ADD is real treating ADD works ;   supporting information :

ADD is real

ADD is diagnosed by criteria that are very complex. [1]

You might not like or believe the criteria.

But if you actually use the criteria, you get a 👤︎ group of adults, who compared to the 👥︎ general population, have or are:

image from TotallyADD video ADHD Awareness Month in 1 Minute, select to view video
  •   as many divorces, [citation needed]
  •   the rate of alcohol and drug abuse, [2] [citation needed]
  •   as many 💥︎ car crashes, [3] [4]
  • 4½× as many 💥︎ accidental traumatic brain injuries (as children and young adults), [5] [6] [7] [8]
  •   as many 💥︎🔫︎ deaths by suicide, [2] [citation needed] ?

  • 3-4× as many sexually-transmitted infections/​diseases STIs/STDs (young adults), [9] [10]
  • 6-9× as many 🚼︎ crisis/unplanned pregnancies, [9] [11]

  •   as likely to not complete high school as an adolescent, [12]
  •   ⅓× as likely to hold a 🎓︎⟰ 4-year college degree (young adults), [15]
  • 4-9× as likely to commit crimes and 🛂︎ go to jail. [13] [14]

In addition, they:

In children, the outcomes are:

With the criteria having such predictive power, and the outcomes being so terrible, ADD seems pretty real to me.

23 Signs You Do Not Have ADHD

cartoon with … ADHD? Nonsense! I just have a problem with focus. Oh, and getting started. And finishing. And … For more info, see cartoon with … Me, when people say, 'In my day, nobody had ADHD.' They should say, 'In my day, no one understood the neurology, so millions suffered, and were punished for an unrecognized disorder. For more info, see cartoon with … Why the explosion in people diagnosed with ADHD? Because MRI scans show our brains work differently. A dozen genes have been identified, so far. Thus ADHD has replaced old terms such as Space Cadet, Idiot, Slacker, Loser, Weirdo and Flake. For more info, see infographic with … The ADD ADHD Iceberg. Most is hidden beneath the surface. Select to request download of Explaining ADHD to Teachers.

If you think ADD is just an excuse for people who are lazy, please:

cartoon with … My ADHD diagnosis … 'upgraded' my life story … everything became clear. For more info, see
But there is hope—in ⟰ education and 💊︎ treatment …

💊︎ Treatment

cartoon with … Learning new habits to manage my ADHD requires patience, consistency, focus, repetition, and routine. And ADHD is a problem with patience, consistency, focus, repetition, and routine. So that's fun. For more info, see
Sorry, it looks like if you decide to treat, you are going to need regular exercise and 💊︎ medication. [23] [24]   And mindfulness, yoga, organization techniques, and more.

But given the outcomes above, who would choose to not treat?

Don't want to think of yourself as 💊︎ pro-medication?
  Rebrand your thinking as anti-suffering.

For a more nuanced view …

When you are offered a test or intervention,
BRAN reminds you to ask about and consider the
  Risks, and
  Alternatives and to also consider the effects of doing
  Nothing in this situation.

    — Sarah J Buckley, MD, Gentle Birth, Gentle Mothering:  A Doctor's Guide to Natural Childbirth and Gentle Early Parenting Choices

Results of this thinking include:

  • If a particular 💊︎ treatment has negative side-effects larger than the positive intended-effects, modify or abandon this treatment in favor of a different treatment. [25]
  • But keep in mind the Risks of not treating.

What about abuse?  Aren't some 💊︎ treatments—the stimulants—listed in the 🇺🇸 USA as Schedule II drugs?
  Yes. [26]   But:

  1. These stimulants don't meet any of the three criteria for inclusion on that list. [26]
  2. ADDers who sell their medication to others should be using it for themselves.
  3. Those who buy it from ADDers don't get any of their desired effects. [27]

When Medication Costs Too Much:  Prescription Assistance.

If the 💊︎ treatment method you worked out with your ⚕︎ doctor includes extended-release methylphenidate (Ritalin) (Concerta), ensure that your product actually works—is made by a manufacturer that uses OROS technology (or maybe DELEXIS®;  don't know yet):  Effectiveness of 💊︎ Concerta (extended-release methylphenidate) and its imitators.  Adobe Acrobat Reader file

Pick any ADHD symptom and consider how it might undermine one's career.
  Or one's marriage.
  Or how it would sabotage goals, friendships, and consistent parenting.
  And impact health, finances, and eventually one's self-esteem.
It's a Holistic disorder.
So it demands a Holistic approach.


[1]  To see the ADHD full criteria exactly, go to your public library Reference Desk, and ask to see the "DSM-5", the "Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition" by the American Psychiatric Association (APA).  Sorry, the full text is not currently on the web.  But for good extracts, please see "Symptoms and Diagnosis of ADHD."  USA CDC.  . or "DSM-5 Diagnostic Criteria" with screener questionnaires.  Takeda Pharma.  .   Accessed .

[2]  Personal communication by RT to EP.

[3]  "Teen drivers with ADD a problem on the road."  CNN.  .   Accessed .

[4]  According to calculations on [3] p31, based on numbers from Journal of Clinical Psychiatry. [20]

[5]  "Risk of Traumatic Brain Injury among Children, Adolescents, and Young Adults with ADHD in Taiwan."  Journal of Adolescent Health.  .   Accessed .

[6]  "ADHD and Injuries:  Accidental and Self-Inflicted."  The ADHD Report.  . DOI: 10.1521/​adhd.2014.22.2.1   Accessed .

[7]  "Risk of unintentional injuries in children and adolescents with ADHD and the impact of ADHD medications:  A systematic review and meta-analysis."  Neuroscience and Biobehavioral Reviews.  . DOI: 10.1016/​j.neubiorev.2017.11.007   Accessed .

[8]  "Wear Your Helmet!  ADHD Raises Risk of Head Injury."  National Resource Center on ADHD.  .   Accessed .

[9]  "Young Adult Outcome of Hyperactive Children: Adaptive Functioning in Major Life Activities."  J Am Acad Child Adolesc Psychiatry.  .
       DOI: 10.1097/​01.chi.0000189134.97436.e2   Accessed .

[10]  "Sexually Transmitted Infection among Adolescents and Young Adults with ADHD:  A Nationwide Longitudinal Study."  J Am Acad Child Adolesc Psychiatry.  .   Accessed .

[11]  "Association of ADHD with Teenage Birth among Women and Girls in Sweden."  Journal of the American Medical Association.  .
       DOI: 10.1001/​jamanetworkopen.2019.12463   Accessed .

[12]  "Genetic Overlap Discovered for ADHD, Educational Struggles."  American Journal of Managed Care.  .   Accessed .

[13]  "ADHD and Crime.  21% to 45% of Prisoners have ADHD 15 Peer Reviewed Studies Show.  Crime & Jail are Costly, Treatment is Cheap." Adult ADD Strengths.   Accessed .

[14]  "A prospective 4-year follow-up study of attention-deficit hyperactivity and related disorders."  Arch Gen Psychiatry.  .  53(5):437-46.
       DOI: 10.1001/​archpsyc.1996.01830050073012   Accessed .

[15]  "ADHD and Long-Term Outcomes."  CHADD.
       "Young adult educational and vocational outcomes of children diagnosed with ADHD."  Journal of Abnormal Child Psychology.  .
       DOI: 10.1007/​s10802-012-9658-z   Accessed .

[16]  "Hyperactive Child Syndrome and Estimated Life Expectancy at Young Adult Follow-Up:  The Role of ADHD Persistence and Other Potential Predictors."  J Atten Disord.  . DOI: 10.1177/​1087054718816164   Accessed .

[17]  "Academic and educational outcomes of children with ADHD."  Ambulatory Pediatrics.  . DOI: 10.1016/​j.ambp.2006.05.005   Accessed .

[18]  "Revisiting ADHD and Ritalin."  Los Angeles Times.  .   Accessed .

[19]  "Does Stimulant Therapy of ADHD Beget Later Substance Abuse?  A Meta-analytic Review of the Literature."  American Academy of Pediatrics.  .   Accessed .

[20]  "What We Know About ADHD and Driving Risk:  A Literature Review, Meta-Analysis and Critique."  J Can Acad Child Adolesc Psychiatry.  .   Accessed .

[21]  "Association Between Medication Use for ADHD and Risk of Motor Vehicle Crashes."  JAMA Psychiatry.  . DOI: 10.1001/​jamapsychiatry.2017.0659   Accessed .

[22]  "Adults with ADHD commit fewer crimes when on medication."  Karolinska Institutet.  .   Accessed .
       "Medication for ADHD and Criminality."  New England Journal of Medicine.  Adobe Acrobat Reader file DOI: 10.1056/​NEJMoa1203241   Accessed .

[23]  "Nonpharmacologic treatments for ADHD lack evidence base."  Contemporary Pediatrics.  .   Accessed .

[24]  "A 14-Month Randomized Clinical Trial of Treatment Strategies for ADHD."  JAMA Psychiatry.  .   Accessed .

[25]  You can report negative side-effects at MedWatch:  The FDA Safety Information and Adverse Event Reporting Program and 📱︎☎ 1-800-FDA-1088.   Accessed .

[26]  "Controlled Substances Act."  Wikipedia.   Accessed .

[27]  "Without ADHD, 'Study Drugs' may only make you feel smarter."  Brown University.  . DOI: 10.3390/​pharmacy6030058   Accessed .

[28]  "Examining The Nature Of The Comorbidity Between Pediatric ADHD And Posttraumatic Stress Disorder."  Acta Psychiatrica Scandinavia.  .
       DOI: 10.1111/​acps.12011   Accessed .

[29]  "Impact of Methylphenidate Delivery Profiles on Driving Performance of Adolescents With ADHD:  A Pilot Study."  J Am Acad Child Adolesc Psychiatry.  .   Accessed .

[30]  "How ADHD Shortens Life Expectancy:  What Parents and Doctors Need to Know to Take Action."  ADDitude Magazine.  .   Accessed .

[31]  "Psychologist Barkley says Life Expectancy Slashed in Worst Cases for those with ADHD."  American Professional Society of ADHD and Related Disorders.  .   Accessed .

[32]  "Your Attention, Please:  A Call to Improve Access to Care for ADHD Patients."  British Columbia Medical Association.  Adobe Acrobat Reader file   Accessed .
       Update accessed .

[33]  "Make Memories with ADHD."  ADHD Weekly.  .   Accessed .

[34]  Artwork promoting video described in "My ADHD is a 'Holistic' Disorder."  Rick Green.  TotallyADD.   Accessed .