Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Your attention deficit disorder may be an anxiety disorder

Srini Pillay, MD
Conditions
December 29, 2010
Share
Tweet
Share

Are you one of those people who simply cannot concentrate for long enough? Do you find that no sooner than you start doing something, that your attention is scattered all over the place? Do you find that you log onto your computer and within minutes are surfing every possible tangential site that you find?

Your problem may not be a problem with your attention. In fact, it may be that the primary problem resides elsewhere in your brain.

Your brain attends to things due to circuits that connect your frontal and parietal lobes. Your frontal lobe, an important part of the “thinking brain” helps to focus attention and keep your mind on what it is supposed to be on. However this frontal lobe is also connected to other parts of the brain besides other attentional areas. If we look at the connections closely, we can see that it is very connected to your emotional brain as well, and the amygdala, an important part of the emotional brain can send “shock waves” through to your attentional center without your even knowing this.

Fear and anxiety may be conscious or unconscious. Unconscious fear has been proven to exist. When people lie in an MRI scanner, there are certain conditions under which they will have no awareness of seeing something threatening but the amygdala-part of the unconscious brain registers this and sends impulses that act as “shock waves” or a “brain earthquake” to your brain’s attentional center. This can all happen under the radar-without your being aware of it.

Unconscious anxiety sounds so unlikely. After all, if you are anxious, shouldn’t you feel it? Not really. In fact, unconscious anxiety may even impact the amygdala more than conscious anxiety-without your being aware of anything to do with this. The brain effectively has a “silencer” on but the bullets of anxiety reach your attentional center.

When you treat the “ADD” as if it is a primary problem with attention, you are not really addressing the cause. The anxiety is always there, hitting up against the wall of your medicated ADD. Steadying your attention can decrease your anxiety, because the reverse effect occurs as if the frontal lobe is putting “reins” on the amygdala, but if the anxiety resurges, the reins will fail.

What then can you do about this? From meditation to attentional exercises and psychological insights, there are many things that you can do. To start with, the following may be helpful:

1. Ask yourself: If anxiety were the culprit, what would the reason be?
2. Have you tucked away any fears that you don’t know how to deal with?
3. Do you avoid situations to avoid anxiety?
4. Are you “tolerating” anything in your life, and if so, what?
5. What are your greatest unfulfilled desires and how could your dissatisfaction about this be impacting you?

If you write down brief answers to these questions, you will be well on your way to understanding the possible unconscious anxiety in your brain. If you work with a professional, ask them about his, and check to see if treating the anxiety restores your attention. Exploring this possibility in the longer term is usually what helps people find a way to deal with the anxiety. Remember, anxiety is really just “electrical energy” gone haywire in your brain. The best way to deal with random electrical energy is to make sure you are “grounded” and to make sure that there is an appropriate channel through which it can flow.

It may well be that your attention deficit disorder is actually an anxiety excess disorder. Consider this carefully before deciding on your strategy. Taking a little extra time to explore this may be worth the wait.

Srini Pillay is a psychiatrist and author of Life Unlocked: 7 Revolutionary Lessons to Overcome Fear. He blogs at Debunking Myths of the Mind.

Submit a guest post and be heard on social media’s leading physician voice.

Prev

How American physicians should be paid

December 29, 2010 Kevin 82
…
Next

Health care economics and the relationship between doctor and patient

December 29, 2010 Kevin 51
…

ADVERTISEMENT

Tagged as: Primary Care, Specialist

Post navigation

< Previous Post
How American physicians should be paid
Next Post >
Health care economics and the relationship between doctor and patient

ADVERTISEMENT

More by Srini Pillay, MD

  • a desk with keyboard and ipad with the kevinmd logo

    What a psychiatrist learned during therapy sessions with mothers

    Srini Pillay, MD
  • a desk with keyboard and ipad with the kevinmd logo

    How to escape the prison of social anxiety

    Srini Pillay, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The torture and emptiness of psychological hoarding

    Srini Pillay, MD

More in Conditions

  • How denial of hypertension endangers lives and what doctors can do

    Dr. Aminat O. Akintola
  • How physicians can reclaim resilience through better sleep, nutrition, and exercise

    Kim Downey, PT & Shirish Sachdeva, PT, DPT & Ziya Altug, PT, DPT
  • Who are you outside of the white coat?

    Annia Raja, PhD
  • How hospitals can prepare for CMS’s new patient safety rule

    Kim Adelman, PhD
  • The humanity we bring: a call to hold space in medicine

    Kathleen Muldoon, PhD
  • The truth about fat in whole milk and your health

    Larry Kaskel, MD
  • Most Popular

  • Past Week

    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why physician strikes are a form of hospice

      Patrick Hudson, MD | Physician
    • Private practice employment agreements: What happens if private equity swoops in?

      Dennis Hursh, Esq | Conditions
    • Implementing value-based telehealth pain management and substance misuse therapy service

      Olumuyiwa Bamgbade, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Implementing value-based telehealth pain management and substance misuse therapy service

      Olumuyiwa Bamgbade, MD | Physician
    • How an insider advocate can save a loved one

      Chrissie Ott, MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
    • An ER nurse explains why the system is collapsing [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why reforming medical boards is critical to saving patient care

      Kayvan Haddadan, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 2 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why physician strikes are a form of hospice

      Patrick Hudson, MD | Physician
    • Private practice employment agreements: What happens if private equity swoops in?

      Dennis Hursh, Esq | Conditions
    • Implementing value-based telehealth pain management and substance misuse therapy service

      Olumuyiwa Bamgbade, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Implementing value-based telehealth pain management and substance misuse therapy service

      Olumuyiwa Bamgbade, MD | Physician
    • How an insider advocate can save a loved one

      Chrissie Ott, MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
    • An ER nurse explains why the system is collapsing [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why reforming medical boards is critical to saving patient care

      Kayvan Haddadan, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Your attention deficit disorder may be an anxiety disorder
2 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...