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Almost No Children In France Are Medicated For ADHD: Here’s How They Define & Treat It

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According to the Centers for Disease Control and Prevention (CDC), approximately 11% of American children between the ages of 4 and 17 have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) as of 2011. However, if you ask the American Psychiatric Association (APA), they maintain that even though only 5% of American children suffer from the disorder, the diagnosis is actually given to around 15% of American children. This number has been steadily rising, jumping from 7.8% in 2003 to 9.5% in 2007.

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Big Pharma has played a significant role in manufacturing the ADHD epidemic in the U.S., convincing parents and doctors that ADHD is a common problem amongst children and one that should be medicated. However, many countries disagree with the American stance on ADHD, so much so that they have entirely different structures for defining, diagnosing, and treating it. For example, the percentage of children in France that have been diagnosed and medicated for ADHD is less than 0.5%. This is largely because French doctors don’t consider ADHD a biological disorder with biological causes, but rather a medical condition caused by psycho-social and situational factors.

Why France Defines ADHD Differently

French child psychiatrists use a different system than American psychiatrists to classify emotional problems in childhood. Instead of using the APA’s Diagnostic and Statistical Manual of Mental Disorders (DSM)the French use an alternative classification system produced by the French Federation of Psychiatry called Classification Française des Troubles Mentaux de L’Enfant et de L’Adolescent (CFTMEA). Not only does this significantly differ from the APA’s system, but it was actually created with the intention to “offer French child psychiatrists an alternative to DSM-III” because it didn’t complement French psychiatric practices. The CFTMEA encourages psychiatrists to identify the underlying issues that cause a child’s symptoms and to address them using a psychopathological approach.

France defines ADHD as a sociological disorder that’s caused by a set of social situations, whereas the U.S. sees ADHD as a neurological disorder whose symptoms are the result of biological disfunction or a chemical imbalance in the brain. France’s definition of ADHD drastically differs from that of the U.S., which is in part because the pharmaceutical industry helped define ADHD in the U.S. (you can read more about that here). France’s treatment methods, therefore, also greatly differ from those practiced in the U.S.

Treatment Methods for ADHD Used in France

Once a French psychiatrist diagnoses their patient with ADHD, they hone in on the behavioural problems by searching for the underlying causes. Psychiatrists will study the child’s distress and compare it to their social situations. France views ADHD as a social context problem; therefore, ADHD is often treated with psychotherapy or even family counselling. Very rarely do French psychiatrists prescribe medications to treat ADHD, as it’s usually rendered unnecessary after taking a more holistic approach.

It’s important to note that French psychiatrists also consider a patient’s diet when searching for the causes of behavioural symptoms associated with ADHD. Poor eating habits such as consuming foods with artificial colours or flavourings, preservatives, sugars, and/or allergens may worsen a child’s behaviour. This isn’t difficult to imagine; even as adults we can feel the effects certain foods have on our mood, energy levels, and thought processes.

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Why There Are Fewer ADHD Cases in France Than the U.S.

A study conducted in 2011 stated that the amount of youth in France with ADHD may be as low as 3.5% — a far cry from the 11 to 15% estimate in the United States. Family therapist and author of A Disease Called Childhood: Why ADHD Became an American Epidemic Dr. Marilyn Wedge suggests that this may be as a result of the cultural differences between the U.S. and France in regards to raising children. According to Wedge, French parents will often impose more structured lifestyles onto their children, such as enforcing strict meal times and using the “cry it out” method with babies and toddlers. Children are taught self-discipline at a young age, which is why Wedge feels they don’t need to be medicated for behavioural issues.

Unfortunately, spanking is not considered child abuse in France, so this practice is used fairly often to encourage discipline. In March 2015, the Council of Europe, an international human rights organization, faulted France over the country’s lack of legislation regarding corporal punishment of children. As The New York Times explained, “Child abuse is illegal in France and is punished with long prison sentences, but it is not uncommon for French parents to slap or spank children, or for the French courts to view such actions as acceptable under a customary ‘right to discipline.’ “

As Dr. Wedge points out (although neither she nor Collective Evolution support spanking or any other form of child abuse), this simply adds to the discipline they’re encouraged to practice throughout their childhood (source).While Wedge makes some interesting points regarding discipline, I don’t think that’s the underlying reason why most French children don’t need to be medicated for ADHD. Rather, because ADHD is largely a behavioural issue, it rarely requires pharmacological intervention. I believe that these treatment methods are successful in France not because of their parenting culture, but rather as a result of their holistic approach in considering diet and behavioural and social context.

I believe France does not have an issue with over-diagnosing ADHD in the same way the U.S. does because pharmaceutical companies have not targeted them as heavily. Pharmaceutical companies play a substantial role in defining ADHD and deciding treatment methods in the U.S. For example, doctors and researchers in the U.S. have been paid to overstate the dangers of ADHD and the benefits of taking their drugs and understate the negative side effects.

It’s easy for people to believe this misguided information when it’s affiliated with well-known universities like Harvard and Johns Hopkins. Many people don’t even realize that these studies are funded by the very companies that profit from the drugs’ sale because that relationship is hidden in small print (source). These drugs can have significant side effects and are actually considered to be within the same class as morphine and oxycodone due to their high risk of abuse and addiction. You can’t just blame all doctors, either; many of them genuinely believe they’re helping these children because of the information they’ve been given in these studies and by Big Pharma.

Another reason the U.S. has substantially higher rates of ADHD amongst children than France is because of the ADHD drug advertisements that run in the U.S. Big Pharma creates ads for ADHD drugs sold in the U.S. that are specifically targeted at parents, describing how these drugs can improve test scores and behaviour at home, among other false claims.

One of the most controversial ones was a 2009 ad for Intuniv, Shire’s A.D.H.D. treatment, which included a child in a monster costume taking off his terrifying mask to reveal his calm, smiling self with a text reading, “There’s a great kid in there.” The FDA has stepped in multiple times, sending pharmaceutical companies warning letters or even forcing them to take down their ads because they are false, misleading, and/or exaggerate the effects of their drugs (source). This type of propaganda doesn’t take place in France, at least not on the same scale as the in U.S., largely because it doesn’t coincide with their ADHD diagnosis framework. You can read more about this topic in another article I wrote here.

How to Use This Information to More Effectively Treat ADHD

France’s CFTMEA, definition for ADHD, and holistic approach to treating this disorder provide an excellent example of how we should be addressing ADHD patients, especially children. Instead of getting to the root of these children’s “attention deficits” like French psychiatrists do, American health practitioners typically assume ADHD is a medical condition that can only be fixed with medication. This is not only unethical, but also clearly damaging to a child’s self esteem. Many of these kids could simply be uninterested in the subject matter, suffering from some sort of emotional trauma, or even have heightened creativity and energy! You can’t just blame all doctors in the U.S., either; many of them genuinely believe they’re helping these children because of the information they’ve been given in these studies and by Big Pharma.

However, many scientists in the U.S. have suggested alternatives to medicine to treat ADHD and many of them don’t even recognize ADHD as a disorder (read our article on why ADHD may not be real here). Associate Clinical Professor of Psychiatry at Tufts University School of Medicine and Editor-in-Chief of The Carlat Psychiatry Report Daniel J. Carlat, M.D, criticized the DSM, stating, “In psychiatry, many diseases are treated equally well with medication or therapy, but the guidelines tend to be biased toward medication.”

Holistic Mental Health Practitioner Dr. Tyler Woods further explains:

The DSM tends to pathologize normal behaviors. For instance, the label “Anxiety Disorder” can be given as a result of some kinds of normal and rather healthy anxieties but the DSM will have experts view it and treat it as mental illness. In addition simple shyness can be seen and treated as “Social Phobia”, while spirited and strong willed children as “Oppositional Disorder”. Consequently, many psychotherapists, regardless of their theoretical orientations, tend to follow the DSM as instructed. (source)

Neurologist Richard Saul spent his career examining patients who struggle with short attention spans and difficulty focusing. His extensive experience has led him to believe that ADHD isn’t actually a disorder, but rather an umbrella of symptoms that shouldn’t be considered a disease. Thus, Saul believes it shouldn’t be listed as a separate disorder in the American Psychiatric Association’s Diagnostic & Statistical Manual. You can read more about his opinion in our article here.

Leading integrative pediatrician and author of ADHD without Drugs: A Guide to the Natural Care of Children with ADHD Dr. Sanford Newmark, M.D. has spent more than 15 years studying and successfully treating ADHD naturally. Some of his recommendations include improved nutrition, increased sleep, iron, zinc, and Omega-3 supplementation, family counselling, making positive social and behavioural changes, and pursing alternative modalities such as Traditional Chinese Medicine and Homeopathy. Dr. Newmark considers conventional medication a “last resort,” given the fact that ADHD drugs only work about 70% of the time and have potential negative side effects (source).

It is clear that many doctors are starting to recognize the importance of treating ADHD outside conventional methods. Misdiagnosis and over-diagnosis of ADHD is a serious issue in the U.S., one that is heavily fuelled by the pharmaceutical industry. If you or a loved one has been diagnosed with ADHD, I strongly suggest you research this subject more and explore alternatives to medication with the help of a healthcare practitioner!

“The very vocabulary of psychiatry is now defined at all levels by the pharmaceutical industry.”

– Dr. Irwin Savodnik, Assistant Clinical Professor of Psychiatry at the University of California in Los Angeles (source)

Related CE Articles:

A.D.H.D. Nation: How Big Pharma Created the A.D.H.D. Epidemic

The Truth About ‘ADHD’ That Should Prevent Parents From Needlessly Drugging Their Child

4 Facts About ADHD That Teachers & Doctors Never Tell Parents

Before His Death, Father of ADHD Admitted it Was an Over-Diagnosed Disease

Free Franco DeNicola Screening: The Shift In Consciousness

We interviewed Franco DeNicola about what is happening with the shift in consciousness. It turned out to be one of the deepest and most important information we pulled out within an interview.

We explored why things are moving a little more slowly with the shift at times, what is stopping certain solutions from coming forward and the important role we all play.

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Boy or Girl – Baby Gender Selection Issues

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Some parents have the possibility to opt for gender selection; however, being able to decide whether to have a baby boy or girl is a controversial issue.

Many couples expecting a baby do not think it’s a big issue whether they have a boy or a girl; however there are several medical, social, and personal reasons that could influence parents to recur to some form of gender selection.

Like many other controversial practices, the legality of gender selection, also known as sex selection, varies from country to country.

The Legality of Baby Gender Selection

The United States has perhaps some of the most relaxed laws regarding baby gender selection in the world. Most European countries and Australia, on the other hand, have bans on sex selection and only allow it for medical reasons. For example, if a parent is a carrier of a mutation or gene with more chances of manifesting itself in a certain gender, baby gender selection is valid. However, if parents simply wish to balance the ratio of boys and girls in their family, they are not allowed to recur to sex selection.

This has generated a form of medical tourism in which couples from countries where gender selection is illegal, like the UK, travel to the US in order to be able to choose whether to have a baby boy or girl.

On the other hand, sex selection is illegal in the two most populated countries on Earth, China and India. In these countries, baby gender selection has been performed clandestinely for many years and for reasons other than family balancing or avoiding genetic diseases. In these societies, having a baby boy is preferred mainly for cultural and economic reasons. Parents believe that boys have better chances of earning income and eventually support them when they reach an old age.

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Methods of Baby Gender Selection

There are two major types of gender selection methods: the first one is called sperm sorting, and involves separating X-chromosome sperm from Y-chromosome sperm by flow cytometry, a purification technique in which chromosomes are suspended in a stream of sperm and identified by an electronic detector before being separated. Intra-uterine insemination or in-vitro fertilization can then be performed with the enriched sperm. The success rates for this method vary from 80% to 93%.

The other method, called pre-implantation genetic diagnosis, consists in generating several embryos through in-vitro fertilization, which are then genetically tested to determine a baby’s gender. The chosen embryos can then be implanted. This method has a success rate of almost 100%; however, it can be quite expensive, costing up to $15,000.

Issues Regarding Baby Gender Selection

While there are few objections against baby gender selection when it is performed for medical reasons, it has become a highly controversial issue when it is used for balancing the number of boys or girls in families. Some people raise the obvious ethical question of whether people who opt for gender selection are “playing God” by manipulating whether to have a baby boy or girl. Others believe that new parents will raise a baby more appropriately if he or she belongs to their preferred gender.

Gender Imbalance Caused by Baby Gender Selection

Gender selection has caused demographic concern in China and India since it has contributed to generate a gender imbalance in the populations of those countries. In some regions of China, for example, the sex ratio for newborns is 118:100, boys to girls. This phenomenon has in turn been associated with social problems such as an increase in violence and prostitution.

It seems like a logical solution for governments around the globe to legalize baby gender selection but to analyze the personal reasons why each couple intends to select a baby boy or girl. Gender selection for medical reasons should even be encouraged, since it could prevent serious genetic diseases such as cystic fibrosis, Huntington’s disease, and Haemophilia A. Balancing the gender ratio of a family should be accepted if by doing this, a healthy family environment is created. On the other hand, China and India have shown that baby gender selection as a result of a bias towards a particular gender can not only create a gender imbalance in the population, but contribute to social problems as well.

Free Franco DeNicola Screening: The Shift In Consciousness

We interviewed Franco DeNicola about what is happening with the shift in consciousness. It turned out to be one of the deepest and most important information we pulled out within an interview.

We explored why things are moving a little more slowly with the shift at times, what is stopping certain solutions from coming forward and the important role we all play.

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Organic Certification: What the USDA Organic Label Means

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In Brief

  • The Facts:

    Organic and natural labels mean different things, and various types of labels tells you what percentage of ingredients are actually organic. We'll explore what to look for.

  • Reflect On:

    Do you sometimes buy products thinking they are organic or fully natural based on their wording? Have you later found out that those products aren't natural or organic at all? Read labels more closely at grocery stores to be aware.

Don’t get conned by fraudulent claims of “natural” or “organic.” Learn what to look for, and why it’s important, to ensure you’re getting the quality you are paying for.

The industrial age of the 20th century brought about changing agricultural practices that have generated increasing alarm about the effects of these practices on the environment and health. The use of chemical fertilizers and pesticides, antibiotics, hormones, irradiated and genetically altered food and fiber products has created a groundswell of rightful concern. It has led to the growing demand for non-toxic, organic products that many are willing to pay a higher price for to ensure the healthful purity of food and clothing provided for their families.

With such profit opportunities, it’s little wonder that the lucrative organic product market has suffered abuse with so-called “organic” labels being fraudulently placed on products that have not earned the right. As a result of pressure from farming and consumer groups, legislation for the standardization of organic certification was introduced in the 1980s. It has been updated to include more vigorous enforcement and control methods since, with the current standards established in 2002 by the USDA.

The Standards of USDA Organic Certification

Specific standards must be met in order to legally claim a product as USDA certified organic. Organic producers must utilize methods that conserve water, maximize soil health, and reduce air pollution. The specific standards to earn USDA organic certification include:

Free of synthetic chemicals such as insecticides, herbicides, fertilizers, hormones, antibiotics, and additives

Free from irradiation and genetically modified organisms

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Agricultural products grown on land that has been free of prohibited substances for a period of three years

Animals used for meat, eggs, milk or other animal products must be exclusively fed foods that are organically grown, may not be given antibiotics or hormones, and must have access to outdoors.

Clean and sanitized harvesting and processing equipment throughout the process from harvest to finished, packaged product

Detailed chain-of-handling records from the field through final sales

Physical separation of certified organic products from non-organic products throughout the process of production

Regular on-site inspections from USDA-approved inspectors to ensure compliance

Understanding the Certified Organic Label

Once the rigorous process of certification has been completed, organic producers may place the USDA certified organic seal on their products. Currently, there are four levels of certified organic products, with a specific definition of the percentage of organic ingredients the final products contains. They are as follows:

• 100% organic: all production methods and ingredients are USDA certified organic.

• Organic: at least 95% of the production methods and ingredients are USDA certified organic with remaining ingredients included on the National List of allowed ingredients.

• Made With Organic Ingredients: at least 70% of the ingredients are USDA certified organic with remaining ingredients included on the National List of allowed ingredients.

• No organic wording or seal: less than 70% of the ingredients are USDA certified organic and no claims may be made on the front or back of the product.

Manufacturers or producers who knowingly label a product “organic” when it does not meet the USDA standards are subject to fines up to $11,000 per violation.

Why Organic Certification is Important

When you see the official USDA organic certification seal on food, clothing, and bedding products, you can be assured that these products have met the meticulous standards required and are free of chemicals, toxins, antibiotics, and hormones. When you see the USDA certified organic label, you will understand the value of the higher priced organic products as compared to non-organically produced products.

With the current stringent organic certification requirements enforced by regular inspections from USDA accredited agents, the USDA certified organic label has great meaning and importance to the consumer. Look for the label to know that you are getting the quality you are paying for.

Free Franco DeNicola Screening: The Shift In Consciousness

We interviewed Franco DeNicola about what is happening with the shift in consciousness. It turned out to be one of the deepest and most important information we pulled out within an interview.

We explored why things are moving a little more slowly with the shift at times, what is stopping certain solutions from coming forward and the important role we all play.

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WHO Finds Global Lack Of Inactivity Rising Especially In Wealthier Countries — What You Can Do

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In Brief

  • The Facts:

    Inactivity is on the rise and it's the cause of a wide range of health concerns. Our population is only becoming more inactive, not less, and it's time to change that.

  • Reflect On:

    There are many factors of our modern world that make us less active. Our jobs, driving rather than walking/biking, too much screen time. What can you do differently to bring more activity into your life? What story stops you from starting?

The World Health Organization (WHO) estimates that more than a quarter of the entire population on this planet are not getting enough physical exercise, this number has barely improved since 2001. There are many factors that contribute to this, but just how much damage are we doing by failing to be active?

The lack of physical exercise raises the risk of many health problems, such as heart disease, type-2 diabetes and various types of cancers.

Interestingly, according to their study published in The Lancet Global Health, higher income countries, such as the UK, were among the least active population. Women were also found to be more sedentary throughout the world, excluding two regions in Asia.

The study looked at self-reported data on activity levels from 358 population based surveys covering 168 countries and included 1.9 million people.

The populations of higher income countries, which include the UK and USA showed an increase in the proportion of inactive people and had actually risen from 32% in 2001 to 37% in 2016, in the lower income countries it remained at 16%.

Those who were classified as inactive did less than 150 minutes of moderate exercise and around 75 minutes of intense activity per week.

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It was found that women were less active than men overall, except for in South and Central Asia, the Middle East, North Africa and higher-income Western countries. The authors believe that this was caused by a few different factors including extra childcare duties and cultural perspectives that may have made it more difficult for them to exercise.

Why More Inactivity In Wealthier Countries?

According to the researchers, in the wealthier countries, many of the jobs have transitioned to more office or desk jobs, meaning a more sedentary type of lifestyle. On top of that much of the population of these countries drive automobiles or take public transit to and from work which in many cases accounts for a lot of their time.

In the lower income countries, many of the jobs require the people to be more active, are physically demanding and people often have to walk to and from their jobs.

The WHO has had a goal to reduce the global levels of inactivity by 10% by 2025, the authors of the study feel that at the rate we are currently going, this target will be missed.

Lead author of the study, Dr. Regina Guthold said, “Unlike other major global health risks, levels of insufficient physical activity are not falling worldwide, on average, and over a quarter of all adults are not reaching the recommended levels of physical activity for good health.”

Regions with increasing levels of insufficient physical activity are a major concern for public health and the prevention and control of non-communicable diseases.”

Co-author, Dr. Fiona Bull added, “Addressing these inequalities in physical activity levels between men and women will be critical to achieving global activity targets and will require interventions to promote and improve women’s access to opportunities that are safe, affordable and culturally acceptable.”

According to the WHO,

Exercise guidelines for 19- to 64-year-olds

How much?

  • at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity every week
  • strength exercises on two or more days a week that work all the major muscles
  • break up long periods of sitting with light activity

What is moderate aerobic activity?

  • Walking fast, water aerobics, riding a bike on level ground or with a few hills, doubles tennis, pushing a lawn mower, hiking, skateboarding, rollerblading, volleyball, basketball

What counts as vigorous activity?

  • Jogging or running, swimming fast, riding a bike fast or on hills, singles tennis, football, rugby, skipping rope, hockey, aerobics, gymnastics, martial arts

What activities strengthen muscles?

  • lifting weights, working with resistance bands, doing exercises that use your own body weight, such as push-ups and sit-ups, heavy gardening, such as digging and shovelling, yoga

What activities are both aerobic and muscle-strengthening?

  • circuit training, aerobics, running, football, rugby, netball, hockey

Final Thoughts

I was surprised to see that the WHO didn’t touch on inactivity due to too much screen time — watching television, Netflix, Facebook scrolling, messaging, texting, browsing etc. Certainly, the increase in screen time plays a roll with the amount of inactivity, especially in the higher income countries. If you are someone who spends too much time staring at a screen, then it is important to consider the above information. Can you limit your screen time and replace it with something active? Or would you consider jumping rope, or rebounding while watching the television? Our health is our greatest wealth and having awareness about an issue is the first way to create change and take responsibility for our lives.

Could you walk or bike to work instead of drive? What about trying a new sport? Could you commit to adding a few hours each week of physical activity? These small decisions could have a profound impact on your health, longevity and overall well-being.

Much Love

Free Franco DeNicola Screening: The Shift In Consciousness

We interviewed Franco DeNicola about what is happening with the shift in consciousness. It turned out to be one of the deepest and most important information we pulled out within an interview.

We explored why things are moving a little more slowly with the shift at times, what is stopping certain solutions from coming forward and the important role we all play.

Watch the interview here.
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