Attention-deficit hyperactivity disorder: preventing overdiagnosis and overtreatment

The first part of this article focuses on the wide variations in the diagnosis of attention-deficit hyperactivity disorder (ADHD) that are observed between countries and between regions within the same country. Diagnosing ADHD is more problematic than is commonly thought. For instance, younger Ameri...

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Main Author: Jean-Claude St-Onge
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina de Família e Comunidade 2015-06-01
Series:Revista Brasileira de Medicina de Família e Comunidade
Subjects:
Online Access:https://www.rbmfc.org.br/rbmfc/article/view/1014
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author Jean-Claude St-Onge
author_facet Jean-Claude St-Onge
author_sort Jean-Claude St-Onge
collection DOAJ
description The first part of this article focuses on the wide variations in the diagnosis of attention-deficit hyperactivity disorder (ADHD) that are observed between countries and between regions within the same country. Diagnosing ADHD is more problematic than is commonly thought. For instance, younger American children in the same grade at school are 64% more likely to receive the diagnosis; symptoms can result from many underlying causes. Furthermore, ADHD can be confused with many other health issues. As a result it is largely overdiagnosed and overtreated. The second part of the article reviews recent studies showing that anti-ADHD drugs lack long-term effectiveness and come with important adverse events. Overall, and in the long run, the pharmacologic treatment of ADHD is likely to cause more harm than good.
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spelling doaj.art-0b20cf4429494155b74b7f32eb3bda3d2023-02-02T05:03:09ZengSociedade Brasileira de Medicina de Família e ComunidadeRevista Brasileira de Medicina de Família e Comunidade1809-59092179-79942015-06-01103510.5712/rbmfc10(35)1014549Attention-deficit hyperactivity disorder: preventing overdiagnosis and overtreatmentJean-Claude St-Onge0Philosophy Professor (retired). M.A. Philosophy, PhD. Socio-economics. Québec, Canada.The first part of this article focuses on the wide variations in the diagnosis of attention-deficit hyperactivity disorder (ADHD) that are observed between countries and between regions within the same country. Diagnosing ADHD is more problematic than is commonly thought. For instance, younger American children in the same grade at school are 64% more likely to receive the diagnosis; symptoms can result from many underlying causes. Furthermore, ADHD can be confused with many other health issues. As a result it is largely overdiagnosed and overtreated. The second part of the article reviews recent studies showing that anti-ADHD drugs lack long-term effectiveness and come with important adverse events. Overall, and in the long run, the pharmacologic treatment of ADHD is likely to cause more harm than good.https://www.rbmfc.org.br/rbmfc/article/view/1014Attention Deficit Disorder with HyperactivityMedicalizationEffectivenessAdverse Effects
spellingShingle Jean-Claude St-Onge
Attention-deficit hyperactivity disorder: preventing overdiagnosis and overtreatment
Revista Brasileira de Medicina de Família e Comunidade
Attention Deficit Disorder with Hyperactivity
Medicalization
Effectiveness
Adverse Effects
title Attention-deficit hyperactivity disorder: preventing overdiagnosis and overtreatment
title_full Attention-deficit hyperactivity disorder: preventing overdiagnosis and overtreatment
title_fullStr Attention-deficit hyperactivity disorder: preventing overdiagnosis and overtreatment
title_full_unstemmed Attention-deficit hyperactivity disorder: preventing overdiagnosis and overtreatment
title_short Attention-deficit hyperactivity disorder: preventing overdiagnosis and overtreatment
title_sort attention deficit hyperactivity disorder preventing overdiagnosis and overtreatment
topic Attention Deficit Disorder with Hyperactivity
Medicalization
Effectiveness
Adverse Effects
url https://www.rbmfc.org.br/rbmfc/article/view/1014
work_keys_str_mv AT jeanclaudestonge attentiondeficithyperactivitydisorderpreventingoverdiagnosisandovertreatment