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Most Replayed Moment: Is Modern Parenting Causing ADHD? Your Decisions Shape Your Child’s Mind!

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PodcastThe Diary Of A CEO with Steven Bartlett
Publisher/creatorDOAC
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About this episode

Erica Komisar is a psychoanalyst renowned for her work on parenting, early childhood development, and the root causes of behavioural issues. In today’s moment, Erica discusses the rise in ADHD diagnoses and reveals which modern parenting practices may be significantly contributing to this trend, and to stress in early childhood. Listen to the full episode here! Spotify: https://g2ul0.app.link/e/OoL7GFnplZb Apple: https://g2ul0.app.link/TBgRlfrplZb Watch the Episodes On YouTube: ⁠⁠https://www.youtube.com/c/%20TheDiaryOfACEO/videos Erica Komisar: https://www.ericakomisar.com/

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Episode summary

I barely need to tee this up: diagnoses and prescriptions have rocketed in the UK and the US, from sharp rises in boys and young men to tens of millions of adults, so what on earth is happening?

Watching very young kids get labeled and medicated sent me digging, and my lens is the stress system: when children are overloaded, they flip into fight or flight, the amygdala switches on too early, the hippocampus brake lags, and you get a gas‑no‑brakes pattern that looks like inattention or aggression.

Early separation, cry‑it‑out sleep training, and daycare with strangers can switch that system on too soon, and chronic overactivation can enlarge then exhaust it, leaving kids hypervigilant; medicating the behavior without asking why the child is distressed just mutes the signal, which I see as poor care.

How do you know it’s stress, and doesn’t that put the responsibility on parents?

The hard truth is the early environment matters a lot—parents are the world for little ones, though school and peers can add strain later—so after a diagnosis, start with parent guidance to map real stressors before reaching for pills.

Give me everyday stressors you think are driving this.

Early handoffs to daycare, high‑conflict homes or divorce, a new sibling, moves, illness, addiction, or bereavement can all spike stress, but attuned, self‑aware parenting buffers it, whereas medicating without addressing causes just kicks the problem down the road.

What about twin studies claiming very high heritability?

Outside conditions like schizophrenia or bipolar, I don’t see hard genetic causes; what shows up is a sensitivity allele tied to serotonin, and epigenetics means nurturing care in the first year can quiet that risk while neglect amplifies it.

And the brain scans some people say prove it’s just how their brain works?

Imaging shows activity, not destiny; most people labeled ADHD are highly sensitive—often since childhood—to noise, textures, and separation, and they needed matching sensitivity from caregivers.

Say you grow up stressed, get diagnosed at thirty, take stimulants, and suddenly you function much better.

Stimulants can help, sometimes dramatically, but they also raise risks like anxiety, panic, mood issues, and growth effects, so I reserve them for when we’ve done deep work to uncover and treat the fear driving the symptoms.

We overuse quick fixes and performance drugs in a culture obsessed with grades and status, while the real task is slow relational work; I see depression as fixation on past losses and anxiety as fear of future losses.

ACEs data backs the stress link: multiple adversities multiply ADHD odds, and things like hardship, divorce, parental mental illness, neighborhood violence, or incarceration push risk higher.

You can’t control every hardship, but you can fiercely protect the first three years by being present and co‑regulating stress with your child.

Okay, practical one: my kid melts down in a supermarket—do I ignore it, walk away, or meet it head on?

Don’t shout; a steady, emotionally regulated parent grows a regulated child, so hold your ground calmly and model steadiness.

If they demand sweets and I say no?

Lead with empathy, then set the limit and stick to it like a gentle broken record—name their feeling, affirm the rule, and repeat kindly; the mistake is jumping straight to no without making them feel understood.

That matches what relationship experts say about making partners feel heard before debating, and this was a most‑replayed clip—full episode is linked below.

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