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Re:ADHD Pill Faces High Hurdle in Europe as Stigma Persists by anigbrowl on Sunday October 06, 2013 @12:38AM (#6503145)
thanks to uninformed attitudes like yours, I was unable to get any treatment for my ADHD for years while living in Europe. Instead I was told that I was stressed because I was depressed, and depressed because I was stressed, and made to feel like it was my fault for not being easily treatable.

Maybe we can stop growing a monoculture of humans where the slightest deviation from the norm must be treated with some kind of drug.

Yes, yes, and vaccines are a pharmaceutical industry plot, and all the rest. I am really tired of this amateur-hour analysis from people who can't even be bothered to muster up a citation for their hand-waving argument.

Re:ADHD Pill Faces High Hurdle in Europe as Stigma Persists by uniclaude on Sunday October 06, 2013 @01:26AM (#6503238)
What you should think about is that for one person like yours that stays untreated with your ADHD, in the US there might be a lot of kids forced to undergo treatments for what is no real ADHD. I grew up in Europe, and I seriously think that I would have spent my life under a very high amount of drugs if I had been raised in the US.

I'm very glad I didn't have to go through this, because in Europe it is much more difficult to be recognized as someone having ADHD.

So I'm sorry for you to have suffered, but I can't say I'm not happy I didn't.

All of this said, I no I have no data to back this up, it's just a gut feeling.

Re:ADHD Pill Faces High Hurdle in Europe as Stigma Persists by Bluestrike2 on Sunday October 06, 2013 @03:25AM (#6503434)
Of the two attitudes, only one ensures that those who do suffer from ADHD aren't able to receive treatment. Misdiagnosis, when it occurs, is able to be handled on a case-by-case basis; the "no such thing" stigmatization and other similar lines of reasoning, on the other hand, are a priori positions that reinforce biases that actively work against those who are seeking treatment and those who should but aren't, and as a result, directly contributes to underdiagnosis.

No one looks at increases in cancer rates and decries them as an rising tide of overdiagnoses. Only when talking about mental health can people get away with this sort of shoddy reasoning. A few points:

First, the argument itself is faulty. By their very nature, diagnosis rates aren't able to support conclusions in either direction on the matter. An increase in diagnoses is not the same as an increase in misdiagnoses. There are multiple significant factors that can contribute to an increase in diagnoses over time (i.e. heightened awareness, decreased in stigma that would otherwise have prevented the patient from seeking treatment, better diagnostic tools, properly recognizing edge cases where ADHD was previously misdiagnosed, etc.). We've seen similar things with other illnesses as well.

Simply put, the question that you're trying to raise (but aren't) is more nuanced: what percentage of those diagnosed do not meet the diagnostic criteria? The two questions are quite distinct.

Second, we're not exactly working from a comparable baseline when we look towards previous years. Consider factors such as a broader recognition of ADHD symptoms, openness to not simply writing those same symptoms off as "that's the way the world works" or "kids will will be kids", and relative decreases in stigmatization of ADHD itself (e.g. "ok, this is different from those really bad disorders like... schizophrenia [gasp]"). Net result, increased visibility which damn well ought to lead to increases in overall numbers just as it would for any diagnosis, psychological or otherwise.

Third, there isn't much scientific evidence to support the idea that ADHD is overdiagnosed. Even in cases where patients don't meet the diagnostic criteria, there's a growing body of evidence that they nevertheless exhibit more symptoms than average. So even in those cases, they're quite different than your idealized vision of regular kids being fed a daily diet of all the psychopharmaceuticals they can swallow. If you're interested, here are a few articles you can start off from:

- http://www.cdc.gov/ncbddd/adhd/play2.html

- http://www.psychiatrictimes.com/adhd/problems-overdiagnosis-...

- http://jad.sagepub.com/content/11/2/106.abstract

- http://www.ncbi.nlm.nih.gov/pubmed/22956714

Anyhow, mental illness--regrettably--has a nasty assortment of baggage. For centuries the mentally ill were criminalized, marginalized, and locked away. Crazy or not crazy. And though we've moved away from a great deal of the worst of these excesses, many of them are still with us. Maybe one day we'll get our heads out of our collective asses.

Re:ADHD Pill Faces High Hurdle in Europe as Stigma Persists by bayesianhorse on Sunday October 06, 2013 @06:12AM (#6503661)
In the US, the mentally ill are still often criminalized, and care for mental patients has shifted disturbingly from hospitals to prisons...

Mental illnesses predispose for bad health care coverage...

Re:ADHD Pill Faces High Hurdle in Europe as Stigma Persists by bayesianhorse on Sunday October 06, 2013 @06:02AM (#6503645)
Researchers in the area usually say that "undertreatment" of ADHD in the US is more common than "overtreatment".
Re:ADHD Pill Faces High Hurdle in Europe as Stigma Persists by PixelPusher on Sunday October 06, 2013 @12:55AM (#6503186)
Go anywhere outside of the US and Europe and they would laugh at you. Our culture (hispanic) takes it as a sign of weakness and petty complaints. Most people are too worried trying to feed themselves or their families to even think about being depressed. Furthermore, with the little money they have they tend to go to doctors for diseases that directly affect their bodies or ability to earn.
Re:ADHD Pill Faces High Hurdle in Europe as Stigma Persists by linuxhansl on Sunday October 06, 2013 @12:58AM (#6503192)
Yes, yes, and vaccines are a pharmaceutical industry plot, and all the rest.

I have neither said nor implied this anywhere.

Re:ADHD Pill Faces High Hurdle in Europe as Stigma Persists by anigbrowl on Sunday October 06, 2013 @11:04PM (#6506344)
And yet you're employing the same basic argument.