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Think Right Now Series: The ADHD Lie! by Mike Brescia
think right now series
The ADHD Lie!
by Mike Brescia
I'd like you to share with you a shocking story from
one of the world's most respected experts in the danger of
psychiatric drugs. It's a story about a patient of his,
normal kid - a kid with no abnormalities whatsoever... a
kid like yours, mine, your sister's, your brother's, your
neighbor's - who's life was forever altered because of
complete ignorance and greed. He's like millïons of other
childrën living in a world where we're being guided by
supposed professionals who have no earthly idea what they
are doing. People who don't have the time or desire or
energy to do what is right.
With permission from the publisher, I'd like to share with
you a segment of the book, 'The Ritalin Fact Book - What
Your Doctor Won't Tell You About ADHD And Stimulant Drugs'
by Peter Breggin, MD. His background includes Harvard
College and the National Institute of Mental Health (NIMH).
He has been on Oprah 3 times as well as other major news
programs such as 20/20, 60 Minutes, Nightline and many
others. He is the author of a dozen books.
Here's Alec's story from The Ritalin Fact Book:
'Alec's journey through drug-oriented biological
psyhciatry will seem uncannily familiar to many parents who
have accompanied their childrën through similar
experiences. Stories like this are becoming unfortunately
common in modern psychiatry. They are living, painful
illustrations of the dangers of the psychiatric diagnosing
and drugging of childrën.
Alec arrived in my office in terrible shape. At the age
of eleven, he was physically and psychologically immature.
He was skinny, and his ability to control his emotional
reactions was minimal. Alec had driven away all his
friends, and his older brother never wanted to speak to him
again. Even his soccer coach had given up on him, and his
school was pushing to transfer him to a facility for the
seriously emotionally disturbed.
Alec whined, whimpered, or threw a temper tantrum at the
slightest provocation. But it was easy to see the
vulnerable, scared kid beneath his manipulative bravado.
When he talked about how he 'wanted to die' or how
'everyone hates me,' I saw real despair over his life.
When I showed genuine concern for him, he stopped
complaining and became eager to hear what I had to say.
By the time he came to see me, Alec had been psychiatric
drugs for more than five years. His psychiatrist had him
on five (5) psychoactive drugs: the long-acting stimulant
Concerta, the mood stabilizer Depakote (divalproex), the
tranquilizer sedative Klonopin (clonozepam), the sedating
antihypertension agent clonidine, and the adult
antipsychotic drug Risperdal (risperidone).
Alex had developed facial twitches and spasms and had
lately been describing how 'ghosts' were appearing in his
room at night before he fell asleep. His previous
psychiatrist had explained that Alec was having
hallucinations. He warned that Alec was showing signs of
'emerging childhood schizophrenia' and might need
hospitalization for increased medication.
What does a case like this have to do with ADHD?
ADHD was Alec's initial diagnosis at the age of six (6).
At that time, he was placed on Ritalin. However, he could
have been started on any of the stimulants and the results
would probably have been the same.
I suggested to Alec's parents that we conduct the initial
evaluation with the adults and that we then include Alec on
a separate day. I wanted to establish from the start the
importance of the adults getting together to understand the
sources and the solution for Alec's problems. At the
start, I wanted to make clear that Alec's emotional
problems did not spring forth, as they had been previously
told, from some abnormality in his brain. I knew we would
find stresses and conflicts in his environment and that
resolving them would set Alec on the right road. While
Alec would have to work on changing his own attitudes and
behavior, his parents and teachers would have to improve
their approaches to raising and educating him.
At my suggestion, Alec's parents brought along his
maternal grandmother, who was involved in his everyday care
while both parents worked. Within the first half hour, it
became obvious that the entire family had forgotten a
critical fact about Alec's life story-that Alec had been a
normal child at the age of six when his pediatrician
originally stated him on Ritalin.
The medicating had begun, as it most often does, with a
recommendation from school for an evaluation. At the start
of second grade, Alec's teacher told his parents that he
was not paying attention in class, that he was daydreaming
and easily distractible, and the he sometimes exhibited
'ADHD behaviors' such as talking out of turn and leaving
his seat without permission. She recommended an evaluation
for ADHD and gave them a sheet labeled 'Connors Scale,' on
which she had checked off the specific behaviors that Alec
displayed.
The Connors Scale, like the official diagnostic criteria
for ADHD, is nothing more than a list of all the behaviors
that can require extra attention in a classroom. However,
the teacher had attended a workshop on ADHD and had been
told the Connors Scale was a valid diagnostic tool for
identifying ADHD.
Up to this point, Alec had never been a problem at home.
He was a sweet little boy who got along with everyone, even
his older brother. However, the pediatrician, after
glancing at the Connors Scale, agreed that Alec had ADHD
and prescribed Ritalin.
The school and medical records that the parents brought
along with them indicated that Alec had 'improved' within
days after starting on Ritalin. That is, his teacher
reported that the little boy was 'much nice to have in
class' and that all of the 'disruptive behaviors' had
disappeared. It seemed like a miracle.
However, within a few months Alec's behavior worsened, and
for the first time, he became a little difficult at home.
The pediatrician raised the does of Ritalin, and for a
while Alec 'improve' again. The pediatrician reassured
them that it was just a matter of finding the right does of
stimulant.
Eventually the cycle was repeated several times. With a
raise in does and then with changes in stimulant
medication, Alec would temporarily become calmer and easier
to be at home and in school. And then his behavior would
get worse than ever before and the medication would be
raised or changed again.
In my first session with the adults in the family, it
became obvious that the ups and downs on medication kept
their hopes alive and obscured the reality that overall the
drugs were making him worse.
Within a few weeks after starting Ritalin, his grandmother
now remembered, Alec became increasingly 'agitated' at
night. He became anxious and rebellious, and refused to go
to bed. His pediatrician-apparently unaware that
stimulants are contraindicated for agitated childrën-
actually increased Alec's Ritalin by adding an afternoon
dose. When Alec continued to get more agitated later into
the evening, the doctor added the sedative tranquilizer
Klonopin to quiet him down and help him sleep.
When Alec's parents forgot on one occasion to bring his
medications along on a weekend vacation trip, Alec's
behavior deteriorated to a shocking level. He turned into
a 'monster,' requiring physical restraint to prevent him
from hurting himself or his family.
Alec's parents made an emergency phone call to the doctor
that weekend, but the pediatrician said nothing about
Ritalin and Klonopin causing serious withdrawal reactions.
He didn't even hint that Alec's deterioration could be an
acute withdrawal reaction from Ritalin and Klonopin.
Instead, the doctor said Alec should 'never stop taking the
drugs'-even for the rest of his life. Alec was eight at
the time.
Alec's behavior continued to get worse on the medications.
Toward the end of third grade, the pediatrician referred
the family to a local psychiatrist described as a
nationally recognized specialist in treating childrën with
drugs.
The psychiatrist listened to the story and explained,
'Your son's bipolar disorder is emerging.' The
pediatrician's treatment was fine as far as it had gone, he
explained, but now an underlying genetic and biological
'bipolar disorder' was coming to the surface. He explained
that bipolar disorder was another name for manic-depression
and that Alec was having mood swings from manic-like
irritability to depression. He fully agreed with the
pediatrician that Alec would have to take medication for
the remained of his life.
The psychiatrist never mentioned that Ritalin, like any
stimulant, can cause extremely out-of-control behavior and
that in combination with Klonopin or any tranquilizer, the
probability increase for 'disinhibition' with a potentially
violent loss of emotional control. Instead, the
psychiatrist added Depakote to Alec's regimen, with the
intention of controlling his 'bipolar disorder.'
Alec was now nine and a half years old and going into the
fourth grade. When Alec became afraid to go to school and
displayed increasing anxiety and agitation, the
psychiatrist added an adult antihypertensive agent,
clonidine, to the boy's regimen. This brought the total
drug regimen to four, including Adderall, Klonopin,
Depakote, and clonidine.
The psychiatrist failed to mention that clonidine is not
approved for the treatment of any psychiatric disorders.
Instead, he told them it was used as a 'mood stabilizer'.
In reality, clonidine is a dangerous drug used to control
hypertension in adults that has become a fad treatment for
upset childrën because if tends to heavily sedate them. I
have seen childrën nod off in a session due to clonidine.
The psychiatrist also failed to tell them that coniine and
stimulants, in combination, can impair heart function and
cause fatal arrhythmias. He did, however, correctly warn
them that clonidine could cause a spiking of blood pressure
if abruptly stopped.
When Alec's behavior became more violent and explosive on
the four drugs, the psychiatrist reaffirmed that Alec had
bipolar disorder. During the school year, he changed some
of the drug doses and experimented with different kinds of
stimulants. Meanwhile, Alec began to talk about killing
himself.
In fear and frustration, his parents took Alec for
evaluation to a world-famous psychiatrist at the Nation
Institute of Mental Health (NIMH) in Bethesda, Maryland.
The new doctor completely approved of 'everything' the
previous two doctors had done. He did, however, offer a
new opinion. Alec's emerging bipolar disorder, he
explained, was actually an emerging schizoaffective
disorder-a mixture of bipolar disorder and schizophrenia.
He added the antipsychotic drug Risperdal to Alec's
treatment regimen, for a grand total of five psychiatric
drugs, several in adult doses. Alec was now ten and a half
years old and weighed less than seventy pounds.
The psychiatrist did not explain that Risperdal is FDA
approved only for adults and only for psychoses such as
schizophrenia. He also left out something else that by any
ethical or medical standard he was especially required to
tell the parents, something they would tragically discover
on their own.
Three months after starting on Risperdal, Alec began to
make off chewing movements as if struggling with a large
gob of gum. His puzzled parents, already frustrated with
his behavior, tried to force open his mouth to see what he
was chewing. Then they decided he was 'making faces' at
them, or even worse, at some unseen imaginary person. Soon
Alec also began to squint his eyes as if experiencing
bursts of glaring light.
When his parents drew Alec's condition to the attention of
the NIMH expert, he explained that Alec was showing signs
of Tourette's, a disorder of unknown origin that involves a
combination of tics and vocalizations. He did not tell
them that antipsychotic agents like Risperdal commonly
cause permanent twitches identical to those that Alec was
displaying.
The psychiatrist decided that Alec's increasing reports of
'ghosts' and 'odd shapes' in his room might be
hallucinations caused by his schizophrenic-like illness.
He wanted to increase Alec's Risperdal in the hope it would
'control' both the tics and the hallucinations.
Indeed, Risperdal-like other antipsychotic agents-can
temporarily suppress the very tics and abnormal movements
that it causes; but in doing so, it can eventually make
them much more disfiguring and even physically disabling.
In my clinical and legal consultation, I have evaluated
childrën whose necks are painfully wrenched out of shape by
Risperdal induced spasms of the neck and shoulders. I've
seen childrën whose eyes periodically roll up in their
sockets. I've evaluated another whose breathing is
impaired by spasms of the diaphragm.
Childrën with these drug-induced tics and spasms are among
the most tragic cases I have had to evaluate in my work as
a psychiatrist. There is no effective treatment for this
disorder, and only a few of the childrën with such obvious
tics and spasms have recovered despite months or years off
the drug. Once the disorder had persisted for a few weeks
or months, it usually becomes irreversible.
Alec's Grandmother Rescues Him from the Psychiatrist
After Alec started to display these peculiar symptoms, his
grandmother began to suspect that the drugs might have
something to do with his worsening condition. In libraries
and bookstores and on the Web, she began to research the
drugs on her own. She came upon one of my books, Your Drug
May Be Your Problem: How and Why to Stop Taking Psychiatric
Medications (1999), coauthored with David Cohen, Ph.D. She
learned that Alec's twitches and spasms were tardive
dyskinesia, a neurological disorder commonly caused by
antipsychotic drugs such as Risperdal, Mellaril, Navane,
Prolixin, Thorazine, and Haldol. The FDA requires all
antipsychotic drugs (also called neuroleptics) to carry a
warning about tardive dyskinesia, including all of the
newest antipsychotic drugs like Risperdal, Zyprexa, and
Seroquel.
Antipsychotics produce tardive dyskinesia in an astounding
5-8 percent of patients for each year of exposure, for a
cumulative rate of 20-32 percent after a mere four years of
exposure. With no scientific justification, some doctors
got the idea that, unlike other antipsychotics, Risperdal
might not produce tardive dyskinesia at such a high rate.
This encouraged its widespread prescription to childrën. I
am seeing many cases of Risperdal induced tardive
dyskinesia, and others are being reported in the literature.
After reading my book, Alec's grandmother urged his
parents to make an appointment to see me. My practice was
full at the time, but when my wife heard the familiar,
tragic themes being repeated by Alec's mother on our
answering machine, she made it a priority for me to return
the call. Alec was now eleven years old and in the fifth
grade.
From my initial visit with the parents, it was apparent
that psychiatric drugs were destroying Alec. If the
process continued, he would probably end up in adulthood as
a chronic mental patient with disfiguring and even
disabling twitches and spasms in his face and body that
would make him look crazy to everyone who met him. I
explained that all of the stimulants can cause or
contribute to permanent tics, but less often and usually
with less severity than the antipsychotic drugs. I asked
his parents to bring Alec to my office on an emergency
basis that evening.
When I first met Alec, he was displaying the unmistakable
signs of tardive dyskinesia. Although I've been through
this many times before, I was still saddened by what I
found. And once again, I was dismayed that one of my
colleagues could have prescribed Risperdal to a child at
all and then have gone on to ignore the devastating results.
The chewing movements and facial tics were already so
obvious that Alec's schoolmates were teasing him about
them. If Alec's twitches did not improve or go away, they
would gravely interfere with his social life as he entered
his teens. Since they were affecting his jaw, they could
end up impairing his eating and his teeth. If the drugs
weren't stopped, the disorder could progress to afflict any
muscle in his body, from his arms, legs, and torso to his
speech, swallowing, and breathing.
Because Alec had been taking Risperdal for only a few
months and because his parents were willing to stay in
close touch with me, I planned a rapid one-week taper.
Within a week, his parents already felt that he seemed
'much more like our Alec.' However, his tics and spasms
temporarily worsened, as they often do during the
withdrawal period after the drugs are reduced in dosage or
stopped.
Working with Alec
Alec was a spirited, courageous child struggling with all
his might to content with the confusion in his life and the
toxins in his brain. I could easily find the sweet and
gentle boy who had thrived before the advent of psychiatric
drugs in his life.
I explained to Alec that his story indicated that he
didn't have any kind of psychiatric disorder and that most
of his disturbed behavior came from a combination of the
drugs and his parents' difficulties in learning to
discipline him. I further explained that it would require
a great deal of work on his part to learn to control his
behavior.
Alec was reassured when I reminded him that before the
drugs, he had no problems controlling his behavior as well
as any other kid. He responded with surprising eagerness
to my explanations about how hard he would have to work to
get his behavior back under control.
The Alec demanded, 'What about them?' and made a vigorous
gesture in his parents' direction. I explained that he
should refer to his parents in a more respectful manner.
He could tell I was serious about this, and to his parents'
surprise, he agreed to this as well. I went on to tell him
that when he did ask a question respectfully, I would
always try to answer him. In this spirit, I explained that
his parents and grandmother would indeed have their own
work to do. They would have to develop a more consistent,
rational plan of discipline for him and would have to find
more time to spend with him.
'Its clear your parents and your grandmother love you,' I
explained, 'but they've been misled by doctors into
thinking that you can't control your behavior and that they
can't help you get control over yourself. This has been
very harmful to the whole family. We'll be able to fix
this situation quickly if everyone can get together on a
plan for more self-restraint and more respect in the family.'
'If you say so, Doc,' Alec said, and then, laughing at his
own disrespectful tone of voice and demonstrating his
capacity for self-control, he added more respectfully, 'Dr.
Breggin.' I laughed, too. I liked this spirited child.
After rapidly stopping Alec's Risperdal on an emergency
basis, I continued to remove Alec from his other drugs over
the next few months. His parents were deeply grateful to
see their son returning to them. During this time, I
worked with the entire family and on occasion with Alec's
teachers and principal on how to handle his sometimes
difficult behavior.
When alone with Alec on occasion, I emphasized that
changing his behavior was not 'giving in' to adults as he
feared. I explained how it was actually in his own self-
interest to gain more self-discipline and responsibility.
childrën are much more able to respond to rational
discussion than most health-care professionals seem to
realize. They want to know why and how they should change
their behavior. Unfortunately, not one of Alec's previous
physicians had talked with him about his inherent capacity
to control his conduct, why he should want to do so, and
how he could go about it.
Alec's grades went from flunking across the board to
mostly C's and then to a mixture of A's and B's. He was
once again becoming the bright child he had been before he
started talking psychiatric drugs.
After Alec was free of psychiatric drugs for several
months, he became one of the few fortunate childrën whose
tardive dyskinesia almost completely resolved. A careful
examination still discloses some abnormal movements of his
tongue and jaw, especially if he is stressed or fatigues,
but if noticed by anyone they are likely to seem like
nervous habits. Alec probably recovered so well because
his grandmother became suspicious as soon as the tics
developed and we were able to stop the drugs before he had
taken them for months or years.
Alec and his parents stopped coming regularly for
treatment after about two years, but I continue to hear
from Alec occasionally. He likes to call to say hello once
in a while. He's doing well in regular classes in public
high school, presents no serious behavior problems in the
classroom or home, and is even getting along better with
his older brother. He is looking forward to going to
college. Now that he no longer thinks of himself as
mentally ill and now that his brain is free of toxins, I am
sure he will continue to blossom.
Alec should never have been put on psychiatric drugs. His
intention and restlessness in the classroom in the second
grade could have been handled with more patience, attention
to his needs, and better teaching methods. At that time,
he didn't have problems at home, but if he had been a
'difficult child,' that too could have been handled with
improved parenting. There was no reason whatsoever to
expöse this child to any psychoactive substances, let alone
a several-year regimen of multiple psychiatric drugs. In
my experience, childrën do not need psychoactive agents.
They need improved adult attention to their basic needs for
discipline, love, and inspired teaching.
Is Alec's story unusual? No, his story is being repeated
with hundreds of thousands and perhaps millïons of childrën
throughout America. Almost all of these childrën have
conflicts with adults that could be handled by improved,
individualized approaches to teaching and parenting.
Instead, a doctor starts them on a stimulant drug such at
Ritalin, Concerta, or Adderall; the drug cause new
problems, and the child end up on multiple psychoactive
substances. In this way, the stimulants can become the
gateway to a lifetime on multiple psychiatric drugs.
Meanwhile, doctors who advocate drugs will often ignore and
even openly deny that the drugs could be causing any of the
problems, even after the child begins to have persisting
tics and spasms induced by stimulants like Ritalin and
Adderall, or more likely by antipsychotic drugs like
Risperdal.'
I hope that began to shed some light on this subject.
This story is being repeated hundreds of thousands of
times in homes across the country and around the world.
We are under attack because of greed.
There is no gentler way to put it.
Ignorance is simply igniting the fire.
And do not let false studies sway you to believe that
'ADHD' childrën's brains are different than 'normal'
childrën.
These studies are always done on childrën and adults who
have been on psychiatric drugs for many months and years.
Always. The studies are clear about this. But what the
pharmaceutical manufacturers say is, 'See, people who have
ADHD have brains that have shrunk.'
But their own records show that these studies are always
done on people who have been taking drugs, not on those who
have been 'diagnosed' but have not been taking drugs.
It's a sham. Period.
This information does not reach the doctors who prescribe
these drugs. They are not being told. They hear what you
hear on TV by the paid talking head on the morning talk
shows. This is a grim situation that is getting more dire
by the day.
I am not tempted to believe that this problem will go away
tomorrow. Millïons of chïldren will take their medication
tomorrow and the next day and the next.
But you can at least help yourself and your childrën.
Ignorance is not bliss. At worst, it can turn people into
mental patients who get locked away for the rest of their
lives.
If you disagree, then you did not read this email and you
have done zero research on your own about the dangers and
about what is really going on. Go to Google and type in
'Ritalin side-effects' if you want to be shocked. I am not
yelling that the sky is falling. It really IS. The
information is all around us. I am just giving a little
bit of it to you.
If it makes any sense, pass it on to people who have
childrën.
You never know what friend of yours will be told tomorrow
that their childrën are broken by their pediatricians or
teachers who went to an 'ADHD Seminar' sponsored (paid for)
by a pharmaceutical manufacturer.
Much more to come... there is an avalanche of data on this
subject.
As always, make it a great day.
I love you all!
Mike Brescia
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