ADD (ADHD) medical problem or myth?

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rayne89

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Let me start off by saying this is not meant as an attack on parents who have children on medicines for ADD. So let’s all be charitable.

I came across this website and found this doctor’s theories very interesting. I don’t have any children diagnosed with ADD but I have wondered if our daughter had been enrolled in regular school if she would have been. Her first few years of homeschooling consisted of completeing her work everywhere but at her desk including hanging up-side-down off the couch. She was very fidgety and physically active. She’s 10 now and has learned considerable self control, although still very active.

I worry about the stigma assocaited with so many children being medicated. And I’ve heard kids (and even adults) excuse bad behavior with “I can’t help it I have ADD.”

The doctors comments seem to have some merit although I’m not very comfortable with blaming the parent. I wondered what some other people thought. Here’s a partial quote with the link included at the end.

*…ADD/ADHD is a popular diagnosis in the 1990’s because it serves as a neat way to explain away the complexities of turn-of-the-millenium life in America. Over the past few decades, our families have broken up, respect for authority has eroded, mass media has created a “short-attention-span culture,” and stress levels have skyrocketed. When our children start to act out under the strain, it’s convenient to create a scientific-sounding term to label them with, an effective drug to stifle their “symptoms,” and a whole program of ADD/ADHD workbooks, videos, and instructional materials to use to fit them in a box that relieves parents and teachers of any worry that it might be due to their own failure (or the failure of the broader culture) to nurture or teach effectively. Mainly, the ADD/ADHD label is a tragic decoy that takes the focus off of where it’s needed most: the real life of each unique child. Instead of seeing each child for who he or she is (strengths, limitations, interests, temperaments, learning styles etc.) and addressing his or her specific needs, the child is reduced to an “ADD child,” where the potential to see the best in him or her is severely eroded (since ADD/ADHD puts all the emphasis on the deficits, not the strengths), and where the number of potential solutions to help them is highly limited to a few child-controlling interventions. *

thomasarmstrong.com/myth_add_adhd.htm
 
I have always agreed with that stance on the issue, its nice to hear a doctor agree with me for a change. I dont know if he addressed this or not but I always found that it was odd that ADD didnt exist until the same time there was a medication for it…
 
My fitness instuctor’s soon has ADHD. He actually brought it to her attention. He told her that something was wrong with him and didn’t know what. They got second opinions just to make sure the diagnosis was correct. He’s on meds now and is doing great. A lot of people with this ‘disorder’ are highly gifted in other areas. There’s a book called “The Gift of ADD” I think, she read it and highly recommends it. It’s basically about how people with ADD/ADHD can bring new perspectives to life since they see things differently.
 
I think the title of your post says a lot…I believe that it is partially a true medical problem, but many of the secondary symptoms are myth. My 7 y/o son has been diagnosed with ADHD and has been on meds for almost a year. The primary difficulty was in school. Can’t blame the school, we live in a rural area and there were only 7 kids in his class…great student/teacher ratio, very experienced, knowledgable, caring teacher. He was everywhere but in his desk, could not finish an assignment independently, very messy work, lots of impulsive behavior, etc. He was having to stay in at recess time for one-to-one help and while we could deal with his behavior at home and accept him wholly for who he is, I could not bear for him to continue getting negative after negative at school for the next 11 years of his life. Not a great message to get at age six that you are a failure at school already. After only 5 days on meds, his teacher called and said, “What a difference in your little guy.” He is on a minimal dosage and we (parents and doctor) closely monitor his weight gain (or lack thereof) with regular eating (although on vacation, we find we are a bit lax!) and medical exams every three months. He is now doing wonderfully in school. As for the myth part…We, in no manner, allow the diagnosis of ADHD to define who our son is. It is merely a chemical imbalance, it is not the whole of who he is, nor a label of his personality, nor an excuse for misbehavior. He is held to the same expectations of behavior and responsibilities as our other children. He requires more reminders than others and fewer directions at one time, and at times physical help when he is absolutely not engaged (like in a really stimulating environment) but he is held to the same standard as others, both at home and in public. I do not believe in making the child “become” the label or the diagnosis, or in allowing the diagnosis to be an excuse for a child to run amok, with little discipline or consequences for misbehavior. For my son, ADHD truly exists, but it does not and will not be the primary definition of who my son is. It is merely a (very small) piece of the pie that makes him whole. And I agree, ADHD kids (and grown-ups) can be some of the most creative people around. My son is a deep thinker and he sees things through different eyes than the rest of us. I am truly thankful for his challenges as well, as they have made me grow as a parent and have made me truly cognizant of my own limitations (especially with regard to patience).

I am truly grateful for my son and everything that comes with him. I wouldn’t trade him for anything! 👍
 
farmbabe I find several points in your post very interesting to me. First of all I want to say you sound like a very loving family.👍

Since your son is now 7, then he was diagnosed at 6? Do I have it correct?

Up until last year my daughter had a very difficult time completing her work independently. Since she’s homeschooled it’s was no big deal I could easily work with her. Not to say that it wasn’t trying at times. She also wouldn’t she sit at a desk. This year there has been a major change. She now completes her work at her desk or our kitchen table, and many days pulls out her assignments on her own in the morning and completes them without further instruction unless she gets stuck on something she doesn’t understand.

She is also very creative. Spending much of her time making all kinds of things.
Is it possible to “outgrow” the negative behaviors related to ADD (ADHD)?
 
ADD and ADHD are over diagnosed!! I think that is a given, but if you ever see or live with a truly ADHD kid, life can be difficult. I have one in my family, and the difference between medicating and not is a totally different world. I did alot of research on ADD and ADHD. Here are some interesting things I found(or that worked for us):
  1. These kids are almost always well above average intelligence
  2. Try removing red dye #40 from their diet, as well as alot of preservatives and fillers. It makes a huge difference in their ability to concentrate and listen.
  3. Instead of telling an ADHD kid to go do anything, you have to break it down into very small tasks. Example, you can’t tell an ADHD kid to clean his room, you have to break it down to pick up all paper, pick up socks, pick up toys etc.
  4. Girls tend to get diagnosed with Histrionic Personality Disorder either instead of or along with ADHD
  5. These kids are genuinely overwhelmed by big tasks. My son had a teacher that read his tests to him and it worked well because she would slow him down and get him to focus on each question.
  6. Sleep problems… ADHD kids will wander around the house in the middle of the night, especially to get into snacks (everyone I know said peanutbutter)
  7. In school, on tests if there are more than 1 set of instructions, (like sections of a test) the kid will many times only read the first set of instructions and take entire test with those directions.(Son got a whooping 23% on a test this way, teacher started cutting up the test and giving him 1 section at a time)
  8. ADD and ADHD kids have a hard time understanding slang or sarcasm. They tend to take things very literally.
  9. Timing tasks like getting dressed(5 mins. tops) is a good way to keep them on task.
I could go on and on…but I won’t.
 
Oh…btw…forgot to add…in the post above, My son is now 16. At the ages of the kids the OP’s listed I saw exactly the same things. Very artistic creative kids, their brain just works a bit differently. We always made son accountable for his behavior too. But, it was the little things… What did you think was going to happen if you throw a golf ball at a window? They truly don’t think that far ahead.

There is hope…but it takes alot of patience!
 
BlestOne said:
3. Instead of telling an ADHD kid to go do anything, you have to break it down into very small tasks. Example, you can’t tell an ADHD kid to clean his room, you have to break it down to pick up all paper, pick up socks, pick up toys etc.

My daughter will have total meltdown if she is just intructed to clean her room. I will literally take peices of sting and section off a small area for her to do and once that is done I’ll move the string to another area.

BlestOne said:
5. These kids are genuinely overwhelmed by big tasks. My son had a teacher that read his tests to him and it worked well because she would slow him down and get him to focus on each question.

This is also true- a page with many questions on it freaks her out although not quite as much as it used to.
 
I am a public school teacher who once believed that ADD/ADHD was an imaginary condition invented by teachers who had ineffective classroom management skills, were lazy and unwilling to go the extra mile… What a difference ten years in the classroom makes!

“The doctors comments seem to have some merit although I’m not very comfortable with blaming the parent.”

Blaming the parent for what? Please elaborate. Also, do you think teachers should be blamed for something here? Society?

Interesting post~
 
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Anonymous:
Blaming the parent for what? Please elaborate. Also, do you think teachers should be blamed for something here? Society?

Interesting post~
Basically he implies lazy parenting in some cases. I wasn’t pointing blame on anyone. I do think we as a society seem to come with a medical problem for every type of behavior issue these days.

I’m not saying ADD doesn’t exist. I don’t have the experience that you have as a teacher of many students. It just makes me uncomfortable that so many children are being medicated these days.

Is it possible some children are just easier then others? Did ADD always exist? What did generation past do before medication for it existed? Can “ADD” kids succeed without medication? Are the ADD rates the same around the world? Do certain societies/cultures seem produce a higher or lower rate of ADD children?
 
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rayne89:
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Is it possible some children are just easier then others? Did ADD always exist? What did generation past do before medication for it existed? ?
This is just my guess…But in times past a person could be moderately succesful in life without a formal education. Ben Franklin, for example, only had two years of education and then had to go on to an apprenticeship. In 1966, my Dad was in the military with only a sixth grade education and supporting my mom. So, perhaps some of these kids would have found work that did not require college. Today it is far more difficult to support yourself without a college degree.
 
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deb1:
…But in times past a person could be moderately succesful in life without a formal education.
I agree…also in times past, education and what we expect out of kids (behaviorally and academically) were far different. When I started school in first grade (didn’t go to kindergarten), we were taught how to raise our hands, how to stand in a line, and if we learned the letters and sounds, great. Now, if a child is not beginning to read by the end of the first semester in kindergarten, there are huge red flags signaled. We (society) have pushed our curriculum so far with expectations for excellence, however our brain development has not evolved at an equal pace. We expect our kids to have far more skills mastered before some are developmentally ready. Does this make it a diagnosable condition? Unfortunately for some, yes, because they are not within the norm. And I think that just these changing societal/educational demands have led to the increase in diagnosis.

As far as one of the posts saying that they found it interesting that ADD/ADHD weren’t around until a medication was formulated for its treatment…ADD/ADHD have been around forever. However it was known by many different names: minimal brain dysfunction, post-encephalitic brain disorder, “defect of moral control” (can you believe it?). The current name is relative recent.

Can kids “outgrow” ADHD? my experience (15 years as a school psychologist) is that some kids learn coping strategies very quickly and with the help of understanding teachers and parents, can learn to manage it very effectively. Without coping strategies, they have a hard time all through school and post-school, not only academically, but in relationships as well. After school, chances are that they gravitate toward careers where their strengths shine and the former effects of the ADHD are not as problematic. Plus, they also learn to associate themselves with others who help them (e.g., a really organized secretary or spouse!). Kids who haven’t learned coping strategies oftentimes continue to have problems in jobs, relationships, may have substance abuse issues and other problems associated with impulsive behavior.

I think what we have to remember is that there is room for everyone in our society and in our schools. One size certainly does not fit all and we have to be reasonable in meeting the needs of all children, both in our homes and in our classrooms, with compassion and respect!

There…that’s my soapbox! 👍

rayne89, yes, my son was 6 when diagnosed. I know that he sees a difference with meds, if I forget to give him his pill in the morning (hmmm, maybe a little hereditary influence there?), he reminds me. He never balks at taking it, either, as some kids do.

Sara
 
I’m just going to butt in, I believe it is, but nowadays it is too easily prescribed, it is given to loads of people, and we don’t tackle the problems with different methods.
 
I think that:

A) Subtle brain dysfunctions are more common these days probably due to many enviornmental factors.

B) Our modern way of living isn’t very compatable with people whose brains work differently. In a hunter/gather society where kids aren’t forced to sit in a chair and do worksheets all day, these kids probably did fine

C) It’s probably overdiagnosed, because there are some kids that just need a good spanking. People like a quick fix these days because the pressure of modern living.

D) TV encourages a short attention span and probably trains the brain incorrectly in some people.
 
There are definitely some people w/ ADD who have differences neurologically than those who don’t. Before we put my son on medication, he had a thorough screening w/ his pediatrician, he was seen by a neurologist and had a EEG, and he had a five hour one-on-one evaluation w/ a neuropsychologist - he also had extensive physical and occupational therapy. Medication has had a very positive effect on our home life. Now when I ask my son to get dressed, he doesn’t sit in his underwear for half an hour twirling his socks over his head.

Some people w/ diabetis are able to regulate their symptoms w/ diet and exercise - other diabetics would die w/o insulin - it would be very foolish for them to try to regulate their diabetis w/ diet and exercise alone. Similarly, some people are able to regulate their ADD w/ dietary changes, nutritional aids or other means; great for them!! But just as it would be a mistake for someone who is able to regulate his or her diabetis to look down his nose at someone who takes insulin, it is a real mistake for anyone who regulater their ADD through non-medical means to look down their nose at those who take medication. Please don’t second guess those of us who have made this hard decision until you, too, have been to the pediatrician, the neurologist, the neuropsychologist, the occupational therapist, the physical therapist. . . . it simply isn’t charitable.
 
I agree…also in times past, education and what we expect out of kids (behaviorally and academically) were far different. When I started school in first grade (didn’t go to kindergarten), we were taught how to raise our hands, how to stand in a line, and if we learned the letters and sounds, great. Now, if a child is not beginning to read by the end of the first semester in kindergarten, there are huge red flags signaled. We (society) have pushed our curriculum so far with expectations for excellence, however our brain development has not evolved at an equal pace.
I’m going to play bad guy for a minute here…Is it acceptable to medicate children because we have pushed the standards for learning so high it’s beyond the ability of some to keep up?
Now when I ask my son to get dressed, he doesn’t sit in his underwear for half an hour twirling his socks over his head.
Ok playing bad guy again…Is it acceptable to medicate a child for having problems get dressed efficiently?

I know I may be simplifying things but some of these things just sound like normal childhood behaviors. Are we expecting our children to behave like adults?

I’m not against medications when needed. I have major medical problems which have caused me to have a basketful of meds on my kitchen counter. My husband was anti-deppressants for a few years treating chronic depression. So it’s not that I’m against meds but sometimes I think we may be medicating children because they just don’t fit the mold of acceptable behavior in todays society and that troubles me.
 
Rayne, I am a nurse(RN), with a bachelor’s degree, and I have ADD. I was not diagnosed until about 5 years ago. And my son has ADHD, diagnosed(by me—when he was 3) by the social worker, pediatrician, and psychologist when he was 6&1/2. (They finally listened to momma):rolleyes: I can tell you that it is not a myth, but, and I emphasize this very strongly, too many people are diagnosed with this. I had my son evaluated up and down, even though my gut told me he did have ADHD. I wanted to be absolutely sure before I put him on medication, because I knew that other things can cause symptoms similar to ADD/ADHD.

Any child that is suspected of having ADD/ADHD needs a thorough evaluation before being diagnosed.
Even something as simple as sleep problems can cause symptoms similar to ADD/ADHD.
 
My sweet niece has ADHD, now 8. Prior to my sister and brother-in-law learning why no matter what they did, their daughter did not “listen” and finally took her to a developmental specialist who put her on ritalin, (age 5) she became they sweet little girl we knew she could be. No longer wild and out of control she is now finally potty trained (in 2 weeks!!!)and sitting like a lady in a “regular” class in school rather then “Special Education”, (which she was in for preschool and Kindergarten) she recieved “E’s” and “S’s” (the best grades). I also have a son with Autism who is on other medications that keep him out of an insitution (or jail) where he would be today if we did not have the medical advances of today. I may be the minority here but medication has saved my family. Prozac saved my son from being thrown forever in an insitution.
 
You said, “Ok playing bad guy again…Is it acceptable to medicate a child for having problems get dressed efficiently?
I know I may be simplifying things but some of these things just sound like normal childhood behaviors. Are we expecting our children to behave like adults?”

Is this simply an intellectual exercise for you, Rayanne, or have you ever been directly effected by ADD?

I stand by my previous advice: unless you’ve been to the pediatrician, the neurologist, the neuropsychologist, the physical therapist and the occupational therapist and made this very difficult decision with a child you love dearly, you are being extremely uncharitable to judge.

By the way, do you have children? It is not within the realm of “normal childhood behavior” to have a child in his underwear 30 minutes after being instructed to get dressed. We are not asking our children to behave like adults - we are treating a neurological issue so they can get the most joy out of their childhood.

And yes, I agree w/ you - you are simplifying a very complex issue - and there’s no good to be gained by that.
]
 
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x4us:
You said, “Ok playing bad guy again…Is it acceptable to medicate a child for having problems get dressed efficiently?
I know I may be simplifying things but some of these things just sound like normal childhood behaviors. Are we expecting our children to behave like adults?”

Is this simply an intellectual exercise for you, Rayanne, or have you ever been directly effected by ADD?

I stand by my previous advice: unless you’ve been to the pediatrician, the neurologist, the neuropsychologist, the physical therapist and the occupational therapist and made this very difficult decision with a child you love dearly, you are being extremely uncharitable to judge.

By the way, do you have children? It is not within the realm of “normal childhood behavior” to have a child in his underwear 30 minutes after being instructed to get dressed. We are not asking our children to behave like adults - we are treating a neurological issue so they can get the most joy out of their childhood.

And yes, I agree w/ you - you are simplifying a very complex issue - and there’s no good to be gained by that.
]
If you followed my posts a) yes I have children - a 10 year old daughter b) she exhibits (or did exhibit when younger) the majority of the behaviors mentioned.

My daughter will goof around getting dressed and have to reminded several times to get dressed (unless ofcourse a friend shows up at the door then she can dressed mighty quick). She wouldn’t sit at a desk to complete her school work and we’ve readjusted her curriculum several times (we homeschool) to fit her learning style. This includes alot of hands on, shorter book work assignments, using differnt types of media ect. We’ve had to work on her hand writing because she is messy but has made a major improvement and she loves doodling on her school work.

She’s very creative: making things, inventing things, cooking things. She has very little “down time” unless she’s absorbed in a good book which in that case she ran read an entire Nancy Drew novel in one sitting.

She get’s overwhelmed with large tasks, if I don’t break things down for her she can go into hysterics over cleaning her room.

I’m not trying to judge anyone, is it wrong to ask questions? If ADD (ADHD) is misunderstood by many isn’t it good to address these issues to get a better understanding? I have friends with children on meds for ADD, I’m not trying to accuse anyone of anything.

It is true, our kids on under more pressure then we ever were. Kindergarten was 90% play time when we were kids. Is it wrong to ask if we are expecting too much too soon?

Maybe as far as the “underwear” thing is concerned because my daughter has always been like that to me it is “normal”.
 
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