ADHD / Behavioral Issues

What is ADHD?

Attention-deficit/hyperactivity disorder (ADHD) is characterized by a persistent pattern of inattention and/or hyperactivity-impulsivity that hinders normal functioning or development. It is one of the most common neurodevelopmental disorders of childhood and is typically first diagnosed during this period, often continuing into adulthood. Children with ADHD may have trouble paying attention, controlling impulsive behaviors (acting without considering the consequences), or be overly active.

Symptoms of ADHD

People with ADHD experience an ongoing pattern of the following types of symptoms:

  • Inattention: Difficulty staying on task, sustaining focus, and maintaining organizational skills.  Importantly, these challenges are not due to defiance or lack of comprehension.
  • Hyperactivity: Individuals may display constant movement, even in situations when it is not appropriate.  This can manifest as excessive fidgeting, tapping or talking. In adults, hyperactivity may mean extreme restlessness or excessive talking.
  • Impulsivity: A person may act without thinking or have difficulty with self-control. Impulsivity could also include a desire for immediate rewards or the inability to delay gratification. An impulsive person may interrupt others or make important decisions without considering long-term consequences.

Causes of ADHD

Research to date has shown ADHD may be caused by a number of things: 

    • Brain anatomy and function. A lower level of activity in the parts of the brain that control attention and activity level may be associated with ADHD. See ADHD and the Brain from Understood.org. 
    • Genes and heredity. ADHD frequently runs in families. A child with ADHD has a 1 in 4 chance of having a parent with ADHD. It’s also likely that other close family members, such as a sibling, will also have ADHD. Sometimes, ADHD is diagnosed in a parent at the same time it is diagnosed in the child. See Inheriting Mental Disorders.
    • Significant head injuries may cause ADHD in some cases.
    • Prematurity increases the risk of developing ADHD.
    • Prenatal exposures, such as alcohol or nicotine from smoking, increase the risk of developing ADHD.

    In very rare cases, toxins in the environment may lead to ADHD. For instance, lead in the body can affect child development and behavior.

Breathing Habits & ADHD

Based on Buteyko’s theory, a person’s breathing habit strongly affects their powers of concentration in the following way:

  1. Overbreathing leads to less oxygen supplied to the brain.
  2. A decrease in oxygen supply leads to increased excitability of brain cells and the nervous system.
  3. Increased excitability of brain cells translates to decreased focus and an increase in hyperactivity and attention problems.

Buteyko Theory

When you breathe too much, carbon dioxide levels go down, blood vessels become narrow, and less oxygen is released by the blood, leading to a decrease in oxygen supply to the brain. When brain cells (neurons) receive less oxygen they start behaving erratically, destabilizing the mind. The mind then grows more hyperactive and impulsive in its thinking and has problems focusing on one activity for a longer time.

Scientific research:

“The brain, by regulating breathing, controls its own excitability” – Balestrino & Somjen (1988)
“Hyperventilation leads to spontaneous and asynchronous firing of cortical neurons” – Huttunen et. Al (1999)

Treatment for ADHD

ADHD is a complex condition that impacts individuals in various ways. While many find effective control through optimized pharmacotherapy in clinical trials, a significant number still grapple with poor control, relying heavily on medication and facing ongoing symptoms that affect their quality of life.

At the Hobson Institute, our approach involves breathing exercises for ADHD, categorized into three groups:

  1. Respiratory Muscle Strength and Endurance Exercises: These exercises aim to enhance the strength and endurance of respiratory muscles.
  2. Thoracic Cage Flexibility and Posture Improvement Exercises: This group focuses on increasing the flexibility of the thoracic cage and improving posture.
  3. Breathing Pattern Normalization Exercises: The goal of these exercises is to “normalize” breathing patterns. This includes adopting a slower respiratory rate with longer expiration, reducing overall ventilation. Emphasis is placed on using abdominal muscles during resting breathing and transitioning from mouth to nasal breathing.

Dr. Hobson and our Craniofacial team are experts in the Buteyko Breathing Method, a specialized technique that improves breathing mechanics and physiology.

Many people overlook the significance of how often they breathe and whether they use their nose or mouth. Mouth and chest breathing, common habits, lead to faster-than-normal breathing, bringing in more air volume than necessary. Over time, our bodies adapt to this, and adjusting to breathing less may initially feel suffocating.

In ADHD, breathing volume can exceed normal levels, reaching over 20 liters per minute instead of the usual 6 liters. This over-breathing becomes habitual and may lead to organ damage, respiratory issues, heart disease, and other health problems.

The Hobson Institute employs the Capnometer to determine your CO2 levels. An optimal level is at least 35mmHG, but we aim for levels above 40mmHG. Many ADHD patients exhibit low CO2 levels, causing lung and blood vessel constriction, breathlessness, anxiety, and intensified of those with ADHD symptoms. Retaining the breathing can significantly impact symptom control and calm the nervous system of those with ADHD.

Fast, chest or mouth breathing keeps us in a “Fight or Flight” nervous system mode, hindering concentration. At the Hobson Institute, we guide individuals to activate the “Rest and Digestive” nervous system by restoring normal nasal diaphragmatic breathing. With an optimal breathing rate of 8-10 breaths per minute during rest, we empower individuals to gradually reduce their reliance on ADHD medication.

Testimonial

“I was skeptical before trying the breathing retraining program for my ADHD.  After 3 months of training my breathing, I am now off my ADHD medication that I have been on for the last 7 years.  I am grateful for the therapists at the Hobson Institute who helped me work on this part of my body which I had no idea was affecting my ability to concentrate.”

T. Smith, patient

Contact us today to schedule an appointment (312-986-9833).

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