4 ms·

Are you also skeptical of obesity in teens because eating a lot is just the general nature of teens, especially boys? Are you appalled that diabetics take insul

Are you also skeptical of obesity in teens because eating a lot is just the general nature of teens, especially boys? Are you appalled that diabetics take insulin every day because you once injected yourself with insulin you didn't need and experienced severe side effects?

lolinder 3y ago
These comparisons feel like bad faith. This is what they actually said: > I've always been a cautious skeptic of ADHD in children. On the one hand I know ADHD is a thing and that it legitimately affects some children ... They explicitly say that they know it affects some children, but they're concerned that it's overdiagnosed because the symptoms have overlap with normal child development. This isn't some kind of uninformed conspiracy theory, it's a legitimate concern shared by experts in the field [0]. My fear isn't that experts get confused and mix up real ADHD with normal childhood, my fear is that parents expect too much of their kids and convince their family doctor (who isn't an expert) to diagnose the child and prescribe Adderall. That fear is totally compatible with ADHD also being a real thing that actually needs treatment in other children. [0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8042533/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8042533/
- remotefonts 3y ago
  Wait... Which barbaric country is that where a simple family doctor can prescribe amphetamines like that? Not in my EU country. It's a controlled medication and can only be prescribed by psychiatrists.
  - nick__m 3y ago
    Canada is one of them, my family doctor put me on Vyvanse, after seing me for the second time for an unrelated problem, because he noted that I was alternating between hyperfocus and zoning out when he talked to me. It positively changed my life and I am quite happy that a "simple family doctor" can prescribe amphetamines if he thinks that it's appropriate.
    - remotefonts 3y ago
      Well, he could instead send you to a specialized doctor, me thinks... But what do I know, anyway.
  - justinc8687 3y ago
    In the us, any MD can prescribe almost anything.
- thfuran 3y ago
  >These comparisons feel like bad faith. This is what they actually said: Taking prescription medication without a prescription or the condition it's meant to treat and then using its effects on you to decry its use by those with both seems like bad faith.
- adastra22 3y ago
  He took prescription medication that was not prescribed to him and is now judging the people it is meant for based on his own interaction with the drug. A drug that quite famously has entirely different effects on the target population. That is either extremely ignorant or bad faith. Either way it's below HN's standards.
improv 3y ago
Diabetes is a biological disease which can be objectively proven and diagnosed based on biological tests. There are no objective biological diagnostic criteria for anything in the DSM. "psychiatric diagnosis still relies exclusively on fallible subjective judgments rather than objective biological tests" -Allen Frances, The New Crisis of Confidence in Psychiatric Diagnosis https://en.m.wikipedia.org/wiki/Allen_Frances https://en.m.wikipedia.org/wiki/Allen_Frances
- habinero 3y ago
  That's only because we have no way to measure it, not because it's not also a physical problem.
  - thfuran 3y ago
    Also, it's really not the case that non-mental diseases have categorically clearer diagnostic criteria.
  - improv 3y ago
    >That's only because we have no way to measure it, not because it's not also a physical problem People say the same thing about God. Measurability is a fundamental requirement of science for something to be tested or studied systematically.
- viraptor 3y ago
  While it's not commonly used, there are biological markers researched these days. Vitamin levels (https://sci-hub.se/10.1192/bjpo.bp.116.003491 https://sci-hub.se/10.1192/bjpo.bp.116.003491) and TRY/KYN/IND ratios (https://sci-hub.se/10.1016/j.mehy.2013.11.018 https://sci-hub.se/10.1016/j.mehy.2013.11.018) - YMMV, but following that thread, supplementing those works great for me.

lolinder 3y ago

These comparisons feel like bad faith. This is what they actually said: > I've always been a cautious skeptic of ADHD in children. On the one hand I know ADHD is a thing and that it legitimately affects some children ... They explicitly say that they know it affects some children, but they're concerned that it's overdiagnosed because the symptoms have overlap with normal child development. This isn't some kind of uninformed conspiracy theory, it's a legitimate concern shared by experts in the field [0]. My fear isn't that experts get confused and mix up real ADHD with normal childhood, my fear is that parents expect too much of their kids and convince their family doctor (who isn't an expert) to diagnose the child and prescribe Adderall. That fear is totally compatible with ADHD also being a real thing that actually needs treatment in other children. [0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8042533/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8042533/

remotefonts 3y ago
Wait... Which barbaric country is that where a simple family doctor can prescribe amphetamines like that? Not in my EU country. It's a controlled medication and can only be prescribed by psychiatrists.
- nick__m 3y ago
  Canada is one of them, my family doctor put me on Vyvanse, after seing me for the second time for an unrelated problem, because he noted that I was alternating between hyperfocus and zoning out when he talked to me. It positively changed my life and I am quite happy that a "simple family doctor" can prescribe amphetamines if he thinks that it's appropriate.
  - remotefonts 3y ago
    Well, he could instead send you to a specialized doctor, me thinks... But what do I know, anyway.
- justinc8687 3y ago
  In the us, any MD can prescribe almost anything.
thfuran 3y ago
>These comparisons feel like bad faith. This is what they actually said: Taking prescription medication without a prescription or the condition it's meant to treat and then using its effects on you to decry its use by those with both seems like bad faith.
adastra22 3y ago
He took prescription medication that was not prescribed to him and is now judging the people it is meant for based on his own interaction with the drug. A drug that quite famously has entirely different effects on the target population. That is either extremely ignorant or bad faith. Either way it's below HN's standards.

improv 3y ago

Diabetes is a biological disease which can be objectively proven and diagnosed based on biological tests. There are no objective biological diagnostic criteria for anything in the DSM. "psychiatric diagnosis still relies exclusively on fallible subjective judgments rather than objective biological tests" -Allen Frances, The New Crisis of Confidence in Psychiatric Diagnosis https://en.m.wikipedia.org/wiki/Allen_Frances https://en.m.wikipedia.org/wiki/Allen_Frances

habinero 3y ago
That's only because we have no way to measure it, not because it's not also a physical problem.
- thfuran 3y ago
  Also, it's really not the case that non-mental diseases have categorically clearer diagnostic criteria.
- improv 3y ago
  >That's only because we have no way to measure it, not because it's not also a physical problem People say the same thing about God. Measurability is a fundamental requirement of science for something to be tested or studied systematically.
viraptor 3y ago
While it's not commonly used, there are biological markers researched these days. Vitamin levels (https://sci-hub.se/10.1192/bjpo.bp.116.003491 https://sci-hub.se/10.1192/bjpo.bp.116.003491) and TRY/KYN/IND ratios (https://sci-hub.se/10.1016/j.mehy.2013.11.018 https://sci-hub.se/10.1016/j.mehy.2013.11.018) - YMMV, but following that thread, supplementing those works great for me.