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Neal Boortz and ADD
www.boortz.com ^ | various | Neal Boortz

Posted on 04/29/2003 8:40:41 AM PDT by Houmatt

The following are short pieces recently written by Neal Boortz regarding Attention Deficit Disorder and Attention Deficit Hyperactivity Disorder, appearing in Neal's Nuze:

DON’T PAY ATTENTION TO THIS. JUST KEEP DRUGGING YOUR KIDS.

More and more medical and psychological professionals are speaking out against this phony disease of attention deficit hyperactivity disorder (ADHD). Dr. Bob Jacobs, a psychologist, is on the advisory board of the International Center for the Study of Psychiatry and Psychology. He recently told a conference in Australia that ADHD is a behavioral problem, not a medical disorder. He correctly points out that there is no proof that ADHD exists.

Jacobs notes that many children who are “diagnosed” with ADHD – children who it is said can’t pay attention – are perfectly capable of sitting still with a video game and paying rapt attention for hours on end. He also points out that when parents pay attention and change the way they are treating and handling their children, the ADHD symptoms go away. “A real diseas doesn’t go away when somebody else does something.”

I just love it that this debate is surfacing again. Sure, Ritalin works. It’s a drug, of course it’s going to have an affect on children. It makes them more docile and compliant. Take that word “compliant” and put it next to “government.” Would anyone argue that government doesn’t just love a compliant citizen? Then why wouldn’t a government school teacher love a docile and compliant child? It sure makes their job easier, doesn’t it?

In 2001 U.S. drug companies made more than $600 million profit in ADHD drugs like Ritalin. If ADHD goes away … so do those profits.

It’s time for you parents and teachers to stop looking for the easy way out here. Your easy way out is a potential disaster for your child.

I’M STILL HERE …

The controversy over my comments on ADD/ADHD continues. Station management continues to feel the effects of an organized campaign to have me either silenced or fired. Hey, I don’t blame these people. If I was drugging my child for a non-existent disease I wouldn’t want anyone reminding me of my irresponsibility either.

Just to fuel the fire, here are some excerpts from letters and e-mail I’ve received in the last few days:

I am a Special Education teacher in Kansas --anti-NEA, extremely conservative: endangered species. Agree with you on ADHD. Problem - liberals insist all students with behavior problems have the right to disrupt the education of others, so meds used to control behaviors. In Kansas, ADHD students receive special education services under the label of Otherwise Health Impaired (OHI). Some of us know that OHI really stands for Otherwise HOME Impaired. Please do not use my name publicly -- retaliation from liberal dominated administration probable

Before you delete this please read on. I am ecstatic on your position on add and ADHD. I have a son that was so diagnosed, they, she who is always right, put him on Ritalin. it is a devastating drug, they are doped up and not themselves. Chris is adopted has a handicap and parents that care. i took on the problem, the problem was not a condition it was a matter of wills. i withdrew him from the medication and worked my ass off making the difference. Neal is right, get off the medication, instill confidence, give a damn about how they behave and stand firm. today my son has a 4.0 average in his junior year of high school and has been accepted to Penn State, will get a partial scholarship and is a GREAT KID. Not bad for someone the system wanted to put into a stupor. Dad's can make a difference, although you may not be the most popular guy around. God Bless

Man, when your right your right! The stories that I could tell you about my ex-wife and hooking my son on this drug since he was two are unbelievable. Parents and teachers are not alone in this. Doctors who are prescribing this and other mind altering drugs are the number one problem. My ex-wife found a doctor in Miami that did "testing" on my son only by giving him some blocks to assemble, and when my son started looking around instead of putting all of the blocks in place that was it, instant A.D.H.D. Oh yeah, this boy was not only A.D.D. He was hyper as well.(here's a clue HE'S TWO YEARS OLD!!) Needless to say this eventually lead to our divorce, but to make matters worse, there are judges out there who believe this crap also, so I did not get custody. He's now 15 and my Ex-wife and I have another court appointment to settle this issue.

AND NOW --- INTRODUCING YOU TO “ODD!”

This will be the next great fad disease for school age children. Oppositional Defiance Disorder. The “ODD child” is a child that gets angry or frustrated and defies authority. In other words … a child. He argues with adults, he loses his temper, he has a negative attitude, he blames others for his mistakes. Teachers.net has a chatboard discussing this grand new disease. One post by a teacher says: “Today was a really bad day. I have been teaching grade seven for four years and today was the first time I was called a "Whore," by a kid who has Oppositional Defiance Disorder.”

Stand by folks, this is soon going to become a full-fledged disease and some drug company is going to develop some mind-altering drug that will make these kids compliant and passive. Oh man, are the parents going to love this one. Here’s a link on this new fad-disease so you can start getting your excuses ready. http://www.geocities.com/Heartland/Valley/9346/odd.html

http://www.4troubledteens.com/odd.html

ADEQUATE DICIPLINE DEFICIENCY

There’s been quite a firestorm of controversy on the show since I started talking about the various experts who are debunking the ADD/ADHD craze. We had Dr. Bob Jackobs, a psychologist, telling a youth conference in Queensland, Australia that there has never been any proof that ADHD exists. Then there was neurologist Dr. Fred Baughman Jr. who, in a 1998 letter to Attorney General Janet Reno called ADHD “the single biggest health care fraud in U.S. history.” This has all been very unsettling to parents who have decided that drugging is certainly easier than parenting when it comes to controlling the behavior of their children. These parents really know that ADD stands for “Adequate Dicipline Deficiency.”

But, alas! There are many parents out there who have been unable to find a doctor or a shrink who will write that invaluable Ritalin prescription. Wow! You poor saps have actually had to deal with your children being … children!

Well, maybe there’s hope. There’s a new disease on the horizon out there. It’s called ODD! Oppositional Defiance Disorder? With any luck, your child may have this nifty new disease! As a public service, here is some help diagnosing your very own child to see if they might have ODD! The symptoms are:

Arguing with adults. Losing temper. Angry or resentful of others. Actively defies adult’s request or rules. Negative attitude Blames others for their own mistakes misbehavior Seems touchy or easily annoyed by others Deliberately annoys others Acts spiteful or vindictive. The psychiatrists are telling us that if your child displays four or more of the above traits … you may be a winner! You may have a child with ODD! Now you don’t have to feel so left out when the neighborhood moms get together to discuss their children’s afflictions. Looking at that list again, I would suggest that if your child doesn’t display at least four of those traits, he’s probably in a coma on a respirator.

Now … the really good news! The Psychiatric Alliance of the Blue Ridge is studying an “investigational medication” that may help children with ODD! So, in the very near future you may not only be able to discuss your child’s hideous new disease, you may actually be able to DRUG him!


TOPICS: Culture/Society; Editorial; Miscellaneous; Your Opinion/Questions
KEYWORDS: add; adhd; cocaine; drugs; hyperactivity; maledomination; ritalin; scam; sham; teachersagainstboys; zerotolerance
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I have long been saying ADD is just an excuse for bad behavior. And then Neal Boortz comes along and validates it.

If a child is engaging in bad behavior, a parent should show responsibility and add a little discipline into their lives. Not a little pill.

And I know I am going to be flamed like crazy for believing this, so have at me.

1 posted on 04/29/2003 8:40:41 AM PDT by Houmatt
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To: Houmatt
Arguing with adults. Losing temper. Angry or resentful of others. Actively defies adult’s request or rules. Negative attitude Blames others for their own mistakes misbehavior Seems touchy or easily annoyed by others Deliberately annoys others Acts spiteful or vindictive.

That's not a disease, that's the list of requirements to be a radio talk show host. :-).

This article doesn't state it, but on the radio Boortz said that significant funding for the group attacking him for questioning ADD comes from the drug companies.

2 posted on 04/29/2003 8:49:32 AM PDT by KarlInOhio (Paranoia is when you realize that tin foil hats just focus the mind control beams.)
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To: Houmatt
My wacko sister and her husband had their son diagnosed with ADHD, ODD, and now have decided that the suffers from depression, too. He is a basketcase, because of his parents. Needless to say, I would suffer from depression, too... if my parents didn't respect me enough to raise me, and kept me on medications for the past thirteen of my eighteen years!
3 posted on 04/29/2003 8:49:35 AM PDT by Pan_Yans Wife (Lurking since 2000.)
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To: Houmatt
What the school doesn't tell the parent is that the child's school record follws him eternally. Prospective employers will all know that the kid was drugged in order to function. Special Ed kids are generally ineligible as far as honors classes go, and are stigmatized for their entire adulthood. OTOH, if employers are looking for 1984 material, they have found it.
4 posted on 04/29/2003 8:50:43 AM PDT by widowithfoursons
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To: Houmatt; Vic3O3; cavtrooper21
Houmatt, Neal hit this one square on the head. ADD=ADEQUATE DICIPLINE DEFICIENCY!

Semper Fi
5 posted on 04/29/2003 8:50:44 AM PDT by dd5339 (Lookout Texas here we come!)
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To: KarlInOhio
It's also worth keeping in mind that significant funding for the "ADD doesn't exist" movement comes from Scientology, which is eager to sell alternative drug-free therapy programs, with the ultimate aim of sucking the whole family into Scientology.

This very complex issue is unfortunately being dominated by nutty extremists on both sides. There IS such a thing as ADD, and it IS being massively pseudo-diagnosed by adults who are lazy and/or stand to make a profit from either selling the drug or selling "special education" services".
6 posted on 04/29/2003 8:58:15 AM PDT by GovernmentShrinker
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To: Houmatt; Sean Hannity; NealBoortz
Hannity preaches this same crap, completely ignorant of years of research.

Is ADHD over and misdiagnosed? Yes. Are the ignorant liberals whom dominate education using the diagnosis and the associated drugs as a crutch? Yes. Are kids being hurt because of this? Yes!

Is ADHD nonexistent? I encourage anyone who thinks ADHD is nonexistent to state this belief in the company of a physician familiar with the disorder. Everyone needs an occasional dose of humility.

Having managed an interdisciplinary program for the diagnosis and treatment of ADHD for two and a half years I can offer these two pieces of advice that would clear much of the hoopla up if followed: Never, never let anyone who is not a board certified physician diagnose your child with ADHD or even suggest that your child MAY have ADHD, and ask the physician to pursue any alternatives to pharmacotherapy that may be available BEFORE putting your kid on Ritalin or any other stimulant medication.

7 posted on 04/29/2003 9:00:30 AM PDT by ericthecurdog
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To: Houmatt
Here's one for you....
My kindergartener is in a class of 19 children. Nine of these kids are true behavior problems (who knows what the underlying reasons are, I suspect self-centered parents). The teacher, although a wonderful lady, is overwhelmed. She rewards good behavior in the bad kids but punishes good behavior in the good kids. My daughter has been tested very bright. She can zone when she is bored. All they do is color, cut and paste for every assignment. Needless to say, around March 1st, my daughter realized that the bad kids were not being punished and started to become a behavior problem. When I spoke to the teacher, guess what? She said my daughter is ADD.
Well, I worked for a Psychiatrist before I was married. I told him this entire story and asked him to be DEAD honest with me, is my daughter ADD. He said get her out of there asap. It is the chaos in the classroom and not my child.
I will NEVER medicate my children and will sell blood to afford to homeschool them if need be. I love my girls for who they are, not some zombie kids.
8 posted on 04/29/2003 9:02:50 AM PDT by netmilsmom (Bush/Rice 2004- pray for our troops)
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To: Houmatt
And, another thing....school (education?) is soooo boring to boys who have been programmed to expect change every 3 - 5 seconds (TV).......what do people expect? Besides the fact that boys, well, will be boys, but the litte educrats don't want "boys" they want girly boys.
9 posted on 04/29/2003 9:03:34 AM PDT by goodnesswins (He (or she) who pays the bills, makes the rules.)
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To: GovernmentShrinker
If you can show that both Boortz and myself are in any way connected with Scientology, please do so.

But for your information, pal, I knew ADD was a sham from back when Michael Fay vandalized those cars in Singapore. The very first thing to come from the mouths of his parents?

Michael has ADD.

I can assure you, there is no ADD, ADHD or ODD that a good old fashioned spanking cannot fix.

Bet on it.

10 posted on 04/29/2003 9:04:18 AM PDT by Houmatt (Same as it ever was??)
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To: Houmatt
OK, I had to comment.
I have a daughter, the youngest of 4 children. She is clinicaly ADHD. It isn't a joke or a way to make her "compliant". She attends a Christian school, so it isn't the government. She actually has a medical condition where the synopsis in the brain cells aren't making contact to help her to focus. I know there are a lot of children on ritalin, which acts like cocaine, but mine is on aderal (sp?) She doesn't misbehave on the weekends,it's just when she has to focus on a particular item, she can't stay on the subject no matter how hard she tries. We give plenty of love and effection to all of our kids. Out of 4 kids, only one in my family is on a drug. NOt because we want it, it's because she NEEDS it
11 posted on 04/29/2003 9:08:01 AM PDT by Zavien Doombringer (If I keep my eyes on Jesus, I could walk on water - Audio Adrenaline)
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To: Houmatt
children who it is said can’t pay attention – are perfectly capable of sitting still with a video game and paying rapt attention for hours on end.
That doesn't seem like a rousing statement against the use of Ritalin. Your kids can stare aimlessly at the boob tube?
What Mr Boortz seems to miss is that ADHD is more than just bouncing around in the classroom, its not being able to concentrate. While he might point to a kid drooling in front of Grand Theft Auto 3 and say that's a success, it really isn't. Show me case studies where ignoring ADHD ever helped the child.
12 posted on 04/29/2003 9:09:07 AM PDT by lelio
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To: Houmatt
I'm Presbyterian. Are there any Catholic School Kids that went to school in the 50's and 60's or before ritalin? How did the nuns handle kids like this?
13 posted on 04/29/2003 9:09:58 AM PDT by TomHarkinIsNotFromIowa
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To: GovernmentShrinker
I think that nutrition can help the genuine ADD cases out there. A coworkers son has been a continual problem for years, despite having really good (and tough) parents, counselors, doctors etc.

They tried Ritalin and it helped somewhat but they didn't want him to have to stay on it. They then tried adding EFAs (essential fatty acids - fish oil capsules) to his diet and he's gotten much better almost overnight.

Poor nutrition (too much junk, food additives and colorings, sugar) and not enough good stuff (EFAs, vitamins, minerals) can affect the brains functioning and should get a closer look.

LQ
14 posted on 04/29/2003 9:11:26 AM PDT by LizardQueen
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To: ericthecurdog
I agree with you. My ex-boss treated three people with Adult residual ADD. These people, off their meds, could not hold a job, play a sport or balance a checkbook. Thoughts constantly broke into whatever they were working on and therefore disrupted all concentration.
However, the videogame analogy is a good one. If your child can sit still long enough to get through six levels on Zelda, they are not ADHD. The people I knew could never stay focused long enough to make it through without meds.
15 posted on 04/29/2003 9:11:29 AM PDT by netmilsmom (Bush/Rice 2004- pray for our troops)
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To: Houmatt
I think that attention deficit disorder exists. However, some time around thirty years ago the American Psychiatry Association (counterpart to the American Medical Association for M.D.s) changed the clinical definition of ten or twelve required symptoms such that only a few symptoms were needed for a diagnosis.

For example, before the change in the definition ADHD required all of these:

In short, for a child to be diagnosed with hyperactivity disorder all of these criteria needed to be met. However, since the definition was changed only a few of these symptoms need to be had in order for a diagnosis of ADHD to be made, and selective seritonin re-uptake inhibitors to be perscribed. Some conspiricy theorists believe that the clinical definition was changed to weaken the criteria to increase the market for SSRI drugs. I don't necessarily believe this, but some people do.

Now, I have to ask which child doesn't show a few of these behaviors at some time in their development? Every child does. However, when all of these behaviors are present and they do not go away, then perhaps that child would benefit.

Thirty years ago was about the time I entered high school. I remember my parents having a meeting with the principal. Let me say that I was somewhat of a hard-headed child. :) I found out soon after that the school was asking my parents to take me to the doctor to see if I had hyperactivity disorder. They did so, but fortunately for me my parents didn't take the advice of the doctor. They didn't think there was anything really wrong with me other than I was bored with public school and I did not like the bullies and the like. I found out years later that the school thought that I belonged on ritalin or whatever. I am glad that my parents were looking out for me but what about parents that listen to the doctor and the school. I grew up to join the service, get a job, get married, etc.

My wife works in a school, and she told me that the children trade SSRI's like candy. This shocked me because, frankly, these drugs are much more powerful and refined than a can of beer or a marijuana cigarette. They are habit forming and the body develops physical dependance on them such that going cold turkey can cause intense mood swings.

I am not a doctor and I don't pretend to know everything, but my opinion is that the school system have been changed into mental health clinics.

16 posted on 04/29/2003 9:12:45 AM PDT by Liberal Classic (Quemadmoeum gladis nemeinum occidit, occidentis telum est.)
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To: Houmatt
Article taken from here:

http://www.fumento.com/adhd/adhdtnr.html

Trick Question:
A Liberal Hoax Turns Out to Be True

By Michael Fumento

The New Republic, February 2, 2003
Copyright 2003 The New Republic

Read a reaction to this article.


adhdtnr.html
Political scientist Francis Fukuyama devotes an entire chapter to bashing Ritalin and Prozac – in a book ostensibly about biotechnology!  
It's both right-wing and vast, but it's not a conspiracy. Actually, it's more of an anti-conspiracy. The subject is Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD), closely related ailments (henceforth referred to in this article simply as ADHD). Rush Limbaugh declares it "may all be a hoax." Francis Fukuyama devotes much of one chapter in his latest book, Our Posthuman Future, to attacking Ritalin, the top-selling drug used to treat ADHD. Columnist Thomas Sowell writes, "The motto used to be: 'Boys will be boys.' Today, the motto seems to be: 'Boys will be medicated.'" And Phyllis Schlafly explains, "The old excuse of 'my dog ate my homework' has been replaced by 'I got an ADHD diagnosis.'" A March 2002 article in The Weekly Standard summed up the conservative line on ADHD with this rhetorical question: "Are we really prepared to redefine childhood as an ailment, and medicate it until it goes away?"

Many conservative writers, myself included, have criticized the growing tendency to pathologize every undesirable behavior – especially where children are concerned. But, when it comes to ADHD, this skepticism is misplaced. As even a cursory examination of the existing literature or, for that matter, simply talking to the parents and teachers of children with ADHD reveals, the condition is real, and it is treatable. And, if you don't believe me, you can ask conservatives who've come face to face with it themselves.

Myth: ADHD isn't a real disorder.

adhdtnr.html
Some influential conservative writers have reduced a medical disorder on which over 10,000 articles have been written to mere “ants in the pants.  
The most common argument against ADHD on the right is also the simplest: It doesn't exist. Conservative columnist Jonah Goldberg thus reduces ADHD to "ants in the pants." Sowell equates it with "being bored and restless." Fukuyama protests, "No one has been able to identify a cause of ADD/ADHD. It is a pathology recognized only by its symptoms." And a conservative columnist approvingly quotes Thomas Armstrong, Ritalin opponent and author, when he declares, "ADD is a disorder that cannot be authoritatively identified in the same way as polio, heart disease or other legitimate illnesses."

The Armstrong and Fukuyama observations are as correct as they are worthless. "Half of all medical disorders are diagnosed without benefit of a lab procedure," notes Dr. Russell Barkley, professor of psychology at the College of Health Professionals at the Medical University of South Carolina. "Where are the lab tests for headaches and multiple sclerosis and Alzheimer's?" he asks. "Such a standard would virtually eliminate all mental disorders."

Often the best diagnostic test for an ailment is how it responds to treatment. And, by that standard, it doesn't get much more real than ADHD. The beneficial effects of administering stimulants to treat the disorder were first reported in 1937. And today medication for the disorder is reported to be 75 to 90 percent successful.

"In our trials it was close to ninety percent," says Dr. Judith Rapoport, director of the National Institute of Mental Health's Child Psychiatry Branch, who has published about 100 papers on ADHD. "This means there was a significant difference in the children's ability to function in the classroom or at home."

adhdtnr.html
This brain scan shows changes in ADHD and non-ADHD brains while the children solved math problems.  
Additionally, epidemiological evidence indicates that ADHD has a powerful genetic component. University of Colorado researchers have found that a child whose identical twin has the disorder is between eleven and 18 times more likely to also have it than is a non-twin sibling. For these reasons, the American Psychiatric Association (APA), American Medical Association, American Academy of Pediatrics, American Academy of Child Adolescent Psychiatry, the surgeon general's office, and other major medical bodies all acknowledge ADHD as both real and treatable.

Myth: ADHD is part of a feminist conspiracy to make little boys more like little girls.

Many conservatives observe that boys receive ADHD diagnoses in much higher numbers than girls and find in this evidence of a feminist conspiracy. (This, despite the fact that genetic diseases are often heavily weighted more toward one gender or the other.) Sowell refers to "a growing tendency to treat boyhood as a pathological condition that requires a new three R's – repression, re-education and Ritalin."

Fukuyama claims Prozac is being used to give women "more of the alpha-male feeling," while Ritalin is making boys act more like girls. "Together, the two sexes are gently nudged toward that androgynous median personality ... that is the current politically correct outcome in American society."

adhdtnr.html
Sommers was going to include the ADHD “myth” in her book – until she found out it wasn’t one.  
George Will, while acknowledging that Ritalin can be helpful, nonetheless writes of the "androgyny agenda" of "drugging children because they are behaving like children, especially boy children." Anti-Ritalin conservatives frequently invoke Christina Hoff Sommers's best-selling 2000 book, The War Against Boys. You'd never know that the drug isn't mentioned in her book – or why.

"Originally I was going to have a chapter on it," Sommers tells me. "It seemed to fit the thesis." What stopped her was both her survey of the medical literature and her own empirical findings. Of one child she personally came to know she says, "He was utterly miserable, as was everybody around him. The drugs saved his life."

Myth: ADHD is part of the public school system's efforts to warehouse kids rather than to discipline and teach them .

"No doubt life is easier for teachers when everyone sits around quietly," writes Sowell. Use of ADHD drugs is "in the school's interest to deal with behavioral and discipline problems [because] it's so easy to use Ritalin to make kids compliant: to get them to sit down, shut up, and do what they're told," declares Schlafly. The word "zombies" to describe children under the effects of Ritalin is tossed around more than in a B-grade voodoo movie.

adhdtnr.html
ADHD naysayers can’t decide whether the drugs turn kids into zombies or Mach-speed cocaine junkies.  
Kerri Houston, national field director for the American Conservative Union and the mother of two ADHD children on medication, agrees with much of the criticism of public schools. "But don't blame ADHD on crummy curricula and lazy teachers," she says. "If you've worked with these children, you know they have a serious neurological problem."

In any case, Ritalin, when taken as prescribed, hardly stupefies children. To the extent the medicine works, it simply turns ADHD children into normal children. "ADHD is like having thirty televisions on at one time, and the medicine turns off twenty-nine so you can concentrate on the one," Houston describes. "This zombie stuff drives me nuts! My kids are both as lively and as fun as can be."

Myth: Parents who give their kids anti-ADHD drugs are merely doping up problem children.

Limbaugh calls ADHD "the perfect way to explain the inattention, incompetence, and inability of adults to control their kids." Addressing parents directly, he lectures, "It helped you mask your own failings by doping up your children to calm them down."

adhdtnr.html
Mona Charen, prominent defender of traditional family values: “Nothing replaces the drugs."  
Such charges blast the parents of ADHD kids into high orbit. That includes my Hudson Institute colleague (and fellow conservative) Mona Charen, the mother of an eleven-year-old with the disorder. "I have two non-ADHD children, so it's not a matter of parenting technique," says Charen. "People without such children have no idea what it's like. I can tell the difference between boyish high spirits and pathological hyperactivity. ... These kids bounce off the walls. Their lives are chaos; their rooms are chaos. And nothing replaces the drugs."

Barkley and Rapoport say research backs her up. Randomized, controlled studies in both the United States and Sweden have tried combining medication with behavioral interventions and then dropped either one or the other. For those trying to go on without medicine, "the behavioral interventions maintained nothing," Barkley says. Rapoport concurs: "Unfortunately, behavior modification doesn't seem to help with ADHD." (Both doctors are quick to add that ADHD is often accompanied by other disorders that are treatable through behavior modification in tandem with medicine.)

Myth: Ritalin is "Kiddie Cocaine."

One of the paradoxes of conservative attacks on Ritalin is that the drug is alternately accused of turning children into brain-dead zombies and of making them Mach-speed cocaine junkies. Indeed, Ritalin is widely disparaged as "kiddie cocaine." Writers who have sought to lump the two drugs together include Schlafly, talk-show host and columnist Armstrong Williams, and others whom I hesitate to name because of my long-standing personal relationships with them.

Mary Eberstadt wrote the "authoritative" Ritalin-cocaine piece for the April 1999 issue of Policy Review, then owned by the Heritage Foundation. The article, "Why Ritalin Rules," employs the word "cocaine" no fewer than twelve times. Eberstadt quotes from a 1995 Drug Enforcement Agency (DEA) background paper declaring methylphenidate, the active ingredient in Ritalin, "a central nervous system (CNS) stimulant [that] shares many of the pharmacological effects of amphetamine, methamphetamine, and cocaine." Further, it "produces behavioral, psychological, subjective, and reinforcing effects similar to those of d-amphetamine including increases in rating of euphoria, drug liking and activity, and decreases in sedation." Add to this the fact that the Controlled Substances Act lists it as a Schedule II drug, imposing on it the same tight prescription controls as morphine, and Ritalin starts to sound spooky indeed.

adhdtnr.html
Treating an ADHD child can make a tremendous difference in the child’s academic function and overall ability to function for the rest of his life.  
What Eberstadt fails to tell readers is that the DEA description concerns methylphenidate abuse. It's tautological to say abuse is harmful. According to the DEA, the drugs in question are comparable when "administered the same way at comparable doses." But ADHD stimulants, when taken as prescribed, are neither administered in the same way as cocaine nor at comparable doses. "What really counts," says Barkley, "is the speed with which the drugs enter and clear the brain. With cocaine, because it's snorted, this happens tremendously quickly, giving users the characteristic addictive high." (Ever seen anyone pop a cocaine tablet?)

Further, he says, "There's no evidence anywhere in literature of [Ritalin's] addictiveness when taken as prescribed." As to the Schedule II listing, again this is because of the potential for it to fall into the hands of abusers, not because of its effects on persons for whom it is prescribed. Ritalin and the other anti-ADHD drugs, says Barkley, "are the safest drugs in all of psychiatry." (And they may be getting even safer: A new medicine just released called Strattera represents the first true non-stimulant ADHD treatment.) Indeed, a study just released in the journal Pediatrics found that children who take Ritalin or other stimulants to control ADHD cut their risk of future substance abuse by 50 percent compared with untreated ADHD children. The lead author speculated that "by treating ADHD you're reducing the demoralization that accompanies this disorder, and you're improving the academic functioning and well-being of adolescents and young adults during the critical times when substance abuse starts."

Myth: Ritalin is overprescribed across the country.

Some call it "the Ritalin craze." In The Weekly Standard, Melana Zyla Vickers informs us that "Ritalin use has exploded," while Eberstadt writes that "Ritalin use more than doubled in the first half of the decade alone, [and] the number of schoolchildren taking the drug may now, by some estimates, be approaching the 4 million mark."

A report in the January 2003 issue of Archives of Pediatrics and Adolescent Medicine did find a large increase in the use of ADHD medicines from 1987 to 1996, an increase that doesn't appear to be slowing. Yet nobody thinks it's a problem that routine screening for high blood pressure has produced a big increase in the use of hypertension medicine. "Today, children suffering from ADHD are simply less likely to slip through the cracks," says Dr. Sally Satel, a psychiatrist, AEI fellow, and author of PC, M.D.: How Political Correctness Is Corrupting Medicine.

adhdtnr.html
This is how many ADHD detractors think that children suffering from neurological disorders should be treated.  
Satel agrees that some community studies, by the standards laid down in the APA's Diagnostic and Statistical Manual of Mental Disorders (DSM), indicate that ADHD may often be over-diagnosed. On the other hand, she says, additional evidence shows that in some communities ADHD is under-diagnosed and under-treated. "I'm quite concerned with children who need the medication and aren't getting it," she says.

There are tremendous disparities in the percentage of children taking ADHD drugs when comparing small geographical areas. Psychologist Gretchen LeFever, for example, has compared the number of prescriptions in mostly white Virginia Beach, Virginia, with other, more heavily African American areas in the southeastern part of the state. Conservatives have latched onto her higher numbers – 20 percent of white fifth-grade boys in Virginia Beach are being treated for ADHD – as evidence that something is horribly wrong. But others, such as Barkley, worry about the lower numbers. According to LeFever's study, black children are only half as likely to get medication as white children. "Black people don't get the care of white people; children of well-off parents get far better care than those of poorer parents," says Barkley.

Myth: States should pass laws that restrict schools from recommending Ritalin.

Conservative writers have expressed delight that several states, led by Connecticut, have passed or are considering laws ostensibly protecting students from schools that allegedly pass out Ritalin like candy. Representative Lenny Winkler, lead sponsor of the Connecticut measure, told Reuters Health, "If the diagnosis is made, and it's an appropriate diagnosis that Ritalin be used, that's fine. But I have also heard of many families approached by the school system [who are told] that their child cannot attend school if they're not put on Ritalin."

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New laws, while well-meaning, could handcuff teachers who want their ADHD students to be able to concentrate and study as well as their healthy students.  
Two attorneys I interviewed who specialize in child-disability issues, including one from the liberal Bazelon Center for Mental Health Law in Washington, D.C., acknowledge that school personnel have in some cases stepped over the line. But legislation can go too far in the other direction by declaring, as Connecticut's law does, that "any school personnel [shall be prohibited] from recommending the use of psychotropic drugs for any child." The law appears to offer an exemption by declaring, "The provisions of this section shall not prohibit school medical staff from recommending that a child be evaluated by an appropriate medical practitioner, or prohibit school personnel from consulting with such practitioner, with the consent of the parent or guardian of such child." [Emphasis added.]

But of course many, if not most, schools have perhaps one nurse on regular "staff." That nurse will have limited contact with children in the classroom situations where ADHD is likely to be most evident. And, given the wording of the statute, a teacher who believed a student was suffering from ADHD would arguably be prohibited from referring that student to the nurse. Such ambiguity is sure to have a chilling effect on any form of intervention or recommendation by school personnel.

Moreover, 20-year special-education veteran Sandra Rief said in an interview with the National Education Association that "recommending medical intervention for a student's behavior could lead to personal liability issues." Teachers, in other words, could be forced to choose between what they think is best for the health of their students and the possible risk of losing not only their jobs but their personal assets as well.

"Certainly it's not within the purview of a school to say kids can't attend if they don't take drugs," says Houston. "On the other hand, certainly teachers should be able to advise parents as to problems and potential solutions. ... [T]hey may see things parents don't. My own son is an angel at home but was a demon at school."

If the real worry is "take the medicine or take a hike" ultimatums, legislation can be narrowly tailored to prevent them; broad-based gag orders, such as Connecticut's, are a solution that's worse than the problem.

The Conservative Case for ADHD Drugs

There are kernels of truth to every conservative suspicion about ADHD. Who among us has not had lapses of attention? And isn't hyperactivity a normal condition of childhood when compared with deskbound adults? Certainly there are lazy teachers, warehousing schools, androgyny-pushing feminists, and far too many parents unwilling or unable to expend the time and effort to raise their children properly, even by their own standards.

Where conservatives go wrong is in making ADHD a scapegoat for frustration over what we perceive as a breakdown in the order of society and family. In a column in The Boston Herald, Boston University Chancellor John Silber rails that Ritalin is "a classic example of a cheap fix: low-cost, simple and purely superficial."

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If the nuclear family is going to hell in a handbasket, don’t blame it on parents who turn to medicine to solve medical problems.  
Exactly. Like most headaches, ADHD is a neurological problem that can usually be successfully treated with a chemical. Those who recommend or prescribe ADHD medicines do not, as The Weekly Standard put it, see them as "discipline in pill-form." They see them as pills.

In fact, it can be argued that the use of those pills, far from being liable for or symptomatic of the Decline of the West, reflects and reinforces conservative values. For one thing, they increase personal responsibility by removing an excuse that children (and their parents) can fall back on to explain misbehavior and poor performance.

"Too many psychologists and psychiatrists focus on allowing patients to justify to themselves their troubling behavior," says Satel. "But something like Ritalin actually encourages greater autonomy because you're treating a compulsion to behave in a certain way. Also, by treating ADHD, you remove an opportunity to explain away bad behavior."

Moreover, unlike liberals, who tend to downplay differences between the sexes, conservatives are inclined to believe that there are substantial physiological differences – differences such as boys' greater tendency to suffer ADHD. "Conservatives celebrate the physiological differences between boys and girls and eschew the radical-feminist notion that gender differences are created by societal pressures," says Houston regarding the fuss over the boy-girl disparity among ADHD diagnoses. "ADHD is no exception."

But, however compatible conservatism may be with taking ADHD seriously, the truth is that most conservatives remain skeptics. "I'm sure I would have been one of those smug conservatives saying it's a made-up disease," admits Charen, "if I hadn't found out the hard way." Here's hoping other conservatives find an easier route to accepting the truth.

Read a reaction to this article.

Read Michael Fumento's additional work on ADHD.

Michael Fumento is the author of numerous books. His next book, BioEvolution: How Biotechnology Is Changing Our World, will be published in the spring by Encounter Books.



17 posted on 04/29/2003 9:13:16 AM PDT by need_a_screen_name
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To: TomHarkinIsNotFromIowa
I went to a Catholic school in the sixties and seventies. The nuns beat the kids in my class, plain and simple. One nun smacked a boy's knuckles with the beveled edge of a metal ruler. The last I saw of this kid, he never regained the use of his pinkie finger. Sorry, that is just plain wrong.
18 posted on 04/29/2003 9:15:38 AM PDT by netmilsmom (Bush/Rice 2004- pray for our troops)
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To: Houmatt
Here is a column from Mona Charen:

http://www.townhall.com/columnists/monacharen/mc20021008.shtml

19 posted on 04/29/2003 9:16:01 AM PDT by ladylib
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To: Houmatt
ADD= Adults Didn't Discipline.
20 posted on 04/29/2003 9:16:50 AM PDT by Crawdad
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