האם מישהו יכול לעזור !!!???

בני בכיתה ג' וסובל מבעיות התנהגות בכיתה המורה טוענות שיש לבדוק למה הוא לא מסוגל לשבת ולבצע את המוטל עליו!! ( הוא ילד שכנראה מחונן כרגע מחכים לתשובות מסולד). בדקתי את כל האופציות שמיעה ,ראיה , ליקויי למידה והכל תקין כיום המליצו לי לעשות בדיקת TOVA אך נאמר לי שבא מרבלים רטלין . האם יש איזה דרך אחרת לבדוק בעיות אלו או רעיון אחר ?? נרולוג ילדים למשל ? אשמח לקבל תשובה .

אבחון TOVA

שלום לך, הבן שלי בן ה-17 אובחן כסובל מבעיית קשב וריכוז. לאחרונה עבר אבחון באמצעות מבחן tova במכון "אניגמה" בת-א . התוצאות הראו חד משמעית שהוא זקוק לריטלין. מאז שהתחלנו בטיפול יש שינוי עצום ביכולת שלו להתרכז. ללמוד. ולבצע מטלות הקשורות לביה"ס. בעבר לא רציתי אפילו לשמוע על מתן טיפול תרופתי והיום אני מאוד מצטערת כי יכולתי לחסוך לו שנים של סבל גדול ודימוי עצמי נמוך. אני ממליצה לך לפנות לד"ר איריס מנור ממכון "אניגמה" ולהתייעץ בה, היא נחשבת למומחית בתחום בעיות הקשב והיא גם אישיות מרתקת, אין לי ספק שהיא תתן לך את התשובה למצוקתך. בהצלחה

ברצוני להוסיף

אולי כדי שלא תחששי מבדיקת tova אני אתאר לך מה קורה באבחון. הילד עובר בדיקה הנעשית מול מחשב, בבדיקה מופיע על המסך ריבוע ובכל פעם שמופיעה נקודה מעל הריבוע הוא צריך ללחוץ על העכבר, כאשר הנקודה מופיעה מתחת לריבוע הוא לא צריך ללחוץ על העכבר. משך הבדיקה 22 דקות כשלאחריה הוא מקבל ריטלין במינון המתאים לו(לפי משקל גוף) וכעבור שעה וחצי הוא חוזר שוב על הבדיקה. אצלנו היה פער עצום בביצוע הבדיקה ללא ריטלין לעומת הביצוע עם ריטלין. ומה שהכי חשוב היא התגובה של הילד. הילדים עצמם מרגישים בהבדל. אני מקווה שהפגתי מעט מהחששות

מצטרף בחום להצעה לעבור מבחן טובה - ככול שיאובחן מוקדם יותר יחסוך טיפולים פסיכולוגים בעתיד

אבחון TOVA

שלום לך, הבן שלי בן ה-17 אובחן כסובל מבעיית קשב וריכוז. לאחרונה עבר אבחון באמצעות מבחן tova במכון "אניגמה" בת-א . התוצאות הראו חד משמעית שהוא זקוק לריטלין. מאז שהתחלנו בטיפול יש שינוי עצום ביכולת שלו להתרכז. ללמוד. ולבצע מטלות הקשורות לביה"ס. בעבר לא רציתי אפילו לשמוע על מתן טיפול תרופתי והיום אני מאוד מצטערת כי יכולתי לחסוך לו שנים של סבל גדול ודימוי עצמי נמוך. אני ממליצה לך לפנות לד"ר איריס מנור ממכון "אניגמה" ולהתייעץ בה, היא נחשבת למומחית בתחום בעיות הקשב והיא גם אישיות מרתקת, אין לי ספק שהיא תתן לך את התשובה למצוקתך. בהצלחה

Why to Avoid RITALIN דעה אחרת בעניין ריטלין

Why to Avoid RITALIN® (methylphenidate) Though many experts do not agree on the cause of Attention Deficit Disorder (ADD/ADHD), the mainstay of conventional treatment of ADD/ADHD is medication; usually stimulant medication such as Ritalin (methylphenidate), Dexedrine (dextroamphetamine), Desoxyn (methamphetamine) or Cylert (pemoline). When stimulants are not effective, children may be given tricyclic antidepressants. (22) It's no wonder that millions of parents across the United States are overwhelmed and feeling trapped within a very bad situation: Not only have their children been diagnosed as having ADD/ADHD, but the prescribed treatment usually consists of powerful stimulant drugs. Stimulant Drugs Provide No Lasting Improvement Short-term learning benefits have been achieved with these medications, but no lasting improvement has been shown. Stimulant drugs were found to have a short-term effectiveness of 60 to 80 percent in reducing the hyperactivity, distractibility, and impulsiveness of school-age children. (25, 22) Similar rates of success have been found in adults with ADD. (26, 22) A compilation of all the review studies published over the last twenty years on the effects of stimulant medication for ADD/ADHD showed that the medications only temporarily managed the symptoms of overactivity, inattention and impulsivity, as well as increased compliance, effort, and academic productivity, decreased aggression and negative behaviors. (27, 22) Published research has found the long-term value of Ritalin disappointing. Studies beginning in the 1960s showed that children who took stimulants for hyperactivity (the name for ADD at the time) over several years did just as poorly in later life as the group of hyperactive children who took no medication. Compared to children without hyperactivity, both groups were less likely to have finished high school or to be employed, and more likely to have had trouble with the law or to have drug or alcohol problems. A large percentage of the hyperactive group, medicated or not, did relatively well, but overall those in this category wound up struggling much more frequently than their normal peers. (21) Overall, long-term adjustment, as measured by academic achievement, antisocial behavior, and arrest rate, was unaffected by medication. (27, 22) How the Medications Work Hundreds of animal studies and human clinical trials leave no doubt about how the medications work. First, the drugs suppress all spontaneous behavior. In healthy chimpanzees and other animals, this can be measured with precision as a reduction in all spontaneous or self-generated activities. In animals and in humans, this is manifested in a reduction in the following behaviors: (1) exploration and curiosity; (2) socializing, and (3) playing. Second, the drugs increase obsessive-compulsive behaviors, including very limited, overly focused activities. (12) Harmful Stimulant Effects Commonly Misidentified as ‘Therapeutic’ or ‘Beneficial’ for Children Diagnosed with ADHD. (13) Obsessive Compulsive Effects Social Withdrawal Effects Behaviorally Suppressive Effects - Compulsive persistence at meaningless activities (called stereotypical or perseverative behavior) - Increased obsessive compulsive behavior (e.g., repeating chores endlessly and ineffectively) - Mental rigidity (called cognitive perseveration) - Inflexible thinking - Overly narrow or excessive focusing - Socially withdrawn and isolated - General dampened social behavior - Reduced communicating or socializing - Decreased responsiveness to parents and other children - Increased solitary play and diminished overall play - Compliant in structured environments; socially inhibited, passive and submissive - Sombre, subdued, apathetic, lethargic, drowsy, dopey, dazed, and tired - Bland , emotionally flat, humorless, not smiling, depressed, and sad with frequent crying - Lacking in initiative or spontaneity, curiosity, surprise or pleasure What Are Some of These Drugs' Side Effects? Several authorities report that the long-term consequences of stimulant drug use could be devastating. Equally disturbing is that for many children and adults these commonly prescribed drugs often do not work very well. More on that in a moment. Several short-term effects could be the "Ritalin rebound," loss of appetite and resulting weight loss, insomnia, headaches, stomachaches, drowsiness, potential liver damage, facial tics, and a "sense of sadness," to mention just a few. Consider these well-known downsides of Ritalin: Ritalin is derived from the same family as cocaine Ritalin lasts only four hours Ritalin treats only some of the symptoms of ADD Ritalin provides superficial healing, does not treat the root of the problem Ritalin can cause side effects such as appetite loss, anxiety, insomnia, tics, headaches, stomach aches Ritalin use is responsible for causing children to begin a habit of taking drugs Ritalin may need to be taken over entire life span (22) All stimulant drugs impair growth not only by suppressing appetite but also by disrupting growth hormone production. This poses a threat to every organ of the body, including the brain, during the child's growth. The disruption of neurotransmitter systems adds to this threat. Studies of amphetamine show that short-term clinical doses produce brain cell death. Similar studies of methylphenidate show long-lasting and sometimes permanent changes in the biochemistry of the brain. (12) These drugs also endanger the cardiovascular system and commonly produce many adverse mental effects, including depression. Too often stimulants often become gateway drugs to additional psychiatric medications. Stimulant-induced over-stimulation, for example, is often treated with addictive or dangerous sedatives, while stimulant-induced depression is often treated with dangerous, unapproved antidepressants. As the child's emotional control breaks down due to medication effects, mood stabilizers may be added. Eventually, these children end up on four or five psychiatric drugs at once and a diagnosis of bipolar disorder by the age of eight or ten. (12) It is important to note that the Drug Enforcement Administration (DEA), and all other drug enforcement agencies worldwide, classify methylphenidate (the generic name for Ritalin) and amphetamine (Dexedrine and Adderall) in the same Schedule II category as methamphetamine, cocaine, and the most potent opiates and barbiturates. Schedule II includes only those drugs with the very highest potential for addiction and abuse. (11, 12) Ritalin as a Recreational Drug & Addiction A recently identified drawback of Ritalin is its popularity as an illicit drug. An annual survey by the University of Michigan entitled, "Monitoring the Future," warns of a trend concerning Ritalin abuse. From 1993 to 1994 the number of high school seniors admitting to having abused Ritalin doubled, representing about 350,000 students nationwide. Kids call Ritalin "Vitamin-R," "R-ball," or "the smart drug" and seek it out to study better and to get high. (22, 23) One college student took Ritalin in order to help focus his attention in his studies. Soon he was snorting it twice daily, needing more and more to achieve the same results. (24) A 1995 Newsweek article reported that students at an upscale New York college crushed and snorted Ritalin tablets like cocaine. They described an immediate rush, as if they felt hyperactive. (24) According to DEA statistics, emergency room admissions due to Ritalin abuse numbered 1,171 in 1994. (23) The side effects of Ritalin addiction include strokes, hyperthermia, hypertension, and seizures. Several deaths have been attributed to Ritalin abuse, including that of a high school senior in Roanoke, Virginia, who died from snorting Ritalin after drinking beer. (24)

חצי הכוס המלאה

דילמה

בני כיום בן 17 אובחן כסובל מבעיית קשב וריכוז עוד בשנים הראשונות של ביה"ס היסודי. במשך כל אותן שנים התנגדתי למתן הריטלין ממש מהסיבות העולות במאמר. מצבו כל כך החמיר שלאחר שנים של סבל ותסכול, ולאחר שבסוף כתה ט' לא אפשרו לו להמשיך ללמוד בבית הספר שבאיזור מגורנו יחד עם חבריו , הוא הפסיק ללמוד וישב בבית מדוכא מאוד ומתוסכל במשך שנתיים. היום, שבועיים לאחר שהחל להשתמש בריטלין הוא חזר לבית הספר מאושר ואני מקווה שהנזק (אם בכלל יהיה מזערי) כי הנזק של ישיבה בבית ודימוי עצמי נמוך הוא לא תמיד קטן מהנזק שהריטלין יכול לגרום.

המאמר מאוד מעניין, אבל צריך לבדוק כמה הוא נכון. מנסיוני- אי אפשר להתמכר לריטלין, כי תופעות הלוואי

שלו כל כך מגעילות, שלא רוצים לקחת אותו אם זה לא הכרחי. (מנסיוני האישי ושל הבן שלי). צריך לבדוק את נושא הנזקים למוח, כי אף נוירולוג לא אמר לנו את זה. בנושא ההשפעה קצרת הטווח, זה ידוע, ולכן נותנים ריטלין עם תמיכה פסיכולוגית לרכישת הרגלי התנהגות אחרים לטווח הארוך. תודה על המאמר, אבל אני שואלת את עצמי אם הוא נכתב "לשם שמים" או כדי להמליץ על משהו אחר שהכותב רוצה למכור לנו.

אכן צדקת בנושא מטרת המאמר

זוהי כתבה המופיעה באתר פרסום למסקלייר (תוסף טבעי לטיפול בADD) אבל הכותב השתמש במקורות של מחקרים רציניים והנקודות שהעלה אכן מעוררות מחשבה. אני הבאתי את הדברים כדי לעורר דיון בנושא. כאחד שאובחן ADD בגיל 39 תחושתי לאחר שימוש בריטלין שאכן התוצאות מדהימות אבל גם תופעות לוואי לא נעימות כלל. 1. האם לדעתך אין אמת בענין התלות (לא התמכרות) שהתרופה מפתחת? 2. אצלי התחושה היא כמו אדם עם משקפיים שניטלו ממנו,לאחר הנסיון להפסיק את התרופה נתקלתי בתופעות חזקות יותר של מאפייני ADD מאשר לפני שידעתי על כל הענין.

חצי הכוס המלאה

זה נראה יותר כציטוט מאתר בחו"ל- אולי יואיל הכותב להציג עצמו ומקור הציטו

ט?למעןהסדר הטוב- כדאי לדעת מה המקור של מה קוראים. על אך ששום דבר מן הכתוב לא נכתב ונאמר כבר במנקורות רבים אחרים- ולא כולם מסחריים. גם הספרים המקצועיים ביותר שקראתי, מדברים על ההפרעות הללו. לכן זה גורם חששות כ"כ כבדים ורצון לפתרון אחר0 פתרונות אלטרנטיביים. טבעיים. וכל השאר.

איזה מאמר?!

אני מאוד מעוניינת לקרוא את המאמר שעליו מדובר ולדעת יותר על תופעות ןהשפעות הריטלין לטווח ארוך בבקשה הפני אותי למאמר הרבה תודה מירי

איזה מאמר?!

אני מאוד מעוניינת לקרוא את המאמר שעליו מדובר ולדעת יותר על תופעות ןהשפעות הריטלין לטווח ארוך בבקשה הפני אותי למאמר הרבה תודה מירי

Why to Avoid RITALIN דעה אחרת בעניין ריטלין

Why to Avoid RITALIN® (methylphenidate) Though many experts do not agree on the cause of Attention Deficit Disorder (ADD/ADHD), the mainstay of conventional treatment of ADD/ADHD is medication; usually stimulant medication such as Ritalin (methylphenidate), Dexedrine (dextroamphetamine), Desoxyn (methamphetamine) or Cylert (pemoline). When stimulants are not effective, children may be given tricyclic antidepressants. (22) It's no wonder that millions of parents across the United States are overwhelmed and feeling trapped within a very bad situation: Not only have their children been diagnosed as having ADD/ADHD, but the prescribed treatment usually consists of powerful stimulant drugs. Stimulant Drugs Provide No Lasting Improvement Short-term learning benefits have been achieved with these medications, but no lasting improvement has been shown. Stimulant drugs were found to have a short-term effectiveness of 60 to 80 percent in reducing the hyperactivity, distractibility, and impulsiveness of school-age children. (25, 22) Similar rates of success have been found in adults with ADD. (26, 22) A compilation of all the review studies published over the last twenty years on the effects of stimulant medication for ADD/ADHD showed that the medications only temporarily managed the symptoms of overactivity, inattention and impulsivity, as well as increased compliance, effort, and academic productivity, decreased aggression and negative behaviors. (27, 22) Published research has found the long-term value of Ritalin disappointing. Studies beginning in the 1960s showed that children who took stimulants for hyperactivity (the name for ADD at the time) over several years did just as poorly in later life as the group of hyperactive children who took no medication. Compared to children without hyperactivity, both groups were less likely to have finished high school or to be employed, and more likely to have had trouble with the law or to have drug or alcohol problems. A large percentage of the hyperactive group, medicated or not, did relatively well, but overall those in this category wound up struggling much more frequently than their normal peers. (21) Overall, long-term adjustment, as measured by academic achievement, antisocial behavior, and arrest rate, was unaffected by medication. (27, 22) How the Medications Work Hundreds of animal studies and human clinical trials leave no doubt about how the medications work. First, the drugs suppress all spontaneous behavior. In healthy chimpanzees and other animals, this can be measured with precision as a reduction in all spontaneous or self-generated activities. In animals and in humans, this is manifested in a reduction in the following behaviors: (1) exploration and curiosity; (2) socializing, and (3) playing. Second, the drugs increase obsessive-compulsive behaviors, including very limited, overly focused activities. (12) Harmful Stimulant Effects Commonly Misidentified as ‘Therapeutic’ or ‘Beneficial’ for Children Diagnosed with ADHD. (13) Obsessive Compulsive Effects Social Withdrawal Effects Behaviorally Suppressive Effects - Compulsive persistence at meaningless activities (called stereotypical or perseverative behavior) - Increased obsessive compulsive behavior (e.g., repeating chores endlessly and ineffectively) - Mental rigidity (called cognitive perseveration) - Inflexible thinking - Overly narrow or excessive focusing - Socially withdrawn and isolated - General dampened social behavior - Reduced communicating or socializing - Decreased responsiveness to parents and other children - Increased solitary play and diminished overall play - Compliant in structured environments; socially inhibited, passive and submissive - Sombre, subdued, apathetic, lethargic, drowsy, dopey, dazed, and tired - Bland , emotionally flat, humorless, not smiling, depressed, and sad with frequent crying - Lacking in initiative or spontaneity, curiosity, surprise or pleasure What Are Some of These Drugs' Side Effects? Several authorities report that the long-term consequences of stimulant drug use could be devastating. Equally disturbing is that for many children and adults these commonly prescribed drugs often do not work very well. More on that in a moment. Several short-term effects could be the "Ritalin rebound," loss of appetite and resulting weight loss, insomnia, headaches, stomachaches, drowsiness, potential liver damage, facial tics, and a "sense of sadness," to mention just a few. Consider these well-known downsides of Ritalin: Ritalin is derived from the same family as cocaine Ritalin lasts only four hours Ritalin treats only some of the symptoms of ADD Ritalin provides superficial healing, does not treat the root of the problem Ritalin can cause side effects such as appetite loss, anxiety, insomnia, tics, headaches, stomach aches Ritalin use is responsible for causing children to begin a habit of taking drugs Ritalin may need to be taken over entire life span (22) All stimulant drugs impair growth not only by suppressing appetite but also by disrupting growth hormone production. This poses a threat to every organ of the body, including the brain, during the child's growth. The disruption of neurotransmitter systems adds to this threat. Studies of amphetamine show that short-term clinical doses produce brain cell death. Similar studies of methylphenidate show long-lasting and sometimes permanent changes in the biochemistry of the brain. (12) These drugs also endanger the cardiovascular system and commonly produce many adverse mental effects, including depression. Too often stimulants often become gateway drugs to additional psychiatric medications. Stimulant-induced over-stimulation, for example, is often treated with addictive or dangerous sedatives, while stimulant-induced depression is often treated with dangerous, unapproved antidepressants. As the child's emotional control breaks down due to medication effects, mood stabilizers may be added. Eventually, these children end up on four or five psychiatric drugs at once and a diagnosis of bipolar disorder by the age of eight or ten. (12) It is important to note that the Drug Enforcement Administration (DEA), and all other drug enforcement agencies worldwide, classify methylphenidate (the generic name for Ritalin) and amphetamine (Dexedrine and Adderall) in the same Schedule II category as methamphetamine, cocaine, and the most potent opiates and barbiturates. Schedule II includes only those drugs with the very highest potential for addiction and abuse. (11, 12) Ritalin as a Recreational Drug & Addiction A recently identified drawback of Ritalin is its popularity as an illicit drug. An annual survey by the University of Michigan entitled, "Monitoring the Future," warns of a trend concerning Ritalin abuse. From 1993 to 1994 the number of high school seniors admitting to having abused Ritalin doubled, representing about 350,000 students nationwide. Kids call Ritalin "Vitamin-R," "R-ball," or "the smart drug" and seek it out to study better and to get high. (22, 23) One college student took Ritalin in order to help focus his attention in his studies. Soon he was snorting it twice daily, needing more and more to achieve the same results. (24) A 1995 Newsweek article reported that students at an upscale New York college crushed and snorted Ritalin tablets like cocaine. They described an immediate rush, as if they felt hyperactive. (24) According to DEA statistics, emergency room admissions due to Ritalin abuse numbered 1,171 in 1994. (23) The side effects of Ritalin addiction include strokes, hyperthermia, hypertension, and seizures. Several deaths have been attributed to Ritalin abuse, including that of a high school senior in Roanoke, Virginia, who died from snorting Ritalin after drinking beer. (24)

הפניות נוספות בעניין ריטלין כן/לא

FOCUS Archives: A select article from FOCUS, Spring 1998, the newsletter of the National ADDA. The Link Between ADD & Addiction: Getting the Help You Deserve by Wendy Richardson, M.A. LMFCC It is common for people with ADD to turn to addictive substances such as alcohol, marijuana, heroin, prescription tranquilizers, pain medication, nicotine, caffeine, sugar, cocaine and street amphetamines in attempts to soothe their restless brains and bodies. Using substances to improve our abilities, help us feel better, or decrease and numb our feelings is called self-medicating. Putting Out Fires With Gasoline The problem is that self-medicating works at first. It provides the person with ADD relief from their restless bodies and brains. For some, drugs such as nicotine, caffeine, cocaine, diet pills and ׂspeed׃ enable them to focus, think clearly, and follow through with ideas and tasks. Others chose to soothe their ADD symptoms with alcohol and marijuana. People who abuse substances, or have a history of substance abuse are not ׂbad׃ people. They are people who desperately attempt to self-medicate their feelings, and ADD symptoms. Self-medicating can feel comforting. The problem is, that self-medicating brings on a host of addiction related problem that over time makes our lives much more difficult. What starts out as a "solution", can cause problems including addiction, impulsive crimes, domestic violence, increased high risk behaviors, lost jobs, relationships, families, and death. Too many people with untreated ADD, learning, and perceptual disabilities are incarcerated, or dying from co-related addiction. Self-medicating ADD with alcohol and other drugs is like putting out fires with gasoline. You have pain and problems that are burning out of control, and what you use to put out the fires is gasoline. Your life may explode as you attempt to douse the flames of ADD. An article in American Scientists tells us that "In the United States alone there are 18 million alcoholics, 28 million children of alcoholics, 6 million cocaine addicts, 14.9 million who abuse other substances, 25 million addicted to nicotine." (1) Who Will Become Addicted? Everyone is vulnerable to abusing any mind altering substance to diminish the gut wrenching feelings that accompany ADD. There are a variety of reasons why one person becomes addicted and another does not. No single cause for addictions exists; rather, a combination of factors is usually involved. Genetic predisposition, neurochemistry, family history, trauma, life stress, and other physical and emotional problems contribute. Part of what determines who becomes addicted and who does not is the combination and timing of these factors. You may have a genetic predisposition for alcohol, but if you choose not to drink you will not become an alcoholic. The same is true for drug addictions. If you never smoke pot, snort cocaine, shoot or smoke heroin, you will never become a pot, coke, or heroin addict. The bottom line is that people with ADD as a whole are more likely to medicate themselves with substances than those who do not have ADD. Dr.s Hallowell and Ratey estimate that 8 to 15 million Americans suffer from ADD, other researchers estimated that as many as 30-50% of them use drugs and alcohol to self-medicate their ADD symptoms.(2) This does not include those who use food, and compulsive behaviors to self-medicate their ADD brains and the many painful feelings associated with ADD. When we see ADD it is important to look for substance abuse and addictions. And when we see substance abuse and addictions, it is equally important to look for ADD. Prevention and Early Intervention "Just Say No!" may sound simple, but if it was that simple we would not have millions of children, adolescents, and adults using drugs every day. For some their biological and emotional attraction to drugs is so powerful, that they cannot conceptualize the risks of self-medication. This is especially true for the person with ADD who may have an affinity for risky, stimulating experiences. This also applies to the person with ADD who is physically and emotionally suffering from untreated ADD restlessness, impulsiveness, low energy, shame, attention and organization problems, and a wide range of social pain. It is very difficult to say no to drugs when you have difficulties controlling your impulses, concentrating, and are tormented by a restless brain or body. The sooner we treat children, adolescents, and adults with ADD the more likely we are to help them to minimize or eliminate self-medicating. Many well meaning parents, therapists and medical doctors are fearful that treating ADD with medication will lead to addiction. Not all people with ADD need to take medication. For those who do, however, prescribed medication that is closely monitored can actually prevent and minimize the need to self-medicate. When medication helps people to concentrate, control their impulses, and regulate their energy level, they are less likely to self-medicate. Untreated ADD and Addiction Relapse Untreated ADD contributes to addictive relapse, and at best can be a huge factor in recovering people feeling miserable, depressed, unfulfilled, and suicidal. Many individuals in recovery have spent countless hours in therapy working through childhood issues, getting to know their inner child, and analyzing why they abuse substances and behaviors. Much of this soul searching, insight, and release of feelings is absolutely necessary to maintain recovery. But what if after years of group and individual therapy, and continued involvement in addiction programs you still impulsively quit jobs and relationships, canױt follow through with your goals and dreams, and have a fast chaotic, or slow energy level. What if, along with your addictions you also have ADD? Treating Both ADD and Addictions It is not enough to treat addictions and not treat ADD, nor is it enough to treat ADD and not treat co-related addictions. Both need to be diagnosed, and treated for the individual to have a chance at ongoing recovery. Now is the time to share information so that addiction specialists, and those treating ADD can work together. It is critical that chemical dependency practitioners understand that ADD is based in onesױ biology and responds well to a comprehensive treatment program that sometimes includes medications. It is also important for practitioners to support the recovering persons involvement in Twelve Step programs and help them to work with their fear about taking medication. A COMPREHENSIVE TREATMENT PROGRAM CONSISTS OF: * A professional evaluation for ADD and co-related addictions. * Continued involvement in addiction recovery groups or Twelve Step programs. * Education on how ADD impacts each individualױs life, and the people who love them. * Building social, organization, communication, and work or school skills. * ADD coaching and support groups. * Closely monitored medication when medication is indicated. * Supporting individuals decisions to take medication or not. ( in time they may realize on their own that medication is an essential part of their recovery). Stages of Recovery It is important to treat people with ADD and addictions according to their stage of recovery. Recovery is a process that can be divided into four stages, pre-recovery, early recovery, middle recovery, and long term recovery. PRE-RECOVERY: Is the period before a person enters treatment for their addictions. It can be difficult to sort out ADD symptoms from addictive behavior and intoxication. The focus at this point is to get the person into treatment for their addictions or eating disorders. This is NOT the time to treat ADD with psycho stimulant medication. EARLY RECOVERY: During this period it is also difficult, but not impossible to sort out ADD from the symptoms of abstinence which include, distractibility, restlessness, mood swings, confusions, and impulsivity. Much of what looks like ADD can disappear with time in recovery. The key is in the life long history of ADD symptoms dating back to childhood. In most cases early recovery is NOT the time to use psycho stimulant medication, unless the individualױs ADD is hindering their ability to attain sobriety. MIDDLE RECOVERY: By now addicts, alcoholics, and people with eating disorders are settling into recovery. This is usually the time when they seek therapy for problems that did not disappear with recovery. It is much easier to diagnose ADD, and medication can be very effective. LONG TERM RECOVERY: This is an excellent time to treat ADD with medications when warranted. By now most people in recovery have a life that has expanded beyond trying to stay clean and sober.Their recovery is an important part of their life, and they also have the flexibility to deal with other problems such as ADD. Medication and Addiction Psychostimulant medication when properly prescribed and monitored is effective for approximately 75-80% of people with ADD. These medications include Ritalin, Dexedrine, Adderall, and Desoxyn. It is important to note that when these medications are used to treat ADD the dosage is much less that what addicts use to get high. When people are properly medicated they should not feel high or "speedy, instead they will report increases in their abilities to concentrate, control their impulses, and activity level. The route of delivery is also quite different. Medication to treat ADD is taken orally, where street amphetamines are frequently injected and smoked. Non stimulant medications such as Cylert, Wellbutrin, Prozac, Nortriptyline, Effexor and Zoloft can also be effective in relieving ADD symptoms for some people. These medications are frequently used in combination with a small dose of a psychostimulant. Recovering alcoholics and addicts are not flocking to doctors to get psychostimulant medication to treat their ADD. The problem is that many are hesitant for good reasons to use medication, especially psycho stimulants. It has been my experience that once a recovering person becomes willing to try medication the chance of abuse is very rare. Again the key is a comprehensive treatment program that involves close monitoring of medication, behavioral interventions, ADD coaching and support groups, and continued participation in addiction recovery programs. There is Hope For the last few years I have witnessed the transformation of lives that were once ravaged by untreated ADD and addictions. I have worked with people who had relapsed in and out of treatment programs for ten to twenty years attain ongoing and fulfilling sobriety once their ADD was treated. I have seen people with ADD achieve recovery once their addictions were treated. "Each day I understand more about how pervasive ADD is in my life. My clients, friends, family and colleagues are my teachers. I wouldnױt wish ADD and addictions on anyone, but if these are the genetic cards that you have been dealt, your life can still be fascinating and fulfilling." (3) About the author: Wendy Richardson, MA., MFCC, the author of The Link Between ADD and Addiction: Getting The Help You Deserve, is a licensed marriage, family, child therapist and addiction specialist in private practice. She is also a consultant, trainer, and speaks at national and international ADD and learning disability conferences. NOTES 1. Bum, Cull, Braver man, and Comings, ׂReward Deficiency Syndrome,׃ American Scientist, March-April (1996), p. 143 2. Maureen Martin dale, "A Double-Edged Sword," Student Assistant Journal (November-December 1995): 1 3. Wendy Richardson, MA.,LMFCC, The Link Between ADD & Addiction: Getting The Help You Deserve (Colorado Springs, Colorado: Pi–on Press,1997). (c) 1998, Wendy Richardson, M.A.

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Why to Avoid RITALIN דעה אחרת בעניין ריטלין

Why to Avoid RITALIN® (methylphenidate) Though many experts do not agree on the cause of Attention Deficit Disorder (ADD/ADHD), the mainstay of conventional treatment of ADD/ADHD is medication; usually stimulant medication such as Ritalin (methylphenidate), Dexedrine (dextroamphetamine), Desoxyn (methamphetamine) or Cylert (pemoline). When stimulants are not effective, children may be given tricyclic antidepressants. (22) It's no wonder that millions of parents across the United States are overwhelmed and feeling trapped within a very bad situation: Not only have their children been diagnosed as having ADD/ADHD, but the prescribed treatment usually consists of powerful stimulant drugs. Stimulant Drugs Provide No Lasting Improvement Short-term learning benefits have been achieved with these medications, but no lasting improvement has been shown. Stimulant drugs were found to have a short-term effectiveness of 60 to 80 percent in reducing the hyperactivity, distractibility, and impulsiveness of school-age children. (25, 22) Similar rates of success have been found in adults with ADD. (26, 22) A compilation of all the review studies published over the last twenty years on the effects of stimulant medication for ADD/ADHD showed that the medications only temporarily managed the symptoms of overactivity, inattention and impulsivity, as well as increased compliance, effort, and academic productivity, decreased aggression and negative behaviors. (27, 22) Published research has found the long-term value of Ritalin disappointing. Studies beginning in the 1960s showed that children who took stimulants for hyperactivity (the name for ADD at the time) over several years did just as poorly in later life as the group of hyperactive children who took no medication. Compared to children without hyperactivity, both groups were less likely to have finished high school or to be employed, and more likely to have had trouble with the law or to have drug or alcohol problems. A large percentage of the hyperactive group, medicated or not, did relatively well, but overall those in this category wound up struggling much more frequently than their normal peers. (21) Overall, long-term adjustment, as measured by academic achievement, antisocial behavior, and arrest rate, was unaffected by medication. (27, 22) How the Medications Work Hundreds of animal studies and human clinical trials leave no doubt about how the medications work. First, the drugs suppress all spontaneous behavior. In healthy chimpanzees and other animals, this can be measured with precision as a reduction in all spontaneous or self-generated activities. In animals and in humans, this is manifested in a reduction in the following behaviors: (1) exploration and curiosity; (2) socializing, and (3) playing. Second, the drugs increase obsessive-compulsive behaviors, including very limited, overly focused activities. (12) Harmful Stimulant Effects Commonly Misidentified as ‘Therapeutic’ or ‘Beneficial’ for Children Diagnosed with ADHD. (13) Obsessive Compulsive Effects Social Withdrawal Effects Behaviorally Suppressive Effects - Compulsive persistence at meaningless activities (called stereotypical or perseverative behavior) - Increased obsessive compulsive behavior (e.g., repeating chores endlessly and ineffectively) - Mental rigidity (called cognitive perseveration) - Inflexible thinking - Overly narrow or excessive focusing - Socially withdrawn and isolated - General dampened social behavior - Reduced communicating or socializing - Decreased responsiveness to parents and other children - Increased solitary play and diminished overall play - Compliant in structured environments; socially inhibited, passive and submissive - Sombre, subdued, apathetic, lethargic, drowsy, dopey, dazed, and tired - Bland , emotionally flat, humorless, not smiling, depressed, and sad with frequent crying - Lacking in initiative or spontaneity, curiosity, surprise or pleasure What Are Some of These Drugs' Side Effects? Several authorities report that the long-term consequences of stimulant drug use could be devastating. Equally disturbing is that for many children and adults these commonly prescribed drugs often do not work very well. More on that in a moment. Several short-term effects could be the "Ritalin rebound," loss of appetite and resulting weight loss, insomnia, headaches, stomachaches, drowsiness, potential liver damage, facial tics, and a "sense of sadness," to mention just a few. Consider these well-known downsides of Ritalin: Ritalin is derived from the same family as cocaine Ritalin lasts only four hours Ritalin treats only some of the symptoms of ADD Ritalin provides superficial healing, does not treat the root of the problem Ritalin can cause side effects such as appetite loss, anxiety, insomnia, tics, headaches, stomach aches Ritalin use is responsible for causing children to begin a habit of taking drugs Ritalin may need to be taken over entire life span (22) All stimulant drugs impair growth not only by suppressing appetite but also by disrupting growth hormone production. This poses a threat to every organ of the body, including the brain, during the child's growth. The disruption of neurotransmitter systems adds to this threat. Studies of amphetamine show that short-term clinical doses produce brain cell death. Similar studies of methylphenidate show long-lasting and sometimes permanent changes in the biochemistry of the brain. (12) These drugs also endanger the cardiovascular system and commonly produce many adverse mental effects, including depression. Too often stimulants often become gateway drugs to additional psychiatric medications. Stimulant-induced over-stimulation, for example, is often treated with addictive or dangerous sedatives, while stimulant-induced depression is often treated with dangerous, unapproved antidepressants. As the child's emotional control breaks down due to medication effects, mood stabilizers may be added. Eventually, these children end up on four or five psychiatric drugs at once and a diagnosis of bipolar disorder by the age of eight or ten. (12) It is important to note that the Drug Enforcement Administration (DEA), and all other drug enforcement agencies worldwide, classify methylphenidate (the generic name for Ritalin) and amphetamine (Dexedrine and Adderall) in the same Schedule II category as methamphetamine, cocaine, and the most potent opiates and barbiturates. Schedule II includes only those drugs with the very highest potential for addiction and abuse. (11, 12) Ritalin as a Recreational Drug & Addiction A recently identified drawback of Ritalin is its popularity as an illicit drug. An annual survey by the University of Michigan entitled, "Monitoring the Future," warns of a trend concerning Ritalin abuse. From 1993 to 1994 the number of high school seniors admitting to having abused Ritalin doubled, representing about 350,000 students nationwide. Kids call Ritalin "Vitamin-R," "R-ball," or "the smart drug" and seek it out to study better and to get high. (22, 23) One college student took Ritalin in order to help focus his attention in his studies. Soon he was snorting it twice daily, needing more and more to achieve the same results. (24) A 1995 Newsweek article reported that students at an upscale New York college crushed and snorted Ritalin tablets like cocaine. They described an immediate rush, as if they felt hyperactive. (24) According to DEA statistics, emergency room admissions due to Ritalin abuse numbered 1,171 in 1994. (23) The side effects of Ritalin addiction include strokes, hyperthermia, hypertension, and seizures. Several deaths have been attributed to Ritalin abuse, including that of a high school senior in Roanoke, Virginia, who died from snorting Ritalin after drinking beer. (24)

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