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Doctor: ADHD, as currently defined, does not exist

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Re: Doctor: ADHD, as currently defined, does not exist

#62
post #43

This article is so potentially harmful, even if it's more nuanced than the hyperbolic "ADHD Doesn't Exist" title would suggest. The reality is that -- whatever the underlying cause -- a lot of people struggle with attention span issues, and that these issues cause a lot of pain and unfulfilled potential. Even if ADHD medications are overprescribed Band-Aids, people benefit from them. We should try and find better dia…

To play devils advocate, I think its possible that ADHD as a title is more harmful. Letting people fall into a self-fulfilling prophecy that may or may not have occurred otherwise. You say you were more than talented enough to finish said work in 5-6 hours but couldn't. To me that sounds like you thoroughly did not enjoy it and thus got distracted and 'procrastinated'. Why did you choose to work in an office if it wa…

I've found the opposite. About 6 months ago, I began to suspect I had ADHD. I went for help, and was diagnosed about a month ago. I haven't used it as an excuse, on the contrary I am now able to understand and catch my symptoms in the framework of the disorder. Maybe an analogy is trying to run while having different length legs. Once you realise this reality, you are able to understand, compensate, and adjust.

I do think there is a component of ADHD treatment that is trying to 'fit in' to a society that doesn't think the same way the person with ADHD does. But there are big impacts on people's lives independent of society. And its not easy to always be "different", disruptive, and/or inattentive to people around you.

Re: Doctor: ADHD, as currently defined, does not exist

#63
post #40

Earlier quoted context omitted.

I don't like that it's classified as a disorder. It's a different style of cognitive activity, with its advantages and disadvantages.

What are the advantages?

It's hard to generalize, but when paired with intelligence and so forth, ADHD symptoms like restlessness, curiosity, "not fitting in" etc. can work as positives.

It's often been said that these can be beneficial traits in entrepreneurs.

Re: Doctor: ADHD, as currently defined, does not exist

#64

This article is so potentially harmful, even if it's more nuanced than the hyperbolic "ADHD Doesn't Exist" title would suggest. The reality is that -- whatever the underlying cause -- a lot of people struggle with attention span issues, and that these issues cause a lot of pain and unfulfilled potential. Even if ADHD medications are overprescribed Band-Aids, people benefit from them. We should try and find better dia…

I agree the article is potentially harmful. The paradox is that people who DO NOT have ADHD easily get hooked on meds but people who DO have ADHD hate taking meds. Saying ADHD doesn't exist is cruel and shows how badly it's misunderstood. The newer drugs that have countermeasures that prevent snorting/abusing should change the debate. Older meds that can be easily abused should be taken off the market. Then let's see…

> Saying ADHD doesn't exist is cruel and shows how badly it's misunderstood.

I didn't get that from the article at all.

He's not saying people don't have problems, he's saying the label ADHD is doing a disservice. It's not a condition, it's a symptom.

If we had a label called "breathing problems" and just lumped all lung-related stuff in there, it would be problematic too. That doesn't mean no one has lung problems, it means we need more narrow diagnosis such as pneumonia, cancer, cystic fibrosis, bronchitis, asthma, etc.

The article is completely right. Any disorder that fits 90%+ of the population is too broad. Either it needs to be split into multiple disorders or the criteria need to be tightened.

This is a categorization article, not a "there's no such thing as ADHD they're all faking it, work harder slackers" article.

Re: Doctor: ADHD, as currently defined, does not exist

#65
post #24

Earlier quoted context omitted.

I think the article is trying to say that ADHD is an umbrella term used for a range of symptoms, rather than 1 disorder. I can imagine this being true for at least some of the cases, but it didn't provide much in the way of evidence. Although it does have a sensationalist headline, it's asking for a better look at ADHD rather than saying it should be ignored.

If you do any reading on ADHD, I think you'll find that everyone who knows anything about it would agree with this. ADHD is defined as a collection of related symptoms, with the full admission by everyone involved in the definition that the causes are varied, that most of the symptoms are exhibited by everyone to some degree, and that effective treatments likewise vary greatly. In other words, ADHD is no different th…

But isn't that a problem? Shouldn't we try to split ADHD up into smaller more specific disorders so that we can better study/treat it?

If lumped all together, that seems to only help cause over-diagnosis (because the symptom list is so large) and makes it harder to study (because two very different conditions may be manifesting in very similar ways).

Re: Doctor: ADHD, as currently defined, does not exist

#66
post #32

Is ADHD considered a disability? If so, looking at the timeframe (2008-2012), and the population segment (young adults), this could be the product of a backdoor welfare program, where ADHD diagnoses are the fig leaf employed.

I don't think so, as far as receiving financial assistance for mental health conditions in the US. In fact except for developmental disorders and conditions involving psychoses (schizophrenia), I've heard that it is quite difficult to get any sort of assistance, regardless of how severely your life has been affected, without a good lawyer at least.

Re: Doctor: ADHD, as currently defined, does not exist

#67

It might be better to say that the current definition of ADHD is grossly inadequate. The problems start from issues as basic as treating ADHD as one monolithic "thing," when in fact it is a symptom that can arise from many different diseases, some of which respond better to different medications than others, and some of which do not respond to medication at all. By treating them all as a single disease, we do almost…

> It might be better to say that the current definition of ADHD is grossly inadequate.

Isn't that why the qualifier ', as currently defined,' is in the title?

EDIT: watwut pointed out to me elsewhere that the qualifier is only on HN and not in the original title.

Re: Doctor: ADHD, as currently defined, does not exist

#68

Terrible title. Especially since there are actually people who believe that the title is true in the literal sense. The fact that we can further subdivide something based on etiology or any other criteria doesn't mean that it does not exist.

It's amazing how many people here are skipping the qualifier in the title, taking it as "ADHD does not exist".

Re: Doctor: ADHD, as currently defined, does not exist

#69

Earlier quoted context omitted.

He can't "cure ADHD" because it is a symptom of many different things. He has to diagnose the patient and determine the underlying cause. He gave a list of potential causes that included vision problems, iron deficiency, and sleep problems. I imagine each of these have their own cure which in turn fixes the symptoms of ADHD. You are implying that ADHD only has a single cause, the author is disagreeing with you.

You and the author are both talking as if ADHD exists which counters his book title. I'm not the one making the bold claim -- the author is in his title.

The claim is that ADHD __as currently defined__ does not exist. That's very different from "no one is suffering from these clusters of symptoms".

Re: Doctor: ADHD, as currently defined, does not exist

#70
post #40

Earlier quoted context omitted.

> After four years in college, which were a mix of promise and opportunities torpedoed by procrastination, I worked 10, 12, 14-hour days to finish work that I was more than talented enough to finish in 5 or 6 hours. My happiness suffered, health suffered, and relationships died. > Then I finally admitted that maybe it was a little more than a willpower issue. If it a matter of lacking willpower, why was I at the damn…

I don't like that it's classified as a disorder. It's a different style of cognitive activity, with its advantages and disadvantages.

> advantages

NO. NO. NO.

https://www.youtube.com/watch?v=4xpEBE9VDWw

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