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Meeting the True Needs of Children Diagnosed as 'ADHD'

How should one look upon Attention group in the study of untreated children
Deficit Hyperactivity Disorder (ADHD) and and that 32% of the children involved in
what is the effective way to aid those the study were already receiving one or
who are given this diagnosis? There has more medications prior to the onset of
been considerable debate as to whether or the study. Of those in the study who were
not ADHD is a genuine disorder. the medication management group, they
Psychiatrist and professor Robert Hedaya numbered only 144 of which Breggin finds
(1996, pg. 140) mentions that an to be enormously small.Breggin states
examination by Hartmann in 1993 felt that that in the ratings of the children
ADHD is actually normal variant of human themselves that they noted increased
behavior that doesn't fit into cultural anxiety and depression however this was
norms.In addition, there is no objective not found to be a significant factor by
test for this disorder. Hedaya (1996, pg. the investigators. Breggin also believes
140) mentions that a commonly used test that the study was flawed in that drug
is the TOVA (test of variables of treatment continued for 14 months whereas
attention), a test where the client must behavioral management was utilized for a
use a computer and hit a target at much shorter duration. Breggin argues
various points. This test is designed to that the behavioral management
measure the person's response time and strategies, which involved mainly a token
distractibility. However, Hedaya (1996, economy system, were ineffective as well
pg. 140) notes, this tool cannot be and did not take into consideration
relied upon to make or exclude the family dynamics but regardless, the study
diagnosis in and of itself. Hedaya (1996, still showed that there was no difference
pg. 268) notes that there has been between the populations treated with
controversy in the use of stimulants for drugs versus those undergoing behavioral
the treatment of ADHD, he states, management solely. Breggin notes that
medications alone do not provide adequate many of the children receiving
or full treatment in this disorder.Hedaya medications had adverse drug reactions,
(1996, pg. 269) notes that the most which consisted of depression,
serious risk in the use of irritability, and anxiety. 11.4% reported
methylphenidate (Ritalin) for ADHD is moderate reactions and 2.9% had severe
that about 1% of these children will reactions. However, Breggin also states
develop tics and or Tourette's Syndrome. that those reporting the adverse drug
Hedaya asks the question,"One might reactions were not properly trained, but
wonder-, why use methylphenidate at all?" were rather only teachers and/or
Hedaya argues that the side effects parents.The study, as Breggin concludes,
involved in the use of methylphenidate showed no improvement in the children
are mild. However, he notes that side treated with medications in the areas of
effects include nervousness, increased academic performance or social skill
vulnerability to seizures, insomnia, loss development. Breggin feels that the study
of appetite, headache, stomachache, and was improper in that all of the
irritability. Hedaya (1996, pg. 271) investigators were known to be
argues that the causation of ADHD lies in pro-medication advocates prior to and
problems in dopamine regulation in the after the study. Breggin states that
brain and states that stimulants work by Ritalin and other amphetamines have
stimulating dopamine in the brain and almost identical adverse reactions and
thus the symptoms of ADHD are have the potential for creating
lessened.However, previously Hedaya behavioral issues as well as psychosis
states that Zametkin (1995) noted that and mania in some individuals. Breggin
stimulants have the same effect in both argues that these medications often cause
those diagnosed as ADHD and those who are the very behaviors they are intended to
not (Hedaya, 1996, pg. 139). Dr. William treat. He notes that children treated
Carey of the Children's Hospital of with these medications often become
Philadelphia commented at the National robotic and lethargic and that permanent
Institutes of Mental Health Consensus neurological tics can result.In his
Conference in 1998 that the behaviors textbook, Attention Deficit Hyperactivity
exhibited by those considered ADHD were Disorder, Russell Barkley, an advocate
normal behavioral variations. A for the use of methylphenidate in the
Multimodal Treatment Study was conducted treatment of ADHD, notes that there is
by the National Institutes of Mental little improvement in academic
Health in 1999 in regards to ADHD. performance with the short-term use of
Psychiatrist Peter Breggin and the psychostimulant medication. Barkley also
members of the International Center for acknowledges that the stimulant
the Study of Psychiatry and Psychology medications can affect growth hormone but
challenged the outcomes of this study at present there is not any knowledge of
because it was not a placebo controlled the long-term effects on the
double blind study. Breggin also argues hypothalamic-pituitary growth hormones.
that that the analysis conducted of Barkley (1995, pg. 122) also states, at
behaviors in the classroom of those present there are no lab tests or
children studied showed no significant measures that are of value in making a
differences between those children diagnosis of ADHD.Dr. Sidney Walker, III,
receiving stimulant medications versus (1998, pg. 25) a late board-certified
those who only were utilizing a neuropsychiatrist comments that a large
behavioral management program (MTA number of children do not respond to
Cooperative Group, 1999a, pg. 1074). Ritalin treatment, or they respond by
Breggin notes that there was no control becoming sick, depressed, or worse.




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