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5 Adar II 5765 - March 16, 2005 | Mordecai Plaut, director Published Weekly
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Home and Family

Poor Little Boy
by A. Ross M.Ed.

Once again, Yanky came home from school crying. Nobody is my friend, nobody wants to sit next to me, nobody likes me. When I start playing with them, they move somewhere else. Poor little boy. His mother, who would do anything in the world for him, cannot buy him friends. She cannot force them to like him.

Yanky is one of those 'busy' people. He flits between several tasks, never quite completing them. He is restless at school and teachers rejoice when he is sick for a day or two! At home when there is trouble, you can be sure that Yanky is at the bottom of it. In fact, he is likely to be blamed even in the rare case when he is not at fault. He strokes the baby lovingly, but unfortunately the stroking is done with his fist and feels more like an attack. He interferes with his older brother's building creation, quite innocently. Regrettably, the intricate building collapses, although he was 'only watching.'

Yanky is easily distractible. In fact, any professional talking to him will notice that his eyes roam round the room instead of making eye contact. Because his attention wanders, he loses things or misplaces them. He doesn't complete his homework, (when he remembers to bring it home). If he were diagnosed, he would be labeled as having A.D.D (Attention Deficit Disorder) or A.D.H.D with hyperactivity included.

Everyone who knows him, thinks that the parents are deluding themselves when they say he is a normal boy. The parents claim that he is highly intelligent, even going so far as to say he is gifted. But then parents are biased. Actually in this case, they may well be right in their assessment, but what are they going to do about it? By the time he is fifteen, they have had to remove him from several schools and the same pattern has begun in yeshiva. In fact, the story of his exploits has preceded him, and most institutions will not even consider his application.

These parents, in common with many others who have children like Yanky, refuse to admit that there is something wrong. He crawled and walked long before other children his age. They do not take him to be assessed at an early age, claiming that he will grow out of it. Although he really is highly intelligent, and very good at sports, he gets poor marks in tests and the children do not want this disruptive boy on their team. When well-meaning friends suggest medication, parents raise their hands in horror. What? Drug a young child because he is so active and because he needs less sleep than other children? Besides, he will become addicted, his growth will be stunted, he will lose his appetite, and apart from anything else, he will be stigmatized for the rest of his life.

By the time Yanky is a man, he will be one of these super efficient people, able to do ten things at the same time, and able to organize projects more efficiently than most other people. The girls, far fewer than boys, who suffer from these problems, will be wonderful housewives, (although not always the tidiest!) Because they need less sleep than other people, they can work more hours than their peers. However, eighty percent of 'Yankys' do not realize their potential at all. They have grown up with constant criticism, negative comments about their behavior, and punishment.

The aforementioned fears of parents about taking a child to a psychologist to be assessed, before he can be prescribed Ritalin, are not entirely unfounded. Nevertheless, people should know about the pros and cons of Ritalin, the amphetamine wonder drug which has been on the market for about fifty-five years. During this time, it has frequently been over prescribed and even wrongly prescribed, as a panacea for all behavioral problems and even for learning difficulties. Anyone who saw the lack of success of the wrongly prescribed drug, would hasten to publicize the fact to another (as they thought) potential victim. As a convinced antagonist of Ritalin since its inception, I have to admit that I have not only advised people to try to obtain a prescription from a qualified person, but also blessed this wonder drug on several occasions. (See example below).

Although much has been written about A.D.D, it is worth recording once again what research has discovered about sufferers. Some doctors see ADHD as part of the normal spectrum of development, but most now see it as a specific syndrome. Most researchers feel that there are certain areas of the brain which normally put brakes onto unwise behavior, which do not function well in ADD. The messages are not 'filtered' correctly and a person with ADD acts before he thinks of the consequences. Very young children do the same, of course, but as they mature, experience has taught them which behaviors are acceptable to their peers and to adults.

Ritalin is not a tranquilizer. On the contrary, it is a stimulant; it stimulates the neurotransmitters which are not functioning well in this particular child, to move to the correct brain cells. A child with C.P (cerebral palsy) who cannot control his involuntary movements, has his limbs and head strapped to the chair, so that he can concentrate on his studies. In the same way, figuratively, the ADD child has his brain channeled with Ritalin to prevent him from being distracted by everything around him. He only needs it when he is trying to concentrate; he does not need it when he is playing football. Thus he will probably take 10 mg. before morning school and another 10 mg. five hours later.

This explodes another myth about Ritalin: that it is addictive. The effects have worn off after four hours. A child with A.D.D who had been prescribed Ritalin came to me at age seven, knowing about half the letters of the alef- beis. After four weeks, he was almost reading. Then one morning, he was bouncing off the walls. Anyone who has not experienced this sort of behavior, would not believe it. The mother had forgotten to give him his tablet! This drug can definitely cause sleeplessness if given at night, because, after all, it is a stimulant. It should only be taken when the child needs to concentrate.

The myth that Ritalin changes a child's personality is easily understood. How can a child who could barely sit still for ten minutes, and could certainly never do his homework, suddenly sit over the same homework for two hours, completing each task meticulously. However, it hasn't changed his personality, it has just brought out the best in him. After fifty years of research on any possible physical or mental harmful side effects, 'they' have determined that there is no permanent, or even temporary damage. Hopeful parents who have tried homeopathic medicine in its stead, have not been successful.

Unfortunately, as mentioned before, many children are wrongly diagnosed, and are given Ritalin in error. This is what has given the drug such a bad reputation. On the other hand, those children who need Ritalin, and who are deprived of it, suffer unnecessarily. It is tantamount to depriving a child of eyeglasses when he needs them.

There are many new drugs on the market for older children in their teens, which have not been as well researched as Ritalin and are not suitable for teenage children. However, if the child still needs something to help him concentrate, parents should do their utmost to help him. There is no stigma involved in helping a person succeed in life.

 

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