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In recent years, attention deficit hyperactivity disorder (ADHD) is one of the most frequently diagnosed disorders among school-age children to the point nowadays it is discussed whether it is an epidemic. Inattention, impulsivity and emotional instability are some of the most common symptoms of this disorder and children suffering from it are generally medicated from very early ages. Medication does not cure the disorder; it only masks the symptoms, but can also be dangerous. Can massive ADHD diagnoses be attributed to adults' lack of tolerance towards children´s uncomfortable behaviors? Quincy Fisher is a psychiatrist specialized in children´s issues. Since ten years ago, he has been investigating intervention processes and strategies to help children adapt to the environment and develop healthily.
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Introduction
In recent years, education and child psychiatry professionals have focused their attention on studying attention deficit, impulsivity, and the combination of both.
It is the most commonly diagnosed disorder in school-age children, which has led to the calculation that 4% of the children suffer from it, being more common in boys than in girls.
It is widely known that diseases and their treatments are strongly influenced by the interests of the pharmaceutical industry. If these interests focus on a more subjective field, such as psychiatry, we may find dangerous conceptions concerning diagnoses.
The information presented below is intended to clarify certain statistical facts about Attention Deficit Hyperactivity Disorder (ADHD) and the reasons behind its increasingly frequent diagnosis.
General information
Prevalence
The prevalence of a certain disease measures the proportion of a population affected by it (or another risk factor) during a particular period.
It is intended to analyze health-related phenomena, measure their frequency and develop hypotheses on the possible causes of diseases to find a cure. This measurement is used by epidemiologists, health care managers, insurance agents, and members from different fields of public health.
In order to study a disease like ADHD and characterize it collectively, it must be prevalent, or frequent. Prevalence depends directly on statistics.
Currently, the prevalence of ADHD depends on the number of times it has been diagnosed; therefore it cannot be used as a parameter to determine the occurrence of the deficit with certainty.
This is probably the reason why it is still argued whether ADHD is an epidemic or not.
Defining ADHD
Attention Deficit Hyperactivity Disorder (ADHD) is known as a behavior disorder characterized by constant mild to moderate distraction, fidgeting, emotional instability and impulsivity.
Some specialists suggest ADHD may be hereditary, but cannot confirm it with certainty. Its causes are not entirely known. Whatever its origin, it has been noted that it manifests itself at an early age, when the brain is still in development.
Brain imaging scans
One of the tests used to diagnose ADHD is brain-imaging scan, which provides images of any part of the human body for clinical and scientific uses.
Comparative studies suggest brain images of children with ADHD are different from those of other children. However, this cannot be confirmed since all brain images are different and no definitive parameter can be established from this observation.
Difference of opinion and complex diagnoses
ADHD is often confused with other disorders such as depression, tics or sleep disturbances, and as a consequence can be wrongly confused with learning difficulties or other diverse behavior problems.
If a child is suspected of having ADHD, it is advisable to conduct a careful and thorough medical evaluation to dismiss other diseases that may also cause this type of behavior. This is very complex because most children with ADHD also have other development and behavior problems. Therefore, the diagnosis of this disorder can be extremely fallible. At the same time, research demonstrates that it has often been confused with other diseases such as depression and bipolar disorder.
In summary, it is extremely difficult, even for experts, to diagnose ADHD with absolute certainty.
Conventional symptoms
According to research, there are three groups of potential ADHD symptoms:
a.Inattention
b.Hyperactivity
c.Impulsiveness
While inattention is the most common symptom of this disease, hyperactivity is also frequent. The behavior of children who only have an attention deficit disorder is not as disruptive as those who are also hyperactive. The former are generally diagnosed with Attention Deficit Disorder (ADD), while the latter are diagnosed with ADHD. However, it has been proven that the massive increase in ADHD diagnoses stems largely from adults’ degree of tolerance towards the children’s behavior, which they find difficult to endure.
Difficulties derived from inattention