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ADHD Controversy

Dr. Yendapally's group
by

Corrie Washburn

on 9 May 2013

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Transcript of ADHD Controversy

Quality ACCESS COSTS What is so controversial about ADHD? The Controversy over Attention-Deficit/Hyperactivity Disorder Gene Fite, Lauren Flieller, Sarah Hogan, Robert Ibarra,
Sarah Lam, Brandi Waggoner, and Corrie Washburn Authenticity of Disease State Quality of Diagnosis Cost of Medications Psychological Costs Rx meds are amphetamines

Abuse potential

Many side effects What's wrong with me?

Labeling with peers

Low self-esteem and anxiety Cash prices from local pharmacy for #30: Drug Name Brand Price Generic Price
Vyvanse 20mg $225.30 n/a
Ritalin 20mg $59.63 $60.43
Ritalin 20mg SR $89.97 $85.37
Adderall 10mg $165.14 $75.98
Adderall 10mg XR $290.21 $220.97
Concerta 36mg $288.45 $239.98 References: Diagnosis Rates Over-prescribing of medication Over-diagnosis Video Increasing demands:

On kids

On families

Doctors rushing through the diagnosis Consider alternatives before drugs: Therapy

Teaching

Diet

Hypnosis Prevalence should be the same

Currently, in the US, diagnosis rates vary:

More males

More insured

More non-Hispanic, English speakers Video Quality of Medications Is ADHD a hoax?

Disciplining/shifting blame



Symptoms vary


More diagnoses in last 30 years DSM-IV checklist

Rule out other diseases

Subjective testing

"Faking" symptoms Video Sroufe LA. Ritalin Gone Wrong. The New York Times Sunday Review. January 28, 2012. Available at: http://www.nytimes.com/2012/01/29/opinion/sunday/childrens-add-drugs-dont-work-long-term.html?pagewanted=all&_r=3&. Accessed April 22, 2013.

Are ADHD Medications Overprescribed? The Wall Street Journal. February 14, 2013. Available at: http://online.wsj.com/article/SB10000872396390444301704577631591596516110.htmh. Accessed April 22, 2013.

Setlik J, Bond GR, and Ho M. Adolescent Prescription ADHD Medication Abuse Is Rising Along With Prescriptions for These Medications. Office Journal of the American Academy of Pediatrics. 2009. Available at: http://www.pediatricsdigest.mobi/content/124/3/875.full. Accessed April 22, 2013.

Mayo Clinic Staff. Attention-deficit/hyperactivity disorder (ADHD) in children, Symptoms. Mayoclinic. 2013. Available at: http://www.mayoclinic.com/health/adhd/DS00275/DSECTION=symptoms. Accessed April 22, 2013.

Segal J and Smith M. ADD / ADHD Tests and Diagnosis. Helpguide.org. 2012. Available at: http://www.helpguide.org/mental/adhd_add_diagnosis.htm. Accessed April 22, 2013.

Gilden D. To the beat of a different drum. The University of Texas at Austin. 2011. Available at: http://www.utexas.edu/features/?p=29976. Accessed April 22, 2013.

Rabiner D. ADHD: Increased Costs for Patients and Their Families. ADHD Research Newsletter. http://www.adders.org/research48.htm. Accessed April 22, 2013.

Lesser S. ADHD and Education. http://sitemaker.umich.edu/356.lesser/adhd_controversies. Accessed April 22,2013.

Rutherford D. Treating ADHD-An Overview. NetDoctor. 2007. Available at: http://www.netdoctor.co.uk/adhd/treatingadhdoverview.htm. Accessed April 22, 2013.

Austin M, Reiss, NS, and Burgdorf L. Controversies Surrounding ADHD. 2007. Available at: http://www.mentalhelp.net/poc/view_doc.php?type=doc&id=13852. Accessed April 22, 2013.

ADHD. k12academics. Available at: http://www.k12academics.com/disorders-disabilities/adhd Accessed April 22, 2013

ADHD Medication Chart. ADD & ADHD Health Center. WebMD. Available at: http://www.webmd.com/add-adhd/adhd-medication-chart. May 22, 2012. Accessed April 22, 2013 Summary
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