EP25: ADD and Anxiety in the Youth an Interview with Katie Tolley

In today's episode, we will be discussing a very important topic that is near and dear to me, Attention Deficit Disorder (ADD), and anxiety in our youth. I am lucky enough to have Katie Tolley back on the show. Katie was part of Episode 19: What is Integrative Health? Katie Tolley is part of the team at Turning Point Health Center, which has offices in Annapolis and Columbia, Maryland. She also runs a health and wellness consulting business, KT Consulting. Katie is a Pediatric Nurse Practitioner and child and adolescent mental health specialist. What makes this all even more amazing is that she started learning much more about nutrition and integrative medicine just before her son was diagnosed with ADHD at the age of eight. Get ready for a fascinating and informative discussion with Katie!

Hey there! Welcome to the Alexa Z show! I am so excited to have Katie here today! The topic today is ADD, anxiety in the youth. I am excited but also a little anxious to discuss this topic because my youth was filled with anxiety. Also, many of my clients have children who also suffer from anxiety.

Alexa: Can you explain the difference between ADD and ADHD?

Katie: This topic is so widely talked about, but it is still very misunderstood. I shared an article with some friends yesterday about the aspects of ADD and ADHD and how it affects children. Every day there is another question or another topic that relates to ADD and ADHD in children.

So, to answer your question, on ADD, ADHD, and anxiety, how are they the same and how are they different.

ADD- Attention Deficit Disorder.

ADHD- Attention Deficit Hyper-activity Disorder

Diagnostically, we refer to all as ADHD with or without hyperactivity. The difference can be as simple as whether the child displays hyperactivity or not. When we do not see the outward hyperactivity (fidgeting, doodling, inability to sit still), the child is suppressing/internalizing the hyperactivity. Also, outward hyperactivity can turn into inward anxiety.

Alexa: Even if somebody had ADHD, it doesn't matter. The most important thing is that we are discussing ADD today. So, there are anxieties that are not ADD.

Katie: Absolutely! The everyday life of a modern-day teen can cause anxiety. There is a lot of pressure to get good grades, perform well in sports, perform in extra-curricular activities, get into college, and sometimes to have a job. All of the pressures cause these kids a lot of worries. Screen-time, diet, and sleep also play a huge role in anxiety in our youth. Often, anxiety is misdiagnosed as ADD.

Alexa: As a parent, how do you know that something is going on with your child? How can parents identify there is something serious going on versus regular daily stresses?

Katie: Some kids do just put pressure on themselves. It is normal for a three-year-old not to pay attention and to have difficulty focusing. When the inability to focus or pay attention interferes with daily living, such as the ability to learn, the ability to nourish themselves, the ability to get ready to do an activity, sports, or church, that is when it becomes a serious issue. The symptoms such as fidgeting, inability to focus, or distractability become interferences in the accomplishment of being a successful human being; this is when we enter the diagnostic level.

Alexa: What is the root cause of ADD and anxiety? Where does it come from?

Katie: Do we all have a little bit of ADHD? I say absolutely. Let's use a scale of 1 to 10 to determine our levels of ADHD. Many of us walk around the world at the level of 2 or 3 simply because of screens, jobs, and schedules; it is easy to be distracted because our minds are thinking of multiple things at once. Multitasking is a perfect example of ADHD. You try to go from one thing to another, but you get distracted. Multitasking can be a little difficult.

Alexa: For more on this, listen to my podcast episode on multitasking.

Katie: The root cause can be the inflammatory process

• inflammation,
• systemic inflammation,
• Inflammation from:
• different environmental sources,
• inflammation caused by
• food,
• pathogens,
• toxins,
• metals,
• chemicals.

When the inflammation affects the brain, it is called neuroinflammation. When we see symptoms similar to ADHD, anxiety, ADD, we sometimes wonder if it is ADHD, anxiety, ADD, or are these symptoms telling us about something else.

Alexa: What are some components of inflammation? From the standpoint of ADD, what kind of inflammation are we talking about?

Katie: Inflammation in the brain can surface as

• hard to concentrate
• focused attention
• memory issues

It is vital to address neuro-inflammation in our youth because it will lead to disease processes as the...