Came across a very interesting article in the paper today. Delthia Ricks reports in “New angle on autism,” that “[a]utism for some children may be related to defects in the mitochondria.” This “new” finding is reported in the Journal of the American Medical Association.

I write “new” because this theory has been around for a while. In fact, I believe there are practitioners here on Long Island that have been testing for these defects for several years.

And, Ms. Ricks notes that “[f]or years, parents on Long Island and elsewhere have argued their children diagnosed as having autism actually are affected by mitochondrial defects but the scientific work to support their claims have been scarce. . . ‘It always takes the medical and scientific community a long time to catch up with what parents are saying,’” noted Evelyn Ain, an advocate for children with autism.

Yeah, don’t we know that!

Oh, and there was one more quote that I particularly enjoyed. Dr. Eli Hatchwell, while commenting that the findings were “intriguing but not definitive,” stated “I have said it before and I will say it again: There is no single cause of autism.”

Funny, we’ve been saying that for the last ten years!!

But, maybe now that a doctor says it . . .

HAPPY BIRTHDAY, POPPY!!

Is it just me, or is there something fundamentally wrong when you read in the paper about Long Island school superintendents who are making hundreds of thousands of dollars a year in salaries, pensions and benefits, and then two days later, read in the same paper, that services for special needs children are being cut?

One person wrote an editorial in which he was outraged that anyone should have an issue with the superintendents' pay because they "earned it," and the pay simply can't compare to that of private sector CEOs. I think this person is missing the point.

It's not really a matter of "earning it" (although others were quick to point out that city school superintendents', with far more children to account for, don't make nearly as much), and it has nothing to do with the private sector (our taxes pay for their jobs -- it's not a for-profit organization). What is at issue here, what should only really be at issue here, is what's best for our children. If the districts need money -- and remember, it's really our money in the form of ever increasing taxes -- the cuts should NOT come at the expense of our children. The schools, and the superintendents, exist for our children's benefit -- not the other way around.

Or maybe I'm just crazy to think that maybe the needs of the kids should come before those who have "earned it."

I came across a post entitled "How Do ADD/ADHD Medications Really Work" by Dr. Rory F. Stern. He asked for comments. You all know this subject has been addressed here many times. Here's what I wrote to Dr. Stern.


Wow.

I must admit I was a little upset when I saw the title of this post: “How Do ADD/ADHD Medications Really Work,” because NO ONE really knows how any of these medications work. We’ve all been told about the medical theory underlying ADHD, i.e., that ADHD is the result of a chemical imbalance in the brain involving certain neurotransmitters and that the medications help regulate such neurotransmitters.

However, this is only a THEORY. No one really knows what causes ADHD, and NO ONE really knows how any of these medications actually work. As most of you certainly know, ADHD is a symptom driven diagnosis – if you check off enough behaviors on the Conners sheet in enough environments, you will be diagnosed with ADHD regardless of what is actually causing the behaviors.

If you do the research, you’ll find studies that “prove” inattentiveness and impulsivity can be traced back to many different “causes” -- overexposure to media (including television and video games), poor diets and food allergies, nutrition deficiencies (including essential fatty acids), sensory integrations problems, sleep problems or emotional issues, to name but a few. I noticed that some of the previous posts mention such issues.

But, to Dr. Stern’s credit, he did not try to explain exactly how these medications work, nor did he take a stand on their use. The subject of medication is near and dear to me, and I have blogged about it extensively in the past. While I am certainly not a proponent of medication, I do realize that for some people it is a life changer. I only urge that you try other therapies and approaches, and use medications as a last resort.

Without getting into the gory details, our son was diagnosed with ADHD, borderline ODD, and PDD by the age of 7. We reluctantly tried medications, and unfortunately for our son, he got hit with nearly every side-effect you could get, from wild mood swings, to hyper anxiety, to facial tics. One med led to another, and to another, as his doctors tried to medicate his side-effects away and get his behavior under control.

He was a mess, and the cocktail of ever changing meds was only making him worse. When we mentioned trying alternatives ranging from dietary changes to homeopathy to sensory integration work, we were told by every professional that meds were the only proven therapy and the rest was a waste of time and money. However, our son’s downward spiral on the meds, the doctors’ insistence on more meds, and our desperation drove us to explore the alternatives.

We did, and we have never looked back. It took time and a lot of effort, but by the time our son entered sixth grade, he was completely off all medications and you would never have known there was ever an issue with this child.

Over that time, we learned a great deal about meds that the doctors never shared with us. First, nearly all studies show that over the long run, these meds lose their effectiveness. Second, these meds almost always have side-effects (although some may argue that the benefits outweigh the side-effects). Third, while rare, there are some serious issues with these medications that have led some to be banned in other countries. Fourth, the effectiveness of such meds is greatly over sold. You see, it depends on your definition of “effectiveness.” If you define “effectiveness” as having some “effect,” then these meds are very effective. If you define “effectiveness” as satisfactorily alleviating the issues for which the medication is given, you’ll find that these meds aren’t nearly as effective as promised.

In fact, during a Special Education PTA seminar, less than 30% of the parents who tried medications to regulate their children’s behavior thought the meds did what they were supposed to do, and 100%(!!) experienced side-effects. This number was interesting since a psychologist writing on the subject of the effectiveness of psychotropic meds, made a similar distinction, and stated with authority, that such meds had an “effect” 70% of the time, but only really worked about 30% of the time!

So, I was truly shocked to see how many people responded that their children were helped by meds. I was even more shocked by the apparent lack of those who had awful experiences with medications, like we did. I can only say to those who responded by saying that meds were life savers, I am truly glad that you were able to help your children, and be aware how lucky you are!

Can you stand one more blog about television?

An article posted at http://www.themedguru.com/20101011/newsfeature/long-hours-watching-tv-can-harm-child-s-mental-health-study-86140882.html by Silky Chandvani (10/11/10), cites a study that indicates that long hours of screen exposure at an early age might lead to psychological problems.

The study examined 1000 children, all around 10 years of age. Two measuring devises were used. The first was a questionnaire that covered: television viewing time, emotional difficulties, conduct problems, hyperactivity or inattention, friendships, and problems relating to peer groups. The second was an activity monitor that recorded the children’s sedentary time and moderate physical activity over a week’s period.

What did the researchers find?

The children who sat in front of a screen for more than two hours a day scored low on the questionnaires, regardless of how much physical activity in which they otherwise engaged. In addition, these children ran a 60% higher risk of developing psychological problems than those who racked up fewer viewing hours.

The study was published in the November edition of “Pediatrics” and was supported by the World Cancer Research Fund and the National Prevention Research Initiative.

Need I say more?

Came across an interesting little snippet on an ADHD forum to which I belong. In an attempt to avoid medicating her child, suspected by doctors of having ADHD, a Mom tried to help her son through a nutrition intervention. It is unclear whether she had consulted with anyone about her approach, but what was clear is that the child had an immediate reaction to the intervention – apparently a very bad one which prompted this Mom’s call for help on the forum. Specifically, she indicated that it was as if the child was going through “withdrawal” and after two weeks, she only saw his behavior getting worse.

Tina responded privately to her offering advice and insight into the situation. Among other things, she noted that, as we always tell the parents here at the center, while the “withdrawal” like symptoms may be upsetting, the fact that her child had a definitive response to a new intervention is usually a very positive sign. At a minimum, it shows a clear sensitivity related toward that intervention (in this case, what the child was eating), and that usually means you’re looking in the right direction. The trick now is to figure out the proper approach.

Moreover, as we always tell parents, whenever trying a new intervention, many times things tend to get worse before they get better – especially behaviors. The child literally feels very different, the body is physically affected, and the child’s mind and body must adapt. This can be rough, and lead, at least in the beginning, to worse behaviors.

Finally, like anything else, it takes time to adjust to new interventions. Unlike medication, nutrition intervention takes time. This is especially so if the gut is affected or you are addressing a deficiency. Simply put, it takes time for the body to heal.

Another gentleman on the forum (we’ll call him “Biff”) had a different response. Posted on the forum: give up the diet and give him meds.

Guess who had the right approach?

It turns out that not long after Biff’s post, Mom gave us an update. It took a couple of weeks, but she stuck with the dietary intervention and was now seeing very positive results. In particular, she noted that her son was “calmer,” “focus[ing] longer,” and experiencing “less sensory break downs.”

Tina 1: Biff O

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So, heard the latest? I am not making this up.

Adderall May Have Unhinged Lindsay Lohan (8/20/2010 12:30 AM PDT by TMZ Staff)
Lindsay Lohan's Adderall dependence -- the result of a medical misdiagnosis -- may have been the reason she went off the rails.

[T]he docs at the UCLA rehab facility believe Lindsay was misdiagnosed with Attention Deficit Hyperactivity Disorder ... and then prescribed Adderall to treat the phantom affliction.

Dr. Joe Haraszti -- a prominent L.A. addiction specialist [states that] people who take Adderall when they don't need it can experience similar effects as people who use cocaine or methamphetamine.

Dr. Haraszti tells us ... people who unnecessarily take Adderall can display manic symptoms ... "and often do things like 'driving around until all hours of the morning ... smoking heavily ... tweeting ... and texting all night long." The doc adds, "They can become very impulsive."

"The doc also notes that people in that situation "might then complain of insomnia and then take Ambien or other sleep aids to help fall asleep ... it's a vicious cycle."

Dr. Marc Kern -- another addiction expert -- tells us alcohol abuse is also very common among patients who take Adderall.

Dr. Kern tells us, 'The Adderall counteracts the sedative side effects of alcohol use … making these people often drink more than someone who does not take the drug."

That is, pretty much, word for word, the article about Ms. Lohan, ADHD and Adderall. Now, let’s play a game. How many things are terribly wrong about the information contained in this article?

Here are my top three:

1. How is someone like Lindsay Lohan “misdiagnosed?” One would assume that she has access to the best medical practitioners around, right? So, are her doctors so inept that they could not diagnose a “disorder” that affects anywhere from 8% to 15% (or more, depending upon your information source) of the population?

Or, is it more likely, that the “disorder” is so vaguely defined, subjectively diagnosed, and misunderstood, both in its manifestation and causes, that it too difficult to diagnose correctly?
In either event, if Ms. Lohan is truly misdiagnosed, either through her doctors’ lack of skill or the inherent vagueness of this “disorder,” how do we know that our kids are not also being misdiagnosed?

2. “[P]eople who take Adderall when they don't need it can experience similar effects as people who use cocaine or methamphetamine.”

Ah, this one’s a bit trickier. Yes, people who take Adderall “can experience similar effects as people who use cocaine or methamphetamine.” No issue there. That’s because Adderall, Ritalin, and the like ARE IN THE SAME CHEMICAL FAMILY AS COCAINE AND METHAMPHETAMINE!! (in fact, Ritalin’s real name is “methyiphenidate”). And, like cocaine, they are all Schedule II controlled substances! (see http://www.justice.gov/dea/pubs/scheduling.html).

Thus, “like cocaine, Ritalin is a powerful stimulant that increases alertness and productivity. Ritalin and cocaine also look and act the same. Both have a similar chemical structure.” http://learn.genetics.utah.edu/content/addiction/issues/ritalin.html

So, what’s terribly wrong with this statement? First, Adderall affects EVERYONE the same way, whether you have ADHD or not! That’s why you can’t use the drug’s so-called effectiveness as a diagnostic tool. So, when you give your “ADHD” kid Adderall, he/she may “experience similar effects as people who use cocaine or methamphetamine,” including as
“Dr. Haraszti tells us … manic symptoms ... and impulsiv[ity]."

And lets not forget what Dr. Kern has to say: “alcohol abuse is also very common among patients who take Adderall.”

3. Just a headcount – how many of you parents out there were told either that (a) ADHD was very difficult to properly diagnose; or (b) that drugs like Ritalin and Adderall are class II controlled substances, just like cocaine, with a similar chemical structure as cocaine, that can cause “manic symptoms, impulsivity, and/or alcohol abuse”?

I’ll bet you were told, like me, these drugs were perfectly safe, with few if any side-effects. And, if your son/daughter had diabetes, you’d give him/her insulin, wouldn’t you?

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