They finally admit it!

Absolutely disgusting. A made up disease to begin with, ADHD doesn't need to be pushed on kids and potentially ruining their opportunities later in life because parents/teachers are too lazy to do the right thing and teach the kids.

Any doctor recommends that my son has ADHD is going to be met with a punch to the mouth and an explanation of why he is a quack.
 
11 year-old boy with a pierced ear. Nice.

---

School tried to tag Tommy with an ADD diagnosis in second grade - it gets them extra funds from the state. Bet they still smart from the butt-whipping my wife gave them, and that's when they lost Tommy for good. Their loss. He's a senior, honors classes, never a med yet.
 
Lazy ass teachers. No bigger bunch of worthless union hacks then teachers.
 
Lazy ass teachers. No bigger bunch of worthless union hacks then teachers.

I would take exception to that generalization. My wife is a teacher and belongs to the union only because she has to.

As far as disciplining students goes, things teachers could do when I was a kid would get them tossed in jail today. The blame more typically belongs with parents who do a lousy job teaching their kids the difference between right and wrong. I've had our kids (in their 30s now) comment when watching a kid act up with no responce from the parents, "You wouldn't have let us get away with that." And they're right, we wouldn't have. If you are in public, behave in a manner suitable for public. Parents, not teachers, are the ones with primary responsibility for this.
 
As someone with a son who has a mood disorder, I will really stand my ground against anyone who says I do not beat my kid enough, or that some time with some other parent would square him away.

People who toss around platitudes regarding mental illness are usually uninformed unprofessional armchair weekend quarterback shrinks.
 
As someone with a son who has a mood disorder, I will really stand my ground against anyone who says I do not beat my kid enough, or that some time with some other parent would square him away.

People who toss around platitudes regarding mental illness are usually uninformed unprofessional armchair weekend quarterback shrinks.

I believe you, but do you deny that ADHD is over diagnosed and over treated?
 
I believe you, but do you deny that ADHD is over diagnosed and over treated?
Yes. Thanks for not jumping down my throat for my baggage =)

It is hard to see the fine line between "overdiagnosed" and a failure to recognize and treat actual mental illness. Mental illness in my opinion is often a spectrum with a line we define as "normal". This line moves back and forth over the years..
 
Absolutely disgusting. .

I was with you up to this point.

Absolutely disgusting that a physician would be claiming that real mental health issues do not exist just for the sake of grandstanding and publicity.


Do some kids get medication that don't need it? No doubt. Does that mean that the condition doesn't exist? Get real.

I can't recall the last time I read such a load of crap in something that should be considered a reputable source.
 
So if you were (mis)diagnosed with ADHD as a child, how does that affect a medical in the future? Does it become a Dr. Bruce issue?
 
A couple generations of boys have been drugged and dumbed down, because at a certain age they get rambunctious, which is normal. Look at the college, and professional school attendance stats. Women now outnumber men, and the margins are growing. Is this the plan?
 
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I have been trying to make that argument for a long time. I am glad that doctors are finally going to say something. Good for you
 
So if you were (mis)diagnosed with ADHD as a child, how does that affect a medical in the future? Does it become a Dr. Bruce issue?

I didn't read the article, but I think I have a pretty good take on what's in it.

My understanding: The drugs that are given to kids in school are only meant for the treatment of ADHD. So, just the fact that the kid has been given those meds means someone has decided the kid has ADHD. The FAA gets into the act later, because ADHD is considered a lifetime illness (once you have it, you always have it). Even though the kid may quit his meds, the fact that they were given at all is still there and FAA now needs to be convinced that the original diagnosis was wrong. That's where the $$$ testing comes into play - to prove you really don't have ADHD now, which means you really didn't have ADHD then.
 
I don't know what the statistics are but over 1/2 of my son's friends are drugged during the school year; while I'm sure there is a true medical issue for some, I highly doubt suddenly 50% of the boys in the USA are now afflicted.

When my son was 8 or 9 he went through a tough spell with behavior; nothing bad, just not doing "good" in school; wasn't "focussing" (PS. They reduced recess time to one 15 minute session and eventually banned playing any "contact" gamess such as tag) . One 30 minute doctor visit and the "diagnosed" him as ADHD and gave my wife a script for meds. She came home crying. We discussed and decided we wouldn't give them to him. Well he's now 17; certainly not Einstein, but doing just fine. Meanwhile his best friend has two personalities; one during the summer when he is off meds and the other when he is doped out of his mind during the school year. Sure, he gets decent grades but at what cost. I can tell you he is a perfectly normal young man during the summer.
 
When one of my sons was in middle schiool the teacher recommended that we take him to get evaluated for ADHD and placed on Ritalin. We did not go along with this plan. He is doing just fine and is about to graduate from Michigan Tech in December. I doubt that anybody really understands the potential long term consequences of these medications.
 
I am so weary of having to give the intro course to understanding ADHD to people whose wee little minds are already made up.
I'll leave it at this: It you haven't dealt with ADHD up close and personally, as a parent or as one so afflicted, kindly spare me the wisdom of your superior parenting/teaching/disciplinary/dietary/diagnostic skills. It can be a difficult condition, and for some children, medication is the ONLY way they're able to deal with the realities of today's world. Most kids with ADHD have perfectly normal siblings who do just fine in school, and don't drive their parents, teachers, and friends up walls. Many people with ADHD go on to have at least one child who is also so afflicted, as well as sibs who are not. Many have learned adequate coping skills as adults. It is too bad that the FAA is so rigid on this matter, because there are adults with ADHD who do just fine, even as pilots, having learned to only use "approved" stimulants... like massive doses of airport coffee. But castigating parents who have reached their wits' ends with a kid who simply cannot focus his mind to do what he must do, is as stupid and unkind as condemning parents who 'force' eyeglasses on myopic children to help their eyes focus.
 
Parents, Amelia, need to have the COMMITMENT to take their suspect child (and themselves, frequently it's a child parent interaction!) to somebody who acutually has a DSM 4 and has the training to understand what it means.

I have no lack of sympathy to the parent at rope's end. But what I cannot condone is:
"mom (who has a 40 hour job) is ambushed after school, by principal and social worker. Johnny needs pills".
Mom takes kid to GP for a six minute appointment and has the expectation (as does the doc) that pills will be issued.
That's the evaluation. Sum total.

Whatever happend to evaluation of the dozen or so quantifiable cognitive functions and looking for visual or audiotory attention weakness? What about the kid who actually had petit mal epilepsy and is missed- he really does have an attention deficit, but nobody's ever going to find it.

I get very tired of this also, but for a different reason. If the PARENTS take the path of least resistance, they will get the least outcome.

Parents must stand up for the kid and bring to bear the appropriate resources as impossible as it may seem. If they do not, the STATE is certainly not going to do so.
 
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5 kids. All ranging to a little bright to wtf smart. One with serious mood disorder and adhd, on several kinds of medicine, some seriously mind altering. I pray he won't need it forever, and I'm not the praying type. One with mild add that we regulated and mostly dealt with after one year of medication maybe six or seven years ago. All of the kids have their own special talents and unique problems, but no, we only medicate one of them (after engaging mental health specialists and social workers at county and state level, ending up with a child psychiatrist specializing in these conditions). He is in a behavioral unit, and I struggle every year with new administrators or student services staff who walk in and suspend him from school because he is "not engaged anyway" and who characterize him as violent when he walks away and sits in the corner (because it is the only way to suspend a kid on an IEP), while stating that "other kids behave when [the new administrator] is in the room", so clearly your kid does not belong in school.

Folks who write these articles and bring this stuff on Facebook, in forums, and at parties are generally suffering from severe self delusion. It takes a lot of time and patience to help these kids develop coping mechanisms to be able to deal with an insane amount of biochemically induced overstimulation. Snap judgements from fragile egos only hurt these kids.

Maybe mental illness deniers would be happier if we did what they did in and prior to the 60s and just told that kids they aren't welcome in school. Makes the statistics match what these same mental illness deniers seem to remember from the good old days.
 
And holy crap friends shouldn't let friends make long forum posts with Swype on their phones
 
I am so weary of having to give the intro course to understanding ADHD to people whose wee little minds are already made up.
I'll leave it at this: It you haven't dealt with ADHD up close and personally, as a parent or as one so afflicted, kindly spare me the wisdom of your superior parenting/teaching/disciplinary/dietary/diagnostic skills. It can be a difficult condition, and for some children, medication is the ONLY way they're able to deal with the realities of today's world. Most kids with ADHD have perfectly normal siblings who do just fine in school, and don't drive their parents, teachers, and friends up walls. Many people with ADHD go on to have at least one child who is also so afflicted, as well as sibs who are not. Many have learned adequate coping skills as adults. It is too bad that the FAA is so rigid on this matter, because there are adults with ADHD who do just fine, even as pilots, having learned to only use "approved" stimulants... like massive doses of airport coffee. But castigating parents who have reached their wits' ends with a kid who simply cannot focus his mind to do what he must do, is as stupid and unkind as condemning parents who 'force' eyeglasses on myopic children to help their eyes focus.

My goddaughter's "severe" ADHD miraculously cleared up when she came to stay with me a few years ago, when she was 8. It seems I stumbled upon a cure. Here's what I did:

1. I locked all the pills in my safe. I would have flushed them down the toilet, but I didn't want the fish in the river getting all strung out.

2. I bought her a bicycle, roller skates, a skateboard, a baseball, a bat, a ball, a glove, a boogie board, several swimsuits, and various protective equipment. I also bought some sort of electronic dance game (the name of which I forget), a YMCA membership, and a season pass to the city-owned indoor pool, for rainy days.

3. I prescribed a minimum of two hours a day of hard play every day, preferably outdoors. During these sessions, she was forbidden from staying still. She had to keep moving. Initially, I would play Matt Wilder's "Break my Stride" on an old boom box to get the point across, but eventually she caught on. She had to keep moving. She was not allowed to be still. This was therapy, damn it.

4. We also attended special therapy sessions at least three times a week, for at least four hours per session. These sessions were usually held at the beach at Robert Moses State Park, and included extended periods of diving into the waves.

5. I let her take a few flying lessons. It's kind of amazing, actually, how well she focused when doing something that was actually interesting, with an instructor who was actually supportive.

Somehow, this combination miraculously cured her ADHD. I also hired a tutor for her as she had been almost two years behind her grade level in her school work -- despite being drugged. Two months later when school resumed, she was almost at grade level; and four years later, she's a bit above grade level.

Her pills are still in my safe -- a souvenir, of sorts.

I don't know your situation and I am not one to judge others -- especially those I don't know. What I can say with some authority, however, is that what I described above was just normal childhood when I was a kid -- which is probably the reason why such things as ADHD were unheard of. Kids were active. We moved. We ran. We jumped. No one expected us to be little robots.

We did some heavy drugs, too: adrenalin, dopamine, serotonin, endorphins -- all naturally produced in little bodies that were perpetual motion machines. Of course, I didn't know that until I took a course in neurophysiology in grad school. It was just the way we lived when I was a kid.

Maybe it's just nostalgia on my part, but I do think that life was better the way we lived it and played it when I was a child. Certainly I think we were happier, despite the fact that we had very little. I also am certain that as active as I was as a child, if I were fast-forwarded half a century, I'd be on medications, too.

But back then, being energetic wasn't considered a mental illness, and being bored in school was considered pretty normal because it was, well, boring. That's why we looked forward to playing stickball during recess more than we did to studying grammar and punctuation in English class. That was considered pretty normal back then.

-Rich
 
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I have no lack of sympathy to the parent at rope's end. But what I cannot condone is:
"mom (who has a 40 hour job) is ambushed after school, by principal and social worker. Johnny needs pills".
Mom takes kid to GP for a six minute appointment and has the expectation (as does the doc) that pills will be issued.
That's the evaluation. Sum total.

Whatever happend to evaluation of the dozen or so quantifiable cognitive functions and looking for visual or audiotory attention weakness?

Dr. Bruce,
While I certainly respect your opinion and expertise and may have my son avail himself of your assistance in the future, you seem to always jump to the conclusion that the parents don't give a **** or take the easy way out. When I first realized that ADHD medication could be a pilot medical problem for my son, I posted here with a question. You ripped me a new one and all I could say was "wow". As a parent with a straight-A daughter and an A/B son with ADD, I'm still no expert. My father is a GP. When my son got greatly upset over his inability to focus and study, he referred us to one of our mid-sized cities best Psychologist/Psychiatrist (the doc was an MD, never have been able to keep those straight).

My son took an entire battery of tests over a 1 month period. My son met with a counselor to discuss issues as part of his evaluation. At the end of it all, the doctor set us down for a 1 hour discussion of the results and possible courses of action. With all this, I am not a doctor (just a dumb ass Aero Engineer MS, you know we don't know ****) and I still don't know what a DSM 4 is. I know that a well respected physician gave my son excellent care. But, when I posted a question, you immediately went on a rant about how stupid and lazy parents are. I was so bewildered, I didn't even respond.

You clearly are very knowledgeable and I regularly see people post how you have helped them greatly. I know you provide your many years of experience to us here for free. All that said, I think you would be doing yourself a favor to remember that we are not all morons. That we're not all lazy parents. That we all don't just drug our kids for ****s and giggles. From reading your posts over the years, I know that is not what you think. That said, I was on the receiving end of some of your free advice when you were likely having a bad day, and it sure wasn't pleasant.

Just thought I'd provide a little perspective. I respect you and appreciate your participation here, but a bit more patience with the audience would be a good thing for everyone.
 
My goddaughter's "severe" ADHD miraculously cleared up when she came to stay with me a few years ago, when she was 8. It seems I stumbled upon a cure. Here's what I did:

1. I locked all the pills in my safe. I would have flushed them down the toilet, but I didn't want the fish in the river getting all strung out.

2. I bought her a bicycle, roller skates, a skateboard, a baseball, a bat, a ball, a glove, a boogie board, several swimsuits, and various protective equipment. I also bought some sort of electronic dance game (the name of which I forget), a YMCA membership, and a season pass to the city-owned indoor pool, for rainy days.

3. I prescribed a minimum of two hours a day of hard play every day, preferably outdoors. During these sessions, she was forbidden from staying still. She had to keep moving. Initially, I would play Matt Wilder's "Break my Stride" on an old boom box to get the point across, but eventually she caught on. She had to keep moving. She was not allowed to be still. This was therapy, damn it.

4. We also attended special therapy sessions at least three times a week, for at least four hours per session. These sessions were usually held at the beach at Robert Moses State Park, and included extended periods of diving into the waves.

5. I let her take a few flying lessons. It's kind of amazing, actually, how well she focused when doing something that was actually interesting, with an instructor who was actually supportive.

Somehow, this combination miraculously cured her ADHD. I also hired a tutor for her as she had been almost two years behind her grade level in her school work -- despite being drugged. Two months later when school resumed, she was almost at grade level; and four years later, she's a bit above grade level.

Her pills are still in my safe -- a souvenir, of sorts.

I don't know your situation and I am not one to judge others -- especially those I don't know. What I can say with some authority, however, is that what I described above was just normal childhood when I was a kid -- which is probably the reason why such things as ADHD were unheard of. Kids were active. We moved. We ran. We jumped. No one expected us to be little robots.

We did some heavy drugs, too: adrenalin, dopamine, serotonin, endorphins -- all naturally produced in little bodies that were perpetual motion machines. Of course, I didn't know that until I took a course in neurophysiology in grad school. It was just the way we lived when I was a kid.

Maybe it's just nostalgia on my part, but I do think that life was better the way we lived it and played it when I was a child. Certainly I think we were happier, despite the fact that we had very little. I also am certain that as active as I was as a child, if I were fast-forwarded half a century, I'd be on medications, too.

But back then, being energetic wasn't considered a mental illness, and being bored in school was considered pretty normal because it was, well, boring. That's why we looked forward to playing stickball during recess more than we did to studying grammar and punctuation in English class. That was considered pretty normal back then.

-Rich

Great story, and good for you!
Obviously this wouldn't work for every kid, but it's worth trying, as opposed to what seems to be a trend towards "let's dose all of them, just to be on the safe side."
:rolleyes2:
 
Dr. Bruce,
While I certainly respect your opinion and expertise and may have my son avail himself of your assistance in the future, you seem to always jump to the conclusion that the parents don't give a **** or take the easy way out. When I first realized that ADHD medication could be a pilot medical problem for my son, I posted here with a question. You ripped me a new one and all I could say was "wow". As a parent with a straight-A daughter and an A/B son with ADD, I'm still no expert. My father is a GP. When my son got greatly upset over his inability to focus and study, he referred us to one of our mid-sized cities best Psychologist/Psychiatrist (the doc was an MD, never have been able to keep those straight).

My son took an entire battery of tests over a 1 month period. My son met with a counselor to discuss issues as part of his evaluation. At the end of it all, the doctor set us down for a 1 hour discussion of the results and possible courses of action. With all this, I am not a doctor (just a dumb ass Aero Engineer MS, you know we don't know ****) and I still don't know what a DSM 4 is. I know that a well respected physician gave my son excellent care. But, when I posted a question, you immediately went on a rant about how stupid and lazy parents are. I was so bewildered, I didn't even respond.

You clearly are very knowledgeable and I regularly see people post how you have helped them greatly. I know you provide your many years of experience to us here for free. All that said, I think you would be doing yourself a favor to remember that we are not all morons. That we're not all lazy parents. That we all don't just drug our kids for ****s and giggles. From reading your posts over the years, I know that is not what you think. That said, I was on the receiving end of some of your free advice when you were likely having a bad day, and it sure wasn't pleasant.

Just thought I'd provide a little perspective. I respect you and appreciate your participation here, but a bit more patience with the audience would be a good thing for everyone.
He did not imply that all parents are stupid and lazy, just that many kids with the diagnosis have been properly evaluated. Those who are familiar with the medical system understand why this is a common problem. It's not always the parents fault especially when you are aware of the pressure some teachers place on parents to get their kids drugged.
 
Just glad they didn't have those drugs when I was a kid.
 
I don't think the problem is with the parents who are doing the best they can for their kids, and getting a proper diagnosis. I do think the problem, discussed in this article, are schools that are pushing parents into giving their kids these medications and then doling them out like they are Halloween candy. AMEs end up seeing those same kids later, when they try to get a medical, and have to turn them down. They get turned down not because they really have ADD, but because someone thought it was simpler to dose them than to deal with them.
 
I don't think the problem is with the parents who are doing the best they can for their kids, and getting a proper diagnosis. I do think the problem, discussed in this article, are schools that are pushing parents into giving their kids these medications and then doling them out like they are Halloween candy. AMEs end up seeing those same kids later, when they try to get a medical, and have to turn them down. They get turned down not because they really have ADD, but because someone thought it was simpler to dose them than to deal with them.


Bingo! Nice summary.
 
I didn't read the article, but I think I have a pretty good take on what's in it.

My understanding: The drugs that are given to kids in school are only meant for the treatment of ADHD. So, just the fact that the kid has been given those meds means someone has decided the kid has ADHD. The FAA gets into the act later, because ADHD is considered a lifetime illness (once you have it, you always have it). Even though the kid may quit his meds, the fact that they were given at all is still there and FAA now needs to be convinced that the original diagnosis was wrong. That's where the $$$ testing comes into play - to prove you really don't have ADHD now, which means you really didn't have ADHD then.
No. The point is that this guy believes students should be given the drugs whether they have ADHD or not. His belief is that it helps everyone concentrate, so should be available for all.
 
No. The point is that this guy believes students should be given the drugs whether they have ADHD or not. His belief is that it helps everyone concentrate, so should be available for all.
What do you think? I think that drugs are way overused to deal with behavioral problems.
 
I don't think the problem is with the parents who are doing the best they can for their kids, and getting a proper diagnosis. I do think the problem, discussed in this article, are schools that are pushing parents into giving their kids these medications and then doling them out like they are Halloween candy. AMEs end up seeing those same kids later, when they try to get a medical, and have to turn them down. They get turned down not because they really have ADD, but because someone thought it was simpler to dose them than to deal with them.

The problem's not really with parents so much as with a society that's changed in very pathological ways. Younger parents accept the current insanity as "normal" because they live in it, not because they created it.

The biggest problem is over-protection ("helicopter parenting") that's reached the point of being pathological, which has led to kids' not being able to simply go out and play anymore. They can only play when being supervised by adults, preferably in "organized" activities that don't provide the same developmental opportunities as the pick-up games in the sandlot that were the norm when I was a kid.

When I was a child, my mother would physically shoo me out the door and tell me to "go out and play" if I sat inside too long. This was typical then, but it seems very scary and neglectful to modern parents.

We had rules, the most common of which was to be back by the time the streetlights came on. There were also geographical limits that (for me) were along the lines of:

* I had to stay on the same street until ~ age 5.

* Two or three blocks away was okay until ~ age 8.

* Anywhere I could get to on my bike or by taking a single bus (no transfers) until ~ age 10. I have no idea how my mother thought this rule up, but it encompassed a pretty good chunk of Brooklyn. During this time I would frequently take my little brother Joe to movies at the Sanders Theater. It was about a 10-block walk because we'd pocket the bus fare and use it for junk food.

* Pretty much anywhere in the Five Boroughs of NYC from ~ ages 10 to 13. For example, during this age range I routinely took a little brother or two with me (along with their friends on occasion) from Brooklyn to Shea Stadium in Queens. No one thought it odd for a 10-year-old with two or three littler kids in tow to be going to Shea Stadium on the subway. It was normal back then.

* Pretty much anywhere that didn't require a passport by the time I reached high school age. I was 13 when I started my freshman year, and simply attending high school required me to take two subway trains, twice a day. A lot of people nowadays gasp with disbelief when they hear that.

Nowadays, kids don't have that freedom. Parents will say things like, "Well, things were different then," to try to justify the pathology of it all. But the main difference is that the world is a much safer place nowadays. Look at the crime stats. The crime rate is down almost 50 percent compared to what it was 40 - 50 years ago.

The other problem is that the schools have become bastions of idiocy. Few schools allow "contact" kinds of games during recess such as Tag, Ringolivio, Johnny on the Pony, or even Stickball, for fear that one of the little ones might get a bump or a bruise -- heaven forbid. You'd think these kids were made of glass or something.

And there's the whole idea of "structured activities." Don't even get me started on that other than to say the reason that unstructured activity is vital for kids is because it gives them the opportunity to build the structure themselves -- and what they come up with is almost always more developmentally advantageous for them than what a committee of helicopter parents will devise.

There's also a reluctance to accept the fact that boys and girls have differences beyond how they pee. There seems almost a campaign to feminize boys, and few suitable outlets exist for their energy, which is a product of the biology of being male -- no matter how unpalatable that may be to the morons running the school system.

When I was a kid, we had boxing, for example. We also played baseball, football, and other contact games without adult supervision, and the degree of contact far exceeded what would get kids thrown out of games (or the whole league) under today's rules.

How many elementary school level boxing programs are there nowadays?

It's really a mess, and it's really not parents' faults. Their biggest mistake is believing the morons running the educational industry, which so refuses to accept that the changes they've implemented have been abject failures that they'd rather drug kids than switch back to the old ways. (The fact that the government subsidizes schools for each kid that they manage to get diagnosed and drugged doesn't exactly help matters, either.)

-Rich
 
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What do you think? I think that drugs are way overused to deal with behavioral problems.
Anything and everything can be abused. There are no over-arching correct solutions. There is only what works in each case and set of circumstances -- or what doesn't work.

My kids are all perfect. I was and still am a perfect parent. I am so perfect that I am capable of viewing another person's situation from afar and know exactly what they should be doing or not doing.

Thanks for asking.
 
The problem's not really with parents so much as with a society that's changed in very pathological ways. Younger parents accept the current insanity as "normal" because they live in it, not because they created it.
...snip...
And moms stayed at home and watched their kids, kept the house clean, and took the time to know what was happening.

The feminist in me hates to admit this.
 
No. The point is that this guy believes students should be given the drugs whether they have ADHD or not. His belief is that it helps everyone concentrate, so should be available for all.

I think you misunderstood that particular post of mine - The question I was answering was about the FAA ramifications of ADD medications.
 
Rich, as usual spot on. Schools are run by committees of bureaucrats afraid of parents, and their lawyers. They have also been brainwashed into the most PC organization on the planet, to the point of reverse discrimination, and an anti-male culture.

My upbringing was similar although I grew up in the burbs. On weekends and in summers, we left in the morning, and our parents didn't see us again until dinner. Sure we had some boundaries, which grew as we aged, but they were pretty wide. Our bikes took us everywhere. We didn't even think about the exercise benefits of it, we just went and went, and then ended up playing self organized pick up games of tackle football (no pads), baseball, basketball and street hockey.

You don't see kids put playing by themselves nearly these days. I suspect video games and over protective parents are largely to blame. Sad days.
 
My upbringing was similar although I grew up in the burbs. On weekends and in summers, we left in the morning, and our parents didn't see us again until dinner. Sure we had some boundaries, which grew as we aged, but they were pretty wide. Our bikes took us everywhere. We didn't even think about the exercise benefits of it, we just went and went, and then ended up playing self organized pick up games of tackle football (no pads), baseball, basketball and street hockey.

I bet you could eliminate most of the GP issued dope diagnosis by simply getting kids (and adults) to go outside for a couple hours a day to play or even go for a walk. They're humans, they're supposed to move and do things, not sit still like a rock for 20 hours a day watching tv and video games. Of course they're messed up and have wandering attention. They're sitting on their butts all day and that alone is enough to cause mental problems.
 
I don't think the problem is with the parents who are doing the best they can for their kids, and getting a proper diagnosis. I do think the problem, discussed in this article, are schools that are pushing parents into giving their kids these medications and then doling them out like they are Halloween candy. AMEs end up seeing those same kids later, when they try to get a medical, and have to turn them down. They get turned down not because they really have ADD, but because someone thought it was simpler to dose them than to deal with them.
My experience...

12 years ago I lived in Florida and was raising a high energy, very athletic, very bright 10 year old son who attended one of the best public schools in the state. This boy was capable of extended focus, enjoyed long chess matches, complex problem solving, and challenges. He also was easily bored and had little tolerance for inanity. It had never once, even momentarily, crossed my mind that he might have ADHD.

In late fall, we realized he was having some friction with his primary teacher who had about 25 years of in-field experience. Basically he was bored and she simply wanted him to sit down and shut up.

The surprise came when we got a call from the schools young (23) new guidance counselor. She explained that the teacher had evaluated our son for ADHD and that it was clear from the evaluation that he needed treatment. She continued that she was going to send home the evaluation and we could take it to his doctor who would prescribe treatment. I started doing my homework, asked for the evaluation to be sent home, and scheduled a meeting with the counselor and teacher to review the evaluation.

Reviewing the evaluation was shocking. Approximately 120 items like "Disrupts class", "Fails to concentrate", "Unable to follow material" with check box answers ranging from "monthly" to "Multiple times per hour". The teacher had checked the most extreme response on 90% and the next most on the remaining 10%. Her message was clear - drug your child.

So, we had the meeting. I asked her to confirm multiple assertions in her evaluation. Then I asked what subjects she taught him. Then I asked his grades - it was an A in all subjects. I drove into his mastery of the material and she confirmed he was ahead of the class. I then asked how he could exhibit 120 different disruptive and inattentive behaviors multiple times per hour, yet have an A and master the material. She had no response. The counselor then started to argue the teachers case by explaining her work load doesn't permit this kind of distraction and interruption.....

So, I started referencing my research on ADHD, its diagnosis, recent increases in treatment, and the impact of these drugs. The conversation was tense. So then I added that both my parent interacted with him extensively and neither saw any evidence of ADHD. Of course I got "I don't see what your parents have to do with this" in response...

So, I explained that my father had a Ph.D. in child psychology, was currently dean of the school of education at a major US university, and that he had requested some help from his faculty in helping me understand this issue. I continued by explaining that my mother was a retired full professor in education from another major university who focused on the challenges to in-service teachers. I then delved into differentials, why he didn't exhibit them, and expressed my concerns about drugging children for the convenience of teachers.

At this point the guidance counselor made a massive retreat, evening cutting off the teacher as she fled. She literally couldn't get off the phone fast enough and I still imagine her contemplating the letters to her superiors that might be forthcoming....

The follow up is we moved to MA from FL shortly thereafter. Never heard the issue raised again by any educator. He continued to get A's - graduated with honors, completed college, is employed. He also excelled at sports and was extremely well adjusted.

My advise to parents is be vigilant. You know your children so follow your instincts. If you believe there is an issue pursue the appropriate evaluations and diagnosis. I certainly encountered a school ready to medicate my child at the request of an annoyed teacher.
 
Dr. Bruce,
While I certainly respect your opinion and expertise and may have my son avail himself of your assistance in the future, you seem to always jump to the conclusion that the parents don't give a **** or take the easy way out......Just thought I'd provide a little perspective. I respect you and appreciate your participation here, but a bit more patience with the audience would be a good thing for everyone.
YOU are obviously not that parent to which I refer.
YOU obviously brought the resources to bear.
"Dumb Ass Aero MS" is hardly dumb.

Nor did your physician take a shortcut, though it's a good bet he doesn't have a "diagnostic and statistical manual (DSM) of the American Psychological Assn". It's expensive and it's a subscription so you have to be using it over and over, to make it worthwhile.

In medical school, we spend about 3 days of psychological disorders and that is the extent of it. A general practitioner and/or a pediatrician knows the general outline of the disorder, but it's a good bet that he/she can't tell on demand what the diagnostic criteria are for the label. And without the DSM, can't tell if the diagnosis is really there.

IN the community we are far more concerned about "operational engineerinig", e.g, what the outcomes might be if we "do something" or if we "do not do something". Trouble is, the medications are addictive, and the system by which kids get evaluated is not "neutral". Mom gets ambushed in the principals' office. As I noted, usually Mom has a 40 hour job and has had to take time off work for the conference, and the family doen't have a lot of weekday time to deal with difficulties.

The problem is, not only is it hard to get the kid off the stuff, the entire medical system is set up to continue medications that are already in place.

The real measure of ADD is something that only young men committed to a career can/will afford to do: Have a clinical neuropsychologist spend a whole day, with his team, on the young person, measuring all his cognitive and information processing strengths and weaknesses, to find that there is NOT A visual or a auditory attention deficit at least as compared to the other 10 functions.....or there is.

This is pricey. It's usually not covered by insurance plans....or if so, so poorly that the psychs cannot afford to be on the insurance "we take what they pay" contract. Think about it- a PHD. psychologist, and three staff, for 8 hours. No wonder it can cost $2,000....something else Mom and Dad don't have a lot of, sitting around. But this sort of evaluation correlates MUCH better to future performance than 5 of 12 criteria fulfilled, out of the DSM. Then, there's the kicker: you have to have a good bit of training to even UNDERSTAND what the criteria really mean.

But, when faced with a three year crisis, how can the family go without a truly expert evaluation? The idea is not to "modify the kid", the idea is to "get it right". Any engineer understands that.

I must have had a dozen 18 year old airmen go through this evaluation- and guess what: 10 of them did NOT have ADD. All 10 are in various stages of professional development. My most recent one was an emergency- kid matriculating at UND but denied a certificate.

Somewhere the PARENTS have to buck up and take some responsibility. I DO see the distress, but sorry. Somewhere responsibility has to be taken.
 
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