QUESTION:
Dear Dr. Heller,
Is there an alternative to treating ADD with medication? Can organizing oneself or a structured life help reduce what looks like ADD? Is ADD a learning disability only?
ANSWER:
AD(H)D (with or without hyperactivity) is primarily a genetic trait that has huge
advantages in some environments and huge disadvantages in others. The major gene has been
identified. The right prefrontal cortex is responsible for considering your thoughts
before taking action, and it doesn't work in ADHD. Those with the hyperactive type
have some sections in their cerebellum that are smaller than those without ADHD.
People with AD(H)D are mostly clued into their senses - vision, sound, smells, etc. They
are great for finding predators and prey, which is why this genetic trait has prospered
over the millenniums. They are easily distracted by changes in their visual field, noises
and smells. This is why they have a difficult time staying focused. They tend to be
extremely bright, clever and creative.
The psychostimulant medications make a huge difference by allowing that right prefrontal
cortex to work more effectively so they aren't so easily distracted. The only long
term effects of Ritalin so far are a reduction in accidents, substance abuse and cancer.
The risks of untreated ADHD are huge and include a 400% higher risk of substance abuse and
accidents. Since nicotine "treats" ADHD, many become smokers. Approximately 50%
go on to get the BPD, and I'm highly suspicious untreated AD(H)D "causes"
the BPD in these people.
Individuals with AD(H)D also need structure, and it can be extremely helpful to these
patients. According to law, AD(H)D is considered to be a learning disability.
Some individuals with hyperactivity do not have ADHD, and other causes need to be looked
into. Some studies showing eating fruits and vegetables (including in supplement form) can
improve symptoms. This is a significant finding and implies a poor diet causes attention
problems and some hyperactivity.
