The Effects Of Adolescent Medications

Help! The emergency 911 call goes “My child is having one of his psychotic episodes and I don’t know what to do!” A mother’s plea for help as she watches her teenage son’s manic episodes unfold; what is a mother to do? Since then, the teenager has been prescribed several antipsychotic drugs such as Aripiprazole (Abilify), thereafter, Risperidone (Risperdal) and a sleuth of others, but none curtails or controls his mood disorder until he is prescribed Depakote. Confused and perplexed, Depakote is an anti-seizure and an anti-psychotic drug that works by increasing the amount of a special neurotransmitter in the brain (drugwatch.com, nd).

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.

Special attention should be giving to understanding informed consent and any challenges that may be presented and prescribing ethically medications to special populations such as children. According to the Gerald Tietz of the Washington law review (1986), indicates that it is well within a practitioner’s scope of duty to inform the patient of significant effects were injuries that may be related to the prescribing of any particular pharmacological treatment. This informed consent should be expanded to include the harms were dangerous presented also with non-use of additional treatment interventions such as therapy or CBT. Additional trends identified in ambulance pediatrics (Cooper, Arbogast & Ding, 2006), or the trends and the prescription of antipsychotic medications for children in the United States of America. The information taken from the national ambulatory medical care survey in regards to the US population indicated that between 1995 and 2002 there were nearly 6,000,000 visits to health providers by children in the US that had been subscribed or prescribed antipsychotic medications. Nearly 1/3 of the prescriptions for lease populations were provided by non-mental health service professionals. The study of the department of pediatrics at Vanderbilt University in Nashville also indicated that over half of the prescriptions for these children were given based on behavioral indications or affective disorders which find a way

Today’s children in America have become a primary source of pharmaceutical financial gain. Up until the 1990’s children who were restless just needed physical activity, and children who were not paying attention in class were daydreaming. Presently, however, these same children are being diagnosed with ADD or Depression. They are being treated for these imagined ill-states of mental health with medicine that they do not need. More children today suffer from the side effects of the medication more so than the ‘condition’ itself. A few things to consider before allowing a child to be prescribed behavioral medication are ensuring a true diagnosis, exploring safe non-drug alternatives, and knowing the risks of behavioral medication for our children.

“Hallucinations and voices that caused schizophrenia and other psychotic disorders have been stopped with the use of new medications”. (MHT, 2) “Just as aspirin can reduce a fever without curing the infection that causes it, psychotherapeutic medications act by controlling symptoms,” (MFMI, 4). “Another advantage of these medications is an increased understanding of the causes of mental illness. Scientists investigate the results of the medications, and through these results, they have learned a great deal about the working of the brain system.” (MFMI, 4) The use of new drugs has made it possible for mentally ill persons to live a normal life.

Appropriate goals should be set by these parties in order to guide the management of the disorder. The guidelines also state that doctors should either prescribe stimulant medication or behavior therapy in order to reach the outcomes desired by the parents. If the original treatment plan fails, the guidelines state that doctors should "evaluate the original diagnosis, the use of all appropriate treatments, whether the treatment plan was followed properly, and the presence of coexisting conditions". The doctor should also provide follow up consultation with the child, parents, and teachers in order to track the child's progress and identify negative side effects. In February 2002, following the release of the AAP's report, a second publication was introduced by the American Academy of Child and Adolescent Psychiatry (AACAP), to establish parameters for the use of stimulants in the treatment of ADD and ADHD. These parameters are applicable to all age groups, children, adolescents, and adults. Finally in November of 2002, the non-stimulant medication, Strattera, was released by the Food and Drug Administration (FDA) for public use.

One of the greatest concerns of psychotropic drug use in children and adolescents is that this type of medication is overprescribed. According to a report by the Food and Drug Administration, as of September 2009, “more than 500,000 children and adolescents in America are now taking antipsychotic drugs.” (Wilson, 2010) 500,000 is definitely a large number, but considering the fact that approximately one in ten children in the United States suffer from various mental illnesses, this number is actually quite low. The main reason people believe this medication is overprescribed is because many parents are simply looking for an easy way to quell their child’s hyperactivity. “’Families sometimes feel the need for a quick fix,’ Dr. Gleason said. ‘That’s often the prescription pad. But I’m concerned that when a child sees someone who prescribes but doesn’t do therapy, they’re closing the door that can make longer-lasting change.’” (Wilson, 2010)

Random controlled studies have been conducted regarding one of the main concerns which is substance abuse, increase of blood pressure and heart problems. There is a new debate for people who take the drugs extended periods of symptoms of chest paid, heart attacks, and strokes (Harvard Health Publications, 2017). The stimulants used to treat ADHD is considered to have potential for recreational abuse for teens, and grows into substance abuse as an adult (Harvard Health Publications, 2017). In August of 2003 through December of 2005 there were 64 hospital records that involved ADHD medications caused by intentional ingestion, or of an overdose (Harvard Health Publications, 2017). The diagnoses and medication has a higher rate in the United States than in the UK due to prescription guidelines being more relaxed and being prescribed to children under the age of six ( Steer, 2014). With the wide criteria used to diagnose children, the number of prescriptions for ADHD medications are increasing to large numbers to treat ADHD (Steer, 2014). Due to the increasing misdiagnoses and surrounding issues of medications provided to children, before considering medications it is also important to research other alternative treatments that can be beneficial as

Not only may medications be less effective than therapy, medication can have serious side effects that can make them dangerous, especially in children. “The link between antidepressants and suicide rates among children and adolescents is a very serious issue that both Congress and the FDA are investigating” (Davis). Medication meant to help with serious depression cannot be considered beneficial if it causes the patient to consider

As we have seen, treatment of schizophrenia with antipsychotic drugs can have impressive results in terms of decreasing active symptoms, although it does nothing to alleviate negative symptoms or to improve cognitive functioning. Unfortunately, this kind of treatment has the drawback of extremely serious and even fatal side-effects. Newer generation atypical antipsychotics offer more hope, as they can treat both active and negative symptoms, and also improve cognitive functioning. Moreover, they have fewer side-effects. However, treatment is complicated by the fact that results are unpredictable; and in addition the side-effects that they do have can be very serious, such as diabetes, which in itself is life-threatening. However, as the potential side-effects are known, the physician has leeway to choose a drug which is a good match for the patient’s clinical profile. Then, once the patient’s symptoms have been much alleviated with an appropriate newer generation atypical antipsychotic, the patient should be able to also benefit from a range of psychotherapeutic interventions. It is argued that this is the best treatment regime to choose, as it is likely to result in the greatest improvement in quality of life, coupled with the lowest risk of potentially devastating side-effects, or of death. This is likely to be better than utilizing cognitive behavioral therapy, the results of which are not reliably known – although research has certainly shown that it is less efficacious

According to Dr. Robert Epstein, Medco’s chief medical officer, seventeen percent of total drug cost spending last year was for behavior medicines; compared with sixteen percent for both asthma and antibiotics, eleven percent for skin disorders and six percent for allergy medicines. There was also a 369% increase in spending on ADHD drugs for kids under the age of five. A lot of children have been diagnosed with ADHD, and many of their parents have opted to give them behavioral drugs. Some parents give the drugs because they are not aware of the long term effects or the psychological dependency, and lastly because they are not aware of the alternatives. As parents we have to be more cognizant of what these disorders are and how they

Attention deficit hyperactive disorder (ADHD) is one of the most common childhood disorders and can continue through adulthood. This disorder is characterized by difficulty staying focused and paying attention, difficulty controlling behavior and hyperactivity. In children, the long term effects of psychotropic medications are unknown and lead to a number of precipitating factors. Choosing the right medication, dose and treatment plan should be based on each child’s individual needs and situation. Some of the medications used to manage symptoms of ADHD are Ritalin and Adderall. These two drugs have been around for a while; however, Vyvanse, Strattera, and Concerta are new drugs that have been proven to help with ADHD symptoms.

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

Schizophrenia is a life-long disorder that affects about one percent of the population (Mueser & McGurk, 2004). The cause of this mental illness is still unclear. Studies have suggested that Schizophrenia does not arise from one factor but from a combination of genetic, environmental, and social factors (Liddle, 1987). People diagnosed with Schizophrenia struggle to deal with a multitude of symptoms that make it difficult to function (Mueser & McGurk, 2004). Antipsychotic medications are a popular treatment of the symptoms of Schizophrenia (Mueser & McGurk, 2004). Research is constantly being done to develop these medications to enhance the quality of life of those diagnosed with Schizophrenia.

Those children that are diagnosed with ADHD are usually prescribed psycho-stimulant medications, such as ‘methylphenidate’, otherwise known as ‘Ritalin’, as the primary method of treatment. (Chandler, 2010).