Methylphenidate: Calming Chaos or Cultural Genocide?
Energetic, rowdy, animated. These adjectives, often used in describing the routines and milieu of the child, are now not as accurate as they once were. Words such as focused, calm, and attentive can be applied more readily. The differentiating characteristic between these two groups—methylphenidate.
A central nervous system (CNS) stimulant, methylphenidate—more commonly known as Ritalin—is drug prescribed in the treatment of Attention-Deficit/Hyperactivity Disorder (AD/HD) ((1)). AD/HD, by definition, is "developmentally inappropriate behavior, including poor attention skills, impulsivity, and hyperactivity" sustained for more than 6 months, appearing usually during childhood2
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In recent years, the number of children diagnosed as AD/HD has increased drastically—more than four million children5 ((5)). Statistics behind the disorder are rather shocking:
- "The use of medication to treat children between the ages of 5 and 14 also increased by approximately 170 percent."
- "The number of preschool children being treated with medication for ADHD tripled between 1990 and 1995."
- "The number of children ages 15 to 19 taking medication for ADHD has increased by 311 percent over 15 years."
- "The U.S. produces and consumes about 85 percent of the world's production of methylphenidate". 6 ((6))
Simply, the trend demonstrates an increasing diagnosis and treatment rate of AD/HD. The affect, in turn, is a sizable circulation of methylphenidate.
Controversial theories and incongruous studies present two perspectives on the long-term impact of methylphenidate use. The National Institute on Drug Abuse (NIDA) has been pursuing further studies to determine whether AD/HD can lead to increased risks of substance abuse and addiction. Two theories, examine the study using differing catalysts for addiction—medications used in the treatment of AD/HD and the disorder itself7 ((7)). The former follows along the premise that over time the brain becomes somewhat desensitized to the stimulant. With time, a greater quantity is required to achieve the rewarding properties of the
Drug overdose from medications designed to treat attention deficit hyperactivity disorder (ADHD) are on the rise. This is likely due to an overwhelming amount of children, nearly 3 million, prescribed medication for ADHD each year (Spiller, Hays, & Aleguas, 2013). ADHD affects nearly 10% of the national population and is rising due to newer diagnostic criteria (Levine, et al., 2013). In the past, ADHD was only diagnosed in school aged children, but new studies suggest that diagnosis can be made in the preschool age as well (Levine, et al., 2013). Because of the new age criteria affecting more young children, the number of prescription of ADHD drugs will rise each year which will increase the amount of ADHD prescription overdose (Adis, 2014).
Analysis of parent-reported data from the National Health Interview Survey (NHIS) 2011–2013 found that 10% of children ages 4–17 years were diagnosed with ADHD (Pastor et al. 2015) Boys (13.3%) are twice more affected by ADHD than girls (5.6%)(Pastor et al. 2015). A similar study found that the prevalence rate of ADHD diagnosis increased from 7.0% in 1997–1999 to 10.2% in 2012–2014(ADHD General Prevalence. (2014).
Attention deficit hyperactivity disorder is the most widely diagnosed “mental-illness” in children in the United States today, and approximately 99% of children diagnosed are prescribed daily doses of methylphenidate in order to control undesirable behaviors. (Stolzer)
In this day and age, drugs are being prescribed without hesitation. In fact, many of these drugs are being prescribed for children with various disorders. One of these disorders is called Attention Deficit Hyperactivity Disorder (ADHD). An estimated five to ten percent of children are diagnosed with this syndrome (Taylor 11). One of the methods to treat this disorder is to use stimulants, specifically Ritalin. This method is controversial because it has many side effects and its long-term effects are unknown. It can also lead to addiction. Approximately two to three percent of elementary school children are taking some kind of stimulant to treat ADHD (Taylor 64). Since so many children are taking this medication, new problems have arisen.
An older study conducted by Dr. Brian Reichow, adjunct professor at Yale University School of Medicine, and his colleagues discovered similar findings, “Methylphenidate, [a psychostimulant medication, was] effective for treating ADHD symptoms in children.”
(“ADD”) (Kinman). This is because children with ADHD have a lower brain volume than children who do not, especially in regions of the brain responsible for attention and emotion (Kinman). Dopamine and norepinephrine are neurotransmitters that help send messages between areas of brain associated with attention and motivation. The brain of a person with ADHD may have less of these chemicals available. This may explain why someone with ADHD has trouble paying attention or performing repetitive tasks. (Kinman) When people with ADHD are prescribed methylphenidate (a stimulant), it helps increase the amount of dopamine and norepinephrine in the brain. This increase in the level of neurotransmitters seems to improve attentiveness and motivation. Inattentive type symptoms include daydreaming, becoming easily confused, having difficulty processing information as quickly and accurately as others, seeming not to listen when spoken to, and more. Hyperactive-impulsive type symptoms may include fidgeting, talking nonstop, have trouble sitting still for sustained periods of time, being very impatient and
The main topic of this page is information and statistics pertaining to children that possess the disorder of ADHD. It provided several statistics amongst the boys and girls that have ADHD. It also provided percentages and rates of how many children are diagnosed with the disorder. It revealed that statistically proven boys are more likely to become diagnosed with the disorder than females are. This site also provided statistics ad ratings of the different treatments that children are taking and how many American children received treatment for the disorder in 2011. There was also a percentage representing the children that may have been diagnosed with the disorder but are not receiving any type of treatment for it. There are also facts supporting that parents that may have been diagnosed with the disorder are more likely to reproduce children that suffer from the same disorder opposed to parents who have not been diagnosed or exhibited any behaviors or symptoms of ADHD. It is also quoted that children that have been diagnosed with the disorder may form a issue with maintaining any relationships or friendships amongst their peers. There was also a percentage that supported the fact that the children that suffer from the disorder of ADHD have a higher rate or major injuries and hospital visits compared to the average child. There is also a high economic cost to care and treat children that suffer from this disorder.
Ritalin, is used as a medication prescribed for individuals who have an abnormally high level of activity or attention-deficit-hyperactivity disorder (ADHD). The drug works by increasing and balancing levels of the brain chemicals dopamine (associated with activity) and serotonin (associated with a sense of well-being). According to the National Institute of Mental Health, about 3 to 5 percent of the general population has the disorder.
It is determined ADHD, is caused by an imbalance of chemicals affecting certain parts of the human brain that work with attention, impulses and concentration Mall & Holland, (2013). Some of the symptoms include daydreaming, forgetting or losing items, and having difficulty resisting temptation. Some of the medication that is provided to patients with ADHD is Ritalin and Concerta. There are some concerns that ADHD medication may led to substance abuse Brown University, (2013). According to Brown University, (2013), the increase in the diagnosis of ADHD may have resulted from over – diagnoses of ADHD or inaccurate information reported from the parents that were surveyed by the Centers for Disease Control & Prevention (CDC). This report has raised questions about the increase in ADHD
f. .stimulants can cause enhanced brain activity increase and llertness in energy elevated blood pressure increase heart rate increase respiration and sleep deprivation…. Ultimately these three drugs possess the same long term affect when abused; high potential for physical dependence and addiction.
According to the Surgeon General website, “Because the symptoms of ADHD respond well to treatment with stimulants, and because stimulants increase the availability of the neurotransmitter dopamine, the “dopamine hypothesis” has gained a wide following. The dopamine hypothesis posits that ADHD is due to inadequate availability of dopamine in the central nervous system. The neurotransmitter dopamine plays a key role in initiating purposive movement, increasing motivation and alertness, reducing appetite, and inducing insomnia, effects that are often seen when a child responds well to methylphenidate. The dopamine hypothesis has thus driven much of the recent research into the causes of ADHD.” (Surgeon General website). It does make sense that neurotransmitters are involved, since the mechanism of medications that seem to effectively reduce the symptoms of ADHD impacts the neurotransmitters. This may explain why these medications are effective for many people
To add to that, the research that has been conducted on the disorder has led to a variety of effective treatments. According to the National Institute of Mental Health (NIMH) (2014) the most widely used medication is a stimulant. There is a wide variety of stimulants available for ADHD subjects. Although, with these stimulants come side effects including sleep problems, decreased appetite, anxiety and other diverse uncommon side effects (NIMH, 2014). Stimulants tend to calm children with ADHD. However, these medications can be detrimental to the patient in many ways. Certain medications have been subject to abuse, including Adderall and Ritalin. These medications are in some cases abused by patients who are over diagnosed. Since these patients do not have the disorder they can feel the side effects and use the drug to achieve a certain kind of high. When using these drugs for non-medical purposes they can seem to replicate the effects of cocaine
Attention deficit hyperactivity disorder develops throughout childhood. Ellen Braaten associate director of The Clay Center for Young Healthy Minds in the Massachusetts General Hospital and associate professor of psychology at Harvard Medical school tends to be staying neutral between the debate of medicating young children for ADHD. “Methylphenidate is the most commonly prescribed drug for ADHD worldwide. [...] teachers reported fewer symptoms of ADHD
From the very beginning of the research, the authors were very detailed with background information about the ADHD prescription phenomenon reporting that the rise in the number of
The goals and objectives of this webpage are to receive correct and accurate information as provided so people can research ADHD without any bias. The webpage also gives information to understand ADHD, statistics, as well as causes and risk factors for the disorder. The information you read on the webpage is very detailed. For instance over 6 million American school-aged children (which is 11 percent), have been diagnosed with ADHD (CDC, 2015). Another example provided is that ADHD has its core three primary symptom areas: inattention, hyperactivity and impulsivity (Everyday Health, 2015). None of the information you read in the article is biased even when the writer talks about the treatments for ADHD. The author states that ADHD can be well managed with therapy and perhaps some medications (Everyday Health,