4 ms·
> But we are in this weird state where people go to a doctor and its like "oh you sneezed? here take these 15 drugs" Many people say this, but where's the evid
by kortex 4y ago
> But we are in this weird state where people go to a doctor and its like "oh you sneezed? here take these 15 drugs"
Many people say this, but where's the evidence? Probably the best quality article to date in support of overdiagnosis and overtreatment is [1], and that paper is incredibly weak. It does not give any concrete numbers as to the rate of overdiagnosis, only really claims that there are populations of less severe ADHD that have inferior reward/risk outcomes of pharmacotreatment, while also admitting ADHD is underdiagnosed and undertreated in subpopulations, especially girls and minorities.
In other words, it's likely all just misdiagnosis, due to limited sensitivity and specificity.
My hypothesis is that ADHD detection, like any medical test, has limits to its accuracy, and considering even quantitative tests with 90% accuracy have quite large false positive populations, we are seeing a similar situation with the far more qualitative ADHD test system.
[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8042533/#!po=9.11765 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8042533/#!po=9....