Should 6-year olds get ADHD meds?

slimvictor

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Children with ADHD who start taking medications as early as fourth grade may be more likely to score better academically than those who start taking medication in middle school, according to a study published Monday in the journal Pediatrics.

Attention deficit hyperactivity disorder is a developmental disorder characterized by problems focusing and erratic behavior. Since 2007, 5.4 million children ages 4 to17 have been diagnosed with ADHD, and 66 percent reported taking medication to treat their symptoms, according to the U.S. Centers for Disease Control and Prevention. A majority of children are diagnosed with ADHD by age 7.

Researchers looked at data of nearly 12,000 Icelandic children born between 1994 and 1996, each of whom began taking medication for ADHD sometime between fourth and seventh grades.

By the time the children reached seventh grade, those who had begun taking medications within the first year of fourth grade showed only a 0.3 percent drop in their math score, compared to a 9 percent drop among children who started medication around sixth or seventh grade.

"Performance of kids with ADHD tends to decline over time, especially if medication is delayed," said Helga Zoega, an epidemiologist at the Institute for Translational Epidemiology at Mount Sinai School of Medicine in New York, and lead author of the study. "Starting medication earlier may halt this decline."

The girls among the group only showed improvement in math after starting medication. The boys showed improvement in both math and language arts.

A majority of kids are diagnosed with ADHD by age 7, Zoega said.

Besides medication, treatments for ADHD include behavioral interventions, education plans, and parental training. The interventions may be the first line of treatment before medication, or may be used in combination with medication.

The study data did not show whether the children received other forms of treatment besides medication, and whether these additional treatments may have influenced their performance.

According to Dr. Stefani Hines, director of the center for human development at Beaumont Children's Hospital in Royal Oak, Mich., medication should not be considered a substitute treatment for other education plans.

"Although ADHD medications do not make a child smarter, they do improve those target symptoms that can hinder academic performance and progress, namely distractibility, attentional weaknesses, and impulsivity," said Hines.

The number of children diagnosed with ADHD has increased 22 percent from 2003 to 2007, and has continued to steadily increase, according to the CDC.

The rise in diagnosis has led to an increase in children who are prescribed stimulant medications such as Ritalin and Adderall.

However, the question remains among many parents and experts is whether children are overprescribed medications without necessarily needing it, experts said.

"This study showed that for kids with ADHD that early intervention is beneficial for them," said Zoelga. "The important thing is the drug reaches the kids who need it at the right time."

In 2011, the American Academy of Pediatrics broadened its ADHD guidelines, recommending that experts begin screening for the disorder in children as early as kindergarten and to begin medication treatment in children as young as age 6.

cont at
http://abcnews.go.com/Health/Wellne...ve-test-scores/story?id=16630996#.T-hoWe13FG4
 
I'd want to take a good look at who funded this study before taking it's results seriously.
 
What's new? Both my roommate and I were on methylphenidate at age 6, and that was 20 years ago.
 
My 5 year old nephew is on Adderall XR and it made me sick to my stomach when I first found out. People have no business fucking with children's brain chemistry at that age and I completely expect consequences in the long run. Script happy doctors and incompetent parents are a large part of the problem. This should not be socially acceptable.
 
My 5 year old nephew is on Adderall XR and it made me sick to my stomach when I first found out. People have no business fucking with children's brain chemistry at that age and I completely expect consequences in the long run. Script happy doctors and incompetent parents are a large part of the problem. This should not be socially acceptable.

Well said :D
 
I'm not even convinced ADHD is a medical condition.

agreed. i believe its a scapegoat for drug peddling doctors that want to make more money off of the youth market. and the study itself seems like your typical, half-assed, gov't-funded propaganda report. unreliable hogwash. any projections regarding long term data?
 
ADHD is definitely real.

but it's also heavily over diagnosed in kids.

i'm glad i didn't get diagnosed with it until adulthood because i wouldn't have wanted to be have been put on the meds pretty much against my will at a young age.
 
it just seems like all of the symptoms are non-specific and just the result of poor lifestyle choices. what im trying to say is i think its just a failure of society, and in turn we rely on drugs to silence the problems we have in day to day living instead of simple changes in sleep, work, diet, or merely relaxation to name a few.
 
my diet has always been pretty good, i regularly exercise too (been slacking lately though haha).

doesn't stop my own thoughts distracting me all the time, doesn't make me able to sit still, doesn't stop me from impulsively saying shit without thinking all the time, doesn't stop me forgetting everything that isn't interesting to me, doesn't stop me talking so fast people ask me if i've taken stims.

so what are these poor lifestyle choices i've made?

edit: for the record i'm not complaining about having 'ADHD'. it has its pros or cons and if anything i think i'd rather have it than not have it, especially seeing as meds can tackle the problem of inattentiveness quite well and that's the only bit that actually bothers me.
 
imo i dont think they should give children the drugs unless they break it down to them and explain to them what its going to do short/long term and be honest about it and leave the choice up to them. if the kids clearly dont understand i dont think they should have it. we wouldnt feed our children psychedelics if we figured out it for sure made them get higher grades and made them focus alot more, or atleast i dont think we'd ever do that, hell these days theres no telling what will happen.

i know alot of people who were on those meds that quit taking them as soon as they figured out what they were doing to them growing up, yes i know some people that really need them but theres also probably a huge group of individuals that dont need them at all. i think a change in lifestyle/health/activities/sleep would improve someone before some adderall or ritalin, and other routes should be attempted before someone being put on meds at a young age that they really dont even absolutely need to stay alive, basically they want em to take it to keep up with what they think our societies standards are imo. i also think everyone has adhd but some have it more serious than others.
 
yeah i don't think i agree with putting kids on ADHD meds apart from in extremely serious cases maybe. doctors are too quick to say "your kid has ADHD have some pills"

wouldn't surprise me if the kids who 'grow out' of having ADHD never actually had it in the first place and were just hyperactive kids.
 
Concentrating on what exactly?

When forced to sit inside an unfamiliar place with unfamiliar people, have their attention forced in one direction as per whatever the teacher wants, its not surprising that SOME children can't concentrate.

Not everybody is a complete robot.
 
ADHD is definitely real.

but it's also heavily over diagnosed in kids.

i'm glad i didn't get diagnosed with it until adulthood because i wouldn't have wanted to be have been put on the meds pretty much against my will at a young age.
Agreed on all accounts.
 
Concentrating on what exactly?

When forced to sit inside an unfamiliar place with unfamiliar people, have their attention forced in one direction as per whatever the teacher wants, its not surprising that SOME children can't concentrate.

Not everybody is a complete robot.

gets frustrating when you really want/need to concentrate on something and you try as best you can but you can't. makes you sort of hate and blame yourself. meds help a shit load and whether ADHD is real or i'm just dumb as shit and need drugs to make me smart i'm happy with that.
 
Its not that surprising that giving children amphetamines would result in better grades. Its what these drugs do, increase focus and concentration. The issue I see is giving powerful stimulants to young children. Will it improve their performance in school...sure; but what else might it do?

The parents and schools need to realize that kids will learn at different rates and not expect uniform results. The desire to medicate children to increase uniformity is a strange cultural phenomenon. Also, I would like to add that there are legitimate cases of ADD/ADHD that require medication so that people can live a normal life, in these less common cases medication can be a real godsend.
 
I am a PhD student in chemistry who was recently prescribed Adderall for ADHD and benefits greatly from taking it daily. All throughout my middle school and high school student life, I struggled with paying attention in school. In most subjects, just being a bright and intuitive student was enough to keep me doing well. But in math, where rote memorization and practice form the basic foundation for the learning, which is then built upon, I was a mess. It was fine until I hit high school level algebra, and then when the teacher would turn on the overhead projector to start working through examples, I was gone by the 2nd problem. I just COULD NOT pay attention to that, or work through repetitive examples on my own.

I thought it meant I was bad at math, which turned out to absolutely not be the case. Once I struggled through and put in the time, it was pretty easy and made perfect sense. And now that I have ADHD medication, I can pay attention and focus on anything that I want/need to and I learn new things very quickly, whether they are immediately interesting or not. Very often, to get to the interesting part of learning a complex topic, you HAVE to slog through the boring foundations so that you know what the hell is going on. Not ALL learning can be fun, no matter what people say.

The psychiatrist told me that for a lot of bright students, their natural abilities to excel in schoolwork mask the handicap that ADHD puts on them. If a 5 is average, and you are able to perform as a 10 and ADHD brings you down to a 7, you still appear to be doing well. Thus no one considers the idea that you might need medication. But once I hit my ceiling (graduate level chemistry work), it became far, far more difficult for me to cope with the necessary hours and hours of highly focused attention required of me. I couldn't just study in shorter bursts, or start sooner, etc. I needed to be at my maximum potential all the time, and Adderall absolutely helped me with that, with no noticeable negative side effects thus far.

I wish I had been diagnosed and medicated for ADHD sooner. I'd be done with my PhD instead of in the process, and I'd be debt-free due to scholarships, instead of burdened with the student loan debt I have.
 
I am a PhD student in chemistry who was recently prescribed Adderall for ADHD and benefits greatly from taking it daily.[snip] I'd be done with my PhD instead of in the process, and I'd be debt-free due to scholarships, instead of burdened with the student loan debt I have.

It is extremely questionable whether you would of received the same benefits if you had started taking Adderall when you were 6 years old. Daily amphetamines for 20 years tend to do funny things to a persons brain chemistry. Once you start a child on amphetamines when do you stop? After high school? After college? Never? Just pray they don't loose their efficacy?

Let us not forget amphetamine is neurotoxic.
 
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