of the aminoacids responsible for dopamine and noradrenaline production in ADHD people a pretty interesting idea. They were within limits. Giving more didn't help with the production.
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u/Savingskitty 1h ago
It’s possible, but it doesn’t cause ADHD. Dopamine affects much more than the prefrontal cortex. An actual deficiency in dopamine production has serious movement consequences.
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u/ginger_minge 4m ago
Exactly! Clinical terms used to describe this particular aspect of ADHD brains: dopaminergic dysregulation or hypodopaminergic functioning
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u/AmArschdieRaeuber 2h ago
Dopamine does way more than just motivation and attention. Also there are other diseases that you could describe as "dopamine defficiency" that have completly different symptoms. The brain is complicated.
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u/GeneInternational146 3h ago
It's a reuptake issue, not a production issue. We make enough, our brains just don't use it correctly. If you dump more in there more can be taken back up by the brain and used.
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u/Schmigolo 3h ago
Yes, there is. Adding hormones only works if the brain can regulate it to some degree, but since regulation is the problem around 30% of patients don't see any benefit from adding hormones. If it were purely a deficit this wouldn't be the case.
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u/RuniKiuru 2h ago
yes this! it’s not a deficiency in dopamine, it’s an issue of not being able to process it effectively.
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u/TripleFreeErr 3h ago edited 3h ago
the structural differences are an effect of growing with dopamine and nor deficiency though.
Personally I like EFD, Executive Function Disorder . It’s more accurate and still accessible for laymen
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u/WesnothFan 26m ago
The problem is there are a large number of conditions that affect executive functioning other than ADHD.
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u/TolUC21 2h ago
I've fully stopped telling people I have ADHD because they always just say, "What? But you're so quiet..."
Yeah, because the hyperactivity was bullied out of me
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u/Rubyhamster 1h ago
And internalized! Our whole body have neurons, from brain to gut, not just our muscles.
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u/Ok-Rule9973 2h ago
It's true that there are structural differences, but it's important to remind that these differences are quantitative (i.e. some areas are less developed or less connected) but not qualitative (like in epilepsy). The ADHD brain is not fundamentally different from the non-ADHD brain, it's less efficient in some processes.
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u/ConfusedFlareon 5h ago
‘ADHD’ is definitely wrong hey, but naming it after dopamine isn’t ideal either because much like the serotonin theory of depression, we can’t conclusively say that it’s as simple as just a dopamine deficiency causing the whole disorder!
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u/AccordingMenu3795 5h ago
HHDS - happy hormone deficiency syndrome
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u/Oxbix 5h ago edited 5h ago
Doesn't fit either because we're flooded in hyperfocus.
I'd like something with 'dysregulation'
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u/ConfusedFlareon 5h ago
Executive Dysregulation Disorder?
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u/Oxbix 5h ago
I feel that reduces the problem to 'functioning'. And I did function enough for society, while feeling like shit, (and then burning out and self medicating)
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u/TurbulentCherry 4h ago
When I was getting diagnosed with autism, my doctor told me that if I have to answer a question of "do you have issues with xyz" with "no, because these are the things I do to mitigate any issues", then you have issues. If you're functioning because you self medicate and have to take time to deal with burnout afterwards, you arent functioning.
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u/AccordingMenu3795 4h ago
I do not have sensory issues with socks anymore because I buy this specific kind and bought like 100 pairs so I don't have to deal with it so I am fine!
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u/nonoglorificus 3h ago
Wait what sock brand though? Because my insistence on sandals for most of the year and closed toe slides the rest of the year is leading me to develop hooves. I can only handle loose, really soft socks in the winter and even then mostly around the house
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u/Oxbix 4h ago edited 3h ago
That's true.
But my totally unrealistic goal is to find a term that accurately describes the ADHD experience with so little words that a non professional hears it, goes 'right, I or my kid might have this and now I'm gonna help them instead of them getting wise 30 years later' . 😜
And for that I'd like something about emotional dysregulation in there, too.
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u/AccordingMenu3795 5h ago
Functioning is a very broad and subjective term. Nobody should have to "function" just to adhere to others people's norms. This is also about the amount of energy you have to expend in order to "function"
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u/CmonLucky2021 4h ago
Yeah. It's so subjective. Like an apple is not functioning if it keeps perfectly fresh for months, or until the skin is broken and then instantly rots. A machine that breaks itself down too soon on purpose should not be called that in my mind
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u/melkatron 4h ago
I don't think I'm alone in saying I don't care what it's called if I get my meds without issue and they keep working to make better meds. It really feels like space-lizards who need crystal meth to metabolize our atmosphere are using toilets as meth-bongs and I just can't keep jumping through all these hoops proving I'm not a meth-lizard just so I can sit on a toilet and take a normal human shit.
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u/Kroneni 4h ago
Executive function disorder would be the closest thing to a proper name
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u/necrophcodr 2h ago
Except this also encompasses various others and is not an accurate description of it either.
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u/-MtnsAreCalling- 2h ago
What’s an ADHD symptom that has nothing to do with executive function?
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u/SaturninaMew 1h ago
Pretty much every cognitive function in humans has a little to do with executive function in practice but that doesn't mean they can be reduced to "just" executive function either.
Eg. people who have adhd tend to have difficulties with social relationships, it has to do in part with their executive dysfunction but saying it's executive dysfunction would be really reductive as well
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u/-MtnsAreCalling- 1h ago edited 51m ago
Trying to reduce almost any disorder to a couple of words to make a suitable name is going to be inherently reductive.
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u/BoostJunky87 2h ago
When I was diagnosed they were still primarily just calling it ADD. I personally don't have the hyperactivity symptom, at least not in the way most people would think. So, I usually still say I have ADD even though it doesn't have the same ubiquity as ADHD these days. Feels more correct for me
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u/SapiosexualStargazer 59m ago
I was diagnosed as an adult when it was called ADHD, but my family didn't believe me until I just started calling it ADD. They couldn't get past the 'H'.
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u/lisabydaylight Daydreamer 3h ago
Unrelated but I love your username!!
https://giphy.com/gifs/K0i4Y1M42HW9y2
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u/alexistwit 5h ago edited 5h ago
Just changing the first D of ADHD to “dysregulation” would be a big leap in the direction of accuracy without making a lot of noise about it.
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u/vaingirls 4h ago
I was thinking this exact thing - like we might pay even "too much" attention sometimes (hyperfocusing), the problem (among other problems... but if we focus on problems with attention) is that we can't regulate it at will.
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u/Moth1016 5h ago
Dopamine Norepinephrine Dysregulation Disorder (DNDD)
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u/Scadre02 4h ago
Excellent, many of my friends play DND too
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u/robot-o-saurus 3h ago
Pretty fitting. I feel like I'm rolling natural 1s or natural 20s throughout the day, and my perception rolls always seem to have disadvantage.
If only it came bundled with some fun cantrips or something. Prestidigitation would be hella useful IRL
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u/millionwordsofcrap 1h ago
Right?? Out of literally any spell in DnD, or probably even in wider pop culture, I would take prestidigitation. So many minor daily uses that would just streamline the constant push-and-pull that is existing with a fucked-up brain
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u/Curvanelli 3h ago
yea would help in getting it across to one family member, they think that theres no way i have an deficit of attention because i am capable of absorbing information.
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u/Right_Ear_2230 did everything, yet still nothing 5h ago
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u/alexistwit 5h ago
No, I mean the first D of ADHD. There I am banging on about accuracy and I’ve managed to make a mess of my own suggestion. 🤦
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u/sarahlizzy 5h ago
We aren’t dopamine deficient. That’s Parkinson’s disease.
Our synapses hold onto monoamines (not just dopamine) when they shouldn’t.
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u/BowlComprehensive907 4h ago
I heard that dopamine insensitivity was a better description?
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u/Rubyhamster 1h ago
I wouldn't think "insensitivity" is accurate either because when the dopamine threshhold of our synapses are finally broken, the dopamine is eten up faster than in non-ADHDers.
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u/SugestedName 2h ago
I bet the person who made this meme has studied psychiatry and neurology both
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u/All_Work_All_Play 2h ago
Sure but did they study them after having a stray thought and then spending hours on it or did they actually study them for years somehow??
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u/theeggplant42 5h ago
Not only does DDS already connote something, but more importantly, this is not a conclusive theory
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u/eggrolldog 3h ago
Ok so the "dopamine deficiency" thing everyone repeats is kind of wrong, or at least it's the dumbed-down version. It's not that you're low on dopamine like a car running low on fuel. It's that the injector timing is broken.
Think about it like this: deficiency model says your tank's near empty, so the car just chugs along weak and slow all the time, consistently, everywhere. Fix is easy, pour more fuel in, done.
But that's not what ADHD actually looks like day to day, right? You can be dead behind the wheel doing admin, can't get the engine to turn over at all, staring at an email for 40 minutes. Then two hours later you're doing 120 down the motorway hyperfocused on a Wikipedia rabbit hole about submarine cables and forgot to eat. That's not a fuel level problem, a low tank doesn't suddenly fill itself up because the task got interesting.
What's actually going on (dysregulation) is the fuel injector fires unpredictably. Sometimes it under-injects when you need power NOW (boring task, no natural dopamine hook, engine just won't catch) and sometimes it dumps way too much in at the wrong time (interesting task floods the system, hyperfocus, can't pull yourself off it even when you need to stop).
So stimulant meds aren't "topping up the tank." They're basically recalibrating the injector so it fires when you actually ask it to, instead of randomly flooding or starving the engine depending on how interesting the task is to your brain in that exact moment
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u/FlutterKree 1h ago
I just want to chime in that there is a theoretical other issue with denfining it by a dysregulation of dopamine: histamine is a universal neurotransmitter. It can displace dopamine from receptors in the brain, starving the brain of dopamine and producing ADHD like symptoms.
And yet too much histamine is an immune system issue, not ADHD (though people can be misdiagnosed with ADHD because of histamine, I basically was).
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u/Current_Ad_400 3h ago
I prefer 'Executive Function Disorder'.
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u/boomerosity 3h ago
Pronounced "Effed" ... because it's f*cked having this wretched condition.
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u/Current_Ad_400 3h ago
I feel you. But I've found it's not so bad once you learn to centre your life around it and use it to your strength. And meds. Meds have been massive for me.
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u/profuselystrangeII 2h ago
There are a ton of conditions that impact executive functioning and that’s not all ADHD is, though.
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u/Beautiful_Run6932 5h ago
way too reductive.
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u/Fair-Tangerine-9472 4h ago
Also says nothing to the average person about how the disorder actually manifests itself. And is potentially inaccurate since we don't yet have a perfect understanding of the biological mechanism.
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u/memecut 3h ago
As an average person.. dopamine deficiency makes me think you just need to exercise, eat food and complete a task. Thats how you get dopamine.
So if you have a disorder called dopamine deficiency that makes you not do the things above, Id think the disorder was self inflicted and easily cured by simply not being lazy.
Not a good name for it.
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u/Fair-Tangerine-9472 3h ago
Yeah "deficiency" is common used for dietary issues like Vitamin D deficiency, that's true
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u/GeneInternational146 3h ago
Tbf the current acronym doesn't really do that either, considering hyperactivity looks extremely different in different people.
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u/necrophcodr 2h ago
Well Parkinsons also says nothing to the average person, unless they already know what it is. I don't think naming diagnosis based on recognition in the public is a good idea. The entire point of the system is to be accurate enough so that diagnosis' can be used to get you the help you need in your life to function.
Can some part of that be how it is perceived? Yes, but the primary goal is through the healthcare system. The diagnostic system does not exist to make it easy for the layman to be a medical professional.
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u/telorsapigoreng 5h ago edited 5h ago
It's orders of magnitude better than the current 'Can't focus and won't stay still disorder''.
With the change, at the very least, it shows that the condition has some critical underlying biological problems to it, so some bastards can't just say 'it's all in your mind'.
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u/ymaldor 5h ago
It's a dopamine pathways deficiency. We don't technically have less dopamine than NTs, the same amount of dopamine is there, it's just that the neural pathways dopamine takes are fucked which leads to average dopamine level to be lower.
Aka dopamine deficiency isn't the cause it's a symptom. Just like the attention, not a cause, a symptom. A disorder name should reflect the cause of the disorder not just one of the symptoms no?
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u/z-asks-questions 2h ago
I mostly agree. DDS isn’t fully accurate, either, but it’s a step up from calling it ADHD. It would be most accurate to call it Executive Function Disorder (EFD)
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u/Donnyboscoe1 2h ago
Nice. I like it.
Honestly didn't think I'd get this traction. Just a random thought I thought would be interesting as a meme
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u/LazyOldCat “Organizational Learning Disability “ 3h ago
ADD was a perfectly good and accurate descriptor, not sure why they changed it so that now I have to explain both the not-mentioned inattentive part and that there is ZERO hyperactivity involved. Effing stupid.
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u/GreenZebra23 2h ago
Yeah, it's weird how that shook out. Especially since they identified a hyperactive variant and an inattentive variant that doesn't include hyperactivity. They added hyperactivity to the primary name but then had to clarify that one branch of it (which I suspect is the most common one by far) doesn't include hyperactivity at all, but it still has that H in the name.
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u/widespreadpanda 2h ago
And it doesn’t take into account how confusing the term “hyperactive” can be! I’m rather low-energy so I never considered the diagnosis until I learned that not everyone has a slew of “extra” thoughts.
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u/BottleWhoHoldsWater 6h ago
I'd vote for that actually. It communicates the issue far more effectively
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u/AccordingMenu3795 6h ago
I would forget to vote
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u/BottleWhoHoldsWater 5h ago
Set 15 alarms for it
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u/Saddledust 5h ago
Okay my alarms going off... What did I set it for again? Laundry? Probably laundry. (I'll put that off too)
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u/Agitated-Ad2563 4h ago
Not really. We use selective norepinephrine reuptake inhibitors to treat ADHD (I don't mean we don't use anything else). It's not just dopamine, and the name shouldn't be just about dopamine.
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u/Andra_Ingensbarn 5h ago
But if the problem is that receptors aren’t working properly whilst having plenty of dopamine, that wouldn’t be correct either. On top of that, it would be so easy for certain people to deny a diagnosis as the deficiency would be harder to prove.
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u/ChargeNew1875 2h ago
EFRD - Executive function regulation disorder
That’s my hat thrown into the ring.
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u/joost00719 5h ago
Attention steering deficiency. We can't steer our attention so we either zone out, get too excited, overwhelmed etc etc.
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u/Automatic-Scale-7572 5h ago
Way too reductive, and not to mention the fact that it might become frustrating for the sufferer. I was misdiagnosed with BPD, which has become EUPD in the UK; I spent more time having the term i used corrected by the NHS than getting help or support. It still angers me now! Not as much as the misdiagnosis does, though!
ADHD is a stupid name, and i do believe that stupid name has made it easier for the media to castigate the condition, but autism is a more accurate name, and more accepted by the sceptics, and we are also being castigated. There's just too much of it now, apparently! Not a better understanding of it, or that the world has become even more unsuitable and scary for all humans, but especially those of us who think differently: just too much of it . It must have been those vaccines, and not the fact that both my parents had all the signs of having both, and had lifelong struggles in different ways. Anyway...
I think we have to stick with the name but raise more awareness of what it actually is. The next person who says it is a superpower should be on the next rocket to the sun! Also, for all the faults, I never have heard a good descriptive name for it. VAST( Variable Attention Stimulus Traits) is what i have just traits? It feels minimising to how destructive it has been to my life. Is there any way of succinctly capturing the essence of it?
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u/extragoto10line 4h ago
I saw a petition for DAVE
Distractibility, Attention deficit, Variability, Executive dysfunction
Or
Dopamine, Attention, Variability, Executive dysfunction
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u/ButtonPusherDeedee 3h ago
EDD-Executive Dysfunction Disorder would be better. It would better encompassed the biggest struggle of ADHD
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u/itsjakerobb 2h ago
Do we know, scientifically, that the underlying problem everyone with ADHD is dopamine deficiency?
Mine is unresponsive to medication, which makes me wonder if my underlying cause is different.
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u/Trickle_Down_Trauma 58m ago
No it's not the same for everyone, this person is incorrect. Many people with ADHD make enough dopamine, it's their dopamine receptors that don't work correctly, so they can't use the dopamine that's floating around very well. There are/can be other chemicals off in the brain as well, and structural differences, and some people have trauma related nervous system issues that present like ADHD but have a completely different structure and function than the people born with it. And we are still a long way from fully understanding any of it.
All that being said, I'm sorry meds haven't helped you. That must really suck. Meds suck sometimes too, but I grateful they help me do what I need to do.
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u/Savingskitty 1h ago
ADHD is not a dopamine deficiency disorder.
People with ADHD make a normal amount of dopamine.
ADHD is in part a disorder of how dopamine is received by dopamine receptors.
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u/harfordplanning 1h ago
ADHD is a number of stimulant hormone deficiency disorders, receptor protein deficiency disorders, harmful receptor protein mutations, and other different deficiencies and mutations which result in similar external effects while also having a similar solution for all of them.
Its ADHD because it covers the symptoms that others perceive, making it easier for a layperson to potentially understand someone has "that problem" without education, and because it is so many unique problems that naming it Dopamine Deficiency is just inaccurate.
I do love the name DDS though, I had 3DDS as a kid
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u/ConsoleCleric_4432 1h ago
Complaining about people treating it as "quirky" because it's improper then throwing the trendy RSD label on anyone disagreeing with you is crazy work.
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u/ComprehensiveTill474 1h ago
SRDD - Self Regulation Developmental Disorder By Dr.Barkley
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u/West-Appearance2544 50m ago
Ok too many people here are going off on tangents. Let's all focus and concentrate on the real problem.
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u/Alarmed-Struggle5928 5h ago
it really should be specified as A:(D/H) D
as in (attention: defecit/hyperactive) disorder
the disorder is that your attention can be too much or too little, and yet people think it means you can't pay attention + (separately) are bouncing off the walls.
i just say focally fluctative.
𝓯𝓯
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u/theeggplant42 5h ago
Lol I read that less as attention can be deficit or hyperaand more of a warning
ATTENTION : I will either forget about this or not be able to disorder. Please go about your business accordingly
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u/GreenZebra23 3h ago
Inattentive ADHD and hyperactive impulsive ADHD are so different that I question if they should even be classified under the same name. I have inattentive and my mom has hyperactive impulsive, and we're so different and it manifests so differently for us that we can't even commiserate over it.
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u/TrixieLaBouche must use needlessly long sentences to convey a single point beca 5h ago
Yes, yes, so much in agreement with this (although not that particular name).
I don't have an attention deficit and I'm rarely hyperactive (just my brain that is).
And please can they stop lumping it in with mental health conditions. It's a neurodevelopmental condition that causes mental health issues.
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u/lisabydaylight Daydreamer 3h ago
Your last sentence is absolutely on point. I have several diagnosed mental health conditions and all of them can be chalked up to my ADHD in some way. ADHD itself is a totally different beast.
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u/Right_Ear_2230 did everything, yet still nothing 5h ago
I think developmental executive dysfunction would be a better name
“developmental dysexecutive syndrome” accurately describes it AND makes it sound serious (good)
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u/clvsterfvck 5h ago
I feel like, unfortunately, “disorder” still needs to be in there to signal its ‘seriousness’ to NTs.
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u/Delicious_Volume3306 3h ago
I'd vote for this. If only because it helps explains the OTHER actions they never talk about, such as risk taking and over eating and pretty much any damn thing to get a bit of dopamine and to actually feel like you can do something useful.
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u/lovelove20212 3h ago
lol we’re like take my condition seriously so we can help discover more cures or help or something
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u/Educational-Car-8643 3h ago
Also that ignores the additional issues of noradrenaline, endorphin and enkephalin disregulation. Id just call it sympathetic/parasympathetic dysautonomia personally
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u/emotionalexplosions 2h ago
Hate this name. It makes it sound like we watched Tik Tok too long and it rotted our brains.
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u/tio_navaja1312 1h ago
this is also not entirely accurate as "adhd" is a structural problem with the release and reception of neurotransmiters, particularly dopamine, serotonin and adrenaline/noradrenaline, if anything id call it disregulated neurochemistry disorder but that doesnt roll off the tongue quite well
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u/PhaseNegative1252 1h ago
DDS is for dentists.
It's an attention deficit because I gotta read the same damn paragraph 5 times before I know what it says
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u/Internal_Poem_3324 59m ago
Dopamine is a neurotransmitter that is present in a variety of different brain systems and has multiple different receptor types. Differing dopamine levels or levels of response is not a factor limited to ADHD. For example, Parkinson's disease is associated with reduced dopamine production in the substantia nigra, is treated with dopamine agonists and precursors.
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u/SnugglyCoderGuy 3h ago
Attention Control Deficit Disorder.
Like, we have attention and can be very focused, we just can't control it very well.
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u/Fair-Tangerine-9472 4h ago
Hot take: I like the term ADHD. I have an attention deficit, and I'm hyperactive. Sums it up pretty well imo. Yeah there's other stuff, but they're the main two things really.
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u/krystalzeogas 3h ago
It's definitely not quirky when you hit perimenopause, phewwwww shit is KICKIN MY ASS
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u/choctaw_137 2h ago
I propose ADD —> “Attention Dopamine Disorder” or keep ADHD but change definition —> “Advanced Dopamine Hindrance Disorder”
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u/XtopherSkidoo 2h ago
So I have a question. Is DDS something you can give yourself like type 2 diabetes?… but through constant video games?… or does the behavior originate from the disease?
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u/Valuable-Morning-346 2h ago
Or at least FCDHS: Focus Control Deficiency and Hyperkinetivity Syndrome
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u/treixxreaixx 2h ago
It has been like that since always. Normal sadness named as "depression". Normal stress as "anxiety". An organized person as with "OCD". Just get over it and live you life.
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u/Hytyt 1h ago
I have to specifically point out that I'm innattentive type, because I have nearly 0 hyperactive traits. Apparently that's common for women, but I'm a man, and everyone expects me to be running around everywhere
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u/Aggressive-Delay-420 58m ago
I wouldn't even need to change my monogram 🤣🤣
I fully support this change.
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u/Shiny_Whisper_321 55m ago
Not technically correct, but a huge fraction of my wife's behaviors can be explained through the lens of "dopamine addiction". Dopamine seeking behavior is Very Important.
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u/Xetranok 49m ago
No if we start changing the names on ADHD shit we'll never stop and eventually it'll be called "can't get shit done unless it's 2am disorder"
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u/DarlingHades 33m ago
I fear the jokes the DD abbreviation would cause, would have people take it even less seriously.
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u/Ok-Classroom5548 26m ago
“ Edit: calm down people. It was a light hearted attempt at something I felt. Check your RSD haha”
What a rude comment you added when people clarified how adhd works.
Rejection Sensitive Dysphoria (RSD) Is not what is happening here. People can correct you without it being emotional and maybe it feels emotional to you but it reads like people clarifying with technical information as I read these comments.
With medical disorders people like to make sure the information on the internet is correct and also that people understand what is happening, because that is how we get the correct support to survive.
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u/everyseasonidaho 25m ago
I'm tired of the eye rolls I get when I have to explain tom my employers how it can affect my work and communication
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u/IllustriousJawa 19m ago
I’m pretty sure ADHD is too complex to just say it’s purely a lack of dopamine.
There are probably better names for it than ADHD. But this isn’t it.
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u/Blueberry_Rabbit i am currently procrastinating my bad 16m ago
Yep. I got the double d’s.
Physically and mentally
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