Is Too Much School Pressure Resulting in Overdiagnosis of ADHD?

Brookie Crawford
Is it Really ADHD or Just Too Much Pressure?I've always contented that we, as a society, are too quick to label our kids with Attention Deficit/Hyperactivity Disorder, pump them full of meds and forget about the issue. I've read two articles recently that support my theory.I'm not saying that ADHD doesn't really exist or that there are indeed extreme cases in which medications are needed to moderate behavior.However, I feel that society finds it easier to tack on the ADHD label than to work on a development issue.The MSNBC.com article "Who is to blame for boys struggling at school?" talks about how boys are more often targeted for ADHD."According to the Centers for Disease Control, in 2003, 14 percent of boys across the nation were identified as having ADHD by the time they reached their sixteenth birthday. And the percentage is continuing to grow."It went on further to add."Either we are witnessing the largest pandemic in our country since influenza struck in the United States in 1918, or school-age boys are being overidentified and overdiagnosed."But if you read the article, the offending behaviors are just typical boy behavior. C'mon we all did that kind of stuff as a kid. But because it disrupts the classroom, it must be a medical issue.Let's look at why it's disrupting the classroom. What are we asking our kids to do in the classroom these days? The list is getting bigger and bigger by the day.When I was a kid, kindergarten was more about learning how to behave in school. We had play time and nap time and we might learn our letters, colors and numbers.But these days, the pressure is on. Preschool is now where kids learn the basics - and sometimes even more. And by kindergarten they are already learning to read. Some people are even holding their kids out of kindergarten until they are six so they know more going in.School days are filled with a variety of work and little time to play. Then the kids come home and have more work to do. Some schools don't even allow kids to talk during lunch to keep lunch time to a minimum and get the students back in the classroom.Kids are kids, they have lots of energy. We must allow them some time to be a kid, to have fun, to goof off.If they are in school all day and aren't allowed to talk during lunch, when are they allowed to be themselves? If we don't give them some time to express themselves and be a kid, they will make their own.I think it's unrealistic of a teacher to think (especially with the younger ones) kids are going to sit still and pay attention for 6-8 hours a day. Heck, I know most adults that can't do that.It doesn't mean we should start medicating everyone.The solution is two-part. Parents need to work with their children on appropriate behavior and offer them an alternative activity during non-school hours to exert some of that energy. Teachers must be willing to teach in a method most conducive to the child rather than what's easiest for them.The New York Times article "Training Young Brains to Behave" talks about why kids are so quick to move from one topic to another. A short-attention span is natural."One reason is that an area of the brain that is critical to inhibiting urges, the prefrontal cortex, is still a work in progress."It's not ADHD, it's a development issue. ."Some children's brains adapt quickly, while others' take time."The article goes on further to discuss how much this erratic behavior changed when teachers and parents took time to work with the child on self-control, memory and flexibility.When this behavior is shaped "it is more strongly associated with school success than I.Q." Imagine that - long-term results without any drugs and all it required was a little effort on the part of parents and teachers.Finally, the study also said "Although play is often thought frivolous, it may be essential."I think as adults we often overlook this very key piece in children's development. I know for myself, I have to do a mental check to make I'm not overscheduling my kids, that I'm allowing time for them to just play.What do you think? Is ADHD overdiagnosed? Are we putting too much pressure on our youth to succeed?

Published by Brookie Crawford

An exhausted full-time working mom of boy/girl toddler twins, I enjoy writing about life in the family lane. Yes, sometimes I feel like the only rest I get is the naps I take at red lights.  View profile

  • Boys are more often labeled ADHD.
  • A critical part of the brain that inhibits urges develops differently in children.
  • Play is key to development.
Behavior can be modified to increase self control and is directly linked to school success.

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  • kpmrev3/17/2010

    My child is taking medication for ADHD and it makes him talk the same as he always does. The medication helps him sustain focus for longer periods of time. Plus it helps him control his fidgeting. Otherwise he would literally bounce out of his seat every 10 minutes. How can anyone learn, if children keep popping up out of their seats throughout the day? The meds do not help with oppositional behaviors. And 100% of the time, if the behaviors happen at school (not waiting their turn, fidgeting, etc) then it is happening at home too.

  • Amy12/19/2009

    Great article. I have a 6 year old in first grade and have had much pressure to diagnose my child with ADHD. Her bad behaviors they cite her for are things like talking at lunch or talking in line while waiting for pickup. Now I've learned that (at least) over half of her class is medicated for ADHD (6 of 7 of the parents I know have medicated theirs, not sure about the rest) -- one kid even telling my daughter that she stopped getting bad notes when she started taking a pill in the morning and my daughter should get her mommy to get some for her. So, if effect, my daughter's behavior is considered bad because it is out-of-line with a room full of drugged children.

  • vcbfgh12/9/2009

    i agree whoever wrote this article its great.

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