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Ritalin Debate: Some Experts Doubt Existence of ADHD
Cybercast News Service (CNSNews.com) ^ | April 18, 2003 | Patrick Goodenough

Posted on 04/18/2003 12:38:09 PM PDT by FreeRadical

Pacific Rim Bureau (CNSNews.com) - The debate over attention deficit hyperactivity disorder (ADHD) and the drugging of children diagnosed with it has been rekindled in Australia, one of several countries to have followed the U.S. trend over recent decades.

A youth conference in the eastern city of Brisbane this week was told that no proof has been found that ADHD exists at all.

U.S. psychologist Dr. Bob Jacobs told the Youth Affairs Network Queensland conference that doctors and pharmaceutical companies had turned behavioral problems in children into a disorder.

He voiced concern that misdiagnoses resulted in youngsters being prescribed powerful drugs like Ritalin, which may affect their long-term mental and physical development.

In a radio interview afterwards, Jacobs - who is on the advisory board of the International Center for the Study of Psychiatry and Psychology - said his conclusions had been made as a result of his own observations during many years in practice, working with children and families.

He cited cases where parents reported that their ADHD-diagnosed children could not pay attention - but then those same children could play video games for hours without being distracted.

Sometimes where parents made changes in the way they were doing things, the symptoms would go away.

"A real disease doesn't go away when somebody else does something," he argued.

Jacobs said experts had put labels on different behaviors and called them a disease.

"There's no proof. Nobody has ever presented any evidence of a condition called ADHD, except to say all these children are hyperactive; all these children are inattentive, and therefore they all have the disease. It's the 'and therefore' that I'm concerned about."

Jacobs acknowledged that many parents would disagree with him. Parents tend to believe what has become the mainstream view, in part because the drugs prescribed for ADHD do work in that they make the child more docile and more compliant.

"The child's not getting into trouble at school any more. The child's easier to manage at home, so we say, well this is great, it works."

Also, parents struggling with a behavior problem were made to feel better. Instead of feeling inadequate as parents, they felt they were now struggling with a sick child and doing the best they could.

Money trail

In the United States in 2001, pharmaceutical companies made more than $600 million in profits just on stimulant drugs used for attention deficit disorders.

"If ADHD doesn't exist, those hundreds of millions of dollars in profits go away."

"You have to follow the money," agreed Peyton Knight, legislative director at the American Policy Center, a Virginia-based think tank.

"It's big money," he said by phone late Thursday. "The more diagnoses there are every year the more Ritalin and other mind-altering drugs they are going to be able to market and sell."

Many would vehemently disagree with the arguments against the existence of ADHD, he said.

"But it's never been validated as a disease," Knight said. "It's arbitrary."

"The number of diagnoses has risen exponentially over the past decade. It's not like some epidemic is sweeping the nation like a flu virus. It's just a matter of diagnoses going up because of the popularity of diagnosing children with ADHD," he said.

"In today's society, parents look for the easy way out. If their kids are unruly, we give them a pill and it sedates them. That becomes a very easy thing to do and if a doctor tells them to do this, they feel good about it."

Knight said there was a fairly sizeable grassroots citizens' movement in the United States questioning these issues, and more parents and teachers were becoming aware of the problems.

Unfortunately a similar movement had yet to take hold in the scientific community, although there were some bold specialists who disagreed with the wider-held views.

One of them is neurologist Dr. Fred Baughman Jr., who in a 1998 letter to the then Attorney General Janet Reno, called the representation of ADHD as a disease and the drugging of millions of normal children "the single, biggest heath care fraud in U.S. history."

Massive increase in drug use

According to Baughman, 500,000 children were diagnosed ADHD in 1985 and between 5 and 7 million were today.

Substantial growth has also been reported in Australia, a country of just 19 million people, where it's estimated that at least 50,000 children are now on drugs prescribed for ADHD.

A report in the Medical Journal of Australia last November said Australia and New Zealand have the third-highest rate in the world of the drug use, after the United States and Canada.

Unlike the United States, where Ritalin (methylphenidate) is most often prescribed, in Australia dexamphetamine is more widely used.

University of Queensland figures show that legal use of dexamphetamine in Australia has risen from 8.3 million tablets prescribed in 1984 to 38.4 million tablets in 2001. Over the same period Ritalin prescriptions rose from 1.5 million tablets to 19.3 million.

The federal government early this year approved use in Australia of long-acting Ritalin-LA, which is said to be effective for longer than the usual four-hour period for standard Ritalin.

Rosemary Boon, a child psychologist in Sydney for more than 20 years, acknowledged in a recent article that the drugs were effective in settling the child and this benefited teachers, parents and classmates. But there was little benefit to the afflicted child, she added.

Boon does not argue that ADHD doesn't exist, but says it can be managed with the help of diet, exercise, behavior modification, stress management, identification of "triggers" of the symptoms, and a supportive family environment.

Critics list among the problems with drugs like Ritalin the fact children on them tend not to grow as tall as they might otherwise. There are also concerns that a child's intelligence, creativity and spontaneity may be dampened.

The Royal Australian and New Zealand College of Psychiatrists says medication should not be the first line of intervention for the vast majority of children. Alternatives should be looked into first.

On its website, Novartis, the pharmaceutical company that manufactures Ritalin, describes ADHD as "a physical disorder caused by differences in how the child's brain works."

Novartis has an article in the April-May edition of its journal, Pathways, arguing for the existence of ADHD.

It quotes Prof. Russell Barkley of the Medical University of South Carolina as saying that ADHD is not overdiagnosed in the United States.

"We have more diagnosis now than before due to better public awareness and greater referrals," he said.


TOPICS: Culture/Society
KEYWORDS: adhd; australia; drugs; education; health; ritalin; youth
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To: longtermmemmory
Just an FYI. Teachers cannot diagnose ADHD. They can describe symptoms, they can suggest that a parent discuss the situation with a family physician, the school system can offer to pay for a doctor, but only a doctor can make this diagnosis and then prescribe a medication. In fact, ritialin and adderal cannot even be called into a pharmacy by anyone. An adult must present the written prescription in person.
61 posted on 04/18/2003 2:01:13 PM PDT by SoftballMominVA (Go 12-U Gold Rush Softball!!)
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To: SoftballMominVA
That may be correct and I am not disagreeing (and here is the..) but I have read stories of parents who are warned about having their children kept out of school, doctors who interview the teacher and watch the child for five minutes. This can not be a coincidence. There are school districts where 40% of the young boys are medicated! Please do not tell us that there is not abuse going on. Doctors are financially rewarded for prescriptions why not for prescribing ritalin? Teachers can not diagnose legally, but for all intents and purposes their "strong suggestion" is equal to the same thing.
62 posted on 04/18/2003 2:10:23 PM PDT by longtermmemmory
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To: Lazamataz
NIH ADHD consensus report at http://consensus.nih.gov/cons/110/110_statement.htm#2_1._What
63 posted on 04/18/2003 2:10:29 PM PDT by cosine
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To: Lazamataz
doctors also supported lobotomies and electroshock therapy.
64 posted on 04/18/2003 2:12:42 PM PDT by longtermmemmory
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To: luckystarmom; Lazamataz
Giftedness can also mimick ADD.

Absolutely. Dyslexia, according to many is considered a gift because of the "highly visually oriented" learning style.

For example..
My just took his standardized tests for school and during the reading comprehension phase, he would score about 25-30% higher if the paragraph was read to him, versus than if he had to read it himself.

Visual thinking is quite amazing. Consider that many of the major inventors/theorists were dyslexics.
(ie: Einstein, Edison)

Laz:
Does an athiest, dyslexic, who suffers from insomia stay awake at night pondering if there is a DOG?

65 posted on 04/18/2003 2:14:23 PM PDT by Johnny Gage (God Bless our Military, God Bless President Bush, GOD BLESS AMERICA!!!)
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To: Zipporah
I have a child who is on medication for attention and hyperactivity and before he was put on a drug we tried all kinds of behavior rituals that were prescibed. It did not work and finally I begged. It worked. Plus he is autistic.

Then my 9 year old cancer survivor suffers from attention deficiet and what a difference in school it makes to have him on medication.

66 posted on 04/18/2003 2:14:56 PM PDT by Mfkmmof4
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To: Zipporah
He cited cases where parents reported that their ADHD-diagnosed children could not pay attention - but then those same children could play video games for hours without being distracted.

When I was editorial director for publishing company that did health-realted books, I turned down a couple of manuscripts on ADHA because I was not convinced that it was a real disorder. The co-owner of our company, a millionaire, wanted to put out the books because his two spoiled brat kids had zero attention span. I asked him whether he bought the boys every computer game that came on the market. He had to admit that he did, and that they paid attentionto the games.

The point is, even wealthy kids suffer from parents who believe that throwing another toy at their kids is "parenting."

67 posted on 04/18/2003 2:16:53 PM PDT by PoisedWoman (Fed up with the CORRUPT liberal media)
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To: FreeRadical
Maybe if more parents were home to do a little "PARENTING" they could apply a little more traditional and effective form of behavior modification?

(save the med's for the nosey social services staff who believe "discipline" is a vulgar concept)
68 posted on 04/18/2003 2:23:13 PM PDT by G Larry ($10K gifts to John Thune before he announces!)
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To: SoftballMominVA
She is an unusual mixture of ADHD, gifted in Language Arts, Learning Disabled in math, and gifted in Art.

This sounds a lot like Dyscalculia, which is the "numbers" version of dyslexia.

Here's some info I've retrieved about Dyscalculia

Some symptoms of dyscalculia are:

Normal or advanced language and other skills, often good visual memory for the printed word.

Poor mental math ability, often with difficulty in common use of money, such as balancing a checkbook, making change, and tipping. Often there is a fear of money and its transactions.

Difficulty with math processes (e.g., addition, subtraction, multiplication) and concepts (e.g., sequencing of numbers). There is sometimes poor retention and retrieval of concepts, or an inability to maintain a consistency in grasping math rules.

Poor sense of direction, easily disoriented, as well as trouble reading maps, telling time, and grappling with mechanical processes.

Difficulty with abstract concepts of time and direction, schedules, keeping track of time, and the sequence of past and future events.
Common mistakes in working with numbers include number substitutions, reversals, and omissions.

May have difficulty learning musical concepts, following directions in sports that demand sequencing or rules, and keeping track of scores and players during games such as cards and board games.

69 posted on 04/18/2003 2:26:10 PM PDT by Johnny Gage (God Bless our Military, God Bless President Bush, GOD BLESS AMERICA!!!)
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To: Humidston
My son was hyperactive as a child until we discovered one thing that was causing it, hot dogs! I can't say that was the only thing but you get the idea. My view it was likely the preservatives which are a small percentage of an adults weight but a large percentage of a childs weight.

This was proven w/o a doubt when a neighbor took him to a store and while there, she bought him a hot dog. She couldn't believe the change and it took 3 days for him to wind down again.

I suspect many, many of our other health problems today start with our food supply.

70 posted on 04/18/2003 2:27:34 PM PDT by oldcomputerguy
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To: PoisedWoman
How about we come up with a new disorder called "BSAD" Boring School Attention Disorder. It comes from intelligent young children who are abused by the mind numbingly boring teachers. Please, there may be legitimate problems but being able to CONCENTRATE is now called a problem! Learning how to diferentiate is called GROWING UP! Just because you give a CHILD a NARCOTIC does not mean they are better it just means you have subsumed their will to be imfluence by outside sources.

There was a thread here on this same topic which stated that when FATHERS showed up to these "smiley face put you child on ritalin (NARCOTICS) meetings", they were dramatically NOT put on the drug. Please these are members of the NEA, do you really expect these to be good professionals as a rule rather than as an exception.

Plus notice we are only talking about young boys...
71 posted on 04/18/2003 2:30:45 PM PDT by longtermmemmory
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To: Zipporah
It's a babysitter drug. That's why the incidence of drugged sons of single moms -- or of the rarer single dads, and in families with less-than minimally capable parents -- of whom a higher percentage are low income.

I'm not making a claim about ADD, ADHD in saying that -- just claiming that most -- most most most -- kids on it are on it for the wrong reasons. Because adults are avoiding or unable to deal with the discordancies, unpredictablenesses and enerigies of well-in-band childhood. So the kids are drugged. And ritilan, and the other speed-like drugs are only one class of such lousy, abusive drugging -- prozac type sedatives are also big.

72 posted on 04/18/2003 2:33:54 PM PDT by bvw
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To: oldcomputerguy
I suspect many, many of our other health problems today start with our food supply.

Good point. Sugar may well play a role in hyped up kids, ditto "corn syrup" that shows up in virtually ever processed food, even frozen vegetables. Perhpas our obesity epidemic is in some way related to attention problems.

Twelve years ago, a book came out advancing the theory that watching tv's flickering images actually alters the pattern of brain development. Wracking my brain for the title....been on the comuter to long to recall.

73 posted on 04/18/2003 2:43:15 PM PDT by PoisedWoman (Fed up with the CORRUPT liberal media)
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To: Lazamataz
Those on either side of this debate who fear the overmedication of our youth might be interested to know that this is not the first time in history people have used medication as a substitute for parenting.

In the 19th century, when opium was legal in Britain, the best-selling varieties had names like "mother's helper." Opium was used regularly to make kids quiet and polite, the way more designer drugs are used today.

Does ADHD medication have it's uses? Sure, for an incredibly small number of kids who have genuine neurologically-initated problems. But using drugs as a substitute for parenting is a tactic with a long, sad history. Hey, raising kids can be an insane amount of work - is it any surprise many parents want a shortcut?
74 posted on 04/18/2003 2:43:29 PM PDT by PianoMan (Liberate the Axis of Evil)
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To: PoisedWoman
I have also heard that about flickering screens. I remember it from university. I wonder if modern plasma and LCD screens would affect the theory.


Pixie sticks, not just for breakfast any more. (ha ha, I won't quit my day job)

Parents used to really control the sugar intake of children. In those days sugar meant sugar, not sucrose, fructose, corn syrup, aspirtame or anything else. Read the labels if you really want to be alarmed.
75 posted on 04/18/2003 2:52:26 PM PDT by longtermmemmory
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To: longtermmemmory
There was a thread here on this same topic which stated that when FATHERS showed up to these "smiley face put you child on ritalin (NARCOTICS) meetings", they were dramatically NOT put on the drug. Please these are members of the NEA, do you really expect these to be good professionals as a rule rather than as an exception.

Notice the lack of any numbers collected by anyone about how many of these kids are being raised by just the mother. Most women cannot handle an unruley child. Sure, there are exceptions, but most mothers can't do it. Funny how ADHD didn't become a problem until the divorce rate and single mother households grew to the obscene levels they are have been at in recent years.

In short, follow the money. Large, powerful industries have grown by exploiting kids and gullible parents. Get the government involved (schools, social services, "family relations" courts) as well, and you get this kind of mess. These parents need to wake up. They are being used, and their own children are being used as pawns in someone elses game.

76 posted on 04/18/2003 2:52:38 PM PDT by Orangedog (Soccer-Moms are the biggest threat to your freedoms and the republic !)
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To: Mfkmmof4
I think ADHD is associated with lots of real problems like autism.
77 posted on 04/18/2003 2:57:01 PM PDT by luckystarmom
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To: All
here is the prescibing information on ritalin.

I found it interesting there has been NO study on the beyond TWO WEEKS effect of Ritalin!

http://www.adhdinfo.com/hcp/treating/hcp_treating_adhd.jsp/product/pi/pdf/ritalin_la.pdf

if that does not work go to http://www.pharma.us.novartis.com/products/name/ritalinla.jsp and then click on prescribing information.

(if anyone can figure our how to cut and paste from the pdf document let me know please) read the warnings and contraindications bookmarks.


If you read this it will definitly open you eyes about prescribing this to the developing brains of children

more info:

from the surgeon general regarding side effects:

Side Effects
Common stimulant side effects include insomnia, decreased appetite, stomach aches, headaches, and jitteriness. Some children may develop tics, but a recent study suggests that they disappear with continued treatment (Gadow et al., 1995). Rebound activation (i.e., a sudden increase in attention deficit and hyperactivity) has been noted anecdotally after the child’s last dose of medication wears off (Johnston et al., 1988). Most of the side effects are mild, recede over time, and respond to dose changes. Children rarely experience cognitive impairment, which, if it does occur, can be resolved with reduction or cessation of the drug (Cantwell, 1996). A few cases of psychosis have been reported. Pemoline has been associated with hepatotoxicity, so monitoring of liver function is necessary. Two studies have shown no long-term effects of stimulants on later height or weight (Klein & Mannuzza, 1988; Vincent et al., 1990). Nonetheless, regular precautionary monitoring of weight and height for children on stimulants is recommended.

(sourcehttp://www.surgeongeneral.gov/library/mentalhealth/chapter3/sec4.html#treatment )

Making boys smaller and lighter?
78 posted on 04/18/2003 3:10:39 PM PDT by longtermmemmory
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To: Johnny Gage
Until I was in my 20's, I had no idea that there was any method of thinking except visual thinking.

I agree; visual thinking is quite amazing.
79 posted on 04/18/2003 3:12:29 PM PDT by Sweet_Sunflower29 (Snapping fingers in a *whatever_shape_it_is* for emphasis.)
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To: oldcomputerguy
I completely agree with you. (BTW, my son loves hot dogs and ate them often. Maybe I should have thought of that, lol!)

My daughter was very allergic to food additives as well.

But I still maintain that most excess energy can be burned off via healthy means, such as a good run or basketballs into hoops or whatever the child likes.

We have a family member whose parents claim is ADHD, "delicate and sensitive," etc. I can tell you that if we had a week or so with him alone, we'd have him straightened out PDQ. Without drugs!

Today - IMO, people look to a pill bottle to solve every problem they have.
80 posted on 04/18/2003 3:16:02 PM PDT by Humidston (Do not remove this tag under penalty of law)
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