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

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

#231

Earlier quoted context omitted.

If I'm coming across as defensive, then I haven't been clear enough. I'm not defensive, I'm furious but I'm trying to channel it into rational discourse. There's nothing "defensive" about wanting to stop the propagation of this trope. And yes, it's a trope. I said very clearly that this is not about rising rates of ADHD diagnoses and medication. The trope I'm referring to is the tendency to not only jump to a conclus…

Do you think society is currently tilted too far in the direction of undermedicating ADHD? That though we went from 5.5% of children diagnosed with ADHD in 1997 to 9.8% in 2018 we still have more ADHD yet to find? More than a tenth of children are so psychologically flawed they need mind-altering medication to address what's wrong with them? There is a widespread belief in ADHD and that it should be medicated. That's…

There is a "widespread belief" in ADHD and that it should be medicated because there is evidence for it. The ADHD my son has and the ADHD my nephew has, among others, are not things I choose to believe in irrationally.

As for where the society is currently tilted, it's possible -- and likely -- that ADHD is being both overdiagnosed and underdiagnosed at the same time. Like I said, it was discovered recently enough that we, as a society, don't yet have a perfect solution for it and we're still learning more and more. The approach is still evolving.

And yeah, going from 5.5% in 1997 to 9.8% in 2018 is the jump everyone loves to quote and panic about, but it doesn't constitute a crisis. Especially if you frame it as "more than a tenth of children are so psychologically flawed they need mind-altering medication to address what's wrong with them". That's exactly the hyperbole I'm objecting to here.

Let's start by acknowledging that 9.8% of children diagnosed does not equate 9.8% of children medicated. Once we hopefully agree on that, I'm also hoping we can agree that ADHD is not this binary thing that manifests exactly the same and in the same degree in every patient. Just like we've discovered that autism is not a binary thing but rather a spectrum (and even more nuanced than that), ADHD can't be reduced to "either you have it and you'll forever medicate, or you don't have it".

So yes, we're still dealing with a developing situation and there's more work to be done. That's not something I dispute and I'm not trying to "silence" that opinion. As I already explained repeatedly, I am objecting to the way you presented that. Or rather, I'm objecting to the way you didn't present that at all.

You just tossed out a judgmental, dismissive comment and got upset when people pointed out that it wasn't constructive -- or even true, on its own. It didn't come across at all as what you're claiming you wanted to say, but instead of recognizing that you communicated wrongly, you're now claiming I'm trying to silence you. Given that, I'm starting to form an impression that we could go back and forth like this forever and nothing will come out of it.

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

#232

Earlier quoted context omitted.

I have ADHD, and increasing eustress by working out or doing fun physical things like sports to the point of being tired is one thing that is better than anything I've been prescribed. It's not fall asleep tired, it's more akin to being physically spent. When there is no more need to fidget and do things, I focus like a laser and am less prone to impulse.

Great it works for you. You probably have the hyperactive type of ADHD. For me and my daughter with inattentive/non-hyperactive ADD, doing physical things, while fun, just make us tired and want to sleep. Not a good idea if you need to focus and get work done. I take daily medication and it has been literally life saving as I was able to turn things around and keep my marriage from falling apart, not to mention my ha…

I feel for you, I hope you guys settle on something that works with as little sides as possible. It's a spectrum with a lot of means to address a moving target, so some trial and error unfortunately comes with it. Luckily I was able to work with my doc to find things that work for the things that eustress cannot solve. Just curious, what do you take?

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

#233
post #195

Can someone comment on whether ADHD medication leads to 'loss' of the unfiltered imagination that I have come to associate with my perpetually distracted self ? A friend on ADHD meds told me that it feels like trading unbridled creativity for stability. He found it to be an essential drug for functioning, but I got a sense that it involved losing something really central to your sense of self. Almost like being made…

> A friend on ADHD meds told me that it feels like trading unbridled creativity for stability

As someone who has been diagnosed as an adult and been on meds for a few years I could not agree more.

I recommend trying treatment though, I can't see any downsides if it is an option for you. Highly likely there will be clear physiological side effects, but nothing to be scared about.

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

#234
So, I had a psychologist tell me that I have many ADHD markers and referred me to the central mental health agency for an official diagnosis.

Unfortunately, In Sweden, an official diagnosis means higher insurance (fine), higher mortgages (not fine) and the inability to hold certain licenses.

Of course those markers of ADHD are pretty severely affecting my life, which is why I was seeing the Psychologist in the first place...

Would anyone recommend seeking a diagnosis in those conditions? Has anyone done this in Sweden and then gotten a mortgage? Is there anything else I can do?

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

#235
post #234

So, I had a psychologist tell me that I have many ADHD markers and referred me to the central mental health agency for an official diagnosis. Unfortunately, In Sweden, an official diagnosis means higher insurance (fine), higher mortgages (not fine) and the inability to hold certain licenses. Of course those markers of ADHD are pretty severely affecting my life, which is why I was seeing the Psychologist in the first…

That is horrifying that your medical issues could be used against you in insurance, mortgages, and licensing... I'd suggest just leaving the country at this rate or getting the diagnosis in a sane country that won't share this information and getting the medication from over there (assuming you can move somewhere close to the border)

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

#236
post #230

Earlier quoted context omitted.

Couldn’t the posters point about lack of parental engagement be the root cause for being behind their peers? I’m sorry, it doesn’t seem like you’re really challenging the argument.

> it doesn’t seem like you’re really challenging the argument. That's probably because it's an argument uninformed by even the slightest bit of research into how a brain with ADHD works. Also you're sealioning, so :reported:

> sealioning

huh hadn't heard that before -- good to know

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

#237

Quoted post unavailable.

"drugged". You make it sound like kids are slipped roofies It doesn't make children complacent. It made me stop kicking the shit out of my classmates every day. School is very important. I was depriving myself and others of an education and those other kids shouldn't have to put up with nuisances like me. My parents were given a choice: put me in special ed classes or medication. They didn't want me to be treated dif…

No post body was provided.

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

#238
post #234

So, I had a psychologist tell me that I have many ADHD markers and referred me to the central mental health agency for an official diagnosis. Unfortunately, In Sweden, an official diagnosis means higher insurance (fine), higher mortgages (not fine) and the inability to hold certain licenses. Of course those markers of ADHD are pretty severely affecting my life, which is why I was seeing the Psychologist in the first…

Wow. That sounds like a terrible abuse of government power, and a great way to keep people from getting the mental health assistance they need.

The idea that ADHD affects mortgage rates! How terribly absurd. I'm sorry to hear that.

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

#239
post #7

An approximately 30 percent increase in incidence rate ratio that reversed upon discontinuation of methylphenidate is was was reported here. I would be interested to see what the data would be with a nonstimulant like atomoxetine, which has a structure very similar to that of fluoxetine. Could use in combination cancel out this effect?

Atomoxetine also has side effects. Problems with erection for instance. Should one take viagra or likes on top to fix tgat?

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

#240
post #234

So, I had a psychologist tell me that I have many ADHD markers and referred me to the central mental health agency for an official diagnosis. Unfortunately, In Sweden, an official diagnosis means higher insurance (fine), higher mortgages (not fine) and the inability to hold certain licenses. Of course those markers of ADHD are pretty severely affecting my life, which is why I was seeing the Psychologist in the first…

How does a medical diagnosis result in higher mortgage costs? Is health privacy data not protected in Sweden?
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