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    New ADHD Medication Rules: Brain Science & Common Sense
    New ADHD Medication Rules: Brain Science & Common Sense
    New ADHD Medication Rules: Brain Science & Common Sense
    Ebook165 pages2 hours

    New ADHD Medication Rules: Brain Science & Common Sense

    By Charles Parker

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    About this ebook

    New ADHD Medication Rules deals with the over-medication, missed diagnoses and imbalanced medical treatments used today in the treatment of ADHD. Dr. Parker shows where and how these imbalances occur, provides the data and explanations for why the treatment is incorrect, and then simplifies and explains the proper methods for dealig with ADHD, both
    LanguageEnglish
    PublisherKoehler Studios, Inc.
    Release dateOct 1, 2012
    ISBN9781938467349
    New ADHD Medication Rules: Brain Science & Common Sense
    Author

    Charles Parker

    Charles grew up in the village of St Peter’s in Thanet (now part of Broadstairs) and sang in the church choir. Following a career in the Home Office and Department for Business he returned home to Broadstairs and now spends his time writing and supporting his local churches.

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      New ADHD Medication Rules - Charles Parker

      Introduction

      Pills have to pass through your body before they reach your brain. The body is uniformly overlooked. What happens along that complex journey determines a drug's effectiveness and predictability.

      Unfortunately, far too many significant problems exist with Attention Deficit Hyperactivity Disorder meds because those who prescribe them don't consider or grasp the ways drugs are absorbed and then processed in the bowel, liver or the brain itself. A patient's diet, medical status and allergies are given only modest consideration. The interactions of multiple medications also are given short shrift. Instead, physicians often base dosages on broad -- even vague -- medication formulas. Too many prescribe from statistical averages, not individual needs.

      Succinctly: too many simply are not paying attention to the meds for paying attention.

      What I hope to accomplish through this book is to enlighten my medical colleagues and embolden patients suffering with ADHD or symptoms masquerading as an attention or hyperactivity disorder. My intention is to arm patients, or those caring for them, with enough critical information to at least ask their doctors informed questions and challenge limited conventional thinking.

      Much of the information presented here is highly scientific. Some of it is anecdotal, and the rest is clearly advocacy. It's my firm belief, after spending decades treating those struggling with emotional and mental illnesses, that treatments should be customized based upon available science. Most importantly, physicians and patients need to partner in treatments so that medications can be adjusted correctly.

      The wrong mix of drugs or prescriptions in the wrong amounts can be deadly. They can tip someone with depression into suicide. They can exacerbate, rather than alleviate, hyperactivity. The wrong blends or amounts of drugs can harm rather than heal.

      ADHD diagnosis and treatment strategies are tricky to begin with. Technology has advanced to a point where it's now possible to read the brain's reaction to drugs and to find in the body root causes for previously unpredictable problems. Yet, too few physicians are willing or capable of employing these new assessment techniques. Treatments are not on a par with current, easily available brain science, leaving a global quandary about viable ADHD practice strategies.

      ADHD medications don't work like slap shots in a penny arcade. They must be exact with laser accuracy to hit their intended targets. Too many with ADHD are treated with cookie-cutter medication recipes and diagnoses based upon superficial behavioral appearances that overlook the complexity of the human brain. What's missing is applied neuroscience discoveries; years of brain scan data and biomedical evidence should drive more effective diagnosis and medication delivery.

      My hope is that New New ADHD Medication Rules raises awareness of better and more sophisticated approaches to treating and diagnosing ADHD.

      Why Rules And Why Me?

      I've witnessed medical denial all over the country. After speaking nationally to thousands of doctors, nurses and mental health professionals since first starting to practice in the 1970s, I've come to important conclusions: Too many don't want to listen to the neuroscience data; too many are focused on those superficial, often counterproductive DSM 4/5 labels; too many docs hurry to prescribe ADHD meds without considering real consequences.

      Regrettably, some of the most pressing medical denial and defensive, self-righteous thinking exists in otherwise sophisticated metropolitan communities with the most prestigious medical academic institutions. Ironically, some of the most intelligent and otherwise well-informed communities, such as Boston, New York City and San Francisco, shun new medical information unless it comes from their in-town provincial, group-think establishment thought leaders.

      I've watched their responses to my presentations over the years, and repeatedly experienced their determined resistance to thoughtful investigation and improved intervention strategies. Intellectual egoism rules, serves to neglect critical thinking, and shrouds progress in wrappings of doctrinaire beliefs that don't match biomedical brain evidence. The outcome of these blinders is that you, the patient, from New York to South Africa, suffer the consequences of ineffective or potentially dangerous treatments.

      Experience Matters

      In a word, Rules arises from more than forty years of practice feedback from patients, especially when I didn't get the meds right following the most approved protocols. I listened, and I looked for additional answers and more evidence-based approaches. Rules summarizes that learning history.

      I've repeatedly interviewed thousands of clients who suffered for years at the hands of denial and medical innocence. After a hasty diagnostic process, too few medical providers show interest in expectations of how the meds work in the first place, or how they should work most effectively in the long run. For example, many think understanding interactions between stimulants and other medications is a waste of time and inconsequential, despite the fact that it can result in suicidal thinking.

      Repeated clinical experiences provoked me to reveal to the public, specifically ADHD sufferers, the dangers and shortcomings of the status quo and its dated practices.

      My hope is that Rules stimulates patients and conscientious medical practitioners to improve the consideration of treatment alternatives. ADHD dogma will be exposed and public sentiment will hopefully encourage individual challenges to the current medical establishment. By reading Rules, I hope you will become one of the informed who will ultimately pressure treatment providers to break from mainstream thinking and adapt more comprehensive ADHD diagnosis and treatment options. Let's work together to encourage a revolution in awareness that will mandate reforms to the way medical professionals evaluate and treat this disorder.

      Don't be intimidated by the science here or the medical jargon. I will attempt to make it as clear as possible. However, some of what you will read is very technical. It's important to understand the biological and chemical bedrock upon which Rules is based. My goal is to present comprehensive alternatives for easily workable, everyday medication management. Details matter and the ADHD details in Rules rely on applied street smarts and common sense.

      On the Brighter Side

      Improved ADHD medications work remarkably well and with reassuring predictability. These drugs have been studied, researched and written about more than any other children's medications. Meds are safe when used correctly and often work well with both children and adults. Simply follow the Rules and medication outcomes will significantly improve.

      ADHD treatments provide one of the best ways to understand the mix of co-existing problems so often seen with ADHD. Symptomatic treatment chasing superficial appearances often misses underlying reasons for diagnostic and treatment failures.

      Side effects with ADHD meds can point the way for even better care if you understand all of the underlying conditions, not just the surface symptoms. These next examples will give you a glimpse of some of the topics covered later in more detail.

      1. A ten-year-old boy with inattention and clear symptoms on a commonly used ADHD rating scale starts an immediate release medication: Adderall IR [Immediate Release]. He is given the medication in the morning, but doesn't get a noon dose because he does not want others to know about his problems by going to the school nurse. His morning is great, but his afternoon is terrible with interruptions and misbehavior. The summary from the teachers: The medication is not working. The action from the doctor: Increase the morning dose to cover the afternoon time by raising the Adderall IR. Outcome: Now he is furious and wild in the morning and crashes even more furiously in the afternoon. Often the next reflex recommendation: The medication is not working correctly – get rid of it. My conclusion: No, it is working exactly as expected; it was, however, adjusted incorrectly. He is significantly overdosed, toxic in the morning, and still is not adequately dosed in the afternoon. Adderall IR doesn't last more than five-to-six hours with correct dosing -- dosage for more than that duration is simply too much.

      2. An adult male is promoted at work, is pleased with his new responsibilities, but continues to feel increasingly overwhelmed by the complexity of administrative problems with colleagues. He was an outstanding performer when he had control over his work duties, but feels increasingly overwhelmed. He loses sleep, feels more inundated, fears losing his job in an uncertain economy, is given antidepressants and deteriorates dramatically. He was treated for ADHD as a child, but following this episode of reacting to the antidepressant he is quickly labeled bipolar, and is now regularly thinking of suicide. Antidepressants can make ADHD worse, and can make ADHD look like a mood disorder. My conclusion: He does suffer from ADHD, which is aggravated by the change of context¹ at work, and can be quickly corrected with proper medication management. Adult psychiatrists are often suspicious and misinformed about adult ADHD treatment because many lack the basic training for ADHD diagnosis and medication management.

      3. A wealthy technology consultant is suicidal, feels that he is demented, and, at age forty five, fears he may suffer from an early onset of Alzheimer's. He has been treated by several psychiatrists over the years, suffers with ADHD and depression, and comes to the office for a second opinion after having been diagnosed with brain injury by the initial SPECT imaging consultants. He is on Prozac and Adderall, and his SPECT brain images look like brain Swiss cheese. My conclusion: Brain injury is not the problem – he is demented from a common drug-drug interaction with Adderall and Prozac. Prozac interacts by building up the Adderall, through blocking the Adderall breakdown. He is simply toxic, and needs different doses of new medications. His ADHD, anger and depression are treatable through correcting the inappropriate mix of medications. His SPECT consultants missed the drug interaction and mistook the diminished functioning as brain injury.

      4. An apparently healthy adolescent girl, attractive and outgoing, cannot seem to find the correct dosage of stimulant medication. As she has grown older her periods are worse than ever, prompting a start on birth control. The stimulants are either too weak to correct her attention issues, or too strong and make her overwhelmingly anxious. She skips breakfast, sleeps only about six hours on average, and, quite surprisingly, has bowel movements only two times a week.

      My conclusion: After careful review she shows many characteristics of a narrow Therapeutic Window² encouraged by multiple metabolic issues associated with Polycystic Ovarian Syndrome, gluten sensitivity, and delayed bowel transit time, all of which significantly interfere with stimulant medications. Sleep, nutrition, neurotransmitter challenges, hormone

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