A boy who stops taking stimulants for "ADHD": commentaries on a Pediatrics case study.
This article presents eight commentaries on a case study published in the journal Pediatrics in 2001. The case study, introduced in Pediatrics to highlight the issue of adolescents' compliance with drug treatment in a "high-prevalence neurobehavioral condition," briefly describes an adolescent boy who announces that he no longer needs the methylphenidate he was prescribed for ADHD and had been taking for the last five years. We invited experienced professionals from the disciplines of psychiatry, psychology, counseling, education, and occupational therapy to comment on the case and make recommendations to the adolescent boy in the case study, his family, and professionals. Their commentaries highlight issues rarely discussed in the mainstream literature, including: the extent to which ADHD is erroneously portrayed and vigorously managed as a disease; the lack of validity of the ADHD construct in adolescence; the widespread use of stimulants as performance-enhancing drugs; the need to respect an adolescent's gut instinct and developing decisions; the importance of family dynamics in ADHD-like situations; the need to ease stimulant withdrawal effects; and the human rights of children prescribed psychotropic drugs.
Cohen
David
D
School of Social Work, Florida International University, University Park Campus, Miami, FL 33199, USA. cohenda@fiu.edu
Leo
Jonathan
J
Stanton
Tony
T
Smith
Doug
D
McCready
Kevin
K
Laing
Mary Sue
MS
Stein
David B
DB
Oas
Peter
P
Kean
Brian
B
Parry
Sue
S
D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000188:drug therapy*; D032763:Behavior Control; D002651:Child Advocacy; D006801:Humans; D008297:Male; D008774:Methylphenidate / Q000009:adverse effects / Q000627:therapeutic use*; D013375:Substance Withdrawal Syndrome; D016312:Treatment Refusal
D008774:Methylphenidate