Stimulants

The authors of a large scale well-conducted systematic review of methylphenidate, also known as Ritalin, conclude that there is a lack of quality evidence for the drug’s effectiveness. Their research also revealed that Ritalin can cause sleep problems and decreased appetite in children.

"A classroom program that helps teachers adapt their interactions with students based on individuals' temperaments may lead to more student engagement in kindergarten, more...

The abuse of ADHD drugs on college campuses has reached epidemic proportions, according to the authors of a recent review in the journal of Ethical Human Psychology and Psychiatry. ADHD drugs, like Ritalin and Adderall, have become so commonplace on college campuses that students abusing these drugs for studying, weight loss and partying have underestimated their risks. As a result, we have seen exponential increases in emergency room visits, overdoses, and suicides by students taking these drugs.

Children diagnosed with ADHD who are prescribed stimulant drugs have more sleep problems than those with ADHD that do not take these drugs.

Peter Holley reports for the Washington Post that a powerfuland highly addictive amphetamine drug known as fenethylline or Captagon is being used to fuel ISIS fighters in Syria and Iraq. “Captagon has been around in the West since the 1960s, when it was given to people suffering from hyperactivity, narcolepsy, and depression.”

A “not otherwise specified” (NOS) diagnosis is often used when an individual may have some symptoms related to a psychiatric diagnosis but does not meet enough criteria to warrant a particular diagnosis. A new study, published online ahead of print in Psychiatric Services, reveals that the proportion of mental health visits resulting in such NOS diagnoses rose to nearly fifty percent, and that these diagnoses do not result in more conservative psychiatric drug prescriptions.

A new study suggests that service members who take stimulant medications to stay alert are five times more likely to suffer from post-traumatic stress disorder, the LA Times reports. “Those who had been prescribed multiple stimulants and the biggest supplies of the drugs were the most likely to have PTSD.”

For the New York Times Well blog, Katherine Ellision writes about how the rise in ADHD diagnoses globally is sparking “debates about the validity of the diagnosis and the drugs used to treat it.”

In the Boston Globe, Sarah Schweitzer tells the story of a young boy brutally abused by his parents then given to his grandparents who struggled with extreme poverty and homelessness. “Researchers now understood that trauma could alter the chemistry of developing brains and disrupt the systems that help a person handle stress, propelling a perpetual state of high alert. The consequences could be lifelong. As an adult, he’d be more likely to suffer anxiety and depression and heart disease and stroke. His ability to hold a job, manage money, and make good decisions could be compromised. And there was evidence, controversial but mounting, that he could pass on these traits to his children.”

In 2014, then National Institute of Mental Health (NIMH) director, Thomas Insel, speculated that ketamine “might be the most important breakthrough in antidepressant treatment in decades.” A recent review of the research suggests that while ketamine may produce a rapid short-term improvement in depression, the effect is short-lived and the potential for addiction and dependence warrants considerable caution.

At Alternet, Jay Syrmopoulos of The Free Thought Project discusses new research on the use of medical marijuana as a treatment for ADHD within the context of the ongoing debate over the validity of the ADHD diagnosis.

A small study of 30 participants in Germany claims that cannabis can be used to treat “ADHD” because it increases the availability of dopamine. "This then has the same effect but is a different mechanism of action than stimulants like Ritalin and dexedrine amphetamine, which act by binding to the dopamine and interfering with the metabolic breakdown of dopamine." According to the report, 22 of the 30 participants opted to discontinue their prescriptions in favor of medical marijuana.

The UK Independent reports that Ireland is moving toward a policy of decriminalizing small amount of drugs like heroin, cocaine, and cannabis in what amounts to a “radical cultural shift.” While it would remain a crime to profit from the sale of these substances, users will have specially designated areas for safe use. The chief of Ireland’s National Drugs Strategy told the paper: “I am firmly of the view that there needs to be a cultural shift in how we regard substance misuse if we are to break this cycle and make a serious attempt to tackle drug and alcohol addiction.”

PsychCentral presents a new study from the Center for Disease Control and Prevention (CDC) that found that foster care children are three times more likely than other children on Medicaid to receive a diagnosis of ADHD. Overall, more than one in four children in foster care receive such a diagnosis. CDC statistician Melissa Danielson interpreted these results as revealing a “substantial need” for more medical and behavioral services for kids in foster care.

A number of news outlets have been reporting on a review of modafinil, labeled the new "smart drug," this week. The review in question summarized the recent literature on the drug but others have claimed that the authors underestimated potential side-effects.

Writing in The Atlantic, James Hamblin reports that research continues to show that physical exercise is integral to “childhood cognition and brain health,” especially for children who exhibit symptoms associated with ADHD. These findings, Hamblin comments, have been discussed with a “phenomenal degree of reservation compared to the haste with which millions of kids have been introduced to amphetamines and other stimulants to address said ADHD.”

After the 2009 suicide of a seven-year-old foster kid who had been on two “black box” medications intended for adults, Florida updated its policies to protect vulnerable children from over-prescription. Unfortunately, according to a report by Orlando Weekly, “foster children are still being put on psychotropic medications without caregivers following proper procedures.”

Individuals diagnosed with psychotic disorders have an earlier onset of psychosis if they have previously been exposed to prescription stimulants, according to new research currently in press in the Journal of Psychiatric Research.

Let’s face it, as our kids slowly developing brains wrestle with behavioral and maturity issues while also trying to juggle expectations related to academic and social challenges, some of the behaviors they display can be quite concerning. Understandably, after trying what seems like everything in the books plus the kitchen, bathroom and laundry room sinks, caring and often exhausted parents are actively looking for help, resources and answers. But guess what? Without any need for pharmaceutical intervention or “drug therapy,” for centuries parents have been quite capable of helping challenged children overcome semi-annoying and concerning behaviors that some “experts” want to label today as symptoms of a mental disorder. Behaviors that a billion kids worldwide display every day.

When Wilda White recovered from a manic episode triggered by her ADHD medication, she had lost her relationship, her home, and her dream job as a public interest lawyer. She reached a turning point when, she told Seven Days newspaper, "in the course of trying to figure out what had happened to me, I went on the website Mad in America.” Through the site, she connected with a job listing from Vermont Psychiatric Survivors, a non-profit dedicated to empowering and protecting the rights of people labeled “mentally ill.” She is now their executive director.

-HealthNewsReview.org looks at the research and concludes there's little evidence that women experience loss of executive functions during menopause, or that an ADHD drug could help if they did.

Bloomberg reports that, "Adults in the U.S. have overtaken children in taking medication for the condition and accounted for 53 percent of the industrywide...

An equal percentage of young people will start misusing ADHD-related and other stimulant drugs for the first time at age 13 as will start at age 20.

Medicating children for a host of mental disorders has become very popular in some parts of the USA. More than 8 million kids from 6 months to 17 years of age are on pharmaceutical drugs in this wonderful country. We lead the world in drugging youth for behavioral, cognitive and attention issues. We are once again #1. But I would like to share with parents as well as adults working with children a few not so readily available facts related to medicating kids for behavior issues.

About 65% of preschool children who were diagnosed with ADHD and given stimulant drugs were still taking those drugs six years later.