OPINION

Let's Talk About Drugs

Written by Elvira Black
Published January 22, 2006
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Another time a neighborhood mom offered me cookies or something. For some reason, I couldn't answer "yes" or "no thank you." After an long, awkward pause, she finally turned away with a disgusted/exasperated look on her face. What was going through my mind — I don't know. The question somehow just seemed too complex for me.

Here's a quote from Wikipedia, giving an example I can relate to:

"When a teacher asks a child with Asperger's, "Did the dog eat your homework?", the child with Asperger's will remain silent if they don't understand the expression, trying to figure out if they need to explain to the teacher that they don't have a dog and also that dogs don't generally like paper. The child doesn't understand what the teacher is asking, cannot deduce the teacher's meaning, or the fact that there is a non-literal meaning, from the tone of voice, posture or facial expression, and is faced with a question which makes as much sense to him as "Did the glacier in the library bounce today?". The teacher may walk away from the experience frustrated and thinking the child is arrogant, spiteful, and insubordinate. The child sits there mutely, feeling frustrated and wronged."

I can dig it.

Although I had a friend or two outside of school, and I loved to visit my cousins, I was an only child, and since my mom also suffered from depression, and my dad sometimes worked weird shifts, I wound up spending a lot of time alone — to read, listen to music, ride my bike, examine cool bugs, watch horror movies on Saturday night, and mull life over. I was essentially a loner until I reached junior high. Then, somehow, I turned "normal."

But I do think that kids who spend a lot of time with their own thoughts and left to their own devices may have an advantage later in life. They may not be "normal," in the sense of being very straight and super popular and always knowing how to make small talk and feeling comfy talking to new people. But the misfits who don't learn how to conform and follow the flock are, I think, sometimes quite interesting individualists later in life. At least, I like to think so, for obvious reasons.

Anyway, the point of all this talk about ME is that firstly, if I were in grade school today with the same "symptoms," I am fairly certain they'd be pumping me full of Ritalin right now. And secondly, without the help of meds, I somehow (apparently) managed to get over it. Attention deficit disorder, indeed.

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Elvira Black is a “retired” New York writer blogging for her own amusement here on BC and at Shithouse rat. Elvira's real estate obsessed doppelganger, Elvira Dark, can be found at All things New York--designed for anyone moving to or visiting this one of a kind, kickass city.
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Let's Talk About Drugs
Published: January 22, 2006
Type: Opinion
Section: Sci/Tech
Filed Under: Culture: Education, Culture: Family and Relationships, Sci/Tech: Science
Writer: Elvira Black
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Comments

#1 — January 22, 2006 @ 17:17PM — Paula [URL]

I agree with you that Ritalin is overprescribed.

Ritalin should be a last resort. Obviously, there are chidren who struggle greatly with ADD and do need the help that prescription drugs can provide. My next door neighbor's child was having the worst time focusing at school, and Ritalin changed his life for the better.

It's the borderline cases that bother me; the quickly written prescription so the doctor can move on to the next patient, and the teacher and the parent won't have to deal with the child.

Children's brains are not fully developed. What is the long term effect that these drugs will have on them both physically and emotionally?

#2 — January 24, 2006 @ 04:18AM — Elvira Black [URL]

Paula:
Many thanks for your comment. I've heard other parents say that Ritalin did wonders for their child, and if so, perhaps the benefits outweighed the risks. But I still do wonder if this was the only "solution": available, really. Not being in that situation, I can't say.

As someone with bipolar disorder, I see a psychiatrist every two or three months to adjust and monitor my meds. Although my shrink is superb, he is, like most today, focusing almost solely on meds and is quite eager and willing to try all varieties in order to try to find the right "cocktail" for me.

I have learned (as he has assured me) that it is ok to speak up and say, "I don't feel comfortable about trying this med" or "I'd like to try to lower my dose of this med due to side effects." As he has made clear, I'm the one who has to take the meds, and he will never try to force a particular med on anyone.

But it did throw me for a loop when he mentioned ampetamines and Ritalin, although I think in this case he was trying to treat some of my loss of energy and motivation, rather than my bipolar disorder.

But I thought it particularly questionable considering that I have bipolar disorder, and certain drugs may induce a hypomania. In fact, being in a hypomanic state is very similar to how one feels on "ups"--this from someone who's experienced both states.

I know someone else who is struggling with depression, and her doctor put her on Ritalin. From what I've heard, this doctor sounds like a quack. I don't think he has tried the full array of meds available to try to treat her depression. Sometimes it takes a lot of time and trial and error to get the right combo, but it can and does happen.

Now this doc is recommending either electroshock or surgery on the vagus nerve performed by a neurosurgeon. I have been through electroshock, and it is usually reserved for the most severe cases, after drug treatments have not been effective. From what I've read, the surgery route probably works in a similar fashion to the anti-seizure med Lamictal. Both Lamictal and the surgery in question were initially used to treat epilepsy, and now it has been found that these same treatments work for depression. Wouldn't it, then, make more sense to try the Lamictal before resorting to the more invasive and expensive route of surgery?

(Remember when lobotomies were all the rage?)

I know I am getting off on a tangent here. But my point is that sometimes doctors, parents, and teachers may be all too willing to seek a "quick fix" to a problem that may very well be resolved less radically. In the case of clinical depression, meds are probably in order. But how many people with mild to moderate depression are having these meds pushed on them, and is this always the wisest course of action?

In addition, children do not have the luxury of questioning whether their meds are warranted. Their parents and other authority figures have deemed it necessary to drug them, whether they agree or not. This, quite frankly, scares me. I'm sure I would not have been given a choice "back then" either. Sounds a little too much like 1984-ish social engineering to me, and the scary implications of the phrase "children should be seen and not heard" carried to its radical conclusion.

#3 — January 27, 2006 @ 07:24AM — justine

I think i'll be taking a bit of ritalin this saturday -
this topic's still as good as it was elvira.

Snake bites are natural.

#4 — January 28, 2006 @ 17:34PM — digibrill [URL]

Elvira, I think the whole idea of ADD, ADHD, etc. other disorders treated with Ritalin is a topic we don't know much about yet. I think we shoot cannonballs at a problem instead of the .22 shot we may need. Here's to more research.

#5 — January 31, 2006 @ 00:00AM — Elvira Black [URL]

Justine:
LOL--Yep,it was soooo tempting in a way to just say yes to a bit of the old Ritalin, but I knew that for me it would entail traveling a very slippery slope...

#6 — January 31, 2006 @ 00:02AM — Elvira Black [URL]

Digibrill:
I love that cannonball analogy--that's what I always think of when it comes to drugs and side effects. The brain is such a finely tuned organ--and the interplay of our hormones and brain chemicals is so intricate--that drugs often consitute a very crude tool indeed.

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