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Youngest Kids in Class at Higher Risk of ADHD Diagnosis

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Re: Youngest Kids in Class at Higher Risk of ADHD Diagnosis

#61
post #53

This is just one of several disadvantages for kids born towards the end of the year. One logical solution is to have two classes per year. Kids born Jan-June start in the fall, the rest the following spring.

Another, deliberately distasteful, one would be to incentivize reproducing to ensure one's family doesn't run afoul of the cutoffs.

That's Valentine's day, hence the September skew ...

Re: Youngest Kids in Class at Higher Risk of ADHD Diagnosis

#62

Earlier quoted context omitted.

False. The most cited person is Russell Barkley and his advice is the one that goes through. His work is considered a paradigm shift that the literature revolves around. We know it is very severe from the 4th edition it states there have been over 300 studies done on stimulants in kids in ADHD and we know it's safe. Wait till they're in high school but it's too powerful to be overcome, sorry, it's strict consensus an…

1) Correct diagnosis is important. 2) ADHD meds have side effects. http://childmind.org/article/side-effects-of-adhd-medication...

Who doesn't believe in accurate diagnosis? I do.

Their life failure rate is that much higher. The data is too strong and well corroborated.

I'm providing data and you haven't. When it gets to last 2 years of high school meds matter, but what if they've repeated a grade already? That's not fair to them.

Re: Youngest Kids in Class at Higher Risk of ADHD Diagnosis

#63

Earlier quoted context omitted.

> Lying about having serious developmental disorders is a 'sweet hack' now? Your perspective on this will depend on whether you lean towards legalizing substances and taxing them. I personally think the prohibition of drugs does far more damage than consumption, and I consider this scenario to be similar to the easy access to medical marijuana - all it took was filling out a quiz and getting an easy diagnosis. Resell…

>Your perspective on this will depend on whether you lean towards legalizing substances and taxing them. Fairly libertarian, but thanks for your patronizing attitude. Lying to get an unfair advantage over other students isn't positive sum behavior. It's zero sum behavior that leads to things like red queen races ( https://en.wikipedia.org/wiki/Red_Queen%27s_race ) and everybody having to compete for unlimited time re…

> A competition which then eats up the supply of this resource for the people it exists for: Actually disabled people with ADHD.

If the system is so flimsy that the only thing preventing abuse is a quiz and a doctors certificate, who are the "Actually disabled people with ADHD"? If diagnosis is so easily achieved and the rates of diagnosis around the world fluctuate so greatly, you should ask whether it's a largely inflated phenomenon and we need to reassess what it is and how we deal with it. Similar to depression, we seem to be medicating for slight deviations from what has been deemed normal, which is quite scary.

As for the act itself, if they were stealing the answers to a test then I wouldn't say it was a sweet hack, I'd say they were cheating. However if you're willing to provide the benefit of an office, additional time, adequate cooling and access to reference material to a specific group of people, I say take what the system will happily give you or anyone else who goes through similar motions.

Re: Youngest Kids in Class at Higher Risk of ADHD Diagnosis

#64
post #48

It's a great illustration of the lack of rigor around this stuff. My college provided significant benefits to ADHD diagnosed students. Rather than take finals in stadium seating, you got a personal, air conditioned office, received unlimited time and could use reference material. A few of my friends found a "Do you need Ritalin" quizzes in a magazine, went to a doc-in-the-box and got the diagnosis. They sold the Rita…

This is very belittling to the amazing amount of research that goes into ADHD. Many studies have been done with regard to treatment and diagnosis, and at this point we are better able to treat ADHD than we are able to treat depression There might be a bit of an over-treatment culture (I'm not sure, though), but the science is extremely well developed and tested

Wait when did we get good at treating depression?

Re: Youngest Kids in Class at Higher Risk of ADHD Diagnosis

#65

Earlier quoted context omitted.

>Your perspective on this will depend on whether you lean towards legalizing substances and taxing them. Fairly libertarian, but thanks for your patronizing attitude. Lying to get an unfair advantage over other students isn't positive sum behavior. It's zero sum behavior that leads to things like red queen races ( https://en.wikipedia.org/wiki/Red_Queen%27s_race ) and everybody having to compete for unlimited time re…

> A competition which then eats up the supply of this resource for the people it exists for: Actually disabled people with ADHD. If the system is so flimsy that the only thing preventing abuse is a quiz and a doctors certificate, who are the "Actually disabled people with ADHD"? If diagnosis is so easily achieved and the rates of diagnosis around the world fluctuate so greatly, you should ask whether it's a largely i…

>If the system is so flimsy that the only thing preventing abuse is a quiz and a doctors certificate, who are the "Actually disabled people with ADHD"?

You're right, the biggest lesson to take from that story is perhaps we should give patients a bit more scrutiny before giving them an ADHD diagnosis. This is still not a 'sweet hack', nor is it laudable behavior.

> However if you're willing to provide the benefit of an office, additional time, adequate cooling and access to reference material to a specific group of people, I say take what the system will happily give you or anyone else who goes through similar motions.

You're right, from a game theory perspective in the long run we should expect 'rational' actors who aren't punished for doing this to do it until we start punishing them for doing it. That is completely orthogonal to the question of whether this is the incentive structure and behavior we actually want. You're basically saying people should push any system as far as they can before the system pushes back. This is what a low-trust society looks like and it's not pretty. One of the major benefits you get living in a 1st world country is the reasonable expectation of good behavior from most people you interact with.

Part of maintaining that is social disapproval of people who are cheating off the charity of others.

Re: Youngest Kids in Class at Higher Risk of ADHD Diagnosis

#66
post #48

It's a great illustration of the lack of rigor around this stuff. My college provided significant benefits to ADHD diagnosed students. Rather than take finals in stadium seating, you got a personal, air conditioned office, received unlimited time and could use reference material. A few of my friends found a "Do you need Ritalin" quizzes in a magazine, went to a doc-in-the-box and got the diagnosis. They sold the Rita…

This is very belittling to the amazing amount of research that goes into ADHD. Many studies have been done with regard to treatment and diagnosis, and at this point we are better able to treat ADHD than we are able to treat depression There might be a bit of an over-treatment culture (I'm not sure, though), but the science is extremely well developed and tested

There's a big difference between the rigor of the question of whether ADHD is a real thing or that of ADHD diagnoses being reliable in practice.

There are huge regional variations to rates of ADHD diagnosis. For example, it's 3.5x higher in North Carolina vs. Nevada. There doesn't seem to be any reason why this would be given that ADHD is believed to be almost entirely genetic.

http://www.ncbi.nlm.nih.gov/pubmed/19648195

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4473855/

Re: Youngest Kids in Class at Higher Risk of ADHD Diagnosis

#67
post #50
post #47

Earlier quoted context omitted.

I'm not a parent. I do work with kids in a limited capacity, as a volunteer. I obviously don't use any corporal discipline in that context, and if I had children of my own I wouldn't have the heart to hit them. I'm just interested in the theory of it; are we sure that corporal punishment isn't more effective in a practical utilitarian sense, and, if we are, what explains the difference. Jesus fucking christ no it isn…

Hang on, you're using violent in a strange and unusual way which makes your point confusing. > If you catch your 10 year old stealing, you're not going to put them in time out. Just checking, but are you saying you'd hit them? Why wouldn't you put them in time out? > If your eight year old beats some kid up, you're not going to put them in time out. Why not? > I would consider any form of corporal punishment too much…

You're not presenting any kind of defense for your claims. You're saying things like they're obvious truths, when they're obviously not for the sake of this discussion.

Re: Youngest Kids in Class at Higher Risk of ADHD Diagnosis

#68
post #48

Earlier quoted context omitted.

This is very belittling to the amazing amount of research that goes into ADHD. Many studies have been done with regard to treatment and diagnosis, and at this point we are better able to treat ADHD than we are able to treat depression There might be a bit of an over-treatment culture (I'm not sure, though), but the science is extremely well developed and tested

There's a big difference between the rigor of the question of whether ADHD is a real thing or that of ADHD diagnoses being reliable in practice. There are huge regional variations to rates of ADHD diagnosis. For example, it's 3.5x higher in North Carolina vs. Nevada. There doesn't seem to be any reason why this would be given that ADHD is believed to be almost entirely genetic. http://www.ncbi.nlm.nih.gov/pubmed/1964…

I had to take a long questionaire, a computer program testing focus/reactions, and a comprehensive IQ test before I was diagnosed with severe impairment from ADHD a year ago. In fact, I was originally diagnosed with ADHD after taking a comprehension IQ test to get accepted to kindergarten at a magnet school, but my parents figured it was just a phase and never did anything about it.

It's frustrating to think about the lack of consistency in ADHD diagnosises and treatment. In /r/ADHD (ADHD subreddit), some people get diagnosed after a few minutes of talking with a psych. Others live in countries where ADHD isn't even considered a thing. Many went through the same rounds of tests that I did. Even after diagnosis, I had the same problem as several /r/ADHD members in that the first psychiatrist I went to looked at my psychologist's diagnosis and was like "Meh, you got decent grades in high school anyway. You're just stressed/tired/depressed/etc." Wasted my time with four months on four different depression medications before I got a second opinion.

Re: Youngest Kids in Class at Higher Risk of ADHD Diagnosis

#69

It's a great illustration of the lack of rigor around this stuff. My college provided significant benefits to ADHD diagnosed students. Rather than take finals in stadium seating, you got a personal, air conditioned office, received unlimited time and could use reference material. A few of my friends found a "Do you need Ritalin" quizzes in a magazine, went to a doc-in-the-box and got the diagnosis. They sold the Rita…

Your description of your school's accommodations surprises me. I looked into the one for my school and it appears much stricter. Just having ADHD doesn't cut it -- a full write up is necessary. In other words, wouldn't be worth the hassle to fake it.

Re: Youngest Kids in Class at Higher Risk of ADHD Diagnosis

#70

Earlier quoted context omitted.

> A competition which then eats up the supply of this resource for the people it exists for: Actually disabled people with ADHD. If the system is so flimsy that the only thing preventing abuse is a quiz and a doctors certificate, who are the "Actually disabled people with ADHD"? If diagnosis is so easily achieved and the rates of diagnosis around the world fluctuate so greatly, you should ask whether it's a largely i…

>If the system is so flimsy that the only thing preventing abuse is a quiz and a doctors certificate, who are the "Actually disabled people with ADHD"? You're right, the biggest lesson to take from that story is perhaps we should give patients a bit more scrutiny before giving them an ADHD diagnosis. This is still not a 'sweet hack', nor is it laudable behavior. > However if you're willing to provide the benefit of a…

> from a game theory perspective [...] expect 'rational' actors

IMO, the problem with taking a complex situation and reducing it to game theory is that you can miss some of the nuance and end up with binary results that don't fully agree with the mushy reality of human society. It's useful for constrained scenarios. Perhaps if you were dealing with a purely psychopathic, transaction-focused population it would be suitable.

> You're basically saying people should push any system as far as they can before the system pushes back.

Not at all - perhaps what's ultimately learned is that better conditions should be provided to all students. Just as we might want basic care extended for all persons, rich and poor, rather than means testing it. That way security is baked right in, everybody benefits, and there's less administrative process.

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