Discuss..
There's actually this guy on the forums (can't recall his name) that believes that mental illness is the result of demonic possession lol. As a fun anecdote, I have an attending that had a treatment resistant patient he had an exercism performed on once just to see if the placebo effect was strong enough to help them any. Spoiler: it didn't workI refuse to believe that ADHD, edema, asthma, and arthritis actually exist. It's all a deep state conspiracy.
ADHD is really a demon taking residence inside the soul of a child. The tears of albino gypsy cures this.
Edema is just an excuse fat people use.
I can't explain the other two.
Come spend a week in child and adolescent psych clinic and I'll show you some real ADHD. A lot of it is overdiagnosed, but when you see the real deal it's pretty unmistakable. We're talking kids literally unable to sit still or focus that are injuring themselves and their families that become more or less normal with medication, on which basically all other behavioral interventions have failed. Stimulants aren't necessarily the only answer though, I've had great luck with guanfacine and other nonstimulant medications
Depends on the kid. Some respond better to one medication, some to another. I have a theory that a lot of the presentations in my area that appear to be ADHD are actually related to early childhood lead exposure (approximately one in six kids has pathologic lead levels in my area, roughly six times the rate of Flint, MI) and this likely accounts for the ones with minimal to no response to nonstimulant options.have you noticed a better prognosis with the use of stimulants or non-stimulants such as atomoxatine
P.S. I am not a denier.. But number folks I see on stimulants makes me question the nature of this illness. You can say I am a skeptic.
I think there's a lot of people who think that all difficulties with focus and concentration are "ADHD." I have adults coming in requesting stimulants all the time and the fact is that ADHD is just one cause of many that can lead to these difficulties. Depression is probably the most common cause, but anything from polypharmacy to concussions can lead to issues that look similar to ADHD but have completely different etiologies. Would a stimulant help? Sometimes, but if it isn't ADHD they aren't indicated aside from some select scenarios such as fetal alcohol syndrome or other conditions in which you're trying to optimize the remaining functional neurons you've got left. ADHD is probably overdiagnosed in some populations (the worried well parents that feel their kid needs As instead of Bs and insist their snowflake must be ill to not be performing perfectly) and underdiagnosed in others (inner city schools where behavioral issues are chalked up to a kid inherently being undisciplined rather than having ADHD and its resultant impulse control sequelae). Just my opinion though.P.S. I am not a denier.. But number folks I see on stimulants makes me question the nature of this illness. You can say I am a skeptic.
I don't deny that pain exists yet the opioid crisis is real.P.S. I am not a denier.. But number folks I see on stimulants makes me question the nature of this illness. You can say I am a skeptic.
But strict parenting is clearly having an influence on a person's habits and skills acquiredTbh mental health is still a stigma in Asian cultures. Like something is seriously wrong with you if you need outside help.
Asians perform well academically because of strict parenting. It’s hard to do poorly in school when your parents are on your ass 24/7. I don’t think it has anything to do with not relying on meds.
But strict parenting is clearly having an influence on a person's habits and skills acquired
There's some kids that legit don't respond to any degree of external pressure and already have healthy family dynamics. Their prefrontal cortex just can't slow things down enough for them to make good decisions or suppress impulsivity enough for them to learn from parenting and behavioral techniques. ADHD isn't just a lazy or unmotivated kid, it's an individual with a brain that has diminished function in areas that are critical for long-term decision making and impulse control. In some, this will alleviate as the PFC continues to develop up until the age of 24, but in many the mismatch between PFC function and the capability of the rest of an individual's brain results in underperformance and impulsivity issues that can have lifelong impacts on both interpersonal relationships and professional prospectsTbh mental health is still a stigma in Asian cultures. Like something is seriously wrong with you if you need outside help.
Asians perform well academically because of strict parenting. It’s hard to do poorly in school when your parents are on your ass 24/7. I don’t think it has anything to do with not relying on meds.
Could have sworn some SDN veteran has discussed the difference in American and Japanese education system...stimulants being unorthodox in Japanese culture vs. Americans. Yet what country comes out on top in terms of education? Over reliance on medication (America) vs. teaching someone life skills/coping mechanisms/changing habits/CBT
Discuss..
You realize that high school isn’t even mandatory in Japan, right? The kids who won’t succeed don’t go. So they aren’t testing all their kids. Which makes their numbers better.Could have sworn some SDN veteran has discussed the difference in American and Japanese education system...stimulants being unorthodox in Japanese culture vs. Americans. Yet what country comes out on top in terms of education? Over reliance on medication (America) vs. teaching someone life skills/coping mechanisms/changing habits/CBT
People using heroin recreationally isn’t evidence that pain is fake.Dude, I know way too many rphs who take ADHD meds recreationally. Or, just to help them focus. One told me it works better than caffeine.
I want what they have.
Hey you stole my post!People using heroin recreationally isn’t evidence that pain is fake.
MD students are generally smart. Smart children with ADHD can slide by without medication for a while because they’re showing great potential to their teachers and parents. It’s not until they’re pressed to the limit like in medical school where their usual work-around mechanisms are no longer effective. And it’s not that they didn’t know they had ADHD; the ADHD was never problematic enough for them since they were still excelling above their peers.You realize that high school isn’t even mandatory in Japan, right? The kids who won’t succeed don’t go. So they aren’t testing all their kids. Which makes their numbers better.
I want to hear what a psych doctor says about adult ADHD. I see MD students from time to time with newly diagnosed ADHD and I can’t help but think “really??” It seems surprising to think one could make it all the way to med school before realizing they had ADHD.
Lots of differences between japanese families and American families alsoCould have sworn some SDN veteran has discussed the difference in American and Japanese education system...stimulants being unorthodox in Japanese culture vs. Americans. Yet what country comes out on top in terms of education? Over reliance on medication (America) vs. teaching someone life skills/coping mechanisms/changing habits/CBT
Nah, it's not. It also doesn't mean 95%+ circulating pharma stock has any real merit for its use either.People using heroin recreationally isn’t evidence that pain is fake.
Problem with taking stimulants when you dont need to is once you focus on one thing, thats ALL you focus on lolDude, I know way too many rphs who take ADHD meds recreationally. Or, just to help them focus. One told me it works better than caffeine.
I want what they have.
If a patient didn't have ADHD as a child, they don't have ADHD. Adults can have ADHD but it is a disorder that must present during development before a certain age. There is absolutely no literature supporting new-onset ADHD in adults and that is a primary factor by which you can quickly rule out an adult presenting for ADHD meds. This is more in relation to "adult ADHD" in general, you'd obviously have to have your case evaluated by a physicianI didn’t develop ADHD until pharmacy school. Lots of my classmate and SO told me that I need to get it diagnosed. I think I do have it but I don’t want to get on meds for it.
I didn’t develop ADHD until pharmacy school. Lots of my classmate and SO told me that I need to get it diagnosed. I think I do have it but I don’t want to get on meds for it.
You can make your own post about inappropriate prescribing. This post is about whether or not an illness exists.Nah, it's not. It also doesn't mean 95%+ circulating pharma stock has any real merit for its use either.
I go to trash part of the town = opioid rxs
I go to swanky part of the town / college area = amphetamine salts
Surely, all these doctors, lawyers and software engineers have ADHD.
Did you fail to comprehend what I was trying to say? I did say it exists but majority of them are bullsh1t, just like your pain example.You can make your own post about inappropriate prescribing. This post is about whether or not an illness exists.
If I ask whether or not PTSD is real, consider the response that “Karen’s on Facebook are always getting ‘triggered’ like crazy! LoL!!!”, what would that add to the conversation? Would it offer solace to veterans dreading the 4th of July? Would it bring a smile to the face of a domestic violence victim who flinches when people try to high five them?Did you fail to comprehend what I was trying to say? I did say it exists but majority of them are bullsh1t, just like your pain example.
You can't objectively say a diagnosis exist without discussing the majority of the diagnosis probably is BS.If I ask whether or not PTSD is real, consider the response that “Karen’s on Facebook are always getting ‘triggered’ like crazy! LoL!!!”, what would that add to the conversation? Would it offer solace to veterans dreading the 4th of July? Would it bring a smile to the face of a domestic violence victim who flinches when people try to high five them?
I was under the impression that there is no objective test to diagnose pain.If someone complains of back pain then you can get MRI/ CT and diagnose its root cause.
I was under the impression that there is no objective test to diagnose pain.
There's actually this guy on the forums (can't recall his name) that believes that mental illness is the result of demonic possession lol. As a fun anecdote, I have an attending that had a treatment resistant patient he had an exercism performed on once just to see if the placebo effect was strong enough to help them any. Spoiler: it didn't work