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Book by respected Paediatric Neurologist:: "ADHD Does Not Exist"

January 8 2014 at 11:30 AM
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http://www.harpercollins.com/books/Adhd-Does-Not-Exist-Richard-Saul/?isbn=9780062266736

ADHD Does Not Exist

By Richard Saul


 On Sale: 2/18/2014

In this groundbreaking and controversial book, behavioral neurologist Dr. Richard Saul draws on five decades of experience treating thousands of patients labeled with Attention Deficit and Hyperactivity Disorderone of the fastest growing and widely diagnosed conditions todayto argue that ADHD is actually a cluster of symptoms stemming from over 20 other conditions and disorders.

According to recent data from the Centers for Disease Control and Prevention, an estimated 6.4 million children between the ages of four and seventeen have been diagnosed with attention deficit hyperactivity disorder. While many skeptics believe that ADHD is a fabrication of drug companies and the medical establishment, the symptoms of attention-deficit and hyperactivity are all too real for millions of individuals who often cannot function without treatment. If ADHD does not exist, then what is causing these debilitating symptoms?

Over the course of half a century, physician Richard Saul has worked with thousands of patients demonstrating symptoms of ADHD. Based on his experience, he offers a shocking conclusion: ADHD is not a condition on its own, but rather a symptom complex caused by over twenty separate conditionsfrom poor eyesight and giftedness to bipolar disorder and depressioneach requiring its own specific treatment. Drawing on in-depth scientific research and real-life stories from his numerous patients, ADHD Does not Exist synthesizes Dr. Saul's findings, and offers and clear advice for everyone seeking answers.

Book Description

A radical new response to a widely misunderstood condition

We are witnessing a global epidemic of attention deficit and hyperactivity disorder. Millions are suffering from attention issues, while millions more are reliant on stimulant medication to perform at school and at work. Despite decades of advancements in neuroscience, the definition of ADHD has remained essentially unchanged since its introduction in 1980, and its prevalence in the population has skyrocketed.

In this controversial and landmark work, Dr. Richard Saul draws from five decades as a practicing physician and researcher in the field to contend that the definition of ADHD as we know it is completely wrong. Instead, he argues that the "disorder" is a cluster of symptoms stemming from more than twenty other conditions, each requiring separate treatment. The detailed list ranges from mild problems like poor eyesight, sleep deprivation, and even boredom in the classroom, to more severe conditions like depression and bipolar disorder.

Through the lens of history and into the present day, Dr. Saul examines "ADHD," exploring the rising cultural and medical trends that have birthed the stimulant epidemic. Both comprehensive and illuminative, ADHD Does Not Exist is essential reading for doctors, practitioners, educators, and individuals who are seeking an honest approach to understanding and treating this complex condition.


Author Extras

ISBN: 9780062266736; ISBN10: 006226673X; Imprint: HarperWave ; On Sale: 2/18/2014; Format: Hardcover; Trimsize: 5 1/2 x 8 1/4; Pages: 336; $25.99; Ages: 18 and Up; BISAC1:PSY022010; BISAC2:MED018000; BISAC3:MED102000

 
 
 
 
 
 
 

 
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McDonald's food

ADHD unhealthy diet? McDonald warns employees to avoid health risks of

January 8 2014, 11:40 AM 

http://rt.com/usa/mcdonalds-employees-fast-food-764/

McDonald's to employees: Avoid burgers and fries - it's risky for your health

Expressing concern over employees health has backfired on the worlds leading fast food producer, McDonalds. Its own employee resources website recommended workers to avoid burgers and fries whenever possible due to health risks.

The McResource site, notorious for giving advice on how to make ends meet working for $7.25 an hour at McDonalds, has cooked up another gem: the folks preparing and serving McDonalds food should actually avoid eating it themselves because it is unhealthy.

To illustrate the difference between unhealthy choice and the healthier choice, the website of the food chain that employs some 700,000 people worldwide, for some reason countered graphics depicting a typical McDonalds meal with graphics very much resembling a meal at the companys major competitor, Subway: a sandwich with salad and a glass of water.

Screenshot of fast-food tips from the McResource Line website, McDonalds internal website for employees.

Screenshot of fast-food tips from the McResource Line website, McDonalds internal website for employees.


Fast foods are quick, reasonably priced, and readily available alternatives to home cooking. While convenient and economical for a busy lifestyle, fast foods are typically high in calories, fat, saturated fat, sugar, and salt and may put people at risk of becoming overweight, the site said.

Screenshot of fast-food tips from the McResource Line website, McDonalds internal website for employees.

Screenshot of fast-food tips from the McResource Line website, McDonalds internal website for employees.

Instead of eating a cheeseburger and fries, McResource advises to Eat at places that offer a variety of salads, soups and vegetables to maintain your best health.

Although not impossible it is more of a challenge to eat healthy when going to a fast food place. In general, avoiding items that are deep fried are your best bet, McDonalds revealed.

Screenshot of fast-food tips from the McResource Line website, McDonalds internal website for employees.

Screenshot of fast-food tips from the McResource Line website, McDonalds internal website for employees.

The corporate website also warns that people with high blood pressure, diabetes, and heart disease must be very careful about choosing fast food because of its high fat, salt, and sugar levels and calls to limit the extras such as cheese, bacon and mayonnaise.

After the new set of stunning revelations from McDonalds drew the attention of media worldwide, McDonalds issued a statement saying that, Portions of this website continue to be taken entirely out of context. This website provides useful information from respected third-parties about many topics, among them health and wellness. It also includes information from experts about healthy eating and making balanced choices. McDonalds agrees with this advice.

Even though a spokesperson for McDonalds, Lisa McComb, told CNBC that the data from the corporate website web site does not advise against fast food, the McResource site has already made way too many controversial remarks lately.

Just a couple of weeks ago fast-food workers in over 100 American cities walked off the job, demanding a $15 federal minimum wage, a two-fold rise from the current level. At the very same time McDonalds corporate website generously shared with its employees some nuances on how to tip dog walkers, house keepers, massage therapists, personal fitness instructors, pool cleaners, au pairs and other services they are definitely unlikely to make use of ever.

In October McDonalds workers unable to pay their bills or stay above the poverty line were advised to find help from food pantries or enlist in government benefit programs, instead of seeking higher wages http://rt.com/usa/mcdonalds-help-broke-food-stamps-649/).

As of now the McResource Line site is closed for maintenance.

We are temporarily performing some maintenance in order to provide you with the best experience possible, the announcement says.


 
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"Drug Traffic Accidents: ADHD"

January 8 2014, 8:59 PM 

http://davidhealy.org/drug-traffic-accidents-adhd

Drug Traffic Accidents: ADHD

Editorial Note: In an End of Year post on RxISK, the concept of a Drug Traffic Accident was introduced. This can refer to being run over by a drug, sometimes called side effects, or adverse events, or adverse drug reactions or it can refer to the trafficking of drugs. This post covers both types. The first part is written by David Antonuccio and the second by the Editorial Board of the New York Times.

David Antonuccio:
Schopenhauer and ADHD

You are a decorated researcher, with multiple peer reviewed nationally funded research grants on the prevalence and treatment of ADHD. These have shown that the rate of diagnosis of ADHD seems to be rising inexorably. You have developed a model behavioral program that is relatively inexpensive and can be implemented in any classroom in America. 

Industry funded critics come out of the woodwork to call you a fringe scientist, an attempt to marginalize that appears to be standard operating procedure when new developments threaten industry profits and firmly entrenched beliefs. You are accused of inflating the prevalence of ADHD in order to further your anti-medication agenda, despite the fact that you are open to medication treatment for patients with severe problems who have been properly evaluated. 

You decide that you must stand up for the data, no matter whose ox is gored. You warn that there are at least some communities in the United States where the rate of ADHD and related drug treatment exceed all reasonable estimates of the disorder. You gladly participate in public debate with your critics because you see it as a way to advance the science and participate in important academic discourse. 

Then, out of nowhere, an anonymous typewritten complaint, that you are not permitted to see, launches a series of investigations into your research. Academics from all over the world rally to your defense by signing a petition supporting you. You are absolved of any wrongdoing in three subsequent investigations, recommended for promotion and granted the honor of a sabbatical. But ultimately your research is suspended and the data buried forever apparently because the university where you work is worried about the political fallout from the controversy. To make matters worse, since your position is not protected by tenure, your contract is not renewed the next year.  So much for academic freedom! 

About a decade later the data you produced are replicated and your work is essentially vindicated. In fact, new national studies suggest that ADHD is being diagnosed and medicated at rates that are higher than what your research indicated.

This may sound too far fetched to be true but it is what happened to Dr. Gretchen Lefever, a leading epidemiologist and ADHD researcher from Virginia. The details of her story are compelling and can be found in the peer reviewed journal article entitled Shooting the Messenger, published in Contemporary Psychotherapy.

Her story is reflected in the famous Arthur Schopenhauer quote, All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident.

 

An Epidemic of Attention Deficit Disorder

By THE EDITORIAL BOARD, New York Times, Dec 18th 

The hard-sell campaign by drug companies to drive up diagnoses of attention deficit hyperactivity disorder, or A.D.H.D., and sales of drugs to treat it is disturbing. The campaign focused initially on children but is now turning toward adults, who provide a potentially larger market.

There is no doubt that a small percentage of children, perhaps 5 percent, have the disorder and that medication can alleviate the symptoms, such as inability to concentrate, that can impede success in school or in life. Some studies have shown that medications helped elementary schoolchildren who had been carefully evaluated for A.D.H.D. improve their concentration and their scores on reading and math tests.

Recent data from the Centers for Disease Control and Prevention showed that 15 percent of high-school-age children had been diagnosed with the disorder and that the number of children taking medication for it had soared to 3.5 million, up from 600,000 in 1990. Many of these children, it appears, had been diagnosed by unskilled doctors based on dubious symptoms.

A two-decade campaign by pharmaceutical companies promoting the pills to doctors, educators and parents was described by Alan Schwarz in The Times on Sunday. The tactics were brazen, often misleading and sometimes deceitful. Shire, an Irish company that makes Adderall and other A.D.H.D. medications, recently subsidized 50,000 copies of a comic book in which superheroes tell children that Medicines may make it easier to pay attention and control your behavior! Advertising on television and in popular magazines has sought to persuade mothers that Adderall cannot only unleash a childs innate intelligence but make the child more amenable to chores like taking out the garbage.

The potential dangers should not be ignored. The drugs can lead to addiction, and, in rare cases, psychosis, suicidal thoughts and hallucinations, as well as anxiety, difficulty sleeping and loss of appetite. On Tuesday, the Food and Drug Administration warned that some A.D.H.D. medications, including Ritalin, Concerta, and Strattera, may, in rare instances, cause prolonged and sometimes painful erections known as priapism in males of any age, including children, teens and adults.

So many medical professionals benefit from overprescribing that it is difficult to find a neutral source of information. Prominent doctors get paid by drug companies to deliver upbeat messages to their colleagues at forums where they typically exaggerate the effectiveness of the drugs and downplay their side effects. Organizations that advocate on behalf of patients often do so with money supplied by drug companies, including the makers of A.D.H.D. stimulants. Medical researchers paid by drug companies have published studies on the benefits of the drugs, and medical journals in a position to question their findings profit greatly from advertising of A.D.H.D. drugs.

The F.D.A. has cited every major A.D.H.D. drug, including the stimulants Adderall, Concerta, Focalin and Vyvanse, for false and misleading advertising since 2000, some of them multiple times. The companies, when challenged, typically stop those misleading claims, but the overall impact appears marginal. The number of prescriptions for A.D.H.D. drugs for adults ages 20 to 39 nearly tripled between 2007 and 2012, and sales of stimulant medications in 2012 were more than five times higher than a decade earlier.

Curbing the upsurge in diagnoses and unwarranted drug treatments will require more aggressive action by the F.D.A. and the Federal Trade Commission, which share duties in this area. It will also require that doctors and patients recognize that the pills have downsides and should not be prescribed or used routinely to alleviate every case of carelessness, poor grades in school or impulsive behavior.

 

Editorial Footnote:

  • The true rate of hyperactivity in children that could unequivocally benefit from ADHD medication is unlikely to be more than 1%.
  • Shire is not an Irish company any more than Forest Laboratories is.  Both have a base there for tax reasons.

 



 
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