Childrearing

The Debate Over Whether ADHD Is Real Really Misses The Point

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shutterstock_72450913Since the New York Times released the newest data from the federal Centers for Disease Control and Prevention (CDC) last week, there has been a lot of talk about the rise in the medical diagnosis of attention deficit hyperactivity disorder (ADHD). Two provocative and thought-provoking pieces yesterday represented each extreme in the debate over whether ADHD is a “real” problem, but both missed out on the most empowering point of view. It’s up to parents to be the strongest advocate for their child’s mental health.

John Whitehead‘s point of view in the Huffington Post’s The Psycho-Therapeutic School System: Pathologizing Childhood suggests that we have told millions of normal kids that there is something wrong with them mentally. He assesses that the medical community, driven by the money and power of “big pharmaceutical”, or in their desperate attempt to answer why little Tommy can’t sit nicely through eight hours of school (a perfectly normal thing), are too quick to diagnose ADHD for behavior – inattention, hyperactivity, and impulsivity - that falls well within the spectrum of normal childish action. He rails against the lack of a clinical test for ADHD, meaning

this so-called mental illness falls into the “I’ll know it if I see it” category, where doctors are left to make highly subjective determinations based on their own observation.

Judith Warner‘s piece in Time entitled ADHD Isn’t A Metaphor begs us to look deeper into why the number of children diagnosed continues to rise. She doesn’t argue that we are near alarming levels in the U.S., but suggests the rise can be attributed to inclusion of certain groups (girls, Latinos, and African-Americans) previously ignored in the assessment of ADHD. She downplays the need for a specific test, because that development supports the idea that ADHD somehow isn’t a real issue. She elaborates:

It’s a developmental disorder — and while it’s true that its precise definition is linked to all sorts of values and understandings unique to our time, it is not a symptom of social pathology. It is a medical condition, not a metaphor.
If we truly care about kids — all kids — we’d do well to keep our stories straight.

Both articles, however, neglect to discuss the important role of parents. If parents, the most consistent influence in a child’s life, are involved and active in their child’s ADHD diagnosis and treatment, the fact alone that the overall numbers are rising is a societal inquiry.  It’s one thing to wonder why the numbers are going up, but if what is being put forth (by Whitehead and the original NY Times piece) or insinuated (by Warner and the fact that she needs to defend that the disorder is real) is that misdiagnosis is on the rise, parents can address this head on.

When I talk about parental role in diagnosis of ADHD, I’m not talking about “blaming” them or calling it “bad parenting” when kids act up. In fact, the opposite. Parents know their children better than anyone else. It’s unfortunate on the rare occasion my 4-year-old has a massive meltdown in the diner when his grilled cheese comes with the crust still on it. Is that an appropriate response for an adult? Definitely not. For a preschooler who is learning how to read and write and overloaded with new experiences every moment? It’s probably in the range of normal. I calmly explain that I can fix the sandwich and he settles down in a few minutes, rather than rushing out in horror that we might have disturbed other diners. He’s not a bad kid unable to ever eat in a restaurant and he’s definitely not in need of medication – he’s four.

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