this post was submitted on 15 Oct 2024
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Remember when the Sacklers convinced everyone for years that Oxy isn't addictive or over prescribed and definitely not causing a public health crisis?
edit I write with a phone that's somewhat broken and autocorrect keeps fucking up so there's bound to be lots of mistakes, don't mind them
Yeah this seems a bit like that.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500182/
Although there are also large differences. First off, the severity of the substance. You can get super addicted to stimulants, but the dependence isn't anywhere close as bad as with opiates. It's not that different from chugging a few strong energy drinks. (Different effects though, affect different neurotransmitters.)
I personally believe AHDH is being overdiagnosed, but I also think there's a condition for which those help which isn't ADHD or ADD. I think there's just so much stimuli nowadays to compared say 100 years or even just 30 years ago, that humanity is just struggling to keep up, biologically.
So instead of being ADHD or ADD, which are *neurodevelopmental disorders, this might be a neurocognitive fatigue of some sort that most people are experiencing, because of our environments and modern society.
Just as an off example, watching TV as a kid. You sat there and watched, at a certain time (which you already knew by heart for your shows but would find on TV-guide if you needed to check), until the commercials came on. Then you went to get a drink or a snack, or even dared to venture to other channels for a hot minute. Then go back to watch the rest of the show. It ends, and with it, programming for the day. What do? No doomscrolling or anything possible. Maybe some N64? No online games, no internet really, and rude to call people at night anyway.
You had a different sort of peaceful than now. There's more freedom now, but... well, it's mostly just nostalgia, but there were advantages. I've noticed I quite often hop on Lemmy when something boring comes up in a thing I'm watching.
Attention divided. Neurocognitive capacity exceeded. Stimulants required.
But also, you have to realise this misdiagnosing does exist.
I had excellent school success as a kid. I taught myself how to read before school. I was always the top of the class, made friends easily, had no issues. My mom is a social worker. There was never any behavioural trouble from me, nor any learning problem.
But now some 30 years later, when I've looked for help and been anxious at the doctors, 9/10 of them would be "perhaps you have ADHD?", despite they core characteristic of ADHD being it's neurodevelopmental, and I had literally zero issues in that. No matter how much I kept reassuring them and pointing out as a kid I would not have met any of the diagnostic criteria, they wanted to "test" me. The test was essentially just someone asking every clear questions about the same things I just talked about. Had I had even tje slightest inclination to answer a single question "yes", I would've got a permanent prescription for pharmaceutical stimulants. Without needing one.
But as I actually wanted to figure out my issues, I didn't take that chance, becsuse I don't want to be misdiagnosed.
However, this is in Finland, and I can not exaggerate how common pushing this idea was, but only AFTER like 2010 or something. Before that no-one ever even considered it, despite me having gone to the doctors with the exact same symptoms.
So yeah it's a complex issue, but I'm of the mind that doctors are clearly being affected enough to influence their objectivity on the matter.