5 ms·

Don't take it personal. Both things can be true, you can have adhd and adhd can be overdiagnosed, doesn't mean that none of those diagnostics are valid. I'm su

by tuxie_ 4y ago

Don't take it personal. Both things can be true, you can have adhd and adhd can be overdiagnosed, doesn't mean that none of those diagnostics are valid. I'm sure you must be tired of people telling you about how overdiagnosed adhd is, I'm sorry about that, but don't take it personal, it's just a person on the internet.

junofan 4y ago
GP also claimed the treatment is extremely suspect yet provided nothing to back up the claim. Does GP think the treatment does not work? AFAIK it is among the most treatable psychiatric illnesses.
- chx 4y ago
  doi:10.1001/jamanetworkopen.2021.5335 > Findings > In this systematic scoping review of 334 published studies in children and adolescents, convincing evidence was found that ADHD is overdiagnosed in children and adolescents. For individuals with milder symptoms in particular, the harms associated with an ADHD diagnosis may often outweigh the benefits. What I mean is that we feed children Ritalin without a second thought. It's absolute nuts. There are many many ways to work with ADHD which doesn't require giving a children meds. We should be way more cautious about doing that.
  - tptacek 4y ago
    This study comes nowhere close to supporting the claim you made upthread, that "The diagnosis and treatment of ADHD in adults but most especially in children is extremely suspect". The claims it makes are much narrower than your claim (in particular, it focuses on mild ADHD cases, and the "harms" it discusses from medication are subjective, like the diagnosis providing "an excuse for problems".
eyelidlessness 4y ago
> Don't take it personal Oh I take it personally. I’m alive today because I sought diagnosis and treatment. I very nearly wasn’t alive from the consequences of being undiagnosed and untreated. I very probably would be dead today if I had taken this “just person on the internet” more seriously than I already had. I’m more than tired of people offering their ignorant opinions about stuff they don’t understand.
- willcipriano 4y ago
  On the other hand, the state threw a ADD diagnosis on me because I was bored in school, pumped me full of a methamphetamine analog and put me into classes with profoundly disabled people ruining my social life from a early age. I'd stare at the wall in my bedroom for hours due to the drugs, eventually my parents stopped giving them to me when I was at home, but that lead my dad to try them, and eventually get addicted to meth proper himself. I dropped out at 15 and taught myself computer science, so it was all provably horseshit but it sure made my life harder as a child.
  - eyelidlessness 4y ago
    In all seriousness, I’m sorry you went through this. I also grew up with a parent and family with addiction. I’m in no place to assess anything about your life, but what you describe is consistent with the diagnosis. And unfortunately your dad taking your meds and becoming an addict is consistent too. ADHD is frequently hereditary, and substance abuse and addiction are common for people with undiagnosed ADHD. Your own story of dropping out and teaching yourself isn’t just familiar to me, it’s similar to both my brothers’ stories as well. I’m sorry you experienced this the way you did. I wish you had better medical care, and better parental guidance. I hope the life that you’ve made for yourself is joyful and prosperous, and I hope if it’s ever not you’ll find your way to that however it makes sense.
    - deleted 4y ago
      [deleted]
  - wpietri 4y ago
    As somebody who was diagnosed with ADHD in my youth and who has tried various medications, I've reached the point of suspecting that the disease model is just a poor fit here. Does my brain work differently than other people? Yes. Would this have been a problem for me in any pre-industrial society? (Which, to be clear, is most of human history?) I don't think so. Is it a problem for me when I have a fair bit of control over the work I do? Not really! I only experience it as a problem when I am expected to function in contexts with industrial-age labor models, where there's a hierarchy that expects me to labor like a robot in line with how my betters have decided how the work should be done. So I can entirely believe that authority figures over-use ADHD as a diagnosis so that their lives are easy. Reading through the DSM, it seems to me there are quite a number of diagnoses that could be used as Authority Inconvenience Syndrome. And I don't think I've ever seen one where people might need treatment for being too obedient.

by tuxie_ 4y ago

junofan 4y ago

GP also claimed the treatment is extremely suspect yet provided nothing to back up the claim. Does GP think the treatment does not work? AFAIK it is among the most treatable psychiatric illnesses.

chx 4y ago
doi:10.1001/jamanetworkopen.2021.5335 > Findings > In this systematic scoping review of 334 published studies in children and adolescents, convincing evidence was found that ADHD is overdiagnosed in children and adolescents. For individuals with milder symptoms in particular, the harms associated with an ADHD diagnosis may often outweigh the benefits. What I mean is that we feed children Ritalin without a second thought. It's absolute nuts. There are many many ways to work with ADHD which doesn't require giving a children meds. We should be way more cautious about doing that.
- tptacek 4y ago
  This study comes nowhere close to supporting the claim you made upthread, that "The diagnosis and treatment of ADHD in adults but most especially in children is extremely suspect". The claims it makes are much narrower than your claim (in particular, it focuses on mild ADHD cases, and the "harms" it discusses from medication are subjective, like the diagnosis providing "an excuse for problems".

eyelidlessness 4y ago

> Don't take it personal Oh I take it personally. I’m alive today because I sought diagnosis and treatment. I very nearly wasn’t alive from the consequences of being undiagnosed and untreated. I very probably would be dead today if I had taken this “just person on the internet” more seriously than I already had. I’m more than tired of people offering their ignorant opinions about stuff they don’t understand.

willcipriano 4y ago
On the other hand, the state threw a ADD diagnosis on me because I was bored in school, pumped me full of a methamphetamine analog and put me into classes with profoundly disabled people ruining my social life from a early age. I'd stare at the wall in my bedroom for hours due to the drugs, eventually my parents stopped giving them to me when I was at home, but that lead my dad to try them, and eventually get addicted to meth proper himself. I dropped out at 15 and taught myself computer science, so it was all provably horseshit but it sure made my life harder as a child.
- eyelidlessness 4y ago
  In all seriousness, I’m sorry you went through this. I also grew up with a parent and family with addiction. I’m in no place to assess anything about your life, but what you describe is consistent with the diagnosis. And unfortunately your dad taking your meds and becoming an addict is consistent too. ADHD is frequently hereditary, and substance abuse and addiction are common for people with undiagnosed ADHD. Your own story of dropping out and teaching yourself isn’t just familiar to me, it’s similar to both my brothers’ stories as well. I’m sorry you experienced this the way you did. I wish you had better medical care, and better parental guidance. I hope the life that you’ve made for yourself is joyful and prosperous, and I hope if it’s ever not you’ll find your way to that however it makes sense.
  - deleted 4y ago
    [deleted]
- wpietri 4y ago
  As somebody who was diagnosed with ADHD in my youth and who has tried various medications, I've reached the point of suspecting that the disease model is just a poor fit here. Does my brain work differently than other people? Yes. Would this have been a problem for me in any pre-industrial society? (Which, to be clear, is most of human history?) I don't think so. Is it a problem for me when I have a fair bit of control over the work I do? Not really! I only experience it as a problem when I am expected to function in contexts with industrial-age labor models, where there's a hierarchy that expects me to labor like a robot in line with how my betters have decided how the work should be done. So I can entirely believe that authority figures over-use ADHD as a diagnosis so that their lives are easy. Reading through the DSM, it seems to me there are quite a number of diagnoses that could be used as Authority Inconvenience Syndrome. And I don't think I've ever seen one where people might need treatment for being too obedient.