Today's modern psychiatricks for adults...

Dart

New Member
....


We all know about ADD, right? How could we NOT know about it? Attention Deficit Disorder has gotten more ink and airtime in the last decade than the Clintons... you probably remember me venting about this made-up malady - the darling of those pseudo-scientists, the psychiatrists, and their handmaidens, the psychologists. But in case you really don't know where I stand on the issue (however remote that possibility is), here's a brief refresher:

I think for the most part, ADD is bogus. It's a made-up illness foisted on perfectly normal children unlucky enough to have been born awash in the confluence of an age of sensory overload from too many TV, computer, and video game screens - and also an age of no-fault, guiltless parenting spawned by the "I'm OK, you're OK" sensibilities of the boom- boom, feel-good hippie age. Any questions?

But there's a new spin on the ADD soap opera. It seems that the drug giants aren't making enough of a profit from the millions of kids popping their Ritalin and other pills - or selling them in the schoolyard...

Now they've set their sights on adults, too. According to CNN.com, Eli Lilly and company - holders of the patent on Strattera, the only drug approved by the FDA for the treatment of adult ADD - has embarked on a national advertising campaign to "raise awareness" of the prevalence of the condition. That's all fine and dandy, but the list of symptoms to be on the lookout for reads like everyday life! In a thinly veiled attempt to "screen" (see also: recruit) potential patients, the ads ask questions like:

"... Are you distracted by activity or noise around you? How often do you feel restless... ?" And my personal favorite: "Do you have difficulty waiting in line?"

Seriously, who doesn't at times feel distracted and restless? And who LIKES waiting in lines? Do you go to the bank on a crowded Friday afternoon and say to yourself: "YES - a huge line! I can't WAIT - but I guess I'll just have to!" If you do think this, ADD drugs aren't the ones you need, my friend...

The problem is two-fold. First, I think it's wrong to even offer direct-to-consumer marketing of drugs of any type - it just invites people with no medical knowledge or education to self-diagnose. Second, the "symptoms" sound just like the universal conditions of modern life - leading people to mistakenly believe that if they feel perfectly normal (scattered, impatient, irritable, and restless), they must be SICK!

But what can we do about it? Marketing is the only unstoppable force in the universe nowadays...

Bottom line: Don't be tricked by slick sales pitches into believing the run-of-the-mill stress you're feeling signals a "disorder," or that drugs will somehow make you immune to the trying experiences of everyday life. The antidote for routine annoyances is a healthy perspective on life -- not an open-ended prescription.

Don't we already pay enough for our "unhealthy" lifestyles?

I was thinking the other day about why I am so staunchly opposed to most types of governmental intervention in our lives, especially when it comes to our health. And I concluded that mine isn't so much a philosophical objection as a near-absolute certainty that they'll just botch up whatever they get involved with. Honestly, if I thought our elected officials would always act solely in the best interests of the citizens they supposedly serve, I'd be all for bigger, stronger government. But...

Such a perfect world does not exist, and the bureaucrats almost universally don't allow our best interests to govern them while they're governing us. It's a sad truth, but an immutable one, it seems. Which is why it's such a shame that the latest brainstorm to come out of the Department of Health and Human Services can't actually work - because a lot of people are likely to think it's a pretty good idea. And it is, in theory.

Basically, the plan is for the government to "incentivize" health insurance carriers to give people with healthier lifestyles cheaper rates on their health insurance coverage. In other words, the healthier you live, the less you'll pay for insurance. In principal, this sounds pretty fair, doesn't it? Sure it does.

So why won't it work, you ask?

Because the government's idea of "healthy" living isn't really healthy at all - and it's getting even less so with every passing year. Need proof? Take blood pressure guidelines, for example. Just five or ten years ago, 140/90 was considered perfectly acceptable - yet 120/80 is viewed as HIGH nowadays! And don't get me started on the established thinking about cholesterol...

The long and short of it is that if the government is allowed to set the standards for healthy living that we're all going to be bound by in the eyes of our insurers, we'll be paying through the nose if we aren't soy-swilling, tofu-munching marathoners who'd never dream of drinking a martini or enjoying a fine cigar.

If this becomes public policy, the end result won't be healthy people saving money on insurance - but "unhealthy" (see also "normal") people being swindled for their so- called "vices."

Just food for thought!

Cheers,
D
 
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Unfortunately, you are just horribly misinformed. I've seen properly medicated children have their lives change dramatically. ADD (like many other human conditions) is misdiagnosed, overdiagnosed, and underdiagnosed all at the same time. Yes, Big Pharma makes mad cheddar off ADD meds but as long as we are living in America that's a demon we must tolerate.

Truth be told, almost everyone does a little better with a hit of methylphenidate (Ritalin) or Adderall (mixed salt dextroamphetamine). These agents are basically caffeine without the jitters. I still remember my first hit of Adderall. It was my 2nd year of med school and after the first dose I cleaned the kitchen, mopped the floor, cleaned the bathroom (including the toilets), and vacuumed my entire apartment . . . trust me that's a bad arse drug!!

As for BP, 140/90 has ALWAYS been arbitrary. It was never meant as anything other than a gross indication. It's not some pharmaceutical industry conspiracy driving change. As our knowledge of how BP affects health has improved, we've learned that diastolics over 80 carry significant risk compared to diastolics in the 70s. But if you were 10 lbs overweight, just dropping the extra mass can improve BP to the extent drugs are not required at all.

We've discovered the same phenomenon with cholesterol levels and glucose/insulin. Yes, we have medications that treat these conditions but lifestyle changes are extremely effective at improving health. Unfortunately, health insurance typically does not reimburse physicians for doing diet/exercise consultations . . . but they will pay for Rx.

In general your argument is ridiculous b/c the current Bush regime fights tooth and nail against public advocacy. Industry wants to sell you drugs (but not cheap alternatives from Canada). Industry wants to sell you food (but not fresh fruits and vegetables . . . just beef or fast food). Industry wants to sell you a "safer" cigarette. Industry wants to sell you a gas guzzling, pollution mobile (as long as it's made in America).

Strattera (atomoxetine) is a non-stimulant med. Stimulant medications are rarely abused (by children or adults) . . . in part b/c the preparations don't give much of a buzz unless you snort them. Plus you can only get a month's Rx at a time. Many physicians have used other medications like pemoline (toasts your liver worse than 17aa) or Wellbutrim (antidepressant/smoking cessation) for adult ADD. Most people that have made it well into adulthood without medically treating their ADD probably don't need it but like I said before . . . EVERYBODY does a little better on medication and some people will do a lot better.

But as long as Coors or Hummer can sell their worthless BS . . . why not let Big Pharma keep us attentive (Strattera) and at attention (Cialis/Levitra/Viagra).
 
demeurj said:
...Stimulant medications are rarely abused (by children or adults) . . . in part b/c the preparations don't give much of a buzz unless you snort them.
you are completely misinformed on people abusing stim...i know several people that have stayed up for days while taking adderall...you know why...cause it is friggin' lab made meth...why do you think you were able to clean the kitchen, mop the floor, clean the bathroom and vacuum your apt.?...take care
 
UGKIT (ClearlyInsane) said:
you are completely misinformed on people abusing stim...i know several people that have stayed up for days while taking adderall...you know why...cause it is friggin' lab made meth...why do you think you were able to clean the kitchen, mop the floor, clean the bathroom and vacuum your apt.?...take care
Listen moron, I know people abusing stimulants right now. I know several people that have stayed awake for days on a variety of stimulants. Hell, I know people that have used OxyContin, Valium, and Methadone for recreational purposes. Yet BEST EVIDENCE . . . you know that research thing, shows children (in particular) have an extremely low likelihood of developing dependence/addiction to opiate-based pain medications and a very low likelihood of developing dependence/addiction to stimulant meds for ADD.

Now does that mean no one will abuse these meds? Of course not, it just means it happens infrequently. As for adults, they typically have to go through so much trouble (and expense) to abuse Rx drugs that they often just buy the street product. Further, current preparations (extended release/sustained release) do not give much of a buzz.

When it comes to true abuse, stimulants are WAY back in the queue. Yes, it does happen but children are unlikely to do so (for obvious reasons). As for adults, that's the reason why Wellbutrim (bupropion) was used off-label for adult ADD . . . it's a weak reuptake inhibitor of dopamine and norepinephrine, for use if you were worried about a patient abusing stimulants. It's also the reason Strattera (atomoxetine) is going after the adult market . . . that and the fact we already have studies showing it's not as good as stimulants for child ADD.
 
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