Legitimacy of ADD/ADHD (scientific discussion)

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Discussion Overview

The discussion revolves around the legitimacy of ADD/ADHD as a mental health condition, exploring its diagnosis, potential overdiagnosis, and the societal implications of labeling behaviors associated with it. Participants share personal experiences and seek to understand the nature of ADHD, whether it is a genuine disorder or a reflection of normal human variation.

Discussion Character

  • Debate/contested
  • Conceptual clarification
  • Exploratory

Main Points Raised

  • Some participants question whether ADD/ADHD is a real condition or if it is overdiagnosed, citing extreme views and a lack of evidence in some discussions.
  • There is a debate about who defines ADHD, with suggestions that schools, doctors, researchers, and insurance companies may all play a role in its classification.
  • One participant suggests that ADHD is a dimensional disorder, where symptoms can vary in severity and impact daily functioning, and that the DSM's categorical approach may not fully capture this complexity.
  • Another viewpoint is that ADHD may not be a disease but rather a disorder influenced by societal norms regarding behavior, raising questions about the motivations behind diagnosis and treatment.
  • Some participants express uncertainty about whether ADHD represents normal human variation or if it indicates a dysfunction in the brain.
  • There are discussions about the genetic basis of ADHD and the potential for co-morbid conditions, such as anxiety and depression, complicating the diagnosis.
  • Self-medication and the use of various substances to cope with ADHD symptoms are mentioned, along with the importance of proper diagnosis and treatment.

Areas of Agreement / Disagreement

Participants do not reach a consensus on the legitimacy of ADD/ADHD, with multiple competing views remaining regarding its classification, diagnosis, and societal implications.

Contextual Notes

The discussion highlights the complexity of diagnosing ADHD, including the potential for misdiagnosis and the influence of societal definitions of normal behavior. There are unresolved questions about the criteria for diagnosis and the implications of labeling individuals with ADHD.

  • #31
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.
 
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  • #32
Cillie said:
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.
 
  • #33
Nano-Passion said:
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.
 
  • #34
Pythagorean said:
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.
 
  • #35
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.
 
  • #36
ander said:
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.
 
  • #37
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.
 

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