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January 09 2000
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Maybe Attention Deficit Isn't the Real Problem

By Nicholas Regush ABCNEWS.com

Between 1990 and 1996, prescriptions for methylpenidate, know as Ritalin, increased more than 60 percent, according to the Drug Enforcement Agency. Back in my newspaper days, I often would catch reporters describing their editors as having the attention span of a gnat.

When I began work in TV, several producers quietly pointed out correspondents and senior producers who were known to have the attention span of a sand fly. But to my knowledge, none of those allegedly afflicted were required to take a drug to reverse their attention deficit.

This came to mind when I was in the thick of dissecting the scientific literature on Ritalin, a drug reputed to calm hyperactivity and help people pay attention to things. Its use is extremely popular these days for schoolchildren who, for example, have trouble sitting still, or difficulty keeping track of what they are being taught.

Overprescribed or Underprescribed?

In reviewing the data, I came across a study from Virginia showing that up to 10 percent of children in second through fifth grades are on medication to fight such problems, after being diagnosed with attention-deficit hyperactivity disorder (ADHD). Being the compassionate type, I naturally wondered whether tests would show that at least 10 percentor even more of reporters and producers in newsrooms where I have worked also should have been on Ritalin or other brain drugs.

And should the scientific diagnostic drive extend into the professions, perhaps tests would show that many more psychiatrists, pediatricians and teachers have the attention span of a gnat or sand fly and need to be advised of the fact.

Maybe many doctors have ADHD without the benefit of Ritalin and therefore lack the attention span or patience to consider other factors that may contribute to the behavior and demeanor of their young patients ? such as how and where the children live, what they eat, whether they are loved, and the consequences of being taught in schools with curricula too underdeveloped to meet modern childhood needs.

The Real Epidemic

Am I being unkind to the Ritalin pushers? Yes, and I want to be. This Ritalin sham must stop! It is far out of control. While there are some children ? and some editors and producers ? who obviously need major help in adjusting to our zany world, there is far too much drugging going on. The drugging is the real epidemic, not ADHD.

(A note to psychiatrists: Please read this paragraph carefully, with close attention, so you won't waste time writing me nasty e-mails about tragic cases of truly uncontrollable children. I readily admit there are such cases.) I am most concerned that the science on ADHD and related so-called illnesses is not very compelling. Sure, studies are popping up all the time now, but most are preliminary.

Looking for Evidence

Consider the latest, most publicized entry ? imaging the brain to detect biochemical differences, a tool some claim could lead to a test for ADHD. Watch out, because psychiatrists who may have the attention span of a gnat are already proclaiming this foray into brain imaging as a triumph in biological psychiatry. It is nothing of the kind. We know too little of the brain and its amazing interconnected elements to be so foolishly brash. We also know too little of what much brain imaging really means, and we are lacking gold standards for such testing.

What we essentially have here is an epidemic of dumb doctoring and child abuse bordering on the criminal, sitting on a limited view of human behavioral variability. Granted, there are children at the extreme end of the continuum who need a variety of assistance ? not necessarily drug-focused help. Meanwhile, there are probably millions of kids unnecessarily on drugs, obtained not from pushers in schoolyards but from pushers with medical degrees.

The Easy Way Out

Rather than stare social problems straight in the face and try to determine why certain children are anxious, depressed, irritable or noisy troublemakers, the tendency in this culture is to try to drug the problems away. What if the problem is simply that some of these kids have minds, and spirits, of their own?


Dr. Mercola's Comment:

Don't you just love Nicholas Regush? I think he is the best traditional reporter out there. It takes quite a bit of courage to write what he does in traditional circles. Fortunately, there is a relatively simple alternative to Ritalin and it involves the rigid grain and sugar restriction that is discussed in the diet plan under Read This First at www.mercola.com. It is very unusual where this does not produce profound improvements in children afflicted with ADHD.



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Artica
[ Joined on 06/08 ] [ Posted on June 8, 2008 ]
       
   
 
Novice User

I have ADD, and have been depressed for many years. I did not take processed food when I was young, I had lots of exercise. I ran around a lot. I did not live in the WEST and hence most of my food was natural, I've never been much of a sugar freak, and I certainly ate lots of vegetables, and fish. I take omega 3 fish oil, I can't say it's improved any of my ADD, my asthma yes. I heartily recommend it for asthma.

I believe a large part of the problem is that many of those making ADHD diagnoses are not very specialized in ADHD. They are regular doctors. Most of those who specialize in ADHD/ADD do not push Ritalin but also urge therapy and cognitive exercises, organization techniques etc (in my experience and other ADDers). Ritalin doesn't work for everybody. For me it doesn't drug me (and I don't use it a lot), but for others it does drug them, so it's not a medication they should use. My ADD psychologist went through other diagnoses to make sure my condition wasn't from other disorders or even biological before she came to ADD although we were pretty sure it was. What I've picked up is that for many non-specialist doctors, it's often the first diagnosis. This is wrong, as other conditions have to be ruled out.

I recommend trying green tea to see if it works for you. I've noticed it helps give me a more subtle 'concentration' kick than Ritalin. I was pleasantly surprised. I save Ritalin for the major tune outs these days.

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Mercola
  
cocogevity
[ Joined on 03/07 ]  [ Posted on August 19, 2008]
       
   
Novice User
  Mercola

Artica. Where did you find a doctor with a brain? One that is truly focused on ADD issues? I'm having trouble finding those 'specialists' versus the regular doctors.  Please...   :)

  
  
jumcle
[ Joined on 06/06 ] [ Posted on May 7, 2008 ]
       
   
 
Novice User

I'm only just beginning to figure it out.  After forty years or more of terrible depression I finally went on prozac which I was very hesitant to do and turned it down many times.  This winter was the worst for depression....in fact last fall I wondered if I would survive the winter...and somehow I knew then that something was pretty wrong.  When I went into my doctor, after a couple of conversations, wondering if the meds for r.a. might be the cause, I was envisioning myself with a loaded shot gun aimed at my face...and told him so....when I next had an appointment with him, he looked at my hands and feet and stuff, then called me on that.  I totally broke down in his office, shaking, crying, and totally out of control.  he gave me the choice and asked if I might be willing to take prozac to see if I might feel better.  So i finally submitted and I wish I had had that forty years ago.  For the first time in my life I feel some semb lence of normalcy.  But, too, I notice when with friends, I commonly interrupt conversations, as i want more to make a conversation rather than listening to someone going on and on...I'm not sure yet but perhaps it is ADD.  Concentrating on reading...I used to be an avid reader, and now I can't seem to concentrate on a single paragraph without mind wandering.  Why is it so hard to figure out things......I still wonder and try to figure it out...

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Olaf
[ Joined on 03/08 ] [ Posted on April 27, 2008 ]
       
   
 
Novice User

This article was most helpful. I have been diagnosed with "clinical depression", but my psychiatrist never looked further to try and find out if there was an underlying cause for my depression. I happened to come across an article in a women's magazine on the subject of adult attention deficit, and the symptoms described match mine EXACTLY!!! I am already regularly taking omega-3 fish oil, but I will try the other tips in the article and see how they work out.

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