WWL>Topics>>11-5-13 2:10pm Angela: on ADHD

11-5-13 2:10pm Angela: on ADHD

Nov 5, 2013|

Angela talks about the epidemic of ADHD, a disease that affects 12 million children and young adults, with Dr. Charles Coleman of the LSU Health Sciences Center, medical psychologist Lynette Heslet, PhD, MP, "Over Medicating Our Youth" author Frank Granett, and Bernice Kaufman, whose child has ADHD.

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Automatically Generated Transcript (may not be 100% accurate)

Well this next show was about a very important topic and one that is affecting about twelve million people. Does your child have trouble paying attention this year she talked nonstop or have trouble sitting still. Does your child have a hard time controlling his or her behavior. For some children this may be symptoms of ADHD. Attention deficit hyperactivity disorder. If it is ADHD there is help and there are medications. But there's also -- growing concern that many children and adults may be on the medication unnecessarily. With the production of two medications increasing. By over 4000%. -- to talk about this condition is doctor Charles Coleman assistant professor of psychiatry at the LSU Health Science Center. Bernice -- parent of the child. With ADHD. And a certified instructor for the parent to parent course but chat children and adults with ADHD. And Lynette has slipped Ph.D. And a licensed medical psychologist. At children's hospitals. Rapid treatment program. What a crew I've got here and I am so thrilled. This is a very it's a very interesting topic the more I read however. Kind of the more confused. So I wanna start the very beginning to lay out. What is this condition and let's start with our mother here. Who has a daughter and what did you initially city. Ayatollah. Some things that you really describe very well as he just got started here difficulty sitting still all speaking a lot. And difficulty focusing. Its school teachers would say that she's looking you're just looking into how old version. I guess was probably started to suspect around five but it was around eight years old may be when we did a diagnosis finally. Those kind of waiting for it to happen. I have ADHD myself -- -- -- -- do a lot of things to look for. And says the first step is to -- to qualified. Physician or psychologist who diagnosis ADHD and then teleport and kidnapped. And so what do you see -- It. In my practice that's the -- general psychiatry patients who have a lot of patients -- and that -- neither party and try to mediate statements and other pediatricians are psychologist. And need a second opinion due to failure of treatment. Senate majority of cases RC are much more complex than -- straightforward -- -- case and we talk about that okay. Now that is great and it's very interesting to note that clearly there's understanding that it isn't just children that is now adults that are being diagnosed. Over Children's Hospital. In -- rapid. Treatment program program this is not just for is is just for ADHD -- it's primarily an. ADHD clinic that we DC treatment naive depression and anxiety disorders. Okay I think in some of the articles I read. In talking about but thank heaven there's medication only say that thank heaven there's medication because we know that it does help sound. But it it's just become. In the last ten -- twenty years. More and more common in and one article was about the pharmaceutical companies that are now producing an overwhelming number of drugs. And so it was almost parallel. The diagnosis of more and more people with the more and more drugs. And my -- left field. Here you. Know you're pretty much on the mark one of the things that's increased diagnosis is people are seeking help more. Especially since our teachers are now more educated about ADHD. The problem is that a lot of doctors. Primary care physicians don't always do the detailed testing. It's a clinical diagnosis in the sense that your observations are very important. Parent observations teacher observations and clinician -- for patience. And typical vacation -- patients. Especially with treatment failures. Often you need to do actual testing. To clarify that the child has ADHD and testing of the brain. You know I'm gonna start coaching decision OK I can't tell you why I think this is complicated and confusing. This when you talk about ADHD you're talking about a problem that is not just about medicine. In the medical field you're talking about a problem that includes education. Overstressed parents. Media. A lot of distractions in the environment. You're talking about disability you're talking how we make money now for example you know you you have to pay attention to make it live -- -- -- maybe in the past you didn't. So we're talking about a problem that really goes beyond. Medicine. And whenever we start getting that on the fringes of medicine is start overlapping with moral ethics or this kind of stuff it just gets really (%expletive) confusing and I don't I'm not sure there is facing a right answer. I think what you have to do. Is dialogue with parents. And present to them all the different arguments. All the different options and and spend some time talking with them about how they would like -- manager for the unique. I just don't think we can come up with a single solution for what these numbers have gotten so -- You're really touching on everything that I have written in which is everything from parents who. Just want and I'm not certainly saying you because you're obviously a leader in the field. Helping people but it is. I'm busy I'm working hard just kids out of control how to -- nip this in the -- Same thing with teachers. Teachers are under tremendous pressure to reform to get grades up to -- To identify this kid is off you know not paying not focus not doing the right thing. Is another example of well he can be labeled this and therefore get on medication in my life is nobody's here. And you know school Houston when I grew up you know. Schools acted as a parent. Yes meaning that they were they more than just educating your map reading and writing they would teach you manners and teach you how to behave and things of that and we don't do that anymore. Yeah parents that are working more and can't do this and you have schools that don't provide the service. So it it makes it a lot easier just to say let's just take appeal. Let's just take a pill that's an easy way out a lot of compliments and the best way that I understand when people say let's just go down that road. Angela one of the things that's really important for parents and now. Is that although medicine can be treatment. Sleep hygiene and keeping your kid to bed on time. Gives you some down time is apparent is from the -- that they meet lack of sleep can -- attention problems not skipping meals especially with adolescents. Their blood sugar -- -- to. -- concentration problem so there are. Pieces of the -- go together besides medication educational support for hygiene education her parents parenting. And just the lifestyle. But we are where we are today and everything you're saying makes nothing but wonderful sense. But our society isn't gonna change overnight even with your reflections on that you still have. Harried parents you still have different demands and an educational system and you're absolutely correct. When we were all growing up to schools were. You know you toe the line and now it's different. So I guess I'm asking are we stuck with will here's a pill and let's everybody be happy. -- now that's really uncomfortable to say because I think just. You know when I talk to parents everything empowered to tell them you know you need to be an antibiotic they wouldn't think twice about even though the antibiotics are more dangerous than any of these -- so I wouldn't think twice about it. But you know there's just something in your gut something intuitive about saying. We're gonna use them cigarettes and I'm gonna use a pill to fix this problem that just seems so wrong. And I think that just requires a lot of dialogue like we're doing today and really. I think if you decide to take the medicine that's your apparent decision the tough decision with their doctor but I do understand the discomfort and I understand that I'm. It's something that I am I don't know the answer to. OK stay with us we're gonna continue what I consider a very important discussion what is ADHD. We'll be right back this is Angela went up to do well. We are talking about ADHD. A very complex condition. And one that is. Perhaps they ought to be having more conversation about we're joined by doctor Charles Coleman from -- doctor Lynette has slipped from psychologist from on Children's Hospital. And -- Kaufman who's the mother of -- daughter with ADHD. And she herself has this and if you were explaining -- that. Your daughter was eight years old at the time of diagnosis and now she's eleven and how Washington. And she's doing much better she's much happier. And we did get a diagnosis and we -- -- ADHD medication. And it just it helped her he could see where this is child who was coming home so burnt out by the end of the school day and mean. Children of the ADHD have the difference in their brain and in their -- transmitters and for them can be a lot of work just to behave through the whole school they. Just to keep their behavior with in you know the standards that needs to be -- -- can come home exhausted and we were having a meltdown every day at 330. Once there was medicine to help -- regulate herself and her attention and her focus she would come home. Like -- cake hit and that makes a huge difference so in our case it was very helpful. And medicine were surveyed 80% of the people with ADHD it's helping her. You have to adjust every once in a -- as they grow. And you know -- help from my daughter and for myself. The more we get a grip on things the more we can put behavior strategies in May do we can lessen the dosage -- right now it's giving her bringing her treatment that her brain is not. Supplying at the regular level. A couple of quick questions for fraud in what is the earliest age child could be that they can be diagnosed an infancy that we typically don't -- interpret three years old and we tried it delayed that. As long as they're not so extreme in their behaviors to be unsafe. And as you've said earnings -- also and tightness and this is this a hereditary. -- We're not a 100% sure we know that families have a greater tendency to have ADHD but it's not. Purely genetic. When were you diagnosed. And gosh. As a child now know that doctors can answer is definitely not diagnosed this child when I was a child and I'm 58. Very hyperactive -- for diagnosed in as far as I know that was a -- -- I'm adults have on the didn't officially recognized the doctors -- propping him when he did the -- -- diagnosis. Only two years ago. That it actually became prominent in clinical practice we actually started testing manifesting in following up and talk about the testing. How is that. Well there is different majors one of them are self reports by teachers that. Observed behavior the parents self report major in the child if they're old enough. But there's also some computer tests that actually look at attention concentration. So -- didn't. As -- the gold standard. Many kids just the self report majors and we do it on a clinical diagnosis. If they failed treatment then we go for the more extensive testing. So it's still even with the extensive testing of a 100% accurate but we are very good added at this point in clinical for a. Doctor Coleman when you have. You were a child and adults correspondent. And they have been diagnosed with this and they are perhaps on medication do you still have a role as a psychiatrist. Working with them. Yes I mean we do the ongoing medicine management it may be a -- things very stable emailing seem every couple months but also help them. Learn the the secondary advantages to Madison factors playing with it what happens a lot of times let me back. While there is an over diagnosis and over use some and there's also under use and it may be a socio economic phenomenon or an access to care thing. We have people that a lot of access to care mining may be able to access. And may be over diagnosed between a lot of kids. Who have just been labeled as maybe not really Smart or lays the or juvenile delinquents or something that never get tested so I'm constantly getting too late teens early in dark years. I see a lot of this in the kind of work as -- would question. Where we -- of kids come in that may be an alternative school is three or four years on school. And we diagnose and 88 people at a momentous and they improved dramatically. This is that changing event in their life from nature of it as you know if this was a child and untreated ADHD are all their life that means may be the first ten years of their school experience has been admirable. Bonds they make else. Of course say you review would decide after a while school's not for me you may even decide that your kind of stupid and you can't learn and that's terrible. We put these kids are medicines and meantime initially you get the improvement in their attention and hyperactivity. But after a couple of months they may start rethinking their whole life and start thinking maybe I could go to college. Maybe have a lot smarter than. And that's the secondary effect that you get the medicine. -- this reflect this is what it does to have your concentration but in what that improvement to to make you reassess your life. I've had people that came to me when they were in the early twenties. We started in 88 Steve medicines and they had maybe worked as you know some type of labor. And they finished medical school on my time they had no idea that they. You know could have done well in school so I'm probably more concerned about the kids that are under treated myself. That I am about overuse of -- It it probably is overused but we're not talking about terribly dangerous -- and retirements and that we need to spare us and I'm really concerned about -- -- They would under absolutely. Which brings up the points that parents need to take earlier action even if they don't decide on medication. To bring in the educational assessment. The behavioral interventions. And then get the diagnosis that you don't want to do medicines. Then wait but at least be able to monitor know what you're looking for -- go along. Because two criteria for medication. Is that they're not learning to their potential. Or their behaviors are so bad they're about to be expelled from schoolers socialite -- -- -- so be acknowledged. Parent. A very important part of education and diagnosis is. Does a lot to relieve the chain and the blame that goes on for these kids that goes on for their parents the panel is looking -- you -- -- -- mother. That child doesn't know what they can't do what they want to do it everybody else seems to do. So it relieves a big burden and then it gives took place to go look to do something about it and again. Which you can shift -- mindset to this child does not being difficult they're having difficulty as a parent and if you could think. How can -- partner with my child -- doctor may be a psychologist psychiatrist to agency is often. Or a national support organization and help them find the ways that will work at their lives -- they don't have the kind of problems that. A doctor Coleman described. And I think we were talking in the commercial that there is sort of an image wrong. That all of these drugs may zombies advocate. That the dose response it means doses to -- backing down they typically don't have any problems with. So you feel that long term on this medication. It that will be OK or we don't know who is very safe in the long term. These are very very old medicines. While the new ones that you hear about at Arlington sort of they are they're probably superior medicines pills. From the chemical society we had this for decades and decades over fifty years from. So I'm ever really long track record safety. I'm I don't think the safety is really the problem I think the problem is it just doesn't feel or. Very very interesting statement. Stay with us we're going to have much more on a very important topic that affects a lot of young kids and now adults ADHD. And we're going to be joined in the next half hour with say. A pharmacist who has written a book about his fears of the over medication to people so stay with this but now let's join the newsroom mentioned -- bros. We are talking about the condition of ADHD. And that is say it again for me. Attention deficit hyperactivity disorder okay. And and word is that it's twelve million people who were affected by this and now now adults as well as being diagnosed as well as. -- children. We are now joined by. Very nice man and I appreciate him so much calling him. Frank granite who is a -- certified pharmacist is an expert on ADHD and author of the book. Over medicating or use and he's the founder of the coalition against over -- -- Mr. grant and I appreciate your calling very much. -- thank you Angela great to be with you and your listeners. Well the bottom line we just had a wonderful discussion with -- a local psychiatrist psychologist and the mother of a child who has been diagnosed and the mother herself was diagnosed so we sort of laid the ground work for what we're talking about. And and we talked in in essence about the concern about the medication. I would like you to sort of expand on your concerns. That we are perhaps over medicating -- youth. All -- into what's going on now for the last forty years. We've only assess. Especially in young shall be able to assess their behavior we've we've done nothing in regards to assessing. You know underlying -- -- to these symptoms. And what's going on now the new trend out there right now we're talking about prominent. You know institutions that are going after conservation first like Johns Hopkins. And and what people on parents need to understand is that the conditions. And symptoms are real. But they have underlying causation and and we talked about you know they -- environmental. Risk factors nutritional and that the geological risk factors that are feeding into the epidemic. But when you look at the short term effects of these powerful stimulant compound. They're period a practice than in great Q seven out of ten times the child a young child. Has focused her attention difficulties. These children well respond positively it down the road. That even the FDA as war that the insight is should come on. -- even minor depression and even bipolar is resulting. Down the road because we're mandating a condition that should not be inundated. We're talk about three and four year there are pre -- out there and cross the country. Let me ask you something in your your concern is before we give out medications let's look for is underlying causes and how do we do that. And and what should we be doing if we choose not to do medications. Although the way we go on and it at that. Symptoms basically we go after my -- turned educators and I get these types of call all the time we have a child -- been on. Father's response and then down a -- eyes on these other than just describe these other conditions happen but what we should do from the -- ago. Is go after the underlying causation that nutritional. And physiological many parents and educators aren't aware that. Arturo transmitters are actually produced informed. The precursors in the stomach and small intestine so. What's going out you know a lot of these announcements are much talked about it in the book in the educational dvds at our web site. To step by step action plan if you out of one tree trees down. And the first step as the nutrition and physiology to go after. A lot of kids that young children especially have. Or girls that east into India. There's there's other things that factor in and -- actually inhibit normal production partner transmitters. I know why. But she's a -- talking about going a better diet you're saying. Whole foods and things like that. Well exactly bulk food as a good start but even our whole foods diet and and parents have to understand is that. You know even our whole foods today compared with 3040 years ago that enzyme that such and his whole foods. Are more. Efficient today than they were 3040 years ago but it's a good start it's that have to be you know boxed -- should be thrown out. Children need to have a higher protein -- in the morning. It's compact car and you know mid day. You know and that eliminates. High fiber diet as well but eliminates sister react to people like union that actually this condition and a lot actually mimics. He ADHD conditions symptoms called react the High Court in and talk about the shop in our educational dvd and how to -- -- in salt. And I'm saying that Bernice who is our mother here shaking her head about the food you're talking about. That I Nazis. -- -- -- I'm I I also have that experience that the protein in the morning is very helpful and I'm not to load up on the sugars can she can have this. Reactive typically -- in those are all in a behavioral things also. I don't know where that interacts with the need each year not having it or not -- that I certainly recognizes. Conditions in it's also. Mr. -- can you also go on to so you're talking about nutrition and you're also talking about -- Other things you can do again prior to going on medication. Another thing and especially this happens especially in her teenage population their sisters and in age and -- like that it teenage years. Clinical ADHD symptoms -- fuel. And there are many many case studies across the country now and ball texting -- other words -- -- -- As structured forward downward and a child. And not on likely seeing all day long over time what can happen. And lot of these case studies where shall and that's to be true you get in and arrangement are nervous system energy blockage okay. What happens is over time that could lead into behavioral on these types of symptoms as well. The other shooters are spinal cord and we go lower on the line. We start going into the inner patient from the line -- comic and small intestine and again that's worthy sites of these. -- precursors for the Euro and there's reform. We have any technical -- down low works fine. Again this could lead and remembering and problem -- a talk to a mom this is should contact Leo last week. And very we went right after this step by step action plan for her. And all Altria or this trial compromise right out bird that breech delivery. Issues with the -- that were undetected at -- but down the road. -- when -- finally got our recommendations sure about this child's spinal Iraq and I'd like your listeners and understand that first easy. Right now -- -- Not your good spinal alignment. OK stay with this road and continue our very important discussion on ADHD right after this I'm Angela. On WWL. We've been talking about ADHD. And we have been joined by frank granite. Who has written a book but also has concerns about. The over medication as it comes to this condition. And has given some alternatives. Certainly in the diagnosis of it and then perhaps securabit before you go to medication. And again we have a roomful of superb people here who have some thoughts on what he had to say. -- -- What was brought up in this last I'm segment stuff was a lot of very sophisticated. Topics in my opinion. One was the concern. Treating ADHD and and kids under the -- to file. I believe that our clinicians see children would very much like to intervene early in terms of serious psychiatric illness. There are some children that we -- Linda I haven't bipolar disorders schizophrenia -- severe psychiatric problems. That early in their life may look just like -- HD. And I agree these really need to be looked at carefully we need to really pay a lot of attention to early 88 -- into being eighties when there Dole's. So I do respect that part of when he was talking about. Was also a huge disconnect between. What we know about the brain and how people actually behave you know. With heart and stuff you can do our current testing -- hard and Oprah because it pretty much correlates with what are your fainting or your week and everything. But we don't know how to test the brain and explain why Europe. Distracted. Or why you're happier -- so there's a lot of things he brought up that it just bassist mr. gray. Did you comment about a diet is a very important element which we all agree and also the the chiropractic end of that with a -- of Saturn. And again trying to get the causes. Of this prior to. And we were all in agreement with that. Yes but there's not any test that actually gives you a lot of that information. So I think the cost of that extensive work out. You're not gonna get it because insurance is are gonna cover it. And you're not gonna get the yield of information that pays off for treatment mr. -- Now what we have to realize the cost of these this announcement that we're talking about are not expensive problem we're looking at you and cost about positions are now realizing that the ADHD condition. -- -- and the buyout announcement before character it's not that I'm against drug therapy but I am against disease. These young children. Because we don't know how to -- Young children and you know and that is which Ian and I hope your listeners understand that means. But it turns out there have children that are struggling what the condition they're looking for answers that's what they want me here today. They want what is that information that I can apply what that action plan that we're talking about. And the cost if you look at it as it is not debt expense that you are right some many insurance and do not cover. You know chiropractic care. But it's not even that there's medical doctors now realizing. There's so many of these assessments and talked indeed tell all book and our educational DPP. It can be done relatively inexpensively. Before -- drugs. Regarding the doctors point about the brain we really truly don't understand. The young brain Q well I'll I'll agree that totally. -- but here's the problem the last forty years. What we've done our children. Is gone the drugs first before ruling out these assessment that I'm talking about. And I have. You know my own personal coalition nonprofit. We have successful 1718 year old teenagers that have been through them at all for seven years of their lives with total misery because what happens it. Although we get a positive. Result the ADHD condition early on. These other symptoms and behavioral conditions that surface later on and there's a reason for -- talking about toxic well we're talking about. Kids that are not eliminating toxins from their body again it's in an -- you know the nutritional aspects so. There's many things. That are missing here and for -- that. Basically stayed you know we really don't know the child's brain I think what we need to do. It's going after these conditions there and taking ADHD symptoms and Angela from salt. The discussion will continue stay with this but. Get ready coming up shortly we'll announce the code word in the 1000 dollar nationwide. Holiday cash contest on -- W oil. Well we are talking about again a very important topic ADHD. And yet the more we learn more we know we need to learn. We are talking with three local people here psychiatrist psychologist and the mother opening DH child. She herself also has it and we have frank grant on the line who is really saying before week. Do the medications and mr. -- you're not -- anti medication you're just saying let's look at it perhaps more holistic. Exactly and -- here and there are other good point earlier which side. No apparent there struck you know have kids that are struggling with these conditions are. They're looking further correct knowledge and -- helped our children revert to normal behavior that's all that they're they're creating for that -- that has not. Been out there for over forty years now but it's it's coming out many parents and even educational systems are realizing. This is the -- need to go into the four week you know we need to make that investment copper and for the first the area. And as. After -- foot off the essence of our. Commented on in the and the break. Right now we don't have the body of information that we don't have the research that supports that approach. It should be looked at it should be studied the case studies are not sufficient to drive clinical practice. And and doctor Coleman. Ultimately you say it's up to parents. I think so this is a big topic there's. All that everything we've heard there are legitimate points of view I'm but. Bottom line it comes to win a parent is talking to the doctor about what to do with their child. The parent needs to be informed and it needs to be a dialogue and talk -- anybody from the parent had to race their truck. I want to I want -- and mr. granite to get their -- to give your address where people can contact you on the Internet and also. For the other organization what is your -- email address. I get into what the -- aren't the web site is she a bowl. Why. -- -- And there's free assessment information but also there's the free tapper asked the permit system what we do and why do you personally help. The parent navigate and -- the appropriate question. I -- that we -- out of time I thank you very much mr. granite and also which Chad. CH a DD dot org lots of information thank you all so much for being with us any time.