Posts Tagged: ADD News


2
Mar 11

Adult ADD Symptom Criteria

ADD Research ADHD StudiesAn interesting ADD research review from November 2010 ask whether the proper criteria are being used to diagnose adult ADD.  Attention deficit disorder, or attention deficit hyperactivity disorder, as it is officially called, has three clinically defined types.  Each type of ADHD has its own symptoms and potential treatments.  However, the criteria necessary for a diagnosis of adult ADHD is laid out in a manual known as DSM-IV. One group of researchers reviewed clinical interviews to see how the ADD symptoms criteria should be re-examined for the upcoming publication of DSM-V.

Diagnosis of Adult ADD

One interesting result of the research was that almost half of the people who had ADHD as a child still meet the DSM-IV criteria to be diagnosed with adult ADHD.  Of those, almost all of them still report a current attention deficit disorder (94.9%) while just over a third still report a hyperactivity issue (34.6%).

In other words, the persistence of ADD into adulthood is correlated much more with attention deficit rather than with hyperactivity.

To put it another way, you are much more likely to outgrow being hyperactive than you are to outgrow an attention deficit.

The main issue raised by the researchers is that many consider ADD to have three factors. Two of the factors are recognized by the DSM-IV as requirements for a diagnosis of adult ADD, while the third is not.

According to the researchers, the three factors of adult ADD are:

  1. Inattention / Hyperactivity
  2. Impulsivity
  3. Impaired Executive Function

Executive function is not a recognized criteria for adult ADD, however, as the review shows, it is the least likely of the three to be outgrown.  In other words, it is the key component of an adult ADD diagnosis and it is not currently used as a criteria.

Whether anything will come of this research remains to be seen, however, it does provide some useful information for us adults with ADHD. Just because you are not hyperactive, doesn’t mean you don’t still have the core issue that comes with ADD. Furthermore, perhaps as you age and choose your ADD treatments based on solid scientific data and medical research, you may want to prioritize those that focus on executive function.

 

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19
Nov 10

Myths About ADHD Article

The folks over at Huffington Post showed up in my ADD news alerts, which seemed odd since it’s more of a politics / news website than a science website or a health information site. Of course, that means that a journalist came up with a sensational enough angle on ADHD to get an editor to give the green light. Most of the time, the results are not good for either ADD education and awareness or for the propagation of stereotypes about ADHD.

The angle that got a spot on the huffingtonpost.com front page was ADHD: 12 Myths and Facts. (Kudos on the SEO title, guys.)

So, what "myths" and "facts" did they come up with for their bite-sized review of all ADHD science and ADD research?

  1. Pesticides being linked to ADD. — They call it a fact. They aren’t wrong only due to careful wording. The real fact is that a recent research study showed that children with higher levels of one pesticide chemical were diagnosed with ADHD at higher rates. That leaves out a lot, like all of the children with ADD who do not have high levels of organophosphate as well as all the kids with high organophosphates, but no ADD.
  2. ADD Risk Higher When Mom Smokes or Drinks During Pregnancy — That’s true of just about everything.
  3. Food preservatives linked to ADHD – Researchers linked hyperactivity, which is not the same thing to some food preservatives.
  4. Sugar Causes ADD – Big fat myth. Good catch on this one.
  5. TV and Video Games – Myth
  6. Bad Parenting – Myth
  7. Brain Injury – Myth, but really inconclusive. Specific brain injuries are not common so finding a link it tough.
  8. Diet – Myth, at least the way people talk about it. Of course, eating better always helps. There IS some evidence that Omega-3 levels are low in ADD kids, but that isn’t the same thing as saying more Omega-3 would help ADD symptoms.
  9. ADD Genes – This one is starting to be accepted as a fact, at least among scientists and researchers.
  10. Over-diagnosis of ADD – Possibly true, although many kids with ADD are never tested, so maybe it’s a wash. Ironically, the most over-diagnosed condition in children is actually sinus infections. Doctors just hand out antibiotics when there is green mucus, even though a real diagnosis takes either a scan or 14+ days of symptoms. So many parents "know" that their kids have a sinus infection that it just isn’t worth the doctor fighting them on it.
  11. Lead Exposure – Not a lot of science here. Again, lead exposure isn’t that common, so getting a pool is tough. It’s a possibility though. Lead messes up a ton of stuff in the human body.
  12. Other Chemicals – Some chemicals are very harmful to the brain and nervous system. Assuming that ADHD can be "caused" at all, harsh chemicals might be one of the things that could cause ADD, although there is no actual link established by any legitimate research.

All in all, not a terrible article, if not very informative. Of course, as a bite-sized digest in the form of a slide show, you could do a lot worse.


29
Mar 10

Alternative Medicine Treatments for ADHD and More

alternative-medicine-supplements-effectiveness-research-graphic The most common questions I get, and one of the most common searches that get people to ADDessories, are about alternative ADHD treatments instead of conventional prescription ADHD medications. It seems that many people with Attention Deficit Hyperactivity Disorder, or there loved ones, are just too concerned about the possible affects of potentially harmful stimulants on their brains, or the affects on the brains of their children. While the scientific evidence accumulated so far would indicate that there is little to no long-term residual affects on the mind from using ADHD drugs such as Adderall and Ritalin, it is our brain we are talking about, and unfortunately, that is one of the organs that we know the least about.

The difficulty is that there is no other clinically proven treatment available for treating ADHD symptoms in children or adults. Depending upon who you talk to, this is due to:

  1. a powerful global conspiracy perpetrated over decades by ruthless drug companies and their government cronies
  2. lack of ADHD research being done on alternative ADD therapies because there is no money to be made in those treatments
  3. there just is not anything else out there that works (yet).

Regardless of what you believe, the fact is that many charlatans are all too happy to help find alternative ADD medicines and ADHD treatment programs for adults, teens, children, or anyone in between. While the FDA strictly controls medicines and drugs which claim to treat or cure illness, there is a much weaker grip on anything marketed as a “supplement” which does not claim to cure ADHD or treat ADD symptoms. This is why alternative drugs and medicines display generalized claims of better health without mentioning anything it might work for, like Attention Deficit Disorder. For example, many bottles of St. John’s Wort display the vague claim, “May help improve mood,” followed by a disclaimer somewhere on the bottle that such statements have not been evaluated by the Food and Drug Administration, and that the medicine is not intended to treat any particular illness or disease.

What Alternative Medications Really Work?

It all adds up to concerned parents and adults with ADHD and other medical conditions groping in the dark about what DOES work, what MIGHT work, what COULD work, and what WON’T work.

A recent graphic seeks to change all of that in a startling effective and powerful visual format, just perfect for people with ADHD who aren’t going to find the time and energy to sit down and sift through pages and pages of boring text when there are more interesting things to be doing.

Keep in mind that this particular graphic is a universal depiction of alternative medicines and their current state of promise or rejection within the scientific and medical communities. As such, it is NOT specific to attention deficit hyperactivity disorder. Instead, it shows many of the most popular alternative supplements and the conditions that they are purported to treat.

Reading the chart is simple even though the directions on the website it comes from may not be very clear. The compounds are listed from top to bottom in order of how valid the treatment claims are scientifically speaking. In other words, the herbal supplements or other treatments listed near the top are the best medically proven ways to treat the condition listed. The so-called treatments near the bottom represent the disproven snake-oil of old wives tales, or the propaganda push by profit loving salesmen.

The size of the circle represents how popular, or common, the listed treatment is based upon how many searches are reported for that item on Google. Obviously, this is very imprecise, but can be assumed to be at least a ballpark of the chemical’s interest relative to the others listed. For example, Green Tea, Folic Acid, and Fish Oil would be very commonly looked at alternative medicines, while evening primrose and nettle would be comparatively less commonly investigated by the masses.

It makes for very interesting reading, although as I mentioned, it is for health in general and not for ADD. (In fact, I did not see Attention Deficit Hyperactivity Disorder mentioned. Vitamin B6 and Omega-3 both in the middle area are listed for hyperactivity and ADHD / “behavior” – I actually plan to cover recent ADHD Omega-3 research in an upcoming post. It’s the first time I think I’ve heard of Vitamin B6, maybe because if the more generic “hyperactive” claim.)

Keep in mind that just because something has been clinically proven to be effective on one thing, does NOT mean that is is proven to be effective on something else. In fact, there is no more or less likelihood that the alternative medicine shown would or would not be effective for another condition no matter how seemingly related. One of the banes of ADHD alternative medicine treatments is the general assumption that just because something has been shown to be beneficial to the brain in some way, that it must therefore also be helpful for treating ADHD symptoms. Nothing could be further from the truth.

Consider that it is medically established fact that of the two most common FDA approved prescription medications that one may or may not work for any individual with ADD. In other words, the most proven ADD medicines in the world may not work on all cases of ADHD because of unknown differences in the biology of individual brains. If that is the case, how big of a false leap does one have to take to assume that just because a possible treatment for depression or memory loss is therefore a useful treatment for attention deficit disorder?

While many alternative therapies do work for some ADHD symptoms in some people, don’t believe the hype without performing your own investigation, and if something doesn’t work for you, stop using it and move on. It may be that you have hit yet another medical scam, or it may just be that a particular treatment just doesn’t work for you. Either way, don’t waste your money or your time on medicine that is not effective for you personally.

Enjoy the graphic.

P.S. I’m thinking of putting together a similar graphic specifically for Attention Deficit Hyper Activity Disorder. Of course, my plans for this site and my freelance writing business are as long as the Magna Carta at this point, so we’ll see when I get around to it.

Have a happy and productive day.


8
Jan 10

ADHD Women Affected Differently? ADD Media Story Suggests Women's Symptoms Different Than Men's

adhd-different-women-symptoms-msn-article-graphic Haven’t really had a chance to dive into it yet, but a front page story on MSN today displays the title "ADHD Affects Women Differently: What to Look For and How to Fix It" We’ll talk about everything that is wrong with that title later. (Often, in journalism, an editor writes the titles based on a cursory review of the article instead of the author.)

Do women have different ADHD symptoms than men do? It isn’t an unrealistic question. However, based on my quick scan of the first page, the author of this article may be barking up the wrong tree. It seems that the contention here will be that since women aren’t as likely as men to have hyperactivity as a trait of their ADD, their symptoms are therefore different than the ADHD symptoms that men have.

There are actually several types of ADD-ADHD. The three primary classifications are:

  1. ADHD with Hyperactivity (This is considered the "standard" ADD by the uninformed.)
  2. Passive Type ADHD (ADD without Hyperactivity, among other things.)
  3. Hybrid ADHD (A combination of the two types of ADD above.)

I don’t want to judge something until I’ve had time to fully read it and digest exactly what the text says, but on first glance, it appears that this article heads down the path to declaring that Women’s ADHD is different, when in fact, the type of ADD symptoms described as being most common in women are really nothing more than the clearly defined Passive ADD.

The other element of the article looks to be about how Passive ADHD (or "women’s ADHD) may be missed more often because of the missing hyperactivity symptom. This, unfortunately, is 100% accurate. I have the passive type (I’m also happen to be male) of ADD and mine went undiagnosed for years. Not only was it never picked up on during the childhood or school years, but it took over a year after seeking help as an adult during which time I was given medications for both depression and anxiety (neither of which did much of anything for me.) So, at least that information may be helpful for the public at large.

If you are interested in reading the MSN ADHD Affecting Women Different article, it is linked up there at the top of the article.