On the heels of new recommendations by the American Academy of Pediatrics (AAP), that children as young as four years of age be evaluated for Attention Deficit Hyperactivity Disorder (ADHD), a new study (funded by two agencies of the Department of Health and Human Services) has concluded that the drugs used to treat ADHD do not pose risk of serious heart problems to children and young adults. Currently, ADHD is the most commonly diagnosed neurobehavioral disorder in children, with about 10% of children having been labeled with the diagnosis, as of 2007. The highest number of parent reports of ADHD has been among those covered by Medicaid.
But, why are increasing numbers of children and adults being diagnosed with ADHD? Is it just coincidence that DHHS-funded research has recently concluded that it’s safe to give stimulant medications to very young children immediately after the AAP, a major supporter of Obamacare, has announced its recommendations for earlier screening? To be sure, many physicians and mental health practitioners believe ADHD is being overdiagnosed. MedPage Today, a service for physicians that provides a clinical perspective on breaking medical news, found that 80% of its readers believed the disorder is overdiagnosed. Similarly, psychiatrist Dr. Allen Frances states that ADHD has become an “epidemic” for several reasons: (1) Changes in the wording of the diagnosis in the DSM-IV (Diagnostic and Statistical Manual), (2) heavy drug company marketing to doctors and advertising to the public, (3) extensive media coverage, (4) pressure from parents and schools to control disruptive behavior in children and (5) the use of stimulant medication (such as Ritalin) for performance enhancement.

In light of what appears to be a drive to diagnose more behaviors as “abnormal” earlier in life, Congressman and presidential candidate Ron Paul has reintroduced H.R. 2769. The Parental Consent Act 2011 prohibits mandatory mental health screening of students without the express written, voluntary, informed consent of their parents or legal guardians. The bill seeks to protect the fundamental right of parents to direct and control the upbringing and education of their children. With the passage of this bill, federal education funds cannot be used to pay any local school or government agency that charges parents, who refuse consent to permit mental health screening for their child, with child abuse or child, medical, or educational neglect.
A major concern is that daycare providers and teachers are the main referral sources for ADHD screening. The types of behaviors many of these individuals may view as “problematic,” in a classroom setting, such as fidgeting, distractibility, inattention, interrupting, and lack of organization are very much consistent with a normal four-year old’s stage of development. While some adults may view the children’s behavior as a “problem,” the real issue may be that adults are expecting young children to function, without disruption, in an institutional setting.
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