Category Archives: Challenging the Status Quo

Mistakes made by Doctors, Educators, Government and what we can do to change it.

Dateline 2025: ADHD

Today in a joint announcement, the President, in conjunction with the US Department of Education, the AMA (American Medical Association), the NEA (National Education Association), and the PMDC (Parents for More Drugs Consortium, which is sponsored by the IDP – International Drug Producers Consortium-and BLP-Better Lives Through Pharmacology) were proud to announce that they have reached their joint goal to help every child in the nation receive an appropriate diagnosis and, through federal legislation and mandated funding, to provide every child with a minimum of two mind/brain-altering drugs. This project, which was begun in 2015, was an effort to have all children with ADHD “appropriately” identified and treated with amphetamines. It should be stated that the government wanted strict guidelines for the diagnosis: children needed to meet the criteria of not liking school and preferring screen time to reading. As part of the initial project, it was also realized that legislation would need to be passed to mandate drug administration over parental objections. The projected number at the time this was initiated was a conservative 65% of the school population. Consistent with what has now been proven through “research,” this number is now close to 85%, with the majority of these students also fitting into the WAS, Work Avoidance Spectrum, which was discovered through the ground breaking work of YAGI, You’ve All Got IT Laboratories. WAS has reached and surpassed all projections and has now reached epidemic proportions, touching nine out of ten of our children. 

In today’s New York Times (read the article here and watch the video below) there was an alarming article about the rise in ADHD diagnoses and the number of children being medicated for it. The article states that one in five high school age boys have been given the “medical” diagnosis of Attention Deficit Hyperactivity Disorder. 6.4 million children between 4 and 17 have been “diagnosed.” This is for an imaginary disease that was only created in the 1980s. This is not only shocking but also ridiculous and horrifying.

You can’t get a blood test to identify ADHD; they can’t do a chromosome test; they can’t do a biopsy to make this “medical diagnosis.” They might run through a checklist that includes questions about attention, hyperactivity, and impulsiveness. To see the actual “test,” go to http://www.cdc.gov/ncbddd/adhd/diagnosis.html. Often the reality is that a teacher might suggest that you ask your doctor about ADHD, and then you tell your doctor that the teacher told you to ask, and he takes out his prescription pad.

The issue of using a medical model for developmental problems is of huge concern. We have seen thousands of children who have come to us with such diagnoses, all of whom are “NORMAL,” disease-free kids who, like everyone else, have some developmental issues. Put together a few common issues like poor auditory processing and a bad diet, just to mention a couple of many such issues, and—BANG!— you have a disease. No, you do not—you have an auditory processing issue and eat pancakes for breakfast. Giving you a label of a disease and drugs is not going to address your auditory processing or dietary issues. Ah, but most kids pay better attention when given the drugs, they say. Guess what? Most everyone pays better attention when using the drugs. Perhaps we all should take more drugs? But, then again, they have side effects; and gee, I wonder what they are going to find out about what long-term effects use of these drugs produce? Could there be effects on future generations? If you buy these drugs on the street, they are called all kinds of things, like “speed” and “uppers.” These drugs are psycho-motor stimulants, which can produce wakefulness, decrease appetite, and have a whole slew of side effects. But they do not fix what is broken or undeveloped. I just took a couple of minutes and put together a preliminary list of different correctable factors that could lead to this wonderful disease label if you would like to review it, scroll to the bottom of this article. To be fair, there are some kids who are bouncing off the walls who need medication while the broken pieces are being addressed; but that is a very, very tiny percentage. This trend to create symptomatic labels and medicate our children is truly horrifying. Doctors do not have methodologies to address developmental problems; doctors do not treat developmental problems; schools and teachers do not address and treat developmental problems. Schools complain and doctors write prescriptions. I wish I could get more people to listen and to understand what great potential we all have. We all have the potential to do better, we all have the ability to do better, we just need the opportunity to do better. And at NACD we so enjoy helping to do it!

I will have a lot more to say about this subject shortly.

Issues That Can Lead to a “Diagnosis” of ADD or ADHD

by Bob Doman

 Vision

  • Acuity/sight problems
  • Convergence issues
  • Tracking issues
  • Astigmatism
  • Underdeveloped central vision
  • Hyperperipheral vision
  • Excessive visualizing negatively impacting visual attention
  • Poor visualization
  • Low visual sequential processing
  • Reduced visual short-term memory
  • Reduced visual working memory
  • Reduced visual long-term memory
  • Excessive screen time

Hearing and auditory function

  • Hearing loss
  • Issues with processing specific frequencies
  • Otitis media/middle ear fluid
  • Ear infections
  • Figure-ground issues
  • Low auditory sequential processing
  • Reduced auditory short-term memory
  • Reduced auditory working memory
  • Reduced auditory long-term memory
  • Inadequate conceptual thought
  • Visualization/conceptualization imbalance
  • Visual vs. auditory processing imbalance

Physiological issues

  • Blood sugar issues
  • Food allergies
  • Food sensitivities
  • Excessive carbohydrates
  • Excessive sugar
  • Excessive food colorings and artificial sweeteners
  • Inadequate protein
  • Bowel/gut disorders
  • Sleep disturbance
  • Respiratory issues
  • Toxins
  • Environmental allergies
  • Cardiac issues

Motor issues

  • Poor fine motor development
  • Poor manual dexterity
  • Poor pencil grasp
  • Inadequate writing instruction

Behavioral issues

  • Lack of interest
  • Lack of intensity
  • Lack of proper intention
  • Global immaturity
  • Developmental delays
  • Avoidance behaviors
  • Excessive social focus
  • Lack of social awareness
  • Not present
  • Subdominant/emotional
  • Negative attention-getting behaviors
  • Poor feedback
  • Improper behavioral training

Educational structure issues

  • Poor instructional environment
  • Lack of intensity
  • Curriculum heavy
  • Educational content not engaging
  • Not directed to individual’s processing level
  • Negative environment
  • Low expectations
  • Excessively high expectations
  • Personality conflict
  • Excessive duration
  • Inadequate review
  • Lack of individual attention
  • Teacher’s speech or accent
  • Extraneous classroom sound/noise
  • Extraneous/distracting visual environment
  • Proximity of other students
  • Bullying
  • Cliques
  • Social pressure to perform
  • Social pressure not to perform
  • Social pressure to act out
  • Lack of parental involvement
  • Excessive parental involvement
  • Reading, math, etc. levels below class
  • Reading, math, etc. levels above class
  • Difficulties understanding English or language used in classroom

The Right Tool For the Job

If the only tool you have is a hammer, you tend to see every problem as a nail.”
–Abraham Maslow

autism_articleMost days confirm the reality that you really can’t have to many tools in your toolbox. Today I saw a fourteen-year-old “autistic” young man. Zach has been on program for a number of years and has done quite well in most respects. His parents have been quite pleased with his development and changes, particularly the changes that have occurred in the past year and most significantly in the past three months, when the pieces really started coming together at an accelerated rate. Zach has come from being a constantly stimming, DSA (Debilitating Sensory Addiction) out-of-it, unmanageable, difficult, non-communicative child to a boy who goes everywhere with his family, interacts socially, and has become a fun, interactive member of his family.

At NACD we have over 3000 tools (methods and techniques) that we can pull out of our toolbox when we create a program for a child. Our challenge is to look at the child globally, then look at the various issues to be addressed, determine priorities, evaluate the time and manpower that can be dedicated to the child, and then apply what we feel are the best tools for the job. Most programs for children like Zack incorporate tools to address their health and diet, gross and fine motor issues, sensory issues, hearing, vision, auditory and visual processing, speech and language, behavior, cognition, and academic function. We could easily use 20-30 different tools in each program.

Part of the process for us is to constantly evaluate, replace, and add to our toolbox. Our perception as an organization is that we can never help a child or a family fast enough or take them far enough. Being an international organization and being able to view the results of the application of many tools with thousands of children covering the full spectrum of ability and disability aids in this process. Through the years, although we have this huge toolbox, we are constantly identifying issues for which there are no adequate tools and thus set out to create the needed new tools.

During this past year, and particularly the last three months, we have all seen not just a Zachary who is progressing, but a Zach who is changing. His affect is now that of a typical child; his DSAs have diminished dramatically; he is engaged; and his speech and language have improved about 1000%. This dramatic change was started with a recommendation from us a year ago that the family purchase Zach a fantastic new tool, the iPad. Prior to Zach’s discovery of one of the greatest tools ever created for our special needs children, there was nothing that Zach could do independently or appropriately engage with or in. He needed to have someone engaging him every waking minute of the day, or he would fall into his DSA pit. Zach’s family was successful in teaching Zach to play with the iPad, starting off with 5-10 second exposures to basic cause and effect apps and then gradually increasing the frequency and duration of exposure, as well as the complexity and variety of apps. During this period Zach was able to start using our NACD Simply Smarter Kids-Memory app. With the development of Simply Smarter Kids we had for the first time a tool in our toolbox to actively work on Zach’s short-term memory and working memory. Although we have dozens of 1:1 processing activities as well as software and online programs to address these processing issues, we did not have a really great tool to use with a child at his level of function. With the proper tool we were able to really start teaching Zach how to process what he heard and saw and to think and raise his global level of maturity. Simultaneously we used our TSI (Targeted Sound Intervention): Focused Attention program, which helped Zach to separate and isolate words and language from the world of background noise and interference. Once we had Zach really hearing language and getting his auditory processing moving, we were able to use our new NACD Home Speech Therapist—Speech Therapy for Apraxia app with Zach so that he is now developing the ability to speak and even sing intelligibly. Today was a good day. I’m delighted with the changes in Zach and his prospects for the future, and I’m really pleased with the effectiveness of the new tools in our toolbox. All problems are not nails and hammers can’t fix everything; and it is so sad and tragic that so many practitioners are so content to keep using the same tool over and over again and keep trying to pound that nail.

Living the Dream

I had heard about a young restaurateur who happened to have Down syndrome a few months ago, but today I was sent a link to a youtube video about this young man. Take a look:

I have imagined a “Tim’s Place” for years. A business owned by one of my grown NACD kids, a place that can take advantage of their talents, a place where they can contribute, make a difference, make a living, and spend their days doing something they can be passionate about. For a number of years I have been encouraging the parents of children with developmental issues to look toward their children’s futures and start thinking about creating a business to help take advantage of those talents, abilities, and passions. Tim is a good example. Like so many of our kids Tim obviously really likes people and defines a “people person.” I suspect that Tim also remembers people’s names very well, as so many of our kids do, and I suspect that once he has met you that you get added to his list of friends. Tim is ideally suited to be the upfront, greeting-the-customers small business owner.

I have been frustrated along with many of our families with the lack of opportunities for our young adults. I have seen families work hard to help their children develop their cognitive function, the academic abilities, social skills, and to become highly capable and then fail to find meaningful work as adults. I have even had individuals with Down syndrome get regular high school diplomas and even college degrees and still not find decent jobs, let alone jobs that they could be passionate about.

The job world is not kind to our kids. If you look at the reality of employment, you start off with the real unemployment rate, which could be pushing 20%. So what is the unemployment rate for people who are really short, have a speech impediment, have any physical problem, or who just look a bit different? If it were possible to gather these numbers they would be ugly; and add on any type of mental challenge and the reality is truly frightening. Enter the NACD Foundation “Exceptional Entrepreneurs” Project: http://www.nacdfoundation.org/entrepreneurs.php

Through the NACD Foundation I would like to bring together a volunteer team of parents, business and legal folks to help us create some templates to help our families help get businesses going for their kids. I have also wanted to build some models such as coffee shops and perhaps have the Foundation assist in raising funds to help build some of these businesses for the kids.

I’ve had a dream, and Tim’s Place: Where breakfast, lunch and HUGS are served is the realization of that dream for one deserving, lucky young man. We need to help more of our kids live this dream.

Teaching Your Child To Think – From the Brilliant Baby Series

What is preventing you or your children from achieving your potential? Often at the top of the list is simply the ability to take in information (short-term memory), manipulate information (working memory), and to think (executive function). Many teachers are just talking to themselves because their students can’t process what is being said. In this video I also mention that The NACD Foundation’s Simply Smarter Project is working to help people understand how well they “think” and is teaching them how to do it better. You and your children can go online and take a quick test and find out how you are doing. Don’t be scared; you can learn to do it better.

Politicians and Educators: Wake Up and Stop Screwing Up Our Kids

58I finished my day today with a really terrific family. Three months ago I saw their nine-year-old daughter, Mandy, for the first time; today was their first revisit. Mandy’s parents brought her to us because of a plethora of issues, including a full range of academic problems and memory issues, being fearful and distractible, having fine motor, gross motor, and coordination concerns, avoidance behaviors, difficulty with peers, sensitivity to sounds, tics, etc.–a fairly typical mixed bag of issues.

Today I saw a new Mandy. After three months of home program/home school, Mandy advanced a full academic grade level. Her short-term memory, working memory, and executive function has moved from being of significant concern to being “typical” and should continue to move forward; her motor skills have improved; she is much more confident and tolerates the noisy world much better. These are outcomes that we tend to expect. But because of the changes Mandy’s parents have seen in her, they both decided to come in themselves for assessments and programs.

Both of these parents are smart, great people, and although they are both about 40, neither has really recovered from the experience of school.They both have issues and baggage, largely created by the school/educational experience, issues that they have been carrying around and trying (largely unsuccessfully) to cope with since their days in school. Both have poor self-esteem, are insecure, and are a reflection of our educational system–a system that, rather than helping all of us unique individuals succeed, has done an absolutely incredible job of ignoring a basic fact that we actually have brains and that there are these wonderful things called “potential” and“brain plasticity.”Neuro/brain plasticity is an innate brain function that is basic to who and what we are and what we can be, as is breathing.Brain plasticity is not a new concept or new information. It has been acknowledged since the late 1800s.It has been at the foundation of our work at NACD since the organization’s inception in the late ‘70s. So how can it be that our educational system is and has been focused on curriculum and not building and developing brains and unique individuals? The system still maintains a “the-more-we-throw-at-them-the-more-we-hope-sticks” educational model, believing that to achieve better outcomes they just need more hours per day and days per year to throw more crap at students. Then the mindset appears to be: “It’s not working, so lets’ do more of it, and let’s throw a couple of hours of useless homework on top just to make sure that the majority of kids not only don’t really learn anything, but let’s teach them to really hate learning everything and teach them that they are broken in the process.”

We all have incredible potential. Those in control of public and most private education need to forget about coming up with another 1000 reading and math programs, throwing out more books and replacing them with modifications of what they have just thrown out. Forget about throwing more random crap at kids with the hope that some of it will stick. Stop taking kids who love learning and teaching them to hate learning anything. Please acknowledge that we are all amazing and unique individuals with incredible potential. Please stop trying to fit us all into a narrow model and calling us diseased (LD, ADD, ADHD, dyslexic , Asperger’s, etc.) if we don’t fit their perception of who and what we should be and with a little attention to just the basics of developing brains and turning kids on to learning, we can change their futures and our future.

Mandy is just getting started. She’s going to be a happy, confident star, as most of our children could and should be, and her brave parents are going to learn that they are actually quite smart and that it isn’t too late for them to raise the bar and achieve, feel good about themselves, and be great.

Related links:

The NACD Simply Smarter Project – http://www.nacdtheproject.com/
The Learning Environment by Robert J. Doman Jr. – http://www.nacd.org/journal/article16.php
NACD Education Video Series – http://www.youtube.com/playlist?list=PLDC00943D1D09709A