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Overprescribing Of Stimulants For ADHD Case Study

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Overprescribing of Stimulants for ADHD
The most extensively studied childhood neurobehavioral disorder is attention-deficit/hyperactivity disorder (ADHD). ADHD is a chronic condition that occurs in about 8% of children and youth (Harstad & Levy, 2014). Stimulant medications (i.e. methylphenidate and amphetamine) are very effective in decreasing the core symptoms of ADHD (Harstad & Levy, 2014). Due to the increasing rates of stimulant prescriptions, there is now controversy on whether overdiagnosis of ADHD in youth and consequent overprescribing of stimulant medications truly exist.
Author’s Perspective and Personal Experience Regarding the Issue
Before 1970, the ADHD diagnosis was rare for school-age children (1%) and relatively …show more content…

How to Limit Overprescribing, Misuse, Abuse, and Diversion
Being a pediatric operating room nurse, I often take care of patients who are diagnosed with ADHD and is undergoing medical and behavioral treatments for their disorder. In my ten years of nursing experience, I have not encountered a patient who has misused, abused, or diverted their stimulant prescription, or at least not that I know of or it is not noted in their charts. According to Harstad and Levy (2014), misuse and diversion (i.e. giving away, trading, or selling) of stimulant medications are more widespread problems than abuse or addiction. Although methylphenidate and amphetamine both have abuse potential, there is very little evidence that these medications are abused by the patient to whom they are prescribed for. Moreover, about 16-23% of school-aged children have reported that they have been approached to by another person to give, sell, or trade their prescription stimulant (Harstad & Levy, 2014). Friends and family members are the most frequent source of diverted medications (Harstad & Levy, 2014).
To prevent overprescription of stimulants, pediatricians or other primary care providers should seek to accurately diagnose ADHD and treat symptoms appropriately by

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