Understanding ADHD, and Why Stimulants are Its Best Treatment

 The body loses 0.5% of dopamine neurons a year from berth to death. They start and drive movement.  The amount of movement drops every year. Go to a free play playground and look at 3 year olds and 10 year olds. If you put a normal 5 year old in a 12 year old class, you will think, ADHD. That means teachers are best source of information for making the diagnosis. They have a class full of kids to compare a child. The Diagnosis of ADHD is made if the child sticks out from his same age peers. It does not respond to good classroom discipline, and will affect function. That means, the child may have to be moved out of class. The child is disrupting the learning of tohers, and consumming an unfair amount of staff attention. 

What are stimulants stimulating? They are stimulating the frontal lobes. They inhibit many parts of the brain, including the dopamine system. One old fashioned alternative was the infliction of pain, in corporal punishment. Fear helped kids control themselves in class in the past. Most parents do not want to raise their kids in fear. The other problem with corporal punishment is that it may be rewarding to a child with ADHD. They are bored. They enjoy adult attention. They are sensation seekers. Corporal punishment provide all those rewarding properties. If it worsens the child, it should be stopped. Medications should be considered. 

Stimulants are twice as effective as other medications like atomoxetine, antidepressants and blood pressure medications. They work in an hour, peak at 2 hours (both benefits and side effects), and last 4 hours (all original stimulants), 8 hours (Adderall), or allegedly 12 hours (Vyvanse, Adderall XR). They each help 70% of patients. Put the 30% of non-responders on the alternative drug, and half will improve. Try combinations on the remaining treatment resistant patients. They must be matched for strength before drawing conclusions about effectiveness. For example 10 mg of methylphenidate has the strength of 5 mg of amphetimine. Adjust the doses before comparing their effects. The dose is by the weight. An effective dose will stop working even if adjusting for weight, after several month or a year. An alternative to repeated increases in doses per weight is to stop the stimulanst for 2 weeks on a school break, and restart at the same dose. 

Reply to the Lancet Article Promoting Decarceration

It is summarized here, in The Atlantic.

Lancet? The Huff Post of medical journals. Left wing British medical propaganda. Self dealing, rent seeking trash.

The authors? Cornell and Yale. What? Dismissed. Ivy assholes. If they did not promulgate lying, left wing propaganda, they would be driven out of those left wing, treason indoctrination camps.

1) I invite the defense lawyers to chime in. Are you a little stressed, a little scared, when speaking to the vicious, heartless, inhuman super predators whom you protect, privilege, and empower, even during brief meetings, even with them in cuffs? Imagine, being a kid, and not being to leave the house, with a guy maintaining a criminal business and an active addiction in your home; children are 100 time better off with less contact with these super-predators;

2) how do children learn? They barely know any English with vocabularies in the hundreds of words. If their attention span exceeds 2 minute, you have a little genius there. So do they learn by parsing the rule making and lectures of their parents and teachers about doing the right thing? No. They imitate what people say and do in their surroundings. These Ivy assholes want to put people in the homes of children, each committing hundreds of crimes a year, many violent;

3)who hangs out with these criminals, and visits the home? Is it the people of God? It is other people with no morals. So, even if the criminal parent does not use the little girls in the house as fuck dolls, his pals will;

4) child abuse has decreased. Try to guess how that happened? Sex offender registries? Making everyone a mandated reporter? No, assholes, it happened when the child rapists ended up in stir for their non-violent crime of selling drugs.

Rent seeking makes people other people than lawyers really stupid. I have not been addressing medical rent seeking, and please do not ask me to. It is ten times bigger than lawyer rent seeking and 100 times more toxic.