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The Gift Of ADHD: How To Transform Your Child's Problems Into
Strengths
Lara
Honos-Webb
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$8.38
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The Way of the Wild Heart: A Map for the Masculine Journey
John Eldredge
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Boundaries with Teens: When To Say Yes, How To Say No
John Townsend
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Teenagers with ADD and ADHD: A Guide for Parents and
Professionals
Chris
A. Zeigler Dendy
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The ADHD Fraud: How Psychiatry Makes "Patients" Out of Normal
Children
Fred
A. Baughman
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Diagnostic and Statistical Manual of Mental Health Disorders
DSM-IV-TR
American Psychiatric Association
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$49.98
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Attention
Deficit Disorder describes the characteristics of inattention, impulsivity and
hyperactivity that may be present in some children and adults.
Although
health professionals often state that ADD/ADHD is a brain-based biological
disorder caused by a brain chemical imbalance, there is simply
no reliable test to prove this -- no physical or chemical abnormality validates
ADHD as a medical disease.
Since there can be no diagnosis without a disease,
what is there?
There
is a description of behaviors -- symptoms -- that health professionals use
as a checklist in deciding whether your child has an attentional disorder.
However,
symptoms do not necessarily mean there is a disease. To determine disease, there
must be an objective test (such as blood text, X-rays, CAT scans, etc.).
There is no independent valid objective test for ADD/ADHD. Instead health
professionals rely on:
-
a
list of behaviors (primarily, inattention, hyperactivity, impulsivity,
academic underachievement, or behavior problems),
-
diagnostic
interviews,
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anecdotal
information from family and school staff.
ADD/ADHD
behaviors are found in the
The Diagnostic and Statistical Manual of Mental Health Disorders, Fourth
Edition, Text Revision that forms the accepted guidelines for
what are considered to be 'mental illnesses', or as they are more recently
referred to, 'mental disorders'. This reference text is the
"bible" of the mental health industry. ADD was added to the
DSM-IV in 1980 and ADHD in 1987.
Read the American Academy of Pediatrics' guidelines for diagnosing ADHD.
Before
accepting a diagnosis of ADD or ADHD, parents should rule out other conditions
that show similar symptoms.
-
Allergies
and sensitivities to
food (dairy, grains, peanuts, food dye) and the environment (grass,
pollen, animal dander), can affect behavior.
-
Exposure
to toxins can cause
hyperactivity, attention deficits, irritability, and learning
problems. Children are more vulnerable to toxins than adults. Toxins
include pesticides, gasoline fumes, herbicides, disinfectants, furniture
polishes, air fresheners, synthetic rugs and carpets, and beds made of
synthetic materials and/or dust-laden homes.
-
Mild
to high lead levels,
even in the absence of clinical lead poisoning, is the leading cause of
toxin-induced hyperactivity. Research shows that children with even
mildly elevated lead levels suffer from reduced IQs, attention deficits,
and poor school performance.
-
Fluoride is a toxic
chemical that has been linked with increased lead absorption, learning
disabilities, attention disorders, hyperactivity, behavior
problems, mottled
teeth, decreased fertility, bone loss, and decreased I.Q. Fluoride is
found in most toothpastes and has been added to many area water
supplies.
-
Thousands
of children each year are exposed to toxic levels and poisoned by carbon
monoxide each year. Sources of this gas include heaters and other
gas appliances, such as fireplaces, dryers, and water heaters.
-
Children
who are experiencing emotional stress (such as being bullied at
school, divorce or death in family, abuse) most often display ADHD
behavior. Emotionally-stressed children can experience sleeping
problems, sadness, and they develop physical symptoms, especially if they
think those symptoms will keep them home from school. Often they can't
concentrate in class, partly because they are worried and partly because
they are suffering from sleep deprivation.
-
When
dealing with spirited children, the problem usually does not lie
with the child but with society's perception of what normal childhood
behavior is. Many normal children, according to some people, display
ADHD behavior not because they are hyperactive or lack sufficient
attention spans but because the person forming the opinion has
unrealistic standards of how a child should behave.
-
Gifted
children often display
ADHD behavior because most of the time they are bored with school and
what other kids their age are doing. Behaviors associated with
giftedness are poor attention, boredom, daydreaming, low tolerance for
persistence on tasks that seem irrelevant, power struggles, and high
activity level. They may need less sleep compared to other
children, and they may question rules, customs, and traditions. If
your child scores above average on IQ tests, aces exams, has no trouble
with homework, has no apparent learning disabilities, and primarily
exhibits his or her problems mostly at school, seeking a more
challenging class or school may help.
-
Fetal
alcohol syndrome (FAS)
describes the damage done to children's brains and bodies when their
mothers drink heavily during pregnancy. It is the leading form
of mental retardation today. Prenatal alcohol impairment, however,
also comes in a milder form called fetal alcohol effects (FAE).
Children with FAE often don't look disabled, and they tend to score in
the low-normal or even normal range of intelligence, but their
mal-developed brains cause them to exhibit a wide range of behavior
problems, including hyperactivity, attention problems, learning
disorders, and ethical problems such as stealing, lying, and cheating.
-
Learning
Style or Learning Disabilities
are often the cause of inattention and acting-out behavior. Children
with a diagnosis of ADHD are typically kinesthetic learners and have
difficulty with sitting at a desk doing pencil-and-paper work. When
children think of themselves as 'stupid', 'lazy', or 'slow' and are seen
as such, they often will be disruptive in school (e.g., class clown,
bullying others).
-
CAPD
(Central Auditory processing Disorder)
will sometimes occur in children who
have had a history of ear infections and/or PE tubes. Symptoms
include distractibility, inability to follow a set of verbal instructions,
and 'spacing out'.
-
Sensory
Integration Dysfunction
is thought to be the inefficient neurological processing of information
received through the senses, causing problems with learning, development,
and behavior. These children are over-sensitive or under-sensitive dealing
in touch, taste, smell, sound, or sight.
-
Tourette
syndrome is a rare but
disruptive condition. It involves multiple tics (small, repetitive muscle
movements), usually facial tics with grimacing and blinking. Tics may also
occur in the shoulders and arms. This is usually accompanied by loud
vocalizations, which may include grunts or noises, or uncontrollable
(compulsive) use of obscenities or short phrases. The tics are worse
during emotional stress and are absent during sleep. The cause is unknown.
It occurs most often in boys, and may begin around age 7 or 8 or not until
the child is in his or her late teens or early twenties. It may, at times,
run in families. This disorder can be mistaken for not being able to sit
still or impulsive behavior.
-
Infestations
of Candida albicans (yeast infection) cause
hyperactivity in children. Most children who do suffer from Candida
infestations have some underlying problem frequently an immune disorder,
or a disorder affecting carbohydrate metabolism that alters blood sugar
levels. Candida infestations are now thought to be a common
condition throughout the population.
-
Streptococcus
bacteria, better known as 'strep', can
cause rheumatic fever and a movement disorder known as Sydenham's chorea
if left untreated. Recurrent infections can also lead to a group of
symptoms collectively known as PANDAS (Pediatric autoimmune
neuropsychiatric disorders). Some symptoms of PANDAS include
obsessive-compulsive behavior, Tourette
syndrome, hyperactivity, cognitive
problems, and fidgeting.
-
Hypoglycemia
(low blood sugar) can stem from thyroid disorders, liver or pancreatic
problems, adrenal gland abnormalities, or insufficient diet.
-
Some
mild forms of genetic disorders can go unnoticed in children and
display some of the same symptoms of ADHD. Mild forms of Turner's
syndrome, sickle-cell anemia, and Fragile X syndrome are some
examples. Almost any genetic disorder can cause hyperactivity or
other behavior problems, even if the disorder isn't normally linked to
such problems. Many genetic diseases disrupt brain functions directly,
through a variety of paths. A simple blood test can rule out genetic
disorders.
-
A
commonly overlooked cause of ADHD behavior is the absence seizure.
During an absence seizure, the brain's normal activity shuts down. The
child stares blankly, sometimes rotates his eyes upward, and occasionally
blinks or jerks repetitively, he drops objects from his hand, and there
may be some mild involuntary movements known as automatisms. The attack
lasts for a few seconds and then it is over as rapidly as it begins. If
these attacks occur dozens of times each day, they can interfere with a
child's school performance and be confused by parents and teachers with
daydreaming.
-
Head
injuries, such as
post-concussion syndrome, have symptoms that include irritability, mood
swings, memory problems, depression, and sleeping problems.
-
Some
spinal problems can cause ADHD behavior because, if the spine is
not connected to the brain properly, nerves from the spinal cord can give
the brain all of signals at once making a child rambunctious and full of
energy.
-
Some
drugs (both prescription and illegal)
can cause the brain to atrophy, leading to disturbed cognition and
behavior. If your child routinely takes prescription or
over-the-counter medications for asthma, hay fever, allergies, headaches,
or any other condition, consider the possibility that the drugs are
causing or contributing to behavior problems.
Other
possible causes of ADHD behavior are:
-
Malnutrition
or improper diet
-
-
-
-
-
Viral
or bacterial infections
-
-
-
-
Medication
Concerns
Although
no chemical imbalance has ever been proven, health professionals
prescribe psychostimulant medication (such as Ritalin, Strattera, Adderall) as
the primary treatment in correcting the
'chemical imbalance'. In 2000, more than 19 million prescriptions for ADHD
drugs were filled, a 72% increase since 1995.
However,
with the known side effects of these drugs and without knowledge or evidence of
long-term results on growth and development, is medication really the best
option?
Parents
should know that the psychostimulants normally prescribed for ADD/ADHD help all
people -- with or without an ADD/ADHD diagnosis -- to focus attention more
easily, depending on the dose.
However,
these drugs are not without serious risk. Between the years of 1990-2000,
over 569 children were hospitalized, 38 of them were life-threatening
hospitalizations, and 186 died from Ritalin.
It
is well known that psychostimulants have abuse potential. Very high doses of
psychostimulants, particularly of amphetamines, may cause central nervous system
damage, cardiovascular damage, and hypertension. In addition, high doses have
been associated with compulsive behaviors and, in certain vulnerable
individuals, movement disorders. There is a rare percentage of children and
adults treated at high doses who have hallucinogenic responses. Drugs used for
ADHD other than psychostimulants have their own adverse reactions: tricyclic
antidepressants may induce cardiac arrhythmias, bupropion at high doses can
cause seizures, and pemoline is associated with liver damage. -- Diagnosis
and Treatment of Attention Deficit Hyperactivity Disorder, National Institute of
Health
Many
parents do not realize that if their child takes Ritalin or other psychostimulant medication past the age of 12, according to the 1999 Military
Recruitment Manual, that child may not join the Army, Air Force, Navy, Marines,
Coast Guard, or National Guard until after a doctor has signed a paper stating
that the person has been off the medication for four years.
Also,
if a child uses Ritalin or other psychostimulant medication, the state or federal
government cannot hire him or her if the job involves state secrets or national
security, because that child is a Class 2 drug user.
If
a child uses Ritalin or other psychostimulant medication, some insurance
companies will turn down that child for being a Class 2 drug user, and may even
turn down the entire family. Other health insurance companies will raise
rates and write in a pre-existing condition clause, excluding some coverage for
the ADD/ADHD child.
Psychostimulant
medication are drugs that are commonly abused. Some unprescribed users of
Adderall, an amphetamine, and methylphenidate, more widely known as Ritalin, are
adults. But experts say many are young people, as young as 11, who get the
drugs from peers being treated for ADD. Users often crush the pills and
snort them to get a cocaine-like rush, as these drugs and cocaine
have more similarities than differences.
Students
who take ADD/ADHD medication are often asked to sell or trade their drugs, and
many know students who have given away or sold their medication.
According
to the
Substance
Abuse and Mental Health Services Administration, a study of students in
Wisconsin and Minnesota showed 34% of ADHD youth, ages 11-18, report being
approached to sell or trade their medicines, such as Ritalin.
There
are so many concerns surrounding the diagnosis and treatment of ADD/ADHD that
parents must be knowledgeable and cautious. It is usually the school that
approaches parents to have an assessment for ADD/ADHD and parents often feel
pressured in having the traditional drug treatment to 'correct' their child's
behavior.
What
should parents do if the school identifies a child with potentially having
ADD/ADHD?
-
Have
the school put their concerns and directions in writing. Hold
them accountable.
-
If
the school tells you that your child needs medication to control his or her
behavior, remind them that medical help does not necessarily mean taking
medication.
-
If
you are told to sign a release for your child's medical records, ask to see
that law in writing.
-
Whenever
you have a school conference or go before a school review board, record
that meeting on a tape recorder. The recorder should be in plain
sight. If you are told that the meeting is confidential, remember that
confidentiality is your child's right -- not the school's right.
-
Children
who have an ADD/ADHD diagnosis normally have an above-average IQ. Ask
the school why it is so difficult for them to teach the smartest kids in
school.
-
The
federal government allots over $2 billion to local school systems under the
Individual Development Assistance Act of 1985. Ask the school
officials how much money their school and school system gets when a
child is coded as needing special education services.
-
Find
out what percentage of students in the school system are taking ADD/ADHD
medication. The average number is between 3-5%.
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