Part 2
Published on Dec 17, 2013
http://www.democracynow.org
- Taken at face value, the latest figures on Attention Deficit
Hyperactivity Disorder (ADHD) suggest a growing epidemic in the United
States. According to the Centers for Disease Control, 15 percent of high
school children are diagnosed with ADHD. The number of those on
stimulant medication is at 3.5 million, up from 600,000 two decades ago.
ADHD is now the second most common long-term diagnosis in children,
narrowly trailing asthma. But a new report in the New York Times
questions whether these staggering figures reflect a medical reality, or
an over-medicated craze that has earned billions in profits for the
pharmaceutical companies involved.
Watch Part 2 of this discussion: http://youtu.be/FOvzcK6wO0kSales for ADHD drugs like Adderall and Concerta topped $9 billion in the United States last year, a more than 500 percent jump from a decade before. The radical spike in diagnoses has coincided with a 20-year marketing effort to promote stimulant prescriptions for children struggling in school, as well as for adults seeking to take control of their lives. The marketing effort has relied on studies and testimonials from a select group of doctors who have received massive speaking fees and funding grants from major pharmaceutical companies. We are joined by four guests: Alan Schwarz, an award-winning reporter who wrote the New York Times piece, "The Selling of Attention Deficit Disorder"; Jamison Monroe, a former teenage Adderall addict who now runs Newport Academy, a treatment center for teens suffering from substance abuse and mental health issues; Dr. Gabor Maté, a physician and bestselling author of four books, including "Scattered: How Attention Deficit Disorder Originates and What You Can Do About It"; and John Edwards, the father of a college student who committed suicide after he was prescribed Adderall and antidepressant medications at the Harvard University Health Services clinic.
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Forbes
Is ADHD A Pretext For Selling Speed?
Jacob Sullum, Contributor
New York Times reporter Alan Schwarz, who for the last year or two has been wondering what’s up with all the speed kids are taking these days, has a long article in
Sunday’s paper on “The Selling of Attention Deficit Disorder.”
Unfortunately, Schwarz barely mentions the American Psychiatric
Association (APA), the organization that identified ADD, later relabeled
“attention deficit hyperactivity disorder” (ADHD), as a disease that
can be treated with prescription stimulants such as Adderall, Ritalin,
and Vyvanse. Instead he focuses on the companies that make those
stimulants, which he accuses of encouraging “overdiagnosis” to maximize
sales.
Schwarz surely is right that companies such as Shire, which sells
Adderall, and Ciba-Geigy, which makes Ritalin, have a financial interest
in pushing as broad a definition of ADHD as possible. But none of this
would be possible without the APA’s blessing, and Schwarz pays scant
attention to the problem of saying whether someone does or does not have
a disease for which there is no objective test. Here is the sole
reference to the APA in his 5,300-word story:Like most psychiatric conditions, A.D.H.D. has no definitive test, and most experts in the field agree that its symptoms are open to interpretation by patients, parents and doctors. The American Psychiatric Association, which receives significant financing from drug companies, has gradually loosened the official criteria for the disorder to include common childhood behavior like “makes careless mistakes” or “often has difficulty waiting his or her turn.”ADHD, like every other condition listed in the APA’s Diagnostic and Statistical Manual of Mental Disorders, is whatever the current edition of the DSM says it is. Since the official definition is broad and “open to interpretation,” it is hard to know what Schwarz means by “overdiagnosis.” Here is his best stab at explaining:
Few dispute that classic A.D.H.D., historically estimated to affect 5 percent of children, is a legitimate disability that impedes success at school, work and personal life. Medication often assuages the severe impulsiveness and inability to concentrate, allowing a person’s underlying drive and intelligence to emerge.Evidently Schwarz accepts the legitimacy of Classic ADHD while turning up his nose at New ADHD. But since neither purported disease can be objectively verified, it is not clear on what basis Schwarz prefers the narrower definition. It seems to me that Schwarz, who started his career as a sports reporter, is making a moral judgment about when it is acceptable to use performance-enhancing drugs: If you have a “legitimate disability,” it’s OK, but not if you are merely trying to turn a B+ into an A. He dresses up this moral judgment in the language of medical science, but it remains a moral judgment, and a questionable one at that.
But even some of the field’s longtime advocates say the zeal to find and treat every A.D.H.D. child has led to too many people with scant symptoms receiving the diagnosis and medication.
Read More Here
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