Outcome for Ritalin “Really Quite Poor” – Top U.K. Psychiatrist


The psychiatrist who drafted national guidelines on the use of Ritalin in the U.K. recommends its use in severe cases only, alongside other treatments, saying that the “first treatment should be a training and education program me. Their parents should get training to deal with their difficult behavior… If you do that, particularly when they’re young, you can halve the number of kids diagnosed with ADHD.”

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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected].


  1. Glad to hear a mainstream psychiatrist finally say this out loud. I’ve been saying it since 1990 when I first researched the long-term outcomes. Kids taking stimulants don’t do better than kids who don’t on any long-term outcome that we generally care about. It just doesn’t work.

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