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Treat ADHD for Life—Live Better, Longer

The New York Times recently published an article¹ stating that people with ADHD are expected to have a significantly shortened lifespan. The article cites a study by Cambridge University titled “Life expectancy and years of life lost for adults with diagnosed ADHD in the UK”² which revealed that men with ADHD die about 7 years earlier and women die 9 years earlier than those without ADHD.

 

This research reviewed data from more than 30,000 individuals, revealing the ultimate impact of ADHD; ADHD ends lives sooner than necessary. 

 

But ADHD doesn’t just shorten lifespan, it greatly impacts an individual’s life and choices starting in childhood. The Cambridge report states that people with ADHD are disproportionately likely to experience inequality and adversity, including: 

  • Decreased likelihood of completing or seeking education
  • Greater likelihood of unemployment 
  • Financial struggles 
  • Discrimination 
  • Problems with the criminal legal system
  • Homelessness
  • Difficulty sleeping 
  • Higher alcohol intake 
  • Use of substances and smoking
  • Physical health problems
  • Difficulty managing mental health
  • Increased risk of suicide

 

However, ADHD is a very treatable condition. At our Rapid City mental health clinic, we often see patients in their 60s or 70s who, with treatment, suddenly find relief after decades of struggling—in school, at work, and with relationships. Many of our adult ADHD patients find joy in their improved focus and concentration. 

 

Some patients mourn the life they could’ve had if they had been diagnosed and treated earlier in life. Talk therapy can be advantageous for these patients to help process their new diagnosis. 

 

Like Diabetes ADHD Must Be Treated for Life

 

The key takeaway from the Times article is that ADHD must be managed throughout your lifetime.

 

“To me, the best analog is diabetes,” said Dr. Barkley, a retired professor of clinical psychology at Virginia Commonwealth University. “This is a disorder that you’ve got to manage, like high blood pressure, like cholesterol and diabetes. You’ve got to treat this for life.”  

– New York Times, People With A.D.H.D. Are Likely to Die Significantly Earlier Than Their Peers, Study Finds

 

Note that the Cambridge report is based on deaths of individuals who were diagnosed with ADHD – most diagnosed in childhood. It is estimated that 5-10% of the general population has ADHD, but only 10-20% of people who have ADHD are diagnosed and treated.  

 

It’s Never Too Late to Get Screened for ADHD

 

As a psychiatrist, I believe that there should be mandatory ADHD screening for children. And parents should be made aware that the inattentive version (as opposed to hyperactive) of ADHD may go unobserved, especially in girls. And with genetic heritability as high as 80%, ADHD often affects multiple generations of the same family.³   

 

Don’t hesitate to talk to your doctor or mental health provider about getting screened for ADHD in adulthood. The criteria for ADHD are straightforward and can be easily observed for the hyperactive type, though the inattentive type frequently goes undetected.  

 

Neuropsychological testing can provide additional information about attention, memory and impulse control that can help confirm a diagnosis. 

 

Medication Management for Adult ADHD 

As we mentioned in the bullet points above, people with ADHD typically deal with many challenges and symptoms. One of these issues not yet covered is that many of these patients may be seeking treatment for the wrong condition. 

 

As experts in treatment resistant mental health conditions, we often see patients who do not find relief from common antidepressants. For some patients, one of our depression treatments that work differently may be the answer, while for others, it may be a missed ADHD diagnosis.   

 

For more information, read Undiagnosed ADHD Could Be the Reason Your Antidepressants Aren’t Working.

 

That’s why our psychiatry providers take a deep look at each patients’ medical history, symptoms, and lifestyle, plus we offer lab analysis and genetic testing to help you and your provider get a deep understanding of their brain and body health before coming up with a treatment plan. 

 

 

¹ New York Times, People With A.D.H.D. Are Likely to Die Significantly Earlier Than Their Peers, Study Finds, Jan. 24, 2025 https://www.nytimes.com/2025/01/23/health/adhd-life-expectancy.html#

 

² O’Nions E, El Baou C, John A, et al. Life expectancy and years of life lost for adults with diagnosed ADHD in the UK: matched cohort study. The British Journal of Psychiatry. Published online 2025:1-8. doi:10.1192/bjp.2024.199

 

³ Grimm O, Kranz TM, Reif A. Genetics of ADHD: What Should the Clinician Know? Curr Psychiatry Rep. 2020 Feb 27;22(4):18. doi: 10.1007/s11920-020-1141-x. PMID: 32108282; PMCID: PMC7046577.

 

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Eight Common Misconceptions About TMS Therapy for Depression

Transcranial Magnetic Stimulation (TMS) is the most passive yet effective treatment available for depression, anxiety, PTSD, OCD, and schizophrenia. However, there are a lot of misconceptions about this treatment option.

Our psychiatric providers often recommend TMS to patients for a variety of reasons, but patients are often hesitant to give it a try because they are concerned about something they have heard about it. Often, the concerns of our patients are quickly resolved once they speak to their mental health provider.

If you or someone you know is hesitant to try TMS therapy for depression or other mental health conditions, read more about the eight common misconceptions below.

Misconception #1:

“TMS is the same as Electroconvulsive Therapy (ECT)”

Fact:

            TMS therapy for depression is an entirely different treatment modality than ECT. Both treatments address treatment-resistant depression, but that is where the similarities end. ECT deliberately triggers a controlled seizure passing a small electrical current through the brain. General anesthesia is necessary for this procedure, and patients may experience confusion and memory loss immediately following the treatment.

TMS is a much milder treatment that uses electromagnetic pulses (similar to an MRI machine) to stimulate parts of the brain that are underactive in people with treatment-resistant depression. No sedation is necessary for TMS, and the patient is fully awake and alert throughout the process. TMS patients are immediately cleared to resume their daily activities, such as driving or returning to work because there is no recovery time required after treatment.

 

Misconception #2:

            “TMS works immediately.”

Fact:

            While some patients may report an improvement in their symptoms within the first week, TMS therapy for depression is not intended to offer immediate relief from depressive symptoms. Most patients can expect to begin noticing improvements within 3-4 weeks of their first TMS treatment. This timeline for improvements is similar to that of a medication trial.

 

Misconception #3:

            “TMS is painful.”

Fact:

            TMS treatments consist of tiny electromagnetic pulses that are administered through a figure 8 coil. Your TMS provider positions the coil to rest lightly on your scalp. While TMS treatments do create a clicking sound and an odd sensation on the scalp, it should not be painful. Patients have described TMS as “a tiny woodpecker” or similar to “a TENS unit on my head”.

If you experience discomfort, your technician can make adjustments to make the experience more comfortable. For example, your TMS provider may lower the intensity of the pulses or adjust the placement of the coil.

 

Misconception #4:

            “TMS patients must stop taking all their medications.”

Fact:

            Almost all medications are safe to take while you are receiving TMS therapy for depression. The only exception is medications that lower seizure thresholds, such as Wellbutrin.

Patients are urged to abstain from street drugs and alcohol during the course of their treatment since those also carry the risk of lowering their seizure threshold.

 

Misconception #5:

            “TMS is new and unproven.”

Fact:

            The technology behind TMS dates to the 1980s and has been FDA-approved for severe depression since 2008 after many studies proved that it is a safe and effective treatment. TMS is also FDA-approved for OCD and smoking cessation. Tens of thousands of patients have been successfully treated with TMS.

TMS is one of the safest mental health treatments and is one of the best options for pregnant patients.

 

Misconception #6:

            “TMS is too expensive.”

Fact:

            For most patients, TMS therapy is covered by insurance. Most insurance companies will cover all or part of the cost of TMS treatments due to their low risk and high success rate. 

We accept Medicare Part B with a qualifying secondary insurance or supplemental plan. Read our blog for more information about Medicare’s coverage of TMS therapy, including does Medicare cover Transcranial Magnetic Stimulation?

 

Misconception #7:

            “TMS is too time-consuming.”

Fact:

            It is true that TMS is administered daily for 30 treatments plus a taper phase. However, after the initial appointment, most appointments are only 30 minutes. Since TMS is a non-invasive procedure, patients are able to drive themselves home and immediately resume daily activities. Your Rapid City TMS provider will do everything possible to accommodate work schedules and other appointments.

TMS can provide lasting depression relief. Depression medications, on the other hand, typically must be taken daily for the rest of your life. TMS could give you the relief you are looking for without the side effects that are often experienced with antidepressant medications. The time that you commit to yourself with these treatments

 

Misconception #8:

            “TMS can alter my personality or destroy my memory.”

Fact:

            TMS targets a very small area of the brain that is underactive in patients with chronic depression. This treatment is very mild, and the intensity of the treatment is carefully monitored. The areas of the brain responsible for processing and storing memories are out of range of the pulses, leaving them unimpacted by the treatment. This also holds true for concerns about TMS therapy for depression altering a patient’s personality.

 

TMS is a safe and effective treatment option for most patients with depression, anxiety, PTSD, OCD, and schizophrenia. If you have not yet spoken to a mental health provider to see if TMS is right for you, give us a call to schedule an initial appointment with one of our mental health providers in Rapid City, SD.

If TMS is not the right fit for your needs, Manlove Brain and Body Health offers a full spectrum of psychiatric interventions, including cutting-edge treatment options. Our team is here to help you find the right fit for your mental health needs.

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6 Ways to Stick to a Fitness Routine to Improve Mental Health

Exercise Improves Mental Health – Here’s How

 

Exercising regularly is one of the most effective ways to manage your mental health naturally. In mild cases of depression, anxiety, or other mental health conditions, regular exercise alone may be enough to manage your symptoms, eliminating the need for psychiatric medications.  

How does exercise help the depressed brain? When people are depressed, their brains atrophy (shrink) and become less adaptable. Exercise stimulates the production of a hormone in your brain called brain-derived (from the brain) neurotrophic (nerve growth) factor (BDNF). BDNF stimulates brain growth and promotes neuroplasticity, the ability of the brain to adapt and change as it manages the complexities of life. This allows the brain to grow new cells, make more dynamic cells, make new connections, and repair itself, helping us heal parts of the brain that have atrophied. Exercise is the most effective way to trigger BDNF release. 

But can exercise help if you have several mental health issues at once or severe mental health conditions? Yes, exercising can improve your mental health even when you have multiple psychiatric conditions. As experts in treatment-resistant psychiatric conditions, our mental health providers have found that patients who exercise regularly in conjunction with other treatments are more likely to manage seemingly untreatable psychiatric conditions successfully.  

Exercising can be part of the solution to many mental health problems. Depending on the severity of your mental health conditions, you may need a comprehensive psychiatric care plan that includes exercise in addition to TMS, ketamine therapy, or antidepressant medications

At Manlove Brain and Body Health, exercising is an integral part of our psychiatric care plans because it helps improve the effects of all other psychiatric treatments. 

 

Pacing Yourself at the Gym

We know that regular exercise is good for our brain and body, so often, people set the intention to exercise more at the start of the new year but quickly lose motivation. How do you stick with it all year long?

1 Shift your mindset.

Exercise can improve your mental and emotional health, so make sure to prioritize it accordingly. When you shift your mindset to consider each workout as a commitment to caring for your physical and mental well-being, it becomes much easier to see its importance and make time for it. 

Before you get out of bed in the morning, determine when you will exercise that day and what exercise you will do. The question should not be will I, but rather when and how will I? 

2 Keep your fitness goal simple and realistic. 

It’s easier to commit to moving your body for a specific amount of time each day rather than trying to do a specific number of workouts each week. And, if you are too rigid in what your exercise looks like, it’s easy to burn out quickly. Keeping your goal simple allows you to add variety, which is one of the keys to staying consistent. 

Surprising fact: For most people, it’s easier to exercise every day for 10 minutes than it is to exercise two days a week for 35 minutes. Why? Committing to exercising daily removes the internal debate of deciding which days to work out.   

Commit to exercising one minute per day. If you exercise for a minute and don’t want to do more, give yourself permission to stop. Most people want to continue once they have started. If life happens and you can’t exercise one or two days per week, forgive yourself and pick it up the next day. 

Many people think that flexibility in your fitness routine hurts consistency when in reality, flexibility enables consistency. You do not need to go to the gym or pool every day. Adding movement in other ways, such as walking at your desk treadmill, stretching, or shoveling snow, may be a great way to infuse movement into your day. 

Any amount of physical activity will give you health benefits, but the more active you are, the more health benefits you will get. To get cardiovascular benefits out of your exercise, you need to exercise for a minimum of 10 continuous minutes. 

3 Use the start of the year to try out different classes. 

The people who stick with exercising consistently are the ones who figure out what types of exercise they enjoy. Use the first few weeks of the year to try out new classes. Try a few new classes to figure out which ones you like, and then rotate between the ones you enjoy for the rest of the year.

Fitness instructors know that most people will open a gym membership at the beginning of a new year, so they typically adjust their classes with this in mind. In January and February, they will provide breakdowns of the movements and slowly add progressions throughout the year. This makes the beginning of the year the best time to try a new class as they will likely be tailored to beginners. 

4 Take time to build strength.

Adding strength or resistance training exercises to your routine is not only a great way to vary your workouts, but it helps you see better results than if you focus on cardio alone; it improves balance, builds confidence, and helps you burn calories more efficiently throughout the day. 

While many people think of strength training as a young person’s game, it actually becomes more important the older we get. Strength or resistance training can help build and maintain healthy bones and joints, improve posture, and reduce the risk of falling. Older adults who participate in resistance training exercises reduce their risk of developing musculoskeletal disorders such as osteoarthritis, reduce joint and back pain, and are often independent for longer because they are able to maintain functional movements. 

Start by practicing the movements without any weight or resistance bands. Once you have the form down, gradually add weight. Only increase your weight when you feel you could have done more repetitions at the end of your circuit. 

5 Commit to a gym or club

For many people, going to a gym or community center is a commitment that keeps them going. Perhaps it gets them out of their home or office. It may be for social connection. Or they keep going so they don’t waste their investment. 

Visit a few gyms or community programs to see which one has the vibe you want. And remember, there may be more casual groups you can join for biking, walking, or volunteering to fight invasive plant species on your local trails. 

6 If a gym isn’t a positive experience, don’t go.

If you have no desire to go to a gym, don’t go. For individuals with anxiety or depression, an intense setting may not help their self-esteem and could even trigger their condition. 

Working out in the privacy of your own home is easier than ever with free or subscription-based online workouts. Simply search YouTube for a workout you enjoy – barre, strength training, kickboxing, yoga, pilates, step – and give it a try. 

Most online workouts don’t require any equipment. If you choose to invest in a few free weights and resistance bands, that’s typically all you need for almost any home workout. Just remember commitment and consistency are what’s important, so block out the time on your calendar and silence your phone!

Talk to your doctor before getting started.

Always talk to your doctor before starting a new fitness routine. Some underlying health conditions may make exercising more dangerous. However, most health conditions improve with exercise, so don’t let any existing conditions stop you from discussing an exercise plan with your doctor. 

 

Consistent exercise provides so many benefits for your physical and mental health. You won’t regret getting started. 

 

Undiagnosed ADHD could be the reason your antidepressants aren’t working

Dr. Stephen ManloveStephen Manlove, MD graduated from the University of Minnesota Medical School and completed residencies in Psychiatry and Internal Medicine through the University of Virginia Medical School. He holds multiple board certifications in psychiatry/neurology, internal medicine and forensic psychiatry. This deep understanding of medicine gives him a unique ability to practice truly holistic psychiatry—fusing […]

Group therapy

Psychedelic Assisted Psychotherapy at Manlove Brain and Body Health

Manlove Brain and Body Health recently announced that they will be offering group and individual therapy sessions for depression patients. To learn more about this new offering, read the interview below with therapist Gaylen Bendewald, MSW who will be leading these sessions.

Who are these psychotherapy sessions intended for?

Both of the group and individual sessions are specifically designed for depression patients who are undergoing ketamine therapy as part of their treatment plan. Ketamine is a very unique and powerful medication that can help rewire the brain. With these sessions, we will help patients process their ketamine experience and help them find ways to positively restructure the way they think about themselves and the world around them. 

What are you hoping patients will gain from attending these sessions?

I hope that with these sessions, patients will:

  • Develop the emotional state needed to get the most out of ketamine 
  • Process the experiences you have while in ketamine treatment or other treatments for depression 
  • Explore the untapped potential for change through ketamine treatment coupled with mindfulness training 
  • Learn to celebrate life again

In addition, I think group sessions will be especially beneficial for patients to see that they are not alone. Hearing the stories and strategies of other patients who are going through a similar journey can have an incredible impact on patients to find their way through dark times.  

Tell us a little bit about your background.

I am a licensed clinical social worker with 45 years of outpatient experience. I love to incorporate mindfulness and meditation in my counseling practice, and I have led a meditation group alongside my wife, Lois, for 10 years, as well as taught mindfulness for many, many years.

When will sessions be available?

Group therapy will be offered on Tuesdays from 12pm-1:15pm starting in the next several weeks.

Individual therapy sessions will also be available during clinic hours on Tuesdays. These sessions are meant for people who want to become more of “a student of their own thoughts” through mindfulness or awareness training as a means to a more peaceful, joyful life. 

Will therapy sessions be covered by insurance?

We are working with a variety of insurance providers to cover the cost of therapy sessions for our patients. Please check with your insurance provider to confirm that Manlove Brain and Body Health is in network and that your coverage includes psychotherapy. 

How can patients sign up?

To sign up for group or individual therapy sessions, please let our front desk staff or your current Manlove Brain and Body Health provider know that you would like to sign up. You can reach our front desk staff at 605-348-8000 or office@manlovegroup.com.

 

In addition to offering therapy to help you process your ketamine experience, learn how we ensure you have the best ketamine treatment experience.

Megan Burgard CNP at Manlove Brain and Body Health

Mental Health Specialist, Megan Burgard – Nurse Practitioner

Introducing Nurse Practitioner, Megan Burgard to the Manlove Brain and Body Health team!

Transcranial Magnetic Stimulation (TMS): How it works, what to expect, side effects.

Transcranial Magnetic Stimulation (TMS) was developed in 1985, and has been  FDA-approved since 2008 as an alternative treatment for depression. TMS is covered by most health insurance plans for those with treatment resistant depression (TRD) which is defined as a patient who has tried 4 or more antidepressant medications and therapy without relief. It can also help people with symptoms of PTSD, panic attacks, suicidal thoughts, social anxiety disorder, seasonal affective disorder, and other mental illnesses.

Amanda VanConant CNP at Manlove Brain and Body Health in Rapid City, South Dakota a treatment resistant depression clinic specializing in TMS and Ketamine Esketamine (Spravato) mental health treatments.

Mental Health Specialist, Amanda VanConant – Nurse Practitioner

We are so grateful to have Nurse Practitioner Amanda VanConant as part of our team at Manlove Brain and Body Health!

Family members, friends, and colleagues with mental health and treatment resistant depression during the holiday season at Thanksgiving and Christmas dinner in the Black Hills.

Dos & Don’ts of Supporting Someone with Mental Illness

As a friend or family member of someone with a mental illness, it can be hard to know the best ways to be supportive. With the holidays just around the corner, it’s important to know that while the holidays are a time that many people look forward to, this can be a very hard time of year for those with depression, anxiety, and PTSD. Family gatherings can be overwhelming and conversations, at times, can feel more like interrogations. With this in mind, our team of mental health professionals have put together a list of dos and don’ts to help you better support your loved ones with mental illness this holiday season and beyond. 

Dr. Stephen Manlove at Manlove Brain and Body Health speaking to woman about mental health, forensic psychiatry, forensic psychiatrist, expert witness, psychiatric evaluation

Mental Healthcare: Where to Start

Once someone decides that it’s time to take control of their mental health, it can be hard to know where to start. Do I see a therapist or a psychiatrist? Do I need medication like ketamine? This blog will walk you through the best approach to start on your mental healthcare journey and provide an overview of the different resources available to help you get started. While these steps are intended for those who have not yet addressed their mental health concerns with a provider, this may also be a useful guide for those who have already started to seek help by seeing where they are in the process and understanding their options for possible next steps.