Neurologist Questions Neurologist

Brain hyperactivity?

I have had acute hyperactive brain activity for most of my life. It doesn't seem to affect most of my day to day activities, but it does make it difficult to sleep at night. I have never been diagnosed with ADHD but have been tested for it. I do not have a problem focusing. I do like to talk a lot about subjects that interest me, but I can occasionally become extremely socially awkward which concerned me that it may be due to a form of autism. However, I do not believe this is the case, but would like to get an honest opinion of what could be going on in my head and why it never seems to shut up.

Male | 32 years old
Complaint duration: Indefinitely
Medications: None
Conditions: Brain hyperactivity

9 Answers

You probably need to see a psychiatrist and maybe a neurologist to some testing
You could be on the autism spectrum with Asperger’s Syndrome. Clinically, you have some micronutrient deficiencies. Consult Functional Medicine and Psychologist. Start Counseling with a licensed social worker.
Your active mind is not a pathology, but the fact that you have some difficulty sleeping and are sometimes socially awkward in conversation suggests that you have stimulus overload. Stimulus overload may take many forms, but most common is too much information. Information leads to deliberation, deliberation to obsession –especially when too many variables are at play and outcomes are uncertain. We live in a world of information overload. Aside from a complete life overhaul, fruitful practices to quiet the mind are meditation and disciplined sleep habits. I recommend Lipman’s book, Better Sleep, Better You.
Thank you so much for the question. I am not familiar with the use of the term brain hyperactivity. I am wondering if you were given any other terms besides this specific one. I would not want to address your issues without more specific information. Would suggest consulting with a neurologist.

All my best,

Lance Steinberg MD, Inc.
I suggest you get tested.


Dear Brian,

Lots of positives in the question you asked, the most important is, "It doesn't seem to affect most of my day-to-day activities," but it is impairing your sleep and you're curious about what's going on. You also mentioned, "I do like to talk a lot about subjects that interest me, but I can occasionally become extremely socially awkward which concerned me that it may be due to a form of autism." Without examining you and speaking in broad strokes not specific to you, there are certainly mild forms of autism spectrum disorder, what used to be referred to as "Asperger disorder" that is highly undiagnosed in the population. The good news is that many social skills that are not innate can actually be taught. This is something that can be remediated. No magic pills, just learning a new skill set. Now, as to the "hyperactive brain," that means many different things to different people. So, I'd need to understand more about that. You can certainly call my office at 609.366.0669 and we could speak briefly to determine if my practice is a good fit for an evaluation. The other direction you could move is neuropsychological testing.
Best of luck!!

Sincerely,

Renee S. Kohanski, M.D.
The phenomenon of getting "lost in thought" at bedtime is common, if not universal. It keeps many people up longer than they'd like. You can consult with a psychiatrist if you feel it causes significant negative consequences. There are medication and non medication strategies available to quiet the mind at bedtime.
Well, I can not make a diagnosis based on the information provided. Are you interested in having an assessment done to determine if you do meet criteria for a diagnosis? That would be the best course of action. Many diagnoses have overlapping symptoms.
Check this out for some insight into your question:
https://www.mayoclinic.org/diseases-conditions/social-anxiety-disorder/symptoms-causes/syc-20353561#:~:text=People%20who%20have%20an%20overactive,unpleasant%20or%20embarrassing%20social%20situation.