The ADHD Doctor “I’ve Scanned 250,000 Brains” You (Steven Bartlett) Have ADHD! & Coffee Is Damaging Your Brain!!! Dr Daniel Amen

Summary Notes


In his discussion with Dr. Daniel Amen, a renowned neuroscientist, the host delves into the intricacies of brain health and its profound impact on overall well-being. Dr. Amen emphasizes the detrimental effects of common lifestyle choices on the brain, such as the consumption of drugs, alcohol, sugar, and excessive screen time, which can lead to a range of mental health issues and cognitive decline. He also highlights the importance of healthy habits like exercise, proper sleep, and managing stress for optimizing brain function. Additionally, Dr. Amen touches upon the role of genetics and environmental factors in conditions like ADHD, the differences between male and female brains, and the moral obligation of happiness. The conversation reveals that proactive brain care can lead to improved mental health, better decision-making, and a more fulfilling life.

Summary Notes

Dr. Daniel Amen's Expertise and Mission

  • Dr. Daniel Amen is considered the world's leading expert on the brain.
  • His mission is to end mental illness by revolutionizing brain health.
  • He emphasizes the importance of caring for the brain due to its role in every aspect of life.

"Dr. Daniel Amon, the world's leading expert on the brain. Dr. Amon's mission is to end mental illness by creating a revolution in brain health."

This quote introduces Dr. Daniel Amen as a leading figure in brain health, highlighting his ambitious mission to transform the way mental illness is addressed by focusing on the brain.

Factors Detrimental to Brain Health

  • Drugs, alcohol, and lack of sleep are harmful to the brain.
  • Sugar, fruit juice, head impacts from soccer, and caffeine can negatively affect brain health.
  • Social media overuse can wear out the brain's pleasure centers.
  • Obesity is linked to decreased brain size and function.

"Drugs, alcohol, not getting good sleep. Sugar, fruit juice, hitting a soccer ball with your head, caffeine."

Dr. Amen lists substances and activities that are harmful to the brain, suggesting that they should be avoided to maintain brain health.

The Possibility of Brain Improvement

  • Despite potential brain health issues, improvement is possible with appropriate actions.
  • Dr. Amen emphasizes that you are not stuck with the brain you have - it can be enhanced.

"But you're not stuck with the brain you have. You can make it better. I can prove it."

This quote is reassuring, indicating that individuals have the ability to improve their brain health through specific measures, countering the notion of a fixed brain condition.

Brain Scan Analysis and Diagnosis

  • A comprehensive diagnosis includes brain scans, performance tests, and personal history.
  • Scans reveal the brain's physical condition, including areas of decreased activity that may indicate ADHD or other issues.
  • Traumatic brain injury and toxins can have lasting impacts on brain health.
  • Dr. Amen uses brain scans to inform personalized treatment plans.

"I never will make a diagnosis from a scan. I make a diagnosis from all the information, which is why we had you fill out all that information."

This quote explains that Dr. Amen's diagnostic process is multifaceted, incorporating scans and various forms of personal data to make an accurate assessment.

ADHD and Brain Function

  • Symptoms of ADHD include getting bored easily, poor handwriting, and being disorganized.
  • A healthy brain scan shows full, even, and symmetrical activity.
  • ADHD can be inherited, and family history is relevant to diagnosis.
  • The condition has both challenges and benefits, such as increased creativity.

"But there's other evidence that you might, in fact, have ADD or ADHD, from getting bored easily to poor handwriting, being disorganized, and so on."

Dr. Amen suggests that certain behaviors and characteristics can be indicative of ADHD, which is an important consideration in his analysis of brain health.

The Impact of Emotional and Physical Trauma

  • Emotional and physical trauma can leave distinct patterns on brain scans.
  • Trauma experienced during childhood can have long-term effects on the brain.
  • Emotional trauma can lead to a hyperactive emotional brain due to constant vigilance for danger.

"When I see that diamond, I think of past emotional trauma."

Dr. Amen identifies a specific pattern in the brain scan that he associates with a history of emotional trauma, suggesting a link between psychological experiences and brain function.

Brain Health Strategies and Recommendations

  • Certain activities and supplements can improve blood flow to the brain, which is crucial for health.
  • Avoiding substances that constrict blood flow, like caffeine, is important.
  • Engaging in activities that increase blood flow, such as exercise and taking supplements like Ginkgo, can be beneficial.
  • Addressing inflammation and ensuring adequate omega-3 fatty acid levels are part of maintaining brain health.

"Ginkgo. Increases blood flow to the brain. The prettiest brains I've ever seen take Ginkgo."

Dr. Amen advocates for the use of Ginkgo supplements to enhance blood flow to the brain, suggesting it contributes to optimal brain health.

The Importance of Brain Awareness and Empowerment

  • Realizing the brain's presence and its importance is the first step towards health.
  • Understanding that the brain can be changed empowers individuals to take action.
  • Dr. Amen emphasizes that daily choices contribute to either improving or worsening brain health.

"You're not stuck. I'm not stuck with the brain I had. You're not stuck with the brain you have. You can make it better. I can prove it."

This quote encapsulates the empowering message that individuals have control over their brain health and can take steps to improve it, which is a central theme in Dr. Amen's approach.

Omega-3 Fatty Acids and Brain Health

  • Omega-3 fatty acids are crucial for brain health; 93% of people are deficient.
  • Consumption of fish or omega-3 supplements like fish oil is recommended.
  • Gum disease can cause inflammation leading to depression and dementia.

"n omega three fatty acids. 93%. So all of us should be either eating more fish or taking an omega three supplement, like fish oil."

This quote emphasizes the widespread deficiency in omega-3 fatty acids and the recommendation for increased consumption through diet or supplements to support brain health.

The Impact of Gum Disease on Mental Health

  • Gum disease can lead to inflammation, depression, and dementia.
  • Good gum care, including flossing, is important for mental and brain health.

"You have gum disease, you have inflammation. You're more likely to get depressed and have dementia."

The quote links gum disease with systemic inflammation, which can contribute to mental health issues and cognitive decline, highlighting the importance of oral hygiene.

Head Trauma and Brain Function

  • Head trauma is a significant factor in brain health.
  • Dr. Amen conducted an NFL study revealing that treatment can improve brain function post-trauma.

"H is head trauma. We talked about that. I did the big NFL study."

The quote references Dr. Amen's work on head trauma, particularly in the context of NFL players, and its implications for brain health and recovery.

Toxins and Their Effects on Brain Health

  • Toxins, including common household products, can negatively impact brain health.
  • Using apps like "think dirty" can help identify and avoid toxic products.
  • Toxins can contribute to conditions like low testosterone.

"T is toxins, drugs, alcohol, but other things like mercury."

This quote lists various toxins that can affect brain function and overall health, suggesting the need for awareness and avoidance.

Mental Health and Brain Function

  • Mental health, including quality of thoughts and stress levels, affects brain health.
  • Psychiatric conditions like depression can significantly increase the risk of diseases like Alzheimer's.
  • Addressing negative thoughts and psychiatric issues is crucial for brain optimization.

"So the m is mental Health. It's the quality of your thoughts, the level of your stress, and the level of trauma you carry in your body."

This quote introduces the theme of mental health as a critical factor for brain function, emphasizing the importance of managing stress, trauma, and negative thoughts.

The Role of Medication in Treating ADD/ADHD

  • Medication is one of the tools for optimizing brain function, particularly in ADD/ADHD.
  • The side effects of medication should be weighed against the side effects of not treating the condition.
  • Personal stories illustrate the transformative impact of medication when appropriately used.

"But you always have to ask the second question, which is, what are the side effects of not taking the medicine?"

The quote encourages considering the broader impact of untreated conditions, such as ADD/ADHD, on one's life, not just the side effects of medication.

Understanding ADD/ADHD and Its Treatment

  • ADD/ADHD is a genetic condition often undiagnosed due to lack of hyperactivity in some individuals.
  • The right medication can normalize brain function in those with ADD/ADHD.
  • Personalized treatment plans are essential for optimizing brain function.

"ADD and ADHD are different terms for the same thing."

This quote clarifies that ADD and ADHD are the same condition, despite the name change and common misconceptions about the necessity of hyperactivity for diagnosis.

The Genetic Basis of ADD/ADHD

  • ADD/ADHD is primarily a genetic condition.
  • Head trauma can also contribute to symptoms similar to ADD/ADHD.
  • Understanding the origins of ADD/ADHD can guide treatment options.

"Well, it's genetic. It's clearly genetic."

The quote asserts the genetic nature of ADD/ADHD, which has implications for understanding, diagnosing, and treating the condition.

The Effects of Medication on Brain Function

  • Medications like Ritalin can activate key areas of the brain, improving focus and energy.
  • Brain scans can demonstrate the changes in brain activity due to medication.
  • Medication can be like "glasses for the brain," helping with focus and optimization.

"I can tell you it would activate your cerebellum."

The quote suggests that medication for ADD/ADHD can specifically target and activate areas of the brain that are underactive, thereby improving brain function.

Negative Thoughts and Brain Shape

  • Repetitive negative thinking can shape the brain negatively.
  • Positive thinking, on the other hand, can have beneficial effects on the brain.
  • The brain releases different chemicals based on the nature of one's thoughts, which can affect physical responses.

"Yes. And in my new book, change your brain every day, there's actually pictures of Noelle Nelson."

This quote supports the idea that thought patterns can physically alter the brain, as evidenced by the imaging in Dr. Amen's book, demonstrating the importance of managing thoughts for brain health.

Stress, Trauma, and Brain Health

  • Chronic stress and trauma can have detrimental effects on brain function.
  • Trauma can manifest in brain scans and affect emotional regulation centers.
  • Psychological treatments like EMDR can have biological effects that help process trauma.

"Stress, especially chronic, unremitting stress."

The quote highlights the negative impact of prolonged stress on brain health, suggesting the need for effective stress management strategies.

Brain Reserve and Trauma

  • Brain reserve refers to the brain's resilience to trauma.
  • Factors like prenatal care and childhood experiences can affect brain reserve.
  • A higher brain reserve can lead to better outcomes when facing traumatic events.

"So I love the idea of brain reserve because I'm, like, always thinking of boosting mine."

Dr. Amen's quote introduces the concept of brain reserve, which underscores the importance of nurturing brain health to better withstand potential traumas.

Importance of Hiring Good People

  • Hiring is a critical step in business success.
  • A company's value is highly dependent on the quality of its team.
  • Access to the best candidates is essential for building a strong team.
  • LinkedIn Jobs is recommended for finding qualified candidates.

"Hiring is one of the most important steps in your business, and without good people, there is literally no company."

This quote emphasizes the fundamental role that hiring plays in the success and existence of a business, highlighting the necessity of a competent team.

Importance of Nutrition and Supplements

  • Nutritional products like Huel Daily Greens provide essential vitamins and minerals.
  • Convenience of supplementing diet with a single product instead of multiple pills.
  • The product's availability is currently limited to the US, with potential expansion based on demand.

"It's nice not to have to think about taking lots of different pills and vitamins in the morning. I can just take this, and I know that I'm giving my body a good dose of all the vitamins and minerals that it needs every morning."

This quote underlines the convenience and comprehensive nature of the Huel Daily Greens product, which simplifies the process of nutritional intake.

The Case of Kip Kinkel's Brain Health

  • Kip Kinkel had a severely damaged brain at the age of 15.
  • His brain damage was evident in a brain scan and correlated with his violent behavior.
  • The cause of the damage could be from anoxia, infection, or poisoning.

"His brain was so awful. Like, I'd never seen a 15 year old that had a brain so damaged. And his life reflected it."

This quote describes the extreme level of brain damage observed in Kip Kinkel's brain scan, suggesting a link between brain health and behavior.

Brain Scans of Psychopaths

  • Study on murderers shows low frontal lobe function in young murderers and global low activity in older ones.
  • Not all murderers have the same brain patterns.
  • Brain health can influence rationality in extreme situations.

"Young murderers have really low frontal lobe function. Older murderers, it's global low activity."

The quote indicates that there is a variation in brain activity among murderers, with younger ones showing specific frontal lobe dysfunction and older ones exhibiting more widespread low activity.

Scanning Presidential Candidates' Brains

  • The brain health of presidential candidates is a concern due to the responsibilities they bear.
  • An op-ed piece by Dr. Daniel Amen suggested scanning presidential candidates' brains.
  • Good judgment, forethought, and impulse control are crucial for politicians.

"And if someone is going to have nuclear codes, shouldn't we know what their brain looks like?"

This quote raises the question of whether the brain health of individuals with significant power, such as presidential candidates, should be assessed to ensure they possess the necessary cognitive abilities for their role.

Potential Brain Discrimination

  • The idea of brain scanning could lead to discrimination or prejudice in various sectors.
  • Dr. Daniel Amen applies brain scanning to potential partners of his children to assess brain health and willingness to improve it.

"An interesting question. I have to tell you, if you date one of my children for more than four months, I'm going to get you scanned."

This quote reveals Dr. Daniel Amen's personal policy of using brain scans as a precautionary measure in his family's personal relationships, highlighting the importance he places on brain health.

Importance of Brain Health in Relationships

  • Dr. Daniel Amen emphasizes the significance of aligning behavior with personal goals.
  • The "One Page Miracle" exercise helps individuals define and pursue their desires.
  • Dr. Amen advocates for a life plan that guides behavior towards desired outcomes.

"On one piece of paper, write down what you want in a very specific way. What do you want in your relationships, your work, your money, your physical, emotional and spiritual health."

This quote suggests a practical exercise called the "One Page Miracle" designed to help people clarify their goals across various aspects of life and align their actions accordingly.

The Influence of Media on Mental Health

  • Media consumption, especially news, can contribute to mental health issues.
  • The news often focuses on negativity for commercial reasons, which can distort perception.
  • Limiting exposure to news and engaging in positive reflection can improve mental well-being.

"If I was an evil ruler and I wanted to create mental illness, what would I do? And watching the news, I think there's 62 evil ruler strategies."

Dr. Daniel Amen uses a hypothetical scenario to illustrate the detrimental impact of media, specifically news consumption, on mental health, suggesting that it is part of a larger set of factors that can contribute to psychiatric problems.

Role of Vitamin D and Omega-3 Supplements

  • Vitamin D and omega-3 are important supplements for mental health, especially for people with darker skin.
  • Migration from sun-rich to sun-poor environments can affect mental health due to vitamin D deficiency.
  • Understanding the link between vitamin D levels and mental health can lead to better interventions.

"People with darker skin need more vitamin D. So going from Africa, where there's a lot of sun, to the UK, where there's no sun, dramatically increased the risk of mental health problems because of vitamin D deficiencies."

This quote discusses the importance of vitamin D for mental health and the increased risk of deficiencies and associated mental health issues for individuals with darker skin living in less sunny climates.

The Impact of Covid on Brain Health

  • Covid and long Covid can cause chronic damage to the brain.
  • Emotional and cognitive symptoms can arise from Covid-related brain inflammation.
  • The pandemic has led to an increased risk of dementia and other mental health issues.

"Covid changes your brain in a bad way. It causes, like, an inflammatory bomb to go off in your brain."

Dr. Daniel Amen describes the negative impact of Covid-19 on brain health, characterizing it as an "inflammatory bomb" that can lead to various emotional and cognitive symptoms.

Addressing Depression and Mental Health

  • Depression should be approached with an investigation into brain health.
  • Identifying underlying causes, such as thyroid issues or vitamin deficiencies, is crucial.
  • Optimizing brain health can reduce the need for medications or lower dosages.

"Depression is like chest pain. So if somebody had chest pain, you're like, well, where would you start? Well, you'd start with an evaluation."

This analogy compares depression to chest pain, suggesting that just as one would evaluate the cause of chest pain, one should investigate the underlying reasons for depression before considering treatment options.


  • BRIGHT MINDS is an acronym for factors affecting brain health.
  • Each letter represents a different aspect, such as blood flow, retirement and aging, inflammation, genetics, head trauma, toxins, mental health, immunity and infections, neurohormones, diabesity, and sleep.
  • Addressing these factors can lead to improved brain function and overall health.

"Neurohormone. If your hormones that affect your brain, which are all of them, are not optimal, you're not optimal."

This quote highlights the 'N' in BRIGHT MINDS, which stands for neurohormones, and underscores the importance of hormonal balance for optimal brain function.

The Importance of Sleep for Brain Health

  • Sleep is crucial for brain health as it allows for the removal of toxins.
  • Sleep disorders like sleep apnea can increase the risk of Alzheimer's disease.
  • Good sleep hygiene is essential for maintaining brain health and preventing long-term damage.

"Sleep apnea triples the risk of Alzheimer's disease."

Dr. Daniel Amen points out the significant risk that sleep apnea poses for developing Alzheimer's disease, emphasizing the importance of addressing sleep disorders for brain health.

Heart Rate Variability and Brain Health

  • Heart rate variability (HRV) is an indicator of heart and brain health.
  • High HRV is associated with lower risks of anxiety, depression, and heart disease.
  • Improving HRV can be achieved through meditation, breath work, exercise, and good sleep hygiene.

"Heart rate variability is the beat to beat variability of your heart rate. And the more variable it is... it's a sign of heart health."

This quote explains what heart rate variability is and why a higher variability is considered a sign of good heart and, by extension, brain health.

Effects of Alcohol on the Brain

  • Alcohol disrupts white matter, the highways in the brain used for transmitting information.
  • Even small amounts of alcohol can damage the brain's white matter.
  • Intelligent decision-making involves recognizing the harm and choosing to stop alcohol consumption.
  • Alcohol is often consumed due to societal norms rather than personal desire.

"Even a little bit of alcohol causes damage in the brain. It disrupts something called white matter." The quote emphasizes the harmful effects of even minimal alcohol consumption on the brain's white matter.

"I don't want anything messing with the highways in my brain, but I love that you measured it." Dr. Daniel Amen expresses his desire to avoid anything that could disrupt his brain's functioning, applauding the conscious decision to monitor and stop alcohol use.

Societal Influence on Alcohol Consumption

  • Many people consume alcohol due to societal pressures rather than addiction.
  • Casual drinkers often overlook the impact of their drinking habits.
  • The challenge of quitting alcohol is exacerbated by societal norms and pressures.

"Society is constructed in such a way that on a Friday evening, when the waiter comes over and puts down the wine list, you just go, okay, whatever." The quote highlights the societal expectation to consume alcohol during social situations, which influences individuals to drink.

"I now understand how difficult it is to stop in our society." Speaker B acknowledges the societal challenges faced when attempting to quit alcohol.

Alcohol and Health Risks

  • The American Cancer Society states that any alcohol increases the risk of seven types of cancer.
  • Alcohol consumption leads to reduced brain activity and poor decision-making.
  • Dr. Daniel Amen has observed the negative impact of alcohol on patients over 30 years.

"Any alcohol increases your risk of seven different types of cancer." This quote from Dr. Daniel Amen references the American Cancer Society's findings on the link between alcohol and cancer risk.

"People who drink any alcohol have lower activity than people who don't drink at all." Dr. Amen explains that alcohol consumption, regardless of the amount, leads to reduced brain activity.

Alcohol's Impact on Decision-Making and Relationships

  • Alcohol decreases heart rate variability and brain function.
  • Many psychiatric visits are initially related to alcohol, impacting relationships and decision-making.
  • Recognizing changes in heart rate variability can be a catalyst for quitting alcohol.

"Alcohol will decrease heart rate variability and brain function." Dr. Amen discusses how alcohol negatively affects physiological and cognitive functions.

"30%, 40% of the people I see, they initially come to my office because it's somehow alcohol related." The prevalence of alcohol-related issues in psychiatric practice is highlighted, demonstrating its impact on mental health.

Societal Push for Alcohol Consumption

  • Restaurants and social settings often encourage alcohol consumption to increase spending.
  • Alcohol and certain foods like bread can impair judgment, leading to impulsive behavior.
  • Understanding the motives behind alcohol promotion can help resist societal pressure.

"The first thing they do is put bread on the table and ask you if you want alcohol, because both of them drop your frontal lobes." Dr. Amen explains how certain foods and alcohol are used to lower inhibitions and increase consumer spending in restaurants.

"So why do you want me to drink when I don't want to?" Dr. Amen challenges the intentions behind societal pressure to consume alcohol.

Long-Term Effects of Casual Drinking

  • Casual drinking over a decade leads to reduced blood flow and changes in brain shape.
  • These changes can affect impulse control and behavior, impacting various aspects of life.
  • Even moderate alcohol consumption has significant long-term effects on the brain.

"The person who is drinking two or three times a week will have less blood flow in their brain." Dr. Amen describes the detrimental effects of regular, casual drinking on cerebral blood flow.

"It'll be a little bit more shriveled, and then that means their behavior is going to change as well." The long-term impact of drinking on the brain's physical structure and subsequent behavior is discussed.

Alcohol and Sexual Health

  • Blood flow is crucial for a healthy sex life, and alcohol can contribute to erectile dysfunction and low libido.
  • The brain plays a significant role in sexual arousal and performance.
  • Addressing hormonal balance and past trauma is important for improving sexual health.

"Your sex life gets better." Dr. Amen suggests that abstaining from alcohol can lead to improvements in sexual health and satisfaction.

"The biggest sex organ in the body is your brain." The central role of the brain in sexual desire and function is highlighted.

Understanding Brain Types and Sexual Arousal

  • Different brain types respond uniquely to sexual initiation.
  • Knowing your partner's brain type can improve sexual relationships.
  • Serotonin-boosting activities can be strategically used to enhance sexual arousal.

"So if your partner has a very busy frontal lobe, that part called the anterior cingulate gyrus, you can't go, come on, let's have sex." Dr. Amen explains how understanding specific brain functions can influence approaches to initiating sex.

"I gave him natural things to boost serotonin." The use of natural methods to increase serotonin for improving sexual relationships is discussed.

Gender Differences in Brain Function

  • Male and female brains function differently, with significant implications for behavior and mental health.
  • Understanding these differences is important for medical treatment and societal roles.
  • Gender-specific brain function influences impulse control, leadership, depression, and caretaking behaviors.

"Women have much better frontal lobes, function, much better blood flow to the front part of their brain." Dr. Amen discusses the superior frontal lobe function in women compared to men.

"Men. 14 times more than women. But women get depressed twice as much as men." Gender disparities in incarceration and depression rates are linked to differences in brain function.

Impact of Saunas and Cold Plunges on the Brain

  • Saunas are associated with a lower incidence of Alzheimer's disease and can aid in detoxification.
  • Exercise and saunas both increase blood flow and promote brain health.
  • Cold plunges can increase dopamine levels but should be avoided by those with heart problems.

"People who take the most saunas have the lowest incidence of Alzheimer's disease." Dr. Amen cites studies that support the benefits of regular sauna use for brain health.

"Cold plunges have been found to fairly dramatically increase dopamine." The benefits of cold plunges for boosting dopamine and alleviating certain conditions are discussed.

Obesity and Brain Function

  • Increased body weight is correlated with decreased brain size and function.
  • The obesity epidemic has been exacerbated by misinformation and manipulation by the food industry.
  • Managing calorie intake and quality is crucial for maintaining brain health.

"As your weight goes up, the size and function of your brain goes down." Dr. Amen highlights the negative correlation between obesity and brain health.

"We are being manipulated and it is causing what I think is one of the greatest epidemics ever of obesity." The role of the food industry in promoting unhealthy eating habits and contributing to the obesity epidemic is criticized.

Screen Time and Brain Health

  • Excessive screen time can shrink the brain and wear out pleasure centers.
  • The constant stimulation from screens can lead to various mental health issues.
  • The impact of social media on self-esteem and happiness is particularly concerning.

"It shrinks it." Dr. Amen succinctly states the effect of screen time on the brain's physical structure.

"You begin to wear out those pleasure centers." The overstimulation from screen time and its detrimental effects on the brain's reward system are described.

Happiness and Brain Health Over the Lifespan

  • Happiness levels fluctuate throughout life, with a tendency to increase in older age.
  • Striving for accomplishments can contribute to mid-life unhappiness.
  • Focusing on the positive and practicing happiness as a habit can improve overall well-being.

"We're less striving as we age." Dr. Amen explains that reduced striving in later life may contribute to increased happiness.

"Negative thinking is a bad habit, is happiness is also a habit." The perspective that happiness, like negativity, is a habit that can be cultivated is offered.

Personal Growth and Changing Perspectives

  • Dr. Daniel Amen discusses the importance of happiness for personal and societal well-being.
  • Changing one's mindset about happiness can have a profound impact on others.
  • Taking care of one's own mental health is seen as a loving act towards others.

"Happiness is a moral obligation." Dr. Amen shares a transformative idea that personal happiness has moral implications for how it affects those around us.

"So working on myself is the most loving thing I can do for other people." The quote reflects on the broader impact of individual happiness and self-improvement on society.

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