ADD ADHD
<font size="4" face="Times New Roman">kweb ed video</font><div><font size="4" face="Times New Roman">
</font></div><div><span id="docs-internal-guid-f137d783-7fff-2e9a-bfa1-9f4fc4bb21c2"><font size="4" face="Times New Roman"><span style="font-weight: 700; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;">Model is mass production </span><span style="font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;">(hence the scantron); because machinery is expensive, you need it running as much and as fast as possible, so eventually we get alarm clocks and punch clocks to get ppl there on time; you also need obedience, workers sitting in the same chair for hours doing tedious repetitive meaningless tasks, not unlike filling in worksheets or bubbles in school. Now while the ability to sit and focus on problem for some time is no doubt an ability to be admired and it can be cultivated [sitzfleisch], asking kids, especially boys [especially an African American one who did not get enough sleep the night before or any breakfast) to spend long times in a chair in a row quietly is cruel and unusual punishment; for reasons that are unclear (though probably an environmental chemical component) more and more kids stats. Trend 6 million 10% 2016, 5% on meds, ⅔ diagnosed w/ adhd on meds; amphetamine boosts dopamine; 2015: </span><span style="background-color: rgb(255, 255, 255); font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;">Twelve percent of U.S. children and teens had a diagnosis of Attention Deficit/Hyperactivity Disorder (ADHD) in 2011, a number that has jumped by 43 percent since 2003,; </span><span style="background-color: rgb(255, 255, 255); font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;">increased over time. We observed disproportionately high ADHD diagnosis rates among white children and notable increases among black girls...By 2005, in children younger than 18 years, the annual cost attributable to ADHD was estimated to be between $36 billion and $52.4 billion.20 Costs are likely to continue growing proportional to increasing ADHD prevalence.</span><span style="background-color: rgb(255, 255, 255); font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;"><br class="kix-line-break" /></span><span style="background-color: rgb(255, 255, 255); font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;"><br class="kix-line-break" /></span><span style="background-color: rgb(255, 255, 255); font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;">Although the origin of ADHD is not fully understood, emerging evidence suggests that both genetic and environmental factors have important roles.21-23 Potential risk factors include family history of ADHD,24 maternal borderline personality disorders,25 exposure to environmental tobacco smoke,26-28 exposure to toxins and lead,28,29 maternal use of antidepressant medications during pregnancy,30 male sex,31,32 low birthweight,33 prematurity,34 and artificial food additives.35</span><span style="font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;">]are being diagnosed with Attention Deficit Disorder and given (i kid you not) amphetamines or even pretty strong anti-psychotic??! Drugs psychoactive? Prozac etc.</span></font></span></div><div><span><font size="4" face="Times New Roman"><span style="font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;">
</span></font></span></div><div><span><font size="4" face="Times New Roman"><span style="font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;"></span></font></span></div><div><a href="https://www.additudemag.com/adhd-medication-treatment-guide-for-parents/" style="box-sizing: inherit; color: rgb(0, 122, 141); text-decoration-line: none; word-break: break-word; font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">Which ADHD medication is best</a><span style="color: rgb(26, 26, 26); font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">? </span><a href="https://www.additudemag.com/medication/dexedrine/" style="box-sizing: inherit; color: rgb(0, 122, 141); text-decoration-line: none; word-break: break-word; font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">Dexedrine</a><span style="color: rgb(26, 26, 26); font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);"> or </span><a href="https://www.additudemag.com/medication/adderall-xr/" style="box-sizing: inherit; color: rgb(0, 122, 141); text-decoration-line: none; word-break: break-word; font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">Adderall</a><span style="color: rgb(26, 26, 26); font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">? </span><a href="https://www.additudemag.com/medication/concerta/" style="box-sizing: inherit; color: rgb(0, 122, 141); text-decoration-line: none; word-break: break-word; font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">Concerta</a><span style="color: rgb(26, 26, 26); font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);"> or </span><a href="https://www.additudemag.com/medication/strattera/" style="box-sizing: inherit; color: rgb(0, 122, 141); text-decoration-line: none; word-break: break-word; font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">Strattera</a><span style="color: rgb(26, 26, 26); font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">? What about </span><a href="https://www.additudemag.com/medication/wellbutrin/" style="box-sizing: inherit; color: rgb(0, 122, 141); text-decoration-line: none; word-break: break-word; font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">Wellbutrin</a><span style="color: rgb(26, 26, 26); font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">? </span><a href="https://www.additudemag.com/medication/guanfacine/" style="box-sizing: inherit; color: rgb(0, 122, 141); text-decoration-line: none; word-break: break-word; font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">Guanfacine</a><span style="color: rgb(26, 26, 26); font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">? Others like </span><a href="https://www.additudemag.com/medication/vyvanse/" style="box-sizing: inherit; color: rgb(0, 122, 141); text-decoration-line: none; word-break: break-word; font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">Vyvanse</a><span style="color: rgb(26, 26, 26); font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);"> or </span><a href="https://www.additudemag.com/medication/ritalin/" style="box-sizing: inherit; color: rgb(0, 122, 141); text-decoration-line: none; word-break: break-word; font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">Ritalin</a><span style="color: rgb(26, 26, 26); font-family: Martel, serif; font-size: 18px; background-color: rgb(255, 255, 255);">?</span></div><div><span><font size="4" face="Times New Roman"><span style="font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;">=</span></font></span></div><div><span><span style="font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;"><font face="Times New Roman" size="4"><a href="https://www.nytimes.com/2013/05/01/us/colleges-tackle-illicit-use-of-adhd-pills.html">https://www.nytimes.com/2013/05/01/us/colleges-tackle-illicit-use-of-adhd-pills.html</a></font></span></span></div><div><span><span style="font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;"><font face="Times New Roman" size="4">
</font></span></span></div><div><span><span style="font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;"><font face="Times New Roman" size="4" /><div style=""><font face="Times New Roman" size="4">Attention-Deficit Drugs Face New Campus Rules</font></div><div style="">By ALAN SCHWARZAPRIL 30, 2013</div><div style="">
</div><div style="">Lisa Beach said it took months before Fresno State’s health service would give her an A.D.H.D. diagnosis. She had to sign a contract for medications. Credit Matt Black for The New York Times</div><div style="">FRESNO, Calif. — Lisa Beach endured two months of testing and paperwork before the student health office at her college approved a diagnosis of attention deficit hyperactivity disorder.<b> Then, to get a prescription for Vyvanse, a standard treatment for A.D.H.D., she had to sign a formal contract — promising to submit to drug testing, to see a mental health professional every month and to not share the pills</b>.</div><div style="">
</div><div style="">“As much as it stunk, it’s nice to know, ‘O.K., this is legit,' ” said Ms. Beach, a senior at California State University, Fresno. The rigorous process, she added, has deterred some peers from using the student health office to obtain A.D.H.D. medications, stimulants long abused on college campuses. “I tell them it takes a couple months,” Ms. Beach said, “and they’re like, ‘Oh, never mind.’ ”</div><div style="">
</div><div style="">Fresno State is one of dozens of colleges tightening the rules on the diagnosis of A.D.H.D. and the subsequent prescription of amphetamine-based medications like Vyvanse and Adderall. Some schools are reconsidering how their student health offices handle A.D.H.D., and even if they should at all.</div><div style="">
</div><div style=""><span style="background-color: rgb(255, 255, 102);">Various studies have estimated that as many as 35 percent of college students illicitly take these stimulants to provide jolts of focus and drive during finals and other periods of heavy stress. Many do not know that it is a federal crime to possess the pills without a prescription and that abuse can lead to anxiety, depression and, occasionally, psychosis.</span></div><div style="">
</div><div style="">Although few experts dispute that stimulant medications can be safe and successful treatments for many people with a proper A.D.H.D. diagnosis, the growing concern about overuse has led some universities, as one student health director put it, “to get out of the A.D.H.D. business.”</div><div style="">
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</div><div style="">The University of Alabama and Marist College, like Fresno State, require students to sign contracts promising not to misuse pills or share them with classmates. Some schools, citing the rigor required to make a proper A.D.H.D. diagnosis, forbid their clinicians to make one (George Mason) or prescribe stimulants (William & Mary), and instead refer students to off-campus providers. Marquette requires students to sign releases allowing clinicians to phone their parents for full medical histories and to confirm the truth of the symptoms.</div><div style="">
</div><div style="">“We get complaints that you’re making it hard to get treatment,” said Dr. Jon Porter, director of medical, counseling and psychiatry services at the University of Vermont, which will not perform diagnostic evaluations for A.D.H.D. “There’s some truth to that. The counterweight is these prescriptions can be abused at a high rate, and we’re not willing to be a part of that and end up with kids sick or dead.”</div><div style="">
</div><div style="">Changes like these, all in the name of protecting the health of students both with and without attention deficits, involve legal considerations as well. Harvard is being sued for medical malpractice by the father of a student who in 2007 received an A.D.H.D. diagnosis and Adderall prescription after one meeting with a clinical nurse specialist.</div><div style="">
</div><div style="">Still, many student health departments regard A.D.H.D., a neurological disorder that causes severe inattention and impulsiveness, as similar to any other medical condition. <b>Eleven percent of American children ages 4 to 17 — and 15 percent of high school students — have received the diagnosis, according to a survey by the Centers for Disease Control and Prevention.</b></div><div style="">
</div><div style="">New college policies about A.D.H.D. tend not to apply to other medical or psychiatric conditions — suggesting discrimination, said Ruth Hughes, the chief executive of the advocacy group Children and Adults With Attention-Deficit/Hyperactivity Disorder. Such rules create “a culture of fear and stigma,” she said, adding that if students must sign a contract to obtain stimulants, they should have to do so for the painkillers that are also controlled substances and are known to be abused.</div><div style="">
</div><div style="">“If a university is very concerned about stimulant abuse, I would think the worst thing they could do is to relinquish this responsibility to unknown community practitioners,” Ms. Hughes said. “Nonprescribed use of stimulant medications on campus is a serious problem that can’t just be punted to someone else outside the school grounds.”</div><div style="">
</div><div style="">Fresno State officials said a disquieting surge of students requesting A.D.H.D. diagnoses — along with news media reports of stimulant abuse and questionable diagnostic practices nationwide — led the university to change several policies last year. Now, students with an outside diagnosis of A.D.H.D. can fill their prescriptions at the Student Health Center only after providing documentation of a thorough evaluation by qualified mental health practitioners — which typically involves hours of neuropsychological testing and conversations with parents and teachers to assess impairment and other possible explanations.</div><div style="">
</div><div style="">Fresno State no longer makes diagnoses, largely because of the substantial time required “to do it right,” said Catherine Felix, its director of health and psychological services. Many universities, including North Carolina State, Georgia Tech and Penn State, also said they could no longer handle the volume of requests.</div><div style="">
</div><div style="">In addition to requiring students to sign the contract, Fresno State does not allow early refills to replace lost or stolen medication. Urine tests can be required should a university clinician suspect that a student is not taking the pills as prescribed.</div><div style="">
</div><div style="">And in a rare policy among colleges, students receiving prescriptions to treat A.D.H.D. must see a Fresno State therapist regularly — not for a cursory five-minute “med check” but for at least one 50-minute session a month.</div><div style="">
</div><div style="">“It’s not just taking a pill every day,” said Dr. Daniel Little, who counsels several students with A.D.H.D. under this arrangement. “It’s about learning coping skills.”</div><div style="">
</div><div style="">Students said little could be done to curb misuse of amphetamines on campus, even as some colleges are tightening their policies.</div><div style="">
</div><div style="">Many students bring their prescriptions from doctors back home. Pills can not only be used to study but also to generate spending money, usually selling for $5 to $10, depending on the dose. Ms. Beach said she was offered up to $150 per pill during finals last year.</div><div style="">
</div><div style=""><span style="background-color: rgb(255, 255, 102);">Misuse has become common enough for student newspapers to make light of it. The Miami Hurricane at the University of Miami ran an editorial in November that was headlined “Magic Pill Can Enhance Focus, Drive” and said that students “shouldn’t look down on those who need — and welcome — the extra push” of Adderall. In another article, an undergraduate encouraged students: “Medicate, Miami. You’ve earned it.” The university responded in a short news release that the articles did not represent its views on the subject.</span></div><div style="">
</div><div style="">Some universities go beyond student health to address amphetamine misuse on campus. Two years ago, Duke included “the unauthorized use of prescription medication to enhance academic performance” as a category of academic dishonesty, essentially cheating.</div><div style="">
</div><div style="">After the 2010 suicide of a Vanderbilt student named Kyle Craig — who abused Adderall to keep up his grades, his family said, using prescriptions from a doctor near his New Jersey home — the university devoted part of freshman orientation to highlighting the temptations and perils of stimulant misuse, similar to programs on safe sex and binge drinking.</div><div style="">
</div><div style="">Several Vanderbilt students maintained that those efforts were futile, partly because they distribute pills themselves. One student, who asked to be identified only by his middle name, Andrew, said he was prescribed 60 pills a month from his hometown psychiatrist, although he needs only 30 or 40. He gives the extras to other students in need.</div><div style="">
</div><div style="">“I don’t think they’re doing enough,” he said with a laugh, “to stop people like me.”</div><div style="">
</div><div style="">A version of this article appears in print on May 1, 2013</div></span></span></div><div><span><font size="4" face="Times New Roman"><span style="font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;">==</span></font></span></div>