Are Rates of ADHD Really Rising?
February 20, 2025
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22:33Now PlayingAre Rates of ADHD Really Rising?
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Almost every month a new study reveals rising rates of ADHD in children, adolescents or adults. Virtually every report is met with pushback that these are likely misdiagnoses - and the disclaimers aren’t just media pundits, but even some mental health experts. Yet reports of dramatic increases in depression, PTSD, or anxiety, are treated as documentation that our society is sick.
Why this disparity, when all of our mental health conditions are the product of interactions between our biology and our culture?
Awareness that ADHD has a strong genetic contribution makes many mistakenly resist the notion that changes in our environment can’t result in rapid changes in the rate of genuine ADHD. Methodologically robust studies document increases in ADHD in recent years.
We need to start trying to distinguish between six different groups of individuals diagnosed with ADHD. Categories 2, 3 and 4 below seem to have avoided serious research or discussion. ADHD exists on a spectrum, which means that there is a pool of ready recruits who can move from “subsyndromal” (so mild that it doesn’t mean full diagnostic criteria) to full blown ADHD:
1) Traditionally defined ADHD
2) Subsyndromal cases converted to full ADHD
3) Secondary ADHD - individuals with no previous ADHD permanently displaying full ADHD
4) Tertiary ADHD - individuals with no previous ADHD temporarily displaying full ADHD symptoms
5) Those with depression, anxiety, or PTSD mimicking ADHD
6) Asymptomatic individuals just wanting accommodations or drugs
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Free link to my Medium Article on ADHD Rising Rates:
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References:
ADHD Prevalence Among U.S. Children and Adolescents in 2022: Diagnosis, Severity, Co-Occurring Disorders, and Treatment (2024)
Surveillance of ADHD Among Children in the United States: Validity and Reliability of Parent Report of Provider Diagnosis (2023)
Stimulant Prescription Trends in the United States From 2012-2022 (2023)
ADHD Diagnostic Trends: Increased Recognition or Overdiagnosis? (2022)
Changes in the Definition of ADHD in DSM-5: Subtle but Important (2013)
Full Chapter list:
Streamed live June 5, 2024
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Psychiatrist, neuroscientist, and author John Kruse, MD, PhD presents practical, actionable, well-researched information about treatment options that scientists and clinicians recommend for adult ADHD and other mental health conditions.
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