ADHD, In Context: Give Me A Break
Posted by Dr. Vollmer on June 8, 2016
ADHD can look like PTSD, or in the new language, a result of ACEs (adverse childhood events), in that the lack of focus could be a result of traumatic experiences interfering with the ability to concentrate. Understanding the child in context can help discern the various factors which contribute to difficult or disruptive behaviors. I am just not sure why this needs to be said, as it is inherently obvious. Yet, in lecture after lecture, that I go to, given by people with impressive degrees, I hear this as a take-away point, as if the audience does not know this. Without understanding the child’s environment, the speaker said, you can make the wrong diagnosis. Duh, was my private thought, while I was stuck on whether the speaker thought she was being profound or if she thought that her audience was so clueless that she had to state the obvious. Every child, every patient needs to be seen in the broader context of their family, social and academic environments. In today’s day of assembly-line medicine, perhaps this does need to be said. I close with a common refrain of mine. Sad, sad, sad.