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References
Clemmitt, Marcia. (2012). Treating ADHD: Are attention disorders overdiagnosed? CQ
Researcher. 22(28).
Marcia Clemmitt is a staff writer, who is also a veteran social-policy reporter. She holds a position as a high school math and physics teacher on the side of being an author. Clemmitt earned a liberal arts and science degree from St. John’s College in Annapolis. She has obtained a master’s degree in English from Georgetown University as well. Throughout the report, Clemmitt goes into detail about attention deficit hyperactivity disorder, also known as ADHD. She questions on whether or not that the mental illness may be overdiagnosed for patients. In her studies, she states that within recent researches, the diagnosis for ADHD
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has been becoming more frequently misdiagnosed. There has been worries that Ritalin and Adderall have been overdiagnosed due to the health risks, such as addiction. It has been proven that the misuse of Adderall has been rising within the college community, especially for those who are not even diagnosed with the illness. She asserts that there are other forms of treatment, such as non-drug therapies that can help assist with ADHD. It is also agreed amongst experts that this form of therapy is more effective for long term ADHD patients. Clemmitt states sources with data and percentages of those who are affected. The sources show an objective point of view. Various studies she mentions provide good sources and information on the mental illness and its diagnoses. Throughout other studies I’ve read about, Clemmitt offers a good amount of information about the disorder and the multiple aspects that come with it. Rosen, Gerald M. (1995). The Aleutian Enterprise sinking and posttraumatic stress disorder: Misdiagnosis in clinical and forensic settings. Professional Psychology: Research and Practice. 26(1). 82-87. Gerald M.
Rosen currently holds a position as a clinical associate professor in the Departments of Psychology and Psychiatry at the University of Washington while doing his independent practice as a clinical psychologist in Seattle, Washington. Rosen obtained his PhD in 1972 from the University of Wisconsin. Rosen discusses a study that focused on the over diagnosis of posttraumatic stress disorder, also known as PTSD, from a traumatic event. There were a few contributing factors to the result in the order diagnosis of the disorder. The clinicians only relied on the patient’s self-reports and did not administer any psychometrics throughout the case. They also failed to check medical records and involved biased judgment errors. The results of the findings show concern in the accurate diagnosis of PTSD. The author seemed to be subject to the biased effects. The purpose of this text is to bring awareness to the over diagnosis in patients and the symptoms that resulted in it’s diagnosis. Rosen provides information about the several contributing factors that caused the misdiagnosis of the PTSD in patients. A comparison of sleep-related symptom rates of other marine disasters proves that the Aleutian sinking had a higher percentage of reported symptoms than the others. The purpose of this case is to bring awareness to clinicians to focus more on the communications between the attorney and the client. It’s to observe those communications for consideration of the contributing …show more content…
symptoms for reporting. McPartland, James., Peluso, Francesco., Qayyum, Zheala., Schalkwyk, Gerrit., Volkmar, Fred. (2015). Varieties of Misdiagnosis in ASD: An Illustrative Case Series. Journal of Autism & Development Disorders. 45(4). 911-918. James McParland from Harvard University in 1996 and obtained a doctoral degree in Child Clinical Psychology from The University of Washington in 2005. McParland is a licensed clinical psychologist who also leads a clinical team in the Yale Development Disabilities Clinic. Francesco Peluso received his BA at Macaulay Honors College at City University of New York in 2009. He then later received his MD in 2013 at State University of New York Downstate Medical Center College of Medicine. Zheala Qayyum is a psychiatrist in New Haven, Connecticut. She had received her MD from Kind Edward Medical University and completed her residency at University of Connecticut. Gerrit Schalkwyk practiced in Psychiatry at New Haven Connecticut. Fred Volkmar obtained his medical degree from Stanford University in 1976 and his fellowship at Yale University School of Medicine. This case focuses several case studies on the autism spectrum disorders (ASD) and its relationship with psychotic disorders (PD). Throughout the several cases it showed comparisons in the symptoms the patients displayed within their episodes. There are patterns of the episode that prove that it would have been premature for making additional diagnoses. It is stated that the main concern may be that the way ASD presents itself is not being fully portrayed. Additional diagnosis of PD is the result of psychiatrists having a hard time fully comprehending ASD. The authors are objective within the article and demonstrate the misdiagnosis of PD due to the lack of ASD awareness. This source provides different cases to demonstrate the different experiences and diagnoses of the relationship between the two illnesses. Mitchell, Philip. (2012) Bipolar Disorder: The Shift to Overdiagnosis. Canadian Journal of Psychiatry. 57(11). 659-665. Philip Mitchell is a Scientia professor and head of the School of Psychiatry at the University of New South Wales in Sydney, Australia. Mitchell mainly focuses on the mental illnesses of bipolar disorder and depression. His article mentions two researchers, Mark Zimmerman and Joseph Goldberg, who have reported the increase of over diagnosis of bipolar disorder (BP). The diagnosis of this condition in adults has increased greatly. Mitchell asserts in his article that the evidence of over diagnosis has risen. In clinic and research settings, the shift to over diagnosis has been growing quickly. A shift in over diagnosis is crucial due to the overtreatment or unnecessary treatment for patients. For adults, the adverse effects of the drug can cause metabolic syndrome with atypical antipsychotics. Over diagnosing patients with treatment or medications puts a risk at overmedicalizing other possible conditions. It leaves the psychiatric profession with a loss of credibility. Mitchell mentions that the shift to over diagnosis should not be accepted. The issues of overtreatment, incredibility, and impact on research create a critical matter of misdiagnosing BD. He also states specific facts of the over diagnosis in bipolar disorder. The article stands an objective point of view. The article brings in specific evidence that shows how much over diagnosing a patient has shifted. It focuses on the two researches and their studies they conducted. It reviews the data from the research in which resembles the increase of evidence in clinical practice. Bruchmuller, Katrin. (2012) Is ADHD diagnosed in accord with diagnostic criteria? Overdiagnosis and influence of client gender on diagnosis. Journal of Consulting and Clinical Psychology. 80(1). 128-138. Katrin Bruchmuller is from the department of Clinical Psychology of Psychiatry. She studied at the University of Basel in Switzerland. There are questions that have not been addressed, which is concerning for the diagnosis of ADHD. There are many studies that demonstrate the over diagnosis of the disorder. Since therapists diagnose children who resemble some of the ADHD symptoms of those who are really diagnosed with the illness, it could be the result in over diagnosis. The conclusion of the studies prove that certain cases are over diagnosed in clinical practices. Since young boys are more prone to ADHD, it is more likely that a boy will be diagnosed more easily than a girl who has the same symptoms. The use of that heuristic is one of the possible reasons of ADHD being overly diagnosed. So boys that shows any of the typical ADHD symptoms can result in being diagnosed with the disorder. Patients who are overdiagnosed impacts the way the patient can be treated. Those who do not need the treatment are exposed to the associated risks. Data provided in the article shows more false positive than false negative diagnosis of ADHD. The source of this article is not biased. The purpose is to understand the over diagnosis in children and the treatment for medications. This article focuses more on the gender role and how it affects the diagnoses of ADHD on children. Worsnop, Richard L. (1992). Depression: Why does the disorder afflict so many people? CQ Researcher. 2(37). Richard L. Worsnop is an associate editor for the CQ Researcher. Within the article Worsnop focuses on the topic of depression and how it afflicts people.
He makes several points concerning the impact of misdiagnoses on patients in the article. The society of misdiagnosed depression patients is large. Physicians frequently misdiagnose real signs of depression as physical ailments. Worsnop states how several patients who are diagnosed with depression are treated incorrectly with medications due to over diagnoses. Because of that, it makes health care professionals frustrated. There are some cases where older people who are truly depressed end up being diagnosed with Alzheimer’s or dementia. Since both consist of the similar symptoms, but end up not being correctly diagnosed with depression, the patient won’t be offered to the proper treatment. The range of mood shifts and depression make it difficult to diagnose because stress can be a part of one’s own personality. Worsnop stands at an objective point of view throughout his article. His article is sourced in the way to bring attention to the mental illness and the way they affect lives. He cites the several facts on the topic of misdiagnosis on patients, in which he also mentions the other illnesses that can be compared to
it.
Boone, Katherine. "The Paradox of PTSD." Wilson Quarterly. 35.4 (2011): 18-22. Web. 14 Apr. 2014.
“Studies show that PTSD occurs in 1%-14% of the population. It can be diagnosed at any age, and can occ...
The investigators sought out potential subjects through referrals from psychiatric hospitals, counseling centers, and psychotherapists. All potential subjects were screened with a scripted interview and if they met all the inclusion criteria they met with an investigator who administered the Clinical-Administered PTSD Scale(CAPS) to provide an accurate diagnosis. In the end the study ended up with 12 subject, 10 females and 2 males with a mean age of 41.4, that met the criteria for PTSD with treatment resistant symptoms, which were shown with a CAPS score of greater than or equal to 50.
While the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) of the American Psychiatric Association) put forth a list of behaviors which predominantly fall in the category of ADD and/or ADHD, many researchers still maintain that there is no set way to diagnosis or develop a treatment program to these disorders which will be guaranteed to work. At the same time there is another set of researchers who maintain that these disorders actually do not exist at all. However, in the real world, parents and educators still continue to struggle with the task of coping with children who are hyperactive and who have very low attention span and whose behavior often interferes with schooling and family life. [Armstrong, 1997]
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.
Posttraumatic Stress Disorder is defined by our book, Abnormal Psychology, as “an extreme response to a severe stressor, including increased anxiety, avoidance of stimuli associated with the trauma, and symptoms of increased arousal.” In the diagnosis of PTSD, a person must have experienced an serious trauma; including “actual or threatened death, serious injury, or sexual violation.” In the DSM-5, symptoms for PTSD are grouped in four categories. First being intrusively reexperiencing the traumatic event. The person may have recurring memories of the event and may be intensely upset by reminders of the event. Secondly, avoidance of stimuli associated with the event, either internally or externally. Third, signs of mood and cognitive change after the trauma. This includes blaming the self or others for the event and feeling detached from others. The last category is symptoms of increased arousal and reactivity. The person may experience self-destructive behavior and sleep disturbance. The person must have 1 symptom from the first category, 1 from the second, at least 2 from the third, and at least 2 from the fourth. The symptoms began or worsened after the trauma(s) and continued for at least one
The article under review is Posttraumatic Stress Disorder in the DSM-5: Controversy, Change, and Conceptual Considerations by Anushka Pai, Alina M. Suris, and Carol S. North in Behavioral Sciences. Posttraumatic Stress Disorder (PTSD) is a mental health problem that some people develop after experiencing or witnessing a life-threatening event, like combat, a natural disaster, a car accident, or sexual assault (U.S. Department VA, 2007). PTSD can happen to anyone and many factors can increase the possibility of developing PTSD that are not under the person’s own control. Symptoms of PTSD usually will start soon after the traumatic event but may not appear for months or years later. There are four types of symptoms of PTSD but may show in different
There has been an increase in the Misuse and Abuse of prescription drugs to treat Attention Deficit Hyperactivity Disorder (ADHD). the number of children on medication for ADHD has grown from 600,000 in 1990 to 3.5 million in 2013 according to the Centers for Disease Control and Prevention. But although there is an over-medication of ADHD drugs, there is actually and under-medication since not all the right people are getting medicated. Many individuals lack insurance or are insured with health plans that do not cover the outpatient prescription drugs they need and cannot afford.10 Therefore, Individuals covered by various health plans and programs, and those who have no prescription drug coverage, pay significantly different prices for the same medications. As the demand for ADHD drugs grows, higher prescribing rates and increasing drug prices result, which creates problems for these number of Americans who cannot afford the treatment they require.
Attention-Deficit Hyperactivity Disorder (ADHD), once called hyperkinesis or minimal brain dysfunction, is one of the most common mental disorders among children. (Elia, Ambrosini, Rapoport, 1999) It affects 3 to 5 percent of all children, with approximately 60% to 80% of these children experiencing persistence of symptoms into adolescence and adulthood, causing a lifetime of frustrated dreams and emotional pain. There are two types of attention deficit hyperactivity disorder: an inattentive type and a combined type. The symptoms of ADHD can be classified into three categories: inattention, hyperactivity, and impulsivity. This behaviour stops ADHD sufferers from focussing deliberately on organising and completing a specific task that they may not enjoy, learning new skills or information is proved to be impossible. An example of such behaviour is recognised by the report written by the National Institute of Mental Health where one of the subjects under study was unable to pass schooling examinations due to her inattentive behaviour. Such behaviour can damage the person's relationships with others in addition to disrupting their daily life, consuming energy, and diminishing self-esteem. (National Institute of Mental Health 1999) There are also secondary symptoms which are associated with ADHD, such as learning disorders, anxiety, depression and other mood disorders, tic disorders, and conduct disorders. (Spencer, Biederman, and Wilens 1999 in Monastra V, Monastra D, George, 2002)
Stolzer, PhD, J. M. (2007). The ADHD Epidemic in America. Ethical Human Psychology and Psychiatry, 9, 109-116.
At least one in four families in the U.S. is affected by mental illnesses. Unfortunately there is no cure for this range of illnesses, which have been around for thousands of years. Of the American adult population, 5.4 percent have a serious mental illness. These health conditions are characterized by alterations in thinking, mood, behavior, or some combination of these. They are also associated with distress and sometimes impaired functioning. In 1990 the total cost of mental health services in the U.S. was $148 billion. According to a new report by the Mental Health Foundation, one in five children suffer from a mental health problem. Attention deficit hyperactive disorder is a mental illness that is diagnosed mainly in young children and doesn’t always disappear in adulthood.” All we know is that this genetic, inherited condition [ADHD] is not due to brain damage at all but rather a variation in how the brain functions.” Attention-Deficit/ Hyperactivity Disorder (ADHD) includes symptoms and characteristics that can be placed in one of three categories: inattention, hyperactivity and impulsivity. These characteristics commonly leave a person with ADHD with lack of attention span, easily distracted, fidgety, struggling to stay seated, having trouble engaging in calm activities, impatient, and talking excessively or out of turn. A new study by researchers says that hyperactive children have behavioral differences due to under active parts of their brain, a biological malfunction, rather than due to way they were brought up. This was revealed by a magnetic scanning device that allowed researchers to look at the brains of children diagnosed with ADHD. These studies and statistics reinforce the claim that mental illnesses are not invented simply to justify drugging of children and a disease that needs be educated to the public for better understanding. Rather, ADHD is an illness that affects many people throughout their lives. This topic is often misunderstood by the public. The media and medical community need to educate the positive side of this controversy and not just show the opposing view, which often times misrepresented by the media.
ADHD is a disorder that has been on the rise for several years now. The disorder is one that can cause many impairments to a child’s attention span, making it difficult to concentrate and to keep on task, especially on schoolwork. (Graham, 2007) The statistics have been growing ...
Attention-Deficit/ Hyperactivity Disorder, otherwise known as ADHD, is the most common psychiatric condition effecting 9.5% of school-aged children in the United States (intuniv, 2013). If the disorder goes untreated, it will cause more long-term side effects and difficulties for the individual as an adult. Adults who have this condition face several adversities in every day life, such as impulsive behavior, low self-esteem and poor work performance. People are not aware of the complications that come with ADHD in adults. Not knowing the symptoms of the disease can cause people to not be sympathetic when they are interacting with someone with disorder.
According to Dr. Robert Epstein, Medco’s chief medical officer, seventeen percent of total drug cost spending last year was for behavior medicines; compared with sixteen percent for both asthma and antibiotics, eleven percent for skin disorders and six percent for allergy medicines. There was also a 369% increase in spending on ADHD drugs for kids under the age of five. A lot of children have been diagnosed with ADHD, and many of their parents have opted to give them behavioral drugs. Some parents give the drugs because they are not aware of the long term effects or the psychological dependency, and lastly because they are not aware of the alternatives. As parents we have to be more cognizant of what these disorders are and how they affect the child. Drugs are not always the only solution.
Attention-Deficit Hyperactivity Disorder (ADHD) is very commonly known. Today, ADHD is one of the most common mental disorders among children. The NIMH (The national institute of mental health) predicts that it affecting 3 to 5 percent of all children(AACAP), with an approximate amount of 30% to 65% of these children experiencing persistence of symptoms into adolescence and adulthood (AACAP).There are three types of attention deficit hyperactivity disorder; Predominantly Hyperactive-Impulsive Type, Predominantly Inattentive Type, and Combination Type(ehow.com). The symptoms of ADHD can be classified into three main categories; hyperactivity, inattention, and impulsivity. These behaviors can interfere with ADHD sufferers’ ability to focus deliberately on organizing and completing a specific task that they may not enjoy. A case of this kind of behavior is recognized in a report written by the National Institute of Mental Health where one of the subjects under study was unable to pass schooling examinations due to her inattentive behavior (clinicaltrials.gov) These kinds of behaviors can damage the person's relationships with others in addition to disrupting their daily life, consuming energy, and diminishing self-esteem, depending on severity of their symptoms (adhd.com). In this paper, the multiple factors of how ADHD affects, and is handled, of those who undergo this disorder, are shown.