The Truth About Attention Deficit Hyperactivity Disorder
moncler outlet With her long dark hair flying, Saorla Meenagh, 10, (pictured above) can execute a perfect switch leap, one leg out, one tucked under, her arms glued to her sides in classic Irish step dancing style. Saorla, whose blue eyes, white skin, and sprinkle of freckles helped win her a modeling contract with a New York agency on hold until her braces come off also plays softball and Gaelic football, a soccer like game her father, Seamus, a contractor, enjoyed when he was growing up in County Tyrone, Northern Ireland. moncler outlet
moncler factory outlet When asked her buy moncler jackets position on the team, Saorla wiggles in her seat at the family’s dining room table. “I don’t know random positions,” she says, as her mother, Kerri, a pediatric nurse practitioner quietly pushes her daughter’s bare foot off the table where it has wandered for what may be the 10th time in half an hour. During that time, Saorla’s actions are as scattered as pool balls in a break. She sits on her knees, then jiggles, then rocks, then circles photos in a stack of food magazines with a pen, turning off the TV, turning up the TV, turning down the TV, and making part of a bracelet on a Rainbow Loom before she finally loses interest. She rarely finishes a task and being with her can be as disconcerting as watching television with someone pressing the channel changer every 10 seconds. moncler factory outlet
Along with a gift for math and a love for Gaelic sports, Saorla has inherited something else from her father: attention deficit cheap moncler coats hyperactivity disorder, ADHD. People just meeting her find her adorably sweet, if quirky. But if she’s not on her medication which she isn’t at the moment because we met at her family’s home in a Philadelphia suburb during the summer she is an exhausting ball of boundless energy. (While she’s not at school, her mother gives her a medication holiday in order to boost her appetite, help her gain weight and grow, all things Vyvance interferes with.) “When we had her tested they said that in 20 years she was the most hyperactive child they ever tested,” says Meenagh, gently removing that errant foot from the table yet again.
But Saorla’s perpetual motion isn’t what concerns Meenagh the most. Being fidgety and easily distracted are two of the most common and recognized symptoms of ADHD, often leading to poor performance in school, the most recognized fallout moncler mens jackets of the condition. But the 5% to 11% of American children 4 to 17 years of age who are diagnosed with the disorder the numbers are up for debate depending on whom you talk to also face a lifetime of increased risk for accidents, teen pregnancy, drug and alcohol abuse, smoking, and even dying prematurely. Overall, boys (13.2%) are more likely than girls (5.6%) to be given an ADHD diagnosis.
cheap moncler outlet It’s the fear for her child’s future that makes Meenagh bristle when she hears someone family, friends, strangers, even scientists say that ADHD doesn’t exist, that the symptoms are caused by poor parenting, food additives, or 21st century life in the fast lane, lack of physical activity, or that they’re just kids being kids, albeit less manageable than most. “A lot of people don’t believe in it,” she says. “I moncler outlet store think that’s because they’ve never experienced it firsthand.” cheap moncler outlet
To those naysayers, C. Keith Connors, professor emeritus of medical psychology at Duke University and creator of the Connors Rating Scales for moncler outlet diagnosing ADHD, says he always offers the same challenge: “Take one of these kids on a car trip for a day and see how you feel about it then.”
It’s easy to see why some dismiss ADHD as simply an artifact of modern life. After all Moncler Outlet, we’re all on the information Autobahn. Most Americans are exposed to an average of 100,000 words a day about the length of Mark Twain’s The Adventures of Huckleberry Finn very little of which we’re able to absorb, according to a 2009 study on America’s information consumption from the University of California, San Diego. We’re also asked from a very young age to be still, nearly motionless, except for the tapping of our fingers on the computer keys. Ours is not a society tolerant of perpetual motion or daydreaming. At some point, we’re all like the dog in the Pixar movie, Up, doing one thing and then responding to the real life equivalent of “Squirrel!”
But ADHD isn’t a disorder of the modern age. It may have been first described in the medical literature in 1763 by Scottish physician Sir Arthur Crichton, who observed patients so unable to focus that “the barking of dogs, an ill tuned organ, or the scolding of women, are sufficient to distract patients of this description to such a degree, as almost approaches to the nature of delirium.” Those patients, he noted, referred to their own symptoms, including moncler sale anger “bordering on insanity,” as “the fidgets.”
moncler outlet sale The argument doesn’t hold up either when ADHD’s worldwide prevalence is factored in. It’s found in developing countries, where the information speed limit is slower and the requirement to be sedentary 24/7 doesn’t exist. moncler outlet sale
Yet there’s an undeniable backlash against the diagnosis. Earlier this year, Chicago neurologist and ADHD specialist Dr. Richard Saul published a provocatively titled book, ADHD Does Not Exist, in which moncler outlet sale he proposes that ADHD is not an entity moncler outlet online in itself but a cluster of symptoms that stem from more than 20 other conditions, including depression, anxiety, bi polar disorder, and obsessive compulsive disorder. Many of those, along with dysfunctional behavior conditions such as oppositional defiant disorder, characterized by aggression, tantrums and a propensity to argue with adults, and learning disabilities such as dyslexia, are often diagnosed as co illnesses with ADHD. Saul criticizes the catchall nature of an ADHD diagnosis, which he believes corrals a lot of real conditions into one. and the number of prescriptions filled every year for relatively powerful stimulant drugs such as Ritalin, Adderall and a host of new medications. Though these drugs are generally considered safe, they do have side effects, including anxiety sometimes even paranoia weight loss, insomnia, and growth retardation (about half an inch, which doesn’t appear to be permanent). In some rare cases they can damage the heart. Since many of the drugs are appetite killers, some parents have to entice their children with small meals all day long. The side effects are why many children like Saorla take medication holidays during summer months or even on the weekends. They’re also why doctors and parents have to carefully weigh whether the problems a child has if he or she goes unmedicated are worth the risk.
moncler outlet online How prevalent has an ADHD diagnosis become? A survey of 76,000 parents conducted by the Centers for Disease Control (CDC) every four years estimates that one in 11 children had been diagnosed with ADHD by a health care professional, an increase of 42% between 2003 and 2014. “[That number] is preposterous,” says Connors, who studied and treated ADHD for 50 years before retiring. The National Survey of Children’s Health is a phone survey and the figures on ADHD are collected on the basis of the answers to one question: “Has a doctor or other cheap moncler jackets health care provider ever told you that [your child] had attention deficit disorder or attention deficit/ hyperactivity disorder, that is, ADD or ADHD?” The type of “other health care provider” isn’t established. ADHD experts say it is often a pediatrician who does not spend the kind of time it takes to make an accurate diagnosis. The gold standard of ADHD diagnosis is an analysis of questionnaires, like those Connors developed, filled out by parents, teachers and other people who interact with the child and observe classroom behavior. Each child can take hours to analyze. moncler outlet online
“That’s a luxury a pediatrician doesn’t have,” says Dr. Harold S. Koplewicz, MD, who founded the NYU Study Center and is founding president of the nonprofit Child Mind Institute in New York City. ‘They get seven minutes face to face, [the doctor gives] them a prescription, and then 30 days later they come back to get it renewed.”
moncler sale outlet (The CDC, however, defends its figures. They say the numbers from their parent survey hold up when they’re compared to their own separate, more scientific study looking at insurance claims and field assessments. In this case, scientists in the field do a full 2.5 hour diagnostic evaluation of students for ADHD and other conduct and mental health disorders in 10,000 schools across the country, says epidemiologist Susanna Visser of the CDC National Center on Birth Defects and Developmental Disabilities. “We come up with a similar estimate 8.5 to 10%,” she says.) moncler sale outlet
moncler outlet uk And the drug stats aren’t in question. The percentage of children taking drugs jumped by more than a quarter, from 4.8% of the population between 4 and 17 to 6.1% between 2007 and 2011 according to the CDC’s survey. In fall 2011 and spring 2012, there was even a brief shortage of ADHD drugs, particularly generics, because the demand was outpacing the supply. moncler outlet uk
moncler outlet jackets Along with quickie diagnoses in a pediatrician’s office, part of the problem seems moncler sale outlet to stem from a misunderstanding of ADHD symptoms and the methods used to diagnose the disorder. The diagnosis is based on a checklist, found in the “bible” of mental health, the Diagnostic and Statistical Manual of Mental Disorders (DSM V), of 18 possible symptoms, any of which could describe the average child even the average adult some of the time. They include acting before thinking, being unable to delay gratification, staying motived to finish a boring task, keeping strong emotions in check, remembering an assignment and how to complete it, or planning ahead. moncler outlet jackets
moncler jacket sale But three other factors play a pivotal role in determining whether a child has a disorder or is just quirky, inattentive, or high spirited. To be diagnosed with ADHD, children must have most of those 18 symptoms, most of the time, in most areas of their lives, from home to school to the neighborhood playground. moncler jacket sale
“And, most important, there must be impairment,” says leading ADHD expert Russell Barkley, PhD, clinical professor of psychiatry and pediatrics at the Medical University of South Carolina in Charleston. “They must be unable to function as well as others and in fact, are often well below normal in any of those domains.”
Fourteen year old Zoe Williams “is just a fireball,” says her mother, Monnica Williams, a Louisville, Kentucky, psychologist who has five children, three of whom have been diagnosed with ADHD. “She’s the kid in the middle of the dance floor that all the other kids are watching, And she talks and talks and talks. Sometimes I have to say, ‘Zoe, it’s not that I don’t want to hear what you have to say, but Mom needs a little talking timeout.'”
While cheap moncler outlet kids with ADHD can be gregarious, their impulsiveness can create problems, often alienating others, including siblings, teachers, and classmates. They don’t wait their turn, interrupt others, are easily frustrated, take wild risks, and their emotions can spill over like water at a rolling boil: They may be hot headed, lash out violently, or have temper tantrums. All of this carries enormous social cost in school and on the playground.
cheap moncler coats Like autism, ADHD symptoms fall along a spectrum from mild to severe, so it’s difficult to define what’s typical. But, in general, for a child with attention deficits, trying to focus on one thing is akin to trying to discern the chirping of crickets in Times Square. They’re forgetful, tend to procrastinate, and are disorganized. They have a hard time putting in the time and effort to achieve a goal, particularly if it’s something like finishing a school project on a topic that doesn’t interest them. (Paradoxically, they can also hyperfocus at times, confusing parents who can’t understand why a child who can reach the 60th level of World of Warcraft can’t remember homework assignments or follow a simple set of instructions.) cheap moncler coats
cheap moncler jackets sale Some are chronically late. “People with ADHD are blind to the future, which is why they never have anything done on time,” says Barkley. “If you have an ADHD practice, a third of your patients are late or never show.” (Those practices usually include adults; most ADHD symptoms persist into adulthood, though they may be milder.) cheap moncler jackets sale
moncler jackets outlet ADHD is divided into subtypes children just with attention problems, those with impulse control and hyperactivity issues, and a group with a combination of the two. The latter is the most common, occurring in two thirds to three quarters of people, estimates Barkley. moncler jackets outlet
cheap moncler Children with attention problems can have any or all of these symptoms, but may not be any more fidgety than the average child. Sometimes they’re labeled merely ADD. On the other hand, children who are hyperactive as monlcer down jackets well as distractible may not be able to stop moving or even to stop talking, including to themselves. An internal conversation for most people can become a conference call on speakerphone for a child with ADHD. “What that means is that most of these kids’ interactions with other people are negative. They’re not the ones invited to birthday parties or over to another kid’s house to play.” cheap moncler
cheap moncler jackets That kind of rejection can be damaging to a child’s self esteem and heartbreaking for parents. “Saorla is such a good kid, such an empathetic kid, but if she’s tired, she becomes ‘Hurricane Saorla,'” says Meenagh. The minute Saorla learned to walk she climbed everything, and not skillfully. She was impulsive, fearless and, probably as a result, accident prone. The Meenaghs once had to call the police and fire department to get Saorla, then a toddler, out of a bathroom where she had barricaded herself behind a locked door and a drawer she pulled out. cheap moncler jackets
During a class visit to the zoo, Saorla https://www.moncler-jacket-outlet.com, who has trouble transitioning from one activity to another, balked at moving from one exhibit with the rest of the children and threw a classic “big blowout” tantrum kicking cheap moncler sale and screaming while her mother hauled her away. It’s not unusual, says Meenagh, for those outbursts to go on for an hour.
moncler sale “I was very aware that everyone was looking at us,” she says. “I was mortified, but mainly I was scared that she was going to be labeled by the other parents as a kid other kids shouldn’t be friends with.” moncler sale.