Some of you are already familiar with [pieces of] my story. I have been fairly vocal here and on Le Clown’s blog about AD(H)D and medication sometimes even playing the devil’s advocate role.
But for those of you who don’t know me, let me give you a bit of a background. I am a 44 year old Colombian-born, Canadian woman. I deal with Mental Illness myself: Post-Traumatic Stress Disorder (PTSD), Attention Deficit Hyperactivity Disorder (ADHD), Depression and -to a lesser extent, Anxiety.
I am also a physician and a molecular biologist. Or was, anyway. I do have a several other non-mental issues that led me to drop my scientific career altogether given that I can’t stand the long lab hours of a life dedicated to research anymore. Now I’m a swinger… er Swing Dancer and the Online Community Manager for our family business.
I was married for 15 years to a paediatrician and we had a daughter and a son.
As luck would have it, the kids won the genetic lottery and both deal with mental issues of their own.
My daughter has have to deal with severe episodes of anxiety and less intense episodes of depression since a very early age.
As for my son, it is ADHD and Depression with him.
Some of you already know by my annoying enlightening comments on this blog, I am NOT against all medication. Not for ANY Mental Illness. But I do believe that before drugging a brain, there must be a very valid indication. For example, I am one of those people that requires medication for depression and probably will do so for life unless gene therapy gets a lot better before I die. No other way around it because if you read about my other non-mental issues, you already know that my Hypothalamic-Pituitary-Thyroid axis doesn’t work properly. Similarly, there are some people with AD(H)D who require medication. No other way around that either.
However, I never had to take medication for ADHD. That’s because of two simple reasons:
My gain, anyway. I am happy I didn’t get medicated. In my particular case, what I needed was not a drug. What I needed was more challenging classes. But I was lucky cause I discovered at a very early age that books gave me all I needed to escape that boring world. I know that my case is very particular. By no means, I am trying to imply that all cases should be treated the same way.
And this is why I am saddened – both as a medical doctor and as a parent, that so often parents, educators and doctors go for the easy way out. It makes life easier for all of them, I suppose. For parents, because they get less calls from their kid(s) teachers and/or they can’t be bothered to change their life style to accommodate a child that needs extra attention. For educators, because that means less extra work for them. Having to keep track of an easily distracted, difficult to manage kid who acts as a distractor in the classroom requires patience and training. And the will to do so. And finally, for doctors, well, I don’t know… Because they get the equivalent of PC points every time they write a prescription? Because they are sick and tired of complaining, unsatisfied parents?
Shame on doctors for falling into that trap. This world is way over-medicated.
It is my belief – again both as a medical doctor and as a parent, that medication should always be the last resource for mild to moderate cases [of everything not just] AD(H)D. Changes in the life style should always be considered first. Every parent should ask themselves, what can I do to help my child? Perhaps you can find challenging games that will pique her extra-sensitive curiosity. Perhaps you can -along with your child’s educators, design a strategy to keep her engaged so she doesn’t disturb other children in the classroom. Perhaps you can enrol your child in an extra-curricular activity that will help develop her sense of discipline, self-control and discovery while channelling her nervous energy. And what about a better diet? There are ways to try and bring balance to the life of a child with AD(H)D.
In the end, you might still have to resort to medication. But at least you will know that you did your best before going that route. No medication is without side effects. Always keep that in mind. Medication should only be used when the good effects clearly outweigh the bad ones.
In the second part, I’ll cover how we dealt with my son’s AD(H)D
Pingback: Summer Solstice Girl | A Clown On Fire
LOVE! This is actually closely related to the post I’ve drafted for my guest appearance. I couldn’t agree with you more, SSG, and I particularly appreciate your perspective on this from a doctor’s point of view.
Thank you!
Summer Solstice Girl,
Reading you – the you as parent and you as a health care professional – helps to bring solace in what we are living. Somehow, it makes us feel less alone. And you’re a great mum. But you knew that already, right?
Le Clown
You are definitely not alone!
And thank you! <3
You as a kid and me as a kid = pretty similar. Wiggly, precocious, and in desperate need of a real challenge.
I avoided medication until I was out of college, though I would have been so much better off having it in college. And now? Can’t get by without it. I wish it were different, but unless I go back to serious underemployment (even more so now that I have a PhD) I can’t perform well enough for even most average office jobs. My current work is very accommodating to my needs, but that was almost a fluke of luck.
Ah, I’m sorry to hear that. I am very lucky that my current job is very accommodating as well. I really miss my research days at the lab but I simply can’t have a “normal” job.
Best of luck in your journey!
Wooooooo! Go, SSG, go! Could not agree with you more. You’re the ideal example of what people should do and how people should proceed regarding medication. You’ve been there, you know what it’s like.
I love hearing your thoughts as a medical doctor—I wish more doctors felt as you do. Meds certainly aren’t all bad, and they can work miracles. But try non-pharmacologic options first instead of just throwing pills at the problem.
Thank you so much for this, SSG. I can’t wait for part 2.
aaaaaw shucks… thanks. But it is true. Often doctors forget that patients are people, not descriptions in a textbook. That is sad. They are too attached to their treatment algorithms
“But I do believe that before drugging a brain, there must needs be a very valid indication.”
I am in total agreement with you!
It should be so obvious, right?
SSG, you inspire me. You are living a full life with meaning and your charming accent and contagious smile make the world a better place. I didn’t know all these things about you, but you make me realize that I too, can have something that resembles a good life, despite (or maybe because of) my differences. xo
Definitely because of your differences! They make you the beautiful person you are. And you too, in time, will learn how to cope like I did. A great life awaits you. You just have to be patient. ( I know, having to be patient sucks but the rewards are worth it). <3
It’s such a complicated issue, especially when you’re talking about medicating children. We resisted medication for our son for a long time (opting for CBT, social skills groups, and a host of other things), but have found that six weeks of Prozac help his anxiety in a way that years of other interventions did not.
As for ADHD meds, I’ve seen them help both children and adults. I’ve also seen them make people anxious and unwell. (I used to work in a child guidance clinic years ago.) If a kid gets reasonably good grades and has otherwise manageable behaviors, it’s really just taxing the liver and kidneys for no good reason.
Exactly! That’s why every case should be carefully evaluated. There’s no “one treatment fits all” approach.
all that good writing AND you’re Colombian too? In time, I’ll write about my experience going to private school in Colombia. It was over 20 years ago, but I think I still need more time. lol. Beautiful place, tho. As for this adhd stuff. i always think the adhd kids are the most creative and now the awful trend is — let’s medicate the creativity right out of them. that’s mostly how i feel about it, anyway. i’m sure medication is good in some cases, but i think it’s in way way way less instances than currently prescribed for. xo, sm
Yep! I remember seeing something on your blog about your mother being Colombian or something? I asked about it but I guess my comment got lost in the internets..
Would love to hear about your experience!
And I agree with you about the creativity. I am happy I never took that away from my son!
Reblogged this on Summer Solstice Musings and commented:
my adventure as a guest blogger…
SSG, you make a good point about medication as the last resort. I have been too attached to my meds ever since I was prescribed Elavil at age 13. It has only been recently that I learned I should try using coping skills FIRST. I no longer take my Ativan for every little upset; instead, I try the skills first and if I still can’t handle something, then I take the (teeny-tiny) pill. I’m still taking my every-day meds but eventually I hope to drop at least some of them!
I also enjoyed learning more about you in this post!
Yay for you! Yes, psychotherapy and coping skills are just as important (and many a time even more) than pharmacotherapy. That’s what I always told my patients and that’s what I recommend to my friends too. I know I will never be able to get off the meds but my case it’s a very particular one. None of my kids are on meds right now. They get by fine with just psychotherapy.
What I hate is what happened to you and that still happens to so many people. Some doctor decides to put them on meds but “forgets” to explain that other things must be done as well.
You should be very proud of yourself! Whether you can drop off all your meds eventually or not is not as important as the fact that your coping skills are getting stronger every day. That’s awesome and I’m very happy for you
Thank you for the encouragement!
Right with you SSG. xoxo GG
Thank you, fellow Gemini!
Great advice! It’s wonderful when people with actual experience with meds advise teachers and parents. So often people with no personal experience like to dictate how children’s challenges should be handled. Lots to think about here:)
This is true. Personal experience doesn’t make anyone an expert but it definitely helps to give you a broader vision.
Thank you for your kind comment!
Pingback: Dose encounters of the third kind (Part 2) | Black Box Warnings