Medical Legitimacy of ADD/ADHD (scientific discussion)

[ander]

After many years of mental health treatment, untreated ADD has come up as a possibility. I have been prescribed accordingly, etc. so I'm not asking for medical advice.

Anyway, For the past week I've been reading on the internet about ADD to educate myself about the disorder, but I've mostly found extreme views (ADD is a conspiracy manufactured by big pharma, turn to Jesus) that didn't present any evidence or sound arguments. So, is ADD 'real'? Is it overdiagnosed?

Reputable sources/thoughtful replies preferred, since this seems to be such a contentious subject.

 

[dimensionless]

Some diseases like cancer are acute. You either have it or you don't. Others, such as autism, exist on a spectrum. I can't speak specifically about ADHD, only is broader general terms.

Who is defining what ADHD is? Schools? Doctors? Researchers? Insurance companies? Lawyers?

The question of overdiagnosis would depend on whether the number of people diagnosed with it is greater than the number of people who have it. This doesn't consider that some people have been misdiagnosed with ADHD while others have undiagnosed ADHD.

I believe that ADHD is a true condition. It is not clear to me whether it is normal human variation, or there is something in the brain that is broken. I've never really considered the question and never researched it. But even this, though, is not always black and white, and it raises the question of when to give a label to individuality, which is, by itself, another can or worms.

 

[Calochilus]

After many years of mental health treatment, untreated ADD has come up as a possibility. I have been prescribed accordingly, etc. so I'm not asking for medical advice.

Anyway, For the past week I've been reading on the internet about ADD to educate myself about the disorder, but I've mostly found extreme views (ADD is a conspiracy manufactured by big pharma, turn to Jesus) that didn't present any evidence or sound arguments. So, is ADD 'real'? Is it overdiagnosed?

Reputable sources/thoughtful replies preferred, since this seems to be such a contentious subject.

ADHD is a disorder which is dimensional, ie, you can go from very little to very much. The rational view is that when the aspects central to ADHD, of impulsivity, distractibility and disruption of attention become such that they interfere with your ability to carry out normal life functions , you have a problem. The controversy occurrs in relation to DSM4 (the Diagnostic and Statistical Manual V. 4 of the APA) of which most people only read half . This document is more to do with the management of HMOs rather than patients and overlays categorical determinations on a dimensional framework. This means that you can have few severe symptoms but not make the cut-off for diagnostic certainty (until you read the fine print which most do not).

If impulsivity, distractibility and attention problems cause you to exhibit anxious or depressed behaviours, then there is good reason to think that ADHD may be the primary issue.Treatment of ADHD can be as simple as just having an explanation for a set of behaviours , this insight can do wonders. Mindfulness and other meditative techniques are also of great importance. However, to get to the guts of it, stimulant medication can do almost instantly, anything that other techniques can achieve. The downside is that you still have to do the others to make lifelong changes. Being medicated makes a darn sight easier.. One of the things about ADHD is that as ADDers, we see our world as normal and the neurotypicals as aberrant.
See http://www.alifeofthemind.com/2011/09/07/neurotypical-syndrome/ :-)
The other issue surrounds the problem of delayed gratification, we like immediate results :-)

In summary, ADHD has a genetic basis (strongly familial as well) A number of candidate genes have been examined but their contribution is small so the problem is highly polygenic. Setting is important, stress is a potent factor in exacerbation of issues. Self medication is the rule, caffeine, nicotine and alcohol head the list, followed by cannabis, street amphetamines and OTC opiates.A valid diagnosis with a legitimate prescription of appropriate medication can reduce the sometimes significant harms of self medication.
Self diagnosis is risky but better than no diagnosis. Do a few on-line questionnaires and learn the parameters of your own issues.
See http://psychcentral.com/addquiz.htm and similar
Remember, ADHD seldom travels alone. Think around co-morbid problems, the primary ones are , of course, anxiety, depression and substance abuse (Yes, Virginia, you can drink TOO much coffee). Something often overlooked is the co-morbid association with Asperger's traits. Particularly relevant in people with high level maths skills .
See http://www.rdos.net/eng/Aspie-quiz.php and similar.
The best source of "gestalt" is to visit (and hopefully join) a patient support group. What you'll find is something quite different to the dry DSM4
See www.addact.org.au and similar
Once you have a handle on your own issues you can then talk rationally with therapists, supervisors, employers and last but not least, family.

 

[AlephZero]

This is not a "disease" but a "disorder". In the end it comes down to what society decides is "normal behaviour" and what society decides to do about those who don't fit the "normal" pattern.

BBC radio has a regular program series on health related issues called "Am I normal?" See here http://www.bbc.co.uk/programmes/b007v7py/episodes/player to listen to some recent ones. I don't think they have ever done one specifically on ADD, but the one on "gifted" children might be interesting.

If society has reached a situation where some behaviour patterns are considered either disruptive to other people, or more or less disfunctional, there is an incentive to try to change those behaviour patterns (either by people trying to change their own behaviour, or trying to impose change on other people - which is of course easier to do if the other people are children). And in a capitalist society, that is an opportunity for people to make money out of the attempts.

If that sounds negative and cynical, anybody out there who wants to persuade me to change my behaviour patterns (and get me to pay them to do it!) is welcome to try ...

 

[Calochilus]

Some diseases like cancer are acute. You either have it or you don't. Others, such as autism, exist on a spectrum. I can't speak specifically about ADHD, only is broader general terms.

Who is defining what ADHD is? Schools? Doctors? Researchers? Insurance companies? Lawyers?

The question of overdiagnosis would depend on whether the number of people diagnosed with it is greater than the number of people who have it. This doesn't consider that some people have been misdiagnosed with ADHD while others have undiagnosed ADHD.

I believe that ADHD is a true condition. It is not clear to me whether it is normal human variation, or there is something in the brain that is broken. I've never really considered the question and never researched it. But even this, though, is not always black and white, and it raises the question of when to give a label to individuality, which is, by itself, another can or worms.

I understand where you are coming from. However the term you are looking for is "categorical" rather than "acute". The terms "acute" and "chronic refer to duration and intensity rather than presence or absence. The alternative to "categorical' is "dimensional". (as an aside , it is estimated that as many as 70% of men die with chronic (often symptomless) prostate cancer as opposed to about 1.5% dying from acute prostate cancer
ADHD is indeed, dimensional and shares this with things such as blood pressure, metabolic syndrome and similar disorders where a cut-off along a spectrum is nominated as dividing between "having it" or "not having it"

Like all disorders and diseases, ADHD is defined by peer-reviewed publication, in this case, the American Psychiatric Association in its Diagnostic and Statistical Manual V. 4 (DSM4)
See http://www.psych.org/mainmenu/research/dsmiv.aspx.
While DSM4 is not without both flaws and critics, in the face of nothing better, it serves. However one criticism worth mentioning is that it appears to serve the HMOs better than patients.
In most areas, the rate of diagnosis is far less than the prevalence rate (often around 10% with the exception of USA) . This would suggest that under-diagnosis is common. Confounding issues are that the presence of co-morbid anxiety, depression, dyslexia and other complications mask the true prevalence. About 70% to 80% of children diagnosed with ADHD retain some significant disability in adulthood. If we look at adult diagnoses, we perceive the possibility that significant under-diagnosis in childhood may occur. The issue of misdiagnosis is different. Here there are problems with the cross-over between ADHD and paediatric bipolar disorder, a contentious issue. Also clouding the issue is the occurrence of Oppositional Defiant Disorder, Conduct Disorder, Antisocial Personality Disorder and the waste-basket diagnosis , Borderline Personality Disorder. In the end, does it matter what the label is if treatment is effective?

ADHD is real, it is part of the normal variation in humans. But so then are many other diseases and disorders. Being part of the spectrum of variation does not stop us from attempting to repair Patent Foramen Ovale (hole-in-the-heart) and treating PKU etc.

 

[Mkorr]

This is not a "disease" but a "disorder". In the end it comes down to what society decides is "normal behaviour" and what society decides to do about those who don't fit the "normal" pattern.

No. Mental conditions are not diagnosed based exclusively on what "society decides is normal behavior", but rather based on the three Ds: distress, dysfunction and deviance. The two former is often focused around the individual, whereas only the latter has to do with what society deems deviant. These are overarching guiding principle and if we take psychopathy or anti social personality disorder as an example, this mental condition causes almost no distress or dysfunction for the psychopath, but rather for others around him or her and individuals with these mental conditions are viewed as being human predators (in other words, extremely deviant).

Also note that the problems has to be non-transient and have occurred for weeks to months. Almost everyone gets sad sometimes, but very few are consumed by it that they cease to function to a large extent. We call some of these individuals clinically depressed.

Using the "but there is a profit!" argument to cast doubt on psychiatry is futile. Not only is it a logical fallacy (appeal to motive), but in a capitalist society, almost anyone makes money. Should we distrust physics professors just because they make more money than students? No of course not. They (and psychiatrists) should be trusted if reason and the evidence is in their favor, regardless if they make money or not.

You may yourself not be afflicted with a mental condition, but do not presume to talk for others who may be.

 

[Mkorr]

If ADHD isn't over-diagnosed then has there been an increase in those diagnosed over the past fifty years because of many going undiagnosed?

It is probably due to both increased awareness and expansion of diagnostic criteria for ADHD has been expanded. So you cannot naively compare apples and oranges and conclude that the actual rates of ADHD has skyrocketed.

Or because there is potentially some environmental factor that could be causing the increase similar to the increase in autism?

Actually, the increase in the diagnosis of autism is not due to some new environmental factor, and certainly not vaccines. Those claims have been debunked. Rather, increased awareness and expansion of diagnostic criteria are the main contributors to the increase in the rates of autism diagnosis.

Gerber, J. S., & Offit, P. A. (2009). ]Vaccines and Autism: A Tale of Shifting Hypotheses. Clinical Infectious Diseases, 48(4), 456-461.

 

[vergatin]

ADD/ADHD is indeed real. Most people believe that ADD and ADHD are psychiatric diagnoses and not medical diagnoses. A person cannot be diagnosed with ADD/ADHD[/URL] unless they have 6 or more of 18 symptoms listed in the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition.
It's great though that many more studies are being conducted every day to help diagnose, treat, and ultimately cure ADD. Researchers actually found that children with ADD had lower levels of key fatty acids; like omega-3 in their bloodstream. The lack of fatty acids was linked with temper tantrums, memory loss, sleep disturbances, learning difficulties and hyperactivity.

 

[lindamb296]

...In the end it comes down to what society decides is "normal behaviour" and what society decides to do about those who don't fit the "normal" pattern...

If society has reached a situation where some behaviour patterns are considered either disruptive to other people, or more or less disfunctional, there is an incentive to try to change those behaviour patterns...in a capitalist society, that is an opportunity for people to make money...

AlephZero, I'm very confused as to how you can seriously include your comments in a discussion titled "(scientific discussion)". First of all, you obviously don't suffer from nor are closely involved with a loved one who suffers from ADD (since this is what I'm personally addressing). If you did or were involved, you would never have ignorantly expressed your biased and totally UNscientific thoughts.

Are ADD and ADHD EXTREMELY and EXCESSIVELY over-diagnosed? YES! I do agree with that. When my son was in Elementary school, they tried to convince me that he was ADD/ADHD and needed to be put on Ritalin. I refused (and his Pediatrician agreed). All my son had was a huge case of being a typical school-age boy--with all the annoying school-age boy characteristics, i.e. talking in class, excessive energy that he released at recess and after school. HOWEVER, that doesn't mean that ADD and/or ADHD doesn't exist.

I speak of this from personal experience. I live in a nightmare world because of ADD. I absolutely cannot sit still and concentrate on anything for more than a few minutes, or, if I'm really lucky, up to half an hour, before my mind drifts, or I get antsy and get up and start wandering around or start doing something else. It makes it real hard to hold down a job or to get anything done around the homestead.

I'm also Bipolar Type 1, Rapid Cycling (and DON'T even try to tell me THAT doesn't exist, because I live in HELL all the time with it yes, even on medication). It makes it real hard to find a medication to treat the ADD tendencies since Adderal and meds like it can cause mania and really send me into a dangerous rollercoaster ride. But without anything, I'm hopelessly unable to complete or concentrate on any task, let alone my work (which pays the bills).

I'm desperate to find a treatment for the ADD tendencies that won't counteract the bipolar meds. I'm miserable, just existing from moment to moment, not living. I accomplish nothing because I can't keep my eye on the target long enough to see the big picture, or reach the finish line so to speak. That's not living, that's just wandering around until it's time to take the sleepy time meds to shut my brain down for 5 or so hours. Then I get to wake up and wander around accomplishing nothing again.

Try that for a day AlephZero, then you come on back here and have a scientific discussion about ADD. I'll wander on back over here every hour or so and check it out.

P.S. it took me about 4 hours to write this. That concentration issue I was mentioning kept effing with me.

 

[Nano-Passion]

This is not a "disease" but a "disorder". In the end it comes down to what society decides is "normal behaviour" and what society decides to do about those who don't fit the "normal" pattern.

BBC radio has a regular program series on health related issues called "Am I normal?" See here http://www.bbc.co.uk/programmes/b007v7py/episodes/player to listen to some recent ones. I don't think they have ever done one specifically on ADD, but the one on "gifted" children might be interesting.

If society has reached a situation where some behaviour patterns are considered either disruptive to other people, or more or less disfunctional, there is an incentive to try to change those behaviour patterns (either by people trying to change their own behaviour, or trying to impose change on other people - which is of course easier to do if the other people are children). And in a capitalist society, that is an opportunity for people to make money out of the attempts.

If that sounds negative and cynical, anybody out there who wants to persuade me to change my behaviour patterns (and get me to pay them to do it!) is welcome to try ...

No your absolutely on the ball park. What defines normal behaviour patterns? In fact, I will argue that the non-adders are the ones that aren't normal- and I would bet that they would be at a disadvantage if it was just nature involved and not society.

 

[Nano-Passion]

AlephZero, I'm very confused as to how you can seriously include your comments in a discussion titled "(scientific discussion)". First of all, you obviously don't suffer from nor are closely involved with a loved one who suffers from ADD (since this is what I'm personally addressing). If you did or were involved, you would never have ignorantly expressed your biased and totally UNscientific thoughts.

Are ADD and ADHD EXTREMELY and EXCESSIVELY over-diagnosed? YES! I do agree with that. When my son was in Elementary school, they tried to convince me that he was ADD/ADHD and needed to be put on Ritalin. I refused (and his Pediatrician agreed). All my son had was a huge case of being a typical school-age boy--with all the annoying school-age boy characteristics, i.e. talking in class, excessive energy that he released at recess and after school. HOWEVER, that doesn't mean that ADD and/or ADHD doesn't exist.

I speak of this from personal experience. I live in a nightmare world because of ADD. I absolutely cannot sit still and concentrate on anything for more than a few minutes, or, if I'm really lucky, up to half an hour, before my mind drifts, or I get antsy and get up and start wandering around or start doing something else. It makes it real hard to hold down a job or to get anything done around the homestead.

I'm also Bipolar Type 1, Rapid Cycling (and DON'T even try to tell me THAT doesn't exist, because I live in HELL all the time with it yes, even on medication). It makes it real hard to find a medication to treat the ADD tendencies since Adderal and meds like it can cause mania and really send me into a dangerous rollercoaster ride. But without anything, I'm hopelessly unable to complete or concentrate on any task, let alone my work (which pays the bills).

I'm desperate to find a treatment for the ADD tendencies that won't counteract the bipolar meds. I'm miserable, just existing from moment to moment, not living. I accomplish nothing because I can't keep my eye on the target long enough to see the big picture, or reach the finish line so to speak. That's not living, that's just wandering around until it's time to take the sleepy time meds to shut my brain down for 5 or so hours. Then I get to wake up and wander around accomplishing nothing again.

Try that for a day AlephZero, then you come on back here and have a scientific discussion about ADD. I'll wander on back over here every hour or so and check it out.

P.S. it took me about 4 hours to write this. That concentration issue I was mentioning kept effing with me.

I happen to think that ADD is a gift--but too much may be a burden. However, the spectrum isn't so well defined. And even worse, it is hard to tell for sure how much of your case is genetic and how much is due to social factors such as paradigms, discipline, and the other myriad of factors that can affect one's ability to turn what seems to be a disadvantage to an advantage.

I probably have it, who knows until I see a doctor next week--but one thing is for sure: I never felt smarter! I now understand myself and my advantages and I'm already changing my thought processes to help me use my creativity and fast thought processes to my advantage.

 

[lindamb296]

I happen to think that ADD is a gift--but too much may be a burden. However, the spectrum isn't so well defined. And even worse, it is hard to tell for sure how much of your case is genetic and how much is due to social factors such as paradigms, discipline, and the other myriad of factors that can affect one's ability to turn what seems to be a disadvantage to an advantage.

I probably have it, who knows until I see a doctor next week--but one thing is for sure: I never felt smarter! I now understand myself and my advantages and I'm already changing my thought processes to help me use my creativity and fast thought processes to my advantage.

Nano-Passion & anyone else who cares. I think you sound more bi-polar than ADD, and as I said, I totally know what I'm talking about on that front. In fact, with your "creative" and possibly grandiose "fast (can anyone say manic) thought processes" you are a textbook case for a bipolar individual experiencing a manic episode from the way your describing yourself, but what you are saying is not a description of ADD.

ADD, is not "fast thought processes". I have that going on in my head 24/7 (that's why I have to take meds at night, just to shut my brain down long enough to grab 4 to 6 hours of sleep a night), I'm talking about not being able to grab hold and hang on to even one thought or task for more than a few minutes or, if I'm lucky, an hour. That's not acceptable in the work world at least not with my boss, and it doesn't help in the home front either. The family gets a little tired of all the projects you start that are left unfinished because you lose interest or forget about it because something else distracted you. THAT's ADD.

 

[Nano-Passion]

Nano-Passion & anyone else who cares. I think you sound more bi-polar than ADD, and as I said, I totally know what I'm talking about on that front. In fact, with your "creative" and possibly grandiose "fast (can anyone say manic) thought processes" you are a textbook case for a bipolar individual experiencing a manic episode from the way your describing yourself, but what you are saying is not a description of ADD.

ADD, is not "fast thought processes". I have that going on in my head 24/7 (that's why I have to take meds at night, just to shut my brain down long enough to grab 4 to 6 hours of sleep a night), I'm talking about not being able to grab hold and hang on to even one thought or task for more than a few minutes or, if I'm lucky, an hour. That's not acceptable in the work world at least not with my boss, and it doesn't help in the home front either. The family gets a little tired of all the projects you start that are left unfinished because you lose interest or forget about it because something else distracted you. THAT's ADD.

Well, I don't claim to be an expert. But thanks, since you've challenged the train of thought that Add have fast thought processes, it forced me into a bit of research. Coincidentally, I found a page that changed my mind about having ADD.

You said taking ADD helps you sleep? I don't know about other medication but my friend that has ADD told me that adderall (spelling?) is bad for trying to get sleep.

 

[lindamb296]

Well, I don't claim to be an expert. But thanks, since you've challenged the train of thought that Add have fast thought processes, it forced me into a bit of research. Coincidentally, I found a page that changed my mind about having ADD.

You said taking ADD helps you sleep? I don't know about other medication but my friend that has ADD told me that adderall (spelling?) is bad for trying to get sleep.

No, I don't take Adderall (which I no longer take b/c it was negatively interacting with my anti-psychotics used to treat bi-polar) nor the vyvanse, to help me sleep--those drugs are stimulants! I take OTHER meds at night to LET me sleep (i.e. to shut my brain down so I can sleep--I take Seroquel--it slows my brain/thought processes down so my natural sleep processes can set in--tol help me sleep). But even with meds, I only get about 5 or 6 hours of sleep per night. In other words, I take stimulants in the day for ADD type symptoms so I can focus and concentrate in order to do my job and at night I take meds to bring me back down so I can get a few hours of sleep.

 

[nitsuj]

lol a disorder, yes, by the standard of a bell curve.

By a humane standard, ummm, just another personality type.

I was a hyper-active, class clown who had more "control" over the students than the teachers themselves.

Was proposed I had an Attention Deficit Disorder. lol (more like "over attention spoiled brat disorder"), luckly my mother was a pharmaceutical sales rep... needless to say I was not put on meds. Thank God! (&mom)

What makes ADD distinct from the persons "true self"/personality?

What is a deficit in attention?

What is the disorder? The pattern of attention?

And it effects mostly (only?) children, ?

Was the drug invented first?

R&D heads to marketing department: "We invented this drug that seems to make those obnoxious little kids more mellow. Think there is a market for it?"
Marketing department: "OMG what a gold mine! that market would be huge, there are so many poorly disciplined kids who are also obnoxious / high energy."

 

[Nano-Passion]

I think the term attention deficit disorder is a misnomer. Some suggest that it should be called attention surplus disorder, because you put your attention in too many things at the same time.

 

[Pythagorean]

This is not a "disease" but a "disorder". In the end it comes down to what society decides is "normal behaviour" and what society decides to do about those who don't fit the "normal" pattern.

BBC radio has a regular program series on health related issues called "Am I normal?" See here http://www.bbc.co.uk/programmes/b007v7py/episodes/player to listen to some recent ones. I don't think they have ever done one specifically on ADD, but the one on "gifted" children might be interesting.

If society has reached a situation where some behaviour patterns are considered either disruptive to other people, or more or less disfunctional, there is an incentive to try to change those behaviour patterns (either by people trying to change their own behaviour, or trying to impose change on other people - which is of course easier to do if the other people are children). And in a capitalist society, that is an opportunity for people to make money out of the attempts.

If that sounds negative and cynical, anybody out there who wants to persuade me to change my behaviour patterns (and get me to pay them to do it!) is welcome to try ...

Well.. it's a little bit more controversial of a subject. There's a third criteria that you haven't mentioned: the disorder has to cause significant distress to the person or people around them.

For behavioral disorders like ADD, it's generally gauged by the patient's distress, so if you have ADD-like symptoms, but you're not in distress from those symptoms, you actually don't have ADD. Of course, the question of children is always controversial because there's some question of your ownership belonging to your parents.

However, your criticism becomes more valid with personality disorders, where the focus is more on "other people's" distress and of course that becomes subject to different cultural norm (i.e. as a society, we generally aren't worried about the feelings of a sociopath, as ironic as that is; we're worried about them harming people around them)

But we can still go back to the question of distress even with sociopath: some sociopath-like people may adapt and find jobs that fit their "disposition"; i.e. police or firemen, or sky-divers... risk-taking profession. The marked biological symptom of a sociopath is a lack of fear response; it doesn't always lead to a violent jerk. These people might never be considered as sociopaths and they can still recognize social value (even if only at an intellectual or self-preservation level; of course, I'm a cynic too; I think we all operate on self-preservation, just that sociopaths are not as good at fooling themselves about intrinsic social value as the rest of us are).

 

[nitsuj]

In response to Nano's last post.

regardless I feel it is wrong; to medicate due to the persons attention patterns not being suitable for environment xyz.

 

[nitsuj]

Pythagorean

I agree with pretty much all that you said.

You come across as bright and thoughtful.

I enjoy reading your posts as I always find them enlightening.

 

[Pythagorean]

Thank you, nitsuj

lindamb,

I believe you misinterpreted my post. Distress is one of the three criteria* doctors use for defining a disorder. If you just have an attention deficit, it does not mean you have attention deficit disorder. There are people that can function fine with an attention deficit. There are many facets to human personality, and some people will develop coping skills on their own without treatment.

That's not to say that everyone can do it. Some people need help, and it's not about being weaker; we all come from different molecular and social histories, so we all have different phenotypes playing out.

And please do not be so judgmental about people with sociopathic disorders. They do not all fit the stereotype from TV.

*the three criteria are: deviant, distressing, and dysfuncitonal

 

[Cillie]

I have had ADHD my whole life and have read extensively on the subject. Like most people said it is a condition that varies in extremity as well as symptoms. The main cause is irregular releases of dopamine. Dopamine is produced in the subconscious to keep the brains attention on a certain subject. If not enough is produced then all interest is lost. This is why methylphenidate (eg ritalin, concerto) is given to people with ADHD, because it regulates the release of dopamine, thus increasing attentiveness. Another symptom of ADHD that I myself only learned this year is that the actual act of trying to force yourself to concentrate, ironically inhibits the brains concentration ability. Which is why most people with ADHD, when forced to focus sometime lose focus faster than usual. One way of overriding this is with adrenalin it is what we need to focus and why most people with ADHD say "I can pay attention just fine...when I am interested". The interest leads to adrenalin production which stimulates the brain into focusing.

In conclusion most people believe ADHD to be a very negative disorder (even I use to), however this is not the case since it has many positive aspects. Due the the lack of focus for short moments on one thing, they focus on many thing and therefore gain a very wide range of knowledge and especially a lot of empathy.

 

[Nano-Passion]

In response to Nano's last post.

regardless I feel it is wrong; to medicate due to the persons attention patterns not being suitable for environment xyz.

Well, for one to function happily in a society one must adapt. If the person's attention patterns is too intrusive into his daily life then I believe he is entitled to medication. What I feel would be wrong is to let said person suffer of his incapability to be attentive at certain social factors that he wants or perhaps needs to function in his environment.

 

[Cillie]

In response to Nano's last post.

regardless I feel it is wrong; to medicate due to the persons attention patterns not being suitable for environment xyz.

Just want to add to that, that it has been shown that leaving ADHD children un-medicated can result in them feeling inferior and hopeless. This can lead to reckless behaviour and the use of drugs. Anyway ritalin is one of the most tested drugs on the market and has very few side effects. Thus the positives out weighs the negatives. However ADHD can also be brought on by drugs and society (such as addiction to social networks) in these cases I believe the people can bring it upon themselves.

 

[Nano-Passion]

However ADHD can also be brought on by drugs and society (such as addiction to social networks) in these cases I believe the people can bring it upon themselves.

Yes and sharp pocket knives are sold for 1 dollar at Walmart (just saw a vicious looking one the other day at least). I always despise the danger argument because it always falls down to how it is used--which is largely out of our control.

 

[Cillie]

Ok so if I understand your argument correctly you mean that the danger with a drug such as ritalin is that it will be used with the wrong purposes. Which is what happens sometimes, since it regulates dopamine, which is a feel good hormone it can give you a buzz if you take enough. However that is also why the drug is so controlled and why every time you want to get your ritalin from the pharmacy you need a new prescription (the original). This makes your comparison of ritalin to something you can easily buy such as a knife wrong.

 

[Nano-Passion]

Ok so if I understand your argument correctly you mean that the danger with a drug such as ritalin is that it will be used with the wrong purposes. Which is what happens sometimes, since it regulates dopamine, which is a feel good hormone it can give you a buzz if you take enough. However that is also why the drug is so controlled and why every time you want to get your ritalin from the pharmacy you need a new prescription (the original). This makes your comparison of ritalin to something you can easily buy such as a knife wrong.

No it should be controlled. I absolutely agree. The analogy was merely to attack the bandwagon that people use to justify their opinion of eliminating a product. In fact, I was agreeing with you that people bring it to themselves. And like knives, it ultimately comes down to how it is used.

 

[Pythagorean]

Yes and sharp pocket knives are sold for 1 dollar at Walmart (just saw a vicious looking one the other day at least). I always despise the danger argument because it always falls down to how it is used--which is largely out of our control.

There are sufficiently few stabbings compared to drug abuse. In my town, a crime is about 400 times more likely to be drug-abuse related than assault-related based on yearly averages.

 

[Nano-Passion]

There are sufficiently few stabbings compared to drug abuse. In my town, a crime is about 400 times more likely to be drug-abuse related than assault-related based on yearly averages.

I'm having trouble reading between the lines in your statement. Are you disagreeing with me, if so, what exactly?

 

[Cillie]

I think everyone was agreeing with everyone, but we didn't phrase our arguments in a way that everyone could understand. The analogy might have caused a bit of confusion though.

 

[Nano-Passion]

I think everyone was agreeing with everyone, but we didn't phrase our arguments in a way that everyone could understand. The analogy might have caused a bit of confusion though.

Haha, my apology-- I should have added a bit more context to it.

Anyways,

Just want to add to that, that it has been shown that leaving ADHD children un-medicated can result in them feeling inferior and hopeless. This can lead to reckless behaviour and the use of drugs. Anyway ritalin is one of the most tested drugs on the market and has very few side effects. Thus the positives out weighs the negatives. However ADHD can also be brought on by drugs and society (such as addiction to social networks) in these cases I believe the people can bring it upon themselves.

On the other side, medicating children can leave them too dependent on the medication instead of focusing on discipline and overcoming the social obstacle themselves. In addition, children who are medicated may feel inferior due to the "ADD" label that often comes with a negative connotation. To add even more dismay, children often seem to grow out of the "ADD" symptoms as they age.

What a complex and ambiguous world we live in.

I know for a fact that I would have been diagnosed with ADHD if examined as a child. I don't really know if I still have it, but one thing for sure--I think I greatly benefited from attributing my ADD symptoms solely to mind-set and habits (I didn't even believe in ADD). And as a result, I feel that I became much more disciplined.

 

[Cillie]

You make a great point, if you can overcome your ADHD without medication that is great, your mindset obviously makes a big difference and people do become dependent on the medication, I would say that I am. However for some this is much better than the alternative. I mean most people who take concerto are prime examples. Concerto's effect lasts for up to twelve hour. For some people the problem far exceed not being able to concentrate in class. They even have trouble speaking to people because of their short attentions spans.

 

[Nano-Passion]

You make a great point, if you can overcome your ADHD without medication that is great, your mindset obviously makes a big difference and people do become dependent on the medication, I would say that I am. However for some this is much better than the alternative. I mean most people who take concerto are prime examples. Concerto's effect lasts for up to twelve hour. For some people the problem far exceed not being able to concentrate in class. They even have trouble speaking to people because of their short attentions spans.

Can you detail me in on the exam that diagnosed you with ADHD by the way? I've always wondered how accurate the tests are at diagnosing someone.

 

[Pythagorean]

I'm having trouble reading between the lines in your statement. Are you disagreeing with me, if so, what exactly?

I am not making any value judgments, I just think knifes was a poor analogy to drugs from a policy-making perspective.

 

[Nano-Passion]

I am not making any value judgments, I just think knifes was a poor analogy to drugs from a policy-making perspective.

I think its a great analogy, knives have the potential to do much more harm. And the whole point is, whatever the regulation, there will always be ways to abuse things. Just as there will always be ways to abuse things that are not regulated.

Knives can kill, but are open to the market. Why should brain enhancements be policed and not knives? I believe it should be a human right to be able to enhance one's brain dynamics as he/she sees fit.

If you argue that some brain enhancers are abused for x,y,z, then you should note that other commonly used medication are also abused.

If you argue that using certain brain enhancers is cheating, then I point that cheating is just a word that accounts to what is not of the norm. If one person opened his textbook in the middle of class, then he would be cheating. But if it was an open-book test and everyone used the book, then it isn't cheating. Likewise, if everyone had access to brain enhancers, then it wouldn't be cheating.

I think if you are old enough to make your own informed decision, then why not? You don't see things such as processed food, alcohol, or x,y,z being monitored.

And I don't expect you to agree, I'm just disagreeing with your statement =p. Though it is an interesting topic, the discussion of regulation is a pretty big one nowadays. For example, who gets to have ownership over parts of the moon, should 3d printers be regulated, etc.

 

[Cillie]

There is an evaluation test that I did when I was small but the details of this is very hazy as it was so long ago. The best way to evaluate someone's mental state is to have them talk to a psychologist. I don't know the details of how exactly they evaluate you either though. The thing is there isn't a full proof way of diagnosing some disorders, its not like testing for a virus where you either have it or not, it depends on to what extent you have ADHD, which is also why ritalin comes in all kinds of forms and doses.

 

[Dale]

So, is ADD 'real'? Is it overdiagnosed?

There are some diseases where the therapy is developed before a medical diagnostic test was available. There are other diseases where the medical diagnostic test was developed before a therapy was available. I don't know of any disease where both were developed at the same time.

ADD is the of the former type, there is a therapy, but no medical diagnostic test. So there is no doubt that once we do develop a medical diagnostic test we will find that we are currently treating many patients who do not have the underlying medical condition and that we are not treating many patients who do. Such is the nature of any therapy without a medical diagnostic test (and many therapies with a test).

There is at this time no way to determine if a given individual fits into the "over-diagnosed" or "under-treated" category.

 

[Cillie]

Actually I just thought of a possible way it can be medically shown that someone has ADHD at least one type of it anyway. One symptom is that concentration is broken when to much pressure is applied on the act of concentration. This can be overcome by use of adrenalin. Thus it should be possible to observe these changes in an MRI scanner.