Uh-oh, Ritalin Is Not The Answer?

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I’ve been married to two women who had been diagnosed with A.D.D. One of them dealt with the symptoms by taking a small (prescribed) dosage of Ritalin. A couple of other members of my extended family have also relied on either Ritalin or Adderall over the years to better manage their focusing difficulties.

This from WebMD:

The symptoms of ADHD include inattention and/or hyperactivity and impulsivity. These are traits that most children display at some point or another. But to establish a diagnosis of ADHD, sometimes referred to as ADD, the symptoms should be inappropriate for the child’s age.

and also this:

Toddlers and preschoolers with ADHD tend to be constantly in motion, jumping on furniture, and having difficulty participating in sedentary group activities. For instance, they may have trouble listening to a story.

School-age children display similar behavior but with less frequency. They are unable to remain seated, squirm a lot, fidget, or talk excessively.

In today’s New York Times, L. Alan Sroufe professor emeritus of psychology at the University of Minnesota’s Institute of Child Development, cautions about the practice of prescribing Ritalin and Adderall as a long-term solution to deal with A.D.D. in children and young adults in a sobering reassessment:

THREE million children in this country take drugs for problems in focusing. Toward the end of last year, many of their parents were deeply alarmed because there was a shortage of drugs like Ritalin and Adderall that they considered absolutely essential to their children’s functioning.

But are these drugs really helping children? Should we really keep expanding the number of prescriptions filled?

In 30 years there has been a twentyfold increase in the consumption of drugs for attention-deficit disorder.

As a psychologist who has been studying the development of troubled children for more than 40 years, I believe we should be asking why we rely so heavily on these drugs.

My son has shown some of the same symptoms associated with A.D.D. He is too young to be formally diagnosed, since some of these are common to most young children. Until now, I feared that medication was the inevitable solution. Now, I’m not so sure. There may not be a magic cure. That may not be that bad.

The rest of the Times opinion piece is here.

So I Started Running. . .

the day after my fifty six birthday. It was a suggestion made by my doctor that I thought was just plain crazy when he first told me.

I’m in generally good health. Except hypertension I’ve had for a number of years, which is controlled by medication — a little pill I take each morning. During my last visit, Doctor Siraj said that the only thing one could do about hypertension was prevent it from getting worse. Kinda sucks. Not being able to eliminate it. “But,” he said, “if you elevate your heart rate regularly, you have an advantage.” I told him that I walked regularly. He told me I needed to do more.

I remembered running as a teenager and enjoying it. At school, it seemed I could run forever without tiring or running out of breadth. But I had stopped, as soon as I started running after certain other things in life. Or away from them.

“Try it. If you don’t like it, you can always try a Zoomba class.” Said the doctor. He didn’t really say that. I made it up. It sounded like a funny thing he should’ve said.

So I checked with my friend Jerry, a lifetime runner who’s the fittest guy I know. I wanted to know some of the basics. “You need good running shoes,” he said. “And reflective gear if you’re running at night.” Jerry told me that running on the street — over asphalt — was preferable to running on the sidewalk. “Concrete,” he said, ” was ten times denser than asphalt.” I don’t really know if this is true, but it explained to me one of the possible reasons all those idiots run on the street, when there’s a perfectly safe sidewalk just a few feet away.

“You must do it three to four times a week,” said Gigi, my friend and masseuse, “if you are serious about it.” I think Gigi is fitter than Jerry. I think Jerry would agree.

“And you must break a sweat,” she added. “If you sweat, you’re doing it.”

It’s been about a month and a-half and — except for a stretch of a few cold low to mid-twenties days — I’ve kept up with it, breaking a sweat regularly and feeling pretty good about the whole endeavor. The music I listen to while I run makes it better. It’s been a long time since I was a teenager (about forty years) and I can’t run for more that quarter mile without slowing down to a walking pace until life re-enters my body and I can run for another stretch. But, hey, me likes it! Much to my surprise.

Yesterday, I invested in a decent pair of running shoes. The weather was warm enough to go out and break them in. I don’t even know if that’s the correct lingo, the breaking them in part, but I enjoyed running late at night, nice music playing in my ears and breaking a sweat. I especially enjoyed running past the liquor store where I bought the last pint of rum I drank almost twenty nine years ago, next month. I was a sober runner, I thought.

Next week I’m going out shopping for a pair of running tights. The kind with the reflective stripes running down the side. I’m no longer running away from something. Or after anything. I am just a runner, building stamina, clearing my head and strengthening my heart. And sweating.

“I could’a been a contender.”

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I found this Psychology Today article by Abby Ellin on the subject of aspirational hell when I googled the “On The Waterfront” quote. Please read it.

I have never written a best-selling book.

I have never won a Pulitzer.

I have never reported for 60 Minutes, won a gold medal in gymnastics, or thanked my parents and God as Barbara Streisand handed me my Oscar for Best Actress/Writer/Director.

I do not have a Ph.D. or J.D. Nor, for that matter, did I spend my undergraduate years frolicking amid the ivied walls of Harvard or Yale.

I have only one home, a one-bedroom in New York City. No Tuscan villa. No French chateau. No yurt in Sonoma.

In sum, I am not living the life I expected—the life of, say, Diane Sawyer, Julia Roberts, or better yet, Barack Obama. And this bothers me.

A lot.

There’s more…

Take a Nap, Grow Your IQ

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Beautiful Napping Dog

This probably explains why my dog Celeste is so smart. Via our friends at PsychCentral, Napping Makes You Smarter:

A new study that examined participants’ cognitive abilities after they took a nap demonstrates that a simple nap may help make you “smarter.”The research, conducted at the University of California at Berkeley, examined the brain boosting effects of a nap on 39 healthy adults. Half the subjects took a 90 minute nap during the day, and then all subjects were administered a set of tests designed to measure cognitive ability.

Those who took the nap outperformed subjects who did not. The people who had a nap improved their ability to learn by 10%, according to the researchers.

By the way, our cats Samantha and Bryce are smarter than Celeste. They’re better nappers.

There’s more…

Take an App and Call Me In the Morning

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From our friends at PsychCentral, online help for people with panic disorders and anxiety problems:

A[n] new online treatment system will provide real-time care by combining patient-provider communication with physiological biofeedback to assist patients suffering with panic disorder and anxiety problems.Vincent Tseng and Bai-En Shie of the National Cheng Kung University are working with psychiatrist Fong-Lin Jang of the Chi-Mei Medical Center, in Tainan, Taiwan, to develop the system they say will have a “pivotal impact” on the health care industry. The research is published in the International Journal of Business Intelligence and Data Mining.

The increasing pace of life, the industrialization of society, and the advent of digital technology are all thought to underlie the growing prevalence of mental illness. Disorders, such as anxiety, obsessive-compulsive disorder, and depression are now diagnosed more frequently than ever before.

There’s more…

I’m Gonna Get Me a Couple of These

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From The BBC

Mutant genes ‘key to long life’

There is a clear link between living to 100 and inheriting a hyperactive version of an enzyme that prevents cells from ageing, researchers say.

Scientists from the Albert Einstein College of Medicine in the US say centenarian Ashkenazi Jews have this mutant gene.

They found that 86 very old people and their children had higher levels of telomerase which protects the DNA.

They say it may be possible to produce drugs that stimulate the enzyme.