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Elementary School-Aged Kids
Reply to "how do you know if your 10 year old has ADHD?"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Count me in as another skeptical parent. What I have seen is that the stimulants work very well in the short term (so you get all these testimonies of “this changed my kid’s life” or their own life for a parent who just started on the meds themselves), but a large number of ADHD kids eventually still eventually self combust if they didn’t make structured changes to their lives and actually commit to behavior changes and stay within guardrails. This is particularly evident once the kids head off to college despite being on meds. [/quote] Did you go to medical school?[/quote] Yes, in fact I did, at one of the best in the country. Although the neurochemical pathways of chronic stimulant use disorders are not definitively established, a few researchers have found evidence of changes in the structure and function of brain neurons after chronic stimulant use in humans. Some researchers propose that the changes may come from dopamine depletion, changes in neurotransmitter receptors or other structures, or changes in cellular components or other brain messenger pathways that could cause the changes in mood, behavior (e.g., compulsivity, decision making), and cognitive function associated with chronic stimulant misuse (Ashok et al., 2017; Jan et al., 2012). (The medical aspects of stimulant use disorders are discussed in Chapter 3.) https://www.ncbi.nlm.nih.gov/books/NBK576548/#:~:text=Although%20the%20neurochemical%20pathways%20of,chronic%20stimulant%20use%20in%20humans. [/quote] I don’t actually believe you because I think you would have mentioned it in your post originally but let’s just say you are a doctor. Then surely you know that psychiatrists always encourage school and behavior supports and therapy in addition to medication, and that there are medical treatments beyond stimulants for ADHD that an elementary school age child can take. My own is on Qelbree. In addition, when you wrote that you are “another skeptical parent” that was right after a (probable troll) posting that she was skeptical of the existence of ADHD as a disorder. So unless you are complete crock of a doctor, you are not “another” skeptic of the diagnosis but rather of the best avenue of treatment, and you owe it to parents to be clear about that in a thread like this. Completely irresponsible for someone with a medical degree. [/quote] I’m definitely a doctor and so is my wife. You can believe all you want. But I am not a psychiatrist, neurologist or behavior health expert, so I have no obligation to disclose my expertise here unless directly asked. Is ADHD real for some people? Yes. Is it completely over diagnosed? Yes. Would I ever put my own fidgety, occasionally forgetful and often procrastinating kids on stimulants? Hell no. [/quote]
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