{"id":1142,"date":"2025-10-28T06:56:00","date_gmt":"2025-10-28T12:56:00","guid":{"rendered":"https:\/\/tidbitsofaudacity.com\/wordpress\/?p=1142"},"modified":"2025-10-26T18:00:17","modified_gmt":"2025-10-27T00:00:17","slug":"another-disorder-habituating-drugs-a-d-h-d","status":"publish","type":"post","link":"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/2025\/10\/28\/another-disorder-habituating-drugs-a-d-h-d\/","title":{"rendered":"Another Disorder Habituating Drugs: A.D.H.D."},"content":{"rendered":"\n<p>When Normal Behavior Becomes Diagnosis<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n<ul class=\"wp-block-latest-posts__list wp-block-latest-posts\"><li><a class=\"wp-block-latest-posts__post-title\" href=\"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/2026\/04\/21\/why-therapy-is-so-hard-for-men\/\">Why Therapy is So Hard For Men<\/a><\/li>\n<li><a class=\"wp-block-latest-posts__post-title\" href=\"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/2026\/04\/14\/according-to-research-you-and-i-are-probably-wrong\/\">According to Research, You and I Are Probably Wrong<\/a><\/li>\n<li><a class=\"wp-block-latest-posts__post-title\" href=\"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/2026\/04\/07\/the-diary-of-existing-beliefs\/\">The Diary of Existing Beliefs<\/a><\/li>\n<li><a class=\"wp-block-latest-posts__post-title\" href=\"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/2026\/03\/10\/the-dirty-s-word\/\">The Dirty \u201cS\u201d Word<\/a><\/li>\n<li><a class=\"wp-block-latest-posts__post-title\" href=\"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/2026\/03\/03\/dont-throw-the-message-out-with-the-mess-ups\/\">Don\u2019t Throw the Message Out With the Mess-Ups<\/a><\/li>\n<\/ul>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/tidbitsofaudacity.com\/wordpress\/wp-content\/uploads\/2025\/10\/ADHD-drugs-post-827x1024.png\" alt=\"\" class=\"wp-image-1144\" width=\"704\" height=\"872\" srcset=\"https:\/\/tidbitsofaudacity.com\/wordpress\/wp-content\/uploads\/2025\/10\/ADHD-drugs-post-827x1024.png 827w, https:\/\/tidbitsofaudacity.com\/wordpress\/wp-content\/uploads\/2025\/10\/ADHD-drugs-post-242x300.png 242w, https:\/\/tidbitsofaudacity.com\/wordpress\/wp-content\/uploads\/2025\/10\/ADHD-drugs-post-768x951.png 768w, https:\/\/tidbitsofaudacity.com\/wordpress\/wp-content\/uploads\/2025\/10\/ADHD-drugs-post.png 1024w\" sizes=\"(max-width: 704px) 100vw, 704px\" \/><\/figure>\n\n\n\n<p><em>I recently read an article on how ADHD is underdiagnosed. I won\u2019t share the article or author, for obvious reasons. I\u2019m not interested in putting this guy in the line of fire. He\u2019s doing genuine work, with the goal of helping. And as <\/em><a rel=\"noreferrer noopener\" href=\"https:\/\/substack.com\/@passionpitmissives\" target=\"_blank\"><em>Michael from Passion Pit <\/em><\/a><em>recently stated, we can disagree with respect, especially if someone is genuinely trying to help those suffering. To be clear, I am not a psychiatrist nor a psychologist. I am a mental health counselor. This is the perspective from which I write.<\/em><\/p>\n\n\n\n<p>The author said he would address:<\/p>\n\n\n\n<ul><li>How science proves underdiagnoses<\/li><li>Why ADHD is more prevalent now<\/li><li>Concerns about medication for treatment of ADHD<\/li><\/ul>\n\n\n\n<h3>What I Can Agree On<\/h3>\n\n\n\n<p>Some of what he laid out made sense and is likely to be true. For instance, he stated ADHD is 74% heritable. I have no reason to doubt that. This places the heritability of ADHD almost as high as height (80%) and much higher than depression (35%-40%). He gave stats on stimulants, both the lack of findings that they are terrible for you and what happens when some don\u2019t take them. For the most part, I can understand and buy this. This still lines up with a recent article I read that states it is possible for ADHD to be real and true, but to also be overdiagnosed.<\/p>\n\n\n\n<h3>The Author\u2019s Diagnosis of Underdiagnosis<\/h3>\n\n\n\n<p>He continued with \u201cscience\u201d that \u201cproves\u201d ADHD is underdiagnosed. I was left wanting. For instance, he relied on Adderall to determine diagnose prevalence. He said that 41 million Adderall prescriptions were written in 2023, severly lower than those diagnosed. He stated that 8.8% of <em>adults<\/em> had ADHD. Then linked a CDC report that showed that 8.8% of <em>girls<\/em> between the ages of 3-17 had ADHD. The latest data we have on <a target=\"_blank\" rel=\"noreferrer noopener\" href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/73\/wr\/mm7340a1.htm\">adults diagnosed with ADHD is 6%<\/a>, or 15.5M adults. There are approximately 31 million girls between the ages of 3-17 in America. 8.8% of that is 2.7 million. Let\u2019s take the 15% of boys diagnosed (which I highly question this validity), which is 5.4. million boys. Combine that with the 2.7 million girls, and the 15.5 million adults. That\u2019s 23.6 million people diagnosed.<\/p>\n\n\n\n<p>Therefore, 41 million Adderall prescriptions is severely higher than diagnosis. But let\u2019s assume he means that the 41 million is total but that one person gets 12 prescriptions per year (as he alludes to in his piece), which is also doubtful because they write refills into the prescriptions, not new prescriptions. Then it\u2019s 3.4 million people of the 23.6 million diagnosed with ADHD who are taking Adderall.<\/p>\n\n\n\n<p>Ok, that\u2019s lower. But this doesn\u2019t account for other medications used and behavioral treatment. And to suggest that behavioral treatment isn\u2019t enough is patently false, I can tell you from personal experience. So we\u2019re left wondering, is it one prescription, 4, 6, or 12 prescriptions? Most are 90-day refills. By that math, it would mean that almost half of those diagnosed with ADHD are taking Adderall. So that\u2019s \u201cseverly low?\u201d They all <strong><em>must<\/em><\/strong> be taking adderall to be considered normal?<\/p>\n\n\n\n<p>But this is where it all takes a severe turn for me. He never addressed:<\/p>\n\n\n\n<ul><li>Suppression of science<\/li><li>Increase in prevalence<\/li><li>Means of calculating underdiagnosis other than Adderall<\/li><\/ul>\n\n\n\n<h3>Supression of Science<\/h3>\n\n\n\n<p>It is pretty widely known that the freedom of science is under attack. More and more reports come out each year of studies that get suppressed when they fail to meet a predictable, Marxist ideology (Soh, 2020). If the study, in any way, misaligns with identity ideology, regardless of the fact that these are objective findings, the study is suppressed, and the authors are cancelled and sometimes fired. Just ask <a target=\"_blank\" rel=\"noreferrer noopener\" href=\"https:\/\/substack.com\/home\/post\/p-169904890\">James Nuzzo<\/a>. As an unfortunate result, it is becoming increasingly difficult to trust science is presenting all angles of an issue.<\/p>\n\n\n\n<h3>Increase of Prevalence<\/h3>\n\n\n\n<p>Next, this article, nor any article I\u2019ve ever read has accounted for the sharp and distinct increase in diagnoses in the last 25 years, and especially in the last 10 years. The only explanation is \u201cwe missed it all this time.\u201d Which does not hold up. So in 1998, 6.9% of children were diagnosed with ADHD, and in 2023, over 12% of children were diagnosed with ADHD. It doubled because we just \u201cmissed it\u201d all this time? Or did it double because in 1994, the DSM-IV broadened the diagnosis for ADHD, which coincidentally sent a few pharma reps to Cabo on a private plane. I know, anecdotal and not causation. I get it. But the coincidence is remarkable. And much more plausible than \u201cwe just missed it.\u201d<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/tidbitsofaudacity.com\/wordpress\/wp-content\/uploads\/2025\/10\/adhd_trend_children_us-1024x640.png\" alt=\"\" class=\"wp-image-1143\" width=\"787\" height=\"492\" srcset=\"https:\/\/tidbitsofaudacity.com\/wordpress\/wp-content\/uploads\/2025\/10\/adhd_trend_children_us-1024x640.png 1024w, https:\/\/tidbitsofaudacity.com\/wordpress\/wp-content\/uploads\/2025\/10\/adhd_trend_children_us-300x188.png 300w, https:\/\/tidbitsofaudacity.com\/wordpress\/wp-content\/uploads\/2025\/10\/adhd_trend_children_us-768x480.png 768w, https:\/\/tidbitsofaudacity.com\/wordpress\/wp-content\/uploads\/2025\/10\/adhd_trend_children_us-1536x960.png 1536w, https:\/\/tidbitsofaudacity.com\/wordpress\/wp-content\/uploads\/2025\/10\/adhd_trend_children_us.png 1600w\" sizes=\"(max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure>\n\n\n\n<h3>Underdiagnosed or Overmedicated?<\/h3>\n\n\n\n<p>Here\u2019s another part missing from the \u201cunderdiagnosed\u201d club. Even if they\u2019re right, medication isn\u2019t always the answer, and is a problematic solution on its best day. My bonus son came to me the other night and out of the blue said, \u201cYou know, I feel like I still have ADHD, but I know how to handle it, keep the symptoms at bay, and control my impulses now after all of the things you\u2019ve taught me. I feel\u2026 normal\u201d You know what this says? That it isn\u2019t merely neurological, and maybe not even mostly neurological. It is behavioral. Which means the solution is often behavioral. So what did I teach him? I\u2019ll give you <em>two <\/em>examples.<\/p>\n\n\n\n<h4><em>Example 1:<\/em><\/h4>\n\n\n\n<p>When I came into his life, he was 8. When he had something to say, he\u2019d start yelling it in the next room as he was approaching the room he knew his mother was in. I consistently stopped him in his tracks, made him go back into the other room and reenter the room, quietly looking to see if anyone was already talking, refrain from interrupting if they are, and restate what he wanted to say. It took nearly 2 years for this to take hold of him. But he eventually got it. We created a new standard, consistently required him to meet this standard, and over time, he did. <strong>They\u2019re Capable!<\/strong><\/p>\n\n\n\n<h4><em>Example 2:<\/em><\/h4>\n\n\n\n<p>My bonus daughter has a 4 year old son who simply \u201ccan\u2019t sit still.\u201d So he and I, along with another daughter are at a restaurant. He gets on top of something and I tell him to get down. He looked at me like, \u201cwho are you?\u201d I tell him again. He still doesn\u2019t get down. I go pick him up, carry him to my seat, and sit him next to me. I tell him he\u2019s not getting up again. He states his disapproval. I set a consequence if he continues. He stops\u2026 for 20 MINUTES STRAIGHT! We sat calmly and had a typical conversation. This means, he was capable, but he was never held to this standard. The food comes out, he\u2019s fine and starts telling me how much he loves cheese. I said, \u201cDon\u2019t we all, my man!\u201d <strong>They\u2019re Capable!<\/strong><\/p>\n\n\n\n<h3>Conclusion<\/h3>\n\n\n\n<p>I am open-minded. I am willing to learn. And I want to be challenged. But if the best you have is that the usage of Adderall is the \u201cscientific proof\u201d of underdiagnosis, forgive me if I\u2019m not convinced. In my experience, both as a father and my clinical experience, behavioral adaptations to most symptoms indicative of societal ADHD still work better than medication. I know because I\u2019ve witnessed it and treated it, personally. I\u2019d now like to get back to talking about things like how pineapple should never be put on pizza.<\/p>\n\n\n\n<p>Stay Classy GP!<\/p>\n\n\n\n<p>Grainger<\/p>\n\n\n\n<p><strong><em>References<\/em><\/strong><\/p>\n\n\n\n<p>Soh, D. (2020). <em>The end of gender: debunking the myths about sex and identity in our society<\/em> (First Threshold Editions hardcover edition. ed.).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>When Normal Behavior Becomes Diagnosis I recently read an article on how ADHD is underdiagnosed. I won\u2019t share the article or author, for obvious reasons. I\u2019m not interested in putting this guy in the line of fire. He\u2019s doing genuine work, with the goal of helping. And as Michael from Passion Pit recently stated, we &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/2025\/10\/28\/another-disorder-habituating-drugs-a-d-h-d\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Another Disorder Habituating Drugs: A.D.H.D.&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0},"categories":[72,166,6],"tags":[],"_links":{"self":[{"href":"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/wp-json\/wp\/v2\/posts\/1142"}],"collection":[{"href":"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/wp-json\/wp\/v2\/comments?post=1142"}],"version-history":[{"count":1,"href":"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/wp-json\/wp\/v2\/posts\/1142\/revisions"}],"predecessor-version":[{"id":1145,"href":"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/wp-json\/wp\/v2\/posts\/1142\/revisions\/1145"}],"wp:attachment":[{"href":"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/wp-json\/wp\/v2\/media?parent=1142"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/wp-json\/wp\/v2\/categories?post=1142"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tidbitsofaudacity.com\/wordpress\/index.php\/wp-json\/wp\/v2\/tags?post=1142"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}