ADHD (Attention deficit hyperactivity disorder) is a psychological disorder prone to ethical issues within its treatments through the use of Methylphenidate otherwise known as Ritalin, Ritalin is the current leading form of pharmacological treatment for Attention Deficit Hyperactivity Disorder (ADHD), and there has seen a dramatic increase in prescription rate over the past ten years, which have raised some ethical issues with its prescription. There are no present biological basis for ADHD diagnosis results in physicians making their diagnoses based on behavioural symptoms such as hyperactivity and inability to focus. Considering that these symptoms are behaviours that anyone may express at one point in their life, the risk of over-diagnosis of the disease increases. This may subsequently lead to over-prescription of Ritalin. Diagnosing ADHD is particularly difficult in young children as its symptoms are based on judgements of behaviour relative to other children who portray ‘normal behaviour’, however the symptoms of ADHD can be seen as normal behaviour for children as it normal for some children to be hyperactive. A review of prescription data for 300,000 children ages 19 and younger showed that, for the first time in history, spending for medications for childhood behaviour problems was more than the expenditure on any other child drug category, including drug like antibiotics. This evidence raises concerns over the possibility of Ritalin and its over-prescription for ADHD, especially in children as the disorder is mainly seen in childhood. Defining ADHD is still subjected to debate, and it has been observed that diagnosis of the disease is increasing as the diagnostic criteria changes, thereby leading to an over-diagnosis ...
... middle of paper ...
...ments. In psychotherapy the psychologist must ensure that there is a high level of trust between him and the patient. There must also be high confidentiality rate between both parties. Only at necessary times should a patient’s record be disclosed to third parties. There must also be set boundaries between the patient and his or her psychologists and there must be no form of sexual interaction between both parties. In terms of pharmacological treatments with patients who suffer from ADHD, the over prescription of Ritalin must be revised as more and more young children are forced to take the drug which often times leads the child to lose his or her freedom of personality. These ethical issues must be looked into as these drugs are given to children so that they can fit into a socially normal behavioural society which in turns makes them be subject of discrimination.
...rt of the medical profession, the therapists are expected to maintain the confidentiality of their clients. A psychologist must be able to acquire a client’s trust in order to keep quality confidentiality amongst the two parties. Only on seriously occasions should the patient’s records be shared, under certain other conditions the psychotherapy records of a minor can be reviewed by others without prior written consent. The Health Insurance Portability and Accountability Act (HIPAA), psychologists can usually give way the patient records to parents or legal guardians. Some of the ethical rules that apply to the practice of child and adolescent psychiatry are clear and generally agreed upon For example, rules against sexual contact or harsh or abusive treatment are encoded as boundary violations. A psychotherapist must be able to respect the boundaries of the client.
In today’s society, a lot of emphasis is placed on administering drugs and medicating people with psychological issues; however, most of these ailments and issues have the ability be treated through the use of talk therapy rather than medication. Americans are particularly guilty of over medicating when it comes to our more common mental health diagnosis such as, ADHD, depression, and anxiety. We as a society expect things to be done at the snap of a finger; in our advancement of science, we have been able to discover ways of offering the results we want quickly, inexpensively, and with little effort. Unfortunately, although the use of medications, also known as psychoactive drugs, occasionally remove the symptoms, but they do little to remove the causes of these mental health issues. In addition, to the lack of solution that the use of psychoactive drugs offer, they can also have unwanted and dangerous side effects. These can include simple physical irritants such as dry mouth and head aches, and can range up to dependency and substance abuse, and in some cases even death. Moreover, there are cases of inappropriate prescribing, where doctors are authorizing the use of medications that don’t work or are not pertinent to the issue the patient is experiencing. Furthermore, some of these doctors are issuing these medications without subjecting the patient to a proper mental health evaluation by a psychological professional.
ADHD is an exceedingly real diagnosis for many children in the United States. Are we over diagnosing our little ones just to keep from dealing with unpleasant behavior? “ On average 1 of every 10 to 15 children in the United States has been diagnosed with the disorder, and 1 in every 20 to 25 uses a stimulant medication” (Mayes, Bagwell, & Erkulwater, 2008). Several believe that virtually all ADHD diagnoses are retractable with appropriate discipline of children instead of being so hasty in medicating them. The material found on the CDC website describes facts about ADHD, it clarifies the signs, symptoms, types, causes, diagnosis tools, and treatment forms of ADHD. What the article neglects to go into is the reality that there is a considerable amount of controversy surrounding ADHD. The CDCs usage of ethos, pathos, and logos and by what method the website manipulates them to affect the reader will be the basis of this paper.
American Psychological Association (APA). (2002). Ethical Principles of Psychologists and Code of Conduct. American Psychologist, 57, 1060-1073.
Attention deficit hyperactivity disorder is the most widely diagnosed “mental-illness” in children in the United States today, and approximately 99% of children diagnosed are prescribed daily doses of methylphenidate in order to control undesirable behaviors. (Stolzer)
U.S. Heath News reported (2013) that 6.4 million children ages 4 to 17 have been diagnosed with Attention Deficit Hyperactivity Disorder. Since 2007, the utilization of stimulant medication to treat ADHD has jumped 11% nationally as a whole. It was also reported that the U.S. spends more on prescription drugs to treat Attention Deficit Hyperactivity Disorder than it does for all but six other medical conditions (U.S. News Health, 2013). The number of ADHD diagnosed teens prescribed stimulants, such as Ritalin and Adderall, will be increasing over time as the new guidelines set by the American Academy of Pediatrics now recognizes physicians prescribing ADHD stimulant medications to childre...
Attention Deficit Hyperactivity Disorder (ADHD) is a psychiatric disorder that causes children to have problems with paying attention, trouble with following instructions, have impulsive behaviors and become easily distracted. Medications, such as Adderall and Ritalin, are used to treat the symptoms of this disorder by helping the patient to focus and pay attention while also curbing their impulsive behavior and hyperactivity. Side effects of these medications are, but not limited to, anxiety, addiction and in some cases psychosis. Proponents of giving ADHD medication to children argue that ADHD is a real disorder in children and the medication does improve the symptoms of the disorder by a large margin as well as being cost effective. Also, not only are the parents happy with the outcome of their children taking the prescribed medication but so are the children themselves. Proponents also argue that by not letting parents of the children, young adults and adults choose to take these prescriptions when diagnosed with ADHD that the medical and psychiatric communities would be in violation of the principle of autonomy. Justice as well would be violated since most of the burden of dealing with all the symptoms caused by this disorder would fall onto those with ADHD and partly on their families. Opponents of giving ADHD medication to children point out that it is not only going to children with ADHD but also being prescribed to those not diagnosed with the disorder as well as the pills being given or sold to other children and young adults. They also claim that the full side effects of ADHD medication are still not known and could have harmful long- lasting side effects on the children taking the medications. In this case, the princip...
Ethics in the counselling and psychotherapy protects the client and the therapist involved in the therapeutic relationship and the therapeutic process as a whole; with the concepts that act as a guide for the therapists in provision of good practice and care for the client. The framework is built on values of counselling and psychotherapy; principles of trustworthiness, autonomy, fidelity, justice, beneficence, non-maleficence and self-respect, and provides standards of good practice and care for the practitioner (BACP, 2010). Ethical framework contributes to the development of the therapeutic relationship and process by assisting therapist’s decisions, and guides their behaviour and proceedings within their legal rights and duties. The ethical frame is structured on the boundaries of the therapeutic relationship and the therapists should be aware of their categories and be responsible for their forms. Monitoring and being aware of what goes on in and out of the room physically, emotionally and psychologically is primarily the duty of the therapist.
Statistcs, National Center for Health. Childhood ADHD, Drug Treatment on the Rise. 2011. Document. 18 November 2013.
For years, the topic of Ritalin, the use of the drug and its short and long term effects has been a controversial one. People who have Attention-Deficit Hyperactivity Disorder (ADHD) have abnormally low amounts of the neurotransmitting chemical Dopamine in their brains. This chemical plays an important role in the brain as it helps with signal transmission between the neurons. ADHD sufferers have difficulty concentrating and learning, they find it difficult to sit still and are often overly energetic. They get distracted very easily and struggle to focus and complete a task at hand. Ritalin helps reduce these symptoms as it stimulates the production of more dopamine in the brain. This gives for better signal transmission which in turn benefits the ADHD user.
Ethical issues in a counseling practice lay the foundation of a therapist in practice. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. In order for the counseling profession to be ethical and hold professional recognition, there are many facets that need to be examined and outlined to make sure all counselors and practitioners are functioning at the highest level and withholding their duties required by the counseling profession. The first introduction so to speak of the area of ethics also happens to be one of the first steps in counseling, which is the informed consent. The informed consent provides the basis of what happens or will be happening in a counseling setting and serves to inform the client to their rights, responsibilities, and what to expect. Most importantly, the informed consent is in place for the client’s benefit. It also is important to understand that culture and environment play a role in the treatment of a client and how theories can positively or negatively impact this treatment. Therapists need to understand how to work within the context of a theory while being able to understand the individual in their own environment. Although theories are put into place to serve as a framework, there are also alternative ways to approach counseling, one example being evidence-based practice. Such an approach is very specific, which presents a series of solutions for counseling as a whole, but also brings forth many problems. Every approach or theory introduces ethical concerns that need to be taken into consideration by the entire counseling community and how each can positively and negatively affect clients and the pr...
Although many Americans side with medical treatment when dealing with ADHD, the FDA advisory committee stated that "we rejected the notion that the administration of potent sympathomimetic agents to millions of Americans is appropriate. We sought to emphasize more selective and restricted use, while increasing awareness of potential hazards" The FDA believes that there is a high number of ADHD in Americans and that millions of children should not be given stimulant drugs as treatment. The fact that the FDA believes this could largely be due to the misdiagnosis of the disorder. Misdiagnosis occurs due to a number of reasons such as the misconception of thinking ADHD is a disease and not a disorder and because diagnosis ADHD is extremely hard.
Attention deficit hyperactivity disorder (ADHD) is a common psychiatric disorder in children and adolescents. As implied in the abbreviation, students who are diagnosed with ADHD often encounter learning difficulties due to lack of concentration and act impulsive. Although prescription medications for ADHD students may be helpful to alleviate the symptoms, they cannot be reliable since medicinal effects vary between individuals. As a result, many experts in education try to incorporate electronic devices to address the issues that ADHD students have. The potential of electronic devices to facilitate students in learning has long been noted by the experts. However, only a few actually consider to apply it on students with disability, especially students with ADHD. With its versatility of use and interactivity with the user, electronic devices can be used to address the lack of attentiveness and hyperactivity in ADHD students by controlling their behavior, improving their concentration, and encouraging them to be an independent learner.
...ms you are having of ADHD. The doctor can take on of two paths, either they can say your ADHD is enough that you need medication or if you will be fine without it.
Koocher, G.P., & Keith-Spiegel, P. (2008). Ethics in psychology and the mental health professions. New York, NY: Oxford University Press.