ADHD Does Not Exist: The Truth About Attention Deficit and Hyperactivity Disorder (Anglais) Relié – 18 février 2014
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Descriptions du produit
Revue de presse
“Sure to ruffle some feathers, ADHD Does Not Exist is provocative and pensive.” (Booklist)
“A provocative, valuable guide for parents, school personnel and medical practitioners who deal with individuals showing symptoms routinely attributed to ADHD.” (Kirkus Review)
“…an accessible, detailed, and well-documented list of rule-outs for those who are exploring an ADHD diagnosis. VERDICT: Essential for parents and teachers.” (Library Journal)
Présentation de l'éditeur
In this groundbreaking and controversial book, behavioral neurologist Dr. Richard Saul draws on five decades of experience treating thousands of patients labeled with Attention Deficit and Hyperactivity Disorder—one of the fastest growing and widely diagnosed conditions today—to argue that ADHD is actually a cluster of symptoms stemming from over 20 other conditions and disorders.
According to recent data from the Centers for Disease Control and Prevention, an estimated 6.4 million children between the ages of four and seventeen have been diagnosed with attention deficit hyperactivity disorder. While many skeptics believe that ADHD is a fabrication of drug companies and the medical establishment, the symptoms of attention-deficit and hyperactivity are all too real for millions of individuals who often cannot function without treatment. If ADHD does not exist, then what is causing these debilitating symptoms?
Over the course of half a century, physician Richard Saul has worked with thousands of patients demonstrating symptoms of ADHD. Based on his experience, he offers a shocking conclusion: ADHD is not a condition on its own, but rather a symptom complex caused by over twenty separate conditions—from poor eyesight and giftedness to bipolar disorder and depression—each requiring its own specific treatment. Drawing on in-depth scientific research and real-life stories from his numerous patients, ADHD Does not Exist synthesizes Dr. Saul's findings, and offers and clear advice for everyone seeking answers.
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Commentaires en ligne
Commentaires client les plus utiles sur Amazon.com (beta)
As background, I have a graduate degree from MIT in Brain and Cognitive Sciences (Course 9, for my MIT peeps). I also went to law school and have been a lawyer now for about 15 years. Despite what others call an impressive resume, I have felt like a fraud most of my adult life. I was diagnosed with depression and anxiety in my early twenties and have been treated with antidepressants and cognitive behavioral therapy for most of my adult life. IT DID NOT WORK. CBT helped, yes. And the antidepressants took the edge off so I could at least fool everyone into thinking I was well-adjusted and doing well. Inside, I was always afraid I would be find out as a fraud. Why? Because even though my papers in college, my briefs in law school, my presentations and arguments were always great and a lot of times, excellent, they were always done the night before or at the very last minute. No matter how hard I tried, I could not sit down and start before then. And I tried, very hard. In college, professors praised the analysis and criticized the carelessness in the grammatical details or presentation. In life, those careless mistakes were dismissed as symptoms of a busy case load... but I knew better and I was terrified of being discovered as the fraud I was.
The first 16 chapters of this book (and the last 4) did not apply to me. At all. I was actually screened for a lot of those conditions in my twenties (including epilepsy) and treated for depression and anxiety. In addition, MIT should've "cured" the giftedness condition the author mentions in this book. I had all the challenge I could manage there and then some! Nothing worked.
After reading chapter 17, I'm pretty certain the author would agree with my psychiatrist that I have "NDI" as he chooses to call AD/HD... And just like my psychiatrist, he would probably prescribe stimulants. I have tried several already and have seen an improvement in symptoms. We're still trying to find the right dose/medication. Because I went undiagnosed for so long, medications will not be the cure-all I had hoped after a lifetime of struggling. My psychiatrist also prescribed CBT with an emphasis on dealing with AD/HD. And that's where I am right now.
This book is a waste of time. Instead of a book meant for the general public, the author would have served his patients better by publishing this information is a medical journal or magazine aimed at his peers. This book basically addresses how AD/HD can be misdiagnosed and cautions doctors not to consider AD/HD as the only cause when a simpler or better understood condition will explain all symptoms and serve the patient better. And for that, the author gets one star. Because even he admits that AD/HD DOES EXIST.
A better title would be "AD/HD Misdiagnosis: How doctors can best evaluate patients displaying distractibility/impulsivity. But, of course, that would not have sold as many books as a misleading title that plays into the perceived controversy surrounding AD/HD would...
Do NOT buy this book. If you're curious, borrow it from your library, but be warned that you will waste your precious attention span on crap reading.
Hi readers! My next review is on "ADHD Does not Exist" by Dr. Richard Saul. It was going to be on Stephen King's "Light and the Glass", but this book was a quicker read. Also, I have ADHD.
Here's a link to look at "ADHD Does Not Exist" on Amazon. I'm really torn on this book. I'd give it 2 or 3 out of 5 stars, but again, it was a complicated book to read / review.
Dr. Saul draws on about 50 years of experience as a physician and develops the conclusion that ADHD is not ACTUALLY a real condition. Instead, he argues, the symptoms of ADHD may be the symptoms of as many as twenty other disorders, illnesses or conditions. These include, among other things: hearing or vision problems, "not getting enough sleep", substance abuse problems, bipolar disorder, Aspergers disorder, giftedness, among others such as allergies and vitamin deficiency, such as iron, which can be common. He uses anecdotal evidence from different patients he's seen over the years who did not, in fact, have ADHD.
I'm going to split this entry into what I did not agree with, and why, and what I did agree with, and why. And then a part about the not-great writing.
Dr. Saul does recognize that ADHD is HIGHLY overdiagnosed and its almost a go-to label to slap on a kid and throw stimulants at him sometimes. It happens all the time. It might be happening to someone I know, which I am not thrilled about. I don't think that any kid under the age of 7 should be treated with something as strong as stimulants. THEIR BRAINS ARE STILL DEVELOPING FOR GODSSAKES. Give him a chance! Anyway...
On that note, I also agree with him that stimulants are hugely overprescribed. However....
there is little to no discussion in here about the kids (and adults) who have taken stimulant meds and who HAVE had it work for them. (Of which I'm sure a fair amount.) There is also no discussion of a possible cause for ADHD, (why would there be, since Dr. Saul is convinced that all ADD things are just symptoms of something else?)
There are theories about its cause. For example, this study published in the New York Times discusses how a brain-scan of somoene with ADD will show differences in dopamine reward pathways. Surely Dr. Saul is aware of this? So why no discussion?
The book is somewhat disingenuous. Perhaps a different title would have been "ADHD Does Not Exist as Much as We Think It Does!"
But I doubt that would have caught as many peoples attention and helped it sell as well.
The writing style is....difficult. Each chapter follows exactly the same format:
- Information about the disease and how it's related to ADHD
- Little Johnny comes in to see Dr. Saul; he's been diagnosed by his school shrink or another doctor as having ADHD, and they may have already started him on stimulants
- Oh noes! The stimulants aren't working, or they are making the problem worse!
-Dr. Saul sees Little Johnny and thinks that it may be Something Else
- Dr. Saul tests and treats Little Johnny for the Something Else
- Johnny gets better and ADD/ADHD symptoms improve or nearly disappear!
.....so this is EVERY SINGLE CHAPTER, one for each of the conditions that can masquerade as ADHD. These chapters do contain a wealth of information about the conditions ADHD can be confused with, and that is one of its good points. It also drew some thoughtful conclusions. But the writing style was repetitive, pedantic, and just kind of clumsy. It was a fast read, but not necessarily an easy one.
In conclusion: I think that this is, in some ways, a helpful book. It empowers parents and doctors to figure out what else might be going on with the child besides ADHD, and adults to ask the right questions as well. However, he accuses ADHD of being a "disorder" defined only by its symptoms and having seemingly no cause. This is really pretty incorrect, as the MRI studies mentioned above discuss a probable cause of the disorder. (From the NY Times article, read the studies about the genetic component, too.)
His strongest argument is that when you treat these other conditions, the ADHD symptoms usually fade or go away. But to say that EVERY CASE of ADHD is actually bipolar, or allergies, or lead poisoning, or fetal alcohol syndrome, when it may in fact be just a different neurological profile, seems to me a little bit irresponsible.
He also doesn't mention mixed ADHD (my type), and also, a patient's conundrum of "what do you do when you've tried treating for basically everything else and the ADHD "symptoms" still persist?" (like mine?)
And, while I agree with Dr. Saul that "treatment delayed is treatment denied", if I had to read that line one more time I was going to throw my kindle across the room.
Overall, a pretty decent book in the right situation. I'd recommend it to people who want to learn more about what conditions can look like ADHD.
Ok, my NEXT review will be "Wizard and Glass". :
Good evening readers ~
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