Episode 203: Dr. Roberto Olivardia, Clinical Psychologist, ADHD Expert, and Researcher

Dr. Olivardia is a clinical psychologist, lecturer in the Department of Psychiatry at Harvard Medical School and Clinical Associate at McLean Hospital. He maintains a private practice in Lexington, MA, where he specializes in the treatment of ADHD, executive functioning issues, and issues that face students with learning differences. He is a recognized expert in the treatment of body dysmorphic disorder (BDD), eating disorders and obsessive-compulsive disorder (OCD). He is on the Professional Advisory Boards for Children and Adults with ADHD (CHADD) and The Attention Deficit Disorder Association (ADDA), as well as sits on the Scientific Advisory Board for ADDitude and the Expert Network for Understood. He is co-author of The Adonis Complex, a book which details the various manifestations of body image problems in males. He has appeared in publications such as Time, GQ, and Rolling Stone, and has been featured on Good Morning America, Extra, CBS This Morning, CNN, and VH1. He has spoken on numerous radio and webinar shows and presents at many talks and conferences around the country. He also has lived experience as someone with ADHD and learning differences and a parent of two teenagers with ADHD and Dyslexia.

Key Takeaways: 1. ADHD and Eating Disorders: ADHD impacts all life domains, with symptoms like impulsivity, executive dysfunction, and high sensory needs that influence eating behaviors. For many with ADHD, eating is driven by sensory-seeking, and the brain’s need for stimulation can lead to unhealthy eating patterns. ADHD is often associated with binge eating and food impulsivity, influenced by genetic and neurological factors, such as dopamine dysregulation and low levels of GABA, the neurotransmitter related to inhibition.   2. Genetics, Food Culture, and Neurobiology: Dr. Olivardia shares how his family’s love for food shaped his relationship with eating and sensory stimulation. ADHD brains often experience high stimulation from ultra-processed foods, which can drive cravings and overeating due to dopamine’s role in the brain’s reward system.   3. Executive Function Challenges in Meal Planning: ADHD can make meal planning, shopping, and cooking overwhelming. Structured lists, simple recipes, and single-pot meals can help manage mealtime more effectively for those with ADHD. Regular, scheduled meals prevent intense late-night eating often seen in ADHD.   4. Medication and Treatment Options: Stimulant medications, like Vyvanse (FDA-approved for binge eating disorder), help some individuals with ADHD manage impulsivity around food by improving focus and reducing cravings. Proper medication can significantly enhance treatment outcomes for ADHD-related eating challenges. For individuals who don’t respond to medication, behavioral strategies such as maintaining regular sleep schedules, exercising, and using music for grounding can be effective.   5. Binge Eating and Addiction Risks:  Dr. Olivardia highlights the link between ADHD and addiction, including food addiction. ADHD brains metabolize glucose differently, leading to cravings for high-sugar foods. Education on how ADHD brains work can alleviate feelings of weakness or shame in managing eating behaviors.   6. Self-Acceptance and Neurodiversity: Dr. Olivardia encourages embracing ADHD and neurodiversity, emphasizing that people with ADHD often excel in creative and mission-driven fields. ADHD challenges can become strengths, leading to fulfilling, meaningful work and connections.   Resources: • CHADD (Children and Adults w