Coffee and ADHD?

                        Did anyone catch Good Morning America today?  A mom, who suspects her son has ADHD (there’s been no formal diagnosis, but she stated that her son is very active and has trouble concentrating and finishing tasks. . . .) gives him two, four ounce cups of coffee, each day.  She says it calms him down and helps him to focus.

                        Well, according to GMA, this has the “Mommy Blogs buzzing” with many people questioning this mother’s actions.

                        Really??  You have got to be kidding me.  How can giving a child eight ounces of coffee a day (that’s just one cup) be controversial when giving a child a drug like Ritalin raises few, if any, concerns?

            Understand a couple of things.  First, Ritalin, and drugs like it such as Concerta and Adderall, are STIMULANTS designed to control impulsivity.  Thus, the caffeine in the coffee is most likely just acting in the same manner.  Indeed, the literature talks about many adults “self-medicating” with caffeine.

Second, and far more importantly, amphetamines like Ritalin, can have VERY serious side-effects.  Aside from the fact that Ritalin is in the same drug classification as cocaine (and, you can check this out), Ritalin, and drugs like it, have been associated with stroke, chromosome damage, and even death.  And, let’s not even mention the other psychotropic medications (including antidepressants) that often are prescribed for these kids.

New research points out the benefits of dietary changes and supplementation when it comes to treating disorders like ADHD.  Cut out the artificial sweeteners, the artificial colors, cut back on the sugar, and see what happens.  Look into supplementation, especially with essential fatty acids.  Talk to a nutritionist with experience in this field, and find out what a difference diet can make.  (Not the first time this was discussed:  http://sparkdevelopment.blogspot.com/2011/08/importance-of-nutrition.html).

Kudos to this mom for finding something far safer than heavily controlled, often abused, pharmaceutical concoctions to help her son.

Autsim and the Environment

Coming on the heels of the Cold Spring Harbor research that supposedly indicted “bad” genes as the cause of autism, are two new studies published in the July 4^th edition of the Archives of General Psychiatry that indicate environment plays the key role.  While a surprise to some scientists, it comes as no surprise to us.

In an article published in Newsday entitled “Environment May Be Especially Key to Autism: Study,” by Jenifer Goodwin, it is reported that:

[T]he . . .  environment -- and this could be in utero or in early life -- has to play a major role [in the incidence of autism].

 

According to [the researchers’] calculations, . . . genes account for 37 percent of the risk of "classic," or severe autism and 38 percent of the risk of milder autism spectrum disorders. By the same calculations, environmental factors would explain 55 percent of the risk of autism and 58 percent of the risk for an autism spectrum disorder, the Stanford team concluded.

And, what environmental factors could be at issue?  Well, the second study found a connection between the occurrence of autism and antidepressants taken by mothers during pregnancy:

            In another study also published in the online issue of the journal, researchers found a 

            two-fold risk of autism spectrum disorder among children whose mothers took 

            antidepressants known as selective serotonin reuptake inhibitors (SSRI) during

            pregnancy, and that the risk was more than three times higher if the mothers took

            the drugs during early pregnancy, compared to children without the disorder.

            SSRIs include widely used antidepressants such as Celexa, Paxil, Prozac and Zoloft.

http://www.newsday.com/news/health/environment-may-be-especially-key-to-autism-study-1.3003680 (July 4, 2011).

The Warnings Keep Coming, But Is Anybody Listening?

Got a few things to talk about this week. The theme? We keep getting warned about potential issues with medications, the political underpinnings of health care, and dangers regarding products we use and consume, but the warnings are side-notes, buried in the back of the paper, confined to the pages on health books generally dismissed by the mainstream medical community, and on the web – if you know where to look. But, if you’re reading this, then you might want to know a couple of things. In no particular order:

When a new client joins our Center, we always ask if they ever (a) suffered from any form of chronic infection, such as ear infections, sinus infections, etc.; and (b) took antibiotics for extended periods of time. You’d be surprised to learn that the majority of our students answer these questions with a resounding “Yes!”

We ask for two main reasons. First, chronic infections often are a sign of a food allergy (or, if you prefer, a food “aversion”). Simply put, the student is eating something that is triggering an immune response and making them sick. But, food allergies are not the point of this blog -- that’s a whole ‘nother story.

It is the second reason that I’d like to address here. For years, we have known that antibiotics can wreak havoc on the digestive system. This can negatively impact the student’s immune system, since the vast majority (70% to 80%, depending on your reference source) resides in the digestive system. Your immune system, of course, has a direct impact on your overall health, but it also has a major impact on your mood and behavior.

Surprise, surprise. While everyone knows that antibiotic use can upset your stomach, a new study reveals that “repeatedly taking [antibiotics] can trigger long-lasting changes in all those good germs that live in your gut, raising questions about lingering ill effects.” Newsday, 9/14/10 at A33. The article noted that three healthy adults who had not used antibiotics in at least the past year where given low, five-day courses of the antibiotic Cipro, six months apart. The researchers found that the “bacterial diversity” of those three individuals “plummeted as a third to half of the volunteers’ original germ species were nearly wiped out, though other species moved in.”

How could this not affect your immune system?

Did you hear? The Food Pyramid may be “so politically influenced that it is ineffective.” (check out Newsday, 10/4/10 at A23). “This year, the meat lobby has opposed strict warnings on sodium that could cast a negative light on lunch meats. The milk lobby has contested warnings to cut back on added sugars, lest chocolate- and strawberry-flavored milk fall from favor.” Really? You don’t say. And, here I thought the Food Pyramid was a totally objective, science-based guide to eating healthy . . .

So who says Frankenfood is bad for you? Well, a lot of people, actually. According to “This Supermarket ‘Health Food’ Killed These Baby Rats in Three Weeks,” written By Jeffrey Smith and Posted By Dr. Mercola on October 4, 2010, Biologist Arpad Pusztai; Irina Ermakova, a senior scientist at the Russian National Academy of Sciences; Embryologist Andrés Carrasco; Epidemiologist Judy Carman; prominent virologist Terje Traavik; and Ohio State University plant ecologist Allison Snow. In one way or another, these researchers and scientists proved that genetically modified foods can be quite harmful. But, each and every one of these individuals was put through a trial by fire. Some were fired from their positions, others had research funding withdrawn, some had their research blocked, and some were even subject to baseless rumors attacking their credibility. See http://articles.mercola.com/sites/articles/archive/2010/10/04/watch-out-there-are-more-problems-with-genetically-modified-foods-than-youre-allowed-to-know.aspx.

Really, if we can’t trust the companies that are genetically mutilating our food, who can we trust?

ADHD, Adderall and Lindsay Lohan

So, heard the latest? I am not making this up.

Adderall May Have Unhinged Lindsay Lohan (8/20/2010 12:30 AM PDT by TMZ Staff)
Lindsay Lohan's Adderall dependence -- the result of a medical misdiagnosis -- may have been the reason she went off the rails.

[T]he docs at the UCLA rehab facility believe Lindsay was misdiagnosed with Attention Deficit Hyperactivity Disorder ... and then prescribed Adderall to treat the phantom affliction.

Dr. Joe Haraszti -- a prominent L.A. addiction specialist [states that] people who take Adderall when they don't need it can experience similar effects as people who use cocaine or methamphetamine.

Dr. Haraszti tells us ... people who unnecessarily take Adderall can display manic symptoms ... "and often do things like 'driving around until all hours of the morning ... smoking heavily ... tweeting ... and texting all night long." The doc adds, "They can become very impulsive."

"The doc also notes that people in that situation "might then complain of insomnia and then take Ambien or other sleep aids to help fall asleep ... it's a vicious cycle."

Dr. Marc Kern -- another addiction expert -- tells us alcohol abuse is also very common among patients who take Adderall.

Dr. Kern tells us, 'The Adderall counteracts the sedative side effects of alcohol use … making these people often drink more than someone who does not take the drug."

That is, pretty much, word for word, the article about Ms. Lohan, ADHD and Adderall. Now, let’s play a game. How many things are terribly wrong about the information contained in this article?

Here are my top three:

1. How is someone like Lindsay Lohan “misdiagnosed?” One would assume that she has access to the best medical practitioners around, right? So, are her doctors so inept that they could not diagnose a “disorder” that affects anywhere from 8% to 15% (or more, depending upon your information source) of the population?

Or, is it more likely, that the “disorder” is so vaguely defined, subjectively diagnosed, and misunderstood, both in its manifestation and causes, that it too difficult to diagnose correctly?
In either event, if Ms. Lohan is truly misdiagnosed, either through her doctors’ lack of skill or the inherent vagueness of this “disorder,” how do we know that our kids are not also being misdiagnosed?

2. “[P]eople who take Adderall when they don't need it can experience similar effects as people who use cocaine or methamphetamine.”

Ah, this one’s a bit trickier. Yes, people who take Adderall “can experience similar effects as people who use cocaine or methamphetamine.” No issue there. That’s because Adderall, Ritalin, and the like ARE IN THE SAME CHEMICAL FAMILY AS COCAINE AND METHAMPHETAMINE!! (in fact, Ritalin’s real name is “methyiphenidate”). And, like cocaine, they are all Schedule II controlled substances! (see http://www.justice.gov/dea/pubs/scheduling.html).

Thus, “like cocaine, Ritalin is a powerful stimulant that increases alertness and productivity. Ritalin and cocaine also look and act the same. Both have a similar chemical structure.” http://learn.genetics.utah.edu/content/addiction/issues/ritalin.html

So, what’s terribly wrong with this statement? First, Adderall affects EVERYONE the same way, whether you have ADHD or not! That’s why you can’t use the drug’s so-called effectiveness as a diagnostic tool. So, when you give your “ADHD” kid Adderall, he/she may “experience similar effects as people who use cocaine or methamphetamine,” including as
“Dr. Haraszti tells us … manic symptoms ... and impulsiv[ity]."

And lets not forget what Dr. Kern has to say: “alcohol abuse is also very common among patients who take Adderall.”

3. Just a headcount – how many of you parents out there were told either that (a) ADHD was very difficult to properly diagnose; or (b) that drugs like Ritalin and Adderall are class II controlled substances, just like cocaine, with a similar chemical structure as cocaine, that can cause “manic symptoms, impulsivity, and/or alcohol abuse”?

I’ll bet you were told, like me, these drugs were perfectly safe, with few if any side-effects. And, if your son/daughter had diabetes, you’d give him/her insulin, wouldn’t you?