In long term management of Irritable Bowel Syndrome (IBS), diet is more important than medication. You need adequate fiber to maintain a soft, formed, moist, preferably daily bowel movement. Inadequate bowel motility causes constipated stool that irritates the bowel wall and causes colon spasms. Eating too large a meal (especially […]
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On Saturday, October 1st, the CNN question of the day inviting audience emails was whether former secretary of education William Bennett is a racist. Is that really the question? Is what he said about aborting all black babies decreasing the crime rate true? And if it’s true, doesn’t he have […]
Question: What causes ADHD? Answer: Personality is thought to be 1/2 temperament which is primarily genetic. But personality disorders are thought to be primarily learned, maladaptive, and mostly deficits in character development. ADHD on the other hand has been found to be 75% genetically determined. Studies include comparing ADHD identical […]
Question: How is ADHD diagnosed? Answer: The diagnosis of ADHD is made clinically. It does not require (and in fact can’t be made through) expensive neuropsychiatric testing or brain imaging. Neither is at a point where they should be used for clinical decision making. It is essential to get information […]
Question: Once we have a diagnosis of ADHD what is next? Answer: The role of medication in treating ADHD is as strong as the role of antihypertensive medications for high blood pressure. The MTA study showed that medication is by far the most effective type of treatment. Just as it […]
Question: What exactly is ADHD? Why does it exist in the world? Why has it become the “diagnosis du jour”? Answer: In most cases ADHD can be thought of as a part of personality. Personality is made up of temperament which is mainly genetic, and character which is mainly learned. […]
Question: Can any physician diagnose and treat ADHD in kids, or does it have to be a specialist? Answer: Most pediatricians are comfortable at least screening for ADHD in kids and in many cases will try at least a couple of medications before referring to a specialist. One problem with […]
Question: Can my physician diagnose and treat ADHD in adults or is a specialist required? Answer: In a recent survey the majority of primary care doctors felt comfortable diagnosing and treating anxiety disorders (85%) and depression (95%) in adults. Only 15% were comfortable diagnosing and treating ADHD. The main reason […]
Question: What exactly is an ADHD specialist? Answer: Unfortunately there is no formal training or certification to reflect a certain minimal level of competence in the diagnosis and treatment of ADHD. The most important factor in determining a clinician’s expertise in treating ADHD is experience. What percentage of their current […]
Question: Why do most ADHD individuals have symptoms of different subtypes? Answer: Models have been developed to show how a person can inherit one subtype of ADHD and develop symptoms of the other over time. This helps us to understand the fact that the majority of ADHD patients have some […]