From www.additudemag.com/ : · Silencing Skeptics: The Truth About ADHD Silencing Skeptics: The Truth About ADHD What is ADD? Does medication really help? Can adults have ADHD? Learn to clear up common misperceptions about ADHD with authority. by Deborah Carpenter The debate about attention deficit disorder (ADD ADHD) is over. O-V-E-R. Just about every mainstream medical, psychological, and educational organization in the U.S. long ago concluded that ADD is real, and that children and adults with attention deficit disorder benefit from appropriate treatment. Yet, somehow, the world still seems to be filled with self-appointed ADD "experts" - some well-meaning, some sanctimonious - who insist on burdening us with their ill-informed opinions and asking repeatedly, "What is ADD?" We've all heard the comments: "ADD is bunk!" "Can't people take responsibility for their own actions anymore?" "All that so-called ADD kids really need is discipline!" "Drug companies invented ADD so they could sell stimulants." Blah, blah, blah. We expect to hear such nonsense from misinformed movie stars ranting on talk shows. But what about the know-it-all who happens to be a friend? Your child's teacher? A co-worker - or your boss? What about a member of your own family? Let's be honest: Words hurt. Holier-than-thou barbs, fault-finding, and finger-pointing can make you resentful and just plain furious. "Discussing ADD can be as touchy as talking about politics or religion," says Susan Ashley, Ph.D., author of The ADD and ADHD Answer Book. "Feelings get hurt, defenses go up, and relationships suffer when there are disagreements about it." In extreme situations, families disintegrate, and kids and grownups who need help don't get it. Should you bite your tongue and walk away? Make a sharp retort? Make an effort to educate the ignoramus? A jab to the nose might make you feel better, but it probably isn't the best solution. Here are the five varieties of ADD naysayers out there, and the right ways to respond to each. The Skeptic The Skeptic denies the very existence of ADD, calling it a phantom that was cooked up as an excuse for bad parenting. He maintains that ADD would go away if parents simply reined in their brats and stopped letting them run amok. What about the adults who say they have ADD? "Why," says The Skeptic, "they just need to grow up and take responsibility for their shortcomings, rather than blaming an illness." No one questions the existence of diabetes, heart disease, or migraine headaches, says Philip Levin, Ph.D., director of The Help Group/UCLA Neuropsychology Program. Yet, he says, people who don't know better question the existence of ADD - despite a body of research indicating that it is a neurobiological disorder that affects 5 to 10 percent of children and 3 to 6 percent of all adults. Given a wealth of evidence, the National Institute of Mental Health has concluded that ADD is a real medical condition. So has the American Psychological Association, which includes ADD in its Diagnostic and Statistical Manual of Mental Disorders, the bible of mental-health professionals. And the U.S. Department of Education requires educational institutions to provide special accommodations to kids with ADD - it's the law. When Suzanne Herman, of Tyler, Texas, encounters Skeptics, she tells them the reason they don't "believe in" ADD is that they've probably been lucky enough never to have experienced it, either in themselves or in a loved one. "If my ADD son could exert the control necessary to conform, he would," Herman says. "No child would choose to be isolated and punished constantly." Indeed. "Unless ADD hits close to home, one may never totally understand it," says Luanne Southern, the senior director of prevention and children's mental health at the National Mental Health Association in Alexandria, Virginia. Shantella Benson, whose 10-year-old daughter has ADD, takes another approach with The Skeptic: She simply steers the conversation to a more benign topic. "Changing the subject saves me from having to get into a heated conversation in front of my daughter," the Torrance, California, resident says. "I've been trying to help her learn to control her emotions. It wouldn't help to see me blow my stack." Hard facts are often the best ammunition to use against The Skeptic. "Direct the skeptic to CHADD, order him a subscription to ADDitude or give him copies of relevant articles, and take him to a support group meeting," Southern says. If that doesn't convince him that ADD is real, it's likely that nothing will. When Elisabeth Carnell of Kalamazoo, Michigan, comes across people who pooh-pooh her nine-year-old daughter's ADD, she gives them information about the condition and shares her experiences with it. If these strategies fail, she calls the errant comments what they are: "bull#!^@." If you prefer sarcasm to scatology, try, "Gosh, it must be nice to be smarter than thousands of doctors, scientists, and psychologists." The Crusader The Crusader takes a holier-than-thou approach, second-guessing adults who take ADD medications and parents who give them to their kids. "I would never take a stimulant medication or give one to my child," he proclaims. "Ritalin is 'kiddie cocaine.'" Actually, study after study has shown ADD medications to be highly effective at curbing impulsivity and distractibility. Like all drugs, ADD medications have side effects - but dependency is not a major one. In most cases, the benefits of taking ADD medication far outweigh the risks. "Ritalin has been used to treat ADHD for over 30 years," Dr. Levin says. "We have countless scientific studies on the safety of Ritalin. In fact, some of the drugs that children routinely take for asthma and cancer haven't been studied nearly as much as Ritalin." Caryn Stevens, of Midlothian, Texas, wishes people weren't quick to assume that her decision to medicate her 11-year-old twins was a hasty one. In fact, quite a while passed before she agreed to medicate her boys, even after doctors urged her to do so. The same was true for Jennifer Andrews of Virginia Beach, Virginia. "My husband and I were against drugs for children - until we had an ADHD child," Andrews says. "Our daughter literally cannot sit still to eat her breakfast without medication. I learned the hard way that you must get the facts and have some experience before spouting off about something." Make it clear to The Crusader that you feel drug therapy for ADD is not a cause for shame. Medicating your child doesn't make you a lazy or incompetent parent. It shows that you are an effective parent. "You don't need to explain to anyone why you are medicating your child," Dr. Ashley says. "Forget what others think. Instead, ask yourself how you feel about your choice to medicate. If you're at peace with it, the opinions of others should not matter to you." Next time someone says, "I would never... ," look him in the eye and ask, "If you had diabetes, would you not take insulin? Would you deny insulin to a child who had diabetes? Then why should I withhold appropriate medication from my child?" "Ultimately," Caryn Stevens says, "I think it would be a crime not to give my boys every resource available to enable their success." The Joker The Joker takes potshots at ADD, using sarcasm and pretending that his barbs are innocuous, says Lillian Glass, Ph.D., the Beverly Hills, California-based author of Toxic People. A Joker might say, "I wish I had ADD! At least then I'd have an excuse for my bad behavior." Or, "Pass the Ritalin - I could use a (wink, wink) 'boost.'" Other Jokers make "clever" twists on the ADD acronym, claiming that it really stands for "Adequate Discipline Deficiency." The intent of such comments, of course, is to have fun at your expense. But if you show anger or indignation, The Joker protests, "I was just kidding." Marilyn Cullinane, a 63-year-old ADDer from Lowell, Massachusetts, once had a boss who joked endlessly about her ADD. Whenever she made a mistake, he would say - loud enough for all to hear - "ADD got the best of you again, huh, Marilyn?" Mick Quinn, the author of Power and Grace: The Four Steps to Authentic Joy, suggests that "selective silence" can be a good way to counter The Joker. "As soon as you realize that someone is being nasty, choose not to respond," he says. "This was how Gandhi did it - and note the results." Cullinane put up with her boss's teasing until she found a new job. Then she wrote a letter to her former corporate headquarters, detailing her abuse at the hands of her boss - and he was fired. Of course, Cullinane had another option, as does any ADDer who is harassed on the job: legal action. But before resorting to this, Philadelphia-based employment lawyer Robin Bond suggests being direct: "When you say X, I feel Y," or "Mocking my medical condition is hurtful, and I'd like you to stop." If the direct approach fails, Bond says, consider moving up the chain of command or consulting a lawyer. The Ostrich The Ostrich can't accept that any person (including himself or his own child) has ADD - even in the face of evidence to the contrary. "There's nothing wrong with me," he says. "I just take things as they come and try not to tie myself down with plans." Or, in response to news that his child has been diagnosed with ADD, he might inform the doctor, "There's nothing wrong with my kid that an old-fashioned spanking won't cure." No matter how fervently the pediatrician, psychologist, teacher, or family member waves the red flag, The Ostrich cannot (or won't) accept the ADD diagnosis. "Acceptance can be hard, since ADD is considered a mental disorder," Southern says. Some people resist testing altogether because they can't acknowledge even the possibility that such a disorder runs in the family. If you're married to an Ostrich, say, "This is not about you or how you feel about ADD. It's about our child and what we need to do for her." It might take awhile, but most Ostriches eventually pull their heads out of the sand. Don't give up The Voice of Doom The Voice of Doom sees a bleak future for ADD kids, warning that "People who have ADD never amount to anything. They all lead lives of failure and disappointment." The Voice of Doom ignores the evidence suggesting that people with ADD are often energetic, intelligent, and creative. Maybe your child won't grow up to be Steven Spielberg or Michael Jordan. Or maybe he will. After all, both Spielberg and Jordan have ADD. Apparently, so did Thomas Edison, Agatha Christie, Ludwig van Beethoven, Henry Ford, and Vincent van Gogh. The honor roll goes on and on, reminding us that ADDers can live rich, productive lives. "We may be inconsistent, and less productive, in the short run," says Scott Nipper, a teacher with ADD from Houston. "But we're more likely to accomplish big things through our passionate, hyperfocused pursuit of projects. What seem like off-task distractions can sometimes lead to great innovations." What's the best defense against a Voice of Doom? A strong offense. Marcia Conner, of Staunton, Virginia, is a former corporate executive who now runs a small company. She tells each Voice of Doom she encounters, "I have fresh ideas, endless energy, and an Olympic-level multitasking ability. I can't imagine how people without ADD excel in business. It's my competitive advantage!" Next time you're face-to-face with Eeyore, turn the tables. Say, "If Richard Branson can found Virgin Records and Virgin Atlantic Airways, despite having ADD, I'm not worried about my son," or "If my daughter turns out as well as Suzanne Somers or Whoopi Goldberg, who both have ADD, that's fine with me!" No doubt about it, ADD makes it hard to navigate the "normal world." But with appropriate support, Luanne Southern says, "ADD individuals can lead happy, healthy lives." And maybe, just maybe, extraordinary lives.