Archive for August, 2008

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A Beautiful but Distracted Mind…

August 4, 2008

There was a story on the BBC news last week about Ritalin, the drug used to moderate the symptoms of Attention Deficit Hyperactivity Disorder. According to the BBC, and other learned sources, symptoms of ADHD range from poor concentration and extreme hyperactivity, to interrupting and intruding on other people and not being able to wait in queues (though this last is shared in my experience by many teenagers! :-)  

Ritalin is an amphetamine (mild stimulant) which works on the central nervous system to improve concentration. Although it is licenced for the treatment of ADHD, it is still an amphetamine, an addictive class A drug. Anecdotal comments in the educational system in Swansea have cited examples of parents getting their sons (as boys are 3 times more likely to experience this condition) on Ritalin, only to sell the drug on the street to boost their income.

This form of treatment has been criticised because it can cause serious side-effects in some children, leaving them depressed, robotic, lethargic, or withdrawn. I remember watching the film A Beautiful Mind the story of the Nobel Prize Winning Mathematician John Nash, amazingly played by Russell Crowe. Although this was a completely different mental condition, schizophrenia, the effects of the medication on him seem to be remarkably similar to the side-effects experienced by some taking Ritalin for ADHD.

Nash decided not to take his drugs and to live with his hallucinations instead. This course of action may not be possible for many to completely abandon Ritalin, as they need the at least some of drug to be able to concentrate for study, at home and to be generally socially acceptable. I assessed a number of students with ADHD, and I do not think that they would have been able to sit in a room with me for 90 minutes, or indeed in lectures without the aid of the drug and even then it was a little bit of a struggle for one or two of them to keep concentration levels at their optimum.

As the BBC reported “The government’s drug watchdog ruled in 2000 that Ritalin should be prescribed on the NHS to children with serious hyperactivity problems. It is not licensed for people under the age of six, but doctors have prescribed it to children as young as 15 months. There is also concern that doctors are prescribing the drug without considering alternative treatments.”

Maybe there is a parallel here again with the treatment of schizophrenia, where there was, and perhaps is still, too much reliance on drug therapy for some clinicians and not enough investigation into alternative therapies. As more and more individuals are diagnosed with ADHD, shouldn’t lessons be learned and natural spirit not be completely wiped out by drug-induced control?