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NIH Researchers Identify Brain Connections Associated with ADHD in Youth

nimh.nih.gov

11–20 of 89 posts

Re: NIH Researchers Identify Brain Connections Associated with ADHD in Youth

#11

I've always been a cautious skeptic of ADHD in children. On the one hand I know ADHD is a thing and that it legitimately affects some children, but on the other hand I realize that alot of ADHD symptoms overlap with the general nature of children, especially boys. My wonder is when does it to go from a kid just being a kid to a child actually affected by ADHD. Often times it's described as just not being able to pay…

If you have a child with ADHD you will know. They are different.

Re: NIH Researchers Identify Brain Connections Associated with ADHD in Youth

#12

I've always been a cautious skeptic of ADHD in children. On the one hand I know ADHD is a thing and that it legitimately affects some children, but on the other hand I realize that alot of ADHD symptoms overlap with the general nature of children, especially boys. My wonder is when does it to go from a kid just being a kid to a child actually affected by ADHD. Often times it's described as just not being able to pay…

Iirc adhd is a neurodevelopmental condition. So if a 5 year old has similar executive function as the average 5yo he’s probably fine. But if a 10 yo has a 7yo’s levels it’s worth looking at. And if this same person has this even later to the point where it affects life in multiple situations it’s a disorder, medically speaking. Also, some people (not all) grow out of adhd in their adulthood as the brain develops.

Re: NIH Researchers Identify Brain Connections Associated with ADHD in Youth

#13

I've always been a cautious skeptic of ADHD in children. On the one hand I know ADHD is a thing and that it legitimately affects some children, but on the other hand I realize that alot of ADHD symptoms overlap with the general nature of children, especially boys. My wonder is when does it to go from a kid just being a kid to a child actually affected by ADHD. Often times it's described as just not being able to pay…

> The drugs also scare me... The idea of giving something like that to a child profoundly scares me.

It works differently in people with the disorder. I took Adderall as a child and as an adult for adhd. It didn't get me wired nor did I have withdrawal symptoms, I simply felt more centered and capable of starting tasks. I know that we can only draw on our own experiences to judge things, but understand that people with this disorder experience the drug completely differently than you did.

Re: NIH Researchers Identify Brain Connections Associated with ADHD in Youth

#14
post #11

I've always been a cautious skeptic of ADHD in children. On the one hand I know ADHD is a thing and that it legitimately affects some children, but on the other hand I realize that alot of ADHD symptoms overlap with the general nature of children, especially boys. My wonder is when does it to go from a kid just being a kid to a child actually affected by ADHD. Often times it's described as just not being able to pay…

If you have a child with ADHD you will know. They are different.

Even if true, the problem is those who don't but think they do.

I suspect you might also have parents who kinda like the idea that there child's behaviour can be explained by ADHD. My sister's kid often gets in trouble at school for example, and whenever this happens she will try to excuse it by saying she has ADHD. I'm not at all convinced given that imo it's far easier to explain the misbehaviour with bad parenting.

Re: NIH Researchers Identify Brain Connections Associated with ADHD in Youth

#15
post #6

> They found that youth with ADHD had heightened connectivity between structures deep in the brain involved in learning, movement, reward, and emotion (caudate, putamen, and nucleus accumbens seeds) and structures in the frontal area of the brain involved in attention and control of unwanted behaviors (superior temporal gyri, insula, inferior parietal lobe, and inferior frontal gyri). So... ADHD is a symptom of an ov…

All quirky fun and games until you realize you can't do high-paying jobs that requires consistent focus. Which is not really a problem unless you want a family or to live in nice parts of cities.

Re: NIH Researchers Identify Brain Connections Associated with ADHD in Youth

#16
This is a no-op paper. They found nothing useful. Maybe an inkling of something extremely weak. Maybe. Certainly nothing that should be popularized, taken up by the media, or used to make any decisions about anything.

The kicker is:

> Effect sizes were small (largest peak d, 0.15).

To put that into language more people here would understand, it's like publishing a paper where your classifier gets 52% accuracy on a binary task (this is the zeroth order equivalent of a Cohen's d of 0.15), but you run it over so many ADHD patients that your confidence interval for that 52% accuracy is very small. Most people would still ignore it because it's likely still noise from other small confounds.

That is a paper that you should not put your name on. I certainly would not. Their effects are also more like 0.11 not 0.15; the largest peak misrepresents all of the rest of the results.

What they did is aggregate so much data that even a small inconsequential difference between groups that may account for nothing at all, that would go away with slightly different controls for confounds, becomes statistically significant.

A lot of the comments here drawing conclusions like, ADHD is about an overly integrated brain or whatever are really frightening. This means nothing. Science communication at its worst.

Re: NIH Researchers Identify Brain Connections Associated with ADHD in Youth

#17
post #8

I've always been a cautious skeptic of ADHD in children. On the one hand I know ADHD is a thing and that it legitimately affects some children, but on the other hand I realize that alot of ADHD symptoms overlap with the general nature of children, especially boys. My wonder is when does it to go from a kid just being a kid to a child actually affected by ADHD. Often times it's described as just not being able to pay…

I guarantee that you took Adderall IR, and a higher dose than those typically prescribed by a doctor. It’s like slamming back 10 cups of espresso instead of sipping one over a day. And then judging people who drink a coffee a day. Slow release and a therapeutic dose is significantly different than slamming back meds in school like that. Therapeutic dose means you can’t even tell you took the med, until you either sto…

> Lastly, medication for ADHD is something that makes all the actual effective treatments do-able. It’s a first step not a crux.

This is a nuance that is lost on a lot of people. Medication needs to be taken in conjunction with re-learning how to study/organize/prioritize. This actually allows for new neuro-pathways to be forged and reinforced in the brain, which actually fixes many of the negative effects of ADHD, lessening the need for medication over time for many people. This effect is easy to observe in children because their brains are still extremely very plastic, but it also causes people to question why we need to prescribe medication if kids just end up “growing out of it”.

Re: NIH Researchers Identify Brain Connections Associated with ADHD in Youth

#18

I've always been a cautious skeptic of ADHD in children. On the one hand I know ADHD is a thing and that it legitimately affects some children, but on the other hand I realize that alot of ADHD symptoms overlap with the general nature of children, especially boys. My wonder is when does it to go from a kid just being a kid to a child actually affected by ADHD. Often times it's described as just not being able to pay…

Iirc adhd is a neurodevelopmental condition. So if a 5 year old has similar executive function as the average 5yo he’s probably fine. But if a 10 yo has a 7yo’s levels it’s worth looking at. And if this same person has this even later to the point where it affects life in multiple situations it’s a disorder, medically speaking. Also, some people (not all) grow out of adhd in their adulthood as the brain develops.

Many of the people who grew out of it did it not naturally but because they were on medication. Medication during childhood has been well proven in longitudinal studies to reduce the incidence of adult ADHD.

Re: NIH Researchers Identify Brain Connections Associated with ADHD in Youth

#19

This is a no-op paper. They found nothing useful. Maybe an inkling of something extremely weak. Maybe. Certainly nothing that should be popularized, taken up by the media, or used to make any decisions about anything. The kicker is: > Effect sizes were small (largest peak d, 0.15). To put that into language more people here would understand, it's like publishing a paper where your classifier gets 52% accuracy on a bi…

What does "no-op" mean?

Re: NIH Researchers Identify Brain Connections Associated with ADHD in Youth

#20
post #7

Earlier quoted context omitted.

The problem is that what is perceived as "disordered" is different across time and space. Behavior patterns that were once totally normal may get in the way of living the kind of life that some parents have come to expect of their kids—running from school to dance to piano to soccer to tutors to therapy to whatever. Are these kids disordered because they can't keep up, or are the demands unreasonable?

Or counterpoint- in my case I was helped at home a good bit with structure. It wasn’t until I was independent at uni that this facade started to fall off, revealing “issues”.

Aye same - I did great up until I had to make my own structure.

Decent enough in school but dropped out of college twice. Fell into an entry level IT job with loads of scripts, processes, and procedures but the more I progressed the more autonomy I was given and the worse I performed.

Was mostly terrible but occasionally amazing (enough to keep my job at least) for ~10 years then bumped into the ADHD symptoms at some point, got myself checked out, got the diagnosis.

Doing pretty well now (tho never perfect) with medication and a stint of cognitive behavioural therapy to help set up my own structure. Getting there!

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