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Association between ADHD medication and depression: A 10-year follow-up

ncbi.nlm.nih.gov

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Re: Association between ADHD medication and depression: A 10-year follow-up

#131
post #6

Earlier quoted context omitted.

The study also does not claim to show a causal relationship.

I was actually going to point that out. IMO from what I've seen of parents are that people who bring their children at a young-ish age to a therapist have a different issue. Especially "being to hyper" or "being unable to focus" have a different issue. Children are supposed to be outside moving 8-12 hours a day, have you seen puppies? They need something similar. Instead many parents give their children tablets, plop…

> Every child I know diagnosed with ADHD had parents who didn't want to deal with them.

I was diagnosed as an adult. My parents kept me consistently active and engaged. Plenty of play outdoors, fishing, camping, riding bikes. They were involved in my education until, as a teen, I wanted more independence. I’m not saying I had an ideal upbringing, but I have very loving involved parents (dad and stepmom; relevant below).

I don’t know if that’s why my diagnosis came later, but I seriously doubt it. My mom, unlike my dad and stepmom, was deeply skeptical (a) that ADHD even exists and (b) that ADHD medication is safe, effective, or necessary.

That kind of bias is powerful, and easy for kids to pick up on. I was mortified of these meds before my diagnosis. Now I can’t imagine how I lived without them (and I very well may not be alive today had I not sought treatment).

I’m sure there’s often some truth to some of what you’re saying, to be clear. One of the most difficult parts of getting my diagnosis was that the diagnostic criteria are entirely external to the patient being diagnosed: they’re framed around how parents and other adults perceive a child’s behavior. It took a patient and understanding doctor to help me map those criteria to my internal experiences and my adult life.

But I don’t think I benefitted at all from waiting decades for a diagnosis.

Re: Association between ADHD medication and depression: A 10-year follow-up

#132
post #67

Earlier quoted context omitted.

What is she taking?

It's changed a few times over the years because of insurance, but right now it's Focalin XR and 5mg Ritalin as needed up to 2 times a day.

Thanks!

Re: Association between ADHD medication and depression: A 10-year follow-up

#133
post #37

Earlier quoted context omitted.

Maybe don't take it personally, I think they're saying that much of society is doing it wrong. EDIT: But yes, they’re also saying that many parents are doing it wrong, and they’re assigning much of the blame to parenting. My point was that when a huge percentage of parents are “doing it wrong”, maybe there’s some wider systemic thing at play. Like economic forces that make people work harder than they should if they…

No, there's some incredibly broad brush strokes in the parent comment. * "Every child I know diagnosed with ADHD had parents who didn't want to deal with them." * "look at the people you know on medication (or ask), look at the troubled children, etc. I guarantee you'll see the same trend" * "likely have parents who just don't want / know how to deal with issues" There's only a single phrase "not always the case, but…

I can't believe the responder had the gall to take personal attacks personally. Have they tried going outside more? If they didn't sit on their butt all day they might not be inclined to take my directed insults personally.

Re: Association between ADHD medication and depression: A 10-year follow-up

#134
post #95

Earlier quoted context omitted.

If you’re getting a high from it, your dose is too high. If there is a “brutal” come down, your dose is too high. What do you consider a “small” dose?

First off, do you are assuming that everyone reacts to drugs in the same way? I was taking 1/5th to 1/10th of a 'normal' dose. Secondly, if you do a few minutes of research online you will find that both issues (the high, and the comedown) is not at all an uncommon complaint. Ritalin is a CNS stimulant. With respect, you are being a bit too condescending relative to the amount of knowledge of the issue you posses.

What do you consider to be a “normal” dose? I’ve heard of people using 60+ mg of Ritalin and thinking that’s normal. Ritalin is a powerful stimulant at 5 or 10mg. You can get lower doses or different formulations - e.g. 5 or 10mg at extended release to last through the day.

Extended release is usually preferred by doctors in part because you avoid the highs and lows.

Regardless of what “normal” practice is, if you are getting high from methylphenidate, the dose is wrong, and if you can’t get therapeutic effects at a dose low enough to avoid a “brutal” comedown, you should be looking for alternatives.

Re: Association between ADHD medication and depression: A 10-year follow-up

#135
Anecdata, but I've been on methylphenidate (Concerta) since age 7, and holy cow has it impacted my life in an insanely positive way. 21 years later, I'm still on Concerta, but excelling in my career, spending meaningful time with friends, family, and hobbies, and generally pretty happy with myself. When I tried dropping the meds in college, my life basically fell apart in a matter of months. My then-girlfriend now-wife almost broke up with me, I started failing classes, I lost contact with friends, and really struggled to feel alive. The Concerta doesn't fix my ADHD, but wow does it make it manageable. Thankfully, I had a supportive and invested family, understanding friends, and support structures all around me. I'm so glad my parents put me on meds instead of making me struggle throughout my childhood due to an outdated believe that "drugging kids bad". I owe my life and success to this drug, and while it doesn't work perfectly for everyone diagnosed with ADHD, it works so well for me that you'd have to pry my prescription from my cold, dead hands.

Re: Association between ADHD medication and depression: A 10-year follow-up

#136

Earlier quoted context omitted.

As someone with ADHD, who has a kid with ADHD, this dismissive attitude is really unwelcome. Inattentiveness is a real symptom with drastic life-altering effects for which medication is a godsend. Studies have shown that exposure to screen time does not result in ADHD. To be told "you're just a bad parent who lets their kid watch an iPad too much" is infuriating. (I'm trying to keep things civil per the site rules, b…

Sounds like you’re not up to date on research, there’s a few citations in later comments. Anyway, I don’t think the poster was saying it doesn’t exist. They appear to be saying there are correlations and often a diagnosis at a young age is a reflection more on a willingness to accept a hyper child vs not. That is to say, a child can have ADHD, but that doesn’t mean you have to medicate them. Medicating them (again at…

indicates a willingness and potentially eagerness to medicate, as opposed to attempting to correct issues. Ie just give the drugs, don’t try to figure out why they’re depressed.

This is speculating on the motivations of a wide class of people without data, and is complete nonsense.

Re: Association between ADHD medication and depression: A 10-year follow-up

#137
post #106
post #66

Earlier quoted context omitted.

Even if I wasn't someone with ADHD, the comment in question is dismissive of what ADHD actually is, as well as the very-valid treatment of getting medication. Like I said in my comment, they pointed out some real problems, but made sweeping generalizations, mostly negative, about the people in question. ADHD is not well understood by a lot of people, and someone with or without ADHD who is well-versed in the topic po…

They said it was infuriating and they were very tempted to just say “fuck you”, they’re very clearly taking it personally, it’s not meant as a dismissal. I’m just trying to help them not feel personally attacked, but clearly I did that poorly. Sorry about that.

As the person in question, I understood your intent and I didn't downvote you. But it's also hard to see how (paraphrased:) "Parents of so-called ADHD kids are bad parents and their kids have a made-up disease" is not meant as a personal attack: "You are a bad parent and should feel bad."

Re: Association between ADHD medication and depression: A 10-year follow-up

#138

Earlier quoted context omitted.

First off, do you are assuming that everyone reacts to drugs in the same way? I was taking 1/5th to 1/10th of a 'normal' dose. Secondly, if you do a few minutes of research online you will find that both issues (the high, and the comedown) is not at all an uncommon complaint. Ritalin is a CNS stimulant. With respect, you are being a bit too condescending relative to the amount of knowledge of the issue you posses.

They aren't assuming it about you specifically. It's just a common part of the process, with a common solution. It's likely a very valid question. If you're one of the few for whom it didn't work out, cool. But with equal respect, your anecdotal experience is not sufficient to call it "legal cocaine". Neither is it sufficient to make generilizations about how medical care of ADHD should be approached.

1. Ritalin is a schedule V medication precisely because of the reasons I mentioned.

2. Five minutes of research online shows that my experience is not uncommon. Hell, reading the warning label from the pharmaceutical manufacturer is sufficient to make my point.

3. I am very pro-medication when it comes to treating ADHD, but I also believe many people are not sufficiently educated on the potential consequences of these medications in children.

Re: Association between ADHD medication and depression: A 10-year follow-up

#139
post #133

Earlier quoted context omitted.

No, there's some incredibly broad brush strokes in the parent comment. * "Every child I know diagnosed with ADHD had parents who didn't want to deal with them." * "look at the people you know on medication (or ask), look at the troubled children, etc. I guarantee you'll see the same trend" * "likely have parents who just don't want / know how to deal with issues" There's only a single phrase "not always the case, but…

I can't believe the responder had the gall to take personal attacks personally. Have they tried going outside more? If they didn't sit on their butt all day they might not be inclined to take my directed insults personally.

I know these sorts of comments are more welcome on Reddit than HN, but I chuckled and thanks for that.

Re: Association between ADHD medication and depression: A 10-year follow-up

#140

Earlier quoted context omitted.

I was actually going to point that out. IMO from what I've seen of parents are that people who bring their children at a young-ish age to a therapist have a different issue. Especially "being to hyper" or "being unable to focus" have a different issue. Children are supposed to be outside moving 8-12 hours a day, have you seen puppies? They need something similar. Instead many parents give their children tablets, plop…

> IMO from what I've seen of parents are that people who bring their children at a young-ish age to a therapist have a different issue. I see this with someone close to me. Diagnosed with ADHD as a child, medicated, later diagnosed with depression. The real issue, however, was probably more related to brain development/executive function because their mother smoked a pack of cigarettes a day through pregnancy. You've…

It's hard for people to reason when they are fearful they are doing the wrong thing.

I question the same thing everyday for my family.

One way I try to explain it to people: "We give people insulin because they have diabetes. Diabetes is the disease, but you can cure it through diet and exercise for Type 2 (it's environmental), Type 1 you cannot (it's genetic). Giving insulin treats the disease, but doesnt' sure it"

This is the same thing for ADHD or depression. Some people probably have Type 1, others (I think the vast majority) have Type 2.

Sure you can mask the issue, somewhat. But you can't cure it through the medications today.

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