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Children under the Influence of Psychotropic Drugs

Harold S. Koplewicz, MD, Editor-in-Chief of the Journal of Child and Adolescent Psychopharmacology, stated in reference to the April 2014 paper, "Atypical Antipsychotic Use Among Medicaid-Insured Children and Adolescents: Duration, Safety, and Monitoring Implications," the following:

This study adds critical hard data to our understanding of a persistent and unacceptable trend in pediatric psychiatry. Our poorest, most vulnerable children, lacking access to evidence-based care, are receiving potentially harmful treatment with little oversight.
More than 6 million children are under treatment for attention deficit hyperactive disorder according to a recent NYT's report.

There are approximately 500,000 children classified as state wards. The number of state-protected minors being prescribed emotion-altering drugs has not been quantified.

Those who proselytized the ADHD diagnosis, such as psychologist Russell Barkley, believe that numerous children and adults suffer from a yet-to-be recognized DSMMD separate condition called sluggish cognitive tempo disorder. Standard practice policies dictate that these Neurotransmittor dysfunctions are chronic and must be controlled with medications. Dr. Barkley's opinions on abnormal childhood psychological conditions may be suspect because he is a remunerated spokesman for the pharmaceutical industry.

Another sluggish cognitive tempo disorder and ADHD advocate, Dr. Keith McBurnett, told the NYT's that

These children are not the ones giving adults much trouble, so they’re easy to miss. They’re the daydreamy ones, the ones with work that’s not turned in, leaving names off of papers or skipping questions, things like that, that impinge on grades or performance. So anything we can do to understand what’s going on with these kids is a good thing.
Some of the drugs currently prescribed for ADHD patients: are: Adderall Adderall XR, Concerta, Dexedrine, Focalin Focalin XR, Metadate CD/Metadate ER , Methylin/ Methylin ER,Ritalin/ Ritalin SR/Ritalin LA ,Vyvanse, Daytrana, [recalled] and Quillivant XR.

PhRMA intends on marketing these ADHD products to the estimated 2 million children suspected of having the SCT mental impairment in spite of the knowledge that these central nervous system stimulant drugs are high-risk Schedule II substances.

Alarming fact: Federal law permits children under state jurisdiction to be enrolled in clinical trials. Protocols are as follows:

Children who are Wards of the state may be included in research that presents minimal risk 46.404 (50.51) or greater than minimal risk with a prospect of direct benefit 46.405 ( 50.52) of subpart D
Children who are Wards of the state may be included in research that presents greater than minimal risk with no prospect of direct benefit (46.406 (50.53) or 46.407 ( 50.54) only if the IRB determines and documents that such research is...
This information was extracted from Boston Children's Hospital Clinical Investigation Policy and Procedure Manual.

Most Americans, if informed, would consider these experiments unconscionable because there is no practicable methodology for ensuring these children's safety. It has long been established that the pharmaceutical industry has excessive sway over some physicians' conduct.

Take for example the 2011 findings of the Georgia Supreme Court regarding the use of ADHD drugs on state-held minors. The Court's task force found that large numbers of children under state care are receiving unapproved psychotropic medications. This is possible because the FDA has no authority to regulate physicians' off-label prescription practices.

Are attention deficit hyperactivity and sluggish cognitive tempo disorders valid psychological conditions or are they clever industry conceits?

For further insight into this question please read Marcia Angell's article: "The Epidemic of Mental Illness: Why?"

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Comment Preferences

  •  My cousin's kid was put on (6+ / 0-)

    Ritalin when he was in first grade.  Hyperactive kid they said.  Went thru 1-12 on the drug. Is 30 y.o. now.  Can barely hold a job.  Not brain dead but "slow."  What "they" did to thousands (if not millions) of kids like my cousin's kid should be considered criminal.

    Follow Connect! Unite! Act! MeetUp events! For live podcasting of your Event contact winkk to schedule.

    by winkk on Mon Apr 21, 2014 at 08:18:01 PM PDT

  •  Your information on clinical trials is misleading (0+ / 0-)

    (and was in your other diary too). There may well be issues, but there are protections in place, and there must be consent by the child if they're able to consent.

    It's not the guinea pig scenario that you imply.

  •  We went through a period where Draco was (2+ / 0-)
    Recommended by:
    mookins, petral

    on meds. He had one doctor when he was in a behavioral program who insisted on treating him only for ADHD when he's actually autistic. We had LOTS of fights with that doctor, who finally got fired from the program (Draco wasn't the only one he was doing this with). All that year accomplished so far as meds went was to show us what wouldn't work. Ritalin, Prozac, Tenex, and Clonadine were on that list. Ritalin actually made his behaviors WORSE, he was more violent, didn't sleep but a half hour a night, etc. Prozac knocked him out entirely, he ended up on an IV at the hospital for his blood sugar because he couldn't wake up enough to eat.  Tenex caused seizures (I think he would have been ok on that one if the Doctor hadn't tried to raise the dosage too fast), and Clonadine caused his blood pressure to dive dangerously 3 days in. Each time we had to take him off something this Doctor threatened to call DCFS on us. Luckily the behavioral program teachers and therapists had our back. They were seeing the same things we were.
    It felt very much like this doctor was using our son for a guinea pig even though they weren't clinical trials. But we were so desperate at the time for something, anything that would help him that we put up with it, for a while. At the time he was having melt downs 20-30 times a day, violent, breaking things, damaging other people and himself melt downs. Unfortunately, the Occupational Therapy/Sensory Integration therapy that later helped him was never even mentioned at the time. The only thing offered was their program, speech therapy and meds. He was 5 years old at the time.

    "Madness! Total and complete madness! This never would've happened if the humans hadn't started fighting one another!" Londo Mollari

    by FloridaSNMOM on Tue Apr 22, 2014 at 06:09:58 AM PDT

  •  Well, attentional issues can cause daydreaming. (2+ / 0-)
    Recommended by:
    mookins, petral

    I was a spaced-out daydreamer who, when she pulled it together, got straight a's. (Remembering to take down the assignment correctly, take home paper, take home book, do assignment, and take book and paper to class the following day was often beyond me, however.)

    I can pay attention to everything I need to in appropriate quantities on 7.5 milligrams of Adderall.

    Of course, thanks to the drug policies of this nation I can't get anyone to actually take the responsibility of prescribing it.

    When you come to find how essential the comfort of a well-kept home is to the bodily strength and good conditions, to a sound mind and spirit, and useful days, you will reverence the good housekeeper as I do above artist or poet, beauty or genius.

    by Alexandra Lynch on Tue Apr 22, 2014 at 08:02:07 AM PDT

  •  Schools aren't safe (0+ / 0-)

    I am autistic so I may have had more trouble than most students. For one thing, there was the bullying, day after day, year after year. I had to deal with misogynistic, homophobic, transphobic, and ableist slurs. I was beaten up too often, and beaten unconscious once. For another thing, there was the whole sensory environment, with bright strobing fluorescent lights, constant noise, constant crowding, sometimes scents, etc. Putting someone through several hours of social harassment and sensory bombardment, day after day, year after year, is not safe and not at all right. I don't know how much has changed. I do know that the bus system, offices, stores, etc. are still usually inaccessible.

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