Serotonin Reuptake Inhibitors: An Argumentative Analysis

Attention deficit hyperactivity disorder (ADHD) is classified as a syndrome that is comprised of a variety of behaviors that often arises in early childhood and is characterized by extremely high levels of motor activity, difficulties with attention span and concentrating, and/or impulsive behaviors (Cook & Cash, 2011). It has been estimated in the United States that approximately 20% of children and adolescents display signs of a psychological or behavioral disorder according to Luthy, David, Macintosh, Eden, and Beckstrand (2015). ADHD is considered one of the more prevalent psychological disorders in children, with approximately 3-7% of school-age children with an ADHD diagnosis as mentioned by Luthy et al. (2015).

Attention- Deficit Hyperactivity Disorder (ADHD) crosses gender, cultural, and socioeconomic lines, but it does not render adolescents from participating or excelling in the academic process. ADHD disorder has been defined as a neurobiological development disorder of impaired executive functions that significantly affects self-control, behavior, cognition, and learning. (Anthony L. Rostain & J. Russell Ramsay, 2005) According to a study conducted by the American

Attention Deficit Hyperactivity Disorder (ADHD) is a psychiatric disorder that causes children to have problems with paying attention, trouble with following instructions, have impulsive behaviors and become easily distracted. Medications, such as Adderall and Ritalin, are used to treat the symptoms of this disorder by helping the patient to focus and pay attention while also curbing their impulsive behavior and hyperactivity. Side effects of these medications are, but not limited to, anxiety, addiction and in some cases psychosis. Proponents of giving ADHD medication to children argue that ADHD is a real disorder in children and the medication does improve the symptoms of the disorder by a large margin as well as being cost effective.

ADHD affects more than 6 million children between the ages of 4-17 that causes them not to stay on task, have impulsive behaviors, poor academic performance and trouble with social interactions (Church, 2014). These symptoms are usually observed at home, school, and other social settings when compared to other children. Stimulant medications are prescribed as treatment to help reduce the symptoms and are recommended to be taken through adulthood (Church, 2014). However, once diagnosed, parents, adults and prescribers should look into alternative options first to help decrease the amount of medications needed (Church, 2014). The primary goal for any person with ADHD should consider behavioral modification or behavioral therapy, diet, and an environment change. Parents can also include attention and visual training, traditional talking and different techniques of discipline (The Nemours Foundation, 2017). Therapy attempts to change behavior patterns and helping not only the kids but struggling parents

When dealing with adolescents with attention deficit hyperactivity disorder ADHD may become a challenge for many parents. Knowing the facts about this disorder and how to treat the problem is the key to a healthy lifestyle for adolescents as well as families. Many therapies and medications are available to families with children with ADHD but many questions that parents have with their children with ADHD is which therapy is best and what would work best with their children and their quality of life. The question of which therapy, alternative versus medication therapy would improve adolescent’s quality of life and behavior modification.

Attention Deficit Hyperactivity Disorder (ADHD) is a psychiatric disorder that causes children to have problems with paying attention, trouble with following instructions, have impulsive behaviors and become easily distracted. Medications, such as Adderall and Ritalin, are used to treat the symptoms of this disorder by helping the patient to focus and pay attention while also curbing their impulsive behavior and hyperactivity. Side effects of these medications are, but not limited to, anxiety, addiction and in some cases psychosis. Proponents of giving ADHD medication to children argue that ADHD is a real disorder in children and the medication does improve the symptoms of the disorder by a large margin as well as being cost effective.

Properly diagnosing ADHD, medication choices, and behavioral interventions are the key focal point. Is medication truly worth the side effects?

In 2005, the CDC estimated the annual cost of ADHD to the United States to be between thirty-six to fifty-two billion dollars. This estimate takes into account not only medication costs, but those doctor’s visits and lost productivity. Cost of medication is the most significant factor, however, productivity lost by adults with the condition, or having to take off work to address a child’s behavioral incidences account for nearly four billion dollars (CDC 2015). The state of Indiana alone has more than eighty percent of youth diagnosed with the condition on pharmaceutical stimulants (CDC 2015). This provides evidence that a therapeutic approach that reduces the use of these costly stimulants and teaches individuals with the condition a viable, sustainable coping mechanism for their disorder is again a worthwhile pursuit.

Families who have children with ADHD often experience much higher anxiety and stress levels. A large number of children, almost half, will exhibit signs of ADHD by the age of four. However, most children are not diagnosed until he or she reaches elementary school. The behaviors that are associated with ADHD in children put them at risk for a host of other problems and complications such as completing their education, alcohol and other drug abuse, and an increased risk for delinquency. There has been much research on ADHD in recent years and many different types of medications and interventions have proven to be quite helpful. With the proper diagnosis and treatment, children with ADHD can learn to cope with the daily demands of the classroom, social situations, family interactions, and life in general.

According to the Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD) resource center (2017), “combination treatment provides the best results in improving ADHD and oppositional symptoms and in other areas of functioning, such as parenting and academic outcomes.” Therefore, more and more providers are coming to believe that stimulant medications should not be the only treatment patients should be receiving for ADHD and should be combined with behavioral therapy (CHADD, 2017). It is the provider’s responsibility to ensure patients and their families are receiving the proper education regarding the recommended treatments for children diagnosed with ADHD, so they may choose the most effective treatment plan for their child. The purpose of this DNP project is to improve the education of patients and their families on the most effective treatments options for children with ADHD, with a goal to increase the use of behavioral therapy among all children with ADHD.

Attention-Deficit/Hyperactivity Disorder (“ADHD”) is a common childhood disorder that represents developmentally inappropriate levels of inattention, impulsivity and overactivity. It occurs in 3% to 5% of the school age population as stated by (Craighead, Craighead, Kazdin & Mahoney, 1994). Another author (Barkley, 1981) stated that ADHD occurs in at least one child in every classroom. As a result of these statistics, ADHD has become one of the most commonly referred and heavily studied psychological disorders of childhood. Studies show that about 50-60% of children with ADHD in the age range of five to seven years are hostile and defiant. By the

The purpose of this research was to describe and understand Attention-Deficit Hyperactivity Disorder (ADHD) and the most effective treatment options that are available today. ADHD is a mental health disorder that affects 3-9% of the population in ways that, if left untreated, can wreak havoc on the mind of the sufferer. It makes concentration difficult, large tasks seem insurmountable, and causes impulsive and hyperactive tendencies. Fortunately, research and experiments have led to new and effective treatments to help those who suffer from this disorder (Dupaul 8). This research examined journal articles and internet sources on the topic to help unlock the complexities of the disorder through scientific research. It also was a way to

The linkage of serotonin to depression has been known for the past five years. From numerous studies, the most concrete evidence of this connection is the decreased concentration of serotonin metabolites like 5-HIAA (5-hydroxyindole acetic acid) in the cerebrospinal fluid and brain tissues of depressed people. If depression, as suggested, is a result of decreased levels of serotonin in the brain, pharmaceutical agents that can reverse this effect should be helpful in treating depressed patients. Therefore, the primary targets of various antidepressant medications are serotonin transports of the brain. Since serotonin is activated when released by neurons into the synapse, antidepressants function at the synapse to enhance serotonin activity. Normally, serotonin's actions in the synapse are terminated by its being taken back into the neuron then releases it at which point "it is either recycled for reuse as a transmitter or broken down into its metabolic by products and transported out of the brain." As a result, antidepressants work to increase serotonin levels at the synapse by blocking serotonin reuptake (2).

ADHD is an abbreviation for attention deficit/hyper activity disorder. It is commonly referred to as a psychiatric disorder in need of therapy. The origination of the disease is in the neuro-physiological brain construct, and the main cause of the disorder is considered to be genetic (Wilson, 2012). Many children with ADHD struggle with impulsivity, hyperactivity, and inattention (Unnever, Cullen, & Pratt, 2003). According to McNamara, Vervaeke, and Willoughby (2008), “attention deficit/hyperactivity disorder is the most commonly diagnosed behavioral disorder among children and adolescents. It affects between 3% and 5% of school age children” (p. 38). In a

Excessive levels of hyperactivity and inattention can be extremely impairing for both the afflicted child and their caretakers. Children with ADHD can experience problems with cogni-tion, poor academic achievement, troubled peer relationships, and heightened household conflict (Barkley, 1997; Loe 2007; Bagwell, 2001; Harpen, 2005). These children often present with in-creased aggression that can result in a comorbid diagnosis of conduct disorder or other disruptive behavioral disorders (Jensen, 1997). The heterogeneous symptoms of this disorder can make se-lecting a treatment course particularly challenging. While prescribing stimulant medication has become the golden standard for dealing with an attentional system gone awry, there is growing concern over the use of pharmacological interventions for children since the side effects of such use during this period of development may not yet be fully understood. Additionally these drugs do not directly curtail aggressive and defiant behavior that many of these children display but they may improve a child’s ability to benefit from other psychosocial interventions.