Steve and Yeah I Survived are both right. We should not be breaking out the champagne bottles because of this one critical study. Primary care physicians are still the number one on-ramp for receiving an ADHD diagnosis. For that reason alone, The Journal of Psychiatry can afford to publish this study because, after all, psychiatry can point fingers and say, “We did not create this over-prescribing problem, pediatricians and primary care providers did!” In fact, one could argue, the publication of this study in a journal dedicated to PSYCHIATRY is likely to have far less impact on prescribing for ADHD than if it had been published in a journal for pediatricians. Still, some readers of this article may be start to develop a healthy skepticism. Maybe some parents, upon reading this article may be more inclined to ask their doctors some tough questions, such as do they tend to believe or be influenced by the rubbish in the medical literature that passes for ‘science’? After all, readers can’t help but wonder what kind of marketing went into this epidemic of getting children hooked on clean meth?