Showing posts with label ADHD. Show all posts
Showing posts with label ADHD. Show all posts

Thursday, October 8, 2009

Kids and ADHD

Editor's Note: The following essay explodes the myths about ADHD kids and critically analyzes the way such children are erroneously looked upon and treated. It debunks the dangerous way these innocent children are being administered harmful medicines without thinking twice about the serious consequences and side-effects. The article underlines the urgent need for a complete overhaul in the attitude of parents towards ADHD kids so that they can have an opportunity to lead a healthy, happy and normal life.
It is high time that our attitude towards ADHD kids undergoes a complete overhaul. We must wake up to the fact that ADHD (Attention Deficit Hyperactivity Disorder) is not a disease, it merely refers to a particular mood or temperament that can be checked through counseling and proper care.

Some years ago, such a term was completely non-existent; an overactive kid was either called naughty or hyperactive. The very idea of medication in such a case was unthinkable, forget about psychotropic drugs. It was considered perfectly normal for certain children to be more active than others; just as it is normal for some kids to be introvert and for some others to be extrovert.

In the clear absence of a solid medical proof suggesting that there is something wrong with such kids, ADHD really sounds something more of a commercial term than anything else. It is a terminology that tends to raise a false alarm about the medical condition of hyperactive kids. It certainly and most unjustly puts hyperactive kids in a bad light. The way such innocent kids are being mindlessly administered psychotropic drugs in the name of ADHD; one seriously doubts that there exists a sinister and unholy nexus between unscrupulous doctors and powerful pharmaceutical companies with deep pockets.

The most commonly prescribed drugs for children are the psychostimulants, especially Ritalin (methylphenidate). Ritalin is commonly given to children diagnosed as ADD or hyperactive while attending public schools. And Ritalin usage is escalating. The FDA was forced to double its proposed ceiling on the production of Ritalin, according to William Schmidt's "Sales of Drug Are Soaring for Treatment of Hyperactivity" (New York Times, May 5, 1957).

Moreover, the clear distinction between a mental ailment and a psychological problem should never be lost sight of. While a mental disease may require mandatory medication, a psychological ailment can be cured through proper care, concern and counseling. The occasional behavioral disorder on part of an ADHD child can also be attributed to lack of parental attention, uncongenial atmosphere at home or parents’ strained relationship.

According to Anderson et al, “Clinical experience and research suggest that there is an increasing tendency for child and family mental health professionals to fragment and compartmentalise the problems of the children ….. This tendency towards fragmentation leads professionals and services to address the child's problem in an instrumental manner, outside of the child or adolescent's developmental, interpersonal, family and social experience. In this context ADHD might become a disposal diagnosis.”

Most parents usually don’t object to such a hasty and fragmented diagnosis because this saves them from “any broader enquiry into family life and interpersonal relationships” and from owning up some blame in the matter. The fact that ADHD children require much greater attention, understanding and love brings into focus the role of present day parents. Modern parents tend to be much more casual towards their kids than the traditional parents in the past. They are much less inclined to spend quality time with their children, a must for the holistic development of kids. In such a scenario, where personal reasons/comfort of parents unfortunately take precedence over the caring of the kids with ADHD, the parents many a times unwisely resort to a medication that involves tranquilizers, neuroleptics and antidepressants, as an easy way out.

Parents must understand the colossal harmful side-effects of such kind of imprudent medication. These medicines are not only habit forming but can also lead to several serious health complications including short memory, insomnia and decreased appetite. It is incumbent upon the parents and doctors to do some serious introspection and soul searching so that ADHD kids can be helped in reality.


Works Cited
Anderson, Vicki et al. "Rethinking ADHD: Integrated Approaches to Helping Children at Home
and at School." Crows: Allen & Unwin, 2002.


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Tuesday, October 6, 2009

Baseball Players with ADHD

Attention Deficit Hyperactivity Disorder, often called ADD or ADHD, is a medical term that refers to people with problems related with inattention, impulsivity, hyperactivity and boredom. It is a neurological based medical condition and doesn’t point to willful defiance. The percentage of the general population with ADHD is estimated at 6%, with boys being three times more prone to this ailment than girls. Keeping this percentage in mind, in America alone there are at least 17 million people living with ADHD, majority of them happen to be male.


Thinking of boys, one is reminded of baseball, a game heavily dominated by men. Presently, a hot debate is on whether players with ADHD should be allowed to play baseball or not. The factors in favor far outweigh the reasons that are advanced by people to stop players with ADHD from playing baseball. Just as, it would be highly cruel to force a wheel chair ridden boy suffering from muscular dystrophy to go and play baseball, it would be equally cruel to forbid a boy from playing baseball, simply because he is born with ADHD. He is not handicapped and is biologically fit. You can’t treat a hale and hearty man as an invalid.

Sports, especially baseball has emerged as an answer to provide much needed succor to people with ADHD. For quite sometime, it was thought that ADHD can only be controlled or checked with the help of pharmacological treatment that uses central nervous system (CNS) stimulants like methylphenidate, commonly know as Ritalin. Seeing the enormous side-effects of such drugs that can cause suppression of growth, insomnia, tachycardia, appetite loss, depression, abdominal pain, and dependence on drug, the attention got shifted towards non- pharmacological methods of controlling ADHD. Baseball has proved to be very effective in having a therapeutic effect on people with ADHD. Can the ADHD be ever told that they have no right to improve their lot through a sport that provides them with a chance to overcome their disabilities?


William E. Pelham, Jr. and Debra A. Murphy and Joseph Clinton of Western Psychiatric Institute and Clinic along with their distinguished team conducted a study entitled, “Methylphenidate and Baseball Playing in ADHD Children: Who's On First?” and arrived at this conclusion, “Because medication did not improve children's baseball skills… we have modified the treatment in our summer program to include a relatively greater emphasis on teaching sports skills and sports knowledge to our ADHD children.” The participation of these boys in baseball brought about a remarkable improvement in their behavioral disorder.

They showed increased self-confidence and greater peer acceptance. They seemed happier, contented, and less problematic and displayed much less attention-seeking behavior. William E. Pelham, Jr. et al further suggest, “Good, systematic, and intensive coaching and a great deal of practice may yield improvement in ADHD children's sports performance comparable with or complementary to improvement induced by medication.”


One must not forget that the people with ADHD are neither abnormal nor recessive. There is no reason to keep them away from competitive games like baseball. They feel depressed only in a particular environment. They show signs of inattentiveness in a specific situation only, say while reading course book or doing studies. Research has proven that the ADHD boys can show tremendous concentration and interest in activities close to their heart. So, they should be looked upon as persons with special attributes rather than people with deficiencies. A healthy change of mindset would put things in the right perspective.

Over the years the American society has become conformist and increasingly perfectionist. These concepts tend to censure the defining behavior of an ADHD who displays distractibility, impulsivity and hyperactivity. These terms certainly have negative connotations and overtones. These attributes are mentioned by detractors as a chief reason to keep players with ADHD away from baseball.


Mark Zeigler, the staff writer of Union-Tribune launches a scathing attack on the presence of players with ADHD in Major League Baseball in his article, “Baseball’s Bane”. He writes, “baseball has a “rigorous” procedure for players to apply for a medical waiver for ADHD, but several sources have indicated it isn't as strict as in the anti-doping agency's code and that there's room for abuse – and that, indeed, the number of requested ADHD exemptions in baseball has risen.” This is a clear attempt at putting the onus for drug abuse on the presence of players with ADHD in the team. The fact is the ouster of the ADHD from baseball is not going to bring down the drug abuse in the Major League in any way.

The supporters of players with ADHD strongly feel that distractibility, impulsivity and hyperactivity are completely wrong labels. They must not be allowed to mar the genuine prospects of the ADHD in baseball. When seen in the correct perspective, they can prove to be of tremendous advantage in the game of baseball. They point out that Michael Jordon’s unusual height was a liability till it proved to be a priceless advantage in the basketball court.


Similarly, distractibility is in reality keen awareness of the surroundings, impulsiveness is spontaneity and hyperactivity is that extra burst of energy which is so very well suited to the game of baseball. These attributes are god gifted in the people with ADHD and do not require to be bolstered by some harmful drugs. Thus, the baseball team that will have greater number of players with ADHD will surely have an edge over the team that has less or none. No wonder, the finest baseball players of all times like Babe Ruth, Jason Kidd, Pete Rose and Nolan Ryan have all been ADHD.


References

Pelham, William E. Jr., & Debra A. Murphy, & Joseph Clinton (1990). Methylphenidate and
Baseball Playing in ADHD Children: Who's On First? Journal of Consulting and Clinical Psychology, Vol. 58, No. 1,130-133

Zeigler, Mark. (2007, April) Baseball’s Bane. SignonSandiego.com. Retrieved on April 23,2007,
from http://www.signonsandiego.com/sports/baseball/20070415-9999-lz1n15bane.html

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